WQ0024694_Renewal (Application)_20180629

State of North Carolina
Department of Environmental Quality
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
NON -DISCHARGE APPLICATION REVIEW REQUEST FORM
Division of Water Resources
June 29, 2018
To: AROpWQROS:=Landon-Davidson�L'2an Price,;
From: Alice Wessner, Water Quality Permitting Section - Non -Discharge Permitting Unit
Permit Number: WQ0024694
Applicant: Aqua North Carolina, Inc.
Owner Type: Organization
Facility Name: Bright's Creek Golf Club-WWTP
Signature Authority: Amanda A. Owens
Address: 202 MacKenan Ct., Cary, NC 27511
Fee Category: Non -Discharge Major
Comments/Other Information:
Permit Type: Reclaimed Water
Project Type: Renewal
Owner in BIMS? Yes
Facility in BIMS? Yes
Title: Environmental Compliance Manager
County: Polk
Fee Amount: $0 -Renewal
Attached, you will find all information submitted in support of the above -referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. Z Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer:
Date: -3
division of �'�;r Hesoun�
JUL 2
Water Qu^ Reglonal Operatlona
Ashev'ife P.P ona► Office
FORM: WQROSNDARR 09-15
Page 1 of 1 %

Water Resources
ENVIRONMENTAL QUALITY
June 29, 2018
AMANDA A. OWENS — ENVIRONMENTAL COMPLIANCE MANAGER
AQUA NORTH CAROLINA, INC.
202 MACKENAN CT.
CARY, NORTH CAROLINA 27511
Dear Ms. Owens:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
Subject: Acknowledgement of
Application No. WQ0024694
Brights Creek Golf Club WWTP
Reclaimed Water System
Polk County
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on June 28, 2018. Your application package has been assigned the
number listed above, and the primary reviewer is Alice Wessner.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Alice Wessner at [phone] or [e-mail].
Sincerely,
Nathaniel D. Thornburg, Supervisor
Division of Water Resources
cc: Asheville egional®fice , Ut�ater Q;uahtyReg_ io p xatio snSectionl
Permit File WQ0024694
a �VED
W E
Q4 Ihlaler Resources
JUL — 2 2018 It,
Iwater Quality Regional Operations
Ashen"€1_ R�1,gv r Qtfico
-! Nothing Camparesl_ti
State of North Carolina I Environmental Quality I Water Resources I Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

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4
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
NON -DISCHARGE SYSTEM RENEWAL
INSTRUCTIONS FOR FORM: NDSR 07-12
This form is for renewal without modification for all non -discharge system permits, exce t Residuals Management permits.
For more information, visit the Aquifer Protection Section's Land Application Unit website at:
http: //portal. ncdenn org/web/wg/aps/tau
A. Non -Discharge System Renewal (FORM: NDSR 07-12) Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non -Discharge System Renewal (FORM:
NDSR 07-12) application.
® The Applicant's. Certification shall be signed in accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who .meets the
criteria in 15A NCAC 02T .0106(b).
B. Existing Permit (All Application Packages):
® Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
® Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
D. Operation and Maintenance Agreement (All Application Packages for Single -Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement (FORM: SFR)VWIS O&M 01-11).
E. Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the properly executed Operational Agreement (FORM:
HOA.
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit an original and one copy of the properly executed Operational Agreement (FORM:
DEV).
F. Site Map (All Application Packages for permits originally issued or modified after September 1, 2006):
® Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION NDSR 07-12
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
Division ai Water Resaurees
JUL - 2 2018
Water Quality Regional Operations
Ashev'';e R?ni^r a! Office
JUN 'L 8 2018
N°�-p'sch Un t
p,mkin9
Page 1 of 1

NN
0FATF9 State of North Carolina
Department of Environment and Natural Resources
r Division of Water Quality
'C NON -DISCHARGE SYSTEM RENEWAL
INSTRUCTIONS FOR FORM: NDSR 07-12
This form is for renewal without modification for all non -discharge system permits, except Residuals Management permits.
For more information, visit the Aquifer Protection Section's Land Application Unit website at:
httn://porta1mcdeni:or /wg eb/wq/aps/lap
A. Non -Discharge System Renewal (FORM: NDSR 07-12) Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non -Discharge System Renewal (FORM:
NDSR 07-12) application.
® The Applicant's Certification shall be signed in -accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T .0106(c), an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 115A NCAC 02T .0106(b).
B. Existing Permit (All Application Packages):
® Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity (All Application Packages for Privately -Owned Public Utilities):
® Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non -discharge system.
D. Operation and Maintenance Agreement (All Application Packages for Single -Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement (FORM: SFRWWIS O&M 01-11).
E. Operational Agreements (All Application Packages for Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/PropertYOwners' Associations
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the properly executed Operational Agreement (FORM:
HOA).
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per 15A NCAC 02T .0115(b), submit an original and one copy of the properly executed Operational Agreement (FORM:
DES.
F. Site Map (All Application Packages for permits originally issued or modified after September 1, 2006):
® Submit two copies of an updated site map in accordance with 15A NCAC 02T .0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
AQUIFER PROTECTION SECTION
LAND APPLICATION UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
By Courier/Special Delivery:
512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27604
FAX NUMBER: [phone]
�A� I'
n,�sseiw?.','�'ii i�1✓
pivisim of t,V&er Resources
JUL - 2 2018
Water Quality Regicnal Operations
Ashevi!leR?o.^r ai Csffice
Nnrmt� lnu �j�►t
P�
INSTRUCTIONS FOR APPLICATION NDSR 07-12 Page 1 of 1

OF W A TF9 State of North Carolina
�O� QG Department of Environment and Natural ]Resources
r- Division of Water Quality
_
O '< NON -]DISCHARGE SYSTEM RENEWAL
FORM: NDSR 07-12
I. PERMITTEE INFORMATION:
1. Permittee's name: Aqua North Carolina
2. Signature authority's name: Amanda A Owens_ per 15A NCAC 02T .0106(b) Title: Manager, Environmental Compliance
3. Permittee's mailing address: 202 Mackenan Drive
City: car State: NC Zip: 27511-
4. Permittee's contact information: Phone number: 919) 653-6965 Email Address: AAOwens(a)AquaaAmerica.com
H. FACILITY INFORMATION:
1. Facility name: Bright's Creek Golf Club
2. Facility's physical address: Regan Jackson Rd
City: Mill Spring State: NC Zip: 28756- County: Polk
M. PERMIT INFORMATION: R��IVEDINCDE �`1
1. Existing permit number: WQ0024694 and most recent issuance date: MU 3, 2012
2. Existing permit type: Non -Conjunctive Reclaimed Water Utilization e
Non_plschatg
3. Has the facility been constructed? ® Yes -or ❑ No perMlittng U6t
4. Demonstration of historical consideration for permit approval —15A NCAC 02T .0120:
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No
b._ Has previously abandoned a wastewater treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Y1
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(e)(2)? ❑ Yes or ® No
Applicant's Certification per 15A NCAC 02T .0106(b):
B&A4 , M a r, of �h yfun. a.1 C � I( r'l ,
(gignatkke Auth rity's name & title from Application tern I.2.)
(Facility name from Application Item II.1.)
.E - 6
®.:.� �tw
N�ivisfori of VVa?er Resource3
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all
required supporting information and attachments are not included, this application package will be returned to me as incomplete. I
further certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,00 as well as civil penalties up to $25,000 per violation.
Signature: Date: '?- 7, -7,O!
FORM: NDSR 07-12 0 Page 1 of 1
Operatior

W ATFR
pG
I. PERMITTEE INFORMATION:
1. Permittee's name: Aqua North Carolina
State of North Carolina
Department of Environment and Natural Resources
Division -of Water Quality
NON -DISCHARGE SYSTEM RENEWAL
FORM: NDSR 07-12
2. Signature authority's name: Amanda A Owens per 15A NCAC D2T .0106(b) Title: Manager, Environmental Compliance
3. Permittee's mailing address: 202 Mackenan Drive
City: Cary State: NC Zip: 27511-
4. Permittee's contact information: Phone number: 919) 653-6965 Email Address: AAOwens(Zr AquaaAmerica.com.
H. FACILITY INFORMATION:
1. Facility name: Bright's Creek Golf Club
2. Facility's physical address: Regan Jackson Rd
City: Mill Springy State: NC Zip: 28756- County: Polk
M. PERMIT INFORMATION:
1. Existing permit number: WQ0024694 and most recent issuance date: May 3, 2012
2. Existing permit type: Non -Conjunctive Reclaimed Water Utilization
3. Has the facility been constructed? ® Yes or ❑ No
4. Demonstration of historical consideration for permit approval —15A NCAC 02T .0120:
Division Of Water Resources
JUL - 2 2018 Yu`
Water Quality Reglonal Operations I
AshevilEe P,e�;.�ral c?lfice
Has the Applicant or any parent, subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B? ❑ Yes or ® No
b. Has previously abandoned a wastewater -treatment facility without properly closing that facility? ❑ Yes or ® No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted? ❑ Yes or ® No
d. Is non -compliant with an existing non -discharge permit, settlement agreement or order? ❑ Yes or ® No
e. Has unpaid annual fees in accordance with 15A NCAC 02T .0105(el(21? ❑ Yes or ® No
Applicant's Certification per 15A NCAC 02T .0106(b):
I,
s name & title from Applicationiltem I.Z.)
(Facility name from Application Item II.1.)
C- attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non -discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Quality should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all
required supporting information and attachments are not included, this application package will be returned to me as incomplete. I
fiirther certify that the Applicant or any affiliate has not been convicted of an environmental crime, has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned, are
compliant with any active compliance schedule, and do not have any overdue annual fees per 15A NCAC 02T .0105(e).
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,00 as well as civil penalties up to $25,000 per violation. �J
Signature: Date:
FORM: NDSR 07-12 0 Page 1 of 1

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIXA-50
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA, INC.
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
BRIGHTS CREEK GOLF CLUB SUBDIVISION PHASES 1 2 AND 2A
Polk County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 291h day of January , 2013.
NORTH CAROLINA UTILITIES COMMISSION
Gail L. Mount, Chief Clerk
RED ".3' F 'V E
Division of water Resources
JUL - 2 2018
Water Quality Regional Operations
Asheville Regional Office

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
i
APPENDIXA-50
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA, INC_
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
BRIGHT'S CREEK GOLF CLUB SUBDIVISION, PHASES 1, 2. AND 2A
Polk County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 291h day of January , 2013,
NORTH CAROLINA UTILITIES COMMISSION i
Gail L. Mount, Chief Clerk
of VVa'ier Resources
JUL - 2 2018 I �
Water Quality Regional Operations
Asheville meaion?i nrfice _

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North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
January 27, 2014
THOMAS J. ROBERTS — PRESIDENT
AQUA NORTH CAROLINA, INC.
202 MACKENAN COURT
CARl`, NORTH CAROLINA 27511
Dear Mr. Roberts:
John E. Skvarla, III
Secretary
RECEI V E p JAN 2
9 2614
Subject: Permit No. WQ0024694
Bright's Creek Golf Club
Non -Conjunctive Reclaimed Water
Generation and Utilization System
Polk County
In accordance with your permit renewal request received November 12, .2013, we are forwarding
herewith Permit No. WQ0024694 dated January 27, 2014, to Aqua North Carolina, Inc. for the continued
operation of the subject reclaimed water generation and non -conjunctive reclaimed water utilization
facilities.
This permit -shall be effective from the date of issuance until December 31, 2018, and shall be
subject to the conditions and limitations as specified therein. Please pay particular attention to the
monitoring requirements listed in Attachments A and B for they may differ from the previous permit
issuance. Failure to establish an adequate system for collecting and maintaining the required operational
information shall result in future compliance problems.
Please note that your permit- annual fee of $1,310 dues January 9, 2014. If you have already
paid the fee, please disregard this reminder.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall 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 at 6714 Mail
Service Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and
binding.
If .you need additional information concerning this matter, please. contact Chonticha McDaniel at
[phone] or [e-mail].
ncdenr.gov.
Sincerely,
homes A. Reeder
WATER QUALITY PERMITTING SECTION
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] \ FAX: 91M07-6496
Internet httpJloortal.ncdenr.orolwebtwa
bivi''Vi
n orV4t�r Res
ources
JUL - 2 2018
Water Quality Regional Operations
_Ashevi!fe R� ;OF ai Office
An Equal Opportunity \ Affirmalive Action Employer

D&. Roberts
January 27, 2014
Page 2 of 2
cc: Polk County Health Department
Asheville Regional Office, Water Quality Regional Operations Section
Permit File WQ0024694
Notebook File WQ0024694
A ti

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL; RESOURCES
RALEIGH
RECLAIMED WATER GENERATION & NON -CONJUNCTIVE UTILIZATION SYSTEM
PERMIT
In accordance with the provisions of Article 21-of Chapter 143, General Statutes of North -Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
Aqua forth Carolina, Inc.
Polk County
continued operation of a 240,000 gallon per day (GPD) reclaimed water generation system consisting of. -
rough screening; eight 10,000 gallon flow equalization basins; two flow splitter boxes; twenty-four
10,000 gallon aeration basins; eight 5,290 gallon clarifiers; either 10,000 gallon aerated sludge holding
basins; tertiary filtration; ultraviolet (UV) disinfection system; tablet chlorination/de-chlorination
disinfection system; a 171,552 cubic foot (ft) synthetically lined five day upset pond; an auxiliary
standby emergency generator; a flow meter; and all associated piping, valves. and appurtenances;
continued operation of a 120,000 GPD non -conjunctive reclaimed water utilization system consisting of
a 1,089,969 ft3 synthetically lined wet weather storage pond; approximately 132.8 acres of non -
conjunctive reclaimed water irrigation area; and all associated piping, valves and appurtenances;
to serve Bright's Creek Golf Club, with- no discharge of wastes to surface waters, pursuant to the
application .received November 12, 2013, and in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until December 31, 2018, and shall be subject to
the following specified conditions and limitations:
I. SCHEDULES
No later than six months prior to the expiration of thus permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the pen -nit renewal
application. _ ;
i =,e u_�i
bivision or ,�a t; r Resources
JUL - 2 2018
WQ0024694 Version 2.0 Shell Version 131016 age 1 of 8
Water Quality Regional Operations
Asheville R•sgiar:al nft+ce

11. PERFORMANCE STANDARDS
1. The subject reclaimed water facilities shall be effectively maintained and operated at all times so
there is no discharge to surface, waters,. nor. any . contravention.. of .groundwater --or surface -water - -
standards. In the event the facilities fail to perform satisfactorily, including the creation of nuisance
conditions due to improper operation and maintenance, or failure of the utilization areas to adequately
assimilate the reclaimed water, the Permittee shall take immediate corrective actions including.
Division required actions, such as the construction of additional or replacement reclaimed water
generation and utilization facilities.
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or
surface water resulting from the operation of this facility.
3. Effluent limitations for generated reclaimed water shall not exceed those specified in Attachment A.
4. Application rates shall not exceed those specified in Attachment B.
5. The reclaimed water irrigation system shall be connected to a rain or moisture sensor, _which shall
indicate when utilization' is not appropriate in accordance with Conditions 111.6 and 111.7 of this
permit.
6. The following shall be requirements for the reclaimed water storage, distribution, and utilization
facilities:
a. All reclaimed water valves, storage facilities -and -outlets -shall be tagged or -labeled --to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the. water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone
522) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER —
DO NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall be at least three inches wide and have white or black lettering on
purple (i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER = DO NOT
DRINK." Identification tape shall be installed on reclaimed water pipelines in a visible
manner, fastened at least every 10 feet to each pipe length and run continuously the entire
length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing
reclaimed water shall be taped or otherwise identified as noted above. This identification
need not extend the entire length of the distribution system, but shall be incorporated within
10 feet of crossing any potable water supply line or sanitary sewer line.
c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated by a tool may be placed.above
ground and labeled as non -potable water.
7. No direct cross -connections shall be allowed between reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406.
WQ0024694 Version 2.0 Shell Version 131016 Page 2 of 8

11.
8. The compliance and review boundaries are established at the property boundary. Any exceedance of
standards at the compliance or review boundary shall require action in accordance with 15A NCAC
02L .0106.
9. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
10. -n accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring
wells, shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g).
11. Except as. provided for in 15A NCAC 02L .0107(g), the Permittee shall ensure any landowner who is
not the Permittee, and owns land within the compliance boundary shall execute and file with the Polk
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(I);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance
boundary for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
12. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for reclaimed utilization sites shall be as follows (all distances in feet):
i. Surface waters not classified SA 25
ii. Surface waters classified SA: 100
iii. Any well with. exception to monitoring wells:. 100
b. The setbacks for treatment units shall be as follows (all distances in feet):
i. Any well with exception of monitoring wells: 100
ii. Any property line: 50
OPERATION AND MAINTENANCE REQUIREMENTS
1. The reclaimed water generation and utilization facilities shall be properly maintained and operated.at _
all times. The facilities shall be effectively maintained and. operated as a non -discharge system to
prevent the discharge of any reclaimed water or partially treated effluent resulting from the operation
of this facility.
2. The Penmittee shall maintain an Operation and Maintenance Plan pursuant to 15A NCAC 02U .0801,
which at a minimum shall include the following:
a. Description of the system in sufficient detail to show what operations are necessary for the
system to function and by whom the functions will be conducted;
b. A map of all distribution lines and record drawings of all utilization systems under the
Permittee's control;
c. Description of anticipated maintenance activities;
d. Include provisions for safety measures including restriction of access to sites and equipment; and
e. Spill control provisions including response to upsets and bypasses including control, containment,
remediation, and contact information for plant personnel, em rgene-y responders and regulatory
agencies. �� w �_�
1)ivisicr) OfV41gr Resources
WQ0024694 Version 2.0 Shell Version 131016 J U L - 2 2018 Pag 3 of 8

3_ Upon the Water Pollution Control .System Operators Certification Commission's (WPCSOCC).
classification o the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or
more certified operator(s) as..back- up._ORC(s). The.ORC or. -their. back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules.
4. An operator certified by the Water Pollution Control System Operators Certification Commission
(W P.CSOCCI of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day.
5. A suitable year round vegetative cover shall be maintained on irrigation sites at all times, such that
crop health is optimized, allows for even distribution of reclaimed water, and allows inspection of the
irrigation system.
6. Adequate measures shall -be taken -to prevent reclaimed water ponding in or runoff from the irrigation
Sites.
7. Irrigation shall not be peiformed during inclement weather or when the b ound is in a condition that
will cause ponding or runoff.
8. A11 reclaimed water irrigation equipment shall be tested and calibrated at least once per permit cycle.
Calibration records shall be maintained at the facility for a period of no less than five years, and shall
be made available to the Division upon request. _
9. Only reclaimed water generated at Bright's Creek Golf Club shall be utilized in accordance with this
permit.
10. An automatically activated standby power source capable of powering all essential treatment units
shall be on site and operational at all times. If a generator is employed as an alternate power supply,
it- shall be tested weekly by interrupting the primary power source.
11. Public access to the wastewater treatment facilities, and the synthetically lined five day upset and wet
weather storage ponds shall be prohibited.
12. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
controls may include the posting of signs showing the activities being conducted at each site.
13. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
14. Freeboard in the five day upset and wet weather storage ponds shall not be less than two feet at any
time.
15. Gauges to monitor- wastewater levels in the five day upset pond and reclaimed water levels in the wet
weather storage pond shall be provided. These gauges shall have readily visible permanent markings,
at inch or tenth of a foot increments, indicating the following elevations: maximum liquid level at the
top of the temporary liquid storage volume; minimum liquid level at the bottom of the temporary
liquid storage volume; and the lowest point on top of the darn.
16. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the earthen dikes or embankments.
Earthen embankment areas shall be kept mowed or otherwise controlled and accessible.
WQ0024694 Version 2.0 Shell Version 131016. Page 4 of 8

IV.
17. All effluent shall be routed to the five day upset pond should the limit for fecal coliform (e.g., daily
maximum concentration of 25 colonies per.100 mL) or turbidity (e.g., instantaneous maximum of 10
NTU)) be exceeded, until the problems_ associated with the wastewater treatment plant have been
corrected. The wastewater in the five day upset pond shall be pumped back to the treatment plant
headworks for re -treatment or treated in the five day upset pond prior to utilization.
18. The Permittee shall develop and implement an education program to inform users (including
employees) about the proper.use of reclaimed water. Educational material shall be provided to all
residents and/or other facilities provided with reclaimed water, and these materials shall be
maintained consistent with the reclaimed water uses. All educational materials shall be made
available to the Division upon request.
19. In accordance with 15A NCAC 02U .0501, the Permittee shall provided notification to the public
and/or employees about the use of reclaimed water, and that reclaimed water is not intended for
drinking. Such notification shall be provided to employees in a language they can understand..
20. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02U .0802.
21. Reclaimed water shall not be used for swimming pools, hot tubs, spas, or similar uses.
22. Reclaimed water shall not be used for direct reuse as a potable water supply.
23. Tablets used in the backup chlorination system shall be of the kind and type specified in the Division
approved plans and specifications.
MONITORING AND REPORTING REOUMMENTS
I. Any Division required monitoring (including groundwater, plant tissue, soil and surface water
analyses) necessary to ensure groundwater and surface water protection shall be established, and an
acceptable sampling reporting schedule shall be followed.
2. Per 15A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
3. Flow through the reclaimed water generating facility shall be continuously monitored, and daily flow
values shall be reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the
accuracy and reliability of flow measurement consistent with accepted engineering and scientific
practices. Selected flow measurement devices shall be capable of measuring flows with a maximum
deviation of less than ten percent from true flow; accurately calibrated at a rninimuin of once per year;
and maintained to ensure the accuracy of measurements is consistent with the selected device's
accepted capability. The Permittee shall maintain records of flow measurement device calibration on
file for a period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The Permittee shall monitor the reclaimed water from the generating facility at the frequencies and
locations for the parameters specified in Attachment A.
#-:r..rD
Division of Water Resources
WQ0024694 Version 2.0
Shell Version 131016
J U L- 2 2018 page b of 8
Water Quality Regional Operations

5. The Permittee shall maintain adequate records tracking the amount of reclaimed water utilized.
Records shall be maintained for a minimum of five years. At a minimum, these records shall include
the following information for each utilization site listed in Attachment B:
a_... Date of reclaimed water irrigated;_.. - - — -
b. Volume of reclaimed water -irrigated
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings;
f. Weather conditions; and
g. Maintenance of cover crops.
6. Freeboard (i.e., water level to the lowest embankment elevation) in the five day upset and wet
weather storage ponds shall be measured to the nearest inch or tenth of a foot, and recorded weekly.
Weekly freeboard records shall be maintained at the facility for a period of no less than five years,
and shall be made available to the Division upon request.
7. A record shall be- maintained of all- residuals - removed - from this facility: - --This record-- shall be
maintained at the facility for a period of no less than five years, and shall be made available to the
Division upon request.. At -a minimum; this record shall -include: -- --- - --
a. Name of the residuals hauler;
b. Non -Discharge permit number'authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals
c. Date the residuals were hauled; and
d. Volume of residuals removed.
8. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for
a period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include:
a. Visual observations of treatment plant and plant -site;
b. Date of calibration of flow measurement device(s);
c. Date and results of power interruption testing on alternate power supply;
d. Record of preventative maintenance (e.g., changing/adjusting of equipment, pump and valve
maintenance, cross connection control, testing, inspections and cleanings, etc.; and
e. Record of all unpermitted releases' of reclaimed water to surface water or land surface including
date of occurrence, estimated volume of release, cause, and corrective action taken.
Three copies of all .effluent monitoring data and reclaimed water distribution data (as specified in
Conditions IV.3 and IVA) shall be submitted on Form NDMR for each PPI listed in Attachment A.
Reporting forms shall be submitted on or before the last day -of the following month. If no reclaimed
water distribution activities occurred during the monitoring month, monitoring reports documenting
the absence of the activity are still required to be submitted. All effluent monitoring data shall be
submitted to the following address: Division of Water Resources, Information Processing Unit, 1617
Mail Service Center, Raleigh, North Carolina, 27699-1617.
10. Three copies of all operation and utilization records (as specified in Conditions IV.5 and IV.6) shall
be submitted on Form NDAR-1 for every non -conjunctive utilization site listed in Attachment B.
Reporting forms shall be submitted on or before the last day of the following month. If no reclaimed
water utilization activities occurred during the month, monitoring reports are still required
documenting the absence of the activity. All information shall be submitted to the following. address:
Division of Water Resources, Information Processing Unit, 1617 Mail Service Center, Raleigh, North
Carolina, 27699-1617.
WQ0024694 Version 2.0 Shell Version 131016 Page 6 of 8

11. Noncompliance Notification:
The Permittee shall report by telephone to the Asheville Regional Office, telephone number (828)
296-4500, as soon as possible, but in no case more than 24 hours, or on the next working day
following the occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the'facility incapable of adequate wastewater treatment.
c. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
unpennitted release of reclaimed water to land surface greater than or equal to 5,000 gallons.
Unpenmitted releases less than 5,000 gallons to land surface shall be documented by the permittee
in accordance with Condition IV.8 but do not require Regional Office notification.
d. Any time self -monitoring indicates the facilities permitted herein have gone out of compliance
with the limitations contained in this permit.
e. Ponding in or runoff from the reclaimed water utilization sites.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone].
Persons reporting such occurrences by telephone shall also file a written report in letter form within
five days following first knowledge of the occurrence. This report shall outline the actions taken or
proposed to be taken to ensure the problem does not recur.
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
reclaimed water generation and utilization facilities.
2. The Permittee or their designee shall inspect the reclaimed water generation and utilization facilities
to prevent malfunction, facility deterioration and operator errors resulting in discharges, which may
cause the release of wastes to the environment, a threat to human health or a public nuisance. The
Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The
Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the reclaimed water generation and utilization
facilities pennitted herein at any reasonable time for the purpose of determining compliance with this
permit; may inspect or copy any records required to be maintained under the terms and conditions of
this permit, and may collect groundwater, surface water or leachate samples.
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to
an enforcement action by the Division in accordance with North Carolina General Statutes 143-
215.6A to 143-215.6C.
2. This pen -nit shall become voidable if the permitted facilities are not constructed in accordance with
the conditions of this permit, the Division approved plans and sp ci ic— ations,r*- iW--gthle `-s portiffg
documentation. Civ!m-n ui water Resources
WQ0024694 Version 2.0 Shell Version 131016 J U L - 2 2018 Page 7 of 8
Water Our lih, Regional Operations

1 This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications., and other supporting documentation. . No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approyed in this permit pursuant to 15A NCAC .02T _
.0105(n).
4. The issuance of this permit does not exempt the Permittee from complying wit]l any ,and all statutes,
rules;'re'gulations� or orclinarices, which may be imposed by other jurisdictional government agencies
(e.g., local, state, and federal). Of particular concern to the Division are applicable aver buffer rules
in 15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4
and under the Division's General Permit NCGO10000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; National Pollutant Discharge Elimination System QQDES)
requirements under 15A NCAC 02H .0100, and documentation of compliance with Article 21 Part 6
of Chapter 143 of the General Statutes.
5. In the event the permitted facilities change ownership or, the Permittee changes their name, a written
permit modification request shall be submitted to the Division. This requesi sball be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Pe'rmitfee of reeoid shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
7: - The-Permittee- shall -maintain this'pefiriit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority pursuant to 15A NCAC
02T .01050).
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T .0110.
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b).
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to
pay the annual fee accordingly shall be cause for the Division to 'evoke this permit pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 270' day of January 2014
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
4'4' *
om A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0024694
WQ0024694 Version 2.0 Shell Version 131016 Page 8 of 8

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIRE ME, NTS
PPI 002 - Reclaimed Water Generation System Effluent
Permit Number: WQ0024694 Version: 2.0
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCS
Code
parameter Description
p
Units of
Measure
Monthly
Average
Monthly Geometric Mean
Daily
Minimum
DailMaximum
y
Measurement
Frequency
Sample_
Type.
00310
BOD, 5-Day (20 °C)
mg/I
10
15
2 x Month
Composite
50060
Chlorine, Total Residual
mg/I
5 x Week
Grab
31616
Colifonn, Fecal MF, M-FC Broth, 44.5 °C
#/IOOmI
14
25
Z x Montle
Grab
50050
Flow, in conduit or thru treatment
lant
gpd
120,000
... •..:; .
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/I
4
.. ,..:
:..
6
2 x Month
Composite
00620
Nitrogen, Nitrate Total (as N)'
mg/I
:.. :.
; • ; ~ .
2 x Month
Composite
00400
pH
su
6
9
5 x Week
Grab
00530
Solids, Total Suspended
ing/I
5
10
2 x Month
Composite
r00076
Turbidity, HCH Turbidimeter
ntu
10
Continuous
Recorder
i. u
Division of Water Hesourca9
JUL - 2 2018
Water Quaiity Regional Opemllc s
._ti,,.aito nPH.'N:RI Office __
WQ0024694 Version 2.0 Attachment A Page I of I

ATTACHMENT B - APPROVED RECLAIMED WATER USES
NON -CONJUNCTIVE LAND APPLICATION SITES
Aqua North Carolina, Inc. — Bright's Creels Golf Club
Permit Number: WQ0024694 Version: 2.0
IRRIGATION AREA INFORMATION
APPLICATION LIMITATIONS
Field
Owner
CountyLatitude
Longitude
g
Net
Acreage
Dominant
Soil Series
Parameter
Hourly
(late
Yearly
Max
Units
A
Aqua North Carolina, Inc.
Polk
26.3
Pacolet
0 1284 — Non -Discharge Application Rate
Q.4
52
inches
B
Aqua North Carolina, Inc.
Polk
25.1
Pacolet
01284— Non-Diseliai•ge Application Rate
0.4
52
inches
C
Aqua North Carolina, Inc.
Polk
27.7
Pacolet
0 1284 — Non -Discharge Application Rate
0.4
52
inches
D
Aqua North Carolina, Inc.
Polk
21.4
Pacolet
0 1284 — Non -Discharge Application Rate
0.4
52
inches
E
Aqua North Carolina, Inc.
Polk
21.0
Pacolet
0 1284 — Non -Discharge Application Rate
0.4
52
inches
F
Aqua North Carolina, Inc.
Polk
11.3
Pacolet
0 1284 — Non -Discharge Application Rate
0.4
52
Inches
Totals
132.8
DivisikOFNED
on of WN ter Resource»
JUL — 2 2018 .
Water Quality Regional Operations
WQ0024694 Version 2.0 Attachment B Page 1 of 1

FORM: NDMR 03-12 NON -DISCHARGE MONITORING REPORT (NDMR) Page of
Permit No.: WQ0024694
Facility Name: Bright's Creek Golf Club
County: Polk
County: Polk
h: Year;
T
Parameter Monitoring Point: 0 Influent Effluent ❑ Groundwater Lowering ❑ Surface Water
00530
(n
Z
CL 0
U) V)
,f;
Average:
Daily Maximum:
Daily Minimum:
Sampling Type:
;.Recorder
Composite
-;jG�a
Grab
ohi f
composite
Composite
,Recorder,
;
Monthly Limit:
10
14
1
5
Daily Limit:
= r
15
25as
Sample FrequencyT.-,Co61'!n*6669]
2 x Month
2 x Month 10;66
Month;
2 x Month
2 x Month
'061 ff 6