HomeMy WebLinkAboutNC0074454_Permit (Issuance)_20111209NPDES DOCUHENT !;CANNING COVER SHEET
NPDES Permit:
NC0074454
Ramseur WTP
Document Type:
Permit Issuance~
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Staff Report
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Permit
History
Document Date:
December 9, 2011
This document is printed on reuse paper - ignore any
content on the re -sr -erne side
ern
NCDFrR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Govemor Director Secretary
December 9, 2011
Mr. Jim McIntosh
Town of Ramseur
P. O. Box 545
Sanford, NC 27316
Subject: Issuance of NPDES Permit NC0074454
Town of Ramseur WTP
Randolph County
Dear Mr. McIntosh:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant
to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement
between North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as
subsequently amended).
This final permit includes no significant changes from the draft permit sent to you on August 31, 2011;
however, its terms are significantly different from those found in the current permit. A summary of the
changes in this permit from the terms of the current permit is shown below. You should read the entire
permit carefully, in order to help you maintain compliance with its terms and conditions.
• The monitoring requirement for Settleable Solids has been removed from the permit.
• Monitoring for Turbidity has been changed from instream monitoring to monitoring of the effluent.
• Monitoring frequency for Turbidity and Total Residual Chlorine has been reduced from weekly to
twice per month.
• Monitoring requirements for Manganese, Fluoride, Copper, and pH have been added based upon
studies of discharges from conventional water treatment facilities.
• Whole Effluent Toxicity monitoring has been added to the permit. Please note that while the
result of the required test will be "pass" or "fail," at present this is a monitoring requirement
only, with no associated compliance limit.
• The monitoring frequency for most constituent parameters has been reduced to quarterly and should
be performed to coincide with whole effluent toxicity testing.
1617 Mail Service Center, Raleigh, North Carolina 27699.1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 919-807-63001 FAX: 919-807-64921 Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity \ Affirmative Aeon Employer
Non�thCarolina
atura!ly
Mr. Jim McIntosh
Town of Ramseur WTP Permit Renewal 2011
p. 2
• A footnote has been added regarding the reporting and compliance determination of Total Residual
Chlorine values.
• Parameter codes have been added to the limits and monitoring requirements page.
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 Bob Sledge at telephone number (919)
807-6398, or via e-mail at bob.sledge@ncdenr.gov.
Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection Section
NPDES File
ec: Aquatic Toxicology Unit
Permit NC0074454
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Ramseur
is hereby authorized to discharge wastewater from a facility located at
Ramseur Water Treatment Plant
797 N.C. Hwy 22 North
Ramseur, North Carolina
Randolph County
to receiving waters designated as Sandy Creek in the Cape Fear 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 January 1, 2012.
This permit and authorization to discharge shall expire at midnight on September 30, 2016.
Signed this day December 9, 2011.
C • - - - . Sullins, Director
r� ision of Water Quality
By Authority of the Environmental Management Commission
Permit NC0074454
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 Ramseur
is hereby authorized to:
1. Continue to discharge filter -backwash wastewater from a conventional water treatment plant
utilizing the following wastewater treatment components:
• Sedimentation basins
• Flocculator
• Circular gravity sludge thickener
• Clarifier
• Sludge drying beds
• Pumps
The facility is located at the Ramseur Water Treatment Plant at797 Highway 22 North, in Ramseur,
in Randolph County.
2. Discharge filter backwash wastewater from said treatment works at the location specified on the
attached map into the Sandy Creek, classified C waters in the Cape Fear River basin.
Permit NC0074454
Town of Ramseur WTP
State Grid/Quad: E 20 NW / Ramseur, NC
Latitude: 35° 44' 23" N
Receiving Stream: Sandy Creek
Drainage Basin: Cape Fear River Basin
Longitude: 79° 40' 43" W
Sub -Basin: 03-06-09
Stream Class: C
NPDES Permit No. NC0074454
Randolph County
Permit NC0074454
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001 or outfall 002. Simultaneous discharge from both
outfalls is prohibited. Such discharges shall be limited and monitored by the Permittee as specified
below:
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Flow 50050
Weekly
Instantaneous
Effluent
Total Suspended Solids C0530
30.0 mglL
45.0 mgfL
' 2/Month
Grab
Effluent
pH 00400
> 6.0 s.u. and <_ 9.0 s.u.
2/Month
Grab
Effluent
Total Residual Chlorines 50060 .
28 pg/L
2/Month
Grab
Effluent
Turbidity 00076
2/Month
Grab
Effluent
Aluminum 01105
Quarterly2
Grab
Effluent
Total Iron 01045
Quarterly2
Grab
Effluent
Total Copper 01042
. Quarterly2
Grab
Effluent
Manganese 01055
Quarterly2
Grab
Effluent
Fluoride 00951
Quarterly2
Grab
Effluent
Total Phosphorous (TP) C0665
Quarterly2
Grab
Effluent
Total Nitrogen (TN) C0600
Quarterly2
Grab
Effluent
Whole Effluent Toxicity Monitoring3 TGP3B
Quarterly
Grab
Effluent
Footnotes:
1. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance
with the permit. However, the Permittee shall continue to record and submit all values reported by
a North Carolina certified laboratory (including field certified), even if these values fall below 50
µg•
2. Monitoring should be performed in conjunction with toxicity testing.
3. Ceriodaphnia dubia 7day pass/fail test @ 6% concentration. See Condition A. (2.) for toxicity
testing requirements. Toxicity testing should be performed during the months of January, April,
July and October, and sampling should coincide with sampling for parameters covered by footnote
2.
All samples must be collected from a typical discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Permit NC0074454
A. (2.) CHRONIC TOXICITY MONITORING (QUARTERLY)
The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in the "North
Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent
versions.
The effluent concentration defined as treatment two in the procedure document is 6 %. The testing
shall be performed as a Ceriodaphnia dubia 7day pass/fail test. The tests will be performed during
the months of January, April, July and October. Effluent sampling for this testing shall be
performed at the NPDES permitted final effluent discharge below all treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the month in which it was performed, using the parameter
code TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete and accurate and include all supporting chemical/physical measurements
performed in association with the toxicity tests, as well as all dose/response data. Total residual
chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for
disinfection of the waste stream.
Should 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 Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, then
monthly monitoring will begin immediately. Upon submission of a valid test, this monthly test
requirement will revert to quarterly in the months specified above.
Should any test data from this monitoring requirement or tests performed by the North Carolina
Division of Water Quality indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such
monitoring shall be included in the calculation & reporting of the data submitted on the DMR & all AT
Forms submitted.
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.
Permit NC0074454
A. (3.) PERMIT RE -OPENER: NUTRIENT MONITORING
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the North
Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II sections B-
12 and B-13 of this permit, the Director may reopen this permit to require supplemental nutrient
monitoring of the discharge. The purpose of the additional monitoring will be to support water quality
modeling efforts within the Cape Fear River Basin and shall be consistent with a monitoring plan
developed jointly by the Division and affected stakeholders. In addition, the results of water quality
modeling may require that limits for Total Nitrogen and Total Phosphorus be imposed in this permit
upon renewal.
Affidavit of Publication
State of North Carolina,
Randolph County
To Whom It May Concern:
This is to certify the
advertisement attached
hereto has been published
in -
The Courier -Tribune
on the following dates:
IC12211
Sworn to on this 22_ day
of NI(),rr,her , 2011
Courier -Tribune Representative
Sworn to and Subscribed
Before me this 22- day
of ‘A(-e( , 2011
L.
Notary Public
LYDIA B. SHIVER
Notary Public, North Carolina
Randolph County
My Com
/� �/ io ExpiresZ---
Public Notice
North Carolina Environmental
Management Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental Management Commission
proposes to issue a NPDES wastewater discharge permit to the
person(s) listed below.
Written comments regarding the proposed permit will be
accepted until 30 days after the publish date of this notice. The
Director of the NC Division of Water Quality (DWQ) may hold a
public hearing should there be a significant degree of public
interest. Please mail comments and/or information requests to
DWQ at the above address. Interested persons may visit the
DWQ at 512 N. Salisbury Street, Raleigh, NC to review
information on file. Additional information on NPDES permits
and this notice may be found on our website:
http://portal.ncdenr.org/web/wq/swp/ps/npdes/calendar, or by
calling (919) 807-6304.
The Piedmont Triad Regional Water Authority requested
renewal of permit NC0087866 for the John F. Kime Water
Treatment Plant in Randolph Count; this permitted discharge is
treated filter -backwash wastewater to Randleman Lake in the
Cape Fear River Basin.
The Town of Ramseur requested renewal of pemit NC0074454
for it's the Ramseur WTP in Randolph County; this permitted
discharge is treated filter -backwash wastewater to Sandy Creek
in the Cape River Basin.
1 t - 10/22/11
Sledge, Bob
From: Mickey, Mike
Sent: Tuesday, September 06, 2011 2:33 PM
To: Sledge, Bob
Subject: RE: Draft NPDES Permits
Bob —The drafts for Ramseur & PTRWA/Kime look fine to me. Mike.
Mike Mickey
Mike.Mickey@NCDENR.gov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: (336) 771-4962
FAX: (336) 771-4630
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Basinger, Corey
Sent: Tuesday, September 06, 2011 8:01 AM
To: Mickey, Mike
Subject: FW: Draft NPDES Permits
See attached draft permits for Ramseur WTP and Kime WTP (Randleman lake) and comment back to Bob Sledge.
Thanks.
cB
W. Corey Basinger
Supervisor, Winston-Salem Regional Office
Surface Water Protection Section
Division of Water Quality
Email: corev.basinger@ncdenr.gov
Phone: (336) 771-5000
Fax (336) 771-4630
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Sledge, Bob
Sent: Friday, September 02, 2011 6:47 AM
To: Basinger, Corey
Subject: Draft NPDES Permits
Hi Corey,
Attached are copies of three draft NPDES permits that were placed at public notice this week. Please let me know if
WSRO has any comments or concerns regarding these permits.
Thank you. Have a fine weekend.
Bob
1
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Bob Sledge 8/29/2011
Permit Number
NC0074454
Facility Name
Town of Ramseur WTP
Basin Name/Sub-basin number
Cape Fear 03-06-09
Receiving Stream
Sandy Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No (chloramines not used)
Does permit need TRC limits/language?
Existing; added footnote
Does permit have toxicity testing?
Added to this renewal
Does permit have Special Conditions?
Nutrient Reopener added
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)? For
what parameter?
No
Any obvious compliance concerns?
No
Any permit mods since last permit?
No
Current expiration date
9/30//2011
New expiration date
9/30/2016
Comments received on Draft Permit?
Yes No If Yes, discuss response with
Supervisor
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The Division shall consider all effluent TRC values reported below 50 pg/L to be in
compliance with the permit. However, the Permittee shall continue to record and submit
all values reported by a North Carolina certified laboratory (including field certified),
even if these values fall below 50 µg/L.."
BIMS Compliance Download: Queries>Reports>Violations>Monitor Report Violations>Limit
Violations for Past 3 Years
Reminder: Permits that are not subject to expedited renewal include the following: 1) Major
Facility (municipal/industrial); 2) Minor Municipals with pretreatment program; 3)
Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS, etc); 4)
Limits based on reasonable potential analysis (metals, GW remediation organics); 5)
Permitted flow > 0.5 MGD (requires full Fact Sheet); 6) permits determined by Supervisor to be
outside expedited process.
Note: This sheet is located on NPDES Server/CurrentVersions/Expedited Fact Sheet May2010
Permit Number:
N cooi'j' `q
Facility Name: aM s et, v LJ7 P
Type of WTP: Conventional ✓ Greensand Filter Reverse Osmosis
Person Contacted: /,'"'"i I
Date/Time: 3 L 8 2Y-" I $11 ("i P
Does the facility use finished, potable (chlorinated) water to backwash filters?
If no, what is used?
Does the facility use zinc orthophosphate as a corrosion inhibitor? Yes
Does the facility use chloramines as an alternate form of disinfection? Yes
Highest Reported Monthly Average Flow over past three years: MGD
Is effluent flow to receiving stream termittent? Continuous?
Receiving Stream:
LJQ4,d/ L�N-�k / 7 la yemi ( d u I k )
�
7Q10 Flow:
IWC:
Discharge to NSW waters? Yes
Discharge to water supply waters? Yes
Is the stream impaired/on 303d list? Yes
a�.
Source:
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IWC Calculations
Town of Ramseur WTP
NC0074454
Prepared By: Bob Sledge, NPDES Unit
Enter Design Flow (MGD):
Enter s7Q10(cfs):
Enter w7Q10 (cfs):
0.075
1.9
1.9
Residual Chlorine
7010 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
UPS BACKGROUND LEVEL (I
IWC (%)
Allowable Conc. (ug/l)
Fecal Limit
(If DF >331; Monitor)
(If DF <331; Limit)
Dilution Factor (DF)
NPDES Servor/Current Versions/IWC
1.9
0.075
0.11625
17.0
0
5.77
295
200/100m1
17.34
Ammonia (NH3 as N)
(summer)
7Q10 (CFS) 1.9
DESIGN FLOW (MGD) 0.075
DESIGN FLOW (CFS) 0.11625
STREAM STD (MG/L) 1.0
UPS BACKGROUND LEVEL 0.22
IWC (%) 5.77
Allowable Conc. (mg/I) 13.7
Ammonia (NH3 as N)
(winter)
7010 (CFS) 1.9
DESIGN FLOW (MGD) 0.075
DESIGN FLOW (CFS) 0.11625
STREAM STD (MG/L) 1.8
UPS BACKGROUND LEVEL 0.22
IWC (%) 5.77
Allowable Conc. (mg/I) 27.6
8/29/2011
Town of Ramseur
P.O. Box 545
Ramseur N.C. 27316
336-824-4111
January 26 , 2011
N.C. Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh , N.C, 27699-1617
Dear Sir :
Enclosed is the NPDES Permit Renewal application # NC0074454 for the
Town of Ramseur Water Treatment Plant. We believe this application is
complete. Should you need any further information please feel free to call.
Sincerely yours,
VC/i/4—'-
Jim McIntosh
Director of Public Works
Town of Ramseur
Cc: File waterpltpermit
TOWN OF RAMSEUR WATER FILTRATION PLANT
ALUM
CAUSTIC
KMNO4
SANDY CREEK
RESERVOIR
ELEVATED `\'1
STORAGE
0.275MG
rEVATED �'1
TORAGE I
0.5 MG ;
CARBON
POLYMER
CHLORINE
1
FLOC-
ULATOR
SEDIMENTATION
BASIN
CHLORINE
CAUSTIC
CALGON
FILTERS
HIGH
SERVICE
PUMPS
4
SLUDGE
HANDLING
CLEARWELL
0.5 MG
SAND
DRYING BEDS
TOWN OF RAMSEUR
WATER TREATMENT PLANT
NPDES PERMIT NO. NC0074454
SLUDGE MANAGEMENT PLAN
Solids are generated at the water treatment plant by the backwash operation. Sludge is
dewatered on sand drying beds and is transported to the Town's surface disposal site located
adjacent to the WWTP. The surface disposal site is regulated by permit No. WQ0010528.
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number
NC0074454
If you are completing this form in computer use the TAB key or the up down arrows to move from one
field to the next. To check the boxes, click your mouse on top .of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Town of Ramseur
Ramseur WTP
PO Box 545
Ramseur
NC, 27316-0545
(336)824-8530
(336)824-6624
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 797 Hwy 22 North
City
State / Zip Code
County
Ramseur
NC, 27316
Randolph
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name United Water
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
PO Box 1279
Clemmons
(336)766-02 7 0
(336)766-0469
4. Ownership Status:
Federal ❑ State ❑
5. Type of treatment plant:
Private ❑ Public
Page 1 of 3
C-WTP 03/05
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
® Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
6. Description of source water(s) (i.e. groundwater, surface water)
surface water
7. Describe the treatment process(es) for the raw water:
The raw water is withdrawn from Sandy Creek into the flash mixer where the alum, sodium
hydroxide, and potassium permangate is added. On an as needed basis, carbon and
polymer are introduced at the floculator prior to the sedimentation basin. Prior to
filtration the water is chlorinated. After filtration, chlorine, caustic, and a corrison
inhibator is added to the water. The treated water is stored in a 0.5 MG clearwell.
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Water goes to a clarifier where solids settle out and are pumped to drying beds and the
supernate gravity flows to the discharge point to the receiving stream
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge:
Continuous ❑ Intermittent rEl
If intermittent:
Days per week discharge occurs: 3 Duration: 1 hour
11. Plant design potable flowrate 1.5 MGD
Backwash or reject flow 0.084 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Sandy Creek
13. Please list all water treatment additives, including cleaning chemicals, that have the
potential to be discharged.
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NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Chlorine, Sodium Hydroxide, Aluminum Sulfate, Polymer, Corrosion Inhibator
14. Is this facility located on Indian country? (check one)
Yes ❑ No El
15. Additional Information:
> Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.
• Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
• New applicants must contact the NCDENR Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes 0 No
• Analyses of source water collected
• Engineering Alternative Analysis
• Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
L
cecka Erla),61‘41c Lei*
Prin name,pf ' r j n igning Ze
Si yam. ture of Applicant
• Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
s - tement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fme of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
Page 3 of 3 C-WTP 03/05