NC0026271_Regional Office Historical File Pre 2018 (16)

SOC Priority Project: Yes
If Yes, - SOC No.:
To: Permits and -Engineering Unit
Water Quality Section
Attention: Greg Nizich
Date: January 24, 1995
=` NPDES STAFF REPORT AND RECOMMENDATION
County: Alexander
Permit No. NCO026271
No X
PART I - GENERAL INFORMATION
1. Facility and Address: Town of Taylorsville WWTP
204 Main Avenue, Dr., SE
Taylorsville, North Carolina 28681
2. Date of Investigation: Jan. 23, 1995
3. Report Prepared by: Kim H. Colson, Environmental Engineer I
4. Persons Contacted and Telephone Number: Brian Eades, (704)
632-5280.
5. Directions to Site: From the intersection of 7th Street, S.W.
and West Main Avenue (NC Hwy 90) in the Town of Taylorsville,
travel south on 7th Street approximately 0.6 mile to the
junction with SR 1108 (Happy Valley Road). Proceed south on
SR 1108 approximately 0.6 mile to the junction with an unpaved
road (Minnigan Road) on the left side of SR 1108. The WWTP is
located at the end of the unpaved road.•
6. Discharge Point(s), List for all discharge points:
Latitude: 35' 53' 02" .Longitude: 81' 11'.44"
Attach a USGS map extract and indicate treatment facility site
and discharge point on map.
U.S.G.S. Quad No.: D14NW
U.S.G.S. Quad Name: Taylorsville, NC
",.._'7.. Site size and expansion area consistent with application?
Yes
8 Topography (relationship to flood plain included): Flat to
-
moderate slopes; the sludge drying beds may .bYe located in a
small flood plain.
9. Location of nearest dwelling: Approximately 500 feet.

Page Two
10. Receiving stream or affected surface waters: Lower Little
River
a. Classification: C
b. River Basin and Subbasin No.: Catawba'03.0832
C. Describe receiving stream features_,,.and pertinent
- downstream uses: Moderate size river with rocky/sandy
bottom. A small dam is located downstream. General "C"
classification uses downstream.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS.
1. a. Volume of wastewater to be permitted: The WWTP may be
expanded, see Part IV.
b. Current permitted capacity of the wastewater treatment
facility: 0.43 MGD
C. Actual treatment capacity of the current facility
(current design capacity): 0.43 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two
years: N/A
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The
existing WWT facility consists of a bar screen, dual
Imhoff tanks, dual tricking filters, aeration basin with
diffused air, secondary clarifier, aerobic digester,
sludge drying beds, and chlorine disinfection.
f. Please provide a description of proposed wastewater
treatment facilities: N/A
g. Possible toxic impacts to surface waters: Acute toxicity
samples collected by the Division in Aug., 1993 revealed
an LC50 = 18.9%. The IWC of the WWTP at 0.43 MGD is
4.4%. Since the chronic value may be much less than the
acute value, the effluent may have some toxic impacts to
surface waters.
h. Pretreatment Program (POTWs only): The Town does not
have an approved pretreatment program. The Town should
�€
be required to conduct an Industrial Waste Survey since
industrial wastewater is discharged into the Town's
collection system. The Town will most likely be required
to obtain an approved pretreatment program
2,.- Residuals handling and utilization/disposal;s�ch_eme:
a. If residuals are being land applied, phe%ase-specify DEM
Permit No.: WQ0006906
Residuals Contractor: BioGro, Inc.
Telephone No.: [phone]

. r
SOC PRIORITY PROJECT: NO
To: Permits and Engineering Unit
Water Quality Section
Attention: Charles Weaver
Rate: December 8, 2004
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Alexander
NPDES Permit No.: NCO026271 _
MRO No.: 04-102
PART I GENERAL -INFORMATION
1. Facility and address: Taylarsville WWTP
344 Minnagan Lane
Taylorsville, North Carolina 28681
2. Date of investigation: December 2, 2004
3. Report prepared by: B. Dee Browder, Environ. Engr. I
4. Person contacted and telephone number: Brian Eades (ORC), [phone]
5. Directions to site: From the junction of Hwy 64 and Hwy 16 in Taylorsville, travel
west on Hwy 64'and take the first left onto Happy Plains Road. Travel
approximately 0:1 mile and turn left onto Minnigan Lane. The WWTP is located
at the end of Minnigan Lane.
6. Discharge' point(s), List for all discharge points.
Latitude: 350 53' 02
Longitude: 81 ° 11' 44"
Attach:a USGS Map Extract and indicate treatment plant site and discharge point
on map. N/A
USGS Quad No.: D 14 NW Taylorsville, NC
7. Site size and;expansion.area consistent with application:. Yes..
8. Topography (relationship to. flood plain included): Rolling topography. The site is
not located in a flood plain.

Paae Two
9, . Location of nearest dwelling: The nearest dwelling is approximately 500 feet from
the WWTP.
10. Receiving, stream or affected surface waters: 'Lower, Little Creek
a. Classification: C
b. River Basin and Subbasin No.: Catawba 03-08-32
C. Descri'be receiving stream features and pertinent downstream uses: The
receiving steam was not visited at the time of the site visit. The discharged
is piped approximately 3 miles from the WWTP to the receiving stream,
which is estimated to be 80 feet wide and 8 feet deep. General Class C uses
downstream
PART I.I -]DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater: 0.83 MGD (Design Capacity).
b. What is the current permitted capacity: 0.83 MGD .
c. Actual treatment capacity of current facility (current design capacity):0.83
MGD
d. Date(s) and construction activities allowed by previous-ATCs issued in the
previous two years: N/A
e: Description of existing -or substantially constructed WWT facilities: The
facility consists of a bar screen, grit chamber, flow splitter box, dual
aeration basins, dual secondary -clarifiers, dual chlorine contact chambers,
dechlorination equipment, and four aerobic. sludge digesters.
f.. Description of proposed WWT'facilities: N/A
g. Possible toxic impacts to surface waters: Chlorine is added to the waste
stream, but is followed by dechlorination.
h. Pretreatment program (POTWs only): Not Needed.
2. Residual.handling and utilization/disposal scheme: Materials are removed by and
hauled to the Town's permitted land application site.
a If residuals are being land applied specify DWQ Permit No.: WQ0006906
Residuals. contractor: Precision Land, Application Inc. .
Telephone No. [phone]
b. Residuals stabilization: _ Lime Stabilization for PSRP
C. Landfill: N/A -
Treatment plant classification: Class III
3. SIC Code(s): 4952 Wastewater Code(s): 02

Page Three
4. MTU Code(s): 02003
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with construction grant funds or are. any public
monies involved (municipals only)? No
2. Special monitoring or limitations (including toxicity) requests: None at this time:
3. Important SOC/JOC or compliance schedule dates: ' N/A
Submission of plans and specifications
Begin construction
Complete- construction
4. Alternative analysis evaluation
a. Spray irrigation: N/A
b. Connect to regional sewer system: N/A
c. Subsurface: N/A
d. Other disposal options: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee is applying for renewal of the permit to discharge wastewater. It is
recommended that .the permit be renewed as requested:
Please note that the facility's collection system consists of 20 pump stations and
approximately 40 miles of sewer line. There are two aerial lines. associated with this
system
The Town of Taylorsville has plans to expand their current facility to-1.2 MGD by
upgrading equipment associated with the -aeration and improving other elements of the
plant's operations. 'They have received speculative limits for this upgrade. The townalso
plans to add new digesters and aeration in order to upgrade the plant an additional 0.4
MGD to 1.0 MGD in the next 5 years.
Signature of Report Preparer �Dat
Water Quality R ional Supervisor bate
h:ldsrldsr991.dsr

r
Brian Eades
67 Main Ave. Drive
Taylorsville, North Carolina. 28681
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
September 1, 2004
Subject: Receipt of permit renewal application
NPDES Permit NCO026271
Taylorsville WW P
Alexander County
Dear A& Eades:
The NPDES Unit received your permit renewal application on October 4, 2004. 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. The requirements in
your existing permit will remain in effect until the permit is renewed (or the Division takes other action).
If you have any additional questions concerning renewal of the subject permit, please contact me at [phone],
extension 520.
cc: CENTRAL FILES
resvilleRetxtal=:C7ffiice uion
NPD s Unit
``
Sincerelyfat
v
Carolyn Bryant
Point Source Branch
rites -3 07 ETMI�
AND MATUPAJ z�8fi0��
OCT 8. 2
Cw
Nye Carolina
Aatura!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigb, NC 27699-1617 Phone [phone] Customer Service
Intemet: h2o.enr.state.mus 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]

Form Approved 1/141V9
OMB Number 2040-0086
rAUGo 0 "2'? )
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.S. A treatment
works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow > 0.1 mgd. All treatment works that have design
flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and
meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity
Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of processwastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
EPA Form 3510-2A (Rev. 1-99). Replaces.EPAforms 7550-6 & 7550-22.
Is u T
I
OCT 4 %ul
Page 1 of 21

INFLUENT .030 m d
Land
ffelicieve Screening Device
f' - .41� 5 mgd)
DIGESTER #4
DIGESTER 43
.415.m d
Backup Pawer BenerAr
DIGESTER #1
DIGESTER 42
.415 mod)
SUPERNATANT PUMP
STATION- (approi.005 mgd)
300 m A&RAS/WAs
scullf
1300 gpm)
dAVIORSWIIf WWTP (SCHEMATIC) -NC0026271
#1
2
SO 2 Basin
12 s0 2
;� .. feed bldg
TER #2 '�Cl�la_s
Eeed Bmldin
FINAL EFFLUENT TO
LOWER LITTLE RIVER
RASIWAS
as d 9/29/2004)

AND PERMIT NUMBER: I Form Approved 1114R9
OMB Number 2040-0066
, &-cul -s- wwip - Ncc�oz 62'7 1
A.I. Facility Information.
Facility name
Mailing Address % 2f V
Contact person
Title
Telephone number
Facility Address
(not P.O. Box)
O ram. c_
T�
3 4 l' Mj,( INA GA P V) L
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant name ���c 3C►L
Mailing Address
Contact person
Title
Telephone number
Is the applicant the owner or operatgF(or both) of the -treatment works?
V owner � operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
facility applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPDES /V C O d PSD
UIC Other
RCRA Other
___t) AA. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
..!�U%k:;-6. 7 C_
Total population served
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 2 of 21

AND PERMIT NUMBER: Form Approved 1114/99
OMB Number 2040-0086
/fP v1 LLec Gv t,+�e /VCI co 7-
6a �
A.5. In ' n Country.
a. Is the treatment works located in Indian Country?
Yes L/No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
Yes No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average
daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 12th
month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 3 mgd
Two Years Ago
Ago Last Year This Year
b. Annual average daily flow rate id / " e mgd
G. Maximum daily flow rate (. 400.00or2-2, , 2 % 3 mgd
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
Separate sanitary sewer l U U %
Combined storm and sanitary sewer 0 %
A.B. Discharges -and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? Yes
If yes, list how many of each of the following types of discharge points the treatment works uses:
L Discharges of treated effluent .
ii. Discharges of untreated or partially treated effluent
III. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
v. Other
No
U
U
O
U
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? Yes No
If yes, provide the following for each surface imaoundment:
Location:
Annual average daily volume discharged to surface impoundment(s) U mgd
Is discharge — continuous or intermittent? /
c. Does the treatment works land -apply treated wastewater? Yes If No
If yes, provide the following for each land application site:
Location: /y 4
Number of acres:
Annual average daily volume applied to site: V Mgd
Is land application continuous or — intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? Yes No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 21

AND PERMIT NUMBER:
Form Approved 1114199
OMB Number 2040-0086
LZ
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
N /A
If transport is by a party other.than
Transporter name: /V
Mailing Address:
Contact person:
Title:
Telephone number:
applicant, provide:
For each treatment works thatt receives this discharge, provide the following:
Name:
Mailing Address:
Contact person:
Title:
Telephone number:
If known, provide the NPDES permit number of the treatment works that receives this discharge.
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included in
A.8.a through A.B.d above (e.g., underground percolation, well injection)? Yes No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Af/A
Annual daily volume disposed of by this method:
Is disposal through this method continuous or intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 21

FACILITY NAME AND PERMIT NUMBER:
�.41111j/IfVJLL C-
A.9.. Description of Outfall.
Forin Approved 1114199
OMB Number 2040-0066
a. Outfall number Od 0 /
b. Location / /4 J,G2.Sf LL c—
(City or Town, if applicable) (Zip Code)
�IL =SC/JvD rC2 Al G
(Coun ) 7 �o �3 � � Zv (State) II ' 7 � ,• J U
(Latitude) (Longitude)
c. Distance from shore (if applicable) ft.
d. Depth below surface (if applicable) ft.
e. Average daily flow rate Z"/- 0 mgd
f. Does this outfall have either an intermittent or a periodic
discharge?
If yes, provide the following information:
Number of times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
Months in which discharge occurs:
g. Is outfall equipped with a diffuser?
A.10. Description of Receiving Waters.
a. Name of receiving water
Yes No (go to A.9.g.)
mgd
Yes !1 No
b. Name of watershed (if known) 1.4
United States Soil Conservation Service 14-digit watershed code (tP known):
c. Name of State Management/River Basin (if known): -rp vj ib
7
c
United States Geological Survey &digit hydrologic cataloging unit code (if known): t7 3 Q SO f O !
d. Critical low flow of receiving stream (if applicable):
acute cfs chronic cfs
e. Total hardness of receiving stream at critical low flow (if applicable): 7 mgll of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 21
w BA
✓ LIM,--

AND PERMIT NUMBER: Form Approved 1114199
OMB Number 2040-0086
00 z b :1-
A.1l.cDirscription of Treatment.
a. What levels of treatment are provided? Check all that apply.
Primary {// Secondary
Advanced Other. Describe:
b. Indicate the following removal rates (as applicable): n
Design BODS removal or Design CBODS removal �° 7 %
Design SS removal / 6 %
Design P removal
Design N removal %
Other %
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe.
Cj�ca2,N j
If disinfection is by chlorination, is dechlorination used for this outfall? Yes /No
d. Does the treatment plant have post aeration? Yes �✓ No
i A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA1QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: O O
pH Maximum
?, 7
S.U.
� ,•�; �.
Flow Rate
Temperature(Writer)
Temperature Summer
.21 -i . lj
' For pH please report a minimum and a maximum daily value
POLLUTANT
MAXiI111UM DAILY
AVERAGE DAILY D)SGtiARGE
ANALYTICAL
ML / MDL
Conc
�lnrts
Cone = finrts �
Numbercf
Samples
..
CONVENTIONAL AND NONCONVENTIONAL3COMPOUNDS.
BIOCHEMICAL OXYGEN
BOD-5
, Y �!
I
�}
1 �Z
�'
`3-6
9'P!Z
30 `ig—
DEMAND (Report one)
CBOD-5
—
'�
'�
✓
FECAL COLIFORM
370
/�� p L
�- � �, al
Ad b,9`CU
� A
TOTAL SUSPENDED SOLIDS (TSS)
T
,� g/�-r
j ! J
�''4i LQ
,� S—o
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 21

AND PERMIT NUMBER: I Form Approved 1114199
OMB Number 2040-0066
0 a zrG J-D 1
BA. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
e70, 6o 0
gpd ,
Briefly explain any steps underway or planned to minimize Inflow and infiltration.
B.2. `topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a' The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within 114 mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where that hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. .
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup
power sources or redundancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g, chlorination and
dechforination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between
treatment units. Include a brief narrative description of the diagram.
B.4. OperationlMaintenance Performed by Contractor(s).
Are any operational or maint n ce aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? Yes No -
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional pages
if necessary).
Name:
Mailing Address:
Telephone Number:
Responsibilities of Contractor:
B.S. Scheduled Improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for
each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
Yes a/ No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 7 of 21

AND PERMIT NUMBER: fi�] Lp S UtL C Ww-7P Form Approved 1114199
t/ OMB Number 2040-0086
c If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
'Al 1A
d. . Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable.
For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as applicable.
Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM I DD ! YYYY MM 1 DD ! YYYY
-Begin construction
- End construction
-Begin discharge
-Attain operational level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? Yes _No
Describe briefly:
B.G. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing
required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in
this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this
data must comply with QA/QC requirements of 40 CFR Part 136 and other -appropriate QA/QC requirements for standard methods for analytes not
addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on. at least three pollutant scans and must be no more than four
and one-half years old.
Outfall Number: 0 © )
CONVENTIONAL AND NONCONVENTIONAL COMPOUNDS.
AMMONIA (as N)
%
c Q x-
P'k-e
f 6-0
CHLORINE (TOTAL
RESIDUAL,TRC)
/
Lj
�
C-0"Aafc.
-41-7
DISSOLVED OXYGEN
TOTAL KJELDAHL
NITROGEN (TKN)-
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS (Total)
TOTAL DISSOLVED
SOLIDS (TDS)
OTHER
_
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 21

RAVE AND PERMIT NUMBER:
AL-00
Form Approved 1114AJ8
OMB Number 2040-0086
Indicate ich parts of Form 2A you have completed and are submitting:
Basic Application Information packet Supplemental Application Information packet:
Part D (Expanded Effluent Testing Data)
Part E (Toxicity Testing: Biomonitoring Data)
Part F (Industrial User Discharges and RCRNCERCLA Wastes)
Part G (Combined Sewer Systems)'
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 is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing .
violations.
Name and official title 4,j A-) o x, _ //Q /-,a xg tJ1
Signature
Telephone number
Date signed
5 2— - S" z 8 o
Upon request of the permitting authority, you must submit any other information necessary to assess wastewater treatment practices at the treatment works
or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 21

V-
Page Three
-b. Residuals stabilization: PSRP X PFRP Other
C. Landfill: N/A
d. Other disposal/utilization scheme (Specify')'::,. N/A
<.3:. Treatment plant classification (attach -completed rating
sheet): Class II (0.430 MGD); Class III if'expanded.
SIC Code(s) : 4952
Wastewater Code(s)
Primary: 01 Secondary:
Main Treatment Unit Code: 40001
PART III — OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant
Funds or are any public monies involved? If the WWTP is
expanded, the Town may apply for low interest loans.
2. Special monitoring or limitations' (including toxicity)
requests: It is recommended chronic toxicity be monitored.
3. Important SOC, JOC or Compliance Schedule dates (Please
indicate): N/A
4. Alternative Analysis Evaluation:
Spray Irrigation: N/A
Connection to Regional Sewer System: N/A
Subsurface: N/A
Other disposal options: N/A
5. Air quality and/or groundwater concerns or hazardous materials
utilized at this facility that may impact water quality, air
quality, or groundwater: There are no known air quality,
groundwater, or hazardous materials concerns.
6..- Other Special Items: N/A
-PART IV — EVALUATION AND RECOMMENDATIONS
_ The permittee, Town of Taylorsville, has applsed..for permit
T r-enewal. The Town has not applied for modificati`ori,`•=however, the
Town is considering expansion in the near future;: ,;_'Tile -;<;Town should
.request modification while the permit is in the+renewa,:l- process.

J
Page Four
The influent and effluent are dark blue/purple color. The
color is attributable to an industry in the Town. The O.RC
indicated that the industrial" flow from this."industry may be
.approximately 25%. This would make the indus•try__„a significant
industrial user. There may also be other signi,fic%alit` industrial
users in the Town.
It is recommended that permit be renewed provided the above
-,mentioned concerns are addressed.
or
i
Signature of report preparer
Water Qualit R ional Supervisor
Date

_``.-/�•'�� I � 'cam:^' - .� - �
^n
76
�• Al
5�/I �jig
N• r� —Je—
Gott-
CQirreNonal nit°T !t /
/ck,
).
' / ��` ` it •1 •% � I%9 _ •-- I
i' 60unN it
fy
grou
.1100
777
13
It11
-
AVI
to
is
481 12'30" 482 MILLERS /LLE !.S M! (MILLERSVILLE) 484 10,
NEWTON 17 Ml. 4755 ! SW
lam. �Sct�AfZCs� 1. oc RTIa*l SCALE 1:240M
1 0 1 MILE

NVALEE
FOR CLASSIFICATION OF WATER POLLUTION CONTROL SYSTEMS -
Own r or Contact Person:
Mailing Address: ') otl rAAA %,q t-i` �ZsiG i
County: AL- xPwto:-2- Telephone: (1cy) 612- 2:119
Present Classification: New Facility_ Existing Facility ✓
NPDES Per. No. NC00 ?r 2� 1 Nondisc. Per. No.WO Health Dept.Per No.
Rated by: K►r i. K COt_5otA LMRO Telephone: -*oy-4 ru3- jbcjg Date: -i
Reviewed by:. Health Dept. Telephone:
Regional Office Telephone:
Central Office Telephone:
ORC:-eR,A,-a C� k�c's Grade: ITi Telephone: i�3 Z -szFro
Check Classification(s): Subsurface Spray Irrigation _ Land Application
Wastewater Classification: (Circle One) 1 II III N Total Points: 4�
SUBSURFACE CLASSiFiCATION
(check all units that apply)
1-
septic tanks
Z.
pump tanks
3.
siphon or purrp-dosing systems
4,__sand
lifters
5-
grease trapAnterceptor
6- oiUwater separators
7_9ravity
subsurface treatment and disposal:
8._pressure
subsurface treatment and disposal:
SPRAY IRRIGATION CLASSIFiCAT10n1
(check
all units that apply)
1-preliminary
treatment (definition no. 32 )
2.
lagoons
3-_septic
tanks
4-_pump
tanks
5.
pumps
6-sand
filters
7_grease
trap/interceptor
8.
oiiVwater separators
ti,_-disinfection
10.
chemical addition for nutrient/algae control
11
spray irrigation of wastewater
In addition to the above classifications. pretreatment of wastewater In excess of these components shall
be rated using the point rating system and wilt require an operator with an appropriate, dual certification.
LAND APPUCATIONSESIDUALS CLASSIFICATION (Applies only to permit holder)
1. Land application of biosoliids, residuals or contaminated sods on a designated site.
WASTEWATER TREATMENT FACWTY CASE FiCATICN
The following systems shall be assigned a Class I dassd;cation. yplpcg the flow is of a significant quantity or the technology is unusually
complex, to require consideration by the Commission on a case -by -case basis: (Check R Appropriate)
1. OWwater Separator Systems consisting only of physical separation, Pumps and disposal:
2- Septic Tank/Sand Filter Systems consisting only of septic tanks, dosing apparatus. Pumps,sand filters, disinfection
and direct disotwge:
3,_�Lagoon Systems. consisting only of preliminary treatment. lagoons, pumps, disinfection. necessary chemical treatment for
algae or nutrient control, and direct discharge:
4. Closed-ioop Recycle Systems;
5,_Groundwater Remediation Systers consisting only of oilf Mer separators, pumps, air -gripping• carbon adsorption. disinfection
and disposal:
6. Aquaculture operations with discharge to surface waters;
7_Water Plant sludge handling and back -wash water treatment:
8. Seafood processing consisting of screening and disposal.
s- __Single-family discharging systems. with the exception of Aerobic Treatment Units. will be classified li permitted alter July 1,
1993 or I uponInspection by the Division, a is found that the system is not being adequately operated or mairrtatned. Such
systems will be notified of the cfassirrcation or recassjrcatio n by the Commission, In writing.

tnc4*% *puod fluW110d (>t)
- lQZ •cN umipp eeS) sea cmd Pg5Olge Aq piwowea *noiadCOWweGMGjqrJ
(()
Imam ew 4614 Aq (walwede agtuw igwls MM Pus
OUG" -pmja -pm io► ggeagdde lcu) (q='ON uopLIpp Gas) aJefUG P Jl Ip uo�ddv purl (4)
.—..—_.—«�._.......---ekmpxa uq (6)
_..- gmjv ef3 0 ()
eeeooid uoPeWJWJM (P)
OuOdpsJIV to)
-------«.-•»twimsue5w uoq= tom+
11woueow uogino tncqua
_peed u°ggeo petsVW iggl AIMM Jo PwQPNwd (g)
---•-----•volweue6et uoggea tnGLIVA
-+pee uoggep P@XAP*V le)
s3sSBOCUdr%LMIt WLLVM LCBOWACIVUOAHVUkaL (9)
bullsinzAaeu
..._......___........._..._..——IClaggq 3<geill-siq - Mid WJIS (A) .
w-•••-- .--.___ aiopewop le>I6gge Ikilietod (At)
0 L."_"• -_ -Je4w ipf5DICle petwev io javu pswev Ipibgge CIO
'ram eted 401H-1amw ftppp.L (la
WMS swedeS
«___...._..._ (pow io &4mcl; • asw WtsA$ iIv Ralim;-
6 ... -•• Wen�ISH ilY PgMg4{IO
wvmAs u95ho AIpnd 45 - ggCIWMv (Il
04 e6tS snoue6eg IN (q)
5.. _.—.--__ ugW)pel spite sednS.) egngnO Mgbgq9 (IX)
5..._._..._ _......_ -IVAIX geg 0O8 Mg YUG 01 s VPe IUOPM ( )
9..._--ne*wd uopsgee P"weixe 84) us4t ie410 BgzlDm
(IVON uq"rp Ms) wwwd uopriw pepusixe e4t Eu{zpn
1(11A11*)(S) 46ne14L W(09)
swam m uolvpps u1 eq of •Aw4 Y1 q 2p11 Jet swlodHLL '°N ugllul 0e:ee _ slam Ixl)
., sou.eo, pu* aoe w rgT,ow.i sno.�euoago p«,�qugm i _»_-- (lea
uglsxiegetS (eg►)
18315clolg 6ulMnaJWed
z....._. WRal5cIelq weuluueW lustU PUIS (IA)
01 »—__.»_»._�,_...__.«_____»_.____ — °p,,t1O� Im:Bgge Bgnsiod (A)
._ .. _-•-euoo6s'1 petwev 04)
01•--- - ----Jew r"Bgge ppetwev io ie4w pesiev iscowle
lul)
Peifaed
pnptmts
Jaw BLMWl (it)
c...... _«._..._.»_«._____»._».__—uolwese♦j •ePgs trJedes
g.._ ._ -(iota io 6ulw vV 'paxil) wetsdS ilv lentu 4aen
•W6w$-J1vPeenaw
��i+►�/ _.—..—...—.....-welsas ueacxo AWnd 46IH+golts,w U1
efts snoeaeuogte* (s)
_ oUdSLMiNBPtiv--ItilAdrauo038 (S)
Z._..........____.__..._______ _._..«___..._._«.__--(bulupu IIoe io
web so 4ons selWui�e I'K+gtee+xi idea:e suateiedo dmnw iggyla Poe 'coon 'lei •P�s 'sxMd u°!inepnd
ietea io{ seNHu<{ 6ullW 4 e6Pn}e) sleguiWA af�ot+JoN afue6ioul i°{ >q�gel �+11-vieIA>gnIO A la1
«'(Er 'ON uelllg 19P —) illml gideS (*)
s�xxld5.urn1{,aruv�uaavrflt�d 10
APMID eiotggndes 110 JC Ssgg S (11
,«,...... ..........»»_.._.... •--••••7ueWeiflf>te�y Mold peweWNpUI (L)
Z� »..—....... �_ »^ __�__••-�_•- ..._.M_...-.._------•-'-•-lam used VID Petsgev JO MWO400" (P)
ja
---saalAgo 6ulinulwwcO io s" Jos a11etS '>'ueacS tumn4oan l q )
io
(am uoly!E ass) SBSS3*Md= �JIHVPIP ram (6 )
(pdb) AWW UOJIWG
o c-•-•---'-- to wnwlnw s o1 do Am 1 p pd6 wo'oot 4°se JOI IsuclWnm ailed L ew (dn pue) . t0o•000•L
...._.___......_.._».._.»«.._.__.__.._.. w� ww = �_•--- 000•oo0•z - 100•o00•t
oL••~_.»
S.-..__.. __..__.... «»_--_--•-•-• µ-_—_. »..._.._.._».._._._.»._. `000•000•t : I0o'0os
1......__...«.—_......._........_......_ _.._....M.. RPM 1) pus lP)(r) "am m (PHA
woq p Aluo 6ulislui00 "Mpg{ put iL1 ON ggoli"jgp ees)ganetsAg epAo pesop RIMM'sagsld,uopeq►lMd iemm
J0{ sgglAi'xl a' e
r4 ' u8wk% &nOco PGMu-%uTw 2'uc g 1q=alld� 1-1 Pg� NI 1Nvid d0 MO-W NJI530
BgPue6PAs (L )
r....____.._.._.••__.. -•- -'•tEt •qV uGNulPP on) WeJ6ogd ageuit mmd lepwim io s wn a stem Md PPIOnPul l t )
fthuSiMOd van
ki
Od ejEudaddE 810110) :S811I,10E1 lU8WlE81l j83me1SEM 6uilE1 Jol pest si epps BUIM011Oj eyl

'ss0 uebalqu 0t u*ftW -etrJqu 10 ugaJ•Jam •4J. -ss OWd 1101NO N"Cl bl)
" � _ ="� c> _�xz:�,. > -t; >,.:as•oo+d Po4d JO rolw•tp kie A9 PinN t %4 •utiaµo fe^Pfaai m ugp^Pai •1•lduiao 10 hued •41 vcgusli I�0 (CO
�o10eeJ pg5gOlq •was M uMtM ueballlu TIUCWws Pus
rbw welsA3 •beta •Ibur r-UCIMUMN Aq I•AouJ•d sn0ue5wM Pus 008 sn0MeuogJsa m r�u•d P•uIQJu00 li:l)
`.A� u0;s4 .Psnlu� g�Wed !nmiW_R .01 P•JI sw013h 4onS s MMJ*do Al" JvIW JO eucls pe4san
`1 :seousueyndds •41o. �ueto Uglwos) bul&und P met;- �+lod o+�ti so wnwncsw s um ps4s �w•ts(S •P�� P•9g0 Ilt)
1JusJe -pose. wo..-.*1J!1�u; �laol uou..�jveoJoul euNt•1uO° J•1•""gs:M to unJlsu+o0 Jai olurl Oup1a4 •Pu OuiPlo4•DpAp &i+•mmop s of uopwd& s1
s!! 94.•EPi of �•w�}od s Jo '•PpgW 9WS 'GUM >a 4 8 Punodwoo �}w•W s !o ugtlPPs •4i 'buNgglPuo9 •bP^IS R:Iu+•V0 1011
of Jol+d ss.sui ayl ..twirls •RJedrs sr p@mj Euleq swetsAs •4t of pn.aJ ffiM saaodind
mfs
Pjwi qp s is Pqu-P s We of Angedeo :WOWS -a ss p•lsi •q Mm salvo r�+P of (s)i cnw•W PPs o1 kMgwdsa m :w•
nani_ggoods v WAN s of swpd u waddu pM•SP PUN •ihlu�.iP aa�•1� 4ap� s>•uM•ds. at I(aNq.do •4t :'sal• 'Io+vJ� Aalw IT
(s)
euo.P•J•PlsuOo p !I"�! ti sesodmd Jo{ lulad u pwadde us 0 J•ar.,se=m oa (s)t�•tP to UgWPs SU-sw•ts�tS uq>aPPr i�1ua•4� l61
1ueu11s0(pe Hd TMOW111.sp:a.lsulAJSJduJI uJalt spgos amodes 0t peon sl GWC4 lsonluW 4*VA ul 4gA•P irolurtpeW r 'SWAMAO (9)
sepatsp 1uiJ. }�i_!?'Ql"� jL1�e9 01 Jo sgnbg eN of pJW=M Jemlltew- to OBVO r vons snoearuaWWO (L)
sJ•J4il• Fig• peuolaep ;nwndal PegJoegs
:-' im ,�i udi 46f4 �I•waus• opvc +d ea •oswnl a p am an Aq ucQ= P@Wf 4:• p ugss+-SBW •41 vmwsu.bsd u�0 (9)
•ut •t1PI Puf.• ' "t -au la; 'wsai•q ss %pns slxipald wnep od eAauw tp LW sesss=d Jsgu4s Je4M Jc :sueew 1s0ls�4d �g aJet;dSauls
.'euere n 4lUS ounce POAJOW P 01 POPMAL oO MV q ug uJnpmm s41 4>� Aq =e*QJd r 'oulddlJiS Jlr (5)
ij oa P••s•w tJst)1 sluouwe •41411J+� (uJ•tutsn�pe Hd) s;u unmu 'pompaid sl cb= s 4o14Jr u0 eqs dur '•1r pW%- a AO—q^o4i0Y (t)
:(vas •9-4 vufvia 'sesssJD sepnlan dwo) pspeAJe4 Pus 'p•e e
_ ... .. . , .. _ _,_ .::.: � . • .. iJno4 9t w euJp uquJ•J•p O1MsJpdy umuJlWw � W sseOnJd •ea+r peptAR7e W vops.Jsr
:..: p•Pt+,ai3 (Tcrugsnuapao uoM )a .-&JplsJds Aq plydm a ul u•odso dl{Jnd 4* Ja Jr u•uw•q ao*su 4t faUt-woslj t ugiDrPlm p ipusr tt pe�J�i�i
- ,; .�•� uolsuodsns POUMUTM an sNos Qs,Lp" ut tgssq r vuoo0sl PSIMY f7J
�IlipMtm t�nOM psalpw sl Jsasw.?luelsJo JO u01>=P1:0 rOlbOigg 40riMJ► �g Pus W
:c" umd iusuaml Jammaom M uO P@mJsu*ft eq tau Row
�u ,u 0' -speq uogJso Mgpwap Jo Jaq;dn Je4Re •q Jisw Pus tool ambe Jed etmp Jed sugrb a4510 01 Wwall bulkWA er.J rq1 s 9 4 OVA PCLP@w
slot W pan speq 9df4-u ^lO0 eU:v@nUp jammeam wall Is; OMW aluTBJO 9tgMc2 DupnPw Jai P041ew Mw•4oAa1%I4d V sP•8 uogJJrJ PeltAllOy li)
J•tdstp*S IN inconoJ41 AIdds gap J11Jgqu11•P oulmORCI •4.L
- SNOUINLE30 "W
'llt.ss•IG 10 uOp=WW WJLuW s peuBpM eq 18a Wu04dsa4d p MAam Mooaplq •4a Jai s•ss—Id 3tiJeWWW WIAR4 SOMP•d
-0 sss10 p ugtotps=p u s peublsss eq gvA J pab Jo PMIJ 10 PAOWeJ sot Jai ••Ssrald lu•XM4 W104 WOWS
9! swo a uOpcoUlsssp WMululw s psubrsss eq em sssonJd ebpnp p•1sA4os ur oulAs4 99MR64
'JOMS& peplyeo s WVfl l vu ap 'OAMFM 'Mq cd Jnal 45na41 suc 10 5JIMI. OulAs4 "RIPsd
SPOCI
Sw.Od
Wad
Woo
_.�' ----- .._.-._.__..._.____w__~i0ln!Q tOiddn ugt ccl ru1Je4LL
-'iI1ddnS J•MOd A9-Pus1S
£- -- =atzAs uopwgdde purl ul au.n4W sursq admis of OMMIdde too) •BM4 !0 01521S
(0)
r ---(sw*=As ualtngddz PM W tua-M am 401" -1?sq �esJoa at •f mudde 1ou) ugls=Ir^b3 A-W tu•^113
Z11304AMP Jai
(q)
uowww si ur4l JelseJb 4W*lRuor swnou T ul spunodu= snJo40304 Jo uebalqu bululstuoa suoneJedc
oupnPW SMOWA Olxol Jo gusCJO Jai SNOB bullues J0 slluel. outplg{ 'SWOd buPIOH
Ir)
oululw wall sOMM
S3S53DMdr.-A l Sln3NYTB0SWI
-
ton
s_.........__..._.__..�...._._
:4v" swlr od 5 (0)(0) Jo (q)(e) '(se) '(•)(L) 'fq)(L) '(q)(9) '(s)(9) '(1x)(e)
'M(C) we4 sr pem, suONPPr
M uJ•40 os •Igsolldds tall (e 'ON uOigWl•P «r ) (s)W31SAS NOIIJCCV -IVD'V 3H0
(P )
Ucpstprd
U0.481-91JONDSO
(q)
g• ___......_._....__---
___..... _..._..._. u0i1supg40
(a)
-------""--JtggOei Iue u=A Jgmmewm M to @eW=•d •4t Aq_(Iwpn tpM P@WgP•GlopM
(0)
g-.-_--------
JO
ltuued uopmUdde Purl •4t sp104 a" Jamiedc IluPusl Jo Jotsledo ugaaldde purl s a bugosJluco Aq
(va uclWU•P on) (•Orllnsgns Pus eosyns) uglraJ aoobs-;
.....—_..._
""'� _ _..._.
(e)
z.... _.»......_..._...___.__»...._
(4sr pwiu q &unpin) wsugaJAIOtJ.` ruin ST/f10I53d
0 t
.ssaAep ouuSmmSp Js1nM jr410 JO sseJd J•qj J0 'ebngJUJq 'Jegld Wnnos�
__.:___ •(uaisJeu.OeJ uccp_ P•RNs'• aJIpnpKq IOU) Jaminum4 •bp^IS
M
(i)
0 t"'-"'__._.......__.»_
trier - vial bWPIOH •ft^ts
(I)
s
(eawats seB bulPmxJl) ugnzmm STO OWLS
(4 )
z
Q..___ ..._...—.--..._.....(U)f6)
an pami Aun s of ggsgldds foul wun uOltrlotd fi/ PWOssla
_» ---(Atl—e) uueJPµtl i8P^1S
(�)
(t)
s._........._...
(ru1J•4t JO roluJ•4a) JOUOMPU00 •bpnis
(•)
�..._._
_ ugtJJ)J1np •CP^IS
(P)
- - - JIprJG - sP•e0 i4^Is
(o)
(q)
_ ______ ggaJ•r
_.........»_......______
01gaxam) pets•H - 11t1s1 UaMGAG •OP14S
1*)
INEI 1ML303TIS
spp_Az Ja Mm unit J•410 >gWpMW gr0a 10 rA01JAJ Jai sesseoald tuewtva4
SP1uab Jo prom 10 isAOtuJu Jol sesaeoald tueuJtM.L
(d)
.10)
etrJ 46114
am: Jrq womW w5wri-P•=IM JO PueS
(u )
- &WGAetl
(W)
(00
(e)
(Y)
CL)

15) Elsctrodah'el'` Process for removing sontzed salsa from water through the use d bn•sel•eti+r• bn•eadengs membrerrs;
(1!S) Filter'Preae A groats operated for m ring ls sludge:
wster Or wast•wasw effluent s a censers d tnerrnovng exeeseiv amounts d deergent matw31%
(17) Foam S•panubn• The planned frothing d waste _ fractionation; fawn
the kreductbn o! Th• Process 8t ir In the form of iine bubbles.. also rstsnovtrq grk airier heavy irerai matter from wastewater; ion chamber.
(18) Grit PAmoval sedimentation chamber and a baser sfrmig• digestion
(19) Imhoff Tank. A deep two story wastewater tank tzceltting d sr upper
(20) Irnstrrmentad Flow Measurement. A device whirls Indicate and records rats cf flow:
(211 ion Exchange. A chemical Pro== in which lone from two different molecules are •sdsarged:
(22) lend application: which wat trkmdg• may be applied m lard ethnw by sprayln0 on the surlaa or by subsurface Injection
(a) Sludge Disposal A Mat sludge method bye (tt) d tthfs Ruh•]; o a land area as a
A•e-' dhfsel plow); (rot applicable tot types of sludge ion d wsewatwlxs
(b) Treated • Tim process d spraying treated waatewtw ono a land area or char rnnetlnods d ePP
means of final disposal or treatment; drum titer operating under gnat eandtbns as a poWire
rg method for moving
eers
(23) Micro•rt. A low speed. continrotatFy bade-wtasted. rotating
susQ•rdad solids from effluent; n (ammonia and organic ntrogen) to oxidxsd nitrogen (usually. nitrate);
(241 f�kabon Process- The bbdwmk al conversion d tanoxidiz•d tiaoge ( u d ecrwer*q ammonia nitrogen to nitrate nitrogen:
R5) Nitrogenous Stage. A separate stage d wastwrater treatment designed for the an o is purpose p to •tisane• latury Uptake of phosphorus
Phosphate Remaral. Biological. The removal of Phosphorus from wactnvmsr by an ork•Janoxic palow designed
by the polishing; fairing pond bgowln0 ••casrdary o•stmert wMh sufffef•rt det•r+tlo+n tone to allow srmMg d theft' suspended solids:
(2p) Pot Aeration. Aeration following corvertlonal Saeondary trsoment units to kcmww effluent DD. a Ion any otter purpose;
means of flowing down a
Cry) Post Aeration. (Cascade) A polishing method by whirls dissolved oxygen f added o the effluent o a nion of
cos �y requires no operator
Series d step: or weir:: The flow occurring across the steps or weirs troves to a fairly to meethining
layer and the operation d the cascade
adjustrrunt; thus, zero points are assigned own though this is an p� t utGltzs biological tactivityhe yaanorganic absorpt m by u�9 powdered or
(30) Powdered o Granular Activated Carbon Feed. A biophysical
carbon ulcer activated carbon: Virgin or regenerated carbon Is (sod controlled Into the system:. .
Praaeratba A tank constructed to provide awaslon prior tom screening and =nffuWbM that Pyre the iquor for Subsequent major operations:
(32) Preliminary Units. Unit operations In the tmmtm•nt Process.
(321 Industrial Pretraaimers. d a waste at b sour» before . to reweave or to n•utniL a substances kOdous to severe and
(a) Pre-treausem Unit. Industrial. The conditioningofs operated by the same povn+r+0 body as the wastewater
traatment Processes or to effect a partial reduction in bed on the treatment Pro==
treatment plan being rated: to recslve points on the ra&q :beer atm r•ovhQ settleable and suspendsd
b) Pro -treatment Prograirdustrld • Must b• a Stan or EPA rsquind program In a ttsatmett worts for the Purpose
(34) Primary Clackers- The tint s•ttWng tanks through which wSelawater is paved
solids and SOD which is associated with the ackds:
(45) Pumps. Alt Influent. effluent and in-pfut Pumps: devices emitting tutraviolet or gamma says• free from
(() Radiation. Disinfection
AtreOf SuIriftatiOn arment Process In a ss heavy o°rtitartinsted liquid is pressurized through a membrare forming nearly pure
suspended solids; A fixed blcloPcal growth h wthfdt wastewater tiow. thrown tanks in a saris OfPartially subm %W clwlar
(35) Rotwhg Sblogl W Cortradort-
surlates are mmiscl. in which further blodscamposltbn b
pg(a)Intermittent Biological- Sand More: Filtration d effiu•rt following septic tanks. lagocrs, or some otter treatment process nvst ( than one►:
expected to produce desired atliuentC Hydraulic loading rats on ttese.M•re are rorf4utsd h gpd/ae and have a resulting itlt •fftvars back
biological • the same type d sand filter as defued In Subparagraph (22) (a) d this Rule with the added capability k+r•7�
b) Recroutating biobg'
through the sand ffter, a further reduction atsuspended solids;
da Pit
(40) Sand or Mixod•hhon. A pokhhg sprocess by which dku•nt limits ears achieved through
(a) low rate - gnavlty. hydraulically loaded tut•r with ioadhg rates in the one to thine gprrVg mngs; rangs; At any �. the foadnng rota wit*•xo•ad three gpMd;
(b) high rate - a pressure. hydraulically loaded titter with b•dn9 ratan h the t faro and which has tie punpca• of removing aludges associated with tie
(41) Secondary ClattlieR A tank which follows the bbbgical unit of treatment p
biological treatrerd units: of the contact stabkizaton process tkvst
kocess where the aced sludge b transferred to a tank and atetated before returning it
(42) Separate Sludge Raaaralon. A part applicable for
(4 the contact basin;
43 Septic Tank A single story tatting tank h which settled sludge is to eoetact with tie wastewater flowing through the tank: Shall rot
cep septic tank systems saving Single family Maids having r o12,0U0 gallons a asks which ddrsd►uP to ngdtr converted
Into more stable organic steer
(44) Sludge Dngxtioa The process by which organic or votaids matter and Sludge Is 9asfil•d, fq
through the ac - of living
M scm which
natural l or earaleartificial {aynsgd tanks;
rttst•rlakt upon which digested sewage ekudp. Its dried by dtahsge +red
(45) Sludge Drying with fresh water or plan eflt fart
evaporation; d sludge exsdtbming h vvfntch certain constituents are rxioved by suocessuve vrashings
(46) Sludge�Gas Dion- A Pis sewage � for the purpose d heating bulldogs, drlvfng ertglrl•s. may be
(47) Sludge Gs Holding Tank ( The process of arztsIrq A tank tAulzsd for am" wamtewmw trsaunert plants nd nontng & a digester h which smudge
(kept Sludge nttant(Aheirlt�hdchraand Mrtt drying sludge beds): This may be done by sridtng a sneak amount dim simply to to this
method (l.• rigs drying tnaae� A nona•rmed tank would simply be used o.
sludge Real. but not necessarily an amount that would be required to achieve stabMmttt n of o' organic
M retuning odor problems;
decant smudge Prior to d•watering and would not slow fang periods (several drys
of to a sterile ash:
(49) Sludge incinerators. A furnace designed to bum skrdge and to remove rd Moisture yes and rcombustible and materials and o reduducisce
the sludge urn
(50) Sludge Stabilltation (Chemical or Thermal} A prvc•sa to make treated stodge less odorous and putmeacbl•, and o reduce the pathogenic organ
content; This may be done by PH adjustment. chlorine closing. or by host trsatmentt: agitation and gravity:
(51) Sludge Thickener. A type of sedimentation tank in which the Sludge IS permitted to settk and thicken eby n to n to the water from
(52) Stabilizationtigoon A type at oxidation lagoon in which biological oxidation of organic
matter is
affected by natural transfer of ogge
Sir (nos a polishing Pond): On site or portable electrical ge�n9 equkpmnent; solids. suspended solids and 8OD
(5) Stand -BY Pwwr Supply. to remove solids. Including non bbdr9redable Pew ��
(sa4y Stack Sae.na. A stationary Seen designed _
reduction) from Municipal and Industrial wastewater treatment "ems; Y rinargt tot tie purpose d effluent Pclhtuhp: A sesffi++0 lagoon ear send a coal Etter
(s51 Tertiary Treatment. A. stage d treatment fokowl+g secondary P tube:. or via visa;
night be employed for this purpose: for tie transfer d leat from a ikid /lowing in tubas to another fluid ouefde the
phi) Thermal Pollution Control Device. A device providing.
or other means d tegulathg liquid umgwauts: rdnieh tut fa added to a provacted period d time !<rprove the devraterabtkty o! nudge by tit•
Tlnettrsal Sludge Condtbr•r. A mndttbnin9 process; ilea; tfom Intutatkon
e(01 bWzIhg h1'drau d to weaker and more 1`110y hydrated sludge Pail afterand upon •xPc sure. Ih4s
(gp) Toxic Materials. Those wastes or combiatloce of worsts. indudlhr dhcactly. ssu4he tio•nt�r�ugh lood dole, w� emcee deattt. disease. bei+avbral
s &&W-liation, into ary "g-lem either cilrectly from do environment 04 or. pe tkre mutstbre. physiological malfunctions (lr d ding mat rctby an h reproduction) or Physical arseric. ZIr . h such organisms n their
cadmium.R"Jorc lead. nnbertr abrionraLdwi
otfcpdng: Toxic materials Include. by way d multi and rat trkhbroethuns (DDT): w etany art Materials rest have ttnay toreatt r be determined to have
(OMC13). PoMchIO t•d biphatryls (ma) mid dlchb+odtp nyt D .and any
toxic px��; wsowatar k dfstrbto for 9d tau trickling
(59) Trickling FMW- A biological treatment utst oorsistlmg of a material such as broken stop ne rock our which
o operaral ore to four tngd Per ate:
War is ore which operated at between 10 and 30 mgd per acre. A low rate trfdding fttten is ore edhhct is designed
FBtw (Packed Tower} A plug flow typed °Pohl°" h eAieh wastawatw flaws down through succ�«laj&corKWy � yfitrau : Otgatie
(col Tricking @must or may be
material k removed conthuaky, by the active biological fixed growth In each wcimsiw layer. This method may
P
adapted to produce a rittSled Windt: to tsttnw excess water from SAW digasted or undigested sludge pdw to disposal
(!51) Vacuum Fttw. CartrEh+9ee. or Filter Prtessaa. Oenrlc•s which ears 6•el¢h•d
ore further ttaatttett

Wtate of North Carolina -
Department of Environment,
Health.and Natural Resources
Division of Environmental Management
JuJames B. Hunt, Jr., Governor
S� Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.'E-., Director
61
.� f r. Bob Duncan
R},pown of Taylorsville
\` 11204 Main Ave. Dr. S.E.
Taylorsville, NC 28681
Dear Mr. Duncan:
December 19, 1994
[141
I )A
000% 000% 00.
ME , HF.; -
& NATURAL RESOUIWES
DEC 2 b 1994
DIVISION. OF ENVIRONMENTAL MANAGEMENT
MOORESVILLE REGIONAL OFFICE
Subject: Permit Renewal
NPDES Permit NCO026271
Taylorsville WWTP
Alexander County
This is to acknowledge receipt of the following documents on 12/12/94:
• NPDES Permit Application
• Application Processing Fee of $250.00
I am, by copy of this letter, requesting that the Mooresville Regional Office Supervisor prepare a staff
report and recommendations regarding this discharge. If you have any questions regarding this
application, please contact Mr. Greg Nizich at 919-733-5083, ext. 541.
Sincerely,
X/David A. Goodrich, Supervisor
"�NPDES Permits Group
cc: Moo esville_Rogional-Office -_ l
Permit File
Pollution' Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

V07'94 10:21AII TOWN OF TAYLORSVILLE 7046327964
N, C. DEPARDENT a: MTURAL RESOURCES & CMITY DEV LMW
EWIMM9AL MMAGMfr COMISSION
NATIONAL POLLUTANT DISWRGE ELIMINATION SYSTQI
APPLICATION FOR PESO TO DISURGE - SNORT FOR4 A
FOR
To be filed only by mmicipal wastewater dischargers AGENCY
USE
Do not attempt to COMPlete this form before reading the accompanying instructions
Please print or type
APPLICATION NU14BER
N
C
6 0
2
16
'Z
-1
1
I 1 2- 11 Z
YEAK Mo. DAY
1. Name of organisation responsible for facility Town of Taylorsville
2. Address, location, and telephone number of facility producing discharge:
P.2/5
A. Name_ Town of Taylorsville
d. Mailing address:
1. Street address 204 Main Ave., Dr., S.E.
2. city _ Taylorsville 3. county Alexander
4. State N. Carolina 5. ZIP 28681
(:. Location: r,
1. Street 204 (fain Ave.,, Dr_ � S_F_
2. city Taylorsville 3. County Alexander Qgljnty -
4. State N. Carolina
D. Telephone No. ( 704) 632-221 8
Area
Code
Tf a]I your waste is discharged into a publiclyowned waste treatment facility and
to the best of your knowledge you are not required to obtain a discharge permit,
proceed to item 3. Otherwise proceed directly to itex A. '
3. Tf you meet tba condition stated above. check here %// and supply the information
asked for below. After completing these items, please complete the date, title, and
signature blocks below and return this form to the proper reviewing office without
completing the remainder of the form.
A. Name of organization responsible for receiving waste
B. Facility receiving waste:
1. Name
2. Street address
3. City 4. County
5. State 6. ZIP
4. Type of treatment:
N.C. DEPT. ors'
ENVIRONMENT, HEA1,T14
&� NATURAL RESOUkCES
I EC 21 1994
DIVISION OF ENVIRON?AERTAL MANAGEMER3
HORESVILLE REGIONAL OFFICE
A. / /None B. / %Primary C. jE Iuter%ediate D. Secondary E. / /Advanced
5. Destgn flow (average daily) of facility 0.43 mgd.
6. Percent ROD removal (actual):
A. / /0-29.9 B. /%30-64.9 C. L/65-84.9 .0. �{,/85-94.9 E. 1 /95 or more `.
e:
1. Population served:
A. /200-499 C. / /500-999 D. LITI -4,999 E. f/5,000-9,999 F. % /10,900 or more

JVOV '94 10:22AM TOWN OF TAYLORSVILLE 7046327964 P.3i5`.
9. Description of waste water discharged to surface eaters only (check as applicable).
Ylow, MGn (million gallons per operating day) Volume treated before
Discharge per discharging (percent)
operating day -
0- 0.01- 0.05- 0.1 0.5- 11.0- 5 or None 0.1- 35- 65- 95-
0.0099 0.049 '. 0.099 0.49 0.99 4.9 more 34.9 64.9 94.9 100
(1) (Y) (3.).. I (4) (5) (6) (7) (8) (9) (10) (11) (12)
A. Average
B. Maximum --- -- 1----- — -- -
10. if any waste water, created or untreated, 1s discharged"to places other than
surface waters, check below as applicable._ N/A _
Flow MGb (million jeallons per o eratin day_
Waste eater is 0-0.0099 0.01-0.049 0.05-0.099 0.1-0.49 0.5-0.99 1.0-4.9 5 or more
.j,
disr..harged to (1) (2) (3) (4) (5) (6) (7)
A. Dee[ well -- — - — - — - _ —
R. Evaporation lagoon
C. Subsurface�crcalation syntem _
D. Other, specify:
11. Is any sludgi- ultimately returned to a waterway?
A. / /Ye:s B. InfNO
12. a. Do you receive industrial waste?
1. Ix/Yes 2. / /No
b. If yes, enter approximate number of industrial dischargers into system 5__
13. Type of collection sewer system:
A. /Separate sanitary
B. /Combined sanitary and storm
C. / /Roth separate and combined sewer systems
14, Name of receiving water or waters dO Wbr Little River �--
15. noes your discharss contain or is it possible for your discharge to contain
one or more of the following substances: ammonia, cyanide, aluminum, beryllium,
cadmium, chromium, Copper, lead, mercury, nickel, selenium, zinc, phenols.
A. / /Yes D. /-7No
I certify that T 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.
Bob Duncan
Printed Name of Person Signing
Town Manager__
Title
Date Application Signori
Si nature of Applicant
North Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes any
false statement representation, or certification in any application, record, report, plan, or
other document files or required to be maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, or who falsifies, tampers with, or 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 $10,000, or by imprisonment not to
exceed six months. or by both. (18 U.S.C. Section 1001 nrovides a nunlshment by a fine of nor mnro

0 r'
P
NOV 07
'94 10:22AII TOWN OF TAYLORSVILLE 7046327964
P.4/5
General 111formation
rth Carolina Dept. of NatUr-al& Economic Resources
Fnviranmental Management Commission
National pol,lut&nt Discharge Elimination
System Appl.icatinrt For Permit To
Discharge (Short Form)
The Federal Water Pollution Central Act, as amended by Public
Law 92-500 enacted October 18, 1972, prohibits any person from
discharging pollutants into a waterway from a point source (see
definitions below), unleess his discharge is authorized by a
permit issued either by the U.S. Environmental Protection Agency
or by an approved State Agency, (See "Procedures for Filing".)
REQUIREWNTS
if you have a discharge or discharges, such as that described
in the first paragraph of these instructions. you must complete
one of the following farms to apply for a discharge Permit. The
forms differ t,y types of discharges as indicated below:
Short Form A Municipd•. Wastewater Dischargers
Short Form 8 Aqriculture
Short Form C Manufacturing EstabiiShmentS and Mining
Short Form D - Services, Wholesale and Retail Trade, and All
Other Commercial fstablishsents, Including Vessels, Not En-
gaged in Manufacturing or Agriculture
If your business or activity involves production of both raw
products and ready -for -market products you miay be required to
complete two of the ahovP forms, For example, if you produce a
raw product such as milk and, on the same Site, process the raw
milk into cheese. you must complete Form D - Agriculture, and
Forri C - Manufacturing and Mining.
If the discharge is from a Federal Facility's treatment plant
receiving more than 50% domestic w+.Ste (based on the dry weather
flow rate) complete Form A.
If the discharge it from a sewage treatment process which is
not from a municipal, agricultural, or industrial facility
(e.g., housing subdivision, school) complete and submit Fors D.
EXCLUSIONS
You are not required to obtain a permit for the following
types of waste discharges;
(1) Sewage discharged from vessels (e.g., Ships); or
(2) "Water, gas, and other materials injected Into a well to
facilitate production of oil or gas, or water derived In
association with oil or gas production and disposed of in a
well" where authorized by the State in which the well is
located: or
(3) Dredged or fill material; or
(4) Discharges from properly functioning marine engines; or
(5) Those discharges conveyed directly to a publicly or
privately owned waste treitatent facility (however. discharges
originating from publicly or privately owned waste treatment
facilities are not excluded) ; or
Note: Municipal and manufacturing dischargers that believe
they are exempt due to Ites S. are requested to complete certain
items and return the form (see "Procedures for Filing").
(6) Most discharges from separate storm sewers. Discharges
from storm sewers which receive Industrial, municipal. and/or
agricultural wastes or which are considered by EPA or a State to
be significant contributors to pollution are not excluded.
PROCEDURES FOR FILING
Copies of all forms are available at State water Pollution
control agencies and at all Environmental Protection Agency
Regional Offices (see attached table).
Data submitted on these forms are to be used as a basis for
issuing discharge permits. Depending on the adequacy and nature
of the data submitted, you may be called upon for additlonal
information before a permit is granted.
If you have any questions as to whether or not you need a
permit under this program contact your state water pollution
control agency or the nearest Regional Office of the U.S.
Environmental Protection Aglhicy. A list of EPA Regional Offices
is in the attached table.
Complete the appropriat* fam(s) for your operation, being
sure that each item is considered and the required data
submitted. Check the items which most nears apply to you and
your operatlon. if an Item does not apply. pease enter in the
Appropriate place "Not Applicable" or "NA" to show that the item
was given consideration. sbst of the items on the form require
tre checking of one or more of several possible answers•
if the application Is to be sent to the Environmental
Protection Agency, there is an application fee of $10. This
fee, in the form of A check or many order made payable to the
Environmental Protection Agency, should be mailed with the
original of the aPPlicatIOR fern to the EPA Regional Office
If the State in which the discharge is located ra• a
Federally approved permit program, the aPPllcation should
instead he sent to the State agency administering thr, proyrar;
you will be informed as to the amount of the application fee, If
any, and the address to which the application and fee should by
sent
Agencies and instrumentalities of federal, State or local
governments will not be required to pay an application fee.
Applications pertaining to "existing" discharges, i.e,, those
which were in operation on or before October 18, 191Z, must be
filed with the EPA Regional Office or approved State agency by
April 16, 1973. Tlie exception is that anyone who applied to the
Corps of Engineers for a discharge permit under the Refuse A(t
of 1899 need not reapply for a permit for the Same discharge,
unless it is Substantially Changed in nature, volume or
freiuency; application must also be made for any other
discharges not covered by the Refuse Act.
Applications for "new" discharges beginning between October
18, 1912, and on or before July 15, 1973. must apply at least 60
days before the date the discharge Is due to begin, unless a
delay Is granted by the approved State agency or by EPA.
Applications for "new" discharges beginning on or after July
16, 1913. must apply at least 180 days before the date the
discharge is due to begin, unless d delay is granted by the
approved State agency or by EPA.
SIGNATURE ON APPLICATION
The person whg signs the application form will often be the
applicant himself; when another person signs on behalf of the
applicant, his title or relatioosnip to the applicant should be
shown in the space provided. In del cases, the person signing
the form should he authorized to do So by the applicant. An
application submitted by d corporation must be signed by a
principal executive officer of at least the level of vice
president or his duly authorized representative, if such
representative is responsible for the overall operation of the
facility from which the discharges) described in the form
originate. in the case of a partnership or a sole
proprietorship, the application must be Signed by a general
partner or the proprietor, respectively. In the case of a
municipal, State. Federal or other public facility, the
application must be signed by either a principal executive
officer, ranking elected official or other duly authorized
employee.
USE Of INFORMATION
All information contained in this application will, upon
request, be made available to the public for inspection and
copying• A separate Sheet entitled "Confidential Answers" must
be used to set out information which is considered by the
applicant .to constitute trade secrets, The information must
clearly indicate the item number to which it applies.
Confidential treatment can be Considered only for that
information for which a specific written request of
confidentiality has been made on the attached sheet. However,
in no event will identification of the contents, volume, and
frequency of a discharge be recognized as confidential or
privileged information, except in certain cases involving the
national security.
DEFINITIONS
1, A "person" IS an individual, partnership, corporation,
association, State, municipiality, commission, other political
subdivision of a State, and any interstate body.
2. A "pollutant" includes solid waste, incinerator residue.
sewage, garbage, sewage, sludge, munitions, chemical wastes,
biological materials, radioactive materials, heat, wrecked or
discarded equipment, rock, sand, cellar dirt, and industrial,
municipal and agricultural waste discharged into water.
3. A "point sourer," is any discernible. confined -and
discrete conveyance including but not limited to a pipe, ditch.
channel, tunnel, conduit, well, discrete fissure, container,
rolling Stock, concentrated animal feeding operation, or vessel
or other floating craft from which pollutants are or may be
discharged,
4. A "discharge of pollutant" or a "discharge Of Pollutants"
means any addition of any pollutant to the waters of the United
Stdtgi from any point source; any addition of any Pollutant to
the waters of the contiguous zone or the ocean from any point
source Other than a vessel or Other floating craft.
S. A "discharge" when used without qualification Includes a
"discharge of pollutant" and d "discharge of pollutants." (See
above )
6. The term "municipality" means a city, town, borough.
county, parish, district, association. or other public body
created by or pursuant to State law and having jurisdiction Over
disposal of sewage, industrial wastes, or other wastes, or an
Indian tribe or an authorized Indian tribal organization, or a
designated and approved areawide waste treatment management
i

0
FNr017
'94 10:23AM TOWN OF TAYLORSVILLE 7046327964
P . 5i5.
SiKAT ►'URN A - WIFIC INSTRUCTIONS
MUNICIPAL kMWATER DiSC►IARGERS
Item 1. This is the naaw of tht orWdfLation respodsible for
the facility naked in item 2,
Item 2. When a c17o.l inity is itrleed by more than W +municipal
wa•.te treatment facility, a separate form oust be coarpleted for
each facility which i% re"Ired to obtain A discharge permit
(sae f,enerai ln.tructions).
item 3. Complete this item oAly if all of your waste is
dlicharged to another municipal treatment facility,
item 4. ;heck the box ledir,.ating the type of treatment
provided for the w-le Meter prior to discharge,
'None" -No t•rr..Emenc or minor treatment less than sedimentation
(with or wl V,o+t chlorination).
'Primiary" Sedimentation aloft or combined with chlorination
'Intermedi4te'-`aedmmentatlae plus conventional chemical
coagulation proce..e's with or without chlorination.
"Secondary"•Sedimvintdtion plus conventional biological
processes (e.g.. trickling 141ttm or activated sludge). with or
wiLhout chlorination or an C"ivalent physical/rhemical proce%i.
'Advanced" -(tertiary treament)-Secondary treatment plus an
added conventional .rromdary treatatent ptocess which will remove
additional 800 (biological G"n denelnd), solids. and/or
nutrient. (e.g_ cand filter), or an added advanced treatment
process, for further rewgval of 800, su5Vended solids and
dissolved solids, and/or nutoiehts (e•q., coagulation -
sedimentation, adsorption, rltverse osmosis ,Ind el ectrodialysis).
Item 5 Provide averogr daily flow rate in million gallons per
day for which facility was deigned to acconrodate.
Item 6. Check the percentage of Overage annual 800 (5-day,
20%) actually removed from the wastewater prior to its
discharge.
i.
Rcgional Adminirtrator,
Connncti0uc. Maine,
Regton I, Rnvlron-
tLlssaohdsatts,
mental Pj%o,',•c,nn
New Haeri,shlre,
Agency, John r.
Rhode LsLand.
Kornody fe+tei.i Bldg..
Vormont.
N,om 2101, DosV."I,
ha:,,'177n 1. A7TXN-
TION• Permit^. era„Qh.
(617) '77. 11.0
Ifl.
Rrgtonal A,lair.,.trator,
Delaware. Distr LCt
Reqt7a ItI, Rnviron-
of Colvaa.La.
dental Protect n m
Maryland.
A9vn-:y, curtii hldg.,
vPnnlylvan Ld,
eth an'l walnut Rtz.,
V„gLnia, weft
PhLla,h•1phw. PA. L91136.
Viryl.ua
A7TEHT t0ti :
Perw,ty Rran:h
(211) 597-996b
V.
Regional A,ifiniitrator
Illinois. Indiana,
Reqiun V, gnvtron-
Michigan.
mental, ProLM:r;Vn
Ntnnosota. Ohio,
Agency, 1 North
w;acensin.
Wacker Dr., Chicag,M. IL
bobo(.. ATreRritw t
Permits Ilro—h.
(117)-153.1474
VI1.
Regional Administrator
Zara, Kansas.
Region V11, l;nv;r*0-
ttijXQ4rI,
mental Prot•ee.t;W,
N,a+rAska
Agency, L7)5 A.ItLimiunw
AVC., ransAM City, NA
(,a ln9 . I,T?J:Nr rUW .
Pei7lit• hr..r,ch.
(Alfl•)74-S9S-,
tX.
Regional Adniniwtratog
Ar(:una. Califncnia
Reglan Ik, Envieon-
Jlavaii, Nevada,
mentor Pr„tdet,on
Cvaa. Ammr Lean
pgan.y, 100 califorrLLa
Samoa.
St.. !L.. rr.A,:uco, a
lA'A 7. Check ADprozimd to total population served by this
facility including any other co nunities or installations which
may be dischary ny to this f4ellity.
icAm B. A separate discharge paint .is defined as a
discernible, confined conveyance; such as a pipe, ditch.
Conduit, container. vessel, or other floating craft, which
empties to a body of water, this includes Sewer overflow an4
bypass point..
Item 9. ror any waste water dischiryrd to surface waters only
(e.g.. a lake, 'trran, creel;, ocean. etc.), chick the
appropriate hnx (1 7) to show rho average (annual) flour per
operating ,i.+y (limp A) •inel rho ruximum ftuw observed in any une
day during I.hr la;t yl:4r when the discharge wa, accur'riny 0 ine
8). Al'.u. an 1inr: A. cnec) one iIf the boxes nurlbireo R 12, to
indicate the percl:ntage of dolly average flow which is treated,
before discharging.
iti-m IU. Check the appropriate hox(e.) to inditata daily
average flow or waste. if any, to piacei ether than surface
waters• if a ref Qn lino, D it rfii:ckon write in the place of
dii0airgo in the, ,pace provided.
Item 11. Indic -Or wlietner dlty, sewage sludge (treated or
untredtr'd) is returned to a waterway.
Item 12. If any process and/or cooling water waste from
induitfial sourr.rs are present in the incoming flow, chd!ck the
"yes" .lox and enter nuRber of industries t-onnected to the
collection system.
Item 13. Check the appropriate box to indicate the type of
sewer system according to the followinq definitions: 'S-parate`-
5drlltary sewer$ ar'e separate from surface storm drain.ge.
"Combined" -Sanitary wa-,iri and storm I:rdflage are carriad in the
same chdnnrl or pip?. "Both" -Part of the collection system is
'.epardLe" and part is "t'ortlbined",
item 14. Give the names) of the waterway into which all or a
akijde portion of the waste water is dischdrged. the the ndmle of
the waterway(-,) as shown on puhll.hed naps. If the discharge is
into an unnamed tributary, give the: name of the water body fN
by the tributary, and identify as "Tributary to" (name of water
body) .
Item 1S. If any of the listed substances are likely to enter
your discharge, you should check the box marked yes However,
if any of the list'`d substances are present In your discharge at
trace levels (such as tlornldtly.found in drinking water), you may
check the box marked no.
11.
Rrrglnnal AdM1PL11 r.t,•r,
NI`V .:lusty. N"
Itegtun 11, Ervirc."
Yt,rk, VLrgin
4ent Ji Prtrtddt UUn
lsl.na^., PuertO
Ager y, 2r, rddaral
RL•:V r .
Plaza, 14-- god ki
York, M 10001. ATTEN-
TION: Perm, t•, Branch,
TV.
Regionel Prin,n,::c,aeor
A:.lbama, riveLda.
Region LV, Envleon-
GCn r/lla.
mental Prvteet.lull
K"nr ucky,
Agency, 14Z1 P11N. tit r,•.`
.!l:.i ,.!LrJ(Jl♦
St. NE.., Atlantd. 7A
Nutt Cirul!A..
36109, A'rTENT1011:
South C.tolLna.
Permmit- kranch.
Tenne,AQC.
VI,
ksylonal Administratnt
Arkatla.,,
waV,or. V1, Ynv;r,,n•
Wuta,ana,
mental 14,tl rt.f n7,.
Now McAivo,
•A,Ion•.y, lr•r10 L.I tcrnun
(*l,lhom,
9t., :Tat11• 1100, Dallas.
Tors.
TX 752U1. A1Tt;wTTONJ
Permits r1'an,•1..
(2141-749.191,13
VIri.
Rory Wrldl A,Im,nisreator
Colorado, etintAna,
Reg i... i VIIr, R.wiron-
North Uakota,
rnt.l PI..LCCtlon
South ".Rota,
Pyerwy, lUEA) Lincoln
Utah, klyomirlq.
$r. iuttd WIU, Penvvr,
0) 8020J. ATT WrLUN
PCraLtL llrant•I,,
(3oJ1-bJ7:4ga1
X.
Re•1ion41 A,Imlutit rYtor
Alraka, Idaho.
Regiex, x. Rnvurn-
Orcgon,
mental ur..1 • 1 ion
tyshtrgtm,
Aye,lcy, 12tX1 bth AVC„
yactle, Mal 98101.