WQCS00233_Regional Office Historical File Pre 2018 (4)

PATMCCRORY
i �.. (�� Governor'
- 'DON LD R.' VANDER VAAR
SecretaTry
Water Resources
ENVIRONMENTAL DUALITY
Martin J. Lashua, Vice President.
Carolina Water Service, Inc of NC
PO. Box 240908
Charlotte,North Carolina 28224
Subject Compliance Evaluation Inspection Summary Letter
Permittee: Carolina Water Service .
Facility: Hemby Acres Wastewater Collection System
Permit #: WQCS00233
Union County
Dear Mr. Lashua:
S. JAY ZIMMERMAN
Director
Mr. Lon Snider of the Mooresville Regional Office of the NC Division of Water Resources
(DWR or the Division) conducted a compliance evaluation inspection (CEI) of the Hemby
Acres wastewater collection system (WWCS) on November 2, 2016. ` The assistance and
cooperation of Mark Haver was greatly appreciated. An inspection checklist: is attached for
your records and inspection findings are summarized below:'
Site/System Review
The following system components were inspected:.
The Influent & Oak Grove pump stations (PS) were inspected. No discrepancies were
noted.
b. Manholes on Ivy Run & Red Lantern were. inspected. No discrepancies were noted.
As you are aware, your permit contains numerous requirements with which the Hemby Acres
must comply. Your compliance status with each of these requirements is summarized below:
State of North Carolina I Environmental Quality. l Water Resouices: I Water Quality Regional Operations ..
Mooresville Regional Office 1610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

Part I, Performance Standards
A. Part I, Paragraph 2: The wastewater collection system shall be effectively managed,
maintained and operated at all times so that there is no Sanitary. Sewer Overflow (SSO)
to land or surface waters, nor any contamination of groundwater. In the event that the
wastewater collection system fails to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective actions, including.
actions that may be required by the Division of Water Resources (Division), such as the
construction of additional or replacement sewer linesand/or equipment.
Observations: Hemby Acres has had only one spill in the last few years due to rain and
they do a good job managing their system.. In full consideration of all observations made
during the inspection and their sanitary sewer overflow (SSO) record, Hemby Acres is
hereby deemed compliant with this permit condition.
Compliance Status: Compliant.
b. Part I, Paragraph 3: The Permittee shall establish by ordinance its legal authority to
require new sewers beproperly constructed; to ensure proper inspection and testing of
sewer mains and service laterals; to address flows from satellite systems and to take.
enforcement actionas required by Condition I(4).
Observations: Hemby Acres sewer use ordinance.(SUO) was reviewed and found to
meet requirements.
Compliance Status: Compliant
Part I, Paragraph 4: The Permittee shall develop and implement an educational. fats,
oils and grease program targeted at both residential and non-residential users.. The
Permittee shall also develop and implement an enforceable fats, oils and grease program
for non-residential users under which the Permittee can take enforcement against users
who have not properly installed, operated and maintained grease traps or 'grease
interceptorsas directed or otherwise violated the terms of the local ordinance pertaining
to fats, oils and grease:
Observations: Hemby. Acres current educational fats, oils and grease (FOG) program
consists of sending out FOG: educational materials biannually,
Compliance Status: Compliant
d. Part I, Paragraph 5: The Permittee.shall adopt and implement a Capital Improvement
Plan (CIP) to designate funding forreinvestment into the wastewater collection system
infrastructure. The CIP should address the short-term needs and long-term "master: plan"
concepts. The CIP should typically cover a three to five-year period and include a goal.

statement, description of the project area, description of the existing facilities, known
deficiencies (over a reasonable period) and forecasted future . needs. Cost analysis is
integral to the CIP.
Observations: Hemby Acres CIP is current and up to addressing future needs to the
system.
Compliance Status: Compliant
e. Part I, Paragraph 6: Existing overflow piping from manholes and pump stations,
excluding piping to approved equalization structures, known or discovered after permit
issuance shall be immediately removed or permanently capped: Plugged emergency
pumping connections are allowable for portable pumping or rerouting without
intentionally bypassing the wastewater treatment facility.
Observations: No : such overflows were identified during the inspection and the
operators stated that they believe none exist.
Compliance Status:Compliant
f. Part I, Paragraph 7: The Permittee shall maintain a contingency plan (PSCP) for pump
failure at each pump station. If one of the pumps in a pump station containing multiple
pumps fails, the process of repairing or replacing the pump shall be initiated immediately
and the new parts or pump shall be installed as soon as possible. If the pump in a simplex
pump station fails, it shall be replaced immediately.
Observations: Hemby Acres has a.PSCP for its pump stations.
Compliance Status: ''Compliant
g. Part I, Paragraph 8: , Each pump station shall be clearly and conspicuously posted with
a pump station' identifier and an emergency contact telephone number at which an
individual who can initiate or perform emergency service for the wastewater collection
system 24 hours per day, seven days per week can be contacted. This emergency contact
telephone number shall be coupled with instructions that the emergency contact should
be called if the visual alarm illuminates, if the audible alarm sounds, or if an emergency
is apparent.
Observations: All pump stations inspected met permit requirements.
Compliance Status: Compliant
h Part I, Paragraph 9: Pump station sites, equipment and ' components shall have
restricted access, per 15A NCAC.2H .0219(h)(7).
Observations: All pump station's evaluated during the inspection were sufficiently
secured to provide restricted access.

Compliance Status: Compliant
i. Part I, Paragraph 10: Pump stations that do not employ an automatic polling feature
(i.e. routine contact with pump stations from a.central location to check operational status
of the communication system) shall have both audible and visual high water alarms. The
alarms shall be weather-proof and placed in a clear and conspicuous location. Permits
issued for the construction of pump stations that included high water alarms in the
description must maintain the alarms even if simple telemetry (i.e. notification of an
alarm condition initiated by the pump station control feature) is installed.
Observations: All pump stations are equipped with Mission . Controls. They are
inspected at least once per week.
Compliance Status: Compliant
j. Part I, Paragraph 11: For all newly constructed, modified and rehabilitated pump stations,
all equipment and components located within the pump station shall be corrosion -
resistant and components in close proximity of the pump station shall be sealed within a
corrosion -resistant coating or encasement.
Observations: The types of materials used to construct the pump stations appeared to
be constructed of such materials during the inspection.
Compliance Status: Compliant
k. _ Part I, Paragraph 12: All construction and rehabilitation of the wastewater collection
system (i.e., permitted or deemed permitted) shall, be scheduled to minimize the
interruption of service by the existing utilities. ,Construction and rehabilitation shall not
result in the violation of. Condition I.2. of this permit.
Observations: No conditions which demonstrate . noncompliance with this permit
condition were noted during the inspection.
Compliance Status: Compliant
Part II, Operation and Maintenance Requirements
1. Part II, Paragraph 1: Upon classification of the collection `system by the Water
Pollution Control System Operators Certification Commission (WPCSOCC), the
Permittee shall designate and employ a certified operator to be in responsible charge
(ORC) and one or more ,certified operator(s) to be back-up ORC(s). of the facilities in
accordance with 15A NCAC 8G .0201. The ORC shall visit the system within 24 hours
of knowledge of a bypass, spill, or overflow of wastewater from the system, unless visited
by the Back -Up ORC, and shall comply with all other conditions of 15A NCAC 8G
.0204.

Observations: The ORC and backup ORCs have been properly designated as required.
Compliance. Status: Compliant
m. Part 11, Paragraph 2: The Permittee shall develop and adhere to a schedule for
reviewing all inspection, maintenance, operational and complaint logs. If the review
process results in the identification of any recurring problem in the wastewater collection
system that cannot be resolved in a short time period, the Permittee shall establish a plan
for addressing the problem(s).
Observations: All logs are maintained and reviewed monthly.
Compliance Status: Compliant
n. • Part II, Paragraph 3: The Permitteeshall develop and adhere to a schedule for testing
emergency and standby equipment.
Observations: Generators are run weekly while being under load.
Compliance Status: Compliant
o. Part II, Paragraph 4:. The Permittee shall develop and implement a routine pump
station inspection and maintenance program, which shall include, but not be limited to,
the following maintenance activities:
1. Cleaning and removing debris from the pump station structure, outside perimeter,
and wet well;
Inspecting and exercising all valves;
Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
4. Verifying the proper operation of the alarms, telemetry system and auxiliary
equipment.
Observations: The pump stations are all inspected weekly and the pump stations that
were inspected appeared to be sufficiently maintained.
Compliance Status: Compliant
• p. Part II, Paragraph 5: For each pump station without pump reliability (i.e. simplex
pump stations serving more than a single building or pump stations not capable of
pumping at a rate of 2.5 times the average daily flow rate with the largest pump out of
service), at least one fully operational spare pump capable of pumping peak flow shall
be maintained on hand.
Observations: Pumpstation capacities were not evaluated during the inspection. It is
assumed the PSs were designed to meet these specifications.

q•
Compliance Status: Not Evaluated
Part II, Paragraph 6: The Permittee shall maintain on hand at least two percent of the
number of pumps installed, but no less than two pumps, that discharge to a pressure sewer
and serve a single building, unless the Permittee has the ability to purchase and install a
replacement pump within 24 hours of first knowledge of the simplex pump failure or
within the storage capacity provided in any sewer line extension permit.
Observations: Hemby Acres does not currently have any such pump stations within its
WWCS.
Compliance Status: Not Applicable
r. Part II, Paragraph 7: Rights -of -way and/or easements shall be properly maintained to
allow accessibility to the wastewater collection system . unless the Permittee can
demonstrate the ability to gain temporary access in an emergency situation where existing
land -use conditions do not allow the establishment and maintenance of permanent access.
In this case, the Permittee shall continue to observe the lines .visually, utilize remote
inspection methods (e.g. CCTV) and use the opportunity of drier conditions to perform
further inspections and necessary maintenance.
Observations: All ROWs arid easements evaluated duringthe inspection were well
maintained to provide the necessary access.
Compliance Status: Compliant
s. Part II, Paragraph 8: The Permittee shall assess cleaning needs and develop and
implement a program for appropriately cleaning, whether by hydraulic or mechanical
methods, all sewer lines. At least 10 percent of the wastewater collection _ system,
selected at the discretion of the ORC,.shall be cleaned each year. Preventative cleaning
is not required for sewer lines less than five years old unless inspection otherwise reveals
the need for cleaning or cleaning is required by a sewer line extension permit.
Observations: Hemby Acres has met their 10%(4134) requirement. They cleaned 4660
feet in the last year.
Compliance Status: Compliant
Part II, Paragraph 9: Adequate measures shall be taken to contain and properly dispose
of materials associated with SSOs. The Permittee shall maintain a Response Action Plan
that addresses the following minimum items:
1. Contact phone numbers for 24-hour response, including weekends and holidays;
2. Response time;.
3. Equipment list and spare parts inventory;
4. Access to cleaning equipment; .

5. Access to construction crews; contractors and/or engineers;
6. Source(s) of emergency funds;
7. Site sanitation and clean up materials; and
8. Post-SSO assessment.
Observations: Hemby Acres Spill Response Action Plan (SRAP) was evaluated. The
plan includes all of the components.
Compliance Status: Compliant
u. Part II, Paragraph 10: The Permittee, or their authorized representative, shall conduct
an on -site evaluation for all SSOs as soon as possible,.but no more than two hours after -
first knowledge of the SSO.
Observations: No conditions were noted during the inspection that demonstrates
noncompliance with this requirement. Review of SSO records also indicated full
compliance.
J
Compliance Status: Compliant
v. Part II, Paragraph 11: In the event of a SSO or 'blockage within the wastewater
collection system, the Permittee shall restore the system operation, remove visible solids
and paper, sanitize any ground area and restore the surroundings.
Observations: Hemby Acres SRAP covers all items specified above in full detail. No
conditions that indicate noncompliance with this permit condition were noted.
Compliance Status: Compliant
Part III, Records
w. Part In, Paragraph 1: Records shall be maintained to document compliance with
Conditions I(4), II(2) - II(4),'II(7) - II(8), IV(3) and V(1) -V(4). 'Records shall be kept
on file for a minimum of three years.
Observations: All documentation was readily available for inspection and found to be
complete, current and accurate.
Compliance Status: Compliant
x. Part III, Paragraph 2: The Permittee shall maintain adequate records pertaining to.
SSOs, and complaints for a minimum of three years. These records shall include, but are
not limited to, the following information:
1. Date of SSO or complaint;
2. Volume of wastewater released as a result of the S SO and/or nature of complaint;
3. Location of the SSO and/or complaint;

4. Estimated duration of the SSO;
5. Individual from the Division who was informed about the SSO and/or complaint,
when applicable;
6. Final destination of the SSO;
7. Corrective actions;
8. Known environmental/human health impacts resulting from the. SSO; and
9. How the SSO was discovered.
Observations: All SSOs and complaints were available for inspection and found to be
complete.
Compliance Status: Compliant
y. Part III, Paragraph 3: The Permittee shall maintain an up-to-date, accurate,
comprehensive map of its wastewater collection system that also notes the- locations.
where other wastewater collection systems become tributary. If a comprehensive map of
the collection system has not been established, a rough sketch shall be. drawn. The
Permittee shall map approximately 10 percent of its existing collection system each year
for the next ten years, or until complete, whichever is sooner. The comprehensive map
shall include, but is not limited to: pipe size, pipe material, pipe location, flow direction,
approximate pipe age, number of active service taps, and each. pump . station
identification, location and capacity.
Observations: Hemby Acres map is at 90%. They are working to have it on GIS in the
very near future.
Compliance Status: Compliant
z.Part. III, Paragraph 4: The Permittee shall maintain records of all of the modifications and
extensions to the collection system permitted herein. The Permittee shall maintain a copy
of the construction record drawings and specifications for modifications/extensions to
the wastewater collection system for the life of the modification/extension. Information
concerning the extension shall be incorporatedinto the map of the wastewater collection
system within one year of the completion of construction. The system description
contained within this permit shall be :updated to include this modification/extension.
information upon permit renewal.
Observations: Mr. Haver indicated that all such records are maintained and
incorporated into the system map as required.
Compliance Status: Compliant
Part IV, Monitoring and Reporting Requirements
aa. Part IV, Paragraph 2: The Permittee shall verbally report to a Division of Water
Resources staff member at the Mooresville Regional Office, at telephone number 704-

663-1699 as soon as possible, but in no case more than 24 hours following the occurrence
or first knowledge of the occurrence of either of the following:
- Any SSO and/or spill over 1,000 gallons; or.
Any SSO and/or spill, regardless of volume, that reaches surface water..
Observations: SSO. records were reviewed during the .inspection.:No conditions were
noted that indicate noncompliance with this permit condition:
Compliance Status: Compliant
bb.Part IV, Paragraph 3: The Permittee shall. meet the annual reporting and notification
requirements provided in: North Carolina General Statute'§143-215.1C:
Observations: Hemby Acres produces annual compliance reports for the wastewater .
collection system and sends them out to users of the system. The city also provides
copies of the reports to the Division.
Compliance Status: Compliant
Part V, Inspections
cc. Part V, Paragraph it The Permittee or, the Permittee's designee shall inspect the
wastewater collection system regularly to reduce . the risk of malfunctions and
deterioration, . operator errors, and other issues that may causeor lead to the release of
wastes to the environment, threaten human health or create nuisance conditions. The
Permittee shall keep an inspection log or summaryincluding, at minimum, the date and
time of inspection, observations made, and any maintenance, repairs, or corrective
actions taken by the Permittee.
Observations: Hemby Acres inspects all high priority lines at least twice per year, pump
stations are inspected weekly.
Compliance Status: Compliant
dd. Part V, Paragraph 2: Pump stations without Supervisory Control and Data Acquisition
(SCADA) systems or telemetry shall be inspected everyday (i.e..365 days per .year).
Pump stations equipped with SCADA systems or telemetry shall be inspected at least
once per week.
Observations: = Asstated earlier, all pump_ stations have Mission Controls and all. are
inspected weekly.
Compliance Status: Compliant
ee. Part V, Paragraph 3: A general observation of the entire collection system shall be
performed throughout the course of every year.

Observations: A general observation of the entire system ismade once a year. The date
this is completeshould be noted in the log book
Compliance Status: Compliant
ff. Part V,.Paragraph 4::Inspections of all.high priority lines (i.e. aerial line, sub -waterway
crossing, line contacting, surface waters, siphon, line positioned parallel to stream banks
that are subjectto eroding :in such a manner that maythreaten the sewer line, or line
designated as high -priority in a permit) shall be performed at least once per every six
month period of time. New high prioritylines installed or identified afterpermit issuance
are incorporated by reference and subject to this permit condition:.until permit renewal
where they 'shall be referenced in writing.
Observations: A11 known HPLs have been identified and are inspected/ documented: at
least twice per year if not more.
Compliance Status.: Compliant..
Mr. Snider. feels that your WWCS operators have done a good job of operating and
maintaining the system. Please continue the good work. In the long run it will make both
our jobs much easier, more rewarding, and vastly more effective' in attaining our ultimate
goal of preserving and sustaining a pristine natural environment
Ifyouhave any questions regarding this letter, please contact on S rde- r or me at theletterhead
address or phone number, or by email at [e-mail] orcorey.basinger@ncdenr:gov.
Sinc
ci(i. W. Corey Basinger
Regional Supervisor =
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ — MRO
Attachments — BIMS Inspection Report.
cc: MRO
PERCS

Compliance Inspection Report
- ..Permit: WQCS00233 Effective: 10/10/13 Expiration: 11/30/21 Owner : Carolina Water Service 'Inc of North Carolina
SOC: Effective: Expiration: Facility: Hemby Acres Collection System
County: Union PO Box 240908
Region: Mooresville
Contact Person: Martin J. Lashua Title: Vice President
Directions to Facility:
System Classifications:
CS2,
Primary ORC: Mark Richard Haver
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Charlotte NO 282240908
• Phone: [phone]
Certification: 992155 Phone: [phone]
NC0035041 Carolina Water Service Inc of North Carolina - Hemby Acres WWTP
Inspection Date:. 11/02/2016 Entry Time: 10:OOAM Exit Time: 12:15PM
Primary Inspector: Lon Snider Phone: [phone]
Secondary Inspectons):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Collection system management and operation
Facility Status: IN Compliant . Q Not Compliant
Question Areas:
Miscellaneous Questions • Performance Standards III Operation & Maint Reqmts
1.1 Records 111 Monitoring & Rpting Reqmts III Inspections
1. Pump. Station II Manhole III Lines

Permit: WQCS00233
Inspection Date: 11/02/2016
Owner - Facility: Carolina Water Service Inc of North Carolina
. ,
Inspection Type Collection System Inspect Non Sampling
Reason for Visit: Routine
Inspection Summary:

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc of North Carolina
Inspection Date: 11/02/2016
Inspection Type: Collection System Inspect Non Sampling
Reason for Visit: Routine
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
Comment: Make sure to note the date the annual observation is complete.
Pump stations are inspected 1-3 days per week.
Monitoring and Reporting Requirements -.
Are copies pf required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1 C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment:
Operation & Maintenance Requirements
Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
• What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Monthly
• Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment?
What is the schedule for testing emergency/standby. equipment?,,
Do pump station Togs include:
Inside and outside cleaning and debris removal? ...
Inspecting and exercising all valves? ;
nspecting and Iubncating pumps and other equipment?
Yes No NA NE
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Permit; WQCS00233 Owner - Facility: Carolina Water Service Inc of North Carolina -
Inspection Date: 11/02/2016 - Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Performance Standards
Does CIP include description of project area?
Does CIP. include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include. forecasted future needs?
Is.CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
This is a private system. They look at lines to replace and some station upgrades.
Is system free of known points of bypass?
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
• Number of pump stations that have SCADA .
Number ofpump stations that have simple telemetry .
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program?
# If yes, date implemented?
Describe:
The form of SCADA they use is called Mission.
Comment:
Records ..
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
.If yes, is there a corrective action plan?
Yes No NA NE
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Page:.:'

Inspection Date: 11/02/2016
Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc of North Carolina
Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
Records
Is a map of the system available?
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
-Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
# Does the permittee have a copy of their permit?
Comment:
INFLUENT
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" featurelSCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
• Are air relief valves in place?
:Yes No NA NE
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Permit: WQCS00233 • Owner - Facility: Carolina. Water Service Inc of North Carolina
Inspection Date: 11/02/.2016 Inspection Type': Collection System Inspect Non Sampling Reason for Visit: Routine
INFLUENT -
Pump Station '.. .
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?.
Is the pump station equipped for quick hook-up?
Is thegeneratoroperable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
:Is the pump station free of signs of overflow?
'Are run times comparable for multiple pumps?
Comment: Pump station is with the WWTP.
IVY RUN MH - 2408 Ivy Run
Manhole"
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Isthe manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert ingood condition?
Is line free -flowing and unrestricted in manhole?
Is manhole freeof excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
re vents free of submergence?
e manholes free of bypass structures or pipes?
Yes No NA NE
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Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc of North Carolina
Inspection Date: 11102/2016 Inspection Type : Collection System Inspect Non Sampling
Reason for Visit: Routine
IVY RUN MH - 2408 Ivy Run
Manhole
Comment:
OAK GROVE -
Pump Station
Pump station type "
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# ' Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the,generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hotir notification sign posted?
Doesit include:`,:
Instructions for notification?
Pump station identifier?
Emergency phone number
Yes No NA NE
Yes No NA NE
Duplex
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Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc of North Carolina
Inspection Date: 11/02/2016 Inspection Type : Collection System Inspect Non Sampling Reason for Visit: Routine
OAK GROVE -
Pump Station
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: Stations is inspected 1-3 days a week. Potable generator used at this station and it does have a
quick connect.
RED LANTERN - 7906 Red Latern
Manhole
Is manhole accessible?
# Is manhole cover/vent above grade?
Is the manhole free of visible signs of overflow?
Is the manhole free of sinkholes and depressions?
Is manhole cover present?
# Is manhole properly seated?
# Is manhole in good condition?
# Is invert in good condition?
Is line free -flowing and unrestricted in manhole?
Is manhole free of excessive amounts of grease?
Is manhole free of excessive roots?
Is manhole free of excessive sand?
Is manhole's extended vent screened?
Are vents free of submergence?
Are manholes free of bypass structures or pipes?
Comment:
Yes No NA NE
• ❑ ❑ ❑
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p
> �+ JUN 12 2013
INSTRUCTIONS FOR FORM: CSA 10/05
Mai;ASYSTElVIrW1DEWASTEWATER COLLECTION SYSTEMS)
y,OO 2. 3. .Hem,by Aeres
�� n,r� State of North Carolina
• MOON OF \NADepai*tirieiit of Environment and Natural Resources
Division of Water Quality
AN ONLINE VERSION OF THIS FORM IS AVAILABLE FROM http://h2o.enr.state.nc.us/percs under Collection
Systems
A. Application Form (All Application Packages):
✓ Submit one original and one copy of the completed and appropriately executed application form. The instructions do
not need to be submitted.
B. Application Fee :
✓ There is no application fee. The Permittee will be billed for an annual fee upon issuance of the permit. For facilities
less than one million gallons per day, the annual fee is $810. For those over, the annual fee is $1310.
C. For New Applications:
✓ In Section III of this application, please reference the attached permit which is divided into Sections I — VI. We have
only included permit conditions in Section III of this application for which we have historically offered reasonable
compliance schedules.
✓ Review the attached draft permit. Indicate which conditions need compliance schedules and give a specific schedule
for implementation in Section III. Grease education and recordkeeping requirements should be started upon permit
issuance and not require compliance schedules. Indicate that the permit can be issued with or without any compliance
schedules.
D. For Permit Renewals:
✓ Complete all Sections and the Applicant Certification
E. High Priority Line Information (15A NCAC 2T .0402(2)):
✓ Use the same line identification that would be used to report spills and is used in O&M logs.
✓ Indicate type of high priority line — siphon, aerial line, etc. Other high priority lines may include those designated as
such in a sewer line extension permit, lines running parallel to stream banks that are subject to erosion which may
threaten the sewer line, other lines that are exposed, etc.
F. Satellite Systems:
✓ Provide contact information for any non -owned satellite systems that have a contracted agreement, are allocated for or
convey over 200,000 gallons per day of flow into your system.
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERCS UNIT
ATTN: SUPERVISOR
By U.S. Postal Service:
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
By Courier/Special Delivery:
512 NORTH SALISBURY STREET, SUITE 1304C
RALEIGH, NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone]
FORM: CSA Instructions 10/05

of W ATF State of North Carolina
QG Department of Environment and Natural Resources
Division of Water Quality
Y SYSTEM -WIDE WASTEWATER COLLECTION SYSTEMS
FORM CSA 10/05
(THIS FORMMAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number: (to be completed by DWQ)
THIS ONLINE APPLICATION CAN BE FILLED OUT USING
THE TAB KEY TO MOVE THROUGH THE FIELDS>
I. GENERAL INFORMATION:
Owner (name of the municipality, public utility, homeowners association, etc.) Carolina Water Service, Inc. of NC
Authorized signing official's name AND title (15A NCAC 2T .0106(b)): Martin Lashua, Regional Director
Mailing address : P.O. Box 240908
City: Charlotte
State: North Carolina
Zip: 28224
Telephone number: [phone]
Facsimile number: [phone]
E-mail: [e-mail]
County where collection system is located: Union
Name, affiliation, and contact information of contact person who can answer questions about the application:
Tony Konsul - Regional Manager - 704-319-0523
Is this application new or for a permit renewal? ❑ New
Permit No. WQCS00233
►1 Renewal of
H. COLLECTION SYSTEM INFORMATION:
1. Owner and name of wastewater treatment facility(ies) (WWTF) receiving wastewater:
Carolina Water Service, Inc. / Hemby Acres WWTF
2. WWTF permit number(s): NC0035041
3. Total miles of sewer (approximate): 1.25 Force Main, 7.83 Gravity, 0 Pressure, 0 Vacuum
4. Population served by this system: (724 connections x 2.5) = 1810
5. Wastewater Make -Up: 100% Domestic/Commercial , 0% Industrial (Process)
6. Pump Station Information: Attach a current list of all major (i.e. not simplex serving a single family home as part of a
pressure sewer system) pump stations, names, capacities and their locations. Summarize below:
o Number of simplex pump stations serving a low pressure* sewer: 0
* Indicate the number of simplex type pump stations serving a low pressure sewer system that are owned/maintained such as in a residential
subdivision. This would not include pump stations that convey larger flows en route to the treatment plant or individual pumps needed to
pump to an adjacent gravity sewer. If simplex stations are listed above, pressure or vacuum mains should be shown in Item 11(3).
o Number of duplex or greater pump stations: 4
o Number of simplex stations serving multiple buildings: 0
7. Attach a list of high priority lines according to the Division's definition known to exist in the collection system (See
Instruction E). Head the list with the system name and include "Attachment A for Condition V(4)". Attached
FORM: CSA 10/05 Page 1

8. Attach a copy of your current spill response plan. Attached
9. Attach a copy of your current annual budget and current approved Capital Improvement Plan. Attached
10. Attach a copy of your comprehensive collection system map (a CD is also acceptable, please indicate format).
Attached
11. Report any satellite systems over 200,000 gallons per day (see Instruction F). For renewals, only indicate those
systems that are newly connected or have exceeded 200,000 gallons per day since the last permit application.
None
12. Indicate the current designated collection system operators:
Main ORC Name: Mark Haver
Back -Up ORC Name: Larry Henry
Additional Back -Up ORC Name(s) and
Certification Number(s):
Certification Number: 992155
Certification Number: 27955
III. COLLECTION SYSTEM PERMIT COMPLIANCE QUESTIONS: For new application please
reference the attached draft permit in answering these questions. Any compliance dates needed
will be put into the permit. For conditions not listed, compliance dates are not typically offered.
Permit Condition
Current
Compliance?
If no, Indicate a
Compliance
Date
Typical
Compliance
Schedule
I(3) — Grease ordinance with legal authority to inspect/enforce
❑ Yes ►4. No
,ig A
12 —18 mo.
I(4) — Grease inspection and enforcement program
Yes ❑ No
12 —18 mo.
I(5) — Three to five year Capital Improvement Plan.
�. Yes ❑ No
12 — 18 mo.
I(8) — Pump station identification signs.
►1 Yes ❑ No
3 mo.
I(10) — Functional and conspicuous audible and visual alarms.
Yes ❑ No
3 — 6 mo.
II(5) — Spare pumps for any station where one pump cannot
handle peak flows alone (in a duplex station, the 2nd pump is
the spare if pump reliability is met).
6 — 9 mo.
Yes ❑ No
II(7) — Accessible right-of-ways and easements.
/ / Yes ❑ No
6 — 12 mo.
II(9) — Spill response plan with Items 9 (a — h).
►1 Yes ❑ No
3 mo.
Other comments:
FORM: CSA 10/05
Page 2

Applicant's Certification:
Note: 15A NCAC 2T .0106(b) requires an authorized individual to sign this application form. In the case of corporations,
signature is required by a principal executive officer of at least the level of vice president, or his duly authorized
representative. In the case of a municipal, state, or other public entity, a signature is required by either a principal executive
officer, ranking elected official or other duly authorized employee. Duly authorized employee's must provide proof from the
principal executive officer or ranking elected official that then have been authorized to sign this application. Public Works
Director's are not authorized to sign this permit application according to the rule unless delegated.
I, Martin Lashua, attest that this application for Hemby Collection System Permit has been reviewed by me and is
accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not
completed and that if all required supporting information and attachments are not included, this application package will be
returned to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who
knowingly makes any false statement, representatio i or certification in any application shall be guilty of a Class 2
n
misdemeanor which may in elude a fifie not to xceed 10, r 00 as well as civil penalties up to $25,000 per violation.
Date: S/ '? /oi 3
Signature:
**END OF FORM CSA 10/05**
FORM: CSA 10/05 Page 3

Hemby - Pumping Stations
Permit - WQCS00233
Condition 11.6.
• Hamby WWTP Influent Pump Station — Located at 7803 Idlewild Road, Indian Trail, NC 28079.
Station has (2) 5hp pumps with a capacity of 320 gallons per minute each.
• Mill Grove Pump Station # 1— Located at 7177 Mill Grove Road, Indian Trail, NC 28079. Station
has (2) 2hp pumps with a capacity of 100 gallons per minute each.
• Mill Grove Pump Station # 2 — Located at Mill Grove Road Indian Trail, NC 28079. Station has (2)
2 hp pumps with a capacity of 100 gallons per minute each.
• Oak Grove Pump Station — Located at Indian Trail, NC 28079. Station has (2) 20 hp pumps with a
capacity of 125 gallons per minute each.

Hemby — High Priority Lines
Permit - WQCS00233
Attachment "A" for condition V4
• Hillcrest Drive— Manhole # 1 through Manhole #10 (Stream Bank)
• Rockwell Drive to Lift station # 1— Manhole # 71,77,78,79,81,82,84,87,91,92,95 and 97 (Stream
Bank)

Utilities, Inc:
and affiliates, Carolina Water Service, Inc. of North Carolina, CWS Systems, Inc,
Bradfield Farms Water Company, Transylvania Utilities, Inc. and Elk River Utilities Inc.
SANITARY SEWER OVERFLOW AND SPILL RESPONSE ACTION PLAN
Hemby Acres Sanitary Sewer Collection System
WQCS00233
A Sanitary Sewer Overflow (SSO) can endanger the environment and affect the health of
individuals and wildlife that come in contact. It is the policy of our company that any
and all SSO's be investigated immediately and actions taken to prevent or minimize any
and all environmental impact.
The public should contact our 24 hour customer service number at 1-800-525-7990 and
provide as much information as possible on the location of the problem. On -call staff
will be dispatched immediately for full investigation. This number will reach our office
during normal business hours and than an emergency call service center after normal
business hours. Available and current on -call staff information is kept at all times to
ensure that appropriate staff can be dispatched immediately.
Any operations employee that comes across an SSO should contact the Operating
Manager, Area Manager or Regional Manager immediately and take immediate action to
assess, _minimize, prevent or mitigate any such event.
The local Operating Manager and ORC of the system will be the primary interface
between the company and the NC Dept. of Environment and Natural Resources, Division
of Water Quality (DWQ) and county health department (if required). The appropriate
manager will follow the current and then in place SSO reporting policy as designated by
DWQ (see attached reporting form) or any other regulatory agency having jurisdiction.
As of the writing of this document;
• Report any spill of 1,000 gallons or more; and
• Any spill, regardless of the volume, if any waste reaches the surface waters of the
State. Any conveyances such as drainage ditches or storm sewers are considered
waters of the State.
1) Report by telephone to a person (not a fax or voicemail) to the Mooresville
Regional DWQ Office at 704-663-1699 during normal business hours (Monday
through Friday, 8 am to 5 pm) as soon as possible, but in no case more than 24
hours after the SSO is known or. discovered. To report outside of regular business
hours, call [phone].

2) Follow up the verbal report by sending the completed written report using the
attached form or most current within five days.
3) If the discharge involves 1,000 gallons or more AND reaches surface waters, a
press release must be issued within 48 hours of first notification. If the discharge
is 15,000 gallons or more, a public notice must be published within 10 days and
proof of publication shall be provided to DWQ within 30 days.
Containment Procedures
As soon as an employee arrives at the site of the SSO, he/she shall use whatever means
necessary to contain the spill as to prevent it from reaching surface waters. If there is no
danger or potential of the SSO reaching surface waters, the SSO should be contained in
as small an area as possible but use of any means possible such as construction of dams,
ditches, checks etc. The sewage contained or collected shall be returned to the sewer
system or taken to the WWTP by pumps, pumper trucks or other available means.
If possible, a blocked or damaged section of collection main should be bypassed around
the problem area using transfer pumps from an upstream manhole into a downstream
manhole. The damaged main section should be plugged if possible to prevent waste from
entering the problem area.
The area should be sectioned off to prevent any unauthorized person from entering the
contaminated area.
Blockage Correction
Employees should treat a reported blockage with utmost urgency to prevent any spill or
backup from causing environmental or home damage. The first person on site should try
to assess the problem and determine if flow can be maintained or restored using
temporary pump bypass or other means, of if the problem area can be blocked off and the
waste transported from a manhole to the WWTP using a pump or pumper truck.
Contractors should be called immediately and employee should stay on site or within
close distance to assist with emergency work. Containment and bypass equipment and
measures shall remain on site until the blockage is corrected.
Clean up
Remove all debris such as plastic, paper or other materials from the site, bag or place in a
container and dispose of properly in dumpster at WWTP site.
Clean or wash area thoroughly and return this water to the sewer system or treatment
plant. If on soil or dirt, apply a liberal layer of white hydrated lime to raise the pH and
kill pathogenic organisms and to treat for odor. Apply straw and grass seed if
appropriate.

If the SSO reaches surface waters, every effort should be made to contain the spill area
by use of dams near a manhole or area accessible to a pumper truck and mobile
equipment. The contained area should be pumped back into the sewer system. Two
employees or one employee and a contractor shall be present at all time while pump is
operated. Backhoe or other equipment should be available to help maintain earthen dams
until clean up efforts are complete.
If possible, the area should be flushed with potable water and that water also returned to
the sewer system. The operator should try and use a broom or other measures to agitate
sludge on the bottom during the pumping and cleaning efforts to make sure it is all
retrieved. Rocks and rip -rap should be washed of residue.
If surface waters are used for drinking source or recreation, additional measures must be
taken to notify local health departments.
Water samples to include dissolved oxygen and fecal bacteriological samples should be
taken frequently before clean up, during and after clean up. In addition, samples should
be taken upstream and downstream of the affected area.
Spare Parts and Equipment List
Portable trailer mounted generator to operate pump stations and/or electrical equipment
in the event of power loss or in remote locations. This will be kept in good running order
at all times at the WWTP location.
Common parts such as electrical components such as elapsed time meters, voltage phase
monitors etc. are kept in stock at the Charlotte Operations Warehouse and can be
accessed at all times by a supervisor.
White hydrated lime will be kept on hand at the WWTP for spill abatement.
Normal hand tools such as shovels, rakes etc. will be kept on the Operator's truck or at
the WWTP.
The ORC or Operating Manager must be familiar with all pumping equipment brands and
have means to contact a distributor or representative for expedited parts.
Contractors List and Contact Information
Gopher Utility — 704-932-7662
Electrical and equipment repair work
Rain for Rent — 704-393-3345
Emergency portable pump rental and pump supplies (hoses etc.)

L& L Environmental - [phone]
Pumper truck / vac truck.
Bionomics — [phone]
Sewer main jet cleaning/ blockage removal.

Hemby Acres
Capital Improvement Plan
Sanitary Sewer Collection System Permit WQCS00233
Carolina Water Service Inc. of North Carolina, an affiliate of
'� (l tlllllES, Inc
I. Mission Statement
Carolina Water Service Inc. of NC (CWSNC) owns, operates and maintains the sanitary
sewer collection system serving the Hemby / Oak Grove residential communities outside
Mathews in Union County, NC. CWSNC is an investor owned public utility and is
committed to providing safe, reliable and cost effective service to our customers and with
the underlying commitment to act with integrity, protect the environment and enhance the
communities we serve. CWSNC works to maintain the system and meet customer
growth expectations and regulatory requirements in a financially responsible manner. As
a privately owned public utility, CWSNC is regulated through the NC Utilities
Commission.
II. Description of Systems
The service area currently is comprised of 724 residential customers. Growth has been
somewhat stagnant in recent years. The system is comprised of approximately 7.8 miles
of gravity sewer collection mains; 1.25 miles of pressure force main, (4) pump stations
and a 0.3 MGD extended aeration wastewater treatment plant.
III. Projects
Preventive Maintenance - At least 10% of the gravity collection system mains are
pressure washed and cleaned each and every year with the intent to clean 100% of the
gravity mains in a ten year period or less. All lift stations are cleaned at least annually.
CWSNC is financially capable of making any and all emergency repairs immediately and
takes immediate action any time the system may be compromised in order to protect the
system integrity, the environment and to meet regulatory requirements.
CWSNC plans ahead for all capital improvement with at least a 3 year plan. The system
is assessed each and every year by review of operations, visual inspection of manholes,
and review of emergency repair history or other deficiencies identified in state
inspections or in review of compliance needs. Any needed improvements are prioritized
for inclusion in future year's budgetary plan.
As of 4/22/13, the following projects have been identified for 2013. Internal approval
processes apply and inclusion on the plan list does not mean the project will be
completed or when;

• Replace control panel with stainless steel — Mill Grove pump station # 1
• Replace control panel with stainless steel — Mill Grove pump station # 2

Alf97A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John Skvarla, III
Governor Director Secretary
June 6, 2013
MEMORANDUM
PECEIVFr)
DIVISION OF „,:., _.,,- 11
'ALI : Y
JUN 12 ?,:3
MOORESVILLE REGIONAL OFFIt;r
TO: Michael Parker - Mooresville Regional Office, Surface Water Protection
FROM: Michael Leggett, P.E.
PERCS Unit
SUBJECT: Hemby Acres Collection System Submittal Application Package
Permit No. WQCS00233
The subject collection system permit renewal application was received by the central office on
6/4/2013. A copy of the Collection System application package is attached for your records and
comments. If possible, please relay any comments or additional information requests that you
have to this office within 14 days of receipt. If you have any questions please contact
Daryl Merritt at [phone] or via email at [e-mail].
enclosures: application package
cc: PERCS Unit (electronic copy)
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet www.ncwaterquality.orq
An Equal Opportunity \ Affirmative Action Employer
NorthCarol na
Naturally

Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
September 27, 2005
MEMORANDUM
SEP 2 9 2OO:i
TO:
Barbara Sifford.
Mooresville Regional Office
FROM: Marie Doklovi
PERCS Unit
SUBJECT: Collection System Permit Application
CWS Hemby Acres Collection System — Union County
WQCS00233
The subject collection system permit application was received by the central office on September 26, 2005.
The central office would appreciate your help in identifying areas of potential non-compliance and obtaining
compliance schedules for permit issuance. They marked in the application that several items could not be
met with no schedules but also checked they were ready for the permit. So, I'm thinking maybe use the
general compliance schedules for those items and issue the permit. Comments?
Enclosure
Cc: Permit File
Pretreatment, Emergency Response & Collection Systems Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
DENR Customer Service Center
An Equal Opportunity Action Employer
Internet http://h2o.enr.state.nc.us/ndpu
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

State of. North_ Carolina
Department of Environment and Natural Resources
Division of Water Quality
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEMS
FORM CSA 04/05
(THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL)
Application Number:
L GENERAL INFORMATION:
(to be completed by DWQ) R C E VE
SEP 2 2005
Owner (name of the municipality, public utility, homeowners association, etc.): Carolina Water Service, Inc. of NC
Authorized signing official's name AND title (15A NCAC 2H .0206(b)): Martin Lashua, Regional Manager
Mailing address : PO Box 240908
City: Charlotte
State: North Carolina •
Zip: 28224
Telephone number: [phone]
Facsimile number: [phone]
E-mail: m.j.lashua(autilitiesinc-usa.com
County where collection system is located: Union
Name, affiliation, and contact information of contact person who can answer questions about the application:
Martin Lashua, Regional Manager/Carolina Water Service, Inc. of NC/PO Box 240908, Charlotte, NC 28224
IL COLLECTION SYSTEM INFORMATION:
1. Owner and name of wastewater treatment facility(ies) (WWTF) receiving wastewater: Hemby Acres WWTP
2. WWTF permit number(s): NC0035041
3. Total miles of sewer (approximate): 1.26 Force Main 7.60 Gravity
Pressure Vacuum
4. Pump Station Information:
o Number of simplex pump stations serving the pressure* sewer:
* Indicate the number of simplex type pump stations serving a low pressure sewer system that are owned/maintained such as in a
residential subdivision. This would not include pump stations that convey larger flows en route to the treatment plant or individual pumps
needed to pump to an adjacent gravity sewer. If simplex stations are listed above, pressure or vacuum mains should be shown in Item II(3).
o Number of duplex or greater pump stations: 4
o Number of simplex stations serving multiple buildings:
5. Attach a list of high priority lines according to the Division's definition known to exist in the collection system (See
Instruction F). Head the list with the system name and include "Attachment A for Condition V(4)". None
6. Attach a copy of your current spill response plan. Attached
7. Attach a copy of your current annual budget and Capital Improvement Plan.
Carolina Water Service, Inc. of NC is a privately owned public utility which is bonded, franchised, and
regulated by the NC Utilities Commission. We do not operate from an annual budget and submit a detailed
annual financial report to the Utilities Commission at the end of the year in arrears. We do not have a
Capital Improvement Plan per se, but are financially solvent to make any and all improvements as needed or
required. .

III. COLLECTION SYSTEM PERMIT COMPLIANCE QUESTIONS: Please reference the
attached draft permit in answering these questions. Any compliance dates needed will be put
into the permit. For conditions not listed, compliance dates are not typically offered.
Permit Condition
Current
Compliance?
If no, Indicate a
Compliance
Date
Typical
Compliance
Schedule
I(3) — Grease ordinance with legal authority to inspect/enforce
/ 1 Yes ❑ No
12 — 18 mo.
I(4) — Grease inspection and enforcement program
❑ Yes / / No
Not required
12 — 18 mo.
I(5) — Three to five year Capital Improvement Plan
❑ Yes 11 No
12 - 18 mo.
I(8) — Pump station identification signs
/ZI Yes ❑ No
3 mo.
I(10) Functional and visual=alarms=_
= 0.Yes- No
--
3 6_mo
— and conspicuous audible
=
=_ _
_ - —
II(5) — Spare pumps for any station where one pump cannot
handle peak flows alone (in a duplex station, the 2nd pump is
the spare if pump reliability is met)
6 — 9 mo.
/ZI Yes ❑ No
II(7) — Accessible right-of-ways and easements
/ 1 Yes ❑ No
6 — 12 mo.
II(9) — Spill response plan with Items 9(a — h)
Yes ❑ No
3 mo.
Other comments:
ATTACH ADDITIONAL SHEETS AS NECESSARY
Applicant's Certification:
Note: 15A NCAC 2H .0206(b) requires an authorized individual to sign this application form. In the case of
corporations, signature is required by a principal executive officer of at least the level of vice president, or his duly
authorized representative. In the case of a municipal, state, or other public entity, a signature is required by either a
principal executive officer, ranking elected official or other duly authorized employee. Duly authorized employee's must
provide proof from the principal executive officer or ranking elected official that they have been authorized to sign this
application. Public Works Director's are not authorized to sign this permit application according to the rule unless
delegated
I, Martin Lashua, attest that this application for Hemby Acres WWTP has been reviewed by me and is accurate and
complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes
any false statement, represent
include a fine not to exceed $
Signature:
n, or certification in any application shall be guilty of a Class 2 misdemeanor which may
,000 asf e11 as c•, i1 pen . up to $25,000 per violation.
Date: •September 23.2005
Our facility can accept the collection system permit:
El as provided in the draft
0 as provided in the draft with the compliance schedules shown in Section III

c - -
INTRAOFFICE MEMO
To: All Operations Staff
From: Martin Lashua
Re: - Sewer Spill Policy
Date: 1-28-02
Please carefully read and comply in regards to any sewer spill, overflow or
similar problem:
It is very important- that- any and all reports of—back=ups—or--spills--are
responded to immediately after notification and all possible efforts made .to
resolve the situation immediately to control and impound the spill for
treatment and prevent the wastewater from .reaching any surface waters.
* If untreated wastewater in any amount does reach surface waters it must be
reported to your supervisor immediately (or manager on call) who in turn
must report it to the state Division of Water Quality.
* If untreated wastewater does not reach surface waters and does not exceed
1,000 gallons, it must be reported to your supervisor (or manager on call) but
does not have to be reported to the state.
* If untreated wastewater does not reach surface waters but does exceed 1,000
gallons, it must be reported to your supervisor immediately (or manager on
call) and this must be reported to the state and in North Carolina, we must also
post the spill report in every newspaper, TV and Radio station in, the county in.
which it occurred. .
***. In all cases. the operator must fill in the appropriate spill report form -
'regardless of amount and turn it in to your supervisor as soon as practical and
possible, . but in no case later than the next business day.
If the spill reaches surface waters - in any amount - it is very important to
document stream quality up stream and down stream of the spill. This should
include visual observations, DO readings and pH readings. The up stream
sample should be 100' up stream. The down stream should be at two locations,
100' and 1 mile. These observations shouldbe reported in the comments
section of the state form. This is very important and must be done as soon as
possible after the condition has been corrected.
Clean up of the site must be complete. Apply hydrated lime the area to raise
the pH and control pathogens and to control any odor.
If in doubt, consult your supervisor or manager on call promptly. Remember -
every spill must have a state form completed.
Thank you for your attention.

c WAT,
1
o
,=
ItECEI
Michael F. Easley
Governor
William G. Ross Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Coleen H. Sullins, Deputy Director
Division of Water Quality
October 17, 2003
Carl Daniel, Vice President
Bradfield Farms Water Company
P.O. Box 240908
Charlotte, NC 28224
SUBJECT: Wastewater Collection Systems
Revised Enforcement and Spill Reporting Policy
for Collection System Overflows
Application/Registration No. WQCS00253
Bradfield Farms Collection System
Dear Mr. Daniel:
The Division of Water Quality (DWQ) has revised the procedures for enforcement of sanitary sewer
overflows (SSOs) and the reporting of those overflows to the Division. Since 1999, SSO enforcement actions
were based on a point system that assigned various values to different aspects of an overflow. The Division
expects collection system owners to operate and maintain their collection systems on a preventative and proactive
basis to eliminate overflows and comply with existing laws and regulations. Therefore, the "points" system will
no longer be used. Effective immediately, any SSO is subject to a possible enforcement action such as a Notice
• of Violation and/or a civil penalty assessment.
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a SSO of any amount that reaches
surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting SSOs to
the Division:
1. Report by telephone to a person (not facsimile, or voicemail) at your regional DWQ office during regular
business hours (Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more than 24 hours
after the SSO is known or discovered. To report outside of regular business hours, call [phone].
2. Follow up the verbal report by sending a completed written report on the most current Division approved
form within five days.
To provide a uniform method for all systems covered under this permit to provide useful and consistent
information pertaining to SSOs, a new spill reporting form has been developed. Enclosed you will find Form CS-
SSO, which consists of two parts. Part I serves to provide to the Division the required information that has always
been necessary. Part 11 serves as an area to provide a justification for the spill.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if adequate
justification for an SSO is NOT submitted to the regional office. In order to submit a claim for justification of an
SSO, you must use the attached form with additional documentation as necessary. DWQ staff will review the
justification claim and determine if enforcement action is appropriate. Please review the attached form and be
advised that the information needed to justify a spill is very comprehensive. Begin using this form immediately to
report SSOs from the collection system. Continue to use our old form for reporting bypasses at the wastewater
treatment plant until further notice. The time frame for submittal of both Part I and Part Il, if pertinent, is five
working days.
1617 Mail Service Center Raleigh, North Carolina 27699-1617 [phone] Customer Service
1-877-623-6748

I.
•
„ Sewage Spill Response Evaluation:
(paage1 of 2)
Permittee
Permit Number County
Incident Ended: (Date!me) ( Estimated Duration (Time)
First knowledge of incident (Dateline)
Estimated volume of spill/bypass gallons: Show rational for volume.
If spilt is ongoing, please notify Regional ice on a daily basis until spill can be stopped.
(Date/time)
Reported to:
Name of person
Weather conditions:
Source of spill/bypass (check one): Sanitary Sewer • - Pump Station WWTP
Level of treatment (check one): None Primary Treatment
Secondary Treatment Chlorination Only
Did spill/bypass reach surface waters? Yes No (If Yes, please list the following)
Volume reaching surface waters? gallons
Name of surface water
Did spill/bypass result in a fish kill? Yes No
•
If Yes, what is the estimated number offish killed?
Please provide the following information:
1. Location of spill/bypass:
2. Cause of spill/bypass:
3. Did you have personnel available to perforrninitial assessment 24 hourslday (including weekends and
holidays)?
Yes No
4. How long did it take to make an initial assessment of the spiu/overiow after first knowledge?
Hours Minutes
How long did it take to get a repair crew onsite?
Hours Minutes
Please explain the time taken to make initial assessment .
Revision Tl 6/I 1/99

• Sewage Spill Response Evaluation:
(Page2of2)
Permittee Permit Number County
5. Action taken to contain spill, clean up waste, and/or remediate the site:
6. Were the equipmentand parts needed to make repairs.readiiy available?
Yes No If no, please explain why:
7. If the spill/overflow occurred at a pump station, orwas the result of a pump station failure,
was the alarm system functional atthe time of the spill? Yes • No If the alarm
system did not function, please explain why:
8. Repairs made are: Permanent Temporary
Please describe what repairs were made. If the repairs aretemporary, please indicate a date by
which permanent repairs will be completed, and notify the Regional Office within 7 days of the •
permanent repair. • •
9. What actions have been made to prevent this discharge from occurring .again in the future?. _ .
10. Comments:
. Other agencies notifed:
• Person reporting spill/bypass: Phone Number
Signature Date:
For DWQ Use Only:
DWQ requested additional written report? Yes No
If yes, what additional information is needed?
Requested by
Revision #1 6/I 1/99

COLLECTION tuSYSTEM
CorrpI`'FORCEN EDT Gu t�•�A.TsY!-• y
(Plb
1) Any sewage spill, regardless of volume, that reaches any surface water,
conveyance, ditch,
within
stream; etc_ andior any spill greaterthan 1,OO�o gallons
be reported to the appropriate.- reported on the gound must be D sidn of 24
hours of first knowledge of the spill. SpillsQ y Operations Centerf
Water Quality Regional Office during business hours and to the Emergency Op
(1_800-S58-0368) after normal business hours.
w The 1,000-gallon threshold applies only to spills on the Mfully ound that are captured, .
contained and removed quickly, ensuring a � and neutralize the area, includingthe removat no wastewater reaches surface wars. lal of
measures should be taken to decontaminate
solids and addition of lime.
Records of all spills, whether reporre be upon request. Volume estimations
—._-__-_---__--- •use-records�st
-be-avai]able for review by DWQ Q ]c�le-3lculatiQns
shall be appro :imaged. The recor sou PPI a and/or is on
2) If a sewage spill reaches surface -water (including any conveyance; ditch or stream); _-_
the ground and has a -volume greater than 1,000 gallons; and is not reported, &minimum civil
penalty ofS4000 will be assessed.
The Sewage S i11 Response Evaluation (SSRE) form should-be
hould be col compleOffited
ce. andwithn i1edvor ff oxed to
m
3) be receive by t e approprate ivision of Water
Quality
knowledge of the spill. -. -
4 If the Sewage Spill Response Evaluation. (SSRE) form is not completed and received.by. the .
ro
ap riate Division of Water Quality Regional Office with n 5 days from first knowledge of the
P P
spill_ a minimum civil penalty of 5500 will be assessed..
•
Darnage includes any of the following when the associated with the spill:
• A fish kill;
• A violation of a water quality standard based upon upstream and downstream sampling data
taken at the time of the spill;
• Impact to a surface water such that the water can not be used in accordance with the water -
.quality assigned classification, -.and . . - . •-.- - • -• - •- -- •
Other. adverse biological impacts .such as benthiq, amphibian, and/or crustacean mortality.
•
6) The:penatty imposed for damage shall be anon_puunnitiveesmt monetary
assessment.
and es. The amounte of
the assessment is based upon. fish replacement -costs,
7) Starting on July 1. 1999, a Spill Response Score will be al cuulatedusing i Factors the Sill Response
e Spill
Evaluation -Factors on page 3 and -the ON.1Program
P
Response plan Evaluation (SRPE), the Operation and Maintenance Evaluation (O&IVIE) and
ssist the
the Pump Station form (if appropriate) will
bee used
t the score theinspector
in assigning a score
for each criterion_ The points will be totaled;
better.
Before July 1, 1999, the Spill Response score will be based only on the Spill Response
Evaluation Factors. •
.8)
The Score Adjustment Factor on page 5 will be used to modify the Spill Response Score in
• order to obtain the adjusted Final Score.
assessed
9) the Based on the adjusted Final Score, a civil penalty and/or other possible
oss 4ulatoryie Response be Options
by the Director of the Division of Water Quality according
Table on page 6.
Pagel
Revision r1 61 11199

{
Charlotte, NC 28224-0908
Michael F. Easley, Governor
G. Ross Jr., Secretary
North Carolina Department of Environmlent and Natural Resources
Alan W. Klimek, P.E., Director
October 6, 2005
Mr. James Highley, Senior Regional Manager
Carolina Water Service Inc of North Carolina and Carolina Trace Utilities, Inc.
PO Box 240908
Charlotte, NC 28224-0908
Mr. Martin Lashud, Regional Manager
Carolina Water Service Inc of North Carolina and Transylvania Utilities, Inc.
PO o 24U908 __------__,.__ -..__ — — -
Subject: Application Nos. WQCS00227, WQCS00261, WQCS00219, WQCS00174
WQCS00233, WQCS00162, WQCS00217
Additional Information Request
Jackson Utility, Abington, Transylvania, Sugar Mountain, {felt by Acres?
Fairfield Harbour and Carolina Trace Wastewater Collection Systems
Jackson, Forsyth, Transylvania, Avery,tUnion, Craven and Lee Counties
Division of Water Quality
OCT 1 0 2005 ;)
NC DENR MFZO
DWQ-A.uifer Protection
Dear Mr. Highley and Mr. Lashua:
The Pretreatment, Emergency Response and Collection Systems (PERCS) Unit has conducted a
preliminary review of the subject permit application packages in preparation for issuance of your
system -wide collection system permits. There are some general comments on all of the above permit
applications. Please address the following items no later than November 11, 2005 and note that we are
unable to grant any extension of time on this deadline.
1. The main purpose of this permit program is to have collection system owners act on a proactive
and preventative basis. In many of the applications, it was indicated that there is no annual
budget and no capital improvement plan. Facilities are replaced/repaired as needed. It is
unclear whether "as needed" is prior to a problem on a routine schedule or only when there is a
problem. While the permit shell is written to require a Capital Improvement Plan for which
municipalities would require annual Board approval and adoption, we can modify the language to
better fit your operation. We have reviewed the type of annual report submitted to the NC Public
Utilities Commission (NCUC), discussed these permit conditions with them related to the entities they
regulate, discussed the Capital Improvement Plan concept with the UNC Institute of Government
for applicability to privately owned utilities, and discussed with other privately owned utilities how
they budget and plan for their collection systems. The NCUC annual report regarding your
customer base, revenues and expenditures does not satisfy the intent of the long term plan
concept. AI parties believe that any entity with assets such as a collection system should have a
long term plan to manage those assets. The NCUC suggests that most of their larger regulated
utilities have a 3 - 5 year Capital Expenditures Plan. This plan generally covers all owned systems for
general replacement and upgrades of lines and pumps and has some system specific
expenditures. The plan is revised annually. This is the type of plan we expect for the systems owned
by your companies. We will modify the permit condition accordingly and provide a one year
compliance schedule. Note that the Village at Nags Head permit issued June 30, 2005, Brandywine
Bay issued July 1, 2005 and Cabarrus Woods issued June 21, 2005 already contain compliance
schedules for this plan. Cabarrus Woods has the language we propose. Any further wording
suggestions on this permit condition are welcome.
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Telephone [phone] Fax [phone]
Internet http://h2o.enr.nc.state.us/ndpu
An Equal Opportunity Action Employer
50% recycled/ 10% post -consumer paper

Mr. Highiey and Mr. Lashua
October 6, 2005
Page 2 of 2
nd enforcement
ram
2. Most of the applications indicated thatason-res'dentale inspection aconnect ons to your�sgystemper
s that
Condition I(4) is not required. If there are any
mes
, hotels, etc.,
program
l be
generate grease such as schools, restaura c facilities rw I besing � bject to this regarement Welcan inainde
required. Please indicate which of your a
a compliance schedule for this program. Note that some of your active permits already con
such schedule.
with the applications may not meet the requirements of Condition
3. The sewer spill policy presented resenting our new revised reporting form was paired
11(9). It appears our 2003 guidance policy p
s. The current
rt form is attached.
with our old reporting form and collection system survey olicy and DENR phoneonumbers, response
T_im Response Action Plan should contain the reporting p
time, cleanup procedures, available eq month compl aT�ce s heduleocan be included to make,
and post -assessment procedures. A three
revisions to your plan as already indicated in some of your active permits.
4. Please provide a local collection system contact list for each of these facilities. under
5. It
is noted that both Fairfield Harbour and Jackson Utility system applications were submitted
CWS Systems, Inc. The North Carolina SecretaryState
naaome time agoa Paease verify the proper
se says this company
was merged into Carolina Water Service of North Ca
Permittee for these permits.
Comm
ents from our Regional Offices about these applications are pending at this time. Compliance
'ons maybe scheduled for these facilities. Please
regulabe tions.e that Anyoveru are sights ghts that occbleedrin the meeting
inspects
all requirements set forth in North Carolina rules and review of the subject application package are still the responsibility of the applicant. In addition, any
omissions
made in responding to the above items may result in future requests for additional information.
of
Reference the subject application number when providing dt e request ds bmiinformation
ed to . T o copies
p es at al
revised
ed and/or additional documentation should be sign
on
the r
letterhead
address. Please note that failure to provide iistaddiit no oml inform
lianeasion onler before the
aboveverequested date may result in issuance of your permit
t
sitate to
ct
If you have any questions
uestions regarding this request, please do no
You may also ntacck me
at
(919) 733- of
5083, extension 371 or via E-mail at marie.doklovic@ncmai .n
his ect online at htt : h2o,enr.state.nc.us bims Re orts re ortsPermits.html. Thank you for your
t proj
cooperation.
Sincerely,
K. Marie Doklovic, PE
Environmental Engineer
Cc: Roy Davis, Asheville Regional Office, Surface Water Protection Section
Langley,
Shannon Lang Y Raleigh Regional Office, Surface Water Protection Section
r Protection Section
Ab Brad S , winstoo Salem Regional lOffice, Surface WaterProtectionProtection Section
yBryant, Wayne
Bryant, Washington Regional Office, Surface Water Protection Section
Permit Application Files

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
October 6, 2005
Mr. James Highley, Senior Regional Manager
Carolina Water Service Inc of North Carolina and Carolina Trace Utilities, Inc.
PO Box 240908
Charlotte, NC 28224-0908
Mr. Martin Lashua, Regional Manager
Carolina Water Service Inc of North Carolina and Transylvania Utilities, Inc.
PO Box 240908
Charlotte, NC 28224-0908
Subject: Application Nos. WQCS00227, WQCS00261, WQCS00219, WQCS00174
WQCS00233, WQCS00162, WQCS00217
Additional Information Request
Jackson Utility, Abington, Transylvania, Sugar Mountain, I embyAcres
Fairfield Harbour and Carolina Trace Wastewater Collection Systems
Jackson, Forsyth, Transylvania, Avery, 'Un1oi Craven and Lee Counties
Dear Mr. Highley and Mr. Lashua:
The Pretreatment, Emergency Response and Collection Systems (PERCS) Unit has conducted a
preliminary review of the subject permit application packages in preparation for issuance of your
system -wide collection system permits. There are some general comments on all of the above permit
applications. Please address the following items no later than November 11, 2005 and note that we are
unable to grant any extension of time on this deadline.
1. The main purpose of this permit program is to have collection system owners act on a proactive
and preventative basis. In many of the applications, it was indicated that there is no annual
budget and no capital improvement plan. Facilities are replaced/repaired as needed. It is
unclear whether "as needed" is prior to a problem on a routine schedule or only when there is a
problem. While the permit shell is written to require a Capital Improvement Plan for which
municipalities would require annual Board approval and adoption, we can modify the language to
better fit your operation. We have reviewed the type of annual report submitted to the NC Public
Utilities Commission (NCUC), discussed these permit conditions with them related to the entities they
regulate, discussed the Capital Improvement Plan concept with the UNC Institute of Government
for applicability to privately owned utilities, and discussed with other privately owned utilities how
they budget and plan for their collection systems. The NCUC annual report regarding your
customer base, revenues and expenditures does not satisfy the intent of the long term plan
concept. All parties believe that any entity with assets such as a collection system should have a
long term plan to manage those assets. The NCUC suggests that most of their larger regulated
utilities have a 3 - 5 year Capital Expenditures Plan. This plan generally covers all owned systems for
general replacement and upgrades of lines and pumps and has some system specific
expenditures. The plan is revised annually. This is the type of plan we expect for the systems owned
by your companies. We will modify the permit condition accordingly and provide a one year
compliance schedule. Note that the Village at Nags Head permit issued June 30, 2005, Brandywine
Bay issued July 1, 2005 and Cabarrus Woods issued June 21, 2005 already contain compliance
schedules for this plan. Cabarrus Woods has the language we propose. Any further wording
suggestions on this permit condition are welcome.
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Telephone [phone] Fax [phone]
Internet http://h2o.enr.nc.state.us/ndpu
An Equal Opportunity Action Employer
50% recycled/10% post -consumer paper

Mr. Highley and Mr. Lashua
October 6, 2005
Page 2 of 2
2. Most of the applications indicated that a grease inspection and enforcement program per
Condition 1(4) is not required. If there are any non-residential connections to your systems that
generate grease such as schools, restaurants, nursing homes, hotels, etc., a program will be
required. Please indicate which of your facilities will be subject to this requirement. We can include
a compliance schedule for this program. Note that some of your active permits already contain
such schedule.
3. The sewer spill policy presented with the applications may not meet the requirements of Condition
11(9). It appears our 2003 guidance policy presenting our new revised reporting form was paired
with our old reporting form and collection system survey sheets. The current report form is attached.
The Response Action Plan should contain the reporting policy and DENR phone numbers, response
time, cleanup procedures, available equipment, contractor numbers, sources of emergency funds,
and post -assessment procedures. A three month compliance schedule can be included to make
revisions to your plan as already indicated in some of your active permits.
4. Please provide a local collection system contact list for each of these facilities.
5. It is noted that both Fairfield Harbour and Jackson Utility system applications were submitted under
CWS Systems, Inc. The North Carolina Secretary of State Corporations Database says this company
was merged into Carolina Water Service of North Carolina some time ago. Please verify the proper
Permittee for these permits.
Comments from our Regional Offices about these applications are pending at this time. Compliance
inspections may be scheduled for these facilities. Please be aware that you are responsible for meeting
all requirements set forth in North Carolina rules and regulations. Any oversights that occurred in the
review of the subject application package are still the responsibility of the applicant. In addition, any
omissions made in responding to the above items may result in future requests for additional information.
Reference the subject application number when providing the requested information. Two copies of all
revised and/or additional documentation should be signed, dated, and submitted to my attention at
the letterhead address. Please note that failure to provide this additional information on or before the
above requested date may result in issuance of your permit with no compliance schedules.
If you have any questions regarding this request, please do not hesitate to contact me at (919) 733-
5083, extension 371 or via E-mail at [e-mail]. You may also check the future status of
this project online at http://h2o.enr.state.nc.us/bims/Reports/reportsPermits.html. Thank you for your
cooperation.
Sincerely,
K. Marie Doklovic, PE
Environmental Engineer
Cc: Roy Davis, Asheville Regional Office, Surface Water Protection Section
Shannon Langley, Raleigh Regional Office, Surface Water Protection Section
Barbara Sifford, Mooresville Regional Office, Surface Water Protection Section
Ab Braddy, Winston-Salem Regional Office, Surface Water Protection Section
Wayne Bryant, Washington Regional Office, Surface Water Protection Section
Permit Application Files

Michael F. Easley, Gokrnor
grnill
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
July 2, 2008
Mr. Carl Daniel
Carolina Water Services, Inc. of NC
PO Box 240908
Charlotte, NC 28224
Subject: Compliance Evaluation Inspection
Hemby Acres Collection System
Permit No. WQCS00233
Union County, North Carolina
Dear Mr. Daniel:
Enclosed please find a copy of the Compliance Evaluation Inspection Report for the inspection
conducted at the subject facility on May 21, 2008 by Ms. Donna Hood of this Office. Please inform
the facility's Operator -in -Responsible Charge of our findings by forwarding a copy of the enclosed
report.
A good start has been made toward required documentation for WQCS00233. It is recommended
that the facility update its documentation practices as pertains to this permit. Please use the enclosed
check list to update all collection system permit files. Exact reporting and documentation
requirements are included on this list.
The report should be self-explanatory; however, should you have any questions concerning this
report, please do not hesitate to contact Ms. Hood or me at [phone].
Sincerely,
'" Robert B. Krebs
Surface Water Protection Regional Supervisor
Enclosure
cc: Union County Health Department
DH
AvATA
N. C. Division of Water Quality, Mooresville Regional Office, 610 East Center Avenue, Suite 301, Mooresville NC 28115 [phone] Customer Service
1-877-623-6748

Compliance Inspection Report
Permit: WQCS00233 Effective: 12/07/05 Expiration: 11/30/10 Owner: Carolina Water Service Inc Of NC
SOC: Effective: Expiration: Facility: Hemby Acres Collection System
County: Union PO Box 240908
Region: Mooresville
Contact Person: Carl Daniel
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
Charlotte NC 282240908
Title: Vice President Phone: [phone]
Certification: Phone:
Jeffery Scott Woolard Certification: 991402 Phone: [phone]
On -Site Representative(s):
Related Permits:
NC0035041 Carolina Water Service Inc Of NC - Hemby Acres WWTP
Inspection Date: 05/21/2008
Primary Inspector: Donna Hood
Secondary Inspector(s):
Marcia Allocco
try Time: 12:00 PM ETime: •04:00,PM
PM/ /% 7 V,
Phone: [phone]
Ext.2193
Phone: [phone] Ext.2204
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Collection system management and operation
Facility Status: IN Compliant 0 Not Compliant
Question Areas:
II Miscellaneous Questions
■ Monitoring & Rpting
Reqmts
III Lines
II Performance Standards
Inspections
(See attachment summary)
II Operation & Maint Reqmts 111 Records
Pump Station El Manhole
Page: 1

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
Page: 2

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Performance Standards
Is Public Education Program for grease established and documented?
What educational tools are used?
Public information flyers are mailed out on an annual basis to all customers.
Is Sewer Use Ordinance/Legal Authority available?
Does it appear that the Sewer Use Ordinance is enforced?
Is Grease Trap Ordinance available?
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan (CIP) been implemented?
Does CIP address short term needs and long term \"master plan\" concepts?
Does CIP cover three to five year period?
Does CIP include Goal Statement?
Does CIP include description of project area?
Does CIP include description of existing facilities?
Does CIP include known deficiencies?
Does CIP include forecasted future needs?
Is CIP designated only for wastewater collection and treatment?
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
At the time of the inspection, the ORC was unsure of budget numbers for the CIP.
Is system free of known points of bypass?
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations?
# Does the sign include:
Instructions for notification?
Pump station identifier?
24-hour contact numbers
If no, list deficient pump stations
Yes No -.NA. NE
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Page: 3

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA?
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program?
# If yes, date implemented?
Describe:
Comment:
Inspections
Are maintenance records for sewer lines available?
Are records available that document pump station inspections?
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
# Has there been an observation of remote areas in the last year?
Are records available that document inspections of high -priority lines?
Has there been visual inspections of high -priority lines in last six months?
Comment: Please document inspections of all high priority lines.
Operation & Maintenance Requirements
Are all log books available?
Does supervisor review all log books on a regular basis?
Does the supervisor have plans to address documented short-term problem areas?
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Are maintenance records for equipment available?
Is a schedule maintained for testing emergency/standby equipment?
What is the schedule for testing emergency/standby equipment?
0
3
0
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Yes No NA NE
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Yes No NA NE
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Page: 4

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal?
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
Inspecting alarms, telemetry and auxiliary equipment?
Is there at least one spare pump for each pump station w/o pump reliability?
Are maintenance records for right-of-ways available?
Are right-of-ways currently accessible in the event of an emergency?
Are system cleaning records available?
Has at least 10% of system been cleaned annually?
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
Response time
Equipment list and spare parts inventory
Access to cleaning equipment
Access to construction crews, contractors, and/or engineers
Source of emergency funds
Site sanitation and cleanup materials
Post-overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
Is the spare parts inventory adequate?
Comment: Please document annual line cleaning and pump station debris cleaning.
Records
Are adequate records of all SSOs, spills and complaints available?
Are records of SSOs that are under the reportable threshold available?
Do spill records indicate repeated overflows (2 or more in 12 months) at same location?
If yes, is there a corrective action plan?
Is a map of the system available?
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florin
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Yes No NA NE
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Page: 5

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Does the map include:
Pipe sizes n ■ ❑ n
Pipe materials n ■ n n
Pipe location n 0 n n
Flow direction ■ n n n
Approximate pipe age ■ n n n
Number of service taps norm
Pump stations and capacity n ■ n n
If no, what percent is complete? 50%
List any modifications and extensions that need to be added to the map
The map of the collection system is missing requirements and must be updated. Please use the above list
to update the map. Please include all section of the collection system on the map.
# Does the permittee have a copy of their permit? ■ n n n
Comment: The map of the collection system is missing requirements and must be
updated
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment:
OAK GROVE PS -
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Yes No NA NE
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W HEW'
Yes No NA NE
Duplex
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■ .❑DD
Page: 6

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Are upstream manholes free of excessive debris/signs of overflow? ■ n n n
Are floats/controls for pumps/alarms operable? ■ n ❑ n
Is "auto polling" feature/SCADA present? n n ■ n
Is "auto polling" feature/SCADA operational? n n ® n
Is simple telemetry present? ■ n n n
Is simple telemetry operational? ■ n n n
Are audio and visual alarms present? ® n n n
Are audio and visual alarms operable? ■ n n n
Is the Pump station inspected as required? ■ n ❑ n
Are backflow devices in place? ■ n n n
Are backflow devices operable? ■ n n n
Are air relief valves in place? ■ n n n
Are air relief valves operable? ® n n n
# Is an emergency generator available? ■ n n n
Can the emergency generator run the pumps? ■ n n n
Is the pump station equipped for quick hook-up? •n n n
Is the generator operable? ■ n n n
# Is fuel in tank and sufficient? ® n n n
Is the generator inspected according to their schedule? ■ n n n
Is a 24-hour notification sign posted? ® n n n
Does it include:
Instructions for notification? ■ n n n
Pump station identifier? ■ n n n
Emergency phone number • n n n
Is public access limited? ■ n n n
Is pump station free of overflow piping? ■ n n n
Is the pump station free of signs of overflow? En n n
Are run times comparable for multiple pumps?
Comment:
PS #1 - Mill Grove Road
Page: 7

1
Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and -visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Yes No NA NE
Duplex
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inns
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Page: 8

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: The back up battery was low on power at the time of the inspection.
Please inspect and replace if necessary.
PS #2 - Mill Grove Road
Pump Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/controls for pumps/alarms operable?
Is "auto polling" feature/SCADA present?
Is "auto polling" feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
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Yes No NA NE
Duplex
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onion
onion
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Page: 9

Permit: WQCS00233 Owner - Facility: Carolina Water Service Inc Of NC
Inspection Date: 05/21/2008
Inspection Type: Compliance Evaluation Reason for Visit: Routine
# Is an emergency generator available?
Can the emergency generator run the pumps?
Is the pump station equipped for quick hook-up?
Is the generator operable?
# Is fuel in tank and sufficient?
Is the generator inspected according to their schedule?
Is a 24-hour notification sign posted?
Does it include:
Instructions for notification?
Pump station identifier?
Emergency phone number
Is public access limited?
Is pump station free of overflow piping?
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Comment: The back up battery was low on power at the time of the inspection.
Please inspect and replace if necessary.
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ono.
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Page: 10

Michael 1-. Lesley, caovernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Paul E. Rawls, Chairman
Water Pollution Control System Operators Certification Commission
January 25, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
3' N
Mr. James Highley
Carolina Water Service, Inc. of North Carolina
PO Box 240908
Charlotte, NC 28224
Subject:
Classification of Water Pollution Control Collection System
Permit No. WQC}S00D23t3
Ac C•Diect' Mstem
Union County
Dear.Mr. Highley:
In accordance with North Carolina General Statute § 90A-37, the Water Pollution
Control System Operators Certification Commission is required to classify water
pollution control systems. The classification of Water Pollution Control Collection
Systems, found at 15A NCAC 8G .0303, was adopted by the Commission to classify
water pollution control systems. Population served determines the classification of a
collection system or the same classification grade of the Wastewater Treatment Plant to
which the collection system is tributary; whichever provides the lesser grade.
The Water Pollution Control System Operators Certification Commission has determined
that your collection system is classified as a x. isWiatersPollutiontControlxCollection
System as of the date of this letter. Therefore, your ORC must be certified at Grade 2 and
all Backup ORCs must be certified at least at Grade 1.
As required by 15A NCAC 8G .0201 and your permit, upon classification, you (the
Permittee) shall designate and employ a certified operator to be in responsible charge
(ORC) and one or more certified operator(s) to be back-up ORC's of this system. Please
complete and return the enclosed designation form within 120 calendar days of the date
of this letter.
If you have any questions concerning this classification or the designation of operators,
please contact me at 919-733-0026/ext314.
Sincerely,
Steve Reid
Extension Education & Training Specialist
Enclosure
Cc: Mooresville RO
TACU
Technical Assistance & Certification Unit
1618 Mail Service Center, Raleigh, NC 27699-1618
DENR Customer Service Center
An Equal Opportunity Action Employer
CH
NCDENR
Internet http://h2o.enr.nc.state.us/tac
Telephone [phone] Fax [phone]
Telephone [phone]
50% recycled/10% post -consumer paper

�i 11�t it 5
-O
`NATFR
�QG > ;William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources;
i
--Alan W. Klimek, P.E., Director'
Division of Water Quality
Michael F. Easley, Governor
December 7, 2005 ING 0 7_
Mr. Martin Lashua, Regional Manager
Carolina Water Service, Inc. of North Carolina
PO Box 240908
Charlotte, NC 28224
Subject: Permit No. WQCS00233
Hemby Acres Collection System
Union County
Dear Mr. Lashua:
In accordance with your application received on September 26, 2005, we are forwarding herewith
Permit No. WQCS00233, dated December 7, 2005, to Carolina Water Service, Inc. of North Carolina for
the operation and maintenance of the subject wastewater collection system.
This permit shall be effective from the date of issuance until November 30, 2010. This permit shall be
subject to the conditions and limitations specified herein. It is your responsibility to thoroughly review this
permit. Please pay particular attention to the monitoring and reporting requirements in this permit.
Compliance schedules requiring action and regional office notification are shown in bold. A summary
of your schedules are presented below:
Permit Condition
Activity
Compliance Date
December 7, 2006
1(4)
FOG Inspection and Enforcement Policy
1(5)
Capital Improvement Plan
December 7, 2006
11(9)
Response Action Plan Updates
March 7, 2006
For purposes of permitting, the collection system is considered any existing or newly installed system
extension up to the wastewater treatment facility property or point of connection with a separately
owned sewer system. The collection system is considered all gravity lines, pump stations, force mains,
low-pressure sewer systems, STEP systems, vacuum systems, etc. and associated piping, valves and
appurtenances that help to collect, manage and transport wastewater to a wastewater treatment
plant under the Permittee's ownership or maintained and operated by the Permittee through a
perpetual legal agreement. Satellite systems are systems tributary to the Permittee's collection system
but those collection systems are not owned or maintained by the Permittee. The system description
provided on Page One of this permit is meant to provide a general idea about the size of. the system
and may not be all inclusive of the collection system at the time of permit issuance or afterward.
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary Sewer
Overflow (SSO). The evaluation of enforcement options after a SSO will be determined considering the
criteria listed in condition 1(2) (a) and I(2) (b) of the permit and all other relevant information available or
requested of the Permittee. Compliance with all conditions of the permit as well as all statutes and
regulations pertaining to the collection system must be maintained or appropriate enforcement actions
may be taken as noted in Condition VI(2).
A reportable SSO is a SSO greater than 1,000 gallons to the ground or a SSO of any amount that reaches
surface water (including through ditches, storm drains, etc.) Below is the procedure to use for reporting
SSOs to the Division:
NorthCarolina
Naturally
Pretreatment, Emergency Response and Collection Systems Unit Internet http://h2o.enr.state.nc.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Mr. Lashua
Page 2
1. Report by telephone to a Division of Water Quality staff member (not facsimile or voicemail) at
your regional DWQ office during regular business hours (Monday to Friday, 8AM to 5PM) as soon
as possible, but in no case more than 24 hours after the SSO is known or discovered. To report
outside of regular business hours, call [phone].
2. Follow up the verbal report by sending a completed written report on the most current Division
approved form within five days.
To provide a uniform method for all systems covered under this permit and to provide useful and
consistent information pertaining to SSOs, a new spill reporting form has been developed (October
2003). Form CS-SSO consists of two parts. Part 'serves to provide to the Division the required information
that has always been necessary. Part II serves as an area to provide a justification for the spill, as
optional under Condition 1(2) of your permit. Form CS-SSO can be downloaded from
http://h2o.enr.state.nc.us/ndceu/ from the Collection Systems area.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be issued if
adequate justification for an SSO is NOT submitted to the regional office. In order to submit a claim for
justification of an SSO, you must use the Form CS-SSO with additional documentation as necessary.
DWQ staff will review the justification claim and determine if enforcement action is appropriate. Please
be advised that the information needed to justify a spill is very comprehensive. Begin using this form
immediately to report SSOs from the collection system. Continue to use our old form for reporting
bypasses at the wastewater treatment plant until further notice. The period for submittal of both Part I
and Part II, if pertinent, is five days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action. If any
parts, requirements, or limitations contained in this permit are unacceptable, you have the right to
request an adjudicatory hearing upon written request within thirty days following the receipt of this
permit. This request must be in the form of a written petition, conforming to Chapter 150E of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center,
Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you have questions regarding compliance contact your regional office or Jeff Poupart of the
Pretreatment, Emergency Response and Collection Systems Unit of the North Carolina Division of Water
Quality at [phone] extension 527. If you need additional information concerning this permit,
please contact Marie Doklovic in the Pretreatment, Emergency Response and Collection Systems Unit
at [phone] extension 371.
Sincerely,
Alan W. Klimek, P.E.
fir
cc: Union County Health Department
Larry Henry, WWTP ORC (7522 Pinnacle Ct., Indian Trail, NC 28079)
Barbara Sifford, Mooresville Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit
Water Quality Central Files
PERCS Files
2 • PERMIT NUMBER WQCS00233

t
• NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Carolina Water Service, Inc. of North Carolina
Union County
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit
issuance, approximately 7.6 miles of gravity sewer, approximately 1.26 miles of force main, 4 duplex or
greater pump stations, and all associated piping, valves, and appurtenances required to make a
complete and operational wastewater collection system to serve Carolina Water Service, Inc. of North
Carolina — Hemby Acres, and any deemed permitted satellite communities, pursuant to the application
received on September 26, 2005, and in conformity with the documents referenced therein and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until November 30, 2010 and shall be subject to
the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Hemby Acres
Wastewater Treatment Facility (NC0035041) prior to being disposed of in accordance with the
treatment _plant permit. This collection system .permit will be referenced upon renewal or
modification of your NPDES permit(s).
2. The wastewater collection system shall be effectively managed, maintained and operated at all
times so that there is no SSO to land or surface waters, nor any contamination of groundwater. In
the event that the wastewater collection system fails to perform satisfactorily, including the
creation of nuisance conditions, the Permittee shall take immediate corrective actions, including
actions that may be required by the Division of Water Quality (Division), such as the construction
of additional or replacement sewer lines and/or equipment.
The Director may take enforcement action against the Permittee for SSOs that must be reported
to the Division as stipulated in Condition IV(2). This includes SSOs that were caused by severe
natural conditions or exceptional events unless the Permittee demonstrates through properly
signed, contemporaneous operating logs, or other relevant evidence that:
PERMIT NUMBER WQCS00233

a) The SSO was caused by severe natural conditions; there were no feasible alternatives to
the SSO, such as the use of auxiliary treatment facilities, retention of untreated
wastewater, reduction of inflow and infiltration, use of adequate back-up equipment, or
an increase in the capacity of the system. This provision is not satisfied if, in the exercise
of reasonable engineering judgment, the Permittee should have installed auxiliary or
additional collection system components, wastewater retention or treatment facilities,
adequate back-up equipment or should have reduced inflow and infiltration; or
b) the SSO was exceptional, unintentional, temporary and caused by factors beyond the
reasonable control of the Permittee; the SSO could not have been prevented by the
exercise of reasonable control, such as proper management, operation and
maintenance; adequate treatment facilities or collection system facilities or components
(e.g., adequately enlarging treatment or collection facilities to accommodate growth or
adequately controlling and preventing infiltration' and inflow); preventive maintenance;
or installation of adequate back-up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets the criteria
of this condition. The Permittee has the option of submitting this claim along with the spill report
required by Condition IV(2) (i.e., within five days) in order to be considered for immunity from
enforcement action. Form CS-SSO Part II, or most current Division approved form, shall be used
for any claims. The Permittee has the burden of proof that the above criteria have been met.
3. The Permittee shall establish its authority to require new sewers be properly constructed; to
ensure proper inspection and testing of sewer mains and service laterals; to address flows from
satellite systems and to take enforcement action as required by Condition 1(4).
4. The Permittee shall develop and implement an educational fats, oils and grease program
targeted at both residential and non-residential users. The Permittee shall also develop and
implement an enforceable fats, oils and grease program for non-residential users under which
the Permittee can take enforcement against users who have not properly installed, operated
and maintained grease traps or grease interceptors as directed or otherwise violated the terms
of the local ordinance pertaining to fats, oils and grease.
The Permittee shall develop and implement an inspection and enforcement program for fats, oils
and grease within six months of permit issuance for any non-residential grease generating
facilities, as applicable. A copy of the program materials shall be provided to the Mooresville
Regional Office, Surface Water Protection Section to show compliance with this condition. If there
are no non-residential grease generating facilities connected to the system, a letter stating such
shall be submitted to our Winston-Salem Regional Office within the same time frame. This
schedule does not include the educational component of the program. Educational materials
shall be distributed at least annually, with increasing frequency and targeted areas as grease
related blockages are noted.
5. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate
funding for reinvestment into the wastewater collection system infrastructure. The CIP should
address the short-term needs and Tong -term "master plan" concepts. The CIP should typically
cover a three to five year period and include a goal statement, description of the project area,
description of the existing facilities, known deficiencies (over a reasonable period) and
forecasted future needs. Cost analysis is integral to the CIP.
The Permittee shall develop and present a Capital Improvement Plan meeting this permit
condition for adoption by December 7, 2006. A copy of the Capital Improvement Plan shall be
provided to the Mooresville Regional Office, Surface Water Protection Section to show
compliance with this condition.
6. Existing overflow piping from manholes and pump stations, excluding piping to approved
equalization structures, known or discovered after permit issuance shall be immediately
removed or permanently capped. Plugged emergency pumping connections are allowable for
portable pumping or rerouting without intentionally bypassing the wastewater treatment facility.
2 PERMIT NUMBER WQCS00233

e1'
II.
7. The Permittee shall .maintain a contingency plan for pump failure at each pump station. If one
of the pumps in a pump station containing multiple pumps fails, the process of repairing or
replacing the pump shall be initiated immediately and the new parts or pump shall be installed
as soon as possible. If the pump in a simplex pump station fails, it shall be replaced immediately.
8. Each pump station shall be clearly and conspicuously posted with a pump station identifier and
an emergency contact telephone number at which an individual who can initiate or perform
emergency service for the wastewater collection system 24 hours per day, seven days per week
can be contacted. This emergency contact telephone number shall be coupled with
instructions that the emergency contact should be called if the visual alarm illuminates, if the
audible alarm sounds, or if an emergency is apparent.
9. Pump station sites, equipment and components shall have restricted access, per 15A NCAC 2H
.0219(h)(7).
10. Pump stations that do not employ an automatic polling feature (i.e. routine contact with pump
stations from a central location to check operational status of the communication system) shall
have both audible and visual high water alarms. The alarms shall be weather-proof and placed
in a clear and conspicuous location. Permits issued for the construction of pump stations that
included high water alarms in the description must maintain the alarms even if simple telemetry
(i.e. notification of an alarm condition initiated by the pump station control feature) is installed.
11. For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant and components in
close proximity of the pump station shall be sealed within a corrosion -resistant coating or
encasement.
12. All construction and rehabilitation of the wastewater collection system (i.e., permitted or
deemed permitted) shall be scheduled to minimize the interruption of service by the existing
utilities. Construction and rehabilitation shall not result in the violation of Condition (1)(2) of this
permit.
OPERATION AND MAINTENANCE REQUIREMENTS
1,. Upon classification of the collection system by the Water Pollution Control System Operators
Certification Commission (WPCSOCC), the Permittee shall designate and employ a certified
operator to be in responsible charge (ORC) and one or more certified operator(s) to be back-up
ORC(s) of the facilities in accordance with 15A NCAC 8G .0201. The ORC shall visit the system
within 24 hours of knowledge of a bypass, spill, or overflow of wastewater from the system, unless
visited by the Back -Up ORC, and shall comply with all other conditions of 15A NCAC 8G .0204.
2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the identification
of any recurring problem in the wastewater collection system, that can not be resolved in a short
time period, the Permittee shall establish a plan for addressing the problem(s).
3. The Permittee shall develop and adhere to a schedule for testing emergency and standby
equipment.
4. The Permittee shall develop and implement a routine pump station inspection and maintenance
program, which shall include, but not be limited to, the following maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter, and
wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment according to the
manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary equipment.
3 PERMIT NUMBER WQCS00233

ti
5. For each pump station without pump reliability (i.e. simplex pump stations serving more than a
single building or pump stations not capable of pumping at a rate of 2.5 times the average daily
flow rate with the largest pump out of service), at least one fully operational spare pump
capable of pumping peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps installed, but
no less than two pumps, that discharge to a pressure sewer and serve a single building, unless
the Permittee has the ability to purchase and install a replacement pump within 24 hours of first
knowledge of the simplex pump failure or within the storage capacity provided in any sewer line
extension permit.
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not allow the
establishment and maintenance of permanent access. In this case, the Permittee shall continue
to observe the lines visually, utilize remote inspection methods (e.g. CCTV) and use the
opportunity of drier conditions to perform further inspections and necessary maintenance.
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At least 10
percent of the wastewater collection system, selected at the discretion of the ORC, shall be
cleaned each year. Preventative cleaning is not required for sewer lines less than five years old
unless inspection otherwise reveals the need for cleaning or cleaning is required by a sewer line
extension permit.
9. Adequate measures shall be taken to contain and properly dispose of materials associated with
SSOs. The Permittee shall maintain a Response Action Plan that addresses the following
minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-SSO assessment.
The Permittee shall revise the Response Action Plan (Plan) to include Items (a - h) above
within 90 days of permit issuance. A copy of the revised Plan shall be submitted to the
Mooresville Regional Office, Surface Water Protection Section to show compliance with this
condition.
10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for all SSOs
as soon as possible, but no more than two hours after first knowledge of the SSO.
11. In the event of a SSO or blockage within the wastewater collection system, the Permittee shall
restore the system operation, remove visible solids and paper, sanitize any ground area and
restore the surroundings.
III. RECORDS
1. Records shall be maintained to document compliance with Conditions 1(4), 11(2) - 11(4), II(7)-11(8),
IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three years.
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
4 PERMIT NUMBER WQCS00233

r
a Date of SSO or complaint;
b. Volume of wastewater released as a result of the SSO and/or nature of complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint, when
applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its wastewater
collection system that also notes the locations where other wastewater collection systems
become tributary. If a comprehensive map of the collection system has not been established, a
rough sketch shall be drawn. The Permittee shall map approximately 10 percent of its existing
collection system each year for the next ten years, or until complete, whichever is sooner. The
comprehensive map shall include, but is not limited to: pipe size, pipe material, pipe location,
flow direction, approximate pipe age, number of active service taps, and each pump station
identification, location and capacity.
4. The Permittee shall maintain records of all of the modifications and extensions to the collection
system permitted herein. The Permittee shall maintain a copy of the construction record
drawings and specifications for modifications/extensions to the wastewater collection system for
the life of the modification/extension. Information concerning the extension shall be
incorporated into the map of the wastewater collection system within one year of the
completion of construction. The system description contained within this permit shall be updated
to include this modification/extension information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater, surface
water, soil or plant tissue analyses) deemed necessary by the Division to ensure surface water
and groundwater protection will be established, and an acceptable sampling and reporting
schedule shall be followed.
2. The Permittee shall verbally report to a Division of Water Quality staff member at the Mooresville
Regional Office, at telephone number 704-663-1699 as soon as possible, but in no case more
than 24 hours following the occurrence or first knowledge of the occurrence of either of the
following:
a. Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal report.
SSOs (and other types of spills) occurring outside normal business hours may also be reported to
the Division of Emergency Management at telephone number [phone] or [phone].
Persons reporting any of the above occurrences shall file a spill report by completing Part I of
Form CS-SSO (or the most current Division approved form), within five days following first
knowledge of the occurrence. This report shall outline the actions taken or proposed to ensure
that the problem does not recur. Per Condition 1(2), Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control.
3. The Permittee shall meet the annual reporting and notification requirements provided in North
Carolina General Statute § 143-215.1 C.
5 PERMIT NUMBER WQCS00233

V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection system
regularly to reduce the risk of malfunctions and deterioration, operator errors, and other issues
that may cause or lead to the release of wastes to the environment, threaten human health or
create nuisance conditions. The Permittee shall keep an inspection log or summary including, at
a minimum, the date and time of inspection, observations made, and any maintenance,
repairs, or corrective actions taken by the Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or telemetry
shall be inspected everyday (i.e. 365 days per year). Pump stations equipped with SCADA
systems or telemetry shall be inspected at least once per week.
3. A general observation of the entire collection system shall be performed throughout the course
of every year.
4. Inspections of all high priority lines (Le. aerial line, sub -waterway crossing, line contacting surface
waters, siphon, line positioned parallel to stream banks that are subject to eroding in such a
manner that may threaten the sewer line, or line designated as high -priority in a permit) shall be
performed at least once per every six month period of time. At the time of permit issuance, no
high priority lines were identified. New high priority lines installed or identified after permit
issuance are incorporated by reference and subject to this permit condition until permit renewal
where they shall be referenced in writing.
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer ownership of the
wastewater collection system or there is a name change of the Permittee, a formal permit
modification request shall be submitted to the Division. The request shall be accompanied by
documentation from the parties involved, and other supporting materials as may be
appropriate. Such request will be considered on its merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina General
Statute § 143-215.6A through § 143-215.6C, and a sewer moratorium may be established.
3 The issuance of this permit does not exempt the Permittee from complying with any and all
statutes, rules, regulations, or ordinances that may be imposed by other government agencies
(i.e., local, state, and federal) having jurisdiction, including but not limited to applicable river
buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation control requirements in 15A
NCAC Chapter 4 and under the Division's General Permit NCG010000, and any requirements
pertaining to wetlands under 15A NCAC 2B .0200 and 15A NCAC 2H .0500and all applicable
North Carolina Occupational Safety and Health Act health and safety standards.
4. The issuance of this permit does not prohibit the Division 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 15A NCAC 2H .0200 and North Carolina General Statute §143-215.1
et. seq., or as needed to address changes in federal regulations with respect to the wastewater
collection system.
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the Division.
Failure to pay the fee accordingly may cause the Division to initiate action to revoke this permit
as specified by 15A NCAC 2H .0205(c) (4).
6. The Permittee shall request renewal of this permit at least six months prior to the expiration of this
permit. Upon receipt of the request, the Commission will review the adequacy of the
wastewater collection system described therein, and if warranted, will extend the permit for a
period of time and under such conditions and limitations, as the Commission may deem
appropriate.
6 PERMIT NUMBER WQCS00233

7. The Permittee shall notify the Division's Pretreatment, Emergency Response and Collection
Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 of any
changes to the name and/or address of the responsible party (Le. mayor, city/town manager)
of the wastewater collection system.
8. Any duly authorized officer, employee, or representative of the Division may, upon presentation
of credentials, enter and inspect any property, premises or place on or related to the collection
system at any reasonable time for the purpose of determining compliance with this permit, may
inspect or copy any records that must be maintained under the terms and conditions of this
permit, and may obtain samples of wastewater, groundwater, surface water, soil, or plant tissue.
Permit issued this the 7th day of December, 2005
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Alan W. Klimek, P.E., Director
°'f Division of Water Quality
by Authority of the Environmental Management Commission
Permit Number WQCS00233
7 PERMIT NUMBER WQCS00233

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 6, 2010
Carl Daniel
Hemby Acres Collection System
PO Box 240908
Charlotte, NC 282240908
JAN 1 3 2010
Subject: System -Wide Wastewater Collection System Permit Expiration Date
Permit Number WQCS00233
Hemby Acres Collection System
Union County
Dear Carl Daniel:
Due to the recent enactment of SL 2009-406 (or SB 831), An Act to Extend Certain Government
Approvals Affecting the Development of Real Property Within the State, the expiration date of
all system -wide wastewater collection system permits is being extended by three (3) years. The
new expiration date for the Hemby Acres Collection System Permit WQCS00233 is 11/30/13. A
permit renewal application is due six months prior to the extended expiration date.
If you have any questions or concerns, please contact me at [phone] or via email
[D eborah. Gore@ncdenr. gov] .
Sincerely,
Deborah Gore
PERCS Unit Supervisor
cc: Central Files
Surface Water Protection Section Regional Office Supervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
One
NorthCarolina
Naturally
An Equal Opportunity \ Affirmative Action Employer

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
October 10, 2013
Maritn Lashua, Regional Director
Carolina Water Service, Inc. of NC
P.O. Box 240908
Charlotte, NC 28224
M0;or,F:7;
Subject.: Permit No. WQCS00233
Carolina Water Service, Inc. of NC
Hemby Acres Collection System
Union County
C7(ViMIOPd ofx e•l, _
rTY
OCT
OFFrCE
Dear Mr. Lashua:
In accordance with your application received June 4, 2013, we are forwarding herewith Permit
No.WQCS00233, dated October 10, 2013, to the Carolina Water Service, Inc. of NC for the
operation and maintenance of the subject wastewater collection system.
This permit shall be effective from December 1, 2013 until November 30, 2021 and shall be
subject to the conditions and limitations specified herein. It is your responsibility to thoroughly
review this permit. Please pay particular attention to the monitoring and reporting requirements
in this permit and any compliance schedules shown in bold.
For purposes of permitting, the collection system is considered to be any existing or newly
installed system extension up to the wastewater treatment facility property or point of connection
with a separately owned sewer system. The collection system is considered all gravity lines,
pump stations, force mains, low pressure sewer systems; STEP systems, vacuum systems, etc.
and associated piping, valves and appurtenances that help to collect, manage and transport
wastewater to a wastewater treatment plant under the Permittee's ownership or maintained and
operated by the Permittee through a perpetual legal agreement. Satellite systems are systems
tributary to the Peiniittee's collection system but those collection systems are not owned or
maintained by the Permittee. The system description provided on Page 1 of this permit is meant
to provide a general idea about the size of the system and may not be all inclusive of the
collection system at the time of permit issuance or afterward.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterquality.orq
An Equal Opportunity 1 Affirmative Action Employer
NorthCarolina
Naturally

October 10, 2013
Page 2 of 3
A release of wastewater from the wastewater collection system is referred to herein as a Sanitary
Sewer Overflow (SSO). The evaluation of enforcement options after an SSO will be determined
considering the criteria listed in condition I(3)(a) and I(3)(b) of the permit and all other relevant
information available or requested of the Permittee. Compliance with all conditions of the
permit as well as all statutes and regulations pertaining to the collection system must be
maintained or appropriate enforcement actions may be taken as noted in Condition VI(2).
A reportable SSO is an SSO greater than 1,000 gallons to the ground or an SSO of any amount
that reaches surface water (including through ditches, storm drains, etc.) Below is the procedure
to use for reporting SSOs to the Division:
1. Report by telephone to a Division of Water Resources (DWR) staff member (not email,
facsimile, or voicemail) at your regional DWR office during regular business hours
(Monday to Friday, 8AM to 5PM) as soon as possible, but in no case more than 24 hours
after the SSO is known or discovered. To report outside of regular business hours, call
[phone].
2. Follow up the verbal report by sending a completed written report on the most current
Division approved fonn within five days.
To provide a uniform method for all systems covered under this penult and to provide useful and
consistent information pertaining to SSOs, please utilize form CS-SSO consisting of two parts.
Part I serves to provide to the Division the required information that has always been necessary.
Part II serves as an area to provide a justification for the spill, as optional under Condition I(3) of
your permit. Form CS-SSO can be downloaded from the SSO Reporting area at
http://portal.ncdenr.org/web/wq/swp/ps/cs/ssoreport.
An NOV, civil penalty, and/or a moratorium on the addition of waste to the system may be
issued if adequate justification for an SSO is NOT submitted to the regional office. In order to
submit a claim for justification of an SSO, you must use Form CS-SSO with additional
documentation as necessary. DWR staff will review the justification claim and determine if
enforcement action is appropriate. Please be advised that the information needed to justify a spill
is very comprehensive. Begin using this fonim immediately to report SSOs from the collection
system. Continue to use our old foiiii for reporting bypasses at the wastewater treatment plant
until further notice. The time frame for submittal of both Part I and Part II, if pertinent, is five
days.
Failure to abide by the conditions in this permit may subject the Permittee to enforcement action.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the
right to request an adjudicatory hearing upon written request within thirty days following the
receipt of this permit. 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, NC 27699-6714. Unless such demands are made,
this permit shall be final and binding.

October 10, 2013
Page 3 of 3
If you have questions regarding compliance contact your regional office or the Pretreatment,
Emergency Response and Collection Systems -Unit of the North Carolina Division of Water
Resources at [phone]. If you need additional information concerning this permit, please
contact Deborah Gore at [phone].
Sincerely,
for Thomas A. Reeder
Division of Water Resources
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
enclosure: Permit No. WQCS00233
cc: Union County Health Department
clR' res�sry%ill"ei,Reg�ionalECIf is Barra MEtte xate iioniSeciion.
Water Resources Central Files — WQCS00233
Steve Reid, NPDES — Compliance & Expedited Permitting Unit (electronic)
PERCS Files (electronic)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
SYSTEM -WIDE WASTEWATER COLLECTION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO THE
Carolina Water Service, Inc. of NC
Union County
FOR THE
operation and maintenance of a wastewater collection system consisting of, at the time of permit
issuance, approximately 7.83 miles of gravity sewer, approximately 1.25 miles of force main, 4
duplex pump stations, and all associated piping, valves, and appurtenances required to make a
complete and operational wastewater collection system to serve the Carolina Water Service, Inc
of NC Hemby Acres and any deemed permitted satellite communities pursuant to the
application received June 4, 2013, and in conformity with the documents referenced therein and
other supporting data subsequently filed and approved by the Department of Environment and
Natural Resources and considered a part of this permit.
This permit shall be effective from December 1, 2013 until November 30, 2021, and shall be
subject to the following specified conditions and limitations:
I. PERFORMANCE STANDARDS
1. The sewage and wastewater collected by this system shall be treated in the Hemby
Acres Wastewater Treatment Facility (NC0035041) prior to being disposed into the
receiving stream. This collection system permit will be referenced upon renewal or
modification of your NPDES permit(s).
2. The wastewater collection system shall be effectively managed, maintained and
operated at all times so that there is .no SSO to land or surface waters, nor any
contamination of groundwater. In the event that the wastewater collection system fails to
perform satisfactorily, including the creation of nuisance conditions, the Permittee shall
take immediate corrective actions, including actions that may be required by the Division
of Water Resources (Division), such as the construction of additional or replacement
sewer lines and/or equipment.

3. The Director may take enforcement action against the Permittee for SSOs that must be
reported to the Division as stipulated in Condition IV(2). This includes SSOs that were
caused by severe natural conditions or exceptional events unless the Permittee
demonstrates through properly signed, contemporaneous operating Togs, or other
relevant evidence that:
a. The SSO was caused by severe natural conditions; there were no feasible
alternatives to the SSO, such as the use of auxiliary treatment facilities, retention
of untreated wastewater, reduction of inflow and infiltration, use of adequate
back-up equipment, or an increase in the capacity of the system. This provision
is not satisfied if, in the exercise of reasonable engineering judgment, the
Permittee should have installed auxiliary or additional collection system
components, wastewater retention or treatment facilities, adequate back-up
equipment or should have reduced inflow and infiltration; or
b. The SSO was exceptional, unintentional, temporary and caused by factors
beyond the reasonable control of the Permittee; the SSO could not have been
prevented by the exercise of reasonable control, such as proper management,
operation and maintenance; adequate treatment facilities or collection system
facilities or components (e.g., adequately enlarging treatment or collection
facilities to accommodate growth or adequately controlling and preventing
infiltration and inflow); preventive maintenance; or installation of adequate back-
up equipment;
The Permittee can submit a claim to the Division Regional Office that the SSO meets the
criteria of this condition. The Permittee has the option of submitting this claim along with
the spill report required by Condition IV(2) (i.e., within five days) in order to be
considered for immunity from enforcement action. Form CS-SSO Part II, or most current
Division approved form, shall be used for any claims. The Permittee has the burden of
proof that the above criteria have been met.
4. The Permittee shall establish by ordinance its legal authority to require new sewers be
properly constructed; to ensure proper inspection and testing of sewer mains and
service laterals; to address flows from satellite systems and to take enforcement action
as required by Condition 1(5).
5. The Permittee shall develop and implement an educational fats, oils and grease program
that shall include at least bi-annual distribution of educational material targeted at both
residential and non-residential users. The Permittee shall also develop and implement
an enforceable fats, oils and grease program for non-residential users under which the
Permittee can take enforcement against users who have not properly installed, operated
and maintained grease traps or grease interceptors as directed or otherwise violated the
terms of the local ordinance pertaining to fats, oils and grease.
6. The Permittee shall adopt and implement a Capital Improvement Plan (CIP) to designate
funding for reinvestment into the wastewater collection system infrastructure. The CIP
should address the short-term needs and long-term "master plan" concepts. The CIP
should typically cover a three to five year period and include a goal statement,
description of the project area, description of the existing facilities, known deficiencies
(over a reasonable period) and forecasted future needs. Cost analysis is integral to the
CIP.

7. Existing overflow piping from manholes and pump stations, excluding piping to approved
equalization structures, known or discovered after permit issuance shall be immediately
removed or permanently capped. Plugged emergency pumping connections are
allowable for portable pumping or rerouting without intentionally bypassing the
wastewater treatment facility.
8. The Permittee shall maintain a contingency plan for pump failure at each pump station.
If one of the pumps in a pump station containing multiple pumps fails, the process of
repairing or replacing the pump shall be initiated immediately and the new parts or pump
shall be installed as soon as possible. If the pump in a simplex pump station fails, it
shall be replaced immediately.
9. Each pump station shall be clearly and conspicuously posted with a pump station
identifier and an emergency contact telephone number at which an individual who can
initiate or perform emergency service for the wastewater collection system 24 hours per
day, seven days per week can be contacted. This emergency contact telephone number
shall be coupled with instructions that the emergency contact should be called if the
visual alarm illuminates, if the audible alarm sounds, or if an emergency is apparent.
10. Pump station sites, equipment and components shall have restricted access, per 15A
NCAC 02T .305(h)(4).
11 Pump stations that do not employ an automatic polling feature (i.e. routine contact with
pump stations from a central location to check operational status of the communication
system) shall have both audible and visual high water alarms. The alarms shall be
weather-proof and placed in a clear and conspicuous location. Permits issued for the
construction of pump stations that included high water alarms in the description must
maintain the alarms even if simple telemetry (Le. notification of an alarm condition
initiated by the pump station control feature) is installed.
12. For all newly constructed, modified and rehabilitated pump stations, all equipment and
components located within the pump station shall be corrosion -resistant and
components in close proximity of the pump station shall be sealed within a corrosion -
resistant coating or encasement.
13. All construction and rehabilitation of the wastewater collection system (i.e., permitted or
deemed permitted) shall be scheduled to minimize the interruption of service by the
existing utilities. Construction and rehabilitation shall not result in the violation of
Condition (1)(2) of this permit.
II. OPERATION AND MAINTENANCE REQUIREMENTS
1. Upon classification of the collection system by the Water Pollution Control System
Operators Certification Commission (WPCSOCC), the Permittee shall designate and
employ a certified operator to be in responsible charge (ORC) and one or more certified
operator(s) to be back-up ORC(s) of the facilities in accordance with 15A NCAC 8G
.0201. The ORC shall visit the system within 24 hours of knowledge of a bypass, spill,
or overflow of wastewater from the system, unless visited by the Back -Up ORC, and
shall comply with all other conditions of 15A NCAC 8G .0204.

2. The Permittee shall develop and adhere to a schedule for reviewing all inspection,
maintenance, operational and complaint logs. If the review process results in the
identification of any recurring problem in the wastewater collection system that cannot be
resolved in a short time period, the Permittee shall establish a plan for addressing the
problem(s).
3. The Permittee shall develop and adhere to a schedule for testing emergency and
standby equipment.
4. The Permittee shall develop and implement a routine pump station inspection and
maintenance program, which shall include, but not be limited to, the following
maintenance activities:
a. Cleaning and removing debris from the pump station structure, outside perimeter,
and wet well;
b. Inspecting and exercising all valves;
c. Inspecting and lubricating pumps and other mechanical equipment according to
the manufacturer's recommendations; and
d. Verifying the proper operation of the alarms, telemetry system and auxiliary
equipment.
5. For each pump station without pump reliability (i.e. simplex pump stations serving more
than a single building or pump stations not capable of pumping at a rate of 2.5 times the
average daily flow rate with the largest pump out of service), at least one fully
operational spare pump capable of pumping peak flow shall be maintained on hand.
6. The Permittee shall maintain on hand at least two percent of the number of pumps
installed, but no less than two pumps, that discharge to a pressure sewer and serve a
single building, unless the Permittee has the ability to purchase and install a
replacement pump within 24 hours of first knowledge of the simplex pump failure or
within the storage capacity provided in any sewer line extension permit.
7. Rights -of -way and/or easements shall be properly maintained to allow accessibility to the
wastewater collection system unless the Permittee can demonstrate the ability to gain
temporary access in an emergency situation where existing land -use conditions do not
allow the establishment and maintenance of permanent access. In this case, the
Permittee shall continue to observe the lines visually, utilize remote inspection methods
(e.g. CCTV) and use the opportunity of drier conditions to perform further inspections
and necessary maintenance.
8. The Permittee shall assess cleaning needs, and develop and implement a program for
appropriately cleaning, whether by hydraulic or mechanical methods, all sewer lines. At
least 10 percent of the wastewater collection system, selected at the discretion of the
ORC, shall be cleaned each year. Preventative cleaning is not required for sewer lines
less than five years old unless inspection otherwise reveals the need for cleaning or
cleaning is required by a sewer line extension permit.

9. Adequate measures shall be taken to contain and properly dispose of materials
associated with SSOs. The Permittee shall maintain a Response Action Plan that
addresses the following minimum items:
a. Contact phone numbers for 24-hour response, including weekends and holidays;
b. Response time;
c. Equipment list and spare parts inventory;
d. Access to cleaning equipment;
e. Access to construction crews, contractors and/or engineers;
f. Source(s) of emergency funds;
g. Site sanitation and clean up materials; and
h. Post-SSO assessment.
10. The Permittee, or their authorized representative, shall conduct an on -site evaluation for
all SSOs as soon as possible, but no more than two hours after first knowledge of the
SSO.
11. In the event of an SSO or blockage within the wastewater collection system, the
Permittee shall restore the system operation, remove visible solids and paper, sanitize
any ground area and restore the surroundings.
III. RECORDS
1. Records shall be maintained to document compliance with Conditions 1(5), 11(2) - 11(4),
11(7) - 11(8), IV(3) and V(1) -V(4). Records shall be kept on file for a minimum of three
years.
2. The Permittee shall maintain adequate records pertaining to SSOs, and complaints for a
minimum of three years. These records shall include, but are not limited to, the following
information:
a. Date of SSO or complaint;
b. Volume of wastewater released as a result of the SSO and/or nature of
complaint;
c. Location of the SSO and/or complaint;
d. Estimated duration of the SSO;
e. Individual from the Division who was informed about the SSO and/or complaint,
when applicable;
f. Final destination of the SSO;
g. Corrective actions;
h. Known environmental/human health impacts resulting from the SSO; and
i. How the SSO was discovered.
3. The Permittee shall maintain an up-to-date, accurate, comprehensive map of its
wastewater collection system that also notes the locations where other wastewater
collection systems become tributary. If a comprehensive map of the collection system
has not been established, a rough sketch shall be drawn. The Permittee shall map
approximately 10 percent of its existing collection system each year for the next ten
years beginning at the original permit issuance date, or until complete, whichever is
sooner. The comprehensive map shall include, but is not limited to: pipe size, pipe
material, pipe location, flow direction, approximate pipe age, number of active service
taps, and each pump station identification, location and capacity.

4. The Permittee shall maintain records of all of the modifications and extensions to the
collection system permitted herein. The Permittee shall maintain a copy of the
construction record drawings and specifications for modifications/extensions to the
wastewater collection system for the life of the modification/extension. Information
concerning the extension shall be incorporated into the map of the wastewater collection
system within one year of the completion of construction. The system description
contained within this permit shall be updated to include this modification/extension
information upon permit renewal.
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any monitoring (including, but not necessarily limited to, wastewater flow, groundwater,
surface water, soil or plant tissue analyses) deemed necessary by the Division to ensure
surface water and groundwater protection will be established, and an acceptable
sampling and reporting schedule shall be followed.
2. The Permittee shall verbally report to a Division of Water Resources staff member at the
Mooresville Regional Office, at telephone number [phone] as soon as possible,
but in no case more than 24 hours following the occurrence or first knowledge of the
occurrence of either of the following:
a. Any SSO and/or spill over 1,000 gallons; or
b. Any SSO and/or spill, regardless of volume, that reaches surface water.
Voice mail messages or faxed information shall not be considered as the initial verbal
report. SSOs (and other types of spills) occurring outside normal business hours may
also be reported to the Division of Emergency Management at telephone number (800)
858-0368 or [phone]. Persons reporting any of the above occurrences shall file
a spill report by completing Part 1 of Form CS-SSO (or the most current Division
approved form), within five days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to ensure that the problem does not recur.
Per Condition 1(3), Part II of Form CS-SSO (or the most current Division approved form)
can also be completed to show that the SSO was beyond control.
3. The Permittee shall meet the annual reporting and notification requirements provided in
North Carolina General Statute §143-215.1 C.
V. INSPECTIONS
1. The Permittee or the Permittee's designee shall inspect the wastewater collection
system regularly to reduce the risk of malfunctions and deterioration, operator errors,
and other issues that may cause or lead to the release of wastes to the environment,
threaten human health or create nuisance conditions. The Permittee shall keep an
inspection log or summary including, at a minimum, the date and time of inspection,
observations made, and any maintenance, repairs, or corrective actions taken by the
Permittee.
2. Pump stations without Supervisory Control and Data Acquisition (SCADA) systems or
telemetry shall be inspected everyday (i.e. 365 days per year). Pump stations equipped
with SCADA systems or telemetry shall be inspected at least once per week.

3. A general observation of the entire collection system shall be performed throughout the
course of every year.
4. Inspections of all high priority lines (i.e. aerial line, sub -waterway crossing, line
contacting surface waters, siphon, line positioned parallel to stream banks that are
subject to eroding in such a manner that may threaten the sewer line, or line designated
as high -priority in a permit) shall be performed at least once per every six-month period
of time. A list of high -priority lines is presented as Attachment A and is hereby
incorporated into this permit condition. New high priority lines installed or identified after
permit issuance are incorporated by reference and subject to this permit condition until
permit renewal where they shall be referenced in writing in Attachment A.
VI. GENERAL CONDITIONS
1. This permit is not transferable. In the event that the Permittee desires to transfer
ownership of the wastewater collection system or there is a name change of the
Permittee, a formal permit modification request shall be submitted to the Division. The
request shall be accompanied by documentation from the parties involved, and other
supporting materials as may be appropriate. Such request will be considered on its
merits and may or may not be approved.
2. Failure to abide by the conditions and limitations contained in this permit may subject the
Permittee to an enforcement action by the Division in accordance with North Carolina
General Statute §143-215.6A through §143-215.6C, and a sewer moratorium may be
established.
3. The issuance of this permit does not exempt the Permittee from complying with any and
all statutes, rules, regulations, or ordinances that may be imposed by other government
agencies (i.e., local, state, and federal) having jurisdiction, including but not limited to
applicable river buffer rules in 15A NCAC 2B .0200, soil erosion and sedimentation
control requirements in 15A NCAC Chapter 4 and under the Division's General Permit
NCG010000, and any requirements pertaining to wetlands under 15A NCAC 2B .0200
and I5A NCAC 02T .0100 and all applicable North Carolina Occupational Safety and
Health Act health and safety standards.
4. The issuance of this permit does not prohibit the Division 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 I5A NCAC 02T .0100 and North Carolina
General Statute §I43-215.1 et. al., or as needed to address changes in federal regulations
with respect to the wastewater collection system.
5. The Permittee shall pay the annual fee within thirty (30) days after being billed by the
Division. Failure to pay the fee accordingly may cause the Division to initiate action to
revoke this permit as specified by 15A NCAC 02T .0110(4).
6. The Permittee shall request renewal of this permit at least six months prior to the
expiration of this permit. Upon receipt of the request, the Commission will review the
adequacy of the wastewater collection system described therein, and if warranted, will
extend the permit for a period of time and under such conditions and limitations, as the
Commission may deem appropriate.

7. The Permittee shall notify the Division's Pretreatment, Emergency Response and
Collection Systems Unit in writing at 1617 Mail Service Center, Raleigh, North Carolina
27699-1617 of any changes to the name and/or address of the responsible party (i.e.
mayor, city/town manager) of the wastewater collection system.
8. Any duly authorized officer, employee, or representative of the Division may, upon
presentation of credentials, enter and inspect any property, premises or place on or
related to the collection system at any reasonable time for the purpose of determining
compliance with this permit, may inspect or copy any records that must be maintained
under the terms and conditions of this permit, and may obtain samples of wastewater,
groundwater, surface water, soil, or plant tissue.
Permit issued this the 10th of October, 2013
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Thomas A. Reeder
Division of Water Resources
By Authority of the Environmental Management Commission
by Deborah Gore, Supervisor
Pretreatment, Emergency Response, Collection System Unit
Permit Number WQCS00233 (Renewal)

Hereby — High Priority Lines
Permit - WQCS00233
Attachment "A" for condition V4
• Hillcrest Drive— Manhole # 1 through Manhole #10 (Stream Bank)
Rockwell Drive to Lift station # 1— Manhole # 71,77,78,79,81,82,84,87,91,92,95 and 97 (Stream
Bank)
I o I

Hemby — Pumping Stations
Permit = WQCS00233
Condition 11.6.
• Hembv WWTP Influent Pump Station — Located at 7803 Idlewild Road, Indian Trail, NC 28079.
Station has (2) 5hp pumps with a capacity of 320 gallons per minute each.
• Mill Grove Pump Station # 1— Located at 7177 Mill Grove Road, Indian Trail, NC 28079. Station
has (2) 2hp pumps with a capacity of 100 gallons per minute each.
• Mill Grove Pump Station # 2 — Located at Mill Grove Road Indian Trail, NC 28079. Station has (2)
2 hp pumps with a capacity of 100 gallons per minute each.
• Oak Grove Pump Station — Located at Indian Trail, NC 28079. Station has (2) 20 hp pumps with a
capacity of 125 gallons per minute each.

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AS BUILTS
Sanitary Sewer As—Buill Survey For
Oakgrove Subdivision
Vance Township, Union County, NC.
Dole 9301 23, 1999
Surveyed by F. Donald Lawrence Sr Associates. P.A.
114 E. Jefferson St. P.O. Box 1.014
Monroe North Carolina 28111 [phone]
Red.SIONS
Job No. 0732 Drawing file osbuilt AOL Growing no.
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