NC0078115_Regional Office Historical File Pre 2016

Water Resources
ENVIRONMENTAL QUALITY
December 7, 2015
Aqua North.Carolina, Inc.
Attn: Thomas J. Roberts, President
202 Mackenan Court
Cary, NC 27511
SUBJECT: Compliance Evaluation Inspections
Mikkola Downs Subdivision WWTP, NC0067091;
alem Quaffers 83933
Permittee: Aqua North Carolina, Inc.
Forsyth County
Dear Mr. Roberts,
PAT MCCRORY
Governor
DONALD R.. VAN DER VAART
Secretory
S. JAY ZIMMERMAN
Director
Ron Boone of the Winston Salem Regional Office (WSRO) of the North Carolina Division of Water
Resources (DWR or the Division) conducted compliance evaluation inspections of the Mikkola Downs Wastewater
Treatment Plant, the Greystone Subdivision, and the Salem Quarters Wastewater Treatment Plant, on December 1,
2015. The assistance and cooperation of Morgan Turner, Operator in Responsible Charge (ORC), was greatly
appreciated. Inspection reports are attached for your records and inspection findings are summarized below.
Mikkola Downs Wastewater Treatment Plant, NCO067091
General Information
The Mikkola Downs Wastewater Treatment Plant is located near 2777 Stable Hill Trail in Kernersville,
Forsyth County, North Carolina, at approximate coordinates 36.18212V West, 80.053833e North. Aqua NC is
authorized to operate this 0.072 million -gallon -per -day (MGD) wastewater treatment plant, which consists of a -flow
splitter box, bar screen, dual aeration tanks, dual blowers, dual clarifiers, sludge holding -tank, Sanuril tablet chlorinator,
chlorine contact tank, dechlorination, post aeration tank, and an effluent flow recorder, and discharge treated effluent
from outfall 001 of said treatment works, which is located approximately 150 feet southwest of the treatment works at
approximate coordinates 36.182526° West, 80.0541430 North, to East Belews Creek, which is currently classified as
Class. C waters and is located in the Roanoke River Basin.
Site Review -
Mr. Boone reviewed the entire plant with Mr. Turner. No discrepancies or violations were noted. The plant
appears to be well operated and maintained.
Documentation Review
Mr. Turner had all required documentation for the inspection and everything was complete and current. This
included discharge monitoring reports, chains of custody, laboratory records, calibration records, operator visitation
records, and operation & maintenance logs. No discrepancies or violations were noted. Mr. Turner has done an
excellent job of documenting his operation and maintenance of the plant.
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

Greystone Subdivision Wastewater Treatment Plant NCO078115
General Information
The Greystone Subdivision Wastewater Treatment Plant is located off the north end of Pine Creek Road in Kernersville,
Forsyth County, North Carolina, at approximate coordinates 36.1676620, 80.0864360. Aqua North Carolina, Inc is
authorized to operate this 0.032 million -gallon -per -day (MGD) wastewater treatment plant, which consists of a bar
screen, an influent pump station, an equalization basin, dual extended aeration basins and clarifiers, a sludge digester,
tablet chlorination and dechlorination, and a flow meter, and discharge treated effluent from outfall 001 of said treatment
works, which is located approximately 25 feet east of the treatment works at approximate coordinates 36.167670°,
80.086130°, to Belews Creek, which is currently classified as Class C waters and is located in the Roanoke River
Basin.
Site Review
Mr. Boone reviewed the entire plant with Mr. Turner. No discrepancies or violations were noted. The plant
appears to be well operated and maintained.
Documentation Review
Mr. Turner had all required documentation for the inspection and everything was complete and current. This
included discharge monitoring reports, chains of custody, laboratory records, calibration records, operator visitation
records, and operation & maintenance logs. No discrepancies or violations were noted. Mr. Turner has done an
excellent job of documenting his operation and maintenance of the plant.
Salem Quarters Wastewater Treatment Plant, NCO083933
General Information
The WWTP is located inside the Salem Quarters subdivision in Winston Salem, Forsyth County, NC, at
approximately coordinates 36.191667N, 80.109722W. The permit authorizes Aqua North Carolina Inc. to operate this
0.06 MGD WWTP, which consists of a bar screen, a flowsplitter box, an equalization basin, dual aeration basins, dual
clarifiers, a sand filter, an ultraviolet disinfection system, backup chlorination, contact and dechlorination system, a
sludge holding tank, and standby power, and discharge the treated effluent via outfall 001 into an unnamed tributary
(UT) to Belews Creek, this section of which is currently classified as Class C waters in the Roanoke River basin.
Site Review -
Mr. Turner has done a good job operating and maintaining the plant. The only problem noted during the
inspection was the presence of excessive sludge solids in the weir troughs on the effluent side of the clarifiers. It is
unknown at this point what is causing the solids to accumulate in the troughs but Mr. Turner is preventing the solids
from being discharged and plans to bring the effluent filters on line to filter out the solids. It is unknown when the filters
will be brought on line. Mr. Boone noted no discrepancies.
Documentation Review
All documentation was reviewed. No discrepancixes were found. Mr. Turner has done an excellent job of
documenting the operation and maintenance of the plant as required by the permit. This includes operations and
visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains of custody, etc.

Mr. Boone noted no concerns during any of these inspections. If you have any questions regarding the
inspections or this letter, please call him or me at [phone]. Thank you for your cooperation in this matter.
Sincerely,
4- ,-v-. k�-
Sherri V. Knight
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Report
CC: ;VSRQ--SWP-`
'Ceiifil Files
NPDES Unit
Aqua North Carolina, Inc.
Attn: Dave McDaniel
152B Furlong Industrial Drive
Kernersville, NC 27284
Aqua North Carolina, Inc.
Attn: Morgan Turner
152B Furlong Industrial Drive
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 6-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 1 2 15 1 3 I NC0067091 I11 12 15/12/01 17 181,-j 19 I! I 20 L I
211111111111111 11111111111111111111111111111 �6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------Reserved----
67
701 I 71 itI I 72 1 N � 731 I 174 75
L_I LJ I I I
80
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
01:OOPM 15/12/01
12/05/01
Mikkola Downs Subdivision WWTP
Exit Time/Date
Permit Expiration Date
NCSR 2016
Kernersville NC 27284
02:OOPM 15/12/01
. 17/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Morgan LeeTurner/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas J Robetts,202 Mackenan Ct Cary NC 2751 W919-467=8712/9194661583
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E 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 Boone WSRO WQ//336-776-9690/ 1 7—7//,5
A--.—
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
wa4tA.,- Y /A/-Y15
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
'Page#

NPDES yr/mo/day Inspection Type
31 NCO067091 I11 12 15/12/01 17 18 i c i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

Permit: NCO067091 Owner - Facility: Mikkola Downs Subdivision wwTP
Inspection Date: 1210112015 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?
❑
❑
❑
Is access to the plant site restricted to the general public?
M
❑
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
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?
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
M
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
Is the chain-of=custody complete?
M
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
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 2417 with a certified operator
❑
M
❑
❑
on each shift?
Is the ORC visitation log available and current?
M
. ❑
❑.
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
El
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment: None
Laboratory
Yes No NA NE
Are field parameters performed by certified personnel or laboratory?
0
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
M
❑
❑
❑
Page# 3

Permit: NCO067091 Owner - Facility: Mikkola.Downs Subdivision WWTP
Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
M
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
0
❑
❑
❑
Celsius)?
. Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
M
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
❑
Comment: None
Effluent Sampling
Yes No NA NE
.Is composite sampling flow proportional?
❑
❑
❑
Is sample collected below alf treatment units?
❑
❑
❑
Is proper volume collected?
M
❑
❑
❑
Is the tubing clean?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
®
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
®
❑
❑
❑
representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and M ❑ ❑ ❑
sampling location)?
Comment: None
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
❑
Are the bars adequately screening debris?
0
❑
❑
❑
Is the screen free of excessive debris?
❑
❑
❑
Is disposal of screening in compliance?
N
❑
❑
❑
Is the unit in good condition?
0
❑
❑
❑
Comment: None
Aeration Basins Yes No NA NE
Page# 4

Permit: NCO067091
Owner - Facility: Mikkola Downs Subdivision WWTP
Inspection Date: 12/01/2015
Inspection Type: Compliance Evaluation
Aeration Basins
Yes No NA NE
Mode of operation -
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■ ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
0
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
N ❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
0 ❑
❑
❑
Is the DO level acceptable?
E ❑
❑
❑
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?
®
❑
❑
❑
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?
N
❑
❑
❑
Is the site free of evidence of short-circuiting?
■
❑
❑
❑
Is scum removal adequate?
®
❑
❑
❑
Is the site free of excessive floating sludge?
N
❑
❑
❑
Is the drive unit operational?
0
❑
❑
❑
Is the return rate acceptable (low turbulence)?
N
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
E
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
❑
❑
❑
■
Comment: None
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
■
❑
❑
❑
Are pumps operational?
❑
❑
❑
Are there adequate spare parts and supplies on site?
E
❑
❑
❑
Comment: None
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? N ❑ ❑ ❑
Page# 5

Permit: NC0067091
Inspection Date: 12/01/2015
Owner - Facility: Mikkola Downs Subdivision WWrP
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
Are the tablets the proper size and type?
0
❑
❑
❑
Number of tubes in use?
3
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? ® ❑ ❑ ❑
Number of tubes in use? 3
Comment: None
Flown Measurement —Effluent
Yes No NA NE
# Is flow meter used for reporting?
M
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
Is the flow meter operational?
❑
❑
❑
(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? ❑ ❑ M ❑
Comment: None
Aerobic Digester Yes No NA NE
Is the capacity adequate? ❑ ❑ ❑ ❑
Page# 6

Permit: NCO067091
Owner - Facility: Mikkola Downs Subdivision wWTP
Inspection Date: 12101/2015
Inspection Type: Compliance Evaluation
Aerobic Digester
Yes No NA NE
Is the mixing adequate?
0
❑
❑
❑
Is the site free of excessive foaming in the tank?
0
❑
❑
❑
# Is the odor acceptable?
0
❑
❑
❑
# Is tankage available for properly waste sludge?
0
❑
❑
❑
Comment: None
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Yes No NA NE
❑ ❑ ❑
■ ❑ ❑ ❑
Page# 7

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS) ,
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 E j 2- I5 I 3 I NCO078115 I11 12 16/12/01 17
18 ICI 19 I G I 20 L
211 I I I I I I I I III 1 1 1 I I I I I I I 1 1 l l l 1 l
l l l l 1 l 11 1 1 I_L_IJ66
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA
---- Reserved----
67
72 L_
70LJ 71 it_
73I 174 75
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:30AM 15/12/01
12/05/01
Greystone Subdivision WWTP
Lot 74 Creek Bed Rd
Exit Time/Date
Permit Expiration Date
Kernersville NC 27284
12:30PM 15/12/01
17/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Morgan Lee Turner/ORC/336-996-2841/
Name, Address of Responsible Official/Titte/Phone and Fax Number
Contacted
Dustin K Metreveon,NCSR 1802 Salisbury NC 28144//704-788-9497/7047886006
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: Summaryof 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//336-776-9690/
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#

NPDES yr/mo/day Inspection Type 1
31 NCO078115 I11 12I 15/12/01 117 18 I C
Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

Permit: NCO078115 Owner -Facility: Greystone Subdivision WWTP
Inspection Date: 12101/2015 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
❑
❑
0
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
®
❑
❑ .
Is access to the plant site restricted to the general public?
M
❑
❑
❑
Is the inspector granted access to all areas for inspection?
®
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
❑
Is all required information readily available, complete and current?
M
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DM Rs?
®
❑
❑
❑
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?
❑
❑
®
❑
(If the facility is = or•> 5 MGD permitted flow) Do they operate 24/7 with a'certified operator
❑
M
❑
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
❑
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?
■
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
❑
Comment: None
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? M ❑ ❑ ❑
Is sample collected below all treatment units? M ❑ ❑ ❑
Page# 3

Permit: NCO078115 Owner - Facility: Greystone Subdivision WV rrP
Inspection Date: 12101/2015 Inspection Type: Compliance Evaluation
Effluent Sampling
Yes No NA NE
Is proper volume collected?
❑
❑
❑
Is the tubing clean?
0
❑
❑
❑
# 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: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑
sampling location)?
Comment: None
Laboratory
Yes No NA NE '
Are field parameters performed by certified personnel or laboratory?
M
❑
❑
❑
Are all other parameters(excluding field parameters) performed by a certified lab?
0
❑
❑
❑
# Is the facility using a contract lab?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
0
❑
❑
❑
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
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
M ❑
❑
❑
Is the wet well free of excessive grease?
0 ❑
❑
❑
Are all pumps present?
❑
❑
❑
Are all pumps operable?
0 ❑
❑
❑
Are float controls operable?
M. ❑
❑'
❑
Is SCADA telemetry available and operational?
0 ❑
❑
❑
Is audible and visual alarm available and operational?
N ❑
❑
❑
Comment: None
Bar Screens Yes No NA NE
Page# 4

Permit: NC0078115
Owner - Facility: Greystone Subdivision VWVTP
Inspection Date: 12/01/2015
Inspection Type: Compliance Evaluation
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
❑ .
Are the bars adequately screening debris?
M
❑
❑
❑
Is the screen free of excessive debris?
M
❑
❑
❑
Is disposal of screening in compliance?
0
❑
❑
❑
Is the unit in good condition?
M
❑
❑
❑
Comment: None
Equalization Basins
Yes No NA NE
Is the basin aerated?
!
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
N
❑
❑
❑
Is the basin free of excessive grease?
®
❑
❑
❑
Are all pumps present?
®
❑
❑
❑
Are all pumps operable?
0
❑
❑
❑
Are float controls operable?
0
❑
. ❑
❑
Are audible and visual alarms operable?
0
❑
❑
❑
# Is basin size/volume adequate?
0
❑
❑
❑
Comment: None
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
0
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
■
❑
Are weirs level?
®
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
❑
Is the site free of evidence of short-circuiting?
N
❑
❑
❑
Is scum removal adequate?
0
❑
❑
❑
Is the site free of excessive floating sludge?
0
❑
❑
❑
Is the drive unit operational?
❑
❑
❑
Is the return rate acceptable (low turbulence)?
0
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately %4 of the sidewall depth)
❑
❑
❑
M
Comment: None
Page# 5

Permit: NCO078115 Owner -Facility: GreystoneSubdivision WWrP
Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
E ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
0
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
0 ❑
❑
❑
Is the DO level acceptable?
0 ❑
❑
❑
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑
❑
❑
Comment: None
J
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
❑
❑
❑
Are pumps operational?
❑
❑
❑
Are there adequate spare parts and supplies on site?
N
❑
❑
❑
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
E
❑
❑
❑
Is flow meter calibrated annually?
0
❑
❑
❑
Is the flow meter operational?
E
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
❑
Comment: NoneNone
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
E
❑
❑
❑
Are the tablets the proper size and type?
0
❑
❑
❑
Number of tubes in use?
3
Is the level of chlorine residual acceptable?
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
'❑
0
Comment: None
Page#
6

Permit: NCO078115 Owner -Facility:
Inspection Date: 12/01/2015 Inspection Type:
Greystone Subdivision WWTP
Compliance Evaluation
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
0
❑
❑
❑
Is storage appropriate for cylinders?
❑
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
❑
❑
Are the tablets the proper size and type?
0
❑
❑
❑
Comment: None
Are tablet de -chlorinators operational? ® ❑ ❑ ❑
Number of tubes in use? 3
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment: None
Aerobic Digester
Yes No NA NE
Is the capacity adequate?
M
❑
❑
❑
Is the mixing adequate?
■
❑
❑
❑
Is the site free of excessive foaming in the tank?
0
❑
❑
❑
# Is the odor acceptable?
M
❑
❑
❑
# Is tankage available for properly waste sludge?
M
❑
❑
❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ■ ❑ ❑ ❑
Solids, pH, DO, Sludge Judge,. and other that are applicable?
Comment: None
Page# 7

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 IN 1 2 15 I 3 I NCO083933 I11 12 15/12/01 17 18 1 19 I G i 201
21111111 1111111111111111111111111 11111111111 f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 CA ---------- — Reserved ----- -----
67
70 I I 71 � 72 1 �, � 731 I 174 75III J_U80
�J 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)
10:00AM 15/12/01
12/05/01
Salem Quarters WWTP
9999 Rangecrest Rd
Exit Time/Date
Permit Expiration Date
Winston Salem NC 27103
11:00AM 15/12/01
17/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Morgan Lee Tumer/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Thomas J Roberts,202 Mackenan Ct Cary NC
27511/President/919-653-6967/9194661583 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 M 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)
Names) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers bate
Ron Boone WSRO WQ//336-776-9690/
2-1 7, s--
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#

NPDES yr/mo/day Inspection Type
31 NCO083933 h � 121 15/12/91 117 18 1 C
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

Permit: NCO083933 Owner - Facility: Salem Quarters VVVVTP
Inspection Date: 12/01/2015 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?
❑
❑
❑
Is access to the plant site restricted to the general public?
0❑
❑
❑
Is the inspector granted access to all areas for inspection?
❑
❑
❑
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?
■
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
M
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑ .
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
0
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
M
❑
❑
on each shift?
Is the ORC visitation log available and current?
M
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
M
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
®
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? M ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3

Permit: NCO083933 Owner -Facility: Salem Quarters WWrP
Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
M
❑
❑
❑
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?
M
❑
❑
❑
Is proper volume collected?
❑
❑
❑
Is the tubing clean?
M
❑.
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
M
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
N
❑
❑
❑
representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑
sampling location)?
Comment: None
Bar Screens
Yes No NA NE
Type of bar screen
a.Manual
b.Mechanical
❑
Are the bars adequately screening debris?
N
❑
❑
❑
Is the screen free of excessive debris?
❑
❑
❑
Is disposal of screening in compliance?
0
❑
❑
❑
Is the unit in good condition?
0
❑
❑
❑
Comment: None
Equalization Basins Yes No NA NE
Page# 4

Permit: NCO083933 Owner -Facility: Salem Quarters WWTP
Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation
Equalization Basins
Yes No' NA NE
Is the basin aerated?
N
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
0
❑
❑
❑
Is the basin free of excessive grease?
N
❑
❑
❑
Are all pumps present?
N
❑
❑
❑
Are all pumps operable?
0
❑
❑
❑
Are float controls operable?
N❑
❑
❑
Are audible and visual alarms operable?
❑
❑
❑
# Is basin size/volume adequate?
0
❑
❑
❑
Comment: None
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
0 ❑ .
❑
❑
Are surface aerators and mixers operational?
❑ ❑
0
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
0 ❑
❑
❑
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?
N
❑
❑
❑
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?
N
❑
❑
❑
Is scum removal adequate?
0
❑
❑
❑.
Is the site free of excessive floating sludge?
0
❑
❑
❑
Is the drive unit operational?
❑
❑
E
❑
Is the return rate acceptable (low turbulence)?
0
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Page# 5

Permit: NC0083933 Owner -Facility: Salem Quarters WwrP
Inspection Date: 12/01/2015 Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No NA NE
Is the sludge blanket level acceptable? (Approximately'/< of the sidewall depth) ❑ ❑ ❑
Comment: Excessive solids in weir trough. Unknown where they're coming from. Intend to place
effluent polishing filters in operation in order to contain solids.
Pumps-RASMAS
Are pumps in place?
Are pumps operational?
Are there adequate spare parts and supplies on site?
Comment: None
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment: None
Disinfection - UV
Are extra UV bulbs available on site?
Are UV bulbs clean?
Is UV intensity adequate?
Is transmittance at or above designed level?
Is there a backup system on site?
Is effluent clear and free of solids?
Comment: None
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they. operating properly?
Comment: None
Aerobic Digester
Is the capacity adequate?
Yes No NA NE
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
■ ❑ ❑ ❑
M ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
Yes No NA NE
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ® ❑
Yes No NA NE
M ❑ ❑ ❑
Page# 6

Permit: NCO083933
Inspection Date: 12/01/2015
Aerobic Digester
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
# Is tankage available for properly waste sludge?
Comment: None
Owner - Facility: Salem Quarters WWfP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:. None
Yes No NA NE
® ❑ ❑ ❑
® ❑ ❑ ❑
■ ❑ ❑ ❑
® ❑ ❑ ❑
Yes No NA NE
®❑❑❑
® ❑ ❑ ❑
V
Page# 7

NCDENR :.
North Carolina Department of Environment and Natural Resources .
Division of, Water Resources
Water Quality Regional'Operations
Pat McCrory Donald R. van der Vaart
Governor Secretary
,,February 23, 2015
Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, President
202 Mackenan Court
Cary, NC 27511
SUBJECT: Compliance Evaluation Inspection
Greystone Subdivision Wastewater Treatment Plant
NPDES Permit: NCO078115
Forsyth County
Dear Mr. Roberts:
Ron Boone of the Winston Salem Regional Office (WSRO) of the North Carolina -Division of Water
Resources (DWR or the Division) conducted a .compliance evaluation inspection of the - Greystone Subdivision
Wastewater Treatment Plant on February 10, 2015. The assistance and cooperation of Sam Pegram, Operator in
Responsible. Charge (ORC), was greatly appreciated. An inspection report is attached for your records and the
inspection findings are summarized below.
The Greystone Subdivision Wastewater Treatment Plant is located off the north end of Pine Creek Road
in Kemersville, Forsyth County, North Carolina, at approximate coordinates 36.1676620, 80.086436°. Aqua North
Carolina, Inc is authorized to operate this 0.032 million -gallon -per -day (MGD) wastewater treatment plant, which
consists of a bar screen, an influent pump station, an equalization basin, dual extended aeration basins and clarifiers,
a sludge digester, tablet chlorination and dechlorination, and a flow meter, and discharge treated effluent from outfall
001 of said treatment works, which is located approximately 25 feet east of the treatment works at approximate
coordinates 36.1676700, 80.0861300, to Belews Creek, which is currently classified as Class C waters and is located
in the Roanoke River Basin.
SITE REVIEW
Mr. Boone reviewed the entire plant with Mr. Pegram. No discrepancies or violations were noted. The
plant appears to be operated and maintained very well.
DOCUMENTATION REVIEW
Mr. Pegram had all required documentation for the inspection and everything was complete and current.
Mr. Boone found no discrepancies or violations. Mr. Pegram has done an excellent job of documenting his operation
and maintenance of the plant.
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105
Phone: [phone] l FAX: [phone] Customer Service;1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Please keep up the excellent work in ensuring the Greystone Subdivision Wastewater Treatment Plant is
properly operated and maintained and meeting all the terms and conditions of the permit. Please remember that
violations of the permit are subject to enforcement actions not to exceed $25,000 per day, per violation.
If you have any questions regarding the inspection or this letter, please do not hesitate to contact Mr.
Boone or me at 336-776-9800. Thank you for your cooperation in this matter.
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
CC:
1. BIMS Inspection Report
Central Files
NPDES Unit _
U1CSfQlSU1YPF'ile
Aqua North Carolina, Inc.
Attn: Sam Pegram, Operator in Responsible Charge
152-B Furlong Industrial Drive
Kernersville, NC 27284

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 1 2 15 I 3 I N00078115 I11 121 15/02/10 I17 18' 19 I G � 201
.21I r6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA Reserved----
67
70I I . 71 ilI I 72 L N 731 I 174 75
LJ L� I I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:00AM 15/02/10
12105/01
Greystone Subdivision WW P
Exit Time/Date
Permit Expiration Date
Lot 74 Creek Bed Rd
11:00AM 15/02/10
17/02/28
Kernersville NC 27284
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Samuel E. Peg ram/ORC/704-489-9404/
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Contacted
Dustin K Metreveon,NCSR 1802 Salisbury NC 28144004-788-9497/7047886006
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 Boone)j� WSRO WQ//336-771-4967/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
` m�
m e
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type V
31 NCO078115 I� 12 15/02/10 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#• 2

+ Permit: NCO078115 Owner -Facility: GreystoneSubdivision WWTP
Inspection Date: 02/10/2015 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted anew ❑ ❑ ❑
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: None
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRS complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: None
Laboratory
Are field parameters performed by certified personnel or laboratory?
Are all other parameters(excluding field parameters) performed by a certified lab?
■ ❑ ❑ ❑
❑ M ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
❑ ❑ ❑
• 0 ❑ ❑
• ❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
❑ ❑ M ❑
❑ M ❑ ❑
E ❑ ❑ ❑
M ❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ■ ❑
Yes No NA NE
M ❑ ❑ ❑
M ❑ ❑ ❑
Page# 3

Permit: NCO078115 Owner -Facility: Greystone Subdivision WWTP
Inspection Date: 02/10/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
M
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
❑
'M
Comment: None
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
❑
Is sample collected below all treatment units?
❑
❑
❑
Is proper volume collected?
0❑
❑
❑
Is the tubing clean?
0❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
M
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
0
❑
❑
❑
representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑
sampling location)?
Comment: None
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
M
❑
❑
❑
Is the wet well free of excessive grease?
0❑
❑
❑
Are all pumps present?
0
❑
❑
❑
Are all pumps operable?
MEI
❑
❑
Are float controls operable?
0
❑
❑
❑
Is SCADA telemetry available and operational?
M
❑
❑
❑
Is audible and visual alarm available and operational?
M
❑
❑
❑
Comment: None
Equalization Basins Yes No NA NE
Page# 4
r

Permit: NCO078115 owner -Facility:
Inspection Date: 02/10/2015 Inspection Type:
GreystoneSubdivision WWTP
Compliance Evaluation
Edualization Basins
Yes No NA NE
Is the basin aerated?
0
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
0
❑
❑
❑
Is the basin free of excessive grease?
0
❑
❑
0
Are all pumps present?
❑
❑
❑
Are all pumps operable?
❑
❑
❑
Are float controls operable?
0
❑
❑
❑
Are audible and visual alarms operable?
0
❑
.❑
❑
# Is basin size/volume adequate?
0
❑
❑
❑
Comment: None
Bar Screens
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: None
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment: None
Secondary Clarifier
Yes No NA NE
❑
❑ ❑ ❑
❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
Yes No NA NE
Ext. Air
Diffused
■ ❑ ❑ ❑
❑ ❑ ■ ❑
■ ❑ ❑•❑
❑ ❑ ❑
■ ❑ ❑ ❑
❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
Page# 5
i
i

Permit: Nb0078115 Owner -Facility:
GreystcneSubdivision WWTP
Inspection Date: 02/10/2015 Inspection Type:
Compliance Evaluation
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?
❑
❑
M
❑
Are weirs level?
M.
❑
❑
❑
Is the site free of weir blockage?
0❑
❑
❑
Is the site free of evidence of short-circuiting?
❑
❑
❑
Is scum removal adequate?
M❑
❑ .
❑
Is the site free of excessive floating sludge?
M❑
❑
❑
Is the drive unit operational?
❑
❑
❑
Is the return rate acceptable (low turbulence)?
M
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
0
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately'/, of the sidewall depth)
❑
❑
❑
Comment: None
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
-..Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment: None
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Are the tablets the proper size and type?
Comment: None
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment: None
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
4
❑ ❑ ❑ M.
■ ❑ ❑ ❑
❑ ❑ ❑
Yes No NA 'NE
Tablet
■ ❑ ❑ ❑
❑ ❑ ■ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
■ ❑ ❑ ❑
4
Page# 6

j Permit: NCO078115
Inspection Date: 02/10/2015
Owner - Facility: Greystone Subdivision WwTP
Inspection Type: Compliance Evaluation
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
M
❑
❑
❑
Are pumps operational?
M
❑
❑
❑
.Are there adequate spare parts and supplies on site?
M
❑
❑
❑
Comment: None
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
❑
Is flow meter calibrated annually?
M
. ❑
❑
❑
Is the flow meter operational?
0
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
0
❑
❑
❑
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? M ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M ❑
Comment: None
Aerobic Digester
Yes No NA NE
Is the capacity adequate?
0
❑
❑
❑
Is the mixing adequate?
0
❑
❑
❑
Is the site free of excessive foaming in the tank?
❑
❑
❑
# Is the odor acceptable?
0
❑
❑
❑
# Is tankage available for properly waste sludge?
M
❑
❑
❑
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 M ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 7
i

& 4 74al
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
December 31, 2013
Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, President
202 Mackenan Court
Cary, NC 27511
SUBJECT: Compliance Evaluation Inspection
Greystone Subdivision Wastewater Treatment Plant
NPDES Permit: NCO078115
Forsyth County
Dear Mr. Roberts:
Ron Boone of the Winston Salem Regional Office (WSRO) of the North Carolina Division of Water
Resources (DWR or the Division) conducted a compliance evaluation inspection of the Greystone Subdivision
Wastewater Treatment Plant on December 11, 2013. The assistance and cooperation of Sam Pegram, Operator in
Responsible Charge (ORC), was greatly appreciated. An inspection report is attached for your records and the
inspection findings are summarized below.
The Greystone Subdivision Wastewater Treatment Plant is located off the north end of Pine'Creek Road
in Kernersville, Forsyth County, North Carolina, at approximate coordinates 36.1676620, 80.086436°. Aqua North
Carolina, Inc is authorized to operate this 0.032 million -gallon -per -day (MGD) wastewater treatment plant, which
consists of a bar screen, an influent pump station, an equalization basin, dual extended aeration basins and clarifiers,
a sludge digester, tablet chlorination and dechlorination, and a flow meter, and discharge treated effluent from outfall
001 of said treatment works, which is located approximately 25 feet east of the treatment works at approximate
coordinates 36.167670°, 80.086130°, to Belews Creek, which is currently classified as Class C waters and is located
in the Roanoke River Basin.
SITE REVIEW
Mr. Boone reviewed the entire plant with Mr. Pegram. No discrepancies or violations were noted. The
plant appears to be operated and maintained very well.
DOCUMENTATION REVIEW
Mr. Pegram had all required documentation for the inspection and everything was complete and current.
Mr. Boone found no discrepancies or violations. Mr. Pegram has done an excellent job of documenting his operation
and maintenance of the plant.
North Carolina Division of Water Resources, 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

Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, President
Compliance Evaluation Inspection
Greystone Subdivision Wastewater Treatment Plant
Permit #: NCO078115
12131/2013, Page 2 of 2
Please keep up the excellent work in ensuring the Greystone Subdivision Wastewater Treatment Plant is
properly operated and maintained and meeting all the terms and conditions of the permit. Please remember that
violations of the permit are subject to enforcement actions not to exceed $25,000 per day, per violation.
If you have any questions regarding the inspection or this letter, please do not hesitate to contact Mr.
Boone or me at 336-771-5000. Thank you for your cooperation in this matter.
Sincerely,
A�U - � -
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
CC:
1. BIMS Inspection Report
Central Files
NPDES Unit
WSROISWP File
Aqua North Carolina, Inc.
Attn: Sam Pegram, Operator in Responsible Charge
152-B Furlong Industrial Drive
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
Eq Washington, D.C. 20460
/y
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 15 I 31 NCO078115 111 121 13/12/11 117 181 Cl 19I S I 20I I
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -----------------Reserved ---- -----------
67 I 169 70 I_I 71 I I 72I N I 73I I 174 751 I I I I I I 180
t_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)
G reystone Subdivision WWTP
01:00 PM 13/12/11
12/05/01
Exit Time/Date
Permit Expiration Date
Lot 74 Creek Bed Rd
Kernersville NC 27284
03:30 PM 13/12/11
17/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Samuel E. Pegram/ORC/704-489-9404/
Name, Address of Responsible Official/Tifle/Phone and Fax Number
Contacted
Dustin K Metreveon,NCSR 1802 Salisbury NC 28144//704-788-9497/7047886006 Contato
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 Boone WSRO WQ//336-771-4967/
01/oz/Z a1y
L­
- -
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
3 3 (o -771 - 5 ace o / z/3 3
v
EPA Form 3560-3 (Rev 9-94) Previous editions ate obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 NCO078115 111 12I 13/12/11 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

j
Permit: NCO078115 Owner -Facility: Greystone Subdivision WWTP
Inspection Date: 12/11/2013 Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5, MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator, certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: Please refer to the attached inspection summary letter.
Laboratory
Are field parameters performed by certified personnel or laboratory?
Yes No NA NE
Yes No NA NE
■nnn
■nnn
■nnn
■nnn
■nnn
■
■
■
4
■
■
■
■ n n n
nn■o
n■nn
nnn
■nnn
■nnn
■nnn
nn■o
Page # 3

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection. Date: 12/11/2013 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
❑
❑
Cl
Incubator (Fecal Coliform),set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
■
n
❑
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
n
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling
Yes No
NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Pump Station - Influent
Yes
No
NA
NE
Is the pump wet well free of bypass lines or structures?
■
n
n
n
Is the wet well free of excessive grease?
■
n
n
n
Are all pumps present?
■
n
❑
Q
Are all pumps operable?
■
n
❑
n
Are float controls operable?
■
❑
n
n
Is SCADA telemetry available and operational?
■
n
n
n
Is audible and visual alarm available and operational?
■
❑
n
❑
Comment: Please refer to the attached inspection summary letter.
Bar Screens
Yes No
NA
NE
Type of bar screen
a.Manual
■
b.Mechanical
n
Page # 4

J
Permit: NCO078115
Inspection Date: 12/11/2013
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: Please refer to the attached inspection summary letter.
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?
Comment: Please refer to the attached inspection summary letter.
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Yes
No
NA
NE
®nnn
■nnn
■nnn
■nnn
Yes
No
NA
NE
■nnn
■nnn
■ n n n
■nnn
■ n n n
■ n n n
■nnn
■nnn
Yes No NA NE
Ext. Air
Diffused
■nnn
nn■n
■nnn
■ n n n
■nnn
■nnn
■nnn
■nnn
nn■n
■ n n n
Page # 5

Permit: NC0078115 Owner - Facility:
Inspection Date: 12/11/2013 Inspection Type:
Greystone Subdivision WWTP
Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Is the site free of weir blockage?
■
n
n
0
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
■
n
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
n
n
■
n
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately''/ of the sidewall depth)
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Yes No
NA
NE
Are pumps in place?
■
n
n
n
Are pumps operational?
■
n
n
n
Are there adequate spare parts and supplies on site?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Disinfection -Tablet
Yes No
NA
NE
Are tablet chlorinators operational?
■
n
n
n
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
4
Is the level of chlorine residual acceptable?
❑
❑
n
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
n
n
n
Is storage appropriate for cylinders?
n
n
■
# Is de -chlorination substance stored away from chlorine containers?
®n
n
n
Are the tablets the proper size and type?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Are tablet de -chlorinators operational?
■
n
n
n
Page # 6

Permit: NCO078115
Inspection Date: 12/11/2013
De -chlorination
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Number of tubes in use?
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment: Please refer to the attached inspection summary letter.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Is the capacity adequate?
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
# Is tankage available for properly waste sludge?
Comment: Please refer to the attached inspection summary letter.
Standby Power
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source?
Is the generator tested under load?
Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Comment: No standby power on site.
Operations & Maintenance
Yes No NA NE
4
Yes No NA NE
Yes No NA NE
■nnn
■nnn
nn■n
Yes No NA NE
■ n n n
■ n n n
■ n n n
■nnn
■nnn
nn■n
nn■n
nn■n
nn■n
nn■n
nn■n
nn■n
Yes No NA NE
Page # 7

0
Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 12/11/2013 Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Yes No NA NE
■nnn
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ Cl n n
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 8

-a
r
p�jj
CDE
North Carolina Department of Environ-ment.and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder
Governor Director
September 18, 2013
Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, & C00 President
202 Mackenac Ct
Cary, NC 27511
Subject: Notice of Violation: NOV-2013-LV-0539
Permit No. NCO078115
Greystone Subdivision WWTP
Forsyth County
Dear Mr. Roberts:
John E. Skvarla, III
Secretary
A review of Greystone Subdivision WWTP's monitoring report for June 2013 showed the following violations:
Limit Violations
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N)
6/30/2013
2 mg/I
2.55 mg/I
Monthly Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s).' Please be
aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any
additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Section
Division of Water Resources
cc: Point Source Branch
SWP — Central Files
'W_s' File
North Carolina Division of Water Resources, 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
One
NofthCarolina
An Equal Opportunity 1 Affirmative Action Employer

DMR Review Record
Facility: Greystone Subdivsion WWTP Permit No.: 78115 Pipe No.: 001 Month/Year: 06/2013
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit Action,
NH3 2 2.55 27.50
#DIV/O!
#DIV/0!
#DIV/O!
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit
#DIV/0!
#DIV/0!
#DIV/O!
#DIV/O!
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
ipleted by:
Ron Boone
Criteria
Failure to monitor parameter with limit: $50
Failure to monitor parameter without limits: $25
Any facility with just a single daily max violation to receive NOV only.
No civil assessment cases for less than $100, not including cost of investigation. NOV only.
Threshold for flow is 10%; threshold for all other parameters is 20%.
Stipulated demand letters for SOCs..... automatic.
Failure to obtain a permit ..... $4,000.
Date:
9/9/13
Action
Action
Multipliers:
Number of assessments for previous 12 months:
0-2 Multiply base penalty by 1.0
3-5 Multiply base penalty by 1.25
6-8 Multiply base penalty by 1.5
9-12 Multiply base penalty by 2.0
Delgated Fast Track Penalties/Base
Penalty Amounts:
DMR Monthly Flow Avq
Monthly Average
Weekly Average
Daily Max
:50.05 MGD---------
$0-500
$0-200
$0-200
>0.05 but <0.1 MGD
$0-1,000
$0-500
$0-200
>_0.1 but <0.5MGD
$0-1,500
$0-500
$0-500
>_0.5 but <1.0 MGD
$0-2,000
$0-500
$0-500
>_1.0 but <10.0 MGD
$0-3,000
$0-1,000
$0-500
>_10.0 but <25.0 MGD
$0-4,000
$0-1,000
$0-500
>_25.0 MGD
$0-5,000
$0-1,000
$0-500
Supervisor Remarks: V
Regional Water Quality Aeft
Supervisor Sign Off: Date:
r

NL Dept. of 1=1-,!R
y 4r{nston-sale l l l
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, NC 27511
January 25, 2012
Point Source Branch
Surface Water Protection Section
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Delegation of Signature Authority
To Whom It May Concern:
Thomas J. Roberts
President and Chief Operating Officer
T: 919.653.5770
F: 919.460.1788
[e-mail]
www.aquanorthcarolina.com
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations on the
attached list as required by all applicable federal, state, and local environmental agencies specifically with
the requirements for signatory, authority as specified in 15A NCAC 2B.0506.
Name
Title
Thomas J. Roberts
President and COO
Jack Lihvarcik
Operations Manager
Robert Ashley
Regional Supervisor
Matthew Costner
Regional Supervisor
Larry Finnicum
Area Manager
Michael Melton
Regional Manager of Compliance
Duane Rimrner
Regional Supervisor
If you have any questions regarding this letter, please feel free to contact me at 919-653-5770.
President and COO
cc: Winston Salem Regional Office, DWQ
Mooresville Regional Office, DWQ
Ia.06Vgqa C4, C-�a,ile;6s.'/ 6"¢a. e-
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An Aqua America Company

Permit No.
Facility
County
NC0028746
Briarwood SD WWTP
Stokes
NC0063720
Forest Ride WWTP
Forsyth
NC0065587
Frye Bride WWTP
Forsyth
WIMOR8II5
Grp sf rreTS�il!+111aTP
Melbille ReGgFts WWTP
_ :aFs lh
R'ndl—ti
NCW050792
NC0067091
Mikkola Downs WWTP
Forsyth
NC0078158
Olde Beau GC WWTP
AI hn
NC0055191
Penman Hei hts WWTP
Rndl h
NC0083925
Salem Glen SD WWTP
Dvdsn
NC0083933
Salem Quarters
Forsyth
NC0083941
Spring Creek WWTP
Dvdsn
NC0084409
Wellesley Place WWTP
Forsyth
NC0034452
Willow Creek WWTP
Dvdsn
NC0088536
Bannertown Hills W#2
Surry
NC0088552
Colonial Wds - W#2
Surr
NC0088552
Colonial Wds-W 1
Surr
NC0088528
Hillcrest SD - Well #3
Surry
NC0088498
Mitchell Bluff - Well #1
Surry
NC0088854
Pine Lks W 2
Surry
NC0088633
Reeves Wds W 42
Surry
NC0088617
Snow Hill SD
Surry
NC0088501
Stonin ton SD - Well #1
Forsyth
NC0088625
The Hollows SD
Surr
NC0088609
Wind ate SD
Surry
NC0065749
Ashe Plantation WWTP
Mklb
WQ0024694
Bri hts Crk WWT RWUS
Polk
NC0065684
Country Wood WWTP
Union
NC0063860
Harbor Estates WWTP
Mklb
NC0063789
Mint Hill Festival WWTP
Mklb
NC0063584
Oxford Glen WWTP
Mklb
NC0073539
Willowbrook SD WWTP
Mklb
NC0072061
Fox Run WTP
Gaston
NC0084468
Keltic Meadows WTP #2
Gaston
NC0086193
Ma lecrest WTP
Gaston
NC0086142
Oakley Park 1
Gaston
NCO086142
O@klev Park 2
Gaston
NC0069035
South ate WTP
Gaston
NC0075205
Alexander Island WWTP
Iredell
NC0056154
Bdd e orl WWTP
Iredell
NC0068742
Country V211ev WWTP
Catawba
NC0074772
Diamond Head WWTP
Iredell
NC0074900
Hiohway 150 WWTP
Iredell
NC0063355
Killian Xroads WWTP
Catawba
NC0062481
Mallard Head WWTP
Iredell
NC0028941
Pine Valley SD WWTP
Rowan
NC0060593
Spinnaker Bay WWTP
Catawba
NC0080691
Windemere WWTP
Iredell

16a
WNW
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Thomas J. Roberts
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, North Carolina 27511
Dear Mr. Roberts:
Charles Wakild, P.E.
Director
February 1, 2012
Dee Freeman
Secretary
Subject: DRAFT NPDES PERMIT
Permit Number NCO078115
Greystone Subdivision WWTP — Class WW-2
Forsyth County
Enclosed with this letter is a copy of the draft permit for your facility. Please review the
draft very carefully to ensure thorough understanding of the conditions and requirements it
contains. Your permit is among several in the Roanoke River Basin that the Division has
targeted for expedited renewal.
The following modifications have been made to the draft permit:
• Added list of components on the Supplement to Permit cover sheet.
• Parameter codes have been added to Sections A.(1.).
• A Total Residual Chlorine footnote has been updated in Section A.(1.).
Please submit any comments to me no later than thirty (30) days following your receipt of
the draft. Comments should be sent to the address listed at the bottom of this page. If no adverse.
comments are received from the public or from you, this permit will likely be issued in mid -
March 2012, with an effective date of May 1, 2012.
If you have any questions or comments concerning this draft permit, please contact me at
[phone] or Maureen. Scardinakncdenr.gov.
Sincerely,
Maureen Scardina
cc: NPDES Unit
ec: Winston-Salem Regional Office, Surface Water Protection Section
Steve Reid, Technical Assistance & Certification Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone]
Internet: http://portal.ncdenr.org/web/wgmome
An Equal Opportunity \ Affirmative Action Employer
ontr`
NVoCarolina
171

d
Permit NCO078115
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 Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Greystone Subdivision WWTP
Creek Bed Road
North of Kernersville
Forsyth County
to receiving waters designated as an unnamed tributary to Belews Creek in the Roanoke River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III and IV hereof.
This permit shall become effective
, 2012.
This permit and authorization to discharge shall expire at midnight on February 28, 2017.
Signed this day , 2012.
DRAFT
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

ft
Permit NC0078115
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this 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.
Aqua North Carolina, Inc. is hereby authorized to:
1. Continue to operate an existing 0.032 MGD package type wastewater treatment system with the
following components:
♦ Bar screen
♦ Influent pump station
♦ Equalization basin
♦ Dual extended aeration basins and clarifiers
♦ Sludge digester
♦ Chlorination
♦ Dechlorinator
♦ Flow meter
The facility is located off Creek Bed Road, north of Kernersville at Greystone Subdivision in
Forsyth County.
2. Discharge from said treatment works at the location specified on the attached map into Right Fork
Belews Creek, currently classified C waters in subdivision 03-02-01 of the Roanoke River Basin.

e
Permit NCO078115
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - DRAFT
During the period beginning April 1, 2007 and lasting until expiration, the Permittee is authorized to
discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Daily
Measurement
Sample
Sample
Parameter Code
Average
Maximum
Frequency
Type
Location'
Flow
50050
0.032 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)
C0310
23.0 mg/L
34.5 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
C0530
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NE3 as
s a NH3 N —Summer*
10
2.0 mg/L
10.0 mg/L
Weekly
Composite
Effluent
NH3 as N — Winter
C0610
4.0 mg/L
20.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen
Daily average > 5.0 mg/L
Weekly
Grab
Effluent
00300
Fecal
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine
50060
17 ug/L
2/Week
Grab
Effluent
pH
Not < 6.0 nor > 9.0
00400
Standard Units
Weekly
Grab
Effluent
Temperature (°C)
00010
Daily
Grab
Effluent
Temperature (°C)
Upstream &
00010
Weekly
Grab
Downstream
Dissolved Oxygen
Upstream &
00300
Weekly
Grab
Downstream
*Summer: April 1— October 31
*Winter: November 1— March 31
Footnotes:
1. Upstream = 20 feet from discharge point; Downstream = 0.18 mile from discharge point.
2. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance
with the permit. However, the Permittee shall continue to record and submit all values reported by
a North Carolina certified laboratory (including field certified), even if these values fall below 50
µg/L.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS

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DISCHARGE
_
POINT
Facility
Aqua North Carolina, Inc.
Greystone Subdivision WWTP
Location
County: Forsyth Stream Class: C
Receiving Stream: Right Fork Belews Creek Sub -Basin: 030201
(not to scale)
Latitude: 36° 10' 03" Grid/Quad: Belews Creek
Longitude: 80° 05' 08" HUC: 03010103
NORTH
NPDES Permit: NCO078115

A+��
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November 22, 2011
Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, President & CEO
202 MacKenan Court
Cary, NC 27511
Subject: Compliance Evaluation Inspection
Permittee: Aqua North Carolina, Inc.
Facility: Greystone Subdivision Wastewater Treatment Plant
NPDES Permit #: NCO078115
Forsyth County
Dear Mr. Roberts:
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 subject facility on November
17, 2011. George Gatewood's assistance and cooperation during the inspection was greatly
appreciated. An inspection checklist is attached for your records and inspection findings are
summarized below.
General Information
The wastewater treatment plant (WWTP) is located just east of and near the north end of Creek
Bed Road, in the Greystone Subdivision, in Kernersville, Forsyth County, NC, at approximate
coordinates 36.167663°,-80.0864060. The permit authorizes Aqua NC to operate this 0.032 MGD
WWTP, which consists of an influent pump station, a bar screen, an equalization, basin, dual ;aeration
basins and clarifiers, a sludge digester, tablet chlorination, tablet dechlorination,`and an effluent flow
meter. Aqua NC is further authorized to discharge the treated effluent from this WWTP via outfall 001,
which is located at approximate coordinates 36.167674°,-80.086066°, into Right Fork Belews Creek,
which is currently classified as Class C waters in the Roanoke River Basin.
Site Review
The plant itself appears to be in very good condition and Mr. Gatewood is doing an excellent job
of operating the plant. Everything is currently operational and the plant is meeting effluent limitations
the majority of the time. It is noted that there was a problem with the telemetry for the influent pump
station on the morning of the inspection due to service provider issues. Mr. Gatewood was confident
that the issue would be resolved quickly and service would be restored. The pump station also has
audible and visual alarms that were operational the morning of the inspection, however Aqua NC
should consider replacing the existing audible alarm because it is not very loud and it's questionable
whether anyone in the area would be able to hear it. It is also noted that the plant has no backup
.power supply source. Mr. Boone noted no other deficiencies or violations.
Documentation Review
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] l Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
Nne
orthCarolina
Natund,ff
An Equal Opportunity 1 Affirmative Action Employer

Aqua North Carolina, Inc.
Attn: Thomas J. Roberts, President and CEO
Compliance Evaluation Inspection
NC0078115, Greystone Subdivision WWTP
Page 2 of 2, November 22, 2011
All documentation was reviewed. Mr. Gatewood has done an excellent job producing and
keeping the records needed on file. Discharge monitoring reports and field and non -field laboratory
records for 2010 were compared and no discrepancies were found. Sludge management records were
mostly complete, however Mr. Boone did have to ask Mr. Gatewood to provide copies of receipts from
the sludge pumping contractor for the last couple of years. Mr. Gatewood has some of these records
on file at the plant but not all of them. Aqua NC should keep copies of all sludge pumping contractor
receipts or manifests at the plant for five years. Mr. Gatewood has outstanding operator visitation and
operation and maintenance logs.
Mr. Boone noted no other deficiencies or violations during his inspection. If you have any
questions regarding the inspection or this letter, please call him or me at [phone]. Thank you
for your cooperation in this matter.
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
BIMS Inspection Report
cc: w�®s�
Central Files
NPDES Unit
George Gatewood
2750 US Hwy 311
Madison, NC 27025

United States Environmental Protection Agency
Form Approved.
EP fl Washington, D.C. 20460
H
OMB No. 2040-0057
Water CompliAncp Insipprtion 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 INI 2 15I 31 NCO078115 111 121 11/11/17 117 181 CI 19I S I 20III
Remarks
2111111111111111111111111111111111111.1111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA ------------ —--- -------- Reserved ---------------------
67I 169 701 I 711 I 721 N I 73I IW 174 751 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)
Greystone Subdivision WWTP
09:00 AM 11/11/17
07/11/01
Exit Time/Date
Permit Expiration Date
Lot 74 Creek Bed Rd
Kernersville NC 27284
10:30 AM 11/11/17
12/02/29
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
George Richard Gatewood/ORC/336-215-1048/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Dustin K Metreveon,NCSR 1802 Salisbury NC 2814411704-788-9497/7047886006 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 Boone WSRO WQ//336-771-4967/
�V
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
a 34- 71
4 q 'N J2z/ l 1
i
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 I NCO078115 111 12, 11 /11 /17 117
18I d
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

Permit: NCO078115
Inspection Date: 11/17/2011
Owner -Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
❑
n
■
n
# Are there any special conditions for the permit?
n
■
n
Cl
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
®
n
n
n
Comment: Plant is not described in permit.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
Cl
❑
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
Cl
Are analytical results consistent with data reported on DMRs?
■
❑
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
❑
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
n
■
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
■
n
n
Is the ORC visitation log available and current?
■
n
Q
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
Cl
0
n
Is a copy of the current NPDES permit available on site?
■
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
n
❑
■
❑
Comment: Please refer to the attached inspection summary letter..
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
M
n
n
n
Page # 3

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 11/17/2011 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
Cl
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
n
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
■
n
n
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
171
171
Is the tubing clean?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
fl
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Pump Station - Influent Yes No NA NE
Is the pump wet well free of bypass lines or structures?
■
n
n n
Is the wet well free of excessive grease?
■
n
n n
Are all pumps present?
■
n
❑ n
Are all pumps operable?
■
n
n n
Are float controls operable?
■
n
n n
Is SCADA telemetry available and operational?
n
■
n n
Is audible and visual alarm available and operational?
■
n
n n
Comment: Telemetry system was not operational on the morning of the inspection due
to a problem with the service provider. Audible alarm is not very loud and a new louder
one should be installed.
Bar Screens
Type of bar screen
Page # 4

f
Permit: NCO078115
Inspection Date: 11/17/2011
a.Manual
b.Mechanical
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: Please refer to the attached inspection summary letter.
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?
Comment: Audible alarm is not very loud and a new louder one should be installed.
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/I)
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Yes No NA NE
■
n
■❑n❑
■❑nn
■nnn
■000
Yes No NA NE
Ext. Air
Diffused
■nnn
n Cl ■ ❑
■n❑n
■❑❑❑
■❑nn
❑❑❑■
nn❑■
■❑❑n
Page # 5

Permit: NC0078115 Owner - Facility:
Inspection Date: 11/17/2011 Inspection Type:
Greystone Subdivision WWTP
Compliance Evaluation
Secondary Clarifier
Yes No
NA
NE
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
n
Are weirs level?
■
n
n
n
Is the site free of weir blockage?
■
n
n
n
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
■
n
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
n
n
■
n
Is the return rate acceptable (low turbulence)?
■
n
n
❑
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth)
❑
❑
n
■
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Yes No
NA
NE
Are pumps in place?
■
n
n
n
Are pumps operational?
■
n
n
n
Are there adequate spare parts and supplies on site?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Disinfection -Tablet
Yes No
NA
NE
Are tablet chlorinators operational?
®
n
❑
0
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
4
Is the level of chlorine residual acceptable?
❑
❑
❑
■
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Page # 6

Permit: NCO078115
Inspection Date: 11/17/2011
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
De -chlorination
Yes
No
NA
Nt
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
n
■
Is storage appropriate for cylinders?
n
n
■
n
# Is de -chlorination substance stored away from chlorine containers?
■
n
n
n
Are the tablets the proper size and type?
■
n
n
❑
Comment: Please refer to the attached inspection summary letter.
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
4
Comment: Please refer to the attached inspection summary letter.
Effluent Pipe
Yes No
NA
NE
Is right of way to the outfall properly maintained?
■ n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■ n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n n
■
n
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Yes No
NA
NE
Is the capacity adequate?
■
n
n
n
Is the mixing adequate?
MOOO
Is the site free of excessive foaming in the tank?
■
n
n
❑
# Is the odor acceptable?
■
❑
n
❑
r-I
M
# Is tankage available for properly waste sludge? ■ —
Comment: Please refer to the attached inspection summary letter.
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 ■ n n n
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 7

��
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
THOMAS J ROBERTS
PRESIDENT AND COO
AQUA NORTH CAROLINA INC
202 MACKENAN COURT
CARY NC 27511
Dear Mr. Roberts:
Division of Water Quality
Coleen H. Sullins
Director
September 12, 2011
Dee Freeman
Secretary
RECEIVED
N.C. Dept. of ENR
SEP 1 9 2011
Winston-Salem
Regional ice
Subject: Receipt of permit renewal application
NPDES Permit NCO078115
Greystone Subdivision WWTP
Forsyth County
The NPDES Unit received your permit renewal application on September 6, 2011. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires. ,
If you have any additional questions concerning renewal of the subject permit, please contact John
Hennessy at [phone].
Sincerely,
�EIEP 3/1
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
­wWIins on�5alern%Re�egic�n irWfEigc/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarohna
Internet: vvww.ncwaterquality.org Naturally
An Equal Opportunity 1 Affirmative Action Employer

August 22, 2011
Mrs. Dina Sprinkle
NC DENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Application for Permit Renewal
Aqua North Carolina, Inc.
Greystone Subdivision WWTP
NPDES No. NCO078115
Forsyth County
Mrs. Sprinkle:
Attached are three (3) copies of the completed NPDES application - Form D, the
location map, and the Sludge Management Plan for the subject WWTP.
If you need any additional information or assistance regarding the permit renewal
documents, please feel free to contact our Regional Compliance Manager,
Michael Melton.@ 704-489-9404 ext. 57238 or by e-mail at
MAMelton(D,aguaamerica.com.
Since
Thomas J. oberts
President & COO, Aqua North Carolina, Inc.
Enc
cc: Larry Finnicum, Aqua North Carolina, Inc.
Duane Rimmer, Aqua North Carolina, Inc.
Michael Melton, Aqua North Carolina, Inc.
�_ L
�. --
L " Do
S E P 6 2011
Ds�R-�ra,rER c�ua�i ��r
POINT SOURCE BRANCH

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 NC0078115
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
AQUA NORTH CAROLINA, INC.
Facility Name
GREYSTONE SUBDIVISION WWTP
Mailing Address
202 MACKENAN COURT
City
CARY
State / Zip Code
NC 27511
Telephone Number
[phone]
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 CREEK BED ROAD - NORTH OF KERNERSVILLE
City KERNERSVILLE
State / Zip Code NORTH CAROLINA / 27284
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 AQUA NORTH CAROLINA, INC.
Mailing Address 202 MACKENAN COURT
City CARY
State / Zip Code NORTH CAROLINA 27511
Telephone Number [phone]
Fax Number [phone]
1 of 3 Form-D 05/08

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 128
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
This wastewater system serves residential customers only
Population served: 320
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) 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):
Right Fork Belews Creek
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 24 hours
9. Describe the treatment system
List all installed components, including 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.
This 0.032 mgd wastewater treatment facility consists of:
• Bar Screen
Influent pump station
• Equalization Basin
Dual extended aeration basins and clarifiers
• Sludge digester
• Chlorination
• Dechlorinator
• Flow meter
2 of 3 Form-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 0.032 MGD
Annual Average daily flow 0.013 MGD (for the previous 3 years)
Maximum daily flow 0.023 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® 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 one 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)
8.0
2.7
MG/L
Fecal Coliform
290
9.9
#/ 100ML
Total Suspended Solids
32
6.9
MG/L
Temperature (Summer)
27.9
25.3
'Celsius
Temperature (Winter)
16.1
13.9
° Celsius
pH
8.8
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO078115 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 istrue, complete, and accurate.
Print a o Person Signin Title 40M
Signature of Wlicafit
North CarolimfGeneral 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

2
Aqua North Carolina, Inc. www.aquaamerica.com
202 MacKenan Court
Cary, NC 27511
SLUDGE MANAGEMENT PLAN
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated by Aqua
N.C., Western Division
Where practical, sludge removed from a Aqua N.C., Western Division facility will
be transported via a contract hauler to another Aqua N.C., Western Division
facility for the purpose of "seeding" a new or under loaded plant.
Unusable (or "dead") sludge will be removed by a contract hauler and properly
disposed of in accordance with NCGS 143-215.1. Contract haulers used by Aqua
N.C., Western Division will be required to report the quantity of sludge
transported and identify the location of the proposed disposal site if the sludge is
not taken to an existing.plant operated by Aqua N.C., Western Division. Aqua
N.C., Western Division has not entered into any agreement to accept sludge into
its facilities from plants not owned by them.
Aqua N.C., Western Division will keep records on the quantity of sludge removed from
each facility, the name of the contract hauler, and the destination of the sludge (whether
used in another plant or disposed of). The information will be kept on file and will be
made available to any regulatory agency having jurisdiction over sludge treatment or
disposal.
Aqua N.C., Western Division includes all of the facilities under the jurisdiction of the
Winston-Salem Regional Office.

Boone, Ron
From: Boone, Ron
Sent: Monday, August 08, 2011 10:37 AM
To: Rimmer, Duane D.
Cc: Boone, Ron
Subject: Greystone Subdivision 04/2011 DMR NH3 Violations
Duane,
After reading the comments on the reverse side of the DMR for Greystone for 04/2011, we've decided NOT to take
enforcement action. Therefore, no further written response is required as requested in the NOV letter (NOV-2011-LV-
0294). The NOV still stands though as we would have issued a NOV regardless. I'll print this email to keep with the NOV
letter in Greystone's file. Let me know if you have any further questions.
Thanks,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [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.

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 1, 2011
CERTIFIED MAIL 7010-2780-0001-4221-6290
RETURN RECEIPT REQUESTED
Aqua North Carolina Inc.
Attn: Thomas J. Roberts, President
202 Mackenan Court
Cary, NC 27511
Subject:
Dear Mr. Roberts:
Notice of Violation and Recommendation for
Enforcement
Tracking #: NOV-201 1 -LV-0294
NPDES Permit No. NCO078115
Greystone Subdivision WWTP
Forsyth County
A review of the April, 2011 self -monitoring report for the subject.facility revealed a violation of
the following parameters:
Date
Outfall
Parameter
Reported Value
Permit Limit
04/26/2011
001
Ammonia
13.1 (mg/1)
10.0 (mg/1)
Nitrogen Total
04/30/2011
001
Ammonia
5.2 (mg/1)
2.0 (mg/1)
Nitrogen Total
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued
for the noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No.
NC0078115. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand
dollars ($25,000.00) may be assessed against any person who violates or fails to act in accordance
with the terms, conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you
wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within fifteen (15) days after receipt of this
Notice. A review of your response will be considered along with any information provided on the
April, 2011 Discharge Monitoring Report. You will then be notified of any civil penalties that may be
assessed regarding the -violations. If no response is received in this Office within the 15-day
period, a civil penalty assessment may be prepared.
North Carolina Division of Water Quality— Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, NC 27107
Phone: [phone]\ Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: http://portal.ncdenr.org/web/wq
NorthCarolin�
Nahmal&
An Equal Opportunity \ Affirmative Action Employer

Aqua North Carolina Inc.
Attn: Thomas J. Roberts, President
NOV-201 1 -LV-0294
Greystone Subdivision WWTP, NCO078115
Page 2-of-2;-7128/2011 -- --
Remedial actions, if not already implemented, should be taken to correct any problems. The
Division of Water Quality may pursue enforcement actions for this and any additional violations. If the
violations are of a continuing nature, not related to operation and/or maintenance problems, and you
anticipate remedial construction activities, then you may wish to consider applying for a Special Order
by Consent. You may contact Ron Boone of this Office for additional information.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or
me at [phone].
Sincerely,
W. Corey Basinger
Surface Water Protection
Regional Supervisor
cc: Point Source Branch
WSRO/SWP'

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Grret shne ijlhlTP Permit/Pipe No.: 5 o Month/Year /
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter
2� 3
Permit UrnitfTvpe DNIR Value % Over Limit
/` BAR l3 • / � / l
Monitoring Frequency Violations
Date Parameter
Permit Frequency Values Reported # of Violations
Other Violations
D°� o a•77 0U•
71
S
Completed by: O� •
477 e Date: 7 a
Regional Water Quality
Supervisor Sianoff:
Date:

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: & f 6jiv1 f- 5P Permit/Pipe No.: 2Kl f Month/Year
KrwTJP
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limitfl'vpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: P Date:
Regional Water Quality
Super\;isor SiQnoff: Date:
Z) ju rz
> i

I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 12, 2010
Thomas J. Roberts, & COO President
Aqua North Carolina, Inc.
202 Mackenac Ct
Cary, NC 27511
Subject: NOTICE OF VIOLATION, NOV-2010-LV-0254
Permit No. NCO078115
Greystone Subdivision WWTP
Forsyth County
Dear Mr. Roberts:
A review of Greystone Subdivision WWTP's monitoring report for April 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
04/30/10
2 mg/l
2.77 mg/1
Monthly
(as N) - Concentration
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality 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: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality. Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wvw.ncwaterquality.org
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCar:olina
Natirally
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
D-AIR Review Record
Facility: , 5D Pem-it/Pipe No.: 7;'//,5 66/ Month/Year
w� r
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
v .2 .27
Weekly/Daily Violations
Date Parameter Permit Limit/Tv4 DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequencv Values Reported # of Violations
Other Violations a
IA
Completed by: — Date:_0-7��/1�
Regional Water Quality
Supervisor Signoff: Date:

EFFLUENT
( April 1 through October 31 )
NPDES PERMIT NO.: NCO078115 DISCHARGE NO.: 001 MONTH: AP YEAR: 2010
FACILITY NAME: GREYSTONE CLASS: II COUNTY: ,rar6 9;1'
OPERATOR IN RESPONSIBLE CHARGE: GEORGE GATEWOOD GRADE: III PHONE: [phone]
CERTIFIED LABORATORIES: (1) WATER TECH LABS (2) R&A LABS
Check box if ore has changed [ X ] PERSON(S) COLLECTING SAMPLES: GEORGE GATEWOOD
Mail ORIGINAL and ONE COPY to: /
ATTN: CENTRAL FILES �X A a
DIVISION OF WATER QUALITY (SIGNATURE OF ORC) DATE
DENR BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27699-1617
RECEIVED
N.C. Deot of ENR
i
JUL 0 6 2010
Winston-Salem
Regional Office
50050
00010
00040
50060
00310
00610
00530
31616
00300
00626
00630
. 00600
00665
D
A
T
E
Opr.
Arrive
Time
2400
clock
Opr.
Time
on
Site
Orc
on
Site
Flow
( ] Inf
Eff
Temp.
pH
Res
Cl2
BOD5
@
20C
NH3-N
T
S
S
Fecal
Coliform
Geometric
Mean
Dissolvd
Oxygen
(DO)
Total
Khejdahl
Nitrogen
Nitrates
Nitrites
T061
Nitrogen
Total
Po4
D
A
T
E
#
jHRS
JHRS
Y/N
I MGD
I C
UNITS
u /L
m /L
I m /L
m /L
I #/100ml
mg/L
m /L
m /L
m /L
m /L
I #
1
07:10
1.00
Y
0.0140
13.5
1
2
08:05
0.50
B
0.0140
14.0
2
3
0.0140
3
4
0.0140
4
5
11:30
2.50
Y
0.0120
16.8
7.50
<10
9.6
5
6111:301
2.50
Y
I 0.D100
18.6
6
7
08:45
1.00
Y
0.0100
18.8
6.0
6.80
4.7
< 1
8.68
0.41
9.09
4.27
7
8
11:30
2.50
Y
0.0260
19.3
<10
8
9
13:30
0.50
Y
0.0230
17.1
9
10
0.0140
10
11
0.0140
11
12
11:30
2.50
Y
0.0130
15.2
8.00
<10
9.9
12
13
11:30
2.50
Y
0.0100
16.0
13
14
10:00
1.00
Y
0.0110
16.2
2.2
4.80
< 2.5
< 1
14
15
09:10
1.00
Y
0.0100
14.9
<10
15
16
09:00
2.50
Y
0.0100
16.1
1
16
17
0.0100
17
181
0.0130
18
19
11:46
2.50
Y
0.0080
15.3
7.90
<10
10.0
19
20
09:00
2.00
Y
0.0090
15.3
1
20
21
10:00
1.00
Y
0.0080
15.9
5.2
7.80
4.8
< 1
21
22
11:30
2.50
Y
0.0090
15.4
<10
< 0.50
22
23
09:00
2.00
Y
0.0070
16.0
< 0.50
23
241
1 0.1010
1
24
25
0.0130
25
26
06:15
0.50
Y
0.0110
17.7
9.5
26
27
07:10
1.00
Y
0.0070
17.4
7.90
<10
< 0.50
27
28
09:45
1.00
Y
0.0070
15.5
4.6
< 0.50
14.4
< 1
28
29
10:10
1.00
Y
0.008D
14.8
<10
29
30
12:00
2.00
Y
0.0090
16.0
30
31
AVERAGE
0.0146
16.2
7.83
<10 1
4.50
41 "1
6.6
< 1
9.75
8.68
0.41
9.09
4.27
#
MAXIMUM
0.1010
19.3
8.00
<10
6.0
7.80
14.4
< 1
10.00
8.68
0.41
9.09
4.27
#
MINIMUM
0.0070
13.5
7.50
<10
2.2
< 0.50
< 2.5
< 1
9.47
8.68
0.41
9.09
4.27
#
COMP/GRAB
CONT.
GRAB
GRAB
GRAB
COMP.
COMP.
COMP.
GRAB
GRAB
COMP
COMP
COMP.
COMP.
#
DAILY LIMIT
NA
NA
NA
17
45
NA
45
400
N/A
NA
NA
NA
NA
#
QUARTERLY LIMIT
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.0
#
MONTHLY LIMIT
0.027
NA
>6,<9
NA
30
2
30
200
NA
NA
NA
NA
NA
#
MONITORING FREQUENCY
Cont.
Daily
Wkly
2/wk
W dy
Wldy
Wkly
Wk)y
Wldy
Quarterly
Quarterly
Quarterly
Quarterly
#
FREQUENCY MET
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
#
COMPLIANT
YES I
YES
YES I
YES I
YES
NO
YES
YES
YES I
YES I
YES
YES
YES
#
Total Monthly Flow 0.4390 MG TN Monthly Loading (lbs.)
OEM Form MR-1 (12103) Annual TN Mass Loading (lbsJyr)
33

Pernittee Address: P.O. Drawer 4889
Cary, N.C. 27519
Greystone Forest Status: (Please check one of the following)
W;
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
If the facility is noncompliant, please comment on corrective actions being taken in respect'to equipment, operation,
maintenance, etc, and a time table for improvements to be made.
"I certify, under penally of law, that this document and all attachments were prepared under my direction or supervision
in accordance with a system designed to assure that qualified personnel property gather and evaluate the information sub-
mitted. 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 com-
plete. I am aware that there are significant penalties for submitting false information, including the possibility of fines
and imprisonment for knowing violations."
Permittee (Please print or type) Tho Roberts,
dent Aqua North Carolina Inc
Slgnat f Date
Phone Number. Permit Exp. Date
(919)-467-8712 February 29, 2012
Compliant
X
Noncompliant
PARAMETER CODES
00010 Temperature
00610 Ammonia Nitrogen
01032 Hexavalent
00076 Turbidity
00625 Total IGeldah
Chromium
32730 Total Phenolics
00080 Color (Pt -Co)
Nitrogen
01034'Chromium -
34235 Benzene
00082 Color (ADMI)
00630 Nitrate/Nitrite
01037 Total Cobalt
34481 Toluene
00300 Dissolved Oxygen
00665 Total Phosporous
01042 Copper
38260 MBAS
OD310 B O D 5
00720 Cyanide .
01045 Iron
39516 PCBs
00340 COD
00745 Total Sulfide
01051 Lead
50050 Flow
00400 pH
00927 Total Magnesium
01067 Nickel
50060 Total Residual
00530 T S S
00929 Total Sodium
01077 Silver
Chlorine
00545 Settleable Solids
00940 Total Chloride
01092 Zinc
71880 Formal-
00556 Oil and Grease
00951 Total Fluoride
01105 Alumimum
dehyde
OD600 Total Nitrogen
01002 TotalArsenic
01147 Total Selenium
71900 Mercury
01027 Cadmium
.31616 Feral Coliform
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone] ext 581 or 534
The monthly average for fecal coliforn is to be reported as a GEOMETRIC mean. Use only units designed in the reporting
facility's permit for reporting data.
` ORC must visit the facility and document visitation of facility as required per 15A NCAC BA .0202(b)(5)(B)
" If signed by other than the permittee, delegation of
signatory authority must be on file with the stale per
15A NCAC 213.0506 (b)(2)(D)
.140
01 L- NN
-
,f,n_.t,..-

Upstream
NPDES Permit No.: NCO0785115 Discharge No.
Facility Name: Frye Bridge WWTP
Stream: Unamed Tributary to Muddy Creek
Location: 100 feet upstream from outfal
Downstream
001 Month: April Year: 2010
County: Forsyth
Stream: Unamed Tributary to Muddy Creek
Location: at the NCSR 1493 bridge
•
Print Stream Sheet: Yes

� �SPfi'F_
I . ,
��_ i�
JUi� -7
40

NPDES PERMIT NO: NC0078115 DISCHARGE NO.: 001 MONTH:Aptil YEAR:2010 NPDES PERMIT NO: 1,1000785115 DISCHARGE NO.: 001 MDNTHAptil YEAR:2010
FACILITY NAME: Greystone COUNTY: Forsyth FACILITY NAME: Greystone COUNTY: Forsyth
STREAM: LOCATION: @ 100ft upstream STREAM: LOCATION: @ NCSR 1892
1 IPCTPPA11A DOWNSTREAM
MMMMMMMMM
�C
. . . . . . . . . . . .
DEM Form MR-3 (12193)
DEM Form MR-3 (12193)

JUN-3 10

A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration or expansion,
the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored
by the Perniittee as specified below:
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Flow
0.032 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day (20°C)
23.0 mg/L
34.5 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
2.0 mg/L
10.0 mg/L
Weekly
Composite
Effluent
(April 1— October 31
NH3 as N
4.0 mg/L
20.0 mg/L
Weekly
Composite
Effluent
(November 1 — March 31
Dissolved Oxygen
Weekly
Grab
Effluent,
Upstream &
Downstream
Fecal Coliform .
200/100 mL
400/100 mL
Weekly
Grab
Effluent
(geometric mean)
Total Residual Chlorine
17 ug/L
2/Week
Grab
Effluent
Temperature CC)
Daily
Grab
Effluent
Temperature CC)
Weekly
Grab
Upstream &
Downstream
pHs - - -
-
Weekly
Grab
- ... Effluent
Footnotes:
1. Upstream = 20 feet from discharge point; Downstream = 0.01 mile from discharge point.
2. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L.
3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS

MONITORING REPORT(MR) VIOLATIONS for: ReportDate: 07/07/10 Page: 1 of 1
PERMIT: NCO078115 FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
08 -2009
001
Effluent
Chlorine, Total Residual
08/27/09
2 X week
ug/I
06 -2009
001
Effluent
Flow, in conduit or thru
06/30/09
Continuous
mgd
treatment plant
03 -2010
001
Effluent
Nitrogen, Ammonia Total (as
03/31/10
Weekly
mg/I
N) - Concentration
CALCULATED
LIMIT VALUE %OVER LIMIT
17 19 11.76
0.032 0.04 24.9
4 4.38 9.5
VIOLATION TYPE VIOLATION ACTION
Daily Maximum Exceeded No Action, BPJ
Monthly Average Exceeded None
Monthly Average Exceeded No Action, BPJ

Permit Enforcement History by Owner
07/07/10
1
Owner: Aqua North Carolina Inc
Facility: Greystone Subdivision VW TP
Permit: NCO078115
Region: Winston-Salem
Penalty
Assessment Penalty
Case Number MR Approved Amount
County: Forsyth
Remission
Enforcement Request Enf Conf
Costs Damages Received Held
Enf EMC
Remission Hearing
Amount Held
EMC OAH Collection
Remission Remission Memo Sent
Amount Amount to AGO Total Paid
Balance Due
Has
Pmt
Plan
Case
Closed
LR-1992-0011 02/24/92
$500
$.00
$.00
$500.00
$.00
$.00
No
03/26/92
LR-1992-0042 07/23/92
$500
$.00
$.00
$500.00
$.00
$.00
No
01/25/93
LV-1993-0032 01/01/93
$0
No
10/01/93
LV-1996-0036 03/11/97
$5,300
$279.96
$.00
$2,789.98
$.00
No
06/18/99
LV-1998-0121 09/16/98
$2,600
$40.00
$.00
$1,320.00
$.00
No
06/18/99
LV-1998-0183 10/13/98
$2,150
$40.00
$.00
$1.095.00
$.00
No
06/18/99
LV-1998-0219 11/04/98
$1,500
$40.00
$.00
$770.00
$.00
No
06/18/99
LV-1998-0269 12/17/98
$500
$60.00
$.00
$280.00
$.00
No
06/18/99
LV-1999-0138 04/27/99
$1,250
$60.00
$.00
$1,310.00
$.00
No
12/10/99
LV-1999-0249 07/13/99
$250
$60.00
$.00
$310.00
$.00
No
12/10/99
LV-2000-0314 07/26/00
$250
$95.00
$.00
$345.00
$.00
No
08/17/00
LV-2001-0028 01/26/01
$1,000
$76.00
$.00
$1,076.00
$.00
No
02/12/01
LV-2001-0332 08/28/01
$1,000
$76.00
$.00
$1.076.00
$.00
No
09/17/01
LV-2004-0192 1-2004 06/11/04
$250
$88.00
$338.00
$.00
No
07/12/04
LV-2006-0191 4-2006 06/23/06
$250
$88.00
$338.00
$.00
No
07/24/06
LV-2006-0362 6-2006 09/25/06
$250
$96.00
$346.00
$.00
No
03/07/07
LV-2007-0345 5-2007 08/13/07
$250
$99.00
$349.00
$.00
No
10/04/07

07/07/10
2
Owner: Aqua North Carolina Inc
LM-2009-0008 10-2008 02/18/09 $400 $102.49 $502.49 $.00 No 03/16/09
Total Cases: 18
$1,300.45
$12,245.47
$.00
Total Penalties:
$19,600.46
Total Penalties after remission(s):
$12,245.47
0

Performance Annual Deport
I. General Information
Facility/System Name:
Responsible Entity:
WWTP
ua North Carolina dba
Person in Charge/Contact: Tom Roberts
MAR 04ZM
Applicable Permit (s): NCr00=7� 107.5 4
Description of Collection System or Treatment Process:
This 0.032 MGD wastewater treatment facility consists of an extended
aeration plant, secondary clarification, tablet disinfection and de -
chlorination. sludge holding, and a continuous flow meter.
H. - Performance
Text Summary of System Performance for Calendar Year 2009
This plant consistently met discharge permit limits and generally
performed well.
RECEIVED
N.C, Deot, of ENR
APR 16 2010
Winston-Salem
Regional Office
List (by month) any violation of the permit conditions or other environmental regulations.
Monthly lists should include discussion of any environmental impacts and corrective
measures taken to address violations.
January Compliant
February The daily maximum for NH3-N was exceeded due to low post air. The
operator made adjustments to the blowers to increase dissolved oxygen in
- the effluent to reduce NH3-N leveN.
March Compliant

April Compliant
May Compliant
June Compliant
July Compliant
August Compliant
October Compliant
November Compliant
December Compliant
III. Notification -
Our customers will receive a letter regarding the availability of this report upon request. -
These reports will also be available for review with the customer at Aqua's Southern Call
Center.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the users or
customers of the named system and that those users have been notified of its availability.
2/26/2010
Responsible Person Date
Title: Regional Compliance Manager
Entity: Aqua North Carolina, Inc.

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record 1� �,
Facility: ? 2 �10 Permit/Pipe No.:
� b�R Month/Year H& �' 1 2t10
P
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Oth Violations
Completed by: 13 r Date:
I
Regional Water Quality
Supervisor Signoff: Date:0

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 7, 2010
Mr. Thomas Roberts
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, North Carolina 27511
Subject: Compliance Evaluation Inspection — NPDES General Permit No. NCO078115
Greystone Subdivision WWTP, Forsyth County
Dear Mr. Roberts:
Jenny Graznak and Mike Thomas of this office performed a Compliance Evaluation Inspection
at the Greystone Subdivision WWTP in Forsyth County on June 3, 2010. George Gatewood,
Operator in Responsible Charge (ORC) was present for the inspection. This type of inspection
consists of two basic parts: an in -office review of facility files and self -monitoring data and an on -site
inspection of the facility. This particular inspection evaluated nine (9) areas, and observations from
each area are addressed below:
1. Permit
The current permit became effective November 1, 2007 and expires February 29, 2010. A copy of
the permit was available during the inspection.
2. Self -Monitoring Program
A review of the self -monitoring data submitted for the period April 2009 through March 2010 showed
that all parameters were sampled and analyzed per the requirements of the permit. There were no
violations of effluent limitations during this time period.
3. Laboratory
Operators measure temperature, dissolved oxygen, total chlorine residual, and pH at the plant.
Heater Utilities (owned by Aqua) holds field parameter certification # 5035. Calibration records for
the operator's field meters are maintained with the facility records. Water Tech Labs of Granite
Falls, NC handles all other sample analysis for the wastewater treatment facility. An ISCO 4700
sampler is used for composite sampling of BOD, Total Suspended Solids, and Ammonia. The
thermometer in the sampler refrigeration unit read approximately 15 degrees C at the time of the
inspection. Please note that proper temperature for sample storageJs _less _.lan_ or e. qualyto6.0
degreesJCelsius:
4. Flow Measurement
Effluent flow is measured daily with an ISCO 4230 Bubbler Flow Meter. This is a new flow meter
that was recently purchased and installed to replace the previous failing meter. Thurman Horne of
Horizon Engineering installed and calibrated the meter on December 17, 2009.
5. Facility Site Review
The plant consists of an influent pump station, bar screen, equalization basin, dual aeration basins
and clarifiers, aerobic digester, and both chlorine contact and dechlorination units. Chlorine and
North Carolina Division of Water Quality Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org 'la'atf al`'ff
An Equal Opportunity 1 Affirmative Action Employer

dechlorination tablets are maintained in the storage building at the WWTP. The facility does not
have a generator on site, but one is available for use at the nearby Aqua warehouse in Kernersville.
6. Operations & Maintenance
George Gatewood is the ORC for this facility. Back -Up operators are the Aqua North Carolina staff.
Bar screenings are collected in a bucket and then removed for disposal. There was scum on the
surface of the clarifier during the inspection, which the operator attributes to a clogged return sludge
line that he fixed prior to the inspection. The ORC estimated that the sludge blanket in the clarifiers
is approximately 6 feet (half of sidewall depth). The audible alarms on the lift station and the
equalization basin were checked during the inspection. However, the, light bulb. for the visual
alarm on the equalization basin appeared to be burned out and should be replaced:
7. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the
permit. A process control notebook is maintained with facility files to keep track of pH, dissolved
oxygen, settleable solids, and MLSS in the aeration basin. The dissolved oxygen and pH meters
were calibrated and the thermometer verified by Water Tech Laboratories on February 8, 2010.
Records of equipment calibrations were available during the inspection. The process control records
also note the amounts of sludge wasted or hauled at the plant. A daily operators log sheet is kept in
the shed and is used to record temperature, flow, and notes regarding light housekeeping duties at
the plant. The ORC changes air filters and smaller jobs at the plant. There was a-copyof the 2007
Annual Report at the 'facility, but_ there_ was no annual report for 2008 or 2009 in the. facility
_.
files.
8. Effluent/Receiving Waters
The effluent is discharged into Right Fork Belews Creek in the Roanoke River Basin. The effluent
appeared clear with no traceable solids on the day of the inspection. The inspectors noted that the
stream bank has suffered noticeable erosion beneath the outfall pipe.
9. Sludge Disposal
Carolina Septic or Forsyth Rooter provides sludge disposal at the plant, based on contractor
availability. Sludge is removed from the digester, lift station, equalization basin, and chlorine contact
basin as needed. In May 2010, Forsyth Rooter removed 16,000 gallons from the digester and 3,200
gallons from the lift station and equalization basin. The sludge hauling events are identified in
the -process: control notebook: = However receipts, or invoices from the: hauling company
should be kept with the facility files.
Other than the few highlighted issues in this letter, there were no major problems found
during the inspection. Please refer to the attached report for specific details from the inspection. If
you have any questions concerning this report, please contact Ms. Graznak at [phone].
Sincerely,
i
,4
Steve W. Tedder
Surface Water Protection Section
Regional Supervisor
cc: tQ5V 1SR,@_W
SWP — Central Files
George Gatewood, 2750 US Highway 311, Madison, NC 27025

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO078115 111 121 10/06/03 117 181 CI 191 SI 20I I
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA — ---- - --- --Reserved------- - ---
67 I 169 70131 711 I 721 NJ 73 L Lj 74 751 I I I I I Li 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:30 AM 10/06/03
07/11/01
Greystone Subdivision WWTP
Exit Time/Date
Permit Expiration Date
Lot 74 Creek Bed Rd
Kernersville NC 27284
11:00 AM 10/06/03
12/02/29
Name(s) of Onsite Rep resentative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official[Title/Phone and Fax Number
Contacted
Dustin K Metreveon,NCSR 1802 Salisbury NC
No
28144//704-788-9497/7047886006
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal ® Facility Site Review ■ Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jennifer F Graznak WSRO WQ//336-771-5000/
l�
I1
Signature of Management Q A viewer Agency/Office/Phone and Fax Numbers Date
.P Y/ - -7—/d
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
NCO078115 I11 12I 10/06/03 I17 181
CI
(cont.)
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. Permit
The current permit became effective November 1, 2007 and expires February 29, 2010. A copy of the
permit was available during the inspection.
2. Self -Monitoring Program
A review of the self -monitoring data submitted for the period April 2009 through March 2010 showed that all
parameters were sampled and analyzed per the requirements of the permit. There were no violations of
effluent limitations during this time period.
3. Laboratory
Operators measure temperature, dissolved oxygen, total chlorine residual, and pH at the plant. Heater
Utilities (owned by Aqua) holds field parameter certification # 5035. Calibration records for the operator's
field meters are maintained with the facility records. Water Tech Labs of Granite Falls, NC handles all other
sample analysis for the wastewater treatment facility. An ISCO 4700 sampler is used for composite
sampling of BOD, Total Suspended Solids, and Ammonia. The thermometer in the sampler refrigeration
unit read approximately 15 degrees C at the time of the inspection. Please note that proper temperature for
sample storage is less than or equal to 6.0 degrees Celsius.
4. Flow Measurement
Effluent flow is measured daily with an ISCO 4230 Bubbler Flow Meter. This is a new flow meter that was
recently purchased and installed to replace the previous failing meter. Thurman Horne of Horizon
Engineering installed and calibrated the meter on December 17, 2009.
5. Facility Site Review
The plant consists of an influent pump station, bar screen, equalization basin, dual aeration basins and
clarifiers, aerobic digester, and both chlorine contact and dechlorination units. Chlorine and dechlorination
tablets are maintained in the storage building at the WWTP. The facility does not have a generator on site,
but one is available for use at the nearby Aqua warehouse in Kernersville.
6. Operations & Maintenance
George Gatewood is the ORC for this facility. Back -Up operators are the Aqua North Carolina staff. Bar
screenings are collected in a bucket and then removed for disposal. There was scum on the surface of the
clarifier during the inspection, which the operator attributes to a clogged return sludge line that he fixed prior
to the inspection. The ORC estimated that the sludge blanket in the clarifiers is approximately 6 feet (half of
sidewall depth). The audible alarms on the lift station and the equalization basin were checked during the
inspection. However, the light bulb for the visual alarm on the equalization basin appeared to be burned out
and should be replaced.
7. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are maintained according to the permit. A
process control notebook is maintained with facility files to keep track of pH, dissolved oxygen, settleable
solids, and MLSS in the aeration basin. The dissolved oxygen and pH meters were calibrated and the
thermometer verified by Water Tech Laboratories on February 8, 2010. Records of equipment calibrations
were available during the inspection. The process control records also note the amounts of sludge wasted
or hauled at the plant. A daily operators log sheet is kept in the shed and is used to record temperature,
flow, and notes regarding light housekeeping duties at the plant. The ORC changes air filters and smaller
jobs at the plant. There was a copy of the 2007 Annual Report at the facility, but there was no annual report
Page # 2

Permit: NCO078115
Inspection Date: 0610312010
for 2008 or 2009 in the facility files.
Owner - Facility: Greystone Subdivision wwTP
Inspection Type: Compliance Evaluation
8. Effluent/Receiving Waters
The effluent is discharged into Mill Creek. The path to the effluent pipe has been cleared and maintained by
the operations staff. The effluent appeared clear with no traceable solids on the day of the inspection.
9. Sludge Disposal
Carolina Septic or Forsyth Rooter provides sludge disposal at the plant, based on contractor availability.
Sludge is removed from the digester, lift station, equalization basin, and chlorine contact basin as needed.
In May 2010, Forsyth Rooter removed 16,000 gallons from the digester and 3,200 gallons from the lift
station and equalization basin. The sludge hauling events are identified in the process control notebook.
However receipts or invoices from the hauling company should be kept with the facility files.
Page # 3

Permit: NCO078115
Inspection Date: 06/03/2010
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
n
In
# Are there any special conditions for the permit?
n
n
■
❑
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
Cl
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
■
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
n
■
ri
Is the ORC visitation log available and current? ■ n ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ■ n n n
Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ n
Is a copy of the current NPDES permit available on site? ■ n n n
Page # 4

y � d
Permit: NCO078115 Owner - Facility: Greystone Subdivision wWTP
Inspection Date: 06/03/2010 Inspection Type: Compliance Evaluation
Record Keeping
Yes No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
n
■
n
n
Comment: 2009 annual report was not available for review.
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment: Stream bank at outfall was noticably eroding beneath pipe.
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
■
n
n
n
Comment:
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
■
n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
n
Are weirs level?
®
n
n
n
Is the site free of weir blockage?
■
n
n
n
Is the site free of evidence of short-circuiting?
■
n
❑
n
Is scum removal adequate?
■
n
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
®
n
n
n
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately''/4 of the sidewall depth)
n
®
n
n
Comment: There was scum on the surface of the clarifier during the inspection, which
the operator attributes to a clogged return sludge line that he fixed prior to the
inspection.
According to operator the sludge blanket was at least half of the side wall depth.
Aeration Basins
Yes
No
NA NE
Mode of operation
Ext. Air
Page # 5

� � r
Permit: NCO078115 Owner - Facility: Greystone Subdivision WVVTP
Inspection Date: 06/03/2010 Inspection Type: Compliance Evaluation
Aeration Basins
Yes No
NA
NE
Type of aeration system
Diffused
Is the basin free of dead spots?
■
n
n
n
Are surface aerators and mixers operational?
n
n
■
n
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
n
❑
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
n
n
n
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
n
n
■
Comment:
De -chlorination
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
n
n
n
Is storage appropriate for cylinders?
00
■
n
# Is de -chlorination substance stored away from chlorine containers?
n
n
■
n
Comment:
Are the tablets the proper size and type?
■
n
n
n
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
4
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
n
n
n
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
4
Is the level of chlorine residual acceptable?
n
n
n
■
Is the contact chamber free of growth, or sludge buildup?
11
n
D■
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment:
Page # 6

JUN/01/2010/TUE 09:22 AM Aqua North Carolina FAX No,7044899409 P•009/012
Water Pollution Control System Designation Form
WPCSOCC
NCAC 1SA:OSC .0201
General Information:
Permitter Owner/Officer Name: e44 '41c,
Mailing Address: y/617 c &-, s 7"
City: e.v v zt- State: 'V & zip: e 3 -
Telephone Number: 5 yd
Signature: bate: _ S' ;Jy o%
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Facility- fi formation:
Facility:
Permit Number: A C 06 2 2 /l.S " County: &P 4 s y A
! $USMff A S9PARATE FONT FOR EACH TYPE OF SYSTEM!
Mark (X) Type of Facility CIass (1- 4)
Wastewater Plant ( 2-
Physical/Chemical
Collection System
lass
Spray Irrigation N/A
Land Application N/A
Subsurface N/A
�aarraaraa�r Ywlrar YYaraaYaaaarraaaYa YrarararraaaaraaaYaararrYrrarrra�aaaarra■
Operator in Responsible Charge
Print Name: LCAaq eR A+ ¢w so Cl Social Security # : 07 %j - f4f - 72�p q w.-
Certificate Type and Grade: _ U L j Certificate #:1b 1-17N
Work Telephone: (2V) a 13 - /b 5Il? Signature:
.aa■■aaa■■arar�w■aar■Yraaaaa�aAaYaaaaa■■aaaarrararraa■■a■■arYAr ■araaaaaaarra
Back -Up Operator in Responsible Charge: q
Print Name: J�dtd Social Seewit�' : ;4/
Certificate Type and Grade: &.)&) ZZ Certificate #:
Work Telephone: (334
Mail or Fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax, 919/733-1338

JUN/01/2010/TUE 09:23 AM Aqua North Carolina FAX No.7044899409 P.010/012
P
r
Water Pollution Control System Designation Form.
WPCSOCC
NCAC 1SA:08G- .0201
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Addit(xaal Back -Up Operator:
Print Name: 124 �e rT /" , &f'kW Work Phone: 3 _T •--•3 c?;L - 3,9SY
WW Cert. Grade/Number: WO) _7V:7 SI Cert.#: We 5
Signature: 64'-)7 - • Date: o �fa -acj
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Additonal Back -Up Operator:
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Print Name: . i ► u) ►� '� �� work Phone: �
WW Cert. Cnade/Nuinber: SI Cert.#: Tq_ A' Z I
Signature: ''J �,N� ";�-.,�,.f�`�,� Date: 2- ) 7 - 01)
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Additonal Back -Up Operator:
Print Name: Work Phone:
WW Cert. Grade/Number: SI Cext.#:
Signature:
Date:
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Additonal Back -Up Operator:
print Name: Work Phone:
WW Cert. Grade/Number: SI Cert.#:
Signature: Date:
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Additonal Back -Up Operator:
Print Name: Work Phone:
WW Cert. Grade/Number:
Signature:
Date:
SI Cert.#:

40
F
17
Nir
r �
Performance Annual Report
10A19
- %,
00c;
I. General Information ® LEE NR , WATER JAIL -ITY
Facility/System Name: Greystone WWTP PnINJIIT qni IKE BPANCH
Responsible Entity: Aqua North Carolina dba Heater Utilities, Inc
Person in Charge/Contact: Tom Roberts
Applicable Permit (s): N-00078. 5
Description of Collection System or Treatment Process:
This 0.032 MGD wastewater treatment facility consists of an extended
aeration plant, secondary clarification, tablet disinfection and de -
chlorination, sludge holding, and a continuous flow meter.
II. Performance
Text Summary of System Performance for Calendar Year 2008
This plant consistently met discharge permit limits and generally
performed well.
List (by month) any violation of the permit conditions or other environmental regulations.
Monthly lists should include discussion of any environmental impacts and corrective
measures taken to address violations.
January Compliant
February Compliant
March Compliant
RECENED
April Compliant -N.C. Deoc. of ENR
I
MAR 0 0 2009
Winston-Salem,
Regional Office.

R
May Compliant
June Compliant
July Compliant
August Compliant
October The daily maximum for NH3-N was exceeded due to low post air. The
operator made adjustments to the addition air in the effluent post air to reduce NH3-N
levels.
November Compliant
December Compliant
III. Notification
Our customers will receive a notice on their bills regarding the availability of this report
upon request and a notebook containing every report is located in our Customer Service
office.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the users or
customers of the named system and that those users have been notified of its availability.
2/28/09
Responsible Person Date
Title: Regional Compliance Manager
Entity: Aqua North Carolina dba Heater Utilities, Inc.

4
AOUX
February 24, 2009
RECEIVED
F+.C. Dept of ENR
FEB 2 6 2009
,Y,ns:on-Salem RE,9(onal Office qua North Carolina, Inc.
2 2 MacKenan Court
Cary, NC 27511
N.C. Division of Water Quality
Attn: Rose Pruitt
585 Waughtown Street
Winston-Salem, N.C. 27107
Re: Greystone WWTP
Permit No. NCO078115
Forsyth County
Dear �1-
Thomas J. Roberts
President and Chief
Operating Officer
T. 919.653.5770
F: 919.460.1788
[e-mail]
www.aquanorthcarolina.com
This letter is in response to the Compliance Evaluation Inspection performed at the referenced
wastewater treatment plant on January 28, 2009. The following addresses the comments of your
letter.
(1) The audible alarm on the equalization basin was not functional during the inspection. This
must be repaired no later than February 20, 2009. Please notify this Office when the visual alarm
is repaired.
Response:
la) The audible alarm on the equalization basin has been repaired and is
functioning correctly.
(2) The auto dialer on the influent pump station did not function during the inspection. This must
be repaired no later than February 20, 2009. Please notify this Office when the visual alarm is
repaired.
Response:
2a) The manufacturer of the auto dialer has been contacted, and we will be sending
the unit to them for repair and proper programming. Until it is repaired and back
in service, the operator will be visiting the pump station seven days per week.
An Aqua America Company

2
If you have any questions, please feel free to contact Delbert Likins or Robert Barker at (704)
489-9404, extension 57224.
Sincer ,
r
Thomas J. oberts
President and COO
cc: Michael Melton
Delbert Likins
Robert Barker

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 5, 2009
Thomas Roberts
Heater Utilities Inc Owned By Aqua NC
202 Mackenan Ct
Cary, NC 27511
Subject: NOTICE OF DEFICIENCY
Compliance Evaluation Inspection
Greystone WWTP
NPDES Permit No. NCO078115
Forsyth County
Dear Mr Roberts:
A Compliance Evaluation_ Inspection (CEI) was performed on the Greystone wastewater treatment plant on Wednesday,
January 28, 2009 by Rose Pruitt and Marc Stokes, Technical • Assistance of the Winston-Salem Regional Office. Robert Barker
(ORC), Tony Parker and Delbert Likins with Aqua NC were also present for the inspection. The inspection consisted of two
parts: an on -site inspection of the treatment facility and a file review. The .following are the findings from the subject
inspection.
T_ Permit
The NPDES permit for the Greystone Subdivision WWTP became effective November 1, 2007 and expires on February 29,
2012.The facility is located north of Kernersville at Greystone Subdivision in Forsyth County. The permitted components of
the 0.032 MGD wastewater treatment plant include: an influent pump station with duplex feed pumps, a 16,030 gal flow
equalization tank with duplex feed pumps, a dual -train extended aeration package treatment plant with rough screening, flow
equalization, influent flow splitter box, dual extended aeration basins, dual integral clarifiers, aerobic digestion, four centrifugal
blower/motor units, an 11,000 gallon sludge treatment and holding tank, chlorine contact chamber and a dechlorination system.
The facility is permitted to discharge into an unnamed tributary to Belews Creek, classified C waters in the Roanoke River
Basin.
II. Records/Reports
Operations records include all sample analyses and process control tests that are performed daily. The ORC's daily logbook
was evaluated and found to be satisfactory. DMR's were available for the period requested. A complete copy of the NPDES
permit was on site. The daily operator and maintenance logs were on site. Flow meter calibration records and flow charts were
available at the inspection. Flow meter calibration was last conducted on July 27, 2008.
A spill response plan was available and emergency contact information was posted on the gate. The inspector called this
number and the answering service did not know how to handle the call. The inspector was forwarded to an automated
call center that has been problematic in the past. Please continue to review proper handling procedures.
An annual report for the year 2007 was available at the inspection. Please remember to submit your annual report for 2008.
Annual reports must be submitted within 60 days of the end of the applicable review period, either a calendar year or fiscal
year. As this facility has previously submitted a calendar year report, your report will be due March 1. Robert Barker is the
designated ORC for this facility.
III. Facility Site Review
The facility site review indicated that the 0.032 MGD treatment works is consistent with the permitted components. The actual
treatment system consists of an influent pump station with duplex feed pumps, a 16,030 gal flow equalization tank with duplex
feed pumps, a dual -train extended aeration package treatment plant with rough screening, flow equalization, influent flow
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
Intemet: www.ncwaterquality.org
No thCarolina
An Equal Opportunity 1 Affirmative Action Employer

splitter box, dual extended aeration basins, dual integral clarifiers, aerobic digestion, four centrifugal blower/motor units, an
11,000 gallon sludge treatment and holding tank, chlorine contact chamber and dechlorination unit.
The following items were noted during the inspection and require your immediate attention:
(1) The audible alarm on the equalization basin was not functional during the inspection. This must be repaired no later
than February 20, 2009. Please notify this Office when the visual alarm is repaired..
(2) The auto dialer on the influent pump station did not function during the inspection. This must be repaired no later
than February 20, 2009. Please notify this Office when the visual alarm is repaired.
IV. Effluent / Receiving Stream
The WWTP discharges to an unnamed tributary to Belews Creek, classified C waters in the Roanoke River Basin. The effluent
was clear and free of visible solids on the date of inspection. The receiving stream was free of solids, foam and debris.
V. Flow Measurement
Effluent flow is measured with an Isco 4210 flow meter, which was last calibrated by Horizon on July 27, 2008.
VI. Self -Monitoring Program
A review of the discharge monitoring reports (DMRs) for the time period of January" 2008 through December 2008
demonstrated that the Greystone WWTP had no permit limit violations for 2008.
VII. Laboratory
Sample analyses are conducted by Watertech. The laboratory was not reviewed at the time of the subject inspection.
However, it was noted that some chain of custody forms were not properly signed by this lab, this was noted in a
previous inspection.
VIII.Operation and Maintenance
Operation and maintenance continue to improve.
IX. Sludge Utilization/Disposal
Solids are removed from the WWTP as necessary by a licensed contract hauler and disposed of properly. Most recently 6,400
gallons were removed by Forsyth Rooter on December 12, 2008.
X. Sewer Overflow
No sewer overflows were reported during the review period.
The Division of Water Quality greatly appreciates your continued oversight at this facility and notes that operations are much
improved from last years inspection. The Division encourages you to continue to be proactive in your efforts to maintain
compliance.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call Rose Pruitt at 336-771-5000.
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Robert Barker, ORC, 227 Old Covered Bridge Rd, Madisbn NC 27025
Central Files

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expiresB-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 151 31 N00078115 111 121 09/01/28 117 181 CI 191 SI 201
Remarks
211111111111111111 1111111111111111 I I I I I I I I IIII 16
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA - -- -- --- -Reserved----- - -
671 169 701 I 711 I 721 NJ 73 L_U 74 751 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)
11:45 AM 09/01/28
07/11/01
Greystone Subdivision WWTP
Exit Time%Date
Permit Expiration Date
Lot 74 Creek Bed Rd
Kernersville NC 27284
12:15 PM 09/01/28
12/02/29
Name(s) of Onsite Representative (s)lTitles(s)/Phone and Fax Number(s)
Other Facility Data
Robert M Barker/ORC/336-613-8428/
Name, Address of Responsible Official/Title/Phone and Fax Number
Dustin K Me.treveon,NCSR 1802 Salisbury NC Contacted
28144//704-788-9497/7047886006 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement ® Operations & Maintenance ® Records/Reports
Self -Monitoring Program ®Sludge Handling Disposal ®Facility Site Review ®Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Marc Stokes WSRO WQ//336-771-5000/
Rose Pruitt O s q_ WSRO WQ//336-771-5000/ Z - S •� cj
i(
Signature of Manage nt 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 NC0078115 I11 12I 09/01/28 I17 181
CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
The inspector and Marc Stokes, Technical Assistance for WSRO were met at the facility by the ORC Robert
Barker, Tony Parker and Delbert Likins with Aquasource.
EQ basin audible alarm did not work during inspection.
Infuent pump station dialer didn't work during inspection.
Page # 2

a
Permit: NCO078115
Inspection Date: 01/28/2009
Owner - Facility: Greystone Subdivision VWVTP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
n
n
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
n
Is
n
Is access to the plant site restricted to the general public?
■
❑
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
®
n
❑
n
Is all required information readily available, complete and -current?
®n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
n
n
n
■
Are analytical results consistent with data reported on DMRs?
®
n
n
n
Is the chain -of -custody complete?
®n
❑
n
Dates, times and location of sampling
■
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
EN
Transported COCs
Are DMRs complete: do they include all permit parameters?
®
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
❑
®
❑
n
(If the facility is = or > 5 MGD permitted flow) Do they .operate 24/7 with a certified operator on each shift?
n
n
IQ
n
Is the ORC visitation log available and current?
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
IN
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
®
n
n
n
Is a copy of the current NPDES permit available on site?
®n
n
n
Page # 3

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
■
❑
❑
❑
Comment: 2008 annual report due March 1
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
n
n
p
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
■
n
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■ ❑
n
n
Is flow meter calibrated annually?
®n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
❑
Comment: • Isco 4230 last calibrated by Horizon 7/27/2008
Pump Station - Influent
Yes
No
NA
`NE
Is the pump wet well free of bypass lines or structures?
®n
n
n
Is the wet well free of excessive grease?
®❑
❑
❑
Are all pumps present?
❑
n
❑
■
Are all pumps operable?
n
n
n
Are float controls operable?
®❑
n
❑
Is SCADA telemetry available and operational?
❑
®
❑
❑
Is audible and visual alarm available and operational?
®
n
n
n
Comment: Dialer didn't work
Bar Screens
Yes
No
NA
NE
Type of bar screen
a. Manual
b. Mechanical
fl
Are the bars adequately screening debris?
m
n
n
n
Is the screen free of excessive debris?
®❑
❑
❑
Is disposal of screening in compliance?
®n
n
n
Is the unit in good condition?
®❑
❑
n
Page # 4

L,
Permit: NC0078115 Owner- Facility: Greystone Subdivision vW TP
Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation
Bar Screens
Yes
No
NA NE
Comment:
Equalization Basins
Yes
No
NA NE
Is the basin aerated?
®❑
n
n
Is the basin free of bypass lines or structures to the natural environment?
®
n
n
n
Is the basin free of excessive grease?
®
n
❑
n
Are all pumps present?
n
❑
n
Are all pumps operable?
n
❑
❑
Are float controls operable?
®n
n
n
Are audible and visual alarms operable?
❑
®n
n
# Is basin size/volume adequate?
❑
❑
n
Comment: Audible alrm didn't work
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
®
n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier? •
❑
.n
Are weirs level?
®n
n
n
Is the site free of weir blockage?
®❑
n
Is the site free of evidence of short-circuiting?
®❑
n
n
Is scum removal adequate?
®n
n
n
Is the site free of excessive floating sludge?
❑
®
n
❑
Is the drive unit operational?
n
n
n
Is the return rate acceptable (low turbulence)?
n
Is the overflow clear of excessive solids/pin floc?
❑
®n
n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
n
n
n
Comment: Solids in weir
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext.
Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®n
n
n
Are surface aerators and mixers operational?
®n
n
n
Are the diffusers operational?
®n
n
n
Page # 5

Permit: NCO078115
Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 01/28/2009
Inspection Type: Compliance Evaluation
Aeration Basins
Yes
No
NA
NE
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
n
n
n
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
n
n
■
Comment:
De -chlorination
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
n
n
n
Is storage appropriate for cylinders?
■
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
®
n
❑
n
Comment:
Are the tablets the proper size and type? -
n
❑
n
Are tablet de -chlorinators operational?
®
n
n
n
Number of tubes in use?
4.
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
®❑
n
❑ .
Are all other parameters(excluding field parameters) performed by a certified lab?
®❑
# Is the facility using a contract lab?
®
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
®n
n
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
n
n
■
n
Comment: Watertech
Heater .
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
0
0
n
Are the tablets the proper size and type?
Is
n
n
n
Number of tubes in use?
4
Is the level of chlorine residual acceptable?
n
n
n
M
Is the contact chamber free of growth, or sludge buildup?
®
❑
n
n
Page # 6

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 01/28/2009 Inspection Type: Compliance Evaluation
Disinfection -Tablet Yes No NA NE
Is there chlorine residual prior to de -chlorination?
n
n
n
■
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
n
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
n
n
n
Is the tubing clean?
®n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
®n
n
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
®
n
n
n
Comment:. Isco 4700 @0
Upstream / Downstream Sampling
Yes
No
NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling_type, and sampling location)?
®
n
n
n
Comment:
Page # 7

C�
Faxed To: Tony Parker for Facility ORC
Fax #: [phone] Phone [phone]
VWI/TP Annual Inspection Checklist
This information should be available to the inspector at inspection time.
Facility: Greystone NPDES
N CO078115
Permit Effective Dates: Nov 1, 2007 to Feb 29, 2012
— Z
Inspection
Date: 01/28/2009 Inspection Time: 11:1 (gram
✓ 1)
DMRs (Dates: January 2008 to December 2008 )
,,/2)
Lab Data (per DMR dates)
Laboratories for &
,/3
il)
used analysis certification
Chain of Custody forms (per DMR dates)
,/5)
Complete copy of current NPDES permit
-&)----Status of SOC or Moratorium issuance (if applicable)
✓!) M�
ORC and Back-up ORC current certification
zo ° `7 +% 8)
Wastewater Annual Report (fiscal or calendar'year —if applicable)
✓ 9)
Daily Operator's log / ORC visitation log
10)
Maintenance log
*11)
""�° ��
Process control data (which inc� field parameters tested and equipment
calibrations) c6k,'g"
✓°(2)
13)
Field Parameter certification ��Z�l�
Flow meter calibration records
✓14)
Influent and/or effluent samplers d Gj © -(-/70
-1'5)
Flow charts (if applicable)
z
enerator Inspection / under load checks
e/17)
1 )
Spill Response Plan (with current emergency contact numbers) /
' Sludge / Residuals hauling records (if applicable) I'z/ 2-��1
19)
Plant visual inspection of treatment units
20)
Stream accessible for inspection (at effluent discharge pipe)
Please call with questions:
Rose Pruitt
NC Department of Environment & Natural
Division of Water Quality
Winston-Salem Regional Office
[phone]
Fax: [phone]
Resources
(0 �(e)o

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 01/22/09 Page: 1 of 1
- Permit= nc0078115' MRs_Between �.`9-2008.� and° :12-2008
Region`%'
Violation Category.e�a e"Program
Category °/a+'
1
FacilityName: `% ; � Param Name %
County:% ' .-
Subbasin: a/o
Violation,Action: %.
n.,
;
Malor Minor
t
PERMIT: NCO078115 FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
02 -2008 001
Effluent
Chlorine, Total Residual
02/18/08
2 X week
ug/I
17
18
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/29/08
2 X week
ug/I
17
19
Daily Maximum Exceeded
No Action, BPJ
03 -2008 001
Effluent
Flow, in conduit or thru
03/31/08
Continuous
mgd
0.032
0.0325
Monthly Average Exceeded
No Action, BPJ
treatment plant
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
01 -2008 001
Effluent
Temperature, Water Deg.
01/05/08
5 X week
deg c
Frequency Violation
None
Centigrade

jan 28-29, 2009 024
jan 28-29, 2009 029
jan 28-29, 2009 034
jan 28-29, 2009 025
jan 28-29, 2009 030
jan 28-29, 2009 035
jan 28-29, 2009 026
jan 28-29, 2009 031
jan 28-29, 2009 036
jan 28-29, 2009 027
jan 28-29, 2009 032
jan 28-29, 2009 037
jan 28-29, 2009 028
jan 28-29, 2009 033
jan 28-29, 2009 038

02/27/2008 12:49 FAX [phone]/025
02/26/2009 10:39 FAX 70d4e99409
Water Po91uti®n C.outrol System Desi ati®u Poxon
wrCsocc
PiCAC jsA;08G .0Z01
Gooralltdomtoa:
Pcflmittee Owuer/officer Namo.
Mailing Address' � -�'
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Date:
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Certificate Type aW Grade: _r
Wank Telephone: ) 3 t-- to N Sit>ire�
Mail RL Fax to: WPCSOCC
1a8 Md service Cooler
Ralelgb, N.C, 27699-1618
Fazs 9191733.1338

02/27/2008 12:49 FAX [phone]
Jor cJ/6JVJ IV.00 I nn Iv..V
[6 005/025
Water Pollution Control System Designation Form
vvPCSOCC
NCAC ISA1080 /0201
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Print Nerve: 1t1� 1�. -Work Phone:
WW Cart. Ciradeftmber: - 9 2? Z Z SI Call* ®�
Signature: Date:
1••rr...I•.■■�•.•.••.....•...•.r r..... r.r....■.rrr■.rrr...•■....•.■r •••••.•.
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Print Name: Work Phone:
WW Cert. Cmde Nfumbev SI Celt.#:
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Print Nerve Work Phone.
WW Card Grade/Nuraber: S[ Certl ;
Signature: Date:
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Print Name: Work Pbone:
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signature: AM'
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IRCEIVED
N-0, Deoc of ENR
A UX
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, NC 27511
October 20, 2009
Mr. Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Dear Mr. Tedder:
T 2 5 2009
Winston-Salem
Regional off -ice
Thomas J. Roberts
President and Chief
Operating Officer
T. 919.653.5770
F: 919.460.1788
[e-mail]
www.aquanorthcarolina.com
Recently three Notice of Violations and Assessment of Civil Penalties were sent to Gary Moseley
with Aqua North Carolina at 4J 63 Sinclair Street, Denver, NC.
Please be advised that Gary Moseley is no longer with Aqua North Carolina. Please send all
future Notice of Violations, Assessment of Civil Penalties and Compliance Inspections to the attention of:
Thomas J. Roberts, President and COO
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, NC 27511
If you need any further information you may contact me at 919-653-5771.
Sincerely,
Robyn L. Thomas
Executive Assistant to Thomas J. Roberts
An Aqua America Company

Aja
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
May 19, 2009
Thomas J Roberts, & COO President
Aqua North Carolina Inc
202 Mackenan Ct
Cary NC 27511
Subject: NOTICE OF VIOLATION
Permit No. NCO078115
Greystone Subdivision WWTP
Forsyth County
Dear Mr Roberts:
A review of Greystone Subdivision WWTP's monitoring report for February 2009 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as
02/28/09
4 mg/1
6.39 mg/1
Monthly
N)
Average
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this
office within 3 0 working day of receipt of this letter. You should address the causes of noncompliance and
all actions taken to prevent the recurrence of similar situations. If you should have any questions, please
do not hesitate to contact Rose Pruitt at 336-771-5000.
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Cc: Central Files —SWP
WSRO
MMEMONS
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.ncwaterqualiV.org
An Equal Opportunity 1 Affirmative Action Employer
One-:°:
NorthCarolina
��turall

0
Cover Sheet from
L.)I' 02 2,' Staff Member to
Regional Supervisor
DMR Review Record
Facility: STOQN'�--- Permit/Pipe No.: IJ C00 $ //vim Month/Year F6
Z_0O
Cj-
Parameter
Monthly Average Violations
Permit Limit DMR Value
% Over Limit
---�o 760
1
Weekly/Daily Violations
Date Parameter Permit Limit/Tvpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Completed by: �iD Date:
Regional Water Quality s
Supervisor Signoff: Date:

Eff 061t
NPDES PERMIT NO. NCO078115 Discharge No.: 001 Month: Year:
Facility Name: Gre stone Subdivision WWTP
Class: II County:
Operator in Responsible Charge (ORC): Robert M. B er Grade: IV Phone 70 -9�32
Oext
Certified Laboratory (1): Water Tech Labs Inc (2)
PERSONS COLLECTING SAMPLES Operators
CHECK BOX IF ORC HAS CHANGED ��� ( )
Mail ORIGINAL and ONE COP X Iog:,);,,,NR XATTN: CENTRALFILES I1. (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
DIVISION OF WATER QU�LITY�!,� j BY HIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER AC URATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27699-1617s
00400
UNITS
50060
w
<
m
LV
t4 L)
UG/L
00310
o
���
ci
MG/L
00610
Z
Z
0
a_
MG/L
00530
w
o a
<
wC
�
N
W
MG/L
31616
e
p
OrLE
LLO
o
OW
#/100ML
00300
JW(9
O}
WQ
F
MG/L
00625
�o
L
YO
Ww
O
F-
MG/L
00630nn
N
z
P
MG/L
pp
P�
t-
pO
F-
MG/L
nn00665
°
�a0
<o
O
ao
o
a
MG/L
W
o
E
E
gNQO
O
i-m
�
`�
O
50050
00010
FLOW
w
Q?
w�
O
°C
❑
a
OF'
HRS
HRS
Y1B/N
MGD
1
0.016
2
800
1
b
0.016
8.0
10.9
3
630
1.5
y
0.015
8.0
7.2
<10
4
645
1
y
0.014
8.0
7.5
<0.5
<2.0
3
5
630
1.5
y
0.017
8.0
<10
6
630
1.5
y
0.016
7.0
7
0.012
8
0.012
9
830
1
b
0.013
9.0
10.1
10
630
1
y
0.015
9.0
7.1
<10 t
11
630
1
y
0.013
9.0
4.3
1.81
<2.0
6
12
745
1
y
0.015
10.0
<10 .
13
1230
1
y
0.019
12.0
14
0.013
15
0.015
16
630
1.5
y
0.017
12.0
17
630
1.5
y
0.017
11.0
7.2
<10
_
8.1
18
630
1.5
y
0.011
11.0
10.80
<2.0
290
19
20
700
635
1
1
y
y
0.016
0.017
11.0
10.0
<10
21
0.017
22
0.016
23
1430
1
y
0.019
10.0
-
24
635
1
y
0.018
8.0
7.1
<10
E14.810�jofl
8.0
25
645
1
y
0.021
7.0
24 0
<1
26
700
0.5
y
0.012
0.012
0.013
7.0
10.0
<10
5.90
49 e
27
630
1
y
28
29
30
31
OA
<10
10.5
24.0
4 6.38_
14.80
5 2.5
10.0
16
290
9.3
10.9
AVERAGE
7.2
MAXIMUM
7.1
<10
4.3
<0.5
<2.0
<1
8.0
MINIMUM
Comp. (C)/Grab (G)
C
G
G
G
C
C
C
G
G
C
C
C
C
DAILY LIIMIT
NIA
NA
NA
17
34.5
20.00
45.0
400
>6
NA
NA
NA
NA
MONTHLY LIMIT
0.032
Cont
NA
Daily
>6 ,<9
Wkly
NA
2lwk.
23.0
Wkly
4.0
Wkly
30.0
Wkly
200
Wkly
NA
Wkly
NA
Qrtly
NA
Qrtly
NA
Qrtly
NA
Qrtly
MONITORING FREQUENCY
C:\msoffice\exceRdmrforms\fndmrw.xls

Facility Status: (Please checK one or u,e —a— ... r,,,
All monitoring data and sampling frequencies meet perinit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant
�rCt""colz ec5fi 4r/'
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
permttee 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."
Permiltee Address
-7m MaeKenan Court
Phone Number e-mail address Permit Expiration Date
nrr T71;11 704-489-9404 Febua v 29,2012
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) R & A LABS Certification No.
Certification No.
Certified Laboratory (3)
Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5)
pARA1 IETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at to h33-5083nit, sor ator by vi itingpagethe Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking the
e reporting facility's NPDES permit for reporting data.
Use only units of measurement designated in th
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 t7Jtitoiing0e�rtbd.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per ISA NCAC SG .0204.
** Signature of Permittee: If signed by other than the permittee .then xhe delegation'of tli .s gnatory authority must be on
A T.T!` n 0 11D nr[WMOVT)I

Upstream Downstream
NPDES Permit No.: NCO078115 Discharge No,: 001 Month: February Year: 2009
Facility Name: Greystone Subdivision WWTP County: Forsyth
Stream: Right Fork Belews Creek Stream: Right Creek Belews Creek
Location: 20 ft from discharge point Location: 0.01 mile from discharge point
Print Stream Sheet: Yes

pp, - 1 09

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/08/09 Page: 1 of 1
PERMIT: NCO078115 FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
02 -2008 001
Effluent
Chlorine, Total Residual
02/18/08
2 X week
ug/I
17
18
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/29/08
2 X week
ug/I
17
19
Daily Maximum Exceeded
No Action, BPJ
03 -2008 001
Effluent
Flow, in conduit or thru
03/31/08
Continuous
mgd
0.032
0.0325
Monthly Average Exceeded
No Action, BPJ
treatment plant
10 -2008 001
Effluent
Nitrogen, Ammonia Total (as
_ 10/29/08
Weekly
mg/I
10
18.3
Daily Maximum Exceeded
Proceed to
N)
Enforcement Case
10 -2008 001
Effluent
Nitrogen, Ammonia Total (as
10/31/08
Weekly
mg/I
2
5.28
Monthly Average Exceeded
Proceed to
N)
Enforcement Case
11 -2008 001
Effluent
Nitrogen, Ammonia Total (as
11/30/08
Weekly
mg/I
4
4.52
Monthly Average Exceeded
Proceed to NOV
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
10 -2008 001
Effluent
Chlorine, Total Residual
10/04/08
2 X week
ug/I
Frequency Violation
Proceed to
Enforcement Case

Effluent
NPDES PERMIT NO. NCO078115 Discharge No.: 001 Month: March Year: 2009
Facility Name: Greyslone Subdivision WWTP Class: 11 County: Fnrc�ifl,
Operator in Responsible Charge (ORC): Robert M. Barker Grade: IV Phone [phone] ext 57232
Certified Laboratory (1): Water Tech Labs Inc (2)
CHECK BOX IF ORC HAS CHANGED M PERSON(S) COLLECTING SAMP ES Operators
Mail ORIGINAL and ONE COPY to': X 7� 7 -,/-' &'
ATTN: CENTRAL FILES (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
DIVISION OF WATER QUALITY BY THIS,SIGNATURE.I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC 27699-1617
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7A
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8.2,
10
90D
0.75
y
0.016
14.0
11
80D
1
y
0.013
14.0
23.5
9.50
<2.0
Cl
12
840
0.5
y
0.012
15.0
<10
13
1340
15
y
0.011
14.0
14
C.012
...-'
15
0.024
16
815
1
y
0.063
11.0
7.9
9.6
17
940
0.5
y
0.030
11.0
<10
18
810
',.5
y
0.024
11.0
3.9
1.94
<2.0
<1
19
945
0..9
y
0.022
13.0
00
20
815
0.75
y
13.0
21
22
r0.01
23
900
2
Y
'1.0
8.2
c10
9.4
24
820
1
y
12.0
" -"
<10
25
825
0.5
y
1.0
8.5
0.95
12.0
57
26
1000
0.25
b
0.014
11.0
27
850
y
0.013
12.0
28
29
-Lola
0.038
30
830 JAY
0.029
13.0
8.0
<10
8.8
31
900
D.019
11.0
9.2
AVERAGE
D.02C
11.2
11.5
3.30
3.0
35
9.2
MAXIMUM
0.063
15.0
6.2
rel
23.5
9.50
12.0'
250
9.8
NINIMUM
0.011
E.0
7.4
3.9
0.95
<2.0
<1
8.2
Corr.p. (C)IGrab (G)
C
G
G._ _
C
C
C
G
G
C
C
C
C
DAILY LIIMIT
NA
NA
NA
17
34.5
20.00
45.0
400
NA
NA
NA
NA
NA
N.ONTI-.LY LIMIT
0,032
NA
>6 ,<9
NA
23.0
4.0
30.0
200
NA
NA
NA
NA
NA
MONITORING FREQUENCY
Cant
Daily
Wk,v
UV.
WkPy
Wkly
Wkly
Wkly
I Wkly
Qrtly
Qrtly
Ortly
QdIY
C;lmsofficeten(elldmr(ormsVndm nv,xls
7.'d LFq/FARqpp enby e7.R:/f1 F(1 71. Aevu

AO U A
North Carolina -
FAX COVER
Bate: 57- / 1- 0 1
To: r2o Se-- From: � � -7
Fax Number: '7 -7 l- TV 3 Pages:
RE: miz- Iz
Comments:
Aqua North Carolina, Inc,
325 Habersham Rd Suite 105
High Point, NC 27260
Fax: [phone]
Phone: [phone]
l-d L69Z6989CE
enby eZ£:LO 60 U AeW

X =iA
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 18, 2009
Thomas J Roberts
Aqua North Carolina Inc
202 Mackenan Ct
Cary NC 27511
Subject: NOTICE OF VIOLATION: NOV-2009-LV-0055
Permit No. NCO078115
Greystone Subdivision WWTP
Forsyth County
Dear Mr Roberts:
A review of Grevstone Subdivision WWTP's monitoring report for November 2008 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N)
I.1/30/08
4 mg/1
4.52 mg/1
Monthly Average
Exceeded
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue enforcement
action for this and any additional violations of State law.
To prevent further action, carefully review these violations and deficiencies and respond in writing to this office
within 30 working day of receipt of this letter:. You should address the causes of noncompliance and all actions
taken to prevent the recurrence of similar situations. . If you should have any questions, please do not hesitate to
contact Rose Pruitt at 336-771-5000.
Sincer y,
Steve W Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Cc: Central Files —SWP
WSRO
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.hcwaterquality.org
One
NorthCarohna
An Equal Opportunity 1 Affirmative Action Employer

AIAV 'Z009--LY-00-55
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility:. C=;, Ku Permit/Pipe No.: ICIC.Q D 7% 1 V5 Month/Year
Z© B S
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by::
Regional Water Quality
Supervisor Signoff:
Date: 7i
Date: �� r

Dept. of ENR
FEB0 2 2009
Efflu(i
IVi;nston-salem
NPDES PERMIT NO. NCO078115 Discharge No.: 001 Month: November R,Y.ea?al °ff'ce 2p0 =
Facility Name: Greystone Subdivision WWTP Class: II County:-'�
Operator in Responsible Charge (ORC): Robert M. Barker Grade: IV Phone 7 4-4 4 4 �,x57232
Certified Laboratory (1): Water Tech Labs Inc (2)
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING S MPLES Operators p
Mail ORIGINAL and ONE COPY to: X ' -
ATTN: CENTRAL FILES (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
DIVISION OF WATER QUALITY BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
RALEIGH, NC -27699-1617
�aa�� ggDpATE
JAN
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50050
00010
00400
50060
00310
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31616
00300
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00665
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MGD
OC
UNITS
UG/L
MG/L
MG/L
MG/L
#/100ML
MG/L
MG/L
MG/L
MG/L
MG/L
0.008
0.010
E
1255
0.5
y
0.013
17
750
0.5
y
0.010
17
6.7
<10
6.6
800
0.5
y
0.010
16
5.6
11.06
11.8
<1
13.79
5.18
6
940
1
y
0.009
16
<10
7
1000
1.5
0.007
16
8
0.011
9
0.010
10
1015
1
y
0.007
14
11
830
0.5
y
0.009
14
7.3
<10
7.4
12
830
0.5
y
0.009
15
<2.0
5.80
<2.0
<1
13
805
1
y
0.009
15,
<10
14
1415
1
y
0.012
16
15
0.009
16
0.061
17
1200
0.5
y
0.025
14
18
800
0.5
y
0.016
12
7.3
<10
8.9
9 9
800
0.5
y
0.017
10
<2.0
<0.5
<2.0
8
20
700
.1
y
0.014
9
<10
21
1310
0.5
y
0.017
10
22
0.010
11
23
0.013
24
1415
0.5
y
0.017
11
25
745
0.5
y
0.008
11
7.0
<10
8.3
26
745
0.5
y
0.014
10
<10
12.1
1.29
<2.0
<1
27
HOLIDAY
0.013
28
1050
0.5
y
0.015
29
0.017
30
0.015
E13
1
31
AVERAGE
0.014
0.0
8.9T,k6�
2.95
1
7.8
13.79
5.18
MAXIMUM
0.061
17
7.3
1 <10
12.1
11.00
11.8
- 8
8.9
13.79
5.18
MINIMUM
0.007
9
6.7
<10
<2.0
<0.5
<2.0
<1
6.6
13.79
5.18
Comp. (C)/Grab G)
C
G
G
G
C
C
C
G
G
C
C
C
C
DAILYLIIMIT
NA
NA
- NA.
17.
34.5
45.0
400
NA
NA
NA
NA
NA
MONTHLY LIMIT
0.032
NA
>6 ,<9
NA
23.0
30.0
200
NA
NA
NA
NA
NA'
MONITORING FREQUENCY
Cont
Daily
Wkly
UV
Wkly
Wkly
Wkly
Wkly
Wkly
Qrtly
Qrtly
Qrtly
Qrtly
C:\msoffice\excel\dmrforms\fndmrw.xls
MALV
J
le 0

f
Facility Status: (Please check o* of the following):
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements D
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.
and a time table for improvements to be made.
"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."
Permittee Address
202 MacKenan Court, Cary, NC 27511
Thomas J. Roberts, President, Aqua North Carolina, Inc.
Pee (Pl set o e)
Signatu e ofPermi ee ** Date
Phone Number
704-489-9404
PARAMETER CODES
Permit Exp. Date
February 29, 2012
00010 Temperature
00556 Oil & Grease
00951 Total Fluoride
01067 Nickel
00076 Turbidity
00600 Total Nitrogen
01002 Total Arsenic
01077 Silver
00080 Color (Pt -Co)
00610 Ammonia Nitrogen
01092 Zinc
00082 Color (ADMI)
00625 Total Kjeldhal
01027 Cadmium
01105 Aluminum
Nitrogen
00095 Conductivity
00630 Nitrates/Nitrites
01032 Hexavalent Chromium 01147 Total Selenium
00300 Dissolved Oxygen
01034 Chromium
31616 Fecal Coliform
00310 BOD5
00665 Total Phosphorous
32730 Total Phenolics
00340 COD
00720 Cyanide
01037 Total Cobalt
34235 Benzene
00400 pH
00745 Total Sulfide
01042 Copper
34481 Toluene
00530 Total Suspended
00927 Total Magnesium
38260 MBAS
Residue
00929 Total Sodium
01045 Iron
39516 PCBs
00545 Settable matter
00940 Total Chloride
01051 Lead
50050 Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 581 or 534.
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting
facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B).
(,, 0 C -2 'u�,
,y �
0.
* If signed by other than the permittee, delegation of signatory authority must be on tale with the State per 15A NCAC 213.0506 (b)
(2) (D)' - =
"`� GREYSTONE NCO078115

Upstream Downstream
NPDES Permit No.: NCO063720 Discharge No.: 001 Month: November Year: 2008
Facility Name: Forest Ridge County. Forest Ridge
Stream: Blanket Creek Stream: Blanket Creek
Location: 100 ft above outfall Location: Downstream at Harper Road
Print Stream Sheet: Yes

oFr 29 08

MONITORING REPORT(MR)VIOLATIONS for:
Report Date:mm3/09
Page: 1m2
PERM[T:NCO078116 FACILITY: Aqua North Carolina Inc 'GruyotoneSubdivision VVVVTP
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
mowIToR/wuoursAu/
wowTmw
UNIT OF
o*Loouoso
Rcp«nr pp/ LooArmw
PARAMETER
DATE
pesuucwc,
MEASURE
umn
»»ms
VIOLATION TYPE
VIOLATION ACTION
oa'znoo 001 effluent
Chlorine, Total Residual
02/18/08
uxweek
uo/|
17
18
Daily Maximum Exceeded
woAction, ePJ
nz'uono 001 Effluent
Chlorine, Total Residual
02/29/08
cxweek
ug/|
17
19
Daily Maximum Exceeded
moAction, opJ
no'uonn 001 emuom
Flow, inconduit ormm
03m108
Continuous
mou
0.032
0.0325
Monthly Average Exceeded
woAction, apo
treatment plant
10'2008 001 smuom
Nitrogen, Ammonia Total (as
10m9m8
Weekly
mg/1
10
18.3
Daily Maximum Exceeded
None
.,/
10'2008 001 e0uond
Nitrogen, Ammonia Total (as
1013108
vvroNy
mox
z
5.28
Monthly Average Exceeded
None
m)
Monitoring Violation
Mow/nzmwGoorpAu/
wounmw
UNIT OF
nxLoumrEo
ncponT pp/ Looxrmw
pxnAmsrsn
DATE
pnsooswov
ws^sues
um/r
VALUE
VIOLATION TYPE
VIOLATION ACTION
11'2007 001 Effluent
Boo.o'oay(2oDeg. u)
1103/07
Weekly
mg/|
Frequency Violation
wnno
11'2007 001 smuam
Chlorine, Total Residual
11m3m7
oxweek
ug/1
Frequency Violation
None
10'2008 001 Effluent
Chlorine, Total Residual
/0m4/08
xxvedx
ugN
Frequency Violation
mmm
11'2007 001 Effluent
C»m«nn'Fecal MF'm-FC
11m307
vvooNy
#nonm
Frequency Violation
mmm
Bmm.44.5o
11'2007 001 Effluent
DO, Oxygen, Dissolved
11/03/07
Weekly
mo/|
Frequency Violation
mvno
11'2007 001 Effluent
Nitrogen, Ammonia Total (am
11m307
vvovmy
mgx
Frequency Violation
mvnv
n)
11'2007 001 Effluent
Solids, Total Suspended
110307
VYooNy
mnx
Frequency Violation
mono
11'2007 001 Effluent
Temperature, Water Deg.
11m3m7
nxweek
deg
Frequency Violation
None
Centigrade
01'2008 001 Effluent
Temperature, v»uter000.
61m5m8
5x»eox
deg
Frequency Violation
mono

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 02/13/09 Page: 2 of 2
7777777.
lie le
A!,
on
r
Ndrrie L' ubb '8!n
P
minor:
PERMIT: NCO078115 FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP COUNTY: Forsyth REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFALL/ UNIT OF CALCULATED
MEASURE LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
Su Frequency Violation None
VIOLATION
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
11-2007 001 Effluent
pH
11/03/07
Weekly

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: �i�'�I cs%�y� Permit/Pipe No.: NG D0'7?//,sMonth/Year
28 ,
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weeklyl� Z., )iolations
Date Parameter Permit Limit/Type DMR Value % Over'Limit
2 •i�• og 7'�.0
2 •Z9•D8' TR,G l_ Z D
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Date:
Regional Water Quality
Supervisor Signoff: Date: 611L, v

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Permit/Pipe No.: 41C- 007 is 11S Month/Year M�
G�4/v
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequencv Values Reported # of Violations
Other Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
Date: (0 � (�7 - og
Date:
/a /= -/—
I

A5t--
AOUA.
April 29, 2008
N.C. beat. of ENR
MAY 0 2 2000
Winston-Salem
Regional Office
Mr. Steve Tedder
Division of Water Quality
585 Waughtown Street
Winston Salem, NC 27107
Re: NOV — 2008 — PC — 0216
Greystone Subdivision WWTP
Permit No: NCO078115
Forsyth County
Dear Mr. Tedder:
Aqua North Carolina, Inc,
202 MacKenan Court
Cary, NC 27511
Thomas J. Roberts
President and Chief
Operating Officer
T. 919.467.8712 ext. 30
F: 919.460.1788
[e-mail]
www.aquanorthca.rolina.com
This letter is in response to the referenced NOV cited at Greystone Subdivision on March 27,
2008:; :Our"office received ithis letter.onApri1 1, 2008.
I wish to address !the following comment from your letter:
1. "Sludge hauling records for this facility were not available."
Response: All operators have been instructed to record the amount of sludge hauled
on the sludge hauling report and not on maintenance sheets. In addition,
Aqua requires a Sludge Hauling Manifest from each sludge management
firm with invoices of the sludge removed. We will ensure that the contract
operations firm maintains these records in the future.,
If you have any questions, or if you would like to discuss these matters further, please feel
free to contact the area manager, Tony Parker, at [phone], ext 232.
SinZ
Thomas J. oberts
President and COO
sec: TimWaddell, Atlantic Utility, Inc
An Aqua America Company

Aqua North Carolina, Inc.
A To C No. 078115A02 RECEIVED
Issued January 8, 2008 N.C. Dept. of EWR
i
APR 2 5 2008
I Winston-Salem
Engineer's Certification Regional Office
I, �� �,&Zf1= ,�� , 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 Greystone Subdivision NVWTP,
located on Creek Bed Road in Forsyth County for Aqua North Carolina, Inc., hereby state that, to
the best of my abilities, due care and diligence was used in the observation of the following
construction:
Installation of a dechlor.ination system utilizing sodium sulfite pursuant to the fast
track application received on December 27, 2007, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
I certify that the construction of the above referenced project was observed to be built
within substantial con1pliance and intent of the approved plans and specifications.
f Re-istration No. G Signature b —
Date(/rj,�9 / E e�o6
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center ,;% ,„✓' ,
Raleigh, NC 27699-1633
RE PEI VE D

f
o�oF W A
TF9QG
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,
CERTIFIED MiAIL 70071490 0004 9565 0696
RETURN RECEIPT REQUESTED
Thomas J Roberts
Aqua North Carolina Inc
202 Mackenan Rd
Cary NC 27511
March 27, 2008
SUBJECT: Notice of Violation: NOV-2008-PC-0216
Compliance Evaluation Inspection
Greystone Subdivision WWTP
Permit No: NCO078115
Forsyth County
Dear Mr. Roberts:
A Compliance Evaluation Inspection (CEI) was performed at the Greystone subdivision
wastewater treatment plant on Wednesday, March 19, 2008 by Rose Pruitt of the Winston-Salem
Regional Office of the Division of Water Quality. Tim Waddell with Atlantic Utility was present
for the inspection.
The inspection consisted of two parts: an on -site inspection of the treatment facility and a file
review. The treatment facility was found to be in violation of permit NCO078115 for the
following:
Inspection Area Compliance Issue
Records/Reports No current sludge hauling records
The following are the findings from the subject inspection.
I. Permit
The NPDES permit for the Greystone Subdivision WWTP became effective November 1, 2007
and expires on February 29, 2012.The facility is located north of Kernersville at Greystone
Subdivision in Forsyth County. The permitted components of the 0.032 MGD wastewater
treatment plant include: an influent pump station with duplex feed pumps, a 16,030 gal flow
equalization tank with duplex feed pumps, a dual -train extended aeration package treatment plant
with rough screening, flow, equalization, influent flow splitter box, dual extended aeration basins,
dual integral clarifiers, aerobic digestion, four centrifugal blower/motor units, an 11,000 gallon
sludge treatment and holding tank, chlorine contact chamber and a dechlorination system.
585 Waughtown Street Winston-Salem, NC 27107 Phone [phone] Fax [phone]
�.
NCDENR

Greystone
March 27, 2008
Page 2
` Discharge from said treatment works at the location specified is into an unnamed tributary to
Belews Creek, classified C waters in the Roanoke River Basin.
II. Records/Reports
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Greystone
Subdivision WWTP for the period January 2007 through December 2007 revealed that the facility
had one limit violation. This was for exceeding monthly maximum limits for Nitrogen Ammonia
in May 2007. The facility was subject to Enforcement actions for this violation. Operations
records included DMR's, sample analyses and lab data including COC's, daily operator's and
maintenance logs. A complete copy of the permit was on site.
Current sludge hauling records were not available.
III. Facility Site Review
The facility site review indicated that the 0.032 MGD treatment works is consistent with the
permitted components. The actual treatment system consists of an influent pump station with
duplex feed pumps, a 16,030 gal flow equalization tank with duplex feed pumps, a dual -train
extended aeration package treatment plant with rough screening, flow equalization, influent flow
splitter box, dual extended aeration basins, dual integral clarifiers, aerobic digestion, four
centrifugal blower/motor units, an 11,000 gallon sludge treatment and holding tank, chlorine
contact chamber and dechlorination unit.
IV. Effluent / Receiving Stream
The WWTP discharges to an unnamed tributary to Belews Creek, classified C waters in the
Roanoke River Basin. The effluent was clear and free of visible solids on the date of inspection.
The receiving stream was free of solids, foam and debris.
V. Flow Measurement
Effluent flow is measured with an Isco 4230 electronic flow meter that was last calibrated on
August 21, 2007 by Horizon Eng.
VI. Self -Monitoring Program
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Greystone
Subdivision WWTP for the period January 2007 through December 2007 revealed that the facility
had one limit violation. This was for exceeding monthly maximum limits for Nitrogen Ammonia
in May 2007. The facility was subject to Enforcement actions for this violation.

Greystone
�t March 27, 2008
Page 3
VII. Compliance Schedules
No compliance schedules to evaluate.
VIII. Laboratory
Sample analyses are conducted by Water Tech Labs and Tritest Clemmons. The laboratories were
not reviewed at the time of the subject inspection.
DWQ Laboratory Certification Program for Field Parameters has been issued to Atlantic Utility.
IX. Operation and Maintenance
Operation and maintenance at the time of the subject inspection were deemed satisfactory. The
effluent was clear and free of visible solids.
X. Sludge Utilization/Disposal
Solids are removed from the WWTP by Forsyth Rooter. According to your records solids were
last removed on June 24, 2005.
XI. Pretreatment
Not evaluated during this inspection. No pretreatment program required.
XII. Stormwater
Not evaluated during this inspection.
XIV. Sewer Overflow
None reported.
XV. Pollution Prevention
Not evaluated during this inspection.
XVI. Multimedia
Not evaluated during this inspection.

Greystone
March 27, 2008
Page 4
i
Please refer to the enclosed Inspection Report for any additional observation and comments
The Division of Water Quality greatly appreciates your prompt attention to the non-compliance
issues noted in this and previous inspections. Your continued oversight at this facility is still very
important. The Division also encourages you to continue to be proactive in your efforts to
maintain compliance. You may receive compliance assistance from our Water Treatment Plant
Consultant by contacting Marc Stokes at 336-771-5000.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within thirty (30) working day of receipt of this letter. You should
address the causes of noncompliance and all actions taken to prevent the recurrence of similar
situations. If you should have any questions, please do not hesitate to contact Rose Pruitt at 336-
771-5000.
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Attachments
cc: Timothy J Waddell, 5320 Brittainywood Rd, Kernersville NC 27284
George Gatewood, 2750 US 311, Madison NC 27258
Central Files
4NOW°T°

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 1 51 31 NCO078115 111 121 08/03/19 117 181 CI 191 SI 20III
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 81 QA --------------------------- Reserved ----------------------
67I 169 701 I 71 I_I 721 NJ 73I -u I 174 751 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
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:00 AM 08/03/19
07/11/01
Greystone Subdivision WWTP
Exit Time/Date
Permit Expiration Date
Lot 74 Creek Bed Rd
Kernersville NC 27284
12:15 PM 08/03/19
12/02/29
Name(s) of Onsite Rep resentative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
George Richard Gatewood/ORC/336-215-7427/
Name, Address of Responsible Official/Title/Phone and Fax Number
Dustin K Metreveon,NCSR 1802 Salisbury NC Contacted
28144//704-788-9497/7047886006 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Ol Flow Measurement Operations & Maintenance RM Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Ej 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
Rose Pruitt WSRO WQ//336-771-5000/
9
Signature of Management Reviewer Agency/Office/Phone and Fax Numbers Date
'7- ,zr
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO078115 I11 12I 08/03/19 I17 181
CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Waddell with Atlantic Utility was present for the inspection. The effluent pipe had been repaired. The
stream and the effluent were clear with only a trace of foam at the time of the inspection.
There were no current sludge hauling records for this facility.
Page # 2

If
Permit: NCO078115
Inspection Date: 03/19/2008
Owner - Facility: Greystone Subdivision WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
®
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ®
n
n
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
❑
®
❑
Is the facility as described in the permit?
®n
n
n
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
n
n
n'
Is the inspector granted access to all areas for inspection?
®
n
n
n
Comment:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
n
■
n
n
Is all required information readily available, complete and current?
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
n
Are analytical results consistent with data reported on DIM Rs?
og
n
n
n
Is the chain -of -custody complete?
®
❑
❑
n.
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
®
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
n
Is the ORC visitation log available and current?
®❑
Is the ORC certified at grade equal to or higher than the facility classification?
®❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
®n
n
n
Is a copy of the current NPDES permit available on site?
Page # 3

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWTP
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
n
n
n
Comment: No sludge hauling records
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
n
In
n
Are the receiving water free of foam other than trace amounts and other debris?
MOOD
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
®n
❑
❑
Is flow meter calibrated annually?
®n
n
n
Is the flow meter operational?
®
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
n
n
®
n
Comment: ISCO 4230 last calibrated 08/21/2007 by Horizon Eng
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
n
❑
❑
EW
Is the mixing adequate?
n
n
n
Is the site free of excessive foaming in the tank?
®n
n
n
# Is the odor acceptable?
®n
n
n
# Is tankage available for properly waste sludge?
❑
❑
Comment:
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
®n
n
n
Is the screen free of excessive debris?
®❑
n
171
Is disposal of screening in compliance?
®
❑
[1
❑
Is the unit in good condition?
®❑
n
Comment:
Secondary Clarifier
Yes
No
NA
NE
Page # 4

Permit: NCO078115 Owner - Facility: Greystone Subdivision WWiP
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
■
❑
❑
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
n
Are weirs level?
■
n
n
n
Is the site free of weir blockage?
®
n
n
n
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
IM
n
❑
Is the site free of excessive floating sludge?
®
n
n
n
Is the drive unit operational?
n
n
a
❑
Is the return rate acceptable (low turbulence)?
®
n
n
n
Is the overflow clear of excessive solids/pin floc? -
€
n
n
n
Is the sludge blanket level acceptable? (Approximately '/< of the sidewall depth)
n
n
n
Comment:
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®
❑
❑
Are surface aerators and mixers operational?
®❑
n
n
Are the diffusers operational?
®
❑
❑
Is the foam the proper color for the treatment process?
n
n
Does the foam cover less than 25% of the basin's surface?
®
n
n
n
Is the DO level acceptable?
nnn®
Is the DO level acceptable?(1.0 to 3.0 mg/I)
nnn®
Comment:
De -chlorination
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
®00
Is storage appropriate for cylinders?
®n
00
# Is de -chlorination substance stored away from chlorine containers?
®
❑
❑
Comment:
Page # 5

v
Permit: NCO078115 Owner - Facility: Greystone Subdivision WVVTP
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
De -chlorination
Yes
No
NA
NE
Are the tablets the proper size and type?
®
n
n
n
Are tablet de -chlorinators operational?
o
n
n
n
Number of tubes in use?
4
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
®❑
n
Are all other parameters(excluding field parameters) performed by a certified lab?
®n
n
n
# Is the facility using a contract lab?
®❑
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)?
n
n
®
❑
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
rM
n
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
❑
❑
®
n
Comment: Watertech, Tritest
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
Are the tablets the proper size and type?
M1
n
n
Number of tubes in use? .
4
Is the level of chlorine residual acceptable?
n
Is the contact chamber free of growth, or sludge buildup?
®
n
00
Is there chlorine residual prior to de -chlorination?
❑
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
❑
❑
to
Is sample collected below all treatment units?
0
n
n
n
Is proper volume collected?
n
n
n
Ej
Is the tubing clean?
®
n
n
n
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)? n ❑ ❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ® n n 11
Comment:
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ® n ❑
Page # 6

S
Permit: NC0078115 Owner - Facility: Greystone Subdivision VVWTP
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
Upstream / Downstream Sampling
Comment:
Pump Station - Influent
Is the pump wet well free of bypass lines or structures?
Is the wet well free of excessive grease?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Is SCADA telemetry available and operational?
Is audible and visual alarm available and operational?
Comment:
®nnn
®nnn
■nnn
Nnnn
®nnn
®nnn
®nnn
Page # 7

6
Compliance Inspection Report
Permit: WQCSD0201 Effective: 03/01/00 Expiration: Owner: Aqua North Carolina Inc
SOC: Effective: Expiration: Facility: Greystone Subdivision Collection System
County: Forsyth -
Region: Winston-Salem
Contact Person: Michael Harwood Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s): 1
On -Site Representative(s):
Related Permits:
Inspection Date: 03/19/2008 Entry Time: 11:00 AM Exit Time: 12:15 PM
Primary Inspector: Rose Pruitt Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Deemed permitted collection system management and
. operation
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
in Miscellaneous Questions ® Performance Standards ® Operation & Maint Reqmts ® Records
EM Monitoring & Rpting ® Inspections Pump Station
Reqmts
(See attachment summary)
Page: 1

Permit: WQCSD0201 Owner - Facility: Aqua North Carolina Inc
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: VVQCSD0201 Owner - Facility: Aqua North Carolina Inc
Inspection Date: 03/1912008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Performance Standards
Yes
No
NA
NE
Is Public Education Program for grease established and documented?
n
00
What educational tools are used?
Printed info provided to Aqua
Is Sewer Use Ordinance/Legal Authority available?
n
n
®
n
Does it appear that the Sewer Use Ordinance is enforced?
n
n
e
n
Is Grease Trap Ordinance available?
n
n
®
n
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
n
n
a
n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan (CIP) been implemented?
Does CIP address short term needs and long term \"master plant/ concepts?
Does CIP cover three to five year period?
Does CIP include Goal Statement?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Is CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
Is system free of known points of bypass?
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
No sign at pump station, noted at last inspection
®non
nano
Page: 3

d
Permit: WQCSD0201 Owner - Facility: Aqua North Carolina Inc
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program?
# If yes, date implemented?
Describe:
Comment: Pump station not locked
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
Comment: incomplete records
Operation & Maintenance Requirements
Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
2x per year
Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment?
What is the schedule for testing emergency/standby equipment?
Reason for Visit: Routine
■nnn
1
0
Yes No NA NE
Hann
■ n n n
n■nn
nn®n
nnn
®nnn
®nnn
Hann
0 0 0 0
Yes No NA NE
Mnnn
®nnn
2 weeks
Page: 4

9
Permit: WQCSD0201 Owner - Facility: Aqua North Carolina Inc
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal?
®
n
n
n
Inspecting and exercising all valves?
inn
n
Inspecting and lubricating pumps and other equipment?
n
®n
n
Inspecting alarms, telemetry and auxiliary equipment?
®
n
n
n
Is there at least one spare pump for each pump station w/o pump reliability?
®
n
n
n
Are maintenance records for right-of-ways available?
❑
n
n
Are right-of-ways currently accessible in the event of an emergency?
n
n
n
Are system cleaning records available?
Has at least 10% of system been cleaned annually?
®n
n
n
What areas are scheduled for cleaning in the next 12 months?
35%, Beaver Run, Pine Shadow, Horseshoe
Is a Spill Response Action Plan available?
®
n
n
n
Does the plan include
24-hour contact numbers
®
n
n
n
Response time
®n
n
n
Equipment list and spare parts inventory
`
n
n
171
Access to cleaning equipment
®n
n
n
Access to construction crews, contractors, and/or engineers
n
n
n
Source of emergency funds
n
n
Site sanitation and cleanup materials
®
n
n
n
Post-overflow/spill assessment
®
n
n
n
Is a Spill Response Action Plan available for all personnel?
®n
n
n
Is the spare parts inventory adequate?
®
n
❑
n
Comment:
VAC
AIn
NG
KIP
Are adequate records of all SSOs, spills and complaints available?
n
®n
n
Are records of SSOs that are under the reportable threshold available?
❑
®
❑
n
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
n
n
n
If yes, is there a corrective action plan?
n
n
n
Is a map of the system available?
n
n
n
n
Page: 5

e
Permit: WQCSD0201 Owner - Facility: Aqua North Carolina Inc
Inspection Date: 03/19/2008 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Does the map include:
Pipe sizes
■
n
n
n
Pipe materials
■
n
n
n
Pipe location
■
n
n
n
Flow direction
❑
■ •
o
n
Approximate pipe age
n
■
n
n
Number of service taps
n
00
n
Pump stations and capacity
■
n
n
n
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
# Does the permittee have a copy of their permit? '
Comment:
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1 C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Annual report for WVVfP only
Comment:. Aqua call centers receive complaints.
Yes No NA NE
Page: 6

RE: ReWonses to Mikkola Dwns and Greystone NOV's
Subject: RE: Responses to Mikkola Dwns and Greystone NOV's
From: "Melton, Michael A." <[e-mail]>
Date: Wed, 30 Apr 2008 10:54:16 -0400
To: "Thomas, Robyn L." <[e-mail]>
CC: <[e-mail]>, <[e-mail]>
Robyn,
Tony has spoken with Atlantic Utility, Inc and they are to send a copy of the manifests of what they have
to date by Friday to Rose. So send the letter and Tim will forward copies of the manifest to Rose and to
Aqua NC.
From: Thomas, Robyn L.
Sent: Wednesday, April 30, 2008 10:42 AM
To: Melton, Michael A.; Parker, Tony R.; Moseley, Gary R.
Cc: Roberts, Tom
Subject: FW: Responses to Mikkola Dwns and Greystone NOV's
See response below from Rose Pruitt regarding the responses to Mikkola Downs and Greysont NOV's.
-----Original Message -----
From: Rose Pruitt [mailto:[e-mail]]
Sent: Wednesday, April 30, 2008 10:36 AM
To: Thomas, Robyn L.
Subject: Fwd: Responses to Mikkola Dwns and Greystone NOV's
I have requested manifests or other sludge hauling records for all Aquasource facilities in Forsyth Co
and NOV'd after inspection from Tony Parker in a message left today. Documentation is a required
response to these NOV's.
Rose Pruitt
NCDENR-DWQ Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
On 4/30/2008 7:31 AM, Steve Tedder wrote:
------- Original Message--------
Subject:Responses to Mikkola Dwns and Greystone NOV's
Date:Tue, 29 Apr 2008 14:27:27 -0400
From:Thomas, Robyn L. <[e-mail]>
To: <steve.teddera ncmail.net>
1 of 2 4/30/2008 10:55 PV ,

RE: Responses to Mikkola Dwns and Greystone NOV's
Mr. Tedder,
Attached are Aqua's responses to NOV's received for Mikkola Downs WWTP and Greystone
WWTP. The originals are being mailed to you today. If you desire further information, please do
not hesitate to contact our office.
Robyn L. Thomas, Executive Assistant
Aqua North Carolina, Inc.
919-467-8712, Ext. 36
rlthomasoaquawnerica.com
Steve Tedder
Steve.Tedder@ncmail..net
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
Rose Pruitt
NCDENR-DWQ Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
2 of 2 4/30/2008 10:55 AM

ma�z/lam
Faxed To: Lzz_,�
Fax #: `7 6 - -/ IS' Phone
WWTP Annual Inspection Checklist
This information should be available to the inspector at inspection time:
Facility: - /��/�/l�� NPDES: AV__0o '-7;?11,5
Permit Effective Dates: to l (f
Inspection Date: Inspection Time: ,
1) DMRs (Dates: January 2007 to December 2007 ) ✓�'`"''�r`�
Lab Data (per DMR dates) '
�3) Laboratories used for analysis & certification #'s —I /,�
✓4) Chain of Custody forms (per DMR dates) f U
c/5) Complete copy of current NPDES permit
-tt--Sfatus of SOC or Moratorium issuance (if applicable)
�) ORC and Back-up ORC current certification
✓8) Wastewater Annual Report (fiscal or calendar year - if applicable)
Daily Operator's log / ORC visitation log
W,1 0) Maintenance log
Process control data (which includes field parameters tested and equipment
calibrations)
Field Parameter certification (if applicable) �?%JD �`��
�13) Flow meter calibration records (if applicable) 1660
14) Influent and/or effluent samplers 6Sc O
t9 5) Flow charts (if applicable)
ator Inspection / under load checks
-�l 7) Spill Response Plan (with current emergency contact number yopp
7. 18) Sludge / Residuals hauling records (if applicable) (P - � � � -
—1"9) Plant visual inspection of treatment units
20) Stream accessible for inspection (at effluent discharge pipe)
Please call with questions:
Rose Pruitt
NC Department of Environment & Natural Resources
Division of Water Quality
Winston-Salem Regional Office
[phone]
Fax: [phone]
- 3 C_,::�� _1

WNjRINpr
ERT(
Permit ,,nc0078115
4
� Facility Name °I° �
t
Major Minor
PERMIT: NCO078115
Limit Violation
MONITORING OUTFALL/ LO
REPORT PPI
05-2007 001
Monitoring Violation
MR) VIOLATIONS for:
Report Date: 03/06/08 Page: 1 of 2
77, MRs'.Betweeii 4 2007 and 12p2007 Region: °Iq _
Violation Category %
Program Category
Karam Name: °!° County °la
Subbasin:'OX
d
Violation Action.% a
r
FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP
COUNTY: Forsyth
REGION: Winston-Salem
CATION PARAMETER VIOLATION FREQUENCY UNIT OF
LIMIT CALCULATED
VIOLATION TYPE VIOLATION ACTION
DATE MEASURE
VALUE
Effluent Nitrogen, Ammonia Total (as 05/31/07 Weekly mg/I
2 2.76
Monthly Average Exceeded Proceed to
N)
Enforcement Case
MONITORING OUTFALL / LOCATION
PARAMETER
VIOLATION
FREQUENCY
UNIT OF LIMIT CALCULATED
VIOLATION TYPE VIOLATION ACTION
REPORT PPI
DATE
MEASURE VALUE
11 -2007 001 Effluent
BOD, 5-Day (20 Deg. C)
11/03/07
Weekly
mg/I
Frequency Violation None
02 -2007 001 Effluent
Chlorine, Total Residual
02/03/07
2 X week
mg/I
Frequency Violation None
03 -2007
001
Effluent
Chlorine, Total Residual
03/17/07
2 X week
mg/I
Frequency Violation
None
03 _2007
001
Effluent
Chlorine, Total Residual
03/24/07
2 X week
mg/I
Frequency Violation
None
11 -2007
001
Effluent
Chlorine, Total Residual
11/03/07
2 X week
ug/I
Frequency Violation
None
11 -2007
001
Effluent
Coliform, Fecal MF, M-FC
11/03/07
Weekly
#/100ml
Frequency Violation
None
Broth,44.5C
11 -2007
001
Effluent
DO, Oxygen, Dissolved
11/03/07
Weekly
mg/I
Frequency Violation
None
11 -2007
001
Effluent
Nitrogen, Ammonia Total (as
11/03/07
Weekly
mg/I
Frequency Violation
None
N)
11 -2007
001
Effluent
Solids, Total Suspended
11/03/07
Weekly
mg/I
Frequency Violation
None
11 -2007
001
Effluent
Temperature, Water Deg.
11/03/07
5 X week
deg c
Frequency Violation
None
Centigrade
11 _2007
001
Effluent
pH
11/03/07
Weekly
su
Frequency Violation
None
Reporting Violation
MONITORING OUTFALL /
LOCATION
PARAMETER
VIOLATION
FREQUENCY
UNIT OF LIMIT CALCULATED
VIOLATION TYPE
VIOLATION ACTION
REPORT
PPI
DATE
MEASURE VALUE

WrORING
REPORT(MR) VIOLATIONS for:
Report Date: 03/06/08 Page: 2 of 2
Permit:nc0078.1-15 _ ti MRs Between "1;2007 and 12 2007Region: iolationCategory:rograrii Category: °lo
Facility' Name: % Param Name::°lo = County:.% Subbasin:. % Violation Action: % -
Major, Minor:%
PERMIT: NCO078115 FACILITY: Aqua North Carolina Inc - Greystone Subdivision WWTP COUNTY: Forsyth
REGION: Winston-Salem
Reporting Violation
MONITORING OUTFALL / LOCATION PARAMETER VIOLATION FREQUENCY UNIT OF LIMIT CALCULATED VIOLATION TYPE VIOLATION ACTION
REPORT PPI DATE
01 _2007 03/03/07
MEASURE
VALUE
Late/Missing DMR No Action, BPJ

COLLECTION SYSTEM INSPECTION CHECKLIST
To:ri Facility: S 7' qwj� Fax #: 5(%"7" 'Y 7/
Inspection Date: ?2'11-CK Inspection Time:
Please have the following information available for the inspector:
1..Sanitary Sewer Overflows (SSOs)
- Number of SSOs in the past 12 months and copies of reports
- Copies of public notice for all spills over 15,000 gallons
- Copies of press release for all SSOs reaching surface water & over 1,000 gallons
2. Current Collection System Map with 'the following information:
- Approximate age of sewer lines - Line size
- Pipe material - Flow direction
- Pump stations - Major tap locations of satellite systems
- Annual updates - Construction drawings if available
- Length of sewers
3. Grease Control.Program
- Copies of the educational materials that have been distributed
4. High Priority Sewer Lines (i.e. suspended, in channel, or under body of water)
- Inspection log that includes: date, inspection method and corrective actions
5. Operation & Maintenance Plan with the following information:
- Pump station inspection frequency - Preventative maintenance sched.
- Spare parts.inventory - Overflow response plan
- Schedule to test emergency equip.
6. Pump. Station Inspections & Maintenance — show evidence of the following tasks:
- Removal of interior and exterior debris as needed
- Exercising of all valves
- Lubrication of pumps & mechanical equipment
- Operation of alarms, telemetry, and generator
- Pump / power failure contingency plan posted at pump station
Have this information available for inspector:
Total # Pump Stations:
# Pump Stations with telemetry:
# Pump Stations w/out telemetry:
# Pump Stations with emergency contact information posted:
7. Right-of-ways and easements maintenance
Provide any maintenance logs or maps to show progress
8. Sewer line cleaning (should be performed on 10% of lines per year if any overflows)
Provide any maintenance logs or maps to show progress
9. General observation of entire system (should be performed on an annual basis)
Provide any maintenance logs or maps to show progress
10. All records should be maintained for 3 years

Permit: WQCSD0190 Owner -Facility: Tim Horner wQ ��1-) (Z) ZO r
Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspections Yes No NA NE
- '-Are maintenance records for sewer lines available? ❑ rl ❑ [1
Are records available that document pump station inspections? n n
Are SCADA or telemetry equipped pump stations inspected at least once a week? C� ❑ [l
Are non-SCADA/telemetry equipped pump stations inspected every day? n n n
Are records available that document citizen complaints? rl n n
# Do you have a sy:Aem to conduct on annual observation of entire system? I n
# Has there been an observation of remote areas in the last year? ( ❑ ❑ F11
Are records available that document inspections of high -priority lines? l� Ll�' n .n
171
Has there been visual inspections of high -priority lines in last six months. ❑ — n ❑
Comment:
Operation & Maintenance Requirements Yes No NA NE
Are all log books available? ;6 n n ❑
Does supervisor review all log books on a regular basis? (=l
Does the supervisor have pl ns to address documented short-term problem areas?� ❑ Tj(I ❑ n
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Z
Are maintenance records for equipment available?1 ❑ ❑
Is a schedule maintained for testing emergency/standby equipment? n ❑ ❑
What is the schedule for testing.emergency/standby equipment? — 7i W!7
Do pump station logs include:
Inside and outside cleaning and debris removal? \ /" ❑ Q
Inspecting and exercising all valves? A ❑ ❑ Q
Inspecting and lubricating pumps and other equipment? n n
Inspecting alarms, telemetry and auxiliary equipment? n n n
Is there at least one spare pump for each pump station w/o pump reliability? I�1 n n n
Are maintenance records for right-of-ways available? n n
Are right-of-ways currently accessible in the event of an emergency?
Are system cleaning records available? ❑ ❑ I]Fj
Has at least 10% of system been cleaned annually? IN n n n
t�
J Xd
Page: 3

M
Permit: VVQCSDO190 Owner: Facility: Tim Horner
Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
What areas are scheduled for cleaning in th ext 12 months? 1 � '!;�
Is a Spill Response Action Plan available? n n n
Does the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
. Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
Comment:
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same ovation?
If yes, is there a corrective action plan?
Is a map of the system available?
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction �f
Approximate pipe age /
Number of service taps
Pump stations and capacity
If no, what percent is complete?
��
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I�nnn
nnnn
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nnnn
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A T n
,nnnn
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Page: 4

r
Permit: WQCSD0190 Owner - Facility: Tim Horner
Inspection Date: 10/17/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
List any modifications and extensions that need to be added to the map
n
# Doe -ttae pari f-tk�eir,rdE? 4//
n n n n
Comment:
Monitoring and Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available? n 0 / n
Are public notices and proof of publication available?
// Is an annual report being prepared in accordance with G.S. 143-215.1 C? f-' ❑ n (f I
# Is permittee compliant with all compliance schedules in the permits? n n n
If no, which one(s)?
Comment. -
Pump Station /
Pump station type ( /
-Are pump station logs available?
Is it accessible in all weather conditions?
OP //N� ( C./
# Is general_ housekeeping acceptable? G�r %/✓�"'� .
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?©�%�`•`"U ���p�
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational? ,j
Is simple telemetry present? © � , V
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in plac
e?
0,�j
Yes No NA NE
nnnn
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nnnn
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r n ° n
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Annn
Fnnn
Page: 5

r
I
Permit: VVQCSD0190 Owner - Facility: Tim Horner
Inspection Date: 10f1712007 Inspection Type: Compliance Evaluation
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergencyZgenerarune pumps?
Is the pump stationck hook-up?
Is the generator operable?
# Is fuel in tank and su icient?
Is the generator in ected according to their schedule?
Is a 24-hour n ification sign posted?
Does it include: IJ
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment:
Is Education Program for grease established and documented?
What educational tools are used? (Reg. says distribute info.twice/year)
Is system free of known points of bypass? /V V
If no, describe type of bypass and location.
Reason for Visit: Routine
r�nnn
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nnnn
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L ] n CI
nnnn
nnnn
nn n

Mr. Gary Moseley
Aqua North Carolina, Inc.
4163 Sinclair Street
Denver, North Carolina 28037
SUBJECT:
Dear Mr. Moseley:
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
RECEIVED
January 8, 2008 N.C. Deot. of ENR
JAN 14 2008
Winston-Salem
Regional Office
Authorization to Construct
A to C No. 078115A02
Aqua North Carolina, Inc.
Greystone Subdivision WWTP
Dechlorination Facilities
Forsyth County
A fast track application for Authorization to Construct dechlorination facilities was
received on December 27, 2007, by the Division. Authorization is hereby granted for the
construction of modifications to the existing Greystone Subdivision WWTP, with discharge of
treated wastewater effluent into Belews Creek in the Roanoke River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a dechlorination system utilizing sodium sulfite pursuant to the fast
track application received on December 27, 2007, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO078115 issued September 27, 2007, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0078115.
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
NorthCarolina
Vahmally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterguality.org 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

i t.
Mr. Greeson
January 8, 2008
Page 2
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.
Pursuant to 15A NCAC 2H .0140, upon completion of construction and prior to operation
of these permitted facilities, the completed Engineering Certification form attached to this permit
shall be submitted to the address provided on the form.
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
Permittee 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,
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 of Water Quality 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.

Mr. Greeson
January 8, 2008
Page 3
If you have any questions or need additional information, please do not hesitate to contact
Cecil G. Madden, Jr., P.E. at telephone number [phone].
4Sincere. Sullins
yo�-
AR/cgm
cc: James Thurman Horne, P.E., Horizon Engineering & Consulting, Inc., Mount Pleasant
Forsyth County Health Department
'IM finical Assistance and Certification Unit
Daniel Blaisdell, P.E.
Point Source Branch, NPDES Program
Cecil G. Madden, Jr., P.E.
Anita E. Reed, P.E.
ATC File

Aqua North Carolina, Inc.
A To C No. 078115A02
Issued January 8, 2008
Engineer's Certification
1, , 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 Greystone Subdivision WWTP,
located on Creek Bed Road in Forsyth County for Aqua North Carolina, Inc., hereby state that, to
the best of my abilities, due care and diligence was used in the observation of the following
construction:
Installation of a dechlorination system utilizing sodium sulfite pursuant to the fast
track application received on December 27, 2007, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
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
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633

I;
Performance Annual Report
I. General Information
Facility/System Name: GREYSTONE
Responsible Entity: AQUA N.C. INC.
Person in Charge/Contact: Tom Roberts
Applicable Permit (s): NCO078115
Description of Collection System or Treatment Process:
RECEIVED
N.C. Ceot. of ENR
MAR 1 1 '2008
Winston-Salem
Regional off -ice
This 0.032 MGD wastewater treatment facility consists of an influent
Pump station, flow equalization dual extended aeration basins and clarifiers
Sludge digester chlorination and flow meter
Performance
Text Summary of System Performance for Calendar Year 2007
This plant met discharge permit limits
List (by month) any violations of permit conditions or other environmental
regulations. Monthly lists should include discussion of any environmental
impacts and corrective measures taken to address violatio ` "' µ'► `�
January Compliant.
February Compliant ,vlhi 3 2008
March Compliant DENR -WATER QUALITY
POINT SOURCE BRANCH

April
May
June ,
July
August
September
October
November
December
Compliant
Compliant
Compliant
Compliant
Compliant
Compliant
Compliant
Compliant
Compliant
II. Notification
Customers received a message on their bills regarding the availability of this
report upon request and a notebook containing every report is located in the
appropriate Customer Service office.
III. Certification
I certify under penalty of law that this report is complete and accurate to the
best of mykknowledge. I further certify that this report has been made
available to the users or customers of the named system and that those users
have been notified of its availability.
Prepared by :.Atlantic Utility Inc / Tim Waddell
Responsible Person . Date 02-24-2008
Title: Tom Roberts
Entity: Aqua North Carolina, Inc.

Water Pollution Control System Operator Designation Form
WPCSOCC
NCAC 15A 8G .0201
Permittee Owner/Officer Nante:
Mailing Address: ?off 1-nAC fCENkN C ouRT
TS
City: (%f V State: PC Zip: '21-rl / - Phone #: (9/ q) Y4 %- g %!-2
Email address: JfMeWg 4 i e l L::) gqug 4 Me t• t cA . eo "VI
Signature: M cca'j- Date: 3�.? Sf//4i
.................................................................................................................................................
Facility Name: ORAY5no. tj 8i1s
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade:
Biological WWTP Surface Irrigation
Physical/Chemical Land Application
Collection System
Operator in Responsible Charge (ORC)
Print Full Name: 1POgSR r M t K9- AVIMe
Certificate Type / Grade/ Number:, 0. tu. '%�� V Work Phone #: (33() 38.2- - 3 q Sq
Signature: �w�-* Date: X
"I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. i understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
..........................................................................................................................................I......
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: 54M WE 4 f. pX64,44
Certificate Type / Grade / Number: UJ.I.J. -71: / 1008 Work Phone #: (33%) a/S^- 1-1 /33
C
Signature: )go G�6�^ Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth. in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
..................................................................................................................................................,
Alail, fav or entail the WPCSOCC,. 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone]
orlghral to: Email: certadmin a,ncdenr.eov
Mail or fax a copy to the Asheville
appropriate Regional Office: 2090 US Hwy 70
Swannanoa 28778
IF, 828.299.7043
Phone: [phone]
Washington
943 Washington Sq Mall
Washington 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St
Suite 714
Fayetteville 28301-5043
Fax: [phone]
Phone: 910,433.3300
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville
610 B Center Ave
Suite 301
Mooresville 28115
Fax: [phone]
Phone: [phone]
Winston-Salem
585 Waughtow n St
Winston-Salem 27107
Fax: 336.771,4631
Phone: [phone]
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax: [phone]
Phone:[phone]
Revised 02-2013

d'' w
Facility Name: QRgR ,6ToPermit#: MC-0-0 y9J/S
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: DARP66C f4o M
Certificate Tyt rade /Number: W. W ?Ta•2 7 Work Phone 16
Signature: Date:.
"I certify that I agKee to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: 'P€7'£ D9,44 /N 6
Certificate Type / Grade / Number: WW,
_Zr `197yy9 Work Phone #:
(33(o)
36.2 - .2009
Signature: Z__ ___ -, � 0,z"
'"-� Date:
a 3-
2 8- i V
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and NNill abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: MICNAf G STRIt~WLANZ
Certificate Type / Grade / um er: 1,t1, ul. .% 9 V6 o QA Work Phone #: (336 ) 3 &Z - OI l 8
Signature: Date: o O1
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification. Commission"
.................................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number:
Work Phone #:
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
riles and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
..........................................................................................................................................................................
Revised 02-2013

zroC___
oFWAco rF9
yr' NCDENR
Michael, J. Myers
Manager of Engineering and Compliance
Aqua North Carolina, Inc.
P.O. Box 4889
Cary, North Carolina 27519
Dear Mr. Myers:
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
October 27, 2006
Alan Klimek, P.E., Director
Division of Water Quality
RECEIVED
N.C. Deot. of ENR
OAT 31 " 2005
Winston-Salem
Regional Office
Subject:. Engineering Alternative Analysis (EAA)
Greystone Subdivision WWTP
Forsyth County
Return # 2241 .
In accordance with Division policy, we must hereby return the attached Engineering Alternative
Analysis. After a preliminary review by the NPDES staff, the Division has determined that the EAA
package lacks the following items:
Complete evaluation of discharge alternatives. The Division requires applicants for new
and expanding discharge permits to fully document all alternatives to surface water.
discharge (15A NCAC 2H.0105 (c) (2)). Each discharge alternative should be thoroughly
evaluated and each conclusion should be substantiated by appropriate documents and
itemized budgets. In accordance with the EA A Guidance Document, the Direct Discharge
to Surface Water alternative should be evaluated based on the tertiary treatment limits
[BOD5= 5 mg/L, NH3-N= 1 mg/L] and assuming a weekly sampling regime.
Comparison of Present Worth values between Connection to Existing Collection System and
Direct Discharge to Surface Water indicates that cost difference is less than 6%. Re-evaluation of the
item 4.4 Direct Discharge to Surface Water is likely to make this difference even smaller.
Therefore, the Division recommends that you consider connection to a POTW as the preferred
alternative.
If you have any questions about the NPDES permit process, contact me at the address or
telephone number listed below.
Sincerely, 11911
Sergei Chernikov, Ph.D.
Environmental Engineer II
NPDES-West
cc: NPDES File
WiiistoMS'aleinRegional.Offiee/Surface WafJr-Protection_ ,
Gerald E. Halton, P.E.
Arcadis G & M of North Carolina, Inc.
13777 Ballantyne Corporate Place, Suite 250
Charlotte, NC 28277
N. C. Division of Water Quality / NPDES Unit Phone: [phone], extension 594
1617 Mail Service Center, Raleigh, NC 27699-1617 Fax: [phone]
Intemet: h2o.enr.state.nc.us e-mail: [e-mail]

Greystone NCO078115
Subject: Crreystone NCO078115
From: Rose Pruitt <[e-mail]>
Bate: Thu, 16 Nov 2006 09:06:11 -0500
To: Sergei Chernikov <[e-mail]>
Hi Sergei
POTW says they have turned down connection of this facility. If so then regional office has no
objections to relocation and expansion.
Rose Pruitt
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: (336) 77175000
FAX: [phone]
s
1 of 1 11/16/2006 9:06 AM

o�pF W ATF,QQG Michael F. Easley
/�
Governor
co r ®A William G. Ross, Jr., Secretary
NCDENR North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
n, Division of Water Quality
October 20, 2006
hFiaeivi D
N.C. Dept. of HNR
To: Steve Tedder OCT 7 4 2006
WQ Regional Supervisor Winston-Salem
Winston-Salem Regional Office Regional Office
From: Sergei Chernikov, Ph.D.
Environmental Engineer II
NPDES-West
Re: Greystone WWTP (relocation and expansion from 0.032 MGD to 0.185 MGD)
Forsyth County
Permit NCO078115
The NPDES-West has received EAA for the above referenced project. Please let me know if you
have any questions, objections or concerns.
cc: Permit File
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.state.nc.us DEN Customer Service Center: 1 800 623-7748

�@i✓@Itl@f�
N.C..Dept. of ENN
OCT 9 4 2666
Wlnston-Salem
Regional office -
AQUA
North-CarohnaTM
GREYSTONE WWTP
RELOCATION & EXPANSION
ENGINEERING ALTERNATIVES
ANALYSIS
March 2006
ARCADIS
Infrastructure, environment, communications

Attachment A. Local Government Review Form
General Statute Overview: North Carolina General Statute 143-215.1 (c)(6) allows input from local governments in the issuance
of NPDES Permits for non -municipal domestic wastewater treatment facilities. Specifically, the Environmental Management
Commission (EMC) may not act on an application for a new non -municipal domestic wastewater discharge facility until it has
received a written statement from each city and county government having jurisdiction over any part of the lands on which the
proposed facility and its appurtenances are to be located. The written statement shall document whether the city or county has a
zoning or subdivision ordinance in effect and (f such an ordinance is in effect) whether the proposed facility is consistent with the
ordinance. The EMC shall not approve a permit application for any facility which a city or county has determined to be
inconsistent with zoning or subdivision ordinances unless the approval of such application is determined to have statewide
significance and is in the best interest of the State.
Instructions to the Applicant: Prior to submitting an application for a NPDES Permit for a proposed facility, the applicant
shall request that both the nearby city and county government complete this form. The applicant must•.
■ Submit a copy of the permit application (with a written request for this form to be completed) to the clerk of the city and
the county by certified mail, return receipt requested.
■ If either (or both) local government(s) fail(s) to mail the completed form, as evidenced by the postmark on the certified
mail card(s), within 15 days after receiving and signing for the certified mail, the applicant may submit the application to
the NPDES Unit.
■ As evidence to the Commission that the local government(s) failed to respond within 15 days, the applicant shall submit a
copy of the certified mail card along with a notarized letter stating that the local government(s) failed to respond within the
15-day period.
Instructions to the Local Government The nearby city and/or county government which may have or has jurisdiction over
any part of the land on which the proposed facility or its appurtenances are to be located is required to complete and return this
form to the applicant within 15 days of receipt. The form must be signed and notarized.
Name of local government f S Vd-t\
(City/County)
Does the city/co Nty have jurisdiction over any part of the land on which the proposed facility and its appurtenances are to be
located? Yes [o [ ] If no, please sign this form, have it notarized, and return it to the applicant.
Does the city/county have in effect a zoning or subdivision ordinance? Yes V No [
If there is a zoning or subdivision or4inance in ffect,, p* the plan for the proposed facility consistent with the ordinance.?? Yes ]
No [Vf Z D',d �(7. LCx�.��¢ ti►� Ie5 ^O /ifZ-l.'cc.'
Cry - Gory
Date / Signature rl
0 r t alter ty Manage) L iA. D\.
c J
State of le r`k dAtoliP_ar , County of Foa yam.
On this /&? A- ,Q day of /X da r d � �2G�, personally appeared before me, the said
name_ ar-s,'La6. (P_rwGr to me known and known to me to be the person described in
and who executed the foregoing document and he (or she) acknowledged that he (or she) executed the same and being duly sworn
by me, made oath that the statements in the foregoing document are true.
My Commission expires AAier 4&s .166 (Signature of Notary Public) '
otary Public (Official Seal)
OFFICIAL WEAL
(Div
KIM M. HEPLMNOTARY PUMMORTH MROLMM OOUIM OF FORSM
COtIHIdWMTS o0tl:bx24,2000
EAA Guidance Document Version: June 23, 2005
Page 8 of 8

r�
ARCADIS
GREYSTONE WWTP RELOCATION & EXPANSION
ENGINEERING ALTERNATIVES ANALYSIS
Prepared by:
✓Jy ' k?
'�
!�1�Yy� �y q
Gerald E. Hatton P.E. 67
J
Project Manager
f `' �'
ARCADIS G&M of North Carolina, Inc.
4• yy�`;rs t� , t=s�''.=
Approved for Submittal:
ichael J. My s 10,
Director of Engineering & Compliance
AQUA North Carolina, Inc.
ARCADIS Project No. CN4AQ524.0000

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 000078115
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
_ Owner Name Aqua North Carolina, Inc.
Facility Name Proposed Expansion & Relocation of Greystone Subdivision WWTP
Mailing Address P.O. Box 4889
City Cary
State / Zip Code NC 27519
Telephone Number [phone]
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 Vance Road, East of Kerner Road (Proposed Site)
City Unicorporated Area
State / Zip Code NC -
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 Aqua North Carolina, Inc.
Mailing Address P.O. Box 4889
i City Cary
f j
State / Zip Code NC 27519
Telephone Number [phone]
Fax Number [phone]
1 1 of 3 Form-D 4/05

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
jResidential ® Number of Homes 385
School. ❑ Number of Students/Staff
Other . ® Explain: 140 gpd
Describe the source(s) of wastewater (example: subdivision,. mobile home park,, shopping centers,
restaurants, etc.):
-Single family residential subdivisions - Existing Greystone Subdivision at 135 lots and proposed
Lambe subdivision at 250 homes. Assumes all units are 4-,bedroom houses.
jThe plant will receive, intermittent backwash from the Public Water System groundwater treatment
- facility. The average wastewater flow will be roughly 1,000 gallons per week, or,140 gallons per day.
The volume of ion -exchange regenerate will be stored in a holding tank on -site and trickle fed into the
WWTP (or a lift station at the WWTP). The average long-term contributions of sodium and. chloride to
___ the wastewater treatment plant should be .on the order of 30 mg/1 for sodium and 50 mg/l for chloride
(based on other similar water softener / ion exchange units owned by Aqua NC).
Population served: 1,540
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combin d (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points I
Outfall Identification number(s) 1
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):
Unnamed tributary of Belews Creek - See Engineering Alternatives Analysis
i
8. Frequency of Discharge: ® Continuous ❑ Intermittent.
`- If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including 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
_ _'I separate sheet of paper.
The proposed discharge and WWTP will replace tb
permit NCO078115. See design data in the Engin4
preliminary design basis. .
e current discharge under existing
=ing Alternatives Analysis for
2of3
Form-D 4/05

f
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.185 MGD
Annual Average daily flow N/A MGD (for the previous 3 years)
Maximum daily flow N%A MGD (for the previous 3 years)
11- Is this facility located on Indian country?
❑ Yes ® 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 one analysis is reported, report daily maximum
It 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)
34.5
23.0
mg/L
Fecal Coliform
400
200
per 100ml
Total Suspended Solids
45.0
30.0
mg/L
Temperature (Summer)
Temperature (Winter)
pH
6.0 to 9.0
6.0 to 9.0
Std. Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type'
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0078115 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.
Michael J. Mvers Manager of Engineering & Compliance
Printed name of Person Signing Title
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 knowly 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.)
r 3 of 3 Form-D 4/05

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
1.
GENERAL INFORMATION
1
1.1
BACKGROUND
1
1.2
PROPOSED PROJECT
1
1.3
APPLICANT NAME & CONTACT INFORMATION
2
1.4
EXISTING FACILITY NAME &•CONTACT INFORMATION
2
1.5
EAA PREPARER NAME & CONTACT INFORMATION
2
2.
DISCHARGE CONDITIONS
3
2.1
EXISTING DISCHARGE PERMIT LIMITS
3
2.2
ZERO FLOW STREAM RESTRICTIONS
3
2.3
RECEIVING STREAM CLASSIFICATION RESTRICTIONS
3
2.4
BASINWIDE WATER QUALITY PLANS
4
2.5
IMPAIRED WATERS AND TMDLS
4
2.6
PRESENCE OF ENDANGERED SPECIES
4
2.7
LOCAL GOVERNMENT REVIEW
4
3.
FUTURE WASTEWATER FLOWS
5
3.1
EXISTING SERVICE AREA INFORMATION
I
5
3.2
CURRENT FLOWS
5
3.3
FUTURE FLOWS
5
4.
ALTERNATIVE ANALYSIS
6
4.1
CONNECTION TO EXISTING WASTEWATER COLLECTION SYSTEM
AND
WWTP
6
4.2
LAND APPLICATION
7
4.3
IMPLEMENTATION OF A REUSE PROGRAM
8
4.4
DIRECT DISCHARGE TO SURFACE WATERS
9
4.5
COMBINATION OF OPTIONS
10

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
5. ECONOMIC FEASIBILITY OF ALTERNATIVES
5.1 PRESENT VALUE CALCULATION ASSUMPTIONS
5.2 CONCLUSIONS AND RECOMMENDATIONS

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
Tables
1
I
Current Permit Limits 3
2
Projected Wastewater Flows 5
3
Summary of Alternative Costs 10
4
Summary of Alternative Present Values 11
Figures
1
Vicinity Map
2
Existing WWTP and Expansion WWTP Locations
3
Proposed WWTP Site Topographic Map
4
Connection to Existing Wastewater Collection System and WWTP
5
Potential Land Application Sites
6
Proposed WWTP Schematic
Appendices
A
NPDES Discharge Permit NC0078115
B
li
Stream Flow Determination by USGS
C
Local Government Review Form i
B
Connection to Existing Collection System and WWTP - Present Value Calculations
E
Potential Land Application Sites
F
Land Application - Present Value Calculations
G
Reuse - Present Value Calculations
H
Design Basis for Proposed WWTP Improvements
I
i
it
Direct Discharge - Present Value Calculations

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
1. GENERAL INFORMATION
1.1 BACKGROUND
The existing Greystone Subdivision Wastewater Treatment Plant (Greystone WWTP)
is located north of the Town of Kernersville in Forsyth County, North Carolina. It is
situated on a 0.55 acre parcel at 1549 Creek Bed Road and serves a tributary area in the
immediate vicinity of the plant, including the residential lGreystone Subdivision
community. The plant location is illustrated on Figure 1 Vicinity Map.
Greystone WWTP is owned and operated by AQUA North Carolina, hie. (AQUA) and
is permitted under NPDES Discharge Permit NC0078115. Appendix A - NPDES
Discharge Permit NC0078115 contains a_ copy of this permit which is set to expire on
February 28, 2007. The plant discharges to an unnamed tributary of Belews Creek in
the Roanoke River Basin. The point of discharge is also"Illustrated on Figure 1.
Effluent limits are established in the permit fora 32,000 gallon per day (gpd) capacity
treatment plant.
AQUA desires to expand this facility to treat wastewater from an adjoining property
that is planned for development. Because of size limitations of the existing site, the
expansion is proposed as a totally new facility which will be located downstream
(northerly) of the existing plant on the adjoining property.
This Engineering Alternatives Analysis (EAA) is intended to meet the requirements of
the North Carolina Department of Environment and Natural Resources - Division of
- Water Quality (DWQ) and is submitted in support of an application for NPDES permit
authorization as either a modification to the existing permit NCO078115 or as a
` replacement of this permit. The requested plant capacity) is 185,000 gpd. This EAA
evaluates alternatives on the basis of the full 185,000 gpd capacity (existing 32,000 gpd
plus proposed 153,000 gpd).
1.2 PROPOSED PROJECT
The existing WWTP is a packaged treatment facility of steel construction. It was
construction in 2003 and replaced a problematic plant at the same site. Expansion of
this facility is not possible due to the small size of the property. Also, the proposed
development adjacent to Greystone is down gradient from the current discharge point
and pumping would be required. Because of these reasons, a new facility is proposed.
The proposed WWTP discharge point is shown on Figure 1 and more specifically
illustrated on Figure 2 - Existing WWTP and Expansion WWTP Locations. The
regional topography of the proposed WWTP site and surrounding property is
illustrated on Figure 3 -Proposed WWTP Site Topographic Map.

GREYSTONE WWTP
RELOCATION &
--'
EXPANSION
ENGINEERING
ALTERNATIVES
-
ANALYSIS
The existing treatment system is an extended aeration process with flow equalization,
aeration tanks, clarifiers, aerobic sludge digestion, tablet chlorination, post aeration,
effluent metering, and a gravity discharge. The proposed WWTP will also be an
extended aeration process as described above, but will use ultraviolet disinfection
instead of the tablet disinfection.
1.3 APPLICANT NAME & CONTACT INFORMATION
Mr. Michael J. Myers
Director of Engineering and Compliance
AQUA North Carolina, Inc.
P.O. Box 4889
Cary, NC 27519
919.467.8712, ext. 706
1.4 EXISTING FACILITY NAME & CONTACT INFORMATION
Greystone Subdivision Wastewater Treatment Plant
1549 Creek Bed Road
Forsyth, North Carolina
Mr. Tim Wadell
Operator in Responsible Charge
AQUA North Carolina, Inc.
- P.O. Box 4889
Cary, NC 27519
919.467.8714
1.5 EAA PREPARER NAME & CONTACT INFORMATION
Mr. Gerald E. Hatton, PE
ARCADIS G & M of North Carolina, Inc.
13777 Ballantyne Corporate Place, Suite 250
Charlotte, NC 28277
704.752.4258, ext. 17
2

2. DISCHARGE CONDITIONS
2.1 EXISTING DISCHARGE PERMIT LIMITS
Permit NCO078115 includes limits for the existing 32,000 gpd plant capacity. The
permit is included in Appendix A and the limits are as follows:
Table 1 - Current Permit- Limits
Effluent Characteristics
Flow
Monthly Average
32,000 gpd
Daily Maximum
BOD, 5-Day
23.0 mg/l -
34.5 mg/l
Total Sus ended Residue
30.0 mg/l
. 45.0 mg/1. .
NH3 as N (Apr 1— Oct 31)
2.0 mg/l
NH3 as N (Nov 1— Mar 31)
4.0 mg/l
Dissolved Oxygen.
> 5.0 mg/1 .
Fecal Coliform
200 / 100 nil
400 / 100 nil
Total Phos horus
No Limit- Quarterly Monitoring
Ph.
6.0-9.0 .
6.0—.9.0
2.2 ZERO FLOW STREAM RESTRICTIONS
These restrictions are not applicable because the discharge is to a water body with
regular stream flows. As part of the investigation of expansion feasibility, the United
States Geological Survey (USGS) Water Resources Division in Raleigh was contacted:
Mr. Curtis Weaver of the USGS provided data regarding the 7Q 10 for the unnamed
tributary. His response is contained in Appendix B. — Stream Flow Determination by
USGS. The 7Q10 yield at the proposed discharge point at Vance Road (SR 2014)
ranges between 0.13 and 0.15. cubic feet per square mile (cfsm). With a tributary'area
of 2.65 square miles, the 7Q10 is 21'9,732 gpd for the lesser yield rate. The 30Q2 yield
is 513,786 gpd. The tributary area is illustrated on the plan contained in Appendix B.
2.3 RECEIVING STREAM CLASSIFICATION RESTRICTIONS
At the existing and proposed points of discharge, the creek is classified class C waters
in the Roanoke River Basin. Class C waters have a defined best usage for aquatic life
propagation /protection and secondary. recreation. Under this classification, discharges
are normally permitted.
GREYSTONE VWVTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
3

2.4 BASINWIDE WATER QUALITY PLANS
The most, recent Roanoke River water quality plan was issued in July 2001 after
undergoing public input and review. As noted in this water quality plan, Sub -basin 03-
02-01 does contain Impaired Waters on the 303(d) list including Belews Lake and
Town Fork Creek. Neither- of. these. Impaired Waters appears to be affected by waters
from the unnamed tributary of Belews Creek that serves as the proposed WWTP. .
discharge carrier. The Greystone Subdivision WWTP is cited in the plan as having
occasional, short-term violations of ammonia limits and the plan -recommends major
improvements be.made to the facilities. As previously noted in this EAA, the'old
Greystone WWTP cited in the July 2001 edition of the water quality plan was replaced
in 2003. The current plant operates' efficiently within the permit limits.
There are no conditions mentioned in the water quality plan that are expected to restrict
the discharge of the. proposed Greystone WWTP beyond the limits currently permitted
for the existing plant.-.
2.5 IMPAIRED WATERS AND TMDLS
The unnamed tributary of Belews Creek is not listed as Impaired and TDML's have
not been established.
2.6 . PRESENCE OF ENDANGERED SPECIES
No specific references have been found to indicate the present of endangered species
located in the vicinity of the current Greystone WWTP discharge point. A search of
records at the North Carolina Natural Heritage Program offices in Raleigh was
conducted and no endangered or protected plants or animalspecies have been .
discovered or documented in the vicinity of the proposed discharge point.
2.7 LOCAL GOVERNMENT REVIEW
The existing plant and surrounding region are located in unincorporated Forsyth
County. The proposed plant location is consistent with the current zoning and
subdivision ordinance of the County. Appendix .0 — Local Government Review Form
has been submitted through the Winston-Salem / Forsyth County Inspection
Department for completion by the County Manager.
GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
4

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
3. . FUTURE WASTEWATER FLOWS
3.1 EXISTING SERVICE AREA INFORMATION
The service areas for the existing and proposed WWTP's are shown on Figure 2 —
Existing WWTP. and Expansion WWTP Locations. Included in the ultimate service area
is the existing Greystone Subdivision and the proposed 67 acre Lambe development.
3.2 CURRENT FLOWS
The average wastewater flow for the twelve month period ending September 2005 is.
approximately 13,00.0 gpd. The Greystone Subdivision area consists of 135 single
family lots,, but only 72 of these properties are currently connected to the sewer,
collection system. It is assumed that all lots will be connected at sometime in the
future as septic systems begin to fail. The houses contained in this development are
generally 4 bedroom houses. The allocated flow based on a DWQ standard flow
generation factors .including 120 gallons per day per bedroom, is 64,800 gpd.
3.3 FUTURE FLOWS
The 67 acre property that is immediately adjacent to. the Greystone Subdivision is
projected to contain 250 single family lots when fully developed. As is the case with
the existing service area, these lots are expected to have 4 bedroom houses. Using the.
same estimation criteria as above, the projected wastewater flows to an expanded
Greystone WWTP are as follows:
-Table 2 —Projected Wasteviratetflows I
Existing Flow -from Greystone Subdivision 64,800
67 Acre Property Subdivision 120,000
Total Permitted Flow and Future Flow 184,800
5

4. ALTERNATIVE ANALYSIS
There are several alternative methods of disposal available including (1) the connection
to an existing wastewater system, (2) land application of effluent, (3) reuseof effluent,
(4) the continued discharge to the unnamed tributary of Belews Creek, and (5)
combinations of these alternatives.
4.1 CONNECTION TO EXISTING WASTEWATER COLLECTION SYSTEM AND WWTP
The Winston-Salem / Forsyth County Utilities Commission operates a wastewater
collection system with two treatment facilities discharging to .the Yadkin River. They
have collection system facilities serving Kernersville and surrounding region. The
nearest gravity sewer with sufficient capacity to handle the required 185,000 gpd flow
is approximately 3.4 miles south of the proposed discharge point. The Commission
system contains gravity sewers and pump stations with force mains. The collected
wastewater in the system generally flows. to the west towards Winston-Salem. A recent
study of the existing collection system indicated that adequate capacity for additional
flows may not exist downstream.
The Greystone WWTP service area is.separated from the existing Utilities Commission
sewers by the ridge line between Belews Creek and the unnamed tributary of Belews
Creek. It will be necessary to pump wastewater to. the Commission sewers. Also,
downstream capacity improvements are expected to be required in order to
accommodate the addition of 185,000 gpd from Greystone. When adjusted to peak
flow using 2.5 as a peaking factor, the flow capacity required for Greystone is 321
gallons per minute. This peak flow rate is used to evaluate both gravity and pumping
facilities in the Winston-Salem / Forsyth County Utilities system.
According to Mr. Ron Hardgrove, Deputy Director of Winston-Salem / Forsyth
County Utilities, their system can accommodate the projected..flow except for a section
of the 18-inch Kerners Mill Outfall sewer which may require enlargement to serve the
Greystone and other areas. Thecost of this improvement is included in the cost
analysis of this alternative. It has been prorated based on the expected contribution of
the Greystone area.
The Utilities Commission would probably accept the flow from the Greystone service
area. Under current Commission policy, no access, fees are assessed to new customers
in this region.
The facilities necessary to connect to the Utilities Commission's gravity sewer are
shown on Figure 4 — Connection to Existing_ Wastewater Collection System and
WWTP. .
GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
6

The estimate capital cost of this alternative with impact fees is $2,248,896 as presented
in Appendix D — Connection to Existing Collection System and. WWTP - Present Value
Calculations.
4.2 LAND. APPLICATION
Applying treated wastewater to land at rates compatible with the natural physical, .
chemical and biological processes that occur in soils is an alternative. Due to odor .
problems and buffer requirements, land applying screened wastewater is generally
_ performed in. very rural areas with access to abundant well -drained and cleared land.
The Greystone WWTP 'is located in an area that is experiencing moderate
development growth. It is being developed for residential land uses with supporting
commercial properties. The region is characterized as rolling topography with many
streams and creeks. Large areas lie within regulated flood plains.
There are few large parcels of property near the Greystone plant site. For the
purposes of this alternative analysis, several parcels ranging in size between 285 and
88 acres were -identified from the Forsyth County GIS database. These properties are
illustrated on Figure 5 — Potential Land Application Sites and tabulated in Appendix
E - Potential Land Application Sites. The table contains ownership information, area,
tax value, current zoning classification, and approximate area of the property
impacted by flood plains. A tax value per acre of useable property (total area less
wetlands/flood plain) has been estimated.
Most of these parcels are either used for agricultural purposes or are 'in the
= development planning stage. It is not likely that the property owners would willingly
sell their property for land application purposes. The analysis of this alternative has
only been undertaken to determine financial cost of the alternative, not actual
feasibility.
Many.other factors can influence the potential of this alternative including the. .
presence of wetlands, environmental factors, zoning issues, and property owner
willingness to sell their property: AQUA does not own any land in the area other than
the current WWTP site and.several community well sites. Four parcels within a mile
and one half of the proposed WWTP site were identified as large enough to be used
for land application. One was chosen as representative of the others and used for cost
rI
estimating purposes. It is -owned by T.G. Preston Jr.
Buffer zones for a spray irrigation system are required by DWQ requirements. These
are per NC Administrative Code (NCAC) T15A: 02H.0200 and are set at 400 feet
from any habitable residence, 150 feet from any property line, and 100 feet from a .
stream, canal or marsh. Assuming a soil loading rate of 36 inches per year, the
GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
7

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
needed land area would be 74 acres. A 60-day storage reservoir would require
1. approximately 5 acres to contain a l 1.1 million gallon lined pond with a water depth .
-- of seven feet. After adding space for an effluent storage reservoir.and the required
I buffers, a total of 111 acres of land will be required depending on the shape of the
property available.
An estimate of the capital cost of the land application system was made without the
benefit of a soil scientist, design, or field information. The estimated capital cost,.
including -property acquisition is $6,246,850 and is detailed in the Appendix F — Land
Application - Present Value Calculations. This alternative requires a WWTP with
performance capabilities similar to that permitted under the current NPDES permit.
I�
As a result of the present .worth analysis and the additional considerations listed above,
land application is not considered a viable alternative.
�f
4.3 IMPLEMENTATION OF A REUSE PROGRAM
With modifications, a wastewater treatment facility meeting the requirements of an
expanded Greystone WWTP can treat wastewater to the -required effluent standards
that would allow its use as reuse water. Reuse quality effluent would require the
addition of 5-day storage pond with return pump station, and 30-60 day storage pond
for inclement weather conditions. Since the existing WWTP site is limited,
acquisition of property for the location of both reservoirs would be necessary.
Approximately 4.9 acres. would be necessary for these reservoirs.
Ultimate disposal of the effluent from the WWTP is usually anticipated to be by land
I application on a golf course. The level of treatment required for spray irrigation on
- golf courses is tertiary treatment plus a very low coliform count. Consistent with the
requirements of NCAC T15A:02H.219k, the WWTP is required to produce an
effluent with characteristics as follows:
■ BOD5. (monthly average) <10 mg/l
BOD5 (daily maximum) <15 mg/l
■ TSS (monthly average) <5 mg/l
-1 TSS (daily maximum)' <10 mg/1
LJ n Fecal Coliform (monthly average) <14/100 ml
■ Fecal Coliform (daily maximum) <25/100 m1
■ Turbidity (maximum) <10 NTU
Regulations require ammonia -nitrogen less than 4 mg/1(monthly average) and 6 mg/l
l (daily maximum). However, to avoid nutrient induced algal growth -in irrigation
-' ponds and to prevent groundwater contamination, it is desirable to minimize the-'
8

'GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
release of nitrogen and phosphorus. Accordingly, it is desirable to limit -the effluent
nitrate concentration to 15 mg/l and phosphorus concentration to 5 mg/l.
The second part of a reuse program is finding users. Potential consumers of reuse
water are landscape irrigation sites. and industrial sites. Reclaimed water contains
nutrients such as nitrogen and phosphorus, which can be detrimental to surface
waters yet beneficial to terrestrial vegetation. Treated effluent can also be used by
some industrial users for, their non -potable water needs. There are no water -using .
industries in the region:
Golf courses generally have the best reuse potential among landscape. irrigation users
due to their high application rates, large irrigated areas, and single supply point. Peak
reuse flows occur at night when most landscape irrigation is performed. Future golf
courses have an advantage in that the water storage facility, usually an isolated pond,
can be added to the course design to allow for off-peak pumping. There are no
existing golf courses in the vicinity of the Greystone WWTP. .
For the capital costs estimates, the same parcel identified under the land application
alternative was considered. The force main routing is the same for both alternatives.. .
The estimate of the capital costs for the reuse system is $6,460,790 as detailed in
Appendix G — Reuse - Present Value Calculations. This estimate was made without
the benefit of a soil scientist, -design. or field information. This alternative requires a
WWTP with performance capabilities exceeding that permitted under the current.
NPDES permit.
Because a.suitable reuse customer is not available, this alternative is not considered a
viable alternative.
j . 4.4 DIRECT DISCHARGE TO SURFACE WATERS
This alternative involves the total replacement of the existing 32,000 gpd wastewater
treatment plant with a 185,000 gpd plant, designed to meet the requirements of the
current discharge permit limits. The proposed plant will include the following ,
components: .
■ Dual Train Reliability
■ Flow Equalization Basins with Aeration.
■ Extended Aeration Basins.
• Gravity Clarifiers. .
- Ultraviolet Disinfection with Post Aeration.
;I
9

■ Sludge" Digestion and Storage with Aeration.
■ Emergency Power Generator.
The proposed improvements are illustrated in Figure. 6 — Proposed WWTP Schematic:
The basis of design for the 185,000 gpd plant is contained in Appendix H— Design "
Basis for Proposed WWTP Improvements.
The estimate of the capital costs for the WWTP is $2,781,350 as detailed in Appendix
I - Direct Discharge - Present Value Calculations.
4.5 COMBINATION OF OPTIONS
Any combination of the alternatives listed above is not feasible. The capital costs of the
land application and reuse alternatives are much higher than continuing discharging to
the unnamed tributary of B"elews Creek as shown below. "
Table 3 - Summary. of Alternative Costs.
Alternative
Connection to Existing Collection System
Capital Cost & Fees
$2,248,896
Land A plication System
$6,246,850
Reuse System
$6,460,790
WWTP with Direct Discharge
$2,781,350
Since the capital costs land application and reuse are significantly higher for the
alternatives other than a surface.water discharge, combinations of alternatives will
likewise be more expensive. Construction of the direct discharge WWTP allows
AQUA to meet the demands of project flow growth. The connection to Winston-Salem
/ Forsyth County Utilities Commission facilities would require the installation of
facilities oversized for near term needs and consequently require significant
expenditures of money which would not be supported by user rates. In addition, the
coordination with the Commission on downstream improvements to the Kerners Mill
Outfall may delay the expansion of the Greystone service area unreasonably.
5. ECONOMIC FEASIBILITY. OF ALTERNATIVES
5.1 PRESENTVALUE CALCULATION ASSUMPTIONS
The determination. of present values for the alternatives include capital costs, land
acquisition, impact fees, and operation & maintenance. costs. Fixed costs include all of
the above except the O&M costs which are accumulated and adjusted to reflect the
GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
10

GREYSTONE WWTP
RELOCATION &
EXPANSION
ENGINEERING
ALTERNATIVES
ANALYSIS
total expenses in reference to present dollars. The analysis period is 20 years with an
inflation factor of 5.875% as established by the US Environmental Protection Agency
and as published annually by the Construction Grants & Loans section of the DWQ.
I
The present value calculations are contained in Appendices D, F, G, and I. They are
summarized in the following table.
Table 4 — Summary of. Alternative, Present Values
Alternative Capital
Connection to Existing Collection System
Cost & Fees
$4,062,992
Land Application System
$7,871,379
Reuse System
$8,085,319.
WWTP with Direct Discharge
$3,852,010
5.2 CONCLUSIONS AND RECOMMENDATIONS
Based on the capital and present value analysis, the direct discharge to surface water
alternative is the recommended plan.

A�AQUA/� Figure 1
U A *141 Existing *#2 Proposed Vicinity Map
North Carolina- Greystone WWTP Expansion
Engineering Alternatives Analysis
0 7501,500 3,000 4,500 0�ARCADIS
of Norm (:atoll -
Feet < UADRANGL 13777 Ballantyne Corporate Place
BELEWS CREEK, NC Charlotte, North Carolal282777
Te1704-752-0258 Fax [phone]

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Lat: 36 10' 24" N
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KATHERINE VOSS & TRUSTEE
285.09 ac.
Zoned AG
J J & JACQUELINE CUTRI
80.24 ac.
Zoned RS40
r
J
T G PRESTON JR 74 ac.
! _
139.82 ac.
Zoned AG
11.1 MG Reservoir
with Pump Station
_, i j
S&D HOLDINGS LLC &
®
88.65 ac.
Zoned RS30
IPTON DR SR21
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67.29 ac.
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Zoned RS40
074

ARCADIS G&M
of North Carolina
13777 Ballantyne Corporab Place
Suite 250
Charldb, North Carolina 28277
Tel[phone] Fax [phone]
1 r 1 rs. ]' 111
AEPA71ON - SAM (M)
nrw&nl rnv
PUMP SMION
AQUA Figure 6
North Carolina¶,, Proposed WWTP Schematic
GREYSTONE WWTP EXPANSION
ENGINEERING ALTERNATIVES ANALYSIS

ARCADIS
Appendix A
NPDES Discharge Permit
NCO078115

0 VV ~ I �9QG
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
November 18, 2004
Michael J. Myers
Aqua North Carolina, Inc.
P.O. Box 35047
Greensboro, Nordi Carolina 27425
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: NPDES Permit Modification
Permit NCO078115
Aqua North Carolina, Inc. - Greystone
Subdivision WW'I'P
Formerly AquaSource, Inc.
Forsyth County
Dear Mr. Myers:
Division personnel have reviewed and approved your request to transfer ownership of the subject permit,
received on June 1, 2004. This permit modification documents the change in ownership.
Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency.
If you have any questions concerning this permit modification, please contact the Point Source Branch at (919)
733-5083, extension 520.
Sincerely,
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office, Water Quality Section
Technical Assistance and Certification Unit
NPDES Unit File
t,�•,+,.-'try%4,.,. .. iY+e w..
II t 1fi''i,
J i
North Carolina
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.mus 512 N. Salisbury St. Raleigh, NC.27604 FAX [phone]

Permit NCO078115
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DrSCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Greystone Subdivision WWTP
North of Kernersville
Forsyth County
to receiving waters designated_ as an unnamed tributary to Belews Creek in the
Roanoke River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, 11, III and IV hereof.
This permit shall become effective November 18, 2004.
This permit and authorization to discharge shall expire at midnight on February 28, 2007.
Signed this day November 18, 2004.
142, �,N J a --
'Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO078115
SUPPLEMENT TO PERMIT COVER SHEET
Aqua North Carolina, Inc. is hereby authorized to:
1. Continue to operate an existing 0.032 MGD package type wastewater treatment
system.
The facility is located north of Kernersville at Greystone Subdivision in Forsyth
County.
2. Discharge from said treatment works at the location specified on the attached
-' map into an unnamed tributary to Belews Creek, classified C waters in the
Roanoke River Basin.

Latitude: 36010'03" Stream Class: C
T,ongitude:80°05'08" Subbasin:030201
•uad # C18NE
Receiving Stream: UT to Belews Creek
Facility
Location
Ii o one •• ^i
Forsyth

Permit NCO078115
A. (1.) EFFLUENT LIMITATIONS. AND MONITORING REQUIREMENTS — FINAL
During the period beginning on the effective date of this permit and lasting until
expiration, the Permittee is authorized to discharge from outfall 001. Such discharges
shall be limited and monitored by the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample Location'
Flow
0.032 MGD
Continuous
Recording
Influent or Effluent
BOD, &day (20°C)
23.0 mg/L
34.5 mg/L
Weekly
Composite
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
(April 1— October 31
2.0 mg/L
Weekly
Composite
Effluent
NH3 as N
November 1— March 31
4.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen2
Weekly
Grab
Effluent,
Upstream &
Downstream
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine
2/Week
Grab
Effluent
Temperature (°C)
Daily
Grab
Effluent
Temperature CC)
Weekly
Grab
Upstream &
Downstream
pH3
Weekly
Grab
Effluent
Footnotes:
1. Upstream = 20 feet from discharge point; Downstream = 0.18 mile from discharge point.
2. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L.
3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts

NPDES Permit Requirements
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, an'r
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. This method may only be used in situations where effluent flow rates vary
less than 15 percent. The grab samples shall be taken at intervals of no greater than 20 minutes apart
during any 24-hour period and must be of equal size and of no less than 100 milliliters. Use of this method
requires prior approval by the Director.
Version 6/20/2003

NPDES Permit Requirements
Page 2 of 16
In accordance with (4)•above, uifluent grab samples shall not be collected more than once per hour.
Effluent grab samples shall not be collected more than once per hour except at wastewater treatment systems
having a detention time of greater than 24 hours. In such cases, effluent grab samples may be collected at
intervals evenly spaced over the 24-hour period that are equal in number of hours to the detention time of the
system in number of days. However, the interval between effluent grab samples may not exceed six hours nor
the number of samples less than four 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 contiivally 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 aritlunetic mean of all
grab samples collected during that period. (40 CFR 122.3)
Daily Maximum
The lvvhest "daily discharge" during the calendar month.
Daily Sampluig
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified iu 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 resciided.
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.
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.
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Ivionthly Average (concentration line o
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 limitl
The average of all samples taken over a calendar quarter.
Severe propert, 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 Clean Water Act.
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 limits
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 ne,gligent jh 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
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)]
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d. Any person who knotvingil, 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 crinvzial
penalties of not more than $100,000 per day of violation, or imprisonunent 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 tune that he thereby places another person in inuninent 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 violatug 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 falls to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes 5 143-215.6A]
g. Any person may he assessed an administrative penalty, by the Administrator for vAolating se --don 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a pernnit 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 die maxunum amount of any Class II penalty not to exceed $125,000. [40 CFR
122.41 • (a) (5)]
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 which has 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 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 die responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liabilit)�
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, not
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 ariv work In any navigable waters.
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7. Severabilitc'
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of thi;
permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the remaindej
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.
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. Sienatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
[40 CFR 122.41 ' (k)].
a. All pertnit 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 envitomnental 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 122.221.
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
overallresponsibility 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 122.22]
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. Perrnit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a pernnit modificat—ion, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (%
13. Permit Modification- R,vocatinr Wild Reissu2 ce. oi" TPi'fllitl aiifill
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 un Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 2H .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 2H.0105 (b) (4)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. 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].
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 daily, excluding weekends and 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
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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
aclueve 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.
(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.
(l) of this section.
5. 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
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noncompliance was caused by upset, and before an action for noncompliance, is final administrative action
subject to judicial review.
b. Conditions necessar-, for a demonstration of upset: A Pernmittee 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) (B) of this permit.
(4) The Pernittee complied with any remedial measures required under Part II. B. 2. of this permit.
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.
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 inn 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 (N„hen
promulgated) within the time provided inn 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 or untreated or inadequately treated wastes during electrical power failures
either by nneans 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)].
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 28th day following the completed reporting period.
The first MIR 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
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3. 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 uistalled, 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 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 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
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].
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 ai 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;
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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 £+-equently than or at a level in excess of that authored shall
constitute a violation of the permit.
2. Planned Chances
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, 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 alternation, 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 Pernittee 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 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 (D1V4R) (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.
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Twent -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)].
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 directly to receiving
waters 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.
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 of Water Quality. 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
Version 612012003

NPDI S Pern it Requirements
Page 12 of 16
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
Perinittees 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 H!
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 constriction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director of the Division of Water Quality, 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";
0) One hundred Micrograms per liter 000 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-diutrophenol; and one milligram per liter
P 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 wluch 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";
p) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter 0 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 reasonabh, cost effective alternatives. If the facility is in substantial non-compliance with the terms
and conditions of the NPE ES permit or governing rules, regulations or laws, the Pernittee 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 perinit. The Division may require specific measures during deactivation of the system to prevent
Vpnzinn w9nIgno

NPDES Permit Requirements
Page 13 of 16
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 MUNCIPAL 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 Pollutants from Industrial Users.
1. ` 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;
C. 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;
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
icant industrial user, the Permittee shall either develop and submit to the
wastewater . from any signif
Version 612012003

NPDES Pernnit Requirements
Page 14 of 16
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
PO7W 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:
L Sewer Use Ordinance (SUO)
The P ermittee shall maintain adequate legal authority to implement its approved pretreatment program.
2. Industrial Waste Survey aWS)
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.5.).
4. Headworks Analysis HWAI and Local Lunits
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 122.42]. 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.
Industrial User Pretreatment Permits allP) & 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, sampl ag 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 P errnittee 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.
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NPDES Permit Requirements
Page 15 of 16
Authorization to Construct (A to Cl
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 (IUP) limitations.
POTW Inspection & Monitoring of their SIUs
The Permttee 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 permit -
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;
SIU 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 (ERPI
The Permittee 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 (PARS
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
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 Significant 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 SNCRI
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 SumnnaLT Forms (1DSQ
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NPDES Permit Requirements
Page 16 of 16
11lonitorinng data from samples collected by both the POTW and the Significant Industrial
User (SIU). These analytical results must be reported on Industrial Data Summaq, Forms
(IDSF) 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 Per.-nittee'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.
12. Record Keeping
The Permittee shall retain for a minimum of three pears records of monitoring activities and results, along
with support information including general records, water quality records, and records of industrial impact
on the IDMV.
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, POT\X7 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.
1/areinn Fignignnq

ARCADIS
Appendix B
Stream Flow Determination
by USGS

Hatton, Jerry
From:
John C Weaver [e-mail]]
lent:
Wednesday, July 13, 2005 3:53 PM
,'o:
Hatton, Jerry
Cc:
John C Weaver
Subject:
Re: Request for Stream Flow Determination
Follow Up Flag:
Follow up
Flag Status:
Red
Jerry,
In response to your inquiry about the low -flow characteristics for a couple of streams in
Forsyth County, the following information is provided:
(1) Unnamed tributary to Yadkin River -- No previous low -flow characteristics have been
determined for the specific locations that you identified, and no site -specific data is
available for any of these locations. The only previous determination in this basin is
for a location in the headwaters estimated in 1988 (Sta. 0211545815, drainage 0.13 sgmi)
In the absence of site -specific data, low -flow characteristics are estimated by assessing
a range in low -flow yields (expressed as flow per square mile drainage area in cubic feet
per second per square mile, or cfsm). For the•1988 estimate, the 7Q10 and 30Q2 low -flow
yields used was 0.10 and 0.33 cfsm, respectively. These yields were based on a nearby
USGS partial -record site (Sta. 02115671, drainage 3.93 sgmi) near Lewisville.
Low -flow characteristics for the above partial -record site and other nearby sites were
published in USGS Water -Supply Paper 2403 "Low -flow characteristics of streams in North
Carolina" (Giese and Mason, 1993).
Assessment of the low -flow yields at these nearby locations suggest a 7Q10 yield ranging
.rom 0.08 to 0.16 cfsm and a 30Q2 yield ranging from 0.31 to
0.39 cfsm.
In the absence of any other information or analyses, a 7Q10 yield of 0.10 cfsm and,30Q2
yield of 0.35 cfsm can be considered appropriate for this stream. Once you know the
drainage areas for your points of interest, you can apply these yields to estimate the
7Q10 and 30Q2 flows. Our drainage -area maps here at the USGS office show the drainage at
the mouth of this tributary to be 1.28 sgmi (Sta. 0211545825, Yadkin River tributary near
Grapewood). We do not have any drainage -area information for the other two points of
interest on this stream.
(2) Belews Creek tributary at SR 2014 -- Previous estimates for this site were made in
response to a 1982 request; however, the estimates are based on relations that are no
longer used to assess low -flow characteristics. A check of the low -flow characteristics
for some nearby USGS partial -record sites suggests that the 7Q10 yield ranges from 0.13 to
0.15 cfsm, and the
30Q2 yield ranges from 0.3 to 0.33 cfsm. A check of the geologic map also indicates there
is a transition in the underlying geologic setting that could result in some of the low -
flow yields being at smaller levels.
However, records for sites in this area are limited and in the absence of any other data
or information, the above yield ranges can be used.
The drainage -area for the location at SR 2014 is 2.65 sgmi (station id 020690235, Belews
Creek tributary at SR 2014 near Kernersville).
Hope this information is helpful.
Thank you.
.urtis Weaver
***********************************************************************
J. Curtis Weaver, Hydrologist, PE
1

USGS North Carolina Water Science Center
3916 Sunset Ridge Road
Raleigh, NC 27607
Telephone: [phone] // Fax: [phone] E-mail address -- [e-mail]
Internet address -- http://nc.water.usgs.gov/
"Hatton, Jerry"
<GHatton@arcadis-
us.com>
Determination
07/08/2005 04:41
PM
Curtis,
To: <[e-mail]>
CC:
Subject: Request for Stream Flow
It was a pleasure talking with you the other day.
As I mentioned, I have two projects that I need stream flow determinations, both in
Forsyth County, NC. Enclosed are vicinity maps along with USGS maps indicating the points
of potential discharge. I am requesting multiple points for each proposed WWTP so that I
can determine the appropriate location for a discharge. I suspect that it will be
necessary to move downstream beyond the junction of waterways to reach the volume
ecessary.
The projects are titled "Graystone WWTP Expansion" and "Lissara WWTP".
«Lissara Discharge Points - 07-08-05.pdf >> «Graystone Discharge Points - 07-08-05.pdf >>
Please provide the 7Q10 and 30Q2 rates that I should apply to the tributary areas to the
discharge point so that I can calculate the volumes necessary.
Thank you for your assistance.
Jerry Hatton
ARCADIS G&M of North Carolina Inc.
13777 Ballantyne Corporate Place, Suite 250 Charlotte, North Carolina 28277 Tel
704-752-4258 - Ext 17 Fax [phone] [e-mail]
[attachment "Lissara Discharge Points - 07-08-05.pdf" deleted by John C
Weaver/WRD/USGS/DOI] [attachment "Graystone Discharge Points - 07-08-05.pdf" deleted by
John C Weaver/WRD/USGS/DOI]
2

ARCADIS
Appendix C
Local Government Review
Form

GREYSTONE WWTP EXPANSION AND RELOCATION
Attachment A. Local Government Review Form
General Statute Overview: North Carolina General Statute 143-215.1 (c)(6) allows input from local governments -in the issuance
of NPDES .Permits for. non -municipal domestic wastewater treatment facilities. Specifically, the Environmental Management
Commission (EMC) may not act on an application for a new non -municipal domestic wastewater discharge facility until it has
received a written statement from each city and county government having jurisdiction over any part of the lands on which the
proposed facility and its appurtenances are to be located. The written statement shall document whether the city or county has a
zoning or subdivision ordinance in effect and (if such an ordinance is in effect) whether the proposed facility is consistent with the
ordinance. The EMC shall not. approve a. permit application for any facility which a city or county has determined to be
inconsistent with zoning or subdivision ordinances . unless the approval of such application . is determined -to have statewide
significance and is in the best interest of the State.
Instructions to the Applicant: 'Prior to submitting an application for a NPDES -Permit for a proposed facility, the applicant
shall request that both the nearby city and county government complete this form. The applicant must:
■ Submit a copy of the permit application (with a written request for this form to be completed) to the clerk of the city and
the county by certified mail, return receipt requested.
■ If either (or both) local government(s) fail(s) to mail the completed form, as, evidenced by the postmark on the certified
mail card(s), within 15 days after receiving and signing for the certified mail, the applicant may submit the application to
the NPDES Unit.
■ As evidence to, the Commission that the. local government(s) failed to respond. within 15 days, the applicant shall submit a
copy of the certified mail card along with a notarized letter stating that the local government(s) failed to respond within the
15-day period.
Instructions to the Local Government: The .nearby city and/or county government which may have or has jurisdiction over
any part of the land on which the proposed facility or its appurtenances are to be located is required to complete and return this
form to the applicant within 15 days of receipt. The form must be signed and notarized.'
Name of local government FORSYTH COUNTY .
(City/County) .
Does the city/county have jurisdiction over any pan of the land on which the proposed facility and its appurtenances are to be.
located? Yes [ X ] No [ ] If no; please sign this form, have it notarized, and return it to the applicant.
Does the city/county have in effect a zoning or subdivision ordinance? Yes [ X ] No [ ]
If there is a zoning or subdivision ordinance in effect, is the plan for -the proposed facility consistent with the ordinance? Yes[ ]
No[
Date Signature .
(City Manager/County Manager)
State of , County of
On this day of , personally appeared before me, the said
name - to me known and known to me to be the person described in
and who executed the foregoing document and he (or she) acknowledged that he (or she) executed the same and being duly sworn
by me, made oath that the statements in the foregoing document are true.
My Commission expires _.(Signature of Notary Public)
Notary Public (Official Seal)
EAA Guidance Document Version: June 23, 2005
Page 8 of 8

ARCADIS
Appendix D
Connection to Existing
Collection System and
WWTP — Present Value
Calculations

GREYSTONE WWTP EXPANSION & RELOCATION
ENGINEERING ALTERNATIVES ANALYSIS
Appendix D - Connection to Existing Collection System and WWTP
Preliminary Opinion of Cost and Present Value Calculations -
This Alternative includes the following improvements:
1) 321 gpm pump station at proposed. Greystone WWTP site
2) Force main to Dobson Street and NC766 (Winston-Salem / Forsyth Co. Utilities Sewer)
3) Intermediate 321 gpm pump.station due•to high head conditions
4) Improvements to Kerners Mill Outfall prorated by flow
AQUA North Carolina, Inc.
March 2006
ITEM NO.
I ITEM DESCRIPTION
QUANTITY
UNITS
UNIT PRICE
TOTAL
CAPITAL COSTS
1
321 gpm Pump Station with Generator
1
Lump Sum
$ 250,000
$
250,000
2
8-Inch Force Main - Greystone to Dobson Street
18,000
L.F.
55
990,000
3
Intermediate 321 gpm Pump Station with Generator
1
Lump Sum
250,000
250,000
4
Intermediate Pump Station Property Acquisition & Site Preparation
1
Lump Sum
50,000
50,000
5
24-Inch Kerners Mill Outfall Replacement (6% of Cost)
3,100
L.F.
200
37,200
6
Engineering @ 10%
1
Lump Sum
152,720
152,720
Sub -Total
Contingencies
Total
$
.$
1,729,920
518,976
2,248,896
OPERATION AND MAINTENANCE COSTS (Present Value, 20 Yr Life, 5.875% Interest)
Greystone Station Electric Costs -
1
Year
$ 26,700
$ 26,700
Intermediate Pump Station Electric Costs
1
Year
26,700
26,700
Pump Replacement and Pump Station Repairs
1
Year
20,000
20,000
pnfpl
385
Each
216
83,160
Sub -Total
-$ 156,560
Present Worth Factor
11.59
PV for O&M and Sewer Use Fees
$ 1,814,096
TOTAL NET PRESENT VALUE (Present Value, 20 Yr Life, 5.875% Interest)
Capital Costs $ 2,248,896
Operation and Maintenance Costs (Present Value) 1,814,096
Total Net Present Value $ 4,062,992
ARCADIS G&M of North Carolina, Inc.
CN4AQ524.0000 Consulting Engineers Appendix D-1

i
J ARCADIS
Appendix E
Potential Land Application
Sites

f
GREYSTONE WWTP EXPANSION & RELOCATION AQUA North Carolina, Inc.
ENGINEERING ALTERNATIVES ANALYSIS March 2006
Appendix E - Potential Land Application Sites
Land Ownership and Usable Area
Tax Records Data
Zoning
Zoning
Percent
Net Useable
Tax Value
Property Index
Land Area
Tax Value
Current
Classificatio
Wetlands or
Area in
per Useable
Ownership of Record
Number
in Acres
Tax Value
per Acre
Land Usage
n
Flood Plain
Acres
Acre
Comments
Katherine Voss, Trustee
6878-68-0893
285.09
$816,880
$2,865
Vacant
AG
5%
270.84
$3,016
Development Status Unknown
T R Preston, Jr
6888-18-4997
139.82
$633,249
$4,529
Vacant
AG
10%
125.84
$5,032
Development Status Unknown
S&D Holdings LLC
6888-58-3957.65
88.65
$1,474,866
$16,637
Vacant
RS30
50%
44.33
$33,274
Development Status Unknown
Curti J J & Curti Jacqueline
6878-53-5409
80.24
$282,072
$3,515
Vacant
RS40
20%
64.19
$4,394
Development Status Unknown
Average
593.80
$3,207,067
$5,401
505.19
$6,348
Notes:
1. Tax value may not adequately reflect the true value of the property and does not include the lost opportunity value associated with the highest and best use of the property.
2. The tax value of the Voss, Preston & Curti properties more accurately reflect true value for developable property. For financial analysis, use $5,000 per acre.
ARCADIS G&M of North Carolina, Inc.
CN4AQ524.0000 Consulting Engineers Appendix EA

Appendix F
Land_ Application — Present.
Value Calculations

GREYSTONE WWTP EXPANSION & RELOCATION AQUA North Carolina, Inc.
ENGINEERING ALTERNATIVES ANALYSIS March 2006
Appendix F - Land Application
Preliminary Opinion.of Cost and Present Value Calculations
This Alternative includes the following improvements:
1) 0.185 MGD wastewater treatment plant .
2) 321 gpm pump station at proposed WWTP site
3) 6-Inch force main from WWTP to disposal site
4) 111 acre disposal area @ 74 acres for irrigation, 4.9 acres for storage basin, plus 50% for buffers
5) 11.1 million gallon reservoir for 60 days of storage
6) 775 gpm pump station at reservoir
7) Irrigation system
ITEM NO. I ITEM DESCRIPTION QUANTITY UNITS UNIT PRICE TOTAL
CAPITAL COSTS
1
0.185 MGD Wastewater Treatment Plant
185,000
gpd
$ 10
$ 1,850,000
2
321 gpm Pump Station with Generator
1
Lump Sum
250,000
250,000
3
6-Inch Force Main - Greystone WWTP to Disposal Site
8,000
L.F.
40
320,000
4
11.1 Million Gallon Reservoir
1
Lump Sum
225,000
225,000
5
775 gpm Pump Station at Reservoir
1
Lump Sum
300,000
300,000
6
Irrigation System Distribution Header
5,000
L.F.
10
50,000
7
Irrigation System @ $0.25 per S.F.
74
Acres
10,890
805,860
8
Access Road
500
L.F.
10
5,000
9
Fencing
7,500
L.F.
10
75,000
10
Monitoring Wells
8
Each
13,000
104,000
11
Engineering @ 10%
1
Lump Sum
393,486
393,486
Sub -Total
Contingencies
Total
$ 4,378,346
1,313,504
$ 5,691,850
LAND ACQUISITION
Application Area, Reservoir Site, Buffers 111 Acres 1 $ 5,000 1 $ 555,000
OPERATION AND MAINTENANCE COSTS (Present Value, 20 Yr Life, 5.875% Interest)
Graystone Pump Station Electric Costs
1
Year
$ 26,700
$ 26,700
Pump Station at Reservoir Electric Costs
1 -
Year
11,100
11,100
Pump Replacement and Pump Station Repairs
1
Year
10,000
10,000
Annual Aqua Sewer Use Fees @ $20.00/Month (Flat Rate)
385
Each
240
92,400
Sub -Total
$ 140,200
Present Worth Factor
11.59
PV for O&M and Sewer Use Fees
$ 1,624,529
TOTAL NET PRESENT VALUE (Present Value, 20 Yr Life, 5.875% Interest)
Capital Costs
$ 5,691,850
Application Site Property Acquisition
555,000
Operation and Maintenance Costs (Present Value)
1,624,529
Total Net Present Value
$ 7,871,379
ARCADIS G&M of North Carolina, Inc.
CN4AQ524.0000 Consulting Engineers
Appendix F-1

i
GREYSTONE WWTP EXPANSION & RELOCATION
ENGINEERING ALTERNATIVES ANALYSIS
Appendix.G - Reuse
Preliminary Opinion of Cost and Present Value Calculations
This Alternative includes the following improvements:
1) 0.185 MGD wastewater treatment plant with tertiary filters
2) 321 gpm pump station at proposed WWTP site
3) 6-Inch force -main from WWTP to disposal site
4) 80 acre disposal area @ 74 acres for irrigation, 4.9 acres for storage basin
5) 11.1 million gallon reservoir for 60 days of storage
6) 775 gpm pump station at reservoir
7) Irrigation system
AQUA North Carolina; Inc:
March 2006
ITEM NO. I ITEM DESCRIPTION - QUANTITY UNITS UNIT PRICE TOTAL '
CAPITAL COSTS
1
0.185 MGD Wastewater Treatment Plant
185,000
gpd
$ 12
. $ 2,220,000
2
321 gpm Pump Station with Generator
1
Lump Sum
250,000
260,000
3
6-Inch Force Main - Greystone WWTP to Disposal Site
8,000.
L.F.
40
320,000
4
11.1 Million Gallon Reservoir
1
Lump Sum
225,000
- 225,000
5
775 gpm Pump Station at Reservoir.
1
Lump Sum
300,000
300,000
6
Irrigation System Distribution Header
5,000
L.F.
10
50,000
7.
Irrigation System @ $0.25 per S.F.
74
Acres
10,890
805,860
8 -
Access Road
500
L.F..
10
5,000
9
Fencing
1,500
L.F.
- 10
15,000
10
Monitoring Wells
4
Each
13,000
52,000
11
Engineering @ 10%
1
Lump Sum'
419,286
419,286
Sub -Total
Contingencies
Total
$ 4,662,146
1,398,644
$ . 6,060,790
LAND ACQUISITION
Application Area, Reservoir Site, Buffers 80 Acres $ 5,000 .$ 400,000
OPERATION AND MAINTENANCE COSTS (Present Value,.20 Yr Life, 5.875% Interest)
Graystone Pump Station Electric Costs _
1
Year
$ 26,700
$ 26,700
Pump Station at Reservoir Electric Costs
1
Year
11,100 -
11,100
Pump Replacement and Pump Station Repairs
1
Year
10,000
10,000
Annual Aqua Sewer Use Fees @ $20.00/Month (Flat Rate)
385
Each
240
92,400
Sub -Total
$ 140,200
Present Worth Factor,
11.59
PV for O&M and Sewer Use Fees
$ 1,624,529
TOTAL NET PRESENT VALUE (Present Value, 20 YrLife, 5.875% Interest)
Capital Costs
$ 6,060,790
Application Site Property Acquisition
400,000
Operation and Maintenance Costs (Present Value)
1,624,529
Total Net Present Value
$ 8,085,319
ARCADIS G&M of North Carolina, Inc.
CN4AQ524.0000 Consulting Engineers Appendix G-1

I
- ARCADIS
Appendix H
Design Basis for Proposed
WWTP Improvements

_ Aqua Greystone WWTP
7ARCADIS Basis of Design
Table of Contents
Infrastructure, environment, -buildings GEH
March 2006
Wastewater Charcateristics
Design Criteria
Proposed WWTP Design
Page No.
2
3-4
5-7
EAA Appendix H - Final Design Basis - 03-15-06.xls

- Aqua Greystone WWTP
ARCADBasis t Design
IS
Wastewater Characteristics
Infrastructure, environment, buildings GEH
March 2006
Development Description
Service Area
Location
Type of Usage
Type of Waste
Status
Greystone & Lambe Subdivisions
Forsyth County, North Carolina
Single family residential
Domestic
Existing and Proposed Developments
Influent flow 0.185
MGD Design Daily Flow
2.5
Peak Factor
0.463
MGD Peak Daily Flow
1.5
Equalized Flow Peak Factor
0.278
Peak Equalized Flow
0.013
Current Average Daily Flow
0.030
Current Peak Daily Flow
Influent Characteristics
Domestic Wastewater
240
mg/L BOD
200
mg/L TSS
25
mg/L NH3-N
500
mg/L COD
40
mg/L TKN
Effluent Limits
BOD
TSS
NH3-N
Fecal Coliform
pH
D.O.
Receiving Steam
River Basin
Stream Classification
Existing NPDES No.
Permit Expiration
April 1 to October 31
November I to March 3
Monthly
Average
Daily
Maximum
Monthly Daily
Average Maximum
23.0
34.5
23.0 34.5
30.0
45.0
30.0 45.0
2.0
NA
4.0 NA
200
400
200 400
6to9
6to9
5.0
5.0
Unnamed Tributary of Belews Creek
Roanoke
C
NCO078115
28-Feb-07
mg/L
mg/L
mg/L
per 100 mL
mg/L (minimum)
EAA Appendix H - Final Design Basis - 03-15-06.xis
2of7

Aqua Greystone WWTP
F ARCADIS Basis of Design Calculations
Design Criteria
Infrastructure, environment, buildings GEH
March 2006
NCDENR OSWW System Design Aids - Tertiary Treatment Systems
EQUALIZATION
EQ Basin Volume = 25% of the design daily flow (minimum liquid volume)
EQ Pump Capacity = 1.5 times average daily flow
RATION BASINS
Hydraulic Retention Time =
Quantity =
30 hour detention time atdesign daily flow (minimum)
2 - Aeration Basins
,Detention Time = 4 hours, at design daily flow (minimum)
Surface overflow rate = 300 gpd per sf at design average flow
Quantity = 2 Clarifiers
Weir loading = 10,000 . gpd per linear foot at peak daily flow
AERATION
Detention time =
Effluent DO =
15 minutes at peak flow
5 mg/L
UDGE HOLDING-
Volume.= 10% of the design daily flow
EAA Appendix H - Final Design Basis - 03-15-06.xis 3 of 7

i ..
Aqua Greystone WWTP
ARCADIS Basis of Design Calculations
Design Criteria -
Infrastructure, environment, buildings GEH
March 2006
�-
AERATION SYSTEM
Flow Equalization = 20 cfm per 1,000 CF' (dedicated blower with interconnect to plant air)
Aeration = the greater of:
3,150 cfm per pound BOD, or.
or
30 cfm per 1,000 CF
Sludge Holding Tank = 30 cfm per 1,000 CF
-Sludge air lift pump'= 4 cfm per'pump
Skimmer air lift pump = 2 cfm per pump
_
Post Aeration = 10 cfm per 1,000 CF
Filter air.acour blower =. 1 cfm per filter sf (dedicated blower with interconnect to plant air)
i'
UV DISINFECTION 28,000 pWs/sq.cm
_
EAA Appendix H - Final Design Basis - 03-15-06.xls _ 4 of 7

Aqua Greystone WWTP
ARCADIS Basis of Design Calculations
Proposed WWTP Design
Infrastructure, environment, buildings GEH.
_
March 2006
i
j
FLOW EQUALIZATION
------------0---------
Minimuliquid volume ---------------
m -
= 46,250 gallons 25% of, .185---- , mgd-
Proposed Design = 14.00 feet wide, by
40.00 feet long, by
11.00 feet deep 16.25 . hi water'. 5.25 pump stop
46,077 gallons
EQ Pumps = 193 gpm ;-- _1_5 _times ----- 0.185 :_ mgd
AERATION BASINS
`__
------=-=-=---------------------------------------
Minimum liquid volume = 231,250 gallons ; ----30 hrs times 7708 gph___---
-
Proposed Design = 14.00 feet wide, by
92.00 feet long, by
12.00,_ feet deep 16.25 _ hi water.. 4.25 bottom slab
-
1151611 gallons each.
231,222 gallons total
CLARIFIERS
--------------------------------------
Minimum liquid,volume = 30,833. gallons. 4 hrs times ,. 7708 gph
Proposed Design = 11.17. feet wide, by
18.00 feet long, by
-
12.00 feet deep 16.25 . hi. water . 4.25 bottom slab
18,047 gallons each .
36,094 gallons total
-
Minimum Surface Area = 617 sq feet 300 gpd / sf 0.185 mgd l
---------------------------- ---------------
Proposed Design = 11.17 Ifeet wide, .by
_-
1 28.00 feet long; by
313 sq, feet each
.626 _ sq feet total
----------------------------
Minimum Weir Length = 28. feet 10 000 gQd / If _02-78 -- mgd_____
----- '----------
,I
Proposed Design = 44.68 , feet
EAA Appendix H - Final Design Basis - 03-15-06.xis 5 of 7

ARCADIS.
Infrastructure, environment, buildings
FILTERS.
Minimum filter area = 9 sq feet
Proposed Design = 7.50 feet wide, by
6.33 feet long, by
47 sq feet each
237 sq feet total
Minimum Clearwell Volume = 7,500 gallons
-.
Proposed Design =F 7.67 7.feet wide, by
16.33 7feet long, by
10.45 feet deep
9,790 gallons
Minimum Mudwell volume = 8,464. gallons
Proposed Design = 8.17 feet wide, by
16.33 feet long, by
10.00 feet deep
9,980 gallons
Back Wash Pump Capacity = 750 gpm
Mudwell pump capacity = 193 gpm
POST AERATION
-
Post Aeration Volume = 2,891 gallons
Proposed Design =F 6.00 feet wide, by
9.50 feet long, by
7.00 feet deep
2,985 gallons
I
EAA Appendix H - Final Design Basis - 03-15-06.xis
Aqua Greystone VWEITP
Basis of Design Calculations
Proposed WWTP Design
GEH
March 2006
1•-------------------- --------------
---------------•
15.0 gpm / sf 0.185 mgd '1
15 gpm / sf .10 min. duration
1410 hi water. 4.25 bottom slab
16.25 hi water 6.25 pump stop
1.5 times average daily flow
•1--------------------------- ;---------- ----------�
I 0.3 mgd 15 minutes I
11:25 eff weir 4.25 bottom slab
6of7

Aqua Greystone WWTP
Ar�itri�t ARCADIS Basis of Design Calculations
�
Proposed WWTP Design
Infrastructure, environment, buildings GEH
March 2006
SLUDGE HOLDING
r_________________________________ ---------
Minimum liquid volume = 18,500 gallons 10% of mgd ..
..
Proposed Design = 5.50 feet wide, by
. 20.00 feet long, by
-
12,00 feet deep 16.25 hi water 4.25 bottom slab
9,874 gallons each
19,747 gallons total
-
AERATION SYSTEM
Flow Equalization Blower: 124 cfm 20 cfm/K CF 6;.183 CF
Treatment Plant blower:
Aeration: the greater of
3,150 cfm / lb. BOD, or 370 lb. BOD 1,166 cfm
30 cfm per 1,000. CF 30,912 CF_ 927 cfm
1,166 cfm
Sludge Holding Tank: .30 cfm per 1,000 CF 2,640 CF 79 cfm.
-
Sludge air lift pump: 4 cfm per pump 6 pumps 24 cfm
Skimmer air lift pump: . 2 cfm per pump 4 pumps 8 cfm
Post Aeration: 10 ' cfm per 1,000 CF 399 CF 4 cfm
3,375 cfm
Filter air acour blower: 47 cfm 1 cfm / sf 47 square feet, each
FLOW METERING V-notch weir, see hydraulics
-
DISINFECTION UV disinfection modules
- _
STANDBY POWER Engine driven generator
. EAA Appendix H - Final Design Basis - 03-15-06.xis . 7 of 7

Appendix
Direct Discharge —Present .
Value Calculations

GREYSTONE WWTP EXPANSION & RELOCATION
ENGINEERING ALTERNATIVES ANALYSIS
Appendix I - Direct Discharge
Preliminary Opinion of Cost and Present Value Calculations
This Alternative includes the following improvements:
1) 0.185 MGD wastewater treatment plant
2) Demolition of existing WWTP
3) 8-Inch discharge sewer to Unnamed Tributary of Belews Creek
AQUA North Carolina, Inc.
March 2006
ITEM NO.
I ITEM DESCRIPTION
QUANTITY
UNITS
UNIT PRICE
TOTAL
CAPITAL COSTS
1
0.185 MGD Wastewater Treatment Plant
185,000
gpd
$ 10
$
1,850,000
2
Demolition of Existing WWTP
1
Lump Sum
25,000
25,000
3
10-Inch Gravity Sewer Outfall
500
L.F.
30
15,000
4
Outlet Structure at Discharge
1
Lump Sum
5,000
5,000
5
Site Improvements
1
Lump Sum
50,000
50,000
6
Engineering @ 10%
1
Lump Sum
194,500
194,500
Sub -Total_
Contingencies
Total
$
$
2,139,500
641,850
2,781,350
OPERATION AND MAINTENANCE COSTS (Present Value, 20 Yr Life, 5.875% Interest)
Annual Aqua Sewer Use Fees @ $20.00/Month (Flat Rate) 385 Each 240 92,400
Sub -Total $ 92,400
Present Worth Factor 11.59
PV for O&M and Sewer Use Fees $ 1,070,660
TOTAL NET PRESENT VALUE (Present Value, 20 Yr Life, 5.875% Interest)
Capital Costs $ 2,781,350
Operation and Maintenance Costs (Present Value) 1,070,660
Total Net Present Value $ 3,852,010
ARCADIS G&M of North Carolina, Inc.
CN4AQ524.0000 Consulting Engineers Appendix 1-1

UNITED STATES POSTAL SERVICE
First -Class Mail
.11111 Postage & Fees Paid
USPS
Permit No. GAG
• Sender: Please print your name, address, and ZIP+4
NCDEN^/R — Water (duality Section
585 Waughtown Street
Winston-Salem, NC 27107
11,11;{illlff,lllif 111 llllli111111i I�ff1111i11133111'Ii l3ifll�

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. Thomas I Roberts
Aqua North Carolina
202 Mackenan Court
Cary, NC 27511
A.
❑ Agent
p Addressee
B. ReceivedM (Printed
D. Is deliveryaddres��ress bitem 7 ❑Yes
If YES, enter deli ery adde ❑ No
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for MerchandIsi
❑ Insured Mail ❑ C.O.D.
_ �V. O;.y 14. Restricted Delivery? (Extra Fee) ❑ Yes
_ 7010 2780 0001 4221 6290 iN()V-XO-Cl
PS Form 3811. February 2004 Domestic Return Receipt Cr r / _ 102595-02-M-1&

UNITED STATES POSTAL SERVICE
No.
NCDENR- Water Quality Section
Q. Awt�+
585 Waughtown Street
Winston-Salem, NC 27107

■ Complei,;tenis 1, 2, and 3. Also complete
Item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Thomas Roberts
Aqua North Carolina
202 Mackenan Road
Cary, NC 27511 '
A i nature
❑ Agent
❑ Addressee
B eceived by (Printed Name) C. ate of Delivery
� —
D. Is delivery address different from item 17 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Ser ;ee Type
Certified Mail
❑ Registered
❑ Insured Mail
❑ 9Mress Mail
11111ketum Receipt for Merchandise
❑ C.O.D.
4. Restricted Delivery?(Extra Fee) ❑ Yes
7007 1490 0004 9565 0696 3/ate /VO
� A�-val
IS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154