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Home My WebLink AboutNC0064416_Renewal (Application)_20220408ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Cullasaja Homeowner's Association Attn: Gary Clark 1371 Cullasaja Dr Highlands, NC 28741 Subject: Permit Renewal Application No. NCO064416 Cullasaja WWTP Jackson County Dear Applicant: NORTH CAROLINA Environmental Quality April 08, 2022 Laserfiche The Water Quality Permitting Section acknowledges the April 8, 2022 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 15OB-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https•//deq nc gov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application, using the links available within the Application Tracker. Sinc ely, Wren Thedford Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application North Carolina Department of Environmental �allty I Division of Water Resources D_E Asheville Regional Office 12090 U.S. Highway 701 Swannanoa, North Carolina 28778 --orn� /'�� 828296AS00 North Carolina Department of Environmental Quality Division of Water Resources Modified Application Form 2A Revised March 2021 10aiTlea Application morm 2A Ainor • •'M Itj I Uwj• • • Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works. NPDES Permit Number Facility Name Modified Application Form 2A NCO064416 Cullasaja HOA WWTP I Modified March 2021 Form NC Departinent of Environmental Quality - Application for NPDES Permit to Discharge Wastewater NPDES MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow the instructions may result in denial of the application.) JaLVAIN Al 1.1 Facility name Cullasaja Homeowners Association WWTP rql ° hr� k Mailing address (street or P.O. box) S If i F 1371 Cullasaja Club Drive City tY or town State ZIP code Highlands NC 28741 Contact name (first and last) Title Phone number Email address Gary Clark HOA Field &Services Director (828) 526-2190 gclark@cullasaja-dub.com k rl Location address (street, route number, or other specific identifier) ❑ Same as mailing address lz End of Hwy 64 & NC HWY 28 intersection l0( �� City or town State ZIP code Highlands NC 28741 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission ❑ No l '} l I 1 requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? Yes ❑ No v+ SKIP to Item 1.4. MTV Applicant name 9ikt Y��J ��w Applicant address (street or P.O. box) �i I, City or town State ZIP code 3�ytr�jii } l4k li;Y�at i. F lr=��. � .n Contact name (first and last) Title Phone number Email address 3 , 1.4 Is the applicant the facility's owner, operator, or both? (Check only one response.) Owner ❑ Operator Both Ulll 1.5 To which entity should the NPDES permitting authority send correspondence? (Check only one response.) tit `,(y ' ❑ Facility ❑ Applicant ❑ Facility and applicant 11}S�S (they are one and the same) 1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit a) number for each.) ErnVilonjiir�jthh�er`�its ❑ NPDES (discharges to surface ❑ RCRA (hazardous waste) ❑ UIC (underground injection � M1% Ill,.. I AlltRllI�, - " water control) ; NCO064416 ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) {l{6it4+, i ��i S. 94 kltr `'°l�f ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section ❑ Other (specify) 4 404) {� Page 1 1.f collection ES Permit Number Facility Name Modified Application Form 2A NC0064416 Cullasaja HOA WWTP j Modified March 2021 information below for the treatment 100 %separate sanitary sewer Own ❑ Maintain N/A 800 % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain Total percentage of each type of I 100 % ��'�;?i� � 1.8 Is the treatment works located in Indian Country? "' ❑ Yes 0 No 1.9 Does the facility discharge to a receiving water that flows through Indian Country? �` ,► - Yes 0 No ,r,ij�5ii� ❑ �; r 1.10 Provide design and actual flow rates in the designated spaces. 0.15 mgd 0.012 mgd I mgd ( 0.01� mgd o.1z mgd ( 0.19 mgd I o.os mgd Provide the total number of effluent discharge points. to waters of the State of North Carolina 1 Page 2 ES Permit Number Facility Name NC0064416 1 Cullasaja HOA WWTP Modified Application Form 2A Modified March 2021 1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the State of North Carolina? ❑ Yes ❑ No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface im oundment and associated discharge information in the table below. ;.j L IL, Surface`iiri o�t12 fiftent L'o attars d"tiiscfi a Data ` �`ArrerageDaalpI�me,,.,"LII ' „ LtI IS �icaont, �',�1»1iehaigeto uaceCar>itrtus o <rktermriet r �uF �i� �� ,. ., . •.''11 L"drr k e i ILI ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd ❑ Intermittent 1.14 Is wastewater applied to land? ❑ Yes 0 No 4 SKIP to Item 1.16, 1 A 5 Provide the land application site and discharge data requested below. acres d I ❑ Continuous gp ❑ Intermittent acres ( _ gpd ❑ Intermittent ❑ Continuous acres I gpd ❑ Intermittent 1.16 Is effluent transported to another facility for treatment prior to discharge? ❑ Yes ❑✓ No SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No � SKIP to Item 1.20. 1.19 Provide information on the transporter below. name or town Contact (first and last) name Mailing address (street or State Title address ZIP code Page 3 NPDES Permit Number Facility Name Modified Application Form 2A NCO064416 Cullasaja HOA WWTP i Modified March2021 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the i,EI �It:lit recelvm factll VI Rea+ei~rinaci1` ,.. ; s ,=Bata . ,It Alt{` zt t �N& Facility name Mailing address (street or P.O. box) itto 1 fit City or town State ZIP code it, , I,l ii n Contact name (first and last) Title el, zhE E�itCiE .; it It" I% It'4i Phone number Email address I E,ilsi i#� sI t,t =I, � NPDES number of receiving facility (if any) ❑ None Average daily flow rate m d 9 Y 9 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do }2°r I not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)? t ';k il< ❑ Yes 0 No 4 SKIP to Item 1.23. r tits 1.22 Provide information m the table below on these other dis osal methods. Q,k, I ' „ Infotmatron an Other 0is asal Ietttods ell „ ,, tt Re 4 I It Cf#tlf' 1V(y}'i.t L "flay `ii'''}4 4;'2 ; bt {I �� }�.I)itp y 4i�lti {i �4131 i45 y�y Liln.; # i�I�� 7LG; I } r'� ,- i J 4 t II IGLlli �� {'tv?�Tt""P��lsdli ,Irell, tt'�bl►tme ell ❑ Continuous iIN# i � acres 9Pd ❑ Intermittent 144! tl �':�rtst K III#; ❑ Continuous acres gp d❑ Intermittent $# ❑ Continuous � h �, �, acres gpd ❑ Intermittent e,el# 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) % ice`#�I Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section ❑ Section 301(h)) 302(b)(2)) t:#SIIrt'', J' lvl ❑✓ Not applicable f. ' ' " 1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works At the responsibility of a contractor? t, `� ❑✓ Yes ❑ No 4SKIP to Section 2. Olson 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational t' i and maintenance responsibilities.11 r �,, It �I�'�{ l## ��t, �,,, ii y y�y�ntrarc�linfinrms�+any, III .y y y } �Xit,LW�%X,'?. �.t Ii HLIi >. '.{ (' ,tt I ,II tOflntractar.l` c nit ,',. 1Liriil ii�i� >i ltlt.pItt ,<, .. il''l " Contractor name #' =vIw Ei � ' Environmental, Inc I coin an name "kill(,fI#�;ili,l, Mailing address PO BOX 954 street or P.O. box IE City, state, and ZIP Cullowhee, NC 28723 "' ,Itell code Contact name (first and Mark Teague E last t Ei?IJI�,�Ei('j Phone number (828) 58&5588 Email address Environmentalinc@aol.com IsI ' Operational and p General operation, „ tItI# Et maintenance maintenance and repairs. I ` = responsibilities of IIII , 11 contractor P on Page 4 NPDES Permit Number Facility Name Modified Application Form 2A NCO064416 Cullasaja HOA WWTP Modified March2021 filly: €14,t htt K 1J4 ' If #.4ti£,yyryy£;t £aj r 4f its yi tta1s,i4 qt ll¢ i}filt v£,rf §.f. s�E t. is f D€ia,jt{ 3Ziy i I'll k£si .,,%,1 ,i`v _ , 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? r, 4, £� ❑ Yes ❑ No a* SKIP to Section 3. £f: 2.2 Provide the treatment works' current average daily volume of inflow wera e'l to U ifit me"110 at � l �di 'oW 1j 1 s and infiltration. , gpd Indicate the steps the facility is taking to minimize inflow and infiltration. f£ { phel Ii ' f 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for ,11 specific requirements.) € r,y ❑ Yes ❑ No le 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? fu (See instructions for specific requirements.) �5 ❑ Yes ❑ No ,'li R , `,` 2.5 Are improvements to the facility scheduled? , leek,, ❑ Yes ❑ No SKIP to Section 3. ili}� 11 'rk t e }I itif Briefly list and describe the scheduled improvements. ,g 1. rtz.� si 2, d{ t k eii' 44a , ike see }_� 3. it }s 4. 4i if}�j{{}` 2.6 Provide scheduled or actual dates of completion for improvements. �el i3ii; G k31 €,�P ` �y��yy 1li, it tL f! 2 {+,ty } }.i4 i:4 }`jf%1yk III %+y�yi� Sh4 �irk lry -' t ?i `i /F�(. Mon nW[ # T+I7W i iJ £1�`t klii iVi9\' tw5 I t ;1t, i?.,: `!al>tt'7 ;rfi c: a�?li11 €x , { rs� a ,ytj . dl fi�y kl y,y Jj�'' f;�s,S� s�M41 JSy•#„€ ?}`�1;4 4, tri. b, ��; pf�€.I'£tN•*' �i{SW ,x->3."4I`�3 yy{{ ti� ! ? lip,§7�i s 1d i "1l'J MU f C t' t'lR N'.E 4'.. `ldi�.pfli �v Uyi£ il�t..,v lGi�liL „�a, ,�, i,,;yuh4 tCi iYE „� 3 .5,;f} £ 'GIyI'\�kI rk�it {7 d .a jik .�i P t �`t 110 ,y W ik �t>�t ?a iFil,t ,.£� 7rea ;:( A�, 1A, Iml ikrx �)i; Ui 1. 2. w� ri,h 3. �iitk £"+I 4. 27 Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your l£ response. f'IMe it# �} ❑ Yes ❑ No ❑ None required or applicable hi �, � lt4S€tlk 3- � l�l Explanation: Page 5 NPDES Permit Number Fadlity Name Modified AppGg6on Form 2A NC0064416 Cullasaja HOA WWTP Modified March2021 '�k ��99 ��,k,' �, 3.1 Provide the following information for each outfall (Attach additional sheets if you have more than three outfalls ) �5:;��R W}�;3: ¢{ , IY.. ii tt 7y,#>;l� a, -, .. i'ti S`$�i; 4SYi lf�ta'I Sif k',) 4: 1ii i ''.I f! i.. ili,Yt i"fEE X t1.� t s4. .. 44 1., 2 1t l6,., /-�. dii3Eh...:. 4t i{£. i" �C Y t ; tL L�}}f4 4 4--.k,i �,ii ., ';i k G II 3I { i d 1f( i Y i i kE 4 ;h'{2i"S 1 i�h§�jg f' �§.: 1!f k 3 4��..4i 4> � id if } I � :f. � 4t „k`, t � �E � Ut�d 4i ,,,€. t�'r�tbl x�rliy��,�.iatx�.i �b t�U�'l tt t ,f�;s, xEi k i, :`1�I'� iifr a� ;�11t��!+�r °ilt; ., I i'�`��)+t'�"^, dip} 4 �Se L ry��i;~v d (��ilt�+�� ! I f tl ''� t i c'..c +!} ii its �� it!� !'it;i+; Y,,Jijy I `iit�!.��Y�,�'+fliitt`f z,(!f�`,�,,��i.; F§ f , �+�' fti �: €!�}�N"+Yc(t' k� �r�<'t\t A�fil ixakit, ��E.�4'�i,�itf,{t�,��.'jiin �G 4�,~it,ki fyif'1Gi!!z'"��llis.�,.,fflS: xre3 tii n,ils:ii(i1i!ti3'.fit�a�fixt s��7tftif`'•c�tu;�lk,y t.>.`ik Ir3,«. �rr�Yt��!".?,�,4}Silsett•,;;�i.�nil'i�, n,=,.:4`;rial4iWri��iw`, `I��.,. I! �� '�'�f�� :<. State Northh Carolina �� ' �� t t� r�tl` Count Y Jackson � � � �x; ��. �� ; �f4�t�4 City or town Highlands sffl i� € €�� s ' !°�! Distance from shore Z ft. ft. ft. �¢it; ` �;��. �` «l �� Depth below surface 1371 cull ft• ft. ft. i RV��I (f �,�`E� �� Average daily flow rate o.00s mgd mgd mgd I�Y��,z31�° �!, �f f Latitude 3s' oa' oa" .' �� } I �?�t3 pt`��')� Longitude 83' 09' 47" " � �� I�',`.G�r<' ��4 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? l��l�� ❑ Yes ❑ No � SKIP to Item 3.4. �� j 3.3 If so provide the following information for each applicable outfall r ,�:f`t,. .z ( i"„ `< !1 (�«�. a-..}}��(e) I>it i-! Vr ;. °;n{ �t'{� t r} ,!, x'."i'��kr�1 !,� t � kd ,a yy��.1i �`zr f(� { r , ' r 2}. ; ¢ I{{tttf ��(w }� kl , j �i 5� �i j�,{� it gi}� f(};�r�..iyyi f`�ii ', II! gII � kf 3�yt,C4i z7� f�Iidie. �t? �` Ili{I9 �lz }.;, �i ,s�Y" -r i k, �Ii3, ; adi{� IS � ,� tr},:.n 4� n t r (, �f _� a ss,d�! �#�t rtf:t�, �i�>�S{fix �i�(y'�''. �' ' i. �` '. l i 5..,�i ,+�� Id �''11{t 1 {Y. bX�im 7y�g i iii�� 7 �?� li ft1 �+�U !`r"."�.( f�z.' irl��. Y t l 't�yi l�j�k'�0.i?�"�,$ i<p� �y 17,1 lit ,flh tt i'i1�.�.�"li fa!+u'.�V''s :�'I�r�t,�x.,i� f.!f; �.x. �"�h{stli isk§.��k P44�i,,, F�<i;t4tlU�ii!Cii4 �t� }4 i!'jf t��k'�.!��t S i';��i�ria rufi�ri�...,n ,k t}= ,.ilk}f,,."', q.'�irA.E,�l4-. ,, k,k4,. ti''�, �, �N?t 7.t r�,r� � �'� �` 1I ,l,Ytn.�Tt _; Number of times per year �; 4� � `# dischar a occurs ", Average duration of each k «.i ' �� dischar e s eci units `°kt,° �t` Average flow of each mgd mgd mgd ��,' dischar e {�:( �;'�� Months in which discharge �f>t�'� �'��,; occurs 3a� �` ' 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? �4 ��i€��ilj`, ❑ Yes ❑ No � SKIP to Item 3.6. � �! ,, � t. , � Bnefl describe the diffuser eat each aY 6cable outfalll ��? 3.5 L 4I�� il ., t hf � «..�y Y i �a � "'i}_fi E4lt},i S_ i I(ft�i ,t {;Zt t. i t`�1 iill tk}� t"�tlk tk � �".�kt. kriks�!Iil'x$'i�'r�lilr J 1,4I?_��Hi�etY(�lilt ,t �a �«d x?U�„yffi;'x i},t'II�'t dj. ��€ � { Cj,�i},,,Eii �i�t!i�,zts?�; �i;��ylt tt}i..>�t i�"x'�E4 .,,14 ,t`i�m: 'a� atlty. }�s}il � fll�I`:t€i��.. "h �i }'Y 1�l!�'�try I �u!.`�`�� t ,«�i4�°��t4 it y�� }f!�##{�! `>� i' .t . i ,. .,}.. a<v �z�sj53��fi� �4`�'t,l�d �jtil?l�l�,a 4t tl��+r.�—W..�'!i �IIr4l tt lici(•, .��Ilf ji:4 , t,lS„ , �r-, I,,,iin>�'f�„ r!:i�.. .,.,fr � � €las,�t? 1.€,4,k �`�k?i{,!«,r, n4,x.,. i�,r n"`4� "��t! §i�}i�il i i!i3st}i t,,t� § ff r'tt�i �i ��i�!�§k",Z'„�'tl lt`i`si�{, �'e.�»��:,.. ll,M s=f413,.. �s�v ..,4.iN �.:Ai 4,i n"ii .. i, ::. .,.... Ott P,�r< 4 � l E�I � i ',�'i*![fjjj`� 'i} yr tf�Ii�� !�� t�i �� y,:' �!,€� �q��{��_ }Il��tiS�31� U(� 4 �f�� S 8 {tsfr{. �� CIS �IS 2£ i4t4; i � �! t��a Uy�{yi ��[ �`�r�� j4�i� � }� 'l' �� K�i�d)p11 �tRrtiii�tii�. k� f 'q,}�� t��j�f�!}' �{a` � �'_ I �i 4`�:`Y � �"Sj �7,,1wh lr�f } ��f }}i (t� ��dl `1 U � (1R �t �i�i bl rr tt N}H"u �s,'} it �` �, , �n I �I � f 7}� f4"{ Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from � `� �_ 3.6 one or more discharge points? �' 0 Yes ❑ No SKIP to Section 6. 4 .� FF � Ih'i, �', }I �. Page 6 NPDES Permit Number Facility Name Modfied Application Form 2A NC0064416 Cullasaja HOA WWTP Modfied March2021 } ��!<<' � 3 7 t, Provide the receivm water and related Information rf known for each outfall 4 f {±•� {^'?. !, #.F��yi�tl �}i +�+�.-..F,l��yyr�Mz yt {{ � 4((!ii Sili`'f�$?__}}t{ t ii3 �' 3 -: y t t fl. � U� �i #�i)i�(Ui�i;y rS'4vflIU U��ll��.!,!��V�i{{ }!!9 y4�§}.�,,#� i S7 tilt 4t} r f.��4 jjy � 2 `� {t, #.5.1 yv �ii b ,i>i� YI✓y} �. {��jy `�Fi�iiDE'i '�ISI Sf f J (( �; ! �t4 i�i ! I ,t I3S! 3� ��'�yi '� y. �tttl �yS �i '��Ri�/i fr S Ri{�-.,LF*) t#'�. (i tx t 4 yS„�,,..�tt�'4y`.,�,�y tr! ��t4`Si 1: n��t'S'��?„ #� 2�?}��t'u1`Slt�a � ��s >; ,.t {t yl n,k i` t��iJUii"dlti7��[i��+�,, uEv?... �,s3{=, ��€� .+� f�� i d;Y��.`'a~.k , <, ,3?�,fiN ,a t4,.°r ny. � i%,� -�1�.1 �, r sib.. ., ,t q,{,i . lli4 .?.L!„ a'ih,.n;J..�1 .. ,�} § va v t aEGI r>;�.,}akt U'�,,r`rz '�w, i,t ,�<4 ,.�1A .0 R,..;,.<'a R8C81VIng Watef name Norton Mill Creek ��'#�„�i% �,Y� �#��'ti�f�ti ��lt� �{ Name of watershed, river, ��`�' ,�t or stream system lt��: �� I �� U.S. Soil Conservation �'�,�' ':' Service 14digitwatershed �,' code ,� �` Name of state � managemenUriver basin �,t U.S. Geological Survey ! , �' <' �1 t 8-digit hydrologic � � f*: catalo in unit code ,, { ' a F�� ; r � ��`� Critical low flow (acute) cfs cfs cfs �' �� s f�?,�� Critical low flow (chronic) cfs cfs cfs YI; 1�1 '` (t Total hardness at critical mg/L of mglL of mg/L of _ Y��"t �;�� low flow CaCOa CaCOs CaCOa !' , 3.8 Provide the followin Information descnbin the treatment rovlded for dischar es from each outfall I � .. ,i}.Y#Jft,: (��,;p . �. }. �iT'. ,:. ..�y. 'y,�r. r,f�"},. ,4i ��,+�'l it.=s,!!°.3rr�4�ll �f��lli ��}r I�� ey , ,I,��,i� t +��tty,t E � ,fi 3'�i.t k,�?�flli' ily � �1 t(ai �i� '�cst ,.; {.0 4s_�! i t S A ': If #!t 4 Y-Y t g., �, �ii�§,�„j.. is„��., t'``,Il�t l� �?L t:,. ��i `��, u , ry t 3 � !i ,'. i�s—ri:�`�!l{ 1)�. � al �!} hx�uft; o, �t• IE yi <<.l t 1'it,i1 `t ,! his t:..� },, �; Ci{V.�I. I`"'.�Ilik{€ i i � + !i t>r I 1s `� ��1��..i��t 1lt ll , � ��*t yt �itYt��i��ti� 4'',t�. ,n.ti �{{ 1 tu#3 t 4'z t;tf 1ftk�tt'�,( ° � !a <.r! h.kdxs�X.wt �;�S�j3,.. , t � x -�'t l�t?�;�t��'% Y14ut�. u � `�r_ �f ��} llY�t {ydE�.t �{ , �# t i'�.�"� i. � i � v , { �:A'{;,�a.z, ,'f I at(Y�Ai� t.>i,! F��a.� ��j� .h �y11� I f �'t ! � s alitl�Lltr�,�'i{}Ht�e,11.F.t��,;.�,�i,li�,ia_ll,i i � ! i a } f ! � j .w ,ihr,,r.M. „,}�t-s, 1Ja,t:�`,tw btY �•z},,sF,q..V..m.1R 3�� <, key }� �>,c �z,.,,�„v§,t+- L�,}w.�`{;`�`".ks'v; � I � , tl� Highest Level of ❑ Primary ❑ Primary ❑ Primary �� Treatment (check all that ❑ Equivalent to ❑ Equivalent to ❑ Equivalent to apply per outfall} secondary secondary secondary �_�,(! �' {{'��i '� ❑ Secondary ❑ Secondary ❑ Secondary i ,I��, ❑ Advanced ❑ Advanced ❑ Advanced � s�� ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) ��" �`��' Design Removal Rates by NA Outfall �'� ;� �� `3. BODe or CBODs NA ( r '�� ` �� ,i TSS NA % % o/ ° � ` �� 0 Not applicable ❑Not applicable ❑Not applicable 3� ��` � Phosphorus % % �� tt,Y�� 0 Not applicable ❑Not applicable ❑Not applicable �� Nitrogen �`�� 4 '��° Other (specify) 0 Not applicable ❑Not applicable ❑Not applicable 4�g �`' Page 7 _ � t- „}�� ,�. ae_� �.� b..n .w� .. NPDES Permit Number Facility Name Modified AppGca6on form 2A NC0064416 Cullasaja HOA WWTP Modified March 2021 �']°I,� �f'r��S`' 3•� Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by '"�F}�� ' i§��;�'t` fit. �t��p,i season, describe below. # � }�'� } t ��li�� iIS �Ii }j I#.{ ��a� �{�tr ?'}rift lit S lit t � d lit I {11E U2 i il= .i }a <�S t�'.: kP��i'£it;#..i.�y �3{ . di' €ii,�`, � �� , �,t.�t x�y��, ?'3(l .>i�u#' .;�N..I ,.:.}1tl��l£yHttl �l r f ;.,. t�� , i � � t�� E �. f�4?, y.;�((I i#i}'�rti�3�.,, f t 1 I I„ " ,a ;€1 }l .,�I li:, r. �' 1t. m �� t, � � fv?;g �n'Il �tr Est} 4;; 1 Gi .. r i ,.S �, vr�` �� r s�ia�r�ih� err �+ t ?i �� a urp a t f. ,} £ 4}� ,,�t lilt � ��"- }` ; kid !` dim i}� f ., ?€ a ii t�f},}4t1,.3 ,#T �#Iz iiE1?s�€..��r� .ii}?HSl`; t'•'?�t£t z�ii r},�s?f�;�„`:i ii Crn3i', lit {I !'... i,,kt ��s t�r�v'}I�'� i�??l, l,� F^I yEtz,.s , � ,trx, f{pt;, /t �rhl t ifl lfil}c ! ,ri f1�6, ,�, i '1 , ,. �.I,i .,,,. „ ;ti,, t , s ,,::�#'g ilil t, J,{. Yit `:,: it r �; f„�` 'r'at; Disinfection type chlorine �f; `f +° fli! ;� i r �a ''3 Seasons used Year Round 4 # i �x to{�3 ,t ,{ � Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable ' _.:r � l� r� 0 Yes Yes Yes ❑ ❑ € ij'� i = t I}{t No ❑ No ❑ No r. kfa Ch };�� 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? '{} ° `� � Yes ❑ No } #`` 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's ' ! discharges or on any receiving water near the discharge points? :� ❑ Yes ❑✓ No � SKIP to Item 3.13. � `�l' � 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's �, dischar es b outfall number or of the receivin water near dlschar a olnts ,;.,4 i l ��,� 1r1' t{{�� ,"� 'k<{S fi z .,� C�„ � � ¢the 'jtz "�it�:'i( l i£if ,lz�€'(- ! 3:'€{ { �fi t tj�'3K�tt}I £ttf,t 3inYe% i E,'ivi S'ddF It tl n. i�14'yt:vf;ik��l it p..=vii �,� 1� iti } �- } "ii°i5 i .� $E�, ��71��, { �t4 ,� =1�',�€�1��!�?y��{{�,g �t, t rt, !�;��.',. x�!rr�i��`��.�-��i„'y $ rr "- t' ! e k , il?tz`: '# T2(, txit ru , ��tl. ?# �`s`"t +ihi 'W�-a"' �c,3'£ r• f�, ', -�:. �Ir�i (G :x`it 5 13 1, Il�f b t=€ ? �E 4i Vt �'i� � t h`i.:§ .hi ,I��I{}W�}�15^� �tt �� '11?� 3 ,��4��be�, t £ � ,, � �I ,.� �,�ttr, .< s.. t ti` i- i. l�} t d e .. } Y1 { t'•.'_az#rr� ry.'f( 4. " t is 1 7 4 Y Ilt4 ti.,iF 47. Wy�w = �, �, ,3r { tt '{ i} �?;li.. t:.. �.{?i ""ppt1 t <I t!h „}, f! I:,�..}��,}9`£i} p„I.r ;d¢enttj €,y }(v ,.,.,.m4 4�� , vl t . i '„ - tt i . �r�:B.�a �� i t< rt^?�f{j - �` t>'t N r 11 � , II"�M� � # ita -.f� � 4 `�� , lii't�Si i t' iti� z + 1} 4'� i t� i rj .. it �t �al'4 li };4 itY xiit£� }t7 2^IZ (h �3� .:t ij �f.r#,rr .iP i(tt�,.EF� a{�t�s��€ if tx ,? it k�i =t �� . .} I, jjP,y,.i, LSi is t�#, `zr t t ,. yy4�,,,,t fl. 'itll�k t€� S' �7iI �.4� {{I�.', ax a t S hY33 ii ' �4€t r� iij, �.i l4ij�"t I CSC} ,dl.. Y ti ...�,. ,i�z .,_i € 9tz t 3 .e , a.. �. 11 4 it G ��t, t , tSw' �€k� , f!'e r.. I i y . i t xit l,,,x=..,_� , trtfi~Ifi ,{t .l x 1`k. Y£ �i[pt ( �E�¢'?433 }`f{{��w. y,p f�r',(,.��.�� w, ��y oftY ,E'f.. �ti q.. ,�,q +}?; k� l ,1+i!'�. ' 1#1{�i'1��j1 .€'�r,� 3�M��i,{a�3�St, t 11# I}�f � }�.. � `k� (I -� ?� a i147 �-:`i;'' li[:i'f} 7 JI{ �� a s�i fi. �-x. z hY� *� fist;,# �. 13 S, �t ,,.., !tt�t,t�~e „'�'z�. #;"'ii��~`�a��f�l"€�� a ti ,d . A . 1 l(,H, E��r>>i�? .,�tt;�.�`.�,f,a gal tf3t3>=,sY:�*r .?.d,.x l4��„f'!-i�'�gk �� i�,rm �? tfirrt ,.a?zit, d9 �.�t, .+��+''a��.'3Y� � t �� Number of tests of discharge �� Y } ��Y f€ i. { � �� water ��. ��'t� Number of tests of receiving �' ,l � & i�H'"jj{ water Irlf�;l 1 �€l?} �t� ��'} 3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have �$ �iii�'}�� reasonable potential to discharge chlorine in its effluent? '`; }=��1��' ❑ Yes � Complete Table B, including chlorine. ❑ No � Complete Table B, omitting chlorine. �,� �i�i' 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application t� �, package? �� [] Yes � No ❑ ,g .% h Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and , �:. �{ it# ` i �� `� 3.18 attached the results to this application package? No additional sampling required by NPDES t' � ❑ Yes 0 ermittin author i NPDES Permit Number Facility Name Modred Application Form 2A NCO064416 Lullasaja HOA WWTP Modified March 2021 (rb ,; 3.19 Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application or (2) at least four annual WET tests in the past 4.5 years? it ❑ Yes ❑ No 4 Complete tests and Table E and SKIP to "t v Item 3.26. S" 3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority? r, =',ail ❑ Yes ❑ No 4 Provide results in Table E and SKIP to ) Item 3.26. �, t ��,i 't`;#€ 3.21 Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results ),'� -• tt�y j. Its 1�eIla tl�£ 4( 41J, x .r s hj i tt t 4 4 .4 4 l y 44 43 U .i J4 1 ti�i II 1 ySisi'1� AR Gr c 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in toxicity? ❑ Yes ❑ No 4 SKIP to Item 3.26, 3.23 Describe the cause(s) of the toxicity: ii 1 I 3.24 Has the treatment works conducted a toxicity reduction evaluation? ' ❑ Yes ❑ No 4 SKIP to Item 3.26. 4 3.25 Provide details of any toxicity reduction evaluations conducted. ,ttr,ir� ;} Y 1ij''# 4 iftt 4'e� iy iit� ��Y f 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? Not applicable because previously submitted Page 9 NPDES Permit Number NC0064416 Faality Name Cullasaja HOA WWTP Modified AppGcabon Form 2A Modified March 2021 Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are reauired to provide attachments. Section 1: Basic Application 0 Information for All Applicants ❑ w/ variance request(s) ❑ w/ additional attachments ❑ Section 2: Additional ❑ w/ topographic map ❑ w/ process flow diagram Information ❑ w/ additional attachments w/ Table A ❑ w/ Table D o Section 3: Information on ❑ w/ Table B ❑ w/ additional attachments Effluent Discharges ❑ w/ Table C Section 4: Not Applicable Section 5: Not Applicable O Section 6: Checklist and ❑ w/attachments Certification Statement I Certification Statement 1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualiTted personnel properly gather and evaluate Lite information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print or typeefirst and last name) Official title ~ C(A V 1C %e d VI Signature6 Date signed / nj (6A t NPDES Permit Number Facility Name Outfall Number NC0064416 Cullasaja HOA WWTP 001 Modified Application r0rM 2A Modified March 2021 � Sampling shall be conducted according to sumclenny sensitive tes� proceuu�es t�.C., nrotnuua/ aNNiuvcu unuc� -ry v, ,. w ice, ,,,.. �+„.,,ow a, p.n,�..a., .� .., F..,...u,.. r..,.,,,.....,., a, required under 40 CFR chapter I, Subchapter N or 0. See instructions and 40 CFR 122,21(e)(3). Page 11