NC0060461_Renewal (Application)_20160804

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td*D& tot oo(ooCal l NC DENR/ DWR/ NPDES
Renewal Application Checklist
The following items are REQUIRED for all renewal packages:
O A cover letter requesting renewal of the permit and documenting any changes at the facility since
✓ issuance of the last permit. Submit one signed original and two copies.
tic The completed application form (copy attached), signed by the permittee or an Authorized
Representative. Submit one signed original and two copies.
O If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares
dips the renewal package, written documentation must be provided showing the authority delegated to the
Authorized Representative (see Part Il.B.11.b of the existing NPDES permit).
,„07/1 narrative description of the sludge management plan for the facility. Describe how sludge (or other
solids) generated during wastewater treatment are handled and disposed. If your facility has no such
plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed
original and two copies.
The following items must be submitted by any Municipal or Industrial facilities discharwing
process wastewater: •
o Industrial facilities classified as Primary Industries (see Appendices A-D to Title 40 of the Code of
Nip Federal Regulations, Part 122) and ALL Municipal facilities with a permitted flow ? 1.0 MGD must
submit a Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21.
The above requirement does NOT apply to non-industrial facilities EIVED/NCDECJD!/VR
AUG 0 4 2016
Water Quality
Permitting Section
Send the completed renewal package to:
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
•

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC0060461.
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next. To check the boxes, click your mouse on lop of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name Carolina Water Service Inc. of North Carolina
Facility Name Abington - WWTP
Mailing Address P.O. Box 240908
City Charlotte
State / Zip Code NC, 28224
Telephone Number [phone]
Pp-tivcntnornmcwowR
Fax Number [phone] •
AUG niir IJppY LOI6 1
e-mail Address [e-mail]
... . , :auoiity
Permitting Section
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 6890 Bainburg Court
City Kernersville
State / Zip Code NC 27284
County Forsyth
3. Operator Information:
Name of the firm,public organization or other entity that operates the facility. (Note that this is not referring
to the Operator in Responsible Charge or ORC)
Name Carolina Water Service Inc. of North Carolina
Mailing Address P.O. Box 240908
City • Charlotte
State / Zip Code NC, 28224-0908
Telephone Number [phone]
Fax Number (7041525-8174
e-mail Address mjlashuaQuiwater.com
1 of 4 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees 0
Commercial ❑ Number of Employees
Residential ® Number of Homes 718
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Abington - Subdivision
718 x 2.5 = 1795 population
Number of persons served: 1795
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Belews Creek
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: -
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is riot sufficient, attach the description of the treatment system in a
separate sheet of paper.
The 0.2 MGD treatment facility consists of the following components; Bar screen, flow
splitter box, equalization basin, dual clarifiers, dual aeration basins, chlorine contact
basin, tablet chlorine disinfection, tablet de-chlorination, aerobic digester, post aeration
chamber, effluent flow measurement, standby generator with automatic transfer
station.
2 of; Form-0 11/12

•
• NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.2 MGD
Annual Average daily flow 0.127 MGD (for the previous 3 years)
Maximum daily flow 0.292 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform. Temperature and p1-1 shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36.months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 14.6 2.95 Mg/1
Fecal Coliform 308.0 7.17 # 100/m1
Total Suspended Solids 41.3 1.86 Mg/1
Temperature (Summer) 26.6 22.0 Celsius
Temperature (Winter) 20.5 13.6 Celsius
pH 8.0 6.97 Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0060461 Dredge or 1111 (Section 404 or CWA)
PSD (CAA) Other WQCS00261
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the best
of my knowledge and belief such information is true, complete, and accurate.
Martin Lashua Vice President of Operations
Printed nam of Pe on Sig ing Title
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article,or who falsifies,tampers with,or knowingly renders inaccurate any recording or monitoring device or method required
to be operated or maintained under Article 21 or regulations of the Environmental Management Commission 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. Section 1001 provides a
punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
30F3
4'ei-d' Form-D 11/12

C.Utilities, Inc.'
August 1,2016
Ms.Wren Thedford
NC DENR
Division of Water Resources
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617 •
Re: Abington WWTP
NPDES NC0060641
Sludge Management Plan •
Dear Ms.Thedford,
As sludge and other solids are generated at this facility,they are periodically removed by one of the two licensed contractors
listed below and disposed of appropriately.
Carolina Septic
141 Furlong Industrial Drive
Kernersville, NC 27284
Phone:[phone]
-OR-
Republic Services, Inc.
P.O. Box 219
Pineville, NC 28134 •
Phone:[phone] •
If you should have any questions or need any additional information, please do not hesitate to call me at 704-319-0517 or by
email at [e-mail]
Thank you in advance for your attention.
Sinc ly,
Martin Lashua
Vice President of Operations
auuiifies,Inc.cam'
pany Carolina Water Service, Inc.of North Carolina
P.O.Box 240908 Charlotte,NC 28224• P:704-525-7990 • F:704-525-8174
5701 Westpark Dr.,Suite 101 i Charlotte,NC 28217 • www.uiwater.com