NC0062961_Fact Sheet_20221101

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
DEQ / DWR / NPDES
EXPEDITED FACT SHEET - NPDES PERMIT DEVELOPMENT
NPDES Permit NC0062961
Charles Weaver, Compliance & Expedited Permitting Unit / November 1, 2022
Facility Information
Applicant/Facility Name
RCS Properties, Inc. - Tynecastle WWTP
Facility Address
NC Highway 105, Banner Elk 28604
Type of Waste
100% Domestic < 1MGD
Facility Class
WW-2
County
Avery
Permit Status
Renewal
Regional Office
ARO
Stream Characteristics
Receiving Stream
WATAUGA RIVER
Stream Classification
B-Trout HQW
Stream Segment
8-(1)
Drainage basin
Watauga
Summer 7Q10 (cfs)
0.1
Subbasin
[HUC]
04-02-01
060101030301
Winter 7Q10 (cfs)
0.1
No
30Q2 (cfs)
0.17
303(d) Listed
Average Flow (cfs)
0.5
IWC (%)
31.74
USGS Topo Quad
Grandfather Mt, NC
DRAFT SUMMARY: This permit covers the discharge at Outfall 001.
➢ Added monitoring for turbidity to determine compliance with 15A NCAC 02B.0211 (21).
➢ Updated monitoring for dissolved oxygen to determine compliance with 15A NCAC 02B.0211 (6).
➢ Added footnote regarding temperature increase to determine compliance with 15A NCAC
02B.0211 (18).
➢ Updated eDMR text.
COMPLIANCE SUMMARY: This permit has never received a civil penalty. During the last permit
cycle, the permittee received one NOD and two NOVs.
CHANGES TO FINAL PERMIT
➢ Deleted footnote regarding temperature increase; NPDES management determined that flow from
100% domestic systems is not a heated liquid as referenced in the Rule. Retained temperature
monitoring.
Fact Sheet
Renewal 2022 -- NPDES Permit NC0062961
Page 1

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
STATE OF NORTH CAROLINA
WATAUGA COUNTY
DEQ - DIVISION OF WATER
RESOURCES
1617 Mail Service Ctr
Raleigh, NC 276991617
AFFIDAVIT OF PUBLICATION
Befor dersigned, a Notary Public of said County and State, duly commissioned,
qualified an authorize by law to administer oaths, personally appeared
411 / n -/p yi 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
ham
P.O. BOX 1815, BOONE, NC 28607
828-264-6397
This 14th day of September, 2022
Public Notice
North Carolina Environmen-
tal Management Commis-
sion/NPDES 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-perm its/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
coliform, 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.
%WIISg,
`N‘c,\NIA M. ,%
N o rq,�
subscribed before rpe on this 14th day of September, 2022 = •v
•
Signature of person making affidavit
My Commission expires:
• 1 Y�VV1 9G �BLIG G
` t i N'',...'
iviv Not Public/� /�_+ 1/�/� I^ ,'C,9 CQUN'\- ,``

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
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: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
N C0062961
Prepared By: Charles Weaver
Enter Design Flow (MGD):
Enter s7Q10(cfs):
Enter w7Q10 (cfs):
IWC Calculations
0.03
0.1
0.1
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)
0.1 7Q10 (CFS)
0.03 DESIGN FLOW (MGD)
0.0465 DESIGN FLOW (cfs)
17.0 STREAM STD (mg/L)
0 UPS BACKGROUND LEVEL (mg/L)
31.74 IWC (%)
54 Allowable Conc. (mg/I)
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (cfs)
STREAM STD (mg/L)
3.15 UPS BACKGROUND LEVEL (mg/L)
IWC (%)
Allowable Conc. (mg/I)
0.1
0.03
0.0465
1.0
0.22
31.74
2.7
0.1
0.03
0.0465
1.8
0.22
31.74
5.2
11 /1 /2022

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
RCS Properties
Attn: Samantha Wotell, Manager
4501 Tynecastle Hwy
Banner Elk, NC 28604
Subject: Permit Renewal
Application No. NC0062961
Tynecastle WWTP
Avery County
NORTH CAROLINA
Environmental Quality
March 23, 2022
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 22, 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. 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.
cc: Paul Isenhour-WQ Lab & Operations, Inc.
ec: WQPS Laserfiche File w/application
Sincerely,
litgAIquSW
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 12090 U.S. Highway 70 15wannanoa. North Carolina 28778
828 296.4500

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
IV1c.A5 u
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
MAR 2 2 2022
NCDEQ/DWR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
Form
NPDES
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
Tynecastle WWTP
Mailing address (street or P.O. box)
4501 Tynecastle Highway
City or town
Banner Elk
State
NC
ZIP code
28604
Contact name (first and last)
Samantha Wotell
Title
Manager
Phone number
[phone]
Email address
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
NC Highway 105
City or town
BannerELk
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
Water Quality Lab and Operations, Inc.
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
[e-mail]
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.)
❑ Facility and applicant
(they are one and the same)
✓ Applicant
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)
NC0062961
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CM)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
no % separate sanitary sewer
0 Own 0 Maintain
Commercial
45
% 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
% 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
Total
Population
Served
45
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?
v
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
0.030 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.0143 mgd
o.0110 mgd
0.0110 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.19 mgd
0.029 mgd
0.039 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: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
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
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
✓ No4SKIPtoItem1.14.
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
0 Continuous
❑ Intermittent
gpd
0 Continuous
0 Intermittent
1.14
Is wastewater applied to land?
❑ Yes
4 SKIP to Item 1.16.
✓ No
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
gpd
0 Continuous
0 Intermittent
acres
gpd
0 Continuous
❑ Intermittent
acres
9p d
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment
❑ Yes
prior to discharge?
✓ No4SKIPtoItem1.21.
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: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods Continued
1.20
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
✓
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)
acresgpd
❑ Continuous
❑ Intermittent
acres
gpd
0 Continuous
❑ Intermittent
acres
gpd
0 Continuous
❑ Intermittent
Variance
Requests
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult 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))
Er 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
Banne Elk, NC 28604
Contact name (first and
last)
Paul Isenhour
Phone number
[phone]
Email address
[e-mail]
Operational and
maintenance
responsibilities of
contractor
Operations & Maintenance
Page 4

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
SECTION
2. ADDITIONAL INFORMATION (40 CFR 122.21(j)(1) and
(2))
o
rn
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?
No 4 SKIP to Section 3.
v
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)
1.
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: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
SECTION 3. INFORMATION
ON EFFLUENT DISCHARGES (40 CFR
122.21(j)(3) to (5))
Description of Outfalls
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number o01
Outfall Number
Outfall Number
State
North Carolina
County
Avery
City or town
Banner Elk
Distance from shore
ft.
ft.
ft.
Depth below surface
ft.
ft.
ft.
Average daily flow rate
0.0121 mgd
mgd
mgd
Latitude
°
°
°
Longitude
0 "
„
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasona
or periodic discharges?
{e 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
v
No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser pe at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
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 4SKIP to Section 6.
Page 6

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
•
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
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 001
Outfall 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 ool
Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
0
❑
0
0
❑
Primary
Equivalent to
secondary
Secondary
Advanced
Other (specify)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
0 Primary
❑ Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
Design Removal Rates by
Outfall
BODs or CBOD5
85
TSS
85 %
%
%
Phosphorus
0 Not applicable
%
0 Not applicable
0 Not applicable
Nitrogen
0 Not applicable
%
0 Not applicable
%
0 Not applicable
°
/o
Other (specify)
0 Not applicable
%
0 Not applicable
0 Not applicable
Page 7

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
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.
UV Disinfection
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
v 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? OM hx its C �n clbu3
❑ 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 and attached the results to this application
package? N/k dli2 }O des clod
❑ Yes
✓ No y
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?
❑ No additional sampling required by NPDES
permitting authority.
v Yes
Page 8

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
(MMIDDIYYYY)
Summary of Results
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permittin• authorit .
Page 9

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
NC0062961
Facility Name
Tynecastle WWTP
Modified Application Form 2A
Modified March 2021
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Checklist and Certification Statement
Column 1
O Section 1: Basic Application
Information for All Applicants
❑ Section 2: Additional
Information
Column 2
❑ w/ variance request(s)
❑ w/ topographic map
❑ w/ additional attachments
❑ w/ additional attachments
❑ w/ process flow diagram
❑ Section 3: Information on
Effluent Discharges
• w/ Table A
❑ w/ Table B
❑ w/ Table C
❑ w/ Table D
❑ w/ additional attachments
Section 4: Not Applicable
Section 5: Not Applicable
❑ Section 6: Checklist and
Certification Statement
❑ w/ attachments
6.2
Certification Statement
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 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
Date signed
-jJ -21r
Page 10

DocuSign Envelope ID: 195D35A3-7DE6-4BF1-BC92-52C91CDB51C2
NPDES Permit Number
Facility Name
Outfall Number
NC0062961
Tynecastle WWTP
001
Modified Application Form 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daily Discharge
Average Daily Discharge
Analytical
Methods
Methods(
ML or MDL
Include units )
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
ID BOD5 or ❑ CBOD5
(report one)
41.3
mg/L
6.43
mg/L
156
SM-5210B
o ML
2.0 E MDL
Fecal coliform
250
cfu/100mL
6.25
cfu/100mL
156 SM-9222D
0 ML
1 E MDL
Design flow rate
0.19
6.6
MGD
0.0121
10.11
MGD
Degrees Celsius
Continuous
80
pH (minimum)
pH (maximum)
Temperature (winter)
s/u
7.7
s/u
20
Degrees Celsius
Temperature (summer)
24
Degrees Celsius
17.82
Degrees Celsius
105
Total suspended solids (TSS)
30
mg/L
3.73
mg/L
156 SM-2540D
0 ML
2.5 E 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