NC0086011_Permit (Issuance)_20040714

NPDES DOCIMENT !;CANNING COVER SHEET
NPDES Permit:
NC0086011
Winston-Salem / Neilson WTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Permit
History
Document Date:
July 14, 2004
This document is printed on reuse paper - ignore any
content on the reYerse side

Michael F. Easley
Governor
William G. Ross, Jr.. Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
July 14, 2004
Mr. David K. Saunders
Winston-Salem / Forsyth County Utilities
2799 Griffith Road
Winston-Salem, North Carolina 27103
Subject: Issuance of NPDES Permit NC0086011
Neilson WTP
Forsyth County
Dear Mr. Saunders:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended.)
The final permit includes the following changes from the draft permit sent to you on May 12, 2004:
> The TRC limit added to the draft permit takes effect February 1, 2006. If you wish to install dechlorination
equipment, consult the enclosed guidance document.
➢ The instream monitoring for turbidity has been replaced with a turbidity effluent limit of 50 NTU, as you requested.
➢ Your request for a higher TRC limit cannot be granted, given the existing discharge location. However, this permit
does include a reopener condition for the TRC limit. In order to receive a higher TRC limit, the City must either:
> designate the "dry ditch" as an effluent channel under the restrictions of 15A NCAC.0228, or
➢ pipe the effluent to the main channel of Muddy Creek.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicators hearing upon written request within thirty (30) days following receipt of
this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North
Carolina 27699-6714. Unless such a demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. The Division may require modification (or revocation
and reissuance) of the permit. This permit does not affect the legal requirements to obtain other permits that 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 Charles Weaver at telephone number [phone], extension 511.
Sincerely,
ORIGINAL SIGNED BY
Tom Belnick
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office / Water Quality Section
NPDES Permit File
N. C. Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
Internet: h2o.enr.state.nc.us
Phone: [phone]
fax: [phone]
DENR Customer Service Center. 1 800 623.7748

Permit NC0086011
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Winston-Salem / Forsyth County Utilities
is hereby authorized to discharge wastewater from a facility located at the
Neilson Water Treatment Plant
Frye Bridge Road
Winston-Salem
Forsyth County
to receiving waters designated as an unnamed tributary to Muddy Creek in the Yadkin -Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, III and IV hereof.
This permit shall become effective August 1, 2004.
This permit and authorization to discharge shall expire at midnight on June 30, 2009.
Signed this day July 14, 2004.
ORIGINAL SIGNED BY
Tom Belnick
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0086011
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.
Winston-Salem / Forsyth County Utilities is hereby authorized to:
1. Continue to operate a filter backwash treatment system located at the Robert Neilson
Water Treatment Plant off Frye Bridge Road near Winston-Salem in Forsyth County.
2. Discharge from said treatment works at the location specified on the attached map
into an unnamed tributary to Muddy Creek, currently a class C water in the Yadkin -
Pee Dee River Basin.

SCALE 1:24000
Latitude: 35°59'45" Sub -Basin: 03-07-04
Longitude: 80°21'10"
Quad #: D17NE
,Stream Class: C ,
Receiving Stream: Unnamed Tributary to Muddy Creek
Permitted Flow: No Limit
City of Winston-Salem
NC0086011
Neilson Water Treatment Plant

Permit NC0086011
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on August 1, 2004 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:
PARAMETER
DISCHARGE LIMITATIONS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample Location
Flow (MGD)
Weekly
Estimate
Influent or Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Settleable Solids
0.1 ml/L
0.2 m!/L
Weekly
Grab
Effluent
Turbidity
50 NTU
Weekly
Grab
Effluent
Total Residual Chlorine'
17 pg/L
Weekly
Grab
Effluent
Iron
Weekly
Grab
Effluent
Aluminum
Weekly
Grab
Effluent
NOTES:
t Limit takes effect February 1, 2006. Until then, the Permittee shall monitor TRC [with no effluent limit].
All samples must be collected from a typical discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) TOTAL RESIDUAL CHLORINE (TRC) REOPENER
This permit may be reopened for revision of the TRC limit if the Permittee completes one of the following actions.
a. This permit may be reopened if the existing dry ditch between the outfall and Muddy Creek is designated
as an effluent channel [per 15A NCAC 02B.0228]. To receive this designation, the Permittee must
submit documentation to the Division that shows the dry ditch:
➢ Is contained entirely on property owned (or otherwise controlled) by the Permittee
> Is not contain natural waters except when such waters occur in direct response to rainfall events
by overland runoff
➢ Is constructed or modified as to minimize the migration of fish into said channel
b. This permit may be reopened if the Permittee constructs an effluent pipe from the existing outfall to
Muddy Creek. This action would require an Authorization to Construct permit from the Division.
Any request to modify the TRC limit in this permit must include all necessary documentation of the actions listed
in either a. or b. above, including a revised topographic map.

Winston-Salem • Forsyth County
City/County Utilities
Water • Sewer • Solid Waste Disposal
Utilities Administration • P.O. Box 2511 • Winston-Salem, NC 27102 •"iT•-33M7.8418 Fax [phone]
Dr
June 7, 2004
Mr. Charles Weaver
NCDENR-Division of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Weaver,
1 \ij
dU;d 1 1 2003
J�
DENR - WATER QUALITY
POINT SCi;2E
.,.,.;_.r,...,.-n:,,....-�..•....,�-�•.rxsr.++...
These comments are in reference to your letter dated May 12, 2004 and received by the
City of Winston-Salem on May 20, 2004 regarding the renewal of NPDES Permit #
NC0086011 for the Neilson Water Treatment Plant located at 5725 Frye Bridge Road,
Clemmons, NC 27012. In regards to this draft permit the City of Winston-Salem
respectfully requests the following permit modifications:
1. The unnamed tributary that our discharge fed into is a dry streambed and our
discharge is in effect the only flow feeding into this creek bed. This unnamed
tributary flows into Muddy Creek. In light of this we request that our discharge total
residual chlorine limit be based upon the flow of Muddy Creek and raised from 17
ug/L to 28 ug/L. . In addition, the practical quantitation limit (PQL) for total residual
chlorine is 20 ug/L. Below this amount we cannot reliably prepare standards to verify
trace amounts of chlorine. The error associated with such low level measurements
may also be great enough to cause us to violate our permit, when in fact we are not
truly reading residual chlorine but interferences with the method.
2. In addition, the City of Winston-Salem requests a turbidity limit of 50 NTU on this
discharge in lieu of the upstream and downstream turbidity sampling requirements
currently required. Due to the fact that we are the headwater of this unnamed
tributary, this will simplify our monitoring requirements.
Page 1 of 2

Should you have any questions regarding this matter please do not hesitate to call me at
[phone].
Sincerely,
David K. Sa
Utilities Director
s, PE
Cc: Ron Utilities, Deputy Director of Utilities
Bill Brewer, Water Treatment Superintendent
Tom Johnson, Utility Plant Supervisor & Residuals System ORC
Page 2 of 2

PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION/NPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NV 27699-1617
NOTIFICATION OF INTENT TO ISSUE A
NPDES WASTEWATER PERMIT
On the basis, f thorough staff review and appli-
cation of NC General Statute 143-21, Public law
92-500 and other lawful standards and regula-
tions, the North Carolina Environmental
Management Commission proposes to issue a
National Pollutant Ijiseharge Elimination
System (NPDES) wastewater discharge permit
to the person(s) listed below effective 45 days
from the publish date of this notice.
Written comments regarding the proposed per-
mit will he accepted until 30 days after the pub-
lish date of this notice. All comments received
prior to that date are considered in the final
determinations regarding the proposed permit.
The Director of the NC Division of Water
Quality may decide to hold a public meeting for
the proposed permit should the Division receive
a significant degree of public interest.
Copies of the draft permit and other supporting
information on file used to determine conditions
present in the draft permit are available upon
request and payment of the costs of reproduc-
tion. Mail comments and/or requests for infor-
mation to the NC Division of Water Quality at
the above address or call Ms. Valery Stephens at
[phone], extension 520. Please include
the NPDES permit number (attached) in any
communication. Interested persons may also
visit the Division of Water Quality at 512 N.
Salisbury Street, Raleigh, NC 27604-1148
between the hours of 8:00 a.m. and 5:00p.m. to
review information on file.
The City of Winston-Salem (P.O.Box. 2511,
Winston-Salem, NC 27102) has applied for
renewal of NPDES permit NC0079821 for the
R.A. Thomas WTP in Forsyth County. This per-
mitted facility discharges filter-backwas`ch
wastewater to Salem Creek in the Yadkin -Pee -
Dee River Basin. Cirrently total residual chlo-
rine is water quality linited. This discharge may
affect future allocations in this portion of Salem
Creek.
The City of Winston-Salem (P.O.Box 2511,
Winston-Salem, NC 27102) has applied for
renewal of NPDES permit NC0086011 for the
Neilson WTP in Forsyth County. This permitted
facility discharges filter -backwash wastewater
to an innamed tributary to Muddy Creek in the
Yadkin -Pee Dee River Basin. Currently total
residual chlorine is ater quality limited. this dis-
charge may affect future allocations in this por-
tion of Muddy Creek.
The City of Winston-Salem (P.O. Box 2511,
Winston-Salem, NC 27102) has applied for
renewal of NPDES permit NC0086762 for the
Northwest WTP in forsyth County. This permit-
ted facility discharges filter -backwash waste-
water to an unnamed tributary to the Yadkin -Pee
Dee Rive in the Yadkin -Pee Dee River Basin.

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and sworn statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
May 15, 2004
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified newspaper within the meaning
of Section 1-597 of the general statues of North Carolina.
This 17th day of May, 2004
(signature of personlhaaking affidavit)
Sworn to and subscribed before me, this 17th day of May, 04
Notary
My Commission expires: September 28, 2005
OFFICIAL SEAL
Notary Public, North Carolina ;
COUNTY OF FORSYTH
KIMAO S
My Commission Expires es gjje r
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION/NPDES UNIT
1617 MAIL SERVICE CENTER
• RALEIGH, NC 27699-1617
NOTIFIcAT10N OFINTENTTO ISSUE
A NPDES WASTEWATER PERMIT
On the basis of thorou gh staff review and application of NC General Slat•
ute 143.21, Public law•92-500 and other lawful standards and regda-
tiixu, the North CarolinaEnvironn,e.dal Management Commission pro-
poses to issue a National Pollutant Disdtarge'Elimination System
(NPDES) wastewater discharge permit to the person(s) listed below ef-
fective 45 days front -the publish date of this notice::-
Written comments regarding the proposed permit will be accepted until I
30 days after the publish date of this notice. All comments received prior
to that date are considered in the final determinations regarding the pro-
posed permit. The Director of the NC Division of Water Quality may de-
cide to hold a public meeting for the proposed permit should the Division
receive a significant degree of pubhcinterest, .
Copies of the draft permit and other supporting information on file used
to determine conditions present in the draft permit are available upon re-
quest and payment of the costs of reproduction. Mail comments and/or
requests for it eurniation to the NC Division of Water Quality at the above
address or call Ms. Valery Stephens at [phone], extension 520.
Please include the NPDES permit number (attached) in any communica-
tion. Interested persons may also visit the Division of Water Quality at
512 N. Salisbury Street, Raleigh, NC 27604-1148 between the hours of
8:00 a.m. and 5:00 p.m. to review information on fie.
The Davie County Waler System (231 Chaffin Street, Mockeville, NC •
27028) has applied for renewal o1 NPDES permit NC0064212 for the
Sparks Road WTP. This permitted facility discharges filter -backwash
wastewater to an unnamed tributary to the Yadkin River in the Yadkin -
Pee Dee River Basin. Currently total residual chlorine is water quality lim-
ited. This discharge may affect future allocations in this portion of the
Yadkin River -
The Cityof Winston-Salem (P.O. Box2511, Winston-Salem, NC 27102)
has appliedfor renewal of NPDES permit NC0079821 for the RA Thom-
as.WTP in Forsyth County. This permitted facility discharges filter -
backwash wastewatec to Salem Creek in the Yadkin,Pee Dee. River Ba-
sin. Currently total residual chlorine is water quality limited. This dis-
'[E&G
•chards may affect future allocations in this portion of Salem Creek,
,�1Nb1 P.� 2511 sODntiSelBrre,NC27102 •
backwash wastewater to an unnamed tributary to Muddy Creek in the
Yadkin -Pee Dee River Basin. Currently total residual chlorine: is water
quality limited. Thus discharge may affect future allocations in this portion
of Muddy Creek:
The City of Winston-Salem (P,O. Box 2511, Winston-Salem, NC 27102)
has applied for renewal of NPDES permit NC0086762 for the Northwest
WrP in Forsyth County. This .permitted facility discharges filter -
backwash wastewater to an unnamed tributary to the Yadkin River In the
Yadkin•Pee-Dee Rirer Basin. Currerly total residual chlorine is water
quality limited. This discharge may affect future allocations in this portion
of the Yadkin River -
PPG IndusMes Fiber Ghee Products, Inc. (P.O. Box 949, Lexington,
NC 27293) has applied for renewal of NPDES permit NC0004626 for
their Lexington Facility in Davidson County. This permitted faciity dis-
charges 0.6 MOD of treated wastewater to North Potts Creek in the Yad-.
kin -Pee Dee River Basin: Currently BOD, TSS and total residual chlorine
are water quality limited. Thus discharge may affectfulure allocations in
this portion of the Yadkin -Pee DeeRNer Basin.
Davidson Water, Inc.. (P.O: Box 969, Welcome, NC 27374) has applied
for renewal of NPDES permitNi00084425 for Ls WfP in Davison
Courtly. This pemn fed faci ty dscharges filter -backwash wastewater to.
an untamed tributary to the Yadkin River In the Yadkin -Pee Dee River
,,,t,i rosi-iiut chlorine is water aualitv lirnifwl
a p dfdi2 �mrtliciem08B0idochartes tav
�P kt,.FoYsy4h Cotmty. This permitted tacitly discharges fiNer
1
1

Winston-Salem • Forsyth County
City/County Utilities
Water • Sewer • Solid Waste Disposal
CoPY
Manson Meads Complex • 2799 Griffith Road • Winston-Salem, NC 27103 • Tel [phone] • Fax [phone]
December 7, 2003
Mrs. Valery Stephens
NC DENR/Water Quality/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Renewal Notice
NPDES Permit #NC00860f11
Neilson WTP
Forsyth County
Dear Mrs. Stephens,
i
DEC 2 9 2003 I
DaNR-WAFER O'.!°.LFTY
IN i SOURCE E NCH
The City of Winston-Salem formally requests renewal of NPDES Permit #NC00860611
at our Neilson Water Treatment Plant. As requested and required, this letter serves as
notification of our intention to renew this permit.
Since the issuance of the last permit for this facility, no significant changes have occurred
that would affect this permit.
Should you have any questions regarding this matter please feel free to call me at (336)
727-8418.
Sincer
David K. Saunders
Director of Utilities

NPDES PERMIT APPLICATION - SHORT FORM C
For manufacturing or commercial facilities with a discharge <1 MGD (or WTPs)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
North Carolina NPDES Permit Number NC0086011
Please print or type
1. Applicant and facility producing discharge
A. Name David K. Saunders
B. Mailing address of applicant:
Street Address City of Winston-Salem, P.O. Box 2511
City Winston-Salem County Forsyth
State North Carolina Zip Code 27102-2511
Telephone Number
Fax Number
e-mail address
C. Location of facility:
Contact Person Tom Johnson
[phone]
[phone]
davids(a�cityofws_orq
Street 2725 Frye Bridge Road
City Clemmons County Forsyth
State North Carolina Zip Code 27012
Telephone Number [phone]
2. Standard Industrial Classification (SIC) code(s): 4941
3. Number of employees: 15
4. Principal product(s) produced: Potable drinking water
Principal raw material(s) consumed: Raw surface water from the Yadkin River
5. Principal process(es): Coagulation. flocculation, sedimentation, filtration, disinfection.
6. Amount of principal product produced (or raw material consumed)
(List specific amounts consumed and/or units of production)
Product Produced or Raw Material Consumed
(AVERAGE)
Surface Water Finished Water
Product Produced or Raw Material Consumed
(PEAK)
Surface Water Finished Water
per Day
31.0 MGD
29.9 MGD
(estimates)
48 MGD
(estimates)
44.5 MGD
per Month
961 MGD
926.9 MGD
(estimates)
1,076 MGD
(estimates)
1,051 MGD
per Year
11,315 MGD
10,914 MGD
(estimates)
12,670 MGD
(estimates)
12,377 MGD
7. Check here if discharge occurs all year 0, or
Circle the month(s) in which discharge occurs:
January February March April
May June July August September October November December
Page 1 of 2
Version -11/2000

NPDES PERMIT APPLICATION - SHORT FORM C
For manufacturing or commercial facilities with a discharge <1 MGD (or WTPs)
Days per week discharge occurs: Seven (7)
NOTE: If the facility has separate discharge points (outfalls) or multiple industrial processes, include a schematic diagram
of wastewater flow at the facility.
8. Types of wastewater discharged to surface waters only (check as applicable).
Discharge per operating day
Flow
(GALLONS PER OPERATING DAY)
Volume treated before discharging
(PERCENT)
Sanitary - daily average
0
Cooling water, etc. - daily average
0
Process water - daily average
1.0 MGD
(estimate)
100
Maximum per operating day for
total discharge (all types)
4.0 MGD •
(estimate)
100
9. If any of the types of wastewater identified in item 8 (either treated or untreated) are discharged to places
other than surface waters, record the amount(s) discharged below:
A. Municipal sewer system' gpd
B. Underground well gpd
C. Septic tank 100 qpd
D. Evaporation lagoon or pond gpd
E. Other, specify gpd
10. Number of separate discharge points: One (1)
11. Name of receiving stream(s): Unnamed 'tributary to Muddy Creek.
12. Does your discharge contain or is it possible for your discharge to contain one or more of the following
substances added as a result of your operations, activities, or processes? Circle all that apply:
aluminum
copper
phenols
ammonia
cyanide
selenium
beryllium cadmium chromium
lead
zinc
chlorine (residual)
mercury nickel oil and grease
None of the above
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.
David K. Saunders
Director of Utilities
Printed na ;,, f�•n
Title
/14/r
Signatur: of L - • licant Date
North Cam!i a G : eral Statute 143-215.6E (i) 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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
Page 2 of 2
Version-11/2000

Winston-Salem • Forsyth County
City/County Utilities
Water • Sewer • Solid Waste Disposal
Manson Meads Complex • 2799 Griffith Road • Winston-Salem, NC 27103 • Tel [phone] • Fax [phone]
December 7, 2003
Mrs. Valery Stephens
NC DENR/Water Quality/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Renewal Notice
NPDES Permit #NC00860611
Neilson WTP
Forsyth County
Dear Mrs. Stephens,
The City of Winston-Salem is requesting renewal of NPDES Permit #NC00860611 at our
Neilson Water Treatment Plant. As requested and required this letter describes the
Neilson Water Treatment Plant sludge management plan.
The Neilson Water Treatment Plant has three residuals lagoons located on the property.
Residual alum sludge from the facilities settling basins is drained into these lagoons. The
plant has a schedule by which it drains hoppers (weekly) and by which it drains and
cleans solids from the settling basins (quarterly). Once a residuals lagoon becomes full, it
is taken out of service and the solids are allowed to dry for several months. Once dried,
the solids are removed from the lagoon by a front loader and hauled approximately 2
miles from the plant and land applied to an area the City of Winston-Salem has permitted
off Cooper Road.
Should you have any questions regarding this matter please feel free to call me at (336)
727-8418.
Sine
David K. launders
Director of Utilities

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
)6 tf-Oa g �C3 ( (
Facility Name ;QC- Q (3.4 UJ "cp
c'- c f C (
*-54C 1
Reviewer
Basin/Sub-basin
03 g- r--e)
Receiving Stream
(kj 7( C( �., _
Is the stream impaired (listed on 303(d))?
/L-CD
Is stream monitoring required?
fv
! "
Do they need NH3 limit(s)?
Do they need TRC limit(s)?
Lf, (g " 6
eick-- ,
Do they have whole -effluent toxicity testing?
N(2)
Are there special conditions?
1jo
An obvious compliance concerns?
-*� �' = =•`'
Existing Expiration Date
( 6c-f,
Proposed Expiration Date
�� j ��,^
Miscellaneous Comments:
fd-C-CK--
t F ilc-c-;'e usg- o key-- -its mr-lc_u,v0k fc k
(&
AM N hit?",1.t(t -6-)ir fb\>-Lcce_ 5iii,e_tiJ 1--P-c- .
(' I(�'Et---
w IT 5T-112_,A-T-sTecli —gnnv_ Ar lOn✓cnri3ed
AO o
Ve-o•Y•> I-cazc 7 -- A/o. Nit go%zri/nf
Circle one: EXPEDITE DO NOT EXPEDITE
If expedited, is this a simpler permit or a more difficult one?