NC0065587_Permit (Issuance)_20090603

WDES DOCUMENT SCANNIWO COVER SHEET
NPDES Permit: NC0065587
Frye Bridge 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: June 3, 2009
This docume mt is priatea oa reuBe paper-ignore any
content oa the rewerBe Biae

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 3, 2009
Mr.Thomas J. Roberts
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, NC 27511
Subject: Issuance of NPDES Pemtit NCO065587
Aqua North Carolina, Inc. —Frye Bridge WWTP
Forsyth 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 May 9, 1994 (or as subsequently amended).
This final permit includes no changes from the draft permit sent to you on April 8, 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 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 Sledge at telephone number(919) 807-
6398.
Sincerely,
� t 6P
`or./% Coleen H. Sullins
cc: Central Files I
Winston-Salem Regional Office/Surface Water Protection Section
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 NQnI U1Cd[.QhY1a
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748 //
Internet:www.ncwaterquality.org Natural 1/
An Equal Opportunely l Affirmative Action Employer ;/

Permit NCO065587
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,
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Frye Bridge WWTP
NCSR 2998
near Clemmons
Forsyth County
to receiving waters designated as an unnamed tributary to Muddy Creek in the Yadkin-Pee Dee River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
1, II, III and IV hereof.
This permit shall become effective July 1, 2009.
This permit and authorization to discharge shall expire at midnight on May 31, 2014.
Signed this day June 3, 2009.
f
ZIA
0w oleen H. Sullins,Director
/ / Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO065587
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 a 0.027 MGD wastewater treatment facility with the following components:
♦ Aeration basin
♦ Clarifier
♦ Aerated sludge holding tank
♦ Chlorine contact chamber
♦ Dechlorination
♦ Post-aeration
This facility is located off of NCSR 2998 near Clemmons at the Frye Bridge W WTP in Forsyth
County.
2. Discharge from said treatment works at the location specified on the attached map into an unnamed
tributary to Muddy Creek, classified C waters in the Yadkin-Pee Dee River Basin.

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Frye.Bridge'WWTP.- NCO065,587 Facility ,
Location '.
USGS Quad Name: Welcome Lat.: 35°59'18" Notfto Scale
Receiving Stream: U7 to Muddy:,Creek
Stream Class: C °
Long.: 80 21 15
Subbasin: Yadkin Pee Dee 03-0 -oa-'.' NOrih Forsyth County

Permit NC0065587
A. (L) 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,.,;; ' LIMITS `' MONITORING REQUIREMENTS
CHARACTERISTICS'^
Monthly ' Daily Measurement Sample . I
Avera es- Maximum "Fre uenc Sample Location
Flow 0.027 MGD Continuous Recorder Influent or Effluent
BOD,5-day(209C) 30.0 mg/L 45.0 mg/L Weekly Composite Effluent
Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Composite Effluent
NH3 as N 2.0 mg/L 10.0 mg/L Weekly Composite Effluent
(April 1 -October 31
NH3 as N 4.0 mg/L 20.0 mg1L Weekly Composite Effluent
November 1 -March 31
Effluent
Dissolved Oxygen Weekly Grab Upstream&
Downstream
Fecal Coliform 200/100 ml 4001100 ml Weekly Grab Effluent
(geometric mean
Total Residual Chlorine3 17 pg/L 2/Week Grab Effluent
Temperature(2C) Daily Grab Effluent
Total Nitrogen Quarterly Composite Effluent
NO2+NO3+TKN
Total Phosphorus Quarterly Composite Effluent
pH4 Weekly Grab Effluent
Footnotes:
1. Upstream = at least 100 feet upstream from the outfall. Downstream = at the NCSR 1493 bridge.
2. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L
3. The Division shall consider all effluent TRC values reported below 50 µg/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
µme•
4. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

Winston-Salem Journal
Advertising Affidavit Account Number
3425332
Winston-Salem Journal
P.0 Box 3159 Winston-Salem, D
NC 27102 11 009
UAP A 1 5 Mpg
NCDENR/DWO/SURFACE WATER PROTECTION
ATTN:JOVONAH D.WEEDEN DENR-WATER DUALITY
1617 MAIL SERVICE CENTER SURFACE WATER PROTECTION SECTION
RALEIGH,NC 27699-1617
Date Category Description Ad Size Total Cost
04/10/2009 Legal Notices PUBLIC NOTICE North Carolina Environment 2 x 101 L 676.23
PUBLIC NOTICE Media General Operations, Inc.
North Card".Enwmnmental
Mena9eme"t eommh4o"NroES Bnn
':eN; �`M6;9;2„ Publisher of the
Nntlee o1 bnent to lassie.
NPoES Wastewater Pennn
Winston-Salem Journal
The North Carolina Environmental Management
discharge peproposes
Nt to The ppe�...(5)rlistted below.
Forsyth County
wlili Le°tc..t.d umi.3o days N".at he pubilsnn".
of this dice. The Dlr.cf.r f thee he Division of
W afar p rel[y (OWs" y n°elYtl _m`"C hear)".
Soula[I,e b aslmnifl^°nt no/or`Ioformb°Nontre.
. t. Please it is a - Before the undersigned,a Notary Public of Forsyth County,North Carolina,duly
°pees t5 to the ow at[ne above actress.In=erestee
SVeeLSReleYph.'9c.:o`r�ew 9°,t.—."e.Salisbury commissioned,qualified,and authorized by law to administer oaths,personally appeared
Additional inform.ho" on NPDES permits and th15
none may be t°end on our websb.:=.ngwaer D.H.Stanfield,who by being duly swom deposes and says:that he is Controller of the
ou°Ilry.orp,or by..111..[phone].
mud Transfer Products re uested renewal of Per. Winston-Salem Journal,engaged in the publishing of a newspaper known as Winston-Salem
wiwrPDTn7 osmdzoe the um neTminee eis
harps n treated wastewater t a Reedy creek, Journal,published,issued and entered as second class mail in the City of Winston-Salem,in
Y°dkrn-Pee Dee River Basin.
aeua Nur s h eam9na. loc.has,radue:tad renewal of said County and State:that he is authorized to make this affidavit and swom statement: that _
Ourmlt NCOoe39.1 for Its wTP in Da d . cd. W the notice or other legal advertisement, We co of which is attached hereto,was
This dlseharye Is treated domestic a wastewater to g copy
Fryes Creek m the Yadkin-Pee bee Raver basin.
Hmmp uvin Center requested renewal f permit published in the Winston-Salem Journal on the following dates:
NC11059536 for the HIM.0 Living`center WWTP In
ad wastewater to a °`renamed cd Mbutaryisto the
Yadkin River,Yadkin-Pee bee River Basin. 04/10/2009
Captain Stevens Seafood Restaurant has a st-
Dtl renewal f Permit NCO059218 for Its WWTP In
avidson Couwr: this ,mined discharge Is treat-
ee-oe River BasinW°�' to Reedy creek. Y°dkm .and that the said newspaper in which such notice,paper document,or legal advertisement
renewal 1 perm t NCga36661 To Hie United Ch.legi was published was,at the time of each and every such publication,a newspaper meeting all
Retirement Home WwTP In Davidson County: this
pen is E bdisc arrrg 15 treated under Fork Creek. Yadkin- the requirements and qualifications of Section 1-597 of the General Statutes of North
Pee Dee River Basin.
Davidson C°u9n9tly schools quested renewal of Carolina and was a qualified newspaper within the meaning of Section I-597 of the General
SclruoI wWTV In7Dn idson Co nK thisE Elementary Statutes of North Carolina. -
discharge Is treated wastewater to an unnamed
tributary to South Potts Creek.Yadkin-PeeDee Riv-
or Basin.
nCBBA228 io"rleveit°saiue v9wiv=`In rD`avidson Co`Inty- This l Olh day oCApril,2009
w"is Gastewater to Richmitted Fork Feek,Yadkin River Basle IS treated e°I
mI[a North NCOO65587rfor the Frye Badge`WwTP inlForsYth
County: this permitted discharge n treated ante- (signature ojpe son r aki g affidavit)
water toe unnamed tributary to Muddy Creek,
Vadkln-Pee Dee River Basin.art q
reested
newals f permit cres blNC006130z forle Home tl the l Scarie[on r
uAcrees
this Ile pe TlHome
etl Subdivision
W vTP In treated Fcirsytteweter to
tl Mbuery m Mm creel°Svetlklto Sworn to and subscribed before me,this 1 Oth day of April,2009am .
Dee River Basin.
a1 permit NC0p55212 for thman's Mobile Home e Aum°LLC n a Mobil.Home
Park ww`rP In Forsyth County: NIS permitted
caCharPo Is e Dee treated
edr wastewater[O Rich Fork Creek.
Shoreline.PF rs`�h� �ti„;,renewal l; eof gpermit KIMALEY JOHNSON
NCW51713 for the
n traded wastewater to an unnamed tributary to NOTARY PUBLIC
Cuddvbum Creek.Yadkin-Pee Dee River Basin.
High Point Healthcare, Inc, tee ran I of LQ, L(/Id FORSYTHCOUNTY
15WTV In Fo°r�hSCounty ih s p rm°ned"discharrge My Commission expires STATE OF NORTH CAROLI A�'�Fr
15 Richtreated
wastewater
a Dee an River Basin-mad tributary t0 -
MY COMMISSION EXPIRES
wSl:ApNI 10."M
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

AOUA-
North Carolina
in
DEC 1 7 2008
December 15, 2008
Mrs. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: NPDES Renewal Application
Frye Bridge WWTP
NPDES Permit No.: NCO065587
Davidson County, North Carolina
Dear Mrs. Sprinkle,
Transmitted herewith is a copy of:
1. The facility's sludge management plan to be included in the
renewal application
If you have any questions regarding this application, please do not
hesitate to contact me.
Sincerely,
L Gary/k. Moseley
State Operations Manager
202 MacKenan Court, Cary, North Carolina 27511 - 919-467-8712

AO U A.
DEC 1 7 2008
North Carolina _ ,
SLUDGE MANAGEMENT PLAN
for
Aqua North Carolina, Inc. (Western Region-High Point)
No sludge will be treated on any wastewater treatment plant site operated by
Aqua North Carolina, Inc.
Where practical, sludge removal from Aqua North Carolina West facilities will be
transported via a contract hauler to another Aqua North Carolina West facility for
the purpose of "seeding" a new or under-loaded plant when there is a need for
such.
Unusable (or "dead") sludge will be removed by a permitted/licensed contract
hauler and properly disposed of in accordance with NCGS 143-215.1. Contract
haulers used by Aqua North Carolina West will be required to report, via a
sludge-hauler .manifest, the quantity of sludge transported and identify the
location of the proposed disposal site if the sludge is not taken to an existing
plant operated by Aqua North Carolina West. Aqua North Carolina West has not
entered into any agreement to accept sludge into its facilities from plants not
owned by them and have no intentions of doing so.
Aqua North Carolina West will keep records on the quantity of sludge removed
from each facility, the name of the contract hauler, and the destination of the
sludge (whether used in another plant or disposed of). The information will be
kept on file and will be made available to any regulatory agency having
I urisdiction over sludge treatment or disposal.
Aqua North Carolina West includes all of the facilities under the jurisdiction of the
Winston-Salem Regional Office.

December 8, 2008 _
NC Department of Environment and Natural Resources FIO I
Division of Water Quality n
NPDES Unit L DEC 10 2008
1617 Mail Service Center r
Raleigh, N.C. 27699-1617 pt g_ WITIR GUAU�
Subject: Application for Permit Renewal
Aqua North Carolina, Inc.
Frye Bridge WWTP
NPDES No. NCO065587
Forsyth County
Gentlemen:
Attached are three (3) copies of the completed application Form D, and a location map. This
letter and attachments are our request to renew the subject permit.
If you need any additional information or assistance, please feel free to contact our engineer, Mr.
J. Thurman Horne, P.E., Horizon Engineering & Consulting, Inc.(704-788-4455) or Mr. Tony
Parker in our office (704-489-9404.)
Sincerely,
`-;Y�
Gary4Gloseley
Manager , Western N.C.
c: J. Thurman Horne

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit C0065587
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name Aqua North Carolina, Inc.
Facility Name Frye Bridge WWTP
Mailing Address 4163 Sinclair Street �u; 1lftF
City Denver `1L
State / Zip Code NC/28037 iil ��� DEC 1 D 20U� l j
Telephone Number [phone]
Fax Number 704 489-9409 __--•-
e-mail Address [e-mail] "f
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NCSR 2998
City Clemmons
State / Zip Code NC/27012
County Forsyth
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Aqua North Carolina, Inc.
Mailing Address 4163 Sinclair Street
City Denver
State / Zip Code NC/28037
Telephone Number [phone]
Fax Number [phone]
1 of 4 Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes 75
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Domestic wastewater from subdivision.
Population served: 188
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfallr
UT to Muddy Creek (Yadin-Pee Dee River Basin)
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacity, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
0.027 MGD wastewater treatment system consisting of-
Aeration Basin
Secondary clarifier
Chlorination and dechlorination
Aearated Sludge Holding Tank
Effluent flow meter and weir
2 of 4 Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow
0.027 MGD
Annual Average daily flow 0.011 MGD (for the previous 3 years)
Maximum daily flow 0.120 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Prouide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples,for all other
parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Parameter Daily Monthly Units of Number of
Maximum Average Measurement Samples
Biochemical Oxygen Demand 17.5 3 mg/l 52
(BODs)
Fecal Coliform 330 6 #/100m1 52
Total Suspended Solids 28.7 6.3 mg/1 52
Temperature (Summer) 29 21.3 deg. C 151
Temperature (Winter) 18.2 12.7 deg. C 102
pH 8 7.2 s.u. 55
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO065587 Dredge or fill (Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non-attainment program (CAA) Other
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Gary Moseley Manager, Western N.C.
3 of 4 Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Gary Moseley Manager. Western N.C.
Printed name of Person Signing Title
Signature Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be
maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or
who falsifies, tampers with, or knowly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing
that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to
exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or
imprisonment not more than 5 years, or both, for a similar offense.)
I� fc� ``
ll h
�l.11r
f� ( � DEC 1 0 2008 ��4 )
I v,ll" sour;;:. e;va:cll
;._
!
Form-D 1106
4of4

ANC-Frye Bridge WWTP NPDES No. NC 0065587
Summary of DMR-Effluent Sampling Results Period=November,2007-October,2008
BOD BOD BOD BOD Fec.Col. Fec.Col. Fec.Col. Fec.Col. TSS TSS TSS TSS
Daily Max Month Avg Units Number of Daily Max Month Avg Units Number of Daily Max Month Avg Units Number o
Samples Samples Samples
Month Year
November 2007 4.1 2.5 m /I 4 1 1 #/100 ml 4 3.7 2.4 m /I 4
December 2007 2 2 m /l 4 1 1 #/100 ml 4 3.4 2.4 m /l 4
January 2008 3 2.5 m /l 5 225 5 #/100 ml 5 7.3 3.3 m /I 5
February 2008 3.1 2.4 m /I 4 21 2 #/100 ml 4 7.3 3.3 m /I 4
March 2008 10.5 5.3 m /l 4 6 2 #/100 ml 4 33 13.2 m /I 4
April 2008 17.5 10.4 m /I 5 135 21 #/l00 ml 5 25 9.7 m /I 5
May 2008 2 0 m /l 4 6 2 #/100 ml 4 12.7 7 m /l 4
June 2008 3.6 2.4 m /I 4 8 2 #/100 ml 4 17.3 10 m /I 4
July 2008 2.5 2.2 m /l 5 4 1 #/l00 ml 5 8 3.5 m /I 5
August 2008 4.9 2.8 m /I 4 18 6 #1100 ml 4 28.7 14.1 m /1 4
Se tember 2008 4.1 1.1 m /I 4 45 3 #/100 ml 4 2 0 m /I 4
October 2008 7.3 3 m /1 5 330 19 #1100 ml 5 20.7 6.5 m /1 5
12 month period 17.5 3 m /1 330 6 #/100 ml 28.7 6.3 m /I
Total number of samples 521 52 52
Month Year Temp. Temp. Temp. Temp. pH pH pH pH
Daily Max Month Avg Units Number of Daily Max Month Avg Units Number o
Sam les Samples
November 2007 18.4 16A deg.C. 20 6.68 6.5 S.U. 4
December 2007 17.9 14.4 deg. C. 19 6.84 6.71 S.U. 4
January 2008 15.2 11.9 deg.C. 22 7.21 6.84 S.U. 5
February 2008 13 10.8 deg.C. 21 7.1 6.7 S.U. 5
March 2008 13 10.9 deg.C. 20 7.1 7 S.U. 4
Winter Season 18.4 12.9 deg.C. 102 7.21 6.7 S.U. 22
Emonth
2008 17 11.9 deg.C. 22 7.2 7 S.U. 5
2008 22 18.2 deg.C. 21 7.1 6.8 S.U. 4
2008 26 24.2 deg.C. 21 7.53 7.1 S.U. 4
2008 29 25.5 de .C. 22 8 7.6 S.U. 5
2008 26.8 25.3 deg.C. 21 7.29 7.16 S.U. 4
2008 28.3 24.4 deg.C. 21 7.9 7.4 S.U. 4
2008 23 19.3 deg.C. 23 7.7 7.4 S.U. 7
eason 29 21.3 deg. C. 151 8 7.2 S.U. 33
period deg.C. S.U.
Total number of samples 253 S.U. 55

R •
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for ex edited permit renewal
Reviewer/Date -el r
Permit Number Al 00 K S�
Facility Name n-"1 WW T P
Basin Name/Sub-basin number V TPA k,',v cJ 3'= o� -J
Receiving Stream Ur V .rk
Stream Classification in Permit �% J
Does permit need NE3 limits? M�
Does permit need TRC limits? N
Does permit have toxicity testing? All)
Does permit have Special Conditions?
Does permit have instream monitoring?
Is the stream impaired (on 303(d) list)? t 1h ik nQ•rn�f oea¢dn 1` uy +team
Any obvious compliance concerns? Jj v
Any permit mods since last permit? U y
Existing expiration date JS-3
New expiration date 0 4
New permit effective date ,a
Miscellaneous Comments
in w a m.Q Ck tf 3 SK 2115 M .. 9 6.R. , z• ,,. SR SS —
•
�R
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)