NC0027286_Renewal (Application)_20210407 (2)

pa STATE,
d ,
ROY COOPER = 2'
Governor
DIONNE DELLI-GATTI `. ^�.n,* .
Secretary °"A`"
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
April 07, 2021
Town of Blowing Rock
Attn: Shane Fox, Town Manager
1036 Main St
Blowing Rock, NC 28605
Subject: Permit Renewal
Application No. NC0027286
Blowing Rock WWTP
Watauga County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 7, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thed ord
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
E Q North Carolinalnston-Salem Department
gionalOffi
ofce Enviro450nWest mentalH Quality l I Dmislon of Water Resources
Ianes Mil Road Suite 300 I Winston-Salem;North Carolina 27105
mmm:+muw�..mmm� 336.776.9800

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No. 2040-0004
03/05/19
NPDES
Form
2A
&EPA
NEW
Application
AND
EXISTING
U.S.
for
Environmental
NPDES
PUBLICLY
Permit
Protection
OWNED
to
Discharge
TREATMENT
Agency
Wastewater
WORKS
- ---
- -
SECTION
1. BASIC
APPLICATION
INFORMATION
FOR
ALL
APPLICANTS
(40
CFR
122.21(j)(1)
and
(9))
1.1
Blowing
Facility
name
Rock
Wastewater
Treatment
Plant
P.O.
Mailing
Box
address
47
(street
or
P.O.
box)
o
Blowing
City
or
town
Rock
NC
State
ZIP
28605
code
EContact
8
James
Townsend
name
(first
and
last)
ORC
Title
(828)
Phone
964-5284
number
[e-mail]
Email
address
Location
address
(street,
route
number,
or
other
specific
identifier)
❑
Same
as
mailing
address
al
as
7190
HWY
321
S
Blowing
City
or
town
Rock
NC
State
28605
ZIP
code
1.2
Is
this
application
for
a
facility
that
has
yet
to
commence
discharge?
Yes
4
See
instructions
on
data
submission
IN
No
requirements
for
new
dischargers.
Applicant Information
1.3
Is
applicant
different
from
entity
listed
under
Item
1.1
above?
Yes
No
4
SKIP
to
Item
1.4.
Applicant
Town
of
Blowing
name
Rock
PO
Applicant
BOX
47
address
(street
or
P.O.
box)
Blowing
City
or
town
Rock
NC
State
28605
ZIP
code
Contact
name
(first
and
last)
Title
Phone
number
Email
address
Shane
Fox
Town
Manager
(828)
295-5200
[e-mail]
1.4
Is
the
applicant
the
facility's
owner,
operator,
or
both?
(Check
only
one
response.)
v
Owner
Operator
®
Both
1.5
To
which
entity
should
the
NPDES
permitting
authority
send
correspondence?
(Check
only
Facility
one
response.)
and
applicant
❑
Facility
V
Applicant
®
(they
are
one
and
the
same)
1.6
Indicate
number
below
for
each.)
any
existing
environmental
permits.
(Check
all
that
apply
and
print
or
type
the
corresponding
permit
Existing
Environmental
Permits
v
NPDES
(discharges
to surface
®
RCRA
(hazardous
waste)
UIC
(underground
injection
water)
control)
Existing Environ
PSD
(air
emissions)
Nonattainment
program
(CAA)
NESHAPs
(CAA)
Ocean
dumping
(MPRSA)
Dredge
or
fill
(CWA Section
❑
Other
(specify)
404)
EPA Form 3510-2A (Revised 3-19)
Page 1

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
1.7
Provide
the
collection
system
information
requested
below
for
the
treatment
works.
Municipality
Served
Population
Served
Collection
(indicate
System
percentage)
Type
Ownership
Status
1
00
%
separate
sanitary
sewer
Own
■
Maintain
Town
of
Blowing
2300
0
%
combined
storm
and
sanitary
sewer
Own
❑
Maintain
-o
�,
c%
•o•
ers
Rock
❑
Unknown
❑
Own
❑
Maintain
separate
sanitary
sewer
❑
Own
❑
Maintain
%
combined
storm
and
sanitary
sewer
❑
Own
❑
Maintain
❑
Unknown
❑
Own
❑
Maintain
0..
so
%
separate
sanitary
sewer
❑
Own
❑
Maintain
%
combined
storm
and
sanitary
sewer
❑
Own
0
Maintain
Collection System and
❑
Unknown
❑
Own
❑
Maintain
%
separate
sanitary
sewer
❑
Own
❑
Maintain
%
combined
storm
and
sanitary
sewer
❑
Own
❑
Maintain
❑
Unknown
❑
Own
❑
Maintain
Total
Population
Served
2300
_
_
Separate
Sanitary
Sewer
System
Combined
Sanitary
StorTil
Sewer
and
Total
sewer
percentage
line
(in
miles)
of
each
type
of
19.5
%
0
Indian Country
1.8
Is
the
treatment
Yes
works
located
in Indian
Country?
v
No
1.9
Does
the
facility
discharge
to a
receiving
water
that
flows
through
Indian
Country?
®
Yes
✓
No
Design and Actual
Flow Rates
1.10
Provide
design
and
actual
flow
rates
in
the
designated
spaces.
Design
Flow
Rate
0.8
mgd
Annual
Average
Flow
Rates
(Actual)
Two
Years
Ago
Last
Year
This
Year
0.306
mgd
0.401
mgd
0.25
mgd
Maximum
Daily
Flow
Rates
(Actual)
Two
Years
Ago
Last
Year
This
Year
1.104
mgd
1.55
mgd
0.366
mgd
Discharge Points
by Type
1.11
Provide
the
total
number
of
effluent
discharge
points
to
waters
of the
United
States
by
type.
Total
Number
of
Effluent
Discharge
Points
by Type
Treated
Effluent
Untreated
Effluent
Combined
Overflows
Sewer
Bypasses
Constructed
Emergency
Overflows
1
0
0
0
0
EPA Form 3510-2A (Revised 3-19)
Page 2

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
Outfalls
Other
Than
to
Waters
of the
United
States
1.12
Does
discharge
the
POTW
to
waters
discharge
of
the
United
wastewater
States?
to
basins,
ponds,
or
other
surface
impoundments
that
do
not
have
outlets
for
■
Yes
v
No4SKIPtoItem1.14.
1.13
Provide
the
location
of
each
surface
impoundment
and
associated
discharge
information
in
the
table
below.
Surface
Impoundment
Location
and
Discharge
Data
Location
Average
Discharged
Impoundment
Daily
to
Volume
Surface
Continuous
(check
or
Intermittent
one)
❑
Continuous
gpd
❑
Intermittent
gpd
❑
Continuous
❑
Intermittent
❑
Continuous
gpd
w
❑
Intermittent
2
1.14
Is
wastewater
applied
to
land?
M
11
Yes
d
No
4
SKIP
to
Item
1.16.
irge or Disposal I
1.15
Provide
the
land
application
site
and
discharge
data
requested
below.
Land
Application
Site
and
Discharge
Data
Continuous
or
Location
Size
Average
Applied
Daily
Volume
Intermittent
(check
one)
❑
Continuous
v
acres
gp
d
❑
Intermittent
0
0
acres
gp
d
❑
Continuous
❑
Intermittent
0
❑
Continuous
acres
gpd
❑
Intermittent
u)
1.16
Is
transported
to
facility
for
treatment
to
discharge?
i
effluent
another
prior
r
Yes
✓
No
4
SKIP
to
Item
1.21.
0
1.17
Describe
the
means
by which
the
effluent
is
transported
(e.g.,
tank
truck,
pipe).
1.18
Is
the
effluent
transported
by
a
party
other
than
the applicant?
�]
Yes
v
No
4
SKIP
to
Item
1.20.
1.19
Provide
information
on
the
transporter
below.
Transporter
Data
Entity
name
Mailing
address
(street
or
P.O.
box)
City
or
town
State
ZIP
code
Contact
name
(first
and
last)
Title
Phone
number
Email
address
EPA Form 3510-2A (Revised 3-19)
Page 3

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
iMethod's Continued
1.20
In
receiving
the
table
facility.
below,
indicate
the
name,
address,
contact
information,
NPDES
number,
and
average
daily
flow
rate
of
the
Receiving
Facility
Data
Facility
name
Mailing
address
(street
or
P.O.
box)
City
or
town
State
ZIP
code
Contact
name
(first
and
last)
Title
Phone
number
Email
address
NPDES
number
of
receiving
facility
(if
any)
❑
None
Average
daily
flow
rate
mgd
to
1.21
Is
the
wastewater
disposed
of
in
a
manner
other
than
those
already
mentioned
in
Items
1.14
through
1.21
that
do
not
®
ED
have
outlets
to
waters
of
the
United
States
(e.g.,
underground
percolation,
underground
injection)?
ii
I
Yes
v
No
4
SKIP
to
Item
1.23.
Is and Other Jisc6
1.22
Provide
information
in
the
table
below
on
these
other
disposal
methods.
Information
on
Other
Disposal
Methods
Description
Disposal
Method
Disposal
Location
Site
of
Disposal
Size
of
Site
Annual
Daily
Volume
Discharge
Average
Continuous
(check
or
one
Intermittent
)
❑
Continuous
"irj
acres
gp
d
❑
Intermittent
®
❑
Continuous
acres
gpd
CJ
Intermittent
❑
Continuous
acres
gpd
❑
Intermittent
Variance
Requests
1,23
Do
Consult
you
intend
with
your
to
request
NPDES
or
permitting
renew
one
authority
or
more
to
of
determine
the
variances
what
Water
authorized
information
related
at
needs
40
effluent
CFR
to
122.21(n)?
be
limitation
submitted
(CWA
(Check
and
Section
when.)
all
that
apply.
Discharges
into
marine
waters
(CWA
❑
quality
Section
301(h))
302(b)(2))
v
Not
applicable
Contractor Information
1.24
the
Are
any
responsibility
operational
of
or
a
contractor?
maintenance
aspects
(related
to
wastewater
treatment
and
effluent
quality)
of
the
treatment
works
IN
Yes
d
No
+SKIP
to
Section
2.
1,25
Provide
and
maintenance
location
and
responsibilities.
contact
information
for
each
contractor
in
addition
to a
description
of
the contractor's
operational
Contractor
Information
Contractor
1
Contractor
2
Contractor
3
Contractor
(company
name)
name
Mailing
address
(street
or
P.O.
box)
City,
code
state,
and
ZIP
last)
Contact
name
(first
and
Phone
number
Email
address
Operational
maintenance
responsibilities
contractor
and
of
EPA Form 3510-2A (Revised 3-19)
Page 4

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No. 2040-0004
03/05/19
SECTION
2.
ADDITIONAL
INFORMATION
(40
CFR
122.21(j)(1)
and
(2))
Outfalls
to Waters
of
the
United
States
li
2.1
Does
the
treatment
works
have
a design
flow
greater
than
or equal
to 0.1
mgd?
im
0
d
Yes
_
No
24 SKIP
to Section
3.
n
[mlow and Infiltrafjon
2.2
Provide
the treatment
works'
current
average
daily
volume
of
inflow
Average
Daily
Volume
of
Inflow
and
Infiltration
and
infiltration.
.016
gpd
Indicate
the
steps
the
facility
is
taking
to
minimize
inflow
and
infiltration.
Funds
New
city
from
sewer
Bond
Camera
Referendum
Search
and
repair
• .
2.3
Have
you
attached
a
topographic
map
to
this
application
that
contains
all
the
required
information?
(See
instructions
for
P
specific
requirements.)
ca 1
Sa
o
MI
Yes
❑
No
F.
Flow
Diagram
2.4
Have
(See
instructions
you
attached
for
a
specific
process
requirements.)
flow
diagram
or
schematic
to
this
application
that
contains
all
the
required
information?
—I
✓
Yes
No
2.5
Are
improvements
to
the
facility
scheduled?
[v
No
4 SKIP
to Section
3.
Yes
Briefly
1.
list
and
describe
the
scheduled
improvements.
2.
3.
4.
2.6
Provide
scheduled
or
actual
dates
of
completion
for
improvements.
Scheduled
or
Actual
Dates
of
Completion
for
Improvements
Scheduled Improvemes
Improvement
Scheduled
(Inumbeist
Affected
Outfalls
all
Construction
Begin
Construction
End
Discharge
Begin
Attainment
Operational
Level
of
(from
above)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
1,
2.
3.
4.
2.7
Have
response.
appropriate
permits/clearances
concerning
other
federal/state
requirements
been
obtained?
Brief
y explain
your
❑
Yes
❑
No
❑
None
required
or
applicable
Explanation:
EPA Form 3510-2A (Revised 3-19)
Page 5

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
SECTION 3.'
®ti•
ATION
ON EFFLU ,
T
DISCHARGES
(40
CFR
122.210)(3)
to
(5))
_
3,1
Provide
the
following
information
for
each
outfall.
(Attach
additional
sheets
if
you
have
more
than
three
outfalls.)
Outfall
Number
Outfall
Number
Outfall
Number
State
North
Carolina
'A
Watauga
County
rum
t
0
City
town
Blowing
Rock
te—
or
o
ra
a.
Distance
from
shore
o
ft,
ft.
ft.
sc
a
Depth
below
surface
o
ft.
ft.
ft.
o
Average
daily
flow
rate
0.4
mgd
mgd
mgd
Latitude
36°
oS
27"
°
"
°
Longitude
81°
4d
12"
Seasonal or Periodic Discharge Data
3.2
Do
any
of
the
outfalls
described
under
Item
3.1
have
seasonal
or
periodic
discharges?
Yes
5
No
4
SKIP
to
Item 3,4.
3.3
If
so,
provide
the
following
information
for
each
applicable
outfall.
Outfall
Number
Outfall
Number
Outfall
Number
Number
discharge
of
times
occurs
per
year
Average
duration
of
each
discharge
(specify
units)
Average
discharge
flow
of
each
mgd
mgd
mgd
Months
occurs
in
which
discharge
Diffuser Type
3,4
Are
any
of
the
outfalls
listed
under
Item
3.1
equipped
with
a diffuser?
®
Yes
5
No
4 SKIP
to
Item
3.6.
3,5
Briefly
describe
the diffuser
type
at
each
applicable
outfall.
Outfall
Number
Outfall
Number
Outfall
Number
ers of
U.S.
3,6
Does
discharge
the
treatment
points?
works
discharge
or
plan
to discharge
wastewater
to waters
of
the
United
States
from
one
or
more
12
Yes
No
9SKIP
to Section
6,
EPA Form 3510-2A (Revised 3-19)
Page 6

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
Provide
the
receiving
water
and
related
information
(if
known)
for
each
outfall.
Receiving Water Description
3.7
Outfall
Number
Outfall
Number
Outfall
Number
Receiving
water
name
iddle
Fork
South
Fork
New
Riv'
Name
or
stream
of
watershed,
system
river,
U.S.
Service
code
Soil
14-digit
Conservation
watershed
Name
management/river
of
state
basin
New
River
U.S.
8-digit
cataloging
Geological
hydrologic
unit
Survey
code
Critical
low
flow
(acute)
cfs
cfs
cfs
Critical
low
flow
(chronic)
cfs
cfs
cfs
Total
low
flow
hardness
at
critical
mg/L
CaCO3
of
mglL
CaCO3
of
mg/L
CaCO3
of
Treatment Description
3.8
Provide
the
following
information
describing
the
treatment
provided
for
discharges
from
each
outfall.
Outfall
Number
1
Outfall
Number
Outfall
Number
Highest
Level
of
❑
Primary
❑
Primary
❑
Primary
Treatment
that
❑
Equivalent
to
❑
Equivalent
to
❑
Equivalent
to
(check
all
apply
per
outfall)
secondary
secondary
secondary
❑
Secondary
❑
Secondary
❑
Secondary
❑
Advanced
❑
Advanced
❑
Advanced
❑
Other
(specify)
❑
Other
(specify)
❑
Other
(specify)
Design
Outfall
Removal
Rates
by
BOD5
or
CBOD5
85
TSS
85
M
Not
applicable
❑
Not
applicable
❑
Not
applicable
Phosphorus
✓
Not
applicable
❑
Not
applicable
❑
Not
applicable
Nitrogen
Other
❑
Not
applicable
❑
Not
applicable
❑
Not
applicable
(specify)
%
%
EPA Form 3510-2A (Revised 3-19)
Page 7

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No. 2040-0004
03/05/19
3.9
Describe
season,
describe
the
type
of
below.
disinfection
used
for
the effluent
from
each
outfall
in the
table
below.
If disinfection
varies
by
-0
e
m
c
c
0
c
Outfall
Number
1
Outfall
Number
Outfall
Number
.9
0
0
Disinfection
type
Gas
Chlorine
L'
Seasons
used
All
A19
Dechlorination
used?
Not
applicable
(�l
Not
applicable
11
Not
applicable
Yes
11
Yes
11
Yes
I—1
No
1l
No
11
No
3.10
Have
you
completed
monitoring
for
all
Table
A
parameters
and
attached
the
results
to the
application
package?
v
Yes
No
3.11
Have
discharges
you
conducted
or
on
any
any
receiving
WET
tests
water
during
near
the
the
4.5
discharge
years
prior
points?
to
the
date
of
the
application
on
any
of
the
facility's
Il
Yes
■
No
4
SKIP
to Item
3.13.
3.12
Indicate
discharges
the
number
by
outfall
of
number
acute
and
or
of
chronic
the
receiving
WET
tests
water
conducted
near
the
since
discharge
the
last
points.
permit
reissuance
of
the
facility's
Outfall
Number
1
Outfall
Number
Outfall
Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number
water
of
tests
of
discharge
o
20
Number
water
of
tests
of
receiving
o
0
3.13
Does
the
treatment
works
have
a
design
flow
greater
than
or
equal
to
0.1
mgd?
v
Yes
®
No9SKIPtoItem3.16.
co
®
3.14
Does
the
POTW
use
chlorine
for
disinfection,
use
chlorine
elsewhere
in
the
treatment
process,
or
otherwise
have
c
reasonable
potential
to
discharge
chlorine
in
its
effluent?
w
v
Yes
'=?
Complete
Table
B,
including
chlorine.
■
No
Complete
Table
B,
omitting
chlorine.
c
o
3.15
Have
package?
you
completed
monitoring
for
all
applicable
Table
B
pollutants
and
attached
the
results
to
this
application
w
v
Yes
❑
No
3.16
Does
o
O
o
sample
each
one
The
The
The
facility
POTW
NPDES
or
of
other
its
more
has
discharge
has
permitting
of
additional
a
the
an
design
approved
following
outfalls
authority
flow
parameters
conditions
greater
pretreatment
(Table
has
(Table
E).
than
informed
apply?
E
or
program
D),
equal
the
or
submit
POTW
to
or
1
is
mgd.
required
that
the
results
it
must
to
of
develop
sample
WET
such
for
tests
the
a
for
program.
parameters
acute
or
chronic
in
Table
toxicity
C,
must
for
Yes
4
Complete
Tables
C,
D,
and
as
®
No
=>
SKIP
to
Section
4.
applicable.
3.17
Have
package?
you
completed
monitoring
for
all
applicable
Table
C
pollutants
and
attached
the
results
to
this
application
✓
Yes
[]
No
3.18
Have
attached
you
completed
the
results
to
monitoring
this
application
for
all
applicable
package?
Table
D
pollutants
required
No
additional
by
your
NPDES
sampling
permitting
required
authority
by
NPDES
and
■
Yes
is
authority.
permitting
EPA Form 3510-2A (Revised 3-19)
Page 8

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
3.19
Has
or
the
(2)
at
POTW
least
conducted
four
annual
either
WET
tests
(1)
minimum
in
the
past
of
4.5
four
quarterly
years?
WET
tests
No
for
ea
one
Complete
year
preceding
tests
and
this
Table
permit
E
and
application
SKIP
to
MI
Yes
•
Item
3.26.
3,20
Have
you
previously
submitted
the
results
of
the
above
tests
to your
NPDES
No
4
permitting
Provide
results
authority?
in
Table
E and
SKIP
to
Yes
Item
3.26.
Data Continued
3.21
Indicate
the
dates
the
data
were
submitted
to
your
NPDES
permitting
authority
and
provide
a
summary
of
the
results.
Date(s)
(MM1DD/YYYY)
Submitted
Summary
of
Results
pass
01/2.9/2020
3.22
Regardless
of
how
you
provided
your
WET
testing
data
to
the
NPDES
permitting
authority,
did
any
of
the
tests
result
in
toxicity?
�j
Yes
MI
No
4
SKIP
to
Item
3.26,
Effluent Testi
3.23
Describe
the
cause(s)
of
the
toxicity:
3.24
Has
the
treatment
works
conducted
a
toxicity
reduction
evaluation?
❑
No
4
SKIP
to
Item
3.26.
r
Yes
3.25
Provide
details
of
any
toxicity
reduction
evaluations
conducted.
3.26
Have
you
completed
Table
E
for
all
applicable
outfalls
and
attached
the
results
Not
applicable
to
the
application
because
previously
package?
submitted
®
Yes
v
Information
to
the
NPDES
.ermitting
authorit
SECTION
4. INDUSTRIAL
DISCHARGES
AND
HAZARDOUS
WASTES
(40
CFR
122.21(j)(6)
and
(7))
4.1
Does
the
POTW
receive
discharges
from
SIUs
or
NSCIUs?
■
Yes
v
No
4
SKIP
to
Item
4.7.
:ardous Wastes
4.2
Indicate
the
number
of
SIUs
and
NSCIUs
that
discharge
to the
POTW.
Number
of
SIUs
Number
of NSCIUs
4,3
Does
the
POTW
have
an
approved
pretreatment
program?
co
■
Yes
r
No
2
2
o
4.4
Have
identical
application
you
to
submitted
that
or
(2)
required
a
pretreatment
either
in
of
Table
the
following
program?
F
(1)
a
pretreatment
to
the
NPDES
program
permitting
annual
authority
report
that
submitted
contains
within
information
one
year
substantially
of
the
0
■
Yes
❑
No
4 SKIP
to
Item
4.6.
Industrial Di
referenced
in
Item
4.4.
SKIP
to
Item
4.7,
4.5
Identify
the
title
and
date
of
the
annual
report
or
pretreatment
program
4.6
Have
you
completed
and
attached
Table
F
to this
application
package?
■
Yes
❑
No
EPA Form 3510-2A (Revised 3-19)
Page 9

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No. 2040-0004
03/05/19
Industrial Discharges and Hazardous Wastes Continued
4.7
Does
regulated
the
POTW
as
RCRA
receive,
hazardous
or
has
wastes
it
been
pursuant
notified
that
to
40
it will
CFR
receive,
261?
by
truck,
rail,
or dedicated
pipe,
any
wastes
that
are
❑
Yes
v
No
$
SKIP
to
Item
4.9.
4.8
If
yes,
provide
the
following
information:
Hazardous
Number
Waste
Waste
(check
Transport
all
that
apply)
Method
Amount
Received
Annual
Waste
of
Units
Truck
❑
Rail
Dedicated
pipe
—
Other
(specify)
11
Truck
IJ
Rail
Dedicated
pipe
-
Other
(specify)
❑
Truck
•
Rail
Dedicated
pipe
Other
(specify)
4.9
Does
including
the
POTW
those
undertaken
receive,
or
pursuant
has
it
been
to
notified
CERCLA
that
and
it
Sections
will
receive,
3004(7)
wastewaters
or
3008(h)
that
originate
of
RCRA?
from
remedial
activities,
■
Yes
✓
No
4
SKIP
to
Section
5.
4.10
Does
specified
the
POTW
in
40
CFR
receive
261.30(d)
(or
expect
and
261.33(e)?
to
receive)
less
than
15
kilograms
per
month
of
non
-acute
hazardous
wastes
as
12
Yes
4
SKIP
to Section
5.
®
No
4.11
Have
site(s)
the
extent
you
or
facility(ies)
reported
of
treatment,
the
at
following
which
if
any,
the
the
information
wastewater
wastewater
in
originates;
an
receives
attachment
or
the
will
identities
to
receive
this
application:
of
before
the
wastewater's
entering
identification
the
hazardous
POTW?
and
description
constituents;
of
the
and
Yes
■
No
_I
N 5. COMBINED
SEWER
OVERFLOWS
(40
CFR
122.21(j)(8))
CSO Map and Diagram
5.1
Does
the
treatment
works
have
a combined
sewer
system?
Yes
d
No
4SKIP
to Section
6.
5.2
Have
you
attached
a
CSO system
map
to this
application?
(See
instructions
for
map
requirements.)
Yes
■
No
Have
you
attached
a CSO system
diagram
to this
application?
(See
instructions
for
diagram
requirements.)
5.3
Yes
❑
No
EPA Form 3510-2A (Revised 3-19)
Page 10

EPA
Identification
Number
NPDES
NC0027286
Permit
Number
Blowing
Facility
Rock
Name
WWTP
Form
OMB
Approved
No.
2040-0004
03/05/19
uogduosaa Hem) 0S0
5,4
For
each
CSO outfall,
provide
the
following
information.
(Attach
additional
sheets
as
necessary.)
CSO
Outfall
Number
CSO
Outfall
Number
CSO
Outfall
Number
City
or
town
ZIP
State
and
code
County
Latitude
Longitude
0„
0
„
Distance
from
shore
ft
ft.
ft.
Depth
below
surface
ft.
ft.
ft.
5.5
Did
the
POTW
monitor
any
of
the
following
items
in
the
past
year
for
its
CSO
outfalls?
CSO
Outfall
Number
CSO
Outfall
Number
CSO
Outfall
Number
❑
Yes
U
No
❑
Yes
❑
No
■
Yes
■
No
Rainfall
10)
❑
Yes
❑
No
❑
Yes
❑
No
■
Yes
f1
No
CSO
flow
volume
,,
CSO
pollutant
❑
❑
■
Yes
•
No
■
Yes
❑
No
Yes
No
o
concentrations
co
0
❑
Yes
❑
No
❑
Yes
❑
No
❑
Yes
❑
No
Receiving
water
quality
❑
Yes
■
No
❑
Yes
❑
No
❑
Yes
❑
No
CSO
frequency
❑
Yes
❑
No
❑
Yes
❑
No
❑
Yes
■
No
Number
of
storm
events
CSO Events in Past Year
5.6
Provide
the
following
information
for
each
of
your
CSO
outfalls,
CSO
Outfall
Number
CSO
Outfall
Number
CSC)
Outfall
Number
Number
the
past
of
year
CSO
events
in
events
events
events
Average
duration
per
hours
hours
hours
event
❑
Estimated
❑
Actual
or
❑
Estimated
❑
Actual
or
❑
Estimated
❑
Actual
or
Average
volume
per
event
million
gallons
million
gallons
million
gallons
❑
Actual
❑
Estimated
❑
Actual
or
❑
Estimated
❑
Actual
or
❑
Estimated
or
Minimum
rainfall
causing
inches
of
rainfall
inches
of
rainfall
inches
of
rainfall
last
a
CSO event
in
year
❑
Actual
or
❑
Estimated
❑
Actual
or
❑
Estimated
❑
Actual
or
❑
Estimated
EPA Form 3510-2A (Revised 3-19)
Page 11

EPA Identification Number
NPDES Permit Number
Facility Name
Fnrrn Annroved 03/05/19
5.7
0
tn
11
«1
c
0
au
De
NC0027286
Blowing Rock WWTP
OMB No. 2040-0004
Provide the information in the table below for each of your CSO outfalls.
Receiving water name
Name of watershed/
stream system
U.S. Soil Conservation
Service 14-digit
watershed code
(if known)
CSO Outfall Number
CSO Outfall Number
Name of state
management/river basin
U.S. Geological Survey
8-Digit Hydrologic Unit
Code (if known)
❑ Unknown
Description of known
water quality impacts on
receiving stream by CSO
(see instructions for
examples)
❑ Unknown
❑ Unknown
CSO Outfall Number
❑ Unknown
❑ Unknown
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
6.1
❑ Unknown
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1
✓
Section 1: Basic Application
Information for All Applicants
✓
Section 2: Additional
Information
Column 2
Section 3: Information on
Effluent Discharges
Section 4: Industrial
Discharges and Hazardous
Wastes
6,2
✓
0
wl variance request(s)
w/ topographic map
wl additional attachments
✓
wl additional attachments
wl process flow diagram
✓
w/ Table A
wl Table B
w/ Table C
✓
a
w/ Table D
w/ Table E
wl additional attachments
Section 5: Combined Sewer
Overflows
Section 6: Checklist and
Certification Statement
■
w/ SIU and NSCIU attachments
w/ additional attachments
w/ Table F
w/ CSO map
w/ CSO system diagram
wl additional attachments
•
wl attachments
Certification Statement
/ certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine
and imnri.sonment for knowing violations.
Name (print or type first and last name)
P (1 0 X
Signature = —
Official title
Date signed
t to k
EPA Form 3510-2A (Revised 3-19)
Page 12

TREATMENT PROCESS
A daily average of .4 mg is treated starting at the influent pipe. From there it is screened with a screw
screener. The waste then flows into a influent holding basin to be distributed more evenly by the pumps
in the pump house to the aeration basins. Once aeration has taken place the waste flows to the clarifiers
where sludge is removed by the RAS (return of activated sludge) stations and the clear water flows over
weirs to the chlorine contact chamber to be disinfected by 150 Ib. gas chlorine cylinders. Once
chlorinated it flows through to the lower tanks to have decolorization take place by adding sodium
metabisulfite then off to the middle fork discharge pipe.

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Facility Information
80�'
81 4' 0'12'
C?NW MI:
Bootee Females' Flow;
WS-IV:4
Middle Fork SouthFozkNew River
05.07.01
050500010201
10.1-2(1)
0.80 MGD
North
Page 9 of 9
Nrnaal2Sa
Wage County

EPA Form 3510-2A (Revised 3-19)
CA)
IDesign flow rate
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OMB No. 2040-0004
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EPA Form 3510-2A (Revised 3-19)
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EPA Form 3510-24 (Revised 3-19)
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EPA Form 3510-2A (Revised 3-19)
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EPA Form 3510-2A (Revised 3-19)
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EPA Form 3510-2A (Revised 3-19)
TABLE E. EFFLUENT MONITOR!
The table provides response space
Type of Dilution Water
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Source of Dilution Water
Test Tvoe
Acute Test Results
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EPA Form 3510-2A (Revised 3-19)
How much of the average daily volume is
attributable to process flow?
Indicate the average daily volume of wastewater
discharged by the SIU.
List the principal products and raw
affect or contribute to the SIU's dis
Description of all industrial processes that affect
or contribute to the discharge.
City, state, and ZIP code
Mailing address (street or P.O. box) {
EPA Identification Number
Response space is provided for three SIUs.
Is the SIU subject to categorical standards?
Is the SIU subject to local limits?
How much of the average daily volume is
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