NCG500662_Regional Office Historical File Pre 2018

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 2 I5 I 3 NCG500662 111 12 I 17/02/23 117 18 i,j 19 i G i 201 I
211I1III 111III1IIII IIIIIII I 111111 11111111111 r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ---------Reserved------------
67 Ito 1 701l=J, I 71 IN I 721
N I 731 1 174 751 1 1 1 1 1 1 1 l80
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 09:15AM 17/02/23 16/04/26
High Shoals Hydro Project
Exit Time/Date Permit Expiration Date
River St
High Shoals NC 28077 10:10AM 17/02/23 20/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Jonathan Heffner///
Name,Address of Responsible Official/Title/Phone and Fax Number I 1 .?1
Contacted Z/Q S �)
Jeff Shaffner,River St High Shoals NC 28077//704-735-2156/ �!/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
El Permit • Flow Measurement Operations&Maintenance II Records/Reports
Self-Monitoring Program III Facility Site Review Effluent/Receiving Waters In Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
3I NCG500662 in12I 17/02/23 117 18 Li
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 02/23/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 • ❑
application?
Is the facility as described in the permit? • ❑ 0 0
#Are there any special conditions for the permit? ❑ • ❑ ❑
Is access to the plant site restricted to the general public? • 0 ❑ 0
Is the inspector granted access to all areas for inspection? • ❑ 0 0
Comment: The subject permit expires on 7/31/2020. Sampling must be done at both outfalls, upstream
and downstream.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? • ❑ ❑ ❑
Is all required information readily available, complete and current? ❑ • ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? • ❑ 0 0
Are analytical results consistent with data reported on DMRs? • ❑ ❑ ❑
Is the chain-of-custody complete? ❑ • ❑ ❑
Dates,times and location of sampling •
Name of individual performing the sampling •
Results of analysis and calibration ❑
Dates of analysis 0
Name of person performing analyses •
Transported COCs ❑
Are DMRs complete: do they include all permit parameters? • ❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ M ❑
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ❑ • ❑
on each shift?
Is the ORC visitation log available and current? ❑ ❑ II ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ • ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ � ❑
Is a copy of the current NPDES permit available on site? • ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? 0 ❑ • ❑
Comment: Calibration of the pH meter has not been done. Facility staff must calibrate the pH meter and
document the time and results, prior to sampling.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • ❑ ❑ ❑
Page# 3

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 02/23/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable ❑ ❑ • ❑
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment:
Flow Measurement - Effluent Yes No NA NE
#Is flow meter used for reporting? ❑ ❑ � ❑
Is flow meter calibrated annually? ❑ ❑ • ❑
Is the flow meter operational? ❑ ❑ • ❑
(If units are separated)Does the chart recorder match the flow meter? ❑ ❑ • ❑
Comment: Flow is estimated base on run time.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ ME
Is sample collected below all treatment units? ❑ ❑ • ❑
Is proper volume collected? U ❑ ❑ ❑
Is the tubing clean? ❑ ❑ � ❑
#Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ • ❑
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type • ❑ ❑ ❑
representative)?
Comment: Sampling must be done at both outfalls, upstream and downstream.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ • ❑
Are all other parameters(excluding field parameters)performed by a certified lab? 0 ❑ • ❑
#Is the facility using a contract lab? ❑ ❑ • ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ • ❑
Celsius)?
Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? ❑ ❑ � ❑
Incubator(BOD)set to 20.0 degrees Celsius+/- 1.0 degrees? ❑ ❑ • ❑
Comment: Sampling done on site by facility staff.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency, sampling type, and • ❑ ❑ 0
sampling location)?
Page# 4

VIlt:
NCG500662 Owner-Facility: High Shoals Hydro Project
Date: 02/23/2017 Inspection Type: Compliance Evaluation
Upstream/ Downstream Sampling Yes No NA NE
Comment:
4
• Page# 5

ROY COOPER
B MI Governor
MICHAEL S. REGAN
Secretary
Water Resources
{NVIRONMENT ALQUAUTY S. JAY ZIMMERMAN
Director
February 28, 2017
Mr. Ross Holland, Environmental Specialist—East
Mill Shoals Hydro Company, Inc.
1 Tech Drive, Suite 220
Andover, Massachusetts 01840
Subject: Notice of Deficiency
Compliance Evaluation Inspection
NOD-2017-PC-0028
High Shoals Hydro Project.
NPDES Permit No. NCG500662
Gaston County
Dear Mr. Holland:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted at
the subject facility on February 23, 2017, by Ori Tuvia. Jonathan Heffner's cooperation during the
site visit was much appreciated.
At the time of the inspection it was discovered that calibration of the pH meter had not
been done. Facility staff must calibrate the pH meter and document the time and results prior to
sampling. Additionally, as was discussed onsite, sampling must be conducted at both outfalls,
upstream and downstream.
Should you have any questions concerning this report, please do not hesitate to contact Ori
Tuvia at [phone], or at [e-mail].
Sincerely,
W. Corey Basinger
Regional Supervisor
Mooresville Regional Office
Division of Water Resources
Cc: NPDES Unit
MRO Files
Jonathan Heffner (E-Copy)
Mooresville Regional Office
I ncatinn F1(1 Fast Canter Ave Snite 3(11 Mnnrasville NC ',A115

United States Environmental Protection Agency Form Approved.
EPA Washington,D.C.20460 OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 j j 2 I5 3 I NCG500662 111 12 1 17/02/23 I17 18 I r•I 19 I c I 20 Li
21111I 11 111111 [ 11 I I I II 1111 1111111 11111111I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved—
67 11 0 1 70 L_[ I 71 I t 72 j ti j 731 I 174
751 1 1 I I I I 180
Section B:Facility Data
Li
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES hermit Number) 09:15AM 17/02/23 16/04/26
High Shoals Hydro Project
River St Exit Time/Date Permit Expiration Date
High Shoals NC 28077 10:10AM 17/02/23 20/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Jonathan Heffner///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jeff Shaffner,River St High Shoals NC 28077//704-735-2156/
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
I. Permit II Flow Measurement 111 Operations&Maintenance Records/Reports
Self-Monitoring Program El Facility Site Review • Effluent/Receiving Waters III Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ori A Tuvia MRO WQ//704-663-1699/
z/Z�/ l3
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete. 2
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG5008e2 I11 121 17/02/23 117 18 's.I
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
•
•
•
•
Page# 2

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 02/23/2017 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ 0 • 0
application?
Is the facility as described in the permit? • ❑ ❑ ❑
#Are there any special conditions for the permit? ❑ • 0 0
Is access to the plant site restricted to the general public? IN ❑ 0 0
Is the inspector granted access to all areas for inspection? • 0 0 0
Comment: The subject permit expires on 7/31/2020. Sampling must be done at both outfalls, upstream
and downstream.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? 111 ❑ 0 ❑
Is all required information readily available, complete and current? 0 MI 0 ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? • ❑ 0 0
Are analytical results consistent with data reported on DMRs? 11 ❑ 0 0
Is the chain-of-custody complete? 01100
Dates,times and location of sampling •
Name of individual performing the sampling •
Results of analysis and calibration ❑
Dates of analysis ❑
Name of person performing analyses 111
Transported COCs ❑
Are DMRs complete:do they include all permit parameters? • El 0 ❑
Has the facility submitted its annual compliance report to users and DWQ? ❑ El • ❑
(If the facility is=or>5 MGD permitted flow)Do they operate 24/7 with a certified operator ❑ ❑ • 0
on each shift?
Is the ORC visitation log available and current? El ❑ • ❑
Is the ORC certified at grade equal to or higher than the facility classification? 0 ❑ MI ❑
Is the backup operator certified at one grade less or greater than the facility classification? ❑ ❑ III 0
Is a copy of the current NPDES permit available on site? • 0 ❑ ❑
Facility has copy of previous year's Annual Report on file for review? El El II ❑
Comment: Calibration of the pH meter has not been done. Facility staff must calibrate the pH meter and
document the time and results, prior to sampling.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • ❑ ❑ ❑
Page# 3

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 02/23/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Does the facility analyze process control parameters,for ex: MLSS,MCRT,Settleable ❑ ❑ • ❑
Solids, pH, DO,Sludge Judge, and other that are applicable?
Comment:
Flow Measurement -Effluent Yes No NA NE
#Is flow meter used for reporting? 0 0 • 0
Is flow meter calibrated annually? 0 0 • 0
Is the flow meter operational? ❑ 0 • 0
(If units are separated)Does the chart recorder match the flow meter? 0 0 III ❑
Comment: Flow is estimated base on run time.
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? 0 0
Is sample collected below all treatment units? 0 0 • ❑
Is proper volume collected? • 0 ❑ 0
Is the tubing clean? 0 0 II 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 • 0
Celsius)?
Is the facility sampling performed as required by the permit(frequency,sampling type • 0 0 0
representative)?
Comment: Sampling must be done at both outfalls, upstream and downstream.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 0 • 0
Are all other parameters(excluding field parameters)performed by a certified lab? 0 0 • ❑
#Is the facility using a contract lab? 0 0 II 0
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees 0 0 0
Celsius)?
• Incubator(Fecal Coliform)set to 44.5 degrees Celsius+/-0.2 degrees? ❑ ❑ • 0
Incubator(BOD)set to 20.0 degrees Celsius+/-1.0 degrees? 0 0 • 0
Comment: Sampling done on site by facility staff.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type,and • 0 0 0
sampling location)?
Page# 4

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 02/23/2017 Inspection Type: Compliance Evaluation
Upstream /Downstream Semolina Yes No NA NE
Comment:
•
Page# 5

PAT MCCRORY
RECEIVED,NCDENRt0WR.
MAY - 6 2016
DONALD R. VAN DER VAART
Water Resources WQROS S. JAY ZIM1VlERMAN
Lr VII oNNcrvinL OU l!TY MOORESVILLE REGIONAL OFFICE
April 26, 2016
Mr. Ross Holland
Mill Shoals Hydro Company Inc
I Tech Dr, Suite 220
Andover, MA 1840
Subject: Renewal of General Permit NCG500000
High Shoals Hydro Project
Certificate of Coverage NCG500662
Gaston County •
Dear Permittee:
The Division hereby reissues Certificate of Coverage (CoC) NCG500662 under General Permit
NCG500000. It is issued pursuant to the requirements of North Carolina General Statue 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection agency dated
October 15, 2007 [or as subsequently amended].
If any parts, measurement frequencies or sampling requirements contained in this General Permit
are unacceptable to you, you have the right to request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
governmental permit that may be required. If you have any questions concerning the requirements of the
General Permit, please contact Charles Weaver of the NPDES staff[919 807-6391 or
[e-mail]].
Sin rely,
v�Ve
for S.Jay Zimmerman,
Division of Water Resources
cc: G+,r r,„ -k:- ,:
NPDES file
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/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG500000
CERTIFICATE OF COVERAGE NCG500662
DISCHARGE OF NON-CONTACT COOLING WATER, COOLING TOWER AND BOILER
BLOWDOWN, CONDENSATE, EXEMPT STORMWATER, COOLING WATERS ASSOCIATED
WITH HYDROELECTRIC OPERATIONS, AND SIMILAR WASTEWATERS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended,
Mill Shoals Hydro Company Inc
is hereby authorized to discharge from a facility located at the
High Shoals Hydro Project
High Shoals
Gaston County
to receiving waters designated as the South Fork Catawba River, a class WS-IV stream in
subbasin 03-08-35 of the Catawba River Basin in accordance with the effluent limitations,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage takes effect April 26, 2016.
This Certificate of Coverage shall remain valid for the duration of the General Permit.
Signed this day April 26, 2016
for ay Zimmerman, P.G., DCja _._ _... .
•
ivision of Water Resources
By Authority of the Environmental Management Commission

MILL SHOALS HYDRO COMPANY, INC .
j l� Enel A SUBSIDIARY OF ENEL GREEN POWER NORTH AMERICA, INC.
Green Power t1
Enel Green Power North America,Inc. O C T 3 0 2014
14
One Tech Drive,Suite 220
Andover,Massachusetts USA 01810
T 978 681 1900 F 978 681 7727
October 27, 2014
Marcia Allocco
NCDENR
610 East Center Ave, Suite 301
Mooresville, NC 28115
Re: NPDES Compliance Evaluation Inspection; Permit No_
Dear Marcia,
In response to your October 16th Compliance Evaluation Inspection Report EGPNA
would like to respond to noted deficiencies. The second comment notes that Flow
estimates have not been recorded since issuance of the permit. As previously discussed
Mill Shoals Hydro Company, Inc. was unaware of the permit issuance as it looks as if the
permit authorization was send to the incorrect address. A number of calls were placed to
the NCDENR to check the status of the permit and Mill Shoals Hydro Company, Inc. was
told the permit was in process. Moving forward flow measurements will be taken in
accordance with the permit requirements. Temperature monitoring will also occur in
accordance with the permit. All DMRs will be completed and records will be maintained
on site moving forward as a corrective action.
I want to thank you for working with us and getting our permit situation corrected.
Please do not hesitate to contact me at [phone] if you have any questions
concerning this matter.
Sincerely,
Mill Shoals Hydro Co pany, Inc.
Ross Holland
Environmental Specialist

Allocco, Marcia
From: Holland, Ross (EGP North America) <[e-mail]>
Sent: Monday, September 15, 2014 2:08 PM
To: Allocco, Marcia
Subject: RE: High Shoals Hydro Project
Hi there Marcia,
In reviewing the permit it seems the address printed is Andover, Maryland and not Andover, Mass where our office is.
This could possibly explain the lack of letter on our end. In any event I just wanted to touch base before the audit at the
High Shoals hydro project tomorrow. I spoke to the operator on site and let him know what's going on and not to be
surprised that we don't have any data at this point. Unfortunately I will be unable to attend the audit in person but will
be available by phone during and after the audit if there are any questions you may have.
We plan to follow the requirements of the permit going forward, please let me know if you need anything in regards to
the missing data from last year.
Thanks and I look forward to working with you!
Ross Holland
Environmental Specialist - East
Enel Green Power North America, Inc.
Enel
Green Power
T: 978.513.3415
M: 339.293.2022
F: 978.681.7727
Ross.Hollandaenel.com
From: Allocco, Marcia fmailto:[e-mail]
Sent: Monday, September 08, 2014 10:42 AM
To: Holland, Ross (EGP North America)
Subject: High Shoals Hydro Project
Good morning Ross,
It was a pleasure to speak with you today regarding your coverage under our general permit for hydro operations. I
have attached a scanned copy of the issuance letter for your Certificate of Coverage (NCG500662) under General permit
NCG500000. A copy of the permit is available at http://portal.ncdenr.org/web/wq/swp/ps/npdes/generalpermits and is
the first permit listed. There is not an active link to our Technical Bulletin so I have also attached a copy that I had
downloaded earlier this year. Finally, I have attached an internal memo that clarifies upstream/downstream monitoring
for temperature at hydro projects.
If you have any questions please let me know and I'll see your staff on the afternoon of the 16tn
1

Regards,
Marcia
Dlrblon of Winer Resources
Marcia Allocco, MS— Senior Environmental Specialist
NC Dept. of Environment&Natural Resources (NCDENR)
Division of Water Resources - Water Quality Regional Operations
610 East Center Ave., Suite 301, Mooresville, NC 28115
Phone: [phone] Fax: [phone]
marcia.allocco@ ncdenr.gov
www.ncwaterq ua l itv.orq
Please note that effective Oct. 15, 2013, the MRO copy fee is $0.05/page. This applies to all copies; the first 25 pages
are no longer free.
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.
The information contained in this communication is confidential and may be legally privileged.It is intended solely for the use of the individual or entity to whom it is
addressed and others authorized to receive it. If you are not the intended recipient please notify us immediately and be notified that any disclosure.copying.
distribution or taking of any action in reliance on the contents of this information is strictly prohibited and may be unlawful.
2

NCDENR LE
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, Ill
Governor Secretary
October 16, 2014
Mr. Ross Holland, Environmental Specialist - East
Mill Shoals Hydro Company, Inc.
1 Tech Drive, Suite 220
Andover, Massachusetts 01840
Subject: Compliance Evaluation Inspection
High Shoals Hydro Project
NPDES Permit No. NCG500662
Gaston County
Dear Mr. Holland:
Enclosed please find a copy of the Compliance Evaluation Inspection report for the inspection
conducted at the subject facility on September 16, 2014, by Ms. Marcia Allocco of this office. Thank
you for your assistance and that of Mr. Heffner during the inspection.
Deficiencies were noted during the inspection as noted in the Flow Measurement-Effluent, Effluent
sampling, Upstream/Downstream Sampling, Laboratory, and Record Keeping sections of the
enclosed report. Therefore, it is requested that a written response be submitted to this office by
November 14, 2014, detailing your corrective actions to the noted deficiencies as noted in the
aforementioned sections of the enclosed report. In responding, please address your comments to my
attention.
The inspection report should be self-explanatory; however, should you have any questions
concerning the report or compliance with the permit, please do not hesitate to contact me at (704)
235-2204 or [e-mail].
Sincerely,
Marcia Allocco, MS; Environmental Senior Specialist
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
Enclosures: Inspection Report
Approved Procedures for the Analysis of Temperature and pH
cc: Wastewater Branch MSC 1617 —Central files basement
MA
Mooresville Regional Office
Location:610 East Center Ave.,Suite 301 Mooresville,NC 28115
Phone:[phone] Fax:[phone] Customer Service:1-877-623-6748
Internet http://portal.ncdenr.org/web/wq
An Equal Opportunity';Affirmative Action Employer-30%Recycled/10%Post Consumer paper

r EPA
United States Environmental Protection Agency Form Approved.
Washington,D.C.20460
OMB No.2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A:National Data System Coding(i.e.,PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 El 2 [ I 3 I NCG500662 111 121 14/09/16 117 18 l,. 19 Li 20[ I
211 1 I 1 1 1 1 1 1 1 1 1 I I I I I ( I I ! I I I I I i l l l l l I I I I I I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA — — -----67 Ia o I 70 LJ�, LJ I 71 IN I 72 1 ti l 731
I 174
71I I I I I I 1 t80
Section B: Facility Data
Name and Location of Facility Inspected(For Industrial Users discharging to POTW,also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number) 01:40PM 14/09/16 13/01/11
High Shoals Hydro Project
Exit Time/Date Permit Expiration Date
River St
High Shoals NC 28077 02:04PM 14/09/16 15/07/31
Name(s)of Onsite Representative(s)mtles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jeff Shaffner,River St High Shoals NC 28077//704-735-2156/
Yes
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Flow Measurement Operations&Maintenance Records/Reports
II Self-Monitoring Program II Facility Site Review II Effluent/Receiving Waters 1. Laboratory
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s)and Signature(s)of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Marcia Allocco MRO WQ//704-663-1699 Ext.2204/ �,) It
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG500662 I11 121 14/09/16 J 17 18 L c,
Section D:Summary of Finding/Comments(Attach additional sheetss of narrative and checklists as necessary)
Page# 2

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 09/16/2014 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new 0 0 III 0
application?
Is the facility as described in the permit? • ❑ 0 0
#Are there any special conditions for the permit? ❑ • ❑ 0
Is access to the plant site restricted to the general public? • ❑ 0 0
Is the inspector granted access to all areas for inspection? • 0 0 0
Comment: The general permit was reissued on August 1, 2012, and expires on July 31, 2015. The
permittee obtained permit coverage on January 11, 2013, although it appears the Certificate
of Coverage was mailed to an incorrect address (Maryland not Massachusetts). Copy of
permit was provided in preparation for the inspection.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? • ❑ 0 ❑
Does the facility analyze process control parameters,for ex: MLSS, MCRT, Settleable 0 ❑ ❑ III
Solids, pH, DO, Sludge Judge,and other that are applicable?
Comment:
Flow Measurement- Effluent Yes No NA NE
#Is flow meter used for reporting? ❑ • 0 0
Is flow meter calibrated annually? ❑ ❑ • ❑
Is the flow meter operational? ❑ ❑ • ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ • ❑
Comment: The permit requires semi-annual estimates of discharge flow for once-through cooling water
JEffluent limitations and monitoring under Section A(2)1 and quarterly estimates of discharge
flow from hydroelectric sumps and drains fEffluent limitations and monitoring under Section
A(3). No flow monitoring has been completed since permit coverage was obtained; please
begin monitoring and documenting the flow discharged from the facility. A total flow estimate
should be reported (total of non-contact cooling water and plant sump pump discharges if
discharged in same location).
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ • ❑
Is sample collected below all treatment units? ❑ ❑ 0 •
Is proper volume collected? ❑ ❑ ❑ •
Is the tubing clean? ❑ ❑ II ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ • ❑
Celsius)?
Page# 3

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 09/16/2014 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency,sampling type 0 11 0 0
representative)?
Comment: Permittee notes two separate discharges (once-through cooling water and sump pump):
therefore monitoring as noted in Sections A(2) and A(3) is required for each discharge
before they comingle as noted in each section.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit(frequency, sampling type, and ❑ III ❑ 0
sampling location)?
Comment: The permit requires semi-annual temperature monitoring of the effluent, upstream, and
downstream temperatures for once-through cooling water discharges as noted in Section A
(2). Please refer to Section B. Schedule of compliance for definitions of upstream and
downstream: please consult the inspector if clarification is needed.
Laboratory, Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ❑ ❑ • 0
Are all other parameters(excluding field parameters) performed by a certified lab? 0 • ❑ 0
#Is the facility using a contract lab? ❑ • ❑ ❑
#Is proper temperature set for sample storage(kept at less than or equal to 6.0 degrees ❑ ❑ • ❑
Celsius)?
Incubator(Fecal Coliform) set to 44.5 degrees Celsius+/-0.2 degrees? ❑ ❑ • 0
Incubator(BOD) set to 20.0 degrees Celsius+/- 1.0 degrees? ❑ ❑ • ❑
Comment: Since the hydroelectric project is not a classified wastewater facility the permittee does not
need to gain laboratory certification to conduct the required analyses. However, all analyses
performed under the permit must meet the requirements of Section D, Monitoring and
Records, paragraph 3; a certified laboratory is most appropriate to conduct the total residual
chlorine(TRC), chemical oxygen demand, and oil and grease analyses (if required)for
compliance with this section of the permit. Enclosed with this report are guidance
documents for temperature and pH analyses that have a 15-minute hold time under 40 CFR
136; most appropriate for on-site analyses.
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? ❑ • 0 0
Is all required information readily available,complete and current? ❑ I ❑ ❑
Are all records maintained for 3 years(lab. reg. required 5 years)? ❑ 11 ❑ ❑
Are analytical results consistent with data reported on DMRs? ❑ ❑ • ❑
Is the chain-of-custody complete? ❑ ❑ • ❑
Dates,times and location of sampling ❑
Name of individual performing the sampling ❑
Page# 4

Permit: NCG500662 Owner-Facility: High Shoals Hydro Project
Inspection Date: 09/16/2014 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Results of analysis and calibration 0
Dates of analysis ❑
Name of person performing analyses 0
Transported COCs ❑
Are DMRs complete: do they include all permit parameters? 0 II 0 0
Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ • 0
(If the facility is=or>5 MGD permitted flow) Do they operate 24/7 with a certified operator 0 ❑ • ❑
on each shift?
Is the ORC visitation log available and current? 0 ❑ • ❑
Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ M ❑
Is the backup operator certified at one grade less or greater than the facility classification? 0 ❑ • 0
Is a copy of the current NPDES permit available on site? ❑ II ❑ ❑
Facility has copy of previous year's Annual Report on file for review? 0 0 • 0
Comment: The permittee has not conducted the required monitoring since permit coverage was
obtained. As directed during the inspection the permittee should implement the required
monitoring. Records should be kept of all maintenance on the facility and any permit
required visual monitoring under Section A(3).
Yt
Page# 5

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John Skvarla
Governor Director Secretary
:r;' •. ^c; O \t'L\"'E-,OLikr:.IT?
January 11,2013 FEB 14 2013
Victor Engel, P.E.
Mill Shoals Hydro Company -? :mot y GiO A L OFFICE
1 Tech Drive, Suite 220
Andover,Maryland 01840
Subject: Issuance under General Permit NCG500000
Certificate of Coverage(COC)NCG500662
High Shoals Hydro Project
River Street Hwy 321, High Shoals 28077
Gaston County
Dear Mr. Engel:
In accordance with your application received October 25,2012,the Division of Water Quality(DWQ)
hereby forwards this Certificate of Coverage to discharge under the subject general permit. We issue
this permit pursuant to the requirements of North Carolina's General Statue 143-215.1 and the
Memorandum of Agreement between North Carolina and the US Environmental Protection Agency
dated July 17, 2007 (or as subsequently amended).
The Division understands that this is an existing discharge,previously unpermitted.Please note that
your facility discharges to a stream segment classified Water Supply(WS-IV). The following
information is included with your permit:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Permit NCG500000 for non-contact cooling water,boiler blowdown
• A copy of a Technical Bulletin for General Permit NCG500000
If any parts,measurement frequencies or sampling requirements contained in this general permit are
unacceptable, you have the right to request an individual permit by submitting an individual NPDES
permit application. Unless such demand is made,this Certificate of Coverage shall be final and
binding.
Please note that this Certificate of Coverage is not transferable except after notice to the Division of
Water Quality. The Division may modify,or revoke and reissue this Certificate of Coverage. This
issuance does not affect your legal obligations to obtain other permits that may be required by the
Division of Water Quality,the Division of Land Resources,the Coastal Area Management Act, or any
other Federal or Local government.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St Raleigh,North Carolina 27604 One 1'„
m
Phone:[phone]\FAX [phone]\Customer Service:1-877-623-6748 NorthCarola
Internet wuuw.ncwaterquality.org �tt�N�//�
An Equal Opportunity\Affirmative Action Employer �a`Kl `j

If you have any questions concerning this permit,please contact Joe Corporon at telephone number
[phone] or email ([e-mail]).
Si ,
sue` /
Charles Wakild,P.E.
cc: 000resville Regional Office(MRO),Surface Water Protection Section
'Central Files
NPDES General Files
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone]\Customer Service:1-877-623-6748 NorthCarolina
Internet:www.ncwaterquality.org Naturally
y
An Equal Opportunity 1 Affirmative Action Employer j`

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
General Permit NCG500000
Certificate of Coverage NCG500662
To discharge non-contact cooling water associated with sump pumping in support of an existing 1.4 MW
hydroelectric power plant, and similar wastewaters under the
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
In compliance with the provisions of North Carolina General Statute 143-215.1,other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission,and
the Federal Water Pollution Control Act, as amended,
Mill Shoals Hydro Company
is hereby authorized to discharge wastewater from a facility located at
High Shoals Hydro Project
High Shoals, NC 28077
Gaston County
to receiving waters designated as South Fork Catawba River[stream segment 11-129-(10.5), a waterbody currently
classified WS-IV within Subbasin 03-08-35 of the Catawba River Basin, in accordance with effluent limitations,
monitoring requirements,and other conditions set forth in Parts I,II,III and IV of the General Permit NCG500000,
as attached.
This permit shall become effective January 11, 2013.
This Certificate of Coverage shall remain in effect for the duration of the General Permit July 31, 2017.
Signed this day January 11, 2013.
C s Wakild,P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission

riff-://01 711;'','' .,i ,.. .,_ ,// ( %, c cr,Ta r147 ' ' ''-- '1:.J;') 1 irrV6 1 I \
tyy) i ( (
,._
�; , , ,, a f South Lincoln Street -,
-" ",� '�`� _.-, ) (Hwy 321 BUS) + 4 (.
• 74 /
i k . 4-•,..„,,
. — ' ; \ , . \\ jr-'/- ,.). I 1411 _ ,_4I-„,,-_,_ , . IF
(?..::: ' ,
,..„ Tht•-•i
`\\ L� tip`.,, _. ,,,, 3_,... i ` ,/�14406034, O
IL-'• 4 Ir. i 1 '' c'tfC,';,1'-') .\
1-*b.. , li '
, \ • 4 i I . 14,1,--,-^, '"'' 11 ) /
eit....,r)
' 1' \ \,.t4. \ -1/, /If I i r
. Ili -
(/(,.
\`-'�" _
,_- ,. -, - Outfall .
s
hit•a•r.r A .r�'�r �, - I �-�� (flows SE) i
� —_.. -"lie"-
'4;1'''N''.."'''' L:"fg)43 „/". . c
}'_/'--Ii/! (,
, i))1/4t f,,,/(./\(\,
(:-.) .„ 1 -------N.,..„ cp/7:::, ,I .,,,k
St) I/'/''01//(17____1_,,/0t. /..' _,Ai'b,/
))s,.1 r.0.*:.',
. ,/-- I( i --,''„V-„N,,,';,.---' i-_-* •'r/j'.,_, :iii//,i1.i,/7,,7/,-.""11—a1 27-1'-:<)
Cherry Street s• ; ./ , ,, ` . - . •> ,ant / r
i/
./..., \\\\;"' '',,0".: %,\\.?c iklt • 'p / At9(-7,-1"->. 4 :1;`014, i P \ i
(.( '4
ier''''-\\ ,'\\ F('''' %\tiji. .,r'l IS Ail t4 / t ,, ,
c) ,
\\\''.\\ 1 BP4,1 A. ‘111\,..o_ii 'i iiiii:\-V 4 , __ \, 1 1,,,,
I rse- -‘T _...1:"--""' 0 \''.--".-N\ '\. \\1/4 s,.=.,/,.I 11 / - iij r'*--
c, / ,,,, ',,,, -,4 — li ' it
�- US Hwy 321 1 -- -, i
Gros ---w ea ,:' �,f t
' 11,, „.31 ----/ iii, 1 • ---,.„, CD ,. ) ) --------1_,,, ,„........-C---„. 0_ , .,<,. ...._\
\ ''',', ..,(11! /4 /-N. C 1 j --'?""1? --),,-4P ---':\\k, 1/ '7,..'; 7 lik:''.
1
,( ` �,`N South Fork Catawba River �`'i/ 11)
1,r • \' "' ,- _.," -
' ,.._.• ,-..,- - -..../ , \ —„, , , 0 ,
(flows SE)
is-N"A
Ilk a. ''
-Nrr�� • e
Mill Shoals Hydro Company Facility
High Shoals Hydro Project
):1!1
High Shoals,NC 28077 Locati
not to scale
Receiving Stream: South Fork Catawba River[Stream Segment 11-129-(10.5)]
State Grid/USGS Quad: F14NW/Lincolnton East,NC
Drainage Basin: Catawba River Basin Sub-Basin: 03-08-35 General Permit NCG500662
Latitude: 35°23'39"N Longitude: 81°12'05"W
Stream Class: WS-IV HUC: 03050102 North Gaston County

a ,
•
FOR AGENCY USE ONLY
Date Received
A )9117� Year Month Day
Division of Water Quality/Water Quality Section
Nr 1`1�C Certificate
rti cate of Coverage
NCDENRNational Pollutant Discharge Elimination System Check# Amount
NORTH CAROLINA OF_Pawr Yr OF
FNVIP.nsMF IT Mlr,NATUF I RFSOJ .FS Permit Assigned to
NCG500000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Non-contact cooling water, boiler blowdown, cooling tower blowdown, condensate, and
similar point source discharges
(Please print or type)
1) Mailing address*of owner/operator: '/
Company Name (�(l 3l' '.(S tt/olar C�;�pc,rk TVc
Owner Name 1
Street Address 11 -4 'Pt-44, Sat. ., 1Z()
City A,, loti'ef AA State MA ZIP Code OITYo
Telephone No. r 513'* 31 / Fax: 17 SY 4,S7- 77Z)
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name arlr 5 too(S gyotro ? &-1
Facility Contact ie„W Sko. r,e:-
StreetAddress ;Pr i-(r,u-k- (.:(.,ktn13y 3L(
City t.I.zL I: ulIS State AK' ZIP Code Ls`077
County et,.)46 - ea.trt-r
Telephone No. 7O21 '73 6 Z(st Fax:
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers,
and distance and direction from a roadway intersection)./ T r.� 440
Onle,,r,/ Ay Dr, aDq'
a-�. J,L.,v\<:a(,� S'�-.61 S. 3L0 ALA -�i 4...) d v-- fv".r� !U , JCrit ,�c�•
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following :
New or Proposed (ex;4;v' 64k 03
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) Does this facility have any other NPDES permits?
No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) Wjiat is the nature of the business applying for this permit? 1i%d r�V-C%C("t C-� -cc�+9+ {�/
Page 1 of 4 04/05

NCG500000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? a Yes El No
If no, submit a site map with the pathway to the potential receiving waters clearly marked.This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge.
b) Number of discharge points(ditches, pipes, channels, etc.that convey wastewater from the
property): .2.
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
Non-contact cooling water Discharge point(s)#: 1
❑ Boiler Blowdown Discharge point(s)#:
❑ Cooling Tower Blowdown Discharge point(s)#:
❑ Condensate Discharge point(s)#:
(if Other Discharge point(s)#0-++Kt. ?iv& as ..4+v-co4act- esO4+ + r
(Please describe"Other") vN-E. S.',n�� 'urv.
d) Volume of discharge per each discharge point(in GPb):
#1: if34/f47:A #2: /O l/G1ay #3: #4
e) Please describe the type of process(i.e., compressor,NC unit, chiller, boiler, etc.)the wastewater is
being discharged from, per each separate discharge point(if applicable, use separate sheet):
8) Please check the type of chemical added to the wastewater for treatment, per each separate discharge
point(if applicable, use separate sheet):
❑ Biocides Name: Manuf.:
❑ Corrosion inhibitors Name: Manuf.:
❑ Chlorine Name: Manuf.:
❑ Algaecide Name: Manuf.:
❑ Other Name: Manuf.:
None
9) If any box in item (8)above, other than none,was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review.
10) Is there any type of treatment being provided to the wastewater before discharge(i.e., retention ponds,
settling ponds, etc.)? ❑ Yes No
If yes, please include design specifics (i.e., design volume, retention time, surface area, etc.)with
submittal package. Existing treatment facilities should be described in detail. Design criteria and
operational data(including calculations)should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three(3) sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4 04/05

•
NCG500000 N.O.I.
11) Discharge Frequency:
a) The discharge is:it Continuous ❑ Intermittent ❑ Seasonal❑
i) If the discharge is intermittent, describe when the discharge will occur:
ii) If seasonal check the month(s)the discharge occurs: ❑ Jan. 0 Feb. ❑ Mar. ❑ Apr.
❑ May ❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. 0 Nov. ❑ Dec.
b) How many days per week is there a discharge? 7 doyS
c) Please check the days discharge occurs:
® Sat. © Sun. Il Mon. ® Tue. Wed. Thu. Q Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point(if
applicable, use separate sheet): N/A
13) Receiving waters:
a) What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S(e.g. City of Raleigh). 34,.4k FoII( £l 4-‘i,J6 "AULi-
b) Stream Classification:
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non-discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's"Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges,the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map(or a photocopied portion thereof)with discharge location
clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm)submitting the application has
been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped-"Final Design-Not released for construction".
Page 3 of 4 • _ 04/05

pr
NCG500000 N.O.I.
e) Final specifications for all major treatment components(if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed..
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed N me f Person Signing: i L*'01 t. e.evi ,( , R .
Title: y,
6- . iol1S\IZ
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both,for a similar offense.)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDENR
Mail three(3)copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
included:
II eck for$100 made payable to NCDENR
E '3 opies of county map or USGS quad sheet with location of facilityclearlymarked on
map
3 copies of this completed application and all supporting documents
❑ ts of plans and specifications signed and sealed by a North Carolina P.E.
Thorough responses to items 1-7 on this application
❑ Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4 04/05

Prim::
r . http://nisrmaps.com/printimage.aspx?T=2&S=12&X=601&Y=4896&..
Send To Printer Back To MSR Maps Change to 11x17 Print Size Show Grid Lines Change to Landscape
ZUSGS High Shoals, North Carolina United States 01 Jul 199.E
Vli7 I j I / l • r't i I �\ J/
(,)!
t"....v - (.: h / ..,"‘„
(' / -''' i ).' ' - .""I's *•U 1.4\ .\• ...\•;-- 1** ...''''s\'''' )‘ \
ik ly
f�-_��lficiC rri `'� I+ f �` , {l� ! rr , 'A I■ 'l /,,,,� /� fn F-F•t
' r r • _.
k 'di ilk:)itiel
/
f / '1 `
: I ;1' ' '
i , �=��( Kgank '.� •:-- r{.f �lA �% r �' •. r
f
;04....tit•vs.„,...41‘,..._,-,-• ,,,.., ,. -r.-„..,-_--- ) ../ Cze"""".. : :i 1 ri „--.......,-,../., ,.„._..e< .
k 1 . " * c-i-----',..:;:f1.,' • N,,-,././1:// i
UP 1 , \�,_i\ yyf r.,,:
1..; --- ( :
' r e4 •wb' r S• .` .,
•
`-.---- , .. • . .ii• ..,,—....- ---- i,-,(
r /, ',",/,./ _1 „---,\ *, . ....._,,,r \\ \,,,.....,_, 1 _.i.., . ..... ,„-...,,, E, :.6.,
\` �,/ _ f .4, _ \�1 ``„ ,,,' ( '41: . • ,,fit',` 1,,
rt
/ ,` `, c
7 i, r 1 /:..�tif ,r , ' ti `
,,,, ''.4(..51t,..41.....—..„:2 7, ., ..,_/,',',„ i N i
..,..;;;_.,.,:_,..... _,, (..,,,. \ - .,..
„.,...,........„ ........._ -_, -__„_ - . ---:-.4.7,-„ix ,,:ivy,„-- ,-, , ,
`Xy •���. �'' p`'r 'r — iv*t Aft_ , ('---� i
'-•-- 1 ,
/
/
- -.M., / I � i4N`1' % ..-. (
r a c h I7T.: 1• r jr_ � 4.41rWait N) /(
\j I_ r l f � r 1r I. ..r rr ,` V t / r'f' / ( L I i r�'j
) ) 1 r1 ' \ \ 71 \.' . N\
f`
,,,,. t(;;;,____,,,,1 ,,, _if i ev„../ - \ ••••_-_,„..... • _„,/ ...„...) ...7 \ \ \ ) ,. " ' , \,.
1)/ ifj C '' • r"-""•,, I
m 200� 400, 600
I` 200 400' 600' Image courtesy of the U.S.Geological Survey
© 2010 Microsoft Corporation. Terms of Use Privacy Statement
1 of 1 10/9/2012 2:59 PM

/14/f0
FOR AGENCY USE ONLY
Date Received
Year Month Day
Alfr;'1101ClaDivision of Water Quality/Water Quality Section
CeititicateofCoverage
System g
NCDENR National Pollutant Discharge Elimination NICIG151 QI d I to' IL
Check# I Amount
N'.F.TH CAROLINA DEPART yr OF
FNVIRONN.FNT.41r,hlwtaxa.F1ao.JR FS Permit Assigned to
NCG500000
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG500000: Non-contact cooling water, boiler blowdown,cooling tower blowdown, condensate, and
similar point source discharges DIVISION OF WATER QUALITY
(Please print or type)
NOV162012
1) Mailing address of owner/operator:
Name ✓ >• S /�tfc, r�t;+� ;rt iJ� lykc r MOORE3Vst L>=f?F I �h!AL
Owner Name
OFFICE
Street Address 3 T-tL� ��,�,�e, S v-i. tZO
City /t1A State ,MA ZIP Code Olrio
Telephone No. 97 r '6./ " 3 ( K.,K., Fax: 4 7 /o 1- 77Z)
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Ii(r!c& 5&D�LS tlyctro ??(�J&. r
Facility Contact J S ko..cPt:e;-
StreetAddress k'tvJcrr -� a;(jiolay 3t(
City (-l;qtn 5kcrt State iJC ZIP Code 2.R`077
County etS-k^ r an
Telephone No. 701/ 73 —2l 5 C, Fax:
3) Physical location information:
Please provide a narrative description of how to get to the facility(use street names, state road numbers,
and distance and,dire�ctio/nn from a roadway interrse1ction)./ tr,t tax-a Conley .I,i/ (�l '� vq-
a-�. 3,L,V\co(v1 S=1-.(t& . j7_ 1 AAA -Yf:v//.6:J CX.V 7' (zi 1 TU
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following :
At_New or Proposed (<',r;s-{-:v\5 toCk 410
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) Does this facility have any other NPDES permits?
,kL No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) W,hat is the nature of the business applying for this permit? 11114(06L-1-r;c>
tJ)
Page 1 of 4 04/05

NCG500000 N.O.I.
7) Description of Discharge:
a) Is the discharge directly to the receiving water? A Yes ❑ No
If no, submit a site map with the pathway to the potential receiving waters clearly marked.This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the only
viable means of discharge.
b) Number of discharge points(ditches, pipes, channels, etc.that convey wastewater from the
property): .Z
c) What type of wastewater is discharged? Indicate which discharge points, if more than one.
X Non-contact cooling water Discharge point(s)#: .-
❑ Boiler Blowdown Discharge point(s)#:
❑ Cooling Tower Blowdown Discharge point(s)#:
❑ Condensate Discharge point(s)#:
lit Other Discharge point(s)ta)5.-,01,t. ?iv - a, A.);\- •'c c+ cod,-"`� `r
(Please describe"Other") la^-f• ""'P ?urv.
d) Volume of discharge per each discharge point(in GPb):
#1: 7 Yiel9.r1 #2: /05rxl/day #3: #4
e) Please describe the type of process (i.e., compressor,NC unit, chiller, boiler, etc.)the wastewater is
being discharged from, per each separate discharge point(if applicable, use separate sheet):
8) Please check the type of chemical added to the wastewater for treatment, per each separate discharge
point(if applicable, use separate sheet):
❑ Biocides Name: Manuf.:
❑ Corrosion inhibitors Name: Manuf.:
❑ Chlorine Name: Manuf.:
❑ Algaecide Name: Manuf.:
❑ Other Name: Manuf.:
,None
9) If any box in item (8)above, other than none, was checked, a completed Biocide 101 Form and
manufacturers' information on the additive is required to be submitted with the application for the
Division's review.
10) Is there any type of treatment being provided to the wastewater before discharge(i.e., retention ponds,
settling ponds, etc.)? ❑ Yes (No
If yes, please include design specifics(i.e., design volume, retention time, surface area, etc.)with
submittal package. Existing treatment facilities should be described in detail. Design criteria and
operational data (including calculations)should be provided to ensure that the facility can comply with the
requirements of the General Permit. The treatment shall be sufficient to meet the limits set by the
general permits.
Note: Construction of any wastewater treatment facilities requires submission of three(3)sets
of plans and specifications along with the application. Design of treatment facilities
must comply with the requirements of 15A NCAC 2H .0138. If construction applies to
this discharge, include the three sets of plans and specifications with this application.
Page 2 of 4 04/05

NCG500000 N.O.I.
11) Discharge Frequency:
a) The discharge is:kJ Continuous ❑ Intermittent ❑ Seasonalo
i) If the discharge is intermittent, describe when the discharge will occur:
ii) If seasonal check the month(s)the discharge occurs: ❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr.
❑ May ❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge? 7 kyS
c) Please check the days discharge occurs:
I Sat. IY1 Sun. ® Mon. 2 Tue. .0 Wed. W Thu. 14 Fri.
12) Pollutants:
Please list any known pollutants that are present in the discharge, per each separate discharge point(if
applicable, use separate sheet): N/A
13) Receiving waters:
a) What is the name of the body or bodies of water(creek, stream, river, lake, etc.)that the facility
wastewater discharges end up in? If the site wastewater discharges to�)ia separate storm sewer
system (4S), name the operator of the 4S(e.g. City of Raleigh). 33:RA (of k) Ct1 -qW6 h ►`ver-
b) Stream Classification:
14) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non-discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating that
a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's"Guidance For the Evaluation of Wastewater Disposal Alternatives".
15) Additional Application Requirements:
For new or proposed discharges,the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map(or a photocopied portion thereof)with discharge location
clearly indicated.
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer(or engineering firm), include
documentation from the applicant showing that the engineer(Or firm) submitting the application has
been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a North
Carolina registered Professional Engineer and stamped-"Final Design-Not released for construction".
Page 3 of 4 04/05

NCG500000 N.O.I.
e) Final specifications for all major treatment components(if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a narrative
description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed N me f POrson Signing: i L-1-vf A. evil + , R
Title: 6 qut., ,�/
io, ,,,12
(Signature of Applicant) (Date Signed)
North Carolina General Statute 143-215.6 b(i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by
a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both,for a similar offense.)
Notice of Intent must be accompanied by a check or money order for$100.00 made payable to:
NCDENR o�,�.
Mail three(3)copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
incllud
4lid' eck for$100 made payable to NCDENR
Q"3 opies of county map or USGS quad sheet with location of facility clearly marked on map
3 copies of this completed application and all supporting documents
❑ 3ts of plans and specifications signed and sealed by a North Carolina P.E.
1 /horough responses to items 1-7 on this application
❑ Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
Page 4 of 4 04/05
. .a

.
Fr; http://msrmap s.c om/pr i nti mage.aspx?T=2&S=1 2&X=6 0 1&Y=4 8 9 6&..
Send To Printer Back To MSR Maps Change to 11x17 Print Size Show Grid Lines Change to Landscape
Z.USGS High Shoals, North Carolina United States 01 Jul 1996
'.,... i \\ \.....-- I
ii
((ye v;,----------------7-------. ,37---- ....-•'
,! ..--4' 4 i i r ________ ' „..---- . .
ii,
if 8
: •••?:- .. Li ,' N\ if" ."..."4'.......fr;./6-....„ i , . ' ;t-'7------.--;=;;;;'; -- ; ';13
' . 11
,,..‘2. , , /.,.,;-.) , .,-i'*1 sr.1 /'' '' .* * "-s- -•- L I k' ( n i cc 4._." ...,6., ._. - I , r„,_At- / , „,- -• 1 \ N, \ i„, //
---7—.--L7.`—`—, a
/ •.-^ 1 fif .,., ...gme•-...'"-.'1.-- 4." i 11 '‘,..,. I • r-,--.,..„...-.) 't ..s.'s \ / /
(•,,_( c (-"- fl.-i tlf . / i ,,/,,ef-s•-, .."/". 1 ill' ( / \..., .)* .'1 I‘
...ff
..• ," I "it '
I.. _ 1 kJ
.,..., . c
1,,/,.....,',-C) /It' I L.,/, f ,..,,,,, _ 1 o i , "ti i,..,•-k, - a ' 1. \
•INIM. ilffin
• \/ ...-"-
-"'".
i, .,.., , ....„.i i
iii (t,e- / Jr ', /77( (Water-4 N, . V f 7. 'si; _.,. '''‘ ) 17/;''
e‘,,..• 1 IL,/ i ,------„// / •
\
„--:" /k ). ..,/ ' •.-,-=--:„, //,j (
t// ( / : 4,,,, f, f t..„,• -.....-, ) ,, _...... i ,---„____,_. , i t
/ ..' ,,
1..... ',..• - \...:___.---• : ..,7'i I ( i
• ks""1 ..' :- ot 0, i ••• ^" / ,
/ '1;/// -00.....--,' „.-----*,... _." ..)"-----./1/ I ;i
/''' ),..,) /W N.‘. (7"----.-'' 1 1 r— /......--c___->
!eM .-//i C) f ‘ _,
,•---- -1 = \ "---- \
47
,,_./ ' i
\\ ---....„-\ .. `' : 'A „...,,,,..1-. s.:...., 1\1 -..,,/./2,/,,,
-:::-.-- \\ \\ /.-- . .„ , . -,,,-4-1\
: - si.._ ,,_,.., //.
...,
--,-\,.vo )j,) „A /0 -: I : ,c, -,,,._.) (...\:..
) , .
//(q I \ • *. \''...,,,,:::::// . 1 ci:
‘Y \\')
I
I *.1 • • .ti• 1,......s.
\ 10". 4., %-......4
f'‘ -,..) i a......,-•: Vility.iii\• ikiv'"
\ .21/;,---1/ \\,\ •-t st 1 ..„...iN., 1 I CI iii; 41 Jill
. ,
V7-- —*) ,-"`"---/V ''', ',,,A
...
. . B14.724
7 ''':413:top,..
)
„.....,,,i)
▪--•-, " \NIL',...,,....,,,.../
,---"--•\:\ " - -- —lr il \''N ,..*
A- (--- 'dr,.....,...
i i i ? .. .,,, .,,,...._ 4k„r....
6 `----) i •
...., 1,4ti:. .,. _.._.t ' In. ' )) ''' ' )i•.1 L.)\
\ ... 14x: ,,, 1,tji (if
--._ -,..,„„. -1. ...-
_.......„._.
__,
-3V., ,,..,.„ ..' / ii..\ 1,--:.
1 IP•-a& &------------------- - ' ._.. ttcp, • ' /
, -'-1 •C @M
... ,----
-N, .../ oi" „_."`—,...----- • IP 1,10:467,7,..,:: (•-•.--- -1 I. ',•_.,...c•=
f Coot ---- '''---__.---__13 7--_...--'-' 7---7:---..-- 1,tri-Z2 \-----------
....__,. 1,
• ,,---
/,../.--7i .2..q1, sa:4 ---- ,,,
,,,.._..." / - it. 7/ ,,,,,,,I, .r.„,111,14,
,, -•,... -. ,,. ., . ,,, cp• ,/".
_..._ ... /„..___. . 7 /75:1,r----•,. ,. ,,..... ..„ ,A-1 // i
r a n c 14,1/7. if"( --,,. Ji A./ft ----„ 77., -rp'a•-q'
( I\,1*- --; J - • , / 1 / ) ) i 1'..-.
c\
n\" -\• 1 : 1 C7,x1 . ,
/„./,,,
I / //,'
---) I ,. ----,: k l'-' . / /i/ l'. --'-;,:_,./' ...1e) -,. ( fir
ii.----- ,„------:‘ _ T4 . ,,-. ,
‘,1,./..-- \\V-.-.-1 . . • i
.•• ''/'
\\,\., . :- f,,.....
,_
- 4 \
cc c ( N\i' L--11:; \\ \ \
_. \\ i' i ",(,,-/ - -----\ \ \ ‘ ',.
)i ii -*;----:: .\ —1 V __ ) \ ) ) .'. cg(. \ --,,.--::::
/iii /' '` 2 .., .--.' )
-'-')) )
N / -----._ ...- .....--..,_} 7017--\\irokt.4.
i 4'. --- ,..-• ‹... .._-:•<..7,z__-_______-.---"----1 :(.,//,...-.5 , ip,41,
. ,,_,...... —...\ _, -....,,,,.....-7 .. ,. .._.„,..". 62,ik 41 N. ------4 -Ni\::::::::::;,.=%,-".
1 i*
fT1 1 200 400, 600,
ycs
Image courtesyhe of t U.S.Geological S
100' 400Survey
t 600'
© 2010 Microsoft Corporation. Terms of Use Privacy Statement
1 of 1 • 10/9/2012 2:59 PM