NC0051918_Permit (Issuance)_20080829

NPDES DOCIMENT !;CANNING COVER SHEET
NPDES Permit:
NC0051918
Cleveland County WTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Application
Instream Assessment (67b)
Environmental Assessment (EA)
Permit
History
Document Date:
August 29, 2008
This; document is printed cart reuse paper - ignore any
content on the reYersie side

Michael F. Easley, Governor
William G. Ross Jr.. Secretary
North Carolina Department of Environment and Natural Resources
August 29, 2008
Mr. Lanny B. 011is
P.O. Box 788
Lawndale, North Carolina 28090
Subject: Issuance of NPDES
Permit NC0051918
Cleveland County Water WTP
Cleveland County
Dear Mr. 011is:
Coleen H. Sullins Director
Division of Water Quality
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 permit includes no major changes from the draft permit sent to you on July 2, 2008.
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 Guerra at telephone number
[phone].
/OS —
Enclosure: NPDES Permit NC0051918
Sincerely,
G �Z
Coleen H. Sullins
cc: Central Files
Mooresville Regional Office / Surface Water Protection
NPDES Unit
Aquatic Toxicity Unit
Noe Carolina
Iaiural/y
North Carolina Division of Water Quality
Internet: www.ncwaterquaIity.org
1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
M Equal opportunity/Affirmative Action Employer —50ti Recycledl10% Post Consumer Paper

Permit NC0051918 1-b 4
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
Cleveland County Water
is hereby authorized to discharge wastewater from a facility located at the
Cleveland County Water WTP
435 Casar-Lawndale Road near Lawndale
Cleveland County
to receiving waters designated as the First Broad River in the Broad River Basin,
in accordance with effluent limitations, monitoring requirements, and other conditions
set forth in Parts I, II, III and IV hereof.
This permit shall become effective October 1, 2008.
This permit and authorization to discharge shall expire at midnight on August 31, 2013.
Signed this day August 29, 2008.
f°
Coleen H. Sullins, Director
Division of Water Quality
By -Au thority-of-the-Environmental--Management-Gommislion

Permit NC0051918
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 Cleveland County Water WTP is hereby authorized to:
1. Continue to operate a Conventional Potable water treatment plant with a discharge of
filter -backwash wastewater from Outfall 002.
2. This facility is located at 435 Casar-Lawndale, near Lawndale Road in Cleveland
County.
3. Discharge from said treatment works at the location specified on the attached map
into the First Broad River, classified WS-IV CA waters in the Broad River Basin.

Cleveland County Sanitary District
Cleveland County WTP
Latitude: 35° 25' 56" N State Grid: Lawndale
Longitude: 81° 33' 55" W Permitted Flow• 0.048 MGD
Receiving Stream: First Broad River Drainage Basin: Broad River Basin
Stream Class: WS — IV CA Sub -Basin: 03-08-04
North
NPDES Permit No. NC0051918
Cleveland County

Permit NC0051918
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge filter backwash from outfall 002. Such discharges shall be limited and monitored by
the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow
0.485 MGD
2/Month
Continuous
Effluent
TSS
30 mg/L
45 mg/L
2/Month
Grab
Effluent
pH
6 0 - 9.0 s.u.
2/Month
Grab
Effluent
Total Residual
Chlorine 1
28 µg/L
2/Month
Grab
Effluent
Ammonia Nitrogen2
Monitor & Report
Monthly
Grab
Effluent
Aluminum
Monitor & Report
Quarterly
Grab
Effluent
Calcium
Monitor & Report
Quarterly
Grab
Effluent
Magnesium
Monitor & Report
Quarterly
Grab
Effluent
Manganese
Monitor & Report
Quarterly
Grab
Effluent
Zinc3
Monitor & Report
Monthly
Grab
Effluent
Fluoride
Monitor & Report
Monthly
Grab
Effluent
Total Copper
Monitor & Report
Monthly
Grab
Effluent
Total Iron
Monitor & Report
Monthly
Grab
Effluent
Whole Effluent
Toxicity Monitoring4
Monitor & Report
Quarterly
Grab
Effluent
Footnotes:
1. The Division shall consider all effluent TRC values reported below 50 ug/L to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North
Carolina certified laboratory (including field certified), even if these values fall below 50 ug/L.
2. Quarterly monitoring is required only if chloramination is utilized.
3. Zinc monitoring is required if Permittee uses zinc orthophosphate as a corrosion inhibitor.
4. See Attachment A. (2.).
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace
amounts.

Permit NC0051918
A. (2.) CHRONIC TOXICITY MONITORING (QRTRLY)
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 2.53 %. The
testing shall be performed as a Ceriodaphnia dubia day 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: North Carolina Division of Water Quality
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.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
MEMORANDUM
To:
From:
Subject:
Britt Setzer
NCDENR / DEH / Regional Engineer
Mooresville Regional Office
Robert Guerra
NPDES Unit
Review of Draft NPDES Permit NC0051918
Cleveland County WTP
Cleveland County
Av'TrA
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
f
twig()
Please indicate below your agency's position or viewpoint on the draft permit and return this form by July 18, 2008.
If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at
the bottom of this page.
RESPONSE: (Check one)
Signed
Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated effluent limits
are met prior to discharge, and the discharge does not contravene the designated water quality standards.
Concurs with issuance of the above permit, provided the following conditions are met:
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Date: 7/Vo
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 539 (fax) 919 733-0719
VISIT US ON THE INTERNET @ http://h2o.enr.state.nc.us/NPDES Bob.Guerra@ ncmail.net

THE STAR
July 07, 2008
PUBLIC NOTICE STATE OF NORTH CAROLINA ENVIRONMENTAL
MANAGEMENT COMMISSION/NPDES UNIT 1617 MAIL
I, Aron Goss, Advertising Director,
at THE PUBLIC NOTICE STATE OF NORTH CAROLINA ENVIRONMENTAL
MANAGEMENT COMMISSION/NPDES UNIT 1617 MAIL STAR, a newspaper
published in Shelby, N. C., do
solemnly swear that the advertisement
hereto annexed appeared in the
SHELBY STAR, one
successive weeks/days beginning
July 04, 2008
Advertising Director
Name of Account:
NCDENR/DWQ/NPDES
Order Number: 54402463
Ad Number: 54413876
Sworn to, and subscribed before me this 7
th dayof July, 2008.
Notary Public
My Commission Expires /
06f/OLI
REBECCA R. RENKO DYCUS
Notary Public, North Caroline
Cleveland County
My Commission Expires
September 04, 200$
PUBLIC NOTICE
STATE OF
NORTH CAROLINA
ENVIRONMENTAL
MANAGEMENT
COMMISSIONINPDES
UNIT
1617 MAIL SERVICE
CENTER
RALEIGH, NC
27699-1617
NOTIFICATION OF
INTENT TO ISSUE
A NPDES WASTEWATER
PERMIT.
On the basis of thorough
staff review and application
of NC General Statute
143.215.1 and 15A NCAC
02H.0109 and other lawful
standards and regulations,
the North Carolina Environ-
mental Management Com-
mission proposes to issue
a National Pollutant Dis-
charge'Elimination System
(NPDES) wastewater dis-
charge permit to the
person(s) listed below ef-
fective 45 days from the
publish date of this notice.
Written comments regard-
ing the proposed permit will
be accepted until 30 days
after the publish date of this
notice. All comments re-
ceived prior to that date are
considered in the final de-
terminations regarding the
proposed permit. The Di-
rector of the NC Division of
Water Quality may decide
to hold a public meeting for
the proposed permit,
should the Division receive
a significant degree of pub-
lic interest.
Copies of the draft permit
and other supporting infor-
mation on file used to de-
termine conditions present
in the draft permit are avail-
able upon request and pay-
ment of the costs of repro-
duction. Mail comments
and/or requests for infor-
mation to the NC Division
of Water Quality at the
above address or call Dina
Sprinkle [phone],
extension 363 at the Point
Source Branch. Please in-
clude the NPDES permit
number (below) in any
communication. Interested
persons may also visit the
Division of Water Quality at
512 N. Salisbury Street,
Raleigh, NC 27604-1148
between the hours of 8:00
a.m. and 5:00 p.m. to re-
view information on file.
The Cleveland County
Sanitary District [P.O. Box
788, Lawndale, NC 28090]
has applied for renewal of
NPDES pennit NC0051918
for the Cleveland County
WTP. This permitted facility
discharges fitter -backwash
wastewater to the First
Broad River in the Broad
River Basin. Currently total
residual chlorine is water
quality limited. This dis-
charge may affect future al-
locations in this portion of
the First Broad River.
The City of Shelby [P.O.
Box 207, Shelby, NC
28150] has applied for re-
newal of NPDES permit
number NC0027197 for its
WTP. This permitted facility
discharges filter backwash
wastewater to an unnamed
tributary to the First Broad
River in the Broad River
Basin. Currently total re-
sidual chlorine is water
quality limited. This dis-
charge may affect future al-
locations in this portion of
the First Broad River.
July 4, 2008 1tc

SOC PRIORITY PROJECT: Yes_No x
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: Dina Sprinkle
Date: April 9, 2008
NPDES STAFF REPORT AND RECOMMENDATION
County: Cleveland
Permit No. NC0051918
PART I - GENERAL INFORMATION
1. Facility and address: Cleveland County Sanitary District
Water Treatment Plant
Post Office Box 788
Lawndale, N.C. 28090
2. Date of investigation: April 2, 2008
3. Report prepared by: Samar Bou-Ghazale, Environmental Eng. II
4. Persons contacted and telephone number: Mr. Lanny 011is, ORC; Tel# [phone].
5. Directions to site: From the junction of NC Hwy 182 and SR 1004 (Casar Road), travel
north on SR 1004 approximately 1.3 miles. The WTP is located on the left (west) side of the
road.
6. Discharge Point(s). List for all discharge points:
Latitude: 35° 25' 56" Longitude: 81° 33' 55"
Attach a U.S.G.S. map extract and indicate treatment facility site and discharge point on
map.
U.S.G.S. Quad No.: F 12 NE U.S.G.S. Name: Lawndale, N.C.
7. Site size and expansion are consistent with application?
Yes x No_ If No, explain:
8. Topography (relationship to flood plain included): Slopes range from 2 to 4%. The site is

not located in a flood plain.
9. Location of nearest dwelling: None within 500 feet.
10. Receiving stream or affected surface waters: First Broad River
a. Classification: WS-IV CA
b. River Basin and Subbasin No.: Broad; 030804
c. Describe receiving stream features and pertinent downstream uses: The receiving
stream is a moderate sized river with a rocky/sandy bottom. General C classification
uses downstream. The City of Shelby has a water supply intake located several miles
downstream.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater to be permitted: N/A
b. What is the current permitted capacity of the wastewater treatment facility? N/A
c. Actual treatment capacity of the current facility (current design capacity)? N/A
d. Date(s) and construction activities allowed by previous Authorizations to Construct
issued in the previous two years: N/A
e. Please provide a description of existing or substantially constructed wastewater
treatment facilities: The existing wastewater treatment facilities consist of a sludge
pond, a thickening hopper and a drying bed. Supernatant is discharged from the
sludge pond to the river. The wastewater facilities treat wastewater generated during
the water treatment process. The residuals are being taken to the Cleveland County
landfill.
f. Please provide a description of proposed wastewater treatment facilities: N/A
g. Possible toxic impacts to surface waters: None at this time.
h. Pretreatment Program (POTWs only): N/A
2. Residuals handling and utilization/disposal scheme: Reisduals are being taken to the
Cleveland County landfill.
a. Other disposal/utilization scheme (specify):
3. Treatment plant classification (attach completed rating sheet
4. SIC Code(s): 4941

Wastewater Code(s) of actual wastewater, not particular facilities, i.e., non -contact cooling
water discharge from a metal plating company would be 14, not 56.
Primary: 21 Secondary:
Main Treatment Unit Code: 510 3
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? N/A
2. Special monitoring or limitations (including toxicity) requests: None at this time.
3. Important SOC, JOC or Compliance Schedule dates: (please indicate) N/A
4. Alternative Analysis Evaluation: Has the facility evaluated all of the non -discharge options
available. 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: N/A
5. Air Quality and/or Groundwater concerns or hazardous materials utilized at this facility that
may impact water quality, air quality, or groundwater: No AQ/GW or hazardous material
concerns.
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee, Cleveland County Sanitary District, has applied for permit renewal for the
discharge of wastewater from a water treatment plant. The permit is for the discharge of supernatant
water from the sludge lagoon outfall (002). The thickening hopper and the drying bed are not in use
at this time since Cleveland County Sanitary District contracted with Bio-Nomic Services, Inc. (Tel #
1-800-782-6798) to dredge the sludge lagoon. According to Mr. 011is, approximately 600 tons/year
are being dredged from the pond and taken to the County Landfill for final disposal. The plant
appears to be in good operational condition during the time of the investigation.
It is recommended the subject permit be re -issued.
Page 3

Signature of Report Preparer
Water Quality Regional Supervisor
9//a/2-1-Vi
Date
Page 4

Cleveland County Water
PO Box 788
Lawndale, NC 28090
[phone] Fax [phone]
March 1. 2008
NC Division of Water Quality
Mrs. Dina Sprinkle
NC DENR/DWQ/ Point Source Branch
1617 Mail Service Center
Raleigh NC 27699-1617
Subject: Renewal Notice
NPDES Permit NC0051918
Cleveland County WTP
Cleveland County
Mrs. Sprinkle:
The Cleveland County WTP is requesting renewal of the permit NC0051918. The only
change in this facility is the addition of chlorine residual removal.
Sludge Management Plan:
The Cleveland County WTP has a holding pond that the sludge from the WTP is place
into. The sludge remains in the holding pond until the Cleveland County WTP hires a
contractor to remove the sludge with a dredge and is pressed on a belt -press, then is
hauled to the Cleveland County Landfill for final disposal.
If you have any questions, please contact me at 704-538-9033 or lanny(a,,ccsdwater.com.
a I tam
4.1411k
DENR t.
POINT SOU,
Sincerely,
Lanny B. 011is

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
NC0051918
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 Lanny 011is
Facility Name Cleveland County Water
Mailing Address PO Box 788
City Lawndale
State / Zip Code NC 28090
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
City
State / Zip Code
County
439 Lawndale-Casar Road
Lawndale
NC 28090
Cleveland
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 Lanny 011is
Mailing Address PO Box 788
City
State / Zip Code
Telephone Number
Fax Number
4. Ownership Status:
Lawndale
NC 28090
(704)53 79033
[phone]
Federal El State ❑
Private ❑ Public
Po IT n 1 of
(`_RTTP (Y /ft

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
® Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
6. Description of source water(s) (L e. groundwater, surface water)
Surface Water
7. Describe the treatment process(es) for the raw water:
Remove Solids
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Alum Sludge
9. Number of separate discharge points: 1
Outfall Identification number(s) 1
10. Frequency of discharge:
Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration: _
11. Plant design potable flowrate 6.000 MGD
Backwash or reject flow 0.0035 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitudes
First Broad River
Dos. I of:
r_urrn n/Vnc

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Free Chlorine
14. Is this facility located on Indian country? (check one)
Yes ❑ No Eg
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 a permit coordinator with the NCDENR Customer
Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
• Analyses of source water collected
• Engineering Alternative Analysis
• Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
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.
Lanny B 011is Permittee
Print! "= •• e of Perso
�iJ++
• Si
;1I0
ature of tip cyan
Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fme of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
Pon" 1 of 1
r_urrp nz Mg

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
VE w1 4/''-(/ Zvv P'
Permit Number
AICdo 51 ail 8"
Facility Name
C/,ve/q'n /,)%P
Basin Name/Sub-basin number
/3 road R,Ift bcksiic7 o3- o% - n /
Receiving Stream
Rrs-F ArVald RI vEY
Stream Classification in Permit
S - t/ CA
Does permit need NH3 limits?
/A
Does permit need TRC limits?
A 0 i ,e.r,'s,41
Does permit have toxicity testing?
g0
Does permit have Special Conditions?
/l o
Does permit have instream monitoring?
PS ' 40 y,%.,'dX/
Is the stream impaired (on 303(d) list)?
Iles '
Any obvious compliance concerns?
Any permit mods since last permit?
Existing expiration date
2/3 ./ zoOg
New expiration date
g/3 i/ 7d/3
New permit effective date
—
Miscellaneous Comments
YES
This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES_/ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 03 (d)
listed, toxicity testing, instream monitoring, compliance concerns, p ed
limits). Basin Coordinator to make case -by -case decision.
YES This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)