NC0042358_fact sheet_20221101

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1D0CE996
FACT SHEET
EXPEDITED - PERMIT RENEWAL
NC0042358
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 / July 29, 2022
Permit Number - Class
NC0042358 — Class WW-2
Owner
Adams Apple Homeowners Association
Facility Name
Adams Apple Condominiums WWTP
Type of Waste
100 % domestic
Basin Name/Sub-basin number
Watauga River Basin / 04-02-01
Receiving Stream
Watauga River [segment 8-(1)]
Stream Classification in Permit
B-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?
Yes (Temperature)
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No enforcements during the last permit cycle. Facility received
one NOD and four NOVs during that period.
Any permit MODS since last permit?
No
New expiration date
September 30, 2027
Changes to current permit?
➢ 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 footnote regarding temperature increase as per
15A NCAC 02B.0211 (18).
➢ Updated eDMR language
Changes to final permit
➢ Deleted temperature footnote. NPDES management
determined that 100% domestic effluent I not a "heated
liquid" as referenced in the Rule. Retained temperature
monitoring.

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
STATE OF NORTH CAROLINA
WATAUGA COUNTY
DEQ - DIVISION OF WATER
RESOURCES
1617 Mail Service Ctr
Raleigh, NC 276991617
AFFIDAVIT OF PUBLICATION
Beforie dersigned, a Notary Public of said County and State, duly commissioned,
qualified an authorize by law to administer oaths, personally appeared
I n -4h 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 Watauga Democrat, published in the city of BOONE 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
Watauga Democrat, a newspaper meeting all of the requirements and qualifications of Section
I-597 of the General Statues of North Carolina on the following dates:
ADAMS APPLE HOMEOWNERS ASSOC.
09/14/22
Swo
1
%iitauga
P.O. BOX 1815, BOONE, NC 28607
828-264-6397
This 14th day of September, 2022
Signature of person making affidavit
Public Notice
North Carolina Environmen-
tal Management Commis-
sionMPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit The
North Carolina Environmental
Management Commission pro-
poses to issue a NPDES waste-
water discharge permit to the
person(s) listed below. Written
comments regarding the pro-
posed permit will be accepted
until 30 days after the publish
date of this notice. The Director
of the NC Division of Water Re-
sources (DWR) may hold a pub-
lic hearing should there be a
significant degree of public inter-
est. Please mail comments
and/or information requests to
DWR at the above address. In-
terested persons may visit the
DWR at 512 N. Salisbury Street,
Raleigh, NC 27604 to review in-
formation on file. Additional in-
formation on NPDES permits
and this notice may be found on
our website:
http://deq.nc.gov/about/divi-
sions/water-resources/water-re-
sou rces-permits/wastewater-bra
nch/npdes-wastewater/public-
notices,or by calling (919) 707-
3601. The Adams 'Apple
Homeowners Association,
Inc. (1208 Kelly Ct, Cary, NC
27511) has requested renewal
of NPDES permit NC0042358
for the Adams Apple Condomini-
ums WWTP in Avery County.
This permitted facility dis-
charges treated domestic waste-
water to the Watauga River in
the Watauga River Basin. Cur-
rently, ammonia nitrogen, fecal
conform, and total residual chlo-
rine are water quality limited.
This discharge may affect future
allocations in this portion of the
watershed. RCS Properties, Inc.
(4501 Tynecastle Hwy, banner
Elk, NC 28604) requested re-
newal of NPDES permit
NC0062961 for Tynecastle
WWTP in Avery County. This
facility discharges treated do-
mestic wastewater to the
Watauga River in the Watauga
River Basin. Currently Ammonia
Nitrogen and Fecal Coliform are
water quality limited. This dis-
charge may affect future waste -
load allocations in this portion of
the Watauga River.
A
``��rrrrrr,iii
d subscribed before re on this 14th day of September, 2022 •v
My Commission expires:
it& Notary Public
u'Y 014111 ?0210
v 4/8LIciw
v,9

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
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: A284DD22-E0B5-4852-8854-68AA1 D0CE996
N C0042358
Prepared By: Charles Weaver
Enter Design Flow (MGD):
Enter s7Q10(cfs):
Enter w7Q10 (cfs):
IWC Calculations
0.02
0.4
0.6
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)
Ammonia (NH3 as N)
(summer)
0.4 7Q10 (CFS)
0.02 DESIGN FLOW (MGD)
0.031 DESIGN FLOW (cfs)
17.0 STREAM STD (mg/L)
0 UPS BACKGROUND LEVEL (mg/L)
7.19 IWC (%)
236 Allowable Conc. (mg/I)
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (cfs)
STREAM STD (mg/L)
13.90 UPS BACKGROUND LEVEL (mg/L)
IWC (%)
Allowable Conc. (mg/I)
0.4
0.02
0.031
1.0
0.22
7.19
11.1
0.6
0.02
0.031
1.8
0.22
4.91
32.4
11 /1 /2022

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1D0CE996
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Adams Apple Homeowners Association, Inc
Attn: Larry Lehning, POA President
1208 Kelty Ct
Cary, NC 27511
Subject: Permit Renewal
Application No. NC0042358
Adams Apple Condominiums WWTP
Avery County
Y QUAM wr"
NORTH CAROLINA
Environmental Quality
March 23, 2022
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 23, 2022 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. 150E-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.
cc: Paul Isenhour-WQ Lab & Operations, Inc.
ec: WQPS Laserfiche File w/application
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
LOE
North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 12090 U.S. Highway 70 I Swannanoa. North Carolina 28778
828.296 4500

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1D0CE996
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
4A-bArtS APPLE
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
iviAR 2 2 2022
NCDEQ/DVR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
%AAA TD
Modified Application Form 2A
Modified March 2021
Form
NPDS
t
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
the instructions may result in denial of the application.)
SECTION
1. BASIC
APPLICATION
INFORMATION FOR
ALL APPLICANTS (40 CFR 122.21(j)(1) and (9))
Facility Information
1.1
Facility name
Adams Apple Condominiums WWTP
Mailing address (street or P.O. box)
1208 Kelty Court
City or town
Cary
State
NC
ZIP code
27511
Contact name (first and last)
Larry Lehning
Title
POA President
Phone number
[phone]
Email address
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
Off of NC Hwy 105 Southeast of Banner Elk
City or town
Banner Elk
State
NC
ZIP code
28604
1.2
Is this application for a facility that has yet to commence
❑ Yes 4 See instructions on data submission
requirements for new dischargers.
discharge?
✓ No
Applicant Information
1.3
Is applicant
different from entity listed under Item 1.1 above?
❑ No 4 SKIP to Item 1.4.
✓ Yes
Applicant name
Paul Isenhour, Water Quality Lab and Operations
Applicant address (street or P.O. box)
P.O. Box 1167
City or town
Banner Elk
State
NC
ZIP code
28604
Contact name (first and last)
Paul Isenhour
Title
President
Phone number
[phone]
Email address
waterqualitylabs@yahoo
1.4
Is the applicant the facility's owner, operator,
❑ Owner
or both?
(Check only one response.)
❑ Both
✓ Operator
1.5
To which entity should the NPDES permitting
❑ Facility
authority
send correspondence? (Check only one response.)
Applicant ❑ Facility and applicant
(they are one and the same)
✓
Existing Environmental Permits
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
v NPDES
(discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
control)
water)
NC0042358
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
%AI kI fl
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
i
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
100 % separate sanitary sewer
0 Own 0 Maintain
Housing
60
% combined storm and sanitary sewer
0 Own CIMaintain
Development
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
Total
Population
Served
60
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
100
Indian Country
............_
1.8
Is the treatment works located in Indian
❑ Yes
Country?
Fr No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through
v
Indian Country?
No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
o.ozo mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.0019 mgd
0.0018 mgd
0.0022 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.0090 mgd
0.0096 mgd
0.0094 mgd
Discharge Points
by Type
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge Points by Type
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
1
Page 2

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
AI%Afro _
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods
Outfalls Other Than to Waters of the State of North Carolina
1.12
t
Does the POTW discharge wastewater to basins, ponds,
for discharge to waters of the State of North Carolina?
❑ Yes
or other
surface impoundments that do not have outlets
4 SKIP to Item 1.14.
✓ No
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
0 Intermittent
1.14
Is wastewater applied to land?
❑ Yes
✓ No4SKIPtoItem1.16.
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gp d
❑ Continuous
❑ Intermittent
acres
gp d
❑ Continuous
❑ Intermittent
acres
d
gip"
0 Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment
❑ Yes
prior to discharge?
4 SKIP to Item 1.21.
V No
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
%A /\ A/TD
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods Continued
1.20
4
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than
not have outlets to waters of the State of North Carolina
❑ Yes v
those a
(e.g.,
No
ready mentioned in Items 1.14 through 1.21 that do
underground percolation, underground injection)?
4 SKIP to Item 1.23.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Disposal Site
Size of
Disposal Site
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
(check one)
acres
gpd
❑ Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
Variance
Requests
1.23
Do
Consult
❑
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
with your NPDES permitting authority to determine what information needs to be submitted and when.)
Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
Not applicable
Contractor Information
1.24
Are
the
any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
responsibility of a contractor?
Yes ❑ No -*SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor
Information
Contractor 1
Contractor 2
Contractor 3
Contractor name
(company name)
Water Quality Labs
Mailing address
(street or P.O. box)
P.O. Box 1167
City, state, and ZIP
code
Banner Elk, NC 28604
Contact name (first and
last)
Paul Isenhour
Phone number
[phone]
Email address
[e-mail]
Operational and
maintenance
responsibilities of
contractor
Operations and Maintenance
Page 4

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1D0CE996
NPDES Permit Number Facility Name
NC0042358 Adams Apple Condominiums
%A/1A/TO
Modified Application Form 2A
Modified March 2021
SECTION 2. ADDITIONAL INFORMATION (40 CFR 122.21(j)(1)
and (2))
o
c
a)
o
Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design
❑ Yes
flow greater than or equal
to 0.1 mgd?
to Section 3.
v No 4 SKIP
Inflow and Infiltration
2.2
Provide the treatment works' current average daily volume of inflow
and infiltration.
Average Daily Volume of Inflow and Infiltration
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Topographic
Map
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
❑ Yes ❑ No
Flow
Diagram
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
❑ Yes ❑ No
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)
Affected
Outfalls
(list outfall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
1enARo
Modified Application Form 2A
Modified March 2021
SECTION 3. INFORMATION
ON EFFLUENT DISCHARGES
(40 CFR
for each outfall. (Attach
122.21(j)(3) to (5))
additional sheets if you have more than three outfalls.)
3.14.
Provide the following information
Outfall Number 001
Outfall Number
Outfall Number
State
North Carolina
(A
9—
County
Avery
S.
0
0
City or town
Banner Elk
wDistance
C.
from shore
4 ft.
ft.
ft.
-L
d
Depth below surface
ft.
ft.
ft.
0
Average daily flow rate
0.0020 mgd
mgd
mgd
Latitude
36' 07' 45"
o
Longitude
81' 41 10"
"
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described under Item 3.1 have seasonal or
❑ Yes
periodic
✓
discharges?
No 4 SKIP to Item 3.4.
3.3
If so, provide the following information for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
3.4
Are
✓
any of the outfalls listed under Item 3.1 equipped with a diffuser?
Yes ❑ No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number 001
Outfall Number
Outfall Number
Concrete Cascade
Waters of
the U.S.
3.6
Does
one
✓
the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
or more discharge points?
Yes ❑ No -*SKIP to Section 6.
Page 6

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
%A M A rrD
Modified Application Form 2A
Modified March 2021
Receiving Water Description •
3.7
{
Provide the receiving water and related information (if known) for each outfall.
Outfall Number cmOutfall
Number
Outfall Number
Receiving water name
Watauga River
Name of watershed, river,
or stream system
Watauga River
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
Watauga River Basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
CaCO3
mg/L of
CaCO3
mg/L of
CaCO3
Treatment Description
3.8
Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
❑ Primary
0 Equivalent to
secondary
CI Secondary
❑ Advanced
❑ Other (specify)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
85
TSS
85 %
%
%
Phosphorus
0 Not applicable
%
0 Not applicable
%
0 Not applicable
%
Nitrogen
0 Not applicable
NA %
0 Not applicable
%
0 Not applicable
%
Other (specify)
0 Not applicable
%
0 Not applicable
%
0 Not applicable
%
Page 7

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
\�nA/TD
Modified Application Form 2A
Modified March 2021
Treatment Description Continued►
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
i
Tablet dechlorinator post aeration, chlorine contact chamber, tablet dechlorination
Outfall Number
Outfall Number
Outfall Number
Disinfection type
Seasons used
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
Effluent Testing Data
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
✓ Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes
✓ No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent? aech►orl ral-iof it aced fro f ail. (Atli
Yr Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants
package?
❑ Yes
and attached
the results to this application
dine, -gyp - 06„,,,
✓ No NIA
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes
No
sampling required by NPDES
authority.
✓ additional
permitting
Page 8

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1 D0CE996
NPDES Permit Number
NC0042358
Facility Name
Adams Apple Condominiums
%AAA rrn
Modified Application Form 2A
Modified March 2021
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT
(40 CFR 122.22(a) and (d))
of Form 2A that you have completed and are submitting with your application. For
attachments that you are enclosing to alert the permitting authority. Note that not
Checklist and Certification Statement s
6.13
In Column 1 below, mark the sections
each section, specify in Column 2 any
all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Basic Application
❑ w/ variance request(s) ❑ w/ additional attachments
Information for All Applicants
❑ Section 2: Additional
Information
❑ w/ topographic map ❑ w/ process flow diagram
❑ w/ additional attachments
3: Information
w/ Table
A ❑ wl Table D
B ❑ w/ additional attachments
C
❑ w/ Table
❑ w/ Table
vSection on
Effluent Discharges
Section 4: Not Applicable
Section 5: Not Applicable
Section 6: Checklist
❑ w/ attachments
and
Certification Statement
6.2
Certification Statement
1 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 submitted 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 (print or type first and last name)
Paul Isenhour
Official title
President, WQ Labs
Signature
gi/if
Date signed
/ & L
Page 10

DocuSign Envelope ID: A284DD22-E0B5-4852-8854-68AA1D0CE996
NPDES Permit Number
Facility Name
0utfall Number
NC0042358
Adams Apple Condominiums
001
1A/1A/TD
Modified Application Form 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Average Daily Discharge
Analytical
.,r-
ML of,MDL
(include
units)
Maximum Daily Discharge
Pollutant
Value
Units
Value
Units
Number of
Samples
Methods
Biochemical oxygen demand
o BOD5 or ❑ CBOD5
re.ort one
44.7
mg/L
6.29
mg/L
156
SM-5210B
o ML
2 p MDL
Fecal coliform
1.77
cfu/100mL
400
cfu/100mL
156
SMm-9222D
0 ML
1 O MDL
Design flow rate
0.019
MGD
0.0020
MGD
Continuous
pH (minimum)
6.7
s/u
pH (maximum)
7.8
s/u
8.35
Degrees Celsius
80
Temperature (winter)
20
Degrees Celsius
Temperature (summer)
22
Degrees Celsius
16.75
Degrees Celsius
105
Total suspended solids (TSS)
44
mg/L
6.99
mg/L
156
SM-2540D
0 ML
2.5 © MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11