NC0030325_Fact Sheet_20221101

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc.) that can be administratively renewed with minor changes but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles Weaver 11/1/2022
Permit Number
NC0030325
Facility Name
Buffalo Meadows WWTP
Basin Name/Sub-basin number
05-07-02 stream index 10-2-20
Receiving Stream
Buffalo Creek
Stream Classification in Permit
C-Trout HQW
Does permit need Daily Max NH3 limits?
No — already present
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For what parameter?
No
Any obvious compliance concerns?
Yes —the facility has been habitually
noncompliant throughout the last permit cycle.
DEQ sought and received EPA oversight for
compliance issues at this facility.
Any permit modifications since last permit?
None.
New expiration date
10/31/2027
Comments on Draft Permit
➢ Updated eDMR requirements
➢ Added monitoring for turbidity to
determine compliance with 15A NCAC
02B.0211 (21).
➢ Added monitoring for dissolved oxygen
to determine compliance with 15A
NCAC 02B.0211 (6).
➢ Added instream monitoring for
temperature and footnote regarding
temperature increase as per 15A NCAC
02B.0211 (18).
Changes to final permit
➢ Deleted temperature footnote; NPDES
management determined that effluent
from 100% domestic systems was not a
"heated liquid" as referenced in the rule.
Retained temperature monitoring.
This page has been printed on scrap paper to save money and reduce our program's environmental
impact. Disregard any content on the back of this page.

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
STATE OF NORTH CAROLINA
ASHE COUNTY
DEQ - DIVISION OF WATER
RESOURCES
1617 Mail Service Ctr
Raleigh, NC 276991617
AFFIDAVIT OF PUBLICATION
Before undersigned, a Notary Public of said County and State, duly commissioned,
qualifi d author' by 1pw to administer oaths, personally appeared
�U�lQ author'
who being first duly sworn, deposes and says: that
he (she) is an employee of ADAMS PUBLISHING GROUP, LLC, engaged in the publication
of a newspaper known as Ashe Post & Times, published in the city of WEST JEFFERSON
in said County and State, that he (she) 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 Ashe Post & Times, a newspaper meeting all of the requirements and
qualifications of Section I-597 of the General Statues of North Carolina on the following dates:
��'• 'o•
13 L 1 G ••v;
NC0030325 Buffalo Meadows
08/31/22
Ashe Post &Times
P.O. BOX 1815, BOONE, NC 28607
828-264-6397
This 31 st da of August, 2022
Signature of person making affidavit
Sworn to and subscribed before me on this 31 st day of August, 2022
Notary Public
04
My Commission expires: l7c11fer-
jAcext",• PA- Cfs'
Public Notice
North Carolina Environmental
Management
Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
NC0030325 Buffalo Meadows
WWTP The North Carolina En-
vironmental Management Com-
mission proposes to issue a
NPDES wastewater discharge
permit to the person(s) listed
below. Written comments re-
garding the proposed permit will
be accepted until 30 days after
the publish date of this notice.
The Director of the NC Division
of Water Resources (DWR) may
hold a public hearing should
there be a significant degree of
public interest. Please mail com-
ments and/or information re-
quests to DWR at the above
address. Interested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC
27604 to review information on
file. Additional information on
NPDES permits and this notice
may be found on our website:
http://deq.nc.gov/about/divi-
si on s/water-resources/water-re-
so u rces-permits/wastewater-bra
nch/npdes-wastewater/public-
notices,or by calling (919) 707-
3601. A & D Water Service,
Inc., (PO Box 1407, Pisgah For-
est, NC 28768) has applied for
renewal of NPDES permit
NC0030325 for Buffalo Mead-
ows WWTP in Ashe County.
This permitted facility dis-
charges treated wastewater to
Buffalo Creek in the New River
Basin. Fecal coliform and total
residual chlorine are water qual-
ity limited, which may affect fu-
ture allocations in this portion of
the New River Basin.

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
Weaver, Charles
From: Hennessy, John
Sent: Wednesday, October 12, 2022 2:55 PM
To: Weaver, Charles
Subject: Re: Heated Liquid memo
You can go ahead and finalize those permits.
John E. Hennessy
Environmental Supervisor II, Division of Water Resources
North Carolina Department of Environmental Quality Office: [phone]
[e-mail]
11).E ?)CV
NOR rH CAROLINA
Department of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this address is subject to the North Carolina
Public Records Law and may be disclosed to third parties.
From: Weaver, Charles <[e-mail]>
Sent: Wednesday, October 12, 2022 2:01 PM
To: Hennessy, John <[e-mail]>
Subject: Heated Liquid memo
I — and the other permit writers — need the memo from Mike M stating that 100% domestic wastewater is not
considered a heated liquid as referenced in 026.0224. I have several permits to finalize that will need that memo
attached to the fact sheet.
Charles H. Weaver
Environmental Specialist II
Division of Water Resources
919-707-3616
[e-mail]
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
1

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
Buffalo Meadows WWTP
NC0030325
Prepared By: Charles Weaver
Enter Design Flow (MGD):
Enter s7Q10(cfs):
Enter w7Q10 (cfs):
IWC Calculations
0.01
1.45
1.56
Residual Chlorine
7Q10 (cfs)
DESIGN FLOW (MGD)
DESIGN FLOW (cfs)
STREAM STD (ug/L)
UPS BACKGROUND LEVEL (l
IWC (%)
Allowable Conc. (ug/I)
Fecal Limit
(If DF >331; Monitor)
(If DF <331; Limit)
Dilution Factor (DF)
NPDES Servor/Current Versions/IWC
Ammonia (NH3 as N)
(summer)
1.45 7Q10 (CFS)
0.01 DESIGN FLOW (MGD)
0.0155 DESIGN FLOW (cfs)
17.0 STREAM STD (mg/L)
0 UPS BACKGROUND LEVEL (mg/L)
1.06 IWC (%)
1607 Allowable Conc. (mg/I)
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (cfs)
STREAM STD (mg/L)
94.55 UPS BACKGROUND LEVEL (mg/L)
IWC (%)
Allowable Conc. (mg/I)
1.45
0.01
0.0155
1.0
0.22
1.06
74.0
1.56
0.01
0.0155
1.8
0.22
0.98
160.8
11 /1 /2022

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
A&D Water Service, Inc.
Attn: Aubrey Deaver, President
PO Box 1407
Pisgah Forest, NC 28768
Subject: Permit Renewal
Application No. NC0030325
Buffalo Meadows WWTP
Ashe County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
December 15, 2020
The Water Quality Permitting Section acknowledges the December 8, 2020 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
-` North Caro raDepartment ofEnv rr•r.rnenta3Qua .t I DlasronofWater Resa&.mrs
) W nstonSeerr Reg ora Offoe 14501VetHares N Road , Si; te 3O0 11'; rston.&ern, Norte Carol na 27105
,_......''' .. - '••� /'' 336-77E-9&00

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
NC0030325
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
A 86 D Water Service, Inc.
Buffalo Meadows
P.O. Box 1407
Pisgah Forest
N.C. 28768
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road NCSR 1131
City
State / Zip Code
County
West Jefferson
RECEIVED
DEC 08 2020
NCDEQ/DWR/NPDES
N. C.
Ashe
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name A Ss D Water Service, Inc.
Mailing Address P. O. Box 1407
City Pisgah Forest
State / Zip Code N. C. 28768
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 11/12

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential X Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
48
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Subdivision
Number of persons served: 120
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes
X No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Buffalo Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
2 of 3 Form-D 11/12

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
Permit NC0030325
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.
A&D Water Service, Inc. is hereby authorized to:
1. Continue to operate an existing 0.010 MGD extended aeration wastewater treatment system that
includes the following components:
• Grit chamber
• Aeration basin
• Clarifier
• Tablet feed chlorinator
• Tablet dechlorination
• Post aeration
• Flow measurement from a water meter
• Sludge holding basin
The facility is located off NCSR 1131 near West Jefferson at the Buffalo Meadows Subdivision
WWTP in Ashe County.
2. Discharge from said treatment works at the location specified on the attached map into Buffalo
Creek, currently classified C-Trout waters in subbasin 05-07-02 of the New River Basin.
Page 2 of 7

DocuSign Envelope ID: A192835E-047C-4816-ADEB-F81EA23BDBDB
Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.010 MGD
Annual Average daily flow 0.0061 MGD (for the previous 3 years)
Maximum daily flow 0.0128 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currentl in ijour permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
44
11
Mg/1
Fecal Coliform
100
1.3
100 ml
Total Suspended Solids
38
17
Mg/1
Temperature (Summer)
30
16
oC
Temperature (Winter)
oC
pH
7.55
7.02
Su
13. List all permits, construction approvals and/or applications:
Permit Number Type
NESHAPS (CAA)
Ocean Dumping (MPRSA)
NC0030325 Dredge or fill (Section 404 or CWA)
Other
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Aubrey Deaver President
Printed name of Person Sign
Title
Nov. 30 2020
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 11/12