NC0088749_Regional Office Historical File Pre 2016

Boone, Ron
From: Russ Willard <[e-mail]>
Sent: Monday, December 07, 2015 9:27 AM
To: Boone, Ron
Cc: Lee Kimbrell
Subject: Lissara WWTP Non -Compliance
Attachments: Lissara Non -Compliance Memo Dec 7, 2015.odt
Ron:
Lee asked that I send this memo on to you for your file on the Lissara wastewater treatment plant. We had an exceedence of
permit conditions on the fecal sample of Dec. 1, 2015.
We are not sure what happened other than the fact that a new home has just been completed and we suspect that cleaning
chemicals were disposed of into the system which affected the chemistry of the plant.
Please give Lee a call with any questions.
Thank you,
Russ Willard
Ramey, Inc.
336.655.7339
Ira

1
L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
December 7, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Dear Mr. Boone
This is to advise you that a sampling event of December 1, 2015 indicated an
exceedence of Coliform Fecal parameters ( 816/ 100ml) as set forth in the
plant operating permit. Remedial actions have been implemented to correct
the non-compliance problem.
Please contact me with any questions or if you need additional information.
Very truly yours,
Lee Kimbrell
L & N Wastewater Management, Inc.

Water Resources
ENVIRONMENTAL QUALITY
December 16, 2015
Lissara Partners LLC
Attn: CJ Ramey, Owner
P.O. Box 10
Bethania, NC 27010
Subject: Compliance Evaluation Inspection
Permittee: Lissara Partners LLC
Facility: Lissara Wastewater Treatment Plant
NPDES Permit #: NCO088749
Forsyth County
Dear Mr. Ramey:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a compliance evaluation inspection (CEI) of the Lissara Wastewater Treatment Plant (WWTP) on
December 15, 2015. The assistance and cooperation of Lee Kimbrell, Operator in Responsible Charge (ORC), during
the inspection, was greatly appreciated. The inspection findings are summarized below and an inspection report is also
attached for your records.
The plant is located at 9689 Wildflower Woods Way, in Lewisville, NC, at approximate coordinates
36.1162330N, 80.458243°W. The permit authorizes Lissara Partners LLC to operate this 0.108 MGD WWTP and
discharge the treated effluent from the plant into Yadkin River, this section of which is currently classified as WS-IV
waters and is located in the Yadkin Pee -Dee River basin.
The plant was brought on line in April, 2015 and still only receives about 1,500 gallons of flow per day. The
plant has experienced five limit violations since being brought on line, three Fecal Coliform violations and two Total
Suspended Solids violations. The plant, which such low flow, is still struggling to completely treat the waste.
SITE REVIEW
The plant is clean and well maintained. There are several spots of corrosion all over the plant that should be
repaired before they become larger problems. The owners should also establish a maintenance program to inspect the
plant annually for the presence of corrosion and then to fix it. This is the only discrepancy noted by Mr. Boone during
the inspection.
DOCUMENTATION REVIEW
Documentation that was available was reviewed and no issues, discrepancies, or violations were noted.
However, not all required documentation was available for inspection. The owner and/or operator must ensure that a
copy of the complete discharge permit and all discharge monitoring reports (DMR), laboratory records (field and non -
field), and chains of custody are available during an inspection and kept on site at all times. No other issues were
noted.
State of North Carolina I Environmental Quality I Water Resources
450 West Hanes Mill Road, Suite 300 1 Winston-Salem North Carolina 27105
336 776 9800

Please bear in mind that in accordance with NC General Statute 143-215.6A, the Director of the Division of
Water Resources may .assess civil penalties not to exceed $25,000 per day, per violation, for violations of the
NC0088749 NPDES permit.
If you have any questions regarding the permit or this letter, please call Mr. Boone or me at [phone].
Thank you for your attention to this matter.
Sincerely,
Sherri V. Knight
Regional Supervisor
Water Resources Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Report
CC: VMS Wel ISO,P
Centra i es
NPDES Unit
L&N Wastewater Management
Attn: Lee Kimbrell
5646 Hampton Rd,
Clemmons, NC 27012

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 NCoo88749 I11 12 15/12/15 17 18 I C I 19 I G I 201 l
211111 I I I I I I II 11 1 I I I I I I I I I I I I I I I I I I I I II I I I I 116 6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------Reserved-------
72 l �, l 731 I l74 751 I I I I I I I80
67 70 I I 71 itI JI L
L_1 � I I 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)
10:OOAM 15/12/15
14/02/01
Lissara WTP
Exit Time/Date
Permit Expiration Date
9689 Wildflower Woods Way
Lewisville NC 27023
11:00AM 15/12/15
19/01/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Randall Keith Bell/ORC/336-373-7514/
Virgil Lee Kimbrell/ORC/336-399-9319/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
C J Ramey, PO Box 10 Bethania NC 27010//336-922-4000/3369221762
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
® Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boon WSRO WQ//336-776-9690/
Signatur{e o/f Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCO088749 I11 12 15/12/15 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

4
Permit: NCO088749 Owner - Facility: Lissara WTP
Inspection Date: 12/15/2015 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
❑
❑
M
❑
application?
Is the facility as described in the permit?
❑
❑
0
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: None
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?
❑
M
❑
❑
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?
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?
M
❑
❑
❑
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?
0
❑
❑
❑
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?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
❑
M
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
M
❑
Comment: Plant in operation for less than 1 year. Not all DMRs, lab records, chains of custody, etc,
available during the inspection. Has copy of permit limitations page but not the entire permit.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑
Page# 3

01
Permit: NCO088749 Owner -Facility: LissaraWfP
Inspection Date: 12/15/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
Are all other parameters(excluding field parameters) performed by a certified lab?
❑
❑
❑
# Is the facility using a contract lab?
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
❑
Comment: None
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
0
❑
❑
❑
Is the tubing clean?
❑
❑
N
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
❑
representative)?
Comment: Samples are taken from the effluent v-notch weir on the flow box, not from the end of the
pipe, which is approximately 1,000 feet northwest of the flow box.
Equalization Basins
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Are audible and visual alarms operable?
# Is basin size/volume adequate?
Yes No NA NE
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
E ❑ ❑ ❑
❑ ❑ ■ ❑
❑ ❑ ❑
Comment: Basin does not have audible and visual alarms but is tied into a telemetry system that
notifiies operator by phone of specific alarm conditions. Owners should also install local
audible and visual alarms in case of telemetry failure, which would also include failure of the
phone lines.
Aeration Basins Yes No NA NE
Mode of operation Ext. Air
Page# 4

r
.,
Permit: NCO088749
Inspection Date: 12/15/2015
Owner - Facility: Lissara WTP
Inspection Type: Compliance Evaluation
Aeration Basins
Yes No NA NE
Type of aeration system
Fixed
Is the basin free of dead spots?
0
❑
❑
❑
Are surface aerators and mixers operational?
❑
❑
N❑
Are the diffusers operational?
0
❑
❑
❑
Is the foam the proper color for the treatment process?
M
❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
M
❑
❑
❑
Is the DO level acceptable?
0
❑
❑
❑
Is the DO level acceptable?(1.0 to 3.0 mg/1)
0
❑
❑
❑
Comment: None
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
M
❑
❑
❑
Is the site free of excessive buildup. of solids in center well of circular clarifier?
❑
❑
0❑
Are weirs level?
0
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
. ❑
Is the site free of evidence of short-circuiting?
0
❑
❑
❑
Is scum removal adequate?
M
❑
❑
❑
Is the site free. of excessive floating sludge?
M
❑
❑
❑
Is the drive unit operational?
❑
❑
0
❑
Is the return rate acceptable (low turbulence)?
N
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately %< of the sidewall depth)
❑
❑
❑
Comment: None
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
0
❑
❑
❑
Are pumps operational?
❑
❑
❑
Are there adequate spare parts and supplies on site?
0
❑
❑
❑
Comment: None
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? 0 ❑ ❑ ❑
Are the tablets the proper size and type? 0 ❑ ❑ ❑
Page# 5

Permit: NC0088749
Owner - Facility: Lissara WTP
Inspection Date: 12/15/2015
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
Number of tubes in use?
8
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment: None
De -chlorination
Yes No NA NE
Type of system ?
Tablet
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?
0
❑
❑
❑
Are the tablets the proper size and type?
0
❑
❑
❑
Comment: None
Are tablet de -chlorinators operational? 0 ❑ ❑ ❑
Number of tubes in use? 8
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
0
❑
❑
❑
Is flow meter calibrated annually?
0
❑
❑
❑
Is the flow meter operational?
0
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
M
❑
❑
❑
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: Way to outfall is treacherous. Accommodations should be made so operators can access
the end of the pipe to collect samples.
Aerobic Digester
Is the capacity adequate?
Yes No NA NE
❑ ❑ ❑
Page# 6

i
Permit: NCO088749
Inspection Date: 12115/2015
Owner - Facility: Lissara WTP
Inspection Type: Compliance Evaluation
Aerobic Digester
Yes No NA NE
Is the mixing adequate?
❑
❑
❑
Is the site free of excessive foaming in the tank?
❑
❑
❑
# Is the odor acceptable?
N
❑
❑
❑
# Is tankage available for properly waste sludge?
0
❑
❑
❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: There are several spots of corrosion all over the plant that should be addressed now.
Owners should develop maintenance program to fix spot corrosion every six months at a
minimum to prevent small spot corrosion from becoming large problems.
Standby Power
Yes No NA NE
Is automatically activated standby power available?
M
❑
❑
❑
Is the generator tested by interrupting primary power source?
❑
❑
❑
i
Is the generator tested under load?
❑
❑
❑
■
Was generator tested & operational during the inspection?
❑
N
❑
❑
Do the generator(s) have adequate capacity to operate the entire wastewater site?
0
❑
❑
❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
❑
❑
❑
Is the generator fuel level monitored?
❑
❑
❑
Comment: None
Page# 7

7
4A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 11, 2015
C J Ramey
Lissara Partners LLC
PO Box 10
Bethania NC 27010
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0589
Permit No. NCO088749
Lissara WTP
Forsyth County
Dear Mr. Ramey:
Donald R. van der Vaart
Secretary
A review of Lissara WTP's monitoring report for June 2015 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
6/2/2015
400.000
#/loom[
524.000 #/100ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
&SRO —RI sA
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
450 W. Hanes Mill Rd, Suite 300; Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncdenr.gov
An Equal Opportunity \ Affirmative Action Employer — Made in part by recycled paper

/ B /ilR Review Remonol
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Facility: i55, Ye Permit No.: f�d/ Pipe No.: Month/Year:
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit Action
Weekly/Daily Violations
Date Parameter Permit Limit Limit T e DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
Other Violations/Staff Remarks:
s f��is - �c � �<<; l� ►�1� - ik:o1�z7 - g�/'!` -,Na u, S�a j�rs�9��,f/�, ,
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>upervisor Remarks:
Completed by: Date:
Assistant Regional
Supervisor Sign Off: Date:
Regional Supervisor Sign l-��f V��� " 4�r/J�'2 c
Off: Date:

EFFLUENT
9
NPDES PERMIT NO. NCO088749 DISCHARGE NO. 001 MONTH JUNE YEAR a' h
FACILITY NAME LISSARA WWTP CLASS III COUNTY FORSYTH,
CERTIFIED LABORATORY (1) STATESVILLE ANALYTICAL INC. CERTIFICATION NO. 440 � \_ wR_
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) VIRGIL LEE KIMBRELL
PERSON(S) COLLECTING SAMPLES VIRGIL LEE KIMBRELL
CHECK BOX IF ORC HAS CHA UE _IVED
Mail ORIGINAL and ONE CO PY to: N.C.De L of ENR ATTN: CENTRAL FILES Mr. [ 5 2015 X/
GRADE IV CERTIFICATION NO. 9458
ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE
DIVISION OF WATER RESOURCES (SI AT OF ERAT013PIN RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER BY T IS trGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 Winst n-Salem ACCU TE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
.1 -RagiQ al Office
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22.40
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22.10
6.30
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6.04
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20.70
7.04
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20.70
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21.80
6.78
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22.90
7.05
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23.00
7.01
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23.30
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23.70
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Comp. (C) / Grab (G)
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Montbly Limit
0.540
6-9
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zoo/looml
D" Form MR-1. 1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
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.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
LISSARA PARTNERS; LLC
Permittee (Please print or type)
-' 7-;W -/ z-
Si t ' o Pe rttee*** Date
(Required unless submitted electronically)
5646 Hampton Road, Clemmons, NC 27012 [phone] GemleeklOaol.com
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.ncdenr.ory/web/wq/swp//ps/npdes/appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 213 .0506(b)(2)(D). Page 2

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
June 9, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on June 2, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on June 8, 2015 indicated that the fecal coliform
sample level was 524/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please c ptact me with any questions.
L Kimbrell
L & N Wastewater Management
336.399.9319

JNWA
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 12, 20115
C J Ramey
Lissara-Partners LLC
PO Box 10
Bethania NC 27010
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0511
Permit No. NCO088749
Lissara WTP
Forsyth County
Dear Mr. Ramey:
Donald R. van der Vaart
Secretary
A review of Lissara WTP's monitoring report for May 2015 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
5/5/2015
400.000
727.000 #/-100mI
Daily Maximum
Broth,44.5C
#/100ml
Exceeded
Coliform, Fecal MF, M-FC
5/31/2015
200.000
226.770 #/100ml
Monthly
Broth,44.5C
#/100ml
Geometric
Mean
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone]
cc: DWR — Central Files
J�File
Sincerely,
A
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
450 W. Hanes Mill Rd, Suite 300;.Winston-Salem, NC 27105
Phone: [phone] Internet: wrww.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

Facility:
C.- 4
Permit No.: 74-1 pipe No.:
00 Month/Year:
as//S*-
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Action
Weekly/Daily Violations
Date
Parameter
Permit Limit Limit Type DIWR Value
% Over Limit
Action
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
9 of Violations
Action
Other Violations/Staff Remarks:
I
4
Y
q113D — 775 - H", 4A 51,161,41 , /jot/
;upervisor Remarks:
N0V-�,61 L V- D5 I/
Completed by: ��'�
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date: AZ1211,5--
Date:
Date:'

08/10/2015 01:02 3367782295 L&N WASTEWATER PAGE 03
EFFLUENT
NPT)F8 I'F'.RM1'1-NC)- NCO088749 DI115 :IIARQF, No. 001 MON'FI{ MAY YEAR 2015
FA('11.1 FY NAM1', __....__..... Ti-SR .WWTp -- (L.AfiS . III COIINTY FORSYTH
('F;It 1 11'11:I) LA001RATORY (1) _STATE:SVILLE+ ANALYTICAL-INC:_.._.._. (,FR•FIFICA'FI()N NO. 440
Oisl additional laboratories on 1114 bucksidc/page 2 of this lonn)
OPF'RA 1'()R IN.RFSI)ONSIBIJ: (41AROF (01�C) VIRGIL LEE KIMBRELL GRAUF IV C'.ERT11,ICATION NO.. 9458
pI.,R1i0N(S) C"(j1,I.ECTIN(1 SAMPI,RS VIRGII LEE KIMBRELL OIBC PHONE . [phone]
CHECK BOX fl: ORC HA`; CIFANG;fi1) Q NO FI-OW / DISCHARGE FROM tirrF
Mail ORIGINAL, f111d ONE COPY (o: '
ATTN: (TNTRAl, F1(,F.S x l
01VISI()N Of" W'ATI R RF -SOURCUS (SiTJNA' F : OF I.;RA't F$P0N,$IU1„I:: C'HARGF,) I)ATI:
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1)" 14'0rm MR- 1. 1 ((IR/05)

08/10/2015 01:02 3367782295 L&N WASTEWATER PAGE 02
Lissara Partners, LLC
P.O. Box 10
Bethaoia, NC 27010
336.922.4000
.July 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Danes Mill Rd. Suite #300
Winston-Salem, NC 27105
RE: NOV-201 g-LV 0461
Permit No. NCO098749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Basinger:
This is to acknowledge receipt of your correspondence of July16, 2015 regarding the above -
referenced matter. As you are aware, this facility was put into operation in April of 2015 and our
first sampling event of April 14, 2015 indicated that all effluent characteristics were within
allowable permit limitations. Shortly thereafter, it was noted that a sump pump bad failed and it
is believed that this was a contributing cause of the elevated TSS levels noted for the April 21,
2015 sampling event, We bad also determined that the plant was operating in a borderline
manner with respect to organic and hydraulic loading characteristics and began seeding the plant
with activated sludge from the Elledge plant. Experimenting with the plant and improved plaint
loading due to the addition of new homes within the Lissara subdivision have helped to
considerably improve effluent characteristics. It is our opinion that the plant is now operating
properly and that future sampling events will be in compliance with permit conditions.
Thank you for your time in review of this matter and if you have any questions, please contact me
at 336.922.4000.
Very truly yours,
C. J. Ramey
Lissara Partners, UC,
CC: Mr. Ron Boone NC.DENR Division of Water Resources
Mr. Lee Kimbrell L& N Wastewater Management, Inc.

08/10/2015 01:02 3367782295 L&N WASTEWATER PAGE 01
5646 Hampton Road
Clemmons, NC 27012
Phone: [phone]
Fax
Tee'Ro N -8CO01a. FrvMr L E k l nA $ ?R
Fax: 3 3 tt, - '7 - g Paps:
qa Dater.- l O-15
Re: �, j[ l-1 .rR� 1►'1 �1� 1 rrc:
0 Urgent ❑ For Review ❑ Please Comment 13 Please Reply © Plense Recyde
e Com:neets:
15 ^rH C 'e V 15r D V 10 1`7 0
MAJ', -Dr,/\R *_?F_2
L_EE- lit rn 2�
`3L:5&)- -3 i �

08/10/2015 01:07 3367782295 L&N WASTEWATER PAGE 04
Lissara Partners, LLC
P.O. Box. 10
Bethania, NC 27010
336-922.4.000
July 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West planes Mill Rd. Suite 4300
Winston-Salem, NC.' 27105
RIB:,: NOV-2015-1,V-11461
Permit No. NC 0088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Hasinger:
')'his is to acknow ledge receipt of your correspondence of Julyl6, 2015 regarding the above -
referenced matter. As you are aware, this facility was put.into operation in April of 2015 and our
first sampling event of April 14, 2015 indicated that all effluent characteristics were within
allowable permit limitations. Shortly thereafter, it was noted that a sump pump had failed and it
is helievecl th;tt this was a contributing; cause of the elevated TSS levels noted for the April 21 y
2015sampling event. We had also determined that the plant was operating; in a borderline
manner 80th respect to organic and hydraulic loading; characteristics and began seeding; the plant
with activated sludge from the Elledge plant. Experimenting with the plant and improved plant
loading due. to the addition of new Domes within the Lissara subdivision have helped to
considerahly improve effluent characteristics. It is our opinion that the plant is now operating
properly and that future sampling; events will be in compliance with permit conditions.
'Thank yoei for your time in review of this matter and if you have any questions, please contact me
at 336.922.4000.
Very truly yours,
C.J. Ramey
Lissara Partners, LLC
C'C: Mr. Ron Boone. NC'DE,NR Division of Water Resources
Mr.. Lee Kimbrell L& N Wastewater Management, Inc.

08/10/2015 01:07
3367782295
L&N WASTEWATER
PAGE 03
May 8, 2015
L & N Wastewater Management, Inc.
5646 Hampton ,Rd.
Clem moos, NC 27012
336.399.9319
TO: Ron Boone — NC]DFNR Water Quality Regional Operations Section.
Division of Water Resources
FROM: Lee lKimbr.ell
RE: l_,issara.w`V ,rP NPDES .Permit ## NCO088749
Effluent from the above -referenced facility was sampled on. May 5, 2015 per
conditions and sampling Parameters set forth in: NPDES Permit #
NC0088749.
U,aboratory results received on May 7, 2015 indicated that the fecal coliforin
sample level: was 72 7/100 mi. This particular sample exceeds the permit
limitation of 4001100 amyl. X do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when 1 receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
.Please contact me with any questions,
1.1e irnbrell
l., & N 'W'astewatear Management
336.399.9319,
� C'

08/10/2015 01:07 3367782295 L&N WASTEWATER PAGE 02
F-,tcility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit regLdremetlts
(including weekly averages. if applicable)
Compliant
All rnorlitorinft data and sampling frequencies do NOT meet permit requirements X
Noncompliant
•I,hc perr,lift.c ( 5111111 ri:.porl to the 1-)irect.or or the appropriate Regional Office any noncompliance Oat potentially
thr•(:<llcn'< 111111lic health or the crlvironnlent. Any information shall be provided orally within 24 hours from the title the
permute(• I',(?Gall(' a���;tr•t' of ille circunlstance5. A written submission shall also be provided within 5 days of the time: the
11()rnlittea h( comes a,a are of the. circunastanm.
if thq fsl(i)ity i; r)(mcccrn(rliatlt, please attach a list of corrective actions being taken and a time -table for
Itt1111"(1Ve111(;t1iS lc) be made' as required by Ptirt 11.1'.6 of•the Nl7l)f:5 permit.
"I e:ertity, linedor penally ref 1,1w, that this document and all attachmems were prepared un(ler my direction or Stt}'le.rViSiOn
in ac.c(lydnn(:e with a si,Steil) designed to asst.lre than qualified personnel properly gather and evaluate the information
Submitted. f';mvd coil n]", inquiry of Elie person or persmjs who managed the system, or those persons directly re5pon;;tble
for t'.a lllerint, tlw intilrnlation. the information subtli(ted is_ to the best of my knowledge and belief true, accurate, and
cnn1111ct(. I 'I'm ware that there arc significant penaltit:5 fbr submitting false information, including the possibility of
line art(1 intliri�(,nmem fi)r- kn0witlg ViOlatio"S."
LMARA P,'IR O$.I.I.('
.............
Perna ittee (Please print or type)
na ore ertllittee*** Elate
(Required unless submitted electronically)
,�f,4b l'lalnlptort Ruad. (: le.ntmons. NC �27012 [phone] Oerilluekl(iilaoLcorn 01/01/,11,
1' rrniltte 1(lali't'+<Y _ ----- Phone �umhet a -nail address 11erilih I:ixpiration fate
ADDITIONAL, C:ERTIFIFD LABORATORIES
('er'tifie'ci I rlhctir;rtorl !'1
(•edified I nhnraior% (3)
(.'ertifiert ! ah(�r,ltory {•I)
Certification No.
Certification No.
Certification No.
('crtil'i(ri I ,rhurntor� (i) Certification No,
1)ARAMFTER CO1)E.S
P;araame ter Cod atiSl4lnnC(� 11 be obtained by caI11ng the N111)f'S (lnit at [phone] or by visiting
Irll11. t,cn!nl,nc(I��nr.rr,�. ��,�.�ht,e,t,] S�iT)l17.rii1f9(i��rF111p,I,t�1',111ti•
C'ae,,,, trait. c'f I))easurentent designated ill the reporling facility's NPI)I-s permit for reporting data.
\'c, 1'km Diz(•h�Irge Prom Site' Check this b)N if' no discharge Occurs and. as a result, there are no data to he
villc:red for all of the paranlelers nn the 1)Mli f'e)r the entire monitoring period.
(iu(' must Visit f';lcility jnul docum(nt aisitation (if tacility as required per 15A NCAC' gt,1.11�u4.
" 7i!,nfItur(., s t f'erntitteV. : II ;it;rted b) lather than the permil.tee, then the delegation of the signatory authority must be on
1'ill` wilh tllc slate per 15.A NCA(: 2B .Oiftb)(2)(D), Paget

08/10/2015 01:07 3367782295 L&N WASTEWATER PAGE 01
5646 Hampton Road
Clemmons, NC 27012
Phone: [phone]
Fm
To: Ca ! C�ohl From: L 1 nA Dom E,LL
Fax: �3�-'7'`l(v-'� �7 Pam'°-
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EFFLUENT
NPDES PERMIT NO. NCO088749 DISCHARGE NO.
FACILITY NAME LISSARA WWTP
001
CLASS
RECEIVED
€ N.C. Dept. of ENR
�.. JUN 19 2015
`• W�� T N-SALEM
MONTljfiE�I LOFFICEYFAR 2015
III COUNTY FORSYTH
CERTIFIED LABORATORY (1) STATESVILLE ANALYTICAL INC. CERTIFICATION NO. 440
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) VIRGIL LEE KIMBRELL
PERSON(S) COLLECTING SAMPLES VIRGIL LEE KIMBRELL
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
GRADE IV CERTIFICATION NO. 9458
ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE * 0
(SIG TUR OF OP ATOR IN RESPONSIBLE CHARGE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
N
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20.924
15.875
8.95
13.5677----
D

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
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.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
LISSARA PARTNERS, LLC
Permittee (Please print or type)
Si of P e rjeiTtee*** Date
(Required unless submitted electronically)
5646 Hampton Road, Clemmons, NC 27012 [phone] Genileekl rr,aol.com 01/01/19
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.iicdenr.org/web/wq/swp/ps/npdes/appfornis.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 213 .0506(b)(2)(D). Page 2

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
May 8, 2015
RECEIVED
N.C. Dept. of ENR
JUN 19 2015
WINSTON-SALEM
REGIONAL OFFICE
TO: Ron Boone — NCDENR Water Ouality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NCO088749
]Effluent from the above -referenced facility was sampled on May 5, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on May 7, 2015 indicated that the fecal coliform
sample level was 727/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. Y do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when Z receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
�&mbreill
con' ct me with any questions.
Lee
L & N Wastewater Management
336.399.9319

RECE l''ED
J °i= N.C.De>i r . NR
Lissara Partners, LLC AUG
P.O. Box 10, Winst6:,
Bethania, NC 27010 Region
336.922.4000
July 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Hanes Mill Rd. Suite #300
Winston-Salem, NC 27105
RE: NOV 2015-LV 0461
Permit No. NCO088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Basinger:
This is to acknowledge receipt of your correspondence of July16, 2015 regarding the above -
referenced matter. As you are aware, this facility was put into operation in April of 2015 and our
first sampling event of April 14, 2015 indicated that all effluent characteristics were within
allowable permit limitations. Shortly thereafter, it was noted that a sump pump had failed and it
is believed that this was a contributing cause of the elevated TSS levels noted for the April 21,
2015 sampling event. We had also determined that the plant was operating in a borderline
manner with respect to organic and hydraulic loading characteristics and began seeding the plant
with activated sludge from the Elledge plant. Experimenting with the plant and improved plant
loading due to the addition of new homes within the Lissara subdivision have helped to
considerably improve effluent characteristics. It is our opinion that the plant is now operating
properly and that future sampling events will be in compliance with permit conditions.
Thank you for your time in review of this matter and if you have any questions, please contact me
at 336.922.4000.
Very truly yours
4' -1��
C. J. Ramey
Lissara Partners, LL
CC: Mr. Ron Boone NCDENR Division of Water Resources
Mr. Lee Kimbrell L& N. Wastewater Management, Inc.

N.C.Dept. of FNR
Lissara Partners, LLC LAUG 0 7 2015
P.O. BOX 10 Winston-Salem
Regional Office
Bethania, NC 27010
336.922:4000
July 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Hanes Mill Rd. Suite #300
Winston-Salem, NC 27105
RE: NOV 2015-LV 0461
Permit No. NCO088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Basinger:
This is to acknowledge receipt of your correspondence of Ju1y16, 2015 regarding the above -
referenced matter. As you are aware, this facility was put into operation in April of 2015 and our
first sampling event of April 14, 2015 indicated that all effluent characteristics were within
allowable permit limitations. Shortly thereafter, it was noted that a sump pump had failed and it
is believed that this was a contributing cause of the elevated TSS levels noted for the April 21,
2015 sampling event. We had also determined that the plant was operating in a borderline
manner with respect to organic and hydraulic loading characteristics and began seeding the plant
with activated sludge from the Elledge plant. Experimenting with the plant and improved plant
loading due to the addition of new homes within the Lissara subdivision have helped to
considerably improve effluent characteristics. It is our opinion that the plant is now operating
properly and that future sampling events will be in compliance with permit conditions.
Thank you for your time in review of this matter and if you have any questions, please contact me
at 336.922.4000.
Very truly yours
C. J. Ramey
Lissara Partners, LL
N Wastewater Management, Inc.

=- RECEIVED
=== N.C. Dept. of ERR
Lissara Partners, LLC r'
P.O. Box 10 " W(NSTOfV-SALELi
Bethania, NC 27010 REGIONAL OFFICE
336.922.4000
August 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Hanes Mill Rd. Suite #300
Winston-Salem, NC 27105
RE: NOV 2015-LV 0511
Permit No. NCO088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Basinger:
This is to acknowledge receipt of the above -referenced Notice of Violation concerning exceedence
of Coliform Fecal parameters as set forth in the plant operating permit. Remedial actions have
been implemented to correct the non-compliance problem and sampling events since the dates of
concern have indicated compliance with permit parameters.
Please contact me with any questions or if you need additional information.
Very truly yours,
C. I Ramey
Lissara Partners, LLC
CC:�1'VT=r: RonBoori'i�l"�CII�VVR

RRECEIVED
N.C. Dept. of ENR
=T
Lissara Partners, LLC'
P.O. Box 10 SEP 0 2 2015
Bethania, NC 27010 REGIONOAL OFFICE
336.922.4000
August 31, 2015
Mr. W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Hanes Mill Rd. Suite #300
Winston-Salem, NC 27105
RE: NOV 2015-LV 0511
Permit No. NCO088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Basinger:
This is to acknowledge receipt of the above -referenced Notice of Violation concerning exceedence
of Coliform Fecal parameters as set forth in the plant operating permit. Remedial actions have
been implemented to correct the non-compliance problem and sampling events since the dates of
concern have indicated compliance with permit parameters.
Please contact me with any questions or if you need additional information.
Very truly yours,
C. J. Ramey ,
Lissara Partners, LLC
CC: Mr. Ron Boone NCDWR

NCDENR
Forth Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2015
Lissara Parters, LLC
Attn: CJ Ramey, Owner
P.O. Box 10
Bethania, NC 27010
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0461
Permit No. NCO088749
Lissara Wastewater Treatment Plant
Forsyth County
Dear Mr. Ramey:
Donald R. van der Vaart
Secretary
A review of Lissara WWTP's monitoring report for April 2015 showed the following violations:
Parameter
Date
Limit Value
- Reported Value
Limit Type
Total Suspended Solids
04/30/2015
30 mg/1
32.4 mg/1
Monthly
Average
Exceeded
Total Suspended Solids
04/21/2015
45 mg/1
63.3 mg/1
Daily
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
MONT
►J 1
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
450 West Hanes Mill Road, Suite #300, Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

BORR RewWw Record
Facility: z 1 554 Y---,- Permit Ho.: ig-7.447- Pipe No,: dd I MonthNear:
Monthly Average Violations
Parameter
Permit Limit
DIVIR Value
% Over Limit Action
Weekly/Daily
Violations
Date Parameter
PermitLimitlimmit Tvae
DIVIR Value
% Over Limit Action
r , . Pft j .
A
Monitoring Frequency Violations
Date Parameter
Permit Frequency
Values Reported
# of Violations Action
j0therVlolatlons/Staff Remarks:
&V- )LI6,:5--LV-6qI,1
'upervisor Remarks:
WV
Completed by:
Assistant Regional
Supervisor or Sign Off:
Regional Supervisor Sign
Off:
Date:
Date:
Date: 16 Jbz,�'z -7,6 0-_

NPDES PERMIT NO.
FACILITY NAME
EFFLUENT
DISCHARGE NO
LISSARA WWTP
inns �
MAY 26 2015
001 MONTH APRIL
CLASS III COUNTY
CERTIFIED LABORATORY (1) STATESVILLE ANALYTICAL INC. CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) VIRGIL LEE KIMBRELL
PERSON(S) COLLECTING S _. ES VIRGIL LEE KIMBRELL
CHECK BOX IF ORC HAS CH _ r.U.C.lr�'Ce t ENR
Mail ORIGINAL' and ONE C Y ON 0 1 2015
ATTN: CENTRAL FILES x
YEAR 2015
- RSYTH
440
GRADE IV CERTIFICATION NO. 9458
ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE 0
DIVISION OF WATER RESOUR [GN OF OPE R IN RESPONSIBLE CHARGE)
WINSTON SALEM
1617 MAIL SERVICE CENTER `: REGIONAL OFFICE BY T S SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DA
E
50050
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im
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Fes-
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Y/B/N
MGD
C
S.U.
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m
m
ml
mo/L
maJL
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mg
I
0
2
0
3
0
_
4
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51
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1.1
6
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7
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101
0
111
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8
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160
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141300
2
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160
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15
800
.75
.0014
170
6.8
15.5
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11.5
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22.4
8.0
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1.5
y
.0031
160
8.1
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650
1
y
.0011
16°
8.2
181500
.75
y
.0007
16.4
7.91
19
1315
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y
.0006
7.13
201000
1.5
.0007
16.20
6.93
21
815
.75
y
.0020
16.10
6.54
18.0
10.5
68'.333
98.5
8.85
5.85
221300
1.75
.0017
170
7.27
231300
2
y
.0003
16.80
4.3
241130
3
0015
16.20
19.5
5.6
25
900
.5
.0014
-
261000
.5
.0014
-
2711201.75
.0003
140
21.0
6.64
281215
1.75
.0023
14.90
7.9
29
945
.75
y
.0033
14.50
6.9
23.2
22.5
344.8
8.74
5.45
301030
.80
.0012
15.10
19.7
5.08
31
-
AVERAGE
.0281
15.94
18.2
16.83
! R A
1107.1
13.33
6.98
MAXIMUM
.0036
17.0
6.9
21.0
23.2
63.333
344.8
22.4
9.95
MINIMUM
.0003
14.0
6.54
15.5
10.5
11.5
35.9
8.74
4.3
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
Mont ly Limit
0.54
-
6.0-9.0
28
45
45
400/100
-
-
-
-
D" Form MR-1. 1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
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.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
LISSARA PARTNERS; LLC
Permittee (Please print or type)
05/19/15
Si at of Pemittee*** Date
(Required unless submitted electronically)
5646 Hampton Road, Clemmons, NC 27012 [phone] Gemleekl((baol.com 01/01/19
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.ncdenr. orehveb/wq/swp//ps/npdes/appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 213 .0506(b)(2)(D).
Page 2

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
April 24, 2015
TO: Ron Boone --NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on April 21, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on April 23, 2015 indicated that all effluent
characteristics analyzed were within allowable permit limitations with the
exception of Total Suspended Solids (TSS). This particular analysis indicated
a value of 63.3 mg/L. The weekly maximum for TSS is 45 mg/L.
It is my opinion that a failed sump pump contributed to the increase in the
TSS level on the sampling date.
Our first.sampling event on April 14, 2015 indicated a TSS level of 11.5 mg/L
when the pump was in operating condition.
The pump has since been repaired and I expect the TSS sample to be in
coinpliance for the April 28, 2015 sampling event.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
May -8, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facilitywas sampled on May 5, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on May 7, 2015 indicated that the fecal coliform
sample level was 727/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

LISSARA PARTNERS, LLC
P.®.Box 10
Bethania, North Carolina 27010
336.922.4000
DELEGATION OF"AIJTHORI'TY
Lissara Partners, LLC, Permittee for the Lissara Wastewater Treatment Plant in
]Forsyth County, North Carolina does delegate Permittee's responsibility and
signature authority to Mr. Lee Kimbrell of L & N Wastewater Management, Inc.,
Clemmons, North Carolina, (operator of the plant) as related to the preparation
and signing of Discharge Monitoring Reports (DMRs) for the operation of the
Plant. This facility is authorized for discharge under NPDES Permit NC0088749.
This .'i aY� day of April, 2015
LISSARA PARTNERS, LLC
By:
C. J. Ramey, Manager
Sworn to and subscribed before me
this,, T�' day of April, 2015
Notary Pub$ c
KIMBERLY R CARDWELL
NOTARY PUBLIC
FORSYTH COUNTY
STATE OF NORTH CAROLINA

EFFLUENT
RECEIVED
N.C. Dept of ENR
JUN 19 2015
WNST A-SALEM
NPDES PERMIT NO. NCO088749 DISCHARGE NO. 001 MONTH APRIL ��kC E
FACILITY NAME LISSARA WWTP CLASS III COUNTY FORSYTH
CERTIFIED LABORATORY (1) STATESVILLE ANALYTICAL INC. CERTIFICATION NO. 440
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) VIRGIL LEE KIMBRELL
PERSON(S) COLLECTING SAMPLES VIRGIL LEE KIMBRELL
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
GRADE IV CERTIFICATION NO. 9458
ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE * 0
(SIG UR OF OP TOR IN RESPONSIBLE CHARGE) DATE
BY IS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
E
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I m L
m- L
m
I
0
2
0
3
0
41
1
1
0
5
0
6
0
7
0
8
0
9
0
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12
0
13
800
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160
9.95
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160
7.85
15
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17°
6.8
15.5
16.8
11.5
35.9
22.4
8.0
161025
1.5
y
.0031
16°
8.1
17
650
1
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.0011
16°
8.2
181500
.75
y
.0007
16.4
7.91
19113151.75
y
.0006
7.13
201000
1.5
y
.0007
16.2°
6.93
21815
.75
y
.0020
16.1°
6.54
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10.5
63.333
98.5
8.85
5.85
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170
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16.80
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29
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v
.0033
14.50
6.9
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22.5
344.8
8.74
5.45
3
1030
.80
.0012
15.10
19.7
5.08
31
1
1
1-
AVERAGE
.00156
15.940
18.2
16.83
32.44
107.1
13.33
6.98
MAXIMUM
.0036
17.00
6.9
21.0
23.2
63.333
344.8
22.4
9.95
MINIMUM
.0003
14.00
6.54
15.5
10.5
11.5
35.9
8.74
4.3
Comp. (C) / Grab (G)
G
G
G
G
G
G
G
G
G
G
Mon bly Limit
0.54
-
6.0-9.0
D" Form MR-1. 1 (08/05)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
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.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
LISSARA PARTNERS, LLC
Permittee (Please print or type)
05/19/15
Sigpigiure7of Per fiittee*** Date
(Required unless submitted electronically)
5646 Hampton Road, Clemmons, NC 27012 [phone] Gemleekl cr aol.com 01/01/19
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting
http://portal.nedenr. ore/web/wq/swp//ps/npdes!appforms.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow/Discharge From Site: Check this box if no discharge occurs and. as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G.0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D). Page 2

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
April 24, 2015
RECEIVED
N.C. Dept. of ENR
w JUN 19 2015
WINSTON-SALEM
t REGIONAL OFFICE
TO: Ron Boone — NCDENR eater Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NCO088749
Effluent from the above -referenced facility was sampled on April 21, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on April 23, 2015 indicated that all effluent
characteristics analyzed were within allowable permit limitations with the
exception of Total Suspended Solids (TSS). This particular analysis indicated
a value of 63.3 mg/L. The weekly maximum for TSS is 45 mg/L.
It is my opinion that a failed sump pump contributed to the increase in the
TSS level on the sampling date.
Our first sampling event on April 14, 2015 indicated a TSS level of 11.5 mg/L
when the pump was in operating condition.
The pump has since been repaired and I expect the TSS sample to be in
compliance for the April 28, 2015 sampling event.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

L & W Wastewater -Management, Inc.
5646 Hampton Road
Clemmons, NC 27012
Phone: [phone]
.fax: [phone]o
June 16,2015
-Attn: CentraCFiCes
Division of `Water Resources
1617 NadService Center
Raleigh, NC 27699-1617
Re: Lissara greatment Plant, AyriC2015 Report
9'o -Whom It flay Concern:
Please be advised that an error was made in calculation on the average
for the effluent fCow for .AlpriC2015 report.
I am enclosing a corrected report. If you have any questions, pCease feeC
free: to give me a call at [phone]-
Sincerely,
Lee XimbreCl
a:,�

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
April 24, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on April 21, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on April 23, 2015 indicated that all effluent
characteristics analyzed were within allowable permit limitations with the
exception of Total Suspended Solids (TSS). This particular analysis indicated
a value of 63.3 mg/L. The weekly maximum for TSS is 45 mg/L.
It is my opinion that a failed sump pump contributed to the increase in the
TSS level on the sampling date.
Our first sampling event on April 14, 2015 indicated a TSS level of 11.5 mg/L
when the pump was in operating condition.
The pump has since been repaired and I expect the TSS sample to be in
compliance for the April 28, 2015 sampling event.
Please contact me with any questions.
Lee Kimbrell
L. & N Wastewater Management
336.399.9319

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
April 24, 2015
N.C.Dept. of ENR
MAY 21 2015
Winston-Salem
ReOin�r rl
TO: Ron Boone — NC®ENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NCO088749
Effluent from the.above-referenced facility was sampled on April 21, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on April 23, 2015 indicated that all effluent
characteristics analyzed were within allowable permit limitations with the
exception of Total Suspended Solids (TSS). This particular analysis indicated
a value of 63.3 mg/L. The weekly maximum for TSS is 45 mg/L.
It is my opinion that a failed sump pump contributed to the increase in the
TSS level on the sampling date.
Our first sampling event on April 14, 2015 indicated a TSS level of 11.5 mg/L
when the pump was in operating condition.
The pump has since been repaired and I expect the TSS sample to be in
compliance for the April 28, 2015 sampling event.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
May 8, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on May 5, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on May 7, 2015 indicated that the fecal coliform
sample level was 727/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
May 8, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on May 5, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on May 7, 2015 indicated that the fecal coliform
sample level was 727/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please contact me with any questions.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

L & N Wastewater Management, Inc.
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
May 8, 2015
N.C. Dept VIED ENR
JUN 19 2015
LFFEREGIOAOICr
TO: Icon ]Boone — NCDENR Water Quality Regional Operations Seetion
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NCO088749
Effluent from the above -referenced facility was sampled on May 5, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received on May 7, 2015 indicated that the fecal coliform
sample level was 727/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please contact me with any questions.
�Le'mbreil
L & N Wastewater Management
336.399.9319

RECEIVED
N.C. Dept of ENR 3
JUN 19 2015
L & N Wastewater Management, Inc. REiN,ION N OFFICE
5646 Hampton Rd.
Clemmons, NC 27012
336.399.9319
June 9, 2015
TO: Ron Boone — NCDENR Water Quality Regional Operations Section
Division of Water Resources
FROM: Lee Kimbrell
RE: Lissara WWTP NPDES Permit # NC0088749
Effluent from the above -referenced facility was sampled on June 2, 2015 per
conditions and sampling parameters set forth in NPDES Permit #
NC0088749.
Laboratory results received. on June 8, 2015 indicated that the fecal coliform
sample level was 524/100 ml. This particular sample exceeds the permit
limitation of 400/100 ml. I do not yet have laboratory results for BOD and
Total Suspended Solids. I will advise you of the results when I receive them.
Total residual chlorine and pH samples are within allowable permit
limitations.
Please co g tact me with any questions.
J J.
Lee Kimbrell
L & N Wastewater Management
336.399.9319

N.C.Dept. of ENR
APR 16' 2015
Winston-Salem
LISSARA PARTNERS, LLC
P.O.Box 10
Bethania, North Carolina 27010
336.922.4000
DELEGATION OFAUTIIORITY
Lissara Partners, LLC,; Permittee for the Lissara Wastewater Treatment Plant in
Forsyth County, North Carolina does delegate Permittee's responsibility and
signature authority to Mr. Lee Kimbrell of L & N Wastewater Management, Inc.,
Clemmons, ]North Carolina, (operator of the plant) as related to the. preparation
and signing of Discharge Monitoring Reports (DMRs) for the operation of the
Plant. This facility is authorized for discharge under NPDES Permit NC0088749.
This 0day of April, 2015
LISSARA PARTNERS, LLC
By:
C. J. Ramey, Manager
Sword to and subscribed before me
this L� day of April, 2015
Notary Pub lic
KIMBERLY R CAR®WELL
NOTARY PUBLIC
FORSYTH COUNTY
STATE OF NORTH CAROLINA

LISSARA PARTNERS, LLC
P.O.Box 10
Bethania, North Carolina 27010
336.922.4000
DELEGATION OFA UTHORITY
Lissara Partners, LLC, Permittee for the Lissara Wastewater Treatment Plant in
Forsyth County, North Carolina does delegate Permittee's responsibility and
signature authority to Mr. Lee Kimbrell of L & N Wastewater Management, Inc.,
Clemmons,, North Carolina, (operator of the plant) as related to the preparation
and, signing of Discharge Monitoring Reports (DMRs) for .the .operation .of the
Plant. This facility is authorized for discharge under NPDES Permit NC0088749.
This '� day of April, 2015
LISSARA.PA..R-T�-NERS, LLC
By: ---�
C. J. Ramey, Manager
Sworn to and subscribed before me
this 1 day of April, 2015
Notary Pubic
E
Y R CAR®WELL
ARY PUBLIC
YTH COUNTY
NORTH CAROLINA

1
z
A{
MC®EN
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman .
Governor Director Secretary
April 20, 2015
Lissara Partners LLC
Attn: CJ Ramey, Owner
P.O. Box 10
Bethania, NC 27010
Subject: Compliance Evaluation Inspection
Permittee: Lissara Partners LLC
Facility: Lissara Wastewater Treatment Plant
NPDES Permit #: NCO088749
Forsyth County
Dear Mr. Ramey:
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division)
conducted a compliance evaluation inspection (CEI) of the Lissara Wastewater Treatment Plant (WWTP) on April 13, 2015.
This inspection was required as a prerequisite to bringing the plant online for the first time. The assistance and cooperation of
Lee Kimbrell, Operator in Responsible Charge (ORC), during the inspection, was greatly appreciated. The inspection findings
are summarized below and an inspection report is also attached for your records.
The plant is located at 9689 Wildflower Woods Way, in Lewisville, NC, at approximate coordinates 36.116233°N,
80.458243°W. The permit authorizes Lissara Partners LLC to operate this 0.108 MGD WWTP and discharge the treated
effluent from the plant into Yadkin River, this section of which is currently classified as WS-IV waters and is located in the
Yadkin Pee -Dee River basin.
The plant was not yet in operation during this inspection but Lissara Partners LLC have decided that they want to
bring it on line. There are approximately 15 homes now on the system but they feed through filtered septic tanks before being
pumped to the treatment plant. The concern is that the regular daily flow at this point will not provide enough organic material
to establish a viable bacterial population capable of fully treating the waste load.
Mr. Boone and Mr. Kimbrell discussed several operational strategies and adjustments that may help make the plant
successful. Mr. Boone reminded Mr. Kimbrell that exceedences of any of the plants effluent limits may result in violation
notices and ultimately, civil penalties being prepared. Lissara Partners LLC are well aware of the risks of starting up the plant
at this time.
Also, as discussed during the inspection, there is typically a three month delay between the completion of a
Discharge Monitoring Report (DMR) and it being received in our office. Therefore, if violations are experiences within the first
three months of operation it would be prudent to consult with us on whether or not to continue trying to run the plant under the
current waste load. You can contact us at any time.
The plant appears to be in excellent condition and includes all the required components and necessary safety,
security, and redundancy equipment. Documentation required by the permit was discussed and Mr. Kimbrell was in the
process of getting a letter from Lissara Partners LLC enabling him to legally sign the reverse side of the DMRs. You also must
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorffiCarolina
Internet: www.ncwaterquality,org
An Equal Opportunity\AffirmativeActon Employer

submit the proper form to the Raleigh Central Office and this office to officially designate Mr. Kimbrell as the ORC, as well as
to designate his backup ORC. This paperwork can be found on our website at the following address:
hftp://portal.ncdenr.org/web/wq/tacu-downloads
Please follow carefully all directions on the form and send it to the address indicated on the form. This should be done within
the next 30 days.
Finally, please bear in mind that in accordance with NC General Statute 143-215.6A, the Director of the Division of
Water Resources may assess civil penalties not to exceed $25,000 per day, per violation, for violations of the NC0088749
NPDES permit.
If you have any questions regarding the permit or this letter, please call Mr. Boone or me at [phone]. Thank
you for your attention to this matter.
Sincerely,
y�✓Sc�ov'E.
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
BIMS Inspection Report
CC:i0 - SWIG
Gen ral Files
NPDES Unit
L&N Wastewater Management
Attn: Lee Kimbrell
5646 Hampton Rd,
Clemmons, NC 27012

United States Environmental Protection Agency
Form Approved.
EPAWashington, D.C.20460
EPA
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 FacType
1 IN 1 2 15 I 3 I NC0088749 I11 12 15/04/13 17 18 f
19 L G j 201 I
21IIIIIIIIIIIII1IIIIIIIIIIIIIIIII IIIIIIIIIII
r6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------- -------Reserved
--------- --
67
701 I 71 LI L I 72 I N I 731 I 174 75I III I I I I80
l-1 I 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)
10:OOAM 15/04/13
14/02/01
Lissara WTP
Exit Time/Date
permit Expiration Date
9689 Wildflower Woods Way
11:OOAM 15/04/13
19/01/31
Lewisville NC 27023
-Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
C J Ramey, PO Box 10 Bethania NC 2701011336-922-4000/3369221762
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Ron Boone WSRO WQ!/336-771-4967/
f
/ JAY
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers
ua f'
Date
j °'�
y� 3g
� 3 r /3 3 <9 3a dam. f FS
e
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
NCO088749 12 15/04/13 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Went over several pre -startup issues. Please refer to the attached inspection summary letter.
Page#

Permit: NCO088749
Inspection Date: 04/13/2015
Other
Owner - Facility: Lissara WTP
Inspection Type: Compliance Evaluation
Comment: Plant is not running and discharging yet. They are getting it ready to do that.
Yes No NA NE
Page#

�.�� � �
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� _ -
__ _ _ __ _.

WNW
North Carolina Department of Environment and Natural Resources
Pat McCrory . John E. Skvarla, III
Governor Secretary
May 28, 2014
To: Mr. Darren Burke
Subject: Letter of Adequacy for Lissara Subdivision, Lissara Partners, LLC
NPDES Wastewater Treatment Permit # NCO088749
Forsyth County
Dear Mr. Burke:
Asper your request, this letter serves as notice of adequacy and proper permitting for the wastewater treatment
system that serves the Lissara Subdivision located in Lewisville, Forsyth.County, NC. The wastewater treatment plant for
the Lissara subdivision is properly permitted by the NC Division of.Water Resources (Division) under permit number
NC0088749: Lissara Partners, LLC owns and operates the system and was issued permit NCO088749 on July 31, 2013.
To our knowledge there have been no issues with the wastewater treatment plant. However, this system is not
currently in operation because the limited number of homes currently in the subdivision does not provide sufficient
organic material to sustain the plant, which is a biological process that feeds on the organic material entering the plant.
Therefore, Lissara'Partners, LLC has been issued a pump and haul permit until the plant comes on line. The pump and
haul permit allows Lissara to pump the wastewater from the septic tank at each individual home and then haul it to a
nearby wastewater treatment facility.
If you have any questions regarding this matter, please feel free to call me at [phone].
cc: WSRO
Sincere) ,
Ronald C. Boone
Environmental Specialist
NC Division of Water Resources
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone]nternet: www.ncdenr.gov
An Equal Opportunity \ Affirmative Action Employer— Made in part by recycled paper

RECEIVED
Am, • N.C.Dept. of ENR
AUG 0 9 2013
INCDENR
North Carolina Department of Environment and Natural Resource Regional Office
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
July 31, 2013
Mr. James W. Armentrout
Lissara Partners, LLC
P.O. Box 10
Bethania, North Carolina 27010
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO088749
Lissara WWTP - PCNC
Forsyth County
Dear Armentrout:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. 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 an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-
6714). Unless such demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. 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 permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact
Maureen Kinney of my staff at [phone]. X__�
y, C-
t
A. Reeder
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office, Surface Water Protection Section-
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterouality.org
Igo thCarollna
An Equal Opportunity 1 Affirmative Action Employer

Permit NC0088749
a
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Water Quality Commission, and the
Federal Water Pollution Control Act, as amended,
Lissara Partners LLC
is hereby authorized to discharge wastewater from a facility located at
Lissara WWTP
9689 Wildflower Woods Way, Lewisville
Forsyth County
to receiving waters designated as the Yadkin River in the Yadkin Pee Dee River Basin in
accordance with the discharge limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III, and IV hereof.
This permit shall become effective February 1, 2014.
This permit and the authorization to discharge shall expire. at midnight on January 31, 2019.
Signed this day July 31, 2013.
Ths A. Reeder, Acting Director----•--
Di Sion of Water Quality
By Authority of the Environmental Management Commission

Permit NC0088749
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are
hereby revolted. 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.
Lissara Partners, LLC is hereby authorized to:
1. To operate an existing 0.054MGD wastewater treatment facility with the following
components:
• Equalization tank
• Flow Control splitter box
• 2 — 20,000 gallon steel aeration tanks
• 2 — Clarifiers
• 2 — Sludge tanks
• 2 — Chlorination feeder (tablet)
• 2 — Dechlorination feeder (tablet)
• Flow measurement
• Standby generator
This facility is located in Forsyth County (9689 Wildflower Woods Way, Lewisville).
2. Upon receipt of an Authorization to Construct permit from the Division, construct wastewater
treatment facilities not to exceed 0.108 MGD.
3. After submitting an Engineer's Certification, discharge wastewater from said treatment works at
the location specified on the attached map into the Yadkin River which is currently classified
WS-IV waters in sub -basin 03-07-02 in the Yadkin Pee Dee River Basin.
Page 2 of 5

Permit NCO088749
PART I
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration or
expansion above 0.540 MGD, the Permittee is authorized to discharge treated domestic
wastewater from Outfall 001. Such discharges shall be limited and monitored by the Permittee
as specified below:
EFFLUENT
MONITORING REQUIREMENTS
CHARACTERISTICS
Monthly
Daily
Measurement
Sample
Sample
Parameter Code
Average
Maximum
Frequency
Type
Location
Fl ow
Flow
0.054 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
BOD
30 mg/L.
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
C0530
NH3 as N
2/Month
Grab
Effluent
C0610
Fecal
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
31616
pH
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
00400
Temperature
Daily
Grab
Effluent
00010
Dissolved Oxygen
Weekly
Grab
Effluent
00300
Total Residual Chlorines
28 µg/L
2/Week
Grab
Effluent
50060
Total Nitrogen
Quarterly
Grab
Effluent
C0600
Total Phosphorus
Quarterly
Grab
Effluent
C0665
Footnote:
TRC limit and monitoring requirements shall apply only if chlorine or a chlorine
derivative is used for disinfection. The Division shall consider all effluent TRC values
reported below 50 µg/l to be in compliance with the permit. However, the Permittee shall
continue to record and submit all values reported by a North Carolina certified laboratory
(including field certified), even if these values fall below 50 ug/1.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR FOAM VISIBLE IN OTHER THAN TRACE AMOUNTS.
Page 3 of 5

Permit NCO088749
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD
facility and expansion above 0.054 MGD and lasting until permit expiration, the Permittee is
authorized to discharge treated domestic wastewater from Outfall 001. Such discharges shall be
limited and monitored by the Permittee as specified below:
EFFLUENT
MONITORING REQUIREMENTS
CHARACTERISTICS
Monthly
Daily
Measurement
Sample
Sample
Parameter Code
Average
Maximum
Fre uenc
Type
Location
Flow
Fl ow
0.108 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
C0310
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
C0530
NH3 as N
2/Month
Grab
Effluent
C0610
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
31616
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
00400
Temperature
Daily
Grab
Effluent
00010
Dissolved Oxygen
Weekly
Grab
Effluent
00300
Total Residual Chlorines
28 µg/L
2/Week
Grab
Effluent
50060
Total Nitrogen
Quarterly
Grab
Effluent
C0600
Total Phosphorus
Quarterly
Grab
Effluent
C0665
Footnote:
1. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine
derivative is used for disinfection. The Division shall consider all effluent TRC values
reported below 50 µg/1 to be in compliance with the permit. However, the Permittee shall
continue to record and submit all values reported by a North Carolina certified laboratory
(including field certified), even if these values fall below 50 ug/l.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR FOAM VISIBLE IN OTHER THAN TRACE AMOUNTS.
Page 4 of 5

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Lissara Partners, LLC
Facility x
Lissara WWTP
Location
County: Forsyth Stream Class: WS-Iv
(not to scale)
Receiving Stream: Yadkin River Sub -Basin: 03-07-02
Latitude: 36' 07' 7" —Grid/Quad: Clemmons
Longitude: 80' 27' 40" HUC M 03040101
North
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NPDES Permit Standard Conditions
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PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA),,as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The.period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
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(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWQ or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant.measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
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imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part H.C.4), "Upsets" (Part II.C.5) and "Power Failures"
(Part H.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 15013-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govem the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.221
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
7 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person orpersons who manage 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. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class H, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part H.B.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)1: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.410)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
'specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
. or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215. 1 (b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee.monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. 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. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in -Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(l)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in -the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215. 1 (b)(2) or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The
report shall summarize the performance of the collection or treatment system, as well as the extent to which the
facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality. The
report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon which
annual period is used for evaluation.
The report shall be sent to:
NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal, system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The. Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and 0) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)1:
I. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
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All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permttee shall develop and enforce their Pretreatment Program to. implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
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. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
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3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.440)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.440)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission -and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.440)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903 (b)(1 3),.0905 and .0906(b)(2); 40 CFR 403.8(f)(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (14WA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (H)YA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
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enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .,0905, and
.0906(b)(4)1
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee, shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. These
permits shall contain limitations, sampling protocols; reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the. HWA and'the limits
from all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [1SA.NCAC 02H .0906(b)(6), ,0909, .0916, and .0917; 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS' 143-215.67(a)]
6. Authorization to Construct (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtC) is, issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance ,of an AtC, the
proposed pretreatment facility and treatment process must be evaluatedfor its capacity to comply with all
Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 021I.0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)]
'7. POTW Inspection & Monitoring of their IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of.information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] 'The
Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant Industrial Users (SIUs) at least once per calendar year for all SIU permit -limited
parameters including flow except as allowed under 15A NCAC0908(e); and
c. At least once per year, document an evaluation of any non=significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
8. IU Self Monitoringand nd Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit„ or in 15A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905; 40 CFR 4018(f)(1)(v) and (2)(iii);. 40 CFR
122.440)(2) .and 40 CFR 403.121'
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain, appropriate remedies for -violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et. seq.),,„prohibitive -discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other, shall be consistent with the Enforcement Response
Plan (ERP) approved by the Division. f I5A NCAC 02H .0903(b)(7), .0906(b)(8) and .0905; 40 CFR 403.8(f)(5)]
10. Pretreatment Annual Reports (PAR)
The,Permittee shall report to the Division in accordance with 15A NCAC 0214.0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC 02H .0904 (b) may be required to submit a
partial annual, report or to meet with Division personnel ,periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues'.
For all other active pretreatment programs; the Permittee shall submit two copies, of a.Pretreatment Annual Report
(PAR) describing .its pretreatment activities over the previous calendar year to the Division at the following
address:
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NC DENR / Division of Water Quality / Surface Water Protection Section
Pretreatment, Emergency Response, and'Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken; or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the Division;
c. Significant Non -Compliance Report (SNCR)
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment, requirements, and the
nature of the violations on forms or in a format provided by the Division;
d. .Industrial Data Summary Forms (IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SlUs). These
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules, public notice of
IUs in SNC, a summary of data or other information related to significant noncompliance determinations for
IUs that are not considered SIUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (IUs) that were in significant noncompliance (SNC)
as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month period. [15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records,, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications, POTW
monitoring of their Significant Industrial Users (SIUs),. and Monitoring Plan modifications, shall be considered a
permit modification and .shall be governed by 40 CFR 403.18, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 11/09/2011

RECEIVED
N.C.Dept. of ENR
AN 0 J 2013
NCDENR Winston-Salem
Regional Office
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
February 21,2013
Lissara Partners, LLC
Lissara WWTP
P.O. Box 10
Bethania, NC 27010
Subject: Receipt of permit renewal application
NPDES Permit NCO088749
Forsyth County
Dear Mr. C.J. Ramey
John E. Skvarla, III
Secretary
The NPDES Unit received your permit renewal application on February 21, 2013. This
permit renewal has been assigned Charles Weaver (919-807-6391) who will contact you if any
additional information is required to complete your permit renewal. Due to current backlog, you
should continue to operate under terms of your current permit, until a new permit is issued. If
you have any questions, please contact the assigned permit writer.
Sincerely,
Jeff Poupart
Point Source Branch Program Supervisor IV
Cc: Central Files
Winston Salem Regional Office
NPDES Unit
1601 Mail Service Center, Raleigh, North Carolina 27699-1601 . One
OrthCaC011rla
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycled 110% Post Consumer Paper Aaturally

F
®,G AM��
February 18, 2013
Mr. Charles H. Weaver, Jr.
NPDES Unit
NC Department of Environment and
Natural Resources
Attention: Ms. Lisa Palmer
NCDENR/DWQ Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: NPDES Permit # NC0088749/Lissara WWTP, Forsyth County
Attention: Ms. Lisa Palmer
Dear Ms. Palmer:
Enclosed is our renewal for the referenced NPDES permit.
The renewal notice was sent to the former address of one of
our members and delivered to our office on February 15, 2013
after having it forwarded to his new address. First off I
would ask that you change the contact and address as follows:
Mr. C.J. Ramey, Member, Lissara Partners,
LLC, P.0 Box 10, Bethania, North -Carolina 27010.
Secondly, I would hope you will forgive our tardiness in
submitting this renewal because of the office movement by
Mr. Brant Godfrey, our previous contact member.
Thirdly you will see that we haven't as yet put the WWTP
into operation as the slowness of the residential buildout
has not made this necessary to this point. It will happen
in 2013 but we'are not sure exactly when that will come about.
'Pending that, we have a pump -and -haul permit from DENR here
in Forsyth County that is still active. Obviously we will be
discharging wastewater after July 31, 2013 and must renew.
10. - Bethania, NC 27010-0010 - 336-922-4000 - Fax [phone]

AM��
Should you need additional information please feel free
to contact me for same. We are basically in the same situation
as in 2008 except the WWTP is built, operational when needed,
and ready to be used for its intended purposes.
Very truly yours,
Ramey,. LC
,
mes W. Armentrout
r Lissara Partners, LLC
JWA/kc
w/enclosures
cc C.J. Ramey
Brant H. Godfrey
,Lang Wilcox
John Phillips, P.E.
r.u. tsox I • ®etnania, NC 27010-0010 • 336-9224000 • Fax [phone]

..,
NPDES APPLICATION - FORM D
For privately owned treatment: systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO088749
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Lissara Partners,'
artners LLC
Facility Name
Lissara WWTP
Mailing Address
P.O. Box 10
City
Bethan_ia .
State / Zip Code
NC 27010
Telephone Number
_(-336) 922-4000
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road -North-of Shallowford Raod, West of Conrad Road
City 9689 Wildflower Woods Way
State / Zip Code Lewisville, NC 27023
County
Forsyth
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge. or ORC)
Name Lissara Partners, LLC
Mailing Address P.O. Box 10
City
State / Zip Code
Telephone Number
Fax Number
Bethania;
NG 97010
(.336) 922-4000
[phone]
1 of 3 Form-D 05/08

u
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Commercial
❑
Residential
XM
School
❑
Other
❑
Number of Employees
Number of Employees
Number of Homes
Number of Students/Staff
Explain:
Max of 110 when completed
Describe the source(s) of wastewater (example: subdivision, mobile homy park, shopping centers,
restaurants, etc.): 100 '-lot subdivision known as The Lake at. Lissara and
10 lot subdivision known as The Estates at Lissara
Population served: 110 lots @2.5 per lot=275
5. Type of collection system
Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes XUETo
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
r
8. Frequency of Discharge: ❑ Continuous )ffi Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 15 minutes
9. Describe the treatment system
List all installed components, in capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
See attached
2 of 3 Foam-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.108 MGD
Annual Average daily flow 0 MGD (for the previous 3 years)
Maximum daily flow 9 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes )qU No -
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than olne analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
Fecal Coliform
Total Suspended Solids
Temperature (Summer)
See attached
for future.
Temperature (Winter)
o actual
a is pot
At.
pH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO088749 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
C.J. Ramey Manager
Printed name of Person Signing Title
Signature of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 05/08

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Permit NCO088749
AM. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
lasting until permit expiration, the Permittee is authorized to discharge treated domestic wastewater
from outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
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BOD, 5 day, 200C 30 mg/L 45 mg/L
Total Suspended Solids 30 mg/L- 45 mg/L
NI�asN
Fecal Coliform 200/100 mL. 400/100 mL
PH Between 6.0 and 9.0 s.u.
Dissolved Oxygen
Total Residual Chlorine' 28 pg/L
Total Nitrogen
Total Phosphorus
Grab -
Temperature
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Effluent
Weekly
Grab
Effluent
Weekly
Grab
Effluent
2/Month
Grab
Effluent
Weekly
Grab
Effluent
Weekly
Notes:
I. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is -
used for disinfection. The Division shall consider all effluent TRC values reported below 50 ug/l
to be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory. (including field certified), even if
these values fall below 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

wATF
` It �Q Michael_F. Easley, Governor
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
r. Coleen H. Sullins, Director
Division of Water Quality
August 15, 2008
Mr. Brant Godfrey, Manager
Lissara Partners, LLC
2631 Reynolda Road
Winston-Salem, North Carolina 27106
Subject: Issuance of NPDES Permit
NC0088749.
Lissara WWTP
Forsyth County
Dear Mr. Godfrey:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we, are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement be North Carolina and the U.S. Environmental Protection Agency dated October 15,
2007 (or as subsequently amended).
This final permit contains no significant changes from the draft you were sent on May 21, 2007.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter.150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings.(6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such
demand is made, this decision shall be final and binding.
Please note that this permit is -hot transferable except after notice to the Division. The Division
may require modification or revocation and reissuance of the permit. This permit does not affect the
legal requirements to obtain other permits which maybe required by the Division.of Water Quality or
permits required by the Division of Land Resources, the 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 Toya Fields at telephone
number [phone].
,p Colleen H. Sullins
cc: Central Files V �-
Winston Salem Regional Office/Surface Water Protection
NPDES Unit
John.F. Phillips, PE, Diehl & Phillips, PA, 219 East Chatham Street, Cary, NC 27511
1617 Mail Service Center, Raleigh- North Carolina 27699-1617
512 N. Salisbury Street, Raleigh, North Carolina 27604 Telephone [phone] FAX [phone] NorthCarolina
On the Internet at http://h2o.enr.state.nc.us/ Naturdi&
An Equal Opportunity/Affirmative Action Employer

Permit NCO088749
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY ;
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Water Quality
Commission, and the'Federal Water Pollution Control Act, as amended,
Lissara Partners LLC
is hereby authorized to discharge wastewater from a facility located at
Lissara WWTP
North of.Shallowford Road, West of Conrad Road
near Lewisville
Forsyth County
to receiving waters designated as the Yadkin River in the Yadkin River Basin in accordance
with the discharge limitations, monitoring requirements, and other conditions set. forth in
Parts I, II, III, and IV hereof.
This permit shall become effective September 1, 2008.
This permit and the authorization to discharge shallexpire at midnight on July 31, 2013.
Signed this day August 15, 2008.
U� Coleen H. ullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission
1i

Permit NCO088749
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 Lissara WWTP is hereby authorized to:
1. Operate a domestic wastewater treatment facility located North of Shallow ford
Road/West of Conrad Road, near Lewisville, Forsyth County.
2. Upon receipt of an Authorization to Construct from the Construction Grants and
Loans Section, construct wastewater treatment facilities not to exceed 0.108 MGD.
3. After submitting an Engineer's Certification, discharge wastewater from said
treatment works at the location specified on the attached map into the Yadkin 'River
which is classified WS-IV waters in the Yadkin Pee Dee River Basin.

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Permit NCO088749
AM. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
lasting until permit expiration, the Permittee is authorized to discharge treated domestic wastewater
from outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
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Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L'
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliforrn
200/100 mL.
400/100 mL
Weekly
Grab
Effluent
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab-
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorine'
28 pg/L
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus .
Quarterly -
Grab
Effluent
Notes:
I. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine' derivative is
used for disinfection. The Division shall consider all effluent TRC values reported below 50 ug/1
to be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory. (including field certified), even if
these values fall below 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

r�
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r
October 8, 2008
Mr. Brant Godfrey, Manager
Lissara Partners, LLC
2631 Reynolda Road
Winston-Salem, North Carolina 27106
Michael F. Easley; Governor
William G. Ross Jr., Secretary
Nonh Carolina Department of Enviramment and Natural Resources
Coleen R Sullins, Director
Division of water Quality
Subject: Permit Modification of NPDES
Permit NCO088749
Ussara WWTP
Forsyth County
Dear Mr. Godfrey:
Division personnel have reviewed and approved your application for a permit modification received on September 2,
2008. You requested that NPDES Permit NC0088749, issued August 15, 2008, be modified to allow the treatment
plant construction to be accomplished in phases. The requested phasing of the 0.108 MGD permitted flow will be as
follows: 41,000
1. Phase 1 —46BW gallons per day (0.054 MGD)
2. Phase 2—108,000 gallons -per day (0.108 MGD)
The Division agrees with this request and has modified the permit accordingly. We are forwarding you the modified
effluent limitations and monitoring requirement pages of your existing NPDES discharge permit which reflect this new
phased construction flow and associated effluent limits and monitoring requirements. You should replace your
existing effluent page from your current permit with these two modified effluent pages pages. This permit
modification is Issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. 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 an adjudiicatory hearing upon written request within thirty (30) days following receipt of this letter.
This request must be in the form"of a written petition, conforming to Chapter 1508 of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina
27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. 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, the 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 me at [phone].
�" �
Sincerely,
Coleen H. Sullins
cc: Central Files
Winston Salem Regional Office/Surface Water Protection
NPDES Unit
John F. Phillips, PE, Diehl 8& Phillips, PA, 219 East Chatham Street, Cary, NC 27511
Mailing Address Phone [phone]
1617 Mail Service Center Faa [phone]
Raleigh, NC 276"4617
L512 ocation SS�� St ) °e Carolina
Raleigh, NC 27604 � " ,arP
Internet. www.ucwater agat ity.ori Customer Service1-877-623-6748
An EqualOpportundy/Nfirmative Acllm Employer— 5N. Reayded/10% Post Conmei Paper

Permit NCO088749
A (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration or
expansion above 0.540 MGD, the Permittee is authorized to discharge treated domestic wastewater from
outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as specified
below:
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Flow
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Continuous
Recording
Effluent
BOD, 5 day, 200C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Fffiuent
Fecal Coliforin
200/100 mL
400/100 mL
Weekly
Grab
Effluent
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorine'
28 µg/L
2/ Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
Notes:
1. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is
used for disinfection. The Division shall consider all effluent TRC values reported below 5o ug/1
to be in compliance with the permit However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even if
these values fall Mow 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

Permit NCO088749
A (2). EFPLu NT I.I1VIlTATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
expansion above 0.054 MGD and lasting until permit expiration, the Permittee is authorized to discharge
treated domestic' wastewater from outfall serial number 001. Such discharges shall be limited and .
monitored by the Pernuttee' as spedf ied below:
`'Vi-+7.i1 � :..u:=
„P'1� _ ^ D�'. ..•1:.., _..ara'y,":::.^.riyC; Ss:...
:=1��1�li� - :. n.. a•: exit:
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Fl
0,108--MGD
Continuous
Recording
Effluent
BOD, 5 day, 20'C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
otal.Suspended_Solids _
.80 mg/L
45 mg/L
Weekly ..
Grab '
Effluent.
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
2001100 mL
400/100 ml,
Weekly
Grab
Effluent"
PH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorines
28 µg/L _
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
. Effluent
Total Phosphorus
Quarterly
Grab
Effluent
Notes:
2. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is
used for disinfection. The Division shall consider a'R effluent TRC values reported below 50 ug/1
to be in compliance with the permit However, the Permitbee shall continue to record and submit
all values reported by a North Carolina certified laboratory ('including field certified), even if
these values fall below 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

NCDENR
North Carolina Department of Environment and Natural Resources
-Division of Water Quality
Beverly Eaves Perdue
Colee'n H. Sullins
Governor
Director
December 5, 2011
Lissara Partners LLC
Attn: Brant Godfrey, Owner
2631 Reynolda. Road
Winston Salem, NC 27106
Subject: Compliance Evaluation Inspection
Permittee: Lissara Partners LLC
Facility: Lissara Wastewater Treatment Plant
NPDES Permit ##: NCO088749
Forsyth County
Dear Mr. Godfrey:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water
Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) .of the
Lissara Wastewater Treatment Plant .(WWTP) on December 5, 2011.
This inspection consists of only a simple file review because the plant is not actually in
operation yet. According to a phone conversation with you, Mr. Boone found that the WWTP
itself is built but not enough tributary homes are built to provide a sufficient amount of waste to
allow the plant to run efficiently. Therefore, Lissara has been issued a pump and haul permit
(WQO035608) from the Division, which allows you to pump :and haul that waste .which is
currently produced for. disposal at the City of Winston Salem's Archie Elledge WWTP. This
pump and haul permit expires on May 1, 2012.
Please not that if any contact information for this permit or plant changes, you should
contact the Division as soon as possible to ensure all records stay up to date. Also, you are
reminded that you must .designate an Operator in Responsible Charge (QRC) and backup
ORC for the plant before any waste can be introduced into the new plant. You must also notify
this office at least 72 'hours in. advance of the WWTP discharging to surface waters of the
State.
. Finally, please bear in mind that in accordance with 'NC General . Statute 143-215.6A,
the Director of the Division of Water Quality may assess civil penalties not to exceed $25,000
per day, per violation, :for'violations of the NCO088749 NPDES permit. -If you have any
questions regarding the permit or .this letter, please call Mr. Boone or me -at [phone].
Thank you for your attention to this matter.
North Carolina Division of Water Quality, Winston=Salem Regional.Office
Location: 595 Waughtown St Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-07-623-67g6 ne
Internet www ricwaterquarrty.org OPtf1Carolhia
AnE9eal OppodunitylAfr m OveAclion Employer

Lissar,,3 Partners, LLC
Attn: grant Godfrey Owner
Compliance Evaluation Inspection
N00088749,Llssara WWTP
Page 2 of 2, December 5, 2011
Sincerely, .
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. BIMS Inspection Report
CC: WSRO - SWP
Central Files
NPDES Unit

United States Environmental Protection Agency
EPA Washington, D.C. 20460
Form Approved:
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection.Type Inspector Fac Type
1 2 31 121
L'_I U NCO088749 111 11/1=5 117 1alct 19IGt 20U
! -! �.!
Remarks-
21Lilllllllllf
I(li Ilil (III IIIIIIIII(III(II Illliil6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved
67 69 70N
U 71 7273' I( 74 75I i I _I I I I I 80
W
Section B: Facility -Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Entry Time/Date
Permit Effective Date
Llssare WTP
11:00 AM 11/12105
08/09/01
No Address Yet Assigned Not In A City Or Town
Exit Time/Date -
Permit Expiration Date
Lewisville NC 27023
12:00 PM 11/12/05
13/07/31
Name(s) of Onsite Representative(sIMles(s)/Phone and Fax Number(s)
Other Facility Data
Ill
Name, Address of Responsible OfficiallTitle/Phone and Fax Number
Brant Godfrey,2631 Reynolds Rd Winston Salem NC 27105//336-777-0078/336722501Contacted
No
Section C:. Areas Evaluated During Inspection (Check only those areas evaluated)
Facility Site Review ,
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
Ron Boone WSRO WQ//336-771-4967/
G / Z/ -512 D11
Signature of anagement Q A Reviewer Agency/Office/Phone-and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

� a �
NPDES yr/mo/day Inspection Type
sl NCO088749 �11 �2� 11/12/05 I17 18 1
U
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Plant is constructed but not yet in operation due to only a few tributary home in the subdivision being built
and -occupied at the time. These few homes do not produce enough sanitary waste for the plant to operate
efficiently. Therefore, Lissara has been issued a pump and haul permit which expires on May 1, 2012. This
permit allows them to pump and haul that waste which is currently produced to the Winston Salem Archie
Elledge WWTP for final disposal.
Page # 2

RESIDUALS MANAGEMENT PLAN
LISSARA WASTEWATER TREATMENT
The planned Lissara Wastewater Treatment Plant is to be an extended aeration style
activated sludge wastewater treatment plant. The developers of Lissara subdivision plan
to turn the facility over to a utility that is regulated by the NC Utilities Commission, after
the treatment plant is constructed. The utility company will then enter into a contract
with a sludge disposal company (or simply modify their existing contract), and the
sludge company will then proceed with either permitting disposal sites or selecting a
POTW that will accept the sludge from the Lissara WWTP.
This Residuals Management Plan for the plant will provide, in as much detail as is
possible at this time:
• A narrative describing the size and operation of the sludge processing train in the
proposed wastewater treatment plants
• An explanation of how the Lissara WWTP will achieve Class B treatment of the
sludge
• The estimated quantity of biosolids that will be produced by the initial and ultimate
facilities when they are operating at design capacity, and the associated storage
volume provided
Narrative: The initial treatment plant will have a design flow capacity of 54,000
gallons per day, and a sludge storage volume of 16,200 gallons. The sludge storage
volume is approximately 30% of the rated flow of the treatment plants. Each sludge
holding tank has a decanting device to allow the operator to withdraw supernatant from
the thickened sludge, before more sludge is added and the thickening process is
repeated. The supernatant is returned to the flow equalization basin.
Sludge Conditioning for Class B Standards: The facility will comply with the 40
CFR Part 503 regulations. The selected operating utility will be able to condition the
sludge to Class B standards in the sludge holding tanks by raising and maintaining the
sludge pH at 12.0 or higher for at least 2 hours, and subsequently maintaining the pH
at more than 11.5 for 22 hours. The pH conditioning would be scheduled and done
immediately prior to the sludge being pumped and removed by the contract sludge
disposal company. The pH adjustment will most likely be accomplished by use of liquid
lime, although the operating utility may elect to utilize other products to raise the pH as
required. The diffused aeration system in each tank will be used to mix tank contents.
Lissara WWTP Residuals Management Plan
Page 1

Biosolids Quantity and Storage: A minimum of 30 days of sludge storage at design
flow is required. The estimated quantity of sludge that will be produced at the total
rated flow of the initial treatment plant (0.054 MGD of wastewater flow) is as follows:
(0.054 mgd)(160 mg/I BOD in influent from STEP systems)(8.34 lbs./gal.) = 72 lbs.
BOD/day in influent
Using a sludge yield of 0065 lbs./lb. BOD consumed yields:
(72 lbs. BOD/day)(0.65 lbs. sludge/lb. BOD) = 47 lbs. waste sludge per day
Assume sludge holding -thickening tanks can achieve a solids concentration of at least
2.00%. The volume of the daily waste sludge, thickened to 2.00% is:
(47 lbs./day)/(.02)/(8.34.Ibs./gal) = 282 gallons per day
Thirty days storage of this volume would require: (282 gpd)(30 days) = 8,460 gal.
The volume of sludge storage provided is 16,200 gallons, which will theoretically
provide 57 days of storage. It is anticipated by the design engineer that the thickened
sludge concentration will average closer to 3% solids, which would provide
approximately 86 days of storage at design flow.
Land Application: The land application permitting for the sludge (if a POTW is not
used for disposal) will be accomplished by the contract sludge disposal company that is
selected by the operating utility.
A confirmation that the treatment plant has been turned over to an operating utility will
be furnished to DWQ prior to the plant going into operation. The operating utility will
then confirm to DWQ when a sludge disposal contract is in place; and that the company
has the disposal capacity -required to serve the Lissara WWTP.
Lissara WWTP Residuals Management. Plan
Page 2

LISSARA WASTEWATER TREATMENT PLANT
Sludge Management Plan
February, 2013
Once the plant is operational, it will be monitored every day by L & N Wastewater
Management Company in Clemmons, North Carolina. When the sludge has built up to the
point where it can no longer be further degraded and needs removal, the sludge will be
transported to Granville Farms, Inc. (see attached letter) for their appropriate disposal.
Lissara Partners, LLC '
By: C.J. Ramey, Member
Date: .4 pb

h F 91-' 5Ri k)1.i_E F7aRNS INC, 6-90 57000 TO: 191 7.lc����..513,
,GF14
Granville Farms, Inc.
RCS. Box 1396
OXFORD, NO 27666
John F. Phillips, P,E.
Diehl & Phillips, P.A.
Via Fax: [phone]
Dear Mr, Thillips:
January* 29, 2009
Subject: Sludge Manager._ient plan for Lissara Wastewater Treatment
Plant, Forsyth County
F._
OFFICE' 919.690-8000
FAX:[phone]
email: GF10neol net
Thank- you for considering Granville Farms, Inc. as the .sludge management option for
Lissara Wastewater Treatment Pl ant Granville Farms, Inc. operates under provisions contained
in WQ CO0838 for land application of domestic blosolids and the compost operation at Eastern
Compost, LLC currently operates under a demonstration permit from. MCB4 M,
Our permits allow us to receive and treat domestic biosoRds through either a permitted
la:�d application projec+, or composting. We .'ill allocate a portion of our capacity to the ussara
Wastewater Treatment Plant. At present we can accommodate the residuals proposed to be
generated at the wastewater facility.
Granville Farms, Inc, is a full service transportation and sludge treatment operation.
Our projects are ongoing throughout the state. We have pertnitted capacity for dw domestic
biosolids to be generated at U". ara Wastewater Treatment Plant We understand that the
project will involve handling approximate;}, 40 to 50 dry tons per year as a serer-st+lid material
with 2% to 5 % solids. These materials are suitable for land application or with some thickerting
as a nutrient source for our compost operation.
We at Granville Farms. Tztc. look forward to working with you on this project
Sincerely,
J. Bryan Smith

Staff Report
Lissara WWTP, NCO088749
Page 1 of 2, 41212013
To: NPDES Unit
Surface Water Protection Section
Attention: Maureen Kinney
Date: April 3, 2013
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Forsyth
NPDES Permit No.: NC0088749
PART I - GENERAL INFORMATION
Facility and Address: Lissara Wastewater Plant
9689 Wildflower Woods Way
Lewisville, NC 27023
Facility Coordinates: 3671"N (36.116944),-80°27'40"W (-80.461111)
2. Date of Investigation: April 3, 2013
3. Report Prepared By: Ronald Boone, Environmental Specialist
4. Person Contacted and Telephone Number: Mr. James Armentrout, [phone]
5. Directions to Site: From the Winston Salem Regional Office, go 0.1 miles south on Old Lexington Road to
East Sprague Street. Turn right onto East Sprague Street and go 0.1 miles to onramp for Hwy 52 South
on the left and just on the other side of the bridge/overpass. Merge onto Hwy 52 South and go 0.3 miles
to onramp for 1-40 West on the right (Exit 107B). Merge onto 1-40 West and go 5.1 miles. Merge onto Hwy
421 North at Exit 188 toward Yadkinville/Wilkesboro. Go 8.7 miles on Hwy 421 North to Exit 246 for
Shallowford Road. At the top of the offramp, turn right onto Shallowford Road towards Lewisville and go
1.6 miles to Conrad Road on the left. Turn left onto Conrad Road and go 1.22 miles to Thundetwood
Farm Lane on the left. Turn left onto Thunderwood Farm Lane and go 0.1 miles to unnamed road on the
left. Turn left onto unnamed road and follow that road back approximately 0.6 miles. Plant will be just
inside the clearing on the left approximately 60 yards.
Discharge Point(s), list for all discharge Points:
The plant has a single discharge point (001) into the Yadkin River located at approximate coordinates:
Latitude: 3677"N (36.118611) USGS Quand Name: Clemmons, NC
Longitude: 80-27-40" (-80.461111) USGS Quad No.: C-17-SW
Receiving Stream or Affected Surface Waters: Yadkin River
a. Classification: WS-IV
b. River Basin and Subbasin No.: Yadkin 03-07-02
C. Describe receiving stream features and pertinent downstream uses: There are multiple water
supply intakes along the river below the discharge point, including City of Winston-Salem and
Davie County, Also, people enjoy both primary and secondary recreation activities all along the
river, especially at the lakes along the river, such as High Rock Lake, Basin Lake, and Lake
Tillery.

Staff Report
Lissara WWTP, NCO088749
Page 2 of 2, 402013
IT SHOULD BE NOTED THAT THE CURRENT STREAM INDEX LISTED IN BIMS (12486.7)) IS
INCORRECT. THE CORRECT STREAM INDEX FOR THE DISCHARGE POINT FROM THE LISSARA
WASTEWATER TREATMENT PLANT IS 12480.7). THIS WAS ALSO MENTIONED IN THE PREVIOUS
STAFF REPORT BUT WAS NEVER UPDATED IN BIMS.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
a. Current permitted capacity: 0.108 MGD (Design Capacity)
b. Actual treatment capacity: Unknown
IT SHOULD BE NOTED THAT, ACCORDING TO DESIGN DOCUMENTS ON FILE, THE PLANT HAS
BEEN PERMITTED FOR THE DESIGN FLOW OF THE SUBDIVISION ONCE IT IS 100 PERCENT
BUILT -OUT. THIS RAISES SOME CONCERN AS THE PLANT WILL BEGIN REACHING PERMITTED
FLOW AS THE SUBDIVISION APPROACHES COMPLETION AND THE OWNER WILL NEED TO
IMMEDIATELY BEGIN THE PROCESS TO CONSIDER PLANT EXPANSION IN ACCORDANCE WITH
15A NCAC 02H .0223, DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES.
2. Type of treatment: Extended aeration activated sludge wastewater treatment with flow equalization; two
autonomous treatment trains with sludge holding tanks, aeration basins, and clarifiers; tablet chlorination
and dechlorination; and, sodium hydroxide chemical feed pH control system.
3. Prevalent toxic impacts to surface waters: The only known possible toxic impacts would be Chlorine
added to the waste stream for disinfection, but this is already addressed with dechlorination and the low
level Chlorine limit in the permit.
PART III .OTHER PERTINENT INFORMATION
Special monitoring/effluent limit requests: None
2. Compliance information: The most recent CEI for this facility did not note any effluent deficiencies or
operational problems. However, it should be noted that the plant is not currently in operation because only
a small number of houses have been built in the subdivision and are producing wastewater — not enough
for the plant to operate efficiently. The facility is currently issued a pump and haul permit (WQ0036194),
which expires May 1, 2013.
PART IV - EVALUATION AND RECOMMENDATIONS
There have been no changes to the permit or the WWTP since the permit was last renewed. Pump and
haul is still required until enough homes are built in the subdivision to produce enough wastewater to provide a
viable bacterial population in the plant for effective treatment of the waste. It is recommended that.the NCO088749
permit be renewed as requested
ort Preparer / / Date

A"'j�LA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla III
RECEIVED
Governor Director N.C. Dept. of ENR Secretary
January 17, 2013 FEB 14 2013
Y
Winston-Salem
Mr. Brant Godfrey Regional Office f.
Lissara Partners, LLC
2631 Reynolda Rd
Winston-Salem, NC 27106
Subject: Renewal Notice
NPDES Permit NCO088749
Lissara WWTP
Forsyth County
Dear Permittee:
Your NPDES permit expires on July 31, 2013. Federal (40 CFR 122.41) and North Carolina (15A
NCAC 2H.0105 (e)) regulations state that permit renewal applications must be filed at least 180 days prior
to expiration of the current permit. If you have already mailed your renewal application, you may
disregard this notice.
Your renewal package must be sent to the Division postmarked no later than February 1, 2013.
Failure to request renewal by this date may result in a civil penalty assessment. Larger penalties may be
assessed depending upon the delinquency of the request.
If any wastewater discharge will occur after July 31, 2013, the current permit must be renewed.
Discharge of wastewater without a valid permit would violate North Carolina General Statute 143-215.1;
unpermitted discharges of wastewater may be assessed civil penalties of up to $25,000 per day.
If all wastewater discharge has ceased at your facility and you wish to rescind this permit, contact
me at the telephone number or address listed below.
Use the enclosed checklist to complete your renewal package. The checklist identifies the items you
must submit with the permit renewal application. If you have any questions, please contact me at the
telephone number or e-mail address listed below.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: _Central Files
_Winston-Salem Regional Office, Surfa_c_e_Wafer-Protection'
- - ----- ---
NPDES File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NofthCarohna
Phone: [phone] / FAX [phone] / [e-mail] Aaturally
An Equal Opportunity/Affirmative Action Employer- 50% Recycled/10% Post Consumer Paper

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DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
219 East Chatham Street
Cary, North Carolina 27511
Telephone [phone] — Fax [phone]
TRANSMITTAL
August 7, 2012
TO: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633
FROM: John F. Phillips, P.E.
RE: Engineer's Certification
A to C No. 088749A01
Lissara Partners, LLC
Lissara WWTP
Forsyth County
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
No.
Copies
Description
Remarks
1
Engineer's Certification - Signed,
sealed, and dated 8-7-12
Note revisions on
Certification..
Enclosures
Cc: Mr. Lang Wilcox
Mr. Pete Ramey
U,G 0
y t
sr a

J r RECEIVED
:. N.C.Dept. of ENR
Lissara Partners, LLC SP O 5 2012
A To C No. 088749AO1T.
Issued February 18, 2009 ' Winston-Salem "
Re ioraalOffice
Engineer's Certification
11 John F. Phillips, P.E. , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/vm*k4y/€�ii ii tee)
the construction of the modifications and improvements to the Lissara WWTP, located West of
Conrad Road in Forsyth County for Lissara Partners, LLC, hereby state that, to the best of illy
abilities, due care and diligence was used in the observation of the following construction:
One (1) two
�re-F� 18,900 gallo tee - ow equalization tanks�ek with a 2 HP, 38 scfm flow
equalization blower an 2 HP, 95 gpm flow equalization pump; flow control splitter
box; three (3) 5 HP, 135 scfm main plant blowers; two (2) 20,000 gallon~steel aeration
tanks; two (2) 12-ft square, 13 ft sidewater depth clarifiers with clarifier airlift pump and
scum pump; two (2) 8,100 gallon sludge tanks with supernatant airlift pump;
chlorinator/dechlorinator contact tank with two (2) tube tablet chlorine feeders and two
(2) tube tablet dechlorination feeders; effluent flow measurement box, flow measurement*
weir and ultrasonic effluent level sensor; 45 kW standby generator ;
blower building; and associated yard piping, electrical work and control systems in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
* (natural gas -fired)
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
We understand that the wastewater treatment plant flow limits of 0.054 MGD now apply.
Signature -- Registration No
Date 8-7-20 2
10130
Send to: Construction Grants & Loans ::zO.o�Ess/0�y9;'L9%
DENR/DWQ
1633 Mail Service Center _ SEAL
Raleigh, NC 27699-1633 10130
Note: The ATC incorrectly stated two 18,900 gallon %,yN F FH���'��•�`,
FE tanks. The approved plans and specifications indicated
one 18,960 gallon FE tank with two 2 HP FE pumps. The 'T `
generator was changed from propane fueled to natural gas
once it was determined that natural gas piping could be AUG 0,8 2012
extended to the WWTP site. �.

AF15%
*yA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
December 5, 2011
Lissara Partners LLC
Attn: Brant Godfrey, Owner
2631 Reynolda Road
Winston Salem, NC 27106
Subject: Compliance Evaluation Inspection
Permittee: Lissara Partners LLC
Facility: Lissara Wastewater Treatment Plant
NPDES Permit #: NCO088749
Forsyth County
Dear Mr. Godfrey:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water
Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) of the
Lissara Wastewater Treatment Plant (WWTP) on December 5, 2011.
This inspection consists of only a simple file review because the plant is not actually in
operation yet. According to a phone conversation with you, Mr. Boone found that the WWTP
itself is built but not enough tributary homes are built to provide a sufficient amount of waste to
allow the plant to run efficiently. Therefore, Lissara has been issued a pump and haul permit
(WQ0035608) from the Division, which allows you to pump and haul that waste which is
currently produced for disposal at the City of Winston Salem's Archie Elledge WWTP. This
pump and haul permit expires on May 1, 2012.
Please not that if any contact information for this permit or plant changes, you should
contact the Division as soon as possible to ensure all records stay up to date. Also, you are
reminded that you must designate an Operator in Responsible Charge (ORC) and backup
ORC for the plant before any waste can be introduced into the new plant. You must also notify
this office at least 72 hours in advance of the WWTP discharging to surface waters of the
State.
Finally, please bear in mind that in accordance with NC General Statute 143-215.6A,
the Director of the Division of Water Quality may assess civil penalties not to exceed $25,000
per day, per violation, for violations of the NCO088749 NPDES permit. If you have any
questions regarding the permit or this letter, please call Mr. Boone or me at [phone].
Thank you for your attention to this matter.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
,vatura!!t,

Lissara Partners, LLC
Attn: Brant Godfrey, Owner
Compliance Evaluation Inspection
NC0088749,Lissara WWTP
Page 2 of 2, December 5, 2011
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
BIMS Inspection Report
CC: �WSt2 0LS
Central Files
NPDES Unit

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 1 5 I 31 NCO088749 111 121 11/12/05 117 18I C I 191 S I 20I I
L
Remarks
21111111111111111111111111 IIIIIIII 1111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------------------------Reserved-----------------
671 169 70 U 71 I I 72I N I 73I I 174 75I I I I I I I 180
L-�--�
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
POTW name and NPDES permit Number)
Entry Time/Date
Permit Effective Date
Lissara WTP
11:00 AM 11/12/05
08/09/01
Exit Time/Date
Permit Expiration Date
No Address Yet Assigned Not In A City Or Town
Lewisville NC 27023
12:00 PM 11/12/05
13/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Brant Godfrey,2631 Reynolda Rd Winston Salem NC 27106//336-777-0078/3367225018 Contato
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Facility Site Review
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
Ron Boone WSRO W0//336-771-4967/
Signature f Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
06A
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/molday Inspection Type
3I NCO088749 111 12, 11/12/05 17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Plant is constructed but not yet in operation due to only a few tributary home in the subdivision being built
and occupied at the time. These few homes do not produce enough sanitary waste for the plant to operate
efficiently. Therefore, Lissara has been issued a pump and haul permit which expires on May 1, 2012. This
permit allows them to pump and haul that waste which is currently produced to the Winston Salem Archie
Elledge WWTP for final disposal.
Page # 2

&4 41,
NCDE R
North Carolina Department.of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 21 st, 2011
Lissara Partners LLC
Attn: Brant Godfrey, Owner
2631 Reynolda Road
Winston Salem, NC 27106
Subject: Compliance Evaluation Inspection
Permittee: Lissara Partners LLC
Facility: Lissara Wastewater Treatment Plant
NPDES Permit #: NCO088749
Forsyth County
Dear Mr. Godfrey:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the
Division) conducted a compliance evaluation inspection (CEI) of the Conrad Farm Wastewater Treatment Plant
(WWTP) on January 13th, 2011. During this inspection Mr. Boone verified that neither the plant itself nor the
homes that will discharge to it have yet been built. A follow up phone call to you also verified these facts.
If any contact information for this permit or plant has changed, please contact Mr. Boone as soon as
possible. It is critical that we keep our records regarding this future plant and permit up to date.
You are reminded that you must designate an Operator in Responsible Charge (ORC) for the future plant
before any waste can be introduced into the new plant. You must also notify this office at least 72 hours in
advance of any such new WWTP discharging to surface waters of the State.
Please also bear in mind that in accordance with NC General Statute 143-215.6A, the Director of the
Division of Water Quality may assess civil penalties not to exceed $25,000 per day, per violation, for violations
of the NCO088749 NPDES permit. If you have any questions regarding the permit or this letter, please call Mr.
Boone or me at [phone]. Thank you for your cooperation in this matter.
Si cerely,
it A
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
Attachments:
BIMS Inspection Report
CC: VS,R°Q - - WP
Central Files
NPDES Unit
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
Natura!!'ff
An Equal Opportunity \ Affirmative Action Employer

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 11 NCO088749 111 121 11/01/13 117 181 CI 19I SI 20I
Remarks
21II11IIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIII11111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------- —----- ------ Reserved--------------
67I 169 70III 711 I 72I N I 73 L_U 74 711 I I I 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)
08/09/01
11:00 AM 11/01/13
Lissara Wastewater Treatment Plant
Exit Time/Date
Permit Expiration Date
No Address Yet Assigned Not In A City Or Town
Lewisville NC 27023
11:15 AM 11/01/13
13/07/31
Name(s) of Onsite Representative (s)/Tities(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
• Contacted
Brant Godfrey,2631 Reynolda Rd Winston Salem NC No
27106//336-777-0078/3367225018
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
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
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
Signature ofManagement Qt A R/e�viewer Agency/Office/Phone and Fax Numbers Date
— /� C�ho;z-- %c 71-j.4 ,, Lori (,
Azy
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
NCO088749 I11 12I 11/01/13 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The owners are reminded that an operator in responsible charge must be designated for the plant prior to
introducing waste into a newly constructed wastewater treatment plant and this office should be notified at
least 72 hours in advance of a discharge from any newly built plant.
Page # 2

Permit: NCO088749
Inspection Date: 01/13/2011
Owner - Facility: Lissara Wastewater Treatment Plant
Inspection Type: Compliance Evaluation
Permit
(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: This plant has still not been built as verified by a site visit conducted by
Ron Boone of this office 01/.19/2011.
Yes No NA NE
❑ ❑ ® ❑
❑■❑❑
Page # 3

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
EPA
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 NCO088749 111 121 10/05/27 117 18I CI 19I SI 201 I
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA -----------Reserved------
67 I 169 701 I 711 I 721 NJ 73 I I 174 751 I I I I I 11 80
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)
08:00 AM 10/05/27
08/09/01
Lissara Wastewater Treatment Plant
Exit Time/Date
Permit Expiration Date
No Address Yet Assigned Not In A City Or Town
Lewisville NC 27023
08:30 AM 10/05/27
13/07/31
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Brant Godfrey,2631 Reynolda Rd Winston Salem NC
27106//336-777-0078/3367225018 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit
Section D: Summa of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jennifer F Graznak WSRO WQ//336-771-5000/
)&K+-
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 NCO088749 I11 12I 10/05/27 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Spoke with Lang Wilcox [phone] on 5/27/10 and site visit on 6/3/10: The WWTP will be installed in
August 2010 and will be put online at the end of October 2010 so they can open the sales center for the
subdivision in November. Mr. Wilcox will keep our office updated on the situation.
Page # 2

Print This Article
http://www2.joumalnow.com/content/20 I 0/jun/ 18/plans-have-dam-lake/
Print Article
Plans have dam, lake
By Fran Daniel I Journal Reporter
Print This Story
Four developers have broken ground on an ambitious -- and expensive -- subdivision in Forsyth County, defying a tough
economy to get their project under way after six years of planning.
The 254-acre development called Lissara is on Shallowford Road, just west of Lewisville. It will include a man-made lake
surrounded by 102 lots and 100 acres for stately homes. The developer is Lissara Partners LLC, owned by Beau Dancy,
Brant Godfrey, Pete Ramey and Lang Wilcox. Bob Timberlake, a painter and designer, is doing designs for a lodge, street
signs and entrance.
While the Forsyth County housing market fared better than a lot of markets across the country during the recession, sales
dropped dramatically and just started showing improvement this year.
"The market has had a cycle that we haven't seen in our lifetime," Godfrey said. "But the things that are weeded out in that
environment first are the indistinguishable -- the day-to-day, plain vanilla."
He said that the Lissara project is unique, primarily because of the man-made lake, and should entice some potential
homeowners who have been sitting on the fence, waiting to buy.
"Whenever it is built I think there is a market that will understand and appreciate it," Godfrey said.
Don Jud, a professor emeritus in the Bryan School of Business and Economics at UNC Greensboro, said he hopes that the
developers' evaluation of the local economy is correct. He described their plans as courageous.
"That's ambitious because the upscale homes are the hardest ones to sell these days," Jud said.
The Lissara project will have sister neighborhoods -- The Lake at Lissara and The Estates at Lissara. Of the 102 lots planned
for The Lake at Lissara, 37 will be lakefront homes. The estates side has 100 acres that will be cut into 3- to 30-acre tracts,
depending on what individuals and builders want.
Lots on the lake side of Lissara will range from $70,000 to $285,000, while the estate lots are expected to range from
$190,000 to about $1 million.
Godfrey expects homes to cost between $350,000 and more than $1 million on the lake property and $800,000 to $2 million
or more on the estates side.
A Forsyth County Housing Report complied by Jud for the Triad MLS showed that 34 homes priced between $300,000 and
$499,000 sold in the first quarter of 2010, down from 40 in the fourth quarter of 2009. In the $500,000 and above price
range, '12 homes sold in the first quarter of 2010 compared with 16 in the fourth quarter of last year.
Lissara is one of the biggest housing projects to be developed in Forsyth County in several years.
"Lissara was approved back in 2008 and that's clearly the largest subdivision of its type that we've looked at in the last three
or four years," said Glenn Simmons, a principal planner for the City -County Planning Department.
For example, Grandview Place on the site of the former Grandview Golf Course in Pfafftown was approved for 213 lots on
131 acres in August 2007. The 800-acre Brookberry Farm in western Forsyth County, which has a mix of homes and is more
comparable to Lissara, was approved in 2003.
Also, Tuscany, a high -end subdivision also on Shallowford Road, west of Lewisville, was approved for 24 lots on 64 acres in
2002.
The developers have taken their time creating Lissara.
Wilcox, an individual developer, and Dancy, the president of Dancy Construction Co., started working on the project in late
2004. The next year, they approached Godfrey, a lawyer in Winston-Salem and the owner of West View Development, about
1 of 2 6/22/2010 1:40 PM

Print This Article
http://www2.joumalnow.com/content/20 10/jun/18/plans-have-dam-lake/
becoming part of the project. He agreed and asked Ramey, the owner of Ramey Inc., a utilities -contracting company, to join
them.
In addition to a 21-acre lake that will be 65 feet deep in some areas, the development will have a 70-foot high dam and a
sewage -treatment plant.
They are using various environmentally -friendly approaches to development, Godfrey said.
The aim of the sewage -treatment plant, for example, is to help them preserve a majority of the mature trees on the lots.
Lissara Partners has chosen Coldwell Banker Triad, Realtors to market the development and will start selling lots in July.
Dancy said that they have not started any advertising but are already generating a lot of interest.
"We've gotten calls and inquiries," he said. "I feel like there's going to be a big push when we finally come on line and
officially sell lots in July."
[e-mail]
727-7366
2 of 2 6/22/2010 1:40 PM

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, September 29, 2009 12:44 PM
To: Eaton, Adrian
Subject: RE: Lissara Subdivision FTSE
Adrian - WSRO recommends approval of the proposed sewers. Please note that the AtC, issued 2/18/09, was only for a
0.054 MGD treatment system (the NPDES permit lists a flow of 0.108 MGD). The engineer's certification for the WWTP
has yet to be received. Mike.
Please note new E-mail address: Mike. [e-mail]
Mike Mickey
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Eaton, Adrian
Sent: Wednesday, September 23, 2009 1:48 PM
To: Mickey, Mike
Subject: Lissara Subdivision FTSE
Mike,
Please find the attached Lissara Subdivision FTSE form for your review/approval.
Please respond accordingly.
Thanks,
Adrian.

of W>grFR State of North Carolina
Department of Environment and Natural Resources
v� r Division of Water Quality
o -c )Flow Tracl:ing/Acceptance for Sewer Extension Permit Applications
(FTSE—10/07)
Project Applicant Name: Lissara Partners LLC
Project Name for which flow is being requested: Lissara Subdivision & Godfrey Property
More than one FTSE-10107 may be required for a single project if the owner of the 13WTP is not responsible for all
pump stations along the route of the proposed x,astewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Lissara WWTP
b. WWTP Facility Permit 4: NPDES Permit No. NC0088749
All flows are in MGD
c. WWTP facility's permitted flow
0.108
d. Estimated obligated flow not yet tributary to the WWTP
0.000
e. WWTP facility's actual avg. flow
0.000
f. Total flow for this specific request _
0.048625
g. Total actual and obligated flows to the facility
0.048625
h. Percent of permitted flow used
45%
II. Complete this section for each pump station you are responsible for along the route of this
IPM
proposed wastewater flow. 1 ". °� �'
List pump stations located between the project connection point and the WWTP
Pump Station Name
NONE
Approx. Capacity, MGD
(Firm/Design)
Approx. Current Avg.
Daily Flow, MGD r, a
III. Certification Statement:
I, C.J. Ramey, 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. /)
Date
Signing Official Signature

AA
•'
=cc. of ENR
WDENR
FEB2 3 2009
North Carolina Department of Environment and Natural Resour es
Ninston-Salem
Division of Water Quality
Regional Office
Beverly Eaves Perdue Coleen H. Sullins
Dee Freeman
Governor Director
Secretary
February 18, 2009
MA f--Lang VViicox ::,
Lissara Partners, LLC
2631 Reynolda Road
Winston-Salem, North Carolina 27106
SUBJECT: Authorization to Construct
A to C No. 088749A01
Lissara Partners, LLC
Lissara WWTP
Forsyth County
Dear Mr. Wilcox:
A letter of request for an Authorization to Construct was received September 5, 2008, by
the Division of Water Quality (Division), and final plans and specifications for the subject _
project have been reviewed and found to be satisfactory.fluthzr'.zatiion .is . ereby-granted! forzthe
with discharge of treated
was water into the Yadkin River in the Yadkin River
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following:
Two (2) 18,900 gallon steel flow equalization tanks each with a 2 HP, 38 scfm flow
equalization blower and a 2 HP, 95 gpm flow equalization pump; flow control splitter
box; three (3) 5 HP, 135 scfm main plant blowers; two (2) 20,000 gallon steel aeration
tanks; two (2) 12-ft square, 13 ft sidewater depth clarifiers with clarifier airlift pump and
scum pump; two (2) 8,100 gallon sludge tanks with supernatant airlift pump;
chlorinator/dechlorinator contact tank with two (2) tube tablet chlorine feeders and two
(2) tube tablet dechlorination feeders; effluent flow measurement box, flow measurement
weir and ultrasonic effluent level sensor; 45 kW standby generator and propane fuel tank;
blower building; and associated yard piping, electrical work and control systems in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Nb thCarolina
Phone: [phone] \ FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org 666"'at uralll�
An Equal Opportunity \ Affirmative Action Employer

Mr. Lang Wilcox
February 18, 2009
Page 2
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NC0088749 issued August 15, 2008, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0088749.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston Salem Regional Office, telephone number [phone], shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.,
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy -of the approved plans and specifications shall be maintained on file by the
Pennittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,

Mr. Lang Wilcox
February 18, 2009
Page 3
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
.You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Seth Robertson, P.E. at telephone
number (919) 71576206.
Sincerely,
Coleen H. Sullins
swc:sr
cc: John F. Phillips, P.E. — Diehl & Phillps, P.A., 219 E. Chatham Street, Cary, NC 27511
Forsyth County Health Department
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Daniel Blaisdell, P.E.
Steve Coffey, P.E.
ATC File No. 088749A0I

Lissara Partners, LLC
A To C No. 088749AOI
Issued February 18, 2009
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Lissara WWTP, located West of
Conrad Road in Forsyth County for Lissara Partners, LLC, hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the following construction:
Two (2) 18,900 gallon steel flow equalization tanks each with a 2 HP, 38 scf n flow
equalization blower and a 2 HP, 95 gpm flow equalization pump; flow control splitter
box; three (3) 5 HP, 135 scfm main plant blowers; two (2) 20,000 gallon steel aeration
tanks; two (2) 12-ft square, 13 ft sidewater depth clarifiers with clarifier airlift pump and
scum pump; two (2) 8,100 gallon sludge tanks with supernatant airlift pump;
chlorinator/dechlorinator contact tank with two (2) tube tablet chlorine feeders and two
(2) tube tablet dechlorination feeders; effluent flow measurement box, flow measurement
weir and ultrasonic effluent level sensor; 45 kW standby generator and propane fuel tank;
blower building; and associated yard piping, electrical work and control systems in
conformity with the project plans, specifications, and other supporting data subsequently
filed and approved by the Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, and intent of the approved plans and specifications.
We understand that the wastewater treatment plant flow limits of 0.054 MGD now apply.
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633

..�REi1l?IVED
®;= A® �
NC®ENR N....,
North Carolina Department of Environment and Natural Resoutb's 0 9 2.]19
Division of Water Quality
BeverlyEaves Perdue Coleen H. Sullins P ° Dee Freeman
F"ae�iolt�al i:i,iiGt':
Governor Director Secretary
March 4, 2009
DWQ Project # 05-1117, Ver. 2
Forsyth County
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
Messrs. Lang Wilcox, James Armentrout, and Russ Willard
Lissara Partners, LLC
1210 Forest Wood
Lewisville, NC 27023
Subject Property: Lissara Development
Ut to Yadkin River [030702, 12-(86.7), WSIV, Cl
RESPONSE TO CORRESPONDENCE RECEIVED FEBRUARY 27, 2009
Gentlemen:
On March 2, 2009, the Division of Water Quality (DWQ) received your correspondence dated February 27,
2009 (from Dr. Bert Meijboom) regarding Condition Nos. 10, 12, 23, 14, and 15 of the 401 Water Quality
Certification (WQC) issued to you on May 29, 2008. We appreciate your reply to our February 20, 2009,
correspondence regarding the above. A careful review of your additional information received so far has
revealed the following:
Based -on your submitted response, the DWQ believes you have satisfied the requirements of Condition
Nos. 10, 12, 23, 14, and 15 of the 401 WQC with the following considerations:
1. It is our understanding that you have agreed to monitor the impoundment on a monthly basis for
the months of May — October to ensure thermal impacts to waters within the impoundment will
not exceed DWQ Water Quality Standards for mountain and upper piedmont Class WS-IV and C
surface waters for a period of five years. The NC administrative code (15A NCAC 02B .0211 j)
specifies that temperature is "not to exceed 2.8 degrees C (5.04 degrees F) above the natural
water temperature, and in no case to. exceed 29 degrees (84.2 degrees F) for mountain and upper
piedmont waters." Monitoring reports should be submitted to DWQ on an annual basis in
November of each year.
This completes our review of the satisfaction of the conditions of your 401 WQC. Please call Ms. Cyndi
Karoly or Mr. Ian McMillan at 919-733-1786 if you have any questions or concerns.
Sincerely,
Cyndi Karoly, Supervisor
401 Oversight/Express Review Permitting Unit
401 Oversight/Express Review Permitting Unit One
1650 Mail Service Center, Raleigh, North Carolina 27699-1650 NOTthCarolina
Location: 2321 Crabtree Blvd., Raleigh, North Carolina 27604 fff/// �aturallf
Phone: [phone] FAX: [phone]
Internet: http:/Ih2o.enr.state.nc.us/ncwetlands/
An Equal Opportunity 1 Affirmative Action Employer

Lissara Partners, LLC
Page 2 of 4
March 4, 2009
cc: Sue Homewood, DWQ Winston-Salem Regional Office
CStevi Tedder,--D_W_Q Winston-Salem--Regional-Office_;
John Thomas, USACE Raleigh Regulatory Field Office
File Copy
Matt Matthews, DWQ Wetlands and Stormwater Branch Manager
Filename: 051117 V er2Lissa raDevel op ment(Forsyth)Response_to_2_27_09_Correspo ndence

United States Environmental Protection Agency
Form Approved.
EPAWashington, D.C. 20460
r
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 I sl 31 NCo088749 111 121 • 09/01/23 117 • 18I CI "I SI 20III
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ---------- -------------- Reserved -------- -------------
67I 169 701 I 711 I 721 NI 73 W 74 751 I I I I I Li
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
01:15 PM 09/01/23
08/09/01
Lissara Wastewater Treatment Plant
Exit Time/Date
Permit Expiration Date
No Address Yet Assigned Not In A City Or Town
Lewisville NC 27023
01:30 PM 09/01/23
13/07/31
Name(s) of Onsite Representative(s)ffitles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Brant Godfrey,2631 Reynolda Rd Winston Salem NC.
27106//336-777-0078/3367225018 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Other
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Rose Pruitt 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

4
NPDES yr/mo/day Inspection Type
3I NCO088749 I11 12I 09/01/23 117 18ICI
Section D: ' Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
site visit 01/23/2009, facility not yet built. Grading and clearing of subdivision has begun.
Page # 2

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 31, 2010
Mr. C.- J. Ramey
Lissara Partners, LLC
Post Office Box 449
Bethania, North Carolina 27010
Dee Freeman
Secretary
RECEIVED
N.C. Dept of ENR
APR 072010
Winston-Salem
Regional Office
Subject: Permit No. WQ0034339
Lissara Subdivision
Low Pressure STEP Sewer System
Forsyth County
Dear Mr. Ramey:
In accordance with your permit application received August 24, 2009, and additional
information received by the Division, we are forwarding herewith Permit No. WQ0034339 dated
March 31, 2010, to Lissara Partners, LLC for the construction and operation of the subject
wastewater collection system.
This Permit shall be effective from the date of issuance until rescinded, and shall be subject
to the conditions and limitations as specified therein.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have
the right to request an adjudicatory hearing upon written request within 30 days following receipt
of this permit. This request must be in the form of a written petition, conforming to Chapter
150B of North Carolina General Statutes, and filed with the Office of Administrative Hearings,
6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such demands are made this permit
shall be final and binding.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be' received from a professional engineer certifying that the permitted facility
has been installed in accordance with the approved plans and specifications. Mail the
Certification to the Construction Grants & Loans Section, 1633 Mail Service Center, Raleigh,
North Carolina 27699-1633. (Engineer's Certification Form is attached.)
One set of approved plans and specifications is being forwarded to you.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 1y T�7oI th�aToliTla
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623.6748 Internet: www.ncviaterquality.org �J t�ly��f f t�
An Equal Opportunity 1 Affirmative Action Employer -gyp y
al

Mr. C. J. Ramey
March 31, 2010
Page 2
If you need additional information concerning this matter, please contact Adrian Eaton,
State Review Engineer, at [phone] or Seth Robertson, P.E. at [phone].
Sincerely,
Coleen H. Sullins
ae/sr
cc: Forsyth County Health Department
W.irsf®iYfSlee�al_, Surface Water Protection (Permit NC0088749)
John F. Phillips, P.E., Diehl & Phillips, P.A., 219 E. Chatham St., Cary, NC 27511
Permit Application File WQ0034339

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER COLLECTION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules,. and Regulations
PERMISSION IS HEREBY GRANTED TO THE
LISSARA PARTNERS LLC-,
Forsyth County
FOR THE
construction and operation of a low pressure STEP sewer collection system consisting of -
approximately 4,341 linear feet of 2-inch pressure sewer; approximately 2,630 linear feet of 2.5-
inch pressure sewer; approximately 2,560 linear feet of 3-inch pressure sewer; approximately
6,668 linear feet of 4-inch pressure sewer; 113 STEP simplex pump stations, on -site audible and
visual high water alarms, to serve 112 single family residential units and one (1) clubhouse
amenity, as a part of Lissara Subdivision, and the discharge of 51,985 GPD of _ collected -
wastewater into the Lissara Partners, LLC — Lissara WWTF (NC0088749) pursuant to the permit
application received on August 24, 2009, and subsequent additional information received by the
Division, and in conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural. Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance ;until rescinded, and shall be.
subject to the following specified conditions and limitations:
1. This permit shall become voidable unless the facilities are constructed in accordance with the
conditions of this permit, the approved plans and specifications, and other supporting data.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other -supporting data.
3. The wastewater collection facilities shall be properly maintained and operated at all times.
The Permittee shall maintain compliance with an individual system -wide collection system
permit for the operation and maintenance of these facilities as required by 15A NCAC 2T
.0400. If an individual permit is not required, the following performance criteria shall be met
as provided in 15A NCAC 2T .0400

Lissara Partners, LLC
March 31, 2010
Permit No. WQ0034339
Page 2
(a) The sewer system shall be effectively maintained and operated at all times to prevent
discharge to land or surface waters, and to prevent any contravention of groundwater
standards or surface water standards.
(b) A map of the sewer system shall be developed and actively maintained.
(c) An operation and maintenance plan including pump station inspection frequency,
preventative maintenance schedule, spare parts inventory and overflow response shall
be developed and implemented.
(d) Pump stations that are not connected to a telemetry system (i.e., remote alarm system)
shall be inspected by the permittee or its representative every day (i.e., 365 days per
year). Pump stations that are connected to a telemetry system shall be inspected at
least once per week.
(e) High -priority sewers shall be inspected by the permittee or its representative at least
once every six -months and inspections are documented.
(f) A general observation by the permittee or its representative of the entire sewer system
shall be conducted at least once per year.
(g) Overflows and bypasses shall be reported to the appropriate Division regional office
in accordance with 15A NCAC 02B .0506(a), and public notice shall be provided as
required by G.S. 143-215.1C.
(h) A Grease Control Program shall be established as follows:
(i) For publicly owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of educational materials for both
commercial and residential users and the legal means to require grease
interceptors for new construction and retrofit, if necessary, of grease.
interceptors at existing establishments. The plan shall also include legal means
for inspections of the grease interceptors, enforcement for violators and the
_legal means. to control grease entering the system from other public and
private satellite sewer systems.
(ii) For privately owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of grease education materials to users of
the collection system by the permittee or its representative.
(iii) Grease education materials shall be distributed more often than required in
Parts (i) and (ii) of this Subparagraph if necessary to prevent grease -related
sanitary sewer overflows.
(i) Right-of-ways and easements shall be maintained in the full easement width for
personnel and equipment accessibility.
(j) Documentation shall be kept for Subparagraphs (a) through (i) for a minimum of
three years with exception of the map, which shall be maintained for the life of the
system.
4. The sewage and wastewater collected by this system shall be treated in the Lissara Partners,
LLC — Lissara WWTF (NC0088749) existing sewerage system prior to being discharged.

Lissara Partners, LLC
March 31, 2010
Permit No. WQ0034339
Page 3
5. This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must be
submitted to the Division accompanied by an application fee, documentation from the parties
involved, and other supporting materials as may be appropriate. The approval of this request
will be considered on its merits and may or may not be approved.
6. Construction of the sewers, pump station(s) and force main shall be scheduled so as not to
interrupt service by the existing utilities nor result in an. overflow or bypass discharge of
wastewater to the surface waters of the State.
7. A copy of the approvedplans and specifications shall be maintained on file by the Permittee
for the life of the wastewater collection facilities.
8. Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted
facility has been installed in accordance with this permit, the approved plans and
specifications, and other supporting materials. If this project is to be completed in phases
and partially certified, you shall retain the responsibility to track further construction
approved under the same permit, and shall provide a final certificate of completion once the
entire project has been completed. Mail the Certification to the Construction Grants & Loans
Section, 1633 Mail Service Center, Raleigh, North Carolina 27699-1633. (Engineer's
Certification Form is attached.)
9. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division, in accordance with North- Carolina
General Statute 143-215.6A to 143-215.6C.
10. The issuance of this permit does not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) having jurisdiction, including but"'not limited to applicable river
buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements -in
15A NCAC Chapter 4 and under the ` Division's General Permit NCGO 10000, and any
requirements pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500.
11. The Permittee shall provide for the pump station and force main the following items:_
(a) Pump Station Reliability:
(i) Pump stations, except when exempted by Subparagraph 0)(2) of 15A NCAC -
02T.0305, shall be designed with multiple pumps such that peak flow can be
pumped with the largest pump out of service.
(ii) A standby power source or pump is required at all pump stations except for
those pump stations subject to Subparagraph 0)(2) of 15A NCAC 02T.0305.
Controls shall be provided to automatically activate the standby source and
signal an alarm condition.
(iii) As an alternative to Part (ii) for pump stations with an average daily design
flow less than 15,000 gallons per day as calculated using 15A NCAC
02T.0114, a portable power source or pumping capability may. be utilized. It

Lissara Partners, LLC
March 31, 2010
Permit No. WQ0034339
Page 4
shall be demonstrated to the Division that the portable source is owned or
contracted by the permittee and is compatible with the station. If the portable
power source or pump is dedicated to multiple pump stations, an evaluation of
all the pump stations' storage capacities and the rotation schedule of the
portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
(iv) As an alternative to Part (ii) for pump or vacuum stations connecting a single
building to an alternative sewer system, wet well storage requirements shall be
documented to provide 24-hours worth of wastewater storage or, exceed the
greatest power outage over the last three years or the documented response
time to replace a failed pump, whichever is greater. Documentation shall be
required pursuant to the permit application.
(v) All pump stations designed for two pumps or more shall have a telemetry
system to provide remote notification of a problem condition to include power
failure and high water alarm.
(vi) High water audio and visual alarm.
(b) Pump stations shall have a permanent weatherproof sign stating the pump station
identifier, 24-hour emergency number and instructions to call in case of emergency.
Simplex pump or vacuum stations serving a single-family residence shall have a
placard or sticker placed inside the control panel with a 24-hour emergency contact
number.
(c) Screened vents for all wet wells.
(d) The public shall be restricted access to the site and equipment.
(e) Air relief valves shall be provided at all high points along force mains where the
vertical distance exceeds ten feet.
12. In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those that may be
required by this Division, such as the construction of additional or replacement wastewater
collection facilities.
13. The facilities shall be constructed in accordance with the requirements of the North Carolina
Sedimentation Pollution Control Act.
14.If applicable, the Operational Agreement between the Permittee and the Environmental
Management Commission is incorporated herein by reference and is made a condition of this
Permit. Noncompliance with the terms of the Operational Agreement may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina
General Statute 143-215.6A to 143-215.6C. A copy of the Articles of Incorporation,
Declarations, and Bylaws that have been properly filed shall be submitted with the engineer's
certification prior to operation.
15. Any abandoning of the existing facilities must be done in accordance with the requirements
of the Division's Winston-Salem Regional Office.

Lissara Partners, LLC
March 31, 2010
Permit No. WQ0034339
Page 5
16. Noncompliance Notification:
The Permittee shall verbally report to a water quality staff member at the Winston-Salem
Regional Office, telephone number [phone], as soon as possible, but in no case more
than 24 hours or on the next working day following the occurrence or first knowledge of the
occurrence of either of the following:
(a) Any process unit failure, due to known or unknown reasons, that render the facility
incapable of adequate wastewater transport such as mechanical or electrical failures
of pumps, line blockage or breakage, etc.
(b) Any failure of a pumping station or sewer line resulting in a. by-pass directly to
receiving waters without treatment of all or any portion of .the influent to such station
or facility.
Voice snail messages or faxed information is permissible but this shall not be considered as
the initial verbal report. Overflows and spills occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800) 858-
0368 or [phone]. Persons reporting any of the above occurrences shall file a spill
report by completing Part I of Form CS-SSO (or the most current Division approved form),
within five days following first knowledge of the occurrence. This report shall outline the
actions taken or proposed to ensure that the problem does not recur. Per Condition I(2), Part
II of Form CS-SSO (or the most current Division approved form) can also be completed to
show that the SSO was beyond control.
17. No flow shall be tributary from the subject sewer. system permitted herein until the receiving, .
downstream WWTF, Permit No. NC0088749, has been constructed and the engineer's'
certification has been received by the Division of Water Quality.
18. The Permittee shall maintain on hand for immediate installation a supply of spare, fully
operational pump units of each type used in the pressure sewer system. The number of pumps
on hand shall not be less than 10 percent of the number of installed units or one unit, -
whichever is greater.
19. Pursuant to the letter from Diehl and Phillips, P.A., dated February 10, 2010, an alternative:'
design to 15A NCAC 02T .0305 (h) (1) (A), is granted to allow a simplex pump station in
lieu of a duplex pump station for the clubhouse amenity..
20. The STEP pump station . shall 'be constructed in accordance with the Division of
Environmental Health Onsite Wastewater Rules.
21. The STEP septic tank shall be inspected annually and pumped out as necessary.

Lissara Partners, LLC
March 31, 2010
Permit No. WQ0034339
Page 6
Permit issued this the 31 st Day of March 2010
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
KColeen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Permit No. WQ0034339

Lissara Partners, LLC
Permit No. WQ0034339
Lissara Subdivision
Low Pressure STEP Sewer System
Issued March 31, 2010
ENGINEER'S CERTIFICATION
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the low pressure STEP sewer collection system serving the Lissara Subdivision,
located in Forsyth County, hereby state that to the best of my abilities, due care and diligence
was used in the observation of the following construction:
a low pressure STEP sewer -collection system consisting of: approximately 4,341 linear feet of 2-
inch pressure sewer; approximately 2,630 linear feet of 2.5-inch pressure sewer; approximately
2,560 linear feet of 3-inch pressure sewer; approximately 6,668 linear feet of 4-inch pressure
sewer; 113 STEP simplex pump stations, on -site audible and visual high water alarms, to serve
112 single family residential units and one (1) clubhouse amenity, as a part of Lissara
Subdivision, and in conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications. -
Signature
Date
Mail this Certification to:
Registration No.
DENR/DWQ
Construction Grants & Loans Section
1633 Mail Service Center
Raleigh, North Carolina 27699-1633.
Note: If the wastewater collection permit was issued to a private entity under an
Operational Agreement with the Environmental Management Commission, then a
copy of the Articles of Incorporation, Declarations, and Bylaws that have been
properly filed with the applicable County's Register of Deeds shall be submitted
with this certification.

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters' <1.0 MGD
Mail the complete application to: '
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center,. Raleigh, NC 27699-1617
NPDES Permit C00 rI 4.
! .. If you are completing this form in computer use the TAB key or the up — down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box Otherwise, please print or type.
1. Contact Information:
Owner Name Lissara Partners, LLC
Facility Name Lissara Wastewater Treatment Plant
Mailing Address 2631 Reynolda Road
City Winston-Salem
State / Zip Code NC / 27106
i
Telephone Number [phone]
Fax Number ( 336) 722-5018
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road No address yet assigned. North of Shallowford Road, West
of Conrad Road
i
City Not in a City/Town (nearest town is Lewisville)
State / Zip Code NC
County Forsyth County
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Lissara Partners LLC
Mailing Address 2631 Reynolda Road
City Winston-Salem
State % Zip Code NC / 27106
Telephone Number 336 777-0078
p ( )
Fax Number ( 336) 722-5018
1 of 4. Form-D 1106

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters<1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 224
School ❑ Number of Students%Staff
- Other ❑ Explain.
Describe the source(s) of wastewater. (example: subdivision,,mobile home park, shopping centers,
restaurants, etc.):
Residential subdivision
Population served: 224 houses with 3.513ersons/house assumed = 784 persons
S. Type of collection system
® Separate (sanitary sewer only) ❑. Combined (storm sewer and sanitary sewer)
6. OutfallInformation:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Yadkin River
.8. Frequency of Discharge:. ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system..
List all installed components, including capacity, provide design removal for BOD, TSS, nitrogen and
phosphor -us.- -If the space provided is not sufficient, attach the description. of the treatment system in a
separate sheet of paper.
See attached description .,
2 of 4 Form-D 1l06

e
III
NPDES APPLICATION - FORM. D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:*
Treatment Plant Design flow 0.108 MGD .
Annual Average daily flow NA - proposed discharge MGD (for the previous 3 years)
Maximum daily flow NA - proposed discharge MGD (for the previous 3 years)
11. Is this facility located on Indian, country?
❑ Yes ®. No
12. Effluent Data
lProvide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other.
parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at Least three samples
and must be no more than four and one half years old.
I
Parameter
Daily
Maximum
Monthly
Avera a
Units of
Measurement
Number of
Samples
Biochemical Oxygen Demand
(BOD5)
NA - proposed
discharge
NA - proposed
discharge
NA - proposed
discharge
NA - proposed
discharge
Fecal Coliform
NA
NA
NA
NA
Total Suspended Solids
NA
NA
NA
NA
Temperature (Summer)
NA
NA
NA
NA
Temperature (Winter)
NA
NA
NA
NA
pH
NA
NA
NA
NA
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES X Dredge or fill (Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non -attainment program (CAA) Other
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed name of Person Signing
Title
v
3 of 4 Form-D 1/06

A
l
PD
tatement
:d to be
sticle, or
-ed to be
-menting
at not to
5,000 or
4 of 4'
d Form-D 1l06

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy)
Date: 05/07/2008
To: NPDES Discharge Permitting Unit
Attn. NPDES Reviewer: Toya Fields
County: Forsyth
Permitee:_Aqua North Carolina
Application/ Permit No.: NCO088749
Staff Report Prepared By: Rose Pruitt
Project Name: Lissara WWTP
SOC Priority Project? (Y/N) N If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (check all that apply): ® New ❑ Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ❑ Yes or N No.
a. Date of site visit:
b. Person contacted and telephone number:
c. Site visit conducted by:
d. . Inspection Report Attached: ❑ Yes or ® No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
❑ Yes or ® No. If No, please either indicate that it is correct on the current application or the
existing permit. or provide the details. If none can be supplied, please explain: some info not provided
on app
Discharge Point: (Fill this section onlv if BIMS or Application Info is incorrect or missin
(If there is more than one discharge pipe, put the others on the last page of this form.)
a. Location OK on Application ❑,
OK on Existing Permit ❑, or provide Location: not provided
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate): map provided
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number: not provided
d. Latitude/Lorigitude OK on Application ❑, (check at bU://www.toDozone.com These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters: Yadkin River
a. Stream Classification: WS-IV
b. River Basin and Sub basin No.: 12-(80.7)
c. Describe receiving stream features and downstream uses: intake for Neilsons WTP

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
For NEW FACILITIES Proceed to Section C, Evaluation and Recommendations
(For renewals or modifications continue to section B)
B. DESCRIPTION OF FACILITIES AND WASTES) (renewals and modifications only)
1. Describe the existing treatment facility:
.2. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate #
Back- Operator in Charge: Certificate #
(Available in BIMS or Certification Website)
3. Does the facility have operational or compliance problems? Please comment:
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)):
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratorium ❑? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens; Class A)?
Are they liquid or dewatered to a cake?
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑
Please comment on current operational practices:
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
C. EVAL UATIONAND RECOMMENDATIONS
1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation:
Connect to Regional Sewer System: Not available
Subsurface:
Other Disposal Options:
FORM: NPDES-RRO 06/03, 9/03 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
2. Provide any additional narrative regarding your review of the application:
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Additional Information I Reason
Lat/Long'of outfall 001 1 not provided
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition:
Recommended Removal I Reason
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Recommended Addition I Reason
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review and approval of required additional information by NPDES permitting
office; N Issue; ❑ Deny. If deny, please state reasons:
Reminder: attach inspection report if Yes was checked for 2 d.
7. Signature of report preparer:
Signature of WQS regional supervisor:
Date:
FORM: NPDES-RRO 06/03, 9/03 3

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
D. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
If this page is not used, PLEASE set printer for pages 1 through x to avoid wasting paper.
Use this page for facilities with more than one Discharge Pipe
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missin-e)
a. Location OK on Application ❑,
OK on Existing PermitEl or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often
inaccurate) OK on Existing PermitEl or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit Ellor provide Receiving Stream or affected waters:
a. Stream Classification:
b. River Basin and Sub basin No.:
c. Describe receiving stream features and downstream uses:
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing)
a. Location OK on Application ❑,
OK on Existing Permit ❑, or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate):
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://topozone.com These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters:
a. Stream Classification:
b. River Basin and Sub basin No.:
FORM: NPDES-RRO 06/03, 9/03 4

NPDES REGIONAL WATER QUALITY
, STAFF REPORT AND RECOMMENDATIONS
c. Describe receiving stream features and downstream uses:
d.
FORM: NPDES-RRO 06/03, 9/03

Re: [Fwd: Lissara NPDES Permit]
Subject: Re: [Fwd: Lissara NPDES Permit]
From: Toya Fields <[e-mail]>
Date: Fri, 01 Aug 2008 11:40:18 -0400
To: [e-mail]
CC: "John F. Phillips" <[e-mail]>, Rose Pruitt <[e-mail]>, Steve
Tedder <[e-mail]>
Thanks for your help Lee,
Could you please sign and send me the sign -off sheet that I included with the copy of your permit? I've
attached a copy. I need it for the file to indicate your concurrence. I'll go ahead and move forward with
the permit.
Thanks again,
Toya
Lee Spencer wrote:
John, Thanks for the thoughtful reply to my comments. I especially like the fact that Davie
County's Sparks Road WTP will be an "Inform. Only" number programmed into the WWTP's
SCADA system. Operators at Sparks Road WTP will need the name and number of the WWTP's
ORC.
Toya, With John's reply, I do not object to the issuance of the NPDES permit, provided the facility
is operated and maintained properly, and the stated effluent limits are met before discharge. Beth
Dirks or Jeff Crisco may have additional questions.
Lee
•------- Original Message--------
Subject:Lissara NPDES Permit
Date: Wed, 16 Jul 2008 09:12:52 -0400
From:John F. Phillips <jfphillips(-)bellsouth.net>
To: <Lee. Spencer(a,NCmail.net>
CC:Wilcox, Lang <llwilcoxjrna,triad.rr.com>, Fields, Toya <toya.fields@,ncmail.net>
Lee,
Toya forwarded your comments/questions regarding the pending Lissara NPDES permit, and asked
that I respond to them. Please find my responses attached (they have also been mailed)-, and contact
me if you have any additional questions or comments. Thank you for your help.
John F. Phillips, P.E.
Diehl & Phillips, P.A.
Phone [phone]
Fax [phone]
1 of 2 8/1/2008 11:46 AM

Re: [Fwd: Lissara NPDES Permit]
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
Toya Fields - [e-mail]
Environmental Engineer II
Eastern NPDES Program
Division of Water Quality
Tel: [phone]
Fax: [phone]
Content -Type: application/msword
DEH memo.doe'l
Content -Encoding: base64
2 of 2 8/1/2008 11:46 AM

OF WArF
�nG
Michael F. Easley, Governor
State of North Carolina
O�
co`tom
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Qualitv
May 21, 2008
MEMORANDUM
To: Lee Spencer
NC DENR / DEH / Regional Engineer
Winston-Salem Regional Office
From: Toya Fields
Western NPDES Program
Subject: Review of NPDES Permit NCOOSS749
Lissara WWTP
Please indicate below your agency's position or viewpoint on the proposed permit modification
and return this form as soon as possible. If you have any questions on the proposed
modification, please contact me at the telephone number or e-mail address listed at the bottom
of this page.
RESPONSE: (Check one)
❑Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
F-1
Concurs with issuance of the above permit, provided the following conditions are met:
1-1
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed Date:
North Carolina Division of Water Quality tova.fieldsCo)ncmail.net - [phone] x551
1617 Mail Service Center FAX [phone]
Raleigh, North Carolina 27699-1617 On the Internet at http://h2o.enr.state.nc.us/

J
�F W rF9 Michael F. Easley Governor
\0 QG William G. Ross Jr., Secretary
77
North Carolina Department of Environment and Natural Resources
.� Coleen Sullins, Director
Division of Water Quality
September 2 2008 RECEIVED
, fV.C, Dept of EN �
BRANT GODFREY
MANAGER
LISSARA PARTNERS LLC
2631 REYNOLDA ROAD
WINSTON SALEM NC 27106
Subject: Acknowledgement of Permit Modification Request for NCO088749
Lissara Partners LLC
Lissara WWTP
Forsyth County
Dear Mr..Godfrey:
Winston-Salem
Regional Office
The Division of Water Quality acknowledges receipt of your permit modification request on September 2, 2008.
The reviewer will perform a detailed review and contact you with a request for additional information if
necessary. To ensure the maximum efficiency in processing permit applications, the Division requests your
assistance in providing a timely and complete response to any additional information requests.
Please -note at this time, processing permit applications can take as long as 60 — 90 days after receipt of a complete
application._ .
If you have any questions, please contact Robert Guerra at 919-807-63 87, or via email at [e-mail].
If the reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES. ON THIS
PROJECT.
Sincerely,.
Dina Sprinkle
Cc: Central Files
Waterrottion PcSection
Permit application file NCO088749
One
NCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwate[quality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportun'dy/Aifirrnafne Action Employer— 50% Recycled110% Post Consumer Paper

t
Lissara Partners, LLC
2631 Reynolda Road.
Winston-Salem, NC 27106
__ Au_gust25�2008
Ms. Toya Fields wk"' E C �k IVOLm D
Environmental Engineer
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699=1617
Re: Request for Minor Modification to
NPDES Permit No. NCO088749
Lissara WV TP- Forsyth County
Dear Ms. Fields:
S EP - 2 2008
®ENR - WATER QUALITY
POINT SOURCE BRANCH
I am requesting the referenced permit be modified to allow the required treatment plant
construction to be accomplished in phases. The requested phasing of the 0.108 MGD
permitted flow is as follows:
Phase 1 - 54,000 gallons per day (0.054 MGD)
Phase 2 - 108,000 gallons per day (0.108 MGD)
Each phase would have a treatment plant rated for 54,000 gpd.
Please contact John F. Phillips, P.E., of Diehl & Phillips, P.A., or me if you have any
questions or require any additional information. It is my understanding that there is no
fee required to process this minor modification, but please advise if this is not the case.
Cc: M.r: John F. Phillips, P.E.
Yours truly,
Lissara Partners, LLC
Brant Godfrey, Manager

/015e_
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Land Resources
James D. Simons, PG, PE
Director and State Geologist
September 5, 2008
Mr. Lang Wilcox
Lissara Partners, LLC
5121 North Causeway Road
Winston-Salem, North Carolina 27106
RE: Hazard Confirmation
Lissara Dam
Dear Mr. Wilcox:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Thank you for the opportunity to review the information regarding the referenced dam. This
information from Mr. Bert Meijboom was received in our office on August 18, 2008 by e-mail.
Land Quality Section personnel from the Winston-Salem Regional Office conducted an
inspection of the dam site and downstream areas on September 3, 2008 to confirm the proposed
low hazard classification. Based on our review of the information provided and site inspection,
our office concurs that a low hazard classification is presently warranted provided you can show
that the single wide mobile home ownstream of the dam will not be affected by a breach of the .
dam. - However, if future downstream development occurs which would be impacted by a failure
of the dam, then the hazard classification would need to be re -assessed and could possibly change
from low to high hazard classification.
Also, the information provided indicates this dam has a height of 65 feet and an impoundment
volume in excess of 10 acre-feet. Therefore, in accordance with NCGS 143-215.A(a) (6) this
dam will be subject to the jurisdiction of the Dam Safety Law of 1967.
Please note that approval from this Division will be required prior to the initiation of any work to
construct this dam. There is an application to construct a dam checklist that provides a general
guide -for submittals to this office for Dam Safety approval. This checklist is also available at
http://www.dlr.enr.state.ne.us/dam.html.
Please contact Mr. Matthew Gantt, PE, Regional Engineer at telephone number [phone],
or the Land Quality Central Office Dam Safety staff at [phone] if we may be of further
assistance in this matter.
1612 Mail Service Center, Raleigh, North Carolina 27699-1612
512 North Salisbury Street, Raleigh, North Carolina 27604
919-733-45741 FAX: [phone] Internet: www.dlr.enr. state.nc.us/dlr.htm
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Mr. Wilcox
September 5, 2008
Page 2
Sincerely,
W. Hubert Hawkins, PE
Acting State Dam Safety Engineer
WHH/
cc: Mr. Bert Meijboom
Steve -Tedder;. Surface -Water Regional. Supervisor
_5teve I -'P - - — - Regional. -- - -
Mr. Matthew Gantt, PE, Land Quality Regional Engineer

Ko 9�
O�Q� W ATFi4pG Michael F. Easley, Governor
William G.--Ross Jr., Secretary
r . , North Carolina.Department,of Environment and Natural Resources
O�K Coleen H. Sullins Director
Division of Water Quality
RECEIVED;;.:
;N.C, peot of ENR`
DEG V;2 2008
Winston-salea
SUBJECT: Request for Additional Information
Lissara Partners, LLC
Lissara WWTP
WWTP Improvements
ATC No. 088749AOI
Forsyth County
Dear Mr. Wilcox:
A.review of the plans and specifications in support of the request for Authorization to
Construct has' been -completed by the Construction Grants and Loans Section (CG&L). The
comments resulting from this review are being transmitted directly to your engineer for
clarification. and4esolution; a copy is attached for your reference. Our goal is to issue the
Authorization to Construct as soon as possible. If a complete response is not received within 30
days, the application and supporting information will be "returned.
Upon receipt of satisfactory responses from your engineer to our comments, the review of
the plan documents will be completed. If you have any questions concerning this matter, please
do not hesitate to contact Steve Coffey, F.E.. State Project Review Engineer; at (919).715-6221
Sincerely,
`_>
Seth Robertson, P.E., Supel 's. r
Construction Grants and Loans Section
Design Management Unit
swc/dr
Attachment to all
cc: John F. Phillips, P.E. — Diehl & Phillips, P.A., 219 E. Chatham Street, Cary, NC 27511
nsSalemRegaonal Office
Daniel Blaisdell, P.E.
Seth Robertson, P.E.
Steve Coffey, P.E.
ATC File No. 088749AOI
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
An Eoual 0wortunity/Affirmative Action Emalover — 50% Recvcled/10% Post Consumer Paper
NorthCarolina
NaturnAil

Construction Grants & Loans Section
Design Management Unit
Lissara Partners, LLC
Lissara WWTP
WWTP Improvements
ATC No. 088749A01
Forsyth County
Request for Additional Information
General Comments
1. Provide three (3) sets of final drawings and specifications for approval.
2. Provide the source of STEP effluent concentrations used as design data for plant influent.
3. Provide a bar screen at the equalization basin.
4. It appears there is a safety overflow pipe from the equalization basin to the aeration basin. Please
specify invert elevations of this pipe.
5. Provide a letter from the company that has agreed to receive residuals from this WWTP.
Review of Calculations
1. Generally, the detention time for an extended aeration process is approximately 24 hours.
Provide engineering justification for the design of 17.7 hours of detention in the aeration basin.
2. Provide calculations for chlorination that demonstrate adequate disinfection dosages.
3. Provide calculations for dechlorination that demonstrate adequate sodium sulfite dosages.
4. Provide buoyancy calculations for the entire WWTP plant given the 100-year flood elevation.
Review of Plans
Sheet 6 of 15.:..
1. Provide better detail views of the tablet chlorinator and dechlorinator.
2. Ensure good mixing in chlorinator and dechlorinator tanks.
Sheet 11 of 15
1. Provide details of backflow preventer for the plant potable water source.

oFwArFR
Oe"SL
Michael F. Easley, Governor
September 29, 2008
Mr. Lang Wilcox
Lissara Partners, LLC
2631 Reynolda Road
Winston-Salem, North Carolina 27106
SUBJECT:
Dear Mr. Wilcox:
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
RECEIVED
N.C. Dept. of ENR
OCT 0 3 2008
Winston-Salem
Regional Office
Acknowledgement of Request for an
Authorization to Construct
Lissara Partners, LLC
Lissara WWTP
WWTP Improvements
NPDES Permit No. NCO088749
The Construction Grants and Loans Section received your request for an Authorization to
Construct and the supporting documentation on September 5, 2008. We will notify you and your
engineer upon completion of our review. Your project has been assigned to Steve Coffey, P.E.
He can be reached at [phone]. -
If you have any questions concerning this matter, please contact me at [phone].
Sincerely,
Seth Robertson, P.E., 4,1r,
Construction Grants and Loans Section
Design Management Unit
swc/dr
cc: John F. Phillps, P.E. — Diehl & Phillps, P.A., 219 E. Chatham Street, Cary, NC 27511
��Vins on=Salein�egional°'C��` aim
WQ Central Files
Steve Coffey, P.E.
ATC File No.: 088749A01
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgi.net
NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy)
Date: 10/17/2008 County: _Forsyth L`�5pt.
To: Permitee: "-N r6mffff
Attn. NPDES Reviewer: Steve Coffey Application/ Permit No.: NC0088749
j ✓VV7 S -,-G0,4,44f Staff Report Prepared By: Rose Pruitt
Project Name: Lissara WWTP
SOC Priority Project? (Y/N) N If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (check an that apply): N New ❑ Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ❑ Yes or ® No.
a. Date of site visit:
b. Person contacted and telephone number:
c. Site visit conducted by:
d. Inspection Report Attached: ❑ Yes or ®No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
❑ Yes or ® No. If No, please either indicate that it is correct on the current application or the
existing permit or provide the details. If none can be supplied, please explain: some info not provided
on app
DischarL,e Point: (Fill this section only if BIMS or Application Info is incorrect or missin
(If there is more than one discharge pipe, put the others on the last page of this form.)
a. Location OK on Application ❑,
OK on Existing Permit ❑, or provide Location: not provided
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate): map provided
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at http://www.tol2ozon6.coin These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters: Yadkin River
a. Stream Classification: WS-IV
b. River Basin and Sub basin No.: 12-(80.7)
c. Describe receiving stream features and downstream uses: intake for Neilsons WTP

r
NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
For NEW FACILITIES Proceed to Section C Evaluation and Recommendations
(For renewals or modifc lions continue to section B)
sC�ur'TIONOFFACILITIESAND WASTES (renewals and modifications only)
L Describe the existing treatment facility:
2. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate # (Available in BIMS or Certification Website)
Back- Operator in Charge: Certificate #
3. Does the facility have operational or compliance problems? Please comment:
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)):
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratorium ❑? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatered to a cake?
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑
Please comment on current operational practices:
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
C. E VAL UA TION AND RECOMMENDATIONS
1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation:
Connect to Regional Sewer System: Not available
Subsurface:
Other Disposal Options:
FORM: NPDES-RRO 06/03, 9/03 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
2. Provide any additional narrative regarding your review of the application:
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Additional Information Reason
Lat/Long of outfall 001 1 not provided
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition: .
Recommended Removal Reason
5. List speck special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Recommended Addition Reason
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review and approval of required additional information by NPDES permitting
office; ® Issue; ❑ Deny. If deny, please state reasons:
Reminder: attach inspection report ifZYesas checke for 2 d.
�
<'v
7. Signature of report preparers
Signature of WQS regional supervisor: w4j, W. f c
Date: 10 7 0 J
FORM: NPDES-RRO 06/03, 9/03 3

'e ... '%
OF W ATF9 Michael F. Easley, Governor POE
—
William pG William G. Ross Jr., Secretary
f r North Carolina Department of Environment and Natural Resources
' --I Coleen H. Sullins, Director
Division of Water Quality
October 8, 2008 RECEIVED
N.C. Devt of ENR j
Mr. Brant Godfrey, Manager OCT 2 0 20
Lissara Partners, LLC -
2631 Reynolda Road RoglonalSOaffi e
Winston-Salem, North Carolina 27106
Subject: Permit Modification of NPDES
Permit NC0088749
Lissara WWTP
Forsyth County
Dear Mr. Godfrey:
Division personnel have reviewed and approved your application for a permit modification received on September 2,
2008. You requested that NPDES Permit NC0088749, issued August 15, 2008, be modified to allow the treatment
plant construction to be accomplished in phases. The requested phasing of the 0.108 MGD permitted flow will be as
follows:
1. Phase 1 — 45,000 gallons per day (0.054 MGD)
2. Phase 2—108,000 gallons per day (0.108 MGD)
The Division agrees with this request and has modified the permit accordingly. We are forwarding you the modified
effluent limitations and monitoring requirement pages of your existing NPDES discharge permit which reflect this new
phased construction flow and associated effluent limits and monitoring requirements. You should replace your
existing effluent page from your current permit with these two modified effluent pages pages. This permit
modification is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. 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 an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina
27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. 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, the 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 me at [phone].
�Fionc
ereen H. Sullins
cc: Central -Files
riWRinstom Salem: Regional-Office/Su`rFace U11ater Protection
NPDES Unit
John F. Phillips, PE, Diehl & Phillips, PA, 219 East Chatham Street, Cary, NC 27511
Mailing Address Phone [phone]
1617 Mail Service Center Fax [phone]
Raleigh, NC 27699-1617
Location . NorthCarolina
512 N. Salisbury St. Naturally
Raleigh, NC 27604
Internet: www.ncwateraualitv.om Customer Service 1-877=623-6748
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'e , "�L
Permit NCO088749
A (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration or
expansion above 0.540 MGD, the Permittee is authorized to discharge treated domestic wastewater from
outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as specified
below:
EFFLUENT
CH�AitACTER ISTICS :�
n.h .,..,.,:,..
MONFIORING.REQUIREIVIENTSr,=
-
Monthly
Avera a
Daily'. ;,..,
Maximum
Measurement,: }
Fre` uen
Sample
" T e
Sample , r
Lbeation` 2
Flow
0.054 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorinel
28 µg/L
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
Notes:
1. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is
used for disinfection. The Division shall consider all effluent TRC values reported below 50 ug/1
to be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even if
these values fall below 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

'r" . %
Permit NCO088749
A (2). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
expansion above 0.054 MGD and lasting until permit expiration, the Permittee is authorized to discharge
treated domestic wastewater from outfall serial number 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
EFFLUENT, = , :. ;,
CHARACTERISTICS"
...
MONITORING REQUIREMENTS. -
Monthly
: -Avera a '.-`Maxiniun
Daily .
Measurement,-'
` . ' Fie uen
Sample`,:
Type =`
S'amp�le�s
. Location''
Flow
0.108 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
Total Residual Chlorine'
28 µg/L
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
Notes:
2. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is _
used for disinfection. The Division shall consider all effluent TRC values reported below 50 ug/1
to be in compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified), even if
these values fall below 50 ug/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

[Fwd: Ussara NPDES Permit]
Subject: [Fwd: Lissara NPDES Permit]
From: Lee Spencer <[e-mail]>
Date: Thu, 24 Jul 2008 12:09:23 -0400
To: Toya Fields <[e-mail]>, "John F. Phillips" <[e-mail]>
CC: jef£[e-mail], [e-mail], Tom Boyd <[e-mail]>,
Rose Pruitt <[e-mail]>, Steve Tedder <[e-mail]>, William Brewer
<BILLB @cityo fws. org>
John, Thanks for the thoughtful reply to my comments. I especially like the fact that Davie County's
Sparks Road WTP will be an "Inform Only" number programmed into the WWTP's SCADA system.
Operators at Sparks Road WTP will need the name and number of the WWTP's ORC.
Toya, With John's reply, I do not object to the issuance of the NPDES permit, provided the facility is
operated and maintained properly, and the stated effluent limits are met before discharge. Beth Dirks or
Jeff Crisco may have additional questions.
Lee
------- Original Message--------
Subject:Lissara NPDES Permit
Date:Wed, 16 Jul 2008 09:12:52 -0400
From:John F. Phillips <jfphillips([e-mail]>
To: <Lee. Spencer(c�,NCmail.net>
CC:Wilcox, Lang <llwilcoxjr(i ,triad.rr.com>, Fields, Toya <toya.fields(a�,ncmail.net>
Lee,
Toya forwarded your comments/questions regarding the pending Lissara NPDES permit, and asked that I
respond to them. Please find my responses attached (they have also been mailed), and contact me if you
have any additional questions or comments. Thank you for your help.
John F. Phillips, P.E.
Diehl & Phillips, P.A.
Phone [phone]
Fax [phone]
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
Lee Spencer <[e-mail]>
WSRO
1 of 2 7/25/2008 7:40 AM

DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
219 East Chatham Street
Cary, North Carolina 27511
Telephone [phone] —Fax [phone]
July 16, 2008
Mr. Lee Spencer, P.E.
Regional Engineer, PWSS
DEH,NCDENR
585 Waughtown Street
Winston-Salem, NC 27107
Re: EAA and NPDES Permit Application
Lissara Subdivision
Forsyth County
Dear Mr. Spencer:
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
Presented below are our responses to your comments and questions regarding the NDPES
permit application (your questions in italics).
Will an initial low wastewater -loading rate create operational problems? If so, how will
this be handled?
The plant would be constructed in two phases, each rated for 54,000 gallons per day. The
initial 54,000 gpd plant would consist of two parallel process trains, to meet the DWQ's
redundancy requirements. Each process train would therefore be rated for 27,000 gpd. The
initial loading on one 27,000-gpd-process train will be relatively low, as the first houses are
sold and occupied. Typically, when a plant is not supplied with a sufficient organic loading
in the start-up phase, the operator can supplement the plant influent with various products.
The possible choices range from adding bagged animal feed to the plant influent to adding
carbon source chemicals such as methanol or the methanol substitute product MicroC (two
gallons of methanol would provide a daily BOD5 loading that is equivalent to
approximately 25% of the design organic loading for one 27,000 gpd process train).
The developers of Lissara plan to turn the wastewater treatment plant over to a privately
owned utility company, such as Aqua -NC, for operation of the plant. Aqua would maintain
permit compliance for this plant's effluent during the subdivision start-up period, just as
has been done on numerous other treatment systems serving new residential subdivisions.

Mr. Lee Spencer, P.E.
July 16, 2008
Page 2 of 3
What type of early warning system will be employed so that Davie County's Sparks. Road
Water Treatment Plant will be notified when there is a WWTP upset? Will there be any
kind of SCADA system for automatic warning of a WWTP upset?
The plant will have a S CADA/auto dialer system that will notify the operator if any of the
plant equipment ceases to operate properly. The list of inputs will be finalized in the design
phase, but it would typically include a high water alarm for the flow equalization basin,
notification of a loss of utility power, notification that the automatic transfer switch has
moved to the standby position (signifying the standby power generator started, came up to
proper voltage and frequency, and is providing power to the plant), a generator trouble
alarm, and a loss of air pressure when a blower is operating (indicating a motor or belt
failure). The SCADA system will telephone or page the operator regarding the
condition/alarm, and will continue to call/page until the operator acknowledges the
call/page. If the condition is not cleared within a specified time period, the system will
again call the operator until the call is acknowledged. The system will also have an
"Inform Only" list of phone numbers that it will call until the call is answered and the
system can inform the answering person (or message recorder) of the conditions/alarm
detected at the plant site. The calls made to the "Inform Only" list do not require an
acknowledgement; this feature was created for the purpose of notifying interested third
parties of the calls made to the operator without requiring the third parry to enter an
acknowledgement code. The telephone for the Sparks Road WTP would be an Inform Only
number programmed into the SCADA system.
It should also be noted that Lissara subdivision is planning a Septic Tank Effluent Pump
system for each lot, and a pressure sewer to convey the septic tank effluent to the treatment
plant. The effluent from the collection system will be pumped into the plant's flow
equalization basin. Although the flow is normally pumped by the flow equalization pumps
into the plant, it is possible for the equalization basin contents to flow through the plant
without being. pumped. The disinfection system is planned to be tablet chlorination and
dechlorination. Therefore, even if the plant had a catastrophic multiple failure of power
supplies, or failures of the primary and backup blowers or pumps, the wastewater that
would reach the Yadkin River would still have received treatment by primary settling and
disinfection, and would be relatively low in suspended solids. The SCADA system would
notify the operator of any of these possible malfunctions that could create upset conditions,
so that the operator could quickly respond and rectify the situation.
What type of operational data will be collected to ensure that sludge is consistently wasted
to the sludge holding tank, and then pumped from the WWTP and taken to a proper
disposal facility?
Prior to obtaining an Authorization to Construct, all NPDES permittees are required to
submit to DWQ a Residuals Management Plan. This plan must demonstrate that the plant
has sufficient sludge storage capacity, and indicate where the sludge will be finally
disposed. The operator will make the determination when to waste sludge out of the
process by checking the mixed liquor suspended solids concentration and the influent
wastewater's organic strength, and then calculating the amount of sludge that should be

Mr. Lee Spencer, P.E.
July 16, 2008
Page 3 of 3
wasted daily or weekly. Whether the sludge is transported to a land application site or a
publicly owned treatment plant, the party holding the sludge permit will require a written
record of the date, solids concentration, and volume of sludge hauled from the plant. The
operator will also maintain a log of all activities of the plant operation, and this log is
typically inspected during DWQ's annual Compliance Inspection of the plant.
Please contact me if you have any further questions or comments.
Yours very truly,
Diehl & Phillips, P.A.
ORIGINAL SIGNED &
MAILED 7/16/08
John F. Phillips, P.E.
Cc: Ms. Toya Fields
Mr. Lang Wilcox

RE: Lissara WWTP
Subject: RE: Lissara WWTP
From: "Beth Dirks" <[e-mail]>
Date: Fri, 11 Jul 2008 10:04:29 -0400
To: <[e-mail]>, "Toya Fields" <[e-mail]>
CC: "Rose Pruitt" <[e-mail]>, "Tom Boyd" <[e-mail]>, "Jeff Crisco"
<Jeff. Crisco@co. davie.nc.us>
Lee,
I greatly appreciate you including Davie County in this process. I have not seen any specific information other
than what has been e-mailed to me by you and Tom. Due to the nature of the Spark Road Plant and the fact
there is very little retention time, a small upset upstream. could create havoc downstream to our plant. I would
love to see more information regarding this project if available.
Best Regards,
Beth M. Dirks
Davie County Assistant Manager/HR Director
123 South Main Street
Mocksville, NC 27028
[phone] office
[phone] fax
From: Lee Spencer [mailto:[e-mail]]
Sent: Thursday, July 10, 2008 4:08 PM
To: Toya Fields; Beth Dirks
Cc: Rose Pruitt; Tom Boyd; Jeff Crisco
Subject: Re: Lissara WWTP
Toya,
Sorry it has taken me so long to get back to you on this, one.
In view of the fact that the proposed 108,000 gpd WWTP is rather close to Davie County's Sparks Road
Water Treatment Plant, I would like for the applicant to answer the following questions:
• Will an initial low waste water loading rate create operational problems? If so, how will this be
handled?
• What type of early warning system will be employed so that Davie County's Sparks Road Water
Treatment Plant will be notified when there is a WWTP upset?
• Will there be any kind of SCADA system for automatic warning of a WWTP upset?
• What type of operational data will be collected to ensure that sludge is consistently wasted to the
sludge holding tank, and then pumped from the WWTP and taken to a proper disposal facility?
Beth, Does Davie County have any other concerns that you would like to see addressed?
Lee
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
1 of 2 7/17/2008 12:39 PM

RE: Lissara WWTP
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 6/17/2008 5:15 PM, Lee Spencer wrote:
Rose,
Can I get information on this facility from you? What are your thoughts on it?
It appears to be a rather large WWTP, at >100,000 gpd. And it appears to be < 7 miles to the Davie
County WTP intake. What type of treatment is proposed? Will an initial low loading rate create
operational problems?
Is Davie County Water aware of this proposal? What are their comments?
Lee
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 5/27/2008 3:26 PM, Toya Fields wrote:
Hi Lee,
Thanks for your message last week. I understand that you need the permit application and EAA for this
project. The EAA package was quite large and I believe I sent both of my extra copies to Rose Pruitt.
Is there any way that you get one of the copies from her (I'm assuming that you guys are in the same
building but I guess I could be wrong about that)? I'd appreciate it- it would save me a lot copying.
Let me know if you are able to get it. If not, I'll copy the document I have, but I thought it might be
easier this way. If you need anything else let me know.
Thanks,
Toya
2 of 2 7/17/2008 12:39 PM

Re: Lissara WWTP
Subject: Re: Lissara WWTP
From: Lee Spencer <[e-mail]>
Date: Thu, 10 Jul 2008 16:08:21 -0400
To: Toya Fields <[e-mail]>, [e-mail]
CC: Rose Pruitt <[e-mail]>, Tom Boyd <[e-mail]>,
[e-mail]
Toya,
Sorry it has taken me so long to get back to you on this one.
In view of the fact that the proposed 108,000 gpd WWTP is rather close to Davie County's Sparks Road
Water Treatment Plant, I would like for the applicant to answer the following questions:
• Will an initial low waste water loading rate create operational problems? If so, how will this be
handled?
• What type of early warning system will be employed so that Davie County's Sparks Road Water
Treatment Plant will be notified when there is a WWTP upset?
• Will there be any kind of SCADA system for automatic warning of a WWTP upset?
• What type of operational data will be collected to ensure that sludge is consistently wasted to the
sludge holding tank, and then pumped from the WWTP and taken to a proper disposal facility?
Beth, Does Davie County have any other concerns that you would like to see addressed?
Lee
Lee G. Spencer, P.E.
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 6/17/2008 5:15 PM, Lee Spencer wrote:
Rose,
Can I get information on this facility from you? What are your thoughts on it?
It appears to be a rather large WWTP, at >100,000 gpd. And it appears to be < 7 miles to the Davie
County WTP intake. What type of treatment is proposed? Will an initial low loading rate create
operational problems?
Is Davie County Water aware of this proposal? What are their comments?
Lee
Lee G. Spencer, P.E.
1 of 2 7/17/2008 12:41 PM

Re: Lissara WWTP
Regional Engineer
Public Water Supply Section
NC DENR Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 5/27/2008 3:26 PM, Toya Fields wrote:
Hi Lee,
Thanks for your message last week. I understand that you need the permit application and
EAA for this project. The EAA package was quite large and I believe I sent both of my extra
copies to Rose Pruitt. Is there any way that you get one of the copies from her (I'm assuming
that you guys are in the same building but I guess I could be wrong about that)? I'd appreciate
it- it would save me a lot copying.
Let me know if you are able to get it. If not, I'll copy the document I have, but I thought it
might be easier this way. If you need anything else let me know.
Thanks,
Toya
Lee Spencer <Lee.Spencer a,NCmail.net>
W SRO
NC DENR
2 of 2 7/17/2008 12:41 PM

Michael F. Easley, Governor
State of North .Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
May 21.2008
Ewinis!on'!8�e
ECEIVED
Det of ENR
Mr. Brant Godfrey, Manager
Lissara Partners, LLC '�
2631 Reynolda Road
rrmWinston-Salem, North Carolina 27106 onal office
Subject: Draft NPDES Permit
Permit NCO088749
Lissara WWTP
Forsyth County
Dear Mr. Godfrey:
Please find enclosed the DRAFT NPDES permit for the subject wastewater treatment plant for your
review and comment. Please note that an Authorization to Construct (ATC) permit is required before
any wastewater treatment units can be built and operated.
Please provide any comments you have regarding the draft permit to this office within 30
days. At this time, the Division is also publishing a notice in the newspapers of general circulation in
Forsyth County, inviting public comment on the draft permit. Following the 30-day comment period, we
will review all pertinent comments received and take appropriate action on the permit renewal.
If you have any questions concerning this draft permit, please contact Toya Fields at telephone number
[phone], extension 551.
Sincerely,
X
LeToya D. Fields
Western NPDES Program
cc: ai,; u_�. i i�m�. /Surface Water Protection
P ES Permitting File
Lee Spencer, Winston Salem/ Division of Environmental Health
John F. Phillips, PE, Diehl & Phillips, PA, 219 East Chatham Street, Cary, NC 27511
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone] NorthCarolina
512 N. Salisbury Street, Raleigh, North Carolina 27604 On the Internet at http://h2o.enr.state.nc.us/ �llt!lCR��I,/
An Equal Opportunity/Affirmative Action Employer

Permit NCO088749
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Water Quality
Commission, and the Federal Water Pollution Control Act, as amended,
Lissara Partners LLC .
is hereby authorized to discharge wastewater from a facility located at
Lissara WWTP
North of Shallowford Road, West of Conrad Road
near Lewisville
Forsyth County
to receiving waters designated as the Yadkin River in the Yadkin River Basin in accordance
with the discharge limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III, and IV hereof.
This permit shall become effective.
This permit and the authorization to discharge shall expire at midnight on July 31, 2013.
Signed this day.
DRAFT
Coleen H. Sullins, Director
Division of Water Quality
By the Authority of the Environmental Management Commission

Permit NCO088749
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 Lissara WWTP is hereby authorized to:
1. Operate a domestic wastewater treatment facility located North of Shallowford
Road/West of Conrad Road, near Lewisville, Forsyth County.
2. Upon receipt of an Authorization to Construct from the Construction Grants and
Loans Section, construct wastewater treatment facilities not to exceed 0.108 MGD.
3. After submitting an Engineer's Certification, discharge wastewater from said
treatment works at the location specified on the attached map into the Yadkin River
which is classified WS-IV waters in the Yadkin Pee Dee River Basin.

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Lissara WWTP — NCO088749
USGS Quad Name: Clemmons
Receiving Stream: Yadkin River Lat.: 36'07'7"
Stream Class: WS'-IV Long.: 80'27'40
Subbasin: Yadkin Pee Dee - 03 07 02
_tom
Location
Not to SCALE

� � 1
Permit NCO088749
AM. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon receipt of an Engineers Certification for a 0.108 MGD facility and
lasting until permit expiration, the Permittee is authorized to discharge treated domestic wastewater
from outfall serial number 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
" > `
EFFLUENT
=CHARACTERISTIC S
ITORING, REQUIREMENTS
Monthly
AveraMaximum,
Daily
,
As In
-Fre uenc
Sample:
Type " : ,
SampTe'_°``:r
t.
%;Location;
Flow
0.108 MGD
Continuous
Recording
Effluent
BOD, 5 day, 20°C
30 mg/L
45 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30 mg/L
45 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Fecal Coliform
200/100 mL
400/100 mL
Weekly
Grab
Effluent
pH -
Between 6.0 and 9.0 s.u.
Weekly
Grab
Effluent
Temperature
Daily
Grab
Effluent
Dissolved Oxygen
Weekly
Grab _
Effluent
Total Residual Chlorine'
28 pg/L
2/Week
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
Notes:
1. TRC limit and monitoring requirements shall apply only if chlorine or a chlorine derivative is
used for disinfection.
There shall be no discharge of floating solids or foam visible in other than trace amounts. -

o� WA
Michael F. Easley, Governor
o� i"QG
State of North Carolina
_C/)
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
May 6, 2008
MEMORANDUM
Q�nr_i`�Cn
N-C, Dec:. of F.,VR
MAY 0 7 2008
Winston"sale,-
Regional bfrrlce
To: Steve Tedder, Winston-Salem Regional Office, Surface Water Protection Section
From: Toya Fields, Western NPDES Permitting Program
Subject: Staff Report Request
Permit NCO088749 — Lissara Wastewater Treatment Plant
I'd like to request a staff report for this proposed development in Forsyth County. I've attached the
EAA which includes the permit application and some supporting information as appendices.
One question I had on this proposed project was whether there appears to be any significant
potential for water reuse on the property. If so, a conjunctive use permit may be something that the
developer might want to consider in light of recent water supply concerns.
Please let me know if you have any questions or need additional information.
Thanks,
Toya Fields
-7 3
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone] NorthCarolina
512 N. Salisbury Street, Raleigh, North Carolina 27604 On the Internet at http-//www.ncwaterquality.org Natlttl411J
An Equal Opportunity/Affirmative Action Employer

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
(This form is best filled out on computer, rather than hard copy)
Date: 05/07/2008 County: Forsyth
To: NPDES Discharge Permitting Unit Permitee: Aqua North Carolina
Attn. NPDES Reviewer: Toya Fields Application/ Permit No.: NCO088749
Staff Report Prepared By: Rose Pruitt
Project Name: Lissara WWTP
SOC Priority Project? (Y/N) N If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (check all that apply): ® New ❑ Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ❑ Yes or ® No.
a. Date of site visit:
b. Person contacted and telephone number:
c. Site visit conducted by:
d. Inspection Report Attached: ❑ Yes or ® No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
❑ Yes or ® No. If No, please either indicate that it is correct on the current application or the
i
existing permit or. provide the details. If none can be supplied, please explain: some info not provided
on app
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missing)
(If there is more than one discharge, pipe, put the others on the last page of this form.)
a. Location OK on Application ❑,
OK on Existing PermitEl or provide Location• not provided
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate): EiEvided
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ❑, or provide USGS Quadrangle Map name and number not provided
d. Latitude/Longitude OK on Application ❑, (check at http://www.topozone.com These are often
inaccurate) OK on Existing Permit ❑, or provide Latitude: Longitude:
V-%r VP nov el
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ❑, or provide Receiving Stream or affected waters: Yadkin River
a. Stream Classification: WS-IV
b. River Basin and Sub basin No.: 12-(80.7)
c. Describe receiving stream features and downstream uses: intake for Neilsons WTP

E NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
For NEW FACILITIES Proceed to Section C, Evaluation and Recommendations
(For renewals or modifications continue to section B)
B. DESCRIPTION OF FACILITIES AND WASTE(S) (renewals and modifications only)
1. Describe the existing treatment facility:
2. Are there appropriately certified ORCs for the facilities? ❑ Yes or ❑ No.
Operator in Charge: Certificate # (Available in BIMS or Certification Website)
Back- Operator in Charge: Certificate #
3. Does the facility have operational or compliance problems? Please comment:
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)):
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratoriumEl? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ❑ No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatered to a cake?
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑
Please comment on current operational practices:
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ❑ No. If yes, please explain:
C. EYAL UATIONAND RECOMMENDATIONS
1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation: N4-
Connect to Regional Sewer System: Not available
Subsurface: n/19
Other Disposal Options: NA
FORM: NPDES-RRO 06/03, 9/03 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
I Provide any additional narrative regarding your review of the application:
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
Recommended Additional Information I Reason
Lat/Long of outfall 001 not provided
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition:
Recommended Removal I Reason
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
Recommended Addition I Reason
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
❑ Hold, pending review and approval of required additional information by NPDES permitting
office; ® Issue; ❑ Deny. If deny, please state reasons:
Reminder: attach inspection report if Yes was
7. Signature of report preparer:
Signature of WQS regional supervisor:
Date: ? - 105
#pr 2 d.
FORM: NPDES-RRO 06/03, 9/03 3

NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENT AND
NATURAL RESOURCES
FAX TRANSMITTAL
Water Quality Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, N.C. 27107
A4 7-wel
00ftft 00%% MOM
IDENF1
Phone: [phone] Fax: [phone]
TO: i
FAX NUMBER: c1 r 7 �� J
FROM:
DATE:
Number of pages (including cover page):
COMMENTS:

September 29, 2008
MEMORANDUM
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
TO: Steve Tedder, Regional Water Quality Supervisor "Fi? pE—
Winston-Salem Regional Office, Division of Water Quality Of ENR
OCT 0 3 1
FROM: sfl&Y_Steve Coffey, P.E., Project Review Engineer wInstan-s�Izm
Design Management Unit Reg'
SUBJECT: Request for an Authorization to Construct
Lissara Partners, LLC, Lissara WWTP
NPDES Permit No. NCO088749
Plans, specificatio uppor ' en s a received for the subject
project. It is requested at co ents and recommendations, i ding the items listed below, be
received by October 27, ce taff:
CAMA
Compliance With NC Well Construction Standards
Groundwater Comments
_X _Recommendations for inclusion in the Authorization to Construct
Recommendations for inclusion in the Non Discharge Permit
Schedule for Issuance of the NPDES Permit
SOC, or Other Schedules Which Must be Met
Standby Power Needs
Status of Stormwater Permit
Plan documents are submitted as follows for your reference, review, and comments on the above items:
_X _Plans and Specifications
Subsurface/Soils Report
Power Outage Information
Other
If you have any questions, please contact me at [phone].
Attachment
swc
cc: Steve Coffey, P.E.
ATC File No.: 088749A01
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
Nne
orthCarolina
Naturally

Lissara Partners, LLC
2631 REYNOLDA ROAD
WINSTON-SALEM, N.C. 27106
Telephone: [phone]
September 1, 2008
NC Division of Water Quality
Construction Grants & Loans Section
1633 Mail Service Center
Raleigh, NC 27699-1633
Re: Request for Authorization to Construct
Lissara WWTP
Forsyth County
NPDES Permit No. NCO088749
Dear Reviewer:
Facsimile: [phone]
I hereby request Authorization to Construct the Wastewater Treatment Plant, as detailed in the
enclosed construction plans, specifications, and design support information.
If you have any questions in this matter, please contact our consulting engineer, Mr. John Phillips,
P.E., of Diehl & Phillips, P.A. (919-467-9972), or me at 336-794-1780. Thank you for your
assistance in this matter.
Very truly yours,
Brant Godfrey anager
BHG/gn
cc: Mr. John F. Phillips, P.E.

— "e A It it
North Carolina Division Of Water Quality
Construction Grants & Loans Section
fl.
Authorization To Construct (ATC) Application Fora%,e
(To Be Used On and After August 1, 2007) �
Date: 9/2/2008
Permittee/Owner Name: Lissara Partners, LLC Professional Engineer of Record: John F. Phillips, P.E.
Contact Person: Lana Wilcox Engineering Firm: Diehl & Phillips, P.A.
Address: 2631 Reynolda Road Address: 219 E. Chatham Street
Winston-Salem, NO 27106 Cary, NO 27511
Telephone Number: (3361 M44j3' �7�(SD% Telephone Number: [phone]
Please Note: The following items and information must be
Information Is
submitted to be considered a complete application
Provided
Remarks/Explanation
package. If any applicable item is missing the package will
be returned as incomplete.
1
Letter of request for ATC from Permittee/Owner or
®
Attached
authorized agent with written authorization.
2
Brief description of the proposed project.
®
Attached
3
Complete copy of the NPDES permit or public notice of
®
Attached
a draft NPDES permit.
4
Design capacity in Million Gallons per Day (MGD).
®
0.054 MGD
If new or expanding design capacity is greater than or
5
equal to 0.5 MGD, include a copy of Finding Of No
❑
N.A.
Significant Impact (FNSI).
Two sets of plans: signed, sealed, and dated by a NO
6
Professional Engineer and stamped "Final Drawing -
®
Attached
Not Released For Construction".
7
Two sets of technical specifications: signed, sealed,
®
Attached
and dated by a NO Professional Engineer.
Two sets each of process, design, buoyancy, and
8
hydraulic profile calculations: signed, sealed, and dated
®
Attached
by a NO Professional Engineer.
9
Hydraulic profile and a flow schematic with sizes of
®
Attached
major components on 8%" X 11" paper.
Documentation that a Soil & Erosion Control permit
Division Land
❑
Project is under jurisdiction of Forsyth
10
application has been submitted to the of
County Sediment & Erosion Control
Resources.
Residuals Management Plan for all new or expanding
11
facilities producing residuals, or when modifying
®
Attached
residual facilities.
12
Construction Sequence Plan for all modifications.
❑
N.A.
13
110 volt GFCI receptacle and potable water source
®
At both plants and pump station
included on plans.

e
Please Note: The following items and information must be
Information Is
submitted to be considered a complete application
Provided
Remarks/Explanation
package. If any applicable item is missing the package will
be returned as incomplete.
14
Hydrogeologic information must be provided if a
El
N.A.
potential for groundwater contravention exists.
15
For abandonment of WWTPs: a statement that the
El
N.A.
facility will be properly disconnected.
16
All property lines, construction easements, permanent
easements, and ROW shown.
17
All wells within 200 feet of project shown.
❑
No wells within 200 feet of WWTP
1 s
All houses and places of public assembly within 100
feet shown.
❑
No houses within 100 feet of WWTP
Wetlands, watercourses, and drainage features within
19
50 feet of all wastewater treatment or storage facilities
shown.
20
Identify on the plans each water body's watershed
®
Yadkin River is a WS-IV classified
classification.
stream at the discharge point
21
Plan sheets for all applicable disciplines.
22
Reliability per NCAC 2T .0505 (1).
®
Standby generator and ATS provided -
will serve all facilities
23
Identify 100 year flood elevation on plans.
®
Flood Elevation is 728.0 at site
24
North arrow on each plan sheet.
25
Horizontal and vertical control.
26
Subsurface investigation for new structures.
❑
Not provided - plant will constructed on
controlled fill
��pp
ZvAlui�I ipal/V'l�bl1\. F'acllltles� also include the JUI1V11V111U.
Engineer's Certification signed, sealed, and dated by
27
the Engineer Of Record stating that the project
❑
complies with G.S. 133-3.
28
Minority Business Forms for Local Government
❑
Projects.
29
Minority Business Guide.
❑
30
Dispute Resolution with mediation for Local
❑
Governments.
31
Contract Duration included.
❑
Projects funded through CG&L must include the
32
Submittal Checklist, found under Plans &
❑
Specificiations at:
http://www.nccgl.net/Engineering/plans.html

F ..
y�gj�y°
IVED
x
20PILI - ;
&
LOA SECT"
PROJECT DESCRIPTION, FLOW SCHEMATIC,
RESIDUALS MANAGEMENT PLAN, AND COPY OF
NPDES PERMIT
For
LISSARA WASTEWATER TREATMENT PLANT
EAL
0
girnuH�
Prepared by:
Diehl & Phillips, P.A.
219 E. Chatham Street
Cary, NC 27511

BRIEF DESCRIPTION OF PROPOSED PROJECT
LISSARA WASTEWATER TREATMENT
Lissara is a planned subdivision west of the Town of Lewisville, in Forsyth County. The
subdivision is planned for residential uses only, and the wastewater produced will be
100% domestic in nature.
T u�br itt l' ila s anal- % i+c ti of a!i 'Aft -I fi phase OR t @�- waste water
t fie t�er�t*planit 5The :ire phase p9; in-t _is,. rt�ted ffo'r7-5 ,00a--gallor4gt'per da gpd);,
i s ei��UPRE penmiti a as total -11Le able veragetrdgiLy*R, 6W- e�.f LQ8 0,0, g p- . The
influent flow to the treatment plant is to be delivered via Septic Tank Effluent Pump
(STEP) systems that will serve every connection to the wastewater system (STEP
system will be permitted separately). The septic tanks and their effluent filters will
protect the treatment plant from most debris and settleable solids, thus eliminating the
need for an influent screening device.
The FE basin will have duplex wastewater pumps that lift flow into a Flow
Control/Splitter box. The Flow Control box maintains the forward flow into the plant
within a certain range, with all excess pumped flow being returned into the FE basin.
-T-he—forgu and l.,�w is.-ev my di�vjdedmbe teen he v r-ess--traT = 2-5--d
nateh=weirsa(one4r�air �y be.,takeatoftiine-withwasstopgate),
Th.eaplan Ira two -treatment ,-tra*s each-!:Wib:-o pa ity of 2?;OQO gpd The divided
flow from the Flow Control box enters each train's aeration basin. Each aeration basin
provides 17.78 hours hydraulic detention, based on the plant's rated design flow. The
mixed liquor from the aeration basin then enters that process train's clarifier. The
clarifiers are sized with a surface overflow rate of 188 gpd/sf at design flow. The
clarifier overflow goes through tablet chlorinators and a chlorine contact chamber,
followed by a tablet dechlorinator and additional contact time.
The effluent from the plant will then flow through an effluent flow measurement weir,
where the flow is measured and recorded. The effluent then flows in a pipeline to the
discharge location in the Yadkin River.
The plant has been located on the site to meet all applicable regulatory setbacks. The
discharge of the effluent pipe into Yadkin River is located below the 100-year flood
elevation; however, the treatment plant and all accessory equipment are located above
the flood elevation of 728.0 (from FEMA maps). The plant is to be surrounded by a six-
foot high chain link fence, for safety and security purposes.
The return sludge from the clarifiers is pumped by airlift back to the influent end of the
aeration basins. The sludge can periodically be diverted to the sludge holding tank for
Lissara WWTP Project Description
Page 1

storage and stabilization, if the plant has accumulated excess solids. Solids that are
skimmed off the clarifier surface are also returned to either the aeration basin to the
sludge holding tank. Sludge can be thickened in the sludge holding tank, and the
supernatant periodically decanted using a swing arm decanter with airlift.
The required blowers and controls for the treatment plant are to be located in a precast
concrete blower building. The major electrical system components are also located in
the building. The standby power generator is located on the exterior of the building, but
is protected by a weatherproof enclosure.
A double -walled storage tank and chemical feed pumps are provided to feed a 25% to
30% solution of sodium hydroxide into the plant influent. The chemical feed is proposed
to maintain the treatment system pH in the desired range by replacing the alkalinity lost
due to the nitrification process.
The timing of the construction of a second phase plant will depend on the actual flows
produced by the homes in Lissara subdivision.
Lissara WWTP Project Description
Page 2

FROM LISSARA
SUBDIVISION
S.T.E.P. SYSTEM
FLOW
EQUALIZATION
BASIN
P P
SLUDGE
HOLDING
AERATION
CLARIFIERS FUTURE PLANT
0 CONNECTION
A
F� p EFFLUENT
FLOW
MEASUREMENT
PLANT
TO YADKIN
RIVER
FLOW SCHEMATIC
LISSARA WWTP

RESIDUALS MANAGEMENT PLAN
LISSARA WASTEWATER TREATMENT
The planned Lissara Wastewater Treatment Plant is to be an extended aeration style
activated sludge wastewater treatment plant. The developers of Lissara subdivision plan
to turn the facility over to a utility that is regulated by the NC Utilities Commission, after
the treatment plant is constructed. The utility company will then enter into a contract
with a sludge disposal company (or simply modify their existing contract), and the
sludge company will then proceed with either permitting disposal sites or selecting a
POTW that will accept the sludge from the Lissara WWTP.
This Residuals Management Plan for the plant will provide, in as much detail as is
possible at this time:
A narrative describing the size and operation of the sludge processing train in the
proposed wastewater treatment plants
• An explanation of how the Lissara WWTP will achieve Class B treatment of the
sludge
• The estimated quantity of biosolids that will be produced by the initial and ultimate
facilities when they are operating at design capacity, and the associated storage
volume provided
Narrative: The initial treatment plant will have a design flow capacity of 54,000
gallons per day, and a sludge storage volume of 16,200 gallons. The sludge storage
volume is approximately 30% of the rated flow of the treatment plants. Each sludge
holding tank has a decanting device to allow the operator to withdraw supernatant from
the thickened sludge, before more sludge is added and the thickening process is
repeated. The supernatant is returned to the flow equalization basin.
Sludge Conditioning for Class B Standards: The facility will comply with the 40
CFR Part 503 regulations. The selected operating utility will be able to condition the
sludge to Class B standards in the sludge holding tanks by raising and maintaining the
sludge pH at 12.0 or higher for at least 2 hours, and subsequently maintaining the pH
at more than 11.5 for 22 hours. The pH conditioning would be scheduled and done
immediately prior to the sludge being pumped and removed by the contract sludge
disposal company. The pH adjustment will most likely be accomplished by use of liquid
lime, although the operating utility may elect to utilize other products to raise the pH as
required. The diffused aeration system in each tank will be used to mix tank contents.
Lissara WWTP Residuals Management Plan
Page 1

Biosolids Ouantity and Storage: A minimum of 30 days of sludge storage at design
flow is required. The estimated quantity of sludge that will be produced at the total
rated flow of the initial treatment plant (0.054 MGD of wastewater flow) is as follows:
(0.054 mgd)(160 mg/I BOD in influent from STEP systems)(8.34 lbs./gal.) = 72 lbs.
BOD/day in influent
Using a sludge yield of 0.65 lbs./lb. BOD consumed yields:
(72 lbs. BOD/day)(0.65 lbs. sludge/lb. BOD) = 47 lbs. waste sludge per day
Assume sludge holding -thickening tanks can achieve a solids concentration of at least
2.00%. The volume of the daily waste sludge, thickened to 2.00% is:
(47 lbs./day)/(.02)/(8.34 lbs./gal) = 282 gallons per day
Thirty days storage of this volume would require: (282 gpd)(30 days) = 8,460 gal.
The volume of sludge storage provided is 16,200 gallons, which will theoretically
provide 57 days of storage. It is anticipated by the design engineer that the thickened
sludge concentration will average closer to 3% solids, which would provide
approximately 86 days of storage at design flow.
(Land ApWioation: The land application permitting for the sludge (if a POTW is not
used for disposal) will be accomplished by the contract sludge disposal company that is
selected by the operating utility.
A confirmation that the treatment plant has been turned over to an operating utility will
be furnished to DWQ prior to the plant going into operation. The operating utility will
then confirm to DWQ when a sludge disposal contract is in place, and that the company
has the disposal capacity required to serve the Lissara WWTP.
Lissara WWTP Residuals Management Plan
Page 2

NPDES Permit Standard Conditions
Page 1 of 16
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events.
3/Week
Samples are collected three times per week on three separate calendar days.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act, as amended, 33 USC 1251, et. seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
B ass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which
is not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 ml in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time
interval between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically.
Composite samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour
period of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period
with the time intervals between samples determined by a preset number of gallons passing the sampling
point. Flow measurement between sample intervals shall be determined by use of a flow recorder and
totalizer, and the preset gallon interval between sample collection fixed at no greater than 1/24 of the
expected total daily flow at the treatment system, or
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at
a constant time interval. Use of this method requires prior approval by the Director. This method
may only be used in situations where effluent flow rates vary less than 15 percent. The following
restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
Version 1011012007

NPDES Permit Standard Conditions
Page 2 of 16
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent
grab samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect
effluent grab samples at least every X hours [X = days detention time] over a 24-hour period. Effluent
samples shall be collected at least every six hours; there must be a minimum of four samples during a 24-
hour sampling period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. The "daily discharge" concentration comprises the mean
concentration for a 24-hour sampling period as either a composite sample concentration or the arithmetic mean of all
grab samples collected during that period. (40 CFR 122.2)
Daily_ Maximum
The highest "daily discharge" for conventional and other non -toxicant parameters. NOTE: Permittees may not
submit a "daily average" calculation [for determining compliance with permit limits] for toxicants. See the relevant
Federal effluent guideline[s] for the appropriate calculation interval.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. The Division expects that sampling shall be conducted on weekdays except where holidays or other
disruptions of normal operations prevent weekday sampling. If sampling is required for all seven days of the week
for any permit parameter(s), that requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DM or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission.
Facility Closure
The cessation of wastewater treatment at a permitted facility, or the cessation of all activities that require coverage
under the NPDES. Completion of facility closure will allow this permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 ml collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean Water Act.
Version 1011012007

NPDES Permit Standard Conditions
Page 3 of 16
Instantaneous flow measurement
A measure of flow taken at the time of sampling, when both the sample and flow will be representative of the total
discharge.
Monthly Average (concentration limitl
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration l tl
The average of all samples taken over a calendar quartet.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable,
or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Tonic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act.
U set
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limitl
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation
of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation and reissuance,
or modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
Clean Water Act for toxic pollutants and with standards for sewage sludge use or disposal established under
section 405(d) of the Clean Water Act within the time provided in the regulations that establish these
standards or prohibitions or standards for sewage sludge use or disposal, even if the permit has not yet been
modified to incorporate the requirement.
b. The Clean Water Act provides that any person who violates section 301, 302, 306, 307, 308, 318 or 405 of the
Act, or any permit condition or limitation implementing any such sections in a permit issued under section
402, or any requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8)
of the Act, is subject to a civil penalty not to exceed $25,000 per day for each violation. [40 CFR 122.41 (a)
(2)]
c. The Clean Water Act provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or
405 of the Act, or any condition or limitation implementing any of such sections in a permit issued under
Version 1011012007

NPDES Permit Standard Conditions
Page 4 of 16
section 402 of the Act, or any requirement imposed in a pretreatment program approved under section
402(a)(3) or 402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years, or both. [40 CFR 122.41 (a) (2)]
d. Any person who knomingl
y violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In
the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death or serious
bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than
30 years, or both. An organization, as defined in section 309(c)(3)(B)(JR) of the CWA, shall, upon conviction
of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined
up to $2,000,000 for second or subsequent convictions. [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes 5 143-215.6A]
Cr
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are
not to exceed $10,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$25,000. Penalties for Class II violations are not to exceed $10,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $125,000. [40 CFR
122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41 (d)].
Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II. C. 4), "Upsets" (Part II. C. 5) and "Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Pemiittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309
of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills, even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
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5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-231.
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority map request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the
Permit Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41 (h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41 (b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic
authorization to discharge beyond the expiration date, the Permittee shall submit such information, forms, and
fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date.
Any Permittee that has not requested renewal at least 180 days prior to expiration, or any Permittee that does not
have a permit after the expiration and has not requested renewal at least 180 days prior to expiration, will subject
the Permittee to enforcement procedures as provided in NCGS 143-215.6 and 33 USC L51 et. seq.
11. Signat,_ ory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
[40 CFR 122.41 (k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any other person who performs similar policy or decision
making functions for the corporation, or (b) the manager of one or more manufacturing, production, or
operating facilities, provided, the manager is authorized to make management decisions which govern the
operation of the regulated facility including having the explicit or implicit duty of making major capital
investment recommendations, and initiating and directing other comprehensive measures to assure long
term environmental compliance with environmental laws and regulations; the manager can ensure that
the necessary systems are established or actions taken to gather complete and accurate information for
permit application requirements; and where authority to sign documents has been assigned or delegated
to the manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
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b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if.
1. The authorization is made in writing by a person described above;
2. The authorization specified either an individual or a position having responsibility for the overall
operation of the regulated facility or activity, such as the position of plant manager, operator of a well or
well field, superintendent, a position of equivalent responsibility, or an individual or position having
overall responsibility for environmental matters for the company. (A duly authorized representative may
thus be either a named individual or any individual occupying a named position.); and
3. The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization satisfying the requirements of paragraph (b) of this section must be submitted to the Director
prior to or together with any reports, information, or applications to be signed by an authorized
representative [40 CFR 122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.22]:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate
the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information 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."
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Perniittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 211.0100; and North Carolina General Statute 143-215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely mannier in accordance with 15A NCAC 2H.0105 (b) (2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
Certified Operator
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid certificate of the
type of the system. Back-up ORCs must possess a grade equal to (or no more than one grade less than) the grade
of the system [15A NCAC 8G.0201].
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The ORC of each Class I facility must:
➢ Visit the facility at least weekly
➢ Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II, III and IV facility must:
➢ Visit the facility at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 8G.0204.
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating the
operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into a new system
b. Within 120 calendar days of:
➢ Receiving notification of a change in the classification of the system requiring the designation of a
new ORC and back-up ORC
➢ A vacancy in the position of ORC or back-up ORC.
2. Proper Operation and Maintenance
The Permittee shall at all times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. The Permittee shall at all times properly operate and maintain all facilities and
systems of treatment and control (and related appurtenances) which are installed or used by the Permittee to
achieve compliance with the conditions of this permit. Proper operation and maintenance also includes adequate
laboratory controls and appropriate quality assurance procedures. This provision requires the Permittee to install
and operate backup or auxiliary facilities only when necessary to achieve compliance with the conditions of the
permit [40 CFR 122.41 (e)].
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
(c)]
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41 (m) (2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41 (m) (3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior
notice, if possible at least ten days before the date of the bypass; including an evaluation of the
anticipated quality and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II. E. 6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing- Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
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(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. U sets
a. Effect of an upset [40 CFR 122.41 (n) (2)]: An upset constitutes an affirmative defense to an action
brought for noncompliance with such technology based permit effluent limitations if the requirements of
paragraph b. of this condition are met. No determination made during administrative review of claims that
noncompliance was caused by upset, and before an action for noncompliance, is final administrative action
subject to judicial review.
b. Conditions necessary for a demonstration of upset: A Permittee who wishes to establish the
affirmative defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or
other relevant evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II. E. 6. (b) of this permit.
(4) The Permittee complied with any remedial measures required under Part H. B. 2. of this permit.
c. Burden of proof [40 CFR 122.41 (n) (4)]: The Permittee seeking to establish the occurrence of an
upset has the burden of proof in any enforcement proceeding.
Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States. The Permittee
shall comply with all existing Federal regulations governing the disposal of sewage sludge. Upon promulgation of
40 CFR Part 503, any permit issued by the Permit Issuing Authority for the utilization/disposal of sludge may be
reopened and modified, or revoked and reissued, to incorporate applicable requirements at 40 CFR 503. The
Permittee shall comply with applicable 40 CFR 503 Standards for the Use and Disposal of Sewage Sludge (when
promulgated) within the time provided in the regulation, even if the permit is not modified to incorporate the
requirement. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 2H.0124 —
Reliability) to prevent the discharge of untreated or inadequately treated wastes during electrical power failures
either by means of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring; and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of the volume and nature of
the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and time that is
characteristic of the discharge over the entire period the sample represents. All samples shall be taken at the
monitoring points specified in this permit and, unless otherwise specified, before the effluent joins or is diluted
by any other wastestream, body of water, or substance. Monitoring points shall not be changed without
notification to and the approval of the Permit Issuing Authority [40 CFR 122.41 (j)].
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2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of
these, and all other reports required herein, shall be submitted to the following address:
NC DENR / Division of Water Quality / Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I
of this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to
NCGS °143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act (as Amended), and 40 CFR 136; or in
the case of sludge use or disposal, approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless
other test procedures have been specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum
detection and reporting levels that are below the permit discharge requirements and all data generated must be
reported down to the minimum detection or lower reporting level of the procedure. If no approved methods are
determined capable of achieving minimm udetection and reporting levels below permit discharge requirements,
then the most sensitive (method with the lowest possible detection and reporting level) approved method must
be used.
5. Penalties for Tampering
The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any
monitoring device or method required to be maintained under this permit shall, upon conviction, be punished by
a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or
by both. If a conviction of a person is for a violation committed after a first conviction of such person under this
fine paragraph, punishment is a of not more than $20,000 per day of violation, or by imprisonment of not more
than 4 years, or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge
use and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40
CFR 503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
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➢ copies of all reports requited by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record
the following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting
as a representative of the Director), upon the presentation of credentials and other documents as may be required
by law, to;
a. Enter upon the Permittee's premises where a regulated facility or activity is located or conducted, or where
records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this
permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the Clean Water Act, any substances or parameters at any location [40 CFR 122.41 (i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge
of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall
constitute a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as
additions to the permitted facility [40 CFR 122.41 (1)].
soon as possible of any planned physical alterations or
Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29 (b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, not to
notification requirements under 40 CFR 122.42 (a) (1).
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices,
and such alteration, addition or change may justify the application of permit conditions that are different
from or absent in the existing permit, including notification of additional use or disposal sites not reported
during the permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41 (1) (2)].
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4. Transfers
This permit is not transferable to any person except after notice to the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such action
may incorporate other requirements as may be necessary under the Clean Water Act [40 CFR 122.41 (1) (3)].
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41 (1) (4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II. D. 2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
Twenty-four Hour Reporting
a. 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. The written
submission shall contain a description of the noncompliance, and its cause; the period of noncompliance,
including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is
expected to continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the
noncompliance [40 CFR 122.41 (1) (6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II. E. 5 and 6. of this permit at
the time monitoring reports are submitted. The reports shall contain the information listed in Part II. E. 6. of
this permit [40 CFR 122.41 (1) (7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director, it shall promptly submit
such facts or information [40 CFR 122.41 (1) (8)].
Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the
Division as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to receiving
waters without treatment of all or any portion of the influent to such station or facility.
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Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making
any false statement on any such report may result in the imposition of criminal penalties as provided for in
NCGS 143-215.1 (b) (2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement, representation, or
certification in any record or other document submitted or required to be maintained under this permit, including
monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of
not more than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both
[40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C).
The report shall summarize the performance of the collection or treatment system, as well as the extent to which
the facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality.
The report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon
which annual period is used for evaluation.
PART III
OTHER REQUIREMENTS
Section A. Construction
The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct (AtC) permit. Issuance of an AtC will not occur until Final Plans and Specifications for
the proposed construction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitorin
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent
basis, of any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms
per liter (500 µg/L) for 2.4-dinitrophenol and for 2-methyl-4.6-dinitrophenol; and one milligram per liter
(1 mg/L) for antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or
infrequent basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the
highest of the following "notification levels", -
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(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the terms
and conditions of the NPDES permit or governing rules, regulations or laws, the Permittee shall submit a report in
such form and detail as required by the Division evaluating these alternatives and a plan of action within 60 days of
notification by the Division.
Section E. Facility Closure Requirements
The Permittee must notify the Division at least'90 days prior to the closure of any wastewater treatment system
covered by this permit. The Division may require specific measures during deactivation of the system to prevent
adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Publicly Owned Treatment Works (POTWs)
All POTWs must provide adequate notice to the Director of the following:
1. Any new introduction of pollutants into the POTW from an indirect discharger which would be subject to
section 301 or 306 of CWA if it were directly discharging those pollutants; and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger
as influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of
effluent introduced into the POTW, and (2) any anticipated impact of the change on the quantity or quality
of effluent to be discharged from the POTW.
Section B. Municipal Control of Pol—lutants from Industrial Users.
Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from
industries using the municipal system may be present in the Permittee's discharge. At such time as
sufficient information becomes available to establish limitations for such pollutants, this permit may be
revised to specify effluent limitations for any or all of such other pollutants in accordance with best
practicable technology or water quality standards.
2. Under no circumstances shall the Permittee allow introduction of the following wastes in the waste
treatment system:
a. Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees
Centigrade using the test methods specified in 40 CFR 261.21;
b. Pollutants which will cause corrosive structural damage to the POTW, but in no case Discharges
with pH lower than 5.0, unless the works is specifically designed to accommodate such Discharges;
C. Solid or viscous pollutants in amounts which will cause obstruction to the flow in the POTW
resulting in Interference;
d. Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow
rate and/or pollutant concentration which will cause Interference with the POTW;
e. Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in
no case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C
(104°F) unless the Division, upon request of the POTW, approves alternate temperature limits;
Version 1011012007

NPDES Permit Standard Conditions
Page 14 of 16
f. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will
cause interference or pass through;
g. Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a
quantity that may cause acute worker health and safety problems;
h. Any trucked or hauled pollutants, except at discharge points designated by the POTW.
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the
Permittee to supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to
ensure compliance by the Permittee with all applicable effluent limitations. Such actions by the Permittee
may be necessary regarding some or all of the industries discharging to the municipal system.
4. The Permittee shall require any industrial discharges sending influent to the permitted system to meet
Federal Pretreatment Standards promulgated in response to Section 307(b) of the Act. Prior to accepting
wastewater from any significant industrial user, the Permittee shall either develop and submit to the
Division a Pretreatment Program for approval per 15A NCAC 2H .0907(a) or modify an existing
Pretreatment Program per 15A NCAC 2H .0907(b).
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved
POTW Pretreatment Program or to include a compliance schedule for the development of a POTW
Pretreatment Program as required under Section 402(b)(8) of the Clean Water Act and implementing
regulations or by the requirements of the approved State pretreatment program, as appropriate.
Section C. Pretreatment Programs
Under authority of sections 307(b) and (c) and 402(b)(8) of the Clean Water Act and implementing regulations 40
CFR Part 403, North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 2H
.0900, and in accordance with the approved pretreatment program, all provisions and regulations contained and
referenced in the Pretreatment Program Submittal are an enforceable part of this permit.
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the Clean
Water Act, the Federal Pretreatment Regulations 40 CFR Part 403, the State Pretreatment Regulations 15A
NCAC 2H .0900, and the legal authorities, policies, procedures, and financial provisions contained in its
pretreatment program submission and Division approved modifications there of. Such operation shall include
but is not limited to the implementation of the following conditions and requirements:
1. Sewer Use Ordinance (SUO)
The Permittee shall'maintain adequate legal authority to implement its approved pretreatment program.
2. Industrial Waste Survey:IWS)
The Permittee shall update its Industrial Waste Survey (IWS) to include all users of the sewer collection
system at least once every five years.
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific
data to be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of
specific pretreatment local limits. Effluent data from the Plan shall be reported on the DMRs (as required
by Part II, Section D, and Section E.S.).
4. Headworks Analysis (IIWA) and Local Limits
The Permittee shall obtain Division approval of a Headworks Analysis (HWA) at least once every five
years, and as required by the Division. Within 180 days of the effective date of this permit (or any
subsequent permit modification) the Permittee shall submit to the Division a written technical evaluation
of the need to revise local limits (i.e., an updated HWA or documentation of why one is not needed) [40
CFR 122.441. The Permittee shall develop, in accordance with 40 CFR 403.5(c) and 15A NCAC 2H .0909,
specific Local Limits to implement the prohibitions listed in 40 CFR 403.5(a) and (b) and 15A NCAC 2H
.0909.
Version 1011012007

NPDES Permit Standard Conditions
Page 15 of 16
5. Industrial User Pretreatment Permits (!UP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all significant industrial users, permits for
operation of pretreatment equipment and discharge to the Permittee's treatment works. These permits
shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control
technologies -to assure that their wastewater discharge will meet all applicable pretreatment standards and
requirements. The Permittee shall maintain a current Allocation Table (AT) which summarizes the results
of the Headworks Analysis (HWA) and the limits from all Industrial User Pretreatment Permits (IUP).
Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by, the HWA.
6. Authorization to Construct (AtQ
The Permittee shall ensure that an 'Authorization to Construct permit (AtC) is issued to all applicable
industrial users for the construction or modification of any pretreatment facility. Prior to the issuance of
an AtC, the proposed pretreatment facility and treatment process must be evaluated for its capacity to
comply with all Industrial User Pretreatment Permit (I UP) limitations.
7. POTW Inspection & Monitoring of their SIUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by industrial
users, compliance with applicable pretreatment standards. The Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year; and
b., Sample all Significant Industrial Users (SIUs) at least twice per calendar year for all pern t-
limited pollutants, once during the period from January 1 through June 30 and once during the
period from July 1 through December 31, except for organic compounds which shall be sampled
once per calendar year;
8. S"IU Self Monitoring and Reporting
The -Permittee shall require all industrial users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit,
or in 15A NCAC 2H .0908:
-9. Enforcement Response Plan XRP)
The Pere-iittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the Clean Water Act (40 CFR 405 et. seq.), prohibitive
discharge standards- as set forth in 40 CFR 403.5 and 15A NCAC 2H .0909, and specific local limitations.
.All enforcement actions shall be consistent with the Enforcement Response Plan (ERP) approved by the
Division.
10. Pretreatment Annual Reports AR)
.The Permittee shall report to the Division in accordance with 15A NCAC 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H .0904 (b) may be
required to meet with Division personnel periodically to discuss enforcement of pretreatment requirements
and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment
Annual Report (PAR) describing its pretreatment activities over the, previous twelve months to the
Division at the following address:
NC DENR / DWQ / Pretreatment Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Version 10/10/2007

NPDES Permit Standard Conditions
Page 16 of 16
These reports shall be submitted according to a schedule established by the Director and shall contain the
following:
a.)
Narrative
A brief discussion of reasons for, status of, and actions taken for all Sig
mnificant Industrial
Users (SIUs) in Significant Non -Compliance (SNC);
b.)
Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on specific forms approved by the Division;
c.)
Significant Non -Compliance Report (SNCR�
The nature of the violations and the actions taken or proposed to correct the violations on
specific forms approved by the Division;
• d.)
Industrial Data Summary Forms SF)
Monitoring data from samples collected by both the POTW and the Significant Industrial
User (SILT). These analytical results must be reported on Industrial Data Summary Forms
(IIJSF) or other specific format approved by the Division;
e.)
Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules,
public notice of SIUs in SNC, and any other information, upon request, which in the
opinion of the Director is needed to determine compliance with the pretreatment
implementation requirements of this permit;
11. Public Notice
'The Permittee shall publish annually a list of Significant Industrial Users (SIUs) that were in Significant
Non -Compliance (SNC) as defined in the Permittee's Division -approved Sew is Use Ordinance with
applicable pretreatment requirements and standards during the previous twelve month period. This list
shall be published within four months of the applicable twelve-month period.
12. Record Keeping
The Pernuttee shall retain for a minimum of three years records of monitoring activities and results, along
with support information including general records, water quality records, and records of industrial impact
on the POTW.
13. Funding and Financial Report
The. Permittee shall maintain adequate funding and staffing levels to accomplish the objectives of its
approved pretreatment program.
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits
modifications, POTW monitoring of, their Significant Industrial Users (SIUs), and Monitoring Plan
modifications, shall be considered a permit modification and shall be governed by 15 NCAC 2H .0114 and
15A NCAC 2H .0907.
Version 1011012007

a,.
'iiV•
R' ECEIVED i
ua
PROCESS CALCULATIONS, WYtftULIC
CALCULATIONS, BLOWER SIZING, BUOYANCY
CALCULATIONS, AND HYDRAULIC PROFILE
For
LISSARA WASTEWATER TREATMENT PLANT
Prepared by:
Diehl & Phillips, P.A.
219 E. Chatham Street
Cary, NC 27511
SEAL
. 13A�' �C,,:
A'1aimun%'�`°

WASTEWATER TREATMENT DESIGN CALCULATIONS
Lissara Wastewater Treatment Plant
Permitted flow is 108,000 gpd. Initial construction will be one dual -path extended aeration
plant, rated for 54,000 gallons per day. The plant will receive Septic Tank Effluent Pump
system discharge, which will have a lower organic strength than typical domestic wastewati
Blower Sizing and Oxygen Requirements
Influent wastewater is from STEP systems. BOD, TSS, and TKN design influent
characteristics are as follows:
BODs
160 m9/1
TSS
60 mg/I
TKN
45 mg/I
Plant wil have summertime limits of 30 mg/I of BOD5 and 2 mg/I of NH3-N. Plant aeration
expansion is constructed. Plant aeration basin sizing will be controlled by nitrification
requirements. The required SRT (solids retention time) can be estimated using the
the US EPA model:
SRT = (5.56)e[A 16 x (I5-T)]where T is the minimum water temperature, degrees C.
for T = 50 degrees F (10 Degrees C), SRT min. = 9.93 days
Applying a safety factor of 2.0 to account for fluctuations in flow and organic strength
yields a design SRT of 20 days.
The reactor size is selected based on:
Va = SRT x Qa x Ci x Y / Xa, where
Va = reactor volume (aeration basin), in MG
SRT = solids retention time = 20 days 20 days
Qa = wastewater flow = 54,000 gallons per day = 0.054 mgd
Ci = BOD influent concentration = 160 mg/I 160 mg/I
Xa = average mixed liquor solids concentration = 2810 mg/I
Y = yield coefficient = .65 lb. SS per Lb. BOD5 0.65
Solving for Va: = 0.040 MG
Lissara WWTP Process Calculations - Page 1

Size combined aeration basin volumes for 40,000 gallons. Each train's aeration
basin will be sized to have a volume of 20,000 gallons, or 17.78 hours hydraulic detention
at the design flow.
The oxygen requirements are caculated as follows:
BOD5 of 160 mg/I
TKN of 45 mg/I
Flow of 54,000 gpd
Oxygen required = BOD5 x 8.33 x 1.5 lbs. 02/lb of BOD5 x 0.054=
108 Ibs of 02 for BOD5 per day
= TKN x 8.33 x 4.6 Ibs 02/ lb of TKN
93 Ibs of 02 for nitrification per day
Total pounds of oxygen req'd = 201 Ibs of 02 required for process per day
Air is 23.15% oxygen by weight
Air weighs .075 Ibs per cubic foot
201 L2315 = 869 Ibs of air required per day
869 L075 = 11,581 cubic feet of air required per day at 100% transfer
Assume actual oxygen transfer is equal to 6%
11,581 L06 = 193,011 cubic feet/day of air required at 6% transfer
193,011 /1440 = 134 cubic feet of air required per minute
for process requirements
Mixing requirements: 30 cfm/1,000 cubic feet of mixed liquor
40, 000/7481 x 30 =
160 cubic feet of air required per minute
for mixing requirements .
Mixing air requirements control - check other air requirements for plant blowers
Lissara WWTP Process Calculations - Page 2

Sludge aeration requirements:
Provide 30% of rated plant capacity for sludge storage - 30% of 54,000 gallons
16,200 gallons
Proposed sludge storage volur Two at 8,100 gallons each = 16,200 gallons
Air required at 30 scfm per 1,000 cubic feet =
160 cfm required for mixing
20 cfm for four scum airlifts
20 cfm for two sludge airlifts
65 cfm for sludge aeration
265 CFM Total required to both process trains
Main Plant Blower capacities provided:
Three positive displacement blowers, each rated for: 135 scfm
Capacity of two units (one unit out of service): 270 scfm
Air required for flow equalization basin:
65 scfm
Proposed FE basin size: 18,900 gallons 35% of plant design flow
Use of STEP systems will further diversify the influent flow rate and aid the flow
equalization.
Air for flow equalization -1.25 to 2 cfm per 1,000 gallons
FE basin total volume is: 18,900 gallons
18,900-1.25/1,000 = 24 cfm for FE, min.
18,900 *2.0/1,000 = 38 cfm for FE, max
FE Blower capacity required: 31 cfm for FE
Lissara WWTP Process Calculations - Page 3

r TUTHILL
Vacuum & Blower Systems
M.
Page: 1 of 4
Date: 8/31 /2008
General. Site and Utility Data
GENERAL PROJECT INFORMATION:
Reference/Quote:
Company Name
Contact:
Addressl :
Address2:
City, State, ZIP:
Country:
Telephone:
Fax:
E-mail:
Project Name: (L:issaHraP Main Blower
Project Spec Ref:
Engineering Firm:
Quantity Reqd:
Remarks:
SITE AND UTILITY. DATA
Indoor,Heated
Unusual Conditions:
Electrical classification: NEC -, -, -
AVAILABLE_ POWER:
Drivers Lube Oil & Auxiliary Heating
Voltage: 0 0 0
Hertz: 0 0 0
Phase: 0 0 0
Ambient Temperature: 0 Fahrenheit Maximum, 0 Fahrenheit Minimum
System Design Pressure: PSIG
0 PSIG
0 PSIG
COOLING WATER
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
Temperature Pressure
Fahrenheit PSIG
Inlet: 0 0
return: 0 0
Design: 0 0
Maximum Differential: 0 0
Control
0
0
Reference/Quote:
Vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

TUTHILL
l Vacuum & Blower Systems
Page: 2■2 of 4
Date: 8/31 /2008
Application Worksheet (Normal Condition)
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
Reference/Quote:
AMBIENT CONDITIONS:
Atmospheric Pressure: 14.7 PSIA
Elevation: 0 Feet
Ambient Temperature: 100 Fahrenheit
APPLICATION REQUIREMENTS:
Gas:
AIR Gas Properties:
Molecular Weight:
28.966
Cp:
0.241 Duty Cycle: more than 4 hours
K Value (Cp/Cv):
1.398
Inlet Temperature:
70 Fahrenheit
Inlet Volume:
136.4 ICFM
Standard Volume:
135 SCFM
Mass Flow:
607.5 Ibs./hr
Inlet Pressure:
14.55 PSIA (includes 0.148 PSI filter and/or silencer loss)
Discharge Pressure:
4.623 PSIG (includes 0.123 PSI silencer loss)
MODEL SELECTED FOR THE APPLICATION:
Model Number:
COMPETITOR PLUS 3006-21 L2
Materials of Construction
Iron (standard)
Flow Direction
Vertical Flow
Connection Size
2.5 NPT Inlet 2.5 NPT Discharge
Seal Type:
Lip
Lubrication:
Splash/Grease
Rotative Speed:
1831 RPM (50.86 % of Max)
Gear Tip Velocity:
1678 ft/min
Discharge Temperature:
120.8 Fahrenheit
Discharge Volumetric Flow:
112.5 CFM
Required Input Power:
4.191 BHP
Estimated Blower Noise:
79 dB(A) at 1 meter, open field
Noise Level Based On:
Inlet Silencer, and Discharge Silencer
SELECTED BLOWER OPTIONS:
Vertical Flow
Left Drive
TESTING
Standard Mechanical Integrity Test
vacuum.tuthill.00m BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

L
TUTHILL
j Vacuum & Blower Systems
Page: 3 of 4
Date: 8/31 /2008
Normal Condition Performance Curve for 3006-21L2
250
200
150
100
50
0
500
400
300
200
100
0.0
10.0
8.0
6.0
4.0
2.0
00
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
1000
1500 2000 2500 3000 3500
Performance Curve Based Upon The Conditions Of:
Displacement
0.102 CFR
Atmospheric Pressure:
14.7 PSIA
Elevation:
0 Feet
Gas:
AIR
Inlet Temperature
70 Fahrenheit
Molecular Weight
28.966
K Value
1.398
Inlet Pressure
14.55 PSIA (includes 0.148 PSI filter and/or silencer loss)
Discharge Pressure
4.623 PSIG (includes 0.123 PSI silencer loss)
Reference/Quote:
Temperature Rise
Fahrenheit
Volume at Inlet
ICFM
Power Required
BHP
4000
vacuum.tuthill.00m BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

Facto
Offi
TUTH I LL Tuthill Vaacuuuumm & Blower Systems
Vacuum & Blower Systems 4840 west Kearney Street
P. O. Box 2877
Page: 4 of 4 Springfield, Missouri USA 65801-2877
Date: 8/31/2008 Tel: [phone] Toll Free: [phone]
Fax: [phone]
Equipment Selection Summary [e-mail]
ITEM DESCRIPTION
BLOWER
COMPETITOR PLUS 3006-21 L2
Left Drive
PACKAGING
3006-5-33-25-A PneuPak 33A standard package wN-beft drive, motor slide base
Motor. 28865-5, 5.00 HP, ODP, 184T frame, 2301460 V, 3 ph, 60 Hz, 1740 RPM
INLET SILENCER: D33R-2.5, No, NoMax Temp: 180 Fahrenheit
DISCHARGE SILENCER: PD33-2.5,ASME No, NoMax Temp: 325 Fahrenheit
vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

n TUTHILL
Vacuum & Blower Systems
Page: 1 of 4
Date: 8/31 /2008
General, Site and Utility Data
GENERAL PROJECT INFORMATION:
Reference/Quote:
Company Name
Contact:
Addressl :
Address2:
City, State, ZIP: ,
Country:
Telephone:
Fax:
E-mail:
Project Name: =FEBlower
Project Spec Ref:
Engineering Firm:
Quantity Reqd:
Remarks:
SITE AND UTILITY DATA
Indoor,Heated
Unusual Conditions:
Electrical classification: NEC -, -, -
AVAILABLE POWER:
Drivers Lube Oil & Awdliary Heating
Voltage: 0 0 0
Hertz: 0 0 0
Phase: 0 0 0
Ambient Temperature: 0 Fahrenheit Ma)amum, 0 Fahrenheit Minimum
System Design Pressure: PSIG
0 PSIG
0 PSIG
COOLING WATER
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
Temperature Pressure
Fahrenheit PSIG
Inlet: 0 0
return: 0 0
Design: 0 0
Maximum Differential: 0 0
Control
0
0
0
Reference/Quote:
vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

n TUTHILL
Vacuum & Blower Systems
Page: 2 of 4
Date: 8/31 /2008
Application Worksheet (Normal Condition)
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
Reference/Quote:
AMBIENT CONDITIONS:
Atmospheric Pressure: 14.7 PSIA
Elevation: 0 Feet
Ambient Temperature: 100 Fahrenheit
APPLICATION REQUIREMENTS:
Gas:
AIR Gas Properties:
Molecular Weight:
28.966
Cp:
0.241 Duty Cycle: more than 4 hours
K Value (Cp/Cv):
1.398
Inlet Temperature:
70 Fahrenheit
Inlet Volume:
38.07 ICFM
Standard Volume:
38 SCFM
Mass Flow:
171 IbsJhr
Inlet Pressure:
14.67 PSIA (includes 0.029 PSI filter and/or silencer loss)
Discharge Pressure:
4.524 PSIG (includes 0.024 PSI silencer loss)
MODEL SELECTED FOR THE APPLICATION:
Model Number:
COMPETITOR PLUS 2004-21 L2
Materials of Construction
Iron (standard)
Flow Direction
Vertical Flow
Connection Size
2 NPT Inlet 2 NPT Discharge
Seal Type:
Lip
Lubrication:
Splash/Grease
Rotative Speed:
2055 RPM (38.95 % of Max)
Gear Tip Velocity:
1345 ft/min
Discharge Temperature:
126.6 Fahrenheit
Discharge Volumetric Flow:
32.16 CFM
Required Input Power:
1.49 BHP
Estimated Blower Noise:
78 dB(A) at 1 meter, open field
Noise Level Based On:
Inlet Silencer, and Discharge Silencer
SELECTED BLOWER OPTIONS:
Vertical Flow
Left Drive
TESTING
Standard Mechanical Integrity Test
vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

TUTHILL
Vacuum & Blower Systems
a
Page: 3 of 4
Date: 8/31 /2008
Normal Condition Performance Curve for 2004-21L2
250
200
150
100
50
0
250
200
150
100
50
0.0
5.0
4.0
3.0
2.0
1.0
00
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
1000
2000 3000 4000 5000
Performance Curve Based Upon
The Conditions Of:
Displacement
0.032 CFR
Atmospheric Pressure:
14.7 PSIA
Elevation:
0 Feet
Gas:
AIR
Inlet Temperature
70 Fahrenheit
Molecular Weight
28.966
K Value
1.398
Inlet Pressure
14.67 PSIA (includes 0.029 PSI filter and/or silencer loss)
Discharge Pressure
4.524 PSIG (includes 0.024 PSI silencer loss)
Reference/Quote:
Temperature Rise
Fahrenheit
Volume at Inlet
ICFM
Power Required
BHP
6000
vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 200B)

nTUTHILL
Vacuum & Blower Systems
OM.
Page: 4 of 4
Date: 8/31/2008
Equipment Selection Summary
ITEM DESCRIPTION
BLOWER
COMPETITOR PLUS 2004-211-2
Left Drive
PACKAGING
2004-2-33-20-A PneuPak 33A standard package wN-beR drive, motor slide base
Motor. 28865-3, 2.00 HP, ODP, 145T frame, 230/460 V, 3 ph, 60 Hz, 1740 RPM
INLET SILENCER: D33R-2, No, NoMax Temp: 180 Fahrenheit
DISCHARGE SILENCER: PD33-2,ASME No, NoMax Temp: 325 Fahrenheit
Factory Offices
Tuthill Vacuum & Blower Systems
4840 West Kearney Street
P. O. Box 2877
Springfield, Missouri USA 65801-2877
Tel: [phone] Toll Free: [phone]
Fax: [phone]
[e-mail]
vacuum.tuthill.com BlowerXpert 7 Version 7.5.A.205 (Jul 22 2008)

Rectangular Clarifier Sizing Calculations
Project Name: Lissara WWTP
Plant Design Flow Rate (ADF): 54,000 gpd
Design flow rate per clarifier: 27,000 gpd
Design surface overflow rate (SOR) 200 gpd/sf at ADF
Required surface area: 135 square feet 11.62 feet square
Use clarifier dimensions (L x W) = 12 feet by 12 feet
Actual SOR at ADF: 188 gpd/sf
Actual SOR at Peak: 469 gpd/sf
Both average and peak SOR well below Ten States Standards recommended value for
extended aeration process (1,000 gpd/sf), and the WPCF Manual of Practice No. 8
recommendations.
Design detention time:
Actual detention time at ADF:
Actual detention time at Peak:
Hopper height:
Include the upper 1/3 of hopper
volume as part of the effective
volume.
V = (Al +A2 + (Al *A2)^.5)*h/3 =
Total Target Volume:
Height of sidewall (water level to
the top of the hopper):
Overall depth, bottom of hopper
to the water level:
6 hours
6 hours
2.4 hours
9.35 feet
144.00 square feet =A1
69.44 square feet =A2
326 cubic feet in upper 1/3
902 cubic feet
4.00 feet
13.35 feet
Including 1.5 foot freeboard: 14.85 feet
Clarifier Calculations - Lissara WWTP
Page 1

Solids Loading Rates:. ,
Assume for this check a mixed liquor suspended solids concentration of
4,000 mg/I.
At ADF, solids loading to'clarifier is 4,000 x 8.33x.054 = 1,799 lbs./day
Solids loading rate = . 1,799 lbs./288 sf = 12.5 lbs./sf/day
At Peak flow, solids loading to clarifier is 4,000 x 8.33x.054 x 2.5 = 4,498 lbs./day
Solids loading rate = 4,498 lbs./288 sf = 15.6 lbs./sf/day
Both average and peak solids loading rates below Ten States Standards recommended
value of 50 lbs./day/sf, and the WPCF Manual of Practice No. 8 recommendations.
0
Clarifier Calculations - Lissara WWTP
Page 2

Check of Alkalinitv Supplementation for Lissara WWTP
Design Flow: 108,000 gallons per day
Available Alk. As CaCO3 : 100 mg/i =100 x 8.33 x 0.108 = 90.0 pounds per day
(background in potable water)
Alk. Req'd in effluent to maintain pH and some buffer: 50 mg/I = 45.0 lbs./day
Net available for nitrification: 45.0 pounds per day
Process Alkalinity req'd: 7.1 units/unit NH3 oxidized
Assume 45 mg/I NH3 oxidized
= 7.1 x 45 mg/I x 0.108 x 8.33 = 287.4 pounds per day
Deficit: 287.4 — 45.0= 242.5 lbs./day as CaCO3
Select Chemical: NaOH at 125% equivalency
= 242.5 / 1.25 = 194.0 lbs./day required
Using 30% NaOH solution (10 Ibs/Gal. X 0.3 = 3 Ibs/Gal)
194.0/3=. 64.7 gallons per day theoretically required at design flow
Provide a 2,600 gallon double wall tank, approximately 39 days requirements at
design flow rate. Sampling should be done to confirm available alkalinity in influent
wastewater.
Alkalinity Supplementation Check - Lissara WWTP
Page 1

FLOW EQUALIZATION PUMP CALCULATIONS
FE TANK FLOOR - ASSUMED ELEV. 0.0
LWL IN PUMP TANK - ASSUMED ELEV. 1.5
HWL IN PUMP TANK - ASSUMED ELEV. 9.5
APPROX. EL.- HIGH POINT OF DISCH. PIPI 13.5
STATIC HEAD (MAX.): 12.0 FEET
STATIC HEAD (MIN.): 4.0 FEET
FORCEMAIN LEN. (EQUIVALENT): 24 FEET
FORCE MAIN SIZE: 3 INCH
Design flow rate for WWTP is 54,000 gpd, average daily flow.
Peak Flow Factor = 2.5, peak flow is 135,000 gpd. 135
54,000 gpd = 38 gallons per minute
135,000 gpd = 94 gallons per minute
TOTAL DYNAMIC HEAD AT MINIMUM AND MAXIMUM WATER LEVELS:
C=100
FLOW
(GPM)
FRICTION
LOSS/100'
(FT/100-)
FRICTION
LOSS
(FEET)
MINIMUM
STATIC
HEAD
FEET
MINIMUM
TOTAL
DYNAMIC
HEAD
FEET
MAXIMUM
STATIC
HEAD
FEET
MAXIMUM
TOTAL
DYNAMIC
HEAD
FEET
0
0.00
0.0
4.0
4.0
12.0
12.0
38
0.83
0.2
4.0
4.2
12.0
12.2
50
1.38
0.3
4.0
4.3
12.0
12.3
75
2.92
0.7
4.0
4.7
12.0
12.7
94
4.44
1.1
4.0
5.1
12.0
13.1
100
4.98
1.2
4.0
5.2
12.0
13.2
125
t 7.53
1.8
4.0
5.8
12.0
13.8
FE Pump Calculations - Lissara WWTP
Page 1

C=120
FLOW
(GPM)
FRICTION
LOSS/100'
(FT/100')
FRICTION
LOSS
(FEET)
MINIMUM
STATIC
HEAD
FEET
MINIMUM
TOTAL
DYNAMIC
HEAD
FEET
MAXIMUM
STATIC
HEAD
FEET
MAXIMUM
TOTAL
DYNAMIC
HEAD
FEET
0
0.00
0.0
4.0
4.0
12.0
12.0
38
0.59
0.1
4.0
4.1
12.0
12.1
50
0.99
0.2
4.0
4.2
12.0
12.2
75
2.09
0.5
4.0
4.5
12.0
12.5
94
3.17
0.8
4.0
4.8
12.0
12.8
100
3.55
0.9
4.0
4.9
12.0
12.9
125
5.37
1.3
4.0
5.3
12.0
13.3
C=140
FLOW
(GPM)
FRICTION
LOSS/100'
(FT/100')
FRICTION
LOSS
(FEET)
MINIMUM
STATIC
HEAD
FEET
MINIMUM
TOTAL
DYNAMIC
HEAD
FEET
MAXIMUM
STATIC
HEAD
FEET
MAXIMUM
TOTAL
DYNAMIC
HEAD
FEET
0
0.00
0.0
4.0
4.0
12.0
12.0
38
0.45
0.1
4.0
4.1
12.0
12.1
50
0.74
0.2
4.0
4.2
12.0
12.2
75
1.57
0.4
4.0
4.4
12.0
12.4
94
2.38
0.6
4.0
4.6
12.0
12.6
100
2.67
0.6
4.0
4.6
12.0
12.6
125
4.04
1.0
4.0
5.0
12.0
13.0
At maximum static head conditions (basin at low level), system TDH for "C" _
120 is 12.1 feet at 38 gpm.
At minimum static head conditions (basin at high level), system TDH for "C" _
120 is 4.8 feet, at 94 gpm.
Use ABS Pump model AFP 841, 6.34 inch impeller. Pump is rated for 94 gpm
at 10 feet TDH. Motor is 2.01 HP, 1125 RPM.
FE Pump Calculations - Lissara WWTP
Page 2

Flow Control Box Weir Calculations:
Pumps will pump to weir box with side overflow weirs. Target equalized flow into
plant is 38 gpm. Maximum pump output at minimum head is 195 gpm at 6.2 feet
TDH. The side weirs should be sized to divert up to 157 gpm over the side weirs
with an increase in head of no more than 0.07 feet. The weir equation to be used
for a rectangular weir with end contractions is:
Q = C(L-0.21-1)(H)"(3/2), where C = 3.3, L= length, in feet, and H= head,
in feet, and Q is flow in CFS
157 gpm =
0.35 cfs
If side weirs are installed with a total
C =
3.33
length of 6 feet (3 feet per side), a
H =
0.067 feet
flow of 0.36 cfs can be returned
L =
6.0 feet
with a head rise of less than 0.07
Q =
0.35
feet.
The forward flow will go through two 22.5 degree V-notch weirs to split the flow
evenly between the two process trains in one plant.The weir elevations will be set
so that the side weirs will begin to overflow when the V-notches have 0.33 feet of
head on .them. The flow variation through the weirs will be as follows:
14 gpm to each process train when the side overflow weirs start flowing.
As the level in the FE basin continues to rise, the maximum flow to each
process train will increase to 22.5 gpm (20,160 to 32,400 gpd per train).
The side weir elevations can be adjusted to have lesser forward flow
rates during the initial years of operation, when flows are less
design flows.
FE Pump Calculations - Lissara WWTP
Page 3

Pump performance curves
Curve number
AFP 0841 60 Hz
Reference curve
AFP 0841
Discharge
Frequency
Lissara FE Pump 40--
DN80
60 Hz
Density
Viscosity
Testnorm
Rated speed
Date
62.428 Ibfft°
0.000016813 ftft
ISO 9906 - Annex Al /A2
1125 rpm
2008-08-31
Flow
Head
Rated power
Hydraulic efficiency
NPSH
94.9 US g.p.m.
9.97 ft
0.598 hp
40 %
5.0 ft
H [ftng Jar
plea
use
a AF
"S" s
ries
13-
Z7-o!Ir,
s
o
12
11
10
9
8
1
7
6
5
4
3
2
1
P2 [hp
1.2
1
0.8
0.6
3
0.4-'..-
rl [%
50
effi
40
3
30
20
10
0
20 40
60
80
100
120
140
160
186
200
220
240
260
280
300
320
340
Q [US
9.p-m.1
Impeller size
N" of vanes
Impeller
Solid size
Revision 2007-01-17
7.72..5.98 inch
1
ContraBlock impeller, 1 vane
31 /8"
Atis reserves me ngnt to cnange any aara ana atmensions winout pnor nonce ana can noz De new responsioie ror me use or r+aacL rrw r. r.Z r Cuur -UZ-
Information contained In this software.

AFP 0841 60 Hz
Ussara FE Pump
AFP/M1-ME3
Robust, reliable ABS submersible sewage pumps from 1.3 to 30 kW
for the dewatering of buildings and sites in private, commercial and
communal areas and in industry.
Water pressure -tight encapsulated fully flood -proof motors in
standard or explosion -proof versions. Hydraulics with CB
(ContraBlock) system or vortex impellers.
Can also be supplied with cooling jacket on request for dry sump
applications.
Capacity up to 820 m3/h
Head, max. 92 m
Type: AFP 0841 60 Hz
Technical data
Delivery rate : 94.9 US g.p.m.
Delivery head : 9.97 ft
Hydr. efficiency : 40 %
Total efficiency : 23.6 %
Shaft power : 0.598 hp
Speed : 1125 rpm
Impeller type : ContraBlock impeller, 1 vane
Motor output : 2.01 hp
Voltage : 460 V
Frequency : 60 Hz
Suction outlet : DN100
Discharge outlet : DN80
ABS reserves the right to change any data and dimensions w1thout prior notice and can not be held responsible for the use of ABSEL PRO 1.7.2 / 2007-02-07
infnrrnation contained in this software.

contained in this software.

BUOYANCY CALCULATIONS
No buoyancy calculations performed for Lissara WWTP.
Plant and flow measurement box are to be contructed in a fill section that is elevated
well above the existing ground surface. The shape and size of the fill section will
prohibit any groundwater accumulation under the planned structures.
Buoyancy Calculations - Lissara WWTP
Page 1

740
FLOW CONTROL BOX
fOAQp= 732.82 Op= 730.71
2.79 O
FLOW MEASUREMENT BOX
TOP EL733
TOP OUTLET WEIR EL. 733.75
TIC3732.75 $TATIC 730.00
. .50
740
FINISHED
PLANT TOP EL.
Op 733.77
= 731.79
GRADE
6° 735.25
OA= 733.76
E'?A= 731.74
BOT./22.5' V-NOTCH ELEV. 730.00
STATIC=733.75
TIC=731.67
730
NOW
- =
INV. OUT 728.00
730
4" F.M.
EQUALIZATION
SLUDGE
AERATION
CLARIFIER
CLARIFIER
100-YR FLOOD
EL 725.00
HOLDING
ZONE
O INV. IN 729.00
720
CHLORINATION INV. OUT 730.00
720
DECHLORINATIO
PLANT FLOWS:
Qw.
HYDRA ULIC PROFILE
= 0� Op 35 MGD
NO SCALE HORIZONTAL
710
1 " = 10' VERTICAL
8
710