NC0067091_Renewal (Application)_20160923

AQUA_
September 23, 2016
John Hennessy
Supervisor, Compliance and Expedited Permitting Unit
Division of Water Resources
Department of Environmental Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Mikkola Downs Subdivision WWTP
Permit Renewal Application
Permit # NCO067091
Forsyth County
Mr. Hennessy:
Enclosed please find our application for renewal of our NPDES Permit and
required documentation.
Aqua North Carolina, Inc. requests the renewal of the current limitations for
this facility as recorded on the previous permit set to expire on February 28,
2017.
If you have questions feel free to contact me at [phone], Extension
57238 or by e-mail at MAMelton(a-aguaamerica.com.
Sincerely,
U- oh aJA _WW&mj
Michael A. Melton
Regional Manager of Compliance
Aqua North Carolina, Inc.
202 MacKenan Court, Cary, NC, 27511 • 919.467.8712 • AquaAmerica.com

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 NC0067091
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
I. Contact Information:
Owner Name
AQUA NORTH CAROLINA, INC.
Facility Name
MIKKOLA DOWNS SUBDIVISION WWTP
Mailing Address
202 MACKENAN COURT
City
CARY
State / Zip Code
NC 27511
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NCSR 2016
City KERNERSVILLE
State / Zip Code NORTH CAROLINA / 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 AQUA NORTH CAROLINA, INC.
Mailing Address 202 MACKENAN COURT
City CARY
State / Zip Code NORTH CAROLINA 27511
Telephone Number [phone]
Fax Number [phone]
1 of 4 Form -D 05/08

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
Commercial
❑
Number of Employees
Residential
®
Number of Homes 43
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
This wastewater system serves residential customers only
Population served: 109
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) (Provide a map showing the exact location of each outfalls
East Belews Creek, classified C waters in the Roanoke River Basin.
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 24 hours
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 not sufficient, attach the description of the treatment system in a
separate sheet of paper.
This 0.072 mgd activated sludge package- type wastewater treatment facility consisting
of:
• Flow splitter box
• Bar screen
• Dual aeration tanks
• Dual blowers
• Dual clarifiers
• Sludge holding tank
• Sanuril chlorinator
2 of 4 Form -D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
• Chlorine contact tank
De -chlorination unit
Post aeration tank
• Effluent flow recorder
10. Flow Information:
Treatment Plant Design flow 0.072 MGD
Annual Average daily flow 0.006 MGD (for the previous year)
Maximum daily flow 0.017 MGD (for the previous year)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH 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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
14.7
4.8
MG/L
Fecal Coliform
15.0
1.2
#/ 100ML
Total Suspended Solids
16.5
6.3
MG/L
Temperature (Summer)
26.0
19.6
°Celsius
Temperature (Winter)
18.0
11.5
° Celsius
pH
8.3
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO067091 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
Permit Number
3 of 4 Form -D 05/08

NPDES APPLICATION - FORINT D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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.
Shannon V. Becker President
Printed name of Person Signing Title
of
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.)
4 of 4 Form -D 05/08

O
Aqua North Carolina, Inc.
FacilityX,,;�rr
Location
(not to scale)
Mikkola Downs Subdivision WWTP
NORTH
County: Forsyth Stream Class:
C
Receiving Stream: East Belews Creek Sub -Basin:
030201
Latitude: 36010' 57" Grid/Quad
C18NE
Longitude: 800 03' 14" HUC:
03010103
0
FacilityX,,;�rr
Location
(not to scale)
"
NORTH
NPDES Permit: NCO067091

AQUA
l` North Carolina_
SLUDGE MANAGEMENT PLAN
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated
by Aqua N.C., Western Division
Where practical, sludge removed.from a Aqua N.C., Western Division
facility will be transported via a contract hauler to another Aqua N.C.,
Western Division facility for the purpose of "seeding" a new or under
loaded plant.
Unusable (or "dead") sludge will be removed by a contract hauler and
properly disposed of in accordance with NCGS 14s-215.1. Contract
haulers used by Aqua N.C., Western Division will be required to report the
quantity of sludge transported and identify the location of the proposed
disposal site if the sludge is not taken to an existing plant operated by Aqua
N.C., Western Division. Aqua N.C., Western Division has not entered into
any agreement to accept sludge into its facilities from plants not owned by
them.
Aqua N.C., Western Division will keep records on the quantity of sludge
removed from each facility, the name of the contract hauler, and the
destination of the sludge (whether used in another plant or disposed of).
The information will be kept on file and will be made available to any
regulatory agency having jurisdiction over sludge treatment or disposal.
Aqua N.C., Western Division includes all of the facilities under the
jurisdiction of the Winston-Salem Regional Office.