NC0088625_Permit (Issuance)_20090312

MPDES DOCYMEMT SCAMMIMG COVER SNEET
NPDES Permit: NC0088625
The Hollows Well #1 WTP
Isw-
Document Type: Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Correspondence
201 Facilities Plan
Instream Assessment (6713)
Environmental Assessment (EA)
Permit
History
Document Date: March 12, 2009
This docaaaeat is priated on reuBc paper-ignore May
coateat oa the reverse*Side

Pi MDR
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 12, 2009
Thomas Roberts, President
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, North Carolina 27511
Subject: Issuance of NPDES
Permit NCO088625
The Hollows Subdivision—Well # 1 WTP
Surry County
Dear Mr. Roberts:
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).
Please be advised that Permit Condition A. (2.) requires compliance within thirty(30) days after issuance of this
final permit.This permit contains no changes from the draft permit mailed to you on January 14, 2009.
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
t 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 Bob Guerra at telephone number(919)807-6387.
Sincerely,
rCo
een H. Sullins
Enclosure: NPDES Permi25
cc: Winston-Salem Regional Office/Surface Water Protection
iNPDES Unit
Central Files "
1617 Mail Service Center,Ralegh,North Carolina 27699-1617
Location:512 N.Salisbury St.Ralegh,North Carolina 27604 One
Phone:[phone] FAx:[phone] Customer Service:1-877623-6748 North Caro'Ina
Internet:w .ncwateryuality.org y�/y//
An Equal opportunity 1 Affirmative Action Employer N�yLh K{Ly

Permit NCO088625 !�
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION bF 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
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
The Hollows Subdivision — Well #1
Lois Lane
Mt. Airy
Surry County
to receiving waters designated as an unnamed tributary to Stewarts in the Yadkin-Pee Dee
River
in accordance with effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, Il, III and IV hereof.
This permit shall become effective April 1, 2009.
This permit and authorization to discharge shall expire at midnight on February 28, 2014.
Signed this day March 12, 2009.
h Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

• Permit NC0088625
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.
Aqua North Carolina, Inc. is hereby authorized to:
---------------------
1. Continue to operate an existing greensand water treatment system with a discharge of filter
backwash wastewater. Chemicals utilized during the process consist of:
• Potassium Permanganate
Chlorine and
Caustic soda
2. This facility is located at the The Hollows Subdivision Well #1 located on Lois Lane in Surry
County.
3. Discharge from said treatment works of the location specified on! attached map into an
unnamed tributary to Stewarts Creek 'classified WS-IV waters in the Yadkin-Pee Dee River
Basin. �_G

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Aqua North Carolina /Inc Facility
The Hollows Subdivision Well #lWVWTP Location
D State Grid: NW Mt Ai not to scale
Latitude: �( D
ac Z8O4 21 N dXlo�(Q-D—
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Longitude: 1,4 P1. nitte —717D
Receiving Stream: Ste its Creek Stream Class: WS-Iv ES Permit No. NCO088625
Drainage Basin: Yadkin-Pee Dee River Basin Sub-Basin: 03-07-03 F Surly County

Permit NCO088625
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 filter backwash from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
( rcEFFLUENT t;gar r, ? ', v LIMITSr t p ,rMONITORING REQUIREMENTS,rr".
CHAWMFERISTICS.
c n Monthlyy Doi y..Ma imum r Measurement �Sampleay Sample ,.
,, ,*, r...., ? . 4•,Average. �.e b ,-, .:£ *re a „", Location
Flow' (.002 MGD Monthly Instantaneous Effluent
Total Suspended Solids 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent
Total Rez dual 17 ug/L 2/Month Grab Effl t—
Chlorine
Fluoride Monthly Grabs Effluent
Calcium ` Monthly Grab Effluent
Total Iron Monthly Grab Effluent
Total Zinc5 Monthly Grab Effluent
otal Manganese Monthly) Grab Effluent
6.0—9.0 s.u. 2/Month Grab Effluent
Footnotes:
n\ 1.�For instant�flow-momtorinVh-e duration"e-dmeharge-must-be-reported-in-additlon to the total
WS flow.
2. The TRC monitoring requirement applies only if the Permittee backwashes with chlorine or chlorie
VYv derivatives. This limit will become effective on June 1, 2009.
3. The Division shall consider all effluent TRC values reported below 50 ug/I to be in compliance with t e
permit. However, the Permittee shall continue to record and submit all values reported by a No
Carolina certified laboratory (including field certified), even if these values fall below 50 ug/I.
4. Fluoride should be monitored if the permittee backwashes with fluoridated finished water.
5. Zinc shall be monitored if the Permittee uses any zinc-based additive in the water treatment process
All samples collected should be from a representative discharge event.
here shall be no discharge of floating solids or visible foam in other than trace
\amounts.

Permit NC0088625
A. (2.) PROCESS SCHEMATIC FLOW DIAGRAM
The Permittee shall submit a Process schematic flow diagram within 30 days from issuance of
permit. This submittal shall include:
• Components utilized in treatment process and
• Size of process components in treatment process

�0F W ATF9Q Beverly Eaves Perdue,Governor
�� (r Dee Freeman,Secretary
North Carolina Department of Environment and Natural Resources
O r Coleen H.Sullins,Director
Division of Water Quality
January 14, 2009
KRegional'office
MEMORANDUM 1
To: Lee Spencer NCDENR / DEH / Regional Engineer Winston-Salem Regional Office
From: Robert Guerra
NPDES Unit
Subject: Review of Draft NPDES Permit NCO088625
The Hollows Subdivision Well #1 WIP
Surry County
Please indicate below your agency's position or viewpoint on the draft permit and return this form by February 15,
2009. If you have any questions on the draft permit, please contact me at(919) 807-6387 or e-mail
[e-mail].
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated
effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality
standards.
❑ Concurs with issuance of the above permit,provided the following conditions are met:
❑ Opposes the issuance of the above permit,based on reasons stated below,or attached:
Signed Date:
Ny`rCarolina
mra!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh,NC 27699-1617 Phone[phone] Customer Service
Internet: www.ncwalerquality.org Location: 512 N.Salisbury St. Raleigh,NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer—500%RecycleN10%Post Consumer Paper

,r•,�t»r i
,1q,',PUBUO NOTICET
�=,,4STATE OF,N jftff
r Y,CAROLINA}V4t
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`rdMANAGEMENTCOM;I `
S-MISSIONMPDESUNIT
'(1617-MAll SFF__gqVICE-'
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NORTH CAROLINA -,R6LEIGK;Nca O
SURRY COUNTY `� =,i,r2�sss
NOTIFICATION OF'r
A*NPDES WASTEWATER
AFFIDAVIT OF PUBLICATION p lk,I, , ERMITr
Before the undersigned, a NotaryPublic of said County and State, dui the basis of.thorough
tY Y guff review and;applica•!
commissioned, qualified and authorized by law to administer oaths, ti_o`ri of NC General Stat-)
personally appeared Ferris W. Simpson who being first duly , uta.143225H1a d+15A1
01095�anCl
sworn, deposes and says: that he (she) is Business Manager ether xlavdalsiandamsi
Publisher or other officer or employee authorized to make affidavit of and s.regulanonshef
( ) ,' North Caraiii nviron•(
HEARTLAND PUBLICATIONS, LLC, engaged in the publication of a meni2ll +?Ma agIT,ant
k_OoinmisNationai, oji to
newspaper known as MOUNT AIRY NEWS, published, issued, and (Issue el National Pollen�4
entered as periodicals class mail in the city of Mount Airy in said County ant Diacha ge` Eumlaa!d
upon System.y,(NPDE$),,
and State; that he (she) is authorized to make this affidavit and sworn wastewaiei;, discri" B•;
x' ,-,a
statement; that the notice or other legal advertisement, a true copy of t It'i ;
�"" 14;!heperson( )
sted below eRective45
which is attached hereto, was published in MOUNT AIRY NEWS on the Mi
>deystaom}tne jPunlish
following dates: +date or this
1�JI q i trr„lxr.x-
010� 1 ,Written comments. re
19aptling, the rrProposr3d
5 permit,wIl I t be.accepted;
j until 30'daysaftei`tile'
r publish rdate:`oftM1i;'nq-1
>sTtice:��All(coiiiments re-'
[ceived prlor,to�that date'
are,consrdered mttia u-,l
and that the said newspaper in which such notice, paper, document or nal;aeterminahon's ra'r
v BarHing.r¢he !proposed
legal advertisement was published was, at the time of each and every Pei itS,The.olrectortot
such publication, a newspaper meeting all of the requirements and ue'NO;Dvierori of wafer
'.Quality-may decidellto
es of North
hold a
and wasqualifications ualified news ne7 of wspaper within the mean General ing Section I-597tna of fp,t a :PmpoisedBePemi 1
q p p g J'shouid'IFe fMision'ie=
the General Statutes of North Carolina. jce- Ig"F'significarii;`e-f
f 9ree of public Interest mi'
This / day of `e C h l 2009 t coplesor he draft pe md;
brand rotifer he a tlperin,I
` r r{formation On-file used.to
7"determirie'y iYcoriditio'A`
' YLppes � '
Signature of person making affidavit in,tfie"draft-pep-
!;-mit%'a hi r-av'ailatile'upoh
y request'antlrpayment of!
Sworn to and subscribed before me, this /O day of the costs'of reproductkm:i.
Mall,,do`inmentsL grid/dr,
}ire uesi 3for`Iritormaiion
6Phl u a✓t/ 2009 r to he NC Dwlslon of we.',
pualitylat thelabove
�1 i✓)+Saddress,�,"o17cal1,, he.e
VO v 7 f--jTS--�-2� Sprinkle+(919) 8076304'
Notary Public �¢Brarichlkplease ource ek
� kihe NPDES arm�numcf
,ber(below)�in any coin
My Commission expires: November 27, 2012 f�' munlcanon Intereated',i
CCCTrrrYYY""`personstiiiayt also wslt
Ythe Dvvl�siorµ?ofrtlWater'
�c,Qualrty;at�512,N.,Salis=-
yburyrSlreet,Raleigh};NO
tt27604 11413 between ihe'
Notary Public �hhours of�8:00 a m'1and-�
Surry County,North Carolina 5 o0'p,mto,rewew Into]<`i
Sandra F.Boles +mahonon`fiieN it
My Commission Expires—

aqua North Carollna'Ind.4�
,(g163. sSinclair,!,Slreet. '
Denver;NC 28037)has'
ePPketl,rforr renewalol
NPDES!+t�� Pp�nmu q"
�'NC0088528 t 0,the Hill
11 crest Siibdwlson W'fell.#3
:��,,,.,,,�,.�,��;�•s".�aKn In Suiry CounlYaw.T,hls.;
F>Aqua NorthyCaroline Inc! + permitted factlity'will dis
+'(Town Lane;`;Mt`r°Airy' cliaigl�veated .filter;
{ North Carolina) has ap-'. backwasnwT E+".�
fy/piled `for 0rerti of 'Champ Creek m the
h�NPDES "' arm vl-P 4e'Dee�Rwery
' N,t " 3X Curtently total
?NCOOB8536 for,the Ban-,A qBaslnt pds and to.l
:'riertown W1158_ubdiviswn ' flsusDerided so
f''WWell #2 In Surrys Rlal residual chlorine=are; ,
�4�Counry rThis4D1—Qttetl° water�'quatity ,Ilimked.
racaity discharges 600 Thls;dlscharge`+meyF ar-.1
I tgellons per`day of�gteen" iect tuture�'allocauons�n 1
sand fikerbackwash wa- this�pomon of therYady,
.ter Wan unnamed tnbu- kimFee DeYwez; @
f,laryAto Faulker,�'Creek - ` wtse—^:r'r r+9,
);within rthe °Yadkin Pee Aqua NC Incy(4163tSin 5
7j Dee River Basin.,Total clali,-Street nver NCi1
1 Suspended Solids«(TSS 28037)�haz�a p d1f°riil
land total residual chlo- renewal of NPDES per-:
nne are cunehtly`water �md''NC0088617�fdil)the
'uali %limited:Thist`dis- f``$no`w` Hill Subdnlslon'
y quality
charge may,affect future Well'#1 In SurryCounry'.
allocations it this portion. Tars permI ,tacdiry
'of the Faulkner Creek.,- r"discharges 0 0028.MGDtt
j';' s{r;"f,`' ,.�� �;of,treatedLwa�ste�water tTo{t
J Aqua North,Carolina,anc. �'an unnamed +5'"e.^��y�"t9
77`(Lois JLane ili , Alryl +Diributary�to`Cody Creeks'1•
!`North,Carolina)),has ap- pin�the11 1 Pea Dee S:
plied. for' renewal`of River Basin.,gCutremly.f:
i NPDES C a tY, Permit �Iotai residual chlorine is
y:;N00088625�for the.Holp tt5 water t qualityi 111m�ted;
f,#1 In Sur I unk a This 'feet future alglopaLonsamky
ryt-. ty
pennined faahty+Y dis , this portionnof'the,2Vad r;
,,charges 2000 gallons per! Iqn-Pee Dee Rne�r Basin
day"-..of graensand 8tterj 'mil i :tf{.�+2�J'
..backwash water to+an7 PCentral Care' Iric o(139Aa
nunnamed 'tritiutaryVLtJR Na ppezrLane(Mount}Airy d's
rStewara 4Creek within? f NC�27030) has applied'r
'rthef Yadkin-Peek{Dee( fors{renewal Hof{permit
River BasiniTatal Sus-' NC00388??_-,r;f°f k, ds
i;ficled Solids{rSS)antlj urry,County.;
[total residual_chlorine are' ,;Tmse�permittetl:�ytacuiry:+�
"currently waterftquallty �4discharges Lireated�do=P
limued Thisr•'discharge 4:mas icawe site wateI to an.f
Tmay affecthAure ailoca- `• u named. .tributary 'tPe
,ions in this portion of the "�StewartOlt,Creek m�`the j
Stewar{s Creekµ° a ri' ""sYadWn Pee'yDee Rwer1
fus ' •h'41:'' }yS',(7ryk. y'Basm' Currehtly�ammo,tt
,,Aqua Nonh Carolina,Inc. yYma`nitrogenfecal coli:y
'(4163� Smclairl:(tStreet, LSform and total Aresiduah}
.Denver NC 28037) has jchlonne are water gdatity i
applied for renawel;Ygfl )t,llmued fTi,This'discht �.
p NPDES dtt H«iipermitf, �,may�attect futnre)alooa
' C0088552for,the Colo-i Shons+in ilms cportion off
-N
S�nial Woods.Subdivisions t. Stewarls Creek c°{ �} �.
p.Well#2 m burry County=' f�Aqua North Carolina Inc{
RThis parmitted.facNty will �hasiaPPhedrfor renewal`
kAischargel treatedrjllltetia +Bo1ANP.DES.permit num=,Jl
ckwash to+UT to Sull° her NCoo 886339for thel
to
Creek in tne,Yadkln"Peed �Reeves WogdstSubdm "
�Daa River Basin Qur., iStan,Welplt2 WTP ne ryf•
Trent! total-`suspended �IMount.;,Airy tin`' Surma
ysolids and totallresidualy char eS hl�IIier Gaokwash
bhlonne are water quality: + g n
'lirnited Thisi-discha waterinto�an unnamed)J
r-- s r g tributary 1nIthe`TOM.i
1 may affect future alloca t 1
bons in this portion of that - 3 Iver' in kThaE new
i ermu sets.TSS yTotal�
9•-rYadkin Peer Dee i�Rivar,° Residual,Chlorir ",enG
Basin d p'd'.1�1T ,1r 1^
as�water�quallryJim-'
)Ited' parameters° This
. FdlscFiar'9""e fmay�,eHect;fu�
tture•allopations Cin,ltfiis
poitio Hof(-the r.Vadkin.
f Rrver Basin?q ' Nrf t -
fa<
+Pubtish.,�;January• i6,

AQUA_
Aqua North Carolina,Inc. Thomas J. Roberts
202 MacKenan Court President and Chief
Cary, NC 27511 Operating Officer
7:919.467.8712 ext. 30
F:919.460.1788
July 30, 2008 tjroberts®aquaamerica.com
www.aquanorthcarolina.com
Ms. Dina Sprinkle C `
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1677
SUBJECT: NPDES Renewal Application -
The Hollows Subdivision, Well #I
NPDES Permit No. NCO088625 -"
Surry County, NC
Dear Ms. Sprinkle:
Transmitted herewith are the completed/signed original and two copies of the subject NPDES
permit application and two copies of this cover letter. Since this facility does not generate any
sludge, no sludge management plan is necessary. There have been no modifications since the
last permit was issued.
It is my understanding that no filing fee is required for this renewal.
If you have any questions regarding this application, please do not hesitate to contact me.
Since ly,
Thomas . Roberts
President and COO
TJR/rt
Enclosure
An Aqua America Company

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date J1
Permit Number u yC p J y Y b 2 5 1 1
Facility Name
Basin Name/Sub-basin number YAJIL4AI
Receiving Stream j 4-o Sft va-r--fS Cite¢
Stream Classification in Permit - I V
Does permit need NH3 limits? A?O
Does permit need TRC limits? Al)
Does permit have toxicity testing?
Does permit have Special Conditions? /W
Does permit have instream monitoring? INN
Is the stream impaired (on 303(d) list)? AID
Any obvious compliance concerns? �(i0
Any permit mods since lastpermit?
Existing expiration date 02- 2- —0-9
New expiration date 0 Z- 214- 4 41
New permit effective date
Miscellaneous Comments
SC'44 6 1��-H
YES This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC,NH3,
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)