NC0083071_Permit Issuance_20121221

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
December 21, 2012
The Honorable Bobby Smith
Mayor Pro-Tem
P.O. Box 126
Robbinsville, North Carolina 28771
Subject: Issuance of NPDES Permit
NCO083071
Robbinsville WWTP
Graham County
Facility Class I
Dear Mayor Smith:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated October 15,
2007 (or as subsequently amended).
The following changes have been incorporated into this permit renewal:
• A monitoring frequency for aluminum was reduced to Quarterly based on the Divisions Permitting
Strategy for Water Treatment Plants.
• A monitoring frequency for iron was reduced to Quarterly based on the Divisions Permitting
Strategy for Water Treatment Plants.
• A monitoring frequencies for turbidity, flow and TRC were reduced to 2/Month based on the
Divisions Permitting Strategy for Water Treatment Plants.
• Monitoring for the Settleable Solids was removed based on the Divisions Permitting Strategy for
Water Treatment Plants.
• A sample type for flow measurement was updated based on the Divisions Permitting Strategy for
Water Treatment Plants.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] FAX: 91 U07-6492
Internet www.ncwatemualfty.org
oe
NCarolina
NaAur.,Ay
An Equal opporamity % Affirmative Action Employer

A Whole Effluent Toxicity Monitoring was added to the permit based on the Divisions Permitting
Strategy for Water Treatment Plants (Please refer to A. (2)).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this letter. This request must be in the form of a written petition, confomvng. to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative
Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made,
this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division
may require modification or revocation and teissuance of the permit. This pemut does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or
Local governmental permit that may be -required. If you have any questions concerning this permit,
please contact Sergei Chemikov at telephone number [phone].
Sincerely,
V
' a�ald1 xles W
cc: Central Files
NPDES Files
Asheville Regional Office / Surface Water Protection Section
Aquatic Toxicology Unit (e-copy)

Permit NCO083071
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other
lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control
Act, as amended, the
Town of Robbinsville
is hereby authorized to discharge wastewater from a facility located at the
Robbinsville WTP
NCSR 1110
Graham County
to receiving waters designated as Rock Creek in the Little Tennessee River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III and IV hereof.
12W /3
This permit shall become effective February 1, ?012"
This permit and authorization to discharge shall expire at midnight on November 30,
2017.
Signed this day December 21, 2012.
Ch es Wakild PCW., i ctor
i ion of Water Quality
Authority of the Environmental Management Commission

Permit NCO083071
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge
are hereby revoked. As of this permit issuance, any previously issued permit bearing.
this number is no longer effective. Therefore, the exclusive authority to operate and
discharge from this facility arises under the permit conditions, requirements, terms,
and provisions included herein.
The Town of Robbinsville is hereby authorized to:
1. Continue to operate a Conventional Water Treatment Plant producing drinking.
water with a discharge of filter -backwash wastewater. This Water Treatment Plant
currently has a design potable flowrate of 0.5 MGD and a maximum, monthly
average wastewater discharge of 0.018 MGD
2. This facility is located 3.4 miles South of the Town of Robbinsville on NCSR 1110
in Graham County.
3. The Town of Robbinsville WTP consists of settling tubes and conventional filter.
4. Discharge from said treatment works at the location specified on the attached map
into the Rock Creek, classified C-Trout, HQW waters in the Little Tennessee River
Basin.

0
Town of Robbinsville WTP
Facility
Location
x
-
Latitude: 35116' 46" N State Grid: Robbinsville, NC
not to scale
._
Longitude: 83°49'05" W Permitted Flow: 0.300MGD
Receiving Stream: Rock Creek Drainage mtsin: Little Tennessee River Basin
�� J�
NPDES Permit No. NC1013011
Stream Class: urrout l-IWQ Sun -Basin: 04-04-04
North
1Vor{/�l
Graham County

Permit NC0083071
A. (l.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge filter backwash from outfall 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
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Flow3
Monitor & Report
2/Month
Instantaneous
Effluent
Total Suspended Solids
30.0 mgZL 45.0 m L
2/Month
Grab
Effluent
Turbidity'
Monitor & Report
2/Month
Grab
Upstream &
Downstream
Total Iron
Monitor & Report
Quarterly
Grab
Effluent
Total Residual Chlorine2
17.0 u L
2./Month
Grab
Effluent
Total Aluminum
Quarterly
Grab
Effluent
Chronic ToxicW
Quarterly
Grab I
Effluent -
Footnotes:
1. The discharge shall not cause the turbidity of the receiving water to exceed 10 NTU. If the
turbidity exceeds these levels due to natural background conditions, the discharge level cannot
cause any increase in the turbidity in the receiving water.
2. Monitoring and limit shall only be applicable if chlorine is used for disinfection. The Division
shall consider all effluent TRC values reported below 50 Vg/L to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a
North Carolina certified laboratory (including field certified), even if these values fall below 50
ug/L.
3. Duration of the discharge shall be noted in log books and a Total daily discharge reported in
the DMR.
4. Whole Effluent Toxicity shall be monitored by chronic toxicity (Ceriodaphnia) P/F at 10.0%.
Tests shall be conducted in February, May, August and November (Refer to Part A. (2.) for
details).
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace
amounts.

Permit NCO083071
A. (2.) CHRONIC TOXICITY MONITORING (QRTRLY)
The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in the `
"North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or
subsequent versions.
The effluent concentration defined as treatment two in the procedure document is 10.0%. The testing
shall be performed as a Ceriodaphhia dubia 7day pass/fail test. The tests will be performed during the
months of February, May, August, and November. Effluent sampling for this testing shall be performed
at the NPDES permitted final effluent discharge below all treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the month in which it was performed, using the parameter code
TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later
than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete and accurate and include all supporting chemical/physical measurements
performed in association with the toxicity tests, as well as all dose/response data. Total residual
chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test
form indicating the facility name, permit number, pipe number, county, and the month/year of the
report with the notation of "No Flow" in the comment area of the form. The report shall be submitted to
the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, then
monthly monitoring will begin immediately. Upon submission of a valid test, this monthly test
requirement will revert to quarterly in the months specified above.
Should any test data from this monitoring requirement or tests performed by the North Carolina
Division of Water Quality indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of
such monitoring shall be included in the calculation & reporting of the data submitted on the DMR &
all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control
organism survival, minimum control organism reproduction, and appropriate environmental controls,
shall constitute an invalid test and will require immediate follow-up testing to be completed no later
than the last day of the month following the month of the initial monitoring.

ASl 1.F. ,/ a ��
CITIZEN TB ES
VOICE OF THE MOUNTAINS • QTTI,EN-TIMESoom
AFFIDAVIT OF PUBLICATION
BUNCOMBE COUNTY
SS.
NORTH CAROLINA
Before the undersigned, a Notary Public of said County and
State, duly commissioned, qualified, and authorized by law
to administer oaths, personally appeared Velene Fagan,
who, being first duly sworn, deposes and says: that she is
the Legal Billing Clerk of The Asheville Citizen -Times,
engaged in publication of a newspaper known as The
Asheville Citizen -Times, published, issued, and entered as
first class mail in the City of Asheville, in said County and
State; that she is authorized to make this affidavit and
sworn statement; that the notice or other legal
advertisement, a true copy of which is attached hereto, was
published in The Asheville Citizen -Times on the
following date: October 10, 2012. And that the said
newspaper in which said notice, paper, document or legal
advertisement was published was, at the time of each and
every publication, a newspaper meeting all of the
requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified
newspaper within the meaning of Section 1-597 of the
General Statues of North Carolina.
Signed this 15`h, day of October, 2012
of person making
Sworn to and subscribed before me the 15`h, day of
October, 2012.
expires the 5ih day of October, 201
[phone] 1 [phone] FAX =� NOTARY
a
14 O. HENRY AVE. I P.O. BOX 2090 1 ASHEVILLE, NC 28802 1 [phone] y
ii �•� PUBLIC
GANVE

Chernikov, Sergei
From: Mike Dowd [[e-mail]]
Sent: Thursday, September 27, 201210:49 AM
To: [e-mail]; Chernikov, Sergei
Cc: [e-mail]
Subject: RE: question
According to the Town's most recent (2010) Local Water Supply Plan, the safe yield of Rock Creek is 0.04 MGD and is
noted to be based on 20% of the 7Q10; this would make the 7Q10 0.2 MGD.
Mike Dowd, PE
Project Manager
McGill Associates, P.A.
55 Broad Street I Asheville, NC 28801
Phone: [phone] Mobile: [phone] Fax: [phone]
Email: [e-mail] I Website: www.mceilleneineers.com
From: Forrest Westall Lmailto:forrest.westallC&mcgillengineers.com1
Sent: Thursday, September 27, 2012 10:10 AM
To: 'Chernikov, Sergei'
Cc: mike.waresakC&mcgillengineers.com; [e-mail]
Subject: RE: question
Hi Sergei,
I'm fine. I hope you and your family is doing well. Any trips planned to Moscow?
I don't have the Rock Creek 7/10, and we likely do not have it. I don't think Rock Creek is a source for the water system
in the Town. I've copied Mike Waresak and Mike Dowd to see if they have any information.
I'm not sure there is a tremendous benefit of the WET test for Robbinsville, but I don't know how the WTP Strategy
works. If you wouldn't mind, please send me a copy of the WTP Strategy. At a NC Water Quality Association meeting I
attended back in February, the question of WET testing for WTPs was directed to Chuck (he was invited as the "new'
director to speak and answer questions). He stated he wasn't familiar with the policy/strategy, but would look into it. Has
there been any follow-up within the agency? As I'm sure you know, the finished water for most public water supply
systems exhibit aquatic toxicity due to additives (zinc phosphate —in some applications for corrosion control and residual
chlorine for public health protection, etc.). Hopefully the discharges from the base treatment units (sedimentation basin,
filters, iron removal, etc.) do not contain these additives. The residual alum or polymer used for sedimentation could be
an issue. I know that the ecological impact of these discharges has been something the agency has been looking at for
some time.
I appreciate your forbearance on my questions. Its my job.
Take care,
Forrest
Forrest R. Westall, Sr., PE
Principal
McGill Associates, P.A.
38 Orange Street I Asheville, NC 28801
Phone:[phone] Fax: [phone]
Email: [e-mail] I
Website: www.mceillengineers.com

Permit Review Sheet
Robbinsville WTP
NPDES No. NCO083071
FACILITY INFORMATION '
- RECEIVING STREAM
Facility Name:
Robbinsville WTP
Receiving Stream:
Rock Creek
Permitted Flow (MGD):
NA
Subbasin:
040404
Facility Grade:
1
Index No.:
Facility Status:
Existing
Stream Class:
C-Trout-HQW
Permit Status:
Renewal
303(d) Listed:
Yes (Statewide Hg)
County:
Graham
Use Support:
Supporting
Regional Office:
Asheville
Drainage Area (m12):
0.66
USGS Topo Quad:
F3SE
Summer 7Q10 (cfs)
0.25
Winter 7Q10 (cfs):
30Q2 (cfs):
Average Flow (cfs):
WC (%):
10.0%
Facility Overview
The Town of Robbinsville operates a conventional WTP designed for 0.5 MGD. The facility generates
backflow of 0.018 MGD and discharge occurs every day for 1-2 hours. Water sources are Long Creek,
Burgin Creek, and Rock Creek. The water from these creeks is stored in 2 MG reservoir before treatment
at the WTP.
Compliance HistorX
During the last 4 years the facility received 2 notices of violation for exceeding the Total Residual
Chlorine limit.
PROPOSED PERMIT CHANGES
• A monthly average and a daily maximum limits for aluminum were added to the permit based
on the results of the statistical analysis of the effluent data. A monitoring frequency for
aluminum was reduced to Monthly. The limits will become effective 4 years after the effective
date of the permit. This time period is provided for the facility to determine and implement the
best strategy to comply with the new water quality limits.
• A monitoring frequency for iron was reduced to Monthly based on the review of the effluent
data.
• A monitoring frequencies for turbidity, flow and TRC were reduced to 2/Month based on the
Divisions Permitting Strategy for Water Treatment Plants.
• A monitoring for the Settleable Solids was removed based on the Divisions Permitting Strategy
for Water Treatment Plants.
• A sample type for flow measurement was updated based on the Divisions Permitting Strategy
for Water Treatment Plants.
• A Whole Effluent Toxicity Limit was added to the permit based on the Divisions Permitting
Strategy for Water Treatment Plants (Please refer to A. (2)).

NPDES Contact
If you have any questions on this fact sheet, the draft permit, or other attachments, please contact
Sergei Chernikov at [phone] or [e-mail].
Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: October 9, 2012
Scheduled Issuance Date: December 6, 2012
CHANGES IN THE FINAL PERMIT
The limit for Aluminum was removed to correct an error and the monitoring frequency was
reduced to quarterly.
The monitoring frequency for Iron was reduced to quarterly in accordance with the Divisions
Permitting Strategy for Water Treatment Plants.

Robbinsville WTP REASONABLE POTENTIAL ANALYSIS Outfall 001
NCO083071 Qw = 0.018 MGD
Qw (MGD) = 0.02
1 Q1 OS (cfs) = 0.21
7Q 1 OS (cfs) = 0.25
7QIOW (cfs) = 0.00
30Q2 (cfs) = 0.00
Avg. Stream Flow, QA (cfs) = 0.00
Receiving Stream: Rock Creek
WWTP/WTP Class: I
IWC cQr 1 Q l0S = 11.73%
1WC @ 7Q10S = 10.040/6
IWC @ 7Q10W = 100.00%
IWC Q 3OQ2 = 100.00%
IWC @ QA = 100.00%
Stream Class: C-Trout, HQW
YOU HAVE DESIGNATED THIS RECEIVING
STREAM AS HQW OR ORW
CHRONIC TEST CONCENTRATION = 2 X IWC %
20.1 %
PARAMETER TYPE STANDARDS & CRITERIA (2) y REASONABLE POTENTIAL RESULTS RECOMMENDED ACTION
(1) NC WQS / Applied %2 FAV / a
� z ri # Det. Max Pred Allowable Cw
Chronic Standard Acute Cw,
Acute: NO WQS no Iln*, Action level standard
Iron NC 0.5 FW(7Q10s) mg/L 17 17 178.35 _ __ —_— _ _ _ -----------___
Chronic: 4.98008 reduce monitoring to quarterly"
1 values > Allowable Cw
Acute:
0 0 N/A
Chronic---------- --- — -----------------
Acute:
0 0 N/A
ni Chroc:---------- — — — — — --- —
83071-RPA-2012.xlsm, rpa
Page 1 of 1 12/17/2012

REASONABLE POTENTIAL ANALYSIS
1
2
3
4
5
6
7
8
9
10
it
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
58
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Aluminum
Date Data 8DL=1/2DL Results
' Sid
Mean
C.V.
n
Mutt Factor =
Max. Value
Max. Pred Cw
NO DATA
NO DATA
0
N/A
NIA ug/L
NIA ug/L
Date Data
1
2
3
4
5
8
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21.
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52 _1
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Iron
BDL-112DL
15 15
0.23 0.23
0.21 0.21
0.5 0.5
0.1 0.1
0.062 0.062
0.072 0.072
0.97 0.97
0.6 0.6
0.64 0.64
0.061 0,061
0,085 0.085
0.76 0.76
0.05 0.05
0.061 0.061
0.11 0.11
0.091 0.091
Results
Sid Dev.
3.5802
Mean
1.1531
C.V.
3.1050
n
17
Mutt Factor =
11.89
Max. Value
15.00
Mu. Pred Cw
178.35
_4_
83071-RPA-2012.xlsm, data
12/17/2012

Chernikov, Sergei
From:
John C Weaver [e-mail]]
Sent:
Wednesday, October 03, 2012 1:34 PM
To:
Chernikov, Sergei
Cc:
John C Weaver
Subject:
Response from USGS concerning Rock Creek 7Q10 discharge... Re: question
Follow Up Flag:
Follow up
Flag Status:
Flagged
Sergei,
In response to your inquiry about the summer (annual) 7Q10 low -flow discharge for Rock Creek near Robbinsville in
Graham County, the following information is provided:
A check of the low -flow files here at the USGS North Carolina Water Science Center does not indicate a previous low -flow
determination for your point of interest on Rock Creek. No USGS discharge records are likewise known to exist for your
point of interest.
In the absence of site -specific discharge records sufficient for a low -flow analysis, estimates of low -flow characteristics at
ungaged locations are determined by assessing a range in the low -flow yields (expressed as flow per square. mile
drainage area, of cfsm) at nearby sites where such estimates have previously been determined.
For streams in Graham County, the most recently published low -flow information is a statewide report completed in the
early 1990's. It is USGS Water -Supply Paper 2403, 'Low -flow characteristics of streams in North Carolina" (Giese and
Mason, 1993). An online version of the report is available through http:Hpubs.usgs.gov/wsp/2403/report.pdf. The report
provides the low -flow characteristics (based on data through 1988) via regional relations and at -site values for sites with
drainage basins between 1 and 400 sgmi and not considered or known to be affected by regulation and/or diversions.
Based on 2 nearby downstream USGS partial -record sites within the Long Creek basin in vicinity of your point of interest
on Rock Creek where low -flow characteristics were published in the statewide report, the 7Q10 yields range from 0.36 to
0.38 cfsm (average 0.37 cfsm).
A drainage -area delineation for this stream location completed using the online NC StreamStats application
(hftp://water.usgs.gov/osw/streamstats/north carolina.html) indicates the drainage area is 0.66 sgmi (where the channel
crosses underneath Secondary Road 1110).
Applying the range in 7Q10 yields to the drainage area for your point of interest results in an estimated 7Q10 discharge
about 0.25 cubic feet per second (cfs).
Please note the low -flow characteristics in the statewide report are based on data ending during the late 1980's and do
not reflect the occurrence of recent droughts, which have resulted in decreased low -flow statistics at some USGS gaging
stations.
Hope this information is helpful.
Thank you.
Curtis Weaver
J. Curtis Weaver, Hydrologist, PE
USGS North Carolina Water Science Center
3916 Sunset Ridge Road
Raleigh, NC 27607

Town of Robbinsville
P.O. Box 126
Robbinsville, NC 28771
828-479-3250
828-479-6428
May 29, 2012
Mrs. Dina Sprinkle
NC DENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
To Whom It May Concern:
This letter is to request renewal of Permi #NC0083071 or the Town of Robbinsville Water Treatment
Plant Lagoon. There have been no changes at the facility since the issuance of the last permit. Any
solids generated by this facility will be hauled to the Town of Robbinsville WWTP #NC0025879. If you
have any questions or need further information please contact me at 828-479-3250; or Michael Ladd at
828-479-6428.
Sincerely ^
41, v -1
Bobby Smith
Mayor Pro-Tem
H

NPDRS. MMUT APPLICATION - SHORT FORM C - wTp
F0181"=ted with water treatment plants
Mail the conmplete application to:
N. C. Department of Environment and Natural Resources
Division of Water Q / NPDyg Unit
1617 Mail Service Center, Raleigh, NC 276991617
NMRS Permit Dumber C00
Y you are C=WkAv this form-.mt computer use the TAB they or. the up — down awouts to move
.field to the next To check the boxM click Your mouse on top of the box. OdwIlis, from one
eplease print or type.
1. Contact Information:
Owner Name
Rob bt �,.s u� l ��
Facility NameMailing
Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
U�
=_Y39 -
?. t -ep L j
2. "'atioa of tacMty producing dkoharge:
Check here if same as above ❑
Street Address or State Road
city
State / Zip Code
County
0 o-' teak— t 75 --
V Q a COM
/UCSV� /IID
,Pnl�b�n.sviif2
-Gt,�
a.ham
3. Operator In brMatiun; of ifvM oonsuitant or other aft that operates fate ote Operator in Responsr%le Charge or ORC) �• fit thrs is not referring to the
Name ��- -k
�(� uj fv,n /Y1�e� ------� 1 .S2dL' G
MailingAddress
City -
State / Zip Code
Telephone Number
Fax Number
4• OwnersUp Status:
/ JC 9- Q
W3.2-) ( ) --
Federal
S. T"e of treatment plant. State ❑ Private ❑ Public

IFORM C - WTP
DES PERT AP
PLICATION - SHORT
For discharges
tied with water ucatm+en plants
tion, flocculation, and SedimentatZon, usually followed by
Couveational (Includes coagula
filtration and �sinfection)
❑ Ion (Sum_ Cycle Cationic ion exchange)
❑ Gmen Sand Filter (No sodium recharge)
❑ membrane Technology (RO. nmofiltration)
Check here if the treatment process also uses a water 80ftener ❑
awl
n of source aate:(s) ' e- aIr ° �C ucV� Cie e — f e 0 •IVY-' �.
p4at
es� for the raw water: ,Scc�c�trn f1,� �c c'rP dG�
7. Describe the �tment�sro�'. i -tpe�fe ► t J\ lc��n.� n Sv t - rp� ,� � �
U�j� f ` � s � C� G0�1112�1 r
ne . r `r S�'ej 6 k4-e
a. G s
jtn S60 coo 02�A-\ -(A aL-IcIr
0 4� generated thO
b ter, en b9'
'� �atment prOCess�es) for a�astewa g
Describe the Wast..ates and the & t I4 Cc Q ek r
S. facility �- ;, S� �,.�, o•� ��G� �c�s� t t e
e to � -- pe �► -�� 7"
5�1� �l
�SLUL# (�Icot4asR-7S
�
9. Number of separate discharge per-
Outfall
Identification nvmbe!(8) a
Continuous ❑ Intesmitt�t
10. Frequency of discharge:
intermittent:. Duration: S r
Days per week -discharge ocaurs•
11.
p i design potable OWMte ° S 0 U MGD
Backwash or reject flaw g MGrD
vide a map sthe exact ioa�o n of each outfak bwkidin9
12. Name of receiving stseam(s) �
howing
Ia t tulle and Iongctud�ek p o(,Cr-�
13. Please list all water treatment additives, including g
chemicals or dis3nfeWon
treatments, that have the potential to be
C--WTP 03/OS
in_ — 0) ..9 2

NPDES PERpNT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
All
L rn,2� , CI► tote lW, --p
14. Is this facWty located on Indian countryp (Checkone)
Yes ❑ No [9!�
IS. Additional Wonmtiou:
> Provide a schematic of flow through the facafty
the hment Process, and point of addition of :chen��s�w volumes at all points in
Solids Min ling Plan
16. NEW Applicants
o'
won needed in addition to ftems 1-1 s.
> New applicants must contact a permit
coordinator
Service Center. With the 1+iCDENR Customer
Was the Customer Service Center contacted? ❑ Yes ❑ No
> Analyses of source Water collected
> Engineering Alternative Analysft
> Discharges from Ion Eaahange and Reverse
Water quality model. osmosis plants shall be evaluated using a
17. Applicant CertiScation
beat of that I a le liar with the information contained in the application
mX knowledge and belief such information U true, complet, and aacnra that to the
LAM=
North Carolina General statute 143-2I5.6
statement representation, or certification in roant2� a lice provides Any person who knowingly makes any false
required to be maintained under Article 21 or rep n, per, or other document fifes or
implementingthat Article, regulations of the Environmental
cie, or who falsifies, tam knowingly renders . management Commission
monitoring device or method required to Z with, or knowin inaccurate any recording or
Environmental Management operated or maintained under Article 21 . or regulations of the
n implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. 18 U.S.C.1001 provides a punishment by a fine of not more than $25,000 or imprisonment ( Section
for a similar offense.) Prisonment not more than 5 years, or both,
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