NC0020290_Permit Issuance_19961223

NPDES DOCIMENT SCANNING COVER SHEET
NC0020290
Burnsville WWTP
NPDES Permit:
Document Type:
Permit Issuance:;
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Speculative Limits
Instream Assessment (67b)
Environmental Assessment (EA)
Permit
History
Document Date:
December 23, 1996
This document is printed oia reuse paper - ignore maw
ears -ten -lit cm the reYerse side

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
December 23, 1996
Mr. Thomas W. Stone
Director of Public Works
P.O. Box 97
Burnsville, North Carolina 28714
HNF
Subject: NPDES Permit Issuance
Permit No. NC0020290
Burnsville WWTP
Yancey County
Dear Mr. Stone:
In accordance with the application for discharge permit received on June 3, 1996, the Division is forwarding
herewith the subject state - NPDES 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 December 6, 1983.
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 redeipt 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, Post Office Drawer 27447, Raleigh,
North Carolina 27611-7447. Unless such a demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. Part II, E.4. addresses the requirements to be
followed in case of change in ownership or control of this discharge.
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, Coastal Area Management Act, or
any other Federal or Local governmental permits may be required.
If you have any questions or need additional information, please contact Mr. Mark McIntire, telephone
number [phone], extension 553.
Sincerely,
Original Signed b
David A. Goodrich
A. Preston Howard, Jr., P.E.
cc: Central Files
Mr. Roosevelt Childress, EPA
Asheville Regional Office, Water Quality
Permits and Engineering Unit
Facility Assessment Unit
Aquatic Survey and Toxicology Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Permit No. NC0020290
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, 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,
Town of Burnsville
is hereby authorized to discharge wastewater from a facility located at
Town of Burnsville Wastewater Treatment Plant
NCSR 1138
Southwest of Burnsville
Yancey County
to receiving waters designated as the Cane River in the French Broad 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, 1997
This permit and authorization to discharge shall expire at midnight on January 31, 2002
Signed this day December 23, 1996
Original Signed By
David A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit No. NC0020290
SUPPLEMENT TO PERMIT COVER SHEET
Town of Burnsville
is hereby authorized to:
1. Continue to operate the existing 0.80 MGD dual contact stabilization type wastewater treatment
facility consisting of a bar screen, comminuting device, splitter box, contact tanks, reaeration
tanks, chlorine contact tanks, and dechlorination, clarifiers with sludge return, aerobic digesters
and sludge drying beds located at Town of Burnsville WWTP, NCSR 1138, southwest of
Burnsville, Yancey County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into the Cane
River which is classified Class C-Trout waters in the French Broad River Basin.

•
ROAD CLASSIFICATION
PRIMARY HIGHWAY
HARD SURFACE
LIGHT -DUTY ROAD. HARD OR
IMPROVED SURFACE
ISIVP
SECONDARY HIGHWAY
HARD SURFACE
UNIMPROVED ROAD
Latitude 35°54'17" Longitude 82°19'59"
Map # D9NE Sub -basin
04-03-07
Stream Class C-Trout
Discharge Class 73.8 % Domestic. 26.2 % Industrial
Receiving Stream The Cane River
Design Q 0.8 MGD Permit expires 12/ 31/0 1
Town of Burnsville
NC0020290
Yancey

A. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL
Permit No. NC0020290
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from outfall(s) serial number
001. Such discharges shall be limited and monitored by the Permittee as specified below:
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Flow
0.8 MGD
Continuous
Instantaneous
I or E
BOD, 5 day, 20°C2
30.0 mg/L
45.0 mg/L
3/week
Composite
E,
Total Suspended Residue2
30.0 mg/L
45.0 mg/L
3/week
Composite
E,
NH3 as N
3/week
Composite
E
pH3
3/week
Grab
E ,
Temperature
Daily
Grab
E
Fecal Coliform (geometric mean)
200 / 100 ml
400 / 100 ml
3/week
Grab
E
Total Residual Chlorine
278.0 uq/L
2/Week
Grab
E
Total Nitrogen (NO2+NO3+TKN)
Semi-annually
Composite
E
Total Phosphorus
Semi-annually
Composite
E
Oil and Grease
30.0 mg/L
60.0 mq/L
Weekly
Grab
E
Chromium
Monthly
Composite
E ,
Nickel
Monthly
Composite
E
Zinc
_
Monthly
Composite
E
*Mercury
0.2 uq/L
Monthly
Composite
E, U, D
Cadmium
6.0 uq/L
Weekly
Composite
E
Copper
Monthly
Compostie
E r ,
Cyanide •
82.0 uq/L
Weekly
Grab
E
Lead
Monthly
Compostie
E
Silver
Monthly
Composite
E
Chronic Toxicity's
Quarterly
Composite
E
Notes:
Sample locations: E - Effluent, I - Influent, U - Upstream above Pine Swamp Branch, D - Downstream at US Highway 19 Bridge. All stream samples shall be done on a
quarterly basis by grab samples. The instream sampling for mercury shall be conducted on a 2/month basis.
2 The monthly average effluent BOD5 and Total Suspended Residue concentrations shall not exceed 15% of the respective influent value (85% removal).
3 The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
4 Chronic Toxicity (Ceriodaphnia) P/F at 6 %; March, June, September, December; See Next Page.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit No. NC0020290
SUPPLEMENT TO EFFLUENT LIMITATIONS
AND MONITORING REQUIREMENTS
SPECIAL CONDITIONS
CHRONIC TOXICITY PASS / FAIL PERMIT LIMIT (QRTRLY)
The effluent discharge shall at no time exhibit chronic toxicity using test procedures outlined in:
The North Carolina Ceriodaphnia chronic effluent bioassay procedure (North Carolina Chronic
Bioassay Procedure - Revised * September 1989) or subsequent versions.
The effluent concentration at which there may be no observable inhibition of reproduction or
significant mortality is 6% (defined as treatment two in the North Carolina procedure document).
The permit holder shall perform quarterly monitoring using this procedure to establish compliance
with the permit condition. The first test will be performed after thirty days from the effective date
of this permit 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.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the month in which it was performed, using the parameter
code TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following address:
Attention:
Environmental Sciences Branch
North Carolina Division of
Water Quality
4401 Reedy Creek Road
Raleigh, N.C. 27607
Test data shall be complete and accurate and include all supporting chemical / physical
measurements performed in association with the toxicity tests, as well as all dose / response data.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is
employed for disinfection of the waste stream.
Should any single quarterly monitoring indicate a failure to meet specified limits, then monthly
monitoring will begin immediately until such time that a single test is passed. Upon passing, this
monthly test requirement will revert to quarterly in the months specified above.
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.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival and appropriate environmental controls, shall constitute an invalid test
and will require immediate retesting (within 30 days of initial monitoring event). Failure to submit
suitable test results will constitute noncompliance with monitoring requirements.

ROAD CLASSIFICATION
PRIMARY HIGHWAY
HARD SURFACE
SECONDARY HIGHWAY
HARD SURFACE
LIGNT.DUTY ROAD. HARD OR
IMPROVED SURFACE
UNIMPROVED ROAD
Latitude 35°54'17" Longitude 82°19'59"
Map # D9NE Sub -basin 04-03-07
Stream Class C-Trout
Discharge Class 73.8 % Domestic. 26.2 % Industrial
Receiving Stream The Cane River
Design Q 0.8 MGD Permit expires 12/31/01
0
SCALE 1:24 000
0 1 MILE
7000 FEET
0
1 KILOMETER
CONTOUR INTERVAL 40 FEET
Town of Burnsville
NC0020290
Yancey

NPDES WASTE LOAD ALLOCATION
PERMIT NO.: NC0020290
PERMI'I'I tE NAME:
FACILITY NAME:
Town of Burnsville
Town of Burnsville WWTP
Facility Status: Existing
Permit Status: Renewal
Major Minor �1
Pipe No.: 001
Design Capacity: 0.80 MGD
Domestic (% of Flow):
Industrial (% of Flow):
Comments:
73.8 %
26.2 %
RECEIVING STREAM: the Cane River
Class: C-Trout
Sub -Basin: 04-03-07
Reference USGS Quad: D9NE
County: Yancey
Regional Office: Asheville Regional Office
(please attach)
Previous Exp. Date: 12/31/96 Treatment Plant Class: Class III
Classification changes within three miles:
Requested by:
Mark McIntire
Date: 6/5/96
Prepared by: d€a) � Date: / 36 9
Reviewed by: (liedik-/ (gyp Date: 1 el
Modeler
Date Rec.
#
Drainage Area (mi2 ) % . ( Avg. Streamflow (cfs): q 7
7Q10 (cfs) ) Winter 7Q10 (cfs) a6. 30Q2 (cfs)
Toxicity Limits: IWC CD % Acute
Instream Monitoring:
Parameters filer Gn
6 �w1
Upstream it Lvvve A Atftion ;?^INit(L
Downstream at U 5-11 loot Location
Effluent
Characteristics
BOBS (mg/1)
D.O. (mg/1)
TSS (mg/1)
F. Col. (/100 ml)
pI-I (SU)
-7-Al
Winter
30
6-1
a7F
3a
0
0
0
C
0
E 2`��b4o�v
•
UUUZ�NUci�
,'Y�r,�� 10,r 70X1C41-Vt6 / it L here-'
PLC
ri

SOC PRIORITY PROJECT: Yes No XX
IF YES, SOC NUMBER
TO: PERMITS AND ENGINEERING UNIT
WATER QUALITY SECTION
ATTENTION: Mark McIntire
DATE: June 24, 1996
NPDES STAFF REPORT AND RECOMMENDATION
COUNTY Yancey
PERMIT NUMBER NC0020290
PART I - GENERAL INFORMATION
1. Facility and Address: Town of Burnsville
Mailing: Post Office Box 97
Burnsville, N.C. 28714
2. Date of Investigation: June 11, 1996
3. Report Prepared By: Max L. Haner
4. Persons Contacted and Telephone Number: Thomas W. Storie
[phone]
5. Directions to Site: The existing wwtp is located
adjacent to NCSR 1138 (Pine SwampBranch Road),
it
s 0.85 mile south of intersection with
NCSR 1196. NCSR 1138 intersects with NCSR 1196
approximately 0.2 mile south of NC Hwy 19 E, west of
Burnsville.
6. Discharge Point(s), List for all discharge points: 001
Latitude: 35° 54' 17"
Longitude: 82° 19' 59"
Attach a USGS map extract and indicate treatment facility site and
discharge point on map.
U.S.G.S. Quad No. D9NE U.S.G.S. Quad Name Burnsville, N.C.
7. Site size and expansion area consistent with application?
X Yes No If No, explain:
8. Topography (relationship to flood plain included): Not in Flood
Plain
Page 1

9. Location of nearest dwelling: >150 feet
10. Receiving stream or affected surface waters: Cane River
a. Classification: Class "C-Trout"
b. River Basin and Subbasin No.: French Broad/ 040307
c. Describe receiving stream features and pertinent downstream
uses: Agriculture, Wildlife
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted 0.800 MGD (Ultimate
Design Capacity)
b. What is the current permitted capacity of the Wastewater
Treatment facility? 0.800 MGD
c. Actual treatment capacity of the current facility (current
design capacity 0.800 MGD
d. Date(s) and construction activities allowed by previous
Authorizations to Construct issued in the previous two years:
e. Please provide a description of existing or substantially
constructed wastewater treatment facilities: The existing
wwtp consists of dual contact stabilization plants (0.300 MGD
& 0.500 MGD) with individual chlorination and combined
dechlorination (sulfur dioxide). The discharge enters Cane
River. Sludge is dewatered using a screw press and the two
sludge drying beds. composting.
f. Please provide a description of proposed wastewater treatment
facilities: N/A
g-
Possible toxic impacts to surface waters: Minimal, Negligible
h. Pretreatment Program (POTWs only):
in development approved Yes
should be required not needed
2. Residuals handling and utilization/disposal scheme: Drying Beds &
Composting - Permit Number WQ2834 - Distribution
a. If residuals are being land applied, please specify DEM
Permit Number
Residuals Contractor
Telephone Number
b. Residuals stabilization: PSRP PFRP OTHER
C. Landfill:
d. Other disposal/utilization scheme (Specify):
Page 2

3. Treatment plant classification (attach completed rating sheet):
Class III
4. SIC Codes (s) : 4952, 3519
Primary 01 Secondary 57
Main Treatment Unit Code: 09005
PART III OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds
or are any public monies involved. (municipals only)?
2. Special monitoring or limitations (including toxicity) requests:
None
3. Important SOC, JOC, or Compliance Schedule dates: (Please
indicate) N/A
Submission of Plans and Specifications
Begin Construction
Complete Construction
Date
4. Alternative Analysis Evaluation: Has the facility evaluated all
of the non -discharge options available. Please provide regional
perspective for each option evaluated. N/A
Spray Irrigation:
Connection to Regional Sewer System:
Subsurface:
Other, disposal options:
5. OtherSpecial Items: None

PART IV - EVALUATION AND RECOMMENDATIONS
The WWTP can meet effluent limits as assigned in the current NPDES
permit. Previous permit violations for TSS and BOD revolve
around the loss of the land application site for sludge
disposal and a delay in obtaining the compost distribution
permit; interrupting solids handling. Recommend that the
permit be issued as proposed.
Signa ure of Report
Preparer
ir;Lpay kLei ;Z2ta/Ae
Water Quality Region Supervisor
Date
Page 4

PAGE 01
10i'17/1SS6 11:06 7042516452
02T-14-1596 69:49 prwm
Facility lame:
NPDES No.:
Type of Waste:
Facility Status!
Pest Scams:
Receiving Stream!
Streaw futon:
Subbasin;
Regional. OfEee:
of Request:
t opa Quad:
DEN WATER CUAL,'
FFkCrSHE TFC
Pos ' Fax Note
7671
D200
-
r (ASP"
2W
lot,q
�/
),
mapc.
Cl
Y
Phono N
Rion #
Fax 8
Fax !t
w
Town of Burn
NC0020290
73.2% douil26.2% md.
Existing
renewal.
Cana t ,ivcr
C-trout
04.03-07
yams
Asheville
Mat Mrdnlite
615196'
D9NE
USGS #
Date:
Drainage Area ( i2):
Stuamcr 7t 10 (cfs);
Winter 7Q10 (cfs):
Avt;r,e Flow (cfs):
30Q2 (as);
IWC (9G):
flaws flint 1992
WL,A
56.9
19.0
26_0
97.0
40,0
6%
Walt ld AllOG;ationL Summary
(coach carresparxiwncc with region, EPA, etc.)
According -t0 D IR reports the facility has been non -compliant with its pernanz 39 out of the
past months Many violations of their daily max. limits have occuttud -which doe. not trisser u
notice of violation in the oomplianw, computer tracking system. However, numerous TSS and
fecal colfom monthly average permit violations bavo % of u red :c,,'welL i or the past 3 years in the
DMRs the faoihty has cited solids hal-KU-mg problems as the cause for the TSS viotationa.
Equipment ptoblemwith the chlorine feet system is frequently cited as tie can for the chlorine
and II violations_ The region has stucco zn thz stiff ctport that the pro' is cap abh3 of
Corsistrudy meeting all prink limitU.
The for*tity appe= to be doing a. xeasonably good job at moving BOPS f o
effire-it . Tit.; chrome Undcity test at 6% has consistently bean passed over the 1-at 4 yea-
,
Oa occasion elevated mercury levels in tat Cane Rive both up and downstzpam of the
tlisc.hartge have been reported by the facility. Over the past two years repeated gent mercury
concentrations above the detection level have been measured (an effluent lig con4catratiorn of 6
ug.i , was repoa d & Dec. '95)_ A mercury permit limit is recommended.
Special Sehcdule Requirements and additional comments from RoViewers:
rpoik 2/141r 1(4 ) 1 1
t173419 611( 't31
on

10/17/1996 11:06 7042516452
PAGE 02
OCT-14-1995 @9:49 FROM Dal um -ER QUAL/T\ SECTION To PRO p.03' 7
fleeotamdby:
Reviewed by
Tn.am Assessment
Regional Supervisor:
PewAt% & Engineering:
2
/9/00
RETURN TO TECHNICAL St PPORT BY:
pc-: 4r1:914 Ad' t /776 w
.a.,
du o,„1 fix- re Viexa grace ,
40-vs• : \s+ , a .4 �A� 1,.�.� 1��. �o(�., r
.. ttti-, ,��

3
CONVENTIONAL PARAMETERS
ExistingLimits:
��
Monthly Average
Summer/
Winter
Wasteflow (MGD): 0.8
BOD5 (mg/1): 30.0
NH3N (mg/1): monitor
TSS (mg/1): 30.0
Fecal Col. (/100 ml): 200
pH (SU): 6-9
ResiduaChlorine (µg/1): 278.0 *
Oil and ase (mg/1): 30.0
Temper ture (C): monitor
TP (mg/1): monitor
TN (mg/1): monitor
Chronic toxicity test: @ 6%
* daily !nax.
Recommended Limits:
Wasteflow (MGD):
BOD5 (rng/1):
NH3N (mg/1):
TSS (m ):
Fecal Cd1. (/100 ml) :
PH(SU):)
Residual Chlorine (14/1):
Oil and Grease (mg/1):
TP (mg//):
TN (mg/1):
Chronic toxicity test:
Summer/ WQ/E1
Winter
0.8
30.0 EL
monitor EL
30.0 EL
200 EL
6-9 EL
278.0 * WQ
30.0
monitor EL
monitor EL
@ 6%
* daily max.
LIMIT CHANGES DUE TO:
No limit changes recommended.
(explanation of any modifications to past modeling analysis including new flows, rates, field data,
interacting discharges)
(See page 4 for miscellaneous and special conditions, if applicable)

Type of Toxicity Test:
Existing Limit:
Recommended Limit:
Monitoring Schedule:
E
Cadmi (ug/l):
Chromiun (ug/l):
Copper ( g/1):
Nickel (ug/l):
Lead (ug/l):
Zinc (ug/l):
Cyanide ug/1):
Mercury ug/1):
Silver (ug/1):
Recommended Limits
Cadmium (ug/1):
Chromium (ug/1):
Copper (g/1):
Nickel (u ):
Lead (ug/1):
Zinc (ug/1):
Cyanide (ug/l):
Mercury (ug/l):
Silver (ug/l):
TOXICS/METALS
Chronic tox. (Ceriodaphnia) P/F
6%
6%
March, June, Sept., Dec.
Daily Max.
6.0
816.0
monitor
monitor
monitor
monitor
82.0
monitor
monitor
Daily Max. WQ or EL
6.0 WQ
monitor
monitor
monitor
monitor
monitor
82.0 WQ
0.2 WQ
monitor
Limit changes due to:
A reasonable potential analysis was run using 1993-1996 (thru April) DMR data. The
maximum predicted chromium concentration was well below the allowable, therefore a permit limit
is not recommended. However, effluent concentrations of chromium are high enough to warrant
continued monitoring. Instream mercury concentrations above the state standard have been
reported by the facility. Occasional high levels of mercury, up to 6.0 ug/L, have been measured in
the effluent. Based on the available data a mercury limit is recommended. No other permit
changes are recommended.
Parameter(s) are water quality limited. For some parameters, the available load capacity of
the immediate receiving water will be consumed. This may affect future water quality based
effluent limitations for additional dischargers within this portion of the watershed.
No
OR
parameters are water quality limited, but this discharge may affect future allocations.

5
INSTREAM MONITORING REQUIREMENTS
Upstream Location: above Pine Swamp Branch
Downstream Location: at US-19 bridge
Parameters: mercury
Special instream monitoring locations or monitoring frequencies:
The current permit requires instream monitoring for the following parameters: BOD5, Cr,
Cd, Cu, cyanide, Pb, Zn, Ni, Ag, and Hg. With the exception of Hg, instream metals
concentrations appear to be at a level which will not detract from the intended uses of the river.
Therefore, mercury is the only toxicant needing additional monitoring. Based on the available data
instream BOD5 concentrations appear to be at a normal background level (< 2 mg/L) both up and
downstream of the discharge.
MISCELLANEOUS INFORMATION & SPECIAL CONDITIONS
Adequacy of Existing Treatment
Has the facility demonstrated the ability to meet the proposed new limits with existing treatment
facilities? Yes No
If no, which parameters cannot be met?
Would a "phasing in" of the new limits be appropriate? Yes No
If yes, please provide a schedule (and basis for that schedule) with the regional
office recommendations:
If no, why not?
Special Instructions or Conditions
Wasteload sent to EPA? (Major) (Y or N)
(If yes, then attach schematic, toxics spreadsheet, copy of model, or, if not modeled, then old
assumptions that were made, and description of how it fits into basinwide plan)
Additional Information attached? (Y or N) If yes, explain with attachments.

Facility Name ( Win 7 4tirr1SVi 1I P lulu» Permit # 1! ir(90d 1()Pipe #
CHRONIC TOXI" TTY PAS5'7AI1, PF^MIT I.T "T (OPTRI ")
Tne diluent discharge .3112 : at no nrt;, exribit chronic toxicity using test procr,,..,i:es ouuuic i in:
1.) The North Carolina Ceriodaphnia chronic effluent bioassay procedure (North Carolina Chronic Bioassay
Procedure - Revised *September 1989) or subsequent versions.
The effluent concentration at which there may be no observable inhibition of reproduction or significant mortality
is (! % (defined as treatment two in the North Carolina procedure document). The permit holder shall perform
guarter(v monitoring using this procedure to establish compliance with the permit condition. The first test will be
performed after thirty days from the effective date of this permit during the months of
1' i 1? i , `T, ' i ` C j, G 1 c- C. . Effluent sampling for this testing shall be performed at the NPDES
permitted final effluent discharge below all treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the month in which it was performed, using the parameter code TGP3B.
Additionally, DEM Form AT-1 (original) is to be sent to the following address:
Attention: Environmental Sciences Branch
North Carolina Division of
Environmental Management
4401 Reedy Creek Road
Raleigh, N.C. 27607
Test data shall be complete and accurate and include all supporting chemical/physical measurements performed in
association with the toxicity tests, as well as all dosefresponse data. Total residual chlorine of the effluent toxicity
sample must be measured and reported if chlorine is employed for disinfection of the waste stream.
Should any single quarterly monitoring indicate a failure to meet specified limits, then monthly monitoring will
begin immediately until such time that a single test is passed. Upon passing, this monthly test requirement will
revert to quarterly in the months specified above.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of
Environmental Management indicate potential impacts to the receiving stream, this permit may be re -opened and
modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival and appropriate environmental controls, shall constitute an invalid test and will require immediate
retesting(within 30 days of initial monitoring event). Failure to submit suitable test results will constitute
noncompliance with monitoring requirements.
7Q10 / Ci cfs
Permitted Flow 1), g MGD Recommended by:
IWC ((-, % i 7
Basin & Sub -basin (. -/ (7 G 7 ( :7 / it7/I, ;; i ,
Receiving Str (litr r ,' h K
County ' a) W ((J' y Date l .'/1(I c ((
i
QCL P1F Version 9/91

Facility:
Permit Number:
County:
Flow:
Receiving Stream:
Stream Class:
Permit Renewal Application
Comments and Summary
NC Division of Water Quality
Permits and Engineering Unit
October 28, 1996
Town of Burnsville WWTP
NC0020290
Yancey
0.8 MGD
Cane River Creek
C-Trout
GENERAL COMMENTS: There have been few operational problems with this facility. It has had some
permit violations for TSS and BOD, however these violations are thought to be the result of the loss of their land
application site for sludge disposal and a delay in obtaining the compost distribution permit.
There have been no operational changes and no changes to the facility. The permit has been drafted in accordance
with the wasteload. Monitoring frequencies have been updated to reflect the changes in the 2B .0500 regulations.
Prepared by:

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Burnsville WWTP
Cane River
NC0020290
Residual Chlorine
7010 (CFS)
DESIGN FLOW (MGD)
DESIGF FLOW (CFS)
STREAM STD (UG/L)
UPS BACKGROUND LEVEL (UG/L)
IWC (%)
Allowable Concentration (ug/l)
Fail Lhnit
Ratio of 16.32 :1
Ammonia as NH3
(summer)
19 S7010 (CFS)
0.8 DESIGN FLOW (MGD)
1.24 DESIGN FLOW (CFS)
16.0 STREAM STD (MG/L)
0 UPS BACKGROUND LEVEL (MG/L)
6.13 % IWC (%)
277 Allowable Concentration (mg/I)
Ammonia as NH3
(winter)
19
0.8
1.24
1.0
0.22
6.1 %
12.95
NBOD (mg/I) la 68.28
W7010 (CFS)
20W100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
UPS BACKGROUND LEVEL (MG/L)
IWC (%)
Allowable Concentration (mgA)
26
0.8
1.24
1.8
0.22
4.6 %
34.93
NBOD (mg/I) 1157.18

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_y•

TOXICANT ANALYSIS
,ARM
1/96
ii1G}l;�6d
111
moni-to
Ot ---->
/;Mif
mOn, 7'of -->
Plan14or ---->
►vi /y10i117i r —�
moral -tor-->
r
L,'m/--�
Facility Name
Bumsville WWTP
NPDES #
NC0020290 '•
Qw (MGD)
0.8I
._.._
WC (96)
6.13!
Rec'ving Stream
Cane River '•
Stream Class
C-trout
FINAL
RESULTS
Cadmium
LIMIT
Max. Pred Cw
22.51
Allowable Cw
6.5
Chromium
OK !
I
Max. Pred Cw
292.22816521
Allowable Cw
816.1
i
Nickel
OK I
Max. Pred Cw
213.9858928
Allowable Cw
1436.41
Cyanide
OK I
Max. Pred Cw
75.2
Allowable Cw
81.61
Copper
MONITOR
!
Max. Pred Cw
3933.145784
Allowable Cw
114.31
i
Zinc
OK I
Max. Pred Cw
459.6656556!!
Allowable Cw
816.1
Lead
OK I
!
Max. Pred Cw
33.636233891
Allowable Cw
408.1
i
Arsenic r
#DIV/0l
..
Max. Pred'Cw
\ #DIV/0!
AllowabI Cw
v _,
816.1
i
Silver
MONITOR
'•
Max. Pred Cw
123.23674341
Allowable Cw
1.0
Mercury
LIMIT
i
Max. Pred Cw
29.273579171
Allowable Cw
0.2
tkt sue
7/12/96 PAGE 1

Cadmium TOXICANT ANALYSIS
Parameter=
Cadmium
I I i
Standard =
0.4
jtg/I
Don't forget to check with Pretrti
...
n
BDL=1/2DL
Actual Data
RESULTS
• 1
0.5
<1
Std Dev.
1.670855785
2
1
1
Mean
1.303030303
3
0.5
<1
C.V.
1282284672
4
0.5
<1
5
0.5
<1
6
0.5
<1
Mult Factor -
1.5
7
0.5
<1
Max. Value
15
pg/i
8
0.5
<1
Max. Pled Cw
22.5
µg/I
9
1
1
Allowable Cw
6.5
µgli
10
1
' , 1
i 11
0.5
<1
12
0.5
<1
Linear Interpolation
of Muit Facto
13
0.5
<1
14
6
6
C.V.
1282284672
15
0.5
<1
C.V.Io
12
16
0.5
<1
C. V. hi
1.3
17
0.5
<1
MFhi
1.5!
_
18
1
1
MFb
1.51
19
0.5
<1
MF=
1.5
20
0.5
<1
21
0.5
<1
22
0.5
<1
23
0.5
<1
24
0.5
<1
25
0.5
<1
26
2
2
27
0.5
<1
28
0.5
<1
29
0.5
<1
30
0.5
<1
31
1
<2
32
0.5
<1
33
0.5
<1
34
1
1
35
0.5
<1
36
0.5
<1
37
0.5
<1
38
0.5
<1
39
2
2
40
0.5
<1
41
0.5
<1
42
0.5
<1
43
1
1
44
1.5
<3
45
1
1
46
1.5
<3
47
2
2
48
1
1
49
0.5
<1
50
0.5
<1
51
15
15
52
0.5
<1
53
0.5
<1
54
2
2
55
0.5
<1
56
0.5
<1
57
0.5
<1
58
2
2
7/12/96 PAGE '

Cadmium TOXICANT ANALYSIS
•
59
2
2
60
6
6
61
0.5
<1
62
0.5
<1
_
63
2
2
64
2
2
65
4
4
66
0.5
<1
67
0.5
<1
68
0.5
<1
69
3
3
70
0.5
<1
71
0.5
<1
72
0.5
<1
73
0.5
<1
74
0.5
<1
75
0.5
<1
76
2
2
77
2
2
78
0.5
<1
79
0.5
<1
80
0.5
<1
81
0.5
<1
82
2
2
83
2
2
84
2
2
85
4
4
86
9
9
87
3
3
88
3
3
89
4
4
90
1
1
91
4
4
92
0.5
<1
93
0.5
<1
94
2
2
95
1
1
96
0.5
<1
97
3
3
98
0.5
<1
99
2
2
100
0.5
<1
101
0.5
<1
102
0.5
<1
103
0.5
<1
104
0.5
<1
105
0.5
<1
106
1
1
107
6
6
108
2
2
109
1
1
110
0.5
<1
111
2
2
112
0.5
<1
113
3
3
114
OS
<1
115
0.5
<1
116
0.5
<1
117
3
3
118
3
3
119
1
1
120
2
2
121
2
2
7/12/96 PAGE

Cadmium TOXICANT ANALYSIS
122
1
1
123
1
1
124
2
2
125
2
2
126
2
2
127
0.5
<1
128
0.5
<1
129
0.5
<1
130
2
2
131
0.5
<1
132
3
3
133
2
2
134
0.5
<1
135
0.5
<1
136
0.5
<1
137
0.5
<1
138
0.5
<1
139
0.5
<1
140
0.5
<1
141
0.5
<1
142
0.5
<1
143
0.5
<1
144
0.5
<1
145
0.5
<1
146
0.5
<1
147
0.5
<1
148
0.5
<1
149
0.5
<1
150
0.5
<1
151
0.5
<1
152
0.5
<1
153
0.5
<1
154
0.5
<1
155
0.5
<1
156
0.5
<1
157
0.5
<1
158
1
1
159
2
2
160
2
2
161
2
2
162
2
2
163
2
2
164
1
1
165
5
5
166
7/12/96 PAGE

Chromium TOXICANT ANALYSIS
'ammeter-
Chromium
Standard -
'. 50
Aga
n
BDL=1/2DL
Actual Data
RESULTS
1
12.5
<25
Std Dev.
33.25
2
12.5
<25
Mean
31.34
3
12.5
<25
C.V.
1.061
4
12.5
<25
5
2.5
<5
6
25
<50
Mult Factor=
1.5
7
12.5
<25
Max. Value
200
µg/I
8
12.5
<25
Max. Prod Cw
292.2
NA
9
12.5
<25
Allowable Cw
816.1
µgf
10
12.5
<25
11
12.5
<25
12
12.5
<25
Linear Interpol. of MF
13
29
29
14
12.5
<25
C.V.
1.061
15
12.5
<25
C.V. Io
1
16
12.5
<25
C. V. hi
1.1
17
12.5
<25
MFhi
1.5.
41._41
18
12.5
<25
MFIo
19
12.5
<25
MF=
1.5
20
12.5
<25
21
26
26
22
35
35
23
12.5
<25
24
8
8
25
23
23
26
19
19
27
13
13
28
11
11
29
23
23
30
33
33
31
13.8
13.8
32
5
5
_
33
8
8
34
13
13
35
6
6
36
2.5
<5
37
5
5
38
23
23
39
6
6
40
. 11
11
41
19
19
42
9
9
43
12
12
44
12
12
45
27
27
46
10
10
47
28
28
48
28
28
49
17
17
50
13
13
51
14
14
52
14
14
53
22
22
54
22
22
55
23
23
56
15
15
57
29
29
58
22
22
7/12/96 PAGE '

Chromium TOXICANT ANALYSIS
59
13
13
60
20
20
61
26
26
62
14
14
63
17
17
64
12
12
65
12
12
66
31
31
67
28
28
68
26
26
69
8
8
70
21
21
71
10
10
72
8
8
73
30
30
74
40
40
75
43
43
76
16
16
77
62
62
78
55
55
79
40
40
80
103
103
81
36
36
82
169
169
83
12
12
84
22
22
85
14
14
86
13
13
87
33
33
88
2.5<5
89
6
6
90
35
35
91
65
65
92
40
40
93
37
37
94
38
38
95
33
33
96
13
13
97
36
36
98
51
51
99
37
37
100
37
37
101
25
25
102
14
14
103
40
40
104
47
47
105
72
72
106
19
19
107
33
33
108
36
36
109
46
46
110
42
42
111
67
67
112
20
20
113
115
115
114
65
65
115
39
39
116
77
77
117
72
72
118
26
26
119
53
53
120
142
142
121
21
21
7/12/96
PAGE;

Chromium TOXICANT ANALYSIS
122
33
33
123
26
26
124
123
123
125
39
39
126
33
33
127
39
39
128
33
33
129
10
10
130
16
16
131
42
42
132
12
12
133
27
27
134
18
18
135
13
13
136
10
10
137
200
200
138
11
11
139
33
33
140
46
46
141
58
58
142
5
5
143
17
17
144
16
16
145
73
73
146
26
26
147
8
8
148
61
61
149
19
19
150
15
15
151
17
17
152
31
31
153
6
6
154
21
21
155
129
129
156
192
192
157
136
136
158
20
20
7/12/96 PAGE

TOXICANT ANALYSIS
7/12/96 PAGE

Cyanide
TOXICANT ANALYSIS
Parameter.
Cyanide
Standard -
5
NA
n
BOL=1/2DL
Actual Data
RESULTS
1
2.5
<6
Std Dev.
5.7575
2
2.6
<6
Mean
3.9843
3
2.5
<5
C.V.
1.445
4
2.5
<5
5
5
5
6
2.5
<5
Mutt Factor=
1.6
7
2.5
<5
Max. Value
47
µgA
8
2.5
<5
Max. Pled Cw
75.2
pgA
9
2.6
<5
Allowable Cw
81.6
pgll
10
2.5
<5
11
8
8
12
6
6
Linear Interpol. of MF
13
5
5
14
2.6
<5
C.V.
1.445
15
2.5
<5
C.V. Io
1.4
16
2.5
<5
C.V.hi
1.5
17
2.5
<5
MFhi
1.6:
18
2.5
<5
MFIo
1..........m......... 1.81
19
2.5
<5
MF.
1.6
20
2.5
<6
21
2.5
<5
22
2.5
<6
23
2.5
<6
24
2.5
<5
25
2.5
<5
26
2.5
<5
27
2.6
<5
28
2.5
<5
29
2.5
<5
30
2.5
<5
31
2.5
<5
32
2.5
<6
33
2.6
<6
34
2.5
<5
35
2.5
<5
36
2.5
<5
37
2.5
<5
38
2.5
<5
39
2.5
<5
40
2.5
<5
41
2.5
<5
42
2.5
<5
43
2.5
<5
44
2.5
<5
45
2.5
<5
46
2.5
<5
47
2.5
<5
48
2.5
<5
49
2.6
<6
50
10
10
51
2.6
<5
52
2.5
<5
53
' 2.5
<5
54
2.5
<6
55
2.5
<5
56
36
36
57
2.5
<5
58
6
6
7/12/98 PAGE •

Cyanide
TOXICANT ANALYSIS
59
2.5
<5
60
2.5
<5
81
2.5
<5
62
2.5
<5
83
2.5
<5
64
2.5
<5
65
2.5
<5
66
2.5
<5
67
7
7
68
13
13
69
2.5
<5
70
2.5
<5
71
2.5
<5
72
2.5
<5
73
2.5
<5
74
2.5
<5
75
2.5
<5
76
2.5
<5
77
2.5
<5
78
2.5
<5
79
2.5
<5
80
2.5
<5
81
2.5
<5
82
2.5
<5
83
2.5
<5
84
2.5
<5
85
2.5
<5
88
2.5
<5
87
2.5
<5
88
2.5
<5
89
2.5
<5
90
2.5
<5
91
2.5
<5
92
2.5
<5
93
2.5
<5
94
2.5
<5
95
2.5
<5
96
2.5
<5
97
2.5
<5
98
2.5
<5
99
2.5
<5
100
2.5
<5
101
2.5
<5
_
102
2.5
<5
103
8
8
104
2.5
<5
105
26
26
106
2.5
<5
107
2.5
<5
108
2.5
<5
109
2.5
<5
110
2.5
<5
111
2.5
<5
112
2.5
<5
113
2.5
<5
114
2.5
<5
115
2.5
<5
116
2.5
<5
117
2.5
<5
118
2.5
<5
119
2.5
<5
120
2.5
<5
121
2.5
<5
7/12/96 PAGE 1

Cyanide
TOXICANT ANALYSIS
122
2.5
<5
123
2.5
<5
124
2.5
<5
125
2.5
<5
126
2.5
<5
127
2.5
<5
128
2.5
<5
129
2.5
<5
130
2.5
<5
131
2.5
<5
132
2.5
<5
133
2.5
<5
134
2.5
<5
135
2.5
<5
138
2.5
<5
137
2.5
<5
138
2.5
<5
139
2.5
<5
140
2.5
<5
141
2.5
<5
142
2.5
<5
143
2.5
<5
144
2.5
<5
145
47
47
146
5
5
147
31
31
148
9
9
149
6.1
6.1
150
6
6
151
13
13
152
7
7
153
23
23
7/12/98 PAGE

TOXICANT ANALYSIS
Parameter=
Copper
Standard =
7
WA
_
n
BDL=112DL
Actual Data
RESULTS
1
37
37
Std Dev.
106.876
2
24
24
Mean
32.25
3
20
20
C.V.
3.31398
4
11
11
5
16
16
6
15
15
Mult Factor=
6.0
7
17
17
Max. Value
654
µgA
8
28
28
Max. Prod Cw
3933.15
µgll
9
654
654
Allowable Cw
114.3
mg/I
10
18
18
11
12
12
12
1 1
11
Linear Interpol. of MF
13
23
23
14
16
16
C.V.
3.31398
15
1 5
1 5
C.V. to
3.3
16
1 1
11
C. V. hi
3.4
17
10
10
MFhi !�
_
6.1j
18
16
16
MFIo
6'
19
10
10
MF=
_
��� ��6.0
20
11
11
21
10
10
22
9
9
23
5
5
24
9
9
25
16
16
26
11
11
27
5
5
28
11
11
29
10
10
30
<5
<5
31
39
39
32
7
7
33
16
16
34
8
8
35
6
6
36
6
6
37
18
18
38
7/12/96 PAGE •

TOXICANT ANALYSIS
Parameter
Zinc
Standard a
50
tg/1
___»
n
BDL=1/2DL
Actual Data
RESULTS
1
223
223
Std Deg.
70.9656
2
15 5
15 5
Mean
132.057
3
175
175
C.V.
0.53739
4
259
259
5
242
242
6
135
135
Mutt Factors,
1.8
7
214
214
Max. Value
259
µDll
8
256
256
Max. Prod Cw
459.666
µgl1
9
142
142
Allowable Cw
816.1
µAll
10
144
144
11
176
176
12
139
139
Linear Interpol. of MF
13
195
195
14
156
156
C.V.
0.53739
15
139
139
C.V.lo
0.5
16
144
144
C. V. hi
0.6
17
186
186
MFhi
1.9
18
70
70
MFIo
1.7+
19
90
90
MF•
1.8
20
<10
<10
21
<5
<5
22
94
94
23
68
68
24
160
160
25
251
251
26
175
175
27
5
<10
28
5
<10
29
33
33
30
104
104
31
62
62
32
73
73
33
70
70
34
71
71
35
32
32
36
91
91
37
88
88
38
7/12/96 PAGE '

TOXICANT ANALYSIS
ammeter.
Lead
Standard a
25_1.g/1
_.._.._..«
n
BDL=1/2DL
Actual Data
RESULTS
1
2.5
<5
Std Dev.
4.38979
2
7
7
Mean
82027
3
6
6
C.V.
0.53516
4
6
6
5
8
8
6
8
8
Mutt Factor=
1.8
7
17
17
Max. Value
19
µg/I
8
5
<10
Max. Pred Cw
33.6362
µfill
9
5
<10
Allowable Cw
408.1
µfill
10
5
<10
11
5
<10
12
5
<10
Linear Interpol. of MF
13
16
16
14
19
19
C.V.
0.53516
15
5
<10
C.V.Io
0.5
16
12
12
C. V. hi
0.6
17
5
<10
MFhi
1.9
18
5
<10
MFlo
1.7
19
5
<10
MF.
1.8
20
5
<10
21
10
10
22
15
15
23
10
10
24
16
16
25
5
<10
26
5
<10
27
5
<10
28
5
<10
29
5
<10
30
5
<10
31
5
<10
32
5
<10
33
12
12
34
13
13
35
13
13
36
12
12
37
11
11
38
7/12/96 PAGE '

TOXICANT ANALYSIS
Parameter=
Silver
Standard =
'.______ 0.06
µgdI
n
BDL=1/2DL
Actual Data
RESULTS
1
12
12
Std Dev.
6.8242
2
28
28
Mean
4.10526
3
5
<10
C.V.
1.66231
4
5
<10
5
5
<10
6
5
<10
Mutt Factor-
3.6
7
5
<10
Max. Value
34
µgA
8
2.5
<5
,
Max. Red Cw
123.237
KO
9
2.5
<5
Allowable Cw
1.0
mil
10
5
<10
11
2.5
<5
12
2.5
<5
Linear Interpol. of MF
13
2.5
<5
14
5
5
C.V.
1.66231
15
2.5
<5
C.V.Io
1.6
16
2.5
<5
C.V.hi
1.7
17
2.5
<5
MFhi
3.7'
18
2.5
<5
MFlo
3.5i
19
2.5
<5
MFa
_
3.6
20
2.5
<5
21
2.5
<5
22
2.5
<5
23
2.5
<5
24
2.5
<5
_
25
2.5
<5
26
34
34
27
0.5
<1
,
28
0.5
<1
29
0.5
<1
30
0.5
<1
31
0.5
<1
32
0.5
<1
33
0.5
<1
34
0.5
<1
35
0.5
<1
36
0.5
<1
37
1
1
38
1
1
39
7/12/96 PAGE •

TOXICANT ANALYSIS
'arametera
Mercury
Standard =
0.012
KO
n
BDLa1/2DL
Actual Data
RESULTS
1
1
1
St+d Dev.
0.98152
2
0.5
<1
Mean
0.39595
3
0.5
<1
C.V.
2.47893
4
1
1
5
1
1
6
025
<.5
Mutt Facer -
4.9
7
0.1
<2
Max. Value
6
µgll
8
02
02
Max. Pied Cw
29.2736
µgll
9
0.1
<.2
Allowable Cw
02
µfill
10
0.1
<2
11
0.1
<2
12
0.1
<2
Linear Interpol. of MF
13
0.2
02
14
0.4
0.4
C.V.
2.47893
15
0.1
<2
C.V. b
2.4
16
0.4
0.4
C. V. hi
2.5
17
0.1
<2
MFhi
4.9
18
0.4
0.4
MFlo
4.8
19
0.1
<2
MF'
4.9
20
0.1
<2
21
0.1
<2
22
0.1
<2
23
0.1
<2
24
0.1
<2
25
0.1
<2
26
0.1
<2
27
0.1
<2
28
0.1
<2
29
0.1
<2
30
0.1
<2
31
0.1
<2
32
0.1
<2
33
0.1
<2
34
0.1
<2
35
02
02
36
0.3
0.3
37
6
6
38
7/12/96 PAGE •

Burnsville VVWTP and Surrounding Dischargers
47l
Bu n v le
C - YANCEY CO : SID
0027898
.01770
SVILL WWT ; TON
N o00 290
HIO ELEC. MOTORS/HBD NDUSTR.
391.5�'
• 0
NC
1.5
10s18�R RATION
9 QcF
0 TA
00'502'2 VI
SVILLE; TO , N 0 -WTP(
7590
\—v>,
Vicinity Map
• NPDES Discharger
/V Cane River
/V River/Stream (1:100K)
City/Town
River basin boundary
1
0 1 2 3 4 5 Miles
July 1996
NC Department of Environme
Health, and Natural Resource
Division of Water Quality
Instream Assessment Unit
Draft Map

Charlie M. Hensley
Mayor
Ruth Banks
Town Clerk
t
/j�1 3�flunr�
/O
.Z f .
a
Commissioners:
Harold Bennett, 8r.
Ferril McCurry
Clyde A. Styles
Town of Burnsville
June 1, 1996
Mr. David A. Goodrich
Permits and Engineering Unit
Division of Environmental Management/WQ Section
P. 0. Box 29535
Raleigh, N. C. 27626-0535
Dear Sir:
Please find enclosed a permit renewal request for NPDES permit No.
NC0020290. The sludge management plan for this facility is
accomplished by composting permit No. WQ 0002834.
If additional information is needed, please contact me.
Sincerely,
kr i
Thomas W.Storie
Director of Public Works
Town of Burnsville
TWS:hg
Uti
P.O. Box 97 • Burnsville, North Carolina 28714 • Phone [phone] • FAX [phone]

N. .. DEPARTMENT OF NATURAL RESOURCES g COMMUNITY DEVELOPMENT
ENVIRON'ENTAL MANAGEEIff COMMISSION
NATIONAL PCIW TANT Dl :HARCE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM A
To be filed only by municipal wastewater dischargers
FOR
AGENCY
USE
Do not attempt to complete this form before reading the accompanying instructions
Please print or type
1. Name of organization responsible for facility TOWN OF HuMS41 ► C
2. Address, location, and telephone number of facility producing discharge:
A. Name
TOWN Ot r3uPJ�ISv.r.U.E L u. TP
B. Mailing' address:
1.
2.
4.
Street address PO ant q
city ? )RK1SZILE
State NORTH CAW')LTA' A
C. Location:
1.
2.
4.
Street Ncse.1l
City auz.Ns\cr
State ti0?2TE1 CAROL,UNA
D. Telephone No. 704 (Oar L5& 7
Area
Code
APPLICATION NUMBER
N_
0 0 21.W.2'
D
1]ATF RF17 TVF
YEAR
MO.
DA
3. County VANS/
5. zIP 28114
3. County 1 ANC'/
If all your waste is discharged into a publicly owned waste treatment facility and
to the best of your knowledge you are not required to obtain a discharge permit,
proceed to item 3. (Otherwise proceed directly to item 4.
3. If you meet the condition stated above, check here / / and supply the information
asked for below. After completing these items, please complete the date, title, and
signature blocks below and return this form to the proper reviewing office without
completing the remainder of .the form.
A. Name of organization responsible for receiving waste
B. Facility receiving waste:
1. Na=e
•
u.)
2. Street address
3. City
5. State
4. County
6. ZIP
4. Type of treatm nt:
A. / /None B. / /Primary C. / /Intermediate. D. Secondary E. / /Advanced
5. Design flow (a erage daily) of facility O.W mgd.
6. Percent BOD removal (actual):
A. / /0-29.9 B. / /30-64.9 C. J /65-84.9 D. / (85-94.9 E. / //95 or more
7. Population.se ed:
A.200-499 C. / /500-999
JJ1-199 B./J
Number of separate discharge points:
B. / /2 C. / /3 D. / /4 E. / /5 F. / /6 or more
A. / /1
A71,000-4,999 E. / /5,000-9,999 F. / /10;000 or more
Z.

g.. Description of waste water discharged to surface waters only (check as applicable).
Discharge per
operating day
Flow, MGD (million gallons per operating day)
Volume treated before
discharging (percent)
0-
0.0099
(1)
0.01- ; 0.05- 1 0.1-
0.049 0.099 0.49
(2) (3) 1 (4)
0.5- (1.0-
0.99 i4.9
(5) (6)
5 or
more
(7)
None
(8)
0.1-
34.9
(9)
35-
64.9
(10)
65-
94.9
(11)
9 5-
100
(12)
A. Average
B. Maximum
10. If any waste water, treated or untreated, is discharged to places other than
surface waters, cnecKpelow as app1.a u,c.
Waste water is
discharged to
Flow, MGD (million gallons per operating day)
0-0.0099
{1}
0.01-0.049
(2)
0.05-0.099
(3)
0.1-0.49
(4)
0.5-0.99
(5)
1.0-4.9
(6)
5 or more
(7)
r---
Deep well
A. _
lagoon
,
B. Evaporation
C. Subsurface percolation _ystem
D. Other, specify:
r_
1
11. Is any sludge ultimately returned to a waterway?
A. / /Yes B. I2/No
12. a. Do you receive industrial waste?
1. 110Yes 2. / /No
b. If yes, enter approximate number of industrial dischargers into system
13. Type of collection sewer system:
A. / /Separate sanitary
B. / /Combined sanitary and storm
C. /(Both separate and combined sewer systems
14. Name of receiving water or waters DUE Q•
EVIDZ
15. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances: ammonia, cyanide, aluminum, beryllium,
cadmium, chromium, copper, lead, mercury, nickel, selenium, zinc, phenols.
A. jYes B. /I /No
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.
Printed Name of Person Signing
;ire CT 'u oL a, v'
Title
Ds"79 /9,
Date ApplicationS1�ned
W.
Signature of Applicant
North Carolina General Statute 143-215.6(b)(2) provides that: .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. Ir monitoring device or method required to be operated or maintained under
Article 21 or regulationsof the Environmental Management Commission implementing that Article,.shall
be guilty of a misdemeanor punishable by a fine not to exceed S10,000, or by imprisonment not to
exceed six months, or by both. (18 L.S.C. Section 1001 provides a punishment by a fine of not more
than $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)