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HomeMy WebLinkAboutNC0023086_Historic E-File Scan Up To 11/17/20201 Armeni, Lauren E From:Zelerie Rogers <zelerie.rogers@fontanavillage.com> Sent:Thursday, December 7, 2017 9:22 AM To:Willmer, Mikal Subject:[External] Re: ORC Designation WWTP CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to  report.spam@nc.gov.    Good morning Mikal, you have the right people but in the wrong order. Daniel Pilkington is the main ORC and  Lamar Williams is the back‐up. I am working on completing a change form and getting everything set up  electronically for the monthly reports. I had hoped to already have that completed, but had several other  things come up that needed my attention. If I can get that completed today I will work on getting this taken  care of tomorrow. Thanks for your patience!    Zelerie Rogers   Town of Fontana Dam  828‐498‐2107 (O)  828‐735‐2220 (C)  zelerie.rogers@fontanavillage.com  From: Willmer, Mikal <mikal.willmer@ncdenr.gov>  Sent: Thursday, December 7, 2017 8:56 AM  To: Zelerie Rogers  Subject: ORC Designation WWTP      Good Morning Zelerie,     I wanted to verify the current ORC and Back‐up ORC for the Town of Fontana’s WWTP.  Are Lamar Williams and Daniel  Pilkington the current ORC and Back‐up? Please let me know if anything needs to be updated within our system or if you  have any questions.     Sincerely,     Mikal Willmer  Environmental Specialist‐Asheville Regional Office  Water Quality Regional Operations Section  NCDEQ‐Division of Water Resources     Office: 828‐296‐4686  Fax: 828‐299‐7043  Mikal.willmer@ncdenr.gov     2090 US Hwy. 70  Swannanoa, NC 28778     2      Email correspondence to and from this address is subject to the  North Carolina Public Records Law and may be disclosed to third parties.       hit Water Resources ENVIRONMENTAL QUALITY May 24, 2017 Ms. Zelerie Rogers Town of Fontana Dam PO Box 128 Fontana Dam, NC 28733 Subject: Permit Renewal Application No. NC0023086 Town of Fontana Dam WWTP Graham County Dear Ms. Rogers: ROY COOPER Governor MICHAEL S. REGAN Secretary S. JAY ZIMMERMAN Dhectu The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on May 15, 2017. The primary reviewer for this renewal application is Derek Denard. The primary reviewer will review your application, and he will contact you if additional information is required to complete your permit renewal. Per G.S. 150B-3 your current permit. does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. Please respond in a timely manner to requests for additional information necessary to complete the permit application. If you have any additional questions concerning renewal of the subject permit, please contact Derek at 919-807-6307 or Derek.Denard@ncdenr.gov. cc: Central Files NPDES ,Asheville Regional Office Sincerely, Wren Thedford Wastewater Branch Stale of Noah Caroline I Environmental Quarry I Water Reeoumes 1617 Mail Service Center Raleigh, North Carolina 27699-1617 919-807-6300 RECEIVED Division of Water Resources MAY 3 0 2011 Water Quality Regional Operations Asheville Regional OHica Town of Fontana Dam Sarah Houston, Mayor Greg Corvette Sara Locke Tracy Williams Rob Hardy, Mayor Pro Tem Zelerie Rogers, Administrator/Clerk May 8, 2017 Wren Thedford NC DENR / D W R / NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 RECEIVED/NCDEQ/DWR MAY 1 5 2017 Water Quality Permitting Section PO Box 128 Fontana Dam, NC 28733 828.498.2107 The Town of Fontana Dam is requesting permit renewal and a name change for the Sewer Plant. There have been no significant changes to the facility since the last permit issuance; however, there will be significant upgrades occurring in the coming months. Any biosolids generated by this facility will be pumped and hauled to the municipal treatment facility in Robbinsvilie (Graham County). With regards, (,)CAUL.' IXy..1 c.3 Zelerie Rogers Town Administrator Town of Fontana Dam PO Box 128 Fontana Dam, NC 28733 Zelerie.rogers(o fontanavillage.com 828-498-2107 Enclosures: NPDES Application -Form 2A Name Change with Required Legal Documentation 1 Original — 2 Copies is0hiA PAT MCCRORY I. VA DER vAART 1AY ZIMME:RMAIN PERMIT NAMIE/OWNERSHIP CHANGE FORM CURRENT PERMIT INFORMATION: Permit Number: NC002/3/0/8/6 or NCG5 / / / / 1. Facility Name: Town of Fontana Dam WWTP II. NEW OWNER/NAME INFORMATION: 1. This request for a name change is a result of: a. Change in ownership of property/company X b. Name change only c. Other (please explain): 2. New owner's name (name to he put on permit): Town of Fontana Dam 3. New owner's or signing official's name and title: Zelerie Rogers (Person legally responsible for permit) Town Administrator 4. Mailing address: P.O. Box 128 State: N.C. Zip Code:28733 Phone: (828)498-2107 E-mail address: zelerie.rooers(afontanavillade.com THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL. REQUIRED ITEMS: (Title) City: Fontana Dam 1. This completed application form 2. Legal documentation of the transfer of ownership (such as a property deed, articles of incorporation, or sales agreement) [see reverse side of this page for signature requirements] State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, NC 27699-1617 919 807 6300 919-807-6389 FAX https://deq.nc.gov/about/dlvislons/water-resources/water-resources-pem9[s/wastewater-branch/npdes-wastewater-permits NPDES Name & Ownership Change Page 2 of 2 Applicant's Certification: I Zelerie Rosters attest that this application for a name/ownership change has been reviewed and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting information and attachments are not included, this application package will be returned as incomplete. Signature Date: (5_%"c n THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS: NC DEQ / DWR / NPDES 11617 Mail Service Center Raleigh, North Carolina 27699-1617 Version 7/2016 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Dam, NC0023086 PERMIT ACTION REQUESTED: Renewal with name) change RIVER BASIN: Lithe 'Tennessee River FORM 2A NPDES NPDES FORM 2A APPLICATION OVERVIEW APPLICATION OVERVIEW NMI Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet, The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: 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 Pad D (Expanded Effluent Testing Data)', 1. Has a design flow rate greater than or equal to 1mgd, 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 fram any significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1, All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or c. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Pan G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22 FACILITY NAME AND PERMIT NUMBER: Town at Fontana Clam, NC0023086 PERMIT ACTION REQUESTED: Renewal with narne change RIVER BASIN: R.i&N9<t ➢'wnNosgee River BASIC APPLICATION INFORMATION PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS: All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet. A.1. Facility Information. Facility Name Town of Fontana Dam WWII] Mailing Address P"0, Box 128 Fontana Dam N.C. 28/33 Contact Person [clone Rogers Title Town Adm inisbntor Telephone Number f0201490-210"7 Facility Address MC. Iilphwae 120 near Fontana Vilian° Resort (not P.O. Box) Pentane Dam N.C. 28133 in Graham County A.2. Applicant Information. If the applicant is different from the above, provide the following'. Applicant Name same as above Mailing Address Contact Person Title Telephone Number I L Is the applicant the owner or operator (or both) of the treatment works? ® owner ❑ operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ❑ facility ® applicant A.S. 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 NO1023006 P9D UIC Other Public Water System ID NC0138101 RCRA Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, If known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership Fon ana Vlll ge Resort 700 senarete Resod area marina 'IVA Dam Residential 25 separate municipal & resort area Total population served ]25 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.E & 7550-22. Page 2 of 22 FACILITY NAME AND PERMIT NUMBER: ['own of Fontana Clam, NC00230t36 PERMIT ACTION REQUESTED: Renewal with flame change RIVER BASIN: Little Tennessee River A.S. Indian Country. a. Is the treatment works located In Indian Country? ❑ Yes �I No 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? CJJ 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 121h month of "this year occurring no more than three months prior to this application submittal. a. Design flow rate 0.300 mgd Annual average daily flow rate Maximum daily flow rate Two Years Ano Last Year This Year 0.082 0.058 0.05E 0.225 0,209 0.286 A.Y. 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. El Separate sanitary sewer 100 ❑ Combined storm and sanitary sewer A.8. Discharges and Other Disposal Methods. Does the treatment works discharge effluent to waters of the U.S.? El Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: Discharges of treated effluent il. Discharges of untreated or partlally treated effluent III. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) v. Other SS() points In system 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.? Cl Yes If yes, provide the following for each surface impoundment: Location: 0 0 0 RI No Annual average daily volume discharge to surface impoundment(s) mgd Is discharge ❑ continuous or 0 intermittent? c. Does the treatment works land -apply treated wastewater? 0 Ves ® No If yes, provide the following for each land application site: Location: Number of acres: Annual average daily volume applied to site: Is land application mgd ❑ continuous or ❑ intermittent? 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 7550-687550-22. Page 3 of22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Daryl, NC0023086 PERMIT ACTION REQUESTED: Ron©wal with name change RIVER BASIN: LAtttle'Tennessee River If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). If transport is by a party other than the applicant, provide: Transporter Name Mailing Address Contact Person Title Telephone Number L For each treatment works that receives this discharge provide the following: Name Mailing Address Contact Person Title Telephone Number f L 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. Does the treatment works discharge or dispose of Its wastewater in a manner not included in A.8. through A.8.d above (e.g., underground percolation, well injection): If yes, provide the following for each disposal method: Description of method (including location and size of site(s) if applicable): mgd ❑ Yes ❑ No Annual daily volume disposed by this method: Is disposal through this method ❑ continuous or [I intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Darn, IN00023086 PERMIT ACTION REQUESTED: Renewal with name change RIVER BASIN; Little Tenncassee River WASTEWATER DISCHARGES: If you answered "as" to question A.8.a complete questions A.9 through A.12 once for each outfall (Including bypass points) through which effluent Is discharged. Do not Include information on combined sewer overflows in thls section. If you answered "No" to question A.8.a go to PartB "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Outfall. a. Outfali number 001 b. Location Town of Fontana Dam 20133 (City or town, II applicable) (Lip Code) Graham N.C. (County) (Stale) 35" 28' 47" 83° 49' 02'. (Latitude) (Longitude) c. Distance from shore (If applicable) 5 h. d. Depth below surface (if applicable) 2 g e, Average daily flow rate .044 mgd f.. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes L1 No (go to A.9.g.) If yes, provide the following Information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: mgd Months In which discharge occurs: g. Is outfall equipped with a diffuser? EI Yes ❑ No A.10. Description of Receiving Waters. a, Name of receiving water b. Name of watershed (if known) Little Tennessee Rives Ulilo To-mnos5ee River Basin United States Soil Conservation Service 14-digit watershed code (If known): c. Name of State ManagementfRFver Basin (if known): Little Tennessee River United States Geological Survey 8-digit hydrologic cataloging unit code (if known): d. Critical low flow of receiving stream (If applicable) acute cfs chronic 06010204 cfs e. Total hardness of receiving stream at critical low flow Of applicable): mg/I of CaCOa EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Dana, NC0023086 PERMIT ACTION REQUESTED: Renewal with nanl0 change RIVER BASIN: Lillie ietrnessee River A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ❑ Primary ig Secondary 0 Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal gr Design CBODS removal 85 Design SS removal 86 % Design P removal 50 % Design N removal 50 % Other % c. What type of disinfection Is used for the effluent from this outfall? If disinfection varies by season, please describe. Current chlorine disinfection is not In use and upuears to not function as Ong malty designed and constructed If disinfection is by chlorination is dechlorinatlon used for this outfall? Cl Yes Ed No Does the treatment plant have post aeration? ii1 Yes ❑ No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the Indicated effluent testing required by the permitting authority for each outfall throuoh 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 138 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate CIA/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 (east three samples and must be no more than four and one-half years apart. Outfalt number: 001 PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE Value Units Value Units Number of Samples pH (Minimum) 6.3 s,u.���/j/��j�j�j�jr�jj�j�� pH (Maximum) 0.7 e.u. jj��������� Flow Rate .076 nwl ,04n, mgd 30 Temperature (WInter) 10.2 ° C; 0,1 ° 0 4 Temperature (Summer) 25.3 ° C 24.6 ° C 2 * For pH please report a minimum and a maxlmum daily value MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL POLLUTANT' Conc. Units Conc. Units Number of Samples METHOD ML/MDL CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BOOS 2;54 WI[)/L 10.0 M IL. 4 21ng/I DEMAND (Report one) CBOD5 FECAL COLIFORM 6700 t#/1001n1 648 M100 m1 4 2/100rn1 TOTAL SUSPENDED SOLIDS (TSS) 10.7 Itllg/L. 6.0 Mg/I., 4 2 mg/I END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE• 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7650-e & 2550-22. Page 8 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Dam, N00023086 PERMIT ACTION REQUESTED: Renewal with name; change RIVER BASIN: Little Tennessee River BASIC APPLICATION INFORMATION PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER. THAN OR EQUAL TO 0.1 MGD (100,000 gallons per day). All applicants with a design flow rate z 0.1 mgd must answer questions B.1 through B.S. All others go to Part C (Certification). B.1. Inflow and Infiltration. Estimate the average number of gallons per day 10 000 gpd that flow Into the treatment works from inflow and/or infiltration. and implement I & I reduction rnethods thru Asset Mut. plan Briefly explain any steps underway or planned to minimize inflow and Infiltration. Conduct asset mtt plan with I & I reduction study. Comment And undated collection system 0 & M. 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 '''A 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. L If the treatment works receives waste that Is classified as hazardous under the Resource Conservation and Recovery Ad (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where It is treated, stored, and/or disposed. B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechiorination). 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.d. Operation/Maintenance Performed by Contractor(s). Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ❑ Yes IEI No If yes, fist he name, address, telephone number, and status of each contractor and describe the contractors responsibilities (attach additional pages If necessary), Name: Mailing Address: Telephone Number. (_ _1 Responsibilities of Contractor: B.E. 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. 001 b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies, Ill Yes El No EPA Form 3510-2A (Rev. 1-09). Replaces EPA forms 7550.6 & 7550-22. Page 7 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Dam, NC0023086 PERMIT ACTION REQUESTED: Renewal with name: change RIVER BASIN: Lithe Tennessee River c. If the answer to B,5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable). d. Provide dates imposed by any compliance schedule or any actual dates of completion far 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/DO/YYYY MM/DC/YYYY - Begin Construction / / / / - End Construction / / / / - Begin Discharge / / / / - Attain Operational Level / / / / e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes Ell No Describe briefly: . B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MOD ONLY), Applicants that discharge to waters of the US must provide effluent testing data for the following effluent testing required by the permitting authority for each outfall through which effluent Is discharged. parameters. Provide the Indicated Do not Include lnformatlon on combine sewer overflows In this section. All Information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QNQC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be based on at least three pollutant scans and must be no more than four and on -half years old. Outfall Number: POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDL Conc. Units Conc. Units of NumberSamples METHOD CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 0.6 Mg/1.. 0.25 IVIgIL R CHLORINE (TOTAL RESIDUAL, TRC) N/A (1gll. N/A Ug/L 16 DISSOLVED OXYGEN N/A NIg/I.. N/A Mu/L 16 TOTAL KJELDAHL NITROGEN (TKN) 1.23 Mg/I. 1.23 INgll- 1 NITRATE PLUS NITRITE NITROGEN 1 0 IVIfI/I. 1.0 NBA. OIL and GREASE <0.0 IVIgIL <5.0 Nql/L 8 PHOSPHORUS (Total) 0.20 Mgll. 0.20 MgIL 1 TOTAL DISSOLVED SOLIDS (TDS) N/A N/A N/A OTHER MBAR s(I.20 IVIgIL <0.20 IVig/f. 4 END OF PART B. REFER TO THE APPLICATION. OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A. YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 8 7550-22, Page 8 of 22 FACILITY NAME AND PERMIT NUMBER: Town of Fontana Dam, IVC0023086 PERMIT ACTION REQUESTED: Renewal with name change RIVER BASIN: I.,V2V:Ic Tennessee River BASIC APPLICATION INFORMATION PART C. CERTIFICATIONS All applicants must complete the Certification Section. Refer to Instructions to determine who Is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained In the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application Is submitted. Indicate which parts of Form 2A you have completed and are submitting: J Basle Application Information packet Supplemental Application Information packet: ❑ Part D (Expanded Effluent Testing Data) ❑ Part E (Toxicity Testing: Blomonitcring Data) ❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the Information 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 Zola in Seniors -fawn Administrator Signature yg PX:ri A:i ) r r�(q.5t )L'18 • A Dh I Telephone number Jt1C� Date signed -O G"LJN» i V Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3610-2A (Rev. 1-99). Replaces EPA forms 7550-6 a 7550-22. Page 0 of 22 Quad: Natant Dam, N.C. Stre.+mcWt GTram Subbadm 40402 ladtude35926.41n rnnolmdc' SY49'02" NC0023086 Pepparena Fontana Village WNW Facility Location dreea.te F.�tatOON