NC0040011_Regional Office Historical File Pre 2016

N.C.Dept. of cti�
WSRO —Yanceyville WWTP NCO040011 j DEC 0 7 2015
Correction for ATC#040011A01— Issued December 1, 2015
Winston-Salem
R_aional Office
Please replace the two pages in the original ATC permit 0400llA1 with these corrected pages and
discard the removed pages.
Thank

Writer Resources
ENVIRONMENTAL QUALITY
December 1, 2015
Mr. Brian Collie
Town Manager
Town of Yanceyville
P. 0. Box 727
Yanceyville, North Carolina 27379
PAT MCCRORY
Gorernor
DONALD R. VAN DER VAART
Secreluw
S. JAY ZIMMERMAN
SUBJECT: Authorization to Construct
A to C No. 040011A01
Town of Yanceyville
Yanceyville WWTP
Dear Mr. Collie:
Dimclor
A Permit Application package for an Authorization to Construct (ATC) Permit was
received November 16, 2015 by the Division of Water Resources (Division).
This Authorization to Construct Permit is issued based solely upon the North
Carolina Licensed Professional Engineer's certification and the Applicant's certification of
the ATC Permit Application package. The Division has waived the technical review of the
plans, specifications, calculations and other supporting documentation included in the
subject ATC Permit Application package. Note that the ATC Permit Application package
may be subject to a Division audit.
This ATC results in no increase in design or permitted capacity of the existing 0.45 MGD
Yanceyville WWTP and is hereby issued for the construction of the following specific
modifications:
Installation of a two (2) new 244,000 gallon aerobic digesters each with 40 HP surface
aerator, floating decanter, drain sump, piping, and controls to replace the existing
sludge lagoon and drying bed system; installation of two (2) new 247 GPM at 35 ft
TDH SBR sludge transfer pumps, piping, and controls to replace existing SBR sludge
transfer pumps; installation of a new sludge truck load out station (mobile containment
by contractor hauling sludge); installation of a new hydro -brake vortex valve in the EQ
basin and other changes to the chlorine contact basin inlet channel; in conformity with
the project plans, specifications, and other supporting documentation comprising the
ATC Permit Application package submitted to the Department of Environmental
Quality.
Note: Permittee to coordinate final closure of sludge lagoon and drying beds with
Winston-Salem Regional Office..
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604, Archdale Building 9th Floor
Phone: [phone] / Fax: [phone]

Mr. Brian Collie, Town Manager
December 1, 2015
Page 2 of 3
This ATC is issued in accordance with Part III, Paragraph A of NPDES Permit No.
NCO040011 issued effective January 1, 2014, and shall be subject to revocation unless the
wastewater treatment facilities are constructed in accordance with the conditions and limitations
specified in Permit No. NCO040011.
It is the Owner's responsibility to ensure that the as -constructed project meets the
requirements of all applicable regulations and statutes, the ATC Permit Application package, and
all of the requirements contained herein. Failure to comply may result in penalties in accordance
with North Carolina General Statute § 143-215.6A through § 143-215.6C.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston-Salem Regional Office, telephone number (336) 775 - 9800, shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a Professional Engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit and the ATC Permit Application package.
Mail the Certification to: Division of Water Resources, WQ Permitting — NPDES, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at least
equivalent to or greater than the classification assigned to the wastewater treatment facilities by
the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the project plans and specifications shall be maintained on file by the
Permittee for the life of the facility.

Town of Yanceyville
Yanceyville WWTP
Authorization to Construct No. 040011 AO
Issued December 1, 2015.
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Yanceyville Wastewater
Treatment Plant, located in Caswell County, hereby state that, to the best of my abilities, due
care and diligence was used in the observation of the following construction:
Installation of a two (2) new 244,000 gallon aerobic digesters each with 40 HP surface
aerator, floating decanter, drain sump, piping, and controls to replace the existing
sludge lagoon and drying bed system; installation of two (2) new 247 GPM at 35 ft
TDH SBR sludge transfer pumps, piping, and controls to replace existing SBR sludge
transfer pumps; installation of a new sludge truck load out station (mobile containment
by contractor hauling sludge); installation of a new hydro -brake vortex valve in the EQ
basin and other changes to the chlorine contact basin inlet channel; in conformity with
the project plans, specifications, and other supporting documentation comprising the
ATC Permit Application package submitted to the Department of Environmental
Quality.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature
Date
Registration No.
Mail this Certification to: Attn: Ron Berry
Complex Permitting Unit
DENR/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617

Water Resources
ENVIRONMENTAL QUALITY
Mr. Brian Collie
Town Manager
Town of Yanceyville
P. O. Box 727
Yanceyville, North Carolina 27379
Dear Mr. Collie:
Ifs
&0 Win, of `1vlt PAT M C C RO RY
DEC 0 2 2015 i Govemor
i
Winston-Salem DONALD R. VAN DER VAART
Regional Office
Secretary
S. JAY ZIMMERMAN
December 1, 2015
SUBJECT: Authorization to Construct
A to C No. 040011 A01
Town of Yanceyville
Yanceyville WWTP
Director
A Permit Application package for an Authorization to Construct (ATC) Permit was
received November 16, 2015 by the Division of Water Resources (Division).
This Authorization to Construct Permit is issued based solely upon the North
Carolina Licensed Professional Engineer's certification and the Applicant's certification of
the ATC Permit Application package. The Division has waived the technical review of the
plans, specifications, calculations and other supporting documentation included in the
subject ATC Permit Application package. Note that the ATC Permit Application package
may be subject to a Division audit.
This ATC results in no increase in design or permitted capacity of the existing 0.45 MGD
Yanceyville WWTP and is hereby issued for the construction of the following specific
modifications:
Installation of a two (2) new 244,000 gallon aerobic digesters each with 40 HP surface
aerator, floating decanter, drain sump, ,piping, and controls to replace. the existing
sludge lagoon and drying bed system; installation of two (2) new 247 GPM at 35 ft
TDH SBR sludge transfer pumps, piping, and controls to replace existing SBR sludge
transfer pumps; installation of a new sludge truck load out station (mobile containment
by contractor hauling sludge); installation of a new hydro -brake vortex valve in the EQ
basin and other changes to the chlorine contact basin inlet channel; in conformity with
the project plans, specifications, and other supporting documentation comprising the
ATC Permit Application package submitted to the Department of Environment and
Natural Resources.
Note: Permittee to coordinate final closure of sludge lagoon and drying beds with
Winston-Salem Regional Office.
State of North Carolina i Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604, Archdale Building 9th Floor
Phone: [phone] / Fax: [phone]

Mr. Brian Collie, Town Manager
December 1, 2015
Page 2 of 3
This ATC is issued in accordance with Part III, Paragraph A of NPDES Permit No.
NC0040011 issued effective January 1, 2014, and shall be subject to revocation unless the
wastewater treatment facilities are constructed -in accordance with the conditions and limitations
specified in Permit No. NC0040011.
It is the Owner's responsibility to ensure that the as -constructed project meets the
requirements of all applicable regulations and statutes, the ATC Permit Application package, and
all of the requirements contained herein. Failure to comply may result in penalties in accordance
with North Carolina General Statute § 143-215.6A through § 143-215.6C.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston-Salem Regional Office, telephone number (336) 775 - 9800, shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a Professional Engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit and the ATC Permit Application package.
Mail the Certification to: Division of Water Resources, WQ Permitting — NPDES, 1617 Mail
Service Center, Raleigh, NC 27699-1617.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at least
equivalent to or greater than the classification assigned to the wastewater treatment facilities by
the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T I 5A: 8G.0202.
A copy of the project plans and specifications shall be maintained on file by the
Permittee for. the life of the facility.

NFV0011"_
Mr. Brian Collie, Town Manager
December 1, 2015
Page 3 of 3
During the construction of the proposed additions/modifications, the Permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance with
the North Carolina Sedimentation Pollution Control Act, and when applicable, the North Carolina
Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
The issuance of this ATC does not preclude the Permittee from complying with any and
all statutes, rules, regulations, or ordinances which may be imposed by other government agencies
(local, state, and federal) which have jurisdiction.
If you have any questions or need additional information, please contact Ron Berry at
telephone number [phone].
Sincerely,
1-2,
S. Jay ZitmInerman, P.G.
Director, Division of Water Resources
With Engineer's Certificate attached:
cc: Troy King, PE
Alley, Williams, Carmen, and King, Inc.
P. O. Box 1179
Burlington, NC 27216-1179
DWR Winston-Salem Regional Office, Water Quality Programs
Central Files
NPDES File
Without Engineer's Certificate attached:
Caswell County Health Department
DWI/Anita Reed

Town of Yanceyville
Yanceyville WWTP
Authorization to Construct No. 040011A01
Issued December 1, 2015.
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Yanceyville Wastewater
Treatment Plant, located in Caswell County, hereby stale that, to the best of my abilities, due
care and diligence was used in the observation of the following construction:
Installation of a two (2) new 244,000 gallon aerobic digesters each with 40 HP
surface aerator, floating decanter, drain sump, piping, and controls to replace the
existing sludge lagoon and drying bed system; installation of two (2) new 247 GPM
at 35 ft TDH SBR sludge transfer pumps, piping, and controls to replace existing
SBR sludge transfer pumps; installation of a new sludge truck load out station
(mobile containment by contractor hauling sludge); installation of a new hydro -brake
vortex valve in the EQ basin and other changes to the chlorine contact basin inlet
channel; in conformity with the project plans, specifications, and other supporting
documentation comprising the ATC Permit Application package submitted to the
Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature
Date
Mail this Certification to: Attn: Ron Berry
Registration No.
Complex Permitting Unit
DENR/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617

A�
i,A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 14, 2015
Brian Collie, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0518
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Collie,
Donald R. van der Vaart
Secretary
A review of Yanceyville WWTP's monitoring report for April 2015 showed the following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF
4/11/2015
400.000 #/100ml
540.000 #/100ml
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: DWR — Central Files
WSRO Files
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
450 W. Hanes Mill Rd, Suite 300; Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

V r (� J
-
Nl,——
aW alley,
williams carmen and king,ine
cKEngineering • Architecture • Land Surveying
November 12, 2015
Mr. Ron Berry
North Carolina Department of Environment & Natural Resources
Division of Water Resources RECEIVERENR/M
512 N. Salisbury Street, 91h Floor (Archdale Bldg)
Raleigh, NC 27604 14 a--/
Subject: Town of Yanceyville — New Aerobic Digesters Water Quamy
Yanceyville, NC
Permitting Section
AWCK Job # 15080
Dear Mr. Berry,
On behalf of the Town of Yanceyville, please find attached one (1) hard copy and one (1) digital set of
bid documents for proposed modifications to the Yanceyville Wastewater Treatment Plant for your
review. The bid documents include a full size drawing set, as well as a set of specifications.
The Town of Yanceyville would like to officially request an uthorization to Construct allow upgrades
to be made to the existing facility— NPDES Permit Number N e project as been submitted
to the Water Infrastructure Department for funding through the Clean Water State Revolving Fund. The
current CWSRF project number is CS370510-03. The project must be approved by January 4th, 2016 to
retain CWSRF funding.
The project proposes to install an aerobic digester and a sludge storage tank with associated piping.
Two new waste sludge transport pumps will be required in the SBR to transport the sludge due to the
elevation of the proposed tanks. Additionally, a sludge loading station is proposed to load stabilized
solids for transport from the facility. Lastly, a new effluent control device will be installed to provide
more uniform flow from the equalization tank to the chlorine contact chamber to improve effluent
disinfection. This project is the first step toward removing the existing sludge lagoon from service due
to environmental concerns.
If questions arise during your review, please feel free to contact me at 336-226-5534 or
[e-mail].
Sincerely,
ALLEY, WILLIAMS, CARMEN, & KING, INC.
TROY KING, E.
encis.
CC: Brian Collie, Town of Yanceyville
740 Chapel Hill Road (27215) - P.O. Box 1179 - Burlington, North Carolina 27216
Tel. - [phone] - Fax — [phone] - awck.com
ESTABLISHED - 1960

Norm Cardha Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 1: INSTRUCTIONS AND INFORMATION
A. The Division of Water Resources will accept this application package for review only if all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package being returned as incomplete
per 15A NCAC 02T .0105(b).
B. Plans and specifications must be prepared in accordance with 15 NCAC 02H. 0100. 15A NCAC 02T. North Carolina General Statute
133-3. North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities.
C. The plans and specifications submitted must represent a completed final design that is ready to advertise forbid.
D. Any content changes made to this Form ATC-12-14 shall result in the application package being returned.
E. The Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with a Section tab for each Section, except the
Engineering Plans.
Check the boxes below to indicate that the information is provided and the requirements are met.
G. If attachments are necessary for clarity or due to space limitations, such attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies for
a Determination of Minor Construction Activity.
I. For more information, visit the Division of Water Resources web site at: http://portal.ncdenr.org/web/wq/swp/ps/nodes.
J. In addition to this Authorization to Construct, the Applicant should be aware that other permits may be required from other Sections
of the Division of Water Resources (for example: reclaimed water facilities permits; Class A or B biosolids residuals permit).
SECTION 2: APPLICANT INFORMATION AND PROJECT DESCRIPTION
A. APPLICANT
Applicant's name
Town of Yanceyville
Signature authority's name per 15A NCAC 02T .0106(b)
Mr. Brian Collie
Signature authority's title
Town Manager
Complete mailing address
PO Box 727, Yanceyville, NC 27379
Telephone number
336-694-5431
Email address
[e-mail]
B. PROFESSIONAL ENGINEER
Professional Engineer's name
Troy King . e F
Professional Engineer's title
Civil Engineer
North Carolina Professional Engineer's License No.
035017
Firm name
Alley, Williams, Carmen and King, Inc.
Firm License number
F-0203
Complete mailing address
PO Box 1179, Burlington, NC 27216-1179
Telephone number
336-266-5534
Email address
[e-mail]
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 1

Nathcaro" Division of Water Resources State of North Carolin
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-141
C. NPDES PERMIT
NPDES Permit number NCO040011
Current Permitted flow (MGD) —include permit
flow phases if applicable 0.45
D. PROJECT DESCRIPTION
Provide a brief description of the project: The Proiect includes installation of (2) 60-ft diameter aerobic digesters with 30 HP
floating aerators. Upgraded sludge waste pumas will be installed to pump solids from the existing SBR to the new digesters A
sludge loading platform will be installed to fill tankers with stabilized solids to be transported and land applied under separate
contract. Installation of a new effluent flow control device will provide more uniform flow from the equalization tank to the
chlorine contact chamber to improve effluent disinfection. Installation of the above will allow for the abandonment and closure
of the existing sludge lagoon after sufficient drying time has occurred.
SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Cover Letter
® The letter must include a request for the Authorization to Construct; the facility NPDES Number; a brief project description
that indicates whether the project is a new facility, facility modification, treatment process modification, or facility expansion;
the construction timeline; and a list of all items and attachments included in the application package.
❑ If any of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-3. North Carolir
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met.
B. NPDES Permit
® Submit Part I of the Final NPDES permit for this facility that includes Part A (Effluent Limitations and Monitoring Requirements)
for the monthly average flow limit that corresponds to the work that is requested for this project.
C. Special Order by Consent
❑ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
® Not Applicable.
D. Finding of No Significant Impact or Record of Decision
❑ Submit a copy of the Finding of No Significant Impactor Record of Decision for this project.
❑ Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision.
® Not Applicable.
E. Engineering Plans
® Per 15A NCAC 02T .0504(c)(1), submit one set of detailed plans that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
® Per 21 NCAC 56.1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet'
the engineering drawings.
® Plans must be labeled as follows: FINAL DRAWING — FOR REVIEW PURPOSES ONLY— NOT RELEASED FOR CONSTRUCTION.
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 2

FNothWCa,,6,*,a Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
® 15A NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and disinfection equipment. Is this requirement met by the design? ® Yes or ❑ No. If no, provide an
explanation:
Plans shall include:
® Plans for all applicable disciplines needed for bidding and construction of the proposed project (check as appropriate):
® Civil ❑ Not Applicable
❑
Process Mechanical
® Not Applicable
❑
Structural
® Not Applicable
®
Electrical
❑ Not Applicable
❑
Instrumentation/Controls
® Not Applicable
❑
Architectural
® Not Applicable
❑
Building Mechanical
® Not Applicable
❑
Building Plumbing
® Not Applicable
® Plan and profile views and associated details of all modified treatment units including piping, valves, and equipment (pumps,
blowers, mixers, diffusers, etc.)
® Are any modifications proposed that impact the hydraulic profile of the treatment facility? ❑ Yes or ® No. If yes, provide
a hydraulic profile drawing on one sheet that includes all impacted upstream and downstream units. The profile shall include
the top of wall elevations of each impacted treatment unit and the water surface elevations within each impacted treatment
unit for two flow conditions: (1) the NPDES permitted flow with all trains in service and (2) the peak hourly flow with one
treatment train removed from service.
® Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
® Yes or ❑ No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths including
aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments noted.
F. ® Engineering Specifications
® Per 15A NCAC 02T .0504(c)(2) submit one set of specifications that have been signed, sealed and dated by a North Carolina
Licensed Professional Engineer.
® Specifications must be labeled as follows: FINAL SPECIFICATIONS — FOR REVIEW PURPOSES ONLY — NOT RELEASED FOR
CONSTRUCTION.
Specifications shall include:
® Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as
appropriate):
®
Civil
❑ Not Applicable
❑
Process Mechanical
® Not Applicable
❑
Structural
® Not Applicable
®
Electrical
❑ Not Applicable
❑
Instrumentation/Controls
® Not Applicable
❑
Architectural
® Not Applicable
❑
Building Mechanical
® Not Applicable
❑
Building Plumbing
® Not Applicable
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 3

Noah camw Division of Water Resources
State of North Carolin
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
® Detailed specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
® Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures and
pipelines, and performance testing requirements for equipment.
® Bid Form for publically bid projects.
G. Construction Sequence Plan
® Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State.
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: Refer to drawing sheet
#4 for construction sequence.
H. Engineering Calculations
® Per 15A NCAC 02T .0504(c)(3), submit one set of engineering calculations that have been signed, sealed and dated by a North
Carolina Licensed Professional Engineer: the seal, signature and date shall be placed on the cover sheet of the calculations.
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall
include at a minimum:
❑ Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
❑ Influent pollutant loading demonstrating how the design influent characteristics in Section 4.13.2 of this form were
determined.
® Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.13.2 of this for%
were determined.
® Hydraulic loading for each treatment unit.
® Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
® Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included in Section 4.C.6.
❑ Buoyancy calculations for all below grade structures.
❑ Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units.
1. Permits
❑ Provide the following information for each permit and/or certification required for this project:
Permit/Certification
Not
Applicable
Date
Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Dam Safety
X
Soil Erosion and Sediment Control
X
USCOE / Section 404 Permit
X
Water Quality Certification (401)
X
USCOE / Section 10
X
Stormwater Management Plan
X
CAMA
X
l_
NCDOT Encroachment Agreement
X
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 4

Ph arolina Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Railroad Encroachment Agreement X
Other:
J. Residuals Management Plan
❑ For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge
processes, provide a Residuals Management Plan meeting the requirements of 15A NCAC 02T .0504(1) and .0508; the Plan
must include:
❑ A detailed explanation as to how the generated residuals (including trash, sediment and grit) will be collected, handled,
processed, stored, treated, and disposed.
❑ An evaluation of the treatment facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a
residuals/utilization program application.
❑ If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how the
oil/grease will be collected, handled, processed, stored and disposed.
® Not Applicable. - The Town of Yanceyville will continue the contract hauling of stabilized solids.
aECTION 4: PROJECT INFORMATION
A. WASTEWATER TREATMENT PLANT FLOW INFORMATION — COMPLETE FOR NEW OR EXPANDING FACILITIES
1. Provide the following flow information:
Plant Flows
Existing Plant Design
0.45 MGD
Current NPDES Permit Limit
0.45 MGD
Current Annual Average
(past 12 months)
0.28 MGD
For Past 12 Months:
Start Date: month/yr
End Date: month/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Maximum Month
MGD
MGD
Maximum Day
MGD
MGD
Peak Hour
MGD
MGD
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 5

qq
Norte, carow State ;ofNorth Caro
Division of Water Resources Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND
FOR TREATMENT PROCESS MODIFICATIONS
1. Have all of the requirements of 15 NCAC 02H. 0100, 15A NCAC 02T, North Carolina General Statute 133-3. North Carolina
General Statute 143-215.1. and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities been met by the proposed design and specifications? ® Yes or ❑ No. If no, provide justification as to why the
requirements are not met, consistent with 15A NCAC 02T .0105(n):
2. Provide the design influent and effluent characteristics that are used as the basis for the project design, and the NPDES
permit limits for the following parameters:
Project Basis of Design
Design Influent
Design Influent
Influent
Concentration
Load
Concentration -
(Must be
(Must be
Current Annual
supported by
supported by
Design Effluent
Average (past
12 months) if
Engineering
Calculations
Engineering
Calculations
Concentration and/or
NPDES Permit Limits
Parameter
Available
[Section 3.H])
[Section 3.H])
Load
(monthly average)
Ammonia Nitrogen
mg/L Summer
2.3 mg/L Summer
(N H3-N)
mg/L
mg/L
lb/day
mg/L Winter
13.0 mg/L Winters
Biochemical
mg/L Summer
18.0 mg/L Summer
Oxygen Demand
300 mg/L
300 mg/L
810 lb/day
(BODs)
mg/L Winter
30.0 mg/L Winter
Fecal Coliform
per 100 mL
200 per 100 mL
Nitrate + Nitrite
Nitrogen (NO3-N +
mg/L
mg/L
NO2-N)
Total Kjeldahl
mg/L
Nitrogen
mg/L
mg/L
Total Nitrogen
lb/year
lb/year
mg/L
mg/L
Total Phosphorus
mg/L
mg/L
lb/clay
lb/year
lb/year
Total Suspended
Solids (TSS)
mg/L
mg/L
lb/day
mg/L
30.0 mg/L
3. Based on the "Project Basis of Design" parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? ® Yes or ❑ No. If no, describe how and why the Permit Limits will not be
met:
i _
4. Per 15A NCAC 02T .0505(i1. by-pass and overflow lines are prohibited. Is this condition met by the design? ® Yes or ❑ No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 6

Worth card Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
5. Per 15A NCAC 02T .0505(k). multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? ® Yes or ❑ No. If no, provide an explanation:
6. Per 15A NCAC 02T .0505(I). power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? ❑ Yes or ❑ No. If no, provide (as an attachment
to this Application) written approval from the Director that the facility: SEE BELOW*
➢ Has a private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
➢ Has sufficient storage capacity that no potential for overflow exists, and
➢ Can tolerate septic wastewater due to prolonged detention.
7. Per 15A NCAC 02T .0505(o), a minimum of 30 days of residual storage shall be provided. Is this condition met by the
design? ® Yes or ❑ No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
02T .105(n):
8. Per 15A NCAC 02T .0505(0) the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement: Private Drive with Gate
9. Is the treatment facility located within the 100-year flood plain? ❑ Yes or ® No. If yes, describe how the facility is
protected from the 100-year flood:
C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION —COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS
1. PRELIMINARY AND PRIMARY TREATMENT (i a nhv6ra1 romnvol nnoro*i..n, -A
Treatment Unit
No. of
Units
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Reference
Reference
(Yes or No)
Manual Bar Screen
MGD at peak hourly flow
Mechanical Bar
Screen
MGD at peak hourly flow
Grit Removal
MGD at peak hourly flow
Flow Equalization
'_
gallons
Primary Clarifier
ft diameter; ftside
water depth
Primary Clarifier
square feet; ft side
water depth
Other
* The existing WWTP has an automatically activated standby generator that is of such size to operate limited equipment
during a power failure. Specifically, the generator will operate the existing influent pump station to prevent overflows.
Wastewater is pumped to the existing SBR Basin where it will receive limited treatment prior to discharging to the
existing lagoon. The Town is currently requesting a grant through the CDBG program to include a new generator to
operate the entire plant.
Application for Authorization to Construct Permit (FORM ATC-12-14) - Page 7

Nxt, car*o Division of Water Resources
State of North Caro i
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
2. SECONDARY TREATMENT (BIOLOGICAL REACTORS AND CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients)
3.
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Aerobic Zones/
Tanks
gallons
Anoxic Zones/
Tanks
gallons
Anaerobic
Zones/Tanks
gallons
Sequencing Batch
--
gallons
Reactor (SBR)
Membrane
--
gallons
Bioreactor (MBR)
Secondary Clarifier
Circular
ft diameter; ft
side water depth
Secondary Clarifier
Rectangular
square feet; ft
side water depth
Other
'ERTIARY TREATMENT
No. of
Plan Sheet
Specification
Calculations!
Treatment Unit
Units
Type
Size per Unit
Reference
Reference
Provided?
(Yes or No)
Tertiary Clarifier
Circular
ft diameter; ft
side water depth
Tertiary Clarifier
Rectangular
square feet; ftside
water depth
Tertiary Filter
square feet
Tertiary Membrane
square feet
Filtration
Post -Treatment
--
gallons
Flow Equalization
Post -Aeration
gallons
Other
4. DISINFECTION
No. of
Plan Sheet
Specification
Calculations
Treatment Unit
Units
Type
Size per Unit
Reference
Reference
Provided?
(Yes or No)
gal/day per bank at
Ultraviolet Light
(Parallel; in
peak hourly flow;number
series)
of banks;
number of lamps/bank
Chlorination
(Gas;
gallons of contact
tablet; liquid)
tank/unit
I
Dechlorination
(Gas;
gallons of contact
tablet; liquid)
tank/unit
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 8

FN,
carorna Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
S. RESIDUALS TREATMENT
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
Treatment Unit
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
Units
Reference
Reference
(Yes or No)
Gravity Thickening
square feet; ft side
Tank
water depth
Mechanical
Thickening/
dry lb/hour
Dewatering
Aerobic Digestion
2
Circular
243,998 gallons
Sheet 3
11030
Yes
Anaerobic
Digestion
gallons
Composting
dry lb/hour
Drying
dry lb/hour
Other
6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant
drain pumps)
Location
No. of
Pumps
Purpose
Type
Capacity of
each pump
Plan Sheet
Reference
Specification
Reference
GPM
TDH
Waste Sludge to
2
Waste Sluge
Submersible
247
35'
5 & 11
aerobic digester
7. MIXERS
Location
No. of
Mixers
Purpose
Type
Power of
each Mixer
(HP)
Plan Sheet
Reference
Specification
Reference
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 9

N«ih « State of North Caro IDivision of Water Resources Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
8. BLOWERS
Location
No. of
Blowers
Purpose
Type
Capacity of
each Blower
(CFM)
plan Sheet
Reference
Specification
Reference
9. ODOR CONTROL
Location
No. of
Units
Purpose
Type
Plan Sheet
Reference
Specification
Reference
D. SETBACKS —COMPLETE FOR NEW WASTEWATER TREATMENT STRUCTURES
1. The minimum distance for each setback parameter to the wastewater treatment/storage units per 15A NCAC 02T .0506(b)
are as follows:
Minimum Distance
Is Minimum Distance
Required from Nearest
Requirement met by the
Setback Parameter
Treatment/Storage
Design? If "No", identify
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or place of assembly under separate
100 ft
® Yes
❑ No
ownership or not to be maintained as part of the project site
Any private or public water supply source
100 ft
® Yes
❑ No
Surface waters (streams — intermittent and perennial, perennial
50 ft
® Yes
❑ No
waterbodies, and wetlands)
Any well with exception of monitoring wells
100 ft
® Yes
❑ No
Any property line
Soft
® Yes
❑ No
2. Have any setback waivers been obtained per 15A NCAC 02T .0506(d)? ❑ Yes or ❑ No. If yes, have these waivers been
written, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑ Yes or ❑ No. If
no, provide an explanation: N/A
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 10

FNonh carofna Division of Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 5: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Professional Engineer's Certification per 15A NCAC 02T .0105:
I, Troy Kingattest that this application package for an Authorization to Construct
(Typed Name of Professional Engineer)
for the Town of Yancevville Wastewater Treatment Plant
(Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared in accordance with all applicable regulations and statutes, 15 NCAC 02H. 0100. 15A NCAC 02T. North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1. and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.13.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals
censed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
I understand that in accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes
any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal with written signature placed over or adjacent to the seal and dated:
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 11

►ten carorna Division of Water Resources
State of North Carolin
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-14)
SECTION 6: APPLICATION CERTIFICATION BY APPLICANT
Applicant's Certification per 15A NCAC 02T .0106(b):
I, Brian Collie — Town Manager, attest that this application package for an Authorization to Construct
(Typed Name of Signature Authority and Title)
for the Town of Yancevville Waterwater Treatment Plant
(Facility and Project Name)
has been reviewed by me and is accurate and complete to the best of my knowledge. I also understand that if all
required parts of this application package are not completed and that if all required supporting information and
attachments are not included, this application package will be returned to me as incomplete. I further certify that in
accordance with 15A NCAC 02T .0120(b), the Applicant or any affiliate has not been convicted of environmental crimes,
has not abandoned a wastewater facility without proper closure, does not have an outstanding civil penalty where all
appeals have been abandoned or exhausted, are compliant with any active compliance schedule, and does not have any
overdue annual. fees.
I understand that the Division of Water Resources' issuance of the Authorization to Construct Permit may be based
solely upon acceptance of the Licensed Professional Engineer's Certification contained in Section 5, and that the Division
may waive the technical review of the plans, specifications, calculations and other supporting documentation provided
in this application package. I further understand that the application package may be subject to a future audit.
I understand that in accordance with General Statutes 143-215.6A and 143-215.6B any person who knowingly makes
any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
Signature:
Date:
THE COMPLETED APPLICATION AND SUPPORTING INFORMATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES/NPDES
By U.S. Postal Service By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N. SALISBURY STREET, 9TH FLOOR
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
Application for Authorization to Construct Permit (FORM ATC-12-14) Page 12

0611212015 09:53 ENVIROLINK TAX) P.0031004
Water Pollution Control System Operator Designation Form
wPcsocc
NCAC 15A 9C .0201
�J
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Permittee Owner]Ol'(leer Name: ,J DMA, _ D4, I &A C$44 1A I/-
MailingAddrm: r?�—
city! L, tr.li� State: zip:
Phonefh. 3%-%a►q -'S �
Email addles: oWn MAr14z r V .! A � q y, Ji
Signature :+19 Date:
........... ..................... ........r...................................... .......... ............... .......... ..... ...........
l<adUry Naree: D n :Li.�1:.r1.>k W VJT f� Parmlt P.. if
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SUMIT A SEPARATE FORM FOR EACH TYPR SYSTEMI
Fatuity T ypefGrade (CI,CK ONLY ONE).
Biological J Collection Physical/Cbcmical Surface Irrigation Land Application
............................ .................................. .................................... .............. I............................
Operator in (Responsible Charge (OItC)
Print Full. Nome:
Certificate.l�p Y (3rade Nurn r: iA/2. Work-Avlle #: _% a 4_ 47 2.�.
"f catiry fhm E e�oe>o an sn the Operator m Respa Cbtu* for to fhe7 tJ noted. E =d=dmd and will obidc by die n,1ev
,md cogulntionx perRakeln; to the reepoe,eihlidcs of tilt ORC ax9at fanlr fa iSA WAC 080.0204 sud falling Io do so can rex01t is bisetplinary
Acd*" by the Watw Pollution Control System Opwa m i-. 1gr ptiaa amnissien."
..........................*................................ ........ .........................................................................
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Back -Up Operator
��3.�1in��""Responsible Charge (BU ORc)
Print VwlName: _, I1iWe" 60AnlCjl., l tcl�ll is r !ssc.1l s;clime ¢� t1a�laa. 1m
Oardflcate 7)rpe / Graft.iyNummbor: i- 4L)t' 2. CrA44 Work Phone t: 32L 612, 01-78
Signature- Dutc
X cal* that I ww to nq degsru&n as a tlac4.up Opcndor in 1tw ww1ble Charge for Gm Willy noted i understand and ,%vql abide by the
Welts sad rag l*iiOw ptumieing ro she ►espMkilitle9 of the BU ORC ns se forth in 15A NCAt: 080.0205 nod fffiling to 4040 cme result in
Dieetplinery Actions by the 1Vates Pollution Control Syg m Opcmror9 Can .6"tim Coa=i0ion."
�Ylall.Jhr ur smrril ,ke -.,.......W PCCACC.. 16I8 A]a1E'3etvlce Casncer, � Raleigh, NC 2?69A-ib19 •Fax- 919.?15 2726 -
oriebmlln: Email: eertsdmia@nedeararav
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Faye;taville
IN100t Ville
appmpriale, ttg#aaal offing: 2090 US Hw-y 70
225 Green St
610 E Censer Ave
Swennatos 28778
Suite 714
Suite 301
Pax; =,299.1043.
Foyettevnlle 28301-5043
Mooresville28117
Phone: R7.R.296.4300
Am 910AKa707
Fax: [phone]
Phan= 910,433,3300
Pho= 704.663.1699
1w'staltlggWn
!\'flmiagton
V1`lersuoa-9olem
943 Washington Sq tuft
127 Cardinal Dr
4S01ti.Tom Mall Rd
Washington 27$99
Vt: pmlagton 23405 2943
MwstonSakm 27105
7:ex: 25IN6.921S
Fax; 9HUS0.2004
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Phant. 352.946.b481
Phone [phone]
Pbcnc:336.7769=1
Raleigh
Ralowl 27609
T+tsx: 919.371.47I6
Pbone.PIX 197A200
!'4M*4 05.2015

06112/2015 09:54 ENVIROLINK TAX) P.0041004
Facility ?YarQe• _�D curt uT __ 7a ri 2t, t �11 �"T Permit#: N{� �✓ f� (3 d I1
......................................................................................................... ............... ......... .......
Back -Up Operator in Rwipunsihle Charge (BU ORC)
Print FuU Name:
Cato iicate Type I Grade / Number: ' t Work Phone !/: 3 �L• iY -Y ZZ T
Signature: Date
"f ct rti* d Al l alp= to aw-designation as a Basl.•up Operator in Responsibla Charge far the fae,'lity noted. l undetstwd tad writ abide by the
nilaA and regulations partalamp to the rc�ponaibilbjw ofthe SU ORC as set fbnh in 1 SA NCAC 080.0203 tnd tbil'utg to do su ea n rmit in
INacipiinary Actioas by the'Water Polhution Control Symmm Opewtors CerT114tAtion Commission_',
............................................................................................
Bach: -Up Operator in Responsible Charge-(13U ORC)
PrintROlame: S)Qt?el >', „��°55 Email 0 .f it P 4ltt'1G,t
Certificate Type / Grade / Nt MM7 i D r work Phone.#; �, 3`
Signature:-Q10-Date—''
'1 eerti£y Owl agree to my desigaalion as a EWar-up op-dor in Responsible Chssgc fbr the facility noted. I rtrtdp vMd nn4 will abide by the
rule? and resvltnions prrautklt to the tesponsihilitios offt BU ORC as 4Lt rordt in UA NCAC OSG .02AS fad failing to do so can resuit in
Disciplinary' Actions by.the-Water Polhition Control Systetp Operators Certification Coeetaassiao
................................................................................ ...................... .................:...:.........
Back -Up Operator in Responsible Charge (BU ORC)
Print Ful l Name
Certificate Type 1 Grade /Number. Work Phone V;
Signattlrt ice.
r eerti fy that I *am to my demotion w a ilvtc -T Opc mor in RrW misfbic (.luagc ibr the 0st:ifily doted I mderstand and will abide by the
rules and neguladom permining to the responsrlrr7ides of the BU ORC as set fbrth in 15A NCAC 08C. ,0205 and failing to do so ca result in
DISeip►lttary Actions by the Vlratcr PolhtiHon Control System Opergwra Cea Acatiaar 'Commiasion"
.................................................................................................................................................
Baca -Up Operator to Responsli le Charge (RU ORC)
Print Full Name: Email:
CertiA ale Type / Grade / Number: Work Phone it:
Signature: Date.
"I certify that 1 ttpree to my desiar'34on as a Back-up Operaprr Ih ResponsibleCharge for the facility noted I wxlent3nd sad will Abide by (hC
rates and regulations pe�ining to the raaponsbithies of the 191 ORC as sot rorth in 15A NCAC OW5.0205 and "in& to'do so eta rttsu$ in
Disciplinary Acdmw by We Water Pollution Control Ssstetn Operawts Certitcation CArrimisxion "
Revlseo o5-2015

Dec 08 03 05:09p
L
e
336-694-1499 p.10
MECHANICAL.
BAR SCREEN
MANUAL
GMT CHAMBER
INFLUENYPUMP
STATION
AQUA AEROBIC
SBR (SEQUENCING BATCH REACTOR)
FLOW EQUAUZA77ON CHAMBER
EFFLUENT FLOW METER
CHLORINE CONTACT CHAMBER
SOS ADDITION
(D,ECHLORINATION)
CHARGE
/ COUNTRY LINE CREEK �— ---�
,HEE,
alley, williams, carmen do king, inc. YANCEYWLLE WWTP
ENGINEERS a ARCHITECTS SCHEMATIC FLOW DIAGRAM
740 chapel hill road p.o. box 1179
burlington. n.c. 27215 336/226-5534 a4swa1 GbUNn; N.GL
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Copyright (C) 1997, Maptech, Inc.

Water Pollution Control System Operator DesignationForm
W PCSMC
NCAiC iSA 8G .82d1

Facility Kame:. Of tt nG to IIr je'_ Permit#: A14- 00 cfo c l
............„..................................................................................................................................
Bach -Up OperatorinResponsible Charge (BU ORC)
t F Prinull Name: �t 1t OU-M E . Caf kr- Email Vantcu t1i Io-6 e-n vice I;Ak+'rrrw-"
Certificate Type! Grade / Number: V " { ! Work Phone #: rJ'3L • b C y :Y Z Z%
Signature:
'I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
niles and regulations pertaining to the responsibilkies of the BII ORC as set forth in I,5A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission:'"
..................................................................................................................................................
Back: Up Operator in Responsible Charge (BU ORC)
PrintFull Name: t? �t n i to 5 s Email: �/ n l�c (, r I �, Cam
Certificate Type / Grade / Number: W 1 0i7 l V 2q Work Phone #: J � �j �o-[ ! - p9 3/;
Signature:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the fkaity Hated_ I understand and will abide by the
rules and regulations pertaining to the ressptwstbdines ofthe BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can tresult in
Disciplinary Actions by the Water Pollution Control System Operators Certifcation CottxnL.;sion. "
Back -Up Operator in Responsible Charge (BU ORG)
Print Full Name:
Certificate Type I Grade / Number:
Signature:
Email:
Work Phone M
Date:
"1 certify that I agree to my designation as a Hack -up Operator in Rcspons#bte Charge for the faetlity noted I understand and will abide by the
rules and regulations pertaining to the responsibilities of the Bt i ORC asset forth in I5A NCAC 08G .0205 and failing to do So can result in
Disciplinary Actions by the Water Pothttion Control System Operators Certification Commission."
........•.•••...
...................................».......•.....•....
Baek-Up Operator in Responsible Charge (BII ORC)
Print Full Name:
Certificate Type / Comde / Number:
Signature:
Finail:
Work Phone #:
Date.
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by The
miles and tcgufdioas pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC M .0205 and failing to do so can result in
Disciplinary ,fictions by the Water Pollution t outml System operators Certification Commission.-,
Revised 05-2015

Carter, Jenifer
From: Carter, Jenifer
Sent: Tuesday, December 23, 2014 2:04 PM
To: Brian Merritt ([e-mail])
Subject: Yanceyville Inspection Reports
Attachments: YanceyviIIeWTP2014InspectionRepo rt.pdf, Ya nceyvi I IeWWTP2014Inspectio n Report. pdf
Brian,
I've attached copies of Yanceyville's WTP and WWTP inspection reports that went out in the mail today.
Have a Merry Christmas and Happy New Year.
Jenifer Carter
New phone number: 336-776-9691.
New WSRO Address:
NC DENR - Division of Water Resources
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

F
Pat McCrory
Governor
4
NCDENR
North Carolina Department of Environment and
Town of Yanceyville
Attn: Mr. Brian Collie, Town Manager
P.O. Box 727
Yanceyville, NC 27379
SUBJECT: Compliance Evaluation Inspection
Yanceyville WWTP
Permit No. NCO040011
Caswell County
Dear Mr. Collie:
Natural Resources
December 23, 2014
John E. Skvarla, III
Secretary
On December 16, 2014, Jenifer Carter of the Winston-Salem Regional Office conducted a Compliance
Evaluation Inspection at the Town of Yanceyville's Wastewater Treatment Plant. Brian Merritt, ORC, was
present during the inspection. The inspection consisted of two parts: an on -site inspection of the treatment
facility and a review of facility files and self -monitoring data. The following is a summary of findings during
the inspection.
A) Lab data corresponded correctly with data entered on the submitted Discharge Monitoring Reports.
B) Excessive foaming was noted during the inspection, most notably in the Sequencing Batch Reactors.
Mr. Merritt stated that this started occurring two days prior and was in the process of adjusting the pH
to help combat it. Cooler air temperatures may be partly to blame. Only trace amounts of foam were
noted in the discharge to surface water.
C) If not already done, please have an Annual Performance Report submitted to the Division, and provide a copy
to users/customers of the Town's Water Treatment Plant, as required by Part H Section E-12 of your permit.
Please refer to the attached report for more inspection details. The Division continues to appreciate the many
improvements made by Mr. Merritt in operating the WWTP since he became the ORC. Should you have any questions
please contact Jenifer Carter in our Winston-Salem Regional Office at [phone].
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources — NC DENR
enclosure
cc: DWR central files
WSRO files
Brian Merritt ([e-mail])
450 W Hanes Mill Rd., Suite 300, Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncdenr,gov
An Equal opportunity 1 Affirmative Action Employer— Made in part by recycled paper

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 u 2 1s 1 3 I NCO040011 I11 12 14/12/16 17 18 t C t 19 t G( 201 I
21111111111111111111111111111111111111111111 r6
I
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved—
67
70 71 J��, � 72 L Lti 731 I 174 75Ill
LJ J I I I
80
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:50AM 14/12/16
14/01/01
Yanceyville WWTP
666 Pine Dr
Exit Time/Date
Permit Expiration Date
Yanceyville NC 27379
10:45AM 14/12/16
17/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Brian Eugene Merritt//252-285-1600 /
Name, Address of Responsible OfficiaUTide/Phone and Fax Number
Contacted
James M Cheshire,PO Box 473 Kernersville NC
272840473//336-996-2841 /3369960326 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
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
J enifer rer (� WSRO WQ//336-771-5000/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous a1 �s are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCO040011 I11 12 14/12/1 , 17 18 ' ^ ,
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#
11

Permit: NCO040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/16/2014 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 ❑ ❑ ❑
application?
Is the facility as described in the permit? 0 ❑ ❑ ❑
# Are there any special conditions for the permit? ❑ 0 ❑ ❑
Is access to the plant site restricted to the general public? M ❑ ❑ ❑
Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
❑
Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
❑
❑
Is the chain -of -custody complete?
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
0
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
0
❑
on each shift?
Is the ORC visitation log available and current?
M
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
❑
Comment: Please see Part II Section E-12 of the permit for Annual Performance Report Requirements.
Influent Sampling
# Is composite sampling flow proportional?
Is sample collected above side streams?
Yes No NA NE
❑ ❑ ■ ❑
■ ❑ ❑ ❑
Page# 3

Permit NCO040011 Owner - Facility: Yanceyville VWVrP
Inspection Date: 12/16/2014 Inspection Type: Compliance Evaluation
Influent Sampling Yes No NA NE
Is proper volume collected? 0❑ ❑ ❑
Is the tubing clean? N❑ ❑ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees 0❑ ❑ ❑
Celsius)?
Is sampling performed according to the permit? 0 ❑ ❑ ❑
Comment:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
0
❑
❑
❑
Is sample collected below all treatment units?
❑
❑
❑
Is proper volume collected?
❑
❑
❑
Is the tubing clean?
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
0
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
❑
representative)?
Comment:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable N ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Bar Screens Yes No NA NE
Type of bar screen
a.Manual ❑
Page# 4

Permit NC0040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/16/2014 Inspection Type: Compliance Evaluation
Bar Screens Yes No NA NE
b.Mechanical
Are the bars adequately screening debris? 0 ❑ ❑ ❑
Is the screen free of excessive debris? 0 ❑ ❑ ❑
Is disposal of screening in compliance? 0 ❑ ❑ ❑
Is the unit in good condition? 0 ❑ ❑ ❑
Comment:
Grit Removal
Yes No NA NE
Type of grit removal
a.Manual
b.Mechanical
❑
Is the grit free of excessive organic matter?
M
❑
❑
❑
Is the grit free of excessive odor?
0
❑
❑
❑
# Is disposal of grit in compliance?
❑
❑
❑
Comment:
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
M
❑
❑
❑
Is the wet well free of excessive grease?
0
❑
❑
❑
Are all pumps present?
0
❑
❑
❑
Are all pumps operable?
N
❑
❑
❑
Are float controls operable?
❑
❑
❑
Is SCADA telemetry available and operational?
❑
❑
❑
Is audible and visual alarm available and operational?
❑
❑
❑
Comment:
Sequencing Batch Reactors
Yes No NA NE
Type of operation:
is the reactor effluent free of solids?
❑
❑
❑
Does minimum fill time correspond to the peak hour flow rate of the facility?
❑
❑
❑
Is aeration and mixing cycled on and off during fill?
❑
❑
❑
The operator understands and can explain the process?
❑
❑
❑
Page# 5

Permit NCO040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/16/2014 Inspection Type: Compliance Evaluation
Seguencing Batch Reactors Yes No NA NE
Comment: Excessive foam during the inspection which Mr. Merritt stated became an issue during the
last couple of days in Dartdue to cooling air temperatures Mr. Merritt began feeding lime as
soon as it was noticed and hopes this will bring it under contro Very little to no foam noted at
the effluent DiDe.
Equalization Basins Yes No NA NE
Is the basin aerated? ❑ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment? ❑ ❑ ❑
Is the basin free of excessive grease? 0 ❑ ❑ ❑
Are all pumps present? 0 ❑ ❑ ❑
Are all pumps operable? E ❑ ❑ ❑
Are float controls operable? ❑ ❑ ❑
Are audible and visual alarms operable? ❑ ❑ ❑ E
# Is basin size/volume adequate? 0 ❑ ❑ ❑
Comment:
Disinfection -Gas
Yes No NA NE
Are cylinders secured adequately?
❑
❑
❑
Are cylinders protected from direct sunlight?
❑
❑
❑
Is there adequate reserve supply of disinfectant?
0
❑
❑
❑
Is the level of chlorine residual acceptable?
N
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
0
❑
❑
❑
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
❑
❑
❑
0
If yes, then is there a Risk Management Plan on site?
❑
❑
❑
If yes, then what is the EPA twelve digit ID Number? (1 000-__)
If yes, then when was the RMP last updated?
Comment:
De -chlorination
Type of system ?
Yes No NA NE
Gas
Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ ❑
# Is de -chlorination substance stored away from chlorine containers? ❑ ❑ ❑
Page# 6

Permit NC0040011 Owner - Facility: Yanoeyville VWVrP
Inspection Date: 12/16/2014 Inspection Type: Compliance Evaluation
De -chlorination Yes No NA NE
Comment:
Are the tablets the proper size and type? ❑ ❑ ❑
Are tablet de -chlorinators operational? ❑ ❑ ❑
Number of tubes in use?
Comment:
Lagoons
Yes No NA NE
Type of lagoons?
Aerated
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
# Is a re-circulatipn line present?
❑
❑
M
❑
Is lagoon free of excessive floating materials?
0
❑
❑
❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑
M
❑
Are dike slopes clear of woody vegetation?
0
❑
❑
❑
Are weeds controlled around the edge of the lagoon?
0
❑
❑
❑
Are dikes free of seepage?
0
❑
❑
❑
Are dikes free of erosion?
0
❑
❑
❑
Are dikes free of burrowing animals?
0
❑
❑
❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple
❑
❑
❑
locations?
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑
❑
Is the lagoon surface free of weeds?
❑
❑
0❑
Is the lagoon free of short circuiting?
❑
❑
❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment:
Page# 7

���
A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 22, 2014
Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0395
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman,
John E. Skvarla, III
Secretary
A review of Yanceyville WWTP's monitoring report for May 2014 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF
5/17/2014
400 #/100ml
964 #/100ml
Weekly Geometric Mean Exceeded
Flow
5/31/2014
0.450 mgd
0.470 mgd
Monthly Average Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: DWR — Central Files
WSRO Files
Sincerely,
�� �' A�
�U✓ W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer - Made in part by recycled paper

A POWA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 4, 2014
Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0248
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
John E. Skvarla, III
Secretary
A review of Yanceyville WWTP's monitoring report for February 2014 showed the following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal
02/08/14
400 #/100m1
1,600 #/100ml
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: DWR — Central Files
WSRO Files
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Acton Employer — Made in part by recycled paper

A 'A
NCDENR
North Carolina Department of Environment and Natural
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder
Governor Director
January 10, 2014
Town of Yanceyville
Attn: Mr. Haynes Brigman, Town Manager
P.O. Box 727
Yanceyville, NC 27379
SUBJECT: Compliance Evaluation Inspection
Yanceyville WWTP
Permit No. NCO040011
Caswell County
Dear Mr. Brigman:
Resources
John E. Skvarla, III
Secretary
On December 18, 2014, Ms. Jenifer Carter of the Winston-Salem Regional Office conducted a Compliance
Evaluation Inspection at the Town of Yanceyville's Wastewater Treatment Plant. Brian Merritt, ORC, was
present during the inspection. The inspection consisted of two parts: an on -site inspection of the treatment
facility and a review of facility files and self -monitoring data. The following is a summary of findings during
the inspection.
A) Brian Merritt was hired as ORC of the plant after the previous inspection and seems to have done an
excellent job learning how to best operate the plant.
B) Lab data corresponded correctly with data entered on the submitted Discharge Monitoring Reports. Overall record
keeping is much improved.
C) Sequencing Batch Reactor (SBR) #1 had been out of service for repairs, and was due to be put back in
service the day of the inspection. Once back in service, it was to be reseeded from sludge in SBR #2 and the
lagoon. High sludge levels in the lagoon, as well as a slightly cloudy effluent, will be able to be addressed
once both sides of the plant are fully operational.
The Division appreciates improvements made by Mr. Merritt since the last inspection. He should be commended for his
efforts. Should you have any questions please contact Jenifer Carter in our Winston-Salem Regional Office at (336) 771-
4957.
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
enclosure
cc: DWR central files
WSRO files
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, NC 27107
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748
Internet: hftp://www.ncwater.org
Nne
orthCarolina
Naturally
An Equal Opportunity 1 Affirmative Action Employer

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
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 I N � 2 151 31 NCO040011 111 121 13/12/18 117 181 C I 191 c I 201 I
Lu! , -, U lJ IJ
Remarks
21111111111111111111111111111111111111111111IIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA --------------------Reserved— ----------- -------
180
67 I 169 70 U 71 INI 72 INI 73 LJJ 74 751 I I I I I Li
�—+
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:45 AM 13/12/18
07/10/01
Yanceyville WWTP
666 Pine Dr
Exit Time/Date
Permit Expiration Date
Yanceyville NC 27379
11:15 AM 13/12/18
12/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Brian Eugene Merritt//919-818-6165 /
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
James M Cheshire,PO Box 473 Kernersville NC 272840473//336-996-2841/3369960326 No
Section C: Areas Evaluated During Inspection Check only those areas evaluated
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
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
Jenifer Carter WSRO WQ//336-771-5000/
7
Signature of Management Q A�Reviewer Agency/Office/Phone and Fax Numbers Date
.�
- 0 �5 �o (03,4
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO040011 I11 121
13/12/18 17 18' _ 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Mr. Merritt took over operations of this plant after the last inpsection and has made many improvements. His
understanding of how the plant operates is an improvement in and of itself.
Page # 2

Permit: NCO040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■ ❑ ❑ ❑
Is the facility as described in the permit?
0011 ❑
# Are there any special conditions for the permit?
❑ 0 ❑ ❑
Is access to the plant site restricted to the general public?
0 ❑ ❑ ❑
Is the inspector granted access to all areas for inspection?
0 ❑ ❑ ❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
M ❑ ❑ ❑
Is all required information readily available, complete and current?
0 ❑ ❑ ❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ 130 ❑
Are analytical results consistent with data reported on DMRs?
■ 110 ❑
Is the chain -of -custody complete?
M ❑ ❑ ❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ ❑ 0
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? ❑ ❑ M ❑
Is the ORC visitation log available and current? ■ ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? M ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑ ■
Comment:
Influent Sampling Yes No NA NE
# Is composite sampling flow proportional? ❑ ❑ M ❑
Page # 3

Permit: NCO040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Influent Sampling
Yes No NA NE
Is sample collected above side streams?
■ ❑ ❑ ❑
Is proper volume collected?
■ ❑ ❑ ❑
Is the tubing clean?
■ ❑ ❑ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■ ❑ ❑ ❑
Is sampling performed according to the permit?
■ ❑ ❑ ❑
Comment:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
■ ❑ ❑ ❑
Is sample collected below all treatment units?
■ ❑ ❑ ❑
Is proper volume collected?
■ ❑ ❑ ❑
Is the tubing clean?
■ ❑ ❑ ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■ ❑ ❑ ❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ ❑ ❑ ❑
Comment:
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ ❑ ❑
Comment:
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting?
Is flow meter calibrated annually?
■ ❑ ❑ ❑
■ ❑ ❑ ❑
Is the flow meter operational? ■ ❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ❑ ■
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment:
Type of bar screen
Page # 4

Permit: NC0040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Bar Screens Yes No NA NE
a.Manual ❑
b.Mechanical ■
Are the bars adequately screening debris? ■ ❑ ❑ ❑
Is the screen free of excessive debris? ■ ❑ ❑ ❑
Is disposal of screening in compliance? ■ ❑ ❑ ❑
Is the unit in good condition? ■ ❑ ❑ ❑
Comment:
Grit Remnval Yes No NA NE
Type of grit removal
a.Manual
■
b.Mechanical
❑
Is the grit free of excessive organic matter?
■ ❑
❑ ❑
Is the grit free of excessive odor?
■ ❑
❑ ❑
# Is disposal of grit in compliance?
■ ❑
❑ ❑
Comment:
Pump Station - Influent
Yes No
NA NE
Is the pump wet well free of bypass lines or structures?
■ ❑
❑ ❑
Is the wet well free of excessive grease?
■ ❑
❑ ❑
Are all pumps present?
■ ❑
❑ ❑
Are all pumps operable?
■ Cl
❑ ❑
Are float controls operable?
■ ❑
❑ ❑
Is SCADA telemetry available and operational?
❑ ❑
■ ❑
Is audible and visual alarm available and operational?
❑ ❑
❑ ■
Comment:
Sequencing Batch Reactors
Yes No
NA NE
Type of operation:
Is the reactor effluent free of solids?
■ ❑
❑ ❑
Does minimum fill time correspond to the peak hour flow rate of the facility?
❑ ❑
❑ ■
Is aeration and mixing cycled on and off during fill?
MOO
❑
The operator understands and can explain the process?
■ ❑
❑ ❑
Page # 5

Permit: NC0040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Sequencing Batch Reactors Yes No NA NE
Comment: SBR #1 out of service during the inspection, but was to be put back in
service and seeded later the same day. Contractors were working on it during the
inspection.
Equalization Basins
Yes No NA NE
Is the basin aerated?
❑ ■ ❑ ❑
Is the basin free of bypass lines or structures to the natural environment?
■ ❑ ❑ ❑
Is the basin free of excessive grease?
■ ❑ ❑ ❑
Are all pumps present?
■ ❑ ❑ ❑
Are all pumps operable?
■ ❑ ❑ ❑
Are float controls operable?
❑ ❑ ❑ ■
Are audible and visual alarms operable?
❑ ❑ ❑ ■
# Is basin size/volume adequate?
■ ❑ ❑ ❑
Comment: .
Disinfection -Gas
Yes No NA NE
Are cylinders secured adequately?
■ ❑ ❑ ❑
Are cylinders protected from direct sunlight?
■ ❑ ❑ ❑
Is there adequate reserve supply of disinfectant?
■ ❑ ❑ ❑
Is the level of chlorine residual acceptable?
■ ❑ ❑ ❑
Is the contact chamber free of growth, or sludge buildup?
■ ❑ ❑ ❑
Is there chlorine residual prior to de -chlorination?
■ ❑ ❑ ❑
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
❑ ❑ ❑ ■
If yes, then is there a Risk Management Plan on site?
❑ ❑ ❑ ■
If yes, then what is the EPA twelve digit ID Number? (1 000--_)
If yes, then when was the RMP last updated?
Comment:
De -chlorination
Yes No NA NE
Type of system ?
Gas
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑ ❑ ■ ❑
Is storage appropriate for cylinders?
■ ❑ ❑ ❑
# Is de -chlorination substance stored away from chlorine containers?
■ ❑ ❑ ❑
Page # 6

Permit: NCO040011 Owner • Facility: Yanceyville WWTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
De -chlorination Yes No NA NE
Comment:
Are the tablets the proper size and type? ❑ ❑ ■ ❑
Are tablet de -chlorinators operational? ❑ ❑ E ❑
Number of tubes in use?
Comment:
Lagoons
Yes
No NA NE
Type of lagoons?
Aerated
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
# Is a re -circulation line present?
❑
❑ 0 ❑
Is lagoon free of excessive floating materials?
■
❑ ❑ ❑
# Are baffles between ponds or effluent baffles adjustable?
❑
❑ 0 ❑
Are dike slopes clear of woody vegetation?
0
❑ ❑ ❑
Are weeds controlled around the edge of the lagoon?
❑ ❑ ❑
Are dikes free of seepage?
❑ ❑ ❑
Are dikes free of erosion?
❑ ❑ ❑
Are dikes free of burrowing animals?
❑ ❑ ❑
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
❑
❑ ❑ ■
# If excessive algae is present, has barley straw been used to help control the growth?
❑
❑ ■ ❑
Is the lagoon surface free of weeds?
❑
❑ E ❑
Is the lagoon free of short circuiting?
❑
❑ E ❑
Comment: Mr. Merritt acknowledged that the lagoon was very full of sludge, due in
part to having one of the SBRs out of service. Once the SBR is back in service and
operational, he said some of the sludge may be used for reseeding it. Sludge will be
removed once both SBRs are operating effeciently.
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ■ ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ s ❑
Comment:
Page # 7
9

AA
4 0 .wr. r.r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
October 9, 2013
Mr. Haynes Brigman, Town Manager
Town of Yanceyville
P. O. Box 727
Yanceyville, NC 27379
Subject: Draft NPDES Permit
Permit Number NCO040011
Town of Yanceyville WWTP
Facility Rating WW-2
Caswell County
Dear Mr. Brigman:
John E. Skvarla, III
Secretary
Enclosed with this letter is a copy of the draft permit for your facility. Please review the draft very
carefully to ensure thorough understanding of the conditions and requirements it contains. The draft
permit contains a number of changes in its terms from those found in your current permit. A summary
of those changes follows:
• Based upon a reasonable potential analysis of reported data from the facility:
♦ Limits for Cadmium, Lead and Mercury have been removed from the permit.
♦ Monitoring frequencies for Cadmium, Copper, Lead and Zinc have been reduced to quarterly.
♦ The monitoring requirements for Chromium and Silver have been removed from the permit.
• The monitoring frequency for Mercury has been reduced to once during the permit cycle. Low-level
monitoring should be performed for Mercury using EPA method 1631.
Please submit any comments to me no later than thirty days following your receipt of the draft.
Comments should be sent to the address listed at the bottom of this page. If no adverse comments are
received from the public or from you, this permit will likely be issued in December 2013, with an
effective date of January 1, 2014.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralef h, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet www.newaterqualit .org
An Equal Opportunity 1 Affirmative Acton Employer

Mr. Haynes Brigman
NC0040011 Renewal Draft
p. 2
If you have any questions or comments concerning this draft permit, call me at [phone], or via e-
mail at bob. [e-mail].
Sincerely,
�"
Bob Sledge
Compliance & Expedited Permitting Unit
cc: NPDES Files
ec: Winston-Salem Regional Office = Water Quality
Aquatic Toxicology Unit
Steve Reid

Permit NC0040011
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Yanceyville
is hereby authorized to discharge wastewater from a facility located at
Yanceyville WWTP
End of Pine Street
South of Yanceyville
Caswell County
to receiving waters designated as Country Line Creek in the Roanoke River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I,11, 111, and IV hereof.
The permit shall become effective
This permit and the authorization to discharge shall expire at midnight on May 31, 2017.
Signed this day
DRAFT
Thomas A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

Permit NC0040011
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
Town of Yanceyville
is hereby authorized to:
Continue to operate an existing 0.45 MGD wastewater treatment facility consisting of the following
wastewater treatment components:
■ Mechanical Bar Screen
■ Manual Grit Chamber
■ Influent Pump Station
■ Dual Sequencing Batch Reactors
■ Post Flow Equalization Chamber
■ Effluent Flow Meter
■ Chlorine Contact Chamber
■ Dechlorination Tank
■ Aerated Sludge Lagoon
This facility is located at the Town of Yanceyville WWTP, located at the end of Pine Street, south
of Yanceyville, in Caswell County.
2. After obtaining an Authorization to Construct from the Division of Water Quality, expand the
existing Wastewater Treatment facility to 0.60 MGD, and
3. Discharge from said treatment works, through outfall 001, into Country Line Creek, a Class C
water in the Roanoke River Basin, at the location specified on the attached map.
Page 2 of 7

Permit NCO040011
Part I
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until expansion above 0.45 MGD capacity or
expiration, whichever is sooner, the Permittee is authorized to discharge treated wastewater from
Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
Parameter Code
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location'
Flow 50050
0.45 MGD
Continuous
Recording
I or E
BODs (April 1- October 31)2 C0310
18.0 mg/l
27.0 mg/I
Weekly
Composite
E,I
BODs (Nov 1- March 31)2 C0310
30.0 mgA
45.0 mg/I
Weekly
Composite
E,I
Total Suspended Sol1ds2 C0530
30.0 mg/I
45.0 mg/I
Weekly
Composite
E,I
NH3 as N (April 1- October 31) C0610
2.3 mg/I
6.9 mg/I
Weekly
Composite
E
NH3 as N (Nov 1 - March 31) C0610
13.0 mgH
35.0 mgll
Weekly
Composite
E
Total Residual Chlorine3 50060
28.0 µgll
2/Week
Grab
E
Fecal Coliform (geometric mean) 31616
200/100 ml
400/100 ml
Weekly
Grab
E
pH 00400
Z 6.0 and 5 9.0 standard units
Weekly
Grab
E
Dissolved Oxygen 00300
Daily Average z 5.0 mg/L
Weekly
Grab
E
Temperature °C 00010
Monitor & Report
Daily
Grab
E
Total Nitrogen (NO2N + NO3N + TKN) C0600
Monitor & Report
Quarterly4
Composite
E
Total Phosphorus C0665
Monitor & Report
Quarterly4
Composite
E
Cyanide 00720
Monitor & Report
Quarterly4
Grab
E
Total Mercury COMER
Monitor & Report
Once/permit cycle
Grab
E
Total Copper 01042
Monitor & Report
Quarterly4
Composite
E
Total Zinc 01092
Monitor & Report
Quarterly4
Composite
E
Total Cadmium 01027
Monitor & Report
Quarterly4
Composite
E
Total Lead 01051
Monitor & Report
Quarterly4
Composite
E
Chronic Toxicity5 TGP313
1
Quarterly
Composite
E
Notes:
1. Sample locations: E- Effluent, I- Influent. See section A.(3) for instream monitoring requirements.
2. The monthly average effluent BOD5 and TSS concentrations shall not exceed 15% of the respective influent value
(85% removal).
3. The Division shall consider all effluent TRC values reported below 50 µg/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 µg/l.
4. Monitoring shall be conducted in conjunction with toxicity testing.
5. Chronic Toxicity (Ceriodaphnia) at 37 %; January, April, July and October; refer to Special Condition A.(4).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 7

Permit NCO040011
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning upon expansion above 0.45 MGD capacity and lasting until expiration, the Permittee is
authorized to discharge treated wastewater from Outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
Parameter Code
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location'
Flow 50050
0.60 MGD
Continuous
Recording
I or E
BODs (April 1- October 31) 2 C0310
15.0 mg/I
22.5 mg/I
Weekly
Composite
E,I
BOD5 (Nov 1- March 31) 2 C0310
30.0 mg/1
45.0 mgll
Weekly
Composite
E,I
Total Suspended Solids2 C0530
30.0 mg/1
45.0 mg/I
Weekly
Composite
E,I
NH3 as N (April 1- October 31) C0610
2.0 mg/I
6.0 mg/1
Weekly
Composite
E
NH3 as N (Nov 1 - March 31) C0610
10.1 mg/I
30.3 mg/1
Weekly
Composite
E
Total Residual Chlorine3 50060
28.0 µgA
2/Week
Grab
E
Fecal Coliform (geometric mean) 31616
200/100 ml
400/100 ml
Weekly
Grab
E
pH 00400
z 6.0 ands 9.0 standard units
Weekly
Grab
E
Dissolved Oxygen 00300
Daily Average z 5.0 mg/L
Weekly
Grab
E
Temperature `C 00010
Monitor & Report
Daily
Grab
E
Total Nitrogen (NO2N + NO3N + TKN) C0600
Monitor & Report
Quartedy4
Composite
E
Total Phosphorus C0665
Monitor & Report
Quarterly4
Composite
E
Cyanide 00720
Monitor & Report
Quartedy4
Grab
E
Total Mercury COMER
Monitor & Report
Oncelpermit cycle
Grab
E
Total Copper 01042
Monitor & Report
Quarterly4
Composite
E
Total Zinc 01092
Monitor & Report
Quarterly4
Composite
E
Total Cadmium 01027
Monitor & Report
Quarterly4
Composite
E
Total Lead 01051
Monitor & Report
Quarterly4
Composite
E
Chronic Toxicity5 TGP313
Quarterly
Composite
E
Notes:
1. Sample locations: E- Effluent, I- Influent. See section A.(3) for instream monitoring requirements.
2. The monthly average effluent BOD5 and TSS concentrations shall not exceed 15% of the respective influent value
(85% removal).
3. The Division shall consider all effluent TRC values reported below 50 µg/1 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 µg/1.
4. Monitoring shall be conducted in conjunction with toxicity testing.
5. Chronic Toxicity (Ceriodaphnia) at 37 %; January, April, July and October; refer to Special Condition A.(4).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 4 of 7

Permit NCO040011
A .(3.) INSTREAM MONITORING REQUIREMENTS
Instream monitoring is required for the following parameters at the locations specified:
PARAMETER
MEASUREMENT FREQUENCY
SAMPLE TYPE
SAMPLE
LOCATIONI
pH
June -Sept
3/week
Grab
U, D
October -May
1/week
Dissolved Oxygen
June -Sept
3/week
Grab
U, D
October -May
1/week
Temperature °C
June -Sept
3/week
Grab
U, D
October -May
1/week
Footnotes:
1. U -Upstream 100 feet from discharge point, D- Downstream below the discharge point at US
Highway 158/86 Bridge.
A. (4.) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 37 % at the effluent limit of 0.45
MGD.
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 44 % at the effluent limit of 0.6
MGD.
The permit holder shall perform at a minimum, guarterly monitoring using test procedures outlined in
the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or
subsequent versions or "North Carolina Phase 11 Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions. The tests will be performed during the months of
January, April, July and October. Effluent sampling for this testing shall be performed at the NPDES
permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below
the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the
two following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised -February 1998) or subsequent versions.
Page 5 of 7

Permit NCO040011
A. (4.) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY), continued
The chronic value for multiple concentration tests will be determined using the geometric mean of the
highest concentration having no detectable impairment of reproduction or survival and the lowest
concentration that does have a detectable impairment of reproduction or survival. The definition of
"detectable impairment," collection methods, exposure regimes, and further statistical methods are
specified in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -
February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the parameter
code TGP3B for the pass/fail results and THP3B for the Chronic Value. Additionally, DWR Form AT-
3 (original) is to be sent to the following address:
Attention: North Carolina Division of Water Resources
Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate
signature. Total residual chlorine of the effluent toxicity sample must be measured and reported if
chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test
form indicating the facility name, permit number, pipe number, county, and the month/year of the
report with the notation of "No Flow" in the comment area of the form. The report shall be submitted
to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina
Division of Water Resources indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control
organism survival, minimum control organism reproduction, and appropriate environmental controls,
shall constitute an invalid test and will require immediate follow-up testing to be completed no later
than the last day of the month following the month of the initial monitoring.
Page 6 of 7

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� �-.1
Town of Yanceyville WWTP
Facility Location
State Grld/Quad: Yanceyvllle Latltude& 36 23'19"N to scale
B21NE Lonaltuds: 79 20'27"W
Rclvin, Vag.: Country Une C,,,l Malmo BasIn Roanoke River a NPDES Permit NC0040011
Stream Class: C Sub -Bash 03-02-04 North
Caswell County
Page 7 of 7

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0325
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of Water Quality
Charles Wakild, P.E.
Director
May 20, 2013
John E. Skvarla, III
Secretary
A review of Yanceyville WWTP's monitoring report for February 2013 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day
02/23/13
45 mg/1
68 mg/1
Weekly Average Exceeded
Solids, Total Suspended
02/23/13
45 mg/1
48 mg/l
Weekly Average Exceeded
Coliform, Fecal
02/09/13
F4OO #/100m1
460 #/100m1
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action for this by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wmv.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarolina
,AWMally
An Equal Opportunity Affirmative Action Employer

44 IfA
NCDEE R
North Carolina Department of Environment and Natura
Beverly Eaves Perdue
Governor
Mr. Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0493
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of Water Quality
Charles Wakild, P.E.
Director
October 2, 2012
Resources
A review of Yanceyville WWTP's monitoring report for June 2012 showed the following violations:
Dee Freeman
Secretary
Parameter
Date
Limit
Reported Value
Limit Type
Coliform, Fecal MF
06/16/12
400 #/100ml
7,000 #/100ml
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
1.
196UV51"�
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthiCarolina
Aaturally
An Equal Opportunity 1 Affirmative Action Employer

Ad
PA
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0432
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of Water Quality
Charles Wakild, P.E.
Director
August 22, 2012
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for May 2012 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF
05/26/12
400 #/100ml
691 #/100m1
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarolina
Natura!!tf
An Equal Opportunity Affirmative fiction Employer

RECEIVED
N.C.Dept. of ENR
JUN 0 8 2012
Winston-Salem
Regional Office
June 4, 2012
NC DENR/DWQ/WSRO
W. Corey Basinger
585 Waughtown Street
Winston Salem, NC 27107
Re: Town of Yanceyville WWTP NC 0040011 {Notice of Violation-NOV-2012-LV-0255 issued May 17,
20121
Dear Mr. Basinger
On behalf of the Town of Yanceyville, the Town and Envirolink, Inc. appreciates the opportunity to
respond to the Notice of Violation issued on May 17, 2012 for the following violations: pH- daily
minimum not reached; total residual chlorine -daily maximum exceeded; total mercury -daily maximum
exceeded; total suspended solids -monthly average exceeded. The ORC of the wastewater plant, during
this time period, had noted a pine odor scent at the effluent bar screen on January 4, 2012. In or around
this same time, collection system personnel noticed the same odor while cleaning one of their lift stations.
This prompted an investigation into the source of the odor. After investigating this issue further, it was
determined that the source of the odor was a discharge to the collection system from Chemtek, Inc., a
chemical runway stripper manufacturer in Yanceyville, NC. Envirolink and the Town of Yanceyville met
with the Company and discovered that the facility had been sending periodic slugs of high volume, high
BOD, wastewater into the collection system. After being made aware of the valuable product they were
losing, Chemtek implemented a reclamation procedure to capture and re -use their tanker wash -down
water in their process. In the event Chemtek deems a discharge is necessary, they are working closely
with the wastewater plant operator to ensure that the discharge does not impact the operation of the
wastewater plant. Envirolink has also established Standard Operating Procedures at the WWTP for
scenarios related to a Chemtek discharge to aid in the treatment process and process control required to
achieve permit compliance.
Thank you for the opportunity to respond to the Notice of Violation. Please feel free to contact either
Brian Merritt or myself with questions or additional details.
Sincerely,
1
1leather Adams
Envirolink, Inc.
cc: Haynes Brigman, Town of Yanceyville
Michael Myers, Envirolink, Inc.
Brian Merritt, Envirolink, Inc.
Ms. Jennifer Carter, NC DWQ — Winston-Salem Regional Office
Envirolink, Inc.
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 252-235-2132 (fax)

A=4*A'
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Haynes M. Brigman, Manager Town
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0155
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of Water Quality
Charles Wakild, P.E.
Director
March 13, 2012
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for November 2011 showed the following violations:
Parameter
Date
Limit
Reported
Limit Type
pH
11/30/11
6 su
5.97 su
Daily Minimum Not Reached
Coliform, Fecal
11/05/11
400 #/100m1
1,000 #/100ml
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nort�hCarolina
gtura!!r�
An Equal Opportunity 1 Affirmative Action Employer

A=4 f wA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
March 6, 2012
HAYNES BRIGMAN
TOWN MANAGER
PO BOX 727
YANCEYVILLE NC 28379
E
ECEIVED
Dept. of ENR
0 8 2012
nston-Salem ionalOffice
Dee Freeman
Secretary
Subject: Receipt of permit renewal application
NPDES Permit NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
The NPDES Unit received your permit renewal application on December 2, 2011. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact Jackie Nowell
at [phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org �aturattr�
An Equal Opportunity 1 Affirmative Action Employer

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0255
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of Water Quality
Charles Wakild, P.E.
Director
May 17, 2012
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for January 2012 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
pH
01/05/12
6 su
5.93 su
Daily Minimum Not Reached
Chlorine, Total Residual
01/23/12
28 ug/1
55 ug/1
Daily Maximum Exceeded
Mercury, Total (asHg)
01/03/12
0.033 ug/1
0.06 ug/l
Daily Maximum Exceeded
Solids, Total Suspended
01/31/12
30 mg/l
30.22 mg/1
Monthly Average Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: 336-771 A6301 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarolina
VAI'gturally
An Equal Opportunity 1 Affirmative Action Employer

FACILITY NAME AND PERMIT NUMBER:
Town of Yanceyville, NCO040011
FORM
2A
NPDES
APPLICATION OVERVIEW
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow Z 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
51
G.
Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
Has a design flow rate greater than or equal to 1 mgd,
Is required to have a pretreatment program (or has one in place), or
Is otherwise required by the permitting authority to provide the information.
Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or LLLiii11° D
3. Is otherwise required by the permitting authority to submit results of to icitJ tegfk 2 2011
Industrial User Discharges and RCRA/CERCLA Wastes. A treatment
significant industrial users (SIUs) or receives RCRA or CERCLA wastes
and RCRA/CERCLA Wastes). SIUs are defined as:
:er from any
Discharges
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Yanceyville, NCO040011
Renewal
Roanoke
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet
A.1. Facility Information.
Facility Name Yancevville WWTP
Mailing Address PO Box 727
Yancewille NC 27379
Contact Person Haynes Brigman
Title Manager
Telephone Number j336 694-5431
Facility Address NCSR 1743
(not P.O. Box) Yancevville NC 27379
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number
Is the applicant the owner or operator (or both) of the treatment works?
® owner ❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
❑ facility ® applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES NCO040011 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Town of Yancewille Sanitary (Separate) Town of Yancevville
Total population served 2800
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Yanceyville, NCO040011 Renewal Roanoke
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes ® No
A.S. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12"' month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 0.45 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 0.239 (2009) 0.267 (2010) 0.257 (201116-mths)
C. Maximum daily flow rate 1.12 0.947 0.504
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
® Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent
iii. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
V. Other
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes ® No
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? ❑ Yes ® No
If yes, provide the following for each land application site:
Location:
Number of acres:
d.
Annual average daily volume applied to site:
Is land application ❑ continuous or ❑ intermittent?
Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works?
mgd
❑ Yes ® No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Yanceyville, NCO040011 Renewal Roanoke
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes ® No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Yanceyville, NCO040011 Renewal Roanoke
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.acomplete questions A.9 through A.12 once for each outfall (Including bypass points) through
which effluent is discharged. Do not Include information on combined sewer overflows In this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Outfall number 001
b. Location Town of Yanceyville
27379
(City or town, if applicable)
(Zip Code)
Caswell
NC
(County)
(State)
36 23' 19" N
79 20' 27" W
(Latitude)
(Longitude)
C. Distance from shore (if applicable)
N/A ft.
d. Depth below surface (if applicable)
N/A ft.
e. Average daily flow rate
f. Does this outfall have either an intermittent or a periodic discharge?
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
Months in which discharge occurs:
g. Is ouffall equipped with a diffuser?
I A.10. Description of Receiving Waters.
a. Name of receiving water County Line Creek
Name of watershed (if known)
0.257 mgd
❑ Yes ® No (go to A.9.g.)
❑ Yes ® No
United States Soil Conservation Service 14-digit watershed code (if known):
Name of State Management/River Basin (if known): Roanoke River Basin
United States Geological Survey 8-digit hydrologic cataloging unit code (if known)
Critical low flow of receiving stream (if applicable)
acute
cfs
e. Total hardness of receiving stream at critical low flow (if applicable):
chronic
mgd
cis
mg/I of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Yanceyville, NCO040011
Renewal
Roanoke
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary ® Secondary
❑ Advanced ® Other. Describe: SBR Process
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 90 %
Design SS removal 90 %
Design P removal %
Design N removal %
Other %
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Liquid Chlorine (Sodium Hvpochlorite)
If disinfection is by chlorination is dechlorination used for this outfall? ® Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes ® No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the Indicated effluent testing required by the permitting authority for each outfall through which effluent Is
discharged. Do not Include Information on combined sewer overflows in this section. All Information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of samples
pH (Minimum)
6.7
S.U.
pH (Maximum)
6.9
S.U.
Flow Rate
0.446
MGD
0.282
MGD
59
Temperature (Winter)
8.0
C
8.0
C
41
Temperature (Summer)
26.0
C
23.0
C
44
• For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
MUMDL
Conc.
Units
Conc.
Units
Number of
METHODSamples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BODS
11.8
MG/L
2.12
MG/L
9
SM5210B
DEMAND (Report one)
CBOD5
FECAL COLIFORM
5800
#/100ML
1.0
#/100M
9
SM9222D
TOTAL SUSPENDED SOLIDS (TSS)
14
MG/L
1.1
MG/L
9
SM2540D
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Yanceyville, NCO040011
Renewal
Roanoke
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate z 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
25,000 gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Portions of the collection system are video inspected periodically. Some items addressed and repaired.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within '% mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ® Yes ❑ No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name: Envirolink, Inc.
Mailing Address: PO BOX 670
Bailey, NC 27807
Telephone Number: [phone]
Responsibilities of Contractor: Operations and Maintenance
B.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes ® No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Yanceyville, NCO040011
Renewal
Roanoke
C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DDNYYY MM/DD/YYYY
Begin Construction
- End Construction
- Begin Discharge
-Attain Operational Level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.S. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not Include information
on combine sewer overflows in this section. All Information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfail Number: 001
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
ML/MDL
Conc.
Units
Conc.
Units
Number of
METHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
0.803
MG/L
0.248
MG/L
9
EPA350.1
CHLORINE (TOTAL
RESIDUAL, TRC)
43.0
UG/L
32.0
UG/L
18
STD4500CI G
DISSOLVED OXYGEN
TOTAL KJELDAHL
NITROGEN (TKN)
2.74
MGIL
1.99
Mg/L
2
EPA351.2
NITRATE PLUS NITRITE
NITROGEN
2.16
MG/I
1.15
MG/L
2
EPA353.2
OIL and GREASE
PHOSPHORUS (Total)
0.127
MG/L
0.050
MG/L
2
EPA365.4
TOTAL DISSOLVED SOLIDS
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Yanceyville, NCO040011
Renewal
Roanoke
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application Is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
® Basic Application Information packet Supplemental Application Information packet:
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Biomonitoring Data)
❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel property gather and evaluate the information submitted. Based on my Inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title HavnedBriaman. Town Mana er
Signature
Telephone number 336 69 - 31
Date signed November 28, 2011
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22

L
E
COUNTRY LINE CREEK
alley, williams, Carmen & king, ine.
ENGINEERS & ARCHITECTS
740 chapel hill road p.o. box 1179
butiington. n.c. 27215 336/226-5534
PROJECTNO. - 03"
1
MECHANICAL,
BAR SCREEN
MANUAL
GRIT CHAMBER
INFLUENT PUMP
STA77ON
AQUA AEROBIC
SBR (SEQUENCING BATCH REACTOR)
FLOW EQUALIZATION CHAMBER
EFFLUENT FLOW METER
CHLORINE CONTACT CHAMBER
S02 ADDITION
(DECHLORINATION)
aWARGE
YMCEWILLE WWTP
SCHEMATIC FLOW DIAGRAM
ww LL COUNTY N.R
SCALE: NTS DAM; 1012712003 . .., MHW
AHFffNa.
I
OF1

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
LAND APPLICATION OF RESIDUAL SOLIDS (503) PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Town of Yanceyville
Caswell County
FOR THE
operation of a residuals land application program for the Town of Yanceyville and consisting of the land
application of residuals generated by the residuals source -generating facilities listed in the most recently -
certified Attachment A to the land application sites listed in the most recently -certified Attachment B with
no discharge of wastes to surface waters, pursuant to the permit application package received on February
15, 2005 for review under the Division of Water Quality's (Division) express review program; the
additional information received on February 18, 2005 and March 1, 2005; as well as the draft permit
comments received on March 3, 2005 and in conformity with the project plan, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until February 28, 2010 and shall be
subject to the following specified conditions and limitations:
PERFORMANCE STANDARDS
The residuals land application program shall be effectively maintained and operated as a non -
discharge system to prevent the discharge of any wastes resulting from the operation of this
program.
This permit shall become voidable if the soils of the land application sites fail to assimilate the
residuals adequately and may be rescinded unless the land application sites are maintained and
operated in a manner that will protect the assigned water quality standards of the surface
waters and groundwater.

3. The issuance of this permit shall not relieve the Permittee of the responsibility for damages to
surface waters or groundwater resulting from the operation of this residuals land application
program.
4. In the event that the residuals land application program is not operated satisfactorily, including
the creation of nuisance conditions, the Permittee shall cease land applying residuals to the
site, contact the Aquifer Protection Section of the appropriate Division's regional office, and
take any immediate corrective actions as may be required by the Division.
5. No residuals other than those generated by the residuals source -generating facilities listed in
the most recently -certified Attachment A of this permit shall be approved for land application
in accordance with this permit.
6. The pollutant concentrations in any residuals that are land applied to any land application site
shall not exceed the following Ceiling Concentrations (i.e., dry weight basis):
Parameter
Ceiling Concentration
(milligrams per kilogram)
Arsenic
75
Cadmium
85
Copper
4,300
Lead
840
Mercury
57
Molybdenum
75
Nickel
420
Selenium
100
Zinc
7,500
7. When residuals are land applied under the conditions of this permit, the Class A pathogen
requirements and site restrictions in 40 CFR Part 503.32(a) or the Class B pathogen
requirements and site restrictions in 40 CFR Part 503.32(b), and one of vector attraction
reduction requirements in 40 CFR Part 503.33 shall be met. Additionally, an evaluation shall
be performed that demonstrates the residuals' ability to comply with this requirement. Upon
request, a copy of this evaluation, including all test results and calculations, shall be
submitted. Only residuals that are generated by the residuals source -generating facilities that
are identified as being exempt from this condition in the most recently -certified Attachment A
shall not be required to comply with the specified pathogen reduction and vector attraction
reduction requirements.
8. Only the land application sites listed in the most recently -certified Attachment B of this permit
are approved for residuals land application.
9. This permit shall become voidable unless the agreements between the Permittee and the
landowners and lessees or operators of any land application sites listed in the most recently -
certified Attachment B of this permit not owned by the Permittee are in full force and effect.
These agreements shall be considered expired concurrent with the expiration date of the
permit and shall be renewed at the same time the permit is renewed.
2

10. The appropriate local governmental official (i.e., county manager, city manager, etc.) shall be
notified at least 24 hours prior to the initial residuals land application event to any new land
application site. In addition, the appropriate county manager's office shall be notified prior to
the initial residuals land application event on any new site so that they will be aware that
residuals land application activities have commenced on the site.
11. The Aquifer Protection Section of the appropriate Division's regional office shall be notified
at least 24 hours prior to the initial residuals land application event on any new land
application site. Such notification to the Regional Aquifer Protection Section Supervisor shall
be made during normal office hours (i.e., from 8:00 a.m. until 5:00 p.m.) between Monday and
Friday, but excluding State Holidays. A list of the Division's regional offices, their county
coverage, and their contact infonnation may be downloaded from the web site at
http://h2o.enr.state.ne.us/ndpu/.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The facilities and land application sites shall be properly maintained and operated at all times.
2. Upon classification of the residuals land application program by the Water Pollution Control
System Operators Certification Commission (WPCSOCC), the Pennittee shall designate a
certified land application/residuals operator to be in responsible charge (ORC) of the program.
The operator shall hold a certificate of the type classification assigned to the program by the
WPCSOCC. The Permittee shall also designate a certified back-up operator of the appropriate
type to comply with the conditions of 15A NCAC 8G .0202.
No residuals shall be stored at any land application site at any time, unless written approval
has first been requested and obtained from the Division.
4. A copy of this permit shall be maintained in all manned equipment at the land application sites
when residuals are being land applied during the life of this permit. A spill prevention and
control plan shall be maintained in all residuals transport and application vehicles.
When land applying residuals to any land application site, the following buffer zones shall be
maintained at all times:
a. 400 feet from residences or places of public assembly under separate ownership for
surface application methods; however, the buffer zone requirement may be reduced to a
minimum of 100 feet upon written consent of the owner and approval from the Aquifer
Protection Section of the appropriate Division's regional office in Attachment B of this
pennit;
b. 200 feet from residences or places of public assembly under separate ownership for
subsurface application methods; however, the buffer zone requirement may be reduced to
a minimum of 100 feet upon written consent of the owner and approval from the Aquifer
Protection Section of the appropriate Division's regional office in Attachment B of this
permit;
c. 100 feet from any public or private water supply source, waters classified as SA or SB,
and any Class I or Class II impounded reservoir used as a source of drinking water for
both methods;

d. 100 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for surface application;
e. 50 feet from any streams classified as WS or B, any other stream, canal, marsh or coastal
waters and any other lake or impoundment for subsurface application;
f. 50 feet from property lines for both surface and subsurface application methods;
g. 50 feet from public right of ways for both surface and subsurface application methods;
h. 10 feet from upslope interceptor drains and surface water diversions for both surface and
subsurface application methods; and
i. 25 feet from downslope interceptor drains, surface water diversions, groundwater drainage
systems, and surface drainage ditches for both surface and subsurface application methods.
Maximum slope for land application of residuals shall be 10 percent for surface application
methods and 18 percent for subsurface application methods.
7. Specific residuals land application area boundaries shall be clearly marked on each land
application site prior to and during a residuals land application event.
The metal loading rates on any land application site shall not exceed the following
Cumulative Pollutant Loading Rates (CPLRs):
Parameter
CPLR
(kilograms per hectare)
CPLR
(pounds per acre)
Arsenic
41
36
Cadmium
39
34
Copper
1,500
1,338
Lead
300
267
Mercury
17
15
Molybdenum
n/a
n/a
Nickel
420
374
Selenium
100
89
Zinc 1
2,800
2,498
9. An acceptable pH shall be maintained in the soil, residuals, and lime mixture, greater than 6.0,
on all land application sites onto which residuals are land applied to ensure optimum yield for
the crops specified in Condition II. 13. The agronomist shall provide information on the pH
best suited for the specified crop and the soil type.
4

10. Should any of the residuals generated by the residuals source -generating facilities listed in the
most recently -certified Attachment A of this permit contain a high salt content (i.e., high
sodium adsorption ratio (SAR) of five or higher), the exchangeable sodium percentage (ESP)
or other method as approved by the Division, using the results from the annual soils analysis
as required by this permit, shall be monitored on all of the land application sites. The local
Cooperative Extension Office, the Department of Agriculture and Consumer Services, the
Natural Resource Conservation Service, a North Carolina -licensed Soil Scientist, or other
agronomist shall review the results and make recommendations regarding soil amendments
(e.g., gypsum, etc.) or other ameliorative mechanism for maintaining the integrity of the site in
terms of suitability for land application of residuals and maintaining conditions conducive to
crop growth. The Peimiittee shall implement such recommendations accordingly and shall
maintain written records of each monitoring event that includes details of the sites covered
and rate of soil amendment application.
11. Prior to land applying residuals to any land application site that has previously received or is
intended to receive animal waste (e.g., poultry litter, etc.) or other source of nutrients (e.g.,
fertilizer, etc.) in the future, the Pennittee shall obtain information pertaining to the volume
and analysis of the applied waste/nutrients from the landowner and/or lessee/operator of the
site. The Pennittee shall be responsible for verifying the volume of residuals that may be land
applied to the site such that the plant available nitrogen (PAN) loading rate for the specified
crop (i.e., see Condition II. 13.) shall not be exceeded by all of the sources of PAN applied.
Should the maximum PAN loading rate be met or exceeded, then no additional residuals shall
be land applied to the site.
12. A suitable vegetative cover, as listed in Condition II. 13., shall be maintained on land
application sites onto which residuals are land applied in accordance with the crop
management plan outlined by the local Cooperative Extension Office, the Department of
Agriculture and Consumer Services, the Natural Resource Conservation Service, or other
agronomist and as approved by the Division.
5

13. Residuals and other sources of PAN shall be land applied to all land application sites at
agronomic rates in accordance with the crop management plan outlined by the local
Cooperative Extension Office, the North Carolina Department of Agriculture and Consumer
Services, the Natural Resource Conservation Service, or other agronomist. Under no
circumstances shall the following PAN loading rates land applied to any site exceed the
following for the specified crops:
PAN
PAN
Crop
(pounds per
Crop
(pounds per
acre per year
acre peryear
Alfalfa
200
Forest
75
(Hardwood or Softwood)
Bermuda Grass
(Hay or Pasture)
220
Milo
100
Blue Grass
120
Small Grain
100
(Wheat, Barley, or Oats)
Corn
160
Sorghum or Sudex
180
(Grain)
(Pasture)
Corn
200
Sorghum or Sudex
220
(Silage)
(Silage)
Cotton
70
Soybeans
200
Fescue
250
Timothy, Orchard, or
200
Rye Grasses
The Permittee shall apply for and receive a modification of this permit before land applying
residuals on any land application site that is to be established in a crop other than those listed
above. A maximum PAN loading rate for the desired crop shall be approved with the permit
modification.
If the land application sites are to be overseeded (e.g., bermuda grass in the summer and rye
grass in the winter with BOTH crops to receive residuals), then the second crop shall receive
an application of PAN at a rate of no greater than 50 pounds per acre per year. This practice
shall be allowed as long as the second crop is to be harvested. If the second crop is to be
planted for erosion control only and is to be tilled into the soil, then no residuals shall be land
applied to these sites because the PAN will essentially be returned to the soil.
Residuals shall not be land applied at rates greater than agronomic rates, unless authorized by
the Division.
14. Animals shall not be grazed on any land application site for 30 days after any residuals land
application event. Sites that are to be used for grazing shall have fencing that will be used to
prevent access after each event.
15. Food crops, feed crops, and fiber crops that do not come in contact with the residuals shall not
be harvested for 30 days after any residuals land application event.
16. Food crops with harvested parts that touch the residual/soil mixture and are totally above the
land surface (e.g., tobacco, melons, cucumbers, squash, etc.) shall not be harvested for 14
months after any residuals land application event.
2

17. Food crops with harvested parts below the surface of the land (i.e., root crops such as potatoes,
carrots, radishes, etc.) shall not be harvested for 20 months after any residuals land application
event when the residuals remain on the land surface for four months or longer prior to
incorporation into the soil.
18. Food crops with harvested parts below the surface of the land shall not be harvested for 38
months after any residuals land application event when the residuals remain on the land
surface for less than four months prior to incorporation into the soil.
19. Turf shall not be harvested for one year after any residuals land application event.
20. Adequate provisions shall be taken to prevent wind erosion and surface runoff from conveying
residuals .from the land application sites onto adjacent properties or into any surface waters.
21. Adequate procedures shall be provided to prevent surface runoff from carrying any land
applied or stored residuals into any surface waters.
22. Surface -applied residuals shall be plowed or disced within 24 hours after land application on
land application sites with no cover crop established.
23. For land application sites that are prone to flooding or within, the 100-year flood elevation,
residuals shall be land applied only during periods of dry weather. The residuals shall be
incorporated into the soil within 24 hours after land application.
24. Residuals shall not be land applied during inclement weather or until 24 hours following a
rainfall event of 0.5-inch or greater in 24 hours. Any emergency residuals land application
measures shall first be approved in writing by the Division.
25. Residuals shall not be land applied to any land application site that is flooded, frozen, or
snow-covered.
26. Appropriate measures shall be taken to control public access to the land application sites
during active site use and for the 12-month period following the last residuals land application
event. Such controls may include the posting of signs indicating the activities being
conducted at each site.
III. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (i.e., including groundwater, surface water, residuals, soil, or plant tissue
analyses) deemed necessary by the Division to ensure protection of the environment shall be
established, and an acceptable sampling and reporting schedule shall be followed.

2. Residuals generated by each residuals source -generating facility listed in the most -recently -
certified Attachment A of this permit shall be analyzed to demonstrate that they are non-
hazardous under the Resource Conservation and Recovery Act (RCRA). A corrosivity,
ignitability, and reactivity analysis as well as a Toxicity Characteristics Leaching Procedure
(TCLP) analysis shall be conducted on residuals generated by each residuals source -
generating facility listed in the most recently -certified Attachment A of this permit. The
analyses shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and the results shall be maintained on file by the Permittee for a
minimum of five years. If residuals generated by a particular residuals source -generating
facility are land applied at a frequency less than that which is specified in the most recently -
certified Attachment A of this permit, the analyses shall be required for each residuals land
application event. Only residuals that are generated by the residuals source -generating
facilities that are identified as being exempt from this condition in the most recently -certified
Attachment A of this permit shall not be required to comply with this monitoring requirement.
The TCLP analysis shall include the following parameters (i.e., note the regulatory level in
milligrams per liter in parentheses):
Arsenic (5.0)
1,4-Dichlorobenzene (7.5) Nitrobenzene (2.0)
Barium (100.0)
1,2-Dichloroethane (0.5) Pentachlorophenol (100.0)
Benzene (0.5)
1, 1 -Dichloroethylene (0.7) Pyridine (5.0)
Cadmium (1.0)
2,4-Dinitrotoluene (0.13) Selenium (1.0)
Carbon tetrachloride (0.5)
Endrin (0.02) Silver (5.0)
Chlordane (0.03)
Hexachlorobenzene (0.13) Tetrachloroethylene (0.7)
Chlorobenzene (100.0)
Heptachlor (and its hydroxide) (0.008) Toxaphene (0.5)
Chloroform (6.0)
Hexachloro-1,3-butadiene (0.5) Trichloroethylene (0.5)
Chromium (5.0)
Hexachloroethane (3.0) 2,4,5-Trichlorophenol (400.0)
m-Cresol (200.0)
Lead (5.0) 2,4,6-Trichlorophenol (2.0)
o-Cresol (200.0)
Lindane (0.4) 2,4,5-TP (Silvex) (1.0)
p-Cresol (200.0)
Mercury (0.2) Vinyl chloride (0.2)
Cresol (200.0)
Methoxychlor (10.0)
2,4-D (10.0)
Methyl ethyl ketone (200.0)
After the residuals have been monitored as specified above for two years at the frequency
specified in the most recently -certified Attachment A of this permit, the Permittee may submit
a request to the Division for a permit modification to request a reduction of this monitoring
requirement. In no case, however, shall the frequency of monitoring be less than once per
permit cycle.
8

An analysis shall be conducted on residuals generated by each residuals source -generating
facility listed in the most recently -certified Attachment A of this permit. The analysis shall be
performed at the frequency specified in the most recently -certified Attachment A of this
permit, and the results shall be maintained on file by the Permittee for a minimum of five
years. If residuals generated by a particular residuals source -generating facility are land
applied at a frequency less than that which is specified in the most recently -certified
Attachment A of this permit, an analysis shall be required for each residuals land application
event. The analysis shall include, but shall not necessarily be limited to, the following
parameters:
Aluminum
Ammonia -Nitrogen
Arsenic
Cadmium
Calcium
Copper
Lead
Magnesium
Mercury
Molybdenum
Nickel
Nitrate -Nitrite Nitrogen
Percent Total Solids
pH
Phosphorus
Potassium
Selenium
Sodium
Total Kjeldahl Nitrogen
Zinc
Plant Available Nitrogen
(by calculation)
After the residuals generated by a particular residuals source -generating facility have been
monitored for two years at the frequency specified in the most recently -certified Attachment A
of this pennit, the Permittee may submit a request to the Division for a pen -nit modification to
reduce the frequency of this monitoring requirement. In no case, however, shall the frequency
of this monitoring be less than once per year when a residuals land application event of
residuals generated by the residuals source -generating facility occurs during that year.
4. Residuals generated by each residuals source -generating facility listed in the most recently -
certified Attachment A of this permit shall be monitored for compliance with Condition I. 7.
The monitoring shall be performed at the frequency specified in the most recently -certified
Attachment A of this permit, and data to verify pathogen and vector attraction reduction of the
residuals shall be maintained on file by the Permittee for a minimum of five years. The
required data shall be specific to the stabilization process utilized, but also shall be sufficient
to demonstrate clear compliance with the Class A pathogen reduction requirements in 40 CFR
Part 503.32(a) or the Class B pathogen reduction requirements and site restrictions in 40 CFR
Part 503.32(b) as well as one of vector attraction reduction requirements in 40 CFR Part
503.33. In addition, the Environmental Protection Agency (EPA) certification statements
concerning compliance with pathogen reduction requirements, vector attraction reduction
requirements, and management practices shall be completed at the frequency specified in the
most recently -certified Attachment A of this permit by the proper authority or authorities, if
more than one is involved (i.e., either the person who prepares the residuals, the person who
derives the material, or the person who applies the residuals). Only residuals that are
generated by the residuals source -generating facilities that are identified as being exempt from
Condition I. 7. in the most recently -certified Attachment A of this permit shall not be required
to comply with this monitoring requirement.
Laboratory analyses as required by Condition III. 2., Condition III. 3., and Condition III. 4.
shall be performed/gathered on the residuals as they are to be land applied. Furthermore,
analytical determinations made pursuant to the monitoring and reporting requirements of this
permit shall be made by a laboratory certified by the Division for the required parameter(s)
under 15A NCAC 2H .0800 or 15A NCAC 2H .1100.
6

7
E-11
6• Proper records shall be maintained b
events. These records shall include the Permittee tracking all residuals land a
information: ,but are not necessarily limited to application
a. Source of residuals; the following
b. Date of land application;
c. Location of land application (i.e., site, field, or zone number);
d. Method of land application,
i
J
k
e• Weather conditions (i.e., sunny, cloudy, raining, etc.);
f Soil conditions (i.e., dry, wet, frozen, etc.);
g• Type of crop or crops to be grown on field; e
h• Volume of residuals land applied in gallons per acre, dry tons
hectare;
per acre, or kilograms per
Volume of animal waste or other nutrient source applied in gallons per acre, dry ton per
acre, or kilograms per hectare (if applicable);
Volume of soil amendments (i.e., lime
per acre, or kilograms per hectare (if applicabl );ypsum'and etc )a
Pplied in gallons per acre, dry ton
• Annual and cumulative totals of d
other sources of nutrients (i.e., if applicable) tons per acre of residuals as well as animal waste and
each heavy metal (i.e. , annual and cumulative
lead ,shall include, but shall not be limited to, arsenic, cadmiuounds m, opperacre f
mercury, molybdenum, nickel, selenium, and zinc)
annual pounds per acre of PAN,
and annual pounds per acre of phosphorus applied to each field.
A representative annual soils analysis i.e.
conducted on each land application site on which adresdid residuals land Soil r Fertility
respective calendar year has occurred or is to occur, and the results ty Analysis) shall be
by the Permittee fora PPlication event in the
include, but is not necessarily limited to, um Of five
ears. The StandardSoilFertility
Analysis
on file
Acidity
g parameters: flnalysis shall
Calcium Exchangeable Sodium Percentage b
Cation Exchange Capacity Magnesium g os calculation)
Manganese Phosphorus
Copper Potassium
Base Saturation b Percent Humic Matter
( y calculation) pH Sodium
Three copies of all required Zinc
Condition III. 2 monitoring and reporting requirements as specified in Condition
and Condition III. 17. ' Condition I1I. 3., Condition III. 4-
shall be submitted annually on or before oMarch 1 stion lof the year II,
the residuals land application event to the following address.
following
NCDENR-DWQ
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
H

Noncompliance Notification:
The Permittee shall report by telephone to the Aquifer Protection Section of the Division's
Winston-Salem Regional Office at telephone number [phone], as soon as possible, but
in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence with the residuals land application program that results in the land
application of significant amounts of residuals that are abnonnal in quantity or
characteristic.
b. Any failure of the residuals land application program resulting in a release of material to
receiving waters.
c. Any time that self -monitoring information indicates that the residuals land application
program has gone out of compliance with the conditions and limitations of this permit or
the parameters on which the program system was designed.
d. Any process unit failure, due to known or unknown reasons, that render the residuals land
application program incapable of adequate residuals treatment.
e. Any spillage or discharge from a vehicle or piping system transporting residuals to the
application site.
Persons reporting such occurrences by telephone shall also file a written report in letter form
within five days following first knowledge of the occurrence. This report shall outline the
actions taken or proposed to be taken to ensure that the problem does not recur.
IV. GROUNDWATER REQUIREMENTS
Land Application Site Requirements:
a. Each land application site identified with a GW-A in the most recently -certified
Attachment B of this permit is dominated by soils with a mean seasonal high water table
greater than three feet below the land surface. Residuals land application events may
occur on these sites throughout the year.
b. Each land application site identified with a GW-B in the most recently -certified
Attachment B of this pen -nit is dominated by soils with a mean seasonal high water table
between one and three feet below the land surface. Residual land application events on
these sites shall be prohibited from December through March, inclusive. No residuals
shall be land applied to these sites when the vertical separation between the depth of
residuals land application and the water table is less than three feet. The actual water
table depth for seasonally -restricted soils shall be verified by soil borings within 24 hours
prior to any residuals land application event that occurs from April through November,
inclusive. The number of borings advanced shall be sufficient to characterize water table
conditions across the land application site adequately. Any open borings shall be properly
filled with native soil, prior to the residuals land application event, to decrease the chance
of any residuals contaminating the groundwater.
11

Applicable Boundary Requirements:
a. The COMPLIANCE BOUNDARY for residuals land application programs is specified by
regulations in 15A NCAC 2L (i.e., "Groundwater Classifications and Standards"). The
Compliance Boundary for each land application site is established at either 250 feet from
the residuals land application area or 50 feet within the property boundary, whichever is
closest to the residuals land application area. An exceedance of Groundwater Quality
Standards at or beyond the Compliance Boundary is subject to immediate remediation
action according to 15A NCAC 2L .0106 (d)(2).
b. The REVIEW BOUNDARY shall be established around each land application site
midway between the Compliance Boundary and the perimeter of the residuals land
application area. Any exceedance of Groundwater Quality Standards at the Review
Boundary shall require action in accordance with 15A NCAC 2L .0106 (d)(2).
Additional Requirements:
a. Any groundwater quality monitoring, as deemed necessary by the Division, shall be
provided.
V. INSPECTIONS
Prior to each residuals land application event, the Permittee or his designee shall inspect the
residuals storage, transport, and application facilities to prevent malfunctions and
deterioration, operator errors, and discharges that may cause or lead to the release of wastes to
the environment, a threat to human health, or a nuisance. The Permittee shall maintain an
inspection log or summary including at least the date and time of inspection, observations
made, and any maintenance, repairs, or corrective actions taken by the Permittee. This log of
inspections shall be maintained by the Permittee for a period of five years from the date of the
inspection and shall be made available to the Division or other permitting authority, upon
request.
2. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises, or place on or related to
the land application sites or facilities at any reasonable time for the purpose of determining
compliance with this permit; may inspect or copy any records that must be kept under the
tens and conditions of this permit; and may obtain samples of groundwater, surface water, or
leachate.
VI. GENERAL CONDITIONS
This permit shall become voidable unless the residuals land application events are carried out
in accordance with the conditions of this permit, the supporting materials, and in the manner
approved by the Division.
2. This permit shall be effective only with respect to the nature and volume of residuals described
in the application and other supporting data.
Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statutes § 143-215.6A through § 143-215.6C.
12

4. The annual administering and compliance fee shall be paid by the Permittee within 30 days
after being billed by the Division. Failure to pay the fee accordingly may cause the Division
to initiate action to revoke this permit, as specified by 15 NCAC 2H .0205 (c)(4).
The issuance of this permit does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) which have jurisdiction, including, but not limited to, applicable
river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements
in 15A NCAC Chapter 4 and under the Division's General Permit NCGO10000, and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC .0500.
6. This permit may ' be modified, revoked, and/or reissued to incorporate any conditions,
limitations and monitoring requirements the Division deems necessary in order to protect the
environment and public health adequately.
The Permittee, at least six months prior to the expiration of this permit, shall request its
extension. Upon receipt of the request, the Division shall review the adequacy of the facilities
and residuals land application program described therein, and if warranted, shall extend the
permit for such period of time and under- such conditions and limitations as it may deem
appropriate.
This permit shall not be automatically transferable. In the event that there is a desire for the
residuals land application program to change ownership or to change the name of the
Permittee, a formal pen -nit request shall be submitted to the Division documentation from the
parties involved and other supporting materials as may be appropriate. The approval of this
request shall be considered on its merits and may or may not be approved.
Permit issued this the fifteenth day of March, 2005.
NORTH CAR ' INA ENV ON ENTAL MANAGEMENT COMMISSION
or Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number WQ0028547
13

ATTACHMENT A - Aonroved Residual Source -Generating Facilities
Permit No. WQ0028547
Town of Yanceyville
Town of Yanceyville Residuals Laud Application Program
Owner
Facility Name
County
Permit Number
Issued By
Is 503?
Maximum
Monitoring
Monitoring
Approved
Dry Tons
Frequency for
Frequency for
Mineralization
Per Year
Condition Ill. 2.
Condition Ill. 3. and
Rate
Condition 111. 4.
Town of Yanceyville
Yanceyville WTP
Caswell
02-17-010
DEH
non 503
54.00"
Annually"
Annuallv`-
0.40
Town of Yanceyville
Total
Yanceyville W WTP
Caswell
NC004001 1
DWQ
503
60.00
114.00
1 Annually"
Annually"
0.30
Because of a backlog of stored residuals at this residuals source -generating facility, up to 54.00 dry tons per year of residuals may be removed from this facility and land applied within one calendar year of this permit's issuance.
Following this this first year of operation, a maximum of only 5.00 dry tons of residuals venerated by this facility shall be approved for land application for each subsequent year of this permit cycle.
For this residuals source -generating facility, the Division will accept the results from the residuals characterization performed at the end of 2004 in anticipation of applying for this permit for any land application during the 2005
calendar year as long as the characterization is representative of the residuals to be land applied. Specifically, this exception shall be allowed only if one land application event is conducted during the calendar year as well as if that event
is initiated within 90 calendar days after the issuance of this permit.
` Provided that the residuals generated from this residuals source -generating facility are not mixed with any other residuals authorized by this pennit, this facility shall be exempt from complying with the perfornmance standards stipulated in
Condition I. 7. as well as the monitoring and reporting requirements stipulated in Condition III. 4.
Permit No. WQ0028547 Page I off
Certification Date: March 15. 2005

ATTACHMENT B - Approved Land Application Sites
Permit No. WQ0028547
Town of Yanceyville
Town of Yanceyville Residuals LandApplication Program
Site/Field ID
Landowner
Lessee/Operator
County
Latitude
Longitude
Net Acreage
Applicable
Restriction in
Condition IV. 4.
NC-CS-80-01
Hodges, Wayne Edward
Caswell
36028'06"
79023'02"
3.20
GW-A
NC-CS-80-02
Hodges, Wayne Edward
Caswell
36°28'00"
79'23'15"
11.60
GW-A
NC-CS-80-03 a
Webb, Rainie B.
Hodges, Wayne Edward
Caswell
36°28'04"
79'23'47"
8.20
GW-A
NC-CS-80-04
Hovatter, Gerald L. & Ruby S.
Hodges, Wayne Edward
Caswell
36028'48"
79023'27"
19.80
GW-A
NC-CS-81-01
Williamson, Vernon H.
Caswell
36020'12"
79014'53"
9.10
GW-B
NC-CS-81-02`
Williamson, Vernon H.
Caswell
36020'05"
79014'48"
4.30
GW-B
NC-CS-81-03`
Williamson, Vernon H.
Caswell
36019'59"
79014'47"
3.70
GW-B
NC-CS-81-04
Williamson, Vernon H.
Caswell
36*20'10"
79`14'35"
8.20
GW-B
NC-CS-81-05
Williamson, Vernon H.
Caswell
36020'04"
79°14'30"
16.60
GW-B
NC-CS-81-06
Williamson, Vernon H.
Caswell
36020'12"
79014'26"
5.60
GW-B
NC-CS-81-07`
Williamson, Vernon H.
Caswell
36020'18"
79014'36"
14.00
GW-B
NC-CS-81-08
Williamson, Vernon H.
Caswell
36020'19"
79014'20"
12.50
GW-B
NC-CS-81-09
Williamson, Vernon H.
Caswell
36020'11"
79014'18"
6.80
GW-B
NC-CS-81-10
Williamson, Vernon H.
Caswell
36018'44"
79'15'25"
2.10
GW-B
NC-CS-81-11
Williamson, Vernon H.
Caswell
36018'37"
79015'33"
3.80
GW-B
NC-CS-81-12
Williamson, Vernon H.
Caswell
3601853"
79015'30"
10.30
GW-B
NC-CS-81-13
Williamson, Vernon H.
Caswell
36018'37"
79015'19"
6.60
GW-B
NC-CS-81-14
Williamson, Vernon H.
Caswell
36-18-29"
79015'13"
5.30
GW-B
Total For CountyCaswell
151.70
Total
151.70
With this permit issuance, all or part of this land application site has been reconfigured from that which was originally permitted by the Division. The Permittee shall take
the highest cumulative pollutant loading rate for each metal (i.e., see Condition 11. 8.) that has been recorded to date on any portion of the site under the originally -permitted
configuration and apply it to the entire site in the modified configuration.
A reduced buffer from a residence under separate ownership has been approved for this land application site. Residuals may be land applied to within 150 feet of the residence
of Mr. James Brian Williamson at 8205 NC Hwy. 86, Yanceyville, NC 27379, regardless of whether a surface or a subsurface application method is used.
` This land application site has a cattle feeding area that shall be buffered out unless the area is established with a suitable vegetative cover prior to a land application event,
If the buffer option is used, note that the presented net acreage value does not take this buffer into account and, therefore, needs to be adjusted for the purpose of calculating
appropriate application volumes as well as for reporting in accordance with this permit.
Permit No. WQ0028547 — Page I of l Certification Date: March 15, 2005

SYNAGRO
VICINITY MAP A Rewduali Manaem mi Company
COUNTY w; OWNER I own 0 `i Fl r�►cc c.cr.'� ►w .

NOW
VICINITY MAP
A Residuals Management Company
COUNTY ��t c�Ct.� OWNER

VICINITY MAP
,qv
SYNAGRO
A Reri&iitlr Management Cowpatq
U)&JI,a
ASv..) t UL- Al .4 q, r
COUNTY- OWNER C-or L - f ­�v- " -4 -, S-,v, 10, NC-es-ac) 67w- D,

ill
SYNAGI�O
APPLICATION AREA MAP A ResirifrahAfan, gMent Company
Waf�6 F• Not=Gi�SCtrZ�) GEPAML. I r�vSY S.
Owner 19n,AAll t R Scale: 1"
Qn -G• Ve- hovSCs Crr'e Owned b
Field # 1 2 , 4
WCi0U.lOef-S. �"�
Total
C rnM�12 Ct - �`
Acres Y Net Acres ��pe� f,MAe
. _ > STREAM
APPLICATION AREA — — — — — —
PRIVATE ROAD
. > DRAIN
®
HOUSE
FORESTED AREA
OSURFACE WATER
❑
OUTBUILDING
UNSUITABLE
X� FENCE
WELL
OSTORAGE AREA
SOIL DESCRIPTION
SUITABLE FOR
PROPERTY LINE
�r � ®
R"kIVEDi DENR j DWQ
INCORPORATION,
8-I2/o SLOPE
AQUIFER PROTECTION SECTION
MAR 0 1 2005

APPLICATION AREA MAP
Owner h�AI►JiE WEZ8
On - s', Ee by
1Qnbowner.
. —> STREAM
. >
DRAIN
CDSURFACE
WATER
FENCE
CD
STORAGE AREA
PROPERTY LINE
"�'' SYNAG 0
A Residual! htanagement Company
Scale: 1" _ ��yt Field #
Total
Acres SE&M PIA AY
CID
APPLICATION AREA
N
HOUSE
❑
OUTBUILDING
0
WELL
0
SOIL DESCRIPTION
Net Acres SE-E&A n(EPY
-" — — — — - PRIVATE ROAD
FORESTED AREA
UNSUITABLE
®
SUITABLE FOR
INCORPORATION,
8-12% SLOPE

-M
SYNAGRO
VICINITY MAP
A Reriduah Afana,"ment Ctmipatty
PfcP ld71.
ems- 1 go
ot
k
j �y,
Ilk
N 119
J IN
x
y
-C' A
lid
0 4-
9
pJk
L
oe
H—
S;FATE P t5olf� o—.
CGL -4
86 II ur
a LAND
IV- GAIa
r--J, ne"lle
L
r
62 158
F.-
150 Mke.'
ct
r GAME IA
NB
nl -ve SITE
LOCATION
-SE a
F.
,A
14
off
LOCATION
J,
f
um
L i
Pnpct 49
119
COUNTY OWNER V6Rr\ui,3
S-Ae- 00. I-Ac--CS-5k (S)T

SYNAG 0
APPLICATION AREA MAP r ----
Uwner V LieNUM " , vV «u�Dc.r
On - 9, ke houses Q.re- ownp-4� 61
1 Ubowi ner. v� D-r
. — > STREAM
CD
O
DRAIN
SURFACE WATER
FENCE
STORAGE AREA
PROPERTY LINE
Scale: 1" = (9 & c) ' Field #
Total
Acres &'e! wf,IfAfr
Net Acres acC�x�n���y�
APPLICATION AREA
— — — — — — PRIVATE ROAD
�✓®
HOUSE
FORESTED AREA
❑
OUTBUILDING
UNSUITABLE
0
WELL
O
SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
®
8-12% SLOPE
RECEIVED / DENR / DWQ
AQUIFPa PPO TECTION SECTION

SYNAGKO
kPPLICATION AREA MAP
A Reriduah Management Comha
f R.ou i c;.
I f
f' a NC -CS - 4 I - I?)
f.. 1
A A _ of
Cij
a
r
.s
1liC-CS-S6�- IZ Nc- cS- gi -1`�
Owner V Gie m-yQ
"I • V V 1=-►- E AA �L?� PI
Scale: I"
Field #
On.-5ke- house
o,.aj-)ed bi kandovi ae I-
C,9;z otal
Acres&-E S0^1� r
Net Acres& LMAP T
. — >
STREAM
Ci)
APPLICATION AREA —
— — — — - PRIVATE ROAD
. —>
DRAIN
N
HOUSE
FORESTED AREA
CDSURFACE
WATER
❑
OUTBUILDING
UNSUITABLE
FENCE
X�
0
WELL
STORAGE AREA
O'
SOIL DESCRIPTION
SUITABLE FOR
INCORPORATION,
®
PROPERTY LINE
8-12% SLOPE
RECEIVED / DENR / DWQ
AQUIFER PROTECTION SECTION

NCDENR
North Carolina Department d'Environmient' and Natural Resoi_licc�s
DiviJlnt i o 4 atar Oi_; l!,;tv
Bevemt Eaves, perdue Charles, VVakild, P E.
Governoi Director
February 23, 2012
Town of Yanceyville
Attn: Mr. Haynes Brigman, Town Manager
P.O. Box 727
Yanceyville, NC 27379
SUBJECT: Compliance Evaluation Inspection
Yanceyville WWTP
Permit No. NCO040011
Caswell County
Dear Mr. Brigman:
Si;ccR' aI 1
On January 25, 2012, Ms. Jenifer Carter of the Winston-Salem Regional Office conducted a Compliance
Evaluation Inspection at the Town of Yanceyville's Wastewater Treatment Plant. Mr. Michael Myers
president of EnviroLink, and Mr. Terry Klutz, ORC at the time, were present during the inspection. The
inspection consisted of two parts: an on -site inspection of the treatment facility and a review of facility
files and self -monitoring data.
A review of the submitted self -monitoring data since the last inspection revealed several violations of
Fecal Coliform, BOD and TSS limits during the last six months of 2011, and are most likely to continue.
The 2011 violations have been/ will be addressed separately through the Division's monthly enforcement
program. We understand that repairs were made to the decanter valves in the Sequencing Batch Reactor
(SBR), and that further repairs (to the decanter seals) are planned. Mr. Myers believes these repairs will
alleviate the ongoing violations.
With respect to the administrative portion of the facility's self -monitoring program, no deficiencies were
noted. The following is a summary of findings during the inspection.
A) EnviroLink took over operations of the plant in July 2011.
B) The permit expires on May 31, 2012. A renewal application has been submitted.
C) Facility records were available for review with the exception of effluent flow meter calibration
records, and the 2011 annual report (required of all plants with an average annual flow of 0.2
MGD or greater).
D) Lab data corresponded correctly with data entered on the submitted Discharge Monitoring Reports.
E) Due to ongoing problems with the SBR decanters, build-up of solids in the SBR, EQ basin and
chlorine contact chamber continue to result in NPDES limits violations.
F) As noted during the last inspection, the sludge lagoon has little to no freeboard remaining. There is
not a functioning staff gauge in the lagoon, though Mr. Myers said there are plans to add one.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: wanu.ncwaterqua5ty.org
continued on reverse...
NorthCarohna
Natura!!r,
An Equal r %)Gi,unity `. Nff:rrnative Action Employer

7 7No
It is imperative that you continue to work with EnviroLink toward a quick solution to the ongoing NPDES
limits violations. Steps to remove sludge from the sludge lagoon should also be taken as soon as possible.
Should you have any questions please contact Jenifer Carter in our Winston-Salem Regional Office at
[phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
enclosure
cc: SWP central files
WSRO files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
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 INI 2 15 I 31 NCO040011 111 121 12/01 /25 117 18ICI 19I S I 201
Remarks
211111 111111111111 111111111111111111111111 I II 11_"I
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA --------------------------- Reserved ---------------------
67I 169 70121 71 I N I 721 N I 73I I 174 711 I I I I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Yanceyville WWTP
10:00 AM 12/01 /25
07/10/01
Exit Time/Date
Permit Expiration Date
666 Pine Dr
Yanceyvilie NC 27379
11:30 AM 12/01/25
12/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Michael J Myers/President/252-235-4900 /2522352132
Terry Ray Klutz///
Name, Address of Responsible OfricialfTitle/Phone and Fax Number
Contacted
Haynes M Brigman,PO Box 727 Yanceyvilie NC 27379//336-694-5431/3366941499
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program E Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
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
Jenifer Carter WSRO WQ//336-771-5000/
��a3/ram
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
t.cvC-7-1112--DIA)-VA�L4 2-4 r�iS W( z
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 NCO040011 111 12, 12/01/25 117
18L ��
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
See cover letter for comments/summary.
Page # 2

Permit: NCO040011 Owner -Facility: Yanceyville WWTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■
0
0
❑
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
❑
Is the chain -of -custody complete?
■
Cl
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
n
■
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
❑
■
El
Is the ORC visitation log available and current?
■
n
n
In
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
In
In
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
❑
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous years Annual Report on file for review?
n
■
n
n
Comment: Envirolink took over operations in July 2011. They were not sure if a
annual report was done for 2011.
Influent Sampling
Yes
No
NA
NE
# Is composite sampling flow proportional?
In
In
■
Page # 3

Permit: NCO040011
Inspection Date: 01/25/2012
Influent Sampling
Is sample collected above side streams?
Is proper volume collected?
owner - Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is sampling performed according to the permit?
Comment:
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■Clop
■000
■❑❑❑
❑❑❑■
❑ ❑ ❑ ■
oo
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■
Cl
Comment:
Yes No NA NE
Upstream / Downstream Sampling
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ Cl ❑ ❑
Comment:
Yes No NA NE
Flow Measurement - Influent
❑■00
# Is flow meter used for reporting? Cl Cl E 0
Is flow meter calibrated annually?
■❑❑❑
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment:
Yes No NA NE
Flow Measurement - Effluent
■non
# Is flow meter used for reporting?
■Clop
Is flow meter calibrated annually?
■Clop
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
oo❑■
Comment: Flow meter calibrations not found during the inspection. Were to submit
them after the inspection.
Page # 4

Permit: NCO040011 Owner -Facility: Yanceyville WWTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes No
NA
NE
Is the plant generally clean with acceptable housekeeping?
0000
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n
n
n
Judge, and other that are applicable?
Comment:
Bar Screens
Yes No
NA
NE
Type of bar screen
a.Manual
❑
b.Mechanical
■
Are the bars adequately screening debris?
■ ❑
n
n
Is the screen free of excessive debris?
■ n
❑
❑
Is disposal of screening in compliance?
■ n
n
❑
Is the unit in good condition?
■ n
n
❑
Comment:
Type of grit removal
a.Manual
■
b.Mechanical
❑
Is the grit free of excessive organic matter?
■ n
n
n
Is the grit free of excessive odor?
■ n
n
n
# Is disposal of grit in compliance?
■ Cl
❑
❑
Comment:
Pump Station - Influent
Yes No
NA
NE
Is the pump wet well free of bypass lines or structures?
■ ❑
❑
❑
Is the wet well free of excessive grease?
■ ❑
❑
❑
Are all pumps present?
■ n
n
n
Are all pumps operable?
■ n
n
Cl
Are float controls operable?
■ n
n
n
Is SCADA telemetry available and operational?
❑ ❑
❑
■
Is audible and visual alarm available and operational?
n n
n
■
Comment:
Page # 5

Permit: N00040011 Owner - Facility: Yanceyville WWTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
Sequencing Batch Reactors Yes No NA NE
Type of operation:
Is the reactor effluent free of solids? n ■ n n
Does minimum fill time correspond to the peak hour flow rate of the facility? ■ n n n
Is aeration and mixing cycled on and off during fill? ■nnn
The operator understands and can explain the process? ■nnn
Comment: It was mentioned in the February 8, 2011 inspection report that broken
decant valves needed repair. Several repairs were said to have been made in 2011 but
solids continue to escape during decanting. Mr. Myers of Environlink noted that the
SBR manufacturer suggested (subsequent to the previous repairs) that the seals on the
decanters be replaced now, and every 5 years thereafter. He said the town is in the
process obtaining quotes for the work.
Yes No NA NE
Equalization Basins
n■nn
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
■nnn
■ ❑ Q n
Is the basin free of excessive grease?
■ n ❑ n
Are all pumps present?
■nnn
Are all pumps operable?
n0Q■
Are float controls operable?
nnn■
Are audible and visual alarms operable?
■000
# Is basin size/volume adequate?
Comment: Solids noted in the eq basin blamed on ongoing decanter issues in the
SBR.
Yes No NA NE
Disinfection -Gas
■nn
n
Are cylinders secured adequately?
nnn
■
Are cylinders protected from direct sunlight?
n
■nn
Is there adequate reserve supply of disinfectant?
■ n n n
Is the level of chlorine residual acceptable?
n■nn
Is the contact chamber free of growth, or sludge buildup?
■nnn
Is there chlorine residual prior to de -chlorination?
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
nnn■
nnn■
If yes, then is there a Risk Management Plan on site?
Page # 6

Permit: NCO040011
Inspection Date: 01/25/2012
Disinfection -Gas
Owner - Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
If yes, then what is the EPA twelve digit ID Number? (1000- - )
If yes, then when was the RMP last updated?
Comment: Again, solids from SBR, due to failing seals, blamed for solids escaping to
the EQ basin and chlorine contact chamber.
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit?
Are lagoons operated in?
# Is a re -circulation line present?
Is lagoon free of excessive floating materials?
# Are baffles between ponds or effluent baffles adjustable?
Are dike slopes clear of woody vegetation?
Are weeds controlled around the edge of the lagoon?
Are dikes free of seepage?
Are dikes free of erosion?
Are dikes free of burrowing animals?
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
# If excessive algae is present, has barley straw been used to help control the growth?
Is the lagoon surface free of weeds?
Is the lagoon free of short circuiting?
nn■n
nn■n
Yes No NA NE
Aerated
nn■n
■n❑n
nn■n
■nnn
■nnn
■nnn
nnnn
n n n n
n■nn
nn■n
■nnn
nn■n
Page # 7

Permit: NC0040011
Inspection Date: 01/25/2012
Owner -Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
Yes No NA NE
Lagoons
Comment: Currently, there is not a functioning staff gauge in the lagoon, but levels are
estimated based on known depth of pond and amount of clear water on top of sludge.
As noted during the last inspection, the lagoon is full of sludge and needs to be pumped.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment:
Yes No NA NE
■nnn
■nnn
0 0 M 0
Page # 8

RECEIVED
N.C.De' . of ENR
FEB 14 2012
Winston-Salem
Regional Office
ENVIROLINK
February 6, 2012
W. Corey Basinger
NC Division of Water Quality
585 Waughtown St.
Winston Salem, NC 27107
Subject: Response to the Notice of Violation (NOV-2012-LV-0063)) issued on January 24,
2012 for the Town of Yanceyville WWTP Permit# NCO040011
Dear Mr. Basinger:
On behalf of the Town of Yanceyville, Envirolink Inc. appreciates the opportunity
to respond to the Notice of Violation issued on January 24, 2012. Please find enclosed
our response to NOV-2012-LV-0063 regarding the Yanceyville Wastewater Treatment
Plant exceeding the following parameters: daily maximum total chlorine residual on
10/28/11, BOD weekly average on 10/29/11, weekly fecal coliform geometric mean on
10/8/11, monthly BOD average on 10/31/11, and monthly fecal coliform geometric
mean on 10/31/11.
The Town of Yanceyville does not dispute that the above mentioned
parameters were exceeded. However, the weekly and monthly fecal coliform and BOD
exceedances were the result of mechanical failures associated with the decanters and
that upon discovery, immediate corrective actions have been initiated by the Town to
resolve the issue. Since July 2011, the Town of Yanceyville has encountered several
issues with the Sequencing Batch Reactors' decanting phase. After many repairs to the
decanting valves in 2011, with expenses in excess of $20,000, the Manufacturer of the
SBR plant has recently recommended that the seals in decanters be replaced every 5
years. As a result of the failing seals, it appears that the solids are escaping by during
the decanting mode, resulting in loss of solids into the post equalization basin and
chlorine contact chamber. The Town of Yanceyville is currently in the process of
obtaining pricing from an outside contractor to extract the decanters and replace the
seals. As a result of the loss of solids into the equalization basin and chlorine contact
chamber, excess chlorine was applied to ensure disinfection on 10/28/11 and therefore
the Town of Yanceyville exceeded the daily maximum chlorine residual. f
Envirolink, Inc.
Scot dactnec - 4/etZV dYaanP--t
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 2520235-2132 (fax)

We trust that this letter addresses our response to the Notice of Violation and
demonstrates the Town of Yanceyville's commitment to improving the reporting, record
keeping, and overall system condition of the wastewater treatment plant. If Envirolink
Inc. can be of any further assistance or additional information is needed, please contact
me at 252-235-4900.
Sincerely,
Michael Myers
President
Envirolink, Inc.
Cc: Haynes Brigman, Town of Yanceyville
Michael Myers, Envirolink, Inc.
Terry Klutz, Envirolink, Inc.
Heather Adams, Envirolink, Inc.
Jennifer Carter, NC DWQ-WSRO
File
Envirolink, Inc.
sc— d'atbeet !n 9 tdas 01 ..#amnnt
PO Box 670, Bailey, North Carolina 27807
252-235-4900 (phone) 2520235-2132 (fax)

Regional Field Inspectors Check List for Field Parameters
Name of site to be Inspected: �li�l �UlInKT /�i Date: ©1
Field certification # (if applicable): Inspector:
;e5w
NPDES #: Region:
I. Circle the parameter or parameters performed at this site.
Resi��hlorie, ettleable Solid p , D , Conductivity Temperature
II. Instrumentation:
A. Does the facility have the equipment necessary to analyze field parameters as circled above?
1.
A pH meter
6es
No
2.
A Residual Chlorine meter
es
No
3.
DO meter
No
4.
A Cone for settleable solids
a
No
5.
A thermometer or meter that measures temperature.
es
No
6. Conductivity meter Yes No
III. Calibration/Analysis:
1. Is the pH meter calibrated with 2 buffers and
checked with a third buffer each day of use?
es
No
2. For Total Residual Chlorine, is a check standard
analyzed each day of use?
Yes
C(No
3. Is the air calibration of the DO meter performed
each day of use?
Ye
No
4. For Settleable Solids, is 1 liter of sample
settled for 1 hour?
bYe
No
5. Is the temperature measuring device calibrated
annually against a certified thermometer?
Yes
(DNo
6. For Conductivity, is a calibration standard
analyzed each day of use? Yes No /N/W

IV. Documentation:
w&4
1. Is the date and time that the sample was collected documented? CYej
2. Is the sample site documented? be
3. Is the sample collector documented? es
4. Is the analysis date and time documented? es
5. Did the analyst sign the documentation? Yes
6. Is record of calibration documented? Yes
7. For Settleable Solids, is sample volume and
1 hour time settling time documented? Yes
8. For Temperature, is the annual calibration of w,,-f
the measuring device documented? Yes
Comments:
�Ayifvllfile tooe- /7. of VanceyU11e,s GJTP
IV
lm �� af-&"l Al oneay .zloce,
�,�WI
0
No
No
Tp n r7 +-i fn-p d ocu
No
No IP i mil- r oz del
-�I
No
'P�ucln &4 calkbokj-
TP 645+- LAO(W Lkv it w4s
No cu V�Aot'e. ND -�(M (A(44 ,
No
zt&er,49
Please submit a copy of this completed form to the Laboratory Certification Program.
OdN SaY4444 )''e.
DWQ Lab Certification
Chemistry Lab
Courier # 52-01-01
FIELD INSPECTOR CHECKLIST REV. 04/23/2002

• ,
NCDENR
North Carolina Department of Environment and Natui-al Resources
Division of Water Quaiity
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
January 24, 2012
CERTIFIED MAIL #7009 2250 00041083 5657
RETURN RECEIPT REQUESTED
Haynes M. Brigman, Manager Town
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2012-LV-0063
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Dee Freeman
Secretary
A review of Yanceyville W WTP's monitoring report for October 2011 showed the following violations:
Parameter
Date
Limit
Reported
Limit Type
Chlorine, Total Residual
10/28/11
28 ug/1
57 ug/l
Daily Maximum Exceeded
BOD - Concentration
10/29/11
27 mg/1
48.2 mg/1
Weekly Average Exceeded
Coliform, Fecal MF
10/08/11
400 #/100ml
1,296.15 #/100ml
Weekly Geometric Mean Exceeded
BOD - Concentration
10/31/11
18 mg/1
23.72 mg/l
Monthly Average Exceeded
Coliform, Fecal MF
10/31/11
200 #/100m1
258.81 #/100ml
Monthly Geometric Mean Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NCO040011.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) business days after receipt of this Notice. A review of your response will be considered
along with any information provided on the October 2011 Discharge Monitoring Report. You will then be
notified of any civil penalties that may be assessed regarding the violations. If no response is received in this
Office within the 10-day period, a civil penalty assessment may be prepared. continued on reverse...
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location 58511aughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] i FAX: [phone] Customer Service 1-877-623-6748
Internet: www.ncwaterquality org
Nne
orthCarolina
;Vatumllry
An Equal Opportunity � Affirmative Action Employer

Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
If you have questions concerning this matter, please do not hesitate to contact Jenifer Carter or me at
[phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Point Source Branch
SWP — Central Files
WSRO Files

ppr--10: 08
336-694-4147
TOWN OF YANCEYVILLE
PAGE 02
`Q�OF W A7ir9
a �
Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form.
V 112009 PART I
This form shall be submltted.to the appropriate DWQ Regional Office within five days of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number: /(%C00gfpd
(WQCS# if active, otherwise use 1NQCS0#)
Facility; Incident 0
Owner. 7ap✓/.'00 VAY"/u! Region. - W/o Snw,5ANO=&L
Cam: Ydwcey✓Iaso .y.G , ?�yJY f County; C�ASI L`
Source of SSO (check applicable); lJ Sanitary Sewer ❑ pump'Statlon I lift Station
SPECIFIC location of the SSO (be consistent In description from past.report or documentation - i.e. Pump Station 6,
Manhole at Westal 8 Bragg Street etc.) ; > N- "W nN,0aKe� Ta oVV/" prDff WOO I
Manhole! z
Latitude (degrees/minute/second): Longitude(degrees/minutafsecond):
Incident Started Dt: Time: Incident End Dt lime:
(mm-W-yyyy) hh:mm AWPM (mm-dd-yyyy) ' . hh:mfn AM/PM
tEstimated volume of the SSO: gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined: V/SU e t-YNaPe?l owr o-t su/�/t�✓n�of t, ,I jA
Weather conditions during SSO event: V'WC4U�AJ
Did SSO reach surface waters? ❑ Yeslaf No❑ Unknown Volume reaching surface waters (gallons): No A4E
Surface water name: !706Ampvi A/41LO etwApL
Did the SSO result in a fish kill? ❑ Yes © No0 Unknown If Yes, what is the estimated number of fish kined?
SPECIFIC causes) of the SSO:
t13 Severe Natural Condition
t.._I Inflow and Infiltration
❑ Vandalism
❑ Pipe Failure (Break)
'PI,
❑ Grease
❑ Pump Station Equipment Fallurg
❑ Debris in line
❑ Roots
❑ Power outage
0 Other (Please explain in Part II)
24-hour verbal notification (name of person contacted) -'1 &&6rg - - L4=
K) DWQ ❑ Emergency Mgmt Date (mm-id-yyyy): Zb /x Time (hh:min AM/PM)- 9'-*-N0 AM
If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1 C(b), the responsible party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a press release within 48-hours of first knowledge to all prltM and electronic news media providing general
coverage in the county-WPIRITI-Th83ischarge occurred. When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30 days.
Refer to there ran statute for further detail.
The Director, Division of Water Ouality, may take enkircement action for SSOs that are required to be reported to Division unless it
is em ra a : - - �^ -�--- -
1) the discharge was caused by severe natural oondit��ons and there were no feasible alternatives to the discharge: or
2) the discharge was exoeptional, unintentional, temptrary and caused by factors beyond the reasonable control of the Permittee
arrdlor owner, and the discharge could not have been (prevented by the exercise of reasonable control.
Part II must be completed to provide a justification
for the determination of any enforcement action. T
for either of the above situations. This information will be the basis
it is important to be as complete as possible.
WHETHER OR NOT PART II IS COMPLETED, _AI SIGNATURE IS REQUIRED AT THE END OF THIS FORM-
CS-SSO Form IPage 1

01/26/2012 10:08 336-694-4147 TOWN OF YANCEYVILLE
FAX COVER SHEET
NNNNNNNNN/yNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNN/r
5.50 AT Ate- �,�

I7
10:08 336-694-4147 TOWN OF YANCEYVILLE PAGE 03
System Visitation
ORC
Backup
Name: �iOfwe -e/l vrz
Ceres //Q ^J /
Date vlsfted: 112 I/ %
Tirne visited: /4/40,601r. //• &o A4%
How was the SSO remedlated (i.e. Stopped and clsai
o --A r0/1/vw,p /i/d ,v �b� t / A!
As a representative for the responsible party. I c
e beat of my know a ga
Person submitting claim: e y AC. 16
Signature: (:://%/ • /;��
Telephone Number (R-w- 5-L72- a l
Any additional information desired to be submitted she
knowledge of the SSO with reference to the incident n
fofm Is completed, if used).
No X-EA-V cE A:4e sY �;
CS-SSO Form
YL9
Dyes
up)?
that the information contained in this report is true and accurate to
Date:
Title: rl"70 0.1-04
0
i by sent to the appropriate Division Regional Office within five days of first
fiber (the incident number is only generated when electronic entry of this
M'd*JA4PC'6 Cxo'0^0�0 W1040Vd '<rmox
/ lEF,0" A&0-5 ^4— PU4tAlr -T—&M A e-77 0 oV
Page 15

_A�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
July 18, 2012
CERTIFIED MAIL #7010 2780 00014236 4137
RETURN RECEIPT REQUESTED
Mr. Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyvill,e NC 27379
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2012-LV-0370
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for March 2012 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended
03/10/12
45 mg/l
46 mg/l
Weekly Average Exceeded
Coliform, Fecal
03/24/12
400 #/104ml
12,000 #/100ml
Weekly Geometric Mean Exceeded
Coliform, Fecal
33/10/12
400 #/100m1
il
T4,-400#/100ml
Weekly Geometric Mean Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 antNPDES Permit No. NCO040011.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any p6rson who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) business days after receipt of this Notice. A review of your response will be considered
along with any information provided on the March 2012 Discharge Monitoring Report. You will then be
notified of any civil penalties that may be assessed regarding the violations. If no response is received in this
OfficAvithin the 10-day period, a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of '
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
North Carolina Division of Water Quality, Winston-Salem Regional Office One
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 NorthCarolina
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org Natfmally l:r
An Equal Opportunity 1 Affirmative Action Employer { L K` /Z ` \ i

continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
If you have questions concerning this matter, please do not hesitate to contact Jenifer Carter or me at
[phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Point Source Branch
SWP — Central Files
WSRO Files,

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Haynes M. Brigman
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0652
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman
Division of Water Quality
Coleen H. Sullins
Director
December 21, 2011
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for September 2011 showed the following violations:
Parameter
Date
Limit
Reported
Limit Type
pH
09/20/11
6 su
5.67 su
Daily Minimum Not Reached
Coliform, Fecal MF, M-FC Broth
09/10/11
400 #/100ml
8,900 #/100ml
Weekly Geometric Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Filep
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
Aatumllff
An Equal Opportunity 1 Affirmative Action Employer

w a
CO
N.C.Dept. of ENR
State of North Carolina
JAN 17 20121[)ep rtment of Environment and Natural Resources
Winston-Salem Division of Water Quality
Regional office
Iw TrackinWAcceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Yanceyyille
Project Name for which flow is being requested:
More than one ME-10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Yanceyyille
b. WWTP Facility Permit #: NC 0040011
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
e. WWTP facility's actual avg. flow
Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
0.45
0.01
0.240
N/A
Z 5 D
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
III. Certification Statement:
I, Haynes Brigman, Town Manager, certify that, to the best of my knowledge, the addition of the
volume of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed abpve in Sections I and II for which I am the responsible party. Signature of this form indicates
accentaidce of this mastowater flow.
12112
Signing

07-15-'09 11:21 FPOM-
T-402 P002/002 F-524
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: _Town of Yanceyyille
Project Name for which flow is being requested:
.More than one FTSU10/07 may be required for a single project if the owner of the WWTP is not responsible for all
pump stations along the 'route of the proposed wastewaterflow_
1. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Xanceyville
b. WWTP Facility Permit M NC 0040011
All flows are in MGD
c. WWTP facility's permitted flow 0.45
d. Estimated obligated flow not yet tributary to the WWTP 0.01
e. WWTP facility's actual avg. flow 0.234
f. Total flow for this specific request N/A
g. Total actual and obligated flows to the facility 0.244
h. Percent of permitted flow used 54.15%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Firm/Design) Daily Flow, MGD
III. Certification Statement:
I, David Parrish, Town Manager, certify that, to the best of my knowledge, the addition of the volume
of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and H for which I am the responsible party. Signature of this form indicates
acce8tance 6fNs wastewater flow. ,
Official Signature
C J

107-15 {Oy 11; L1 rHUM-
T-402 P001/002 F-524
David Parrish
Town Manager
Town of Yanceyville
PO Box 727
200 Cast Church Street
Yanceyville, NC 27379
Tele. 836
36)494-5431
Pax -694-1499
e-mail [e-mail]
To: Steve Mauney
Pax: 336-771.4630
Phone: [phone]
Re:
Pages: 2 including cover
Date: 7/15/09
CC:
O Urgent O For Review ❑ Please Comment O Please Reply O Please Recycle
The information contained in this facsimile message is privileged and confidential
Information intended only for the use of the of the individual or entity named above. If
the reader of this message is not the intended recipient, you are hereby notified that any
dissemination, distribution or copy of this information is Strictly prohibited. If you have
received this communication in error, please immediately notify us by telephone and
return the original message to at the address listed above via LISPS.

RECEIVED
�- of ENR
o�0� W A T f-19
JAN 14 2009
State of North Carolina
v, nscon-Salem Department of Environment and Natural Resources
Office
Regional p
Division of Water Quality
Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Yanceyyille
Project Name for which flow is being requested:
More than one FTSE-10107 maybe required for a single project if the owner of the WWTP is not responsible for all
pump stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Town of Yanceyyille
b. WWTP Facility Permit #
NC 0040011
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the
e. WWTP facility's actual avg. flow
f. Total flow for this specific request
g. Total actual and obligated flows to the facility
h. Percent of permitted flow used
All flows are in MGD
0.45
WWTP 0.01
0.244
N/A
0.254
56.43%
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
III. Certification Statement:
I, David Parrish, Town Manager, certify that, to the best of my knowledge, the addition of the volume
of wastewater to be permitted in this project has been evaluated along the route to the receiving
wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity
related sanitary sewer overflows or overburden any downstream pump station en route to the receiving
treatment plant under normal circumstances. This analysis has been performed in accordance with local
established policies and procedures using the best available data. This certification applies to those items
listed above in Sections I and II for which I am the responsible party. Signature of this form indicates
accep�ncce_gf" wkstewater flow.
Official Signature' Date

LTIFAA
NCDENR
North Carolina Departrnent of Environment and Natural Resources
Beveriv Eaves Perdue
Governor
Haynes M. Brigman, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION
NOV-2011-LVO0576
Permit No. NCO040011
Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
Division of *ater Quality_
Coleen H. Sullins
Director
November 22, 2011
Dee Freeman
Secretary
A review of Yanceyville WWTP's monitoring report for August 2011 showed the following violations:
Parameter
Date
Limit Value
Reported
Limit Type
Coliform, Fecal MF, M-FC Broth,44.5C
08/06/11
400 #/100ml
2,400 #/100ml
Weekly Geometric Mean
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623.6748
Internet: www,ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
Vaturall�
An Equal Opportunity Affirmative Action Employer

SA _ 0) 24 HOUR REPORT
INCIDENT #: 2011 )93
DATE
TIME
c
I AM IREPORTED
---
REPORTED:
REPORTED:
LP�1lI
BY NAME:
REPORTED BY { ,Q'
� �" of�U
REPORT RECEIVED
�r r �
PHONE #: '>
BY NAME:
FACILITY OR
SYSTEM NAME: �C1YiQ 1Ile-
WW COLLECTION WQc y� /�
SYSTEM PERMIT #: �C �JIJ(
COUNTY: 5 �/ �
DATE SSO l
TIME SSO
AM
DATE SSO
TIME SSO
AM
(PM
PM
STARTED: �1/
STARTED: C
STOPPED:
STOPPED:
LOCATION OF SSO:
TOTAL ?
VOLUME TO
WATER /'�uy�,�Y J' �jt� �.k
ESTIMATED
VOLUME:
SUR. WATER:
BODY:
FISH KILL:
PRIMARY CAUSE OF SSO
SEVERE NATURAL CONDITION
I&I
VANDALISM
EQUIPMENT FAILURE
EASE
DEBRIS IN LINE
(CHECK ONE):
POWER OUTAGE
ROOTS
OTHER
REMARKS:
0 G f/v /CO � �� k,sI � Gl�/o,-awl c if c�
ht-4 c,+ e{ y w 6k kOM u � h IOS� * 1�br(a to
, En Ih eue0 card sw �0
0 o�,o 4-o Vt-, �' �,— .

11/22/2011 15:33 336-694-4147 TOWN OF YANCEYVILLE PAGE 01
ga Q —W C
/d J
17
/''YIDS
I;yAme, AA YGu,,e �,c.-O/
/
�;

:33 336-
PAGE 02
Form CS-SSO
Colledlon System Sanitary Sewer Overflow Deporting Form
V 112009 PART I
This form shall be submitted.to the appropriate DWQ Regional Office within five days of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number:wGdp$dA1/ (WOCSp If active. otherwise use VVQCSOtf)
Fa wity: Yid Ao0e"!//.C, L-. 6-Aoo7'/4 Incident # f
Owner,A/itJd�>>G YAd✓t✓/[.t L Region:
City; hri0rt%GCYdrG A e, County: f!�.a.SL✓ LL
Source of SSO (check applicable) : ❑ Sanitary Sewer ❑ Pump'$tatlon 1 Uft Station
SPECIFIC location of the S50 (be consistent in description p st ueports or documentation - Le. Pump Station 6,
Manhole at Westall & Bragg Street, etc.) : .&&J.T�` !a CC,r
Manhole#
Latibude (degreeslminute/second): Longitude(degreeslminute/seoond):
Incident Started Dt: / Time: 42 00 Incident End Db rude:.. Gf�
( -*" htrmm AWPM (nT461yyy) hh:mm AM1PM
Estimated volume of the SSO /Alfo- gafbns
Dewnbe how the volume was determined:
Weather conditions during SSO event
Did SSO reach surface w wm? Yes 0 No❑ Unknown
SurtaCe water name: D
Did the SSO result in a fish kill? ❑ Yes N'c0 Unknown
SPECIFIC causa(s) of the SSO:
❑ y9(avere Natural Condst]on
Inibw and Infiltration
V2rWIWWm
❑ Ape Fall re (Break)
24-h rr verbal nobficaHon (name of person
L� tQ 0 Emerges Mgmt
Eslimaw Duration (Round to nearest hour): 4- HAS
Volume reaching surface waters (gallons):
If Yes, what is the estimated number of fish klled?
Pump Station Equipment Failure
❑ Debris in line
M
Data
❑ Roots
❑ Powar outage
0 Other (Please explain in Pan 11)
M/+Cr~'0-4 Amo,
rare (hh:mm AM/PM)- -10t0 —
If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1C(b), the responsible party of a discharge of 1,000 gallons or more of unt;62ted wastewater to surface
waters ahai issue a press romme within 48-hours of first knwN dge to all print and einCh nnie news media providing general
coveralls In the COUMVIZIOWNWOWWAP oc WMW. When 15.000 gallons or more of unheated wastewater enters surface
waters, a pubrir naboo shall be publishedwithin in t o days and prno(of publkstivn shun be providad to the Division within 30 days.
Refer to /the statute for further dotal.
The Director, Division of WiNW Ouailly, may take enfofMMnt anion for SSOs that are required to be
isf aPartatl to Division unless it
1) the discharge was mused by severe natural conditions and there were no feasible afiematives tD the discharge, or
2) the discharge was exceptional, unintentional, twnporary and caused by factors beyond the reasonabla oonW of the Permittee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part 11 must be completed to provide a juatification calm for either of the above situations, This Information will be the basis
for the demrmination of any enforcement action. Therefore, Us important to be as complete as possible.
lAAiMF1ER OR NOT PART II IS COMPLETED A SIGNATURE IS REQUIRED AT THE END OF THIS FORM,
CS-SSO Form Page 1

11/22/2011 15:33 336-694-4147 TOWN OF YANCEYVILLE PAGE 03
Pump Station Equipment Fallure {Documentation of testing, records etc„ shout be provided upon request)
Mot kind of noBNcetlonrelenn systems are present?
Auld-d'iatedtolemetry (one-way communication) Lt7 Yes
Audible Cl Yes
Visual Y.
SCADA (tw"y communication) ❑ Yes
Emergency Contact Signaae Cl Yea
Other ❑ Yes
Describe the equipment that failed?
9-412 SCCe4J AVIV r?fX-,W 7"MO
Mot kind of slluatlons trigger an alarm carlditian at this station (i.e. pump failure. power fa8ure, high
water, etaj?
A7194e rd "lav, . CLIzfu�c ov,�c,c vod�
Wens notifleationklarrt systems operable? Yes systems ' , "`—' H° [] NA[] NE
If no, explain:
It a pump failed, when was the lest maintenance andlor inspection perlomted9
V*W specftolly was chedwd/maintained?
If a valve baled, when was it last exercised?
Were all pumps set to altsmata?
Did any pump show above normal run times prior to and during the SSO event?
Were adequate spare parts on hand to fix the equipment (switch, Rise, valve, seal, etc,)?
was a spare or portable pump Immediately arailable?
❑ Ye4DNo ❑ NAO NE
Q Yea No [J NAQ NE
0Ye0 No ❑ NA❑ NE
❑ YCONO a NAQ NE
CS-M Pam Page 7

11/22/2011 15:33 336-694-4147
11-22-'11 14;47 FROM-DENR WSRO
System Visitation
ORC
Backup
Name:—V5a / e 10 S 4vr=
Cert# /f Q -; ',/
Date visited: 11114111
Time visited: /z4w
How was the SSO remediated (i.e. Stopped and cleaned up)?
TOWN OF YANCEYVILLE
336-771-4632
PAGE 04
T-24Z MUM F-382
Yes
3/Y.-
As a representative for the responsible party, (.certify that the information contained in this report is true and accurate to
_UTE-5-est of my_Knowledge.
Person submitting clai�j.IWAP.
Signature: •
Telephone Number
Date://f2.2�//
Title: . �'i>U7r"� 2
Any additional inWmation desired to be submitted should be sent to the appropriate Division Regional Office v� thin five days of first
knowledge of (be SSO Mh reference to the Incident number (the incident number is only generated when electronic entry of this
form is completed, if used).
CS-SSO Form page 15

Carter, Jenifer
From: Tony Arnold [[e-mail]]
Sent: Wednesday, October 19, 2011 5:55 PM
To: Carter, Jenifer
Subject: Yanceyville
Hi Jenifer,
Just wanted to inform you of a equipment issue at the Yanceyville WWTP. Over the weekend the decanter on
basin #1 stuck and would not operate. The ORC, town manager, town maintenance staff and town electrician
met and decided that the decanter must have a issue with the piping underneath. This will require draining the
basin, inspecting the piping and decanter and repairs. We are currently running on one side of the facility.
However, the facility seem to be performing well considering the situation. It depends on what we find, but we
hope to have the basin backup and operational in just a few days. If you have questions, please let me know.
Thanks. Tony
Tony Arnold, Director of Client Services
Envirolink, Inc.
Phone: [phone]
Cell: 252-236-8168
Email: tamold(&envirolinkinc.com

RESEARCh & ANALYTICAL
LABORATORIES, INC.
Analytical/Process Consultations
June 30, 2011
Mrs. Jenny Graznak
Department of Environment & Natural Resources
Winston Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Re: Incident Report - Yanceyville WWTP Decant Valve Failure
Dear Mrs. Graznak:
,of'stIIItIt%,
oa
cc
•O:cn:
NC
-.
It is estimated that approximately 25,000 gallons of partially treated wastewater was
discharged into Countryline Creek for a period of three (3) hours due to a decant valve
replacement malfunction on 29 June 2011. The settleable solids from the activated sludge was
contained in the chlorine contact tank and pumped back into the Aeration Basin #2 with minimal
loss of solids to the receiving stream. Pictures of the receiving stream at the nearest accessible
sampling location shown in the attachment indicate no visual sign of water quality disturbance.
The following steps were taken to prevent any additional loss of solids and minimize upset
of the aeration basin:
• Manually move Decant Valve to the fully closed position
• Stop all flow from WWTP Effluent
• Pump Approx. 20,000 gallons of water (containing ^- 2.0 percent solids) back to the
Aeration Basin
• Notify Town Public Works Director (Mark Guthrie) to repair Decant Valve
• Take pictures at Country Line Creek, approximately 2000 feet downstream of outfall
• Call in incident to your office the following morning by Ron Wall, ORC
There appeared to be no visible effects to the receiving waters downstream of the
discharge. The plant appears to be returning to normal operation with clear but slightly cloudy
P.O. Box 473.106 Short Street • Kernersville, North Carolina 27284 •336-996-2841 • Fax [phone]
www.randalabs.com

effluent. We anticipate the plant to be running at optimum efficiency in 2 to 3 days. If you have
any questions or concerns, please contact Ron Wall, ORC at 336-414-8366.
Sincerely,
Ron Wall
Operator in Responsible Charge
Research & Analytical Laboratories, Inc.

_ t _
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 22, 2011
Mr. Haynes Brigman, Town Manager
Town of Yanceyville
Post Office Box 727
Yanceyville, North Carolina 27379
Subject: NOTICE OF VIOLATION —Monitoring Violations (March 2011)
NPDES Permit No. NC 0040011 — Town of Yanceyville WWTP
Caswell County
Dear Mr. Brigman:
A review of the self -monitoring report for the month of March 2011 revealed the following
violation of permit monitoring requirements:
Parameter
Violation Date
Required Monitoring
Frequency
Actual Monitoring
Frequency
Temperature
March 4, 2011
Daily
4 x week
Temperature
March 18, 2011
Daily
4 x week
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
SWP — W SRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
naturally
An Equal Opportunity 1 Affirmative Action Employer

ppppppp— ILF-WA
fijf"A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 8, 2011
Mr. Haynes Brigman, Town Manager
Town of Yanceyville
Post Office Box 727
Yanceyville, NC 27379
Subject: Compliance Evaluation Inspection — NPDES Permit No. NCO040011
Town of Yanceyville WWTP — Caswell County
Dear Mr. 1363moj%
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Yanceyville
WWTP in Caswell County on February 3, 2011. Ron Wall, Operator in Responsible Charge (ORC)
from R & A Laboratories, was present for the inspection. This type of inspection consists of two
basic parts: an in -office review of facility files and self -monitoring data and an on -site inspection of
the facility. This type of inspection consists of two basic parts: an in -office review of facility files and
self -monitoring data and an on -site inspection of the facility. Please pay close attention to the
below comments in bold. This particular inspection evaluated nine (9) areas, and observations
from each area are addressed below:
1. Permit
The current permit became effective on October 1, 2007 and will expire May 31, 2012. A complete
copy of the current permit was available during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from January 2010 through December 2010 showed
one violation of the weekly geometric mean limit for Fecal coliform, which was previously assessed
by this office:
3. Laboratory
R & A Labs operates the plant as well as conducts all laboratory sampling and analysis. R & A Labs
field parameter certification # is 5483. Field parameters tested at Yanceyville WWTP are Total
Residual Chlorine, Dissolved Oxygen, pH, and temperature.
4. Flow Measurement
Effluent flow is reported on the self -monitoring reports, for purposes of permit requirements. Effluent
and influent flow are both measured with ultrasonic flow meters, which are calibrated on a semi-
annual basis by Instrument Specialists, Inc. Both meters were last calibrated on January 24, 2011,
and verification of calibrations was available during the inspection. Wayne Hinson, the technician
from Instrument Specialists, Inc. noted in his calibration report that the "influent meter is bad
and should be replaced" and that the "effluent weirs are not at the same level." Both of these
issues should be addressed immediately.
5. Sludge Handling/Disposal
Sludge is stored in a lagoon on site as the plant is not equipped with a sludge digester. Therefore all
sludge goes to lagoon. The Town has a permit with Division of Water Quality Aquifer Protection
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org
�atura �
An Equal Opportunity 1 Affirmative Action Employer

Section for land application of the sludge in the lagoon. Synagro removed sludge from the lagoon in
August 2009. During the inspection, Ms. Graznak noted that the lagoon is full with very little
freeboard. She also noted air bubbles on the surface of the lagoon. The lagoon needs to be
pumped down by Synagro as soon as the weather allows.
6. Operations and Maintenance
Ron Wall is the ORC, and Neal McDuffie (Grade 1) is the Back -Up ORC for the plant. The operator
daily log sheets and visitation log were available for review during the inspection. All equipment
calibration notes for the dissolved oxygen, pH, and chlorine meters as well as the thermometer's
annual verification are maintained in a notebook. Operators check ammonia and pH at the plant
everyday for process control purposes and also track daily levels of chlorine and sulfur dioxide
gases. The on -site generator runs automatically every Tuesday for 20 minutes. Town of
Yanceyville maintenance crews regularly check the fuel level in the generator. All maintenance at
the plant is handled by Town of Yanceyville. The bar screen is raked every day. During the
inspection, Mr. Wall pointed out that a broken valve allows debris to enter the effluent. This
should be fixed immediately.
7. Facility Site Review
The plant is composed of two Sequential Batch Reactor systems, each running in 4 cycles per day:
fill, react, settle, and decant. Each basin consists of 2 surface aerators, 2 surface mixers, and 2
floating decanters. The aeration phase was observed during the inspection. Cycles are controlled
by a computer management system. Typical mixed liquor suspended solids (MLSS) for the plant is
2,000 — 3,000 mg/L. There is no sludge digester, but there is a sludge lagoon on the property.
8. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the
permit. A copy of this data was available for review during the inspection.
9. Effluent/Receiving Waters
The effluent is discharged into Country Line Creek in the Roanoke River Basin. There is a marshy
path cleared to the outfall, although the stream was not observed during the inspection due to the
extreme wet conditions of the last month.
Please refer to the attached report for specific details from the inspection. If you have
questions concerning this matter, or if this Office can be of assistance, please contact Ms. Graznak
or me at [phone].
Sincerely,
W.. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: WSRO — SWP
Central Files — SWP

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 LI 2 15I 31 N00040011 Ill 121 11/02/03 117 18I CI 19I SI 20I I
Remarks
2111111111IIII IIIIIIIIIIII IIII IIIIIIII IIII IIIIIJl6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA — - - --Reserved-- -
67 I 169 7013171 I I 721 NJ 73 U_j 74 751 Ill I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:00 AM 11/02/03
07/10/01
Yanceyville WWTP
Exit Time/Date
Permit Expiration Date
666 Pine Dr
Yanceyville NC 27379
10:00 AM 11/02/03
12/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Ronald Keith Wall/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
James M Cheshire, PO Box 473 Kernersville NC Contacted
272840473//336-996-2841/3369960326 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory 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/
Jennifer F Graznak WSRO WQ//336-771-5000/
Signa ur# of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
A
✓L A"F-A�--
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO040011
Inspection Date: 02/03/2011
Owner - Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
Other Yes
No
NA
NE
Comment:
Operations & Maintenance Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping? ■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
n
00
Judge, and other that are applicable?
Comment:
Permit Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Q ❑ ■
Is the facility as described in the permit?
■ n n n
# Are there any special conditions for the permit?
n ■ 00
Is access to the plant site restricted to the general public?
■ Q ❑ 0
Is the inspector granted access to all areas for inspection?
■ n n n
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
■ n n n
Is all required information readily available, complete and current?
■ n n Cl
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ Cl n n
Are analytical results consistent with data reported on DMRs?
■ ❑ Q
Is the chain -of -custody complete?
■ n D n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■ n n n
Has the facility submitted its annual compliance report to users and DWQ?
■ n n n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑ Q ■
Is the ORC visitation log available and current?
■ n n n
Is the ORC certified at grade equal to or higher than the facility classification?
■ n n n
Page # 4

Permit: NC0040011 Owner - Facility: Yanceyville wUVfP
Inspection Date: 02/03/2011 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Is the backup operator certified at one grade less or greater than the facility classification?
❑
❑
❑
Cl
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
❑
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
❑
❑
❑
Comment: Effluent weirs are not at the same level and should be fixed immediately.
Flow Measurement - Influent Yes No A NE
# Is flow meter used for reporting? ❑ ❑
Is flow meter calibrated annually? ■ n ❑ ❑
Is the flow meter operational? ❑ ■ n ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ❑ ■
Comment: Wayne Hinson, the technician from Instrument Specialists, Inc. noted in his
calibration report that the "influent meter is bad and should be replaced."
Bar Screens Yes No NA NE
Type of bar screen
a.Manual n
b.Mechanical
■
Are the bars adequately screening debris?
■
n
❑
n
Is the screen free of excessive debris?
■
❑
❑
❑
Is disposal of screening in compliance?
■
n
n
n
Is the unit in good condition?
■
❑
n
❑
Comment: The bar screen is raked every day.
Sequencing Batch Reactors
Yes
No
NA
NE
Type of operation:
Is the reactor effluent free of solids?
❑
■
n
n
Does minimum fill time correspond to the peak hour flow rate of the facility?
■
n
n
n
Page # 5

Permit: NCO040011 Owner - Facility: Yanceyville VN/VTP
Inspection Date: 02/03/2011 Inspection Type: Compliance Evaluation
Sequencing Batch Reactors
Yes No NA NE
Is aeration and mixing cycled on and off during fill?
■ n n n
The operator understands and can explain the process?
■ n n Cl
Comment: A broken valve allows debris to enter the effluent. This should be fixed
immediately.
Disinfection -Gas
Yes No NA NE
Are cylinders secured adequately?
■ n n n
Are cylinders protected from direct sunlight?
■ n n n
Is there adequate reserve supply of disinfectant?
■ n n n
Is the level of chlorine residual acceptable?
■ n n n
Is the contact chamber free of growth, or sludge buildup?
■ n n n
Is there chlorine residual prior to de -chlorination?
■ Cl n Q
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
n n n ■
If yes, then is there a Risk Management Plan on site?
n n n ■
If yes, then what is the EPA twelve digit ID Number? (1000-= _,
If yes, then when was the RMP last updated?
Comment:
De -chlorination
Yes No NA NE
Type of system ?
Gas
Is the feed ratio proportional to chlorine amount (1 to 1)?
■ n n n
Is storage appropriate for cylinders?
■ n n n
# Is de -chlorination substance stored away from chlorine containers?
■ n n n
Comment:
Are the tablets the proper size and type?
n o ■ n
Are tablet de -chlorinators operational?
n n ■ n
Number of tubes in use?
Comment:
Page # 6

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 8, 2010
Mr. Haynes Brigman, Town Manager
Town of Yanceyville
Post Office Box 727
Yanceyville, North Carolina 27379
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0040011 — Town of Yanceyville WWTP
Caswell County
Dear Mr. Parrish:
A review of the self -monitoring report for the month of July 2010 revealed the following violation
of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
7/6/2010
400# / 100 ml
12,000# / 100 ml
Weekly Geometric
Mean Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
SWP — WSRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarohna
Naturally

WASTEWATER SYSTEM
PERFORMANCE ANNUAL REPORT
2009
RECEVED
APR 2 6 2010
I. General Information
i
Facility Name:
Town of Yanceyville
Winston•:: ,,
Regional Office
Responsible Entity:
Town of Yanceyville
Contact Person:
Jim Cheshire
Appiicable Permit (s):
NPDES Permit No. NCO040011
Description of collection system or process:
The system consists of one (1) 0.450 million gallon per day (MGD) sequential batch reactor
followed by disinifection/dechlorination and treated effluent discharging into
County Line Creek.
'" N
II. Performance.
✓
x
Summary of system performance
for calendar year 2009:
3 APi� `% 2010
January 2009
Exceeded effluent permit limits for mercury
PCJwi vax„%Er,td .l9
February 2009
Exceeded effluent permit limits for mercury
March 2009
Compliant with effluent permit limitations
April 2009
Compliant with effluent permit limitations
May 2009
Compliant with effluent permit limitations
June 2009
Compliant with effluent permit limitations
July 2009
Compliant with effluent permit limitations
August 2009
Compliant with effluent permit limitations
September 2009
Compliant with effluent permit limitations
October 2009
Compliant with effluent permit limitations
November 2009
Compliant with effluent permit limitations
December 2009
Compliant with effluent permit limitations

MPPF,P, :
III. Notification
Annual notice pending.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge.
James M. Cheshire FebruM 18, 2010
Responsible Person Date
President/CEO
Title
Research & Analytical Laboratories, Inc.
Entity

ppppwp" LTI-KWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 25, 2009
Mr. David Parrish, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: Compliance Evaluation Inspection — NPDES Permit No. NCO040011
Town of Yanceyville WWTP — Caswell County
Dear Mr. Smith:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the
Yanceyville WWTP in Caswell County on November 24, 2009. Ron Wall, Operator in
Responsible Charge (ORC) from R & A Laboratories, was present for the inspection. This type
of inspection consists of two basic parts: an in -office review of facility files and self -monitoring
data and an on -site inspection of the facility. This type of inspection consists of two basic parts:
an in -office review of facility files and self -monitoring data and an on -site inspection of the
facility. This particular inspection evaluated nine (9) areas, and observations from each area
are addressed below:
1. Permit
The current permit became effective on October 1, 2007 and shall expire May 31, 2012.. A
complete copy of the current permit was available during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2008 through September 2009
showed the following violations that have been previously assessed by this office:
- Two (2) violations of the weekly geometric mean limit for Fecal coliform
- Three (3) violations of the daily limit for Total Mercury
3. Laboratory
R & A Labs operates the plant as well as conducts all laboratory sampling and analysis. R & A
Labs field parameter certification # is 5483. Field parameters tested at Yanceyville WWTP are
Total Residual Chlorine, Dissolved Oxygen, pH, and temperature.
4. Flow Measurement
Effluent (for purposes of the permit) and influent flow are measured with ultrasonic flow meters,
which are calibrated on a semi-annual basis by Instrument Specialists, Inc. Both meters were
last calibrated on July 8, 2009, and verification of calibration was available during the inspection.
Effluent flow charts are maintained with the permit records at the R & A Laboratories
headquarters. Please make these available for review during inspections.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarofina
Naturally

5. Sludge Handling/Disposal
Sludge is stored in a lagoon on site as the plant is not equipped with a sludge digester.
Therefore all sludge goes to lagoon. The Town has a permit with Division of Water Quality
Aquifer Protection Section for land application of the sludge in the lagoon. Synagro removed
sludge from the lagoon in August 2009.
6. Operations and Maintenance
Neal McDuffie (Grade 1) is the new Back -Up ORC for the plant. Fortunately, the plant is now
less impacted by waste releases from Wizard's Cauldron, a local food processing industry
discharging to the plant. The Town set up a sampling manhole near the Wizard's Cauldron in
order to sample their waste stream should any problems arise. The Town met with Wizard's
Cauldron representatives and explained that any civil penalties received by the Town for
violations stemming from their waste releases would result in fines.
7. Facility Site Review
The plant is composed of two Sequential Batch Reactor systems, each running in 4 cycles per
day: fill, react, settle, and decant. Each basin consists of 2 surface aerators, 2 surface mixers,
and 2 floating decanters. The aeration phase was observed during the inspection. Cycles are
controlled by a computer management system. Typical mixed liquor suspended solids (MLSS)
for the plant is 2,000 — 3,000 mg/L. There is no sludge digester, but there is a sludge lagoon on
the property.
8. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the
permit. A copy of this data was available for review during the inspection. Our office does not
have a copy of the latest Annual Report for this facility.
9. Effluent/Receiving Waters
The effluent is discharged into Country Line Creek in the Roanoke River Basin. There is a
marshy path cleared to the outfall, although the stream was not observed during the inspection
due to the extreme wet conditions of the last month.
Please refer to the attached report for specific details from the inspection. If you have
questions concerning this matter, or if this Office can be of assistance, please contact Ms.
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: WSRO — Surface Water Protection Section
Central Files — Surface Water Protection Section

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Com trance Inspection Report
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 I NI 2 15I 3I NCO040011 Ill 121 09/11/24 117 18I CI 191 SI 20I ((
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA -------------------------- Reserved -------- -------------
67 I 169 701 I 711 I 72 I N I 73 W 74 7511 I I Ii 80
Section & Facility Data
Name and Location of Facility Inspected (For Industnal Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:00 AM 09/11/24
07/10/01
Yanceyville WWTP
Exit Time/Date
Permit Expiration Date
666 Pine Dr
Yanceyville NC 27379
11:00 AM 09/11/24
12/05/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Ronald Keith Wall/ORC/336-996-2841/
Name, Address of Responsible Official[Title/Phone and Fax Number
Contacted
James M Cheshire,PO Box 473 Kernersville NC
272840473//336-996-2841/3369960326 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
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
Jennifer F Graznak WSRO WQ//336-771-5000/
Signature f Management A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO040011 I11 12I 09/ 11/24 117 18I CI
(cont.) 1
Section D Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. Permit
The current permit became effective on October 1, 2007 and shall expire May 31, 2012. A complete copy of
the current permit was available during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2008 through September 2009 showed the
following violations that have been previously assessed by this office:
-Two (2) violations of the weekly geometric mean limit for Fecal coliform
-Three (3) violations of the daily limit for Total Mercury
3. Laboratory
R & A Labs operates the plant as well as conducts all laboratory sampling and analysis. R & A Labs field
parameter certification # is 5483. Field parameters tested at Yanceyville WWTP are Total Residual
Chlorine, Dissolved Oxygen, pH, and temperature.
4. Flow Measurement
Effluent (for purposes of the permit) and influent flow are measured with ultrasonic flow meters, which are
calibrated on a semi-annual basis by Instrument Specialists, Inc. Both meters were last calibrated on July
8, 2009, and verification of calibration was available during the inspection. Effluent flow charts are
maintained with the permit records at the R & A Laboratories headquarters. Please make these available
for review during inspections.
5. Sludge Handling/Disposal
Sludge is stored in a lagoon on site as the plant is not equipped with a sludge digester. Therefore all sludge
goes to lagoon. The Town has a permit with Division of Water Quality Aquifer Protection Section for land
application of the sludge in the lagoon. Synagro removed sludge from the lagoon in August 2009.
6. Operations and Maintenance
Neal McDuffie (Grade 1) is the new Back -Up ORC for the plant. Fortunately, the plant is now less impacted
by waste releases from Wizard's Cauldron, a local food processing industry discharging to the plant. The
Town set up a sampling manhole near the Wizard's Cauldron in order to sample their waste stream should
any problems arise. The Town met with Wizard's Cauldron representatives and explained that any civil
penalties received by the Town for violations stemming from their waste releases would result in fines.
7. Facility Site Review
The plant is composed of two Sequential Batch Reactor systems, each running in 4 cycles per day: fill,
react, settle, and decant. Each basin consists of 2 surface aerators, 2 surface mixers, and 2 floating
decanters. The aeration phase was observed during the inspection. Cycles are controlled by a computer
management system. Typical mixed liquor suspended solids (MLSS) for the plant is 2,000 — 3,000 mg/L.
There is no sludge digester, but there is a sludge lagoon on the property.
8. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the permit. A
copy of this data was available for review during the inspection. Our office does not have a copy of the
latest Annual Report for this facility.
Page # 2

Permit: NC0040011
Inspection Date: 11/24/2009
Owner - Facility: Yanceyville VW TP
Inspection Type: Compliance Evaluation
9. Effluent/Receiving Waters
The effluent is discharged into Country Line Creek in the Roanoke River Basin. There is a marshy path
cleared to the outfall, although the stream was not observed during the inspection due to the extreme wet
conditions of the last month.
Page # 3

Permit: NCO040011
Inspection Date: 11/24/2009
Owner -Facility: Yanceyville WiVFP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n
Judge, and other that are applicable?
Comment: Process control data includes: settleometer tests as well as BOD and TSS
of influent.
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
❑
❑
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DM Rs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
n
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Page # 4

Permit: NCO040011 Owner -Facility: Yanceyville WWTP
Inspection Date: 11/24/2009 Inspection Type: Compliance Evaluation
Record Keeping
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: Our office does not have a copy of the latest Annual Report for this facility.
And there was not one in R&A files for review during the inspection.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: The effluent is discharged into Country Line Creek in the Roanoke River
Basin. There is a marshy path cleared to the outfall, although the stream was not
observed during the inspection due to the extreme wet conditions of the last month.
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment:
Bar Screens
Type of bar screen
a. Manual
b. Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: The bar screen has wide slats and some debris does get through. The
dumpster containing bar screenings is emptied by Town maintenance workers when full.
Sequencing Batch Reactors
Type of operation:
Is the reactor effluent free of solids?
Does minimum fill time correspond to the peak hour flow rate of the facility?
■ ❑ ❑ ❑
n■❑❑
Yes No NA NE
■nnn
■nnn
■In— nn
■nnn
n
■
n■nn
■ n n n
■ n n n
■nnn
Yes No NA NE
■nnn
■nnn
Page # 5

Permit: NC0040011 Owner -Facility: Yanceyville V\NVTP
Inspection Date: 11/24/2009 Inspection Type: Compliance Evaluation
Sequencing Batch Reactors
Yes No
NA
NE
Is aeration and mixing cycled on and off during fill?
■
0
n
The operator understands and can explain the process?
■
n
n
n
Comment: There was quite a bit of light-colored foam on the surface of the reactors.
The operator thought it was probably due to excessive rain lately.
Disinfection -Gas
Yes
No
NA
NE
Are cylinders secured adequately?
■
n
n
n
Are cylinders protected from direct sunlight?
■
n
n
n
Is there adequate reserve supply of disinfectant?
■
n
n
n
Is the level of chlorine residual acceptable?
nnn■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
■
n
n
n
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
n
n
n
■
If yes, then is there a Risk Management Plan on site?
n
n
n
■
If yes, then what is the EPA twelve digit ID Number? (1 000-�
If yes, then when was the RMP last updated?
Comment:
De -chlorination
Yes
No
NA NE
Type of system ?
Gas
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
n
n
n
Is storage appropriate for cylinders?
■
n
n
n
# Is de -chlorination substance stored away from chlorine containers?
■
n
n
n
Are the tablets the proper size and type?
n
n
■
n
Comment: The sulfur dioxide is stored in a separate building from the chlorine gas
cylinders. Empty cylinders are stored outside.
Are tablet de -chlorinators operational?
n n
■
❑
Number of tubes in use?
Comment:
Lagoons
Type of lagoons?
# Number of lagoons in operation at time of visit? 1
Page # 6

Permit: NCO040011 Owner - Facility: Yanceyville VVVVrP
Inspection Date: 11/24/2009 Inspection Type: Compliance Evaluation
Lagoons
Yes
No
NA
NE
Are lagoons operated in?
# Is a re -circulation line present?
n
n
■
n
Is lagoon free of excessive floating materials?
■
n
n
n
# Are baffles between ponds or effluent baffles adjustable?
n
n
■
n
Are dike slopes clear of woody vegetation?
■
n
n
n
Are weeds controlled around the edge of the lagoon?
■
n
n
n
Are dikes free of seepage?
■
n
n
n
Are dikes free of erosion?
■
n
n
n
Are dikes free of burrowing animals?
■
n
n
n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
n
■
n
n
# If excessive algae is present, has barley straw been used to help control the growth?
n
n
■
n
Is the lagoon surface free of weeds?
■
n
n
n
Is the lagoon free of short circuiting?
■
n
n
n
Comment: Sludge is stored in a lagoon on site as the plant is not equipped with a
sludge digester. Therefore all sludge goes to lagoon. The Town has a permit with
Division of Water Quality Aquifer Protection Section for land application of the sludge in
the lagoon. Synagro removed sludge from the lagoon in August 2009.
Page # 7

. a .
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 14, 2009
Mr. David Parrish, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0040011 — Town of Yanceyville WWTP
Caswell County
Dear Mr. Parrish:
A review of the self -monitoring report for the month of February 2009 revealed the following
violation of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Mercury
2/4/2009
0.033 ug/L
0.157 ug/L
Daily Limit Violation
Mercury
2/17/2009
0.033 ug/L
0.059 ug/L
Daily Limit Violation
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
SWP — WSRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
None
rthCarolina
Aatura!!rf

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 9, 2009
Mr. David Parrish, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0040011 — Town of Yanceyville WWTP
Caswell County
Dear Mr. Parrish:
A review of the self -monitoring report for the month of January 2009 revealed the following
violation of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Mercury
1/22/2009
0.033 ug/L
0.087 ug/L
Daily Limit Violation
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
SWP — WSRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
Naturally

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
December 19, 2008
Mr. David Parrish, Town Manager
Town of Yanceyville
P.O. Box 727
Yanceyville, NC 27379
Subject: Compliance Evaluation Inspection — NPDES Permit No. NCO040011
Town of Yanceyville WWTP — Caswell County
Dear Mr. Smith:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the
Yanceyville WWTP in Caswell County on December 17, 2008. Ron Wall, Operator in
Responsible Charge (ORC) from R & A Laboratories, was present for the inspection. This type
of inspection consists of two basic parts: an in -office review of facility files and self -monitoring
data and an on -site inspection of the facility. This type of inspection consists of two basic parts:
an in -office review of facility files and self -monitoring data and an on -site inspection of the
facility. This particular inspection evaluated nine (9) areas, and observations from each area
are addressed below:
1. Permit
The current permit became effective on October 1, 2007 and shall expire May 31, 2012. A
complete copy of the current permit was available during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2007 through September 2008
showed the following violations that have been previously assessed by this office:
- Two (2) violations of the weekly geometric mean limit for Fecal coliform
- One (1) violation of the daily limit for Total Mercury
3. Laboratory
R & A Labs operates the plant as well as conducts all laboratory sampling and analysis. R & A
Labs field parameter certification # is 5483. Field parameters tested at Yanceyville WWTP are
Total Residual Chlorine, Dissolved Oxygen, pH, and temperature.
4. Flow Measurement
Effluent (for purposes of the permit) and influent flow are measured with ultrasonic flow meters,
which are calibrated on a semi-annual basis by Instrument Specialists, Inc. Both meters were
last calibrated on July 17, 2008, and verification of calibration was available during the
inspection.
5. Sludge Handling/Disposal
Sludge is stored in a lagoon on site as the plant is not equipped with a sludge digester.
Therefore all sludge goes to lagoon. The Town has a permit with Division of Water Quality
Aquifer Protection Section for land application of the sludge in the lagoon. Synagro removed
sludge from the lagoon in the summer of 2008.
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service No ehCarolina
Internet: www.ncwaterquality.org Winston Salem, NC 27107 FAX [phone] QillCll��1,
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Mr. Parrish
Page 2
December 19, 2008
6. Operations and Maintenance
The plant continues to suffer upsets due to unapproved waste releases (typically peanut oil)
from Wizard's Cauldron, a local food processing industry discharging to the plant. The Town set
up a sampling manhole near the Wizard's Cauldron in order to prove that the problem stems
from that particular industry. A Pretreatment program is in the beginning stages for Town of
Yanceyville. The Town will set limits and a issue violation notices for Wizard's Cauldron based
on the results from the sampling manhole. This program will also include all industries that
discharge to the plant.
7. Facility Site Review
The plant is composed of two Sequential Batch Reactor systems, each running in 4 cycles per
day: fill, react, settle, and decant. Each basin consists of 2 surface aerators, 2 surface mixers,
and 2 floating decanters. The aeration phase was observed during the inspection. Cycles are
controlled by a computer management system. Typical mixed liquor suspended solids (MLSS)
for the plant is 2,000 — 3,000 mg/L. There is no sludge digester, but there is a sludge lagoon on
the property.
8. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the
permit. A copy of this data was available for review during the inspection.
9. Effluent/Receiving Waters
The effluent is discharged into Country Line Creek in the Roanoke River Basin. There is a
marshy path cleared to the outfall, although the exact location of the effluent pipe was not found
on the day of the inspection.
Please refer to the attached report for specific details from the inspection. If you have
questions concerning this matter, or if this Office can be of assistance, please contact Ms.
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: WSRO — Surface Water Protection Section
Central Files — Surface Water Protection Section

United States Environmental Protection Agency Fort Approved.
Washington, D.C. 20460
EPA OMB No. 2040-0057
Water Compliance Inspection Report Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 I SI 31 NCO040011 111 121 08/12/17 117 18I CI 191 sI 201 I
Remarks
211111111111111111 11111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA - --- - --Reserved-------------
671 169 70131 71 I I 721 NJ 73 LU 74 751 1 I I I I Li 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Yanceyville WWTP
09:00 AM 08/12/17 07/10/01
666 Pine Dr Exit Time/Date Permit Expiration Date
Yanceyville NC 27379 10:30 AM 08/12/17 12/05/31
Name(s) of Onsite Representative(s)lTitles(s)/Phone and Fax Number(s) Other Facility Data
Ronald Keith Wall//336-996-2841 /
Ronald Keith Wall/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
James M Cheshire,PO Box 473 Kernersville NC Contacted
272840473//336-996-2841/3369960326 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program N Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
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 /
Jennifer F Graznak �/� /� -• A �, WSRO WQ//336-771-5000/
j t / %�-'�►N`� l U
Signature Y
Management A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO040011 I11 12I 08/12/17 117 18IC1
(cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. Permit
The current permit became effective on October 1, 2007 and shall expire May 31, 2012. A complete copy of
the current permit was available during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2007 through September 2008 showed the
following violations that have been previously assessed by this office:
- Two (2) violations of the weekly geometric mean limit for'Fecal coliform
- One (1) violation of the daily limit for Total Mercury
3. Laboratory
R & A Labs operates the plant as well as conducts all laboratory sampling and analysis. R & A Labs field
parameter certification # is 5483. Field parameters tested at Yanceyvllle WWTP are Total Residual
Chlorine, Dissolved Oxygen, pH, and temperature.
4. Flow Measurement
Effluent (for purposes of the permit) and influent flow are measured with ultrasonic flow meters, which are
calibrated on a semi-annual basis by Instrument Specialists, Inc. Both meters were last calibrated on July
17, 2008, and verification of calibration was available during the inspection.
5. Sludge Handling/Disposal
Sludge is stored in a lagoon on site as the plant is not equipped with a sludge digester. Therefore all sludge
goes to lagoon. The Town has a permit with Division of Water Quality Aquifer Protection Section for land
application of the sludge in the lagoon. Synagro removed sludge from the lagoon in the summer of 2008.
6. Operations and Maintenance
The plant continues to suffer upsets due to unapproved waste releases (typically peanut oil) from Wiizard's
Cauldron, a local food processing industry discharging to the plant. The Town set up a sampling manhole
near the Wiizard's Cauldron in order to prove that the problem stems from that particular industry. A
Pretreatment program is in the beginning stages for Town of Yanceyville. The Town will set limits and a
issue violation notices for Wizard's Cauldron based on the results from the sampling manhole. This
program will also include all industries that discharge to the plant.
7. Facility Site Review
The plant is composed of two Sequential Batch Reactor systems, each running in 4 cycles per day: fill,
react, settle, and decant. Each basin consists of 2 surface aerators, 2 surface mixers, and 2 floating
decanters. The aeration phase was observed during the inspection. Cycles are controlled by a computer
management system. Typical mixed liquor suspended solids (MLSS) for the plant is 2,000 — 3,000 mg/L.
There is no sludge digester, but there is a sludge lagoon on the property.
8. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the permit. A
copy of this data was available for review during the inspection.
9. Effluent/Receiving Waters
The effluent is discharged into Country Line Creek in the Roanoke River Basin. There is a marshy path
Page # 2

Permit: NC0040011
Inspection Date: 12/17/2008
Owner - Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
cleared to the outfall, although the exact location of the effluent pipe was not found on the day of the
inspection.
Page # 3

Permit: NCO040011
Inspection Date: 12/17/2008
Owner - Facility: Yanceyville wWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? MOOO
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n
Judge, and other that are applicable?
Comment: Operator runs a Settleable Solids test a few times per week.
Permit
Yes
No NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n ■
n
Is the facility as described in the permit?
■
n n
n
# Are there any special conditions for the permit?
n
o ■
n
Is access to the plant site restricted to the general public?
■
n n
n
Is the inspector granted access to all areas for inspection?
■
Cl n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
■
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
o
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 4

Permit: NCO040011
Inspection Date: 12/17/2008
Owner - Facility: Yanceyville WWTP
Inspection Type: Compliance Evaluation
Record Keeping
Facility has copy of previous year's Annual Report on file for review?
Comment: No annual report has been received from this facility.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: The effluent is discharged into Country Line Creek in the Roanoke River
Basin. There is a marshy path cleared to the outfall, although the exact location of the
effluent pipe was not found on the day of the inspection.
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
Yes No NA NE
❑ ■ ❑ ❑
Yes No NA NE
■❑❑❑
■nn.n
nnnn
Yes No NA NE
■nnn
■nnn
■nnn
(If units are separated) Does the chart recorder match the flow meter? ■ ❑ ❑ ❑
Comment: Effluent (for purposes of the permit) and influent flow are measured with
ultrasonic flow meters, which are calibrated on a semi-annual basis by Instrument
Specialists, Inc. Both meters were last calibrated on July 17, 2008, and verification of
calibration was available during the inspection.
Bar Screens
Type of bar screen
a. Manual
b. Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: The mechanical barscreen "throws" rags and bits on the ground if it gets
too full. In particular, it has a problem collecting all of the grease (probably a result of
the peanut oil dumping at Wizard Cauldron).
Sequencing Batch Reactors
Type of operation:
Is the reactor effluent free of solids?
Does minimum fill time correspond to the peak hour flow rate of the facility?
...
Yes No NA NE
Duplex
■nnn
■nnn
Page # 5

Permit: NC0040011
Inspection Date: 12/17/2008
Sequencing Batch Reactors
Is aeration and mixing cycled on and off during fill?
The operator understands and can explain the process?
Comment:
Disinfection -Gas
Are cylinders secured adequately?
Are cylinders protected from direct sunlight?
Is there adequate reserve supply of disinfectant?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Owner - Facility: Yanceyville VWVfP
Inspection Type: Compliance Evaluation
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
If yes, then is there a Risk Management Plan on site?
If yes, then what is the EPA twelve digit ID Number? (1 000_,
■ ❑ ❑ ❑
■❑❑❑
If yes, then when was the RMP last updated?
Comment: The chlorine contact chamber is cleaned out once a month. There is no
storage unit.for Chlorine or Sulfur Dioxide gas - they are open to the elements.
Yes No NA NE
Type of system ?
Gas
Is the feed ratio proportional to chlorine amount (1 to 1)?
■ n
n
n
Is storage appropriate for cylinders?
❑ ■
n
n
# Is de -chlorination substance stored away from chlorine containers?
n ■
n
n
Are the tablets the proper size and type?
n n
■
❑
Comment: There is no storage unit for Chlorine or Sulfur Dioxide gas - they are open
to the elements.
Are tablet de -chlorinators operational?
n n
■
n
Number of tubes in use?
Comment: There is no storage unit for Chlorine or Sulfur Dioxide gas - they are open
to the elements.
Standby Power
Yes No
NA
NE
Is automatically activated standby power available?
■ n
n
n
Is the generator tested by interrupting primary power source?
■ ❑
❑
❑
Page # 6

Permit: NCO040011 Owner -Facility: Yanceyville WWTP
Inspection Date: 12/17/2008 Inspection Type: Compliance Evaluation
Standby Power
Yes
No
NA
NE
Is the generator tested under load?
■
❑
❑
❑
Was generator tested & operational during the inspection?
n
■
n
n
Do the generator(s) have adequate capacity to operate the entire wastewater site?
■
n
n
n
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
■
n
n
n
Is the generator fuel level monitored?
■
❑
n
n
Comment: The generator is set on timers. It tuns every Tuesday for 30 minutes on full
load. The Town is responsible for maintenance to the unit.
Lagoons
Yes No
NA NE
Type of lagoons?
Anaerobic
# Number of lagoons in operation at time of visit?
1
Are lagoons operated in?
# Is a re -circulation line present?
n ■
n
n
Is lagoon free of excessive floating materials?
n ■
n
n
# Are baffles between ponds or effluent baffles adjustable?
❑ ❑
■
❑
Are dike slopes clear of woody vegetation?
■ ❑
❑
❑
Are weeds controlled around the edge of the lagoon?
■ n
❑
n
Are dikes free of seepage?
■ ❑
❑
❑
Are dikes free of erosion?
■ ❑
❑
❑
Are dikes free of burrowing animals?
■ ❑
❑
n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations?
n ■
n
n
# If excessive algae is present, has barley straw been used to help control the growth?
n ■
n
n
Is the lagoon surface free of weeds?
n ■
n
n
Is the lagoon free of short circuiting?
❑ ❑
n
■
Comment: Sludge is stored in a lagoon on site as the plant is not equipped with a
sludge digester. Therefore all sludge goes to lagoon.
Laboratory
Yes No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■ n
n
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■ o
n
n
# Is the facility using a contract lab?
■ n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑ n
n
■
Page # 7

Permit: NCO040011 Owner - Facility: Yanceyville VWVfP
Inspection Date: 12/17/2008 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
■
Comment: R&A Labs is the contract lab.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
■
❑
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
❑
n
n
Is the tubing clean?
■
❑
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
n
■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■
n
n
n
Comment:
Page # 8

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Cover Sheet from
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Regional Supervisor
MIR Review Record
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Month/YearFacility-%/��� 0Permit%Pipe No.:
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Parameter --
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Date Parameter Permit Lin iyTvoe DD e % Over Lin P
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Monitoring Fre4uencY Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations QU a V>
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Date:
Completed by:
Resional Water Quality Date: �� c
Supervisor Signoff:
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Dv , �� l _ L�. bS I Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Oyk�V PermP
itlPi eNo.: log00/l MonthlYear %
Facility:
Monthly Average Violations
Parameter
Permit LimLim
it DNS Value % Over it
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Weekly/Daily Violations
Date Parameter Permit L'unitlTvpe DMR Value %Over Limit
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
ther Violations
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Regiona] Water Quality Date:
5upery isor Signoff:
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Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
**LI-e--wIPern-dt/PipeFacility: No.: I�KQbyC1, Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit LilnitiType DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
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Completed by: U V)n . Date: b L1 l
Regional Water Quality i
Supervisor Signoff: —4"W�
Date:
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Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: �l Pernut/Pipe No.: �`I I Month/Year IG
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
keDeDaily Violations
Date Parameter Permit Limit�l vpe DMR Value % Over Limit
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Monitoring Frequency Violations
Date Parameter Permit Frequency Values Resorted # of Violations
Completed by: wVl Date: PA 40
Regional Water Quality I
Supervisor Signoff: Date:

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NCDENR - Division of Water Quality
J Cade4-
585 Waughtown Street
Winston-Salem, NC 27107

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. Haynes Brigman, iv . nagel
Town of Yanceyville
r,O Box 727
Yanceyville, INC 27379
N
A.,
7furO)
X
Agent
Addressee
B. ec N- e by (Pnoted N C
to oyDelivery
�
/mac L
D. Is delivery address different from it
Yes
If YES, enter delivery address below:
❑ No
3. Type
�Se,rv�ice
u<e',tified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from service label) �/� QQ
N� V� - C
PS Form 3811 . February 2004 Domestic Return Receipt n 1 i 102595-02-M-154