NCG590029_Fact Sheet_20190429

Fact Sheet
NPDES Permit No. COC NCG590029 (formerly NC0088617)
Permit Writer/Email Contact: Derek Denard, [e-mail]
Date: 29Apr2019
Division/Branch: NC Division of Water Resources/Water Quality Permitting Section
Compliance & Expediated Permitting Branch
Fact Sheet Template: Version 28Mar2019
Permitting Action:
☒Renewal
☐Renewal with Expansion
☐New Discharge
☐Modification (Fact Sheet should be tailored to mod request)
Note: See Attachment A: NC0088617 Renewal Application, FORM C-WTP
Complete applicable sections below. If not applicable, enter NA.
1.Basic Facility Information
Facility Information
Applicant/Facility Name: Aqua North Carolina, Inc. / Snow Hill Subdivision – Well # 2 WTP
Applicant Address: 202 Mackenan Ct, Cary, NC 27511
Facility Address: Snow Hill Drive, Dobson 27017
Permitted Flow: Not limited
Facility Type/Waste: MINOR; 100% industrial/ Water Plants and Water Conditioning
Discharge –filter-backwash - Greensand WTP System [chemical-free
sand filtration technology]
Facility Class: Physical Chemical Not Classified
Treatment Units: chemical-free sand filtration technology filters and chemical usage
consisting of Chlorine
Pretreatment Program (Y/N) No
County: Surry
Region Winston-Salem
Briefly describe the proposed permitting action and facility background: This facility is a greensand
water treatment plant with discharge of wastewaters from media filter backwash, with a design potable
flowrate of 0.031 MGD, a design backwash/reject flow of 0.00120 and a maximum, monthly average
wastewater discharge of 0.00625 MGD. [See Attachment A: NC0088617 Renewal Application, FORM
C-WTP]. A facility diagram from the previous permit application is also available.
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Changes for 2014 Renewal from May 19, 2014 cover letter: The Division revised this permit from the
previous to reflect your treatment-system change-over from a combined ion-exchange/greensand to a
chemical-free sand filtration technology only (alterations completed in July 2012). For permitting purposes,
the Division considers chemical-free sand filtration synonymous with a greensand system, as defined by
current WTP strategies (amended 2009). We have also updated your site map and facility description for
your convenience [see Supplement to Permit Cover Sheet). [See Attachment B: Snow Hill - Approved
Drawings MOD 2010 - SN 12-00060].
This facility is eligible for coverage under General Permit NCG590000 for the of discharge backwash
wastewaters from greensand and conventional type water treatment facilities. Eligibility is based on the
following (See Attachment C: General Permit NCG590000 Section A. Coverage, p. 2 of 26).
•The facility is a greensand technology water treatment system.
•There are no toxicity issues (monitoring is not applicable under WTP strategy for greensands).
•There are no WQBELs required for toxicants such as Zinc.
•The discharge is not mixed with other process wastewaters.
•The discharge is not to waters classified as High Quality Waters (HQW) or Outstanding Resource
Waters (ORW).
•The discharge is not from water purification systems using Membrane Treatment (Reverse
Osmosis) or Ion Exchange.
•The discharge would not adversely affect a Federal or State listed endangered or threatened species
or its critical habitat. The discharge is not of pollutants to an impaired waterbody in excess of the
wasteload allocation specified in an EPA-Approved TMDL (Total Maximum Daily Load).
2.Receiving Waterbody Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s): Outfall 001- UT to Cody Creek
Stream Segment: 12-63-14
Stream Classification: C
Drainage Area (mi2): --
Summer 7Q10 (cfs) 0
Winter 7Q10 (cfs): 0
30Q2 (cfs): 0
Average Flow (cfs): 0
IWC (% effluent): 100%
303(d) listed/parameter: No – See Attachment E: 2016 Final Integrated Report, p.1146
Subject to TMDL/parameter: No – 2011 Turbidity TMDLs in the Yadkin River Basin:
Muddy Creek and the Yadkin River. The Mitchell River is
not impaired for Turbidity.
Basin/Subbasin/HUC: Yadkin-Pee Dee; 03-07-02 [HUC 030401010705]
USGS Topo Quad: Copland, NC
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3. Effluent Data Summary
Effluent data is summarized below for the period May2014 through Oct2018.
Table. Effluent Data Summary

Table. Data Entry Errors

4. Instream Data Summary
Instream monitoring may be required in certain situations, for example: 1) to verify model predictions
when model results for instream DO are within 1 mg/l of instream standard at full permitted flow; 2) to
verify model predictions for outfall diffuser; 3) to provide data for future TMDL; 4) based on other
instream concerns. Instream monitoring may be conducted by the Permittee, and there are also
Monitoring Coalitions established in several basins that conduct instream sampling for the Permittee (in
which case instream monitoring is waived in the permit as long as coalition membership is maintained).
If applicable, summarize any instream data and what instream monitoring will be proposed for this
permit action: NA.
Is this facility a member of a Monitoring Coalition with waived instream monitoring (Y/N): NO.
Name of Monitoring Coalition: NA.
Data
Parameter Max Min Average Count Limits
00010 - Temperature, Water Deg. Centigrade 24 18.1 21.1 5 MA DM PQL UoM Errors
00070 - Turbidity 50 0.3 8.9 100 ntu no
00076 - Turbidity, HCH Turbidimiter 1.1 0.25 0.5 4 ntu no
00094 - Conductivity 104 102 103.0 2 umhos/cm no
00300 - Oxygen, Dissolved (DO)4.8 3.01 3.9 2 mg/l no
00400 - pH 8.9 7 7.6 109 su no
00480 - Salinity 0.1 0.1 0.1 2 mg/l no
00940 - Chloride (as Cl)5000 5000 5000.0 2 5000 ug/l no
00951 - Fluoride, Total (as F)145 134 139.5 2 ug/l no
01042 - Copper, Total (as Cu)5 5 5.0 2 5 ug/l no
01045 - Iron, Total (as Fe)16300 180 2672.1 20 ug/l yes
01051 - Lead, Total (as Pb)5 5 5.0 2 5 ug/l no
01055 - Manganese, Total (as Mn)260 8 59.2 20 ug/l yes
50050 - Flow, in conduit or thru treatment plant 0.025 0.00018 0.0023 340 mgd no
50060 - Chlorine, Total Residual 20 0 8.6 109 17 20 ug/l yes
70295 - Solids, Total Dissolved 89 87 88.0 2 mg/l no
CO530 - Solids, Total Suspended - Concentration 31 2.5 5.9 108 30 45 2.5 mg/l no
CO610 - Nitrogen, Ammonia Total (as N) - Concentration 0.2 0.2 0.2 2 0.2 mg/l no
MA = monthly average; DM = daily maximum; PQL = practical quantitation limit; UoM = Unit of Measure
Not < 6.0 or > 9.0
Date Parameter UoM Value Comments
8/9/2016 01045 - Iron, Total (as Fe)ug/l 0.18 UoM?
8/9/2016 01055 - Manganese, Total (as Mn)ug/l 0.01 UoM?
10/25/2016 50060 - Chlorine, Total Residual ug/l 0 PQL?
11/15/2016 01045 - Iron, Total (as Fe)ug/l 1.45 UoM?
11/15/2016 01055 - Manganese, Total (as Mn)ug/l 0.033 UoM?
2/22/2017 01045 - Iron, Total (as Fe)ug/l 1.48 UoM?
2/22/2017 01055 - Manganese, Total (as Mn)ug/l 0.038 UoM?
5/9/2017 01045 - Iron, Total (as Fe)ug/l 2.37 UoM?
5/9/2017 01055 - Manganese, Total (as Mn)ug/l 0.062 UoM?
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5. Compliance Summary
Summarize the compliance record with permit effluent limits (past 5 years): See Attachment F:
Monitoring Report Violations Nov2013 to Oct2018, 1 page. No compliance issues noted.
Summarize the compliance record with aquatic toxicity test limits and any second species test results
(past 5 years): NA.
Summarize the results from the most recent compliance inspection: The last facility inspection conducted
on 11/06/2018 reported that the facility appeared to be clean and well maintained. See Attachment G:
Inspection Report 11/06/2018, 5 pages.
6. Water Quality-Based Effluent Limitations (WQBELs)
Dilution and Mixing Zones
In accordance with 15A NCAC 2B.0206, the following streamflows are used for dilution considerations
for development of WQBELs: 1Q10 streamflow (acute Aquatic Life); 7Q10 streamflow (chronic Aquatic
Life; non-carcinogen HH); 30Q2 streamflow (aesthetics); annual average flow (carcinogen, HH).
If applicable, describe any other dilution factors considered (e.g., based on CORMIX model results): NA.
If applicable, describe any mixing zones established in accordance with 15A NCAC 2B.0204(b): NA.
Oxygen-Consuming Waste Limitations
Limitations for oxygen-consuming waste (e.g., BOD) are generally based on water quality modeling to
ensure protection of the instream dissolved oxygen (DO) water quality standard. Secondary TBEL limits
(e.g., BOD= 30 mg/l for Municipals) may be appropriate if deemed more stringent based on dilution and
model results.
If permit limits are more stringent than TBELs, describe how limits were developed: NA.
Ammonia and Total Residual Chlorine Limitations
Limitations for ammonia are based on protection of aquatic life utilizing an ammonia chronic criterion of
1.0 mg/l (summer) and 1.8 mg/l (winter). Acute ammonia limits are derived from chronic criteria,
utilizing a multiplication factor of 3 for Municipals and a multiplication factor of 5 for Non-Municipals.
Limitations for Total Residual Chlorine (TRC) are based on the NC water quality standard for protection
of aquatic life (17 µg/l) and capped at 28 µg/l (acute impacts). Due to analytical issues, all TRC values
reported below 50 ug/l are considered compliant with their permit limit.
Describe any proposed changes to ammonia and/or TRC limits for this permit renewal: There are no
proposed changes. NCG59000 sets the daily maximum limit for TRC at 17 µg/l.
Reasonable Potential Analysis (RPA) for Toxicants – NA.
Toxicity Testing Limitations
Permit limits and monitoring requirements for Whole Effluent Toxicity (WET) have been established in
accordance with Division guidance (per WET Memo, 8/2/1999). Per WET guidance, all NPDES permits
issued to Major facilities or any facility discharging “complex” wastewater (contains anything other than
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domestic waste) will contain appropriate WET limits and monitoring requirements, with several
exceptions. The State has received prior EPA approval to use an Alternative WET Test Procedure in
NPDES permits, using single concentration screening tests, with multiple dilution follow-up upon a test
failure.
Describe proposed toxicity test requirement: NA.
Mercury Statewide TMDL Evaluation
There is a statewide TMDL for mercury approved by EPA in 2012. The TMDL target was to comply with
EPA’s mercury fish tissue criteria (0.3 mg/kg) for human health protection. The TMDL established a
wasteload allocation for point sources of 37 kg/year (81 lb/year), and is applicable to municipals and
industrial facilities with known mercury discharges. Given the small contribution of mercury from point
sources (~2% of total load), the TMDL emphasizes mercury minimization plans (MMPs) for point source
control. Municipal facilities > 2 MGD and discharging quantifiable levels of mercury (>1 ng/l) will
receive an MMP requirement. Industrials are evaluated on a case-by-case basis, depending if mercury is a
pollutant of concern. Effluent limits may also be added if annual average effluent concentrations exceed
the WQBEL value (based on the NC WQS of 12 ng/l) and/or if any individual value exceeds a TBEL
value of 47 ng/l.
Describe proposed permit actions based on mercury evaluation: NA.
Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs/Nutrient Management Strategies and their implementation
within this permit: Under the current general permit NCG590000 nutrient monitoring is not required for
Greensand technology that discharges to freshwater.
Other WQBEL Considerations
If applicable, describe any other parameters of concern evaluated for WQBELs: NA.
If applicable, describe any special actions (HQW or ORW) this receiving stream and classification shall
comply with in order to protect the designated waterbody: NA.
If applicable, describe any compliance schedules proposed for this permit renewal in accordance with
15A NCAC 2H.0107( c)(2)(B), 40CFR 122.47, and EPA May 2007 Memo: NA.
If applicable, describe any water quality standards variances proposed in accordance with NCGS 143-
215.3(e) and 15A NCAC 2B.0226 for this permit renewal: NA.
7. Technology-Based Effluent Limitations (TBELs) – NA.
8. Antidegradation Review (New/Expanding Discharge):
The objective of an antidegradation review is to ensure that a new or increased pollutant loading will not
degrade water quality. Permitting actions for new or expanding discharges require an antidegradation
review in accordance with 15A NCAC 2B.0201. Each applicant for a new/expanding NPDES permit must
document an effort to consider non-discharge alternatives per 15A NCAC 2H.0105(c)(2). In all cases,
existing instream water uses and the level of water quality necessary to protect the existing use is
maintained and protected.
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If applicable, describe the results of the antidegradation review, including the Engineering Alternatives
Analysis (EAA) and any water quality modeling results: NA.
9. Antibacksliding Review:
Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40 CFR 122.44(l) prohibit
backsliding of effluent limitations in NPDES permits. These provisions require effluent limitations in a
reissued permit to be as stringent as those in the previous permit, with some exceptions where limitations
may be relaxed (e.g., based on new information, increases in production may warrant less stringent TBEL
limits, or WQBELs may be less stringent based on updated RPA or dilution).
Are any effluent limitations less stringent than previous permit (YES/NO): NO.
If YES, confirm that antibacksliding provisions are not violated: NA.
10. Monitoring Requirements
Monitoring frequencies for NPDES permitting are established in accordance with the following
regulations and guidance: 1) State Regulation for Surface Water Monitoring, 15A NCAC 2B.0500; 2)
NPDES Guidance, Monitoring Frequency for Toxic Substances (7/15/2010 Memo); 3) NPDES Guidance,
Reduced Monitoring Frequencies for Facilities with Superior Compliance (10/22/2012 Memo); 4) Best
Professional Judgement (BPJ). Per US EPA (Interim Guidance, 1996), monitoring requirements are not
considered effluent limitations under Section 402(o) of the Clean Water Act, and therefore anti-
backsliding prohibitions would not be triggered by reductions in monitoring frequencies.
For instream monitoring, refer to Section 4.
11. Electronic Reporting Requirements
The US EPA NPDES Electronic Reporting Rule was finalized on December 21, 2015. Effective
December 21, 2016, NPDES regulated facilities are required to submit Discharge Monitoring Reports
(DMRs) electronically. Effective December 21, 2020, NPDES regulated facilities will be required to
submit additional NPDES reports electronically. This permit contains the requirements for electronic
reporting, consistent with Federal requirements.
12. Summary of Proposed Permitting Actions:
NC0088617 is to be converted to COC NCG590029. The applicable effluent page is found in Section B.
(1.) Greensand WTP Effluent Limitations and Monitoring Requirements – Discharging to Freshwater.
[See Attachment D: General Permit NCG590000, Section B. (1.), page 3 of 26.]
Latitude and Longitude were corrected to 36º 21’ 06” and -80º 42’ 37” [36.351667º N, -80.710278º W],
respectively. See Attachment H: Map pages from EAA 04-24-2007.
13. Public Notice Schedule:
Not Applicable for Certificates of Coverage (COCs) Under General Permit NCG590000. The general
permit was submitted to public notice.
See Attachments I, J, K , and L for comments and correspondence.
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14. Fact Sheet Addendum (if applicable): NA.
15. Fact Sheet Attachments (if applicable):
A. NC0088617 Renewal Application, FORM C-WTP, 20180709, 31 pages.
B. Snow Hill - Approved Drawings MOD 2010 - SN 12-00060
C. General Permit NCG590000 Section A. Coverage, p. 2 of 26.
D. General Permit NCG590000 Section B. (1.), p. 3 of 26.
E. 2016 Final Integrated Report, p.1153.
F. Monitoring Report Violations Nov2013 to Oct2018, 1 page.
G. Inspection Report, 11/06/2018, 5 pages.
H. Map pages from EAA 04-24-2007, 2 pages.
I. Email to WSRO, 20181206, 2 pages.
J. Email Charles Weaver for conversion to NCG59000, 20190222, 2 pages.
K. Email of DRAFT to Permittee_WSRO_Maureen Kinney, 20190409 1 page.
L. Email_Maureen Kinney, 20190411, 2 pages.

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretor;
LINDA CULPEPPER
Interium Director
October 05, 2018
Shannon V. Becker, President
do Amanda Owens
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, NC 27511
Subject: Permit Renewal
Application No. NC0088617
Snow Hill Subdivision
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 5, 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://deq.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,
A T c o !
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
DEQ*
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North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300
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LINDA CULPEPPER
Interim Director
October 05, 2018
Thomas Roberts
Aqua North Carolina Inc
202 Mackenan Ct
Cary, NC 27511
Subject: Permit Renewal
Application No. NC0088617
Snow Hill Subdivision
Surry County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 5, 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,
1
JCP/-7 10
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
DEQ
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
A9UASM
October 4, 2018
Mr. Wren Thedford
NDPES Unit
DWR, NCDEQ
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Application for Permit Renewal
Aqua North Carolina, Inc.
Snow Hill Subdivision,Well #2 -WTP
NPDES Permit NC0088617
Dear Mr.Thedford:
Enclosed are three (3) copies of the completed application Short Form C -WTP.
This submittal includes necessary attachments for your office to renew the subject
permit.
Aqua North Carolina, Inc (AQUA) has reviewed the Division of Water Resource's
General Permit NCG5900000 for Greensand WTP Effluent Limitations and
Monitoring Requirements - Discharging to Freshwater, and AQUA hereby requests
that treated discharge from Snow Hill-Well#2 be considered for coverage under
this General Permit. AQUA understands that if coverage under a general permit is
granted,the Division will rescind individual NPDES Permit NC0088617.
Best Regards,
GAUCPRECEIVED/DENR/Dw
Amanda Berger
R
Manager, Environmental C€ p4iance QCT 0 5 201$
Water ResourcesPermittingSection
cc: Laurie Ison
Joseph Pearce
Shannon Becker
202 MacKenan Court,Cary,NC,27511 • 919.467.8712 • AquaAmerica.com
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NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the-complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0088617
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 Snow Hill Subdivision-Well #2 WTP
Mailing Address 202 Mackenan Ct
City Cary
State / Zip Code NC/27511
Telephone Number 919) 653-6965
Fax Number [e-mail]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road Snow Hill Drive
City Dobson
State / Zip Code NC/ 27017
County Surry
3. Operator Information:
Name of the firm, consultant 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 4163 Sinclair Street
City ` ._ Denver
State / Zip Code NC / 28037
Telephone Number 704)489-9404
Fax Number [e-mail]
Page 1 of 3 Version 5/2012
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NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
4. Ownership Status:
Federal State Private ® Public
5. Type of treatment plant:
Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
Ion Exchange (Sodium Cycle Cationic ion exchange)
Green Sand Filter (No sodium recharge)
Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener,
6. Description of source water(s) (i.e. groundwater, surface water)
Groundwater Well
7. Describe the treatment process(es) for the raw water:
Raw water is treated by utilizing three (3) iron-removing, chemical-free oxidizing sand
filtration technology. Chlorine added for disinfection.
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Wastewater discharge is the backwash of the chemical.free sand filters. Discharge rate is
approximately 1,200 gallons per day_ Wastewater is discharged at the location specified
on the attached map into an unnamed tributary to Cody Creek.
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge: Continuous El Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: Approx. 120 minutes
1-1:--Plant-design potable-flowrate-0:031— MGD
Backwash or reject flow 0.00120 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Unnamed Tributary to Cody Creek (Yadkin Pee Dee Basin)
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NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water-treatment additives, including cleaning chemicals'or disinfection • -
treatments, that have the potential to be discharged.
Alum / aluminum sulfate Yes No X
Iron sulfate / ferrous sulfate Yes No X
Fluoride Yes No X
Ammonia nitrogen / Chloramines Yes,No X
Zinc-orthophosphate or sweetwater CP1236 Yes No X
List any other additives below:
Chlorine
14. Is this facility located on Indian country? (check one)
Yes No
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
New applicants must contact a permit coordinator with the NCDENR Customer
Service Center.
Was the Customer Service Center contacted? Yes No
Analyses of source water collected
Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. 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 Berger Manager Environmental Compliance, Aqua North Carolina, Inc.
Printed name of Person Signing Title
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PPSiatureofApplicant Da
North Carolina General Statute 143-215 6(b)(2)provides that 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 monitonng 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
impnsonment not to exceed six months,or by both (18 U S.0 Section 1001 provides a punishment by a fine of not more than$25,000 or impnsonment notmore than 5_.
years,or both,for a similar offense)
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Drainage Basin-Yadkin Pee Dee Basin 7+TOy,t7_ / NPDES Permit NC0088617
Receiving Stream: UT to Cody Creek[stream segment 12-63-14] 1 V iL
Su1Ty County
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
1114SNOWHILL i ,dry
fil• k,EXISTING DRAWINGS FOR CHEMICAL, TANK AND WELL HOUSE N TTM
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DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
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me nal•m apxwn to tw.e Dem Loved xton ua promu:Da en oT the h4Ulp vote.as herefore there en ao!Marko,opp,a•de for Co eeI tRROites ml.proposed ?• f` Phone[phone] WTM JMN ,__, FILTER ADDITIONS
drowIng n far 00 oddl,on of Three new Iran and rtlated Wpm ad? Tµ`P, Fox(919)466-1563 '%...-'AT WELL#2
SURRY NORTH CAROLINA --2 —
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Actrve
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Surry
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:06-2018(June 2018) VERSION.1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
20555 00455 5000 T5530 01045 01053 00575 01591
ii $
e
9 u 2 X month 2 X man* 2 X month 2 X month Quarterly Goalie*, 2 X month Quarterly
a e
CS Inatantancous Cm?Grab Crob Crab Grab Crab Grab
e` 3 u Y
c" 3 *0 O O 0 2 FLOW p5 C11LO818% ,05-Conn IRON MANCNES0 TURNIIITV 7180
1406 clod, 9r4 2101*cluck n,c rink mqd
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v No ReporitnO Reason ENFRUSE-No now-Reuse/Kee}de. ENVW CHIC=No V isitaaon-Adverse Weather, NOFLOW=No Flow. HOLIDAY=No Visllal:cr-Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:10 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY.Sunt'
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:06-2018(lune2018) VERSION'LO STATUS:Processed
COMPLIANCE STATUS.Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:07/23/2018
07/20/2018
ORC/Cerlifier natur ililliam Young [e-mail] Phone 4:704-507-3303 Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E 6 of
the NPDES permit.
ri ci0j 07/23/2018
Permittee/Submitter Signature:*** Dave McDaniel E-Mail dtmcdaniel@aquaamerica,com Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiation Date:02/28/2019
I certify,under penalty of iaw,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 ofthe person or persons who managed the
system,or those persons directly responsible for gathering the information,the information submitted is,to the best of my knowledge and belief,true,
accurate,and complete 1 am aware that there are significant penalties for submitting false information,including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC,Aqua NC
CERTIFIED LAB#:50 5035
PERSON(s)COLLECTING SAMPLES:Witham Young
PARAMETER CODES
Parameter Code assis e be o tom ?byc ng the NPDES Unit(919)307-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only unit
of
mea. it riesieriated in the r -ortm-g facility's NPDES permit for reporting data
No Flow/Discharge Frai<-Sile Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per LSA NCAC 8G.0204.
Signature ofPermittee•If signed by other than the permittee,then delegation of the signatory authority must be on file with the slate per 15A NCAC 2B
0506(b)(2XD). -
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY•Surry
OWNER NAME:Aqua Nortn Carolina Inc ORC:Not Required ORC CERT NUMBER.995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO
940c0- - 004 006p 40530 01045 01055 MX 01M2
8P S F a
s
e @ s`2x month 2 X month 2 X=nib 2 X south Quarterly Quarterly 2 X moth Quartrly
I e`S P o` it instantaneous arab arab Grab Grab Grab Grub Grab
a in e
u F` 8' - o z 1.0W pll CHLORINE TSS-Genn IRON MAI.CNESE TURDTRTV ZINC
2400 Hoek Ira 2400 clock /to 1711/74
MO su 411 WO INA ugit ,, ntu mil
t 1500 9.43 Y 0 0035 7.53 5 5.2 0 9
2
4
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7
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13
14
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2I
22
23
24
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35
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110925 b 5 4350,05
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09025 7.53 6 52 QS
Drib M{nteuna-
0.0325 735 _5 3.5 0.4
No Reporting Reason:ENFRUSE=No Flow-Reuse/Recycle, ENVWTIIR—No Visilatior—Adverse Weather NOFLOW=No Flow, IIOLIDAY=No V ISNali(ni—Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Suiry
OWNER NAME:Aqua North Carolina Inc ORC:Not Requited ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:05-2018(May 20(8) VERSION:1 0 STATUS:Processed,
COMPLIANCE STATUS:Compliant CONTACT PHONE II:3369929000 SUBMISSION DATE:06/26,2018
C Gt 06/26/2018- - - •
ORC/Certifier S' nature: William Young E-Mail•btyoung@aquaamerica coin Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours From the time the permitter became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being take[and a time-table for improvements to be made as required by part ILE 6 of
the NPDES permit.
t/
4.0 1, C(02 06/26/2018
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:[e-mail] Phone # [phone] Date
Permittee Address.Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
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 ofthe person or persons who managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech/Aqua North Carolina
CERTIFIED LAB#:50/5035
PERSON(s)COLLECTING SAMPLES:William Voting
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.nedenr.org/web/wq/swpips/npdeslforms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
DEC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
Signature ofPcririittcc:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B - -
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME•Snow H711 Subdivision CLASS:PCNC COUNTY:Sony
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:04-2018(Apri12018) VERSION:3.0 STATUS:Processed
SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
j
SOMA 06422 0050 C0022 21045 01255 001•C 21040
7.
e
F S 44
9 2 Y
L
E 2 X month 2 X month 2 X ln0mh 2 X month oU2vle71y Quenvty 2 X mo4ih Q71,22.11.2' J,
Ii $ C o vt im mlancw Gnib Grab Gob Grab 0mb G1sb Grab
2 V r O clG i P1.014 01 CIILDa1222. DRS-Com 31100 2,1A0(04P.R: TU7211I0TY ZINC
742651=.M ns! 2000001 nn WI m34 40 0011 ma15 0q3 uvi nt11 uefl
1
3 1434 0.5 Y 0.0025 7.37 8 2S 0.3
t
6
7
5
10
12 -
u
14
1S
76
17 1423 0 45 04 0.0025 7,67 2 4 4 542 260 25
IR
IS
m
11
22
01
24
25
15
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2P
v
79 I
30
51.161y Ammo 1120111
37
21amR1yA4er.lo
0,0025 5 2.2 542 260 1,4
Ddl}nGdmuml 0 A025 7.67 6 4,4 342 260 25
21.14 Mh4m+um
00055 757 2 0 542 200 03
NoReporting Reason:ENFRUSE-Noflow-Reuse/Recycle, ENVWTHR-NoVisna;Ion—AdverseWeathrr, NOFLOW-No Flow:HOLIDAY=NoVtsitalion—Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active -
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Suny
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:O4-3018(April 2.010 VERSION:3.0 STATUS:Processed
Outfall 001-Effluent Comments:
Reason for revision metals reporting wrong
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Surly
OWNER NAME:Aqua North Carolina Inc ORC:Not Requited ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:04-2018(April2018) VERSION:3M STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:06/10/2018
6 1, 06/08/2018
ORC/Certifier Signature: William Young E-Mail.btyoungigaquaamerica.com Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
if the facility is noncompliant.please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E 6 of
the NPDES permit.
iftAC( 06/10/20!8
Permittee/Submitter Signature *** Dave McDaniel E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech
CERTIFIED LAB If:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portaL.ncdenr.org/web/wq/swp/ps/npdes/Forms
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period:
ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 80.0204
Signature of Permittee:if signed by other than the permitter,then delegation of the signatory authority must be on file with the state per ISA NCAC 2B
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
1
NPDES PERMIT NO.:NCOOS8617 PERMIT VERSION:10 PERMIT STATUS:Active
FACILITY NAME:Snow H:11 Subdivision CLASS:PCNC COUNTY:Surry
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491 - -
GRADE:PCNC ORC HAS CHANGED:No
eD1YMR PERIOD:03-2018(March 2018) VERSION:1 0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO
50050 110429 55060 C0530 01095 1059 2078 01002
r e
F
t3
0
Fr
E
II
g :4w 2 X month 2 X month 2 X tnonth 2 X month Quarterly Quarterly 2 X month Quarterly
3 s`= 5
Instantaneous Grua Grab Grab Grub Grab Gab Grab
0 2 `s s aSur• 0 0' o z FLOW pH CHLORINE TSO-Cont MON MANCNLSE TUROWTY one
1979 clock lin 240d,ek {H, MN mq5 no 01,•71 nt/i 0511 as2. nal 29/I
1
2
J
6
r
7
a
9
10
71
12
13 1417 24 1490 9.5 Y 0,0025 7,9 s 3.1 04
19
15
V^ _
16 I
17
18
19
20
21
22
25
29
25
v
26
27 1525 24 IMG 0,38 Y 00025 769 1 27 55 I
29 1 1
1
39 1
1
51 i
Monthly AraogcLInit. J7 1 11
Monthly A.er2p9
0 9025 3 29 3
1
may Mesimumo
00022 769 5 31 5.6
8911.Minimum:
00025 75 1 Si 04
040*No Reporting Reason ENFRUSE=No Flow-RetudRSLyt,le,ENVWTHR=No V isilstion-Adverse Weather, NOFLOW=No Flow; HOLIDAY=No Visitation-Holiday- - - ---
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Sorry
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:03-2018(March 2018) VERSION:1.0 STATUS.Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE 4:3369929000 SUBMISSION DATE:04/25/2018
04119/2018
ORC/Certif. r Signature: William Young E-Mail:btyoung(r+aquaamerica.com Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge"
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
CC.4G 04/25/2018
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:dtmcdaniel a@aquaamerica com Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by catling the NPDES Unit(919)807-6300 or by visiting kttp://portal ncdenr org/web/wglswp/pslnpdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per ISA NCAC 8G.0204.
4`.*__'!Signature of Permittee:If signed by other than the"permittee,_then delegation of the signatory authonty_must be on file_with.the state_per 15A NCAC 2B _ . ___
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS.Active
FACILITY NAME.Snow Hill Subdivision CLASS:PCNC Surly _.COUNTY:Sor
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION:EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
e
MOS rove SONSONC(1430 01045 01004 00020 move~
e
o 0at
I. t e e 2 X mea h 2 X month 2 X month 2 X month Quarterly Quartrh 2 X month Quarterly
a
Z F 6;
Ku 8 e` 3 Instantaneous Grab Grab Grab Grab Grab Grab Grab
R C
o V c. O O C 2 Fl.nw pn CNI.GRINE TSE-Cone ,IRON MANGNES£ TURDtDTY EINC
2400 e1ork Kr. 2400 dock nIro YlalN mad he act mil I alit ate eel
t l-
2
2
4
5
6
7
6
9
ID
tt
17
13 1050 0.58 Y 0.0925 7.75 L 2-4 0 5
la
IS
I6
17
18
It
20
21
22
23
24
2.4
20
27 1540 0.07 V 00025 200 It 33 0.6
28
Monthly AvcreRe 1 lnll 55
alenImy A.rrape
0,3025 7 335 055
Deny Mralmam'
1101225 7,75 a 3.4 04.
Dail,ann e a
0.0025 7,30 G 5.3 05
4*No Reporting Reason,ENFRUSE=NoFlow-ReuseIRecycle, ENVWTHR=NoVisitation-Adverse Weather,,NOFLOW=No Flow; HOLIDAY=NoVisitation-Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY'Slimy "
OWNER NAME:Aqua North Carolina(Sc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:02-2018(February 2018) VERSION:1 0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#•3369929000 SUBMISSION DATE:03/27/20:8
d-ZR ---- -: - 03/14/2018
ORC/CertifnatureHiram Young E-Mail•[e-mail] Phone #.[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
L....., 1,1 C
ti 4 03/27/2018
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:[e-mail] Phone #.[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
1 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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
L ase only-nnifr of measu,cu,ent designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitor mg peitod.
ORC on Site?:ORC must visit facility and document visitation of facility as required per ISA NCAC 8G.0204.
Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
l
NPDESPERMIT NO:NC008S617 PERMII VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNCCOUNTY:Surry_
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:9954491
GRADE:PCNC ORC HAS CHANGED:No
eDMRPERIOD:01-2018{January 2018) VERSION:1 0 STATUS:Process
i
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO
w
1 j 51050 09406 mom C0930 01045 0109$04970 01091
F Q m
3
I fi
C
m1vgF3 2 X month 2 X mood! 2 X month 2 X month Ouartaty Duarterty 2 X month Quartdy
e
d
Y
d e $ S Inalantancum Grab Grab Grab Grab G-ab Grab Grab
X a C
o V F o a a A PLOW Pll CHLORINE TSS-Gene IRON MANCRESE TUR0'17N ZINC
2400 clock lira 2410 clock. 1 M,..WIVmad SU uail mon 0,^11 non ntu uw1
3
1
2
7
c 1
n I
L
B
9 l
w
10 937 0S5 Y 0 0025 7 61 10 3 7 406 2 W.f.
it
13
14
16
16
17
IB 1
19
20
21
22
0 1429 043 Y 0.0025 773 17 2_5 106
31 I i35
36 I
19
29 4
30 1 I
31 1 I
6146110yAr.r"64 Llmlt 30
i 1 j
MaraMv Avn:9q
0.0025 135 1.85 406 12 10.6
nary ni.:imam•
0.0023 7.73 17 3.7 406 2 06
119719 Mlnimuml
0002.9 751 IO 0 406 12 10.6
No Repotting Reason ENFRUSE-Nu Flow-Reuse/Recycle; ENVWTHR-No Visitation—Adverse Weather, NOFLOW=No Flow;HOLIDAY=No Visitation—Holiday " -
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION.3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Sorry
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:01-2018(January2018) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:02/27/2018
t 02/15/2018 -
ORC/Certifie Signature: William Young E-Mail:btyoungctaquaamerica corn Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge
The permittec shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment,
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A wntten submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
r ---
e
C
4-0 --..j 02/27/2018
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204-
Signature of Permittee,If signed by other than the permittee,then delegation of the signatory authority must be on file with the state per-15A NCAC 2B
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3,0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Surry
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:12-2017(December 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
52950 --- 00400 52940 0 0230 01045 0:055 05970 01092
4
71 o 21
e Z 8 2 X month 2 X month 2. minmonth2Xnin Ut anerly- Onone4y 2 X month Quarterly •
c 3
ti. 11
h $ .Instantaneous Grab Grab Grab GrabGrab Gran Grab
o VI 3 = U
15 e o O T FLOW en CHLORINE T55-Cnne IRON MLNCNESE TUR0InT' ZINC
2400 deck l In 24110 r6ek Ile. YmM mad su owl mgrs o'1 tit ala owl
1
2
3
I
1
6
7
S
4
10
T
11
12
13 34 926 0.42 Y 6.525 7.66 7 2 It
14
15
16
w I
17
I0
i
19 I
20 I
21
22
23
24
20
26 I
1
27 I I 3
I I
20 2.1 1130 0.93 Y 0 0025 7.49 5 61 17 3 i
29 1 1 I
30 I I I 1
I 1
31
Monthly Ar.-.Sn Limit; 35 I 1
Monthly Avenge:
9,0025 6 6.7 9.15
Gaily NU drum" oA0 25 766 7 72 11
Dolly dilnlnnum4 0 R025 7,49 _5 6 2 7,7
No Reporting Rcson ENFRUSE=NoFlow-Reuse/Recycle, GNVWTiIR—No Visitation-Adverse Weather,NOFLOW=No Flow;HOLIDAY No Visitation-Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CT,ASS:PCNC COUNTY:Suriy--
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC RAS CHANGED:No
eDMR PERIOD:12-2017(December 2017) VERSION:1-0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:01/12/2018
lr,
f
v
0.1/10/2018- --
ORC/Certifier Signature: William Young M1E-Mail:btyoung©aquaamerica.com Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shalt report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the penntttee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part I1.E.6 of
the NP DES permit,
J, nOwtCC 01/12/2018
Permittee/Submitter Signature.*** Dave McDaniel [e-mail] Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date:02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.nedenr.org/wthwq;swprps/npde rms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of Me parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
Signature of Permittee:If signed by other than the permittee,then delegalionof the signatory authority must bean file with the state per 15A NCAC 2B
0506(b)(2)(D).
V -`
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.•NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME.Snow Hill Subdivision CLASS:PCNC _ COUNTY:Surry -
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:11-2017(November2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
50050 00400 50060 00520 01045 0106 00070 01092
y P
c
Fc 5 2 X month 2 X month 2 X monln 2 X murtn Quarterly Quarterly 2 X mean Dnsrterk,
cs`a9 p' Instantaneous Grab Crab tGmh Grab Grab Grab Grab
s
a 4 I. a a
b , s o 0 o Z iLow pa t31LORINE 750.CM IRON MANGNEBE TIM/RIM ZINC
2400 clock 'II,. 2400 clock Ili. VRUN mrd ru urui mall unlf ufr':I ntu WI
2
3
4
6
1 1442 0.62 Y 0.0025 7.34 I2 4,8 42
B
9
10
li
I2
12
14-
li
16
17
18 t
l9
21 I 1254 0,65 Y 0.0425 7 86 6 4 2700 82 3 4
12
1-
24 I
25 1
126
ki
a
29 1
ho t
i dlK ibly AwnHIJen% 3C
hluniler Armee,
8.00259 4.4 2700 82 J.8
Ddiy M..Inum, 11.0093 7.86 12 4.8 2700 82 4,2
o°eyh7InK,um. 00023 7.34 6 4 2700 82 3,4
NoReporting Reason:ENFRUSE=NoFlow-Reuse/Recycle; ENVWIHR-NoVisitation-Adverse Weather;NOFLOW=No Flow,HOLEDAY=NoVisitation-Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:Nang8617 PERMIT VERSION:3,0 PERMIT STATUS:Active
FACILITY NAME:Snow-HO!Subdivision CLASS:PCNC COUNTY:Sorry'" ' - --
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMRPERIOD:11--2017(November 2017) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE it:3369929000 SUBMISSION DATE:12/22/2017
12/2-l/2017
ORC/Certifier Sig ature: William Young E-Mail:btyoung@aquaamerica corn Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
E (LI CC-0j- 12/22/2017
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Perritt Expiration Date:02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB tl:50
ifs)COLLECTING SAMPLES!Wilr'm?oung
PARAMETER CODES
PParameterCode assistance:.uey be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal.nedenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use o=,.),tants of trteastx.n designated im the reporting facility's NPDES permit for reporting data.
No Fiow/Discfiarge From Site:Check this box if no discharge occurs-and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 80.0204.
Signature of Permittee:If signed by other-than the pennittee,then delegation of the signatory authority must be on file with the state per 15A.NCAC 2B - -„ -
0506(b)(2XD),
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
I
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS;PCNC COUNTY:Sur y
OWNER NAME:Aqua North Carolina Inc ORC:Not Rcouircd ORC CERT NUMBER 995dQI
GRADE:PCNC ORC HAS CHANGED:No
a
eDMR PERIOD;10-20[7(October 2017) VERSION. 1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
S:MW 06V00 LOW 0090 01045 01055 ' 0123T5 0262:_.. •,
1. g 9 F
2
C 1.4 e e
II F bu 9 2 X month .2 X month 2 X month 2 X month Quzneny Qnazter y 2 X ma:IR Qtr.-laxly
t= ei
8 u ke ! o i Inslanlaot,oca Grab Grab _ Crab Grab Grab Grob Grab
a
a u 15 O C a4p o SLOW p}i CHLORINE 155-Cant IRON 0LlNCNESE TOME/rY ZINC
2400 4ork fire 1400 dock Oro `YOCN mb`d su op./1 nlp/I uy/I u^Jl ntu WI
1
1 1
3 1447 062 Y 00025 754 7 49 4
4
T
6
a
9
10
11
11
13
14
In
16 1
17
Is
19 1.
10
12
11
23
24
1
1r 1253 0.7 Y 00025 7.7, 6 2S 4-
26 1
1.1
27 1
25 1 1
29 1 I t
36
1 11 I
21 I 1
Morally Averse Lrmlu 30 1 t
Mthly AntmRo
0.0525 65 1,95 4.2
Drilyh5o4rm9mr
00025 771 7 3.9 4.4
Drily 642nlma9•
00025 754 6 0 4
NoReporting Reason,19NFRUSE=NoFlow-Reuse/Recycle; ENVW't'RR-NoVisitation-Adverse Weather;NOFLOW-No Flow;HOLIDAY=No Visitation-Holiday
0
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNL--= COUNTY:Spiry
OWNER NAME:Agra North Carolina Inc ORC:Not Requited ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD: 0-2017(October 2017) VERSION:1.0 STATUS:Processed
COMPLIANCE STATUS:Compliant CONTACT PHONE#:[phone] SUBMISSION DATE:11/28/2017
11/20/2017
ORC/Certifie Signature: tlilliam Young E-Mail [e-mail] Phone #:[phone] Date
By this signature,I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment
Any information shall be provided orally within 24 hours from the time the permittee became aware of the cireunt Lances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances
If the facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
ae. /AI ecf11/28/2017
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:dtmcdanielaaquaamerica.com Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date.02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and impnsonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB#:50
PERSON(s)COLLEC rINC SMYTH &williain Young
PARAMETER CODES
Parameter Code may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal ncdenr.org/web/wq/swp/ps/npdes/formms.
FOOTNOTES
onlyr .irs of mresur.i rn=nt riecignatrod in the reporting facility's NPDES permit for reporting data.
No Flow./D;srharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
Signature of Permittee:If signed by other than the permittee,then delegation of the signatory authority must be on file.with the state per I5A NCAC 2B
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3 0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Sony
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:09-2017(September 2017) VERSION:1.0 STATUS:Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
a.
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DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088617 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Sony
OWNER NAME:Aqua North Carolina Inc ORC:Not Required ORC CERT NUMBER:995491
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:09-2017(September 2017) VERSION:1.0 STATUS:Processed
COMPLLANCE STATUS:Compliant CONTACT PHONE t:3369929000 SUBMISSION DATE:10/29/2017
611°--11":"e"'10/23/2017 =
ORC/Certifier Sign tures Wil<7—n Young E-Mail:btyoungaaquaamerica.com Phone #:[phone] Date
By this signature,I certify that this reportis accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances.A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
Ifthe facility is noncompliant,please attach a list of corrective actions being taken and a time-table for improvements to be made as required by part II.E.6 of
the NPDES permit.
f
it-tC J 10/29/2017
Permittee/Submitter Signature:*** Dave McDaniel E-Mail:dtmcdaniel@aquaamerica,eom Phone #:[phone] Date
Permittee Address:Snow Hill Dr Dobson NC 27017 Permit Expiration Date.02/28/2019
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 managed the
system,or those persons directly responsible for gathering the information,the information submitted 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 fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME:Water Tech INC
CERTIFIED LAB#:50
PERSON(s)COLLECTING SAMPLES:William Young
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit(919)807-6300 or by visiting http://portal,ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site:Check this box if no discharge occurs and,as a result,there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
ORC on Site?:ORC must visit facility and document visitation of facility as required per ISA NCAC 8G.0204
Signature of Permittee.If signed by other than the permittee,then-delegation of the signatory authority must be on file with the state per 15A NCAC 2B
0506(b)(2)(D).
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES PERMIT NO.:NC0088517 PERMIT VERSION:3.0 PERMIT STATUS:Active
FACILITY NAME:Snow Hill Subdivision CLASS:PCNC COUNTY:Surry
OWNER NAME:Aqua North Carolina Inc ORC:No: Required ORC CERTNUMBER 995491-
GRADE:PCNC ORC HAS CHANGED:No
eDMR PERIOD:08-2017(August 2017) VERSION:1 0 STATUS:ProLesscd
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*:NO
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No Reporting Reason'ENFRUSE=No Flow-Reuse/Recycle; ENVWTHR=No Visitation—Adverse Weather;NOFLOW=No Flow; HOLIDAY-No Visitation—Holiday
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C

Permit No. NCG590000
Page 2 of 26

PART 1
A. Coverage

(1.) Eligibility of Coverage
a. Existing Greensand Water Treatment Plants (WTPs) with individual NPDES permits and new facilities seeking a
NPDES permit for a greensand water purification system utilizing Iron and/or Manganese removal systems are
eligible for coverage under this general permit. Backwash wastewaters from similar activities such as sand filtration
or systems utilizing calcite filtration are eligible and covered under the Greensand WTP effluent requirements section
in this general permit.

b. Existing Conventional WTPs with a wastewater discharge resulting from water purification facilities with filter
backwash, sedimentation basin washdown, and decant from water treatment facilities are eligible for coverage under
this general permit.

(2.) Limitations on Coverage
a. Although this general permit does not cover the following types of discharges, other permits such as an
individual NPDES permit, an alternate general permit, or other approval from the Division may be obtained.
This permit does not authorize discharges from Water Treatment Plants with the following:
 Discharges that are mixed with other process wastewaters.
 Discharges to waters classified as High Quality Waters (HQW) or Outstanding Resource
Waters (ORW).
 Discharges from water purification systems using Membrane Treatment (Reverse Osmosis) or
Ion Exchange.
 Discharges that would adversely affect a Federal or State listed endangered or threatened
species or its critical habitat.
 Discharges of pollutants to an impaired waterbody in excess of the wasteload allocation
specified in an EPA-Approved TMDL (Total Maximum Daily Load).
 Discharges from new Conventional WTPs proposing a discharge to surface waters.

b. New Conventional WTPs proposing a discharge to surface waters shall be covered under an individual permit for
at least one permit cycle. Upon permit renewal, if an evaluation of the facility’s wastewaters shows no need for
additional limitations or requirements beyond what is conta ined in this general permit, then the permittee will be
considered for coverage.

c. Conventional WTPs proposing to expand existing facilities shall submit a Notice of Intent (NOI) permit
application with the proposed expansion/treatment details and an Engineering Alternative Analysis for Division
review and approval in order to obtain coverage for the expansion under this permit and receive a revised
Certificate of Coverage (CoC).

d. This permit does not authorize discharges that the Division has determined to be or which may reasonably be
expected to be contributing to a violation of a water quality standard (as defined in the “Red Book” or NC
Administrative Code 15A NCAC 02B .0100, .0200, and .0300).

e. If the Division determines at any time that the discharge is causing or contributing to a violation of water quality
standards or if the Division has any other grounds for modifying or revoking this permit, the Division may require
corrective action or require the discharge be permitted differently in accordance with Part II, Section B of this
permit. The Division may deny coverage under this permit and require submittal of an applica tion for an
individual NPDES permit based on a review of the Notice of Intent (NOI) or other information.

f. Whole Effluent Toxicity (WET) test results for the past three years shall be reviewed for existing or
expanding Conventional WTPs applying for coverage under this general permit. Permittees with WET test
results showing potential for aquatic toxicity may be denied coverage under this general permit which
includes a WET limitation of “Pass”.

(3.) Transfer Coverage from Other Permits
Upon issuance of this general permit, all existing and active individual permits for Greensand and
Conventional type WTPs will automatically be considered for coverage under this general permit as
permit renewal applications are received.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C

Permit No. NCG590000
Page 3 of 26

B. (1.) Greensand WTP Effluent Limitations and Monitoring Requirements – Discharging to Freshwater

a. During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge
wastewaters from iron and manganese removal type systems for the purpose of water purification to the receiving waters. Such
discharges shall be limited and monitored1 by the Permittee as specified below:

PARAMETER EFFLUENT LIMITS MONITORING REQUIREMENTS
Monthly Average Daily Maximum2 Measurement
Frequency
Sample
Type
Sample
Location
Flow3 Monitor Only (MGD) Twice per Month Instantaneous
Or Estimate Effluent
Total Suspended Solids4 30.0 mg/l
(Exception:Trout Waters)
45.0 mg/L
(Exception:Trout Waters) Twice per Month Grab Effluent
Total Residual Chlorine5 - 17 µg/L Twice per Month Grab Effluent
pH 6.0 < pH < 9.0 s.u. Monthly Grab Effluent
Turbidity6 50 NTU daily maximum
(Exceptions: Trout Waters, Lakes & Reservoirs) Monthly Grab Effluent
Total Manganese7, 8 Monitor Only µg/L (Exception: WS Waters) Quarterly Grab Effluent
Total Iron7 Monitor Only (µg/L) Quarterly Grab Effluent
Total Zinc9 Monitor Only (µg/L) Quarterly Grab Effluent
Total Fluoride10 Monitor Only (µg/L) Quarterly Grab Effluent

Footnotes:
1. eDMR: No later than 270 days from the effective date listed on the CoC issued with this permit, begin submitting discharge
monitoring reports electronically using NC DWR’s eDMR application system. See Special Condition C.
2. The Daily Maximum limits apply to all permittees. More stringent limitations apply to discharges to Trout and Water Supply (WS)
Waters and Lakes & Reservoirs as noted above and detailed in the footnotes below. Refer to the Certificate of Coverage (CoC) for
receiving stream classifications.
3. For instantaneous flow monitoring, the duration of the discharge must be reported in addition to the total flow.
4. TSS: Permittees discharging to Trout waters shall not exceed a monthly average of 10 mg/L and a daily maximum limit of 15 mg/L.
5. TRC: Limit and monitoring requirements only apply if the facility adds chlorine or chlorine derivatives to water that is eventually
discharged. The Division shall consider all effluent TRC values reported below 50 ug/L to be in compliance with the permit.
However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including
field certified), even if these values fall below 50 ug/L.
6. Turbidity: The Turbidity Daily Maximum effluent limit is 10 NTU for Trout waters and 25 NTU for Lakes & R eservoirs not designated
as trout waters.
7. Iron & Manganese: This sampling requirement does not apply to b ackwash from calcite filtration or similar systems which are not
designed for iron or manganese removal and are not blended with other WTP wastewaters.
8. Total Manganese: Permittees discharging to WS waters shall not exceed the manganese water quality standard defined in
Administrative Code 15A NCAC 2B .0100, .0200, and .0300. Currently the water quality standard for manganese is a daily maxim um
limit of 200 µg/L.

9. Zinc: This requirement applies only to wastewater discharges from plants that use water treated with zinc orthophosphate for
backwashing filters.
10. Fluoride: This requirement applies only to wastewater discharges from plants that backwash with fluoridated finished water.
b. SAMPLES SHALL BE TAKEN AT THE OUTFALL BUT PRIOR TO MIXING WITH THE RECEIVING WATERS
c. THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR FOAM IN OTHER THAN TRACE AMOUNTS.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
Final 2016 Integrated Report-All Assessed Waters
Yadkin River Headwaters Subbasin Yadkin-Pee Dee River Basin
Assessment Unit Name
Assessment Unit Number
Assessment Unit Description
Water Quality Classification Length/Area Units
Cedar Creek From Davie County SR 1410 to Dutchman Creek
7.0 FW MilesC12-102-13-(2)
Assessment Criteria Status Reason for Rating Parameter of Interest Category
Exceeding Criteria Fair Fish Community (Nar, AL, FW)5
Chinquapin Creek From source to Toms Creek
4.9 FW MilesWS-II;HQW12-72-14-3
Assessment Criteria Status Reason for Rating Parameter of Interest Category
Meeting Criteria Good-Fair Benthos (Nar, AL, FW)1
Christian Creek (North Fork
Mitchell River)
From source to Mitchell River
5.5 FW MilesB;Tr,ORW12-62-8
Assessment Criteria Status Reason for Rating Parameter of Interest Category
Meeting Criteria Excellent Fish Community (Nar, AL, FW)1
Coal Creek From Wilkes County SR 1346 to North Prong Lewis Fork
4.3 FW MilesWS-IV12-31-1-9-(2)
Assessment Criteria Status Reason for Rating Parameter of Interest Category
Meeting Criteria Excellent Benthos (Nar, AL, FW)1
Meeting Criteria Good Fish Community (Nar, AL, FW)1
Cody Creek From source to Fisher River
7.0 FW MilesC12-63-14
Assessment Criteria Status Reason for Rating Parameter of Interest Category
Meeting Criteria Excellent Fish Community (Nar, AL, FW)1
Meeting Criteria Good Benthos (Nar, AL, FW)1
Page 1146 of 13064/11/2018 2016 Integrated Report -All Assessed Waters
Fish tissue assessments for mercury apply to all waters and are not individually listed
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
MRs Between and Violation Category:Program Category:
Param Name County:Subbasin:%Violation Action:
Major Minor:%
Permit:
Facility Name:
Region:--NC0088617
%%
%
%
%%
%
11 2013 10 2018
MONITORING REPORT(MR) VIOLATIONS for:12/06/18Report Date:1Page:of 2
PERMIT:NC0088617 FACILITY:Aqua North Carolina Inc - Snow Hill Subdivision COUNTY:Surry REGION:Winston-Salem
%
Over
UNIT OF
MEASURE VIOLATION ACTIONVIOLATION TYPECALCULATED
VALUELIMITFREQUENCYVIOLATION
DATEPARAMETERLOCATIONOUTFALL/
PPI
MONITORING
REPORT
Limit Violation
01 - 2017 001 Effluent Chlorine, Total Residual 01/24/17 2 X month Daily Maximum
Exceeded
No Action, BPJ1917ug/l 11.8
%
Over
UNIT OF
MEASURE VIOLATION ACTIONVIOLATION TYPECALCULATED
VALUELIMITFREQUENCYVIOLATION
DATEPARAMETERLOCATIONOUTFALL/
PPI
MONITORING
REPORT
Monitoring Violation
12 - 2013 001 Effluent Nitrogen, Total -
Concentration
12/31/13 Quarterly Frequency Violation No Action, BPJmg/l
03 - 2014 001 Effluent Nitrogen, Total -
Concentration
03/31/14 Quarterly Frequency Violation No Action, BPJmg/l
06 - 2014 001 Effluent Nitrogen, Total -
Concentration
06/30/14 Quarterly Frequency Violation Proceed to NOVmg/l
12 - 2013 001 Effluent Phosphorus, Total (as P) -
Concentration
12/31/13 Quarterly Frequency Violation No Action, BPJmg/l
03 - 2014 001 Effluent Phosphorus, Total (as P) -
Concentration
03/31/14 Quarterly Frequency Violation No Action, BPJmg/l
06 - 2014 001 Effluent Phosphorus, Total (as P) -
Concentration
06/30/14 Quarterly Frequency Violation Proceed to NOVmg/l
11 - 2013 001 Effluent Turbidity 11/30/13 Monthly Frequency Violation No Action, BPJntu
12 - 2013 001 Effluent Turbidity 12/31/13 Monthly Frequency Violation No Action, BPJntu
01 - 2014 001 Effluent Turbidity 01/31/14 Monthly Frequency Violation No Action, BPJntu
02 - 2014 001 Effluent Turbidity 02/28/14 Monthly Frequency Violation No Action, BPJntu
03 - 2014 001 Effluent Turbidity 03/31/14 Monthly Frequency Violation No Action, BPJntu
04 - 2014 001 Effluent Turbidity 04/30/14 Monthly Frequency Violation No Action, BPJntu
05 - 2014 001 Effluent Turbidity 05/31/14 Monthly Frequency Violation Proceed to NODntu
06 - 2014 001 Effluent Turbidity 06/30/14 Monthly Frequency Violation Proceed to NOVntu
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
MRs Between and Violation Category:Program Category:
Param Name County:Subbasin:%Violation Action:
Major Minor:%
Permit:
Facility Name:
Region:--NC0088617
%%
%
%
%%
%
11 2013 10 2018
MONITORING REPORT(MR) VIOLATIONS for:12/06/18Report Date:2Page:of 2
PERMIT:NC0088617 FACILITY:Aqua North Carolina Inc - Snow Hill Subdivision COUNTY:Surry REGION:Winston-Salem
%
Over
UNIT OF
MEASURE VIOLATION ACTIONVIOLATION TYPECALCULATED
VALUELIMITFREQUENCYVIOLATION
DATEPARAMETERLOCATIONOUTFALL/
PPI
MONITORING
REPORT
Monitoring Violation
08 - 2016 001 Effluent Turbidity 08/31/16 2 X month Frequency Violation No Action, BPJntu
10 - 2016 001 Effluent Turbidity 10/31/16 2 X month Frequency Violation No Action, BPJntu
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
EPA
United States Environmental Protection Agency
Washington, D.C. 20460
Water Compliance Inspection Report
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 N 52 NC0088617 18/11/06 C S31112171819 20
21 66
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----------------------Reserved-------------------
N67707172 73 74 75 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Snow Hill Subdivision
Snow Hill Dr
Dobson NC 27017
Entry Time/Date Permit Effective Date
Exit Time/Date Permit Expiration Date
12:00PM 18/11/06 14/07/01
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Other Facility Data
12:30PM 18/11/06 19/02/28
Name, Address of Responsible Official/Title/Phone and Fax Number
Gary Moseley,4163 Sinclair St Denver NC 28037//704-489-9404/7044899409 Contacted
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s)Agency/Office/Phone and Fax Numbers Date
Gary Hudson Division of Water Quality//336-776-9694/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#1
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
NPDES yr/mo/day
18/11/06
Inspection Type
C3111218
1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
November 26, 2018
Shannon V. Becker, President
Aqua NC, Inc.
202 MacKenan Court
Cary, NC 27511
Subject: Compliance Evaluation Inspection
Nine Greensand Filtration Water Treatment Systems
NPDES Permit No. NC0088536, NC0088552, NC0088528, NC0088625, NC0088498, NC0088633,
NC0088617, NC0088609, NC0088854.

Dear Mr. Becker:
On November 6, 2018, Gary Hudson of this office met with William Young, ORC of Aqua NC, to
perform a Compliance Evaluation Inspection on the nine NPDES permitted greensand water filtration
plants located throughout Surry County. This type of inspection consists of two basic parts: an
in-office file review and an on-site inspection of the treatment facility. The findings and observations
are outlined below:
Bannertown Hills Subdivision Well # 2 – NC0088536
Location: Town Lane, Mount Airy, NC 27030
Permitted Flow: 0.0016 MGD
Discharge Point: Discharges into a flexible black plastic pipe that runs 100’ downhill to the west of the
plant, and eventually into an unnamed tributary to Faulkner Creek in the Yadkin-Pee Dee River Basin.
Colonial Woods Subdivision – Wells 1 & 2 – NC0088552
Location: Atkins Lane, Mount Airy, NC 27030
Permitted Flow: 0.002 MGD
Discharge Point: Discharges into a drain pipe that runs 100’ downhill to the north of the plant, and
eventually into an unnamed tributary to Bull Creek, a class “C” water in the Yadkin – Pee Dee River
Basin.
Hillcrest Subdivision – Well # 3 – NC0088528
Location: Lynnewood Drive, Mount Airy, NC 27030
Permitted Flow: 0.00168 MGD
Discharge Point: Discharges under pressure into an underground gravel pit approximately 50’
northwest of the water plant, and eventually into an unnamed tributary to Champ Creek, a class “C”
water in the Yadkin-Pee Dee River Basin.
NC0088617 17 (Cont.)
Page#2
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
Permit:NC0088617
Inspection Date:11/06/2018
Owner - Facility:
Inspection Type:
Snow Hill Subdivision
Compliance Evaluation
The Hollows Subdivision – Well # 1 – NC0088625
Location: Lois Lane, Mount Airy, NC 27030
Permitted Flow: 0.002 MGD
Discharge Point: Approximately 100’ southwest of water plant, and eventually into an unnamed
tributary to Stewarts Creek, class “C” waters in the Yadkin – Pee Dee River Basin.
Mitchell Bluff Subdivision – Well # 1 – NC0088498
Location: Mitchell Cove Road, Elkin, NC 28621
Permitted Flow: 0.00168MGD
Discharge Point: Into a PVC pipe that runs 100’ to the west of the water plant, and eventually into an
unnamed tributary to the Mitchell River in the Yadkin – Pee Dee River Basin.
Reeves Woods Subdivision – Well # 2 – NC0088633
Location: Reeves Mill Road, Mount Airy, NC 27030
Permitted Flow: 0.002 MGD
Discharge Point: 100’ east of the water plant at the tree line, and eventually into an unnamed tributary
to Rutledge Creek in the Yadkin – Pee Dee River Basin.
Snow Hill Subdivision – Well # 1 – NC0088617
Location: Snow Hill Drive, Dobson, NC 27017
Permitted Flow: 0.00252 MGD
Discharge Point: Approximately 100’ south of the water plant into a field, and eventually into an
unnamed tributary to Cody Creek, class “C” waters in the Yadkin – Pee Dee River Basin.
Windgate Subdivision – Well # 1 – NC0088609
Location: Simmons Road, Dobson, NC 27017
Permitted Flow: 0.00168 MGD
Discharge Point: 100’ southwest of the water plant, and eventually into an unnamed tributary to the
Fisher River, class “C” waters in the Yadkin – Pee Dee River Basin.
Pine Lakes Subdivision – Well # 2 – NC0088854
Location: Gloria Road, Mount Airy, NC 27030
Permitted Flow: 0.002 MGD
Discharge Point: The equipment for the greensand filtration has recently been installed.

All of these sites appeared to be clean and well maintained. No problems or concerns were
noted.Should you have any questions concerning this report, please contact Gary Hudson or me at
[phone].
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor
Page#3
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
Permit:NC0088617
Inspection Date:11/06/2018
Owner - Facility:
Inspection Type:
Snow Hill Subdivision
Compliance Evaluation
Water Quality Regional Operations
Division of Water Resources
cc:Central Files
WSRO
Page#4
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
Permit:NC0088617
Inspection Date:11/06/2018
Owner - Facility:
Inspection Type:
Snow Hill Subdivision
Compliance Evaluation
Other Yes No NA NE
See SummaryComment:
Page#5
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
1
Denard, Derek
From:Denard, Derek
Sent:Thursday, December 06, 2018 11:28 AM
To:Hudson, Gary; Boone, Ron
Cc:Knight, Sherri
Subject:Aqua North Carolina Inc. - Greensand WTP Renewals/Transfers to coverage under NCG590000
Gary & Ron, 

The following is a list of Aqua greensand WTP permits that are up for renewal: 

Permit Owner Facility County Expires
NC0088498 Aqua North Carolina, Inc. Mitchell Bluff - Well #1 Surry 12/31/2018
NC0088609 Aqua North Carolina, Inc. Windgate Subdivision Surry 1/31/2019
NC0088528 Aqua North Carolina, Inc. Hillcrest Subdivision - Well #3 Surry 12/31/2018
NC0088536 Aqua North Carolina, Inc. Bannertown Hills Subdivision - Well #2 Surry 12/31/2018
NC0088552 Aqua North Carolina, Inc.
Colonial Woods Subdivision - Wells 1
and 2 Surry 1/31/2019
NC0088854 Aqua North Carolina, Inc. Pine Lakes Subdivision - Well #2 Surry 1/31/2019
NC0088617 Aqua North Carolina, Inc. Snow Hill subdivision Surry 2/28/2019
NC0088625 Aqua North Carolina, Inc. The Hollows subdivision Surry 2/28/2019
NC0088633 Aqua North Carolina, Inc. Reeves Woods Subdivision Well #2 Surry 2/28/2019
NC0088501 Aqua North Carolina, Inc. Stonington Subdivision - Well #1 Forsyth 2/28/2019

Aqua has indicated that they would like to have coverage under the general permit for these. Most likely all of them will 
be converted to General Permit NCG590000. Please note that conversion to the general permit will not require public 
notice. We should be able to process these renewals/conversions in a couple of week instead of months. I would like to 
knock out the 3 that expire this month by December 31. Please let me know if you have any comments or staff reports 
(e‐mail is fine) for any of these facilities. 

Thanks, 

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality 

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
2

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
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Denard, Derek
From:Weaver, Charles
Sent:Friday, February 22, 2019 10:28 AM
To:Denard, Derek
Subject:RE: Aqua Greensands to convert to NCG59 in BIMS
See details below 

From: Denard, Derek  
Sent: Thursday, February 21, 2019 12:16 PM 
To: Weaver, Charles <[e-mail]> 
Subject: Aqua Greensands to convert to NCG59 in BIMS 

Charles, 

Below is a list of greensands that can be converted to NCG59. 

NC0088498 Aqua North Carolina, Inc. Mitchell Bluff ‐ Well #1 ‐> NCG590024 
NC0088609 Aqua North Carolina, Inc. Windgate Subdivision ‐> NCG590025 
NC0088528 Aqua North Carolina, Inc. Hillcrest Subdivision ‐ Well #3 ‐> NCG590026 
NC0088536 Aqua North Carolina, Inc. Bannertown Hills Subdivision ‐ Well #2 ‐> NCG590027 
NC0088552 Aqua North Carolina, Inc. Colonial Woods Subdivision ‐ Wells 1 and 2 ‐> NCG590028 
NC0088617 Aqua North Carolina, Inc. Snow Hill subdivision ‐> NCG590029 
NC0088625 Aqua North Carolina, Inc. The Hollows subdivision ‐> NCG590030 
NC0088633 Aqua North Carolina, Inc. Reeves Woods Subdivision Well #2  ‐> NCG590031 

Please let me know what the COC numbers are. 
By the way, I have two others that may end up as individual permits because of a possible Zinc limit. 

Thanks, 

Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality 

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
2

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
1
Denard, Derek
From:Denard, Derek
Sent:Monday, April 08, 2019 3:54 PM
To:[e-mail]; Hudson, Gary; Kinney, Maureen
Subject:DRAFT NCG590029 Snow Hill Subdivision – Well # 2 WTP
Attachments:NCG590029 Aqua_Snow Hill_COC DRAFT2019.docx.pdf
Ms. Berger, 

Please find the attached draft of certification of coverage (COC) NCG590029 (formerly NC0088617) for Aqua, Inc.‐
Mitchell Bluff‐Well #1. Please review this document to assure your understanding of the permit limits and monitoring 
conditions, and to correct errors, if any. Please provide any comments to me via email [[e-mail]] or 
write to my attention care of DEQ / DWR / NPDES Program no later than March 22, 2019. 

Sincerely, 
Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality 

919 707 3618 office
919 707 9000 main DWR
[e-mail]

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
1
Denard, Derek
From:Denard, Derek
Sent:Thursday, April 11, 2019 10:20 AM
To:Kinney, Maureen
Subject:RE: DRAFT NCG590029 Snow Hill Subdivision – Well # 2 WTP
NC0088617 will be converted to NCG590029. 

From: Kinney, Maureen  
Sent: Thursday, April 11, 2019 10:07 AM 
To: Denard, Derek <[e-mail]> 
Subject: RE: DRAFT NCG590029 Snow Hill Subdivision – Well # 2 WTP 

Can you send the NC00 permit number for this? 

Thanks! 

From: Denard, Derek  
Sent: Monday, April 08, 2019 3:59 PM 
To: [e-mail]; Hudson, Gary <[e-mail]>; Kinney, Maureen 
<[e-mail]> 
Subject: RE: DRAFT NCG590029 Snow Hill Subdivision – Well # 2 WTP 

Correction: Please provide any comments to me via email [[e-mail]] or write to my attention care of 
DEQ / DWR / NPDES Program no later than April 22, 2019. 

From: Denard, Derek  
Sent: Monday, April 08, 2019 3:54 PM 
To: [e-mail]; Hudson, Gary <[e-mail]>; Kinney, Maureen 
<[e-mail]> 
Subject: DRAFT NCG590029 Snow Hill Subdivision – Well # 2 WTP 

Ms. Berger, 

Please find the attached draft of certification of coverage (COC) NCG590029 (formerly NC0088617) for Aqua, Inc.‐
Mitchell Bluff‐Well #1. Please review this document to assure your understanding of the permit limits and monitoring 
conditions, and to correct errors, if any. Please provide any comments to me via email [[e-mail]] or 
write to my attention care of DEQ / DWR / NPDES Program no later than March 22, 2019. 

Sincerely, 
Derek C Denard
Environmental Specialist
Compliance & Expedited Permitting Unit
N.C. Division of Water Resources
N.C. Department of Environmental Quality 

919 707 3618 office
919 707 9000 main DWR
[e-mail]
DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C
2

N. C. Division of Water Resources
Water Quality Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617

Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: EC630EC5-4B52-4B8F-B273-F0156840EE5C