NC0073571_Wasteload Allocation_19931006

NPDES WASTE LOAD ALLOCATION
PERMIT NO.: NCO073571
PERMITTEE NAME: Mervyn R. King
FACILITY NAME: Countryside Manor
Facility Status: Existing
Permit Status: Renewal
Major
Pipe No.: 001
Design Capacity:
Minor `1
0.030 MGD
Domestic (% of Flow):
Industrial (% of Flow):
11 '.
Comments:
P+�FtS�D �i2MIT
Eq No �'�tc.�.InIS +doT C— 2C= r�Av✓s srgov�
0.015 M6D.
RECEIVING STREAM- Troublesome Creek
Class: WS-III NSW
Sub -Basin: 03-06-01
Reference USGS Quad: C19NW (please attach)
County: Guilford
Regional Office: Winston-Salem Regional Office
Previous Exp. Date: 12/31/93 Treatment Plant Class: II
Classification changes within three miles:
Requested by: Charles Alvarez Date: 7/29/93
Prepared by: GlrtG' ?6wC/Date: 9 2
Reviewed by: Date: I o
D /Zr U/:w PA%y
�'����- tCq-, o•o�Shafl � 'O3n'� W;n(3d7K /03.�
Modeler
Date Rec.
#
s>&
g131,93
7SG o
Drainage Area (mi ) 1 • -% Avg. Streamflow (cfs): �. 7
7Q10 (cfs) D./3 Winter 7Q10 (cfs) T%.35' 30Q2 (cfs)
Toxicity Limits: IWC % Acute/Chronic
Instream Monitoring:
Parameters �Gf4iOU'A7lt�L f�Cl��aAG�fi✓i�0 ��
Upstream Trou6lc t,%_C- Location
Effluent
Characteristics
srr o• H
�,j; �.-
gro.o Mao
Su. w WintwlU
BOD5 (m )
519
30
3e
NE3-N (mg/1)
/7
/hoq%
- 117
/3
D.O. (mg1l)
SO
Menilzw-
4fMi7<
TSS (mg/1)
F. Col. (/100 ml)
700
&0
200
pH (SU)
�i rr inG
+Nohiia✓
/r�l
�g
22
�qoW-
ao*crow-
Aow
�N 1. (I /
m0(%/ f�✓
.sttt !f
/1�drl�D✓
MA/i
Refer: Basinwide / Streamline WLA File
Completed By Permits & Engineering
At Front Of Subbasin
Comments: WAy avy2r. �irhija h'6n .
�'�c:•s � � fry

FACT SHEET FOR WASTELOAD ALLOCATION
Facility Name:
Request # 7560
Mervyn R. King/Countryside Manor RECEIVED
NPDES No.:
NC0073571
N.C. e zt. of EHNR
Type of Waste:
Domestic - 100%
Facility Status:
Existing
SEP - 3 1993
Permit Status:
Renewal
Receiving Stream:
Troublesome Creek
W jnston-SaIeM
Stream Classification:
WS-III NSW
Reg tonal office
Subbasin:
030601
County:
Guilford
Stream Characteristic: estimated from
Regional Office:
Winston-Salem
USGS # 02.0933.2428
Requestor:
Alvarez
Date: 1984
Date of Request:
7/29/93
Drainage Area (mi2): 1.7
Topo Quad:
C19NW
Summer7Q10 (cfs): 0.13
Winter 7Q10 (cfs): 0.35
Average Flow (cfs): 1.7
30Q2 (cfs):
IWC (%): 26
Wasteload Allocation Summary
(approach taken, correspondence with region, EPA, etc.)
Facility was issued an ATC for 0.015 MGD on 6/23/89. Four limits pages are appropriate for
this permit: summer and winter for 0.015 MGD and 0.03 MGD, respectively. The 0.03 MGD
limits page should include new limits for ammonia (based on potential toxicity) and total residual
chlorine. This is SOP for "new" discharges. Limits will remain the same for the existing flow
with the exception of a change in fecal from 1000/100 ml to 200/100 rid.
Instream data appear questionable. D.O. varies <1.2 mg/1 in the summer. This facility also has
problems meeting the limit for TP.
Special Schedule Requirements and additiongl comments from Review/prs.
1el-I 'ore 4
y-)uYT"P Inu�,4 ctu_ /1 6 6?)
­>" ' 1 0.v C w Ain c�
T 5
Recommended by: lr fib / Date: P 36
Reviewed by
Instream Assessment: I G� h X��.t t'.Q(n.O �yt Date: a
lid Regional Supervisor. Date:
Permits & EneineerinE: ate: 1/4/4-
RETURN TO TECHNICAL SERVICES BY:

2
t PARAN=RS
Existing Limui
Monthly Average
Summer
Winter
Wasteflow (MGD):
0.03
0.03
BOD5 (mg/1):
30.0
30.0
NH3N (mg/1):
17.0
monitor
DO (mg/1):
5.0
monitor
TSS (mg/1):
30.0
30.0
Fecal Col. 000 ml):
1000.0
1000.0
pH (SU):
6-9
6-9
Residual Chlorine (µg/1):
monitor
monitor
Temperature (°C):
monitor
monitor
TP (mg/l):
2.0*
2.0*
TN (mg/1):
monitor
monitor
*Quarterly average limitation
Recommended Limits:
Monthly Average
Monthly Average
@ 0.015 MGD
@ 0.03 MGD
Summer
Winter
Summer
Winter
WQ or EL
Wasteflow (MGD):
0.015
0.015
0.03
0.03
BOD5 (mg/1):
30.0
30.0
30.0
30.0
EL
NH3N (mg/1):
17.0
monitor
3.2
12.7
WQ
DO (mg/1):
5.0
monitor
5.0
monitor
TSS (mg/1):
30.0
30.0
30.0
30.0
EL
Fecal Col. 000 ml):
200.0
200.0
200.0
200.0
pH (SU):
6-9
6-9
6-9
6-9
Residual Chlorine (µg/1):
monitor
monitor
28.0
28.0
WQ
Temperature (°C):
monitor
monitor
monitor
monitor
TP (mg/1):
2.0*
2.0*
2.0*
2.0*
WQ
TN (mg/1):
monitor
monitor
monitor
monitor
*Quarterly average limitation
Limits Chances Due To:
Parameter(s)
Affected
New procedures
fecal, ammonia
New facility information
Change in stream classification
INSTREAM MONITORING REQUIREMENTS
Upstream Location: Troublesome Creek 100' upstream of the outfall
Downstream Location: Troublesome Creek at SR 2103
Parameters: Temperature, Fecal, Conductivity, Dissolved Oxygen

75 ' ��«ur�Y1iDE 44160,e R7
ci✓K< k
Rve
/�� �/ (J��r, ryLG✓� Gf.!? Gt /��O -� �rror�r�v �i�/r�?•f �i. �r� Viz,
'1 D
Grw
!
��Kam! AG�r� !, ��/' t/� /: r �is9'!r i-✓lC'��'' 7�u �v�Ir�
4)/ / r k�rKe�ire;�Qrrls y/i �rn� �J� Gi?/v� l�ee�
`GiOPiLLn?G�I��'G� ik yA"i��✓'¢lD _
rrcrr
n
f) f
�� �i��f D�.� ��.cql, .SLI<'zr�%{r �� %�✓.�t� �ir �= r1c.,1
"r;

5�oi �4,
64 tl/til( o
Al(
76

COUNTRYSIDE MANOR - Allowable Waste Concentrations
SUMMER
Residual Chlorine
'Ammonia as NH3
7010 CFS
0.137010 CFS
0.13
DESIGN FLOW MGD
0.03....:. x DESIGN FLOW MGD
0.03
DESIGN FLOW CFS
0.0465 >S{S{y DESIGN FLOW CFS
0.0465
STREAM STD (UG/L)
17.0 =rf } STREAM STD MG/L
1.0
UPS BACKGROUND LEVEL UG/L
xvfi UPS BACKGROUND LEVEL MG/L
0..:
0.22
IWC %
26.3456091WC %
26.34561
Allowable Concentration (ug/I)
64.526882 = Allowable Concentration(mg/1)
3.180645
!
r,•{J'yv
1 .
J.
WINTER
Ammonia as NH3
1.:
•J:Y {
fkyflt
y y.;;4�y.
`..01-:.7010 (CFS
•y yY'\.Y
0.32
DESIGN FLOW (MGD)0.03
`' DESIGN FLOW (CFS)
0.0465
;.STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL MG/L
0.22
IWC (%
12.68759
Allowable Concentration m /I
12.67312
NC0073571 DAG 8/29/93

A.1 ' 8 j9'
TO: Permits and Engine.erin$ Unit (NPDES), see below **
Technical Support ✓ IL(; i,LAd UPPQ(tT
Guilford County Emergency Management
Central Files
WSRO-07357193.R41N�-
I
Page 1 of 4
SOC Priority Project: Yes No_X_
To: Permits and Engineering Unit
"DEM-Water Quality Section" ** Attention:Charles Alvarez **
Date August 16, 1993
***** NPDES STAFF REPORT AND RECOMMENDATIONS *****
COUNTY: Guilford
Permit No. NC0073571 ****(Renewal) ****
PART I - GENERAL INFORMATION - (Existing System )
1. Facility and Address:
Countryside Village Retirement Center, 7700 US 158, east of
Stokesdale, NC
Mailing Address: Mr. Miles E. Stanley, Administrator,
Countryside Village, 7700 US 158, Stokesdale, NC 27357
(919-643-6301) Owner Mervyn R. King, M.D.
2. Date of Investigations: March 25th, 1993, (CEI) in the field;
August 12th, 1993, files.
3. Report Prepared by: Arthur R. Hagstrom, Environmental
Engineer, DEM, WSRO WQ
4. Persons Contacted and Telephone Number:
Mr. Marvin Bowser, Maintenance Manager, 919-643-6301
M. W. (Shorty) Jeffries, ORC, WWTP Operator 919-623-2446
5. Directions to the site: From the junction of NC 68 and
US 158 go east on US 158 to 7700 US 158. Site is on the left.
6. Discharge Points(s), List all discharge points:
Latitude: 36deg14min41sec Longitude : 79deg57min30sec
Elevation: 960'
U.S.G.S. Quad No.: C19NW Quad Name: Summerfield, NC
7. Site size and expansion area consistent with application?
_X_ Yes No If no, explain. There is room on the
over-all site for upgrades.

Countryside Village Retirement Center
August 16, 1993
Page 2 of 4
8. Topography (relationship to 100 year flood plain
included): Near Flood Plain. The WWTP site has been graded to
suit the installation of the WWTP. The WWTP site is level.
The WWTP is not in the flood plain. Part of the discharge pipe
and the concrete imbedded rock re -aeration channel are in the
flood plain.
9. Location of nearest dwelling and water supply well:
The nearest residence is over 600 feet from the WWTP.
10. Receiving stream or affected surface waters: Troublesome
Creek to Haw River.
a. Watershed Classification: " WS-III-NSW "
b. River Basin and Subbasin No.: Cape Fear/03-06-01
c. Describe receiving stream features and pertinent
downstream uses: The creek flows through rural with
scattered residential areas. Reidsville WS.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater that has been permitted: 0.030 MGD.
b. Actual treatment capacity of the current facility (current
design capacity): 0.015 MGD ( a modified former .025 MGD tank)
formerly half of the .050 MGD School of the Deaf WWTP.
d. Date (s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
NONE
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities:
This 15,000 GPD WWTP consists of a bar screen, a 7,035 gallan
aerated equalization tank, a 17,772 gallon aeration tank, a 5,686
gallon clarifier, a 4,070 gallon sludge holding tank, sludge air
lifts, dual 95 CFM blowers, tabet chlorination with 30 minute
contact, alum feeder for phosphorus removal, and concrete
imbedded rock step reaeration. The WWTP is served by a dual feed
power system.
f.Please provide a description of the proposed wastewater
treatment facilities: N/A
g. Possible toxic impacts to surface waters: Any that treated
and disinfected wastewater can generate.

i -
Countryside Village Retirement Center
August 16, 1993
Page 3 of 4
h. Pretreatment program( POTW' only): N/A
in development approved -
should be required not needed
2. Residuals handling and utilization/disposal scheme:
Disposals for the site are currently handled by contract
septage haulers and taken to either Madison or North Buffalo
WWTPs.
The following are keyed to DEM's NPDES Form:
a. The residuals are not land applied by the Retirement
Center.
b. Residuals are taken from the holding tank as needed.
c. Land application by Permitted municipality or
incineration.
d. No other disposal plan needed.
3. Treatment plant classification ( Attach completed rating
sheet):
Class "Class II, 44 points
4. SIC Code: 6513 and 8051
Wastewater Code(s): Primary: 07
Secondary: 11
Main Treatment Unit Code: 0 6 4 X 7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds (municipals only)? No
2. Special monitoring requests: None
3. Important SOC, JOC, or Compliance Schedule dates: None
4. Alternative Analysis Evaluation:
a. Insufficient land for Spray irrigation.
b. Sewer connection is unlikely in the near term.
d.*Other Disposal options: Unknown, at this time.

• w
1
7
Countryside Village Retirement Center
s August 16, 1993
Page 4 of 4
5. Other special items:
a. These facilities are adequately maintained and
operated.
b. They have had some problem with Phosphorus removal.
PART IV - EVALUATION AND RECOMMENDATIONS
The WSRO recommends that a new NPDES Permit for .015 MGD be
issued for this discharge incorporating current DEM Policies.
The .015 reflects the current constructed capacity.
Signature of Rep rt UVEepairer
t
Q
Water Quality Regional Supervisor
Date:
r 93