WQ0002520_Application_20211029

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Division of Water Resources 15A NCAC 02T .0500 — WASTEWATER IRRIGATION SYSTEM — RENEWAL
FORM: WWIS-R 02-21
Pursuant to 15A NCAC 02T .0107(b), if the application does not include all required information and the necessary supporting
documentation, the application shall be returned. The application and attachments shall be prepared in accordance with 15A
NCAC 02T .0100, 15A NCAC 02T .0500, and Division Policies. For more information, visit the Water Quality Permitting
Section's Non -Discharge Branch website. The Applicant shall submit an electronic copy of the application and attachments
uploaded as a single Portable Document Format (PDF) file to https:Hedocs de(lnc gov/Forms/NonDischarge-Branch-Submittal-
Form-Vert, or emailed to Non-Discharee.Reports(&ncdenr.i!ov if less than 20 megabytes (MB).
SECTION I — APPLICANT INFORMATION
1.
Applicant: Town of Bath
2.
Permit No.: WQ002520
3.
Signature authority: M. E. Carson
Title: Town Administrator
Phone number: (252) 947-237 Select
Email: [e-mail]
4.
Mailing address: P O Box 1006
City: Bath
State: NC Zip: 27808-
5.
Contact person: Garland S. Grant, III
Email: [e-mail]
Primary phone number: [phone] Cell
Secondary phone number: [phone] Office
SECTION II — FACILITY INFORMATION
1.
Physical address. 403 Possum Hill Rd
County: Beaufort Parcel No.: 6653-48-0836
City: Bath
State: NC Zip: 27808-
2.
Treatment facility coordinates to the sixth decimal degree:
Latitude: 35.484067° Longitude:-76.802467'
Method: Navigation quality GPS
SECTION III — FLOW INFORMATION
1. Permitted flow: 40000 GPD (The maximum allowable flow based on what has been permitted)
2. As -built flow: 40000 GPD (The maximum allowable flow based on what has been constructed)
3. Average flow: 18617 GPD (The average of all reported flows on the previous calendar year's NDMRs)
4. Hydraulic capacity: 46 % (Divide the average flow in Item 3 by the As -built flow in Item 2)
5. Wastewater composition: Domestic: 100 % Industrial: % Stormwater: %
SECTION IV -- BILLING INFORMATION
1. Billing address: P O BOX 1006
City: BATH State: NC Zip: 27808-
2. Verify the Applicant does not have any overdue annual fees:
https:Hdeq nc gov/about/divisions/water-resources/water-resources-permits/wq-epgyments
Pursuant to 15A NCAC 02T .0120(c), permits for renewing facilities shall not be granted if the Applicant or any affiliation has
an unpaid annual fee.
FORM: WWIS-R 02-21 Page 1 of 6

SECTION V — OPERATOR IN RESPONSIBLE CHARGE (ORC) INFORMATIONa .,
1. ORC: GARLAND S GRANT III
Grade: 3 Certification No.: 995733
Mailing address: P O BOX 1006
City: BATH
State: NC Zip: 27808-
Phone number: [phone] Cell
Email: [e-mail]
2. Back -Up ORC: STEVEN MERRILL
Grade: 3 Certification No.: 23529
Mailing address: P O BOX 1006
City: BATH
State: NC Zip: 27808-
Phone number: [phone] Cell
Email: [e-mail]
SECTION VI — OPEN -ATMOSPHERE STRUCTURES
1. List all open -atmosphere treatment and storage structures associated with the renewing permit. Attach additional sheets if
necessary.
Type
Parcel No.
Volume (gal)
Liner Type
Freeboard (ft)
Latitude
Longitude
5-Day Upset
6653-49-7036
1,560,000
Unlined
2
35.4845500
-76.801750
Storage
6653-38-2556
2,800,000
Apron, synthetic
2
35.4844330
-76.8036830
Treatment
6653-48-0836
10,054
Apron, concrete
10
35.4840670
-76.8026670
Select
Select
0-
°
SECTION VII — RELATED PERMITS
1. List all wastewater permits (i.e., sewer, collection system, NPDES, residuals) that have interactions with the renewing permit.
Attach additional sheets if necessary.
Permit Type
Permit No.
Relationship Type
Select
Select
Select
Select
Select
Select
Select
Select
SECTIO . _ I — MONITORING WELLS
1. List all groundwater monitoring wells associated with the renewing permit. Attach additional sheets if necessary.
Well Name
Parcel No.
Status
Gradient
Location
Latitude
Longitude
Well#1
6653-48-0836
Active
Downgradient
Inside Review Boundary
35.4846330
-76.8012670
Well#4
6653-48-0836
Active
Downgradient
Inside Field
35.4856330
-76.800250
Well#5
6653-48-0836
Active
Downgradient
Between CB and RB
35.4872330
-76.801050
Well#10
6653-48-0836
Active
Downgradient
Inside Review Boundary
35.4882330
-76.806550
Well#11
6653-48-0836
Active
Downgradient
Inside Review Boundary
35.4871500
-76.8069670
Well#12
6653-48-0836
Active
Downgradient
Between CB and RB
35.4843330
-76.80540
Select
Select
Select
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- °
Select
Select
Select
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- °
Select
Select
Select
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FORM: WWIS-R 02-21 Page 2 of 6

ION IN ,"- IRRIGATION FIELDS 1
1. List all irrigation fields associated with the renewing permit. Attach additional sheets if necessary.
Field
County
Parcel No.
Deeded Owner
Area
Cover Crop
Latitude
Longitude
IR-1
BEAUFORT
TOWN OF BATH
19.61
34.4858410
-76.8025410
IB-1
BEAUFORT
6653-39-2622
TOWN OF BATH
7.10
35.4872140
-76.8047260
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Total Acreage:
FORM: WWIS-R 02-21 Page 3 of 6

ATTACHMENT A — SITE MAP
Was the facility originally permitted or had a major modification issued after September 1, 2006?
® Yes — Pursuant to 15A NCAC 02T .0105(d), submit a site map pursuant to the requirements in 15A NCAC 02T .0504(d). These
requirements are:
❑ A scaled map of the site with topographic contour intervals not exceeding 10 feet or 25 percent of total site relief and showing
all facility -related structures and fences within the wastewater treatment, storage, and irrigation areas.
❑ Soil mapping units shown on all irrigation sites.
❑ The location of all wells (including usage and construction details if available), streams (ephemeral, intermittent, and
perennial), springs, lakes, ponds, and other surface drainage features within 500 feet of all wastewater treatment, storage,
and irrigation sites.
❑ Delineation of the compliance and review boundaries per 15A NCAC 02L .0107 and .0108, and 15A NCAC 02T .0506(c)
if applicable.
❑ Setbacks as required by 15A NCAC 02T .0506.
❑ Site property boundaries within 500 feet of all wastewater treatment, storage, and irrigation sites.
❑ All habitable residences or places of public assembly within 500 feet of all treatment, storage, and irrigation sites.
❑ No — Skip Attachment A.
ATTACHMENT B - SIGNATURE AUTHORITY DELEGATION
Does the signature authority in Section 1, Item 3 meet the requirements pursuant to 15A NCAC 02T .0106 b ?
® Yes — Skip Attachment B.
❑ No — Submit a delegation letter pursuant to 15A NCAC 02T .0106(c) authorizing the signature authority to sign.
ATTACHMENT C — FLOW REDUCTION
Does the existing permit include an approved flow reduction?
❑ Yes — Submit a copy of the flow reduction approval letter, as well as the measured monthly average amount of wastewater flow
contributed per unit for the 12 months prior to permit renewal. If any of these monthly averages are within 20% of the approved
flow reduction value, the Permittee shall provide a reevaluation of the reduced flow value pursuant to the requirements in 15A
NCAC 02T .0114(fl.
® No — Skip Attachment C.
ATTACHMENT D - CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
Is the Applicant a Privately -Owned Public Utility?
❑ Yes — Pursuant to 15A NCAC 02T .0115(a)(1), submit the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise.
® No — Skip Attachment D.
ATTACHMENT E - OPERATIONAL AGREEMENT
Is the Applicant a Home/Property Owners' Association or Developer of Lots to be Sold?
❑ Yes (Home/Property Owners' Association) — Pursuant to 15A NCAC 02T .0I 15(a)(2), submit an executed Operational Agreement
(FORM: HOA). Pursuant to 15A NCAC 02T .0115(c), if the applicant is a legally formed Homeowners' or Property Owner's
Association, submit a copy of the Articles of Incorporation, Declarations, and By-laws.
❑ Yes (Developer of Lots to be Sold) — Pursuant to 15A NCAC 02T .0115(a)(2), submit an executed Operational Agreement
(FORM: DEV). Pursuant to 15A NCAC 02T .0115(b), if the applicant is a developer of lots to be sold, submit a copy of the
Articles of Incorporation, Declarations, and By-laws.
® No — Skip Attachment E.
FORM: W WIS-R 02-21 Page 4 of 6

ATTACHMENT F — DEMONSTRATION OF FUTURE WASTEWATER TREATMENT CAPACITIES
Is the applicant a municipality, county, sanitary district, or public utility?
® Yes — Proceed to the next question.
❑ No — Skip Attachment F.
Does the hydraulic capacity in Section III, Item 4 exceed 70%?
❑ Yes (the hydraulic capacity is greater than 70%, but less than 80%) — Pursuant to 15A NCAC 02T .0118(1), prior to exceeding
80 percent of the system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee
shall submit an engineering evaluation of their future wastewater treatment, utilization, and disposal needs. This evaluation shall
outline plans for meeting future wastewater treatment, utilization, or disposal needs by either expansion of the existing system,
elimination or reduction of extraneous flows, or water conservation and shall include the source of funding for the improvements.
If expansion is not proposed or is proposed for a later date, a justification shall be made that wastewater treatment needs will be
met based on past growth records and future growth projections, and as appropriate, shall include conservation plans or other
measures to achieve waste flow reductions.
❑ Yes (the hydraulic capacity greater than 80%) — Proceed to the next question.
® No — Skip Attachment F.
If answered Yes above, does the hydraulic capacity in Section III, Item 4 exceed 80%?
❑ Yes (the hydraulic capacity is greater than 80%) — Pursuant to 15A NCAC 02T .0118(2), prior to exceeding 90 percent of the
system's permitted hydraulic capacity (based on the average flow during the last calendar year), the permittee shall obtain all
permits needed for the expansion of the wastewater treatment, utilization, or disposal system and, if construction is needed,
submit final plans and specifications for expansion, including a construction schedule. If expansion is not proposed or is proposed
for a later date, a justification shall be made that wastewater treatment needs will be met based on past growth records and future
growth projections, and as appropriate, shall include conservation plans or other specific measures to achieve waste flow
reductions.
❑ No — Skip Attachment F.
ATTACHMENT G — EASEMENT, ENCROACHMENT, AND LEASE AGREEMENTS
Does the Permittee own all of the land associated with the wastewater collection, treatment, conveyance, and irrigation system?
® Yes — Skip Attachment G.
❑ No — Pursuant to 15A NCAC 02T .0116(c), provide a copy of all easements, lease agreements, and encroachment agreements
allowing the Permittee to operate and maintain the wastewater collection, treatment, conveyance, and irrigation system on
property not owned by the Permittee.
ATTACHMENT H — AFFILIATIONS
Are the Permittee's affiliations of record correct? Check affiliations.
® Yes — Skip Attachment H.
❑ No — Provide the corrected affiliations and their contact information.
ATTACHMENT I — COMPLIANCE. SCHEDULES
Does the existing permit include any Compliance Schedules? (See Section I of the most recently issued permit)
® Yes — Submit documentation that the compliance schedules have been met.
❑ No — Skip Attachment I.
ATTACHMENT J — CIVIL PENALTIES AND OUTSTANDING VIOLATIONS
Does the Permittee have any existing civil penalties or outstanding violations?
❑ Yes (civil penalties) — Submit payment for the civil penalty, or proof of remission request.
❑ Yes (violations) — Submit a copy of your response to the Notice of Violation.
® No — Skip Attachment J.
FORM: WWIS-R 02-21 Page 5 of 6

ATTACHMENT K— INDUSTRIAL WASTEWATER
Does the wastewater composition in Section III, Item 5 include any industrial wastewater?
❑ Yes — Proceed to the next question.
® No — Skip Attachment K.
Has the nature of the industrial wastewater changed since the last permit issuance (i.e., changes in industrial process, introduction of
new materials or chemicals, etc.)?
❑ Yes — Provide a chemical analysis of the wastewater pursuant to the requirements in 15A NCAC 02T .0504(h). Provide an
overview of the manufacturing process; an inventory of all chemical and biological materials used in the manufacturing process;
and an overview of the cleaning and treatment methodology.
❑ No — Provide an overview of the manufacturing process; an inventory of all chemical and biological materials used in the
manufacturing process; and an overview of the cleaning and treatment methodology.
ATTACHMENT L — SETBACK WAIVERS
Does the existing permit include setback waivers?
❑ Yes — Pursuant to 15A NCAC 02T .0506(d), provide setbacks waivers that have been written, notarized, signed by all parties
involved, and recorded with the county Register of Deeds. Waivers involving the compliance boundary shall be in accordance
with 15A NCAC 02L .0107.
® No — Skip Attachment L.
APPLICANT'S CERTIFICATION I
I � � El.Gas' "" =-V00 O attest that this application
(Signature authority's name as noted in Section I, Item 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application package are not completed, and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete. I further certify pursuant to 15A NCAC 02T .0120(b), that the applicant, or any
parent, subsidiary, or other affiliate of the applicant has: not been convicted of environmental crimes under; not previously abandoned
a wastewater treatment facility without properly closing the facility; not paid a civil penalty; not been compliant with any compliance
schedule in a permit, settlement agreement, or order; not paid an annual fee.
Note: The Applicant's Certification shall be signed pursuant to 15A NCAC 02T .0106(b). An alternate person may be delegated as
the signing official if a letter is provided pursuant to 15A NCAC 02T .0106(c). Pursuant to § 143-215.6A and § 143-215.6B, any
person who knowingly akes any false statement, representation, or certification in any application package shall be guilty of a Class
2 misdemeanor whi may include a fine not to a ,000 as well as civil penalties up to $25,000 per violation.
Signature: S Date:
THE COMPLETED APPLICATION AND ATTACHMENTS SHALL BE SUBMITTED AS A SINGLE PDF FILE VIA:
Email:
Non-Discharge.Renorts(&ncdenr.p-ov
Laserfiche Upload:
https:Hcdoes.deg. nc.zov/Fo rm s/NonDischa r2e-Branch-
Submittal-Form-Ver2
FORM: WWIS-R 02-21
Page 6 of 6

ADDITIONAL INFORMATION
SECTION III — FLOW INFORMATION — Page 1 of 06
1. Permitted flow: 40,000 GPD (The maximum allowable flow based on what has been permitted)
2. As -Built flow 40,000 GPD {The maximum allowable flow based on what has been constructed)
Perform flow: 22,000 GPD (The maximum allowable flow based on constructed performance)
3. Average flow: 18,617 GPD {The average of all reported flows on the previous calendar year's NDMRS)
4. Hydraulic Capacity: 46.5% of constructed flow
84.6% of constructed performance — (effluent does not infiltrate into the soil)
5. Wastewater Composition: Domestic: 100.0%
ATTACHMENT F — FUTURE WASTEWATER TREATMENT CAPACITIES — Page 5 of 06
Yes, applicant is a municipality.
Hydraulic capacity relevant to constructed flow is 46.5% — less than 70%
Hydraulic capacity relevant to performance flow is 84.6% — greater than 80%
PERFORMANCE: The effluent from the SBR-WWTP conveyed to the High Rate Infiltration Basin (HRIB)
does not infiltrate into the soil.
FUTURE: By letter dated May 29, 2007; the Town of Bath is under a moratorium with "no new sewer taps,
sewer extensions or additional flow at its wastewater treatment plant effective July 16, 2007." As of July
16, 2007 the moratorium constrains flow to its ADF equal to 21,915 GPD or less than 22,000 GPD. At this
time under the moratorium future treatment capacity is a moot point.
Bath is currently pursuing a grant to perform Viable Utility Asset Inventory Assessment (AIA) and Rate
Study. Depending on information gleaned from the AIA and Rate Study, the Town will consider future for
its wastewater system utility.
ATTACHMENT I — COMPLIANCE SCHEDULES — Page 5 of 06
The Town of Bath presently uses a measuring gauge that has been installed and operational in the
facultative/5-day upset lagoon. Data is gathered weekly and reported monthly.

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