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Home My WebLink AboutNC0055158_Fact Sheet_20190221FACT SHEET FOR EXPEDITED PERMIT RENEWALS This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc) that can be administratively renewed with minor changes, but can include facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns). Basic Information for Expedited Permit Renewals Permit Writer / Date Sydney Carpenter 2/21/2019 Permit Number NC0055158 Facility Name / Facility Class Bermuda Run WWTP / WW-2 Basin Name / Sub -basin number Yadkin -Pee Dee Basin / 03-07-02 Receiving Stream / HUC Yadkin River / 030401011501 Stream Classification / Stream Segment WS-IV / Index: 12- 86.7 Does permit need Daily Max NH3 limits? No Does permit need TRC limits/language? No Does permit have toxicity testing? No Does permit have Special Conditions? High Rock Lake reopener, Effluent Mercury analysis Does permit have instream monitoring? No Is the stream impair d on 303 d list)? No Any obvious compliance concerns? No compliance issues since last renewal. Any permit mods since last permit? Minor Mod in 2014 for influent composite - sampler installation and compliance period. New expiration date 1/31/2024 Comments received on Draft Permit? Updated facility components Added regulatory citations Updated eDMR language in Footnote 1 Updated Section A. (4) eDMR language Updated ma Changes in Final Permit? None. ENTERPRIIE RECORD Publisher's Affidavit Of Publication N0. 711033 STATE OF NORTH CAROLINA DAVIE COUNTY Public Notice North Carolina Environmental Management Commission/ Before the undersigned, a Notary Public of said county NPDESnit DMa and state, duly commissioned, qualified, and authorized 1617 Service Center Raleigh, NC 27699-1617 by law to administer oaths, personally appeared MARK A. BEE, who being first duly sworn, deposes and says that he Notice of Intent to Issue a NPDES Wastewater Permit is GENERAL MANAGER of a newspaper known as DAVIE COUNTY ENTERPRISE -RECORD, published, issued and The North Carolina Environmental Management commission pro - entered as second class mail in the City of Mocksville, in poses to issue a NPDES waste - Davie County, North Carolina, that he is authorized to make water discharge permit the personWs) listed below. ritlen this affidavit and sworn statement, that the notice or other comments regarding the proposed legal advertisement is a true copy of which was attached ermituntil 3 days afterlltheepubliisshted date of this hereto, was published in the DAVIE COUNTY ENTERPRISE- notice. The Director of the NC Di- vision of Water Resources (DWR) RECORD, on the following dates: may hold a public hearing should there be a significant degree of public interest. Please mail com- ments and/or information requests 01/24/19 to DWR at the above address. Interested persons may visit the DWR at 512 N. Salisbury Street, Raleigh, NC to review information on file. Additional information on and that the said newspaper in which such notice, paper NPDES permits and this notice may be found on our webslte: document or legal advertisement was published at the time h :V /LQ.nc.aov/about/divisions/ of each and every such publication, a newspaper meeting water-resources/water-res o u ro- es-oermits/wastewater-branch/no- all the requirements and qualifications of Section 1-597 of des-wastewater/public-notices, or the General Statutes of North Carolina, and was a qualified by calling (919) 707-6301. Town of Bermuda Run requested renewal newspaper within the meaning of Section 1-597 of the Gen- of permit N00055158/Bermuda eral Statutes of North Carolina, Run WWTP in Davie County. Fa- cility discharges to the Yadkin Riv- erNadkin-Pee Dee River Basin. Currently fecal coliform and total residual chlorine are water quality at a cost of $55.28 limited. Account #: 23483 Publish 01/24/19 Re: Purchase O//rd��er#::: foc,ti_t a. (signature of person making affidavit) Sworn and subscribed before me this 24th Day of January, 2019 Notary Public My commission expires 05/02/2021 From: man, Jeff To: Caroenter, Sydney Cc: Hudson, Eric; Kaufman, Tammv Subject: PWS Section Comments, DRAFT NPDES Permit Renewal NCO055158 Date: Monday, February 04, 2019 3:56:38 PM Attachments: imaae001.png 55158 box 2019.docx 55158 Mao 2019.odf 55158 draft 2019.docx 55158 fact 2019.docx image004.pnno Re: Town of Bermuda Run WWTP, NC0055158, Davie County Sydney, We concur with issuing the permit provided the facilities are operated and maintained properly, the stated effluent limits are met, and the discharge does not contravene designated water quality standards. Jeff H. Bryan, P.E. Assistant Regional Engineer Public Water Supply Section Department of Environmental Quality 336 776 9663 office 336 403 1092 mobile 0eff. bryan&ncdenr.gov Winston Salem Regional Office 450 W. Hanes Mill Road, Suite 300 Winston Salem, NC 27105 h 1 .10. Nothing Compares.. Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Carpenter, Sydney Sent: Friday, January 04, 2019 10:30 AM To: Kinney, Maureen <Maureen.Kinney@ncdenr.gov>; Mitchell, Patrick <Patrick.Mitchel I@NCDENR.gov>; Bryan, Jeff <jeff.bryan@ncdenr.gov> Cc: Boone, Ron <ron.boone@ncdenr.gov> Subject: DRAFT Permit Renewal NC0055158 Hello, Requesting comments for the draft of Permit NC0055158, Bermuda Run WWTP. This is a class WW-2 facility in Davie County. I expect to send it to Public Notice on January 9, 2019. Please send any comments you have by February 8, 2019. Mr. Bryan, We used to send a separate approval memo for the review by Public Water Supply. Since we're moving to paperless documents, your email comments will take the place of the old DEH memo. Thanks for your help with this. Sincerely, Sydney Carpenter Environmental Specialist 1 Compliance and Expedited Permitting Branch Division of Water Resources NC Department of Environmental Quality 919-707-3712 svdnev.caraenter aancdenr.aov 1617 Mail Service Center Raleigh, NC 27699-1617 Itz- Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. ROY COOPER NORTH CAROLINA Garwnar Environmental Quality C13AEL S- REGAN Seereem_v LINDA CULPEPPER I£ntercn¢ Director November 26, 2018 Lee Rollins, Manager Town Town of Bermuda Run 120 Kinderton Blvd Ste #100 Advance, NC 27006 Subject: Permit Renewal Application No. NC0055158 Bermuda Run WWTP Davie County Dear Applicant: The Water Quality Permitting Section acknowledges the November 14, 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. 150B-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://deg.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. Since ely, Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application North Carolina Department of Environmental Quality I Division of Water Resources 1617 Mad Service Center I Raleigh, North Carolina 27699-1617 919-807-6300 11 /8/18 MS. Wren Thedford NCDENR/DWR/NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Town of Bermuda Run Application to renew NPDES Permit # NCO055158 Dear Ms. Thedford, .1 OF 06"V-ZA tin NORTH CAROLINA 120 Kinderton Boulevard, Suite I00 Bermuda Run, NC 27006 336.998.ogo6 Fax 836.998.7209 townofbr.com RECEIVEC'1pENR/DWR NOV 14 2018 Water Resources PQrmit ing Section Please renew the above referenced Town of Bermuda WWTP NPDES permit. Enclosed herewith are a signed original and two copies of each of the following: 1. Cover letter requesting renewal. 2. Completed application form with location map and process diagram. 3. Signed sludge management plan. Thank you, Town of Bermuda Run Lee Rollins, Town Manager A Vibrant Community of Vision Town of Bermuda Run Wastewater Treatment Plant Sludge Management Plan The Forsyth Rooter Service, Inc. (2960 Griffith Rd., Winston-Salem, NC 27103, Attn: Mr. Steve Newsome) is informally contracted to pump 8,000 to 16,000 gallons of waste sludge (normally 3% to 7% solids) as requested by the operator (approximately monthly). Waste sludge is delivered to the Winston Salem, Muddy Creek WWTP for processing. Signed: ';'z Date: OI r H. Lee Rol ins, Town Manager 11 /8/18 MS. Wren Thedford NCDENR/DWR/NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Town of Bermuda Run Application to renew NPDES Permit # NCO055158 Dear Ms. Thedford, �TOWN O F� Pi in%y%�iN lily I • Li� NORTH CAROLINA 120 Kinderton Boulevard, Suite 100 Bermuda Run, NC 27006 336.998.ogo6 Fax 836.998.7209 townofbr.com Please renew the above referenced Town of Bermuda WWTP NPDES permit. Enclosed herewith are a signed original and two copies of each of the following: 1. Cover letter requesting renewal. 2. Completed application form with location map and process diagram. 3. Signed sludge management plan. Thank you, Town of Bermuda Run X- -, - - / Z"Zz� Lee Rollins, Town Manager A Vibrant Community of Vision Town of Bermuda Run Wastewater Treatment Plant Sludge Management Plan The Forsyth Rooter Service, Inc. (2960 Griffith Rd., Winston-Salem, NC 27103, Attn: Mr. Steve Newsome) is informally contracted to pump 8,000 to 16,000 gallons of waste sludge (normally 3% to 7% solids) as requested by the operator (approximately monthly). Waste sludge is delivered to the Winston Salem, Muddy Creek WWTP for processing. Signed: .-. Date: //Oq,? 0/!Y H. Lee Rol ins, Town Manager Town of Bermuda Run Wastewater Treatment Plant Sludge Management Plan The Forsyth Rooter Service, Inc. (2960 Griffith Rd., Winston-Salem, NC 27103, Attn: Mr. Steve Newsome) is informally contracted to pump 8,000 to 16,000 gallons of waste sludge (normally 3% to 7% solids) as requested by the operator (approximately monthly). Waste sludge is delivered to the Winston Salem, Muddy Creek WWTP for processing. Signed: .- Date: 11 0 ,hoIr H. Lee Rol ins, Town Manager f Mlil Ll 1 i NAmt ANU VtKM1 I NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run W1N7P NCO055158 PYadkin/Pee Dee FORM 2A NPDES NPDES FORM 2A APPLICATION OVERVIEW APPLICATION OVERVIEW Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 MGD must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12, B. Additional Application Information for Applicants with a Design Flow a 0.1 MGD. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must compete questions 6.1 through l t C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): 1. Has a design flow rate greater than or equal to 1 MGD, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data): 1. Has a design flow rate greater than or equal to 1 MGD, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to submit results of toxicity testing. F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions), and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions), or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant. or c Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22 FACILITY NAME AND PERMIT NUMBER: Bermuda Run WWTP. NCO055158 BASIC APPLICATION INFORMATION PERMIT ACTION REQUESTED Renewal PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS: An treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet. A.1. Facility Information. RIVER BASIN: Yadkin Pee Dee Facility Name Bermuda Run_WWfP Mailing Address 120 Kinder ton Boulevard -Suite 100 Bermuda Run NC 27006 Contact Person Lee Rollins Title Town Manager Telephone Number 3361998-0906 Facility Address Juniper Circle (not P.O. Box) BermRun, NC 27006 A.2. Applicant Information. If the applicant is different from the above, provide the following Applicant Name Town of.Bermuda-Run Mailing Address 120.KinclertonBoulsyprd,.suite 100 Bermuda Run, NC 27006 Contact Person 4ee Rollins Title Town Manger Telephone Number 00098-0908__ Is the applicant the owner or operator (or both) of the treatment works? ® owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ❑ facility ® applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued permits). NPDES NC0055158_- _ — PSD UIC - -- -- RA Other - -- -- - — Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership Town ofeermuda Run 147�i ` Town of Bermuda Run_ Total population served EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run WWTP, NCO055158 Renewal Yadkin Pee Dee A.5. Indian Country. a, Is the treatment works located in Indian Country? ❑ Yes ® No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes ® No A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 12" month of "this year" occurring no more than three months prior to this application submittal. a. Design flow rate 0.193 _ MGD Two Years Ago Last Year This Year b. Annual average daily flow rate .125 -_.125 137 c. Maximum daily flow rate .331 _ .351 _ 256 A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. ® Separate sanitary sewer ❑ Combined storm and sanitary sewer A.8. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: i. Discharges of treated effluent 1 ii. Discharges of untreated or partially treated effluent 0 iii. Combined sewer overflow points 0 iv. Constructed emergency overflows (prior to the headworks) p V. Other — ---- 0 _ b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes ® No If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) 0% Is discharge ❑ continuous or ❑ intermittent? MGD c. Does the treatment works land -apply treated wastewater? ❑ Yes ® No If yes, provide the following for each land application site: Location: Number of acres: Annual average daily volume applied to site: _ MGD Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ Yes Z_ No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 22 r rvwmt Arvu rtKMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run VVVVTP, NCO055158 Renewal I Yadkin Pee Dee If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). If transport is by a party other than the applicant, provide: Transporter Name Mailing Address Contact Person Title Telephone Number L. For each treatment works that receives this discharge, provide the following: Name Mailing Address Contact Person Title Telephone Number If known, provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily flow rate from the treatment works into the receiving facility. e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.8. through A.8.d above (e.g., underground percolation, well injection): If yes, provide the following for each disposal method: Description of method (including location and size of site(s) if applicable): Annual daily volume disposed by this method: _ Is disposal through this method ❑ continuous or ❑ intermittent? - -- — - MGD ❑ Yes ® No EPA Form 3510-2A (Rev 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run WWTP, NCO055158 Renewal Yadkin Pee Dee WASTEWATER DISCHARGES: If you answered "Yes" to question! A.8.a, complete questions A.9 through A 12 once for each outfall (including bypass points) through which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 MGD." A.9. Description of Outfall. a. Outfall number 1 b. Location Town of Bermuda Run - ------ - 27006 (City or town, if applicable) -- (Zip Code) Davie - -- NC -- - (County) - (State) 35 deg 5 min.47 sec 80 deg2_5—min 12 sec (Latitude) (Longitude) C. Distance from shore (if applicable) Na ft. d. Depth below surface (if applicable) n/a_ ft. e. Average daily flow rate 0.137 -_- _ MGD f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes ® No (go to A.9.g.) If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge. Average flow per discharge: MGD Months in which discharge occurs: g. Is outfall equipped with a diffuser? ❑ Yes ® No A.10. Description of Receiving Waters a. Name of receiving water Yadkin River b. Name of watershed (if known) Yadkin / Pee Dee United States Soil Conservation Service 14-digit watershed code (if known): c. Name of State Management/River Basin (if known): Yadkin / Pee Dee -------------------- United States Geological Survey 8-digit hydrologic cataloging unit code (if known): d. Critical low flow of receiving stream (if applicable) 7 Q 10 Approx. 1,265 cfs acute _ cfs — ---- — chronic-------- cfs e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run WWTP, NCO055158 Renewal Yadkin Pee Dee i A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary ® Secondary ❑ Advanced Other Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal cJ5 _ _ _ % Design SS removal 85-_ — % Design P removal n/a---- -- --- -- ---- Design N removal n/a_ Other C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: Chlorination ------------------------------------- - If disinfection is by chlorination is dechlorination used for this outfall? 0 Yes ❑ No Does the treatment plant have post aeration? ❑ Yes ❑ No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based least on at three samples and must be no more than four and one-half years apart. Outfall number. PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE Value Units Value Units Number of Samples pH (Minimum) 6.8 S.u. pH (Maximum) 7,2 S.u. I MGD j Flow Rate 0.260 MGD 0.14 273 Temperature (Winter) 21 C 14.67 C 12 Temperature (Summer) 23 C 18.86 C For pH please report a minimum and a maximum daily value 24 MAXIMUM DAILY i ---- f DISCHARGE I AVERAGE DAILY DISCHARGE POLLUTANT ANALYTICAL Conc. Units Conc. Units i Number of METHOD ML/MDL Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS — BIOCHEMICAL OXYGEN BOD5 14 m /1 3.51 m /1 36 SM5210B DEMAND (Report one) CBODS FECAL COLIFORM 7.40 #/100m1 0.18 #/100m1 36 SM922D TOTAL SUSPENDED SOLIDS (TSS) 21,33 mg/1 1.40 mg/l 36 SM2540D END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run WWTP, NCO055158 Renewal Yadkin/Pee Dee BASIC APPLICATION INFORMATION PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR EQUAL TO 0.1 MGD (100,000 gallons per day). All applicants with a design flow rate x 0.1 MGD must answer questions B.1 through B.6. All others go to Part C (Certification). B.1. Inflow and Infiltration. Estimate the average number of gallons per clay that flow into the treatment works from inflow and/or infiltration. MQ- 0 gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. Continuing inspections__ B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire area.) a. The area surrounding the treatment plant, including all unit processes. b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. d. Wells. springs, other surface water bodies. and drinking water wells that are: 1) within Y. mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. 13.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redundancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlcrination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between treatment units. Include a brief narrative description of the diagram. 13.4. Operation/Maintenance Performed by Contractor(s). Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ® Yes r No If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional pages if necessary). Name: Nick Slogic_ Mailing Address: 172_FOx Run Drive Mocksville, NC 27028_ — Telephone Number: QN 782-8359 Responsibilities of Contractor: Operations and Maintenance 3.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for each. (If none, go to question 6.6.) a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies. ❑ Yes ❑ No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run, NCO055158 Renewal Yadkin/Pee Dee c. If the answer to B.5.b is "Yes," brieflydescribe, including g new maximum daily inflow rate (if applicable). -----------..-----.. d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable. For improvements planned independently of local, State. or Federal agencies. indicate planned or actual completion dates, as applicable. Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY Begin Construction End Construction Begin Discharge Attain Operational Level e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: �B.6_ EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY) Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each through outfall which effluent is discharged. Do not include information on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be based on at least three pollutant scans and must be no more than four and on -half years old. Outfall Number: MAXIMUM DAILYT DISCHARGE AVERAGE DAILY DISCHARGE POLLUTANT �� ANALYTICAL M1JMDL Conc._ Units Number f METHOD Units --Conc.- I Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 7.39 mg/I 1 1.71 mg/1 18 SM4500nh3f CHLORINE (TOTAL RESIDUAL, TRC) 28 g /1 20.92 U g/1 72 SM4500CLG DISSOLVED OXYGEN TOTAL KJELDAHL NITROGEN (TKN) 18A mg/1 11.48 mg/1 SM45000RGB NITRATE PLUS NITRITE NITROGEN OIL and GREASE PHOSPHORUS (Total) 12 mg/1 5.70 mg/1 9 SM450OPE TOTAL DISSOLVED SOLIDS (TDS) OTHER END OF PART B. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22 �, - _ , 2_, rr;,iLi IT NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Bermuda Run WWTP, NCO055158 Renewal i Yadkin/Pee Dee BASIC APPLICATION INFORMATION PART C. CERTIFICATION All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ® Basic Application Information packet Supplemental Application Information packet: ❑ Part D (Expanded Effluent Testing Data) ❑ Part E (Toxicity Testing: Biomonitoring Data) ❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name and official title H. Lee Rollins, Town Manager______ Signature Telephone number 336 998-0906 Date signed A/Q/ j A C-' Upon request of the permitting authority, P g y, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 „` 22 PUMP STA. o C> n_Ld a U Itf Z SLUDGE TO CITY OF SLUDGE TO CITY OF WINSTON-SALEM WINSTON-SALEM A� AEROBIC [AEROBICT DIGESTER nlr_�cr�o Z Z d Q Lf W m Of m Li.J Q Q CLARIFIER I I CL, I I CLARIFIER S 02 GREY ENGINEERING, INC_ Civil Design and Surveying P.O. Box 9 Mocksville, N.C_ 27028 greyengineering.com (336)751-2110 DRAWN BY_ G. BULLARD I PROJ. NO_: 4D2.019.GE DESIGN BY: G. BULLARD DATE: 8/25/08 TO YADKIN RIVER THE BERMUDA RUN TREATMENT FACILITY IS A 0.193 MGD EXTENDED AERATION, ACTIVATED SLUDGE PACKAGE PLANT WITH DUAL AERATION, CLARIFICATION, AND AEROBIC DIGESTION TREAMENT TRAINS. THE PROCESS INCLUDES CHLORINATION AND DECHLORINATION. IT DISCHARGES INTO THE YADKIN RIVER. SLUDGE IS DISPOSED OF BY HAULING TO A CITY OF WINSTON—SALEM TREATMENT FACILITY. TOWN OF BERMUDA RUN WWTP SCHEMATIC — EXISTING I SHEET OF 1