NCG550169_Wasteload Allocation_19811028

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11 NPDES WASTE LOAD ALLOCATION -tea 5�
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Facility Name. nl Son/ e� , PilC� Date:
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►\\C.G5S-0(Cal Existing Permit No. : Pipe No. : O-C't County: r° `11il •
o Proposed
B Design Capacity (MGD) • 0.00 I Industr a1 (% of Flow) : Domestic (% of Flow) :_ I Oe1.1
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Receiving Stream: UT `- �A Class: M Sub-Basin: 0 3—0 7— 0 2
Ti o Reference USGS Quad: - I �� (A-) (Please attach) Requestor: �� fik �l Office (7)V
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(Guideline limitations, if applicable, are to be listed on the back of this form.)
Design Temp. : 3,5 c Drainage Area:
G.C: 5 vo( 1 Avg. Streamf low:
7Q10:. 4 C) Winter 7Q10: . 30Q2:
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• Location of D.O.minimum (miles below outfall) : (-)"`-1 I-N., Slope: . SC) 4 Jolt -
E Velocity (fps) : C.I Kl (base e, per day, 200C) : _ 1•� K2 (base e, per day, 20°C) : ,44,hI�,
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Original Allocation
Revised Allocation Date(s) of Revision(s)
—PLOTTED
(Please attach previous allocation)
1\ P epared By: jF t 1 il1 L 2 1 Reviewed By: Yle/1/1 Date:

For Appropriate Dischargers, List Complete Guideline Limitations Below
Effluent Monthly Maximum Daily
Characteristics Average Average Comments
Type of Product Produced Lhs/Day Produced Effluent Guideline Reference

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Form'#001 #256
WASTE LOAD ALLOCATION APPROVAL FORM
Facility Name: Johnson Residence
County: Forsyth Sub-basin: 03-07-02
Regional Office: Central (w-s ) Requestor: Dave Adkins
Type of Wastewater: Industrial
Domestic 100
If industrial, specify type(s) of industry:
Receiving stream: UT Old Richmond Cr . _ Class: A-II
Other stream(s) affected: Old Richmond Cr Class: A-II
7Q10 flow at point of discharge: 0 .0 cfs
30Q2 flow at point of discharge:
Natural stream drainage area at discharge point: 0 .05 mi2
Recommended Effluent Limitations
Monthly Avg .
Qw = 0 .001 MGD
BODS = 8 mg/1
NH3-N = 2 mg/1
DO = 6 mg/1
TSS = 30 mg/1
Fecal Coliform = 1000/100 ml
pH = 6-8 .5 mg/1
This allocation is: /X / for a proposed facility
/ / for a new (existing) facility
/ / a revision of existing limitations
/ / a confirmation of existing limitations
Recommended and reviewed by:
1 ►� Date: )I - I _ - I
Head, Techncial Services Br nch `/ 44/ " Date: j/ 8'
Reviewed by:
Regional Supervisor �'
�r 7/` Date: //
Permits Manager ,.. Date: /r/zD 07
Approved by: Date: 1 J �� �/
Division Director
J
North Pi6dmonf
Regional Office
nlrni 18 1981
WATER QUALITY DIVA,