NC0021709_Permit Issuance_20060328

NPDES DOCUMENT SCANNING: COVER :SHEET
Alm
NPDES Permit: NC0021709
Jefferson WWTP
Document Type: , ermit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
Technical Correction
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date: March 28, 2006
This document is printed on reuse paper-ignore any
content on the re Terse wide

Michael F. Easley
OF W ATFRQ Governor
-9 G ATA William G. Ross, Jr., Secretary
> NCDENR North Carolina Department of Environment and Natural Resources
p Alan W. Klimek, P.E., Director
Division of Water Quality
March 28,2006
Mr.Timothy Church,Water Resources Director
Town of Jefferson
P.O.Box 67
Jefferson,North Carolina 28640
Subject:Issuance of NPDES Permit NC0021709
Jefferson WWTP
Ashe County
Dear Mr. Church:
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).
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 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 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 Sergei Chemikov at telephone number
[phone],extension 594.
Sincerely,
A_
ijk Alan W.Klimek,P.E.
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection
Aquatic Toxicology Unit
NPDES Unit
N.C.Division of Water Quality!NPDES Unit Phone:[phone]
1617 Mail Service Center,Raleigh,NC 27699-1617 fax:[phone]
Internet:h2o.enr.state,nc.us DENR Customer Service Center:1 800 623-7748

•
Permit NC0021709
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, the
Town of Jefferson
is hereby authorized to discharge wastewater from a facility located at the
Jefferson WWTP
NC Highway 16 South
East of Jefferson
Ashe County
•
to receiving waters designated as Naked Creek in the New 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 May 1, 2006. •
This permit and authorization to discharge shall expire at midnight on March 31, 2011.
Signed this day March 28, 2006.
/0„ /an Klimek, P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0021709
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.
The Town of Jefferson
is hereby authorized to:
1. Continue to operate an existing 0.600 MGD wastewater treatment system
consisting of the following:
• Wet well with automatic bar screen
• Raw pump
• Flow splitter
• Secondary clarifier
♦ Chlorination (disinfection)
• Dechlorination
• Aerobic digestor
• Two traveling bridge filters
• Two sludge holding units
♦ Belt press
♦ Sludge dryer
The facility is located at Jefferson Wastewater Treatment Plant, NC Highway 16
South, east of Jefferson in Ashe County;
2. Discharge from said treatment works at the location specified on the attached
map into Naked Creek, classified C} waters in the New River Basin.

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Permit # NC0021709 !I ago-
Naked Creek, Class C+ f, �V
Quad #: B13NW, Quad Name: Jefferson �' : \1 j 20 .`//i ,
Ashe County > ;(7 Ii(
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USGS Quad:Jefferson,NC N C 0 0 1 709 Facility i, "
Latitude:36°24'3S' a x g ,zw r
Longitude:81°25'43" Location 0^4.4: -
�' Town of Jefferson :'
Stream Class:C+ , . .
Subbasin: 50701 WWTP
Receiving Stream:Naked Creek North SCALE 1:21 000

Permit NC0021709
A. (I.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on May 1, 2006 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 LIMNS • .� r MONITORING REQUIREMENTS
• � R J • s`' {,t..y '�
Monthly
Weekly
ekly Daily Measurement Sample Sample
Average Average Maximum Frequency Type. Location1
Flow 0.6 MGD Continuous Recording Influent or Effluent
BOD,5-day(20°C)2 5.0 mg/L 7.5 mg/L 3/Week Composite Influent&Effluent
(April 1-October 31)
BOD,5-day(20°C)2 10.0 mg/L 15.0 mg/L 3/Week Composite Influent&Effluent
(November 1-March 31)
Total Suspended Solids2 20.0 mg/L 30.0 mg/L 3/Week Composite Influent&Effluent
NH3 as N 2.0 mg/L 6.0 mg/L Weekly Composite Effluent
(April 1-October 31)
NH3 as N 4.0 mg/L 12.0 mg/L Weekly Composite Effluent
(November 1-March 31)
Dissolved Oxygen3 3/Week Grab Effluent,Upstream,
Downstream
Fecal Coliform(geometric mean) 200/100 mL 400/100 mL 3/Week Grab Effluent
Total Residual Chlorine 28 µg/L 3/Week Grab Effluent
Temperature(°C) 3/Week Grab Effluent,Upstream,
Downstream
Total Nitrogen Semi-annually Composite Effluent
(NO2+NO3+TKN)
Total Phosphorus Semi-annually Composite Effluent
Cadmium • 2/Month Composite - Effluent
Cyanide4 2/Month Grab Effluent
Copper 2/Month Composite Effluent
Lead 34.0 µg/L Weekly Composite Effluent
Zinc 2/Month Composite Effluent
Mercury 0.04 µg1L Weekly Composite Effluent
Silver 2/Month Composite Effluent
pH >6.0 and<9.0 standard units 31Week Grab Effluent
Chronic Toxicity5 Quarterly Composite Effluent
Effluent Pollutant Scan Annual See A.(3.) Effluent
Footnotes:
1. Upstream samples should be taken just below the Highway 16 bridge (100 feet above discharge)
and downstream samples should be taken 100 yards downstream of discharge,just beyond the
end of the aerobic digestor.
• 2. The monthly average effluent BOD5 and Total Suspended Solids concentrations shall not exceed
15% of the respective influent value (85%removal).
3. The daily average dissolved oxygen concentration shall not be less than 6.0 mg/L.
4. The quantitation limit for cyanide shall be 10 µg/L(10 ppb). Levels reported at less than 10 pg/L
shall be considered zero for compliance purposes.
5. Whole effluent toxicity will be monitored using the Pass/Fail Chronic Toxicity test with
Ceriodaphnia at 30%. Samples shall be taken in February, May, August&November; see A. (2.).
There shall be no discharge of floating solids or visible foam in other than trace
amounts

i
Permit NC0021709
A. (2.) CHRONIC TOXICITY PERMIT LIMIT (Quarterly) - 0.6 MGD
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 30%.
The permit holder shall perform at a minimum, _quarterlu monitoring using test procedures outlined
in the"North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure,"Revised February 1998,
or subsequent versions or"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure"
(Revised-February 1998) or subsequent versions. The tests will be performed during the months of
February, May, August and November. Effluent sampling for this testing shall be performed at the
NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below
the permit limit, then multiple-concentration testing shall be performed at a minimum, in each of the
two following months as described in"North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised-February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the
highest concentration having no detectable impairment of reproduction or survival and the lowest
concentration that does have a detectable impairment of reproduction or survival. The definition of
"detectable impairment,"collection methods, exposure regimes, and further statistical methods are
specified in the"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised-
February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the
parameter code TGP3B for the pass/fail results and THP3B for the Chronic Value. Additionally, DWQ
Form AT-3 (original) is to be sent to the following address:
Attention: North Carolina Division of Water Quality
Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Branch no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and
all concentration/response data, and be certified by laboratory supervisor and ORC or approved
designate signature. Total residual chlorine of the effluent toxicity sample must be measured and
reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT)
test form indicating the facility name, permit number, pipe number, county, and the month/year of
the report with the notation of"No Flow"in the comment area of the form. The report shall be
submitted to the Environmental Sciences Branch at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month.
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, minimum control organism reproduction, and appropriate environmental
controls, shall constitute an invalid test and will require immediate follow-up testing to be completed
no later than the last day of the month following the month of the initial monitoring.

s..
• Permit NC0021709
A. (3.) EFFLUENT POLLUTANT SCAN
The Permittee shall perform an annual Effluent Pollutant Scan for all parameters listed in the attached table
(using a sufficiently sensitive detection level in accordance with 40 CFR Part 136). Samples shallrepresent
seasonal variations. Unless otherwise indicated, metals shall be analyzed as"total.
Ammonia(as N) Trans-1,2-dichloroethylene Bis(2-chloroethyl)ether
Chlorine(total residual,TRC) 1,1-dichloroethylene Bis(2-chloroisopropyl)ether
Dissolved oxygen 1,2-dichloropropane Bis(2-ethylhexyl)phthalate
Nitrate/Nitrite 1,3-dichloropropylene 4-bromophenyl phenyl ether
Kjeldahl nitrogen Ethylbenzene Butyl benzyl phthalate
Oil and grease Methyl bromide 2-chloronaphthalene
Phosphorus Methyl chloride 4-chlorophenyl phenyl ether
Total dissolved solids Methylene chloride Chrysene
Hardness 1,1,2,2-tetrachloroethane Di-n-butyl phthalate
Antimony Tetrachloroethylene Di-n-octyl phthalate
Arsenic Toluene Dibenzo(a,h)anthracene
Beryllium 1,1,1-trichloroethane 1,2-dichlorobenzene
Cadmium 1,1,2-trichloroethane 1,3-dichlorobenzene
Chromium Trichloroethylene 1,4-dichlorobenzene
Copper Vinyl chloride 3,3-dichlorobenzidine
Lead Acid-extractable compounds: Diethyl phthalate
Mercury P-chloro-m-cresol Dimethyl phthalate
Nickel 2-chlorophenol 2,4-dinitrotoluene
Selenium 2,4-dichlorophenol 2,6-dinitrotoluene
Silver 2,4-dimethylphenol 1,2-diphenyihydrazine
Thallium 4,6-dinitro-o-cresol Fluoranthene
Zinc 2,4-dinitrophenol Fluorene
Cyanide 2-nitrophenol Hexachlorobenzene
Total phenolic compounds 4-nitrophenol Hexachlorobutadiene
Volatile organic compounds: Pentachlorophenol Hexachlorocyclo-pentadiene
Acrolein Phenol Hexachloroethane
Acrylonitrile 2,4,6-trichlorophenol Indeno(1,2,3-cd)pyrene
Benzene Base-neutral compounds: Isophorone
Bromoform Acenaphthene Naphthalene
Carbon tetrachloride Acenaphthylene Nitrobenzene
Chlorobenzene Anthracene N-nitrosodi-n-propylamine
Chlorodibromomethane Benzidine N-nitrosodimethylamine
Chloroethane Benzo(a)anthracene N-nitrosodiphenylamine
2-chloroethylvinyl ether Benzo(a)pyrene Phenanthrene
Chloroform 3,4 benzofluoranthene Pyrene
Dichlorobromomethane Benzo(ghi)perylene 1,2,4-trichlorobenzene
1,1-dichloroethane Benzo(k)fluoranthene
1,2-dichloroethane Bis(2-chloroethoxy)methane
Test results shall be reported to the Division in DWQ Form-A MR-PPA1 or in a form approved
by the Director within 90 days of sampling. The report shall be submitted to the following
address: Division of Water Quality,Water Quality Section, Central Files, 1617 Mail Service
Center, Raleigh, North Carolina 27699-1617.

•
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:
January 7,2006
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 Statutes of North Carolina and was a qualified newspaper within the
meaning of Section 1-597 of the General Statutes o North Carolina.
PUBLIC NOTICE
This 9th dayof 2006 m nAiEOFNO1"10AH01NA •''
January, ENVI"ONYIXT"L MANAGEMENT commissIOWNP0EB4 titer
(signature of persot aking affidavit) 1 RRAALEIOI MIULL NC276ED►ct ORER '�
NOTIFICATION OF INTENT TO ISSUE•,t".�..`
- A TIDES WASTEWATER PERMR:r,.':ice:'-•-:'
On the beset duaa,rti sin m w.d'ODei6onnof NC General SW-
al
Sworn to and subscribed before me,this 9th day of January,2006 tr:, WWI
pose le Iwo a NNimel P,ertart o.deg.Eimiuum System
merit to the person(s)Teed below BF
• 45 days from h�t dale d Cs odic.
Widen comments the proposed remit W I be'meted id
30 Moto publish def.d rodoe M comments reamed ma
to tat die ate considered r tto Mal delen* regarding the pad
pne0 rainy.The Dierlu d the NC Diiin of Water Wally may de-
ddsb told aprMcnretrgletMpropced petite shod%the Dmaim
Note bliC Cord...etr:f int decree dgWiiiicd Meest:.*o
dO inni al M.cor�daa,spant
pimain War todrponing.mi6 mtsan le Ile rsW
drat pima are mamba.Won re-
quest ard pyowt d ter mad dnepodvtiora frail oorarierts ardlor;
My Commission expires:September 28,2010 mom';a l tie I'°Source Branch a23191
520.Petra hdrde to(WOES pewit aanber(Madrdl W Wry oorn-
maicsbonetemeNdpriors may Teo wipe 0Orossiocnl of Wait Comi-
ty ef 512 N.Behbw Swat.F..Igh NC 27934-11e8bstwent o hosts
d dla Wide and S.dM p.m.to retie l don n"a
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NC l Io Meadow Wrif1 P InteAsh'Cpms word dy.NPOES N �ed325 fv�egeJs-
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efj Notary Public,North Carolina °+ie1p ° a�0b0Ad67" tnNC
TM Town d JNNrem(P.O.Bra BT.Jefferson NC 25 WOj has weed
�f• COUNTY OF FORSYTH 5 L k rrrwef d NPOES pwmp N0002170s for'Ms Jdh'sdn Niel in
KIMALEY I�$CN/ Axe :.ki pot r ed y dudieges trsared wastw�te m
YJ—� ds Naked in New Rk residual
Basin.chlorine BOO,st'q armors
MyCornnhlSSIOnExpires a aopparancrdtaefraatdeaaramwefwavayMnt•
ed.The mown,
miry Idled Mum°loatio s in tie portion of the New
Wow Bass.._-.. ._..
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Lf RPinAl .NPDEs creme tied fairy
s Jelfraa-
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1✓ Ratted 1NVTP h Watauga Courty.TM'ps itled batty dde for IheTdwg
e Meted wrYretr r Ihe►tilde Fork of 8e Stitt Fat flew Rise
Brit San panniers may be%WV malty Mated weeds may Mad
how abase-s it ter peon d the New Per
Watauga Cony Bard of Education(PO Bra 1790,Boone.NC28501)
hle applied be retool d NPDES pond N00057016 be Freeway Ele-
mentary sled wwTP if waive Cary.The permitted facility dot..
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led▪ We Hosea.in Ma palm d to Brit.'-.. ...
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ebcbon n ter poreat d the New Per Basin- -
"kaWs8.01.0 08f itch Y.1dorm ern,LLC(P0 Boom.
Lr�gWD.NC IM ts)hr eppted for mrrntl d NPDES owns N
Cart Nkda's Restaves 8 ffgh Meadows trot Welt In Aleghenywaste-
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my be wee=Maid.Mic,may effect fume Noem in this
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:• imap://[e-mail]:143/...
Subject: Draft Permit Review
From: John Giorgino<john.giorgino®ncmail.net>
Date: Tue, 14 Feb 2006 10:20:50-0500
To: sergei chernikov<[e-mail]>
Hi Sergei, I have reviewed NC0021709 - Jefferson WWTP, and have no comments. Thanks
for forwarding it.
-John
John Giorgino
Environmental Biologist
North Carolina Division of Water Quality
Environmental Sciences Section
Aquatic Toxicology Unit
Mailing Address:
1621 MSC
Raleigh, NC 27699-1621
Office: 919 733-2136
Fax: [phone]
Email: John.Giorgino®ncmail.net
Web Page: http://www.esb.enr.state.nc.us
1 of 1 2/14/2006 10:25 AM

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No.NC0021709
Facility Information
Applicant/Facility Name: Town of Jefferson WWTP
Applicant Address: 303 E. Main St.; Jefferson,NC 28640
Facility Address: 1233 Hwy 16 South; Jefferson,NC 28640
Permitted Flow 0.6 MGD
Type of Waste: 81%Domestic
19%Industrial
Facility/Permit Status: Active,renewal
County: Ashe
Miscellaneous
Receiving Stream: Naked Creek Regional Office: Winston-Salem
Stream Classification: C+ State Grid/USGS Quad: B13NW/Jefferson
303(d)Listed? Yes(biologically Permit Writer: Sergei Chernikov
impaired)
Subbasin: 05-07-01 Date: November 30,2005
Drainage Area(mi2): 6.4
Summer 7Q10(cfs) 2.2
Winter 7Q10(cfs): 3.4
30Q2 (cfs) 4.5 41111111111,
Average Flow(cfs): 12
IWC(%): 29.7
Lat. 36°24 37"N Long. 81°25'45"W
BACKGROUND:
Jefferson WWTP is a 0.6 MGD wastewater treatment plant serving 1,670 customers in the Town
of Jefferson, the Town of Jefferson Landing and a small number of commercial and industrial
facilities. Both towns have separate sewer collection systems.
The plant has completed an expansion and upgrade from 0.3 MGD to 0.6 MGD. The facility
discharges to Naked Creek, which is class C+ waters in the New River Basin. The stream is
listed on the 303(d) list for biological impairment. The overall pollutant load to the receiving
stream has actually decreased after expansion due to the tightening of effluent limits.
The permit will continue to require the City to implement its pretreatment program.
REASONABLE POTENTIAL ANALYSIS:
The following parameters are monitored through the permit: Cd, CN, Cu, Pb, Zn,Hg, Ag. The following
parameters are monitored quarterly through the pretreatment program: As, Cd, Cr, Cu, CN, Pb, Hg, Mo,
Ni, Se,Zn,Ag.
Reasonable potential analysis was conducted for: As, Cd, Cr, Cu, Pb, Hg, Ni, Se, Zn, Cn, Ag, Cl (see
attached).
TOXICITY TESTING:
Type of Toxicity Test: Chronic P/F
Existing Limit: 001: Chronic P/F @ 30%
Recommended Limit: 001: Chronic P/F @ 30%
Monitoring Schedule: February,May,August, and November
The facility has been consistently passing its WET tests.
Fact Sheet
NPDES NC002I709 Renewal
Page I

.
COMPLIANCE SUMMARY:
DMRs have been reviewed for the period January 2003 through October 2005. The facility has a negative
compliance record. During the review period, the following NOVs (notices of violation) have been
issued: 04/14/05 — deficiencies in pretreatment program, 9/15/04 - flow, 03/16/04 - flow, 02/13/04 -
flow, 01/22/04 — non-receipt of TOX report, 01/14/04 — TSS, cyanide, and Hg, 12/15/03 — fecal
coliforms,flow,Hg, cyanide, and TSS.
The recent expansion and renovation should solve compliance problems. A compliance evaluation
inspection conducted on March 17,2005 determined that the facility is in compliance.
INSTREAM MONITORING:
Instream monitoring is required for dissolved oxygen (DO) only. A review of DMRs indicated that there
was no DO stream standard violation downstream of the discharge for the past 2 years. However,there is
a noticeable negative effect of the discharge on the stream DO. This will likely be alleviated with the
expansion.
PROPOSED CHANGES:
• Monitoring Frequencies: Monitoring frequency for lead has been increased to weekly due to the
implementation of the new permit limit. Monitoring frequencies for cadmium, cyanide, copper, zinc,
and silver have been reduced to 2/Month to be consistent with the DWQ guidance. Instream
temperature monitoring has been added to the permit.
• Limits: Based on the Reasonable Potential Analysis a limit for lead has been added to the permit,
limit for mercury has been increased to 0.04 µg/L to correct previous error, and limits for cadmium
and cyanide have been eliminated.
• Priority pollutant monitoring on an annual basis has been added to fulfill the permit application
requirement in the future.
Existing permit limits and recommended limits/monitoring are summarized in the table below:
Existing Proposed
Parameter Existing Limit(µg/L) Monitoring Proposed Limit(µg/L) Monitoring
Cadmium 15 None None 2/Month
Lead None Quarterly 34 Weekly
Cyanide 22 Weekly None 2/Month
Mercury 0.02 Weekly 0.04 Weekly
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: January 4,2006(est.).
Permit Scheduled to Issue: March 1,2006 (est.).
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please contact
Sergei Chemikov at(919) 733-5038 ext. 594.
REGIONAL OFFICE COMMENT:
NAME: DATE:
Fact Sheet
NPDES NC0021709 Renewal
Page 2

REASONABLE POTENTIAL ANALYSIS
Jefferson WWTP Outfall 001
NC0021709 Qw = 0.6 MGD
Time Period 2000-2005
Qw(MGD) 0.6 WWTP Class III
7Q10S(cfs) 2.2 /WC(%)@ 7Q10S 29.712
7Q10W(cfs) 3.4 @ 7Q10W 21.478
3002(cfs) 4.5 @ 30Q2 17.127
Avg.Stream Flow,QA(cfs) 12 @ QA 7.1926
Rec'ving Stream Naked Creek Stream Class C+
STANDARDS&
PARAMETER TYPE CRITERIA(2) PQL Units REASONABLE POTENTIAL RESULTS RECOMMENDED ACTION
(1) NCWQS/ Y,FAV/
n #Def. Max Pred Cw Allowable Cw
Chronic Acute
Acute: N/A
Arsenic NC 50 1><- ug/L 4 0 5.0 - - !v I{ 1�_.-
Note:n<12 Chronic: 168
Limited data set
Acute: 15
7114- °46.1.‘‘tt..49
Cadmium NC 2 15 ug/L 41 0 2.2 ( 1 j- y__
-chronic: 6.7-
Acute: 1,022 +1 ss
Chromium NC 50 1,022 ug/L 4 2 20.0 Lif 0 l l WA
Note:n<12 Chronic: 168 - - - - - - - - - - - - - -
Limited data set
Acute: 7 vyr��
Copper NC 7 AL 7.3 ug/L 41 14 515.0 i�`o l t t"' i� V k AA-I"- ti %� ` 1')
Chronic 23.6 N71-/ LUG
Cyanide NC 5 N 22 10 ug/L 30 1 5.0 Acute: 22 Ail 0 1 ‘-1111tAVVW4- et` 1-' )
Chronic: 16.8 t' 1 _
Acute: 34 ,t J
Lead NC 25 N 33.8 ug/L 54 1 524.4 I .r1 t`t fc, r irn i' �7
_........mono:.... . / t.,ky,N .J/ J.
Acute: N/A `{
Mercury NC 0.012 0.0002 ug/L 49 36 0.4050 PC/ t __ _ `�ti" _ _ _
Chronic: 0.0404 �u/�1 'i.. yv ) s)Acute: N/A J
Molybdenum A 3,500 C>.\/ ug/L 4 2 86.6 _PO 1 l 1.4A1V ---- - - - ^
Note:n<12 Chronic: #
Limited data set
Acute: 261 .
Nickel NC 88 261 ug/L 4 0 5.0 PO I1 Pt( ------ - --- - - _
Note:n<12 Chronic: 296.2
Limited data set
Acute: 56 1 4. /
Selenium NC 5.0 56 ug/L 4 0 561.0 /V fl 11(�r•r A �/� d !(
Note:n<12 Chronic: 16.8 •
i_-_- ) � �� � i �1rL�
Limited data set I/VA\ y ,t.1 h�efltt T
Acute: 1 Y L,
Silver NC 0.06 AL 1.23 ug/L 37 0 510.0 !V b l I °"\A G-!P�t"''' - ,ry t,°, t.,
Chronic: 0.20 .0
Acute: 67 1
Zinc NC 50 AL 67 ug/L 41 16 435.0 `1 9 e i
Chronic: 168 h LiA./ I o-1` F_ cp /4 6 r
•Legend: '.Freshwater Discharge 2 J lvt t'L Kos + A-5
C=Carcinogenic J
NC=Non-carcinogenic
A=Aesthetic
21709-RPA-2005,rpa
12/12/2005

REASONABLE POTENTIAL ANALYSIS
Arsenic
Date Data BDL=1/2DL Results
1 < 10.0 5.0 Std Dev. 0.0000
2 < 10.0 5.0 Mean 5.0000
3 < 10.0 5.0 C.V. 0.0000
4 < 10.0 5.0 n 4
5
6 Mult Factor= 1.0000
7 Max.Value 5.0 ug/L
8 Max.Pred Cw 5.0 ug/L
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
21709-RPA-2005,data
-1- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Cadmium Chromium
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 < 2 1.0 Std Dev. 0.3162 1 < 5 2.5 Std Dev. 1.7988
2 < 2 1.0 Mean 0.3768 2 5.1 5.1 Mean 4.0250
3 < 2 1.0 C.V. 0.8392 3 < 5 2.5 C.V. 0.4469
4 < 2 1.0 n 41 4 6 6.0 n 4
5 < 2 1.0 5
6 < 2 1.0 MuIt Factor= 2.2000 6 Mult Factor= 3.3300
7 < 2 1.0 Max.Value 1.0 ug/L 7 Max.Value 6.0 uglL
8 < 2 1.0 Max.Pred Cw 2.2 uglL 8 Max.Pred Cw 20.0 ug/L
9 < 0.10 0.05 9
10 < 0.10 0.05 10
11 < 0.10 0.05 11
12 < 0.10 0.05 12
13 < 0.50 0.25 13
14 < 0.50 0.25 14
15 < 0.50 0.25 15
16 < 0.50 0.25 16
17 < 0.50 0.25 17
18 < 0.50 0.25 18
19 < 0.50 0.25 19
20 < 0.50 0.25 20
21 < 0.50 0.25 21
22 < 0.50 0.25 22
23 < 0.50 0.25 23
24 < 0.50 0.25 24
25 < 0.50 0.25 25
26 < 0.50 0.25 26
27 < 0.50 0.25 27
28 < 0.50 0.25 28
29 < 0.50 0.25 29
30 < 0.50 0.25 30
31 < 0.50 0.25 31
32 < 0.50 0.25 32
33 < 0.50 0.25 33
34 < 0.50 0.25 34
35 < 0.50 0.25 35
36 < 0.50 0.25 36
37 < 0.50 0.25 37
38 < 0.50 0.25 38
39 < 0.50 0.25 39
40 < 0.50 0.25 40
41 < 0.50 0.25 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 63
64 64
•
65 65
66 66
67 67
68 68
69 69
70 70
21709-RPA-2005,data
-4- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Copper Cyanide
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 9 9.0 Std Dev. 117.9828 1 < 5 5.0 Std Dev. 0.0000
2 25 25.0 Mean 156.8293 2 < 5 5.0 Mean 5.0000
3 16 16.0 C.V. 0.7523 3 < 5 5.0 C.V. 0.0000
4 19 19.0 n 41 4 < 5 5.0 n 30
5 < 3 1.5 5 < 5 5.0
6 < 3 1.5 Mult Factor= 2.0600 6 < 5 5.0 Mult Factor= 1.0000
7 9 9.0 Max.Value 250.0 ug/L 7 < 5 5.0 Max.Value 5.0 uglL
8 8 8.0 Max.Pred Cw 515.0 ug/L 8 < 5 5.0 Max.Pred Cw 5.0 uglL
9 14 14.0 9 < 5 5.000
10 12 12.0 10 < 5 5.000
11 21 21.0 11 < 5 5.000
12 4 4.0 12 < 5 5.000
13 6 6.0 13 < 5 5.000
14 12 12.0 14 < 5 5.0
15 14 14.0 15 < 5 5.0
16 8 8.0 16 < 5 5.0
17 < 500 250.0 17 < 5 5.0
18 < 500 250.0 18 < 5 5.0
19 < 500 250.0 19 < 5 5.0
20 < 500 250.0 20 < 5 5.0
21 < 500 250.0 21 < 5 5.0
22 < 500 250.0 22 < 5 5.0
23 < 500 250.0 23 < 5 5.0
24 < 500 250.0 24 < 5 5.0
25 < 500 250.0 25 < 5 5.0
26 < 500 250.0 26 6 5.0
27 < 500 250.0 27 < 5 5.0
28 < 500 250.0 28 < 5 5.0
29 < 500 250.0 29 < 5 5.0
30 < 500 250.0 30 < 5 5.0
31 < 500 250.0 31
32 < 500 250.0 32
33 < 500 250.0 33
34 < 500 250.0 34
35 < 500 250.0 35
36 < 500 250.0 36
37 < 500 250.0 37
38 < 500 250.0 38
39 < 500 250.0 39
40 < 500 250.0 40
41 < 500 250.0 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 63
64 64
65 65
66 66
67 67
68 68
69 69
70 70
21709-RPA-2005,data
-7- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Lead Mercury
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 < 10 5.0 Std Dev. 70.8342 1 < 0.2 0.1000 Std Dev. 0.0271
2 < 10 5.0 Mean 46.9815 2 < 0.2 0.1000 Mean 0.0106
3 < 10 5.0 C.V. 1.5077 3 < 0.2 0.1000 C.V. 2.5483
4 < 10 5.0 n 54 4 < 0.2 0.1000 n 49
5 < 10 5.0 5 < 0.001 0.0005
6 < 380 190.0 Mull Factor= 2.7600 6 < 0.001 0.0005 Mull Factor= 4.0500
7 < 380 190.0 Max.Value 190.0 ug/L 7 < 0.001 0.0005 Max.Value 0.1 ug/L
8 < 380 190.0 Max.Pred Cw 524.4 ug/L 8 < 0.001 0.0005 Max.Pred Cw 0.4 ug/L
9 < 380 190.0 9 < 0.001 0.0005
10 < 380 190.0 10 0.001 0.0010
11 < 380 190.0 11 0.0014 0.0014
12 < 380 190.0 12 0.002 0.0020
13 < 380 190.0 13 0.002 0.0020
14 < 380 190.0 14 0.003 0.0030
15 < 380 190.0 15 0.003 0.0030
16 < 100 50.0 16 0.007 0.0070
17 < 100 50.0 17 0.006 0.0060
18 < 100 50.0 18 0.017 0.0170
19 < 100 50.0 19 0.005 0.0050
20 < 100 50.0 20 0.002 0.0020
21 < 100 50.0 21 0.001 0.0010
22 < 100 50.0 22 0.001 0.0010
23 < 100 50.0 23 0.002 0.0020
24 < 100 50.0 24 0.007 0.0070
25 < 10 5.0 25 0.001 0.0010
26 < 50 25.0 26 0.003 0.0030
27 < 10 5.0 27 0.002 0.0020
28 < 10 5.0 28 0.002 0.0020
29 < 10 5.0 29 0.003 0.0030
30 17.0 30 < 0.003 0.0015
31 < 10 5.0 31 0.0011 0.0011
32 < 10 5.0 32 0.0036 0.0036
33 < 10 5.0 33 0.0010 0.0010
34 < 10 5.0 34 0.0010 0.0010
35 < 10 5.0 35 < 0.0010 0.0005
36 < 10 5.0 36 0.0010 0.0010
37 < 10 5.0 37 0.0040 0.0040
38 < 10 5.0 38 0.0020 0.0020
39 < 10 5.0 39 0.0020 0.0020
40 < 10 5.0 40 0.0020 0.0020
41 < 10 5.0 41 < 0.0010 0.0005
42 < 10 5.0 42 0.0060 0.0060
43 < 10 5.0 43 0.0013 0.0013
44 < 10 5.0 44 0.0085 0.0085
45 < 10 5.0 45 0.0010 0.0010
46 < 10 5.0 46 0.0060 0.0060
47 < 10 5.0 47 0.0012 0.0012
48 < 10 5.0 48 < 0.0010 0.0005
49 < 10 5.0 49 0.0020 0.0020
50 < 2 1.0 50
51 < 2 1.0 51
52 < 2 1.0 52
53 < 2 1.0 53
54 < 2 1.0 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 63
64 64
65 65
66 66
67 67
68 68
69 69
70 70
21709-RPA-2005,data
-10- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Molybdenum Nickel
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 < 12 6.0 Std Dev. 6.9761 1 < 10 5.0 Std Dev. 0.0000
2 17 17.0 Mean 12.0000 2 < 10 5.0 Mean 5.0000
3 19 19.0 C.V. 0.5813 3 < 10 5.0 C.V. 0.0000
4 < 12 6.0 n 4 4 < 10 5.0 n 4
5 5
6 Mult Factor= 4.5600 6 Mult Factor= 1.0000
7 Max.Value 19.0 ug/L 7 Max.Value 5.0 ug/L
8 Max.Pred Cw 86.6 ug/L 8 Max.Pred Cw 5.0 ug/L
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 26
27 27
28 28
29 29
30 30
31 31
32 32
33 33
34 34
35 35
36 36
37 37
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 63
64 64
65 65
66 66
67 67
68 68
69 69
70 70
21709-RPA-2005,data
-13- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Selenium Silver
Date Data BDL=1/2DL Results Date Data BDL=1/2DL Results
1 < 10 5.0 Std Dev. 16.2500 1 < 1 0.5 Std Dev. 117.8759
2 < 10 5.0 Mean 13.1250 2 < 1 0.5 Mean 169.4459
3 < 10 5.0 C.V. 1.2381 3 < 1 0.5 C.V. 0.6957
4 < 75 37.5 n 4 4 < 1 0.5 n 37
5 5 < 3 1.5
6 Mult Factor= 14.9600 6 < 3 1.5 Mult Factor= 2.0400
7 Max.Value 37.5 ug/L 7 < 3 1.5 Max.Value 250.0 ug/L
8 Max.Pred Cw 561.0 ug/L 8 < 1 0.5 Max.Pred Cw 510.0 ug/L
9 9 < 5 2.5
10 10 < 10 5.0
11 11 < 5 2.5
12 12 < 5 2.5
13 13 < 500 250.0
14 14 < 500 250.0
15 15 < 500 250.0
16 16 < 500 250.0
17 17 < 500 250.0
18 18 < 500 250.0
19 19 < 500 250.0
20 20 < 500 250.0
21 21 < 500 250.0
22 22 < 500 250.0
23 23 < 500 250.0
24 24 < 500 250.0
25 25 < 500 250.0
26 26 < 500 250.0
27 27 < 500 250.0
28 28 < 500 250.0
29 29 < 500 250.0
30 30 < 500 250.0
31 31 < 500 250.0
32 32 < 500 250.0
33 33 < 500 250.0
34 34 < 500 250.0
35 35 < 500 250.0
36 36 < 500 250.0
37 37 < 500 250.0
38 38
39 39
40 40
41 41
42 42
43 43
44 44
45 45
46 46
47 47
48 48
49 49
50 50
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 63
64 64
65 65
66 66
67 67
68 68
69 69
70 70
21709-RPA-2005,data
-16- 12/12/2005

REASONABLE POTENTIAL ANALYSIS
Zinc
Date Data BDL=112DL Results
1 19 19.0 Std Dev. 95.8227
2 32 32.0 Mean 174.9512
3 24 24.0 C.V. 0.5477
4 39 39.0 n 41
5 62 62.0
6 48 48.0 Mult Factor= 1.7400
7 62 62.0 Max.Value 250.0 ug/L
8 60 60.0 Max.Pred Cw 435.0 ug/L
9 80 80.0
10 74 74.0
11 75 75.0
12 69 69.0
13 52 52.0
14 59 59.0
15 90 90.0
16 78 78.0
17 < 500 250.0
18 < 500 250.0
19 < 500 250.0
20 < 500 250.0
21 < 500 250.0
22 < 500 250.0
23 < 500 250.0
24 < 500 250.0
25 < 500 250.0
26 < 500 250.0
27 < 500 250.0
28 < 500 250.0
29 < 500 250.0
30 < 500 250.0
31 < 500 250.0
32 < 500 250.0
33 < 500 250.0
34 < 500 250.0
35 < 500 250.0
36 < 500 250.0
37 < 500 250.0
38 < 500 250.0
39 < 500 250.0
40 < 500 250.0
41 < 500 250.0
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
21709-RPA-2005,data
-19- 12/12/2005

generic.data.summary.8,99.xls
jSample Location: FLOW CADMIUM CHROMIUM
Effluent Used in Calculated Used in Calculated Used in Calculated
Sample Date l mg/L < mg/L Calculation lbs/day ` < mg/L Calculation lbs/day < mg/L Calculation lbs/day
10/16/00 Spreadsheet < 0.01 0.005 0.0000 < 0.002 0.001 0.0000 < 0.005 0.0025 0.0000
Instructions: -
10/17/00 1) Data < 0.01 0.005 0.0000 < 0.002 0.001 0.0000 0.0051 0.0051 0.0000
10/18/00 entered only in < 0.01 0.005 0.0000 < 0.002 0.001 0.0000 < 0.005 0.0025 0.0000
10/19/00 Bordered cells. < 0.01 0.005 0.0000 < 0.002 0.001 0.0000 0.006 0.006 0.0000
Rest of
worksheet is i r
protected.
11/1/00 passwordis
11/6/00
2) For below
11/7/00 detection data. - ,
11/8/00 enter"<"in"<"
11/13/00 m andtion entercolu detecn,
11/14/00 level in Influent
m /l c
11/15/00 orgrcuent
olumns. K ! „ k
11/20/00 Spreadsheet
will auto- i 4
-
11/21/00 matically
11/22/00 calculate
averages and
11/27/00 removal rates
11/28/00 using 1/2
value entered. r .. 4
11/29/00
Column Averages=> 0.0050 0.0000 0.0010 0.0000 0.0040 0.0000
generic.data.summary.8,99.xls
N, eKluent data summary
7' �'z of 7 pages
9..19 AM
t'"9ust 1999

generic.data.summary.8,99.xls
Sample Location: FLOW COPPER YANIDE LEAD
Effluent Calculated Used in Calculated Used in Calculated
Sample Date l mg/L < mg/L Calculation lbs/day < mg/L Calculation lbs/day < mg/L Calculation lbs/day
10/16/00 Spreadsheet 0.009 0.009 0.0000 < 0.01 0.005 0.0000
Instructions:
10/17/00 1) Data 0.025 OA25 0.0000 < 0.01 0.005 0.0000
10/18/00 entered only in 0.016 0.016 0.0000 < 0.01 0.005 0.0000
10/19/00 ee dered cells. 0.019 0.019 0.0000 < 0.01 0.005 0.0000
" Rest of
worksheet is r ,
protected,
11/1/00 passwordls
2. ,
11/6/00
11/7/00 2) For below
detection data, ,
11/8/00 enter"<"in'<'
11/13/Op Column,and
enter detection --
11/14/00 level in Influent
11/15/00 orEtlluent
mg/l columns. _
11/20/00 Spreadsheet
11/21/00 will auto-
matical ly
11/22/00 calculate
averages and
11/27/00 removal rates
11/28/00 using 1/2
value entered.
11/29/00
. ,
Column Averages=> 0.0173 0.0000 0.0050 0.0000
gene6c.data.summary.8,99.x1s
F`tmW.data summary
'+'a°t l pages
v'�ivs11999

generic,data.summary.8,99.x1s
Sample Location: I FLOW MERCURY
Effluent MOLYBDENUM
Used in • Calculated Used in ' Calculated
Sample Date mg/L. < Used in i Calculated
10 16 00ISpreadsheetmg/L Calculation lbs/day < mg/ Calculation lbs/day <
/ / coons / Y mg/L Calculation` lbs/day
Instructions: < 0.0002 0,0001 0.00000 <
10/17/00 1) Data < 0.012 0.006 0.0000 < 0.01 0.005 0.0000
0.0002 0.0001 0.00000 0.017 10/18/00 entered only in 0.01.7 0.0000 < 0.01 0.005 0.0000
Leavy < 0.0002 0.0001 0.00000 0.019
10/19/00 Bordered cells. < 0.019 0.0000 < 0.01 0.005 0.0000
0.0002 O.00701 0.00000 < 0.0120.006 0.0000 <ost or w0.01 0.005 0.0000
ortrsheet is
protected,
11/7/00 pa2„ssword is
11/6/00
11/7/00 2) Forbelow
defection data,
11/8/00 enter'<"in°n" '
11/13/00 column.and
enter detection
11/14/00 level in Influent
11/15/00 orEfnuent
mglt columns ‘
11/20/00 Spreadsheet
11/21/00 will auto-
matically
11/22/00 calculate
11/27/00
removalaverages rates
11/28/00 using 1/2
11/29/00 value entered. '
•
IColumn Averages=>
I 0.00010 I 0.00000 I 1 0.0120 I 0.0000
I I 0.0050 j 0.0000 1
9aneric.data.summary,8,99.x1s
Muer\t.data summary
`'Sot 1 Pages
•,c,AM

generic.data.summary.8,99.xIs
Sample Location: FLOW
Effluent Used in Calculated Used in ` Calculated Used in Calculated
Sample Date ( mg/L < mg/L Calculation lbs/day < mg/L Calculation lbs/day < mg/L Calculation lbs/day
'
10/16/00 Spreadsheet < 0.01 0.005 0.0000 0.018 0.018 0.0000
Instructions:
10/17/00 1) Data < 0.01 0.005 0.0000 0.032 0.032 0.0000
10/18/00 entered only in < 0.01 0.005 0.0000 0.024 0.024 0.0000
Heavy ,-
10/19/00 Bordered cells. < 0.075 0.0375 0.0000 0.039 0.039 0.0000
Rest of
worksheet is
protected,
11/1/00 password is
.2". ,
11/6/00
11/7/00 2) Furbelow
detection data, ,
11/8/00 enter"<"in"<^
11/13/00 com , nd
entelur dnetecation ,
11/14/00 level in Influent
11/15/00 orEmuent
mg4 columns. ,
11/20/00 Spreadsheet
11/21/00 wivaut
� matically , , ,
11/22/00 calculate
11/27/00 averages and
removal rates
11/28/00 using 1/2
value entered.
11/29/00
Column Averages=> 0.0131 0.0000 0.0283 0.0000
9enefm.data.su m m ary.8,99.xl s
F�uenldata summary
.."5 of 1 Pages
•A 19 A4,1
"OA11999

•
TO ; O ` FE ► ON
Meredith Ballou i Operators
Manager
John Bower
Tim Church Fred Walters
Director
October 24, 2005
Mr. Charles H. Weaver, Jr.
NC DENR/DWQ Point Source Branch
1617 Mail Service Center
Raleigh,NC 27699-1617 ~�
SUBJECT: Requesting Renewal of NPDES permit NC0021709 Town of Jefferson WWTP
Dear Mr. Weaver:
The Town of Jefferson is hereby requesting the renewal of NPDES permit NC0021709 for the
Jefferson WWTP. Enclosed please find the original completed application form and two copies.
Since issuance of the present permit an expansion of the WWTP has been completed bringing
our total capacity to 0.600 MGD. The changes to this facility include the following.
*Installation of an automatic bar screen
*Modification of existing influent pumps and installation of a new raw pump
*Oxidation Ditch
*Flow Divider
*Secondary Clarifyer
*Two Traveling Bridge Filters
*Chlorination and Dechlorination facility
*Converted existing Aeration Basins to sludge holding units
*Belt Press and Sludge Dryer
If you have any questions regarding this application or need additional information please give
me a call at [phone].
Respectfully,
7;;; glad--
YL
Tim Church
Water Resources Director
PO Box 67 Water Plant [phone]
1233 Hwy. 16 N Wastewater(336)246-2165
Jefferson, NC 28640 FAX [phone]
4161411111111111111611111111111111•11111111114111111111111111111111

TO O J FE ON
Meredith Ballou Operators
Manager "�
John Bower
Tim Church Fred Walters
Director
September 30, 2005
Charles H. Weaver,Jr.
NC DENR/DWQ Point Source Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
RE:Renewal Application for Permit NC0021709 Jefferson WWTP
Dear Mr. Weaver;
I am aware that the permit renewal package for the Town of Jefferson WWTP NPDES
NC0021709 is to be postmarked no later than October 2, 2005. The majority of that application
has been completed and is ready to be mailed. However, as I reviewed the schematic diagram of
the process flow required in Section B.3 I noticed it did not include some of the revisions that
were made during the completion of our plant expansion. I have requested an updated site plan
from our engineers and it will be sent to me on Monday October 3. I will include this site plan
in our renewal application and forward it to you immediately. I assumed this would be more
acceptable to your office rather than sending an incomplete application. Please accept my
apology for this inconvenience to you. If you have questions or comments please give me a call
at(336)246-2165.
iRespectfully,aAARL
Uiru
Tim Church
Water Resources Director
U L
PO Box 67 Water Plant(336)982-2828
1233 Hwy. 16 N Wastewater(336)246-2165
Jefferson,NC 28640 FAX[phone]
♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦♦

FACILITY NAME AND PERMIT NUMBER:. PERMIT ACTION REQUESTED: RIVER BASIN:
(own e S je.W i f w ► i 0 0' 1• , •
FORM ,.Kz , � ; „ _.•••n.•, _ -. x ,s,:,4 • :.
At
2A • y�wsl
fi 5
NPDES tea. i a, � � <., A .s. .. li ,�4 '.� <'. '
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists ofa "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items..explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also'answer questions'A.9 through A.12. -
B. Additional Application Information for Applicants with a Design Flpw z 0.1 mgd. All treatment works that have design flows•
greater than or equal to 0.1 million gallons per day must complete questions B;•1 through B.6.
C. Certification. All applicants must complete Part C(Certification). .
•
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D(Expanded Effluent Testing Data): _____
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place),or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E(Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program(or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users(Sills)or receives RCRA or CERCLA wastes must complete Part F(Industrial User Discharges
and RCRA/CERCLA Wastes). Sills are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations(CFR)403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and ,
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works(with certain
exclusions);or
• b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant;or
c. Is designatedas an SIU by the control authority.
G. . Combined Sewer.Systerns. A treatment works that has a combined sewer system must complete Part G(Combined Sewer
Systems).
3:ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATIOh1) `
c>.f.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Je 4Cg r INC002,170� Ne.
BASIC APPLICATION INFORMATION .:;,
PART A.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information. (�
Facility Name -Town O 34e.fso f1 W YV I 1"
Mailing Address Pl)rrrrE OY.. 6 f
Contact Person l►M CNI,IRC H
Title Wo-er Resources Jife( -or
Telephone Number (3360) ?"t( `2I1/6
Facility Address I Z1&3 I{w'. l(U S
(not P.O.Box) je. er s N C 2:2. T O
A.2. Applicant Information. If the applicant is differentfrom the
� ^rabove,
/provide the following:
Applicant Name ��WI i w lA� �� e_
Mailing Address
Contact Person
Title
Telephone Number ( )
Is the applicant the owner or operator(or both)of the treatment works?
❑ owner ❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
❑ facility ❑ applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state-issued permits). n h
NPDES -00ZFLll"1 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and,if known,provide information on the type of collection system(combined vs.separate)and its ownership(municipal,private, etc.).
Name Population Served Type of Collection System Ownership
Sep exsor 1142,0 Se_parat- Twr of JP1P2r
��PfFerscm ArY'ti 2,0 Se o e- Je.gefSGYv Lr rdlnc,
Total population served J(o(0
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 2 of 22

F
FACILITY NAME AND PERMIT NUMBER: •
• PERMIT ACTION REQUESTED: RIVER BASIN:
r.
JW NCoo �70q Re.i-IP_Wtt_l _e er'sort �P
A.5. Indian Country. , ;s
a. Is the treatment works located in Indian Country?
❑ Yes l7J No _. .
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from(and eventually flows
through)Indian Country?
❑ Yes giNo
A.6. Flow. Indicate the design flow rate of the treatment plant(i.e.,the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12th month of"this year'occurring no more than three months prior to this application submittal.
a. Design flow rate O. 60 mgd
Two Years Aao Last Year This Year
pp//��
b. Annual average daily flow rate . 220 . 2gq .3 l 0D
c. Maximum daily flow rate . 467 . 527 . 570
0
A.7. Collection System. Indicate the type(s)of collection system(s)used by the treatment plant. Check all that apply. Also estimate the percent
contribution(by miles)of each. /�/�
• ❑ Separate sanitary sewer / 1)
❑ Combined storm and sanitary sewer N/A %
A.B. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? e(Yes ❑ No
If yes,list how many of each of the following types of discharge points the treatment works uses:
i. Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent '0
Combined sewer overflow points 0
iv. Constructed emergency overflows(prior to the headworks) 0
v. Other O
b. Does the treatment works discharge effluent to basins,ponds,or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes l No
If yes,provide the following for each surface imooundment:
. Location:
Annual average daily volume dischar'2e to surface impoundment(s) mgd
Is discharge ❑ continuous or.. ❑ Intermittent?
c. Does the treatment works land-apply treated wastewater? [jYes ❑ No
If yes,provide the following for each land application site:
Location: r)on Rood_
Number of acres: Il0 acres
Annual average daily volume applied to site: 0.OO mgd
Is land application ❑ continuous or [(intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? ❑ Yes El No
EPA Form 3510-2A(Rev.1-89). Replaces EPA forms -5' &7550-22. • Page 3 of 22

♦ -
FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: 43
JeCi-essis .WWTP. hiC 02I70q U!
• If yes,'describe the mean(s)by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g.,tank truck,pipe).
•
If transport Is by a party other than the applicant,provide:
Transporter Name
Mailing Address
•
Contact Person
Title ; ' .
•
`'`•y •
• •'Telephone Number f i ) •
'
•
For each treatment works'that receives this discharge,provide the following:
Name
Mailing Address
Contact Person •
Title '
Telephone Number f )
If known,provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater In a manner not included
in A.B.through A.8.d above(e.g.,underground percolation,well injection): ❑ Yes ❑ No
If yes,provide the following for each disposal method:
Description of method(including location and size of site(s)If applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or 0 Intermittent?
•
Yi
•
•
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 4 of 22

- 1 '
s.. FACILITY NAME AND PERMIT NUMBER:.1'.,;;;:', t v,:, ... . . . . PERMIT ACTION REQUESTED: RIVER BASIN:
i •• . • • , •, •
•, e O'i' 1'1' -' Rerlef.wciij)i.! I i '• ! iNtw-, -';-. :. '; .
JeictfActili)li)ii)
WASTEWATER DISCHARGES: ,
,;, If you ans%vered"Yes"to question A.0.8,complete Questions A.9 throunh A.12 once for each outfall(Including bypass points)through
%•Atich effluent is discharged. Do not include Information on combined sewer overflows In this section. If you answered"No"to question
Al.w,go to f_ fis,"Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
, • ,- .. • t ,
. .._ . .. ..
A.9. Description of Outfall.
i
a. _Outfall number .. 001 "')
.. •i "A c;
b. Location j'ef-r-el &r% 2241-10
.,. . (City or town,If tippticable) (Zip Code)
.
; .
NC/
• I,
(County) -(-. • (State)
-- i
1 (Longitude)
.....-4,::i..'_,:....,6:.-1 :-..„,t, ,...1.. „.,., . •
c. Distance from shore(if applicable) W A . . , ft.
d. Depth below surface(if applicable) •, N/8 : , , i.•,-, ;,.: ‘.... ,
ft.
iv
.
i e. Average daily flow rate ,'* ly 0.-312 . mgd
• -- f. -- Does this outfall have either an intermittent or a periodic discharge? ' • D Yes 11(No (go to A.9.g.)
(,-..4•,.:.-...?•,,,a.f:-)-;",,1 :....,.;',l',$i,:),i':,,tiet":;I1 ilir•JOWi ie....::,'•t?.I.; -1.:*::. .: . ., : .,,i,,-.•.f.,0,...,:l: .. '.,..., . •
i - • •, l' ,•• - • ,,,,,j••,,..;;.tr,1,1,,' 'i," ... : 3' j;.4.-i';f;:.:.;:.., i; . - •
.s,'".:.i If yes,provide the following irifonnati0t1:• • ':'.- - , 'C.
. 1 t,:•,,,i2.;c.;;;;4.;22„...S.t.i 1:'.1'....:•/;;;F',.V.t''..,t .3%.1O.a.P.ifis.t.:.:Vi t;.J; .i1,:I.e3-..,i; ., ,. • .• ,•• , . ..., •,,•,;.:7;,:1- ;", • , ,
Ile)'-e.q...;".. ••:',Iik,......1. ..,,-.I"",'..s,'•!.r.1 lil.',-' ic'-.1In t....fiis,...i.tt,0t;!! I.
. ' ' •A it' -•"'"•"1`41w Oirriqa Peflear e•cutichlarilepccUrs:t k•:-..!-•,-..,..-iy,.i•,- .• .., ,..., , • .
i .!...-:•.:-;,- -....,,.......-tf..,-, .-/),1;,,f; •uol iNea:!4r :Li on.:y!/;••••!.1-,11.1..,..,-.1r,-. . -. -•,., , - . .
Average duration of each discharge:
......s..,
! •
Average flow per discharge: mgd
. . .. .. , , . . . . . . .
• • .
Months In which discharge occurs
, ,,• .
. . .., .....„. .
:-.:-.. i %.....-.:,,,,,c.,-,!..4.; i..._.• FY.....,I',4 i:,I , : ,..1. ?1,.. . , ' -: .. - . . .
-,..‘ • I:, ;;,....:..g."...:: •Is outfall equipped with a diffuser?' 0 Yes i ..*, .a(No
•L* :•.'it.r-.i''' :.'.-•'..;-.:- ' •,'..1 . • ,;.•-k .
A.io. Description of Receiving Wateni.--','-i•---•I--—---- --- , ...
• , . •si,.•• k '•
_ • .1is..-:- ., keit -1.....'eekil '\).. *.... ,• '
a. Niimsd receiving tvater .^,0 e•,, •
.,,-•. 1 -` \.. , .....3 1 ,•,:) ,,,, i •.. ._:,.
.- .. b. Natclilf watershed(N knovon 1) . V \ ' i fl 1 •k , ,
•
. _.... ..,. ._. ._
".\—•;!::',%;'(n'is;11.V.-ifti ti',: . f-,.....'.• •
United States Soil CohoiliiiiitioiSeniici14-diilfivitershed code(if known) t-':;.••••::;',r4,1 1,.,-,
?,-.• , ,•'All•.-,''•••••••'''••: ; .'', • • •''•••..!...;i••!.. .4;494 A Pkekt1 Pot%, ir,:.1.11-‘14:3,s. .i:...(^ ! : ..i..,..*1 r;t.4-..a,t f"I .
A ' ' ' .4 :•••1 3
Naill ..r.,f4k,•:"4 i.., 7., ••.• • .•'. •' I ':. ',....:ri,PPi,,,,i
• ' .
; i ' •SCI.C.•!.3 e of SM tateanagemerit/River Basin(if known):- el,/
. . i ., . . ; : ..,,, , 4.... ....4.......trai.t,7.44411•!,F5'1.• 1 • ..,i,,i,.,.i ,- . _,...-Itr,:.) ' •- •
!. • _._....,... .United States Geological Survey 8-digit hydrologic cataloging unit code(if known) '• '
i-. ....•• • ' .
• • ,cl. ,• Critical loyi flow of receiving sfreamt(if,appiicable) ,t`,...1%i ... „. 1% -,... j* *•
1 7 ; • i: ;• ••-- .',U. , : 4 ) --t.-1• ••••• ,
., •
. . acute '1010 2 Z•Z . cfs ' chronic cfs
, ‘
I ' ) e c i,n ; a9
' . i x, ;ails....)1 % ,..‘,1
.0. ___Total hap:bless iliamving stream 'critical lo.iflo•v Of tipplicablo): mg/1 of CaCO3
. 11 t' . 1.'‘..' ' c-:--').•-•.•.. • • '.
! (1 OIA-A ' "Mel PS 3 --ik: i•''N A.f', • ...4,,v,..% •.i.s
••• 1 -,..i.,,,-.• .-.•_:-_, ,*.F.... •A-;::.•. _-•• '.•• .••--',...-.- r:.:,-.. :F...-.-..•. --..•.:`.-'. • •, . .. A .,.•., ., • . •:-: -,,*
-'-',-.:7i- ,.•-.-- A'.•,...• :-.•:.:.r.'.•-;::-....-••••,---,•,-,. .7,',...=,..,_"-v! ,;.-.,•i-..„,:'.;:•:' , . . ;‘---A, A '-'• ' . C,A1 -tr'.i. ,, •
:-~.- 1. -... -...r....,.....-..:.....:,...:,.... ...,!ts‘....-;,- .!...?. ,.....,,:-,..!-...244,4•1 -zirrit,,,2,-.,...,,,,...:•,....... , ,, .,f.. .. ,__ ._ . . , . _ , . . ,
- --A -4•Ak..f,-1,4*.ti A- -. 1.,t.ite gyve*. i.'','4.`.t,-, •-- " ..- ..••,.',' -.,* ;,;*„.'.....- :c..1.:117,,..'f- ...•-' , -. • s
` `. •'•''•‘.. " 1J.-,''t -.'•"L' '.":""?..'-l'i.1-4...-k:".'''.•••-7., ‘ '. ., - . .' ' . --. .
. ' • '•••• -• -.•.'.• ' "--Y---' '. -4,1-..t, ,:•'.f..-•*--,• ". ,..!'• ', . ,., -r te.3-iti:i.,-.: .... .
_. . .
EPA FOM13510-2A(Rev.1-99). Replaces EPA forms 7550-8 8 7550-22. Page 5 of 22
, - • .

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: .,,
Te -exson . )biTP NCc 2I7oq RerwJ New
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
El Primary ElSecondary
El/Advanced ❑ Other. Describe:
b. Indicate the following removal rates(as applicable):
Design BOD5 removal or Design CBOD5 removal '1 S
Design SS removal lS
Design P removal l S
Design N removal lS-
Other
c What type
'ofldisinfection is used for the effluent from this outfall? If disinfection varies by season,please describe:
CI 1 M 1r\o,+1 M.--
If disinfection is by chlorination is dechlorination used for this outfall? I Yes 0 No
Does the treatment plant have post aeration?. Id Yes ❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition,this data must comply with QAIQC requirements of
40 CFR Part 136 and other appropriate QA/QC requiremer.'.s for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum,effluent testing datamust be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 00l
. MAXIMUM DAILY VALUE AVERAGE DAILY VALUE
PARAMETER
Value Units Value Units /�/� Number of Samples
pH(Minimum) 6. s.u. ..
7.0�pH(Maximum) s.u. � /
Flow Rate 0. 570 mGD 0. .322. niG.o 2 '
/2
•
Temperature(Winter) 2� GC f�.6 0 t... !.j
J E C /n
Temperature(Summer) z,� /�1. q 0C ci
'For pH please report a minimum and a maximum daily value
MAXIMUM DAILY AVERAGE DAILY DISCHARGE
POLLUTANT DISCHARGE ANALYTICAL
METHOD ML/MDL
Conc. Units Conc. Units Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN BOD5 inMG/L 14.3 MG/L Sq SA 52,1M3 2..0
DEMAND(Report one) CBOD5
FECAL COLIFORM g,Z 4/QO1%. I.40 * /I00)M L gq sM Diaz E I .
TOTAL SUSPENDED SOLIDS(TSS) 22 NG IL. _ 3.2 MCT/L 89 SM ZS'40 J) I
END OF PART A.
REFER TO THE APPLICATION OVERVIEW(PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 6 of 22

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
je_cce,T5trn'to Ne.002 7 Re_rif INTP 9q
BASIC APPLICATION INFORMATION 4 �;s �':
rc x
PART 6. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH.A DESIGN:.FLOW;.GREATER THAN OR
• 'EQUAL TO;�.1,411�IGD�:�100,��0 galloiss Per'daY?•..� .z M#�����s�; �.�. >i� ,,xa�
All applicants with a design flow rate 2 0.1 mgd must answer questions B.1 through 8.6. All others go to Part C(Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
'YOU) gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
Crnpkkd_Q spudY of all mnnhnles in ,cyske..m drkrmr . (p.k 6i I i-'iaf l'0y\needs.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant,including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping,if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells,springs,other surface water bodies,and drinking water wells that are: 1)within%mile of the property boundaries of the treatment
works,and 2)listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored,treated,or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act(RCRA)by truck,rail,
or special pipe,show on the map where the hazardous waste enters the treatment works and where it is treated,stored,and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant,including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units,including disinfection(e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. OperatlonlMaintenance Performed by Contractor(s).
Are any operational or maintenance aspects(reld to wastewater treatment and effluent quality)of the treatment works the responsibility of a
contractor? ❑ Yes No
If yes,list the name,address,telephone ntimber,and status of each contractor and describe the contractors responsibilities(attach additional
pages if necessary). •
Name: •
•
Mailing Address: • • • .
Telephone Number: f
Responsibilities of Contractor
B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment,effluent quality,or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements,submit separate responses to question B.5
for each. (If none,go to question B.6.)
a. List the outfall number(assigned in question A.9)for each outfall that is covered by this implementation schedule.
Isor\L
b. Indicate whether the planned improvements or implementation schedule are required by local,State,or Federal agencies.
❑ Yes ❑ No
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 7 of 22

,
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
NCfkz.)7o4 Renewal flew
c. If the answer to B.5.b is"Yes,"briefly describe,including new maximum daily inflow rate(if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below,as
applicable. For improvements planned independently of local,State,or Federal agencies,indicate planned or actual completion dates,as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
-Begin Construction I l I l
-End Construction I I 1 1
-Begin Discharge l 1 1 I
-Attain Operational Level I I 1 1
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.6. EFFLUENT TESTING DATA(GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on-half years old.
Outfall Number: 001
3 MAXIMUM DAILY"
o , AVERAGE DAILY DISCHARGE
• .DISCHARGE . ANALYTICAL
POLLUTANT :. MUMDL
:Conc. Units Cone. •
• 2 ' Number$f
nI ,S
m
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS •
AMMONIA(as N) 1.21 M%f L a 2/1 M(lL 30
CHLORINE(TOTAL
RESIDUAL,TRC) <20, 49 I�, < ZQ. L g�
DISSOLVED OXYGEN 10.6 MG-/L., 8.0 htG lL 6 l
TOTAL KJELDAHL
NITROGEN(TKN)
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS(Total) 3.22 MG/L 2y'I 5 MG1 L 3
TOTSA)L DISSOLVED SOLIDS(TD 238. MG fL. 22� Mg/L 3-
OTHER /
,,...r��. ., s d,M�„ __ . �a EN OF PARTt B.qa 3n�,Y
• REFER TO THE APPLICATION OVERVIEW(PAGE 1)-TO;DETERMINE WHICH OTHER PARTS
2A YOU.MU• ST COMPLETE
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 8 of 22

•
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
CP. -fgOIA
1-1)r � a?.» -�jK7Q
Reinal New
..:BASIC•APPLICATIONI FORMATION
.-.:w :� G N'h.au. N F v ' 1 .�.:�C.<jy�Jf•T rk l.,y c < s a �. .d. 9� Q iF �:
PART C `CERTIFICATION
AU applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A,as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement,applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
❑ Basic Application Information packet Supplemental Application Information packet:
+[Part D(Expanded Effluent Testing Data)
[Part E(Toxicity Testing: Biomonitoring Data)
[dPart F(Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G(Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. "` E y � ,s
I 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 qualified personnel properly gather and evaluate the 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 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. C}iurd ,, Woi'er
Name and official title Resc)urcs J)ireJtr
Signature (1;VIC ,C4Ut/tr,h/
Telephone number (33(0) 2.11 ' 2.16S
Date signed `1. 3 0.l J
5
Upon request of the permitting authority,you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or•identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
•
•
•
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
0.
•
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 9 of 22

-
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
0—e-4rSOn _ ReftWO1. &Id i
d,K>..M Y\ .j`f�v ,i.4.. • 3: Y _�$kSi ti
SUPPLEMENTAL'APPLICATION INFORMATION h G ` "y ;�i kw �r> ='
PART D."EXPANDED EFFLUENT TESTING DATA ' r
Refer to the directions on the cover page to determine whether this section applies to the treatment works.
Effluent Testing: 1.0 mgd and Pretreatment Works. If the treatment works has a design flow greater than or equal to 1.0 mgd or it has(or is required
to have)a pretreatment program,or is otherwise required by the permitting authority to provide the data,then provide effluent testing data for the following
pollutants. Provide the indicated effluent testing information and any other information required by the permitting authority for each outfall through which
effluent is discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected
through analyses conducted using 40 CFR Part 136 methods. In addition,these data must comply with QA/QC requirements of 40 CFR Part 136 and
other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. Indicate in the blank rows provided below
any data you may have on pollutants not specifically listed in this form. At a minimum,effluent testing data must be based on at least three pollutant
scans and must be no more than four and one-half years old.
Outfall number: 001 (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE is AVERAGE DAILY DISCHARGE .
ANALYTICAL
POLLUTANT MLIMDL
Number..
Cane. Units .Mass Units Conn. Units: Mass Units.; of.
. melee ,METHOD
METALS(TOTAL RECOVERABLE),CYANIDE,PHENOLS,AND HARDNESS.
ANTIMONY .QI2 /� .005 MG/L 3 EPA Tm7 003
ARSENIC <.0/ /L <.0! '/L . EPA 7 .COS-
BERYLLIUM <.002 / A '<.003 N(G/L 3 EPA 260.7 . 00Z
CADMIUM <.00Z MG f L <.002 /KG f L 3 EPA 200.7 •00z
CHROMIUM •037 MG/I. .012 M&)L. 3 EPA zoo.-7 . 0041
COPPER . Dili AG IL .COO NG i. 3 EP/ 20O•7 , 005
LEAD <.OZY M&l L <.015 MG/L 3 E14 200.7 • 01
MERCURY C.COOZ MC/L :.o o -M%L- 3 EPA .61.5. 1 .000Z,
NICKEL <.005 AG/L (.vW MG/L 3 EPA £(J) / 405
SELENIUM •022. MG/L. .007 MG/i- 3 EPA �. ( , 01
SILVER < ,Q03 Ala {.003 me%. 3 EPA 200.7 .003
THALLIUM <. 022 MVL <.Qe2, n1G/L 3 EPA 2.00.7 , 02
ZINC v065 MC4 .053 /L 3 EPA zoot7 . W5-
CYANIDE <./OS 1!?6/L < mG/L 3 /EPI'f 3152. • 005
TOTAL
COMPOUNDS PHENOLIC <s 0/ M&/L <.0/ IIMG// 3 EPP '120. 1 0. 01
HARDNESS(as CaCO3) 57 Z '4, 56.7 AIL 3 E3II/3a 2- O. I
Use this space(or a separate sheet)to provide information on other metals requested by the permit writer
_ •. I 1 A I I 1 . 1 : ' , • -
_- -- .-. ,--• .. (Y/`�'/l • \ ..... ..v•. - -'
I 0.02 �- I . O02, g/I, 1 Z EPA I61 0o1 Z.lCo�
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 10 of 22
.

° FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
t 3fçsor lt)IOTP WZ/7O ? Rene wal , ' New
Outfall number: W! (Complete once for each outfall discharging effluent to waters of the United States.)
MAXIMUM DAILY DISCHARGE y< GE.......AVERA DAILY DISCHARGE>
:POLLUTANT R _ . ,,i. l; r Number ML!MDL
ANALYTICAL
.Conc. Units Mass : Units Conc. Units Mass Units' , of
Samples
VOLATILE ORGANIC COMPOUNDS
ACROLEIN <a OS ?4G/L. '<0.`05 Mc/i-. 3 En 6zq&p 0.05
ACRYLONITRILE (0.0 J AGA1. <4.0/ MWL 3
» 0.0l
BENZENE <.W 1 "4 <.00) M611- 3 » , XI
BROMOFORM ‹. 001 "A' < .001 MG/G 3 " . 00/
CARBTETRAOCHLORIDE ‹.COI MCA., < 00/ M�/l- 3 ', 601
CHLOROBENZENE <. 001 MG/L < 00+ .A. 3 » . 00I
METHANEIBROMO- <.001 IKCk .�� 1 MG/L 2 /) 661
CHLOROETHANE <.CO/ MCA- (•/�o ►/O 3 )� /�/�f
11 r 00 . w r
ETHER ROETHYLVINYL ' </0. L /O. •
IL
3 . �' tO
CHLOROFORM .Oil "A- .011 "h.. 3 " . 005
M CETHANE HLOROBROMO- C5. IL.. /J.. ), S.
1,1-DICHLOROETHANE <•M1 MC'/L <.MI MG/L 3 /) . 061
1,2-DICHLOROEfHANE .<•W1 MIL �.00) MG/L , 3 . )) . 00/
e
_ DICH w
ETHYLENE LORO- ` W� M�/L WI M�/L 3 �� , f
1ETH lCH E RO- <5. ii! , <5 /, 3 )) 5.
1,2-DICHLOROPROPANE <.(^1 MG/L MG4 3 )i
w .G�OJ . On/
1,3-0ICHLORO-
PROPYLENE C,WI MG/L ‘.coi AWL _ >> . �r
ETHYLBENZENE �'/y� MG/L <.COI /O/L ), .
03/ .
METHYL BROMIDE
METHYL CHLORIDE < ()')5 Mt/L <. OS J*A , 3 )) . CC
METHYLENE CHLORIDE <.005 M6/, < mG/` 3 ?!
• M�J5
co.W
1,1,2,2-TETRA-
CHLOROETHANE C , MG/L C COI! �G/L 3 »� Oi▪ li�
TETRACHLORO- CO) /
ETHYLENE ,. '�W 1N/L (.001 L 3 >> . 001
TOLUENE (. Aye_ <•MSC' AGL 3 )9 . 0O -Page 11 of 22
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22.

FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: o
zl7oQ Rere1waJ M w�T��, f�fS �rC
Outfall number: 001 (Complete once for each outran discharging effluent to waters of the United States.)
., MAXIMUM DAILY DISCHARGE ; AVERAGE DAILY DISCHARGE
POLLUTANT 3 r f x t Number MUMDL
ANALYTICAL
Cons, Units' Mass Unite -Cons. Units Mass s Units of
f
_'. .. Samples
1,1,1- 001
y I
TRICHLOROETHANE <00 J MG/L. {, COI "/L 3 . EPA 4zL1 Exp , °31
1,1,2- 0M0 nn
TRICHLOROETHANE < M9/L C Q(l MG/L 3 . P1 . 06)
TRICHLOROETHYLENE < /1f1) M&/ < 001 M&/L 3 »� 001
.Wl •
VINYL CHLORIDE (.CO N6k <00, A4GiL 3 . ,.) . 00
Use this.space(or a separate sheet)to provide information on other volatile organic compounds requested by the permit writer
ACID-EXTRACTABLE,COMPOU N DS
,
P-CHLORO-M-CRESOL
.
2-CHLOIZOPHENOL < /D. 'ig J1._ <Z. *US JL 3 EPACOLS iVa 10.
2.4DICHLOROPHENOL <A O. k 3 tPz "/ /0.6O
3/L 1 �
2,4-DIMETHYLPHENOL < /0. kL <18. ji3hL 3 EY1S /& /O.
4,6-DINITRO-O-CRESOL
2,4-DINITROPHENOL < /'J ,13/L <l0. u,9/I., _ 3 >> /0.
2-NITROPHENOL </O. (L <f�• --7/L 3 » /b.
4-NITROPHENOL < 10• 1)34., </O. S 1. Z EPA 62S Al B. /O.
PENTACHLOROPHENOL <l0. Pg/L <16. AIL 3 /9 /0
PHENOL C t 0. ' IL.. LO. 19/L 3 EPcl 425' . Io.
,4.EHLOROPHENOL <l o gIL <10. 11 L 3 ') ld.
Use this space(or a separate sheet)to provide information on other acid-extractable compounds requested by the permit writer
BASE-NEUTRAL COMPOUNDS
ACENAPHTHENE < !fl J/j,,
0 19/L
3 EPA, 1 . �25 �� /0.
ACENAPHTHYLENE </0. WL
<10. 1I L 3 • ), ID.
ANTHRACENE < 10. /L < /O. 9/L 3 ,9 f Q.
..
BENZIDINE r
BENZO(A)ANTHRACENE < /0. '",J I L 1gI 3} !< 13. L 3 O
BENZO(A)PYRENE < /0. A18/1— < I O. u9'1_ f)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 12 of 22

.
FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
jeT-f-pf%K:tObEP NC002,170q Rene_wbi. . ' 1Jw
Outfall number: 1 • (Complete once for each outfall discharging effluent to waters of the United States.)
•:;.... • .;MAXIMUM DAILY DISCHARGE':: .....: :AVERAGE.DAILY';DISCHARGE, « £..,. .
POLLUTANT
Number ANALYTICAL MLIMDL
,:Cone = =.Units Mass :Units Conc Units Mass Units *of METHOD
s'
.. tF'r�rot € : d� : i 3� Q� a y
..:: ,. -. i E � SanIp18S
3,4 BENZO-
FLUORANTHENE •BENZO(GHI)PERYLENE <10 111, <10. 'u9/L • 3 IDQ QS 1LA
IQ 10.
BENZO(K)
FLUORANTHENE </0. 1 /L <la L 3 " 10
BIS(2-CHLOROETHOXY) .
METHANE
BETHER HLOROETHYL} <JO 1L <1 f�. I1- 3 )� JO•
BIS HOISO- �'
PROPYL)ETHER <IO. II� ‘ll JI 3 JO.
BS
PIIiT(HALATE HEXYL). < O. ✓lL z JO. 9/ 3- ') /0
4-BROMOPHENYL �`U
. ,U9 � 11. �JLPHENYL ETHER �10I .3 )7 10.
. .
•
BUTYL
PHTHALATE BENZYL <f 0. l/L < 10• '9/1._ 3 >> 1O.
NAP 2-tHLHTHALENE 1O. 11/L 4 iO• 3 49/1 ), /0
4PHENY ETHER </0 111n// <Lb. 1Q IL 3 )' j0.
PHENYL ETHER '"`� JL ,J f
CHRYSENE <I0. �g/1 < 10. 9/L 3 ,' /O.
DI-N-BUTYL PHTHALATE < Jo. JA.9/[, < 10. I'_ 3 ), f0.
DI-N-OCTYL PHTHALATE < D. I.. < 10. 1/1., 3 )) 10.
DIBENZO(A,H)
t
ANTHRACENE <10. .10. it., �� O.
IL �
1,2-DICHLOROBENZENE < (Q. PIA < [0. u•/L• 8'4/,("A/3 to.
f Ll { L 51 I 1 cOU
1,3-DICHLOROBENZENE 410 Aw, q a. #'4/1_. 3 f, /Os-.
1,4-DICHLOROBENZENE < I 0 I' ►/L 1D, / 3 » /61;.
3,3-DICHLORO- it
BENZIDINE10. J / <tO. /� /0 .
DIETHYL PHTHALATE < j O• lL <`a. /L 3 )) /0.
DIMETHYL PHTHALATE < 0 / <lo 41.9k 3 1) /0
2,4-DINITROTOLUENE <'10. 41,9A- Z 1 O. 19 f L 3 » 10.
2,6-DINrTROTOLUENE < 10. 491E 410. 1IL 3 ), O
1,2-DIPHENYL-
HYDRAZINE /
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 13 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
atc;XSOYN1L) J1P 1CC2]7O1 Renewft1 . New
Outfall number. O O I (Complete once for each outfall discharging effluent to waters of the United States.)
f MAXIMUM,DAILY DISCHARGE: �� l r ' AVERAGE•DAILY DISCHARGE t
. .; > <.. t. <I _> x s ,, n�,k' i, ' e »4 : .'btu : we=p> v ;.> qy ' ,. "Y A
POLLUTANT K.�:4 _� Nember D.
Conc. Units Mass Units Conc. Units Mass Units of
METH
/ . .,. .. .. :..: .::, .. �.. ,•= Samples
FLUORANTHENE < 10. '9f <10. 19/LEPA 6z5 A g
/ 3 � to.
FLUORENE < 10. 119/L, < 10. 1 L 3 EPA 62,5'A /0.
HEXACHLOROBENZNE < 10. IA,
( 10. Ai/L 3 >> 10• '
HEXACHLORO- Q
BUTADIENE <10, g 1.. <t0. 91L 3 )) 10.
PEENNTADIENEOCYC• < 10. 1Q IL, <1 A. /9/L 3 . ,' /O.
HEXACHLOROETHANE < 10. AlIL < JOB 49/I- 3 ” lo.
INDEN0(1,2,3-CD) �'PYRENE < 1u9IL. <16. .G/L.. 3 /O.
ISOPHORONE 10. 119 J1 16. 1JL
3 )� f0.
(�/J
NAPHTHALENE < 10, u9 JL, <•40. JL 3 ), 10.
NfTROBENZENE <10. 'i/j <10.
IA-
3 3, 10
N-NtTROSODI-N- 3/L
<10. L {10. 3 3 » /O.
N. ITROSODI-
METHYLAMINE
N-NITROSODPHENYLAM NIE 13. �L <10. J lL >> 10.
PHENANTHRENE <18. l L < 13. J J 3 . )' /0.
PYRENE < 10. ' /L 45 L.. 3 fQ.
/0.
TRICHLOROBENZENE < 1 O. 55/L
<10. JJL 3 EPA(oZS / 10 g •
Use this space(or a separate sheet)to provide information on other base-neutral compounds requested by the permit writer,
Use this space(or a separate sheet)to provide information on other pollutants(e.g.,pesticides)requested by the permit writer '
..- w„ '' '' '4,7.L�,P.,.nh-i'''l 0t,af„`44r 1W''"N-m`l ,s.y D;_'�.f :: _:�f t q
END OF
REFER rO THE APPLICATION-OVERVIEW PAGE° 1 TO DETERMINE WHICH OTHER.PARTS
1l
t
Y... t! G ,<! ,tl i S %' 2.:� .Z: Y...:...; :5 .:-. :. N:'i.14 Xi Y.;Rw..b, a.t:£.i i.9 3'.
S )x n v"f ;< it'k•c =j'ff.'G t},,4,, \'�Y4�f&
:: r..K. N ray,.�. OF FOR YOU MU.S.T COMPLETE r;� 4. R I Ede; i- ..a k,1,4 _? a-L l 5 0 ..x, a }>^?? >.,r ;. w z .73. �f i,N:,:u. k = a s .' xs-� a �* ?vg 3a , r( s-s a
',..�;f. �': r...-::..:.. .c`„: ,, !.s:,3i ,hki'°':.; •.�.; .5�'.^'si'FS.;`? y =' ..#6.f;.y. F,...:'. ..,s... .e��ye ',.*`•Y'4 3Y.. ..,..,:•? `q>;,...Z:B... 3.«�. '�. ... ..
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 14 of 22

FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Se.-ff-ex-soR SLOT P RCOD2170(1 Renosieti New
x> 7 ? 3 d h a } : Kra s k •:;. a t c` ��a 4 r y a
SUPPLEMENTAL APPLICATION,INFORMATION
x>a ,
PART E: TOXIC TES s m CTY TING;OATH .. � ,�� M?� s " -
POTWs meeting one or more of the following criteria must provide the results of whole effluent toxicity tests for acute or chronic toxicity for each of the
facility's discharge points: 1)POTWs with a design flow rate greater than or equal to 1.0 mgd;2)POTWs with a pretreatment program(or those that are
required to have one under 40 CFR Part 403);or 3)POTWs required by the permitting authority to submit data for these parameters.
• At a minimum,these results must include quarterly testing for a 12-month period within the past 1 year using multiple species(minimum of two
species),or the results from four tests performed at least annually in the four and one-half years prior to the application,provided the results
show no appreciable toxicity,and testing for acute and/or chronic toxicity,depending on the range of receiving water dilution. Do not include
information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition,this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC
requirements for standard methods for analytes not addressed by 40 CFR Part 136.
• In addition,submit the results of any other whole effluent toxicity tests from the past four and one-half years. If a whole effluent toxicity test
conducted during the past four and one-half years revealed toxicity,provide any information on the cause of the toxicity or any results of a
toxicity reduction evaluation,if one was conducted.
• If you have already submitted any of the information requested in Part E,you need not submit it again. Rather,provide the information
requested in question E.4 for previously submitted information. If EPA methods were not used,report the reasons for using alternate methods.
If test summaries are available that contain all of the information requested below,they may be submitted in place of Part E.
If no biomonitoring data is required,do not complete Part E. Refer to the Application Overview for directions on which other sections of the form to
complete.
E.1. Required Tests.
Indicate the number of whole effluent toxicity tests conducted in the past four and one-half years.17
(chronic p acute
E.2. Individual Test Data. Complete the following chart for each whole effluent toxicity test conducted in the last four and one-half years. Allow one
column per test(where each species constitutes a test). Copy this page if more than three tests are being reported.
Test number: I Test number: 2 Test number: 3
a. Test information. EPA GOO.1_go 027 TG P 3 e
Test Species&test method number •
CrdaphnTGP 3 g Mead minnclup • ow Crto.pWa.
Age at initiation of test 2 dal)
d
Outfall number 001 40 I 001
Dates sample collected 8.`.0 'g. t.os 5/2/05
Date test started S.3.05 `�.9.05 6 f 4 f Q 5-
Duration So t t ZS htS #2 2 m% Samplt.*1 z ArS 112 n
b. Give toxicity test methods followed.
Manual title Skent hcm AA d 1 J c:or ChY i CT d)Card i 0 IIIPSilWatlit Miff
Edition number and year of publication Y-d E el 1tre "Ttx4 r
Pagenumber(s) 5g _ )Og FOCklAut, l - 12.4. 1ar. Ceri' & &phni'&.
c. Give the sample collection method(sj used. For multiple grab samples,indicate the number of grab samples used.
24-Hour composite ✓ hgl O !/kuY ly Y
Grab
d. Indicate where the sample was taken In relation to disinfection. (Check all that apply for each.
Before disinfection
After disinfection ✓ /
After dechlorination ✓ ✓
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 15 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
� �1C0o z. 4 Rsew&
e�fsa�r 170
Test number: I Test number:2 • Test number: &,
e. Describe the point in the treatment process at which the sample was collected.
Sample was collected: Eccluer& 0 ut&II Ec1ue1N nui-61,1 E (iM4 0w'1u
f. For each test,include whether the test was intended to assess chronic toxicity,acute toxicity,or both
Chronic toxicity ✓ ti/ ✓
Acute toxicity
g. Provide the type of test performed.
Static
Static-renewal ✓ ✓
Flow-through
h. Source of dilution water. If laboratory water,specify type;if receiving water,specify source.
Laboratory water ✓ ✓ ✓
Receiving water
i. Type of dilution water. If salt water,specify`natural'or type of artificial sea salts or brine used.
Fresh water t/ V
Salt water
j. Give the percentage effluent used for all concentrations in the test series.
30% 15 72. 3045, * 60 30%
V f
k. Parameters measured during the test. (State whether parameter meets test method specifications)
pH 6.7S Yh-- • 7. i 2 6• q z yfra,
Salinity
Temperature 241.4
.4 y�
Ammonia
Dissolved oxygen O.� Yk).' 7.6S- Yva-- g. co Yb-
I. Test Results. Pass C 1 r > 6 0 % PAcg
Acute:
Percent survival in 100%
effluent '
LCso
95%C.I.
Control percent survival
Other(describe)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 16 of 22

f
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
JOI ] J]1D Ne 2J7oq' Renew • Nw •
Chronic: 2.,
NOEL %
IC25
Control percent survival ) % /00 % /66
Other(describe)
m. Quality Control/Quality Assurance.
Is reference toxicant data available? , y yE/a_
l
Was reference toxicant test within acceptable bounds? Y ���
-- Y2-
What date was reference toxicant test ! I t 10 S S,I l I I !
run(MM/DD/YYYY)? t�
Other(describe)
E.3. Toxicity Reduction Evaluation. Is the treatment works involved in a Toxicity Reduction Evaluation?
❑ Yes EcNo If yes,describe:
E.4. Summary of Submitted Biomonitoring Test information. If you have submitted biomonitoring test information,orr information regarding the
cause of toxicity,withi the past four and one-half years,provide the dates the information was submitted to the permitting authority and a summary
of the results.
Date submitted: I / (MM/DD/YYYY)
Summary of results: (see instructions)
•
•
f✓�L>` �,Mk`pT:!d",x L .;E w" k.,`fi 1 3 r L, � �` a...�:_ .; : . � s � ,.
s !w ♦ .V:k { d'6 i f 6 f A'.Y 'Saf°,`.n,�cy.�?'r y,�r r. .:i�j ,.A'6 +f fZt iF t 4 t _' SF�..
�t)F P �;.#�I�F >:��zs � a�,` �" ".
•
•:a`sc. ,. '.;�'�d� ��o�.�.�5,. F2.;:?,�'�i,&'�i ,,.,��'y.»'�;• ,�5 x k 5 is ?:'}�^iaz >YR.••�. ...c �i.
REFER TO rT,H �APPLICA IO VxOVERVIEW(PAGE'S"j:TO ADETERMINE WHICH OTHER PARTS
3 _w ` b b x�OF FORM 2A YOU MUST COMPLETE.r a
•
•
•
•
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 17 of 22

FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: I.
Je-Cceir$0A,ti)P Ncoozjvct
. • � • J\kw .
..^ •rx. Jr >, aA.. �.i"Lc��33a: • t':.�. E :ty ''F.�°z.
•
.SUPPi E NTAL'APPLICAT ON I RMATION' Y ak; 4`y; C y
>'•, ,n, ...«.A-.',.°:x•'a: ' .•;i'� � t'ag>.alr:.; :•r .�..�r.., ��.tn�-'�f F.�h�.�a. ,..s. .�x:. ...�
PART...INDUST !.2'i 4`1 R•j�VS �Iir�') 9�TwCo d 4iT S F'FN•£•` �Y&• • i• t \v I•
▪ s fi 7^'Z.. n .{ �32 �2.3';.n f lY2K,•.,h.t W. 9;d;i v �
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
[lYes ❑ No
F.2. Number of Significant Industrial Users(Sills)and Categorical Industrial Users(ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SlUs.
b. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary. ,�
Name: GU.A�A. RLiLLr Company
Mailing Address: MI Gat& DrIve,
TeWersor , i\IC 22 64 O
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
COOIinBweeer -rog - odutlion of A.�bml ve LJ+s.�
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge.
Principal product(s): F)Wex -1-ransmissi6• n, bei+s
Raw material(s): EY,trudiPO4 Yibaer (do not. manufadure. rujJDer)
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.
1 W)CJCJ gpd ( ✓ continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per� day(gpd)and whether the discharge is continuous or intermittent.
3 gpd ( / continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ( 1 Yes ❑ No
b. Categorical pretreatment standards El Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
G
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

{ Y
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
JeSctl-Sti`ra.)b} P N(' 11 Re..nekA � NjO T o02 09 •
F.8. Problems at the Treatment Works Attributed to Waste Discharge by the
`SIU.
Has the SIU cau or contributed to any problems(e.g.,
upsets,interference)at the treatment works in the past three years? Cam'^k
•
0 Yes lyf No If yes,describe each episode.
RCRA HAZARDOUS WASTE RECEIVED BY TRUCK,RAIL,OR DEDICATED PIPELINE:
F.9. RCRA Waste. Does the treatment works receive or has it in the past three years received RCRA hazardous waste by truck,rail or dedicated pipe?
❑ Yes [g"No(go to F.12)
F.10. Waste transport. Method by which RCRA waste is received(check all that apply):
❑ Truck ❑ Rail ❑ Dedicated Pipe
F.11. Waste Description. Give EPA hazardous waste number and amount(volume or mass,specify units).
EPA Hazardous Waste Number Amount Units
CERCLA(SUPERFUND)WASTEWATER, RCRA REMEDIATIONICORRECTIVE ACTION
WASTEWATER,AND OTHER REMEDIAL ACTIVITY WASTEWATER:
F.12. Remediation Waste. Does the treatment works currently(or has it been notified that it will)receive waste from remedial activities?
❑ Yes(complete F.13 through F.15.) BINo
F.13. Waste Origin. Describe the site and type of facility at which the CERCLA/RCRA/or other remedial waste originates(or is excepted to ongniate in
the next five years).
F.14. Pollutants. List the hazardous constituents that are received(or are expected to be received). Include data on volume and concentration,if
known. (Attach additional sheets if necessary.)
F.15. Waste Treatment.
a. Is this waste treated(or will be treated)prior to entering the treatment works?
❑ Yes ❑ No
If yes,describe the treatment(provide information about the removal efficiency):
b. Is the discharge(or will the discharge be)continuous or intermittent?
❑ Continuous ❑ Intermittent If intermittent,describe discharge schedule.
v ,,.. ,. -
K 49s �gn".END OF PART F:
REFER TO THE APPLICATION OVERVIEW(PAGE'[)TO DETERMINE-WHICH OTHER PARTS
a s.OFaFORM 2A YOU.MUST COMPLETE ;
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 19 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: 1 ',
Jecce .
rstiA.(OUJTP ipAz170t1 RcrtPJ NW
,..�.3y , .. '.. .,. O .>. ._ . .a. , ..':
_
SUPPLEMENTA.APPLIO " F4 TI NA r , - w
;3, = t :yrf ` ' ' { F& � b' � { tm : `q, :s > .><, a'w'ssr?vws, Y �> `
.�� .t%r=yK��.:, j'M S*7 s' tp 3s%k a;�s 3k F"�,^t€�` ,�5, •a £ �...
PART G COMBINED SEWERiSYSTEMS> 4 K_, r „s . .:.?. _�: € ,.Ai 5
If the treatment works has a combined sewer system,comple
te Part G. N A .
G.1. System Map. Provide a map indicating the following: (may be included with Basic Application Information)
a. All CSO discharge points.
b. Sensitive use areas potentially affected by CSOs(e.g.,beaches,drinking water supplies,shellfish beds,sensitive aquatic ecosystems,and
outstanding natural resource waters).
c. Waters that support threatened and endangered species potentially affected by CSOs.
G.2. System Diagram. Provide a diagram,either in the map provided in G.1 or on a separate drawing,of the combined sewer collection system that
includes the following information.
a. Location of major sewer trunk lines,both combined and separate sanitary.
b. Locations of points where separate sanitary sewers feed into the combined sewer system.
c. Locations of in-line and off-line storage structures.
d. Locations of flow-regulating devices.
e. Locations of pump stations.
CSO OUTFACES:
Complete questions G.3 through G.6 once for each CSO discharge Point.
G.3. Description of Outfall.
a. Outfall number None,
b. Location
(City or town,if applicable) (Zip Code)
(County) (State)
(Latitude) (Longitude)
c. Distance from shore(if applicable) ft.
d. Depth below surface(if applicable) ft.
e. Which of the following were monitored during the last year for this CSO?
❑ Rainfall ❑ CSO pollutant concentrations 0 CSO frequency
❑ CSO flow volume ❑ Receiving water quality
f. How many storm events were monitored during the last year?
G.4. CSO Events.
• a. Give the number of CSO events in the last year.
events (❑actual or 0 approx.)
b. Give the average duration per CSO event.
hours (0 actual or❑approx.)
EPA Form 3510-2A(Rev.1-99). Replaces EPA forms 7550-6&7550-22. Page 20 of 22

` e i
FACIUTY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
3.e.•
JNIcTOO ' w. � .
�f4y ". 1N�C�+?xA'1VAea 4+F....� ,`RiV• i�4+.i�`�N.H. �h'3§"!p7•:F '.c��w£ e �•,� + Ts � 'e'. � x wa 3:,v�, 5,y -_ F 5�' ? t .
All treatment works receiving discharges from significant industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
[ Yes ❑ No
F.2. Number of Significant Industrial Users(SlUs)and Categorical Industrial Users(ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SlUs.
b. Number of CIUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary.
1/4)cleS
Name: m
eXICa , EYYrrisex‘icAi
Mailing Address: (1)5 mefin
JJcFerso n, NC 2,0614
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
WaSkin9 of ambulance, bodies
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge. I
Principal product(s): AmLl1lcnClD
Raw material(s):
F.6. Flow Rate.
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the discharge is continuous or intermittent.or
1 gpd ( �/ continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
gpd ( ✓ continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:
a. Local limits ❑ Yes 2(No
b. Categorical pretreatment standards [j["Yes ❑ No
If subject to categorical pretreatment standards,which category and subcategory?
y0 CFP 1433. 17
S No Pro6\em's by d i s by S l lJ .
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6&7550-22. Page 18 of 22

• FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
I�VJTP NCoo2 1\
�e �rsbn. 11�1� P "
„ „An ,�Z t¢i re z c I 1'a *1 v " n +i� r g `aF igA ,V !h t F O
, .. } a -0y � �R ��s �x ' ! z1�;3�AaD ��5^�•s �a �
�SUPP EMENTAL�APPLICATION INFORMATION. x'? ff � �
1`!g-w . ' . '..eio �4' `.;ttoo `�tk? !tilfk;,,.,7:i ..y'. t44,'. '. 1' .v«.-, �w,%�.s�aa�i'>:2At .. , t�3a` z,. i>. e't.v.0artZ. .. .:.;,.Fa.:<`s`t%wgt4»<-a•s4
P�.,.,,,c7,+af l.+i..'��+g 5:,+t ..,uftat:•.,,n+S dsa a,;E -a..a:..o fiy.,+,, a:;. a.. �.
P ?.Its. , , MMU ,A MR.O. cL,WASTES
All treatment works receiving discharges from significant Industrial users or which receive RCRA,CERCLA,or other remedial wastes must
complete part F.
GENERAL INFORMATION:
F.1. Pretreatment program. Does the treatment works have,or is subject ot,an approved pretreatment program?
[(Yes ❑ No
F.2. Number of Significant Industrial Users(SIUs)and Categorical Industrial Users(ClUs). Provide the number of each of the following types of
industrial users that discharge to the treatment works.
a. Number of non-categorical SlUs.
b. Number of ClUs.
SIGNIFICANT INDUSTRIAL USER INFORMATION:
Supply the following information for each SIU. If more than one SIU discharges to the treatment works,copy questions F.3 through F.8 and
provide the Information requested for each SIU.
F.3. Significant Industrial User Information. Provide the name and address of each SIU discharging to the treatment works. Submit additional pages
as necessary. /� r
Name: Pc,,ske, Cour\--yS(�h 1+ ry ind 1 ) I2QQrf1 /�
Mailing Address: r 3 l Fred_ 1lt1 k Read,
CturmptPY, NC J ZR(017
F.4. Industrial Processes. Describe all the industrial processes that affect or contribute to the SIU's discharge.
COI 4 Ii4-Y-\ Qf land �,J 1 tear,k .
F.5. Principal Product(s)and Raw Material(s). Describe all of the principal processes and raw materials that affect or contribute to the SIU's
discharge. ��" p�
Principal product(s): IeAckoA.r_
Raw material(s): 3�r bQo
F.6. Flow Rate. 00
a. Process wastewater flow rate. Indicate the average daily volume of process wastewater discharge into the collection system in gallons per
day(gpd)and whether the dischar•: is continuous or intprmittent
Has not dise_bo '' ; .► since.. Apoi of lgQR•
'gpd ( continuous or intermittent)
b. Non-process wastewater flow rate. Indicate the average daily volume of non-process wastewater flow discharged into the collection system
in gallons per day(gpd)and whether the discharge is continuous or intermittent.
n
V
gpd ( continuous or intermittent)
F.7. Pretreatment Standards. Indicate whether the SIU is subject to the following:ol
a. Local limits 0 Yes [i No
b. Categorical pretreatment standards 0 Yes (S(No
If subject to categorical pretreatment standards,which category and subcategory?
P g N p ProUems ribu�ec SIU disc_koa o. - f fe.aimEN works.
EPA Form 3510-2A(Rev. 1-99). Replaces EPA forms 7550-6 Z.7550-22. Page 18 of 22

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Town of Jefferson Water Resources
Sludge Management Plan for Jefferson WiliTP
A significant portion of the expansion of the Jefferson WWTP completed in 2004 addressed the
need for additional sludge storage and handling capacity. The improvements in this area have
already yielded several benefits.
L Sludge Storage Capacity
The addition of an oxidation ditch allowed existing aeration basins to be converted to sludge
holding units. This increased our sludge storage capacity by almost 115,000 gallons,bringing
the total sludge storage volume to approximately 200,000 gallons. Each of the two basins were
also retrofitted with new headers and diffusers. This additional storage space and the improved
aeration efficiency has allowed the sludge to met Class B criteria by providing at least a 38%
reduction in volatile solids and an acceptable fecal coliform MPN value for PSRP
IL Class B Liquid Sludge
Another modification allowed by the expansion converted an existing sludge pump previously
used for transferring sludge to drying beds which have now been eliminated. This pump has
now been implemented in a truck loading station. The pump is securely located inside the
basement of the nearby raw influent pump station(former lab and office) and is controlled by a
switch at the truck loading area. The pump in this application is more efficient than the gasoline
powered portable pump previously used to transfer liquid sludge to the truck.
The facility uses a military type 10 wheel drive truck(duece and a half)fitted with a tank
capacity of 1800 gallons. It has a diffused spreader bar, 6 inches in diameter x 6 feet in width
with a valve that is pneumatically controlled from within the cab of the truck.
Jefferson has permitted 67 acres of total useable land for liquid Class B sludge disposal. Each of
these sites are located within a 2 mile radius of the wastewater plant which allows for efficient
transport of sludge. Analysis of soils and sludge is conducted annually as per Residuals Permit
number WQ0004166.
M. Class A Dry Sludge
This sludge is produced using the Phoenix belt press and the Fenton sludge dryer. Liquid sludge
is pumped from the digester to the belt press located in the Biosolids Processing building. At
this point a liquid polymer is added to the wastestream as it enters the belt press. The sludge
leaving the belt press has a solids content of approximately 15%.
From the belt press a conveyer carries the product to a hopper at the head of the sludge dryer.
The sludge is fed to the dryer on a batch basis. Approximately 2 hours drying time is required
per batch. Dry sludge temperature reaches 295 degrees F before it is discharged from the dryer.
This sludge typically has a solids content of 95 %or greater. The consistency of this product is

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granular with very little residue remaining as dust. Such a sludge will release its nitrogen to the
soil at a rather slow rate. Only slight malodorous conditions have been noticed in this process.
The most noticeable scent associated with it is comparable to a"cooked cereal"or dry pet food
odor. Once applied,there is practically no odor. A number of distribution methods have been
considered for this material but to date the most convenient has proven to be the use of a"drop
type"spreader that is pulled by a pick-up or tractor. This allows a very specific application rate
and coverage area.
This sludge meets Class A criteria based upon final product temperature and also by the analysis
of fecal coliform counts measured in units of mpn/kg.
The greatest obstacle to the production of Class A dry sludge is its cost. The use of polymers
required by the belt press and propane used to heat the dryer make this alternative more
expensive than conventional liquid application of Class B sludge, especially in light of the close
proximity of Jefferson's application sites to its WWTP. However, additional costs associated
with dry sludge are greatly offset by the flexibility it offers treatment plant operators during
periods of inclement weather and soil conditions that render liquid application sites inaccessible.
The town is very fortunate to have this sludge disposal method as part of its facility.

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cc: Central Files-SWP U j 1
WSRO File
. OCT 1 2 2005
0
NPDES STAFF REPORT AND RECOMMENDA ION - w,;TEf, c,.,-,_ilY
POINT SCU�tCE I
To: NPDES Unit
Attention: Charles Weaver
Date: October 4, 2005
County: Ashe
Permit No.: NC00?1709
PART I - GENERAL INFORMATION
1. Facility and Address: Town of Jefferson,P.O.Box 67,Jefferson,NC 28640
2. Date of Investigation: October 3,2005
3. Report Prepared by: George Smith
4. Persons Contacted and Telephone Number: Mr. Tim Church, 336-246-2165
5. Directions to Site: From Winston-Salem, Hwy 421 north through Wilkesboro, then
Hwy 16 north, go left across the New river on Hwy 88/194 North toward Jefferson. The
facility is approx. 2 miles on the right side adjacent to Jefferson Landing.
6. Discharge Point(s),List for all discharge points:
Latitude: 36°74' 3 5" Longitude: R 1°75'4'3"
Attach a USGS map extract and indicate treatment facility site and discharge point on map.
U.S.G.S. Quad No. R13NW U.S.G.S. Quad Name Jefferson
7. Site size and expansion area consistent with application?
Yes_No If No, explain:

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8. Topography(relationship to flood plain included):
Facility is located in a valley on the flood plain adjacent to Naked Creek.
9. Location of nearest dwelling: Greater than 1000 feet.
10. Receiving stream or affected surface waters: Naked Creek
a. Classification: C+
b. River Basin and Subbasin No.: New; 05-07-01
c. Describe receiving stream features and pertinent
downstream uses: Pasture land, fishing,wildlife,and agriculture.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Current permitted capacity of the Waste Water Treatment facility? 0.600 MGD
b. Date(s)and construction activities allowed by previous Authorizations to Construct
issued in the previous two years: ATC was issued and expansion was completed on
December 16, 2004.
c. Please provide a description of existing or substantially constructed wastewater
treatment facilities: Mechanical 0.25-inch screen;Four(4) influent pumps; Oxidation
ditch;Two (2)clarifiers;Traveling bridge tertiary filter; Chlorine contact basin;De-
chlorination and post aeration basin.
d. Please provide a description of proposed wastewater treatment facilities: N/A
e. Possible toxic impacts to surface waters: No toxic impacts are expected.
f. Pretreatment Program (POTWs only):
in development_ approved
should be required not needed_
2. Residuals handling and utilization/disposal scheme:
a. If residuals are being land applied,please specify the permit no.WQ00041 ff
Residuals Contractor: Town of Jefferson Telephone No. 016)246-21 f 5
b. Residuals stabilization: Class A(sludge dryer) and Class B (lime stabilization)
c. Landfill: N/A
d. Other disposal/utilization scheme (Specify):NONE
3. Treatment plant classification(based on flow): Class III

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PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public
monies involved.(municipals only)? Yes, grant monies were received. Plant upgrade
is complete.
2. Special monitoring or limitations (including toxicity)requests: NONE
3. Important SOC, JOC or Compliance Schedule dates: (Please indicate)
Date
Submission of Plans and Specifications nLa a
Begin Construction nLa
Complete Construction nLa
4. Alternative Analysis Evaluation: Has the facility evaluated all of the available non-
discharge options?Please provide regional perspective for each option evaluated.
Spray Irrigation: N/A
Connection to Regional Sewer System:N/A
Subsurface: N/A
Other disposal options: Spray discharge system to nearby field.
5. Other Special Items:NONE
PART IV - EVALUATION AND RECOMMENDATIONS
Recommend permit be renewed.
George Smith Date
1.‘1- 1/:e
StevTedder, Regional Supervisor Date

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SCALE 1:24 000 INTERIOR-GEOLOGICAL SURVEY,RESTON,VIRGINIA-1999
y 1 0.5 0 KILOMETERS 1 2
ROAD CLASSIFICATION
MN, 1000 0 METERS 1000 2000 Primaryhighway Light-duty road,hard or
— GN` 1 O.5 D _ 1_ hard surface improved surface
MILES D Secondary highway
hard surface Unimproved road =
6 h° 1000 0 1000 2000 3000 4000 5000 6000 7000 8000 5000 10000
O°1 6 FEET QUADRANGLE LOCATION
116 MILS 5 MILS _ Interstate Route C3 U.S.Route O State Route
CONTOUR INTERVAL 40 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929 1 Park °-
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UTM GRID AND 1999 MAGNETIC NORTH TO CONVERT FROM FEET TO METERS,MULTIPLY BY 0.3048 a
DECLINATION AT CENTER OF SHEET 1 2 3 2 Grassy Creek
3 Mouth of Wilson I
4 Warrensville r`
4 5 5 Laurel Springs JEFFERSON, NC _°O
6 Todd I
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THIS MAP COMPLIES WITH NATIONAL MAP ACCURACY STANDARDS 6 7 8 7 Glendale Spings 1998 8 Horse Gap
0TOTAL RECOVEzD%RED FIRER FOR SALE BY U.S.GEOLOGICAL SURVEY,P.O.BOX 25286,DENVER,COLORADO 80225 00
A FOLDER DESCRIBING TOPOGRAPHIC MAPS AND SYMBOLS IS AVAILABLE ON REQUEST ADJOINING 7.5'QUADRANGLE NAMES NIMA 4756 IV NW-SERIES V842 H
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