NC0025526_Permit (Issuance)_20070123

NPDES DOCUMENT SCANNING COVER f;EIEET
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NPDES Permit:
NC0025526
Walnut Cove WWTP
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Renewal Application
Speculative Limits
Instream Assessment (67b)
Environmental Assessment (EA)
Permit
History
Document Date:
January 23, 2007
This document is printed on reuse paper - ignore any
content on the resrerse side
Alft

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
January 23, 2007
Jack Gardin, Town Manager
Town of Walnut Cove
PO Box 130
Walnut Cove, North Carolina 27052
Subject: Issuance of NPDES Permit NC0025526
Walnut Cove WWTP
Stokes County
Dear Mr. Gardin:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental Protection Agency dated May 9,
1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or
permits required by the Division of Land Resources, the Coastal Area Management Act or any other
Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Vanessa Manuel at telephone
number [phone], extension 532.
Sincerely,
-Cr • Alan W. Klimek, P.E.
Attachments
Cc: DWQ/SWP Central Files
DWQ/SWP Winston-Salem Regional Office
NPDES Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 N. Salisbury St., Raleigh, North Carolina 27604
Phone: [phone] / FAX: [phone] / Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
NorthCarolina
Xatura/Iji

Permit NC0025526
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 Walnut Cove
is hereby authorized to discharge wastewater from a facility located at the
Walnut Cove Waste Water Treatment Plant
On NCSR 1918
Near Walnut Cove
Stokes County
to receiving waters designated as Town Fork Creek in the Roanoke River basin
in accordance with effluent limits, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This permit shall become effective March 1, 2007.
This permit and authorization to discharge shall expire at midnight on February 28, 2012.
Signed this day January 23, 2007.
r 'Alan W. Klimek, P.E., D' ctor
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0025526
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.
Town of Walnut Cove
is hereby authorized to:
1. Continue to operate an existing 0.50 MGD wastewater treatment facility with the following
components:
• Influent pump station
• Screening
• Two facultative lagoons
♦ Baffled lagoon with duckweed
• Splitter pond
• Two vegetated Lagoons
♦ Chlorination
• Dechlorination
• Flow Measurement
The facility is located at Walnut Cove WWTY, on NCSR 1918, near Walnut Cove, Stokes
County.
2. Discharge from said treatment works at the location specified on the attached map into Town
Fork Creek, classified Class C waters in the Roanoke River Basin.

Facility Information
Latitude:
Longitude:
Quad Name:
Stream Class:
Receiving Stream:
36°17'43"
80°07'47"
Walnut Cove
C
Town Fork Creek
Sub -Basin:
03-02-01
Facility
Location
North
Town of Walnut Cove
NC0025526
Stokes County

Permit NC0025526
A. (1.) EFFLUENT LIMITS AND MONITORING REQUIREMENTS — FINAL
During the period beginning on March 1, 2007, and lasting until February 28, 2012, the permittee is authorized to
discharge treated wastewater from outfall 001. Such discharges shall be limited and monitored by the permittee as
specified below:
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Flow, in conduit or thru treatment plant - 50050
0.500
MGD
Continuous
Recorder
Influent or
Effluent
BOD, 5-Day (20 Deg. C)2 - 00310
30.0
45.0
mg/L
Weekly
Composite
Influent &
Effluent
Solids, Total Suspended2 - 00530
30.0
45.0
mglL
Weekly
Composite
Influent &
Effluent
Nitrogen, Ammonia Total (as N) - 00610 -
Summer
10.0
30.0
mg/L
Weekly
Composite
Effluent
Nitrogen, Ammonia Total (as N) - 00610 -
Winter
mglL
Weekly
Composite
Effluent
Coliform, Fecal MF, M-FC Broth,44.5C -
31616 (geom.mean)
200
400
#/100 ml
Weekly
Grab
Effluent
Chlorine, Total Residual - 50060
28
pglL
2 / Week
Grab
Effluent
Temperature, Water Deg. Centigrade - 00010
deg. C
Weekly
Grab
Effluent
Phosphorus, Total (as P) - 00665
mg/L
Monthly
Composite
Effluent
Nitrogen, Total (as N) - 00600
mglL
Monthly
Composite
Effluent
pH3 - 00400
s.u.
2 / Month
- Grab
Effluent
Temperature, Water Deg. Centigrade - 00010
- (Oct 1— May 31)
deg. C
Weekly
Grab
Upstream &
Downstream
Temperature, Water Deg. Centigrade - 00010
- (June 1— Sept. 30)
deg. C
3 / Week
Grab
Upstream &
Downstream
DO, Oxygen, Dissolved - 00300 - (Oct 1—
May 31)
mg/L
Weekly
Grab
Upstream &
Downstream
DO, Oxygen, Dissolved - 00300 - (June 1—
Sept. 30)
mglL
3 / Week
Grab
Upstream &
Downstream
Winter. November 1- March 31
Summer: April 1- October 31
Footnotes:
1. Upstream: At least 100 feet upstream of discharge. Downstream: Approximately 300 feet downstream of discharge.
2. The monthly average effluent BOD5 and Total' Suspended Solids concentrations shall not exceed 15% of the respective
influent value (85% removal).
3. The pH shall not be less than 6.0 standard units (s.u) nor greater than 9.0 s.u.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

DENR / DWQ / NPDES Unit
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES Permit No. NC0025526
Facility Information
Applicant/Facility Name
Town of Walnut Cove
Applicant Address
PO Box 130
Facility Address
Old Town Road
Permitted Flow (MGD)
0.50
Type of Waste
Domestic (100%)
Facility Class
II
County
Stokes
Facility Status
Renewal
Regional Office
Winston-Salem
Stream Characteristics
Receiving Stream
Town Fork Creek
IWC (%)
8.01
Drainage Area (sq. mi.)
113
Drainage basin
Roanoke
Summer 7Q10 (cfs)
8.9
Subbasin
03-02-01
Winter 7Q10 (cfs)
20
Use Support
30Q2 (cfs)
21
303(d) Listed
Yes; draft list
2006
Average Flow (cfs)
State Grid
B 18SW
Stream Classification
C
USGS Topo Quad
Walnut Cove
Designated Best Usage
Aquatic life propagation and maintenance of biological integrity,
wildlife, secondary recreation, agriculture and any other usage
except for primary recreation or as a source of water supply for
drinking, culinary or food processing purposes.
DISCHARGE DESCRIPTION
Discharge outfall location: The treated effluent from the lagoon system is discharged to Town Fork
Creek at the discharge point — Latitude: 36° 17' 36" and Longitude: 80° 07' 47"
Discharge rate/frequency (average daily flow if continuous discharge): October 1, 2003 — September 30,
2006, the average daily flow was 0.1563 MGD.
Pollutant(s) discharged (average daily discharge):
Parameter
Concentration
(mg/L
Number of
Samples
BOD5
—
4.3
32
TSS
9.4
32
Fact Sheet
Renewal — NPDES Permit NC0025526
Page 1

TENTATIVE DETERMINATION TO ISSUE
Proposed effluent limits: Daily maximum Ammonia Nitrogen (NH3-N) limit added (30.0 mg/L) to the
summer months (April 1— October 31).
Proposed schedule of compliance: None added.
Proposed special conditions: None added.
SITE INVESTIGATION EVALUATION
None.
PROPOSED SCHEDULE OF ISSUANCE
Draft Permit to Public Notice:
Permit Scheduled to Issue:
December 6, 2006 (Admin. Cut off)
January 29, 2007 (tentative)
From the date the draft permit is publicly noticed, individuals have thirty (30) days to comment on the
determinations of the permit. If significant public interest is received, the Division may hold a public
meeting on the NPDES permit application.
NPDES PROGRAM CONTACT
If you have questions regarding any of the above information or on the attached permit, please contact
Vanessa E. Manuel at 919/733-5083, extension 532.
NAME: (• DATE: /2/// 04Dvss
REGIONAL OFFICE COMMENTS
Not needed/required for this minor discharge permit renewal; EPA review is not required.
NAME: DATE:
NPDES SUPERVISOR:
DATE:
Fact Sheet
Renewal - NPDES Permit NC0025526
Page 2

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and sworn statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
December 9, 2006
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statutes of North Carolina and was a qualified newspaper within the
meaning of Section 1-597 of the General Statutes of North Carolina.
This 11th day of December, 2006
(signature o perp making affidavit)
Sworn to and subscribed before me, this llth day of December, 2006
My Commission expires: September 28, 2010
KIMALEY JOHNSON
NOTARY PUBLIC
FORSYTH COUNTY LI
STATE OF NORTH CARt 1f Q.
MY COMMISSION EXPIRES
rUtiJi: NUl ILL
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION/
NPDES 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 143.21 Public law 92-500 and other
lawful standards and regulations, the North Carolina En-
vironmental Management Commission proposes to issue
a National Pollutant Discharge Elimination System
(NPDES) wastewater discharge permit to the person(s)
listed below effective 45 days from the publish date of
this notice.
Written comments regarding the proposed permit willbe
accepted until 30 days after the publish date of this no-
tice. All comments received prior to that date are consid-
ered in the final determinations regarding the proposed
mamdet. cide Directorhe toholof public
meDivision
eting for Water
he proposed
permit should the Division receives significant degrree of
public interest
Copies of the draft permit and other supporting informa-
tion on file used to determine conditions present in the
draft permit are available upon request and payment of
the costs of reproduction. Mail comments and/or re-
quests for information to the NC Division of Water Quality
at the above address or call the Point Source Branch at
[phone] extension 363. Comments can also be
emailed to Carolvn.Bryant()ncmaii.net. Please include
the NPDES permit number attached) inany communica-
tion. Interested persons may also visit the Division of Wa-
ter Quality at 512 N. Salisbury Street, Raleigh, NC
27604-1148 between the hours of 8:00 a.m. and 5:00 p.m.
to review information on file.
The Town of Walnut Cove (PO Box 130, Walnut Cove,
North Carolina 27052) has applied for renewal of NPDES
permit NC0025526 for the Walnut Cove WWTP in Stokes
County. This permitted facility currently discharges
500,000 gallons per day treated wastewater into the
Town Fork Creek in the Roanoke River Basin. Currently,
BOD, ammonia nitrogen and total residual chlorine are
water quality limited. This discharge may affect future
allocations in this portion of the Roanoke River Basin.
Carolina Water ServiceInc or NC (PO Box 240908, Char-
lotte, North Carolina 28224) has applied for renewal of
NPDES permit NC0060461 for Abington Subdivision
WWTP in Forsyth County. This permitted facility current-
ly discharges 200,000 gallons per day treated wastewater
into Belews Creek in the Roanoke River Basin. Currently,
BOD, ammonia nitrogen and total residual chlorine are
water quality limited This discharge may affect future
allocations in this portion of the Roanoke River Basin.
WSJ: December4,'sue

PO Box 130.Walnut Cove, NC■ 27052.336 591 4809 office•336 591 7275 fax
Sludge Management Plan
for
Permit No. NCO() 25526
The constructed wetlands treatment system does not generate solids thus no sludge
management is necessary.
Signed:
vdt
d
Jack Gardin
Date Signed: 10/12/2006
, Town Manager

FACILITY NAME AND PERMIT NUMBER:
NC00-25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
FORM;,
2A NPDES FORM 2A, APPLICATION OVERVIE
NPDES •
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 throurks
that discharges effluent to surface waters of the United States must also answer questions Ay
B. Additional Application Information for Applicants with a Design Flow z 0.1 mgd. All tr
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B-6
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
at have ign'f ows
DEthR;s;, `a,r ,.
.E�rU '�AL'T�"
.
Palls : yi}U— tBRANCH—-"
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (Sills) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
c. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 1 of 22

FACILITY NAME AND PERMIT NUMBER:
NCO° 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet,
A.1. Facility Information.
Facility Name Walnut Cove WWTP
Mailing Address PO Box 130
Walnut Cove, NC 27052
Contact Person Jack Gardin
Title Manager
Telephone Number [phone]
Facility Address Old Town Road
(not P.O. Box)
A.2. Applicant information. If the applicant is different from the above, provide the following:
Applicant Name Town of Walnut Cove
Mailing Address PO Box 130
Walnut Cove, NC 27052
Contact Person Jack Gardin
Title Manager
Telephone Number [phone]
Is the applicant the owner or operator (or both) of the treatment works?
to the facility or the applicant.
existing environmental permits that have been issued to the treatment works
PSD
0 owner ►.I operator
Indicate whether correspondence regarding this permit should be directed
0 facility ® applicant
A.3. Existing Environmental Permits. Provide the permit number of any
(include state -issued permits).
NPDES NCO() 25526
UIC Other
RCRA • Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Walnut Cove 1426 Separate Walnut Cove
Total population served 1426
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 2 of 22

FACILITY NAME AND PERMIT NUMBER:
NCOO 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
A.S. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes CO No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes ®No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12th month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 0.50 mgd
Two Years Ago
Last Year This Year
b. Annual average daily flow rate 0.18 0.12 0.12
c. Maximum daily flow rate
0.29 0.33 0.29
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
® Separate sanitary sewer 100 °k
0 Combined storm and sanitary sewer
A.8. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
1. Discharges of treated effluent
11. Discharges of untreated or partially treated effluent
i1i. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
v. Other
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes
If yes, provide the following for each surface impoundment:
Location:
1
0
0
0
0
® No
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge 0 continuous or ❑ Intermittent?
c. Does the treatment works land -apply treated wastewater? 0 Yes ® No
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site: mgd
Is land application 0 continuous or 0 intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? 0 Yes ® No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 3 of 22

FACIUTY NAME AND PERMIT NUMBER:
NCOO 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number
1
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.B. through A.8.d above (e.g., underground percolation, well injection): 0 Yes IN No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or ❑ intermittent?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 4 of 22

FACILITY NAME AND PERMIT NUMBER:
NCOO 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent Is discharged. Do not include Information on combined sewer overflows In this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
a. Duffel! number 1
b. Location Walnut Cove 27052
(City or town, if applicable)
Stokes
(County)
(Zip Code)
NC
36-17-43
(State)
80-07-47
(Latitude) (Longue)
c. Distance from shore (if applicable) ft.
d. Depth below surface (if applicable) ft.
e. Average daily flow rate 0.12 mgd
f. Does this outfall have either an intermittent or a periodic discharge? 0 Yes ® No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge: mgd
Months in which discharge occurs:
g. Is outfail equipped with a diffuser? ❑ Yes 0 No
A.10. Description of Receiving Waters.
a. Name of receiving water Town Fork Creek to Dan River to Roanoke River
b. Name of watershed (if known) Not Known
United States Soil Conservation Service 14-digit watershed code (if known):
c. Name of State Management/River Basin (if known): Roanoke
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
Not Known
Not Known
d. Critical low flow of receiving stream (if applicable)
acute Not applicable cfs chronic Not applicable cfs
e. Total hardness of receiving stream at critical low flow (if applicable): Not applicable mg/I of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 5 of 22

FACILITY NAME AND PERMIT NUMBER:
NCO() 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
❑ Primary 0 Secondary
® Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 85 %
Design SS removal 85 %
Design P removal Not applicable %
Design N removal 85 %
Other %
c. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
Chlorine -Does not vary
If disinfection Is by chlorination is dechlorination used for this outfall? ® Yes 0 No
Does the treatment plant have post aeration? 0 Yes 0 No
A.12. Effluent Testing information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All Information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QAIQC requirements of
40 CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number. 1
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
Value
Units
Value
Units
Number of Samples
- pH (Minimum)
6.5
s.u.
pH (Maximum)
7.8
s.u.
/
/ !�
Flow Rate
0.33
MGD
0.14
MGD
970
Temperature (Winter)
17
C
10.1
C
15
Temperature (Summer)
24.9
C
19.8
C
16
* For pH please report a minimum and a maximum daily value
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
MLIMDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
DEMAND (Report one)
BOD5
10.8
mg/I
4.3
mg/I
32
405.1
30/45
CBOD5
FECAL COLIFORM
90
100/m1
1.2
100/m1
32
9222D
200/400
TOTAL SUSPENDED SOLIDS (TSS)
24
mg/I
9.4
mg/I
32
160.2
30/45
END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
NCOO 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate Z 0.1 mgd must answer questions B.1 through.B.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day
2200gpd*
that flow into the treatment works from inflow and/or infiltration.
amount reported is the best estimate.
Briefly explain any steps underway or planned to minimize inflow and infiltration.
*Only effluent flow measurements are taken. The
B.2. Topographic Map. Attach to this application a topographic map of the
map must show the outline of the facility and the following information.
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters
treated wastewater is discharged from the treatment plant. Include
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works
f. If the treatment works receives waste that is dassfied as hazardous
or special pipe, show on the map where the hazardous waste enters
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the
backup power sources or redunancy in the system. Also provide a water
chlorination and dechtorination). The water balance must show daily
rates between treatment units. Include a brief narrative description of
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment
area extending at least one mite beyond facility property boundaries. This
(You may submit more than one map if one map does not show the entire
the treatment works and the pipes or other structures through which
outfatls from bypass piping, if applicable.
that are: 1) within % mile of the property boundaries of the treatment
is stored, treated, or disposed.
under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
the treatment works and where it is treated, stored, and/or disposed.
processes of the treatment plant, including all bypass piping and all
balance showing all treatment units, induding disinfection (e.g.,
average flow rates at influent and discharge points and approximate daily flow
the diagram.
and effluent quality) of the treatment works the responsibility of a
and describe the contractor's responsibilities (attach additional
contractor? • Yes ► No
If yes, list the name, address, telephone number, and status of each contractor
pages if necessary).
Name:
Mailing Address:
Telephone Number. ( )
Responsibilities of Contractor.
B.S. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question 8.5
for each. (if none, go to question 8.6.)
a. List the outfatl number (assigned in question A.9) for each outfali that is covered by this implementation schedule.
Not Applicable
b. Indicate whether the planned improvements or implementation
schedule are required by local, State, or Federal agencies.
II Yes ■No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 7 of 22

FACILITY NAME AND PERMIT NUMBER:
NCO() 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
c. If the answer to B.5.b is "Yes," briefly describe, induding new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MMIDD/YYYY MM/DD/YYYY
- Begin Construction / / / /
- End Construction / / / /
- Begin Discharge / / / /
- Attain Operational Level 1 / / /
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? 0 Yes ■ No
Describe briefly:
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number. 1
POLLUTANT
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
ANALYTICAL
METHOD
ML/MDL
Conc.
Units
Conc.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
6.9
mg/1
2.0
mg11
31
350.2
10
CHLORINE (TOTAL
RESIDUAL, TRC)
28
ug/1
0.1
ug/1
330.5
28
DISSOLVED OXYGEN
10.0
mg/1
5.5
mg/1
19
360.1
None
TOTAL KJELDAHL
NITROGEN (TKN)
12.0
mg/I
3.95
mg/1
30
351.3
None
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS (Total)
4.79
mg/1
1.87
mg/1
30
365.2
None
TOTAL DISSOLVED SOLIDS
(TDS)
OTHER
END OF PART B. •
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-8 & 7550-22.
Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
NC 00 25526
PERMIT ACTION REQUESTED:
Renewal
RIVER BASIN:
Roanoke
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
EI Basic Application Information packet Supplemental Application Information packet:
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Biomonitoring Data)
❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title Jack Gardin, Town Manager
Signature o
Telephone number 36) 591 4809
Date signed 10/12/2006
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENRI DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22

Outfall 1
Location
Lat 36-17-43
Long 80 07 47
Town of Walnut Cove
WWTP Information
NPDES Pemit No. NC00 25526
Receiving Stream: Town Fork Creek
Permit Renewal
October, 2006
N

10
ENGINEERS & SURVEYORS
4190 I4w 16 South
Newton, NC 28658
828 465 2205
Process Unit Legend
1. Influent Pumping Station
2. Rough Screening
3. Primary Facultative Lagoon
4. Secondary Facultative Lagoon
5. Duckweed/Baffled Lagoon
6. Splitter Pond
7. Vegetated Lagoon
8. Chlorination
9. De -chlorination
10. Flow Measurement
11. Outfall to Town Fork Creek
n
1 2
4
3
Process Flow Schematic
Town of Walnut Cove
NPDES Permit No. NC00 25526
C!,Land Projects 3'Drawingl.dwg, 10/1020053:39:41 PM

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
ermine potential for expedited permit renewal
Reviewer/Date
7wA Me /A 4 yy S - f. 9 -� O d. */ -,
Permit Number
o©
!V C 5- S 5/,ZJ
Facility Name
+A✓a /•c I/ t co /€ /4i P
Basin Name/Sub-basin number
A oa ei dig, D 3- a ` D/
Receiving Stream
1,.- n Fo A Creo X
Stream Classification in Permit
C
Does permit need NH3 limits?
A di is ; 1y 1n 4 A' •
Does permit need TRC limits?
i 4 P 1 r c e
Does permit have toxicity testing?
, N 9
Does permit have Special Conditions?
/VP
Does permit have instream monitoring?
S
Is the stream impaired (on 303(d) list)?
ye s
Any obvious compliance concerns?
". - 'TA C f` n I -ea)*
Any permit mods since last permit? ,
/Ve
Existing expiration date
• . ` 2-0 - 0-007/ -
Reissued permit expiration date
•
New proposed 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. it
YES / This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
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)

WSRO
PERMIT
OWNER
FACILITY
REGION
CASE NUMBER
PARAMETER
PENALTY$
TOTALPAID
REGION FEEDBACK
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
NC0003441 JPS Elastomerics Corp
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Pit
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Plt
JPS Elastomerics Corp -Caro Plt
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LV-2001-0491
LV-2001-0535
LV-2002-0198
LV-2003-0110
LV-2005-0063
LV-2005-0447
NOV-2006-LV-0006
NOV-2006-LV-0175
BODITSS
RES/TSS
RES/TSS
BOD
$1,329.00
$1,455.00
$1,099.00
$1,099.00
$547.00
$447.00
$0.00
$0.00
$1,329.00
$1,455.00
$1,099.00
$1,099.00 No special actions required
$547.00
$447.00
$0.00
$0.00
NC0025526 Town of Walnut Cove
NC0025526 Town of Walnut Cove
NC0025526 Town of Walnut Cove
NC0025526 Town of Walnut Cove
NC0025526 Town of Walnut Cove
Walnut Cove WWTP
Walnut Cove WWTP
Walnut Cove WWTP
Walnut Cove WWTP
Walnut Cove WWTP
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LV-2002-0613
LV-2002-0617
LV-2004-0454
NOV-2005-LV-0072
NOV-2005-LV-0134
FEC COLI
CHLORINE
CHLORINE
$349.00
$349.00
$397.00
$0.00
$0.00
$349.00
$349.00
$397.00 No special actions required
$0.00
$0.00
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
NC0035173 KobeWieland Copper Products LLC
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Kobewireland Copper Products
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LV-2001-0049
LV-2004.0088
LV-2004-0107
LV-2004-0215
LV-2004-0500
LV-2005-0377
NOV-2004-LV-0546
NOV-2005-LV-0175
NOV-2005-LV-0220
NOV-2005-LV-0358
NOV-2005-LV-0407
NOV-2005-LV-0505
TX-2004-0006
$1,579.00
FEC COLITIS: $697.00
BOD/Fec $1,447.00
BOD/FecITSS $947.00
FEC COLI $347.00
FEC COLI $297.00
FEC COLI $0.00
FEC COLI $0.00
RES/TSS $0.00
FEC COLI $0.00
FEC COLI $0.00
FEC COLI $0.00
$3,072.24
$1,579.00
$697.00
$1,447.00
$947.00
$347.00
$297.00
$0.00 No special actions required
$0.00
$0.00
$0.00
$0.00
$0.00
$3,072.24
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
NC0037311 Pierce Management Group
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Creekside Manor Rest Home
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LM-2002-0004
LV-2003-0364
NOV-2003-LV-0149
NOV-2003-LV-0316
NOV-2004-LV-0224
NOV-2005-LV-0193
NOV-2005-LV-0325
NOV-2005-PC-0092
NOV-2006-LM-0001
NOV-2006-PC-0195
FEC COLI
NH3-N
FEC COLI
FEC/pH
FEC COLI
RES/TSS
FEC/pH
$1,125.00
$340.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,125.00
$340.00
$0.00
$0.00
$0.00
$0.00 'No special actions required
$0.00
$0.00
$0.00
$0.00
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
NC0044954 Stokes County Schools
South Stokes High School
South Stokes High School
• South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
South Stokes High School
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LM-2003-0003
LV-2001-0177
LV-2002-0195
LV-2002-0263
LV-2003-0178
LV-2003-0765
LV-2005-0446
NOV-2004-LV-0548
NOV-2004-LV-0588
NOV-2005-LV-0508
NOV-2006-LV-0135
FEC COLI
FEC COLI
FEC COLI
FEC COLI
FEC COLI
BOD
$1,249.00
$1,823.00
$349.00
$1,349.00
$336.00
$436.00
$747.00
$0.00
$0.00
$0.00
$0.00
$1,249.00
$1,823.00
$349.00
$1,349.00
$336.00
$436.00
$747.00 No special actions required
$0.00
$0.00
$0.00
$0.00
NC0044962 Stokes County Schools
NC0044962 Stokes County Schools
NC0044962 Stokes County Schools
NC0044962 Stokes County Schools
NC0044962 Stokes County Schools
NC0044962 Stokes County Schools
North Stokes High School
North Stokes High School
North Stokes High School
North Stokes High School
North Stokes High School
North Stokes High School
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
Winston-Salem
LV-2001-0087 CHLOR/fec
LV-2001-0492
LV-2004-0381 BOD/fec
LV-2005-0083 FEC COLI
LV-2005-0127 FEC COLI
NOV-2005-LV-0071 FEC COLI
$1,073.00
$829.00
$197.00
$447.00
$547.00
$0.00
$829.00
$197.00 No special actions required
$447.00
$547.00
$0.00
NC0056791 Horizons Residential Care Ctr
NC0056791 Horizons Residential Care Ctr
NC0056791 Horizons Residential Care Ctr
Horizons Residential Care Ctr
Horizons Residential Care Ctr
Horizons Residential Care Ctr
Winston-Salem
Winston-Salem
Winston-Salem
LV-2001-0494
LV-2004-0611
LV-2006-0135
FEC COLI
BOD/fec/tss
$326.00
$338.00
$794.00
$326.00
$338.00
$794.00
Page 1