NC0021709_Regional Office Historical File Pre 2016

PPPPPPP
North Carolina Department of Environmental Quality
Pat McCrory
Governor
October 15, 2015
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Donald R. van der Vaart
Secretary
A Compliance Evaluation Inspection was performed on the facility by George Smith on October 9, 2015. Mr. Tim
Church, ORC, Grade IV was present for the inspection. The inspection is comprised of an overall evaluation of the
facilities equipment, capability to meet effluent limits, and compliance with the NPDES permit.
Permit
Your new NPDES permit became effective September 1, 2011 and expires March 31, 2016.
It is recommended that the Town register for eDMR. It will be a permit requirement in your next permit cycle.
Please remember to submit your NPDES permit renewal application EPA Form 2A. Send to:
Division of Water Resources
WQ Permitting Section - NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Records & Reports
The facility performs and documents process control of the following: microscopic examination, settleability, MLSS,
pH (clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch, Sludge Volume Index (SVI), and
blanket height with a sludge judge. These records were in excellent order.
The Performance Annual Report for the calendar year 2014 was sent to the NPDES Unit on June 9, 2015.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
The 3/8-inch automatic bar screen was properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a good earthy odor.
The three rings of the ditch have sufficient dissolved oxygen. This treatment unit is performing very well.
450 W Hanes Mill Rd., Suite 300, Winston-Salem, NC 27105
Phone: [phone] Internet: www,ncdenr.gov
An Eoual O000rtunity y Affirmative Action Employer — Made in part by recycled paper

The secondary clarifier's effluent over the weirs was clear. Both units were functioning very well, and were well
maintained. There was a very small amount of floating paver on the surface, which is discharged from the county jail.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is used with a
seven day circular chart.
The calibration was performed and documented by the Town of Jefferson on July 28, 2015.
Laboratory
The municipal lab is field certified #5206, and performed the following: Total Residual Chlorine, Dissolved Oxygen,
pH, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method and using
the flow thru cell. The annual five point calibration is scheduled to be performed during October 2015.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NIST.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color, solids, or odor.
The effluent showed no adverse to the stream.
Operations & Maintenance
The Class II facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred Walters,
Back-up ORC, Grade II.
There were four biological rotators that had rebuilt drive motors. There are two remaining to be rebuilt.
The oxidation ditch is maintained at a MLSS of 2730 mg/L. The settleable solids are 42%. The Sludge Volume Index
(SVI) is 153.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination, which is prepared
and dissolved in water as needed.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model 3710 FR
samplers with refrigerator. They are well maintained, clean tubing and temperature is 1 °C.
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C waters.

PPPPPPP-
A review of the monthly self -monitoring reports from January 2015 through July 2015 showed no limit violations.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with
approximately volume 50% left to waste. The sludge dryer appears to be well maintained. The facility generates
approximately 50% Class A and 50% Class B residuals.
The compliance evaluation inspection is considered satisfactory. Mr. Church does a very good job maintaining the
POTW. If you have any questions please contact George Smith or me at [phone].
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
cc: WSRO Files

pppppppp-
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance 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 IN 2 15 1 3 I NCO021709 111 121 15/10/09 I17 18 L CJ 19 L G j 201 I
211III I I I I I III I I I I I I I I I I I I I I I( I I I I I I III I I I I 1 r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---------------Reserved -------- ----
67
I�� 70 71 itIn JI 72 I LN I 731 I 174 75I III I I I (80
LJ J 1
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:OOAM 15/10/09
11/09/01
Jefferson WWTP
1233 NC Hwy 16 S
Exit Time/Date
Permit Expiration Date
Jefferson NC 28640
12:30PM 15/10/09
16/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067H336-246-2165/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement M Operations & Maintenance N Records/Reports
Self -Monitoring Program 0 Facility Site Review 0 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
George S Smith WSRO WQH336-776-9700/
pp
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
OR
asp`
EPA Form 3560-3 fRev 9-94) Previous editions are obsolete.
Page#

Permit: NCO021709 Owner -Facility: Jefferson WWfP
Inspection Date: 10/09/2015 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge 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
❑
0
❑
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# 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?
0
❑
❑
❑
Comment: Renewal notice was given with this report
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?
0
❑
❑
❑
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
❑
❑
M
❑
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?
M
❑
❑
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?
❑
❑
❑
Page# 3

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Permit: NCO021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/09/2015 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? M ❑ ❑ ❑
Comment:
Oxidation Ditches
Yes No NA NE
Are the aerators operational?
0
❑
❑
❑
Are the aerators free of excessive solids build up?
0
❑
❑
❑
# Is the foam the proper color for the treatment process?
0
❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
M
❑
❑
❑
Is the DO level acceptable?
0
❑
❑
❑
Are setteeometer results acceptable (> 30 minutes)?
0
❑
❑
❑
Is the DO level acceptable?(1.0 to 3.0 mg/1)
0
❑
❑
❑
Are settelometer results acceptable?(400 to 800 ml/I in 30 minutes)
0
❑
❑
❑
Comment:
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
0
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
0
❑
❑
❑
Are weirs level?
M
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
❑
Is the site free of evidence of short-circuiting?
N
❑
❑
❑
Is scum removal adequate?
N
❑
❑
❑
Is the site free of excessive floating sludge?
M
❑
❑
❑
Is the drive unit operational?
0
❑
❑
❑
Is the return rate acceptable (low turbulence)?
0
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
0
❑
❑
❑
Comment:
Filtration (High Rate Tertiary)
Yes No NA NE
Type of operation:
Down flow
Is the filter media present?
, ❑
❑
❑
Is the filter surface free of clogging?
0 ❑
❑
❑
Is the filter free of growth?
N ❑
❑
❑
Page# 4

Permit: NCO021709
Owner - Facility: Jefferson WWTP
Inspection Date: 10/09/2015
Inspection Type: Compliance Evaluation
Filtration (High Rate Tertiary)
Yes No NA NE
Is the air scour operational?
0
❑
❑
❑
Is the scouring acceptable?
0
❑
❑
❑
Is the clear well free of excessive solids and filter media?
0
❑
❑
❑
Comment:
Disinfection -Gas
Yes No NA NE
Are cylinders secured adequately?
0
❑
❑
❑
Are cylinders protected from direct sunlight?
0
❑
❑
❑
Is there adequate reserve supply of disinfectant?
N
❑
❑
❑
Is the level of chlorine residual acceptable?
0
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
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? (1000- -____)
If yes, then when was the RMP last updated?
Comment:
De -chlorination
Yes No NA NE
Type of system ?
Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑ ❑
0
❑
Is storage appropriate for cylinders?
N ❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
0 ❑
❑
❑
Comment:
Are the tablets the proper size and type? ❑ ❑ E ❑
Are tablet de -chlorinators operational? ❑ ❑ N ❑
Number of tubes in use?
Comment:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
N
❑
❑
❑
Page# 5

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Permit: NCO021709
Inspection Date: 10/09/2015
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
Flow Measurement - Effluent
(If units are separated) Does the chart recorder match the flow meter?
Comment:
Effluent Samplinu
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:
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
❑ ❑ ❑ ■
Yes No NA NE
■ ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ❑
❑ ❑ M ❑
Page# 6

DMR Review Record
Facility: ,T 4frsan wwrp Permit No.: NGDO;-/7o y Pipe No.: DO ( MonthNear: 4% zqu-
Parameter
Date Parameter
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Permit Limit Limit Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations/Staff Remarks:
sX AP/4- W4S /0S L
S 0 PT
Supervisor Remarks: 3 P 3
Completed by: ��}� Date: /t /If//,f—
Assistant Regional
Supervisor Sign Off: Y Date: I t
Regional Supervisor Sign
Off: Date:
Action
Action
Action

Facility:y fc+crson 1Vwrp
Parameter
DMR Review Record
Permit No.: W 00 9 170cl Pipe No.:
Monthly Average Violations
0 (11
MonthNear:
Permit Limit DMR Value % Over Limit Action
Weekly/Daily Violations
Date
Parameter
Permit Limit Limit Type
DMR Value % Over Limit Action
Monitoring Frequency
Violations
Date
Parameter
Permit Frequency
Values Reported # of Violations Action
Ti-
Othe Violations/Staff Remarks:
Ts s
3 x
J�
T=c ,I o
3 r
sgbin ,t,C-c�
Tvn I"fr Vole e- oN /�� ron
1 hoI,—
)upervisor Remarks:
t'tic. I d�6-i► " Tt �n 6 ilr7/� �F� JCWA-I '7w-W calVWW- .
Completed by:
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off: J
Date: ? // z l !S-
Date:
Date: /Z AtZ✓e A

A�
�
KNEW
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Pat McCrory John E. Skvarla, III
Governor Secretary
November 3, 2014
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
A Compliance Evaluation Inspection was performed on the facility by George Smith on October 31,
2014. Mr. Tim Church, ORC, Grade IV was present for the inspection. The inspection is comprised of an
overall evaluation of the facilities equipment, capability to meet effluent limits, and compliance with the
NPDES permit.
Permit
Your new NPDES permit became effective September 1, 2011 and expires March 31, 2016.
It is recommended that the Town register for eDMR. This office appreciates your attending the eDMR
training on October 22, 2014.
Records & Reports
The facility performs and documents process control of the following: microscopic examination,
settleability, MLSS, pH (clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch,
Sludge Volume Index (SVI), and blanket height with a sludge judge. These records were in excellent
order.
The Performance Annual Report for the calendar year 2013 was sent to the NPDES Unit on May 30,
2014.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
The 3/8-inch automatic bar screen was properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a good
earthy odor. The three rings of the ditch have sufficient dissolved oxygen. This treatment unit is
performing very well.
450 W. Hanes Mill Road, Suite 300, North Carolina 27105
Phone: [phone]
Internet:: www.ncwaterauality.org

Compliance Evaluation Inspection
November 3, 2014
Page 2 of 3
The secondary clarifier's effluent over the weirs was clear. Both units were functioning very well, and
were well maintained. There was a very small amount of floating paper on the surface, which is
discharged from the county jail.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was
clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is
used with a seven day circular chart.
The calibration was performed and documented by the Town of Jefferson on August 1, 2014.
Laboratory
The municipal lab is field certified #5206, and performed the following: Total Residual Chlorine,
Dissolved Oxygen, pH, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method
and using the flow thru cell. The annual five point calibration was performed on July 22, 2014.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10
buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NIST.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color,
solids, or odor.
The effluent showed no adverse to the stream.
Operations & Maintenance
The Class II facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred
Walters, Back-up ORC, Grade II.
There were four biological rotators that had rebuilt drive motors. There are two remaining to be rebuilt.
The oxidation ditch is maintained at a MLSS of 2250 mg/L. The settleable solids are 34%. The Sludge
Volume Index (SVI) is 151.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination, which is
prepared and dissolved in water as needed.

Compliance Evaluation Inspection
November 3, 2014
Page 3 of 3
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model
3710 FR samplers with refrigerator. They are well maintained, clean tubing and temperature is 1°C.
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C
waters.
A review of the monthly self -monitoring reports from January 2014 through July 2014 showed no limit
violations.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with
approximately volume 50% left to waste. The sludge dryer appears to be well maintained. The facility
generates approximately 50% Class A and 50% Class B residuals.
The compliance evaluation inspection is considered satisfactory. Mr. Church does a very good job
maintaining the POTW. If you have any questions please contact George Smith or me at [phone].
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
cc: WSRO Files

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 Fee Type
1 IN 1 2 15 1 3 ( NCO021709 I11 121 14/10/31 I17 18 (� j 19 (I j 201 I
21111111111111111111111111111111111111111111 f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA -------------------- Reserved -------------
67
� � 72 L I j 73 Lj 751 I80
70 71 -
l_J LJ
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:OOAM 14/10/31
11/09/01
Jefferson WWfP
1233 NC Hwy 16 S
Exit Time/Date
Permit Expiration Date
Jefferson NC 28640
12:15PM 14/10/31
16/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067//336-246-2165/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program N 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
George S Smith WSRO WQ//336-771-5000/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
•
y� �f.�." • �I �/�
EPA Form 3560-3 (f. 9-94) Previous editions are obsolete.
Page#

Permit: NCO021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/31/2014 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge 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
❑
❑
M
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# 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?
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)?
❑
❑
0
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
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?
M
❑
❑
❑
(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?
❑
❑
❑
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?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Page# 3

Permit: NCO021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/31/2014 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? M ❑ ❑ ❑
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?
❑
❑
❑
N
Comment:
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
E
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
E
❑
❑
❑
Are weirs level?
N
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
❑
Is the site free of evidence of short-circuiting?
N
❑
❑
❑
Is scum removal adequate?
0
❑
❑
❑
Is the site free of excessive floating sludge?
0
❑
❑
❑
Is the drive unit operational?
0
❑
❑
❑
Is the return rate acceptable (low turbulence)?
M
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately'/. of the sidewall depth)
N
❑
❑
❑
Comment:
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
N ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
0
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
N ❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
❑
❑
❑
Is the DO level acceptable?
❑
❑
❑
Page# 4

Permit: NCO021709 Owner - Facility: Jefferson wwrP
Inspection Date: 10/31/2014 Inspection Type: Compliance Evaluation
Aeration Basins Yes No NA NE
Is the DO level acceptable?(1.0 to 3.0 mg/1) N ❑ ❑ ❑
Comment:
Disinfection -Gas
Yes No NA NE
Are cylinders secured adequately?
E
❑
❑
❑
Are cylinders protected from direct sunlight?
N
❑
❑
❑
Is there adequate reserve supply of disinfectant?
0
❑
❑
❑
Is the level of chlorine residual acceptable?
❑
❑
❑
0
Is the contact chamber free of growth, or sludge buildup?
E
❑
❑
❑
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)?
❑
❑
❑
If yes, then is there a Risk Management Plan on site?
❑
❑
❑
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 ? Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)? 0 ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ N ❑
# Is de -chlorination substance stored away from chlorine containers? 0 ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? ❑ ❑ E ❑
Are tablet de -chlorinators operational? ❑ ❑ ❑
Number of tubes in use?
Comment:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
0
❑
❑
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
E
❑
❑
❑
Is the tubing clean?
E
❑
❑
❑
Page# 5

Permit: NCO021709 Owner - Facility: Jefferson WWiP
Inspection Date: 10/31/2014 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees M ❑ ❑ ❑
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 0 ❑ ❑ ❑
sampling location)?
Comment:
Page# 6

WD�NR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
February 5, 2015
Mr. Tim Church, Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation
NOV-2015-LV-0053
Town of Jefferson WWTP
NPDES Number: NCO021709
Ashe County
Dear Mr. Church:
Donald R. van der Vaart
Secretary
Review of the self -monitoring report for the month of November 2014 revealed the following limit
violation(s):
Monthly Average Violation(s)
Parameter Permit Limit Reported Value
Fecal Coliform 200 counts / 100 mL 233 counts / 100 mL
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem(s). 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 me at [phone].
cc: WSRO File Copy
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
450 W. Hanes Mill Road, Winston-Salem, North Carolina 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

Town of Jefferson LVGttw Re40 rck
P.O. Box 67 1233 NC Highway 16 South Jefferson, NC 28640 [phone]
Cathy Howell, Town Manager Tim Church, Director
December 8, 2014
Michelle Scott, Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
SUBJECT: Information Packet for eDMR Registration
Town of Jefferson Water Resources
NPDES Permit NCO021709
Dear Ms. Scott:
RECEIVED
N.C,Dept, of ENR
DEC 112014
Winston-Salem
Regional Office
Enclosed please find the following documents required of the Town of Jefferson for the
purpose of completing the registration process for electronic daily monitoring
reporting.
1.) Memo to eDMR staff listing Mayor Bluferd Eldreth as the Responsible Official.
2.) Delegation of signatory authority from Mayor Bluferd Eldreth to Tim Church,
Water Resources Director.
3.) Water Pollution Control System Operator Designation Forms for the Jefferson
Wastewater Plant, Jefferson Water Plant Backwash Lagoons, Jefferson Wastewater
Collection System, Jefferson Spray Irrigation, and Jefferson Land Application of
Wastewater Residuals.
If you have questions or require additional information please call me at [phone]
or contact me by e-mail at the address listed below. Thank you.
Respectfully, /
Tim Church
Water Resources Director
cc: Mr. George Smith
NC DWR Winston-Salem Regional Office
jeff ns ent ryiinh.net

DMR Review Record
Facility: l nwq DIP J .e "c✓esan Permit No.: W Mo 1709 Pipe No,:
Monthly Average Violations
Parameter Permit Limit DMR Value
Fi e e l C c LFerm -1001 oZ 33
Date Parameter
Date Parameter
Other Violations/Staff Remarks:
Supervisor Remarks:
`o 4�
Weekly/Daily violations
Permit Limit Limit Type DMR Value
Monitoring Frequency Violations
Permit Frequency Values Reported
Completed by:
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
MonthNear: /yoy 20/y
% Over Limit
17
Action
"IV
% Over Limit
Action
# of Violations
Action
Date: �, %Y is -
Date:
Date: l �i 2
"" �`S

pr
AZJL)
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
October 21, 2013
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
A Compliance Evaluation Inspection was performed on the facility by George Smith on October 16,
2013. Mr. Tim Church, ORC, Grade IV was present for the inspection. The inspection is comprised of an
overall evaluation of the facilities equipment, capability to meet effluent limits, and compliance with the
NPDES permit.
Permit
Your new NPDES permit became effective September 1, 2011 and expires March 31, 2016.
Records & Reports
The facility performs and documents process control of the following: microscopic examination,
settleability, MLSS, pH (clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch,
Sludge Volume Index (SVI), and blanket height with a sludge judge. These records were in excellent
order.
The Performance Annual Report for the calendar year 2012/13 will be compiled and sent to the NPDES
Unit in the next few weeks.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
The 3/8-inch automatic bar screen was properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a good
earthy odor. The three rings of the ditch have sufficient dissolved oxygen. This treatment unit is
performing very well.
585 Waughtown Street North Carolina 27360
Phone: [phone] Fax: [phone]
Internet:: www.ncwaterouality.ora
An Eaual O000rtunitv\Affirmative Action Emolover

Compliance Evaluation Inspection
October 21, 2013
Page 2 of 3
The secondary clarifiers had very slight straggler flock coming over the weirs. The effluent over the weirs
was clear. Both units were functioning very well, and were well maintained.
There were numerous pieces of paper floating in the secondary clarifiers and the tertiary filter. The small
papers were collected along the clarifier weirs, scum trough, and floated in the tertiary filter bed. There is
a potential for operation and maintenance problems in both the plant and collection system.
The papers are coming from the county jail. Chewing gum wrappers and similar paper products are
dumped into a sink and sent through a grinder (muffin monster). Recommend the Town suggest an
alternate disposal method for the jail. The county jail may be placed in the pretreatment program as an
industrial user for adverse impacts to the POTW.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was
clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is
used with a seven day circular chart. The instantaneous flow at the time of the inspection is 0.255 MGD.
The calibration was performed and documented by the Town of Jefferson on October 14, 2013.
Laboratory
The municipal lab is field certified #5206, and performed the following: Total Residual Chlorine,
Dissolved Oxygen, pH, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method
and using the flow thru cell. The annual five point calibration was performed on June 29, 2012, and is
scheduled for calibration in October 2013.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10
buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NIST.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color,
solids, or odor.
The effluent did cause the receiving waters did have a slight amount of foam on the surface which
dissipated approximated 20-feet downstream. This was noted in previous years.

r
Compliance Evaluation Inspection
October 21, 2013
Page 3 of 3
Operations & Maintenance
The Class II facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred
Walters, Back-up ORC, Grade II.
The oxidation ditch is maintained at a MLSS of 2560 mg/L. The settleable solids are 39%. The Sludge
Volume Index (SVI) is 164.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination, which is
prepared and dissolved in water as needed.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model
3710 FR samplers with refrigerator. They are well maintained, clean tubing and temperature is 0°C.
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C
waters.
A review of the monthly self -monitoring reports from January 2013 through July 2013 showed no limit
violations.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with
approximately volume 40% left to waste. The sludge dryer appears to be well maintained. The facility
generates approximately 50% Class A and 50% Class B residuals.
The compliance inspection is considered satisfactory. Mr. Church does a very good job maintaining the
POTW. If you have any questions please contact George Smith or me at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: 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 1 5 I 31 NCO021709 111 121l 13/10/16 117 18 J C I 191 S I 20
!=! J !J
Remarks
2111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA---------
671 169 70 14 I 71 U 72 73I � 174 751 I I I I I I 180
L_Jty�'
'� Lt_I
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)
Jefferson WWTP
09:03 AM 13/10/16
11/09/01
Exit Time/Date
Permit Expiration Date
1233 NC Hwy 16 S
Jefferson NC 28640
10:30 AM 13/10/16
16/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Timothy Chu rch/O RC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067//336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance 0 Records/Reports
Self -Monitoring Program 0 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
George S Smith WSRO WQ//336-771-5000/ )013
Cam`
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
ei
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO021709
Inspection Date: 10/16/2013
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
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 ■ C) Cl n
Judge, and other that are applicable?
Comment:
D--f V.. M- IAA uC
(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?
■
❑ ❑
❑
# Are there any special conditions for the permit?
❑
■ ❑
❑
Is access to the plant site restricted to the general public?
■
n ❑
❑
Is the inspector granted access to all areas for inspection?
■
❑ ❑
n
Comment:
Record Keeping
Yes
No NA
NE
Are records kept and maintained as required by the permit?
■
❑ ❑
❑
Is all required information readily available, complete and current?
■
n ❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n ❑
❑
Are analytical results consistent with data reported on DMRs?
■
❑ ❑
❑
Is the chain -of -custody complete?
■
❑ 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 ❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
■ n
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n ■
❑
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?
■
❑ ❑
n
Is a copy of the current NPDES permit available on site?
■
❑ n
❑
Page # 3

IF
Permit: NCO021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/16/2013 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ■ ❑ n ❑
Comment: 2012/13 annual report is being prepared.
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:
Rotating Biological Contactor
Is the unit free of excessive sloughing of growth?
Is the unit operational?
Are media panels in good condition?
Comment:
Yes No NA NE
Oxidation Ditches
Yes
No NA
NE
Are the aerators operational?
■
n n
n
Are the aerators free of excessive solids build up?
■
❑ ❑
❑
# Is the foam the proper color for the treatment process?
■
❑ ❑
❑
Does the foam cover less than 25% of the basin's surface?
■
❑ ❑
❑
Is the DO level acceptable?
■
❑ ❑
Cl
Are settleometer results acceptable (> 30 minutes)?
■
❑ ❑
n
Is the DO level acceptable?(1.0 to 3.0 mg/1)
■
❑ ❑
❑
Are settelometer results acceptable?(400 to 800 ml/I in 30 minutes)
■
❑ ❑
❑
Comment:
Disinfection -Gas
Yes
No
NA
NE
Are cylinders secured adequately?
■
n
n
❑
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?
❑
❑
❑
■
Page # 4

Permit: NC0021709
Inspection Date: 10/16/2013
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
Disinfection -Gas
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? (1000- - )
If yes, then when was the RMP last updated?
Comment:
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:
❑n■a
nn■n
nn■o
nn■n
11
Page # 5

Pr A�
�'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John E. Skvarla, III
Governor Director Secretary
May 6, 2013
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Retraction of Notice of Violation
NPDES Permit No. NCO021709
Town of Jefferson WWTP
Ashe County
Dear Mr. Church:
The purpose of this letter is to retract the March 27, 2013 Notice of Violation letter sent to the Town of
Jefferson concerning the December 2012 DMR for the wastewater treatment plant. The letter cited the failure
to perform semi-annual monitoring for Total Nitrogen and Total Phosphorus. We received the amended report
for July 2012 DMR indicating the monitoring was performed.
If you have questions concerning this matter, please do not hesitate to contact George Smith 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
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone]
Internet: www.ncwateraualitv.oro
Nne
orthCarolina
Natmally
An Equal Opportunity 1 Affirmative Action Employer

PV
Pat McCrory
Governor
A==
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E. John E. Skvarla, III
Director Secretary
March 27, 2013
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Review of the self -monitoring report for the month of December 2012 revealed the following monitoring
violation(s):
Parameter
Date
Permit Frequency
Values Reported
# of Violations
Total N
Dec. 31
Semi-annual
0
1
Total P
Dec 31
Semi-annual
0
1
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem(s). 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 me at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
cc: WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone]
Internet: www.ncwatemuality.ora
Nne
orthCarolina
Naturally
An Equal Opportunity 1 Affirmative Action Employer

PV
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: J -e.fif-e,^En Lt � IP Permit/Pipe No.:
NICCD , -l7o % Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Ujnn trype DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
19-131 I vca A/ S t Mi- CC✓Inua 1 U 1 /
r i
C
1
Other Violations
._
Completed by:
ReQional Water Quality
Supervisor SiQnoff:
Date: ? -- �-S =t.�
Date
A,O4" la 3
5);ss;rf<,(� �rJ
TA) TP NOV
11,17113

Town of Jefferson Water Re 0t trCe,k
Box 67 1233 NC Highway 16 South Jefferson, NC 28640 [phone]
Cathy Howell, Town Manager
NC Dept. of Environment & Natural Resources
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
ATTN: W. Corey Basinger
Subject: Notice of Violation
Town of Jefferson WWTP
NPDES No. NC0021709
Ashe County
Dear Mr. Basinger:
Tim Church, Director
Ko. 010p ( of KKR
Wlnacc; � •@;�rc�m
Region&I Office
I am in receipt of an NOV for Jefferson WWTP resulting from the failure to report Total
Nitrogen and Total Phosphorous for the last semi-annual period of 2012. This resulted
from the failure of our commercial lab to send us that data. I have now retrieved that
information from them and included it on an amended DMR which is being sent to
Central Files. I have also included a copy of that DMR in this correspondence.
I apologize for the inconvenience resulting from this error.
Respectfully,
?mow., amd".,
Tim Church
Water Resources Director
CR� )1 s
j effw ns tkc a nturylink . net
,�_ � i)T
ox

EFFLUENT
Dµ'Q Fomi MR-1 (11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet pen -nit requirements
(including weekly averages• if applicable)
All monitoring data and sampling frequencies do NOT meet permit requirements
F _vI
Compl
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"! certify, under penalty of law. that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the inn-ortmation
submitted, Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations,;'
Tim Church
Penitittec (Vicase prinf or type)
t t Signature of Pennittce'" Date
(Regaired unless submitted electronically)
PO Box 67 Jefferosrt NC 28640 [phone]
f cmnittec Address Phone Number e-mail address PermitExpiration Date
- r
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) C f lion No
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
ertt tea
cltlf}�x;-n No
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at (9 19) 807-6300 or by visiting
}tti p://porta 1. ncdenr. org,`web'wq /swp,tOs/npdes�a�p font's..
t Ise oni\ units of measurement designated in:the reporting. facvhty s NhDI_S permit for reporting data. t
No Flow/Discharge From Site: Check this box if nodkcharge occurs and, as•a result. there are no delta to be
entered liar all of the parameters on the DMR for the entire monitoring period.
RR ORC On Site?: ORC must visit facility and document sisitation of facility as required per 15A NCAC 8G .0204.
**" Signature of Permittec: If signed by other than the permittce, then the delegation of the signaton authority must be on
file with the state per 15A NCAC 213 .0506(b)(2)(D).
t'acc 2

PWA
IV
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
October 15, 2012
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
A Compliance Evaluation Inspection was performed on the Grade III facility by George Smith on October 10, 2012. Mr.
Tim Church, ORC, Grade IV along with Mr. Fred Walters, Back-up ORC, Grade II were present for the inspection. The
inspection is comprised of an overall evaluation of the facilities equipment, capability to meet effluent limits, and
compliance with the NPDES permit.
Permit
Your new NPDES permit became effective September 1, 2011 and expires March 31, 2016.
Records & Reports
The facility performs and documents process control of the following: microscopic examination, settleability, MLSS, pH
(clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch, Sludge Volume Index (SVI), and blanket
height with a sludge judge. These records were in excellent order.
The Performance Annual Report for the calendar year 2012 will be compiled and sent in the next few weeks.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
The 3/8-inch automatic bar screen was properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a good earthy odor. The
three rings of the ditch have sufficient dissolved oxygen. This treatment unit is performing very well.
The secondary clarifiers had very slight straggler flock coming over the weirs. The effluent over the weirs was clear. Both
units were functioning very well, and were well maintained.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was clear. Both filters
were backwashing at the time of the inspection.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] NorthCarollna
Internet: www.ncwaterquality.org Aahma ff
An Equal Opportunity 1 Affirmative Action Employer "

Compliance Evaluation Inspection
October 15, 2012
Page 2 of 3
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
194
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is used with a seven
day circular chart. The instantaneous flow at the time of the inspection is 0.605 MGD.
The calibration was performed and documented by the Town of Jefferson on January 26, 2012.
Laboratory
The municipal lab is field certified #5206, and performed the following: Total Residual Chlorine, Dissolved Oxygen, pH,
and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method and using the
flow thru cell. The annual five point calibration was performed on June 29, 2012.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NBS.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color, solids, or odor.
The effluent did cause the receiving waters did have a slight amount of foam on the surface which dissipated
approximated 20-feet downstream.
There was a beaver dam at the wooden foot bridge. The creek was much higher elevation than normal. The dam should be
removed in order to prevent water from backing -up into the plant.
Operations & Maintenance
The Grade III facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred Walters, Back-
up ORC, Grade U.
All treatment units in the facility were well maintained. The oxidation ditch is maintained at a MLSS of 2100 mg/L. The
dissolved oxygen in the outer ring is 0.2 mg/L and the inner ring is 3 mg/L.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination, which is prepared and
dissolved in water as needed.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model 3710 FR
samplers with refrigerator. They are well maintained, clean tubing and temperature is < 4°C.

Compliance Evaluation Inspection
October 15, 2012
Page 3 of 3
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C waters.
A review of the monthly self -monitoring reports from January 2012 through August 2012 showed no limit violations.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with plenty of room
for wasting solids. The sludge dryer appears to be well maintained. The facility generates approximately 50% Class A and
50% Class B residuals.
The compliance inspection is considered satisfactory. If you have any questions please contact George Smith or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
cc: WSRO Files

United States Environmental Protection Agency Form Approved.
EPA Washington, D.C. 20460 OMB No. 2040-0057
_ - _ _ .. _ ___ _ _ _ _ _ I_ _ _ _ I 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 _2 I 31 NCO021709 11 121 12/10/10 117 18I CJ 191L c I 20L
Remarks
211111111111111111111111111111 11111111111111111116E
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ---------------------Reserved— --------- -------
67 ( 169 70I Ij DLI I I 180
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 12/10/10 11/09/01
Jefferson WWTP
1233 NC Hwy 16 S Exit Time/Date Permit Expiration Date
Jefferson NC 28640 11:15 AM 12/10/10' 16/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
///
Timothy Church/ORC/336-246-2165/
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067H336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 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)
George S Smith
Signature of Management Q A Reviewer
.il/IAa i. o .-
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Agency/Office/Phone and Fax Numbers
WSRO WQ//336-771-5000/
�Agency/Office/Phone and Fax
Numbers
Date
C?'l /S- a o/)
Date
Page # 1

NPDES
yr/mo/day
31 NCO021709 I11 121 12/10/10 117
Inspection Type
18u
C
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO021709
Inspection Date: 10/10/2012
Owner - Facility: Jefferson WWTP
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?
n
n
■
n
Is the facility as described in the permit?
■
❑
n
Q
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
❑
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n ❑ n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ 0 ❑ n
Judge, and other that are applicable?
Comment:
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
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?
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 on each shift?
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?
Yes No NA NE
Page # 3

Permit: NCO021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/10/2012 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ■ ❑ ❑ n
Comment: 2012 report is currently being submitted
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting?
■
Q n
n
Is flow meter calibrated annually?
■
❑ ❑
❑
Is the flow meter operational?
001111
(If units are separated) Does the chart recorder match the flow meter?
❑
n n
■
Comment:
Bar Screens
Yes
No NA
NE
Type of bar screen
a.Manual
n
b.Mechanical
■
Are the bars adequately screening debris?
■
000
Is the screen free of excessive debris?
■
Q Q
n
Is disposal of screening in compliance?
■
Q ❑
n
Is the unit in good condition?
■
n n
Comment:
Oxidation Ditches
Yes
No NA
NE
Are the aerators operational?
Are the aerators free of excessive solids build up?
# Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Are settleometer results acceptable (> 30 minutes)?
Is the DO level acceptable?(1.0 to 3.0 mg/I)
Are settelometer results acceptable?(400 to 800 ml/I in 30 minutes)
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
■❑00
■ Q n n
■ ❑ ❑
■nnn
■n00
n n n ■
■nnn
0n❑■
Yes No NA NE
■■❑❑
■nnn
Page # 4

IV
Permit: NC0021709 Owner - Facility: Jefferson WWTP
Inspection Date: 10/10/2012 Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No NA NE
Are weirs level? ■ ❑ ❑ ❑
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
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?
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? (1000- - )
If yes, then when was the RMP last updated?
Comment:
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?
Yes No NA NE
Yes No NA NE
Liquid
❑ ❑ ❑ ■
❑❑■❑
■❑❑❑
❑ ❑ ■ ❑
Page # 5

Permit: NCO021709 Owner - Facility: Jefferson WWTP 11
Inspection Date: 10/10/2012 Inspection Type: Compliance Evaluation
De -chlorination Yes No NA NE
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment: sodium metabisulfite is purchased and mixed in water and used as needed.
Filtration (High Rate Tertiary)
Type of operation:
Is the filter media present?
Is the filter surface free of clogging?
Is the filter free of growth?
Is the air scour operational?
Is the scouring acceptable?
Is the clear well free of excessive solids and filter media?
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)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment:
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: some foam is present. Last inspection there was no foam.
Yes No NA NE
Yes No NA NE
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■nnn
■ ❑ ❑ ❑
Yes No NA NE
Page # 6

Pr�MWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
May 18, 2012
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Review of the self -monitoring report for the month of February 2012 revealed the following violation(s):
Monthly Average Violation(s)
Parameter Permit Limit
Cyanide 8.4 ug/L
Reported Value
23 ug/L
Dee Freeman
Secretary
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
W Corey Basinger
Regional Supervisor
cc: 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]
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
Naturally

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: J 4fftAl %bvn of Permit/Pipe No.: A)CQO)-1702 Month/Year F-� �vlz
Monthly Average Violations
Parameter Permit Limit DMR Value
Gl� 44
% Over Limit
GYM
Weekly/Daily Violations
Date Parameter Permit Limitjv�e DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
Other Violations
1V D /-✓1 "PCCIVCA 1 S
Completed by: �����►�®�
Regional Water Quality
Supervisor Signoff:
Date: ,5,—! C - 2 01
Date:

Ashe
N CO021709
Limit Violation
Daily Maximum
Exceeded
Monthly
Average
Exceeded
Jefferson WWTP
001 Cyanide, Total (as Cn)
ALeorc-i � 3 Aj1L 6 n DMA
III

A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E.
Governor Director
February 1, 2012
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
A Compliance Evaluation Inspection was performed on the Grade III facility by George Smith on January 24, 2012. Mr.
Tim Church, ORC, Grade IV along with Mr. Fred Walters, Back-up ORC, Grade H were present for the inspection. The
inspection is comprised of an overall evaluation of the facilities equipment, capability to meet effluent limits, and
compliance with the NPDES permit.
Permit
Your new NPDES permit became effective September 1, 2011 and expires March 31, 2016. Please make yourself familiar
with the new permit monitoring requirements
Records & Reports
The facility performs and documents process control of the following: microscopic examination, settleability, MLSS, pH
(clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch, Sludge Volume Index (SVI), and blanket
height with a sludge judge. These records were in excellent order.
The Performance Annual Report for the calendar year 2011 will be compiled and sent in the next few weeks.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
The 3/8-inch automatic bar screen was properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a good earthy odor. The
three rings of the ditch have sufficient dissolved oxygen. This treatment unit is performing very well.
The secondary clarifiers had some straggler flock coming over the weirs. The effluent over the weirs was clear. Both units
were functioning very well, and were well maintained.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was clear.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] NorthCarolina
Internet: www.ncwaterquality.org 'J� "
atum lY
An Equal Opportunity 1 Affirmative Action Employer �/

Compliance Evaluation Inspection
February 1, 2012
Page 2 of 3
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
C
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is used with a seven
day circular chart. The instantaneous flow at the time of the inspection is 0.605 MGD.
The calibration was performed and documented by the Town of Jefferson on January 26, 2012.
Laboratory
The municipal lab is field certified #5206, and performed the following: Residual chlorine, dissolved oxygen, pH, residue
settleable, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method and using the
flow thru cell. A five point calibration is performed annually.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NBS.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color, solids, or odor.
Operations & Maintenance
The Grade III facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred Walters, Back-
up ORC, Grade II.
All treatment units in the facility were well maintained. The oxidation ditch is maintained at a MLSS of 2800 mg/L.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model 3710 FR
samplers with refrigerator. They are well maintained, clean tubing and temperature is < 4°C.
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C waters.
A review of the monthly self -monitoring reports from January 2011 through November 2011 showed no limit violations.

Compliance Evaluation Inspection
February 1, 2012
Page 3 of 3
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with plenty of room
for wasting solids. The sludge dryer appears to be well maintained. The facility generates approximately 50% Class A and
50% Class B residuals.
The compliance inspection is considered satisfactory. If you have any questions please contact George Smith or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
cc: WSRO Files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compligm-P InspPctinn 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
INI 2 15 I 31 NCO021709 111 121 12/01 /24 117 181 C I 19 I S I 20I I
Remarks
211111IIIIIIIIIIIIIIIIII1I IIIIIIIIIIIIIIIIIIIII_]_J6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67I 169 70131 711 DI 721 NJ 73 L1J 74 751 III I I I 180
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 12/01 /24
11 /09/01
Jefferson WWTP
Exit Time/Date
Permit Expiration Date
1233 NC Hwy 16 S
Jefferson NC 28640
11:30 AM 12/01/24
16/03/31
i
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067//336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 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
George S Smith WSRO WQ//336-771-5000/ k j p
,
t��?J.,', 0'5eL,
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
�. �t7irat.IL' --(,cif, z Fuv';� Zvt.2 -
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

11
NPDES yr/mo/day Inspection Type 1
3I NCO021709 I11 12, 12/01/24 117 181
Cl
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO021709
Inspection Date: 01/24/2012
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
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:
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
❑
■
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
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?
■
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
■
❑
❑
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑
■
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
Is a copy of the current NPDES permit available on site?
■
n
n
❑
Page # 3

Permit: NC0021709
Inspection Date: 01/24/2012
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
11
Record Keeping
Yes No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
■ n
n
n
Comment:
Effluent Pipe
Yes No
NA
NE
Is right of way to the outfall properly maintained?
■ n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■ n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n n
■
Cl
Comment:
Flow Measurement - Effluent
Yes No NA
NE
# Is flow meter used for reporting?
■ n
n
n
Is flow meter calibrated annually?
■ n
n
n
Is the flow meter operational?
■ n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■ n
n
n
Comment: There is a lot of chart noise due to pumps cycling on and off.
Secondary Clarifier
Yes No
NA
NE
Is the clarifier free of black and odorous wastewater?
■ n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
■ n
n
n
Are weirs level?
■ n
n
n
Is the site free of weir blockage?
■ n
n
n
Is the site free of evidence of short-circuiting?
■ n
n
Q
Is scum removal adequate?
■ n
n
n
Is the site free of excessive floating sludge?
■ n
n
n
Is the drive unit operational?
■ n
n
n
Is the return rate acceptable (low turbulence)?
■ n
n
n
Is the overflow clear of excessive solids/pin floc?
■ n
n
n
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth)
n Cl
n
■
Comment:
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
Page # 4

Permit: NCO021709
Inspection Date: 01/24/2012
Disinfection -Gas
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
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? (1000- )
If yes, then when was the RMP last updated?
Comment:
Disinfection -Liquid
Is there adequate reserve supply of disinfectant?
(Sodium Hypochlorite) Is pump feed system operational?
Is bulk storage tank containment area adequate? (free of leaks/open drains)
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?
Comment:
Yes No NA NE
❑ ❑ ❑ ■
■nnn
nnn■
nnn■
nnn■
■nnn
■nnn
■ n n n
nnn■
■ n n n
nnn■
Page # 5

Regional Field Inspectors Check List for Field Parameters
Name of site to be Inspected: e {'.{ rsore J&' /owl) 'IFl Date: Tarj .2Y, z�i
Field certification # (if applicable): ,51 C, 6 Inspector: Ec vrg;� S i"); zh
NPDES #: NC.00 11 '70 `l Region: W SKD
I. Circle the parameter or parameters performed at this site.
Residual Chlorini ;4 Settleable Solids, pH�,/DO, Conductivity, Temperature
II. Instrumentation:
A. Does the facility have the equipment necessary to analyze field parameters as circled above?
1. A pH meter Yesj No
2. A Residual Chlorine meter Yes No D O-S7 U
3. DO meter Yes No
4. A Cone for settleable solids Yes No
5. A thermometer or meter that measures temperature. Yes 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? Yes I No
2. For Total Residual Chlorine, is a check standard
analyzed each day of use? Yes No
3. Is the air calibration of the DO meter performed
each day of use? Yes No
4. For Settleable Solids, is 1 liter of sample
settled for 1 hour? Yes No
5. Is the temperature measuring device calibrated Ss)
annually against a certified thermometer? No
6. For Conductivity, is a calibration standard
analyzed each day of use? Yes No

IV. Documentation:
1.
Is the date and time that the sample was collected documented?Yes ,j
No
2.
Is the sample site documented?
es }
No
3.
Is the sample collector documented?
Yes)
No
4.
Is the analysis date and time documented?
Ye—)
No
5.
Did the analyst sign the documentation?
CYes '
No
6.
Is record of calibration documented?
Yes
No
7.
For Settleable Solids, is sample volume and
1 hour time settling time documented?
Yes
No
11
8. For Temperature, is the annual calibration of ��r,'� aG, 2C'i I
the measuring device documented? Yes No
Comments:
Please submit a copy of this completed form to the Laboratory Certification Program.
DWQ Lab Certification
Chemistry Lab
1623 Mail Service Center
FIELD INSPECTOR CHECKLIST REV. 04/23/2002

e- �
Town of Jefferson Water R.e4auwcelk
PVP.O. Box 67 1233 NC Highway 16 South Jefferson, NC 28640 [phone]
�YO�P.CtWt4c�� ]�IP� /'Zl�l/P�Y' BGi.�{,ili
Cathy Howell, Town Manager tu Tim Church, Director
N.C.De ) of ENR
JAN 3 0 2012
Winston-Salem
Re ionalOffice
Jefferson WWTP Calibration Report for Effluent Flowmeter
January 26, 2012 I100 hrs.
Calibration performed by Tim Church
Flow measured in 90 degree V notch weir ......... 7.0 inches or 0.58 ft head
Reading observed on the flowmeter.............................. 0.417 MGD
Reading from ISCO flow manual corresponding to 0.58 ft. head 0.414 MGD
Deviation between constant and reading on flowmeter + 0.003 mgd
Deviation as percentage.......................................................0.7 %
No adjustments necessary

FF712012
11:59AM 3362462165
TIMCHURCH
'own of Jefferson Water .Resources
P.O. Box 67
Jefferson, NC 28640
FAX COVER SHEET
DATE, 1.26.12
TO: Mr. George South
ORGANIZATION: NC DENR Winston-Salem Regional Office
SENT TO FAX # : [phone]
Number of Pages including the cover sheet: 2
FROM: Tim Church, Water Resources Director
PAGE 01/02
George,
Please find a copy of the Effluent Flowmeter Calibration Report for the Jefferson WWTP
performed today, January 26, 2012. 1 am also sending you a better quality copy through
the mail. Thanks.
Tim Church

01/26/2012 11:59AM 3362462165
TIMCHURCH
Town of Jefferson W abar 'Rao c cak
P. U. Ux U . 1233 NC Highway 16 South jefferson, NC 28640
Cathy Howell, Town Manager
PAGE i1q
(336) 246,2165
Tim Church. Director
Jefferson WWTP Calibration Report for Efflaemt Flowmeter
l..��l! AI ■�I11 �r
January 2d, 20.I2 H00 hrs.
Calibration performed by Tim Church.
Flow measured in 90 degree V notch weitr.........7.0 inches or 0.58 ft head
Reading observed on the flowmeter .............................. 0.417 MGD
Reading ,from ISCO flow manual corresponding to 0.58 ft. head 0.414 MOD
]deviation between constant and .reading on fiowzneter + 0.003 mgd
Deviation as percentage ........ . . . . . . • -................................---...0.7 %
No adjustments necessary

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: J e.( er°sort ) I ewh Pernut/Pipe No.: 1'VC OO ,Z/709 Month/Year Dec )-o 1 /
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly ail Violations
Date Parameter Permit Limit,7v e DMR Value % Over Limit
TRH 9, cly/[Z July 50 7`(
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
Date: K4,"k t y , ) 0i
Date:
pq S
3 /4r 46
C-�

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
December 13, 2011
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Review of the self -monitoring report for the month of August 2011 revealed the following violation(s):
Monitoring Violation(s)
Parameter Date Permit Freg.
Lead 8/20 Weekly
Dee Freeman
Secretary
Values Reported # of Violations
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
W Corey Basinger
Regional Supervisor
cc: 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
N&Marolina
Natura!!rf
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: Lf&.6ya _ j� Permit/Pipe No.: N� 00217o q Month/Year oil
Parameter
Date % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Monthly Average Violations
Permit Limit DMR Value
% Over Limit
Parameter
Weekly/Daily Violations
Permit Limit/Type DMR Value
Other Violations
Tvnc lo!/ anti noniror,d�Ly[oleC,on �o� 1 mmort�q
Ndv-g,Lj- Auld - 12 rn©n�tnr�h� V[n/xfionr For Df�
Completed by:
Regional Water Quality
Supervisor Sianoff: �d
Date: . 1 Z—G -//
Date: ;�D tl
;S 1►"l S ti�� �/
t�/13/11

RECEIVED
N.C. Dept. of ENR
OF WATF9 JUL 2 0 2011 State of North Carolina
0� P Department of Environment and Natural Resources
Nlnat° Division of Water Quality
i RegionalOffrce
0 1< Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE-10,'07)
Project Applicant Name: Town O1 ��EiS6Y1
Project Name for which flow is being requested: WWTP
More than one FTSE-10107 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 youarethe owner of the wastewater treatment plant.
a. WWTP Facility Name: � TP.i--I�Q sm-, In wIP
j,�,�TD Fes— , Permit u. 1
b. Yi IY l l VVtlit� .. � t� i
All flows are in NIGD
c. WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
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 %VWTP
Pump Station Name Approx. Capacity, MGD Approx. Current Avg.
(Finn/Design) Daily Flow, MGD
III. Certification Statement:
I, Tim Duck, , 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 capactn,
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 fonts indicates
acceptance of this wastewater flow. < n b A — ^ 1
Signing Official Signature
Date

W A T F
��� Cq�caaC i
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 Jef f Prson WWTP
Project Name for which flow is being requested
N/A
More than one FTSE-10107 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 Jefferson WWTP
b. WWTP Facility Permit #: NCO021709
WWTP facility's permitted flow
d. Estimated obligated flow not yet tributary to the WWTP
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
0.600
0.050
0.340
0
0.390
65
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, Tim Church , 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
acceptance of this wastewater flow. I-' ^ n
Signing Official Signature
IV Gl� Z�
Date

KCMGvcu
N.0 fJeat of ENR GG�
OF wA-r DEC Q 9 20 State of North Carolina
O� DG Winston-Salem Department of Environment and Natural Resources
Regional Office Division of Water Quality
o Flow Tracking/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Town of Jefferson WWTP
Project Name for which flow is being requested: N/A
;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: Jefferson WWTP
I- . 1,1,11,✓T1.1 Facility Pe.^nit #• N C 0 0 2 1 709
All flows are in MGD
c. WWTP facility's permitted flow n- 6 0 n
d. Estimated obligated flow not yet tributary to the WWTP 0.050
e. WWTP facility's actual avg. flow 0.333
f. Total flow for this specific request 0
g. Total actual and obligated flows to the facility 0.383
h. Percent of permitted flow used 64
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.
(Finr/Design) Daily Flow, MGD
Certification Statement:
I, Tim Church , 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 Il for which I am the responsible party. Signature of this form indicates
acceptance of this wastewater flow. -1, n / _
Signing Official Signature
Date

Beverly Eaves Perdue
Governor
Mr. Tim Church
Town of Lansing
P. O. Box 266
Lansing, NC 28643
Dear Mr. Church;
ECEIVED
FOR—
. Deot. of ENR
3 0 2011
NCQENRinston-Salem
[�
Regional0fflce
North Carolina Department of Environment and Natural Resources -
Division of Water Quality
Dee Freeman
Coleen H. Sullins
Secretary
Director
June 28, 2011
Subject: Technical Correction of NPDES Permit
Permit NCO066028
Town of Lansing WWTP
Facility Class II
Ashe County
Division personnel have reviewed your June 17, 2011 permit cover letter and discovered that the Facility
Class I designation was incorrect, it should be Facility Class II. This does not impact any of your permit
requirements. The Facility Class II defines the minimum operator classification that is required for this facility
which this facility is currently meeting. This letter is a technical correction notification and we request that you
please attached it to the NPDES permit cover letter.
If you have any questions concerning this permit technical correction, please contact Ron Berry at
telephone number [phone].
Sincerely,,,
Ron Berry
Attachments
Cc: Winston-Salem Regional Office/Surface Water Protection Section
Central Files
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 Naturally
An Equal Opportunity 1 Affirmative Action Employer

Beverly Eaves Perdue
Governor
GCO"e3w"
RECEIVED
h'.C. De;t. of E"
—=-- JUN 0 9 2011
NCDENR
wins:°n-:,a�c--.
North Carolina Department of Environment and Natural Resources'. Regi°°2.
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
June 8, 2011
Mr. Tim Church, Water Resources Director
Town of Jefferson
P.O. Box 97
Jefferson, North Carolina 28640
Subject: Draft NPDES Permit
Permit NCO021709
Jefferson WWTP
Ashe County
Dear Mr. Church:
The Division of Water Quality (DWQ) has received your application for renewal and has drafted a
NPDES permit for the above referenced facility. The draft permit authorizes the Town of Jefferson to
discharge wastewater from the Jefferson WWTP to Naked Creek, a class C+ water in the New River Basin.
The supplemental "+" symbol on the classification indicates that Naked Creek is subject to a special
management strategy in the Outstanding Resource Waters rule to protect the downstream South Fork
New Rivers. The draft permit includes discharge limitations/or monitoring requirements for flow, BODS,
ammonia nitrogen, total suspended solids (TSS), dissolved oxygen, total residual chlorine, fecal coliform,
copper, zinc, cyanide, lead, cadmium and several other parameters.
Please note that the receiving stream, Naked Creek is also listed as an impaired waterbody on the
North Carolina 303(d) Impaired Waters List. Addressing impaired waters is a high priority with the
Division, and instream data will continue to be evaluated. If there is noncompliance with permitted
effluent limits and stream impairment can be attributed to your facility, then mitigative measures may be
required.
The following procedure has been implemented by DWQ: Total residual chlorine (TRC) compliance
level changed to 50 ug/1 Effective March 1, 2008, the Division received EPA approval to allow a 50ug/l
TRC compliance level. This change is due to analytical difficulties with TRC measurements. Facilities will
still be required to report actual results on their monthly discharge monitoring report (DMR) submittals,
but for compliance purposes, all TRC values below 50 ug/1 will be treated as zero. A footnote regarding
this change has been added to the effluent limitations page in the draft permit and was included based on
the facility's chlorination system.
The following modifications are included in the draft permit.
• A monthly average limit of 3.4 ug/1 and a daily maximum limit of 22.3 ug/l for cadmium
have been added to the permit and will be sampled monthly. Results of a reasonable
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877.623-6748 One
Internet: www.ncwaterquality.org NorthC/arolina
An Equal Opportunity', Affirmative Action Employer Natulally

Letter to Mr. Church
Page 2
4
potential analysis on submitted data indicated there was reasonable potential to exceed the
water quality standard instream.
• A monthly average limit of 8.4 ug/1 and a daily maximum limit of 32.8 ug/1 for cyanide
have been added to the permit and will be sampled monthly. Results of a reasonable
potential analysis on submitted data indicated there was reasonable potential to exceed the
water quality standard instream.
• Total lead will continue to be limited in the permit, and has been modified to a monthly
average of 42.1 ug/l and a daily maximum of 50.3 ug/l. Lead will be sampled monthly.
Results of a reasonable potential analysis on submitted data indicated there was
reasonable potential to exceed the water quality standard instream.
• Monitoring for copper and zinc will remain in the permit based on the results of the
reasonable potential analyses, which indicated potential to exceed the water quality action
level standard instream. Copper and zinc will now be monitored quarterly in conjunction
with the whole effluent toxicity test.
• The daily maximum limit for mercury will be deleted from the permit based on the results
of the reasonable potential analysis which indicated there was no potential to exceed the
water quality standard instream. However, quarterly monitoring for mercury will be
included in the permit based on the evaluation of data and DWQ guidance.
• Monitoring for total silver has been deleted from the permit. Results of a reasonable
potential analysis on submitted data indicated there was no reasonable potential to exceed
the water quality standard in the receiving stream. Silver should continue to be monitored
during the pretreatment program plan.
• Please note that there have been minor language changes and the addition of a new
paragraph regarding data submittal in special condition A.2. Chronic Toxicity permit limit.
(The new paragraph is located second from the end of the condition).
At this time, the Division is submitting a notice to the newspapers of general circulation in Ashe
County, inviting comments from you or your representative, the public and other agencies on the draft
permit. The notice should be published on or about June 16th. Following a 30-day comment period, we
will review all pertinent comments received and take appropriate action on the permit issuance.
Please provide written comments on the draft permit no later than July 16, 2011. If you have
any questions, please contact me at (919) 807- 6386 or [e-mail].
R ectfully,
A.
Jac lyn M. Now e11
Co ex Permitting Unit
Attachments
cc: NPDES File/NC0021709
EPA Region IV/Attn: Pamala Myers
Winston Salem Regional Office/Surface Water Protection Section
Technical Assistance and Certification Unit/ Attn: Steve Reid (ecopy)
Aquatic Toxicology Unit (ecopy)
PERCS/Attn: Dana Folley (ecopy)

Permit NCO021709
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PF.PMTT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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 Jefferson
is hereby authorized to discharge wastewater from a facility located at the
Jefferson WWTP
NC Highway 16 South
East of Jefferson
Ashe County
to receiving waters designated as Naked Creek in the New River Basin in accordance
with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III and IV hereof.
This permit shall become effective XXXXXXXXXXXXXXXXXXXXXXX.
This permit and authorization to discharge shall expire at midnight on March 31, 2015.
Signed this day xxxxxxxxxxxxxxxxxxxxxxxxx,
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

"qqPermit NCO02170
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.
The Town of Jefferson is hereby authorized to:
Continue to operate an existing 0.600 MGD wastewater treatment system
consisting of the following:
♦ Wet well with automatic bar screen
♦ Raw pump
♦ Flow splitter
♦ Secondary clarifier
♦ Chlorination (disinfection)
♦ Dechlorination
♦ Aerobic digestor
♦ Two traveling bridge filters
♦ Two sludge holding units
♦ Belt press
♦ Sludge dryer
The facility is located at Jefferson Wastewater Treatment Plant, NC Highway 16
South, east of Jefferson in Ashe County;
2. Discharge from said treatment works at the location specified on the attached
map into Naked Creek, classified C+ waters in the New River Basin.

Alk
Y�
?v a
f ry "� �a'•• t � �-': `t�"" ,aid' , �": ;...F" '�+
� n
e` " aa=a Outfall 001 p zIN
p
a S
a � r f
All
I &002170
g IL
AL
3 A
� y
try � �"� �� � '\
T
a
�� �� � "� i•�a.`" ^`.i¢x ��9r.,� _ sI 5g.� :�� ,�; �" �;�. ,� . 'w"j."� `�. #` � �",` } t : � k� t d �...-� �� ���'° r�,fi5-„a,..
, f+: ^ S
r a t •� ' ° '
Af
h x� �* s +t `' � `a .,�' 'h*, � � tr c3' 4w.. � �" "• `g: p. �� ��� § 9 � ^^, a *a s , f�5.
.k'7iy-�A",N'
.,.,�,x9y �'� k 1yy j��"" �. j°" '• �" .» S ,r+`'cr:: S � . j �
7h ,yt"'A,"'
�... ,,,�",-'� �,'a� � � �°�,`�° � �`� � •; �a � ,•��a$�� '"n �.� �� ��F�� � � t.�� :�"r� � "�i � � °� �W � ^ � ' - i�'r.�""�T .v..�","s c L � � ` # 3
Town
of Jefferson
Jefferson
WWTR
Latitude: 360 24' 35" N
State Grid: Jefferson
Longitude: 81° 25' 43" W
Permitted Flow: 0.6 MGD
Receiving Stream: Naked Creek
Drainage Basin: New River Basin
Stream Class: C +
Sub-Basin/HUC: 05-07-01105050001

Permit NCO021709
EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
PARAMETER
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
T e
Sample
Locationl
Flow
0.6 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)2
(April 1- October 31
5.0 mg/L
7.5 mg/L
3/Week
Composite
Influent & Effluent
BOD, 5-day (20°C)2
November 1- March 31
10.0 mg/L
15.0 mg/L
3/Week
Composite
Influent & Effluent
Total Suspended Solids2
20.0 m /L
30.0 m /L
3/Week
Composite
Influent & Effluent
NH3 as N
(April 1- October 31
2.0 mg/L
6.0 mg/L
Weekly
Composite
Effluent
NH3 as N
November 1- March 31
4.0 mg/L
12.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen3
3/Week
Grab
Effluent, Upstream,
Downstream
Fecal Coliform(geometric mean
200/100 mL
400/100 mL
3/Week
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
3/Week
Grab
Effluent
Total Residual Chlorine
28 /1-4
3/Week
Grab
Effluent
Temperature (°C)
3/Week
Grab
Effluent, Upstream,
Downstream
Total Nitrogen
Semi-annually
Composite
Effluent
Total Phosphorus
Semi-annually_Composite
Effluent
Total Cadmium
3.4 /L
22.3 /L
Monthly
Composite
Effluent
Total Cyanides
8.4 /L
32.8 /L
Monthly
Grab
Effluent
Total Copper
Quarterly
Composite
Effluent
Total Lead
42.1 /L
50.3 /L
Monthly
Composite
Effluent
Total Zinc
Quarterly
Composite
Effluent
Total Mercury
Quarterly
Grab
Effluent
Chronic Toxicit 6
Quarter)
Cornosite
Effluent
Effluent Pollutant Scan
Annual
eA. 3.
Effluent
Footnotes:
1. Upstream samples should be taken just below the Highway 16 bridge (100 feet above discharge)
and downstream samples should be taken 100 yards downstream of discharge, just beyond the
end of the aerobic digestor.
2. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed
15% of the respective influent value (85% removal).
3. The daily average dissolved oxygen concentration shall not be less than 6.0 mg/L.
4. The Division shall consider all effluent total residual chlorine 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.
5. The quantitation limit for cyanide shall be 10 µg/L (10 ppb). Levels reported at less than 10 µg/L
shall be considered zero for compliance purposes.
6. Whole effluent toxicity will be monitored using the Pass/Fail Chronic Toxicity test with
Ceriodaphnia at 30%. Samples shall be taken in February, May, August & November; see A. (2.).
There shall be no discharge of floating solids or visible foam in other than trace
amounts

44
Permit NC0021709
A. 12.1 CHRONIC TOXICITY PERMIT LIMIT (Quarterly) — 0.6 MEW
The effluent discharge shall at no time exhibit observable inhibition of reproduction
mortality to Ceriodaphnia dubia at an effluent concentration of 30%.
or significant
The permit holder shall perform at a minimum, guarterlmonitoring using test procedures outlined
in the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998,
or subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions. The tests will be performed during the months of
Februaru, Mau, August and November. 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.
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. If reporting
pass/fail results using the parameter code TGP3B, DWQ Form AT-1 (original) is sent to the below
address. If reporting Chronic Value results using the parameter code THP3B, DWQ Form AT-3
(original) is to be sent to the following address:
Attention: NC DENR DWQ / 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 Quality indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently than required by this permit, the results of
such monitoring shall be included in the calculation & reporting of the data submitted on the DMR &
all AT Forms submitted.
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.

PV
Permit NCO021709
A. (3.) EFFLUENT POLLUTANT SCAN
The Permittee shall perform an annual Effluent Pollutant Scan for all parameters listed in the attached table
(using a sufficiently sensitive detection level in accordance with 40 CFR Part 136). Samples shall represent
seasonal variations. Unless otherwise indicated, metals shall be analyzed as "total."
Ammonia (as N)
Chlorine (total residual, TRC)
Dissolved oxygen
Nitrate/Nitrite
Kjeldahl nitrogen
Oil and grease
Phosphorus
Total dissolved solids
Hardness
Antimony
Arsenic
Beryllium
Cadmium
Chromium
Copper
Lead
Mercury -(EPA Method 1631E )
Nickel
Selenium
Silver
Thallium
Zinc
Cyanide
Total phenolic compounds
Volatile organic compounds:
Acrolein
Acrylonitrile
Benzene
Bromoform
Carbon tetrachloride
Chlorobenzene
Chlorodibromomethane
Chloroethane
2-chloroethylvinyl ether
Chloroform
Dichlorobromomethane
1, 1 -dichloroethane
1,2-dichloroethane
Trans-1,2-dichloroethylene
1, 1 -dichloroethylene
1,2-dichloropropane
1,3-dichloropropylene
Ethylbenzene
Methyl bromide
Methyl chloride
Methylene chloride
1,1, 2,2-tetrachloroethane
Tetrachloroethylene
Toluene
1, 1, 1 -trichloroethane
1,1,2-trichloroethane
Trichloroethylene
Vinyl chloride
Acid -extractable compounds:
P-chloro-m-cresol
2-chlorophenol
2,4-dichlorophenol
2,4-dimethylphenol
4,6-dinitro-o-cresol
2,4-dinitrophenol
2-nitrophenol
4-nitrophenol
Pentachlorophenol
Phenol
2,4,6-trichlorophenol
Base -neutral compounds:
Acenaphthene
Acenaphthylene
Anthracene
Benzidine
Benzo(a)anthracene
Benzo(a)pyrene
3,4 benzofluoranthene
Benzo(ghi)perylene
Benzo(k)fluoranthene
Bis (2-chloroethoxy) methane
Bis (2-chloroethyl) ether
Bis (2-chloroisopropyl) ether
Bis (2-ethylhexyl) phthalate
4-bromophenyl phenyl ether
Butyl benzyl phthalate
2-chloronaphthalene
4-chlorophenyl phenyl ether
Chrysene
Di-n-butyl phthalate
Di-n-octyl phthalate
Dibenzo(a,h) anthracene
1,2-dichlorobenzene
1,3-dichlorobenzene
1,4-dichlorobenzene
3,3-dichlorobenzidine
Diethyl phthalate
Dimethyl phthalate
2,4-dinitrotoluene
2,6-dinitrotoluene
1, 2 -diphenylhydrazine
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclo-pentadiene
Hexachloroethane
Indeno(1,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
N-nitrosodi-n-propylamine
N-nitrosodimethylamine
N-nitrosodiphenylamine
Phenanthrene
Pyrene
1,2,4-tichlorobenzene
Test results shall be reported to the Division in DWQ Form- A MR-PPA1 or in a form approved
by the Director within 90 days of sampling. The report shall be submitted to the following
address: Division of Water Quality, Surface Water Protection Section, Central Files, 1617 Mail
Service Center, Raleigh, North Carolina 27699-1617.

PV
DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NCO021709
Facility Information
Applicant/Facility Name:
Town of Jefferson WWTP
Applicant Address:
P.O. Box 67, 303 E. Main St.; Jefferson, NC 28640
Facility Address:
1233 Hwy 16 South; Jefferson, NC 28640
Permitted Flow
0.6 MGD
Type of Waste:
81 % Domestic
19% Industrial
Facility/Permit Status:
Active, renewal
County:
Ashe
Miscellaneous
Receiving Stream:
Naked Creek
Regional Office:
Winston-Salem
Stream Classification:
C+
State Grid / USGS Quad:
B13NW/Jefferson
303(d) Listed?
Yes (biologically
im aired)
Permit Writer:
Jackie Nowell
Subbasin/HUC:
050701/0505000102
Date:
May 11, 2011
Drainage Area (mi2):
6.4
Lat. 36° 24 37" N Long. 81° 25' 45" W
Summer 7Q10 (cfs)
2.2
Winter 7Q10 (cfs):
3.4
30 2 cfs
4.5
Average Flow cfs :
12
IWC (%):
29.7
BACKGROUND:
Jefferson WWTP is a 0.6 MGD wastewater treatment plant serving 1,400 customers in the Town
of Jefferson. The plant has completed an expansion and upgrade from 0.3 MGD to 0.6 MGD.
The facility discharges to Naked Creek, which is classified as a C+ waters in the New River
Basin. Because of the supplemental "+" symbol on the classification, Naked Creek is subject to
a special management strategy in 15A NCAC 2B .0225, the Outstanding Resource Waters
(ORW) rule to protect the downstream waters South Fork New and New Rivers designated
ORW area. The stream is listed on the 2010 North Carolina impaired stream 303(d) list for
degraded ecological/biological integrity within the fish community.
The permit will continue to require the City to implement its pretreatment program. Jefferson has
a pretreatment program with a short term monitoring plan, because it has a permitted flow of less
than 2 MGD and/or less than four (4) significant industrial users (SICs). Significant industrial
users include American Emergency Vehicles and Gates Rubber Company.
REASONABLE POTENTIAL ANALYSIS:
The following parameters are monitored through the existing permit: Cd, CN, Cu, Pb, Zn, Hg,
Ag.
The following parameters are monitored through the modified pretreatment program with short
term monitoring program (STMP): As, Cd, Cr, Cu, CN, Pb, Hg, Mo, Ni, Se, Zn, Ag. In the
STMP, 4 samples are taken in one year, then none for the next four years, then repeat.
\PC)E'l \( 0021709 Rn)e',v td
P i2 c l

Data submitted in discharge monitoring reports and PPAs from 2009 through 2010 were
evaluated and a reasonable potential analysis (RPA) was done to determine whether effluent
limitations or monitoring should be included in this permit renewal. Because of the C+
classification and the strategy to protect the ORW area downstream, one half the NC standard
was used to develop the allowable concentrations for all metals except for mercury. For mercury,
because of the statewide mercury impairment, the EPA recommended procedure of allowing no
dilution for development of Hg limits was maintained, and therefore the NC standard of 12 ng/1
was applied, instead of halving the Hg standard to 6 ng/l.
The RPA and effluent data is attached to the factsheet and the results are summarized below:
o Monthly average and daily maximum limits for cadmium, cyanide and lead
will be recommended based on the results of the reasonable potential analyses.
The analyses indicated the reasonable potential for these parameters to exceed
the North Carolina water quality standard in the receiving stream. These
parameters will be limited and monitored monthly in accordance with DWQ
guidance.
o The daily maximum limit for mercury will be dropped from the permit based
on the results of the reasonable potential analysis. However, quarterly
monitoring for mercury will remain in the permit, based on the evaluation of
the submitted data.
o Silver monitoring will be dropped from the permit. There was no reasonable
potential shown to exceed the water quality action level standard instream.
All submitted silver data was below the laboratory detection level. Division
guidance recommends that silver monitoring be continued in the pretreatment
monitoring plan.
o Copper and zinc monitoring will remain in the permit based on the results of
the reasonable potential analyses. There was reasonable potential shown to
exceed the water quality action level standard instream. These parameters
will be monitored quarterly in conjunction with the whole effluent toxicity
test.
TOXICITY TESTING:
Type of Toxicity Test: Chronic Ceriodaphnia Pass/Fail (Quarterly)
Existing Limit: 001: Chronic P/F @ 30%
Recommended Limit: 001: Chronic P/F @ 30%
Monitoring Schedule: February, May, August, and November
The facility has consistently passed its WET tests during this permit cycle. Since February 2007,
the quarterly test has been passed 17 times, with two invalid tests in 2009.
It is recommended that the chronic pass/fail test be renewed in this permit.
COMPLIANCE SUMMARY:
While overall compliance appeared to be good, the Jefferson WWTP did have violations of the
lead limit in 2006, 2007 and 2009. DWQ actions included enforcement cases and notices of
violation because of these violations.
Past compliance evaluations of the facility have found the plant to be compliant with no major
problems, reported.
;"Ip. 2

EWFV
INSTREAM MONITORING:
Upstream: 50 feet upstream
Downstream: 250 feet downstream
Parameters: Temperature and dissolved oxygen
Reviewed instream data from 2008-2010 for the months of June through September. The review
indicated that there were no DO stream standard violations downstream of the discharge for the
past 3 years. Monthly downstream DO values ranged from 7.8 mg/1 to 9.6 mg/l. Recommend
continuation of instream monitoring for temperature and dissolved oxygen.
PROPOSED CHANGES:
• Silver monitoring deleted because of RPA results and will continue to be monitored in
STMP.
• Mercury limit deleted because of RPA results, however quarterly monitoring will remain in
the permit.
• Monitoring for copper and zinc will be modified from 2/monthly to quarterly based on the
results of the RPA and DWQ guidance for metals monitoring.
• Limits for cadmium, lead, and cyanide will be in the permit and the monitoring frequency
will be monthly based on the results of the RPA which indicated potential to exceed the NC
standard instream and DWQ guidance for metals monitoring.
Existing permit limits and recommended limits/monitoring are summarized in the table below:
Parameter
Existing Limit
( )
Existing
Monitorin
9
Proposed Limit
(!
Proposed
Monitoring
Cadmium
none
2/month
3.4 (ma); 22.3 (dm)
Monthly
Lead
34
Weekly
42.1 (ma); 50.3 dm
Monthly
Cyanide
none
2/month
8.4 (ma); 32.8 (dm)
Monthly
Mercury
0.04
Weekly
none
uarterl
Copper
none
2/month
none
Quarterly
Silver
none
2/month
none
none
Zinc
none
I 2/month
Inone
I Quarterly
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: June 8, 2011
Permit Scheduled to Issue: August 2, 2011 (est.).
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please
contact Jackie Nowell at 919-807-6386 or jackie.nowell(a-,ncdenr.gov
NAM . X, / 4V14 DATE: l
Fact Shect
NP.DES NC0021709 Renewal
Page 3

REGIONAL OFFICE COMMENT:
NAME: DATE:
P'll": 4

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record A1/-Dl
Facility:,,zf- uson Trwn Permit/Pipe No.: Iv(,009L o9 Month/Year In
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
weekly/Daily Violations
Date Parameter Permit LunitlTvpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
_ /q ;ynrnom W..,tk!y
Other Violations
a G i 'oe'Cc n en�.� in c l J- OM
Completed by: -P�l C ``If Date: c o l t ? /r
Regional Water Quality Date: I® �` V"-' I"
Supervisor SiQnoff: S
'V V �

.'J
l I A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
October 26, 2011
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
NOV-2011-MV-0172
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
Review of the self -monitoring report for the month of June 2011 revealed the following violation(s):
Monitoring Violation(s)
Parameter Date Permit Freg. Values Reported # of Violations
Ammonia
6/4 Weekly
4
1
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
cc: 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
Nne
orthCarolina
;Vaturallry
An Equal Opportunity 1 Affirmative Action Employer

Town of Jefferson W at-ar 1Ze40U**Ce*
67 1233 NC Highway 16 South Jefferson, NC 28640 [phone]
"Pr ate.ct f/t.W th,e, Ne tJ Rivet- 13as,%4 i'
� Manager
May 3, 2011
North Carolina Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
ATTN: Mr. Kerr T. Stevens
SUBJECT: System Performance Annual Report for 2010
Dear Mr. Stevens:
Tim Church, Director
RECEIVED
N.C. Deot. of ENR
MAY 0 9 2011
Winston -Sale.,:.
Regional C,ffice
Enclosed please find three copies of the System Performance Annual Report for the Town
of Jefferson WWTP, NPDES NCO021709 and its outlying collection system, permit #
WQCS00220. It covers the calendar year of 2010. This report will be provided as a dual
mailing in May along with the Consumer Confidence Report to every water and sewer
customer served by the Town of Jefferson. Copies of the report are also available at
Town Hall, 302 East Main Street, and at the Jefferson Wastewater Treatment Plant, 1233
Highway 16 North. Please note the reverse side of this report also contains public
education material regarding the control of Fats, Oils, and Grease as required by the
Town's collection system permit.
If you have comments or questions regarding this report please call me at [phone].
cc: Cathy Howell, Town Manager
encl:
Respectfully,
l�, Nam.
Tim Church
Water Resources Director
s
MAY 0 4 2011

Town of Jefferson Watew /fie
"Protects n� t� New 2 wr 13 a4-i�vw'
This is the PERFORMANCE ANNUAL REPORT 2010 for the Town of Jefferson Wastewater
Treatment Plant and its outlying sanitary sewer collection system, Permits NCO021709 &
WQCS00220 respectively. We successfully achieve a three part goal in managing our water
resources facilities:
1) To surpass all North Carolina and Federal government clean water standards
2) To operate in the most cost-effective manner possible for our customers
3) To protect and enhance the public health of the New River Basin
COLLECTION SYSTEM PERFORMANCE is critical to our river basin. We maintain about 18 miles
of sanitary sewer lines and four pump stations. For the calendar year 2010 the Town of Jefferson
experienced no sanitary sewer overflows. Our crews continue to locate and eliminate sources of
groundwater inflow into the collection system through the use of closed circuit TV cameras placed in the
lines, and smoke testing of specific areas in the system. Pump stations are monitored daily. In 2010 the
Town worked in conjunction with the High Country Council of Governments to create a GIS map of the
entire collection system, assigning GPS coordinates to all 450 manholes and pump stations in the system.
WASTEWATER PLANT PERFORMANCE for 2010 has again been excellent. An average of 0.360
mgd was treated at the WWTP in 2010, which is about 60% of design capacity. This facility discharges
into a section of the New River having a designation of Outstanding Resource Waters. As a result our
discharge permit contains limits much lower than most other facilities in North Carolina. The tables below
reveal our effluent quality to be well within these strict standards.
April through October
Pollutant
Our Discharge, mg4
Permit Limit, mg11
Removal Efficiency
BOD
3.4
5.0
98%
Total Susp. Residue
4.3
20.
98%
Ammonia Nitrogen
0.87
2.0
n/a
Fecal coliform
3.8 org./100 ml.
200 org./100 ml.
n/a
November through March
Pollutant
Our Discharge, mg/7
Permit Limit, mg/1
Removal Efficiency
BOD
3.3
10.
98%
Total Susp. Residue
5.2
20.
98%
Ammonia Nitrogen
1 0.9
4.0
n/a
Fecal coliform
27.
200 org./100 ml.
n/a
The Jefferson WWTP experienced no unresolved permit violations in 2010. Our work and your support
has again combined to produce consistently high quality water for the New River Basin. Our consumers
play a vital role in the efficient operation of our Water Resources facilities. Please direct any questions or
concerns regarding Jefferson water and wastewater issues to Tim Church at [phone].
Please see the back of this page for important information regarding FOG removal.

4' ••�
IF NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 24, 2011
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
A Compliance Evaluation Inspection was performed on the Grade III facility by George Smith on February 22, 2011. Mr.
Tim Church, ORC, Grade IV along with Mr. Fred Walters, Back-up ORC, Grade II were present for the inspection. The
inspection is comprised of an overall evaluation of the facilities equipment, capability to meet effluent limits, and
compliance with the NPDES permit.
Permit
Your new NPDES permit became effective May 1, 2006 and expires March 31, 2011. A copy was kept on file.
Records & Reports
The facility performs and documents process control of the following: microscopic examination, settleability, MLSS, pH
(clarifier, oxidation ditch, and digester), dissolved oxygen in the oxidation ditch, Sludge Volume Index (SVI), and blanket
height with a sludge judge. These records were in excellent order.
The Performance Annual Report for the calendar year 2010 will be compiled and sent in the next few weeks.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
There was not a grit chamber installed before the barscreen. Although this .is not a requirement, there may be grit that
accumulated before the barscreen, which may cause blockage and/or barscreen failure. This was noted during the previous
inspection.
The 3/8-inch automatic bar screen was properly operating. There is a leaking seal on a drive motor.
The oxidation ditch components and rotating contactors are in good working order, and there is a good earthy odor. The
three rings of the ditch have sufficient dissolved oxygen. This treatment unit is performing very well.
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 'J� atura//I,
An Equal Opportunity 1 Affirmative Action Employer �/ "UU

Compliance Evaluation Inspection
February 24, 2011
Page 2 of 3
The secondary clarifiers had some straggler flock coming over the weirs. The effluent over the weirs was clear. Both units
were functioning very well, and were well maintained.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was crystal clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is used with a seven
day circular chart.
The calibration was performed and documented by the Town of Jefferson on September 28, 2010.
Laboratory
The municipal lab is field certified #5206, and performed the following: Residual chlorine, dissolved oxygen, pH, residue
settleable, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method and using the
flow thru cell. A five point calibration is performed annually.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NBS.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color, solids, or odor.
Operations & Maintenance
The Grade III facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred Walters, Back-
up ORC, Grade U.
All treatment units in the facility were well maintained. The oxidation ditch is maintained at a MLSS of 2500 mg/L.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model 3710 FR
samplers with refrigerator. They are well maintained, clean tubing and temperature is < 4°C.

IFCompliance Evaluation Inspection
February 24,2011
Page 3 of 3
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C waters.
A review of the monthly self -monitoring reports from January 2010 through December 2010 showed no monitoring or
limit violations.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with plenty of room
for wasting solids. The sludge dryer appears to be well maintained. The facility generates approximately 50% Class A and
50% Class B residuals.
The compliance inspection is considered satisfactory. If you have any questions please contact George Smith or me at
[phone].
Sincerely, <�
W. Corey Basinger
Interim Regional Supervisor
cc: WSRO Files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance 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 2 151 31 N00021709 111 121 11/02/22 117 181CI 191 SI 20UI
Remarks
21111111111111111111111111111111111111111111111_U6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------Reserved------
67 I 169 70141 711 DI 72 I N I 73 I I 174 751 11 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)
10:55 AM 11/02/22
06/05/01
Jefferson WWTP
Exit Time/Date
Permit Expiration Date
1233 NC Hwy 16 S
Jefferson NC 28640
11:20 AM 11/02/22
11/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067//336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 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
George S Smith 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 editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO021709 I11 12I 11/02/22 1
17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO021709
Inspection Date: 02/22/2011
.,_
Owner - Facility: Jefferson VWVrP
Inspection Type: Compliance Evaluation
(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?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
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 CM
Are DMRs complete: do they include all permit parameters?
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 on each shift?
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?
Facility has copy of previous year's Annual Report on file for review?
Comment: Currently working on 2010 report
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Page # 3

Permit: NCO021709
Inspection Date: 02/22/2011
Owner - Facility: Jefferson VWVfP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment:
Oxidation Ditches Yes No NA NE
Are the aerators operational?
■ ❑
❑ ❑
Are the aerators free of excessive solids build up?
■ ❑
❑ ❑
# Is the foam the proper color for the treatment process?
■ ❑
❑ ❑
Does the foam cover less than 25% of the basin's surface?
■ ❑
❑ ❑
Is the DO level acceptable?
■ ❑
❑ ❑
Are settleometer results acceptable (> 30 minutes)?
❑ ❑
❑ ■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
■ ❑
❑ ❑
Are settelometer results acceptable?(400 to 800 ml/I in 30 minutes)
❑ ❑
❑ ■
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:
Disinfection -Gas
Yes No
NA NE
Are cylinders secured adequately?
■ 0
0 ❑
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?
■ ❑
fl ❑
Is there chlorine residual prior to de -chlorination?
❑ ❑
❑ ■
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
n 0
■ Q
If yes, then is there a Risk Management Plan on site?
0 ❑
■ ❑
If yes, then what is the EPA twelve digit ID Number?
If yes, then when was the RMP last updated?
Page # 4

Permit: NC0021709
Inspection Date: 02/22/2011
Owner - Facility: Jefferson WWrP
Inspection Type: Compliance Evaluation
Disinfection -Gas
Yes No
NA
Nt
Comment:
De -chlorination
Yes No
NA
NE
Type of system ?
Liquid
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:
Page # 5

WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 16, 2011
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
Review of the self -monitoring report for the month of November 2010revealed the following violation(s):
Monitoring Violation(s)
Parameter Date Permit Freg. Values Reported # of Violations
Dissolved Oxygen
11/6 3x per Week 0 3
Dissolved Oxygen
11/13 3x per Week 0 3
Dissolved Oxygen
11/20 3x per Week 0 3
Dissolved Oxygen
11/27 3x per Week 0 3
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
'JIR"I
W Corey Basinger
Interim Regional Supervisor
cc: 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
NorthCarolina
Natoally
An Equal Opportunity 1 Affirmative Action Employer

Pr
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record `
Facility: A Permit/Pipe No.: Ni - p0 2170 9 Month/Year _ Novam! ao/D
Monthly Average Violations
Parameter Permit Limit DMR Value
Date Parameter
% Over Limit
Weekly/Daily Violations
Permit Limit/Tvpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Il XL D 0 3x w«k 0 .�
/3 'D v 3 x D 3
it/2o 00 3x O 3
11 k'7 00 3 o .3
Other Violations
Completedby:
Regional Water Quality
Supervisor Signoff.
Date: oZ-ly- ),0/1
Date: %d 21-1;�111

«���A �
RECEIVED
�
NCDENR
of ENR
OCT 0 7 2010
North Carolina Department of Environment and Natural Resourc s
Division of Water Quality
Winston-Salem
Regional Off ce
Beverly Eaves Perdue Coleen H. Sullins
Dee Freeman -
Governor Director
Secretary
October 4, 2010
TIM CHURCH
WATER RESOURCES DIRECTOR
TOWN OF JEFFERSON
PO BOX 67
JEFFERSON NC 28640
Subject: Receipt of permit renewal application
NPDES Permit NCO021709
Jefferson WWTP
Ashe County
Dear Mr. Church:
The NPDES Unit received your permit renewal application on October 1, 2010. 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 Tom Belneck
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: 9IM07-63001 FAX: [phone] \ Customer Ser+ice:1-877-623-6748 NOfffiCarohna
Internet: www.ncwaterquality.org r
An Equal Opportunity 1 Affirmative Action Employer Natylullff

Jefferson
-- a t - Rwarcew
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
September 30, 2010
Mrs. Dina Sprinkle
NC DENR / DWQ / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
SUBJECT: Application for Renewal of NPDES Permit NC0021709
Town of Jefferson Water Resources WWTP
Ashe County
Dear Mrs. Sprinkle:
Enclosed please find the completed renewal application package for the Town of Jefferson
WWTP NPDES Permit NC0021709. The checklists supplied by Mr. Charles H. Weaver of the
NPDES Unit have been implemented in the completion of this document. I can be contacted at
[phone] or at the e-mail address at the bottom of this page.
Thank you for your assistance in helping the Town of Jefferson Water Resources efficiently
provide clean water for the New River Basin.
Respectfully,
Tim Church
Water Resources Director
[e-mail]

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.B. 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 13.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 MGD, 4
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the followin
Data): g criteria must complete PartE (T01icity Testing
4
1. Has a design flow rate greater than or equal to 1 MGD,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
ef"s TP NCOOZ1709
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.I. Facility Information.
Facility Name TOWN JEFFER�SON WE
(�OF
Mailing Address P.6 - .Qox. (17 !
J- C 8 6
Contact Person
Title water kesoaytez biryIr
Telephone Number j 3%4 (p — ZI 6 I'
Facility Address 122'-� Him, 1(0 S
(not P.O. Box) JLIR ML , N C ? SRggn
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?
E/owner
operator
er correspondence regarding this permit should be directed to the facility or the applicant.
Indicate w;7facility
❑ 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).
IV !1Zlica
NPDES 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
j"e.4xs6h IM Tnwn
Total population served
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
,ae sw 170Renews New
A.S. 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 lJ No
A.G. 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 � MGD r'O
Two Years Aao% Last YearOa This Year
b. Annual average daily flow rate - _0.336
C. Maximum daily flow rate �,� _lL,�_ b . tQ70
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
✓ Separate sanitary sewer %
Combined storm and sanitary sewer %
A.S. Discharges and Other Disposal Methods. /
a. Does the treatment works discharge effluent to waters of the U.S.? Y 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 /n1
ii. Discharges of untreated or partially treated effluent lJ
III. Combined sewer overflow points o
iv. Constructed emergency overflows (prior.to the headworks)
V. Other O
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 y No
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site: MGD
Is land application continuous or intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? Yes No
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
.Te&sGY\ WW- P 14CCCL i 7oq Rentwo H F-w
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 1 Z
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?
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
'3 4fSrn(\- WWT N ma i m Rnewo NEW
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent Is discharged. Do not include Information on combined sewer overflows In this section. If you answered "No" to question
A.8.a. go to Part B "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 MGD."
A.9. Description of Outfall.
a. Outfall number ``'��0""01� �j //��
b. Location 'PT1'Pmm" Nl _%, (go
(City or town. if applicable) (Zip Code)
Ashes
(County) (State)
36.4697y7 D.112221
(Latitude) (Longitude)
C. Distance from shore (if applicable) NIA fl,
d. Depth below surface (if applicable) N 1 A. fl,
e. Average daily flow rate MGD
/
f. Does this outfall have either an intermittent or a periodic discharge? Yes Y No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
Months in which discharge occurs:
g. Is outfall equipped with a diffuser?
A.10. Description of Receiving Waters.
a. Name of receiving water
b. Name of watershed (if known)
MGD
v Yes No
Nr16_U.-
cmek
NP-w River
United States Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin (if known): Iy� W
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute
cfs chronic
e. Total hardness of receiving stream at critical low flow (if applicable):
cis
mg1l of CaCO3
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
,Te er on. W WTP NCOOZ 17oq
Rt WD,
flu
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
Primary Secondary ,-
Advanced Other. Describe:
b. Indicate the following removal rates (as applicable):
R�
Design BOD5 removal or Design CBOD5 removal
Design SS removal (�
Design P removal 1 %
Design N removal -1 5 %
Other _ %
C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine gas
If disinfection is by chlorination is dechlorination used for this outfall? V Yes No
Does the treatment plant have post aeration? v/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 QAlQC 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.
Outfaii O
number:
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.22
s.u.
pH (Maximum)
7
s.u.
Flow Rate
O. 670 O
Mg d-
01393
mgd
2121
Temperature (Winter)
1g
O C
/ Q
0
32
Temperature (Summer)
Zy.4
o C
z1
0 C
3q
For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
POLLUTANT
METHOD
MLIMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BODS
$ O
7"13 L
3.
""IL
QO
S — 9- O
DEMAND (Report one)
CBOD5
FECAL COLIFORM
I�j
(�
SA-9
TOTAL SUSPENDED SOLIDS (TSS)
�
5.3 1
mg/L,
SM- Z5% D
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
,Te- Y-Son N C0o2170q
RpwwaQ,
N
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 2 0A MGD must answer questions BA through B.S. 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.
GPD
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Manhole rehabilitation is underway.
A sewer camera has been purchased to inspect main lines.
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.S. 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.
8.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (relat d to wastewater treatment and effluent quality) of the treatment works the responsibility of a
7No
contractor? Yes
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:
Mailing Address:
Telephone Number. j Z
Responsibilities of Contractor.
B.S. 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 8.6.)
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
NPDES FORM 2A Additional Information

'57 1 387 500 METERS 158 27'30' 1 '60 '61 '62 1 25'
SCALE 1:24 000
f * 1 0.5 0 KILOMETERS 1
y MN,. 1000 0 METERS 1000 2000
. GN 1 0.5 0 _ 1
MILES
1 6 K o 1000 0 1000 2(100 3000 4000 5000 6000 71100 B000 9000 10000
I 116 MILS FEET5 MILS
CONTOUR INTERVAL 40 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929
UTM GRID AND 1999 MAGNETIC NORTH TO CONVERT FROM FEET TO METERS, MULTIPLY BY 0.3048
DECLINATION AT CENTER OF SHEET
THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS
20% FOR SALE BY U.S. GEOLOGICAL SURVEY, P.O. BOX 25286, DENVER, COLORADO 80225
TOTAL RECOVERED FIBER
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST
z�
'63
NC D
QUADRANGLE LOCATION
1 Park
2 Grassy Creek
3 Mouth of Wilson
4 Warrensville
5 Laurel Springs
6 Todd
7 Glendale Spings
8 Horse Gap
ADJOINING 7.5' QUADRANGLE NAMES
1
2
3
4
5
6
7
8
•p4 I uu vv '- 81 a 22'30'
INTERIOR - GEOLOGICAL SURVEY, RESTON, VIRGINIA- 1999
ROAD CLASSIFICATION
Primary highway Light -duty road, hard or
hard surface ........ improved surface ......
Secondary highway
hard surface ........ Unimproved road ......
Interstate Route U.S. Route State Route
-
a
I
ru
Ir
1
r`
0
JEFFERSON, NC
0
1998
m
NIMA 4756 IV NW -SERIES V842
~

tlQ1E
LANDSCAPING
WNG GRAVELAROUND
LANDSCAPINGBERE TOR DING
PLANT SITE TO BE RESTORED
AFTER HX1FI51RI1C710N.
PLAN
SCALE 1'- 20-
It
ABANDONED DEC LO INATION
VAULT AND UV DSWFFC110N
CHANNEL TO BE REMOVED
AND DISPOSED OF OFF -SITE
16TAI1 Ir IMP LINE N
RACE OF UV CAMEL
W BE E CONVERT
m
BASH wn
ECM ION TAW /'P0.5T
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IrAr LI
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2�DJr
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70 FILTER N0. 2
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PROPOSED;
I' IMP ro 11EIISE PUMP STATION
PROPQSED 4'N'.4' TEE
CONNECT 7 ETEISIV101CHLMNE AND DATEBOXES Es _
CONTAST
1NEW DIPFROM I
_ \ � DETAIL 'A'
ID ILL,
Z
SPAD
E:PxaKa — CREEK _ . —
N r PROPOSED i PROPOSED _ _ _ - _ — _. - __. __- _
CONNECT TOJ70ST-12' OC - . - - AE1RE/E::TUDlT ' - _ - _ . - (Z '. _ _ _ _ .
AWTH Trarw TEL
r PLUG VALVE _ xtJ_ - -- P RL STATION - - .�'- x Ee PROPOSED
_-
- x e �1 L- PROPOSED ET(6 NON-U POJ�AB(E 4' REUSE MAN. m _
_-EPEND =__ 0. - SHLORI 5uu¢CE PUMPS) p� `\ SPM�7101E - ____ c�ee
-- - .ASPHALT DGrc._ ro CHLORINE _
• - _ ' - - - - - xno - - !=A0. SEE UETAAS- PROPOSED' T BUDNHG =r -�'\ \ Z 8 "
N, _
n _
llxx -- -- - PROPOSED,
n - T'fO OAff _ �� - �rt ,d ,. \ � lY pP
1'- -- -
HYDRANT
—YH:DRAY—rY
I T /
% � tINK FENCE wiH U. -
W ) -.--___E____
s_____E PROPOSED
b•
1r DP TO BAR SLRWN
PROPOSED
I.
I`(�1Gtl9
I �4
I
VALVES DGOS NIli9
I 1
NOTES:
1. SEE T ASITIEG STE FLAW FOR ADDITIONAL AL DETAILS
REGARDING DOSING
REPLACE BONGING 6• Vcs PLANTI Aw
, COECT TO
W/ 12- DPCONNECT
I
M
PIPING AND STRUCTURES FOR CLART".
ALL UNDERGROUND PIPING MAY NOT DE SHOW N THIS;
MANHOLES (SEE SHEET C3 VRR O%E)•
I
'PROPOSED SITE PLAN'. RIM TO THE'DOSDNG SITE PLAIT.
PROPOSED
Y PVC WATER UNE I
Ip^GE„
••
LOCATIONS ON UNDERGROUND Ull71E5 ARE
I '.
/
A
APPROOYATE DIY. VERIh'
9RGR
PROPOSED
IDG710N5 AND 8iE5 W AI1 UMDmrn01UND UDUTIES
OF AU. NI)
ASPHALT OVERL Y
I
UNLESS ALL YARD PPE. 3' AND
PROPOSED
OADNWCT WEw 2' PVC WATER
,
L 350NOTED.
LARGER m BE LASS s5o DUCTILE RON PIPE.
BE CLASS
m EASTNG S' WATER UNE wTH
4. ALL PW4NG LESS THAN r SKA L WE PVC SN4 115.
SADDLE AND 2' CATE VALVE
PROPOSED
I i
S. SEE "OPOSLD SITE GRADING AND ORANAGE' SHEET
CONNECT NEW 4' PVC WATER E
FOR DETAILS REGARDING PAWING GRADING AND DRAINAGE To BASTING S' WATER LINE wll
NFROVFLCNTS SADDLE AND 4' DATE VALVE
Bp1
��
PIPING NOTE$:,
1c'Ei'v.Lw
I
10 oDNEt•T NEW r RETINA SIAIE WE TO D051NG r RflUSN SLUDGE UNE wiN rIIr.r,
T•
I :'
.
,.
TEL 2-r PLUG VALVES
-
TOR r.n •____
Y
(D CONNECT m DWIHG 16' DP, PLUG ElUS11NG 16' DP FROM DOSING AERATION BASS.
PROPOS
PROPOSED
Q CONNECT NEW IF To FEED LINE ENSTNG r SLiom LINE FROM DIGESTER PUG
4'X4'XY TEC.Ir CA
AND BOX. 2' WATER
VANE 0
x• ..
I'
DOSING r LINE TO DRYING BEDS
I
IREMOVED)
%
© INSTALL 4' DP SLUDGE TRANSFD LINE OVEN WALL OF EIOSING DICESIEN TANK, ATTACH To
I X,1- TEE
III•IC'.REOUOJL Y
f
EXTERIOR OF WALL NTH AURMAI PIPE SUPPORTS EVERY S'. EXTEND LINE DOW NTEMOR
N
TAWALL
GATE VALVE AND
K Y WAIE2
2'. PROVIDE FITTINGS AS RECLINED.
0 5 CONSTRUCT TWO (2) S' DP DECANT LINES AT MIN. MOPE OF IS. REVERT ELEVATIONS AT
LINE Nm sm
REDUCER.
HYDRANTS
fa INSTALL 4'x21'
TERi UME TO YARD
I
SEUDOE NDDNG TANKS m BE 271B.S N AVERT ELEVATIONS AT CONNECTION TO DOSING
WETWE2L To BE 2717.3. CORE DRILL DOSING CONCRETE NNTEWALL AND SEAL WATERTIGHT,
I 1,
-
n CORE MAIL EXE:iNG CONCRETE SLUDGE PUMP STATION NETWELL AND CONNECT NEW r DIP
'BUDGE
I
I
I
I '
LINE FROI NEW CAWIDL INVERT ELEVATION AT WETWEL CONNECTION TO BE 2711.0
I
I
"I' PROPOSED MANHOLE 3A
I (2) r NV IN EL 27241
Q INSTALL 4' AND r DP E INSTALL 8ACKWASI LINES AT O.@X WIN. SLOPE. CW EANT
I
I C NV. IN EL 2724.51 -
AS SHOWN. CONNECT TO PROPOSED MANHOLE.
I
I I r NV. DLR EL 27241b. -
© PossreLOCATION OF ND DOSIMANHOLE PAVING OVER COVER. 0.5 W REMOVE EG
uWE I
• ❑ .. 1
F NECESSARY
MANHOLE NECESSARY INSTALL NEW S-rA MANHOLE. (MI-CJ
AN
TOP OF MANHOLE 2725.502 (FU04) mI I
1Y INV OUT 271&eo V«T I
r INV N (E) 2722AD
r INV N (HE) 772ZOO L.-._.-.-.-.-
QO PROPOSED W. YANIOIE (.NJ-D) I
TOP OF MANHOLE 2T20.0t (RAM)
r INV CUT 27H L25
S' INV IN (E) 271W.30 (FILTER BACKWASH)
r INV IN (NO 2719.30 (0)WATDN DTP MAN)
r M IN 2TW50 (RESIDUALS OWNING)
® CONNECT PROPOSED W IMP WASTE SLUDGE LINE TO DaSTING W UK WITH TEE AND 8'
PLUG VALVE CONNECT NEW r SLUDGE LINE TO EXISTING AERATION TANK DORE MAIL WALL
AND SEAL WATERTIGHT. SEE SIM W4.
Q RASE ERSTNG ELECTRICAL VAULTS m FINISH MADE AS RE4AlRED.
1
® [ws7INc r WATER TINE AND YARD HYDRANTS TO REHEAR
® CONNECT PROPOSED r AIRLINE TODSSIING 1r INE AIR LNTH IrN• .IO•TEE OWE•
REDUCER. S.
BUTTERFLY VALVE AND SOX
^ _ - - ascx WioE •,% PROPOSED-
0C°
'•Y 1RAN1N0 BRIDGE FILTERS
1PRY jY.r REDN.FR IF PLUG VALVE ', ,`�',• "{„I,s "..
auk I.� E I PRCPO® O �(R7ER DISCHARGE E
RNWIA �1 .��YMD HYDRANT
E GE'fAL 'A' IY OF LINE WPASS NNTH 1 Ems•
• '
� ♦ Om r CP Iy IY VALVE (NORMALLY CLOSED)
PR
x _ _.-•--.1. v 1YO EFFLUENT
SOWING VALV{: FOR NEW
1141 tAw.SLUDGE
rERT TO \_PROPOSED'
I�I<\
I
EE
LAE I^
1.�OERT
TO
Y/L
t
2y;� l.ryvryry ��• �� .1�q••..'•V.µ�..
•`,i:.,
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�
TIP ...+�' tm`....k..:. "s \•, m
e
URN ELIWGE O
PROPOSED --•—•..�, ..
1 1/2' ASPHALT OVERLAY —,—
NOTE: 100 YEAR FLOOD
ELEVATION 2722.24'
0
Z
a �
a
0
OZ
d' Q
a-z
g
a
IW_-
SHEET
C2

Narrative for Process Flow Diagram
Jefferson Wastewater Treatment Plant
NC0021709
Influent flows enters the facility at the automatic bar screen. The headworks includes a manual screen as
well to accommodate a by-pass of the unit in the event of repairs. Four influent pumps are located in the
basement of the process building and are controlled by a float system in the wet well.
Influent is pumped to the Oxidation Ditch where about 60 % of the flow enters the outside ring of the ditch
and the remaining flow goes to the second ring. The oxidation ditch has two sets of rotors in each ring.
One rotor operates continuously in each ring and the two are manually rotated as necessary to avoid
excessive wear. Adjustment of flow and aeration to the first ring results in conditions that enhance nutrient
removal.
From the Oxidation ditch, flow enters the splitter box through which it may be directed and rate controlled
to each clarifyer. A third compartment exists to accommodate a third clarifyer in the future. It is at this
point where samples are taken for measuring settleability and MLSS.
Two circular clarifyers operate in a parallel design. Return sludge from each enters the pump station
located between clarifyer # 1 and the circular digester. The pump station is valved to allow RAS to flow
back to the Oxidation Ditch or it may be wasted to the twin sludge basins or the circular digester.
After leaving the clarifyers, flow enters the dual tertiary filters, operating in parallel sequence. Backwash
water from the filters flows by gravity back to the influent wet well.
Disinfection is accomplished using chlorine gas fed to the front end of the chlorine contact chamber. This
unit has around the end baffling for maximum contact time. At the end of the chlorine contact chamber a
sodium thiosulfate solution is fed as a dechlorinating agent. This area also features a post aeration basin
just prior to the outfall to the receiving stream.
(Also attached to this narrative is the "Sludge Management Plan which should be helpful in interpreting
the flow diagram)

Town of Jefferson Water Resources
Sludge Manazement Plan for Jefferson WWTP
I. Sludge Storage Capacity
Two sludge storage basins retrofitted with new headers and diffusers in 2004..... 115,000 gallons
Rounddigester............................................................................................. 65,000 gallons
Loadingstation............................................................................................ 25,000 gallons
Total sludge storage capacity.............. gallons
H. Sludge Transfer through the Facility
Sludge collected from the two clarifyers enters a pump station. Wasting is accomplished by
diverting return activated sludge flow to the dual sludge storage basins. When the basins are
filled, the aerators are turned off and the solids settle, allowing clear supernatant to be decanted
using telescopic valves in each basin. The supernatant flows by gravity to the influent
headworks of the WWTP At the completion of the dewatering procedure aeration is resumed
and the thickened sludge is transferred to the round digester using a submersible pump located in
each basin. The round digester has the same dewatering capability. Upon dewatering the round
digester, thickened sludge is transferred by gravity flow to the loading station. Supernatant from
the round digester enters the sludge pump station where it is transferred to the oxidation ditch.
The thickened sludge from the round digester is transferred by gravity to the truck loading station
for disposal to land application sites or to the belt press and sludge dryer.
This plan allows a 2% total solids value for the sludge and results in a maximum detention time.
M. Class B Liquid Sludge
Permit WQ 0004166 regulates Class B liquid sludge disposal. Jefferson has forty two acres
permitted for liquid sludge disposal. All the acreage is located within a two mile radius of the
WWTP. The facility uses a military style ten wheel drive truck fitted with a tank capacity of
1800 gallons. Sludge leaves the tank through a spreader bar six feet in length, controlled by a
pneumatic valve operated from the cab of the truck.
Procedures to Significantly Reduce Pathogens is demonstrated by analysis of seven annual
sludge samples for coliform bacteria, having a geometric mean < 2,000,000 WN. Vector
Attraction Reduction is demonstrated by volatile solids analysis of sludge in a thirty day bench
scale shown to produce <15% volatile solids reduction.
IV. Class A Dry Sludge
Permit WQ 0022155 regulates Class A dry sludge production. This facility operates a Phoenix
belt press with a capacity of 35 gpm. The cake from the belt press is augered to a Fenton sludge
dryer. This unit generates a granular product with total solids > 90% and coliform bacteria are
eliminated. This sludge is distributed on hay fields using an "eezee flow" drop spreader. (see
the back of this page for details regarding Class A compliance under the 503 rules)

Fenton Environmental Technologies, Inc.
RIB Series Municipal Biosolids Dehydrator,
1(800) 777-1371
Class A Compliance Under the 503 Rules
The SludgeMASTER RK series automatic batch style biosolids dehydrator is uniquely suited to
insure compliance with the 40 CFR 503 regulations pertaining to achieving Class "A" biosolids.
The RK dehydration chamber is loaded automatically with a predetermined amount of dewatered
biosolids which starts the batch cycle.
The total sludge load is subjected to a minimum temperature of 212 degrees F for a minimum of
two and one-half hours which exceeds the time and temperature requirements of the 503
regulations pertaining to pathogen reduction. This complianch is shown as follows using Regime
A under Alternative 1 which requires that solids be heated at 50 degrees C or higher for 20
minutes or longer.
Time (in days) = 131,700,000
10^ 0.14 (temperature) Q 2 for the RK dehydrator at 212 degrees F (=100 C)
Time= 131,700.000 or Time=131,700,000 or Time = less than 1.3/10^6 day.
10^ 0.14(100) 10^14
The time required in the RK for pathogen reduction would be less than 1 minute. Therefore, the
minimum time requirement of 20 minutes specified in the 503 Rules must be followed. Following
the 20-minute requirement, the RK dehydrator exceeds the time requirement by about 700%.
Total cycle time is determined by achieving the desired sludge dryness. We normally recommend a
minimum of 90 % dry solids for a finished product to qualify under 503.33 "Option-8" regarding
vector attraction reduction. (Fully digested sludges need be dried to 75%- 503.33 "Option 7".)
The SludgeMASTER RK patented process automatically adjusts the time and temperature regime
foi the varying incoming wet sludge solids content. This feature is very important since dewatering
operations will vary from time to time in solids consistency yet we must maintain consistent Class
A biosolids at all times. Convelrsely, automatic flow through systems cannot adjust to varying
conditions without disrupting their normal operation and compromising the finished Product
Class "A" parameters.
Please refer to 40 CFR 503.32 Pathogens - (a) (3) (ii) (9) for pathogen reduction requirements and
to 40 CFR 503.33 (b) (7) and (8) for vector attraction reduction requirements.
Fenton Environmental Technologies, Inc. guarantees Class A compliance on a continued basis
with each SludgeMASTER RK Dehydration System
In choosing Class A biosolids thermal dehydration jtilizing SludgeMASTER RK technology, your
utility will be assured of an environmentally correct sludge handling solution fbr many years in the
fixture.

FACILITY NAPE AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Je rsort- NC.002170q
Renewol
NEW
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/DD/YYYY MM/DD/YYYY
- Begin Construction
- End Construction
- Begin Discharge
- Attain Operational Level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? Yes No
Describe briefly:
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each 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.
Outfall Number:
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
METHOD
ML/MDL
Number of
Conc.
Units
Conc.
Units
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
(L�
m9/L
OA3
N3/L
3
SA ysoo
�. 5
RES DUTAL, TRC)AL
�rG�.
M/L
< 26
311—
3
DISSOLVED OXYGEN
7. 7
r `3 L
3
SM y22
0,1
TOTAL KJELDAHLp
NITROGEN (TKN)
.37
�/L
1. 09
M3/L
�(
NITRATE PLUS NITRITE
NITROGEN
Oft
O T
�� I L
L i 1- 1
G
ry y/L
3
SM I ` � /v /
Q. 0
-50
Op
OIL and GREASE
z
"IL•
1.9
SmIlls-1112b B
1
PHOSPHORUS (Total)
Z .9g
'3 L
Z , (o
"^� f C�
3
EPA ZAo,7
0.02,
TOTA(TDS)L DISSOLVED SOLIDS
?-43.
my L
SA RUM C
�
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Sr--�erlgm NC0021709
Renewal
Nei
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)
✓/ E Testing: Biomonitoring Data)
art (Toxicity
Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submifted. 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 l m atwc, O x Renlifcts T) is ch'r
Signature
Telephone number i� Z ��� ' 2.11n5
Date signed . Z / . /0
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/ DWO
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
]L&ann NCoozl
PERMIT ACTION REQUESTED:
vial
RIVER BASIN:
Nu
SUPPLEMENTAL APPLICATION INFORMATION
PART D. EXPANDED EFFLUENT TESTING DATA
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 MGD and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 MGD or it has (or is required
to have) a pretreatment program, or is otherwise required by the permitting authority to provide the data, then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each oulfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All inforration reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition, these 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. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this forth. At a minimum, effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number. %.Aj t (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS.
ANTIMONY
< 0. 0/
"/L
< 0.01
MQ /L
//�'
3
�M y
EPA 2M. /
0. 10
ARSENIC
� O.b1
"IL
<0.01
i1
0.0'
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<. WI
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. MI
WW
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2
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"
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COPPER
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. 08j
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3
. M1
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<.01
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<.0►
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»
0.01
MERCURY
�.W'
MIL.
<. W
.3
/(a C
• w'
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lL
<. W1
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.001
SELENIUM
<0.0I
nng/L
<O.Ol
m9 f L
0.0/
SILVER
<.001
9k
. M1
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3
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0 W'
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//
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•0
TOTAL PHENOCOMPOUNDS LIC
. O�
mg/�.
1,3
* L
EPA W-0•
Q.Of
HARDNESS (as CaCO3)
Sl.
,+/1
Esp-- q
"V61L
SM 14 Z3g6A i�
w7v
6'03-
Use this space (or a separate sheet) to provide information on other metals requested by the permit writer
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
Se On H MAJ o
PERMIT ACTION REQUESTED:
Rp 2WA
RIVER BASIN:
Outfall number. (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MUMDL
Conc.
Units
Mass
Units
Cone.
Units
Mass
Units
Number
of
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN
< 50
a
P31L
[[''
<Jo.
JAQ
/ JI t
3
EPA 67-4 Emp
50.
ACRYLONITRILE
< 5b
pkJI L
KO.
P3 I
))
.
BENZENE
<S.
y3k
< 5.
/ J k
BROMOFORM
< 5
5
CARBON
TETRACHLORIDE
< 5.
lL
< S.
/ JJ /`lam
CHLOROBENZENE
<5.
I J `
5.
m//
,
?
1)
METHANEIBROMO-
<5.
P3//
C �•
CHLOROETHANE
2
Pk
Z, 3
µ9/L
2-CHLOROETHYLVINYL
ETHER
J 5
Pj/Lup/�
� J
')
CHLOROFORM
<S
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< 5.
M
3
�)
DICHLORO
METHANE BROMO-
<5.
ue/L
C �.
��C
3
1,1-DICHLOROETHANE
<S.
5.
��/j
3
»
C.
1,2-DICHLOROETHANE
<
ETHY ENEDICHLORO-
< �.
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�•
1131L
ETHYLENE RO
! J/L
5.
/ ✓/L
ii
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1,2-DICHLOROPROPANE
PRO YLENEO
ETHYLBENZENE
< 5
/ J `
< `.
I13/Z
3
0
5•
METHYL BROMIDE
<5
MIL
< 5.
11.91L
3
��
5
METHYL CHLORIDE
< 5.
! J IL
S,
/J a I
?
METHYLENE CHLORIDE
< 5
P3A
�s,
PJA
3
CHLOROETHANETETCHL
ETTHYLENEORO-
S
l C
< 5.
PJ%L
3
TOLUENE
<
MIL /`
�5. l''t�
�L
3
EPA logy E
5
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
J_e C0042"I769
PERMIT ACTION REQUESTED:
RIVER BASIN:
11le
Outfall number. 001 (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLIMDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
TRICHLOROETHANE
< 5
µ I
/ �/L.
<
EPA Qq 6P
5 .
TRICHLOROETHANE
J •
I//L
�•
�.7 /L
3
Gj'A &2q C �
5
TRICHLOROETHYLENE
< 5 •(L
< 5.Cj
/C
3
�j
C•
VINYL CHLORIDE
�c 5
�a
< C,
�31L
3
Use this space (or a separate sheet) to provide information on other volatile organic compounds requested by the permit writer
ACID -EXTRACTABLE COMPOUNDS
P-CHLORO-M-CRESOL
< '�•
/ fIL
��•
�JIL
3
EPA 625 AS
2-CHLOROPHENOL
<',%
P3IL
Aso.
pqIL
.
»
11%.
2,4-DICHLOROPHENOL
��•
P31L
��•
/�Q/�
/ JQI
3
2,4-DIMETHYLPHENOL
( )o
MIL
<�.
4,6-DINITRO-0-CRESOL
<D.
%j/L
C,50.
IJ/L
3
2,4-DINITROPHENOL
< 6.
AJI
<so.
?jA
.3
„
2-NITROPHENOL
'��•
1(51L
e z.
n`
?
03�
J�O•
4-NITROPHENOL
�0.
/
? J /
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<Sa
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j'
PENTACHLOROPHENOL
C�'
!J
O.
Ns IL
3
"
�O
PHENOL
<so.
Pj IL
<56.
l glL
li
50
2,4,8- OROPHENOL
TRIO
���.
��0.
N$11
i7
��•
Use this space (or a separate sheet) to provide information on other acid -extractable compounds requested by the permit writer
BASE -NEUTRAL COMPOUNDS
ACENAPHTHENE
<'O
/ (a 1L
< /Q'
Pi II
IM /'5 rfH Il p
A
ACENAPHTHYLENE
< /0•
t�1 L
`16.
IIL
ii
16+
ANTHRACENE
/O.
µ$I(-
<50.
MIL
�C
3
l .
BENZIDINE
<50.
WL
<Cn•
�Jff
3BENZO(A)ANTHRACENE
< o
111L<Jv�
/k
3
li
A.
BENZO(A)PYRENE
< /0.
IL
</O.
9JIL
?
A
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
\.�rSor,.. /
PERMIT ACTION REQUESTED:
&npwd,
RIVER BASIN:
Au
Outfall number. O (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
F UORANTHENE
/Q
q%
�"/ L
< lO.
Q
J
3
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< /0
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F UORANTHENE
</O.
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EBIS THER HLOROETHYL}-
< IO,
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< rQ,
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< �O.
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<-/O.
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P ENYLOPHENYETHER L
< 1/0.
�JIL
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/O•
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IA$
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NA HTOHALENE
<IO.
L
L
PHENYL ETHER
CHRYSENE
�/o
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DI-N-BUTYL PHTHALATE
�lO
15I/
< /O.
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77
/VO•
DI-N-OCTYL PHTHALATE
�/O
MIL
<16.
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AINTHRACENE/O•
<r0,/
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< A
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< /O.
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<d O .
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DIETHYL PHTHALATE
%�l
< 6
DIMETHL PHTHALATE
/O.
lt /�/
<16.
/� L•
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HYDRAZINE L
k/0. Ink
/Q,
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1
!i
16.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
'3eJKerson muoz170q
PERMIT ACTION REQUESTED:
Renew o�.
RIVER BASIN:
New
Outfall number. W/ (Complete once for each outfall discharging effluent to waters of the United States.)
POLLUTANT
MAXIMUM DAILY DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Mass
Units
Conc.
Units
Mass
Units
Number
of
Samples
FLUORANTHENE
{�
Its/C<
/O
FLUORENE
</Q
%7k
</O.
1-41/-
HEXACHLOROBENZENE/O�
MIL
lk
< /Q-
LICE /j
?HEXACHLO
BUTAD ENERO
<Ia'
/ O
`l/O•
1Im
3It
�
')
A
HEXACHLORPENTADI NEOCYCLO-
{ /Q
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to •
r//7IL
3
»
/O •
HEXACHLOROETHANE
� d //
/Q <.
//'
?
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INDENO(1,2,3 CD)
PYRENE
<`O •
I /L•
/
C�Q.
'/ ,�r,k
a"`l
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»
l D•
ISOPHORONE
< 10.
/ 1 /
</b •
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NAPHTHALENE
</O.
NIL
</oo./
/O�.
NITROBENZENE
</6,
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/
N-NITROSODI-N-
PROPYLAMINE
.
l L
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/ L
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Yl
A
METHYLAMINE
`o(
N-NITR
PHENYLAMINLAMINE
C /D
�/G
<4.
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.3»
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PHENANTHRENE
{1D
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< /O.
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TRICHLOROBENZENE
{(O
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3
»
A)
Use this space (or a separate sheet) to provide information on other base -neutral compounds requested by the permit writer
Use this space (or a separate sheet) to provide information on other pollutants (e.g., pesticides) requested by the permit writer
END OF PART D.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
dert, W662176q
Rem
Nero
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA.
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's oufalls: 1) POTWs with a design flow rate greater than or equal to 1.0 MGD; 2) POTWs with a pretreatment program (or those that are required
to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. 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.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the forth to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half Years. Allow one
column per test (where each species constitutes a test). Copy this page If more than three tests are being reported.
Test number. _1_- _ Test number. _ Test number.' _
a. Test information.
Test Species & test method number
el'1 0. IOI, u 14,
E I z. 013
Cer10 hi4 u IQ
EPA SZ1,P, 0
F-0 Q0 Ihh0
U 01
Age at initiation of test
z da, s
d4 5
2 awls
Outfall number
001
00
001
Dates sample collected
H/G1O 111124pq
Z.g• 10 Z.11.1O
q.1q.10 q 21.10 4.23.1O
Date test started
11 At /
Z _ 10. 16
14.Z10.10
Duration 110�
/0, U
sam 1G z'111r SAtnpli' Z Zl�r
c
SQM�e1 z.�i�f 5 rip2 Z4
'` J
%� �1�5. eQ I0
b. Give toxicity test methods followed.
Manual title
Short Ter,1ml Me. krjdls
f +o
skwohr (fir hismS,
Edition number and year of publication
3Q r E (JIt.1..1 0, J
(o�Y,l�C�,ronicTox.
t q 1I
Page number(s)
5 U - I fl$ Faki�ead
�a �t ' g
�Or C�
IO �a Y110.,
c. Give the sample collection method(s)used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
Au�omOii C. 1/hour
A - q j hr
om 1 c
ll
R�,omD�T1C hp -
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
v✓
✓/
After dechlorination
✓
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
fe� era Coot 4
PERMIT ACTION REQUESTED:
RernP d-
RIVER BASIN:
vew
Test number. Test number. Test number.
e. Describe the point in the treatment process at which thesamplewas collected.
Sample was collected:
E ffl u G11 Q(� I saodl
Effluei& 0041t
e{A/u en-F
f. For each test, include whether the test was intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
✓
✓
✓
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
✓
✓
y_ /
Flow -through
h. Source of dilution water. if laboratory water, specify type; if receiving water, specify source.
Laboratory water
✓
t!
Receiving water
I. Type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used.
Fresh water
V
✓
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
300
30 °/a
7 5 15 30 15 W
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
7. �( Yes
7. Yes
Yes 7.
Salinity
Temperature
Ammonia
Dissolved oxygen
8. D Yes
8, 2. Yes
2. 2 Yes
1. Test Results. PASS
Acute:
Percent survival in 100% effluent
%
%
%
LCso
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
" krSort,
New
Chronic: Z
3
NOEC
36 %
.�
2D %
%
IC25
%
%
%
Control percent survival
I Ah W %
%
q� 5
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works Involved in a Toxicity Reduction Evaluation?
VU;gs v No If
yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results. 0
Date submitted: / / (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
JP_4�nK002/70q
PERMIT ACTION REQUESTED:
RIVER BASIN:
Renata
Mai
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's oufalls: 1) POTWs with a design flow rate greater than or equal to 1.0 MGD; 2) POTWs with a pretreatment program (or those that are required
to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. 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.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the Information requested in Part E, you need not submit it again. Rather, provide the information
requested In question EA for previously submitted information. If EPA methods were not used, report the reasons for using alternate methods.
If test summaries are available that contain all of the Information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
/j chronic acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: 41 Test number. Test number. �Q
a. Test information.
Test Species & test method number
FbC+ Ihnow
07- 013
Gerib 1%W s,
ERA SLI 02 013
> Wrimw
EPA 2 013
Age at initiation of test
z �a'S
S
U�
Z duds
Outfall number
oOl
M1
VIIJ
Dates sample collected
5,16 ,16 5.19.10 K -20.10
5.17.10 5. 2,0 ,1 o
g. 15. 0 9. U-16 g, l9. lA
Date test started
. I7 . (b
S .1Q1 , 10
S. 11- to
Duration
�-rS
, /
—% Nln..�
(
ddAS
b. Give toxicity test methods followed.
Manual title
ShOft'TP,F M�111W1S�p(L
0 lux• �
Q.��
Ir I1 S
Edition number and year of publication
3 rd, Ed4it,, �.JTLJ
q
Page number(s)
59 - 109 FgAe ld Me\
- 10 - I0 1 �DY Cer10�0.
fllp�,
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
1�hour
ETC '
A hour
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
/
/
/
V/
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
-je'fFers0A yewlal-169Renewal
PERMIT ACTION REQUESTED:
RIVER BASIN:
Jllew
Test number. Test number. Test number.
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
EFFlucn% Wffall
—T—
E�luenf- oug-alt
E{�luenf ou�-{all
f. For each test, Include whether the test was Intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
✓
Acute toxicity
g. Provide the type of test performed.
Static
Statio-renewal
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
Receiving water
1. Type of dilution water. If salt water, specify "natural` or type of artificial sea salts or brine used.
Fresh water
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
3o�4o 7
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Yv3-
Salinity
Temperature
Ammonia _
Dissolved oxygen
g.
I. Test Results. S PASS
Acute:
Percent survival In 100% effluent
%
%
%
LC50
95% C.I.
%,
%
%
Control percent survival
%
%
%
Other (describe)
NPDES FORM 2A Additional Information

FACIUTY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
f sow Yewo -lat
New
Chronic: y s
NOEC
60 %
30 %
WO %
Control percent survival
%
IW %
QO %
Other (describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved In a Toxicity Reduction Evaluation?
Yes °✓ No If yes, describe:
E.4. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonitoring test information, or information regarding the
cause of toxicity, within the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
ffA
Date submitted: (MM/DD/YYYY)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
JeAlirsm W60476q
'Q"
New
SUPPLEMENTAL APPLICATION INFORMATION
PART E. TOXICITY TESTING DATA
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's oufalis: 1) POTWs with a design flow rate greater than or equal to 1.0 MGD; 2) POTWs with a pretreatment program (or those that are required
to have one under 40 CFR Part 403); or 3) POTWs required by the permitting authority to submit data for these parameters.
• At a minimum, these results must include quarterly testing for a 12-month period within the past 1 year using multiple species (minimum of two
species), or the results from four tests performed at least annually in the four and one-half years prior to the application, provided the results
show no appreciable toxicity, and testing for acute and/or chronic toxicity, depending on the range of receiving water dilution. 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 adds ion, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate OA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition, submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity, provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation, if one was conducted.
• If you have already submitted any of the information requested in Part E, you need not submit it again. Rather, provide the information
requested in question EA for previously submitted information. If EPA methods were not used, report the reasons for using aftemate methods.
If test summaries are available that contain all of the information requested below, they may be submitted in place of Part E.
If no biomonitoring data is required, do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.I. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.
-_`ionic acute
E.Z. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test (where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number. _ Test number. Test number.
a. Test information.
Test Species & test method number
CzrIwWhW
EPA 92.1 o13
Age at Initiation of test
2 5
Outfall number
0
Dates sample collected
VS.10 8 A • 10
Date test started
Duration
7 days
"1
b. Give toxicity test methods followed.
Manual title
Jfl01+ }e(VT' M�10ds f p
��oh��T01ClCl� -ib Tye
hv,�o,�-er Orga,R�sms
Edition number and year of publication
3 r�J
3wly 'q �f
Pagenumber(s)
rEjd�t�+�
�9' 10g l'WII�
'��� " I �Of �r(0
n10►�
c. Give the sample collection method(s) used. For multiple grab samples, indicate the number of grab samples used.
24-Hour composite
( j C k-oa
Grab
d. Indicate where the sample was taken in relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection
V
After dechlorination
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
fe o e la
PERMIT ACTION REQUESTED:
Rer wJ-
RIVER BASIN:
vew
Test number. Test number. Test number.
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected:
7EFF/U cnf I ouffa//
Effluent oo-falt
EfFluen-- out Fkll
I. For each test, Include whether the test was Intended to assess chronic toxicity, acute toxicity, or both
Chronic toxicity
Acute toxicity
g. Provide the type of test performed.
Static
Static -renewal
✓
Flow -through
h. Source of dilution water. If laboratory water, specify type; if receiving water, specify source.
Laboratory water
✓
Receiving water
I. Type of dilution water. If salt water, specify "natural' or type of artificial sea salts or brine used.
Fresh water
Salt water
J. Give the percentage effluent used for all concentrations in the test series.
�O
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH
Salinity
Temperature
Ammonia -
Dissolved oxygen
I. Test Results.
> 304
Acute:
Percent survival In 100% effluent
%
%
%
LCw
95% C.I.
%
%
%
Control percent survival
%
%
%
Other (describe)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
,j��sorl. 70q
New
Chronic: 7
NOEC
%
%
%
iCu
%
%
%
Control percent survival
I, r' %
W
%
%
Other (describe)
m. Quality Control/Quality Assurance. Co NEW C simd rol
Is reference toxicant data available?
Was reference toxicant test within
acceptable bounds?
What date was reference toxicant test
run (MM/DD/YYYY)?
Other (describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved In a Toxlcity Reduction Evaluatlon?
Yes VINO If yes, describe:
EA. Summary of Submitted Biomonitoring Test Information. If you have submitted biomonftoring test information, or information regarding the
cause of toxicity, withIn the past four and one-half years, provide the dates the information was submitted to the permitting authority and a summary
of the results.
A
Date submitted: (MM/DD/YYW)
Summary of results: (see instructions)
END OF PART E.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
J_Je on. NMZ170
Rertwal
NP,I,J
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
Yes No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs.
b. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following Information for each SIU. If more than one SIU discharges to the treatment works, copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary. Name: Q Trzi w ChvrVeC ` es
Mailing Address: 14 jwlcoWai Je4erson) NC 400.
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
I
6\msk DAumimm Dig6x to bodies It etc," in pr'epaal-6) for pair\bly)9.
F.S. Principal Product(s) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): �II I� .il(:�/yp+I(JEs
Rawmaterial(s): 1l�(mipumIP.S
F.S. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (GPD) and whether the discharge is continuous or intermittent.
8W_ GPD (_ _ continuous or intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (GPD) and whether the discharge is continuous or intermittent.
ismGPD (_ continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
es No
a. Local limits Yyes
b. Categorical pretreatment standards No
If subject to categorical pretreatment standards, which category and subcategory?
j//
"T1.1__ l-T_ IN 1 1
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
jeXKson Ncoo2170Q
Renewal
New
F.S. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
treatment works in the past three years?
upsets, interference) a7N,
Yes o If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
at
Yes '✓ No to F.12)
(go
F.10. Waste transport Method by which RCRA waste is received (check all that apply):
Truck Rail Dedicated Pipe
FA 1. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
VINO
Yes (complete F.13 through F.15.)
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment
a. Is this waste treated (or will be treated) prior to entering the treatment works?
Yes No
If yes, describe the treatment (provide information about the removal efficiency):
b. Is the discharge (or will the discharge be) continuous or intermittent?
Continuous Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
J-efF Tr t-1- N=z170q
PERMIT ACTION REQUESTED:
RertwalZ
RIVER BASIN:
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA, or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.I. Pretreatment program. Does the treatment works have, or is subject ot, an approved pretreatment program?
Yes _' No
F.2. Number of Significant Industrial Users (SIUs) and Categorical Industrial Users (CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non -categorical SIUs.
b. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the Vestment works, copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
'1 AT1rS RUBBER COMPANY
Name:
Mailing Address: l_ • i`�-_
_10 -GWS _�r -- .__VQr5011->-lY._Q�IL ._ __ ---- - --_ _ - _. - _ _
FA. Industrial Proms. Describe all the industrial processes that affect or contribute to the SIU's discharge.
Ably of power_ lammfzl'on Dave Bel-
F.S. Principal Products) and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
�� S V1. �L �S
Principal product(s): __ 1 V► • 1
Raw material(s):
F.S. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day (GPD) and whether the discharge is continuous or intermittent.
AGPD ( continuous or —J� intermittent)
b. Non -process wastewater flow rate. Indicate the average daily volume of non -process wastewater flow discharged into the collection system
in gallons per day (GPD)and whether the discharge is continuous or intermittent.
12L,vGPD (_.___..._✓ continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits �as No
Vyes
b. Categorical pretreatment standards No
If subject to categorical pretreatment standards, which category and subcategory?
0 CFR 4z2 G
NPDES FORM 2A Additional Information

FACIUTY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
&,faran Z1769
Rnwj
New
F.S. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems (e.g.,
upsets, Interference) at the treatment works in the past three years?
Yes Y No If yes, describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.B. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck, rail or dedicated pipe?
Yes V No (go to F.12)
F.10. Waste transport. Method by which RCRA waste is received (check all that apply):
Truck _ Rail Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount (volume or mass, specify units).
EPA Hazardous Waste Number Amount Units
CERCLA (SUPERFUND) WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER, AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Wasta. Does the treatment works currently (or has it been notified that it will) receive waste from remedial activities?
/No
Yes (complete F.13 through F.15.)
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates (or is excepted to origniate in
the next fire years).
F.14. Pollutants. List the hazardous constituents that are received (or are expected to be received). Include data on volume and concentration, if
known. (Attach additional sheets if necessary.)
FA & Waste Treatment
a. Is this waste treated (or will be treated) prior to entering the treatment works?
Yes No
If yes, describe the treatment (provide information about the removal efficiency):
b. is the discharge (or will the discharge be) continuous or intermittent?
Continuous _ Intermittent If intermittent, describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER:
\14tmt, WWWO
PERMIT ACTION REQUESTED:
I M&I
RIVER BASIN:
New
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS F C-56 is
If the treatment works has a combined sewer system, Complete Part G.
G.I. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs (e.g., beaches, drinking water supplies, shellfish beds, sensitive aquatic ecosystems, and
outstanding natural resource waters).
C. Waters that support threatened and endangered species potentially affected by CSOs.
43.2. System Diagram. Provide a diagram, either in the map provided in GA or on a separate drawing, of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines, both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
C. Locations of in -line and off-line storage structures.
d. Locations of flow -regulating devices.
e. Locations of pump stations.
CSO OUTFALLS:
Complete questions G.3 through G.6 once for each CSO dischRM2 oolnt.
G.3. Description of Outfall.
a. Outfall number
b. Location _
(City or town, if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
C. Distance from shore (if applicable) fl.
d. Depth below surface (if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
Rainfall CSO pollutant concentrations CSO frequency
CSO flow volume Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
a. Give the number of CSO events in the last year.
events ( actual or approx.)
b. Give the average duration per CSO event.
hours ( actual or approx.)
NPDES FORM 2A Additional Information

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
NcWZ170a 2newaQ N
C. Give the average volume per CSO event.
million gallons ( actual or approx.)
d. Give the minimum rainfall that caused a CSO event in the last year
Inches of rainfall
G.S. Description of Receiving Waters.
a. Name of receiving water:
b. Name of watershed/river/stream system:
United State Soil Conservation Service 14-digit watershed code (if known):
C. Name of State Management/River Basin:
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
G.S. CSO Operations.
Describe any known water quality impacts on the receiving water caused by this CSO (e.g., permanent or intermittent beach closings, permanent or
intermittent shell fish bed closings, fish kills, fish advisories, other recreational loss, or violation of any applicable State water quality standard).
END OF PART G.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE.
Additional information, if provided, will appear on the following pages.
NPDES FORM 2A Additional Information

a -le —
RECEIVED
• � � �� N,C. Dedt. of ENR `
`—'�— FOCT 0 5 2010
NCDENR Winston-Salem
North Carolina Department of Environment and Natural Resources -__ Regional e
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins, Director
Dee Freeman, Secretary
September 30, 2010
Mr. Timothy Hightower
Town of Jefferson
P.O. Box 67
Jefferson, N.C. 28640-0067
SUBJECT: Notice of Facility Status Change
NPDES Permit NCO021709
Jefferson WWTP
Ashe County
Dear Permittee:
A recent internal review of the Division's facility classifications determined that the subject
municipal wastewater treatment plant is improperly classified as a Minor facility. The Jefferson
WWTP should be classified as a Major facility, per the definition for Major/Minor facilities found in
the General Statute:
§ 143-215.3D. Fee schedule for water quality permits.
(a) Annual fees for discharge and nondischarge permits under G.S. 143-215.1. —
(1) Major Individual NPDES Permits. — The annual fee for an individual permit for a point source
discharge of 1,000,000 or more gallons per day, a publicly owned treatment works (POTW)
that administers a POTW pretreatment program, as defined in 40 Code of Federal Regulations
§ 403.3 (1 July 1996 Edition), or an industrial waste treatment works that has a high toxic
pollutant potential is three thousand four hundred forty dollars ($3,440).
Beginning in 2011, you will be billed the permit fee for a Major NPDES permit for the subject
facility. If at any time your pretreatment program becomes inactive, your facility status will revert
to Minor.
If you have questions regarding preparation of the report, contact Mr. Tom Belnick at (919) 807-
6390 or via e-mail [[e-mail]].
Sincerely,
oleen H. Sullins
cc: Central Files
Winston-Salem Regional Office / Corey Basinger
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarolina
Phone: [phone] /FAX [phone] / Internet: www.ncwaterquality.org Natunab
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Beverly Eaves Perdue
Governor
A�
ia
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director RECEIVED
N.C, Dent of ENR
April 1, 2010 APR 12 2010
V n5ton•Salem
Regional Office
Mr. Tim Church, Water Resources Director
Town of Jefferson
1233 Hwy 16 N
Jefferson, North Carolina 28640
14'k---
Dee Freeman
Secretary
Subject: General Permit No. NCGI 10000
Town of Jefferson
COC No. NCG110146
Ashe County
Dear Mr. Church:
In accordance with your application for a discharge permit received on February 23, 2010, we are
forwarding herewith the subject certificate of coverage (COC) to discharge under the subject state — NPDES
general permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215
and the Memorandum of Agreement between North Carolina and the US Environmental Protection Agency
dated October 15, 2007 (or as subsequently amended).
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable to you, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the
certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other federal or local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bill Diuguid at telephone number
[phone].
Sincerely,
ORIGINAL SIGNED BY
KEN PICKLE
Coleen H. Sullins
cc: Winston-Salem Regional Office
Central riles
Stormwater Permitting Unit Files
Attachments
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 North C aroli n a
Internet: www.ncwaterqualiiy.org -� ?��l�r� /��
An Equal Opportunity1 Affirmative Action Employer v/ �/ !�i ` `

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG110000
CERTIFICATE OF COVERAGE No. NCG110146
STORMWATER DISCHARGES
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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,
Town of Jefferson
is hereby authorized to discharge stormwater from a facility located at
Town of Jefferson WWTP
1233 Hwy 16 N.
Jefferson
Ashe County
to receiving waters designated as Naked Creek, a Class C creek, New River Basin; in accordance with the effluent
limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V and VI of General Permit
No. NCG 110000, as attached.
This Certificate of Coverage shall become effective April 1, 2010.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day April 1, 2010.
ORIGINAL SIGNED BY
KEN PICKLE
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

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Town of Jefferson
WWTP NCG110146
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Latitude:36°24'34" Longitude: W25'39" NCG110146 Facility'
County: Ashe Town of Jefferson Location
Stream Class: C WWTP
Receiving Stream: Naked Creek
Sub -basin: 05-07-01 (New River Basin)
NOT !l11LEp

Town of Jefferson
W atier 1Z wurcels(l
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
February 3, 2010
r`zECEIVED
North Carolina Division of Water Quality
N.C. Deot. of ENR
1617 Mail Service Center
FEB 0 8 2010
F
Raleigh, NC 27699-1617
Winston-Salem
ATTN. Mr. Kerr T. Stevens
Regional Office
SUBJECT: System Performance Annual Report for 2009
Dear Mr. Stevens:
Enclosed please find three copies of the System Performance Annual Report for the Town of
Jefferson WWTP, NPDES # NCO021709 and its collection system, Permit # WQCS00220.
It covers the calendar year of 2009. This report will be mailed in March to every water and sewer
customer served by the Town of Jefferson. Copies of this report are also posted and available for
the public at Jefferson Town Hall, 302 East Main Street and the Jefferson Wastewater Treatment
Plant, 1233 Highway 16 N. Please note the reverse side of this report also contains the public
education material regarding the control of Fats, Oils, & Greases as required by the town's
collection system permit.
If you have questions or comments regarding this report please give me a call at [phone].
cc: Cathy Howell, Town Manager
encl:
[e-mail]
Respectfully,
l 8Lj---
Tim Church
Water Resources Director

4NWI . rV�Aia
o
0
LAST SEEN:
Loitering in Sinks
and Drains
WANTED FOR:
Causing Sewer
Overflows
DID You KNOW...
Most sanitary sewer backups occur between
your home and the town's sewer main?
You can help prevent a costly and unsanitary
overflow by following afew simple steps:
K 0 C%
Scrape excess grease in a container and dispose of it in
the garbage.
Place food scraps in waste containers or garbage bags
for disposal with solid wastes, or start a compost pile;
promote use of scraping ware prior to washing.
"Place a wastebasket in the bathroom to dispose of solid
wastes. Disposable diapers, condoms, and personal
hygiene products do not belong in the sewer system.
Promote the concept of I R's": Reduce, Reuse, Recycle.
�i Pour grease, fats, and oils from cooking down the drain.
Use the toilet as a wastebasket.
61 Use the sewer as a means of disposing food scraps.
The Grease Goblin and associated materials are provided by the N.C. Division of Pollution Prevention and Environmental Assistance (DPPEA) located
in the Department of Environment and Natural Resources (DENR). Samples of materials using the Grease Goblin image must be provided to DPPEA.

Town of Jefferson
Water Rew rce*
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 (336) "
This is the Performance Annual Report for the Town of Jefferson Wastewater Treatment Plant
and its outlying collection system, Permit # WQCS00220. Our goal is to continuously manage
each of our water qualityfacilities in a manner that exceeds all state and federal standards, is
cost effective for our consumers, and also protects and enhances the surface waters of the New
River Basin. This report covers the calendar year 2009.
Collection System Performance is critical to our river basin. We maintain about 18 miles of sanitary sewer lines
and four pump stations. For the calendar year 2009 the Town of Jefferson experienced no sanitary sewer overflows.
The Water Resources staff continues to implement plans to locate and eliminate sources of groundwater inflow and
infiltration from our system. A number of manholes have been specifically identified for rehabilitation that will take
place prior to the end of this fiscal year. The scope of this work will include pressure cleaning the interior of each
manhole and applying a '/z inch coat of epoxy to produce a water tight seal over the entire structure. This practice
will continue to be funded annually until all manholes in question have been repaired. Smoke testing of sewer lines
is also an ongoing practice that is proving effective in locating areas in need of repair. In 2009 the town purchased a
camera inspection unit capable of traveling within sewer lines and videoing the interior condition of the pipe. A GIS
map is being created, assigning a GPS coordinate to every manhole and pump station in the collection system.
Wastewater Plant Performance for 2009 has again been excellent. We treat an average flow of 0.320 mgd which
is about 60 % of our design capacity. Our facility discharges into a section of the New River having a designation of
Outstanding Resource Waters. As a result, the pollutant limits we are required to meet are lower than those of most
other facilities in North Carolina. The chart below reveals our effluent quality to be well within these standards.
April through October
Conventional Pollutants Average Effluent Concentration Permit Limit.Mg/1 Removal EEIciency
Biochemical Oxygen Demand 2.18 mg/I 5. 98%
Total Suspended Residue 3.27 mg/1 20. 98%
Ammonia -nitrogen 0.51 mg/1 2. N/A
Fecal coliform 5.4 org/100 mi. 200 N/A
/♦1111111♦♦11111111111111111111111111111111111111111//11111♦♦♦♦11111111♦
November through March
Conventional Pollutants Average Effluent Concentration Permit Limit, Mg/1 Removal Effikiency
Biochemical Oxygen Demand 2.7 mg/1 10. 98%
Total Suspended Residue 3.7 mg/I 20. 98%
Ammonia -nitrogen 0.24 mg/1 4. N/A
Fecal coliform 11.0 org. / 100 mi. 200 N/A
The analyses listed above are performed on our influent and effluent 3 times weekly, using 24 hour composite
sampling. Additional parameters measured are listed below and are regulated under NPDES Permit Number
NC0021709.
Temperature, pH, Low level chlorine residual, (upstream/downstream dissolved oxygen)...................3/week
Leadand Mercury ...................................................................................................................................Weekly
Cadmium, Copper, Lead, Zinc, Silver, Cyanide......................................................................................2/month
ChronicToxicity ......................................................................................................................................Quarterly
Each of these parameters were compliant with the WWTP permit conditions in 2009.
The Jefferson Wastewater Treatment Facility did not experience any unresolved permit violations during the 2009
calendar year. We take satisfaction in seeing our work and your support result in clean and healthy water for the
New River Basin. Our consumers are extremely important to the successful operation of our water and wastewater
facilities. If you have questions or comments in regard to this document or the operation and management of the
Town of Jefferson Water Resources facilities please contact Mr. Tim Church at [phone].
See the back of the page for important additional information about FOG removal.
[e-mail]

Pr
Beverly Eaves Perdue
Governor
5206
Mr. Tim Church
Town of Jefferson WWTP
P.O. Box 67
Jefferson, INC 28640-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
December 23, 2009
SUBJECT: Wastewater/Groundwater Laboratory Certification Renewal
FIELD PARAMETERS ONLY
Dear Mr. Church:
6C16--.
Dee Freeman
Secretary
RECEIVED
N.C, Deot. of ENR
DEC 3 0.2009
Winston-Salem I
Regional office
The Department of Environment and Natural Resources, in accordance with the provisions of NC GS 143-215-
.3 (a) (10), 15 NCAC 2H .0800, is pleased to renew certification for your laboratory to perform specified
environmental analyses required by EMC monitoring and reporting regulations 15 NCAC 2B .0500, 2H .0900 and
2L .0100, .0200, .0300, and 2N .0100 through .0800.
Enclosed for your use is a certificate describing the requirements and limits of your certification. Please review
this certificate to insure that your laboratory is certified for all parameters required to properly meet your
certification needs.
Please contact us at 919-733-3908 if you have questions or need additional information.
Sincerely,
Pat Donnelly
Certification Branch Manager
Laboratory Section
Enclosure
cc: Ramon Cook
Dana Satterwhite
Winston - Salem Regional Office
DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch
1623 Mail Service Center, Raleigh, North Carolina 27699-1623
Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445
Phone: [phone] FAX: [phone]
Internet: www.dwqlab.org
An Equal Opportunity \Affirmative Action Employer Customer Service: 1-877-623-6748 www.ncwaterquality.org
NorthCarolina
Naturally

STATE OF NORTH CAROLINA DEPARTMENT OF THE
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
LABORATORY CERTIFICATION PROGRAM
In accordance with the provisions of N.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
2010
TOWN OF JEFFERSON WWTP
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DWQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H .0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This certificate shall be valid until December 31, 2010
Certificate N 5206
Pat Donnelly

Pr
Lab Name:
Address:
Attachment I
North Carolina Wastewater/Groundwater Laboratory Certification
Certified Parameters Listing
Town of Jefferson WWTP
P.O. Box 67
Jefferson. NC 28640-
Certificate Number:
Effective Date:
Expiration Date:
Date of Last Amendment:
5206
01 /01 /2010
12/31/2010
The above named laboratory, having duly met the requirements of 15A NCAC 2H.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANICS
RESIDUAL CHLORINE
Sid Method 4500 CI G
DISSOLVED OXYGEN
Std Method 4500 O G
pH
Std Method 4500 H B
RESIDUE SETTLEABLE
Std Method 2540F
TEMPERATURE
Std Method 2550E
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are
subject to civil penalties and/or decertification for infractions as set forth in 15A NCAC 2H.0807.

��
NCDENR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
December 15, 2009
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Stormwater Permit Application for NCG110000
Town of Jefferson WWTP
NPDES # NCO021709
Ashe County
Dear Mr. Church:
Resources
Dee Freeman
Secretary
Attached you will find the Notice of Intent (NOI) for application for a NPDES Stormwater Permit
NCG110000. You are required to apply for and receive this permit because you have an approved
pretreatment program. You can obtain more information concerning this permit at the following webpage:
http://h2o.enr.state.nc.uslsulForms—Documents.htm.
This has always been a requirement, but seemed to slip through the cracks. Should you have any questions,
please contact me at [phone].
Sincerely,
George S. Smith
Environmental Chemist
ATTACHMENT
cc: 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
An Equal Opportunity 1 Affirmative Action Employer
No thCarolina
naturally

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November 25, 2009
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
SUBJECT: Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
A Compliance Evaluation Inspection was performed on the Grade III facility by George Smith on November 19, 2009.
Mr. Tim Church, ORC, Grade IV along with Mr. Fred Walters, Back-up ORC, Grade II were present for the inspection.
The inspection is comprised of an overall evaluation of the facilities equipment, capability to meet effluent limits, and
compliance with the NPDES permit.
Permit
Your new NPDES permit became effective May 1, 2006 and expires March 31, 2011. A copy was kept on file.
Records & Reports
The facility performs and documents process control of the following: microscopic examination, settleability, MLSS, pH
(clarifier, oxidation ditch, digester), dissolved oxygen in the oxidation ditch, Sludge Volume Index (SVI), and blanket
height with a sludge judge. These records were in excellent order.
This office received a copy of the Performance Annual Report for the calendar year 2008.
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm).
There was not a grit chamber installed before the barscreen. Although this is not a requirement, there may be grit that
accumulated before the barscreen, which may cause blockage and/or barscreen failure. This was noted during the previous
inspection.
The 3/8-inch automatic bar screen was properly operating. There is a leaking seal on a drive motor.
The oxidation ditch components and rotating contactors are in good working order, and there is a good earthy odor. The
three rings of the ditch have sufficient dissolved oxygen. This treatment unit is performing very well.
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 NorthCarofina
Internet www.ncwaterquality.org Naturally
An Equal Opportunity 1 Affirmative Action Employer KL `LL

Compliance Evaluation Inspection
November 25, 2009
Page 2 of 3
11
The secondary clarifiers had some straggler flock coming over the weirs. The effluent over the weirs was clear. Both units
were functioning very well, and were well maintained.
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was crystal clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. A Chessel type flow recording device is used with a seven
day circular chart.
The calibration was performed and documented by TC&M System Inc. on October 8, 2009.
Laboratory
The municipal lab is field certified #5206, and performed the following: Residual chlorine, dissolved oxygen, pH, residue
settleable, and temperature.
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD method and using the
flow thru cell. A five point calibration is performed annually.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH 10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NBS.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color, solids, or odor.
Operations & Maintenance
The Grade III facility was maintained by the following contingent: Tim Church, ORC, Grade IV and Fred Walters, Back-
up ORC, Grade H.
All treatment units in the facility were well maintained. The oxidation ditch is maintained at a MLSS of 2200 mg/L.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite is used for dechlorination.
Self -Monitoring Program
The effluent is sampled by composite flow proportion method at 150 ml/10,000 gallons using Isco model 3710 FR
samplers with refrigerator. They are well maintained, clean tubing and temperature is < 4°C.

Compliance Evaluation Inspection
November 25, 2009
Page 3 of 3
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek, Class C waters.
A review of the monthly self -monitoring reports from January 2009 through September 2009 did show:
• One daily maximum violation for Lead during May 2009.
• Two daily maximum violations for Lead during June 2009.
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly with plenty of room
for wasting solids. The sludge dryer appears to be well maintained. The facility generates approximately 50% Class A and
50% Class B residuals.
The compliance inspection will be considered satisfactory. If you have any questions please contact George Smith or me
at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
cc: WSRO Files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance 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 31 NCO021709 111 121 09/11/19 117 18I CI 19I SI 20I II
Remarks
2,I11111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- —----- —------------- Reserved-----------------
67 I 169 701 31 711 DI 721 NJ 73' j 114 751 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)
09:15 AM 09/11/19
06/05/01
Jefferson WWTP
Exit Time/Date
Permit Expiration Date
1233 NC Hwy 16 S
Jefferson NC 28640
10:42 AM 09/11/19
11/03/31
Name(s) of Onsite Representative (s)lritles(s)/Phone and Fax Number(s)
Other Facility Data
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Timothy Church,PO Box 67 Jefferson NC 286400067//336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 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
George S Smith WSRO WQ//336-771-5000/ Ita, 26, 2 p0
Ice �
Signature Q;/A wer Agency/Office/Phone and Fax Numbers Date
ZManaent
&
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO021709 I11 12I 09/11/19 1
17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO021709
Inspection Date: 11/19/2009
Owner - Facility: Jefferson WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ n 0
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:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
o
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
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
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 3

Permit: NCO021709
Inspection Date: 11/19/2009
Owner - Facility. Jefferson WWTP
Inspection Type: Compliance Evaluation
C
Record Keeping
Yes No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
■ 0
0 0
Comment:
Effluent Pipe
Yes No
NA
NE
Is right of way to the outfall properly maintained?
■ 0
0
0
Are the receiving water free of foam other than trace amounts and other debris?
■ 0
0
0
If effluent (diffuser pipes are required) are they operating properly?
0 0
■
0
Comment:
Flow Measurement - Effluent
Yes No
NA
NE
# Is flow meter used for reporting?
■ 0
n
0
Is flow meter calibrated annually?
■ 0
0
0
Is the flow meter operational? .
■ 0
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
n 01
0
■
Comment:
Oxidation Ditches
Yes No
NA
NE
Are the aerators operational?
■ 0
0
0
Are the aerators free of excessive solids build up?
■ 0
0
0
# Is the foam the proper color for the treatment process?
■ 0
0
0
Does the foam cover less than 25% of the basin's surface?
■ n
0
0
Is the DO level acceptable?
■ n
n
n
Are settleometer results acceptable (> 30 minutes)?
■ 0
0
0
Is the DO level acceptable?(1.0 to 3.0 mg/I)
■ n
n
n
Are settelometer results acceptable?(400 to 800 ml/I in 30 minutes)
■ n
0
0
Comment:
Disinfection -Gas
Yes No
NA
NE
Are cylinders secured adequately?
■ n
n
n
Are cylinders protected from direct sunlight?
■ n
n
Cl
Is there adequate reserve supply of disinfectant?
■ 0
n
n
Is the level of chlorine residual acceptable?
0 0
0
■
Is the contact chamber free of growth, or sludge buildup?
■ 0
0
0
Is there chlorine residual prior to de -chlorination?
0 0
0
■
Page
# 4

Permit: NC0021709 Owner - Facility: Jefferson VWVfP
Inspection Date: 11/19/2009 Inspection Type: Compliance Evaluation
Disinfection -Gas Yes No NA NE
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)? 0 Q O ■
If yes, then is there a Risk Management Plan on site? Q ❑ ❑ ■
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 ? Liquid
Is the feed ratio proportional to chlorine amount (1 to 1)? Cl ❑ Q ■
Is storage appropriate for cylinders?
Cl ❑ ❑ ■
# Is de -chlorination substance stored away from chlorine containers? ■ ❑ ❑ ❑
Comment:
Are the tablets the proper size and type? ❑ ❑ ■ n
Are tablet de -chlorinators operational? Q 0 ■ ❑
Number of tubes in use?
Comment:
Page # 5

L
b S
pb
Old
L�
r -4,A
A i4•� �l �L�
P4 s S� 2 a0

Or
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: -e tr5°n . Ttawn Permit/Pipe No.: /VCOo 2! 7Uq TlondvYear -�ePz 07
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Tvpe DMR Value % der Limit
�S DmolueJ 0KYy<4 --, 6,o d&,Ig PI, .5",(1
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
1von--
Completed by: Date: ?I, 206i
Regional Water Quality
Supervisor Signoff: Date:
s-Y

MONITORING REPORT(MR) VIOLATIONS for:
Permit: % MRs Between: 92009 and 9 2009 Region: Winston-Salem
Facility Name: % Param Name: % County: %
Major Minor: %
Report Date: 12/08/09 Page: 1 of 10
Violation Category: Limit Violation Program Category: NPDES WW
Subbasin: % Violation Action: None
PERMIT: NCO021211
FACILITY: City of Graham - Graham WWTP
COUNTY: Alamance
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER DATE FREQUENCY
MEASURE
LIMIT VALUE
VIOLATION TYPE VIOLATION ACTION
09 -2009 001 Effluent
Phosphorus, Total (as P) - 09/30/09 Weekly
mg/I
2 2.12
Quarterly Average Exceeded None
Concentration
PERMIT: NCO021709
FACILITY: Town of Jefferson - Jefferson WWTP
COUNTY: Ashe
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER DATE FREQUENCY
MEASURE
LIMIT VALUE
VIOLATION TYPE VIOLATION ACTION
09 -2009 001 Effluent
DO, Oxygen, Dissolved 09/15/09 3 X week
mg/I
6 5.6
Daily Minimum Not Reached None

O�l
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
August 112009
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Review of the self -monitoring report for the month of May 2009 revealed the following limit volation(s):
Parameter Permit Limit
Lead 34.0
Daily Maximum Violation(s)
Reported Value Units
67 ug/L
Dee Freeman
Secretary
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
cc: 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
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarohna
;Vatura!!tf

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Town o�F �� T'�rson Permit/Pipe No.: NG 00 21 7n 9 Month/Year M,&,e q
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly'(9p,iolations
Date Parameter Permit Limit/Type DMR Value % Over Limit
S/27 L.crud 3 y,o Nd, 7
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
Other Violations
N o V/ 0/ i rl d e1 S 0✓ C ✓` G 5 H7 b„ C-A S
Completed by: -- -ru Date:
Regional Water Quality / �l
Supervisor Signoff: Date:

Beverly Eaves Perdue
Governor
A����f
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coleen H. Sullins
Director
September 16, 2009
Mr. Tim Church, Water Resource Director
Town of Jefferson
P.O. Box 67
Jefferson, NC 28640
Subject: Notice of Violation - Effluent Limitations
Town of Jefferson WWTP
NPDES No. NCO021709
Ashe County
Dear Mr. Church:
Dee Freeman
Secretary
Review of the self -monitoring report for the month of June 2009 revealed the following limit violation(s):
Daily Maximum Violation(s)
Parameter
Date
Permit Limit
Reported Value
Units
Lead
June 2
34.0
45
ug/L
Lead
June 9
34.0
46
ug/L
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). 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 me
at [phone].
Sincerely,
*Steveedder
Regional Supervisor
cc: 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
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: Town o-f• T,-,r*crson Permit/Pipe No.: N600 a/ 70 5i Mond -/Year l,!n O ?
Parameter
Date Parameter
Date Parameter
Other Violations
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Skl03violations
Permit Limit/Tvpe DMR Value
3 y!:�-cAc i, 'Y Y b-
3 4,, /� IN; l� �l
Over Limit
32�7,
3S%
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
N%
Completed by: Date: y -
Regional Water Quality
Supervisor SiQnoff: Date:

/v�OU Zt 7 °q
Town of Jefferson
Water Re4Z
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
-DENR - WATER QUALITY
This is the Performance Annual Report for the Town of Jefferson Waste TM qaR C E BRANCH
Facility and its outlying collection system. Our goal is to continuously manage alto our water
qualityfacilities in a manner that not only exceeds all state and federal standards, but also
protects and enhances the surface waters of the New River basin. This report covers the
calendar year 2008.
Collection System Performance is critical to our river basin. We maintain about 18 miles of sanitary sewers and
four pump stations. For the calendar year 2008 the Town of Jefferson experienced no sanitary sewer overflows.
The Water Resources staff continues to implement plans to locate and eliminate sources of groundwater infiltration
and inflow in our collection system. Efforts are now under way to repair 46 manholes identified as sources of
infiltration. Smoke testing of collection lines is ongoing. This year a CCTV camera will be obtained that will allow
interior inspection of sewer lines. Funding has been requested under the American Recovery and Reinvestment Act
of 2009 to replace 8,500 feet of 18" vitreous clay sewer main.
Wastewater Plant Performance for 2008 has again been excellent. The information listed below is a portion of the
required compliance monitoring. Our facility discharges into a section of the New River designated as Outstanding
Resources Waters. As a result, the pollutant limits we are required to meet are much lower than those of most other
facilities. The Jefferson Wastewater plant consistently discharges an effluent that is well below those stricter limits.
April through October
Conventional Pollutants Average El&ent
Concentration
Permit Limit
Removal FTwkncy
Biochemical Oxygen Demand
2.9 mg/1
5.
98%
Total Suspended Residue
2.5 mg/1
20.
98%
Ammonia -nitrogen
0.27 mg/I
2.
N/A
Fecal coliform
6.2 org./100 ml.
200.
N/A
November through March
Conventional Pollutants Average EfIluent
Concentration
Permit Limit mg/1
Removal Efcienep
Biochemical Oxygen Demand
3.1 mg/1
10.
98%
Total Suspended Residue
4.28 mg/I
20.
98%
Ammonia -nitrogen
1.25 mg/1
2.
N/A
Fecal coliform
3.7 org./100 ml.
200
N/A
The analyses listed above are performed on our influent and effluent 3 times weekly, using 24 hour composite
sampling. Additional parameters measured are listed below and are also regulated under NPDES Permit Number
NC0021709.
Temperature, pH, Low level chlorine residual, (upstream/downstream dissolved oxygen)......................3/week
Leadand Mercury ....................................................................................................................................Weekly
Cadmium, Copper, Lead, Zinc, Silver, Cyanide......................................................................................2/month
ChronicToxicity ......................................................................................................................................Quarterly
Each of these parameters were compliant with the WWTP hermit conditions in 2008.
The Jefferson Wastewater Treatment Facility did not experience any unresolved permit violations during the 2008.
calendar year. We take satisfaction in seeing our work and your support result in clean and healthy water for the
New River Basin. Our consumers are extremely important to the successful operation of our water and wastewater
facilities. If you have questions or comments in regard to this document or the operation and management of the
Town of Jefferson Water Resources facilities please contact Mr. Tim Church at [phone]
[e-mail]

0�0� W AT �9QG
r
December 10, 2008
Mr. Tim Church
Water Resources Director
P.O. Box 67
Jefferson, NC 28640
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
SUBJECT: Notice of Deficiency
Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Church:
Coleen H. Sullins, Director
Division of Water Quality
A Compliance Evaluation Inspection was performed on the Grade III facility by George Smith on
November 20, 2008. Mr. Tim Church, ORC, Grade IV along with Mr. Fred Walters, Back-up ORC,
Grade II were present for the inspection. Mr. Marc Stokes, Technical Assistance was present during
the inspection. The inspection is comprised of an overall evaluation of the facilities equipment,
capability to meet effluent limits, and compliance with the NPDES permit.
This inspection evaluated nine (9) areas. The respective rating for each area is noted in Section
C of the attached EPA inspection report, and the observations during the inspection of each
area are addressed below:
Permit
Your new NPDES permit became effective May 1, 2006 and expires March 31, 2011. A copy was
kept on file.
Records & Reports
The facility performs and documents process control of the following: microscopic examination,
settleability, MLSS, pH (clarifier, oxidation ditch, digester), dissolved oxygen in the oxidation ditch,
Sludge Volume Index (SVI), and blanket height with a sludge judge. These records were in excellent
order.
The Performance Annual Report for the calendar year 2007 sent to this office.
None Carolina
XV&r,711
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Winston-Salem Regional Office Winston-Salem, NC 27107 Fax [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Mr. Tim Church.
December 10, 2008
Page 2 of 4
Facility Site Review
There are four influent pumps (two-300gpm and two-400gpm). There is one influent pump that is
out of service, waiting for a $270 bolt.
The brush motor on the mechanical bar screen was not working properly.
The 3/8-inch automatic bar screen and compactor appeared to be properly operating.
The oxidation ditch components and rotating contactors are in good working order, and there is a
good earthy odor. The three rings of the ditch have more than sufficient dissolved oxygen. This
treatment unit is performing very well.
The new secondary clarifier had some straggler flock coming over the weirs. The effluent over the
weirs was clear. The unit was functioning very well, and were well maintained.
The old secondary clarifier was out of service, waiting on a part. The unit was empty..
The tertiary filter is producing a clear effluent. The unit is properly maintained. In fact, the water was
crystal clear.
The chlorine contact chamber contained a clear effluent with no solids present.
Flow Measurement
The flow is measured with a 90' V-notch sharp crested weir. There is a small leak around the weir
plate, and the aluminum plate is bowed out. This will need to be addressed before the next
inspection.
A Chessel type flow recording device is used with a seven day circular chart.
The calibration was performed and documented by TC&M System Inc. on March 27, 2008.
Laboratory
The municipal lab is field certified #5206, and performed the following: Residual chlorine, dissolved
oxygen, pH, residue settleable, and temperature.

Mr. Tim Church.
December 10, 2008
Page 3 of 4
The total residual chlorine is performed using a Hach DR2500 spectrophotometer with the DPD
method and using the flow thru cell. A five -point calibration curve was performed on April 24, 2008.
The model `Hach One' pH meter is calibrated with a two -point buffer of 4 & 7 and check with a pH
10 buffer.
A calibration log was kept for pH and dissolved oxygen, and temperature, which is traceable to NBS.
Effluent/Receiving Waters
The effluent, which discharges to Naked Creek, Class C + waters, was crystal clear and had no color,
solids, or odor.
Operations & Maintenance
The Grade III facility was maintained by the following contingent: Tim Church, ORC, Grade IV and
Fred Walters, Back-up ORC, Grade II.
All treatment units in the facility were well maintained.
Chlorine gas is used for disinfection. Anhydrous sodium metabisulfite, used for dechlorination.
Self -Monitoring Program
The influent and effluent is sampled by time composite method using Isco model 3710 FR samplers
with refrigerator. They are well maintained, clean tubing and temperature is < VC.
Flow proportional sampling is a permit requirement. The Isco sampler must be hooked to the effluent
flow device and a the proper sampling must be performed per your NPDES permit Part!!, Section A,
Composite Sample, (3). Failure to perform this is considered apermit violation.
All grab samples are taken at the end of the pipe 001 just before it discharges into Naked Creek,
Class C waters.
A review of the monthly self -monitoring reports from January 2008 through September 2008 did
show two daily maximum violations for Lead during March 2007.

Mr. Tim Church.
December 10, 2008
Page 4 of 4
Sludge Disposal
The Town is permitted to land apply the residuals. The digesters appeared to be functioning properly
with plenty of room for wasting solids. The sludge dryer appears to be well maintained. The facility
generates approximately 50% Class A and 50% Class B residuals.
Please be advised, these violations and any future violations are subject to civil penalty assessment of
up to $25,000.00 per day, per violation, as well as other actions by the Division of Water Quality.
Please submit to this office, in writing, on or before December 30, 2008 when you will be sampling
flow proportion as required per the permit.
The compliance inspection will be considered satisfactory. If you have any questions please contact
George Smith or me at [phone].
Sincerely,
4
Steve W. Tedder
Regional Supervisor
cc: SWP Central Files
WSRO Files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance 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 N00021709 111 121 08/11/20 117 18I CI 19I SI 20I II
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------Reserved----- — — —
67I 169 70121 711 DI 721 NJ 73 W 74 751 1 l l l 1 11 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)
09:25 AM 08/11/20
06/05/01
Jefferson WWTP
Exit Time/Date
Permit Expiration Date
1233 NC Hwy 16 S
Jefferson NC 28640
11:00 AM 08/11/20
11/03/31
Name(s) of Onsite Representative(s)rritles(s)/Phone and Fax Number(s)
Other Facility Data
Timothy Church/ORC/336-246-2165/
Name, Address of Responsible Official/Title/Phone and Fax Number
.TimothyContacted
Church,PO Box 67 Jefferson NC 286400067//336-246-2165/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 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
George S Smith WSRO WQ//336-771-5000/
Signature of Management�QA Review 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 NCO021709 I11 121 08/11/20 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Need to reply to this office on the date flow proportion sample will be implemented.
Page # 2

Permit: NCO021709
Inspection Date: 11/20/2008
Owner - Facility: Jefferson WWfP
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
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?
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
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
Are analytical results consistent with data reported on DMRs?
■ n
n
n
Is the chain -of -custody complete?
■ n
❑
Cl
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
Is a copy of the current NPDES permit available on site?
■ n
n
n
Page # 3

Permit: NCO021709
Inspection Date: 11/20/2008
Record Keeping
Facility has copy of previous year's Annual Report on file for review?
Comment:
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Owner - Facility: Jefferson WWrP
Inspection Type: Compliance Evaluation
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
Comment: The old clarifier is out of service. Waiting on a part.
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)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment: The facility has flow proportional capability, but it is not connected.
7-1[Wmliml
Yes No NA NE
■nnn
■nnn
■nnn
■nnn
.nnn
■nnn
■nnn
■nnn
■nnn
■nnn
■nnn
Yes No NA NE
n■nn
■nnn
■nnn
■nnn
■nnn
■nnn
Page # 4

Town of efferson�f��
W at7w Re5~ce�
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
December 29, 2008
Mr. Steve W. Tedder
Regional Supervisor
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
SUBJECT: Notice of Deficiency
Compliance Evaluation Inspection
Town of Jefferson WWTP
NPDES Permit # NCO021709
Ashe County
Dear Mr. Tedder:
RECEIVED
N.C. Dept of ENR
DEC 3 0 2008
W nstcn-Ss-
This correspondence addresses the two areas of deficiency noted during the Compliance
Evaluation Inspection conducted at the Town of Jefferson WWTP on November 20, 2008 by
Mr. George Smith and Mr. Marc Stokes.
The first item was listed under the heading of Flow Measurement and is in regard to a small leak
in the epoxy seal around the aluminum 90 degree V-notch weir. This leak will be patched with
an epoxy product that is also used for sealing the interiors of manholes. It is marketed as
Epoxytec CPP and has a very high compressive strength able to cure in wet conditions.
The second item is listed under Self-MonitoringProgram and addresses the permit requirement
of flow proportional sampling. A cooperative effort between our sampler manufacturer (ISCO)
and the service representative for our Eastech flowmeter (Eddie Wentz of TC&M) is currently
underway to combine the proper cable set and pin connections to allow the two devices to be
properly interfaced. This procedure may require one or two weeks to complete. I will notify Mr.
Smith when this has been accomplished.
If additional information is required please give me a call at [phone] or contact me via
e-mail at jeffwns a,fastransit.net.
Respectfully,
Tim Church,
Water Resources Director
[e-mail]

Town of Jefferso
Water ►2ewurc k
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
This is the Performance Annual Report_for the Town of Jefferson Wastewater Treatment
Facility and its outlying collection system. Our goal is to continuously manage all of our water
qualityfacilities in a manner that not only exceeds all state and federal standards, but also
protects and enhances the surface waters of the New River basin. This report covers the
calendar year 2007.
Collection System Performance is critical to our river basin. We maintain about 15 miles of sanitary sewers and
four pump stations. On January 2, 2007an act of vandalism resulted in the blockage of a manhole in the sewer main.
As a result, approximately 150,000 gallons of sewage flowed into Naked Creek. No fish kills or other adverse
impacts resulted from this incident. This event was reported to the NC Division of Water Quality as a Sanitary
Sewer Overflow.
The Water Resources staff continues to implement plans to locate and eliminate sources of infiltration and inflow in
our collection system. A large residence was found to have its roof drains connected to the sewer system. These
gutters have subsequently been removed from the town's sewers. A number of faulty manholes have been selected
for relining. Another round of smoke testing will also occur this summer to locate faulty collection lines and/or
unauthorized connections. Our 2008 budget will also includes funds for the purchase of a CCTV camera capable of
entering sewer lines and providing videos from the interior of collection lines. This technology allows crews to
precisely identify and locate defective sections of sewer pipes.
Wastewater Plant Performance for 2007 has again been excellent. The information listed below is a portion of the
required compliance monitoring. Our facility continues to produce an effluent that is well below our strict NPDES
permit limits and is of a quality and appearance that is second to none.
April through October
Conventional Pollutants Average EfRuent Concentration Permit Limit Removal E iciency
Biochemical Oxygen Demand 3.15 mg/1 5. 98%
Total Suspended Residue 2.40 mg/1 20. 98%
Ammonia -nitrogen 0.94 mg/1 2. N/A
Fecal coliform 3.3 org./100 mi. 200. N/A
♦♦111111111111♦/1111111111111111111♦♦1111111111111♦1111/1/1111111111111♦
November through March
Biochemical Oxygen Demand 3.14 mg/1 10. 98%
Total Suspended Residue 4.28 mg/1 20. 98%
Ammonia -nitrogen 1.36 mg/I 2. N/A
Fecal coliform 2.5 org./100 mi. 200 N/A
The analyses listed above are performed on our influent and effluent 3 times weekly, using 24 hour composite
sampling. Additional parameters measured are listed below and are also regulated under NPDES Permit Number
NC0021709.
Temperature, pH, Low level chlorine residual, (upstream/downstream dissolved oxygen)......................3/week
Leadand Mercury ....................................................................................................................................Weekly
Cadmium, Copper, Lead, Zinc, Silver, Cyanide......................................................................................2/month
ChronicToxicity ......................................................................................................................................Quarterly
Each of these parameters were compliant with the WWTP permit conditions in 2007.
The Jefferson Wastewater Treatment Facility did not experience any unresolved permit violations during the 2007
calendar year. We take satisfaction in seeing our work and your support result in clean and healthy water for the
New River Basin. Our consumers are extremely important to the successful operation of our water and wastewater
facilities. If you have questions or comments in regard to this document or the operation and management of the
Town of Jefferson Water Resources facilities please contact Mr. Tim Church at [phone]
RECEIVED
N.C. Dent r`
[e-mail] APR 21 rV78

Town of Jefferson
Ulatw IZe ~cep
1233 Highway 16 P.O. Box 67 Jefferson, NC 28640 [phone]
RECEIVED
N.C, Deot of ENR
December 12, 2006 DEC 14 EN
Winston-Salem
Regional Office
Mr. Steve W. Tedder, Regional Supervisor
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
SUBJECT: Response to Compliance Evaluation Inspection
Town of Jefferson, NPDES NCO021709
Inflow and Infiltration Rehabilitation; Flow measurement
Dear Mr. Tedder:
As required by the Compliance Evaluation Inspection at the Jefferson WWTP performed on
November 8, 2006 I am responding in regard to the efforts currently underway as well as future
plans to remove inflow and infiltration from the Town's collection system.
Collection system rehabilitation has been informally attempted sporadically in previous years,
only to lose momentum due to other obligations. The town has begun to develop a systematic
strategy aimed toward locating and eliminating sources of FI. Even prior to this CEI some
elements of the plan were being carried out. Information is being gathered regarding the impact
of specific rainfall events on our flow. Additionally, basic repairs that are within our ability
have been made to selected manholes. Our aldermen have included a line item in the budget for
collection system rehabilitation. On December 21" I will be making a presentation to the
aldermen regarding the implementation of certain phases of this work. I have included a portion
of that information in this correspondence.
Our entire collection system has been mapped and overlaid onto an aerial photograph. On that
map each manhole has been assigned an ID number. The diameter and pipe material of each
segment of the collection system is listed. In the summer of 2005, staff personnel from the
WWTP along with an engineer from McGill Associates, P.A. visited every manhole in the
collection system that could reasonably be located. Out of approximately 450 manholes in the
system, less than a dozen were unaccounted. During this inspection process an individual report
was completed for each manhole in regard to location, depth, condition of inverts and grouting,
seals between sections, steps and bench condition, along with other factors that might indicate
evidence as an 1/1 source. Using this study, we have begun to prioritize these manholes based on
potential liability for FI. The following is a list of some of the conditions we have discovered
and corrected.
[e-mail]

Page 2
Sources of III Located
* A large residence has its entire guttering system, including a separate garage, connected to the
sanitary sewer. We photographed the results of our smoke testing and we are in the process of
requiring the owner to correct this situation, citing Section 2.1 (b) [13] of the Sewer Use
Ordinance.
* A ductile iron sewer main lateral located in a creek bed had separated at a joint. Any rise in
the level of the creek allowed that water to enter the collection system. This entire section of
line was replaced and configured so that no joint would be present in the streambed.
* In a housing development (Woodcroft) two manholes were identified having six inch dead-end
service lines stubbed out of the manholes in order to serve potential contruction on adjoining
vacant lots. These service lines extend well into the lots and have considerable flow in them
during periods when the water table is high, indicating that these lines where not adequately
capped, the line itself is broken, or both. Plugs will be placed into the inverts of these lines in
the manhole while the property owner will be required to make repairs, also based upon Section
2.1 (b) [13] of the Sewer Use Ordinance.
* Manhole number 332 on Oakgrove Circle had two lift -holes in the wall that had not been filled
after installation. One of these open holes was observed during a wet weather event to be
releasing a stream of water one inch in diameter, projecting it a distance of almost one foot out
into the manhole, similar to a fountain. On November 15' personnel from the WWTP filled
these lift -holes with hydraulic cement and a visit to this manhole during the following wet -
weather event revealed that a water -tight seal had been achieved.
* A number of manholes have been determined to have poorly grouted inverts or grout that is in
the process of failing and/or lids and risers with structural defects, obvious sources of I/I.
* Other precast manholes are showing evidence of sealant failure between sections and also at
the seal where the base and first section join. A case in point is manhole number 373 on Luther
Rd. It is a deep manhole with three precast sections. During a recent extremely high ground
water period it was observed to contain leaks between the sections, giving the appearance of a
shower within the manhole.
*Smoke testing in previous years has indicated a number of private service lines that leak. We
will be in the process of identifying those more precisely and requiring owners to make repairs.
* The collection system has about 2.5 miles of vitrous clay pipe that serve as a main trunk
installed as part of the original collection system and WWTP construction in 1967-68. We have
no direct evidence of failure in this area but the presence of large diameter clay pipe that has
been in place forty years calls for CCTV inspection as an early objective to be carried out.

Page 3
UI Location Technologies Being Considered
As you are aware, a wide selection of technologies are available for M location and collection
system repair. Some of these products and techniques are being studied in order to determine
those that are best suited to the conditions existing within our collection system. I plan on
visiting jobsites to observe the implementation of these methods and discuss their effectiveness
with other customers. While I am aware that you are not allowed to recommend specific
suppliers, any suggestions that you and your staff might make in regard to general technologies
for UI location and repair would be welcome. For the present, we are focusing on the following.
Smoke testing
We possess this equipment and have used it rather effectively. It is obviously a necessary tool in
most any VI location project.
Area -Velocity meters
Flow measurement within the collection system has been implemented to a limited extent. Mr.
Gene Johnston in the office of Construction Grants and Loans assisted us approximately three
years ago with the installation of area -velocity meters at what we believed might be strategic
points within the system. He retired prior to this project being completed and I am not aware if
the data collected is still available. Even if it is available, we have in the meantime divided our
collection system into mini -systems that would now yield much more accurate data than that
collected previously. I recently called the Construction Grants and Loans office and explained
this need and my desire to possibly borrow these area -velocity meters. I was referred to Mr. Dan
Blaisdale's voice mail but I have not received any information regarding the availability of these
meters. If your staff could look into that matter I would be most appreciative. Flow monitoring
within the mini -systems we have recently established would be a productive tool in allowing us
to select areas that qualify for CCTV inspection. If we could get access to the area -velocity
meters I think the town would be willing to provide the lap top computer and software needed.
Ongoing Manhole Inspections
Despite its low -tech nature, there is not a better tool than on -site observations. Putting on the
rain suits and opening manholes during storm events and shortly thereafter can reveal some
valuable information. This practice will continue.
Conductivity measurement
This has not been implemented but consideration has been given to using a conductivity meter to
monitor changes upstream and downstream of suspected UI points within sewer lines in order to
detect variations in TDS in the wastestream.

Page 4
Rehabilitation Technologies Being Considered
Resin -epoxy sealant for manholes
This appears to be a proven method for correcting some of our problematic manholes that have
leaks around the inverts and precast seams. I am considering a product from the Raven Lining
System. References indicate this product has aggressive bonding characteristics to underground
infrastructures. I am hoping to acquire some general pricing for this method shortly and visit an
application site.
In -House maintenance
As part of prioritizing manholes in need of repair, evaluation is also conducted on the basis of
the structures that can be repaired with grouting, the use of hydraulic cement, and other more
basic repairs that our staff can perform effectively. Several of our manholes will fall into this
category.
Pressurized grouting
This method involves drilling through the manhole wall in the vicinity of leaks and injecting
grout under pressure through the wall and outward around the exterior to seal the failing area.
The use of the interior resin -epoxy sealant appears to be more effective but this product will
continue to be under consideration.
Heat fusion slip -lining of collection mains
It is a fact that faulty manholes are contributing to I/I. It is just as certain that when portions of
sewer lines are examined by the bright light of CCTV inspection they too will prove to be a
source of UI. Rather than excavate the lines in need of repair, slip -lining (trenchless technology)
will be implemented in these areas. Insituform is a widely known vendor for this product but the
Town will also explore other similar suppliers.
As mentioned earlier, this is a situation the Town has made some random attempts to correct in
the past with moderate success, but a concerted effort has never taken hold. With a staff and
budget that is typical in size for a small municipality it is easy (but not excusable) for collection
system rehabilitation to take on a lower priority in the face of activities such as WWTP
operation and maintenance, WTP operations, laboratory operations and certifications, biosolids
handling, Industrial Pretreatment programs, pump station maintenance and all those unseen
situations that are unavoidable. But this is a window of opportunity for the Town. We are
fortunate to have a WWTP in which we can take pride. At present, approximately 40% of our
capacity is still available and the plant's discharge is well within NPDES limits with no outside
factors threatening it's ability to continue that status. There are no moratoriums or compliance
orders facing us. Our leaders are aggressively budgeting for the correction of UI and we would
certainly be interested in your suggestions regarding potential sources of funding that we might
pursue to assist in this project. Personally I am excited about taking on this challenge and seeing
the level of success we will achieve. It is likely to be a long term project. This situation is not

Page 5
the result of a few large sources that we can locate and repair quickly and easily. It is more
likely the result of a large number of small to moderate sources that will require time and
patience to correct, as evidenced by the effect high water tables and not just precipitation alone
exert upon the WWTP flow. However we have gathered sufficient information that will allow
us to measure our progress as we go forward and cause patience and good judgment to be
applied.
In another matter, Mr Smith also indicated some concerns regarding the accuracy of the effluent
flow chart and counter. Our staff has compared the chart reading with the actual head measured
in the v-notch and could not detect any variation between the two readings. This was performed
with the chart in a high flow position as well a low flow position with similar results. Mr Eddie
Wentz of TC & M Systems in Kernersville, NC performed maintenance and flow calibration on
the effluent ultrasonic meter in the summer of 2006. I am requesting a calibration certification
statement from him. Should this document be unavailable, Mr. Wentz will return for an
additional calibration.
I hope this correspondence adequately addresses the issues and concerns resulting from our
compliance evaluation inspection. Should additional information be required please give me a
call at [phone] or I can be reached by e-mail at ; effwns s fastransit. net. Thank for your
assistance in helping the Town of Jefferson protect the waters of North Carolina and the New
River Basin.
Respectfully,
_�-0441ok
Tim Church
Water Resources Director
cc: Mr. George Smith, WSRO; *`
Cathy Howell, town manager
Town of Jefferson mayor and aldermen
Enclosures

F
A Thief Among Us
Approximate Total Cost of 2004 WWTP Expansion
$ 3,800,000.00
Additional Capacity Resulting from this Project
3001000 gallons/day
The cost of adding capacity to our wastewater treatment plant roughly
amounted to $12.65 per gallon. Plant capacity is a valuable commodity that
municipalities have learned to guard carefully.
Inf low/Inf filtration is nothing more than a thief that robs us of capacity,
threatening future customer base and jeopardizing compliance with NPDES
limits as our plant normally reaches its design flow in future years.
As we have witnessed, upgrading a WWTP to stay ahead of the curve can be
expensive. Present conditions indicate a more efficient strategy is to locate
and rehabilitate points within the collection system that are allowing rain,
groundwater, and surface waters to enter. A collection system must be
viewed as a valuable piece of capital equipment, much like a fleet of vehicles
or a treatment plant that have predictable and routine schedules of
maintenance and repair. Many towns have placed a lower priority on
collection systems simply because they are out of sight and out of mind.
Rehabilitation of sewer lines and manholes often, if not always, results in a
greater benefit to the utility than the construction of new facilities, based
on unit costs. Using the approximate construction costs referenced earlier,
$500.00 spent on construction would yield about 40 gpd capacity. That same
$500.00 spent in the rehabilitation of a single manhole could eliminate
thousands of gallons/day of flow during rains or periods of high groundwater.

F
However, there are no guarantees in I/I removal projects. Some towns have
spent a few thousand dollars and removed large amounts of I/I from their
systems. Conversely, other projects have consumed several thousand dollars
and produced only modest improvements. Careful preliminary planning and
the development of a prudent strategy are critical in making these efforts
as effective as possible. Some of the preliminary work such as system
mapping and a manhole study have been completed. We have begun locating
and prioritizing potential repair sites. Also, a few basic repairs have been
made to some manholes.
Attempts to begin this task have been made previously, only to lose
momentum due to other obligations. The WWTP expansion has been a huge
success. It is a facility in which the Town can take pride. With over 40% of
capacity remaining available, we have a window of opportunity for collection
system rehabilitation to begin in earnest, without the pressure of deadlines
and moratoriums over our heads. Your decision to budget for collection
system repair is wise. I encourage you to allow it to remain in future
budgets. Hopefully by the Spring of 2007 sufficient planning will have been
completed to allow us to select the best available rehabilitation technologies
for our specif is needs and begin their implementation.

Sources of I/I Located
* Gutters connected to the sanitary sewer
* Main line with a broken joint in a creek bed
* Dead-end service lines stubbed out of manholes to vacant lots
* Inverts not grouted properly or grout that is failing
* Leaking seals between pre -cast manhole sections
* Broken risers at ground level
* Lift -holes in manhole walls that have not been grouted
* Vented manhole lids in streets and parking lots
* Faulty private service lines
* Jefferson Landing Golf Resort

Rain Event: 10.16.06 10.17.06
1.0 inch 0.75 inch
Average WWTP flow for the 5 days preceding this rainfall event = 0.304 mgd
Average WWTP flow for the 5 days following this rainfall event = 0.406 mgd
This event resulted in an average increase in flow of 0.102 mgd, or 25%.
Rain Event: 11.7.06
2.46 inches
Average WWTP flow for the 5 days preceding this rainfall event = 0.350 mgd
Average WWTP flow for the 5 days following this rainfall event = 0.470 mgd
This event resulted in an average increase in flow of 0.120 mgd, or 25 %.
Rain Event: 11.15.06
1.90 inches
Average WWTP flow for the 5 days preceding this rainfall event = 0.434 mgd
Average WWTP flow for the 5 days following this rainfall event = 0.472 mgd
This event resulted in an average increase in flow of 0.0906 mgd, or 9 %.
Rain Event: 11.30.06
0.63 inches
Average WWTP flow for the 5 days preceding this rainfall event = 0.358 mgd
Average WWTP flow for the 5 days following this rainfall event = 0.452 mgd
This event resulted in an average increase in flow of 0.094 mgd, or 21 %.

Technologies Available to Locate Inflow/Infiltration
* On site manhole inspections during storm events
* Low pressure smoke testing
* Area -velocity meters assigned to mini -systems
* Upstream/downstream conductivity measurement
* Closed Circuit Television Camera inspection of mains
Technologies Available to Correct Inflow/Infiltration
* Grouting/hydraulic cement
* Epoxy -resin sealing of manhole interiors
* Pressurized grouting
* Collection bowls installed under lids in pavement
* Heat fusion slip -lining of collection mains (trenchless)

Steps Toward Collection System Rehabilitation
Phase One
* Map the entire system
* Conduct a manhole study and prioritize by condition
* Rehab the MH's that are within our capability
* Divide the collection system into mini -system drainage areas
* Perform smoke testing within the mini=systems
* Notify customers that have leaks and establish a repair policy
* Determine the impact of rehabilitation thus far
Phase Two
* Use area -velocity meters to monitor flow within mini -systems
* Determine areas where CCTV will be conducted
* Select BAT and implement in specific areas.

Costs Associated with Rehabilitation Techniques
* Insituform slip-lining(trenchless).......................
* Epoxy -resin coating of manhole interior .............
* Pressure grouting of manhole exterior ................
* CCTV inspection ..............................................
* Pressure smoke testing .......................................
On -site visits should be made to locations where these technologies are being
applied to determine methods that are best suited to our conditions.

FundinLy Sources and Alternatives
* Annual budgeting
* Clean Water Management Trust Fund
* STAG Grant (Federal funding with a 55% match)
* State Revolving Fund (2.3% interest)
* Impact fee similar to that used to support Storm Water Programs