NC0021628_Permit (Issuance)_20081230

WDES DOCUWENT SCAMMIM-0 COVER SDEET
NPDES Permit: NC0021628
Norwood WWTP
Document Type: Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Speculative Limits
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: December 30, 2008
This documeat is priated oa reuse Paper-igaore aay
coateat on the reverse side

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Coleen H.Sullins, Director
December 30, 2008
Mr. Dwight Smith
Town Administrator
P.O. Box 697
Norwood,N.C. 28128-0697
Subject: Issuance of NPDES Permit NC0021628
Norwood WWTP
Stanly County
Dear Mr. Smith:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly,we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to
the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between
North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended).
This final permit includes the following change from the draft permit sent to you on
November 5, 2008:
➢ The description of the dechlorination system has been corrected,per your request.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty(30)
days following receipt of this letter. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes,and filed with the Office of Administrative Hearings
(6714 Mail Service Center, Raleigh,North Carolina 27699-6714). Unless such demand is made,this
decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain 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 permit that may be required. If you have any questions concerning this permit, please
contact Charles Weaver at telephone number(919) 807-6391.
Sincerely,
Jo
/
, 4ttA
leen H. Sullins
cc: Central Files
Mooresville Regional Office/Surface Water Protection
NPDES Unit
Aquatic Toxicology Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarohna
Phone: [phone]/FAX [phone]/Internet:www.ncwaterquality.org Naturally
An Equal Opportunity/Affirmative Action Employer-50%Recycled/10%Post Consumer Paper

i
Permit NCO021628
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 Norwood
is hereby authorized to discharge wastewater from a facility located at
Norwood WWTP
U.S. Highway 52 South
Norwood
Stanly County
to receiving waters designated as Rocky River in subbasin 03-07-14 of the Yadkin — Pee
Dee 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 effective February 1, 2009.
This permit and authorization to discharge shall expire at midnight on January 31, 2014.
Signed this day December 3 , 2008
UVVI "
1 en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO021628
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 Norwood is hereby authorized to:
1. Continue to operate an existing 0.75 MGD wastewater treatment facility with the
following components:
Flow splitter box
Dual bars screens (one mechanical and one manual)
Grit chamber
• Parshall flume
Ultrasonic flow recorder with totalizer
Dual [concrete-lined] aeration basins with floating surface aerators
Dual secondary clarifiers
Chlorine contact basin with gaseous disinfection facilities
Sodium bisulfite dechlorination
Two sludge drying beds
Stand-by power generator
The facility is located at Norwood WWTP, U.S. Highway 52 South, Norwood, Stanly
County.
2. Discharge from said treatment works at the location specified on the attached map
into the Rocky River, currently classified C waters in subbasin 03-07-14 of the
Yadkin — Pee Dee River Basin.

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Discharge Location
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Norwood WWTP - NCO021628 Facility
Location •
USGS Quad Name: Mt. Gilead West Lat.: 35'11'35"
Receiving Stream: Rocky River Long.: 80006'45"
Stream Class: C
Subbasin: Yadkin-03-07-13 North IF Not to SCALE

Permit NC0021628
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the 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:
PARAMETER LMTS MONITORING REQUIREMENTS
Monthly Weekly Daily Measurement Sample Sample
Average Average Maximum Frequency a Location
Flow 0.75 MGD Continuous Recording Influent or Effluent
BOD51 30.0 mg/L 45.0 mg/L 3Meek Composite Influent&Effluent
Total Suspended Solidsl 30.0 mg/L 45.0 mg/L 3Meek Composite Influent&Effluent
NH3-N Weekly Composite Effluent
Fecal Coliform 200/100 ml 400/100 ml 3Meek Grab Effluent
(geometric mean)
Total Residual Chlorine 2 28 pg/L Weekly Grab Effluent
Temperature°C 3Meek Grab Effluent
pH >6.0 and<9.0 standard units 3Meek Grab Effluent
Total Nitrogen Quarterly Composite Effluent
(NO2+NO3+TKN)
Total Phosphorus Quarterly Composite Effluent
Chronic Toxicity3 Quarterly Composite Effluent J
�1
Notes:
1. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed 15%
of the respective influent value(85%removal)
2. The Permittee shall report all effluent TRC values reported by a NC-certified laboratory [including.
field-certified]. Effluent values below 50 µg(L will be treated as zero for compliance purposes.
3. Chronic Toxicity(Ceriodaphnia) P/F at 2.7%; March,June, September, and December [see A. (2)].
There shall be no discharge of floating solids or visible foam in other than trace amounts. i
�^tir`

Permit NCO021628
A. (2) CHRONIC TOXICITY PERMIT LIMIT (QUARTERLY)
The permit holder shall perform at a minimum, Quarterly monitoring using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure,"Revised February 1998,or subsequent versions or"North
Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised-February 1998) or subsequent versions.
The tests will be performed during the months of March, June, September, and December. Effluent sampling for this
testing shall be performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit limit,
then multiple-concentration testing shall be performed at a minimum, in each of the two following months as described
in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised-February 1998) or subsequent
versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest
concentration having no detectable impairment of reproduction or survival and the lowest concentration that does have
a detectable impairment of reproduction or survival. The definition of "detectable impairment," collection methods,
exposure regimes, and further statistical methods are specified in the"North Carolina Phase II Chronic Whole Effluent
Toxicity Test Procedure"(Revised-February 1998)or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring
Form (MR-1) for the months in which tests were performed, using the parameter code TGP313 for the pass/fail results
and THP313 for the Chronic Value.Additionally,DWQ Form AT-3(original)is to be sent to the following address:
Attention: NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Raleigh,North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later than 30 days
after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature. Total
residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for disinfection
of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the
permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility
name, permit number, pipe number, county, and the month/year of the report with the notation of"No Flow" in the
comment area of the form. The report shall be submitted to the Environmental Sciences Section at the address cited
above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water
Quality indicate potential impacts to the receiving stream, this permit may be re-opened and modified to include
alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such monitoring
shall be included in the calculation&reporting of the data submitted on the DMR&all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid
test and will require immediate follow-up testing to be completed no later than the last day of the month following the
month of the initial monitoring.

Draft Permit for NCO021628
Subject: Draft Permit for NC0021628
From: Bryan B <[e-mail]>
Date: Thu, 13 Nov 2008 08:41:04 -0800 (PST)
To: [e-mail]
Hello Mr. Weaver,
This letter is in response to the draft permit i recieved for the Town of Norwood NC0021628. A simple
correction needs to be made in the list of authorized components. Liquid dechlorination is fed instead of
Tablet dechlorination. We have fed Sodium Bisulfite'liquid since the implementation of the
dechlorination system. Everything else seems to be in order. Thank You and have a great day.
Bryan Bowles ORC/Plant Manager
Norwood Wastewater Treatment
1 of 1 11/13/2008 2:54 PM

The Charlotte Observer Publishing Co. E C E IVE
Charlotte, NC
North Carolina ) ss Affidavit of Publication
Mecklenburg County)
THE CHARLOTTE OBSERVER
-------------------------- ------------- ------------------------ NOV 18 2008
I
NCDENR/DWD/NPDES
FRANCIS I DENR • WATER OUALITY
1617 MAILL SERVICE SERVILE CTR I
RALEIGH NC 27699-1617 I POINT SOURCE BRANCH
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REFERENCE: 30045571
6269737 NPDES Wastewater Per I ff
Before The undersigned, a Notary Public Of saidFUEL 1 ENVIRONMENTA G ETA'E OF MEST NT COMMI9510NIN,lis UNR
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County and State, duly authorized to administer
oaths affirmations, etc., personallyappeared, .1617 MAIlsERViCETQN�ER AAjpp55N'NA i Bt cl
being duty sworn or affirmed according to taw, bass of 9�andN A -NpNo. lu.".a111
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Cloth depose and say that he/she is a E w gemem li Eli, s�g ustea
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representative of The Charlotte Observer tonal PPnma aoem njvtice
Publishing Company, a corporation organized and IWen ewmm?�tsmreg nd"t�glPubl�sn aai ol�hs o1 ce. all
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and Publication. � "eg in this P°rtwj°max 310 Ellerba,NC 26dds'Ile hag I'
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PUBLISHED ON: 11/07
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AD SPACE: 100 LINE
FILED ON: 11/14/08
NAME: � 01 TITLE:
DATE:
In Testimony Whereof 1 have hereunto set my hand and affixed my seal, the
day and year aforesaickMy Commission Expires May 17, 2011
Note I I y Commission Expires:
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NCDENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
Town of Norwood WWTP- NCO021628
Facility Information
(1.) Facility Name: Norwood WWTP __
(2.) Permitted Flow (MGD): 0.750 (6.)County: Stanly
(3.) Facility Class: III (7.) Regional Office: Mooresville
(4.) Pretreatment Program: Inactive since 1992 (8.) USGS Topo Quad: E15SE
(5.) Permit Status: Renewal (9.) USGS Quad Name: Mount Gilead,West
X'' Stream Characteristics
(1.) Receiving Stream: Rocky River (7.) Drainage Area (mil): 1403
(2.) Sub-basin: 03-07-14 (8.) Summer 7Q10 (cfs): 42
(3.) Stream Index Number: 13-17 _ (9.) Winter 7Q10(cfs): 74
(4.) Stream Classification: C (10.)30Q2 (cfs): 111
(5.1 303(d) Status: Impaired urbidityL_ (11.) Average Flow(cfs): 1403
(6.) 305(b) Status: (12.) IWC%: 2.7
1.0 Proposed Changes Incorporated into Permit Renewal
• The modified compliance level for TRC has been footnoted in A. (1).
• Facility description has been updated to include dechlorination.
2.0 Summary
The Town of Norwood is requesting renewal of the existing permit for its wastewater treatment facility. The
facility discharge to the Rocky River, stream class C. The segment receiving Norwood's discharge is on the draft
2008 303(d) list, due to violations of the turbidity standard.
Norwood's WWTP treats domestic wastewater only. The permittee no longer has any SIUs. The Pretreatment
Program was inactivated on 6/11/2008. During the term of the current permit there was no discharge from SIUs.
3.0 Compliance Summate
WET Testing
The facility is required to perform quarterly chronic toxicity testing at an effluent concentration of 2.7%. All tests
since 2004 have been passed.
Enforcement File Review
Only 2 DMRs had effluent violations during the period 1/1/2004-6/30/2008;in both cases enforcement cases
were generated. There have been 2 enforcement cases since 1998;one paid in full, the other currently under
review for remission. There have been 6 bypass incidents at the WWTP(4 in 2005,1 in 2007 and 1 in 2008); none
were deemed severe enough to warrant enforcement action. A site inspection performed 10/2/2008 yielded a
Staff Report noting that"the facility appeared to be in good condition'.
4.0 Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: 11/5/2008
Permit Scheduled to Issue: 12/20/2008

NPDES Permit Fact Sheet-Town of Norwood -NC0021628
Page 2
5.0 State Contact Information
If you have any questions on any of the above information or on the attached permit, please contact Charles H.
Weaver at(919)807-6391.
NPDES Recommendation by: ,%�///
Signature � �C"v Date
r J
Regional Office Comments:
Regional Recommendation by:
Signature Date
2

Yadkin-Peedee River Basin Rocky River 8-Digit Subbasin 03040105
Assessment Unit Number Name
Use Use
Description Support Support Beason for Parameter of Collection Listing IR
Classification DWQ Subbasin Miles/Acres Watershed(s) Category Rating Rating Interest Year Year Category
13-17-8-5a Caldwell Creek 030401050302 Aquatic Life Impaired Biological Criteria Ecolugical/biological Integrity 2003 2008 5
From source to Freeman Drive Exceeded Bcnthos
C 03-07-11 6.0 FW Miles
13-17-9-(2) Irish Buffalo Creek 030401050203 Aquatic Life Impaired Biological Criteria Ecological/biological Integrity 2006 2008 5
From Kannapolis Water Supply Dam to Rocky River 030401050202 Exceeded Bcnthos
C 03-07-12 16.7 FW Miles
13-17-9-4-(1.5) Cold Water Creek 030401050203 Aquatic Life Impaired Standard Violation Turbidity 2006 2008 5
From dam at Lake Fisher to Irish Buffalo Creek '
C 03-07-12 12.5 FW Miles
13-17a Rocky River 030401050101 Aquatic Life Impaired Standard Violation 'Turbidity 2006 1998 5
From source to mouth of Reedy Creek
C 03-07-11 34.1 FW Miles
13-17b Rocky River 030401050101 Aquatic Life Impaired Standard Violation Turbidity 2006 2008 5
From mouth of Reedy Creek to mouth of Dutch Buffalo Creek 030401050106
C 03-07-12 8.5 FW Miles 030401050103
030401050303
030401050107
13-17e Rocky River 030401050303 Aquatic Life Impaired Standard Violation Turbidity 2006 2008 5
From the mouth of Dutch Buffalo Creek to the mouth of Island 030401050306
Creek 030401050708
C 03-07-12 21.6 FW Miles 030401050407
030401050706
030401050704
13-17d Rocky River 030401050708 Aquatic Life Impaired Standard Violation Turbidity 2006 - 2008 5
From the mouth of Island Creek to the Pee Dee River 030401050709
C 03-07-14 29.3 FW Miles
Yadkin-Peedee River Basin Pee Dee River 8-Digit Subbasin 03040201
B. Draft 2008 303(d) List-Integrated Report Category 5 Version-20080107 Page 95 of 96

SOC Priority Project: No
To: Western NPDES Program Unit
Water Quality Section
Attention: Dina Sprinkle
Date: October 2, 2008
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Stanly
NPDES Permit No.: NCO021628
00*1
PART I - GENERAL INFORMATION RECEIVED
1. Facility and address: Town of Norwood WWTP
Post Office Box 697
Norwood, N.C. 28128 OCT — 6 �QQA
2. Date of investigation: October 2, 2008 ppDENR - WATER OUAMY
IReport prepared by: Samar Bou-Ghazale, Environmer}talThgm PWRCE BRANCH
4. Person contacted and telephone number: Mr. Bryan Bowles, ORC; 704-474-4191
5. Directions to site: The WWTP site is located on the left(east) side of Highway 52, approx.
0.3 miles south of the junction of Highway 52 and SR 1768, south of the Town of Norwood.
6. Discharge point(s), list for all discharge points: -
Latitude: 35° 1 F 35"
Longitude: 800 06' 45"
Attach a USGS map extract and indicate treatment plant site and discharge point on map.
USGS Quad No.: G 18 NE
7. Size (land available for expansion and upgrading): There is limited area available for the
construction of additional W WT facilities, if necessary.
8. Topography (relationship to flood plain included): Rolling, 3-8% slopes. The WWTP site is
not located within a flood plain area.
9. Location of nearest dwelling: The nearest dwelling is approximately 1000+ feet from the
WWTP site.

Page Two
10. Receiving stream or affected surface waters: Rocky River
a. Classification: C
b. River basin and subbasin No.: Yadkin 03-07-13
c. Describe receiving stream features and pertinent downstream uses: The receiving stream
is of considerable size(60-80 feet wide x 1-4 feet deep) at the point of discharge. The
surrounding area is generally rural with agriculture being the primary use. The river
receives a significant amount of domestic and industrial wastewater from permitted point
source dischargers upstream. There are no known water intakes located on this river. _
DAR 11 - DESCRIPTION OF DISCHARGE ANn TRUATAIENT WORKS
1. a. Volume of wastewater: 0.750 MGD (Design Capacity)
b. Current permitted capacity: 0.750 MGD.
C. Actual treatment capacity: 0.750 MGD.
d. Description of existing treatment works: The existing W WT facilities consists of a
flow splitter box followed by dual bar screens (one mechanical and one manual), a
grit chamber, a parshall flume, an ultrasonic flow recorder with totalizer, dual
aeration basins (concrete lined) with floating surface aerators, dual secondary
clarifiers, a chlorine contact basin with gaseous disinfection facilities, tablet de-
chlorination, two (2) sludge drying beds and a stand-by power generator.
e. Description of proposed treatment works: None proposed at this time.
f. Possible toxic impacts to surface waters: N/A.
g. Pretreatment program (POTWs only): Not required.
2. Residuals handling and disposal scheme: Residuals are removed from the drying beds and
placed in a dumpster. When the dumpster is full,the residuals are transported to Troy for
disposal in the landfill.
6. Treatment plant classification: Less than 5 points; no rating (include rating sheet). Class III
7. SIC code(s): 4952 Wastewater code(s): 01 MTU code(s): 02008
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants funds (municipals only)? This
facility was constructed with public monies.

Page Three
2. Special monitoring requests: None at this time.
3. Additional effluent limits requests: None at this time.
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee, the Town of Norwood, has applied for permit renewal for the discharge of
wastewater from its wastewater treatment plant.
The treatment facilities appeared to be in good condition during the site investigation.
"!case note that a de-chlorination system as noted above has been added to the facility since the last
permit renewal.
Pending review and approval by the Western NPDES Program Unit, it is recommended that
the permit be renewed as requested.
6-r � ,,;_
Signature of Re ort Pre rater Date
�/ . d�
Water Quality Regional Superviso D e

Town of Norwood
PO Box 697
Norwood NC 28128
704-474-3416 E
7130108 5 2008 U
i
QUALITY
Attn: Mr. Charles H. Weaver Jr. ? A01w sru-,DENR WAEEP.PPA��Y
Dear, Mr. Weaver
Please Accept Norwood's application to renew the permit for the
Norwood Waste Water Treatment Plant. Also the sludge management
plan is included in this letter.
In August 2005, updates were installed that included a new Sodium
Bisulfite system to meet new chlorine limits. At the some time, the old
chlorine system was replaced with an automated Chlorine system.
The solids from the Norwood Waste Water Treatment Plant is placed
on drying beds until dried, and then it is placed in a dumpster and
hauled to the Uwharrie Environmental Landfill located in Troy, North
Carolina.
If you need more information, or something isn't filled out correctly
please call me at 1 -704-474-3416.
Sincerely, Dwight Smith
Norwood Town Administrator

n
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Norwood WWTP , NCO021628 RENEWAL YADKIN- PEE-DEE
FORM .> =NJ� l
2A E NM 2A APP ICATI�WN ©vERVIEW
NPDES
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 2 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.S.
C. Certification. All applicants must complete Part C(Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface-waters of-theUnited-States and meets
one or more of the following criteria must complete Part D(Expanded Effluent Testing D taj� l� �' 1y� E 1 I
5 9
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 AUG 5 2008 lJ 1
3. Is otherwise required by the permitting authority to provide the information.
i
E. Toxicity Testing Data. A treatment works that meets one or more of the following�criten must completes Part E.Joxlcity Testing
Data): I DENR -WATER CUALITY
1. Has a design flow rate greater than or equal to 1 mgd, I_ POINT MUPCE-CRANCH—......__.
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(SIUs)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)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD WWTP, NCO021628 RENEWAL YADKIN- PEE-DEE
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet
A.1. Facility Information.
Facility Name TOWN of NORWOOD WASTEWATER TREATMENT FACILITY
Mailing Address PO BOX 697
NORWOOD NC 28128
Contact Person BRYAN BOWLES
Title PLANT MANAGERIORC
Telephone Number (7041474-4191
Facility Address 6896 Hwy 52 SOUTH
(nor P.O.Box) NORWOOD NC 28128
A.2. Applicant Information. If the applicant is different from the above,provide the following:
Applicant Name Town of Norwood
Mailing Address PO Box 697
Norwood NC
Contact Person Dwight Smith
Title Town Administrator
Telephone Number [phone]
Is the applicant the owner or operator(or both)of the treatment works?
® owner ® operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
® facility ❑ applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state issued permits).
NPDES NCO021628 PSD
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
TOWN of NORWOOD 2885 SANITARY SEWER MUNICIPAL
Total population served
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. Page 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NC0021628 RENEWAL YADKIN- PEE-DEE
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
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 ® No
A.B. 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 years data must be based on a 12-month time period
with the 121h month of"this year'occurring no more than three months prior to this application submittal.
a. Design flow rate 2.0 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate .305 MGD .3"MGD .259 MGD
C. Maximum daily flow rate 1.527 MGD 1.758 MGD 1.096 MGD
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.
® Separate sanitary sewer 100%
❑ Combined storm and sanitary sevrer %
A.B. Discharges and Other Olsposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No
If yes,list how many of each of the following types of discharge points the treatment works uses:
I. Discharges of treated effluent 1
ii. Discharges of untreated or partially treated effluent 0
Ill. Combined sewer overflow points 0
iv. Constructed emergency overflows(prior to the headworks) 0
V. Other 0
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 ® No
If yes,provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land-apply treated wastewater? ❑ Yes ® No
If yes,provide the following for each land application site:
Location:
Number of acres:
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 works? ❑ Yes ® No
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 B 7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: 7�=
ED: RIVER BASINTOWN of NORWOOD, NC0021628 YADKIN- PEE-DEE
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 I)
For each treatment works that receives this discharge,provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number 11
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 ® No
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?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NCO021628 RENEWAL YADKIN- PEE DEE
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 sower overflows in this section. If you answered"No"to question
A_�.a go to Part B,"Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Ouffall number 001
b. Location NORWOOD NC, 6896 HWY 52 SOUTH 28128
(City or town,If applicable) (Zip Code)
STANLY NC
(County) (State)
35-1135 80-06-45
(Latitude) (Longitude)
C. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Average daily flow rate .303mgd
f. Does this outtall have either an intermittent or a periodic discharge? ❑ Yes ® No (go to A.9.g.)
If yes,provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge: mgd
Months in which discharge occurs:
g. Is outfall equipped with a diffuser? ❑ Yes ® No
A.10. Description of Receiving Waters.
a. Name of receiving water ROCKY RIVER
b. Name of watershed(If known) YADKIN-PEE-DEE
United States Soil Conservation Service 14-digit watershed code(if known):
C. Name of State Management/River Basin(if known):
United States Geological Survey 8-digit hydrologic cataloging unit code(if known).
d. Critical low flow of receiving stream(if applicable)
acute cfs chronic CIS
e. Total hardness of receiving stream at critical low flow(if applicable): mgA of CaG03
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7560-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD,.NC0021628 RENEWAL YADKIN- PEE-DEE
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary ® Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal 85%
Design SS removal 85%
Design P removal %
Design N removal %
Other %
C. What type of disinfection is used for the effluent from this oulfall? If disinfection varies by season,please describe:
CHLORINE GAS
If disinfection is by chlorination is dechlorination used for this outfall? ® Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes ® 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 mom than four and one-half years apart.
Outfall number. 001
PARAMETER MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
Value Units Value Units Number of Samples
pH(Minimum) 6.25 S.U.
pH(Maximum) 6.92 SM.
Flow Rate 1.758 MGD .303 MGD 1095
Temperature(Winter) 13.0 deg.C 14.8 de . C 78
Temperature(Summer) 26.9 deg. C 21.8 de .C 78
For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT MUMDL
- -- - - - ' Number of METHOD
Conc. Units "Conc. - Units Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS '
BIOCHEMICAL OXYGEN BOD5 8.3 m /L 1.28 m /L 144 SM5210B
DEMAND(Report one) CBOD6
FECAL COLIFORM 5700 #/100mL 13.8 #I100mi- 144 SM9222D
TOTAL SUSPENDED SOLIDS(TSS) 39 m /L 5.14 mg/L 144 SM2540D
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev. 1-99). Replaces EPA fortes 7550-6&7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NCO021628 RENEWAL YADKIN- PEE-DEE
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
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.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
20000gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant,including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping,if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells,springs,other surface water bodies,and drinking water wells that are: 1)within%mile of the property boundaries of the treatment
works,and 2)listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored,treated,or disposed.
I. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act(RCRA)by truck,rail,
or special pipe,show on the map where the hazardous waste enters the treatment works and where it is treated,stored,and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant,including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units,including disinfection(e.g.,
chlorination and dechlorinalion). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
BA. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works the responsibility of a
contractor9 ❑ Yes ® No
If yes,list the name,address,telephone number,and status of each contractor and describe the contractor's responsibilities(attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number. 0 _
Responsibilities of Contractor:
B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment,effluent quality,or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements,submit separate responses to question B.5
for each. (If none.go to question B.6.)
a. List the outfall number(assigned in question A.9)for each outtall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
❑ Yes ❑ No
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NCO021628 RENEWAL YADKIN- PEE-DEE
C. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below,as
applicable. For improvements planned independently of local,State,or Federal agencies,indicate planned or actual completion dates,as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MMIDD/YYYY
-Begin Construction
-Begin Discharge
-Attain Operational Level
e. Have appropriate pemlits/clearances conceming other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
8.6. EFFLUENT TESTING DATA(GREATER THAN 0.1 MGD ONLY).
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 combine 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 pollutant scans and must be no more than four and on-half years old.
Outfall Number: 001
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
DISCHARGE ANALYTICAL
POLLUTANT _ - - METHOD ML/MDL
Conc. Units Cond. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA(as N) 3.78 mgll 0.36 mg0 52 EPA360.1
CHLORINE(TOTAL 27 ug/I 24 u9/1 52 EPA246.11
RESIDUAL,TRC)
DISSOLVED OXYGEN 10.37 mg/I 5.42 mg8 166 SM421F
TOTAL KJELDAHL 2.28 mg/I 1.82 mg/I 4 EPA351.2
NITROGEN(TKN)
NITRATE PLUS NITRITE 20.5 mg/I 14.07 mg/I 4 EPA363.2
NITROGEN
OIL and GREASE <5.0 mg/I <5.0 mg/L 1 EPA1664A
PHOSPHORUS(Total) 3.49 mg/I 2.18 mg/I 4 EPA365.4
TOTAL DISSOLVED SOLIDS 246 mg/I 246 mg/I 1 SM2540C
(TDS)
OTHER
END OF PART B.
REFER TO THE APPLICATION OVERVIEW(PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA fortes 7550-6 8 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT-NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NC0021628 RENEWAL YADKIN- PEE-DEE
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.
Indicate which 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: Biomonitonng 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 property 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;in utlinp th�,possibility of.fine.aod.impnsonment
for knowing violations. ��
Name and official title Dwight Smith Town/Administrator f I
Signature . :1 / ...Y--- ( AUG 5 2GG8 �1
r
Telephone number [phone] !
DENR - WATER QUALITY
POINT COUP,CE
RSNCH
Date signed _,,,_-__: R
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/ DWO
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A(Rev. 1.99). Replaces EPA forms 7550-6&7550-22. Page 9 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NCO021628 RENEWAL YADKIN-PEE-DEE
SUPPLEMENTAL APPLICATION INFORMATION
PART F.INDUSTRIAL USER DISCHARGES AND RCRA/CERCLA WASTES
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
❑ Yes X No
F.2. Number of Significant Industrial Users(SIUs)and Categorical Industrial Users(CIUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SIUs.
b. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
ly Supp the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
Name:
Mailing Address:
FA. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
F.S. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal producl(s):
Raw material(s):
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Loral limits ❑ Yes ❑ No
b. Categorical pretreatment standards ❑ Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. Page 18 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NC0021628 RENEWAL YADKIN-PEE-DEE
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the SIU. Has the SIU caused or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years?
❑ Yes ❑ No If yes,Describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK, RAIL, OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes ❑ No(go to F.12)
F.10. Waste transport Method by which RCRA waste is received(check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATION/CORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) ❑ No
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to origniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent,Describe discharge schedule.
END OF PART F.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6 8 7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN of NORWOOD, NCO021628 RENEWAL YADKIN-PEE-DEE
SUPPLEMENTAL APPLICATION INFORMATION
PART G. COMBINED SEWER SYSTEMS
If the treatment works has a combined sewer system,complete Part G.
G.I. System Map. Provide a map mcllceting the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs(e.g.,beaches,drinking water supplies,shellfish beds,sensitive aquatic ecosystems,and
outstanding natural resource waters).
C. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram,either in the map provided in G.1 or on a separate drawing,of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines,both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
C. Locations of in-line and off-line storage structures.
d. Locations of flow-regulating devices.
e. Locations of pump statlons.
CSO OUTFACES:
Complete questions G.3 through G.6 once for each CSO discharge point
G.3. Description of Outfall.
a. Ouffall number
b. Location
(City or town,if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
C. Distance from shore(if applicable) fl.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations ❑ CSO frequency
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.s. CSO Events.
a. Give the number of CSO events in the last year.
events (❑actual or❑approx.)
b. Give the average duration per CSO event.
hours (❑actual or❑approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA fortes 7550-6&7550-22. Page 20 of 22

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FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date 64L S. 4 4 08
Permit Number n1C oa V b Mi
Facility Name ram. .{ Ale.W..d 41 W'T P /
Basin Name/Sub-basin number Y-.-4- It. 9a 03-r-7-4
Receiving Stream K.•4' Rw�i
Stream Classification in Permit C
Does permit need NH3 limits? N.
Does permit need TRC limits? N.
Does permit have toxicity testing? ye-
Does permit have Special Conditions? pJ o
Does permit have instream monitoring? N.
Is the stream impaired (on 303(d) list ?_ yes di'F
Any obvious compliance concerns? No
Any permit mods since lastpermit? Ala
Existing expiration date I oy
New expiration date s11i l�
New permit effective date
Miscellaneous Comments
11 11 pp
�.CQe-
YES_✓ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC,NE3,
name/ownership changes). Include conventional WTPs in this group.
YES_ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed,toxicity testing, instream monitoring, compliance concerns,phased
limits). Basin Coordinator to make case-by-case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility(municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow>0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)