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HomeMy WebLinkAboutNC0050661_Permit Issuance_20100112NPDES DOCUMENT SCANNING COVER SHEET Permit: NC0050661 Macclesfield WWTP NPDES Document Type: Permit Issuance Wasteload Allocation Authorization to Construct (AtC) Permit Modification Complete File - Historical Engineering Alternatives (EAA) Owner Name Change Instream Assessment (67b) Speculative Limits Environmental Assessment (EA) Document Date: January 12, 2010 This document is printed an reuse paper - ignore any content on the reirersie side Beverly Eaves Perdue Governor ATA NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Coleen H. Sullins Dee Freeman Director Secretary Mayor Mike Keel Town of Macclesfield P. 0. Box 185 Macclesfield, NC 27852 Dear Mayor Keel: January 12, 2010 • Subject: Issuance of Renewal NPDES Permit NPDES Permit NC0050661 Town of Macclesfield WWTP Edgecombe County Class II Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently amen'ded). Summary of Changes in Renewal Permit from Existing Permit 1) The Supplemental page has been revised. Based on the information provided dechlorination, other equipment items, and a reference to permit WQ0018857 were added. 2) A footnote for TRC has been revised. A new narrative replaced the existing text to clarify application and measurement/reporting protocols to be consistent with Division standards. 3) A nitrite/nitrate nitrogen reporting has been added. To calculate the Total Nitrogen pollutant a nitrite/nitrate nitrogen measurement is required. Reporting was added to be consistent with Division standards. 4) A total kje/dah/ nitrogen reporting has been added. To calculate the Total Nitrogen pollutant a total kjeldahl nitrogen measurement is required. Reporting was added to be consistent with Division standards. 5) A Special Condition A. (2.) has been revised. The narrative was edited to update this condition to the current required text. If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter. This request must be in the form of a written petition, conforming to Chapter 150E of the North Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail. Service' Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding. Page 1of2 1617 Mail Service Center, Raleigh, North -Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-64951 Customer Service: 1-877-623-6748 Internet: http:/ / h2o.state.nc.us / • An Equal Opportunity 1 Affirmative Action Employer NorthCarolina� /'s?aturaiij Please note that this permit is not transferable except after notice to the Division. The Division may require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management Act or any other federal or local governmental permits that may be required. If you have any questions concerning this permit, please contact Ron Berry at telephone number (919) 807-6396. Sincerely Coleen H. Sullins Attachments Cc: Raleigh Regional Office/Surface Water Protection Section (email) Central Files NPDES Unit Page 2 of 2 Permit NC0050661 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, the Town of Macclesfield is hereby authorized to discharge wastewater from a facility located at the Town of Macclesfield WWTP NCSR 1109 Macclesfield, NC Edgecombe County to receiving waters designated as Briery Branch in the Tar -Pamlico River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become February 1, 2010. This permit and authorization to discharge shall expire at midnight on September 30, 2014. Signed this day January 12, 2010. {L; •• Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Permit NC0050661 4 , SUPPLEMENT.TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein. The Town of Macclesfield is hereby authorized to; 1. Continue to operate an existing 0.175 MGD wastewater treatment facility with the following components: Bar screen Parshall flume with influent flow meter Collection sump with influent pumps Influent composite sampler Grit removal system Oxidation ditch Aerobic sludge digester Clarifier Tertiary filters Chlorine contact chamber with chlorination Post aeration Dechlorination Effluent flow meter Effluent composite sampler Four drying beds This facility is located at the Macclesfield WWTP south of Macclesfield on NCSR 1109 in Edgecombe County. 2. Discharge from said treatment works via outfall 001 at the location specified on the attached map into Briery Branch, classified C, NSW waters in the Tar -Pamlico River Basin. and has; 3. An approved reuse water field irrigation permit, WQ0018857, and support equipment which is not in service at this time. USGS Quad: E28NW Fountain, NC Outfa II Facility Latitude: 35° 44' 42.3" 35° 44' 41.4" Longitude: 77° 3958.6" 77° 39' 59.7" • Stream Class: C, NSW Subbasin: 03-03-03 HUC: 03020103 Receiving Stream: Briery Branch Town of Macclesfield WWTP NC0050661 Edgecombe County Permit NC005066 1 A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: EFFLUENT CHARACTERISTICS ' EFFLUENT LIMITS MONITORING REQUIREMENTS Monthly Average Weekly Average Daily Maximum Measurement Frequency Sample ' Type Sample Location 1 Flow 0.175 MGD Continuous Recording Influent or Effluent pH Not greater than 9.0 S U. nor less than 6.0 S.U. Daily Grab Effluent Temperature , °C Daily Grab _ Effluent Temperature, °C Weekly Grab Upstream & Downstream Total Residual Chlorine (TRC) 2 17 µg/L 2/Week Grab Effluent BOD, 5-day (20°C) 3 (April 1- October 31) 6.0 mg/L 9.0 mg/L Weekly Composite Influent & Effluent BOD, 5-day (20°C) 3 (November 1- March 31) 8.0 mg/L 12.0 mg/L Weekly Composite Influent & Effluent Total Suspended Solids (TSS) 3 30.0 mg/L' 45.0 mg/L Weekly Composite Influent & Effluent Ammonia as nitrogen (NH3-N) (April 1- October 31) 2.0 mg/L 6.0 mg/L Weekly Composite Effluent Ammonia as nitrogen (NH3-N) (November 1- March 31) 3.0 mg/L 9.0 mg/L Weekly Composite Effluent Dissolved Oxygen (DO) Not less than 6.0 mg/L, daily average Weekly Grab Effluent Dissolved Oxygen, mg/L (DO) Weekly Grab Upstream & Downstream Fecal Coliform (geometric mean) 200 / 100 mL 400 / 100 mL Weekly Grab Effluent Nitrite/Nitrate Nitrogen, mg/L (NO2-N + NO3-N) 2/Month Composite Effluent Total Kjeldahl Nitrogen, mg/L (TKN) 2/Month Composite Effluent Total Nitrogen, mg/L TN = (NO2-N + NO3-N) + TKN 2/Month Calculated Effluent Total Phosphorus , mg/L (TP) 2/Month Composite Effluent Footnotes: 1. Upstream = at least 100 feet upstream from the outfall. Downstream = at least 300 feet downstream from the outfall. 2. Total Residual Chlorine compliance is required for chlorine or chlorine derivative used for disinfection. The Division shall consider all effluent TRC values reported below 50 ug/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 uglL. 3. The monthly average effluent BODS and Total Suspended Residue concentrations shall not exceed 15% of the respective influent.value (85% removal). There shall be no discharge of floating solids or visible foam in other than trace amounts. Permit NC005066 1 A. (2.) NUTRIENT REDUCTION REQUIREMENT Dischargers to the Tar -Pamlico River are subject to the requirements, terms and conditions, of the Tar -Pamlico Nutrient Sensitive Waters Implementation Strategy: Phase III adopted April 14, 2005 (Strategy). Non-members of the Tar -Pamlico Association (Association) will maintain or receive permit effluent limits for Total Nitrogen and for Total Phosphorus concentrations as defined in the Strategy. Any revisions to the Strategy during the life of this permit are applicable. If requirements other than those listed in this permit are adopted as part of a revision of the Strategy, the Division reserves the right to reopen this permit to include these requirements. If requirements other than those listed in this permit are adopted to prevent localized adverse impacts to water quality, the Division reserves the right to reopen this permit and include those requirements. DENR/DWQ FACT SHEET FOR NPDES PERMIT DEVELOPMENT NPDES No. NC0050661 r.• ace rin o i t o °' Applicant/F'atmty Namec: Town of Macclesfield WWTP ApplicantAddr=ess: ,.=w ....! P.O. Box 185; Macclesfield, North Carolina 27852 Facility- Address.. 771 S. Fountain Road; Macclesfield, North Carolina 27852 Permitted flow ' 0.175 MGD Type of Waste: domestic Facility/Perjrnit:;Status: Class II /Active; Renewal County: :) `...,, „ Edgecombe County Miscellaneous Receiving -Stream:•.-' . Briery Branch Stream Classification: ;, C, NSW Subbasin: ; 03-03-03 Index No . 28-83-4-1-1 HUC: l = -` 03020103 • Association; Member? -: No Drainage Area mil); NA 303(d)Listed?,, ; No Summer, 7010 (cfs).` ... NA , Regional._Office: ' .. State Grid,/f USGS , Quad: :.. `. Washington E28NW Fountain, NC Winter. 7Q10 (cfs): •• . ':.... _ NA 30Q2. (cfs). NA : Permit -Writer:.:•. . . Ron Berry Average Flow (cfs)..,' .. ;, NA Date:• .. 11/3/09 IWC (%): ' NA ., _._.. BACKGROUND The Town of Macclesfield operates a 0.175 MGD wastewater treatment facility that serves ; 4, the Macclesfield community with an estimated population of 452. Macclesfield Plant discharges treated 100% domestic wastewater to Briery. Branch, a class C, NSW water in the Tar Pamlico River Basin. Untreated domestic waste passes through a bar screen and influent flow meter channel before collecting in an influent sump. A composite sampler collects influent. Sodium hydroxide is added to the sump for pH control. Pumps transfer the wastewater through a grit removal system and into the oxidation ditch. The wastewater flow continues to the clarifier, the tertiary filters, and the chlorine contact chamber where chlorine is injected. As the treated wastewater flow leaves the chamber dechlorination is conducted. The flow then passes through an effluent meter, mud well, and through a pipe to the receiving stream. An effluent composite sample is taken at the effluent flow,meter. Sludge is routinely removed from the clarifier and sent to the sludge digester. As needed sludge is pumped from the digester to drying beds where a contractor will pick up the sludge for disposal off site. Backwash water from the filter is recycled. As an alternative the facility has a permit for spray irrigation of the treated effluent. HISTORY An expedited authorization to construct for dechlorination was issued in 2006. The facility also has a permit for reclaim water spray irrigation for 2.8 acres, WQ0018857. Any treated wastewater applied via the spray irrigation permit must meet reuse water standards. VIOLATIONS During the current permit cycle (September 2004 to present) multiply limit violations under 5 effluent parameters have occurred. Enforcement actions and penalties were assessed and paid. Ammonia as nitrogen and BOD compliance continue to be issues. Fact Sheet' NIMES NC0050661 guar. 1 Af7 PERMITTING STRATEGY This facility was assigned BOD limits and ammonia as nitrogen limits based on a previous approved allocation for a permitted flow of 0.175 MGD. Effluent standard limits for TSS, 85% removal of BOD and TSS, pH, and Fecal Coliform were also applied. A water quality based DO limit was imposed. There is no IWC available. The ammonia as nitrogen limits also met toxicity requirements so no additional toxicity test was required. The ammonia as nitrogen and BOD limits were further refined for seasonal variance in February 2000. Weekly average limits for ammonia as nitrogen and TRC compliance timeline were added in October 2004. There are no industrial sources or pollutants of concern requiring RPA. There has been no change in the permitted flow or allocations. Total Phosphorus and Total Nitrogen were monitored to comply with the NSW classification. Temperature was monitored. The existing permit conditions and requirements will be carried forward with the appropriate narrative revisions. Data review DMRs were reviewed for the period of June 2007 to July 2009. DMR data is summarized in Table I and 2 below: Flow* (MGD) Dissolved Oxygen (mg/L) BOD* (mg/L) TSS* (mg/L) NH3-N* (mg/L) Fecal Coliform* (#//100 ml) Total Residual Chlorine (µg/L) Average 0.0660 8.18 3.12 12.65 1.94 61.7 17.9 Maximum 0.092 11.7 13.4 50.0 7.0 6000 38 Minimum 0.046 6.4 1.0 < 1 0.2 < 1 1 *Value is a monthly average Percent Removal: Based on BOD 93.6% - 99.6%, Based on TSS 50.3% - 98.0% Table 2 pH (S.U.) TP (mg/L) TN (mg/L) Temperature (°C) Average 7.31 5.34 35.19 19.66 Maximum 9.0 8.0 59.0 29.0 Minimum 6.1 2.7 1.3 7.9 Instream Data Impact Temperature and Dissolved Oxygen are measured routinely at designated points upstream and downstream from the discharge into Briery Branch. The June 2007 through July 2009 data was reviewed and no coorelation was noted. Briery Branch consistently showed very low dissolved oxygen levels, upstream and downstream. SUMMARY OF PROPOSED CHANGES In keeping with Division policies the following will be incorporated into the permit: • The Total Chlorine Residual footnote narrative will be revised to reflect the conditions, reporting, and measurement criteria. • The equipment list on the Supplemental page will be revised to include dechlorination. • The TN monitoring will be revised to include reporting of Nitrite/Nitrate nitrogen and Total Kjeldahl nitrogen. • The Nutrient Reduction Requirement narrative will be revised to include the current approved text. • The supplemental page will be revised to include text for WQ0018857. PROPOSED SCHEDULE FOR PERMIT ISSUANCE Draft Permit to Public Notice: November 4, 2009 Permit Scheduled to Issue: .. December 2009 NAME: 'C v,.‘ 'Y-y DATE: t/(- -) ) C( Fact Sheet NPI7I S'NC0050661 AFFIDAVIT OF PUBLICATION NORTH CAROLINA. Wake County. ) ss. Public Notice North Carolina Environmental 'Management CommissioniNPDES Unit 1617 MailServiceCenter, Raleigh, NC 27699-1617 Notice of Intent to Issue a NPDES Wastewater Permit• The North Carolina Environmental Management Commission proposes to issue a NPDES wastewater discharge permit to the person(s) listed below. Written comments regarding the proposed permit will be accepted until 30 days after the publish date of this notice. The Director of.ihe NC Division of Water Quality (DWQ) may hold a public hearing should there be a significant degree of public interest. Please mall comments and/or information requests to. DWQ at theabove address. Interestedpersons may visit the DWQ at 512 N. Salisbury Street, Raleigh, NC to review information on file. Additional Information on NPDES permits and this notice may be found on our website: www.ncwaterquality.org, erbycalling (919) 807-6304. NPDES Permit Number NC0025241, Orange Water and Sewer Authority - -Mason Farm WWTP, 'Orange County, has applied. for modification of ifs permit discharging treated wastewater to Morgan- Creek in the Cape Fear River Basin. The facility is requesting expansion of its design flow from.12 MGD 10 14.5 MGD. Currently CBOD, NH3, Total residual chlorine, fecal coliform and total phosphorus are water qualify limited. This discharge may affect future allocations in this portion of the receiving stream. Halifax County Schools requested renewal of permit NC0038610for Pittman Elementary School WWTP In Halifax County. This permitted facilitydischaroes treated wasiewoterto an unnamed tributary to Burnt Coal Swamp, In the Tar -Pamlico River Basin. — Halifax Caunfy Schools requested renewal of permit NC0038580 for Eastman Middle School WWTP in Halifax County; this permitted discharge is treated wastewater -to an unnamed tributary_ to Little Fishing Creek in the.Tor-Pamlico River Basin.. Halifax County Schools requested renewal of permit NC0038644 for Dawson Elementary School WWTP in Halifax County; this permitted discharge Is treated wastewater to an unnamed tributary to Deep Creek, Tar -Pamlico River Basin.. Chowan County (P.O. Box 1030, Edenton, NC 27932) has applied for renewal of NPDES Permit N00032719 for the Valhalla Water Treatment Plant in Chowpn County. This permitted facility. discharges treated wastewater to Rockyhock Creek in the Chowan River Basin. Currently total residual chlorine and total chloride are water quality limited. Thisdischarge may affect future allocations in this portion of the Chowan River Basin. Unifl-Kinston, LLC, 4693 Hwy 11 North, Kinston, NC 28502, hos applled.for a modification of its NPDES permit (NC0003760) discharging treated industrial wastewater to the Neuse River in the Neuse River Basin. The NPDES permit is being modified fo include the discharge ofstormwaterand low -flow landfill leachate. This discharge may affect future discharges in this portion of the river basin Durham County, Triangle WWTP, NC0026051, has applied for an NPDES permit renewal. This facility discharges to Northeast Creek In the Cape. Fear River Basin. Currently BOD and ammonia are water quality limited. This discharge may affect future discharges in this portion of the.receiving stream.. ,... The City of Durham, 101 City Hall, Plaza, Durham, NC 27701 has applied for renewal of NPDES permit N00047597 for its South Durham Water Reclamation Facility in Durham County. This permitted facility discharges treated wastewater to an unnamed tributary to New Hope Creek in the Cope Fear River Basin: Currently, BOD, ammonia nitrogen, total residual chlorine, total phosphorus, and total nitrogen are water quality limited. This discharge may affect future allocations in this portlon of the watershed. Town of Macclesfield has requested renewal of permit NC0050661 for the Macclesfield WWTP in Edgecombe County. This permitted discharges Is treated domestic wastewater to Briery Branch In the Tar -Pamlico River Basin. Fearrington Utilitles, Inc. (2000 Fearrington Village, Pittsboro, NC 27312) has applied for renewal of NPDES permit number NC0043559 for the Fearrington Village WWTP in Chatham County. This permitted facility discharges filter -backwash wastewater to in the Bush Creek in the Cape Fear River Basin. Some parameters may be water quality limited, which may affect future allocations in this portion of the Cape Fear River Basin. Aqua North Carolina (202.MacKenan Court, Cary, North Carolina.27511) hasapplied for renewal of NPDES permit NC0056413 for Chatham Water Reclamation Facility (formerly Carolina Meadows,WWTP)In Chatham County. This .permitted facility currently discharges 180,000 gallons per day treated wastewater into Morgan Creek in the Cape Fear River. Basin. Currently, BOD, ammonia nitrogen, and total residual chlorine are water quality limited. This discharge mayaffect future allocations in this portion of the Cape Fear River Basin,. . City ofBurlington((P.O. Box 1358, Burlington, NC 27216-1358), has applied for renewal of N P DES permit number N00023876 for the South Burlington WWTP. This permitted facility discharges treated wastewater to the Big Alamance Creek In the Cape Fear River Basin, Some parameters may be water gUallty limited, which may affect future allocations in this portion of the Cope Fear River Basin. City of Burlington, NPDES permit N00023868, has applied for renewal of Its permit discharging to the Haw River in the Cape Fear River Basin. BOD, ammonia, total residual chlorine and total phosphorus are water quality limited parameters. This discharge may affect future allocations Into the receiving stream, City of Mebane, permit No. NC0021474, has applied for renewal of its permit discharging to Moadams Creekin the Cape Fear River Basin. BOD,.ammonia, total residual chlorine, fluoride.and mercury are water quality limited parameters. This discharge may affect future allocations in this portion of the receiving stream. The City of Graham, NPDES permit N00021211, has applied for renewal of its permit • discharging to the Haw River In the Cape Fear River Basin. BOD, ammonia, total residual chlorine and total phosphorus are water quality limited. The discharge may affect future allocations in this portion of the receiving stream. N&0: November 7, 2009 ��. Before the undersigned, a Notary Public of Chatham County North Carolina, duly commissioned and authorized to administer oaths, affirmations, etc., personally appeared Deborah McCullers, who, being duly sworn or affirmed, according to law, doth depose and say that she is Accounts Receivable Specialist of The News and Observer a corporation organized and doing business under the Laws of the State of North Carolina, and publishing a newspaper known as The News and Observer, in the City of Raleigh , Wake County and State aforesaid, the said newspaper in which such notice, paper, document, or legal advertisement was published was, at the time of each and every such publication, a newspaper meeting all of the requirements and qualifications of Section 1-597 of the General Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1- 597 of the General Statutes of North Carolina, and that as such she makes this affidavit; that she is familiar with the books, files and business of said corporation and by reference to the files of said publication the attached advertisement for NCDENR/ DWQ/ SURFACE WATER was inserted in the aforesaid newspaper on dates as follows: 11/07/09 Account Number: 80763820 he books and files of the aforesaid Corporation and publication. 1-Q11r0-,J, �CLkEdw Deborah McCullers, Accounts Receivable Specialist Wake County, North Carolina Sworn or affirmed to, and subscribed before me, this 09 day of NOVEMBER , 2009 AD ,by Deborah McCullers. In Testimony Whereof, I have hereunto set my hand and affixed my official seal, the day and year aforesaid. Janet Scroggs, Notary Public My commission expires 14fh of March 2014. Oct 23 09 01:50p p.3 Sludge Management consists of four drying beds. After Sludge dries properly we contract local trucks to haul to 3026 East Carolina Environmental LF, Bertie County. Sincerely, (-5:1.e a c �'cz /� , G geot./ for I.. r" U. -/cr I 1. Influent Pump Station 2. Grit Chamber 3. Oxidation Ditch 4. Clarifier 5. LAB & Filter Building 6►. Digester 7. Filter Bed 5. Conta+ t Chamber 9. Mud Well 10. Effluent 11. Spray irrigation Pump Station ' ''3:Wat7c'IV,,VWMVgMrit'rk.'triMqI'ghVFP;FWITefOtgqj*;WPD.InztWRqrFdli,.;IRWVFMI'R.NNL%ffPW,NRPgF;YR.ZWMW.PWigWcflgj)WPRfAtggazWli •ffeRTAMPrii Menu Q_ • a_ a) cn Cr) C1.1 IN it 1 I T44 e .2.. .4. ,•44. gig...‘f. • ' Macclesfield Comm FILTERS 0 Plant Process Diagram PLANT , WASTED SLUDGE PUMP No, 1 P .35i' '4 fii;t+ 2.4•kipis t e pCrLrivitt rttutlr C- ftLitA-LI FCEDER- ;t 'A• , • • •t•Frofi .14 • ErFt.UENT''.: D83 PVIC,4r) • ij a Pih e'r 4.) Macclesfield WWTP Process 0 DJRB6K71 10/21/09 12:06 FACILITY NAME AND PERMIT NUMBER: i APPLICATION OVERVIEW Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 MGD must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow >_ 0.1 M I reat ent ohIt greater than or equal to 0.1 million gallons per day must complete questions B.1 thr C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: MAR 1 1 2009 D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface t iko%tF�Q yIpiic+�at�pgd���l�/ one or more of the following criteria must complete Part D (Expanded Effluent Testing �I�//�j �I� UH 1 1. Has a design flow rate greater than or equal to 1MGD, POINT SOURCE BRANCH 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data): 1. Has a design flow rate greater than or equal to 1 MGD, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to submit results of toxicity testing. F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any significant industrial users (Sills) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or c. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT NUMBER: (VC COS O 10u)f) 0-F Om ks!.`e/ci PERMIT ACTION REQUESTED: 1 e �e)a16, RIVER BASIN: 3r,: A` +,_ - r-,. s:. qi 1 ..Y, r . 'a'.-'''4.• t -''33`., '' :-• ,,a...„k;.;,r.- BASI{q. � P_PLC• TIOtYry�� -ORM T O ,. ;-a w.,- ti, . i ',, tr q� Y k r �: : q:i¢ri:,+�+.: -a!'7: -t:,: �.•-ra!F��ya 3t-jx':.F,-ae..irTt7';i..r ii,: �>73•.. .t .L x-:a>s•,.a7.,t. a`•-.ixrP,.:�-`'..�titiri 3v"».n:o:�,:��.'�:. r.1'�' - ,:roc: .r�'„�. �{. •:•. n��j./,:r4 - e'� :.. A.yL ! .'d'� - f - x � 5 i ����'%d� %G'�1 �f' o,��.iL�..,(i•. 'f���.I �yyy�.c 7...J � 7y, �i"'�,!�[� , .} 1,, P RT; rV .BA� r7 It T D tj MI4.ATIONF R ALL.AP. P:L�CA�IVI; ° .- ge,.. ' i-�1 a / n 7 T . , 4: -•. All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet. A.1. Facility Information. Facility Name r O. aaCe/e5f; e /i Mailing Address fi 0, 6or / 0,s- ae ftsr/eid ive. Goes a Contact Person / 0 / ` 1 P / 1 ? el Title of • 4 n Telephone Number l L9 _/ " 4,023 �.�fy Facility Address Pi ! 1 8 F0111/ h h i►) ooGf (not P.O. Box) ()a 0(1) e. cA,eI / Y • r rJ I 05 7 A.2. Applicant Information. If the applicant is different from the above, provide the following: • Applicant Name Mailing Address • Contact Person . Title • Telephone Number ( ) • Is the applicant the owner or operator (or both) of the treatment works? to the facility or the applicant. existing environmental permits that have been issued to the treatment works K PSD Ild' over • operator Indicate whether correspondence regarding this permit should be directed • facility Vi<alicant A.3. Existing Environmental Permits. Provide the permit number of any (include state -issued permits). • I NPDES fY2. 0050 ca& I UIC Other • RCRA Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership i &a of P i el. 'p (d Lisa 55n I -fir • se&gr Mon i5[,2 ksf ¢a Total population served 4 5 ? NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT NUMBER: NGC7l (o(ol Thoa or omaesi;tici A.5. Indian Country. a. Is the treatment works located In Indian Country? PERMIT ACTION REQUESTED: ler)e.14)(4 RIVER BASIN: ❑ Y� 12-� b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes A.6. Flow. indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period with the 12th month of "this year occurring no more than three months prior to this application submittal. a. Design flow rate 1 / /J MGD Two Years Apo Last Year This Year b. Annual average daily flow rate . [ ) & 7 c. Maximum daily flow rate A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. 114'Sgparate sanitary sewer /00 ❑ Combined storm and sanitary sewer . A.8. Discharges and Ot er Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? Il31 ❑ No f following t es of discharge points the treatment works uses: If yes, list how many of each of theyp g 1. Discharges of treated effluent II. Discharges of untreated or partially treated effluent. Ili. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) v. Other b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes If yes, provide the following for each surface impoundment: Location: Annual average daily volume discharge to surface impoundment(s) Is discharge ❑ continuous or ❑ intermittent? c. Does the treatment works land -apply treated wastewater? If yes, providl the following for each land application site: Location: Number of acres: ❑ Yes VINT MGD Annual average daily volume applied to site: MGD Is land application ❑ continuous or ❑ Intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment woks? • El❑Ne" Yes -' NPDES FORM 2A Additional Information FACIUTY NAME AND PERMIT NUMBER: P406 of f/MJ .cf` € 1 aeotsew ReAPAA1LI PERMIT ACTION REQUESTED: RIVER BASIN: 4-7-0 If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). If transport is by a party other than the applicant, provide: Transporter Name Mailing Address Contact Person Title Telephone Number ( ) For each treatment works that receives this discharge, provide the following: Name Mailing Address Contact Person Title Telephone Number ( ) If known, provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily flow rate from the treatment works into the receiving facility. MGD e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes If yes, provide the following for each disposal method: Description of method (including location and size of site(s) if applicable): Annual daily volume disposed by this method: Is disposal through this method ❑ continuous or ❑ intermittent? NPDES FORM 2A Additional Information ittv5ah,1 critda or dlades,rw . WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not include Information on combined sewer overflows in this section. If you answered "No" to question, A.B.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 MGD." FACILITY NAME AND PERMIT NUMBER: PERM T ACTION REQUESTED: eno,s_da .4 RIVER BASIN: A.9. Description of Outf all. a. Outfall number b. Location 1 �u)n pP c9/i S.Sa (City or tgwn, if applicable) (County) �(Zip Code) (State) (Latitude) c. Distance from shore (if applicable) d. Depth below srface (if applicable) e. Average daily flow rate f. Does this outf�II have either an intermittent or a periodic discharge? i If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: A.10. Description of Receiving Waters. - Dp /� y 7 �j a. Name of receiving water { /�/ C.. / b. Name of watershed (if known) (Longitude) ft. ft. MGD ❑ Yes ❑ No (go to A.9.g.) MGD Months in whim discharge occurs: 1 g. Is outfail equipped with a diffuser? ❑ Yes 0 No YtAkWI ile- l 6 United States Soil Conservation Service 14-digit watershed code //(if rr known): c. Name of State Management/River Basin (if known): / L4 k United States Geological Survey 8-digit hydrologic cataloging unit code (if known): d. Critical low flovy of receiving stream (if applicable) acute cfs chronic cfs e. Total hardness! of receiving stream at critical low flow (if applicable): mg/I of CaCO3 NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT NUMBER: ,,_,,,./' A p 0(0) e'.1-. r" 11/6 00.)&61 PERMIT ACTION REQUESTED: iq C. ae, .1-,ee / RIVER BASIN: ---/-2' 4' A.11. Description of Treatment a. What level of2.!_gatment are provided? Check all that apply. nmary ❑ Secondary ❑ Advanced ❑ Other. Describe: b. Indicate the following removal rates (as applicable): Design BOD5 removal or Design CBOD5 removal Design SS removal % Design P removal % Design N removal Other 0/0 c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: dti irf- I a -e_ If disinfection is by chlorination is dechlorination used for this outfall? 0 Yes ¢Pdcr--- Does the treatment plant have post aeration? es 0 No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart. Outfall number: / PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE Value Units Value Units Number of Samples pH (Minimum) ( s.u. r7 pH (Maximum) � s.u. �G.G%% 1/A Flow Rate ; 1 ',S„?J h Temperature (Winter) Temperature (Summer) ' For pH please report a minimum and a maximum daily value POLLUTANT MAXIMUM DAILY DISCHARGE AVERAGE DAILY DISCHARGE ANALYTICAL METHOD ML/MDL Conc. Units Conc. Units Number of Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN DEMAND (Report one) BOD5 CBOD5 FECAL COLIFORM TOTAL SUSPENDED SOLIDS (TSS) END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT ra of[oith5P;k/ NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: -�< ,, 7,, ,,, ,yt1 ..f�+a!`I' .r: C-,•' i�- r..r-. r l.`,, -•w;.0 ,. 4�:9'� r„[ :�^�. v44.[•s ; ';' .. ¶ " •iv a.` 4 .- :-i::. t :-.irA'`•�," "rc.t7r%; �;.�r+a: -4.t. f,'.,a2::X1;7!_.�.. .:!t' :n>• .•ya 2'!,:.er,.,..,r..'. .��" .43 i... n 4..,F.�y... t.•♦ -. 3- v'S' .j t •� i r c , 2 ia'! �' . ' h. .i y , '3:i u .Y t 24; 'BA I 'PPLICATI `INFORMA ION <�h, � : ,,,, _ •,[.. R.� x�:w ;... r • ::z S4� ,�. -. tie,f - 1r f .(� L _ 4 :+L. :'. .3y i..:,•. M1iL.I g, ig - ,,z., " '1 . : ri. L .. -;' i�.de -,,, f _:l' Vf .f... JS 'M.. ��r,'��'1f�' t�, t 7�'f. 'S."Y•q. '1. .A. ��?+��� �'�� , 2.N��+] ,t`h.'. ' i'.�, eJ'� 2 Y .k4 �tJ��t O ;�i i 4 t� �Yy�R_Ri""i , }t�tL. `t r.. - .. .. •- .._ -.,'r�:.,�.>... �?:5�,�s;e�F..:).!.4�—;•?�ft..,t...., .:..-�r�� ,. _ .-9....xu..... ... - : �_,. ... . .� ... ,,..:. n.,.,..,n �..... .....�... ... �i-^ PART -B: `=�2'41ADDITI u'`ti wch, :•ga. , 7 M 'n , EQUAL S '' e `'..�- }'�'Y.-^. �,�'. i�tlQ�vA':'7-: 14Yi7iK�7 NAL-APRL' ICATIO INFO RMATION FOR AP LICANT�S W TH A; DESIGN; FLOW GREATER THAN QF , - r_,s -cFzt- 3 `.• "`rroS� 11�, f 7•01* �vr 'A a. .A. ttriZ•-. , }. —s, } - r.i% . ..,e . i..s l:(C9..",;ice :'�f. .JV'CIk'i:.. :t,y, ! _J`S�I^FC :,..yY41"f} y'.'� YiVise.Yf�t ail .[�"'t.5 .Gt j ' 7 t. It 5 p O:: MGD. l00i000, allons- r da�/1. v44 :, � ¢Y�ry�� • :r�..r-� , . La. a •.:. i 7 .,::.r. .� i:7 , ..- 47'..j'.a, '�'i i„a. r" : V}sty 'Y r . , ...t -a. i. ;$i,'ti. .:'1'"�"'t.�. �i.. .t. .... i�Y.t\a �'-.:1��a4. cX_ .. _. , +a.... •!7••. A{+..: :.... i-...- .. . .%. .� �.'• �..�t..,. r.. . )'* . .. All applicants with a design flow rate z 0.1 MGD must answer questions B.1 through B.6. All others go to Part C (Certification). ' B.1. Inflow and Infiltration. Estimate the average number of gallons per day GPD that flow into the treatment works from inflow and/or infiltration. . Briefly explain any i ps underway or planned to minimize inflow and infiltration. • B.2. Topographic' Map. map must show the area.) a. The area surrounding b. The major pipes' treated waste 1 c. Each well where d. Wells, springs, other works, and 2) Used 1 e. Any areas where f. If the treatment works or special pipe, Show B.3. Process Flow Diagram backup power sources chlorination and dechzlorination). rates between treatrrient B.4. Operation/Maintenance Are any operational 'or contractor? If yes, list the name,'; pages•if necessary).' Name: Mailing Address: Telephone Number. Responsibilities of Cintractor. B.5. Scheduled improvements uncompleted plans f treatment works has for each. (If none, go a. List the outfal Attach to this application a topographic map of the outline of the facility and the following information. the treatment plant, including all unit processes. or other structures through which wastewater enters er is discharged from the treatment plant. Include wastewater from the treatment plant is injected underground. surface water bodies, and drinking water wells in public record or otherwise known to the applicant. the sewage sludge produced by the treatment works receives waste that is classified as hazardous on the map where the hazardous waste enters or Schematic. Provide a diagram showing the or redunancy in the system. Also provide a water The water balance must show daily average units. Include a brief narrative description of Performed by Contractor(s). maintenance aspects (relato wastewater treatment area extending at least one mile beyond facility property boundaries. This (You may submit more than one map if one map does not show the entire the treatment works and the pipes or other structures through which outfalls from bypass piping, if applicable. that are: 1) within '/. mile of the property boundaries of the treatment is stored, treated, or disposed. under the Resource Conservation and Recovery Act (RCRA) by truck, rail, the treatment works and where it is treated, stored, and/or disposed. processes of the treatment plant, including all bypass piping and all balance showing all treatment units, including disinfection (e.g., flow rates at influent and discharge points and approximate daily flow the diagram. and effluent quality) of the treatment works the responsibility of a and describe the contractor's responsibilities (attach additional ■ Yes No address, telephone number, and status of each contractor ( ) and Schedules of Implementation. Provide information on any uncompleted implementation schedule or 9r improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the several different implementation schedules or is planning several improvements, submit separate responses to question B.5 to question B.6.) • number (assigned in question A.9) for each outfall that is covered by this implementation schedule. I b. Indicate whe ❑ Yes; er the planned improvements or implementation schedule are required by local, State, or Federal agencies. ■ No NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT NUMBER: i&n or kiepici,c.rej,itycirrild4fuhJ PERMIT ACTION REQUESTED: RIVER BASIN: C/ a K c. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable). • d. Provide dates imposed applicable. For improvements applicable. Indicate Implementation Stage - Begin Construction - End Construction - Begin Discharge - Attain Operationat e. Have appropriate Describe briefly: by any compliance schedule planned independently dates as accurately as possible. Level permits/clearances concerning other or any actual dates of completion for the implementation steps listed of local, State, or Federal agencies, indicate planned or actual completion Schedule Actual Completion MM/DD/YYYY MM/DD/YYYY below, as dates, as • / / / / / / / / / / / / / / / / Federal/State requirements been obtained? • Yes • No B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD Applicants that discharge to waters of the US must effluent testing required by the permitting authority on combine sewer overflows In this section. All information using 40 CFR Part 136 methods. In addition, this data QA/QC requirements for standard methods for analytes based on at least three pollutant scans and must be Outfall Number: ONLY). provide effluent testing data for the following parameters. Provide for each outfall through which effluent is discharged. Do not include the indicated information conducted other appropriate data must be reported must be based on data collected through analysis must comply with QA/QC requirements of 40 CFR Part 136 and not addressed by 40 CFR Part 136. At a minimum effluent testing no more than four and on -half years old. POLLUTANT MAXIMUM DAILY "' DISCHARGE :V AVERAGE DAILY DISCHARGE ,� , „ , :, : �• ., ANALYTICAL METHOD MLJMDL Conc. Units .. Conc. Units _ Number of .. Samples CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) CHLORINE (TOTAL RESIDUAL, TRC) DISSOLVED OXYGEN TOTAL KJELDAHL NITROGEN (TKN) NITRATE PLUS NITRITE NITROGEN OIL and GREASE - PHOSPHORUS (Total) TOTAL DISSOLVED SOLIDS (TDS) OTHER li J J pert ].. z, , `� 4Y E D� .OF .P_ T B M lPSN .. Y + L SSS -C +Af ` i , t , i� , x- ,.,.„! .,. .a�2 , 3e s_,.... .-,,, £ 3'^ t_.,.s v 4 r �i _ tif ,i REFS_ II TOKTHE. APPLICATION OYERVIEIII �?} ) T DETERMINE WHICH OTHER..PARTS _ r- � �� , }r _ .OF FORM 2A YOU MUST` COMPLETE `. NPDES FORM 2A Additional Information FACILITY NAME AND PERMIT NUMBER: -'/Uab c?F/iboa/(FI(i1cd /YC 7 >/ PERMIT ACTION REQUESTED: n K70='.,t_r 1 RIVER BASIN: c4 K. BASIC APPLICATION INFORMATION PART C. CERTIFICATION • All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicat ich parts of Form 2A you have completed and are submitting: Basic Application Information packet Supplemental Application Information packet: ❑ Part D (Expanded Effluent Testing Data) ❑ Part E (Toxicity Testing: Biomonitoring Data) ❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name and official title ill, ge. 1K -e e / A U `%f J / Signature L'�t {�/ Telephone number C, f, / J ,. 3 Date signed aCif ! ) ,-/—)�� L� o Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 E,..EIVED 1 ENR - WATER QUALITY )INT SOURCE BRANCH NPDES FORM 2A Additional Information ��FACICILITY NAME AND PERMIT NUMBER: /12 / Of litirjesked1 J %o&ficu.iqi PERMIT ACTION REQUESTED: . RIVER BASIN: gc iC. .:'C S `��'1 ,Y,,-� ..!'.• :�' F'ys 1 �""^,�i1: ,Y.:�-i•:..zbj i :E. ,f11 �, �a01- A � h7;J,1ri.s .r! 3 si. -rr ii.'�r "^^y�.n ' � 1'isy. i � .�,+ii� r^�r+t - ti.�;S: �+4 - e- «.ice a n .;...r'�%Yrr. .."11r�, a�'::�C .�� � � j � i- �' 1 �k . �sr�•r:'_�Ax1YC i"���I. 1. 9i d t i l��,y 3, � '.-`c s �..s .�.. ,SUPPLE EN - AL' APPLICATION�INFORMATION ' w''` ' y' ' r; �;,G T -'S :- ..,,. �ru.,"tx , ' � rs. r,s G: X -�3lp•i� •> ary�:k �, t �-' f ='�.w ' � "". �'`"i.,•�L� ,�SM?t .� + �..�� .t +.z..r FRr'='1r"}r.4 ntx {� � + sf. ar; t �g ; A r..-Y1 �- tom. .i+ ,5��• `�'i'. t-..,,,, � 'Sr. d� -.+" ! ��~ a r.. � .. . ...'moo€.-.�i l.._.. .es.s�Fv:' � :-¢ .. :i _... .....s _- �.i _.7.�_.._. .- _ .. - .,. - - - .- : :.-: .. PART D. EXPANDED EFFLUENT. TESTING, DATA . {.- >, � _�{1 j • • r.,. . . •;, Y • ♦ :.,.v.N- ' fir. i.. 'Ya :ra.F xn' •.. �"(` _ r�y'F27 t U..v .l. fl•F f ` Refer to the directions on the cover page to determine whether this section applies to the treatment works. Effluent Testing: 1.0 MGD to have) a pretreatment program, pollutants. Provide the indicated effluent is discharged. Do and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 or is otherwise required by the permitting authority to provide the data, then provide effluent effluent testing information and any other information required by the permitting authority not include information on combined sewer overflows in this section. All information reported must using 40 CFR Part 136 methods. In addition, these data must comply with QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the pollutants not specifically listed in this form. At a minimum, effluent testing data must be based than four and one-half years old. (Complete once for each outfall discharging effluent to waters of the United MGD or it has (or is required testing data for the following for each outran through which be based on data collected of 40 CFR Part 136 and blank rows provided below on at least three pollutant States.) through analyses conducted other appropriate CIA/QC requirements any data you may have on scans and must be no more Outfall number. •POLLUTANT MAXIMUM DAILY DISCHARGE ; AVERAGE DAILY DISCHARGE ANALYTICAL METHOD" MLJMDL Conc. Units Mass Units n Conc ' Units ` Mass- Units Number `- . of : : Samples METALS (TOTAL RECOVERABLE), CYANIDE, PHENOLS, AND HARDNESS. ANTIMONY ARSENIC • BERYLLIUM CADMIUM CHROMIUM COPPER LEAD MERCURY NICKEL SELENIUM SILVER THALLIUM ZINC CYANIDE TOTAL PHENOLIC COMPOUNDS - HARDNESS (as CaCO3) Use this space (or a separate sheet) to provide information on other metals requested by the permit writer • • NPDES FORM 2A Additional Information FACT SHEET —TAR PAM RIVER BASIN REVIEW FOR EXPEDITED PERMIT RENEWALS (Instructions for Permit Writer) u�7 Basic Information to Determine Potential for Expedited Permit Renewal Reviewer s / Date: () �Ps 1 30/0� `heck " Correct Permit Number: NC0050661 ,--- Facility Name: Macclesfield WWTP t- Sub-basin number: 03-03-03 L — Receiving Stream: Bynum/Mill Creek ,� Permit Stream Classification: C, NSW Public WWTP Private WWTP WTP Industrial Other * If WTP, add permitted flow limit(MGD): CONY GREEN RQ SAND IE Pretreatment? YES (1i (If YES then contact PERCS for data RPA) TRC limit/footnote? YES/ADD** 0 (If in permit edit FOOTNOTE see TRC FOOTNOTE text) WET testing/footnote? YES/ADD** (9 (If in permit edit SPECIAL CONDITION see WET language text, check FOOTNOTE) NH3 limit? YES/ADD** ® (If in permit check, edit LIMIT for applicable LIMITS categories, monthlyhveekly or weekly/ daily) ** IWC evaluation needed? YES v& IWC calculation in file? YES NO ***Association member? YES (Check, edit SPECIAL CONDITION and FOOTNOTE as warranted) * * *Instream monitoring? YES NO (Check, edit FOOTNOTE where warranted) Permit Special Conditions? YES/ADD NO (Iffacility SPECIAL CONDITIONhasBACKUP and FOOTNOTECHLORINATIONsee text) 303(d) listed? NO Watch Listed? YES No Permit MODs since last renewal? YES NO Compliance issues? YES No Existing expiration date: 9/30/2009 Next cycle expiration date: 9/30/2014 Miscellaneous Comments * Apply WTP Permitting Strategy, WET may be required * * IWC requires 7Q10 flow data, check with Basin Coordinator for best source *** Members now in Phase III, members have wavier on instream monitoring Select Expedited Catergory That Applies To This Permit Renewal SIMPLE EXPEDITED - administrative renewal with no changes, or only minor ❑ changes such as TRC or ownership change. Includes conventional WTPs (does not include permits with Special Conditions, Reverse Osmosis, or Ion -exchange WTPs). COMPLEX EXPEDITED - includes Special Conditions such as EAA, Wastewater Management Plan, 303(d) listed, toxicity testing, instream monitoring, compliance concerns, edit NH3 limit, phased limits, stream re -class, association membership). NOT EXPEDITED - Mark all of the following that apply: ❑ Major Facility (municipal/industrial) ❑ Permitted flow > 0.500 MGD (requires full Fact Sheet) ❑ 0 Minor Municipal with Pretreatment Program (SIUs) ❑ ..Minor Industrial subject to Federal Effluent guidelines ❑ Limits based on RPA (toxicants/metals, GW remediation for organics) ❑ Other ID/ 2009 Tar Pam Basin Permit Review/Shared Drive/Lumber Basin