NC0023299_Permit issuance_20161130

Water Resources
ENVIRONMENT AL QUALITY
November 30, 2016
Mr. Andrew Luter
YES WL Utilities EXP, LLC
1900 16th St, Suite 950
Denver, CO 80202
PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
Subject: Issuance of NPDES Permit NC0023299
Woodlake WWTP
Guilford County
Class WW-2
Dear Mr. Luter:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to
the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between
North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended).
2016.
This final permit includes no major changes from the draft permit sent to you on July 27,
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this letter. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings
(6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this
decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain any other Federal, State, or Local governmental permit that may be required. If you
have any questions concerning this permit, please contact Charles H. Weaver at telephone number (919)
807-6391.
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
cc: Central Files
Winston-Salem Regional Office
NPDES Unit
State of North Carolina Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
hops://deq. nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Permit NC0023299
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
YES WL Utilities EXP, LLC
is hereby authorized to discharge wastewater from a facility located at the
Woodlake WWTP
5418 Country Club Drive
Greensboro
Guilford County
to receiving waters designated as an unnamed tributary to Polecat Creek in subbasin
03-06-09 of the Cape Fear River Basin in accordance with effluent limits, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective January 1, 2017.
This permit and authorization to discharge shall expire at midnight on September 30, 2021.
Signed this day November 30, 2016
y Zimmerman, P.G.
'rector, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0023299
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES permits issued to this facility, whether for operation or discharge are hereby revoked. As
of this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore,
the exclusive authority to operate and discharge from this facility arises under the permit conditions,
requirements, terms, and provisions included herein.
YES WL Utilities EXP, LLC is hereby authorized to:
1 Continue to operate an existing 0.07 MGD wastewater treatment facility
with the following components:
• Influent pump station
• Bar screen
• Flow splitter
• Dual aeration basins
• Dual clarifiers
• Tablet chlorine disinfection with contact chamber
• Tablet dechlorination
• Sludge digester
This facility is located at the Woodlake WWTP (5418 Country Club Road
south of Greensboro) in Guilford County.
2. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Polecat Creek, currently
classified WS-III waters in hydrologic unit 03030003 of the Cape Fear
River Basin.
Page 2 of 6

Permit NC0023299
Part I
A. (1) EFFLUENT LIMITS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
During the period beginning on the effective date of the permit and lasting until expiration, the permittee is
authorized to discharge treated wastewater from outfall 001. Such discharges shall be limited and monitored' by the
permittee as specified below:
PARAMETER
Parameter Description - (PCS Code)
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Unit of
Measure
Measurement
Frequency
Sample
Type
Sample
Location2
Flow (50050)
0.07
MGD
p
Continuous
Recorder
Influent or
Effluent
BOD, 5-Day (20 Deg. C) (April 1 - October 31)
(C0310)
5.0
7.5
mg/L
Weekly
Composite
Effluent
BOD, 5-Day (20 Deg. C) (November 1- March 31)
(C0310)
10.0
15.0
mg/L
Weekly
Composite
Effluent
Total Suspended Solids
(C0530)
30.0
45.0
mg/L
WeeklyComposite
p
Effluent
Ammonia Nitrogen (as N) (November 1 - March 31)
(C0610)
4.0
20.0
mg/L
Weekly
Composite
Effluent
Ammonia Nitrogen (as N) (April 1- October 31)
(C0610)
2.0
10.0
mg/L
Weekly
Composite.
Effluent
Fecal Coliform (31616)
(geometric mean)
200
400
#/100m1
Weekly
Grab
Effluent
Total Residual Chlorine (TRC)3 (50060)
17
pg/L
2 / week
Grab
Effluent
Temperature, °Centigrade (00010)
deg. C
Weekly
Grab
Effluent
Dissolved Oxygen (00300)
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
Total Phosphorus (as P) (C0665)
mg/L
Quarterly
Composite
Effluent
Total Nitrogen (as N) (C0600)
mg/L
Quarterly
Composite
Effluent
pH (00400)
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
Temperature, °Centigrade (00010)
deg. C
Weekly
Grab
Dissolved Oxygen (00300)
mg/L
Weekly
Grab
U&D
U&D
Footnotes:
1. No later than December 21, 2016, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (3)].
2. U: at least 50 feet upstream from the outfall. D: at least 100 feet downstream from the outfall.
3. The Permittee shall report all effluent TRC values reported by a NC -certified laboratory
[including field -certified]. Effluent values below 50 µg/L will be treated as zero for compliance
purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 6

Permit NC0023299
A. (2) NUTRIENT RE -OPENER
[NCGS 143-215.1]
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the
North Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II
sections B-12 and B-13 of this permit, the Director may reopen this permit to require supplemental
nutrient monitoring of the discharge. The purpose of the additional monitoring will be to support
water quality modeling efforts within the Cape Fear River Basin and shall be consistent with a
monitoring plan developed jointly by the Division and affected stakeholders. In addition, the
results of water quality modeling may require that limits for Total Nitrogen and Total Phosphorus
be imposed in this permit upon renewal.
A. (3) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
program reports and specify that, if a state does not establish a system to receive such submittals,
then permittees must submit monitoring data and reports electronically to the Environmental
Protection Agency (EPA). The final NPDES Electronic Reporting Rule was adopted and became
effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of
this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements fSupersedes Section D. (2.) and Section E. (5.). (a)j
Effective December 21, 2016, the permittee shall report discharge monitoring data
electronically using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet
application.
Monitoring results obtained during the previous month(s) shall be summarized for each month
and submitted electronically using eDMR. The eDMR system allows permitted facilities to
enter monitoring data and submit DMRs electronically using the internet. Until such time
that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting
Regulation (CROMERR), permittees will be required to submit all discharge monitoring data to
the state electronically using eDMR and will be required to complete the eDMR submission by
printing, signing, and submitting one signed original and a copy of the computer printed eDMR
to the following address:
NC DENR / Division of Water Resources
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 4 of 6

Permit NC0023299
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1,
1.1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be
submitted to the mailing address above. See "How to Request a Waiver from Electronic
Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the month
following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request
a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the
time of each electronic submission. The permittee should use the EPA's website resources to
identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the
entity (EPA or the state authorized by EPA to implement the NPDES program) that is the
designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool
for each type of electronic submission and for each state. Instructions on how to access and use
the appropriate electronic reporting tool will be available as well. Information on EPA's
NPDES Electronic Reporting Rule is found at: http://www2.epa.gov/compliance/final-national-
nolltitant-discharge-elimination-system-nodes-electronic-rep orting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements" section
abovie.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain
an electronic reporting waiver, a permittee must first submit an electronic reporting waiver
request to the Division. Requests for temporary electronic reporting waivers must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the
Page 5 of 6

e
Permit NC0023299
date the facility would be required under this permit to begin submitting monitoring data and
reports. The duration of a temporary waiver shall not exceed 5 years and shall thereupon
expire. At such time, monitoring data and reports shall be submitted electronically to the
Division unless the permittee re -applies for and is granted a new temporary electronic
reporting waiver by the Division. Approved electronic reporting waivers are not transferrable.
Only permittees with an approved reporting waiver request may submit monitoring data and
reports on paper to the Division for the period that the approved reporting waiver request is
effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http://dea.nc.gov/about/divisions/water-resourcesiedmr
4. Signatory Requirements (Supplements Section B. (11.) (b) and Supersedes Section B.
(11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in
Part II, Section B. (11.)(a) or by a duly authorized representative of that person as described in
Part II, Section B. (11.)(b). A person, and not a position, must be delegated signatory authority
for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR
user account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please
visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
5. Records Retention (Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from
the date of the report. This period may be extended by request of the Director at any time [40
CFR 122.41].
Page 6 of 6

Latitude: 35°58'12"
Longitude: 79°47'43" NC0023299
USGS Quad: Pleasant Garden, N.C.
Stream Class: WS-III Woodlake WWTP
Subbasin: 03-06-09
Receiving Stream: UT Polecat Creek
River Basin: Cape Fear
Hydrologic Unit: 03030003
Lift9_02'::
')101L(--)T2(./('
Guilford County
Map not to scale

NPDES Permit Standard Conditions
Page 1 of 18
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
(3)
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NPDES Permit Standard Conditions
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(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
> Influent samples shall not be collected more than once per hour.
> Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
> Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWQ or "the Division"
The Division of Water Quality, Depailinent of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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NPDES Permit Standard Conditions
Page 3of18
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Quality.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
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NPDES Permit Standard Conditions
Page 4 of 18
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part II.C.4), "Upsets" (Part II.C.5) and "Power Failures"
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
g.
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
7 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(0].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
> receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
> Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
> Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class II, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
> Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
> Properly manage and document daily operation and maintenance of the facility
> Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.41(j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The
report shall summarize the performance of the collection or treatment system, as well as the extent to which the
facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality. The
report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon which
annual period is used for evaluation.
The report shall be sent to:
NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and (j) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
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NPDES Permit Standard Conditions
Page 15 of 18
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
Any trucked or hauled pollutants, except at discharge points designated by the POTW.
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
(3)
(5)
(7)
(8)
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
Version 11/09/2011

NPDES Permit Standard Conditions
Page 16 of 18
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.44(j)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.44(j)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.44(j)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(0(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts ILD and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
Version 11/09/2011

NPDES Permit Standard Conditions
Page 17 of 18
enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
.0906(b)(4)]
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. These
permits shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits
from all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916, and .0917; 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct (AtC)
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance of an AtC, the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit OUP) limitations. [15A NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)]
7. POTW Inspection & Monitoring of their IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant Industrial Users (SIUs) at least once per calendar year for all SIU permit -limited
parameters including flow except as allowed under 15A NCAC .0908(e); and
c. At least once per year, document an evaluation of any non -significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
8. IU Self Monitoring and Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or in 15A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.44(j)(2) and 40 CFR 403.12]
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et. seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other, shall be consistent with the Enforcement Response
Plan (ERP) approved by the Division. [15A NCAC 02H .0903(b)(7), .0906(b)(8) and .0905; 40 CFR 403.8(0(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC 02H .0904 (b) may be required to submit a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual Report
(PAR) describing its pretreatment activities over the previous calendar year to the Division at the following
address:
Version 11/09/2011

NPDES Permit Standard Conditions
Page 18 of 18
NC DENR / Division of Water Quality / Surface Water Protection Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken, or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the Division;
c. Significant Non -Compliance Report (SNCR)
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment requirements, and the
nature of the violations on forms or in a format provided by the Division;
d. Industrial Data Summary Forms (IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SIUs). These
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules, public notice of
Ms in SNC, a summary of data or other information related to significant noncompliance determinations for
Ms that are not considered SIUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (Ms) that were in significant noncompliance (SNC)
as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month period. [15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .0905; 40 CFR 403.8(0(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications, POTW
monitoring of their Significant Industrial Users (SMs), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 11/09/2011

Weaver, Charles
From: Cathy Mosier <[e-mail]>
Sent: Tuesday, November 08, 2016 10:41 AM
To: Weaver, Charles
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Yes, that is the case, both Autumn Forest and Woodlake are owned by YES Companies EXP, LLC.
Again, I do apologize for the inconvenience but appreciate all the help you gave me.
Best,
Cathy
From: Weaver, Charles [mailto:[e-mail]]
Sent: Tuesday, November 8, 2016 8:38 AM
To: Cathy Mosier <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Well, if nothing needs to be changed in either permit, I'll just delete the letter from our files.
Is that correct — both Woodlake and Autumn Forest will retain their existing owners?
CHW
From: Cathy Mosier [mailto:[e-mail]]
Sent: Tuesday, November 08, 2016 10:33 AM
To: Weaver, Charles <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Good morning Mr. Weaver,
It is rather ironic that you reached out to me this morning. I was going to try to phone you. I learned yesterday that I
was actually misinformed and the owning entity of both Autumn forest and Woodlake did not change as a result of our
refinance. I am terribly sorry to have muddied up the water with my emails and letters.
What, if anything, do you need from me note that I had made a mistake?
Thanks,
Cathy
From: Weaver, Charles [mailto:[e-mail]]
Sent: Tuesday, November 8, 2016 8:25 AM
To: Cathy Mosier <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Cathy — thanks for submitting that info.
I'll issue the final of Woodlake with the new owner name, and issue a minor modification for NC0022691 to change the
owner name.
1

CHW
From: Cathy Mosier [ nailto:[e-mail]]
Sent: Friday, November 04, 2016 3:50 PM
To: Weaver, Charles <[e-mail], >
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Good afternoon Mr. Weaver,
As requested, attached please find a letter regarding the ownership name change for Autumn Forest and Woodlake. I
have put the original in the mail to you. Please let me know if you need anything else.
Best,
Cathy
Catherine Mosier
Compliance Coordinator
1900 16th Street, Suite 950
Denver, CO 80202
303.577.5703 ph
303.468.0525 fax
[e-mail]
ifE
Consider the environment before printing this.
From: Weaver, Charles [mailto:charles.weaver@ncdenr.g_ov]
Sent: Friday, November 4, 2016 9:22 AM
To: Cathy Mosier <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Cathy — thanks for letting me know about the change.
Please send me correspondence on the new company letterhead asking for the subject permits to be updated. This is a
minor permit modification, and requires no processing fee.
Also include the date that the new company came into existence, so that the change to the "Owner" can be
documented.
CHW
From: Cathy Mosier [mailto:[e-mail]]
Sent: Thursday, November 03, 2016 11:44 AM
To: Weaver, Charles <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Good morning Mr. Weaver,
2

I wanted to let you know the owning entity of Woodlake and Autumn Forest has changed. This change is the result of a
refinance and not actual ownership. Would you please let me know what I need to do to get the permits for these
communities updated into the new owning entity name? The new owner for both is YES Companies EXP Fred, LLC.
Thank you very much for your help,
Cathy
Catherine Mosier
t xerutiva AStictant/tirencing Compliance Coordinator
190010 Street, Suite 950
Denver, CO 80202
suj.�ii.sius pi
303.468.0525 fax
[e-mail]
NUS.
Consider the environment before printing this.
From: Weaver, Charles[maiito:[e-mail]]
Sent: Wednesday, October 12, 2016 7:19 AM
To: Cathy Mosier <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Cathy, Woodlake has not be issued yet. We're still awaiting an affidavit of publication for the Public Notice. Without
that, I can't issue the renewal.
Woodlake can operate under its existing permit until the renewal is issued.
CHW
From: Cathy Mosier [mailto:[e-mail]
Sent: Wednesday, October 12, 2016 9:12 AM
To: Weaver, Charles <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Good morning Mr. Weaver,
Thank you so much for your help with this, I really appreciate it. I'm not sure what has happened to the mail. I gather
the permit for Woodlake, NC0023299, was mailed at the same time. I do apologize for asking, but would you be able to
send me an electronic copy of it as well?
Thank you very much for your help.
Best,
Cathy
Catherine Mosier
Executive Assistant/Licensing Compliance Coordinator
3

1900 16th Street, Suite 950
Denver, CO 80202
303.577.5703 ph
303.468.0525 fax
[e-mail]
>
‘1.s
Consider the environment before printing this.
From: Weaver, Charles [mailto:[e-mail]]
Sent: Wednesday, October 12, 2016 6:56 AM
To: Cathy Mosier <;[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Cathy — the original was mailed to the home office in Denver. An electronic copy is attached for your records.
From: Cathy Mosier [mailto:[e-mail]]
Sent: Tuesday, October 11, 2016 3:46 PM
To: Weaver, Charles <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
Good afternoon Mr. Weaver,
I've been searching my files for a copy of the current permit for Autumn Forest and I have not been able to locate
one. Do you know if the permit was mailed to our home office in Colorado? Would you be able to send me a copy?
Thank you,
Cathy
Catherine Mosier
—4-+^'':--« ping Compliance Coordinator
1900 16th Street, Suite 950
Denver, CO 80202
30?.577.5703 ph
303.468.0525 fax
[e-mail]
USi
col
Consider the environment before printing this.
•
From: Weaver, Charles [mailto:[e-mail]]
Sent: Friday, July 22, 2016 6:05 AM
To: Cathy Mosier<[e-mail]>
4

Cc: Andrew Luter <[e-mail]>; Wally Moreland <[e-mail]>
Subject: RE: Application No. NC0022691 Autumn Forest WWTP
The draft permit [attached] has been sent to Public Notice. The public comment period ends on July 315c
I expect the final permit to be issued in mid -August.
CHW
From: Cathy Mosier [mailto:[e-mail]]
Sent: Thursday, July 21, 2016.12:39 PM
To: Weaver, Charles <[e-mail]>
Cc: Andrew Luter <[e-mail]>; Wally Moreland <[e-mail]>
Subject: Application No. NC0022691 Autumn Forest WWTP
Good morning Mr. Weaver,
Would it be possible for you to provide an update of the NPDES renewal or Autumn Forest? I have attached for your
convenience a copy of the letter we received in February of this year.
Kindest regards,
Cathy
Catherine Mosier
Assistant/Licensing Compliance Coordinator
190016th Street, Suite 950
Denver, CO 80202
303.468.0525 fax
[e-mail]
` Consider the environment before printing this.
5

7esi
Companies EXP Fred, LLC
Catherine Mosier
YES Companies EXP Fred, LLC
1900 1611'Street, Suite 950
Denver, CO 80202
November, 4, 2016
Mr. Charles Weaver
State of North Carolina
Environmental Quality/Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: NPDES Permits
Dear Mr. Weaver,
The owning entity of Woodlake, NPDES Permit NC0023299 and Autumn Forest, NPDES
Permit NC0022691 has changed. This change is the result of a refinance and not actual
ownership. With the exception of the owning entity name, and our mailing address, all of our
contact information is the same.
The new owner of these communities and subsequently, the wastewater treatment plant, is as
follows:
YES Companies EXP Fred, LLC
1900 16'h Street, Ste 950
Denver, CO 80202
Please let me know if you need anything else to make this change to our permits.
ncerely,
Catherine Mosier
Executive Assistant/
Licensing Compliance Coordinator
190016'h Street • Suite 950 • Denver • Colorado • 80202 •303,483.7300

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READERS& ADVERTISERS
North Carolina General5tat-
me 1d-344 make it .legal to
sell admission tickets In e-
Oess 01 the printed ticket
ice fee.
Airlince etakettS. and miry ooth-
es ticket, awards and cou-
pons are non-Is5ns7erable.
Restrictions may apply. Buy-
ers are to check with
travel carrier or others, as
MeProPriate 'before making
the pinches.'
CMAN&AW Po ULAN 16" IN THE
80X FACTORY RETUm.9100.
336-90666SO
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retired sr master ford tech W/
tools 55,500.00 336-3467531
PETS TOR SAI 1
IIMMEMEIM
~ Caution Ls advised you is
Small animals moreyour at
risk of being used as bait
wizen In dog fighting
0 5y,1 ea.., topw.05 ar7. 1 14
5150. 336-070.6110
REWASH SE/NERD AKC
pups, Male 8 Females. Peeks,
Shot, Wormed, Parents on
site.5400. 1344124124
Aispw
Never Forget
Your Best Friend
Put your faithful
companion Most -dry
Into waM3 with an
In Memoriam.
In addition to your printed
trl5ute, we will preserve
your wonderful memories
Kcomplimentary 517"
eepsake plaque for you
to remember end treasure.
Cal/3M37A731E
ail yow photo and
emMute toWeHleded,W
Speetwberecem
...marten your beloved
pet for only S. partlne
plus set-up lee of332.0
(photo = approx. Wines)
HOUEBNOSSaleaR
Saturdayrpm.3Pm
336-285-5354
Majestic Realty
Overland Crest
« 31000511ST M0xn0.o
546126111 Thome, Near Four
Seasons Mall. S20O deposlt
A/C No Pets. 334.a2 740
w NID0ETNNO 9E12Ia'I
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HOME CAT 14' Noble eat6mae
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5300.003364524647
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3200par roller MD per Song
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4pm, MnSei
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For more lnforma40n,
cootsc1Vonsnica King at
373-7201
N)s RECORD
PRO CRRR Fish B Ski Boat
1996- 18', new seat. loaded!
33995.336 01.2036
SCOUT 187 5F 2009, Yamaha
F11571 hrs,elum Road Ning tr,
105520,000336.207.3950
Campers Travel Trailer
i
CAMEO BY CARRIAGE Super
clean Ste Wheel Camper,3550
be/10We outs. $25,509336.
9064979
PACE ARROW 37' 1993. load.
tl, 460 Ford Eng. 71, gen.,
W/D. EC 515,000. 116&M41131
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MENCESEM
61/ILTORD COMITY ,
TAX DEPAR!MTNT
NOTICE
Newman the rmukenetts of GS
I05-315(c)(4)b, notice is hereby g0-
wto
lames C. Hinson a)4/a loon C.
Moan, 1r, Taxpayer.
4L Hinson
Cwleieccupxd6l
Award a1 other wirers, km..
and Penholders of me Prwnly de.
arched beep,
00 a4dgmentof foreclose of to
limb, the yeas 200615.d4be
doketedagdnsi the 191aedre ono.
arty n or after August 30,2016:
Pend Ho. 5711, P.L N T664 N 4R05,
known as INS Glenwood Ave,
Greensboro, NC 27403 (Legal Do-
e19fordCo0,ta/ Register 010eak)
Execution wR te Issued on the Sdg.
not and the properly 94 be soli
es milder! bylaw. TM taxies
(86,19575. dfraylR 20161h
dding Intend ad costa ow be
pale before thelefen th
docketed ad elam time flan..
mellowed by law. additional
mama cor6N 5 78! 026oN 4dw-
not MOW Reba 0eayes.Gulp
had Ca. Atlonleys Office (336) MI-
4911.
Wantons Nm A Famed -AMP.
aid15 PH
Swims1. Miort.
GUPNItl Corky has Cpaclu
Kok. hlor.e3W ..3w6
POW Notice
No. Cr9Lte Environmental
Panay.. Commission/
NPOES Pak
1617 Mall Service Center
Weigh NC 276941617
Notice of Wynne Issue a NPOES
Wmterder Perms
1hN6nh Carolina FNimnmollhl
MangenelnGmmiesion pr0posos
N bsm a NPOES wastewater dh-
, IMed
W Wrlaen commas ktothe NoOagmd!m
the proposed oa0B will be race*
ed wd1130 days aler Fhe publish
date of this not. The Director of
(belle Division dWd.R 06,100
Mould there therre he as significant degas
of vitas Interest Please mails m-
modtad/orinfomdbnn om.
HOOP et the Wove address ton,
MMpersons may *Kew MR*
612 N. Salisbury Seed, Raklyh Nc
to review information on 6k. AM -
Ronal Information onNODES pangs
sMlds notice maybe bunion.
retake: http//deq.ncgov/abougdi
dskmhateriesaansAvater
nnaonuchic/enswItsslteasexaeeabr
b 310,2, ,69*3 water/07'00
tntkenor b mans (919) 074104.
TES NO Wlmw W-L1C requested
renewed of NPDES permit
N0002320AY0dtake
W WTP/G61nd County. Tardily ds-
da9/C,eddeaperearbean edRiver
Ba-
sh Currently OOP ammonia ann.
Pe&oaNedoxygen, tent
Warble
Hater Ra/WIMI.,
Brent. SoutheastInc-Durham
espied to renewpesoltNcensore,
to discharge heated gra9dwde
boo 1 CHI IN W, Ce enabro, Go.
ford COMy. h a N of South Buffalo
Creek Cam Fear laver Bash
Dale Comm con Onto. 2914 pd-
tenon street- Greensboro. Guilford
Cony
r.
NI003B773 to discharge traded to renew NPOES ed
gaedwd. o N to South Ba*Mo
Creels Gape Fear War Basin
Na9ce 10 Redden
Roby magneto Esecu!wd0e
Edda of Once Alen Nubia Oh o
Gu1N1d Cony, NOMCrWlate
041109ne1 does herby nutlfy a6
pn6eea. Won and nrp.dloa Mr -
WI dims ROM Atiee:We °laid
da lent[ exhibit tlwnotleln
den0ned et Drn3 Crn01
Albemey at Law. PLL02675 feuded
Road, Suite 500.Claonom, North
Cream 27012, on or before 11e2&N
day of Oc0 W r.2016 or Ma man
MI be pleaded lobo ether renv-
H0. M 860000 Arms and com0a
Rom Indebted to the mid Mae w1
gleam make Immolate payment to
Ree del5Wed.
1Ns Nel2N day of ady,701E
Gam Men Harbin lr" Fxecdor of
the Estate of Bruce Men Harbin
wa Omens. Cm1RB
Attorney d Um. ottc
1615Neudon Road, SWORN
Men mar. NC27012
PIMIrtln Dales Myra 71 Am
gust4.11,2016
NOTICE TO CREDITORS
Raving OOalified as Adminls•'
Rotor orthe Estate Dr Ma Lea
Hatt Whiteley, deceased. gulf
lord County. North Carolina
the undersigned does hereby
notify all persons, *800 and
corporations having calms
agalmt the estate of said de-
uadent to 0nderslgnedonlor before the
t them to the
undersigned
y fOct b 23.2016,or
Notice 10 Lredilors
bar of Mel, re0dberr, This the
216t day of July, 201E
William Haft Whiteley
4909 Batten Road
Greensboro, NC 27406
4adng�110E TO CREDITORS
0 beater*?ttthe
Estate d Lon*N lobs, deceased,
uu6fold Coney. North Careen. the
undersigned doe hereby notify all
serno firms and no *Ass eselestt the estateporidalal eaalle
decedent to Yd 3k them to the to -
dodged an or bef o re the lee day o1
040er,2016, orthis notice will be
plesdedin
bar
fthelr recovery. This
the 14 Ow o
c0m17.6ow0er
1107 Maplewood4*o,w
High Point, NC27255
ROCKINGHAM LEGALS
STATE OFNORTH CO20LW,
WOCMN6HLICOUHII
N PI GENERAL COURT 0F1InTICE
DISTRICT COURT DIVISION
13/423
NINE HATITER OF:
BMYLON OA9OX0 0050, a minor
dad
DOE02/OS/2013
NOTICE OF SELNILE OF
PROCESS BY PUBLICATION
T0: DWAYNE CREOLE PUTATIVE
FATFAOF THEABOVH4AMED MI-
NOR C%mPCONCE1VE00NOR
A60671447 5.2012. AND 9055
PERTSBURO, VIRGNIA ON WSW -
AM 5, 2013, To THE 1.107HE6 BRH-
TAN1mNER
TO: UNKNOWN BINOGICMFA-
THER OF3HEABOVE-MIND MI-
NOR CNIID CONCEIVED ON OR
ABOUT MAY 52012, AMU Doge N
PET6050606, *8N11 SWIMS
3.1413, TO THE MOTHER BRITTANY
TDME.
THE NOTICE Oa a Petition seeking
relief meltet you has 'mantled In
the own waded argon The adore
of WNW. mu9Nb Tealmlln
of yew Permed R!gts with respect
o theab000eferemed}neNk.
Wow rewired h rube a written
enswerto the Petition biennimte
Mental MgM rm11n forty days et-
b lei} 14.2016: ad upon yaw f ell.
ore to make a defame to the Petition
18N01tlptpedodertadtendthe
haarllR .the said Petition aw
Rocklegham Comer So alSendeas 9�ed a0I1,l
Gun kr M order temlmnrp your
Remold rig. torbe rernw9dl lank ebwa
You Bne Oe'Sit to be represented
W n dbrney. 7 yea wad an as r-
mhbetcareot effort. Ahem*,
NeCornwG m5d4mmtamer to
represent you In kW matt Y
nty
Crmonad.�Rockingham
oSUps!080 16L
6139)o request a nwtap0dned
Dwyec Yn PH also Nre m anor-
IlYNyour choke d anytime,
%Ore yarn right to an do0ey or
repreell yo.sea l this matter.
TOO ARE M OEBY NOT9lll d your
d4Nte be present to sold Soft
rot o appear before the cost and
s14wwe, rcmenmere ba wind*
Kier demrdedsb del not be
emnted.
PUBLICATION DATES WILL BEhdy
14,2011116521,2016, 964/P7,06
206
This the 14 dwol1 0,2613
Beverley A Smith,
Attorney forego.
P.O.E., 61
Netwo1lk NC27375
ROMP* 1330341.1394
Notice to Cledilors
NOTICE To Memnon
KW . auol&d a Cicada al the
bLte of HEL EN ROVER FARMER,
Itam Comb,
Port/leonine undeeslored
does hereby tore' a1 peon, firms
ad corpora.. having claims
amdnd the Mded decedent
o eNPoA them to the wineswd
n er'elan me NW day ofOdd let,
lolkorthhnutkewNlbeplerededin
bar dmdr mcawry.'bathe 14th
dw d312,2016
LMy Pole Farmer
11391,1eadow Rind
Eden NC 27266
PubN47/l&11,7a 6/4/301&
The Triad's
most
experienced,
most
trusted
and
most used
source
of
news and
information.
NEWS&REcoRD
greensboro.com

Water Resources
ENVIRONMENTAL QUALITY
July 25, 2016
MEMORANDUM
To: E ' son ,e. :t r-E.
ye vt i �,
NC DEQ / DWR / Public Water Supply
Winston-Salem Regional Office
From: Charles H. Weaver, Jr.
NPDES Unit
Subject: Review of Draft NPDES Permit NC0023299
Woodlake WWTP
Guilford County
PAT MCCRORY
GoverfOY
DONALD R. VAN DER VAART
Secretary
S. JAY .ZIMMERMAN
Dlreclor
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by August 26, 2016. If you have any questions on the draft permit, please contact me
at 919-807-6391 or via e-mail [[e-mail].
§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§
RESPONSE: (Check one)
7"...---'
Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
Concurs with issuance of the above permit, provided the following conditions are met:
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed
Date:
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 J/deq.nc.gov/aboutdivisions/water-resources/water..resources-permits/wastewater-branch/npdes-wastewater-permits

Weaver, Charles
From: Mickey, Mike
Sent: Tuesday, July 26, 2016 9:45 AM
To: Weaver, Charles
Subject: RE: DRAFT permit renewal for NC0023299 / Woodlake WWTP
Draft looks fine. No comments.
Mike.Mickey(a)NCDENR.gov
NC DEQ Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mi11 Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Weaver, Charles
Sent: Monday, July 25, 2016 10:00 AM
To: Mickey, Mike <[e-mail]>; Hudson, Eric <[e-mail]>; Kinney, Maureen
<[e-mail]>
Cc: Annie Haluska <[e-mail]>
Subject: DRAFT permit renewal for NC0023299 / Woodlake WWTP
Importance: High
This is a class WW-2 facility in Guilford County.
Please send me any comments by August 26tn
Thanks for your help.
Charles H. Weaver
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919-807-6391
charles.weaver(cr�ncdenr.gov
(physical address) 512 North Salisbury Street, Raleigh, NC 27604
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
rtz
--Nothtng Compares .A..r
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
1

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles H. Weaver — 7/25/2016
Permit Number
NC0023299
Facility Name
Woodlake WWTP
Basin Name/Sub-basin number
Receiving Stream
Cape Fear / 03-06-09
UT to Polecat Creek
Stream Classification in Permit
WS-III
Does permit need Daily Maximum NH3 limits?
No — already present
Does permit need TRC limits/language?
Does permit have toxicity testing?
No — already present
No
Does permit have Special Conditions?
Cape Fear nutrient reopener
Does permit have instream monitoring?
Is the stream impaired (on 303(d) list)?
Dissolved Oxygen and Temperature
No
Any obvious compliance concerns?
Six enforcements from 2013-2016, seventeen
NOVs during the period 2012-2016. The
facility has an unconventional design and
receives wastewater from adjacent homes
where permittee does not own collection
system. Facility chlorinates excessively but not
enough to routinely violate 50 µg/L compliance
level.
Any permit mods since last permit?
New expiration date
Ownership change mod in 2012.
9/30/2021
Comments received on Draft Permit?
Added eDMR requirements
Added regulatory citations
Updated facility component list
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with this permit's effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
NC0023299
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
fieldto the.ncxt. Tocheck.the.boxes.. click.your mous or.top of the.boxyOtherwise please.print.or type
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Yes WL Utilities EXP, LLC
Woodlake WWTP
1900 16th St. Suite 950
Denver
Colorado 80202
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here -if same-address-as-above-0
Street Address or State Road 5418 Country Club Drive
City Greensboro
State / Zip Code
County
North Carolina, 27406
Guilford
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
APEX Companies, LLC Attn: Annie Haluska
10610 Metromont Parkway, Suite 206
Charlotte
North Carolina 28269
[phone]
{ )
AHaluska [e-mail]
1 o[ 3 Form•D 11112

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
Commercial
Residential
School
Other
0
Number of Employees
Number of Employees
Numberof-Homes
Number of Students/Staff
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile home park
Number of persons served: 330 units (215 at Woodlake and 115 at Greybridge)
5. Type of collection system
Separate (sanitary sewer only) (,J Combined (storm sewer and sanitary sewer)
6. Outfali Information:
Number of separate discharge paints 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes
® No
7. Name of receiving streams) (NEW applicants: Provide a map showing the exact location of each
outfall):
UT to Polecat Creek WS-III hydrologic unit 03030003 Subbasin 03-06-09
8. Frequency of Discharge: ® Continuous 0 Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Influent pump station, Bar screen, flow splitter, dual aeration basins, dual clarifiers,
effluent tablet chlorination disinfection contact chamber, tablet dechlorination, sludge
digester.
Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.07 MGD
Annual Average daily flow 0.049 MGD (for the previous 3 years)
Maximum daily flow 0.081 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ►k. No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Colifarm, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be. used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currents in c.our permit. Mark other�aarameters "N/A"
Parameter
Daily f Monthly
Maximum I Average
Units of
Measurement
Biochemical Oxygen Demand (BON
24 , 9.4
Mg/1
Fecal Coliform
>8000
293.485
ml
Total Suspended Solids
9.65
1.45
Mg/1 geo. mean
............
Temperature (Summer)
27.8
19.04
Deg. C
Temperature (Winter)
11.5
10.81
Deg. C
PH
7.18 6.93
S.U.
13. List -all -permits, —construction -approval* and/or applications:
Type
Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0023299 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Nonattainmentprogram (CAA)
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Mr. Andrew Luter. Authorized Person
Printed name of son Signing Title
i
Signature f Ap licant Do
North Carolina General Statute 143-215,6 (b)(2) stales: 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 mantained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article. shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-011/12