NC0086193_Permit (Issuance)_20100830

NPDES DOCUMENT SCANNING: COVER SHEET
NPDES Permit:
NC0086193
Maplecrest WTP
Document Type:
Permit Issuance `)
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Staff Report
Instream Assessment (67b)
Speculative Limits
Environmental
Assessment (EA)
Permit
History
Document Date:
August 30, 2010
This document is printed cox' rlau se paper - ignore any
content on the re'rerse side

AwA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 30, 2010
Thomas J. Roberts, President, COO
Aqua North Carolina Inc.
4163 Sinclair Street
Denver, North Carolina 28037
Subject: Issuance of NPDES Permit
NC0086193
Maplecrest Subdivision Well#3 WTP
Gaston County
Dear Mr. Roberts:
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are forwarding the
attached NPDES discharge permit. This permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1
and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007
(or as subsequently amended).
This final permit contains no changes from the Draft permit mailed to you on June 23, 2010.
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 150E 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
Guerra at telephone number [phone] or email at (bob.querraa,ncdenr.gov).
Sincerely,
7Coleen H. Sullins
Enclosure: NPDES Permit NC0086193
cc: Mooresville Regional Office / Surface Water Protection — Rob Krebs
Mooresville Regional Office / Surface Water Protection — Samar Bou-Ghazale
NPDES Unit
Central files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: http:llportal.ncdenr.org/web/wglhome
An Equal Opportunity 1 Affirmative Action Emp':over
NonrthCarolina
7Vaturallq •

Permit NC00861.93
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 provisions 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
Maplecrest Subdivision Well #3 Water Treatment Plant
SR 2797 (Forest Wood Court)
South of Gastonia
Gaston County
to receiving waters designated as an Unnamed Tributary to Catawba Creek in the Catawba
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 October 1, 2010.
This permit and authorization to discharge shall expire at midnight on August 31, 2015.
Signed this day August 30, 2010.
Coleen H. Sullins, Director
jDivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0086193
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are
hereby revoked. As of this permit issuance, any previously issued permit bearing this
number is no longer effective. Therefore, the exclusive authority to operate and discharge
from this facility arises under the permit conditions, requirements, terms, and provisions
included herein.
Aqua North Carolina, Inc. is hereby authorized to:
1. Continue to operate an existing 0.00126 MGD greensand water treatment plant with a
discharge of filter backwash utilizing the following treatment components:
• Groundwater source well
• Filtering through two (2) Green sand filters
• KMnO4 injection for Iron removal
• Backwashing of Filters using finished water
• Chlorination / De -chlorination of effluent
2. This facility is located at the Mapelcrest Subdivision Well #3 on SR 2797 (Forest
Wood Court), South of Gastonia in Gaston County.
3. Discharge from said treatment works at the location specified on the attached map
into an unnamed tributary to Catawba Creek, classified C waters in the Catawba River
Basin.

SO -
-71
L,
Outfall 001
_(:)..../-- ) ---------\.,,--,\ j
Aqua North Carolina, Inc.
Maplecrest Subdivision (Well #3) WTP
Latitude: 35° 12' 36" N State Grid: Belmont South
Longitude: 81° 06' 40" W Permitted Flow: NIA.
Receiving Stream: UT to Catawba Creek Stream Class: C
Drainage Basin: Catawba River Basin Sub -Basin: 03-08-37
�c3 2 3r/fl°o(grif
4;1
r�
Facility
Location 44•`l
not to scale
North
v -u
..11 tea.
a)
NPDES Permit No. NC0086193
Gaston County

•
Permit NC0086193
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily Maximum,
Measurement
Frequency
Sample
Type
Sample
Location .
50050 - Flow
2/Month
Instantaneous'
Effluent
00530 - Total Suspended
Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
00400 - pH
6.0 — 9.0 s.u.
2/ Month
Grab
Effluent
50060 - Total Residual
Chlorine
17 ug/L
2/Month
Grab
Effluent
00076 - Turbidity
2/Month
Grab
Effluent
01045 - Total Iron
Quarterly
Grab
Effluent
01055 - Total Manganese
Quarterly
Grab
Effluent
Footnotes:
1. For instantaneous flow monitoring, the duration of the discharge must be reported in addition to total flow.
2. The Division shall consider all effluent TRC values reported below 50 ug/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 ug/L.
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Ex edited Permit Renewals
Permit Writer/Date
Bob Guerra — 5-26-10
Permit Number
NC0086193
Facility Name
Mapelcrest Subdivision Well#3 WTP
Greensand filtration
Basin Name/Sub-basin number
Catawba River 03-08-37
Receiving Stream
UT to Catawba Creek
Stream Classification in Permit
Class C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes If Yes, add TRC language below
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)? For
what parameter?
Yes
Any obvious compliance concerns?
No
Any permit mods since last permit?
Ownership change from Heater Utilities to
Aqua North Carolina inc.
Current expiration date
8-31-2010
New expiration date
8-31-2015
Comments received on Draft Permit?
Yes No If Yes, discuss response with
Supervisor
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values below 50 ug/1 will be treated as zero
for compliance purposes."
RIMS Compliance Download: Queries>Reports>Violations>Monitor Report Violations>Limit
Violations for Past 3 Years
Reminder: Permits that are not subject to expedited renewal include the following: 1) Major
Facility (municipal/industrial); 2) Minor Municipals with pretreatment program; 3)
Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS, etc); 4)
Limits based on reasonable potential analysis (metals, GW remediation organics); 5)
Permitted flow > 0.5 MGD (requires full Fact Sheet); 6) permits determined by Supervisor to be
outside expedited process.

North Carolina ) ss
Mecklenburg County)
The Charlotte Observer Publishing Co.
Charlotte, NC
Affidavit of Publication
THE CHARLOTTE OBSERVER
DINA SPRINKLE
NCDENR/DWQ/POINT SOURCE BRANCH
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
REFERENCE: 30063432
6479305 PSB Public Notice
Before the undersigned, a Notary Public of said
County and State, duly authorized to administer
oaths affirmations, etc., personally appeared,
being duly sworn or affirmed according to law,
doth depose and say that he/she is a
representative of The Charlotte Observer
Publishing Company, a corporation organized and
doing business under the laws of the State of
Delaware, and publishing a newspaper known as The
Charlotte Observer in the city of Charlotte,
County of Mecklenburg, and State of
and that as such he/she is familiar
books, records, files, and business
Corporation and by reference to the
North Carolina
with the
of said
files of said
publication, the attached advertisement was
inserted. The following is correctly copied from
the books and files of the aforesaid Corporation
and Publication.
PUBLISHED ON: 06/26
AD SPACE:
FILED ON:
NAM
In Test
day and
Nota
164 LINE
07/30/10
ony Whereof I have
ear aforesaid.
TITLE:
DATE:
(72:0,.4t
hereunto set my hand and affixed my seal, the
i
Public Notice
North Carolina Environmental Management Commission
NPDES Unit
1617.Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent 10 Issue a NPDES Wastewater Permit
The North Carolina Environmental Management Commission pro-
poses to issue a NPDES wastewater discharge permit to the per-
son(s) listed below.
Written comments regarding the proposed permit will be accept-
ed until 30 days after the publish date of this notice. The Director
of the NC Division of Water Quality (DWQ) may hold a public hear-
ing should there be a significant degree of public interest Please
mail comments and/or information requests to DWO at the above
address. Interested persons may visit the DWG at 512 N.
Salisbury Street, Raleigh, NC 10 review information on file.
Additional information on NPDES permits and this notice may be
found on our website: www.ncwaterquality org, or by calling (919)
807-6304.
Lincoln County Schools requested renewal of permit NC0041246
for West Lincoln High School WWTP in Uncoln County; this per-
mitted discharge is treated domestic wastewater t6 Indian Creek,
Catawba River Basin.
Union County Public Works has applied for renewal of Permit
Number Nrty1115359 for its Twelve Mile Creek WWTP. in Union
County. This facility. discharges treated domestic wastewater to
Twelve Mile Creek in the Catawba River Basin.
Aqua North Carolina, Inc. requested renewal of permit
NC0086193 for Maplecrest WTP in Gaston County; this permitted
discharge is treated backwash wastewater to UT to Catawba
Creek, Catawba River Basin.
Aqua North Carolina, Inc., permit NC0086142, for Oakley Park
WTP in Gaston County; this permitted discharge is treated filter
backwash wastewater to McGill Branch, Catawba River Basin: •
Agtia North Carolina, Inc; requested renewal of : permit
NC0084468 for Keltic Meadows Well #2 in Gaston County; this
permitted discharge is treated filter backwash wastewater 10 a UT
to Catawba Creek, Catawba River Basin. •
•
Aqua North Carolina, -Inc- requested renewal- of permit
NC0072061 for Fox Run WTP in Gaston. County; this permitted
discharge is treated filter backwash wastewater to a UT to
Crowders Creek,Catawba River Basin.
Aqua North Carolina, Inc requested renewal of permit NC0069035
for Southgate WTP in Gaston County; this permitted discharge is
treated filter backwash wastewater to a UT to Catawba Creek,
Catawba River Basin.
Carolina Water Service, Inc. of North Carolina, PO. Box 240908,
Charlotte, North Carolina 28224 has applied for renewal of
NPDES permit NC0060755 for 8s Saddlewood Subdivision WWTP
off NCSR 2416 (Little Mountain Road) is Gaston County. This per-
mitted facility discharges treated wastewater to an unnamed trib-
utary to Crowders Creek in the Catawba River Basin. Currently,
CBOD and ammonia.nifogen are water quality limited. This dis-
charge may affect future allocafions.in this portion of the water-
shed.
Catawba County BOE requested renewal of permit NC0074233
for Blackburn Elementary Schoo!WW1? in Catawba County; this
permitted discharge is treated domestic wastewater to Haas
Creek, Catawba River Basin.
Diocese of Charlotte requested renewal of permit NC0071447 for
the Catholic Conference Center WWTP in Catawba County. This
permitted facility discharges treated wastewater to an unnamed
tributary to Camp Creek in the Catawba River Basin.
Catawba County BOE requested renewal of permit NC00t;rd/
for Fred T. Foard High School WWTP in Catawba County; this per-
mitted discharge is treated domestic wastewater to Pott Creek,
Catawba River Basin.
Pine Mountain Property Owners Assn, Inc. has applied for renew-
al of NPDES permit N j,n-n6935 for Pine Mountain Lakes WWTP
in Burke County. This permitted facility discharges treated waste-
water to Jacob Fork in the Catawba River Basin. .
LP6479305
My Commission Expires: _/_/_
f Commission Expires May 27, 2011

MAPLECREST
WELL HOUSE FILTER AND PIPING LAYOUT
OWNED AND OPERATED BY AQUA NORTH CAROLINA, INC.
PWSID # 01-36-220
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36' Steel Door
PLAN VIEW
Note: Valve Bonk - 2- DUCTILE IRON
AOUA NORTH CAROUNA. INC.
202 Y[KENAN COURT. CARY. N.C.
Phone [phone]
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07/I4/10
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MAPLECREST
WELL HOUSE MILTER AND PIPING LAYOUT
01-36-220
GASTON Kelm COMMA

SOC PRIORITY PROJECT: Yes No X
To: Western NPDES Program Unit
Surface Water Protection Section
Attention: Dina Sprinkle
Date: March 22, 2010
NPDES STAFF REPORT AND RECOMMENDATION
County: Gaston
Permit No. NC0086193
PART I - GENERAL INFORMATION
1. Facility and address: Maplecrest Subdivision WTP
Aqua North Carolina Inc
4163 Sinclair Street
Denver, North Carolina 28037
2. Date of investigation: March 18, 2010
3. Report prepared by: Samar Bou-Ghazale, Environmental Engineer II
4. Persons contacted and telephone number: Mr. Scott Williams, ORC, [phone].
5. Directions to site: From the intersection of New Hope Road (NC Highway 279) and
Beaty Road (SR 2439) in Gastonia, Gaston County, travel south on SR 2439
approximately 1.1 miles to the junction with Maplecrest Drive (SR 2792) on the right
(west). Turn right (west) onto Maplecrest Drive and proceed approximately 0.25 mile to
the junction with Forest Wood Court (SR 2797). Proceed north on Forest Wood Court
approximately 0.1 mile. Well No.3 is located at the end of Forest Wood Court.
Well No.2 is located approximately 500 feet southwest of the junction of Woodhurst
Court (SR 2795) and Duncan Lane (SR 2794) in the subdivision.
6. Discharge point(s). List for all discharge points:
001 (Well No. 3)
Latitude: 35° 12' 36" Longitude: 81° 06' 40"
Attach a U.S.G.S. map extract and indicate treatment facility site and discharge point on
map.
USGS Quad No.: G 14 NE USGS Name: Belmont, NC

Page Two
7. Site size and expansion are consistent with application? N/A
8. Topography (relationship to flood plain included): The site has moderate slopes. The
sites are not located in the flood plain area.
9. Location of nearest dwelling: Approximately 200 feet from the well No. 3.
10. Receiving stream or affected surface waters: Unnamed tributary to Catawba Creek
a. Classification: C
b. River Basin and Subbasin No.: Catawba and 03-08-37
c. Describe receiving stream features and pertinent downstream uses: The discharge
from Well No. 3 (via outfall No.001) is to an unnamed tributary to Catawba Creek.
Downstream uses are typical for class C waters.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: Intermittent discharge.
b. What is the current permitted capacity of the wastewater treatment facility? N/A
c. Actual treatment capacity of the current facility (current design capacity)?
0.00126 GPD
d. Date(s) and construction activities allowed by previous Authorizations to
construct issued in the previous two years: None.
e. Please provide a description of existing or substantially constructed wastewater
treatment facilities: The existing WWT facilities consist two (2) green sand filters,
KMnO4 injection for Iron removal and tablet de -chlorination for backwash water.
f. Please provide a description of proposed wastewater treatment facilities: None
proposed.
g•
Possible toxic impacts to surface waters: None that we are aware.
h. Pretreatment Program (POTWs only): N/A.
2. Residuals handling and utilization/disposal scheme: No residuals generated.
3. Treatment plant classification: Discharge of filter back wash water. No rating given.

Page Three
4. SIC Code(s): 9999 Wastewater Code(s): 22 Main Treatment Unit Code: 00000
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? Public monies were not used in the construction of this
facility.
2. Special monitoring or limitations (including toxicity) requests: None at this time.
3. Important SOC, JOC or Compliance Schedule dates: (please indicate) N/A.
4. Alternative Analysis Evaluation: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee, Aqua North Carolina Inc., is requesting renewal of the subject permit.
The permit allows the discharge of filter backwash water from two sand filters used in the
removal of Iron from well water. Please note that well #2 is no longer active and the treatment
facility is not being used at this time. Also a tablet de -chlorination has been added for the
backwash water prior to discharge.
Pending review and approval by the Western NPDES Program Unit, It is recommended
that the NPDES permit be renewed as requested.
Signature of Repo r r
Surface Water Protection Regional Supervisor
/
Date

AOUA.
North Carolina
February 23, 2010
Aqua North Carolina, Inc.
4163 Sinclair Street
Denver, NC 28037
NC Department of Environment and Natural Resources
Division of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Application for Permit Renewal
Aqua North Carolina, Inc.
Maplecrest Subdivision WTP
NPDES No. NC0086193
Gaston County
Gentlemen:
F: 704.489.9409
www.aquanorthcarolina.com
Attached are three (3) copies of the completed application Short Form C — WTP,
and a location map. This letter and attachments are our request to renew the
subject permit.
Well #2 is no longer active with the Public Water Section records and therefore
the treatment facility is not being used.
Because this facility does not generate sludge in the treatment process, a sludge
management plan is not applicable.
If you need any additional information or assistance, please feel free to contact
our Regional Compliance Manager, Michael Melton @ 704-489-9404 ext. 57238
or by e-mail at [e-mail].
Sincerel
Thomas J. Ro'berts
President & COO
An Aqua America Company

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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 Number
NC0086193
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 INC
MAPLECREST SUBDIVISION WTP
202 MACKENAN CT
CARY
NC
[phone] EXT. 57238
[phone]
DAGentry@aquaamerica. com
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
City
State / Zip Code
County
MAPLECREST DR
SOUTH OF GASTONIA
NC / 28056
GASTON
3. Operator Information:
Name of the firm, consultant 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
AQUA NORTH CAROLINA INC
202 MACKENAN CT
CARY
NC / 27511
[phone] EXT 57238
[phone]
4. Ownership Status:
Federal ❑ State ❑
Private ® Public ❑
Page I of 3
C-WTP 06/2009

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
® Green Sand Filter (No sodium recharge)
0 Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
6. Description of source water(s) (i.e. groundwater, surface water)
groundwater
7. Describe the treatment process(es) for the raw water:
Groundwater Source Well #3 (outfall 001)
• KMn04 injection for Iron removal
• Filtering through two (2) green sand filters
• Chlorination of finished drinking water
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
• Estimated backwash flow is approximately 1,000 to 1,500 gpd.
• All backwash is put through a de -chlorination unit
9. Number of separate discharge points: 1 Outfall Identification number(s) 001
10. Design capacity of the wastewater treatment facility: .00126 MGD.
Frequency of discharge:
Continuous 0 Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 40 minutes
Estimate the total amount of wastewater discharged to waters of the State:
Daily Average 0.00126 MGD Daily Maximum 0.00126 MGD
11. Wastewater produced with each backwash or reject flow occurrence: 0.00126 MGD.
Average number of times backwashing occurs per day: 1 (monthly average)
Design capacity of the Water Treatment Plant to produce potable water: 0.037 MGD.
If producing less than design, average amount of potable water produced? .01155 MGD.
(monthly average)
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and Iongitude): 001-Catawba Creek - Lat. - 35 degrees, 12 minutes, 36 seconds
Long. — 81 degrees, 06 minutes, 40 seconds
Page 2 of 3
C-WTP 06/2009

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Critical low flow of receiving stream (summer 7Q10): N/A cfs
If unknown, contact USGS by calling toll -free 1-888-ASK-USGS (1-888-275-8747)
or using the USGS website at http://nc.water.usgs.gov/
14. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments that have the potential to be discharged.
Chlorine (sodium hypochlorite)
KMN04- (Regenerate for Fe/ MN)
Please answer the following basic questions about your additives: (circle one)
Does the facility backwash with fluoridated, finished water?
Does the facility use zinc orthophosphate as a corrosive inhibitor?
Does the facility use chloramination (add ammonia) as a disinfectant?
Does the facility backwash with chlorinated, finished water?
15. Is this facility located on Indian country? (check one)
Yes ❑ No El
16. Additional Information:
• Provide a schematic of flow through the facility, include flow volumes at all points in the
treatment process, and point of addition of chemicals.
• Solids Handling Plan
17. NEW Applicants
Information needed in addition to items 1-15:
• New applicants must contact a permit coordinator with the NCDENR Customer Service Center.
Was the Customer Service Center contacted? 0 Yes ❑ No
> Analyses of source water collected
• Engineering Alternative Analysis
• Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
18. 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.
P
A\C\C9-, apc.(o
Signature of A licant Date
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 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.)
Thomas J. Roberts President 86 COO
n.. e of Pe •n Sui•
ng/ Title
Page 3 of 3
C-WTP 06/2009

Maplecrest WTP
001
2009 Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
12-mth Ave.
3-rnth Season
Ave.
FINAL 12
MONTH AVE
Units Measure.
ment
(Avg.l
TSS
0.0
5.0
0.0
3.2
14.1
9.6
5.4
8.9
5.5
7.0
5.2
5.2
5.7
•;
5.7
MG/L
Maplecrest WTP
Flow.
001
0.00126
2009 Jan
0.00126
Feb
0.00126
Mar
0.00126
Apr
0.00126
May
0.00126
Jun
0.00126
Jul
0.00126
0.00126
0.00126
0.00126
0.00126
' 0.00126
0.00126
° Celsius
Aug
Sep
Oct
Nov
Dec
Daily Max Daily Max
DAILY MAX
Units Measure -
ment
Max.
TRC.
13.0
<10
13.0
<10
<10
<10
<10
15.0
15.0
14.0
15.0
<10
14.2
14.2
MG/L
TSS
<2.0
10.0
<2.0
6.4
21.3
11.7
5.6
12.3
5.6
9.0
5.2
5.4
9.3 '
9.3
#/100ML
pH
6.6
6.7
6.6
6.7
6.8
6.9
6.8
6.8
6.7
7.2
7.2
6.7
6.8 . "' '-: "
6.8
MG/L
Well #3
Well #2- no longer active