NC0063720_Renewal Application_20180716

ROY COOPER
Z, Governor
MfCHAEL S.REGAIN
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Water Resources LE TAA CULPEPPER
ENVIRONMENTAL QUALITY Intorim Director
July 16, 2018
Shannon V. Becker, President
Aqua North Carolina Inc
202 Mackenan Ct
Cary, NC 27511
Subject: Permit Renewal
Application No. NC0063720
Forest Ridge WWTP
Forsyth County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 2, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 1506-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://dea.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely, ` r�
-is)
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application(WSRO)
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

AOU &
June 25,2018
Mr. John Hennessy, Supervisor RECEIVED!DENRJDWR
Compliance and Expedited Permitting Unit JUL g 201
DWR,NCDEQ
1617 Mail Service Center Nater Resources
Raleigh,NC 27699-1617 permitting Section
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Forest Ridge Subdivision WWTP
NPDES Permit NC0063720
Dear Mr. Hennessy:
Enclosed are three (3) copies of the completed application Form D-WWTP. This submittal includes the
necessary attachments for your office to renew the subject permit.
If there are any questions or concerns with our request,please do not hesitate to contact me at
[e-mail] or 919-653-6965.
Bes regards,
Amanda Owens
Manager,Environmental Compliance
cc: Laurie Ison
Joseph Pearce
Shannon Becker

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 NC0063720
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.
1. Contact Information:
Owner Name AQUA NORTH CAROLINA, INC.
Facility Name FOREST RIDGE 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 6931 AUGUST DRIVE
City CLEMMONS
State / Zip Code NORTH CAROLINA
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 1 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 ail that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 58
School El Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
This system serves-residential customers only.
Population served: 148
5. Type of collection system
® Separate (sanitary sewer only) [' Combined (stoilli 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 outfall):
Blanket Creek in the Yadkin-Pee Dee River Basin
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 not sufficient, attach the description of the treatment system in a
separate sheet of paper.
The 0.0165 MGD package plant consist of the following:
• Aeration
• Secondary clarification
• Tablet chlorination
• Dechlorination
• Post aeration
• Sludge holding
10. Flow Information:
Treatment Plant Design flow 0.0165 MGD
Annual Average daily flow 0.004 MGD (for the previous 3 years)
Maximum daily flow 0.012MGD (for the previous 3 years)
2 of 2 Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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 Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 22.9 4.32 MG/L
Fecal Colifoini 250.0 10.1 #/100ML
Total Suspended Solids 14.5 4.4 MG/L
Temperature (Summer) 27.3 22.9 °Celsius
Temperature (Winter) 18.0 13.4 ° Celsius
pH 8.6 N/A 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 N00063720 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
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.
Amanda A. Owens Manager, Environmental Compliance
Printed name of Person Signing Title
QA11/LOA (7A (01 Z S /ZQI
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.)
3 of 3 Form-D 05/08