NC0032361_Renewal (Application)_20210202

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ROY COOPER 4-11..____: _\,,, s�Governor A ' " F,
MICHAEL S.REGAN \.. ^��,,fi,. '
Secretary „, ,-
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
February 02, 2021
Evergreen Foundation
Attn: Don P. Smith, Facility Maintenance
28 A Oak St
Waynesville, NC 28786
Subject: Permit Renewal
Application No. NC0032361
The Balsam Center for Hope &Recovery
Haywood County
Dear Applicant:
The Water Quality Permitting Section acknowledges the February 2, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
NYIWIA
Wren Thed rd
Administrative Assistant
Water Quality Permitting Section
cc: Mark Teague-Environmental, Inc.
ec: WQPS Laserfiche File w/application
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ENVIRONMENTAL
In c■Water•alaate,At.Bongoes
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Mailing Address:PO Box 954,Cullowhee,NC 28723
Physical Address: 2675 Skyland Drive,Sylva,NC 28779(828)586-5588
Physical Address: 240-D Swannanoa River Road,Asheville,NC 28805(828)350-8704
Toll Free: [phone],Fax: [phone],Email: [e-mail]
http://www.environmentalinc.info/
Sludge Management Plan
February 1, 2021
NPDES Permit INC0032361 .
The Balsam Center WWTP
28-A Oak St
Waynesville
NC / 28786
Evergreen Foundation
Sludge is pumped out of the aeration basin and clarifier. The solids are pumped and
hauled by a licensed septage management firm.
The solids are disposed ofat a local municipality facility.
filidSignature:
Mark Teague, Environmental, Inc.
Contract Operational Firm -

ENVIRONIVIEIlITAL
Inc.Yaeor/4�,r',lexa9v flare.ss
Mailing Address: PO Box 954,Cullowhee,NC 28723
Physical Address: 2675 Skyland Drive,Sylva,NC 28779 [phone]
Physical Address: 240-D Swannanoa River Road,Asheville,NC 28805(828)350-8704
Toll Free: [phone],Fax: [phone],Email: environmentalinc(ca7aol.corn
http://www.environmentalinc.co/
February 2, 2021
North Carolina Department of Environment and Natural Resources
Division of Water Resources-NPDES Unit
Attention: Wren Thedford � ����
1671 Mail Service Center
Raleigh,NC 27699-1617 FEB 0 2 2021
RE:NPDES Application
Balsam Center WWTP NCDEQ/DWR/NPDES
NPDES Permit No. NC0032361
Haywood County
Dear Mr.Thedford,
On behalf of the Evergreen Foundation, we ask that the permit for operation of the
Balsam Center WWTP please be renewed.
If you have any questions, please feel free to contact me.
Sincerely,
Mark Teague
Environmental, Inc.

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 Resources / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INC0032361
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name Evergreen Foundation
Facility Name The Balsam Center WWTP
Mailing Address 28-A Oak Street
City Waynesville
State / Zip Code NC / 28786 FEB 0 2 2021
Telephone Number [phone] NCDEQ/DWRINPDES
Fax Number
e-mail Address dcoleman(a,:evergreennc.org, [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 91 Timberlane Rd
City Waynesville
State / Zip Code NC / 28786
County Haywood
3. Operator Information:
Name of the fine, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Environmental, Inc
Mailing Address PO BOX 954
City Cullowhee
State / Zip Code NC/ 28723
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 9/2013

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.01 MGD
Annual Average daily flow 0.002 MGD (for the previous 3 years)
Maximum daily flow 0.003 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average.If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Daily Monthly Units of
Parameter
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 39 13.9 Mg/L
Fecal Coliform 164 10.6 #/100m1
Total Suspended Solids 42.7 26.3 Mg/L •
Temperature (Summer) 22 21.6 C
Temperature (Winter) 20 17.8 C
pH 7.2 NA su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES NC0032361 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
van S ;41, maihi-anal/ice
Printed name of Person Signing Titl
(9, 2 Z ]2!
Signature of Applicant Dat •
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application,record, report, plan,or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 9/2013

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MOD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential El Number of Homes
School ❑ Number of Students/Staff
Other ® Explain: Rehabilitation Center 25
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Rehabilitation Center
Number of persons served: 25
5: Type of collection system
® Separate (sanitary sewer only) El Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ® Yes ❑ No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Richland Creek
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
The components of the treatment system are a septic tank flow equalization ,bar screen,
Aeration basin with a single blower, Clarifier with skimmer and sludge return, tablet
chlorine disinfection with chlorine contact basin, and tablet dechlorination.
2 of 3 Form-D 9/2013