NC0055191_Renewal (Application)_20210427

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ROY COOPER k
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Governor
DIONNE DELLI-GATTI
Secretory
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
April 27, 2021
Aqua North Carolina, Inc.
Attn: Amanda Berger, Environmental Compliance Dir.
202 Mackanan Ct
Cary, NC 27511-6447
Subject: Permit Renewal
Application No. NC0055191
Penman Heights WWTP
Randolph County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 27, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental •
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
5fg4j
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE Q North Carolina Department of Ernlronmental Quality I Division of Water Resources
YVinston-Salem RegionalOffice 1450WestHonesMiiiRoad,Suite300 I Wlnston-Salem,NorthCarofina27105
= �.� /'' 336.776.9800

April 27, 2021
NCDENR / Division of Water Quality/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Penman Heights Subdivision WWTP
NPDES No. NC0055191
Randolph County
Good Afternoon:
Enclosed are three (3) copies of the completed application Form D-WWTP. This
submittal includes the necessary attachments for your office to renew the subject
permit.
Should you need any additional information or assistance, please feet free to contact
me 910.773.0406 or by e-mail at [e-mail].
Sincerely,
Amanda Berger
Environmental Compliance Director
Aqua North Carolina
Enc: NPDES Application, Form D
Penman Heights NPDES Permit
202 MacKenan Court, Cary, NC, 27511 • 919.467.8712 • AquaAmerica.com

NPDES APPLICATION - FO D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mad the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
NC0055191
If you are completing this form in computer use the TAB key or the up - down arrows to move 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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
AQUA NORTH CAROLINA
PENMAN HEIGHTS
202 MACKENAN COURT
CARY
27511
910.773.0406
AABerger(2i quaamerica.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NCSR 1917 at the Penman Heights WWTP
City
State / Zip Code
County
ARCHDALE
NORTH CAROLINA / 27263
RANDOLPH
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
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
AQUA NORTH CAROLINA, INC
202 MACKENAN COURT
CARY
27511
910.773.0406
AABerger(a,aquaamerica. com
1 of 4 Form-D 11 /12

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
Commercial
Residential
School
Other
►1
Number of Employees
Number of Employees
Number of Homes
Number of Students/Staff
Explain:
29
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): SERVES RESIDENTIAL CUSTOMERS ONLY
Number of persons served: 74
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 V1 No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
MUDDY CREEK IN THE CAPE FEAR RIVER BASIN
8. Frequency of Discharge: ® Continuous El Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
Lzst all installed components, including capacities, 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.
The 0.025 MGD package plant consist of the following:
0
0
0
0
0
Influent pump station
Manual Bar Screen
Equalization Basin w/duplex pumps
Aeration chambers
Blower units (3)
Clarifiers
Aerated sludge digester
Chlorine contact chamber with tablet chlorination
Flow meter
2 of 4 Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.025 MGD
Annual Average daily flow 0.089 MGD (for the previous 3 years)
Maximum daily flow 0.029 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
■
Yes No
12 Effluent Data
NEW APPLICANTS: Provide 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 If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currentlq in our permit. Mark other parameters "N/A".
Parameter
Daily
Monthly
Average
Measurement
Units
of
Maximum
Biochemical
Oxygen
Demand
(BOD5)
4.3
2.2
mg/L
210.0
1.3
#/
100m1
Fecal
Coliform
Total
Suspended
Solids
12.0
2.8
mg/L
28.0
21.3
°Celsius
Temperature
(Summer)
18.0
12.8
°Celsius
Temperature
(Winter)
pH
7.8
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0050792 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
Permit Number
3of4
Form-D 11/12

NPDES APPLICATION - FO '` D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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.
Amanda A. Berger
Director of Compliance
Printed name of Person Signing Title
- 2y L% 4,101-1.v_0(3-1
Signature of 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 knowingly 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.)
4 of 4 Form-D 11/12

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County: Randolph Stream Cass: WS-IV•
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Receiving
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Grid/Quad: DL9NW
35`54'00'
Permit:
NC0055191
NPDES
Longitude:
79* 55• Zr J1UQ 03030003
NORTH

5
E AAE ET LA
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated
by Aqua N.C., Western Division
Where practical, sludge removed from a Aqua N.C., Western Division
facility will be transported via a contract hauler to another Aqua N.C.,
Western Division facility for the purpose of "seeding" a new or under
loaded plant.
Unusable (or "dead") sludge will be removed by a contract hauler and
properly disposed of in accordance with NCGS 143-215.1. Contract
haulers used by Aqua N.C., Western Division will be required to
report 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 N C., Western Division. Aqua N C., Western
Division has not entered into any agreement to accept sludge into its
facilities from plants not owned by them.
Aqua N.C., Western Division 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 jurisdiction over sludge treatment or disposal
Aqua N.C., Western Division includes all of the facilities under the
jurisdiction of the Winston-Salem Regional Office.
202 MacKenan Court, Cary, NC, 27511 • 919.467.8712 • AquaAmerica.com