NC0086918_Renewal (Application)_20221229

STA1Fo
y.l''1st
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ROY COOPER
Governor
ELIZABETH S.BISER `•
ksr q„M,.."�'
Secretary
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
January 05, 2023
Eastern Wayne Sanitary District
Attn: Larry Bridges
PO Box 1583
Goldsboro, NC 27533-1583
Subject: Permit Renewal
Application No. NC0086918
Rockford Church Road WTP
Wayne County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 29, 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
1 links available within the Application Tracker.
Sincerely,
,..,Y,,,1 0,a
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
D_E WNorthCarolinaDartment ep of Environmental Quality Division of Water Resources
Washington Regional Offke 1943 Washingtm Square Mall Washington North Carolina 27889
n+...ru..o-.....o.m\ /`, 252.946.6481

Wtujh1e Sanitu -
Ti:15 P O Box 1583
SAD S6 _1583
NC 2753 3
[phone] (Office)
[phone] (Fax)
December 8, 2022 RECEIVED
Ms. Wren Thedford DEC 2 9 2022
NC DENR/DWR/NPDES Unit
1617 Mail Service Center NCDEQIDWRINPDES
Raleigh,NC 27699-1617
Re: Renewal of Eastern Wayne Sanitary District's NPDES Permit No.NC0086918
EWSD WTP#3 /301 Rockford Church Road
Dear Ms. Thedford:
Attached please find three complete application packages each including the following items:
1. Our cover letter
2. Application Form 1 NPDES
3. Modified Application Form 2A
4. The Sludge Management Plan
5. The topographic map showing the location of the discharge with latitude and longitude
identified
6. The WTP Site Plan and Process Schematic
There has been no discharge from this facility since 2006. We must retain this Discharge Permit in the
event we are not able to recycle and blend with the raw water. Please consider our request for wavier of
monitoring requirements until we actually begin discharging again. There have been no changes at
Eastern Wayne Sanitary District's Rockford Church Road WTP since the last NPDES Permit renewal.
We hereby request renewal of NPDES Permit No.NC0086918.
If you have questions regarding any of these items, please let me know.
Sincere ,
1 . ` •
Larry Bridges
District Manager
On Tap
Our Com &nutment 1B Our Prossion Member North Carolina Rural Water Association

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0086918 Rockford Church Rd WTP OMB No.2040-0004
U.S.Environmental Protection Agency
FormEPiek. Application for NPDES Permit to Discharge Wastewater
NPDES
GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 treatment works? 1.1.2 treating domestic sewage?
If yes, STOP. Do NOT complete ❑✓ No If yes, STOP. Do NOT ✓❑ No
Form 1. Complete Form 2A. complete Form 1. Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
w ❑ Yes 4 Complete Form 1 E✓ No ❑✓ Yes 4 Complete Form ❑ No
a and Form 2B. 1 and Form 2C.
R1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
= mining,or silvicultural facility that has not yet commercial,mining,or silvicultural facility that
commenced to discharge? discharges only nonprocess wastewater?
❑ Yes 4 Complete Form 1 ❑✓ No ❑ Yes 4 Complete Form p No
ce and Form 2D. 1 and Form 2E.
fA
Y' 1.2.5 Is the facility a new or existing facility whose
' discharge is composed entirely of stormwater
associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
El Yes 4 Complete Form 1 ❑✓ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2. NAME, MAILING ADDRESS,AND LOCATION (40 CFR 122.21(f)(2))
2.1 Facility Name
Eastern Wayne Sanitary District WTP No.3-Rockford Church Rd.WTP
O 2.2 EPA Identification Number
0
J
2.3 Facility Contact
d Name(first and last) Title Phone number
Larry Bridges District Manager [phone]
Email address
R [e-mail]
2.4 Facility Mailing Address
Street or P.O.box
301 Rockford Church Road
City or town State ZIP code
LaGrange NC 28551
EPA Form 3510-1(revised 3-19) Page 1

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0086918 Rockford Church Rd WTP OMB No.2040-0004
N 13 2.5 Facility Location
a . Street,route number,or other specific identifier
Q U 301 Rockford Church Rd WTP is in Wayne Co./Discharge Outfall is in Lenoir Co.
c 0 County name County code(if known)
Wayne/Lenoir Unknown
City or town State ZIP code
z LaGrange NC 28551
ECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
4941 Water Supply-Green Sand Filter
N
W
-o
O
U
U)
t,)
3.2 NAICS Code(s) Description(optional)
221300 Water Supply
ca
U)
.ECTION 4.OPERATOR INFORMATION (40 CFR 122.21(f)(4))
4.1 Name of Operator
Joseph H.Threewitts,Jr.
0 4.2 Is the name you listed in Item 4.1 also the owner?
❑ Yes ❑✓ No
4.3 Operator Status
❑ Public—federal ❑ Public—state ❑✓ Other public(specify) Local Govern mim
O. ❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
Street or P.O. Box
3600 Commercial Dr.
o
City or town State ZIP code
0 v Goldsboro NC 27534
co
Cl) Email address of operator
[e-mail]
SECTION 5.IND AN LAND(40 CFR 122.21(f)(5))
c 5.1 Is the facility located on Indian Land?
J ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0086918 Rockford Church Rd WTP OMB No.2040-0004
•ECTION 6. EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
y water) fluids)
c
. NC0086918
❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
a.
ca
w ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
.ECTION 7. MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
•ECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
The Sanitary District Pumps groundwater wells,filters the water with greensand filters,disinfects the water,and
distributes the water to their customers within the district.The waste is the water used to backwash the filters.The
waste is directed to holding tanks.solids settle out in the holding tanks.the clarified water is then blended with raw
well water,re treated through the greensand filters,disinfected and distributed as drinking water to the coustemers
y m in the District.
L' The Sanitary District maintains an NPDES Permit in the event the quality of the drinking water suffers from recycling
the backwash water.In that case they would advise the regional office and begin discharging.This facility has not
dischared since 2006.
•ECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No 4 SKIP to Item 10.1.
Zu
Y 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
_ NPDES permitting authority to determine what specific information needs to be submitted and when.)
o N/A
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
d ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
Section 301(n)) 302(b)(2))
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑✓ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
NC0086918 Rockford Church Rd WTP OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and (d))
11.1 In Column 1 below, mark the sections of Form 1 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.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2: Name, Mailing Address,and Location ❑ w/attachments
❑✓ Section 3: SIC Codes ❑ w/attachments
✓❑ Section 4:Operator Information ❑ w/attachments
❑✓ Section 5: Indian Land ❑ w/attachments
❑✓ Section 6: Existing Environmental Permits ❑ w/attachments
❑✓ Section 7: Map ❑✓ ma topographic ❑ w/additional attachments
❑✓ Section 8:Nature of Business ❑ w/attachments
1g
❑✓ Section 9:Cooling Water Intake Structures ❑ w/attachments
❑ Section 10:Variance Requests ❑ w/attachments
Z. ❑✓ Section 11: Checklist and Certification Statement ❑ w/attachments
11.2 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) Official title
Larry Bridges District Manager
Signat r Date signed
1 la2—
EPA Form 3510-1(revised 3-19) Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
the instructions ma result in denial of the application.)
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
Eastern Wayne Sanitary District WTP No.3-Rockford Church Rd WTP
Mailing address(street or P.O.box)
301 Rockford Church Rd.
City or town State ZIP code
0 LaGrange NC 28551
Contact name(first and last) Title Phone number Email address
Larry Bridges District Manager [phone] [e-mail]
Location address(street,route number,or other specific identifier) m Same as mailing address
R
City or town State ZIP code
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
= Applicant address(street or P.O. box)
0
o City or town State ZIP code
Contact name(first and last) Title Phone number Email address
0.
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑✓ Owner ❑ Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
❑✓ Facility ❑ Applicant 0 Facility and applicant
(they are one and the same)
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
a ✓❑ NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
c water) control)
NC0086918
❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
w
H ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type Ownership Status
Served Served (indicate percentage)
Eastern Wayne 10,500 100 %separate sanitary sewer I] Own 0 Maintain
Sanitary District %combined storm and sanitary sewer 0 Own 0 Maintain
d ❑ Unknown 0 Own 0 Maintain
co %separate sanitary sewer 0 Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
al
0 Unknown 0 Own 0 Maintain
a %separate sanitary sewer 0 Own ❑ Maintain
a %combined storm and sanitary sewer 0 Own 0 Maintain
co 0 Unknown 0 Own 0 Maintain
E %separate sanitary sewer 0 Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
o 0 Unknown 0 Own 0 Maintain
Total
°' Population
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100
Gio 0/0
sewer line(in miles)
?' 1.8 Is the treatment works located in Indian Country?
o 0 Yes ❑✓ No
cc,
c 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
c 0 Yes ❑✓ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.030 mgd
3 Annual Average Flow Rates(Actual)
Ml
a Two Years Ago Last Year This Year
co
-cc ce
co
0 0.000 mgd 0.000 mgd 0.000 mgd
`_ Maximum Daily Flow Rates(Actual)
43
O Two Years Ago Last Year This Year
0.000 mgd 0.000 mgd 0.000 mgd
,,, 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
a a-I Constructed
CD — Treated Effluent Untreated Effluent Combined Sewer Bypasses Emergency
t s Overflows Overflows
U
y
3 one none none none none
Page 2

•
NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12 Does the POTW discharge wastewater to basins, ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑✓ Yes ❑ No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface (check one)
Impoundment
The water is recycled as a source water 0 Continuous
and blended with the well water 30,000 gpd 0 Intermittent
The blended water is treated,disinfected 0 Continuous
and then distributed as drinking water. gpd 0 Intermittent
0 Continuous
gpd ❑ Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
Q. Land Application Site and Discharge Data
o Continuous or
Location Size Average Daily Volume Intermittent
a� Applied (check one)
N/A N/A acres N/A gp 0 Continuous
d 0 Intermittent
acres d 0 Continuous
gp 0 Intermittent
0 Continuous
acres gpd(ti 0 Intermittent
6 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes m No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck, pipe).
N/A
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ElNo 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)
N/A
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
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
"0 Facility name Mailing address(street or P.O.box)
N/A
City or town State ZIP code
0
y Contact name(first and last) Title
0
d Phone number Email address
NPDES number of receiving facility(if any) ❑ None Average daily flow rate mgd
O 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
dnot have outlets to waters of the State of North Carolina(e.g., underground percolation, underground injection)?
❑✓ Yes ❑ No 4 SKIP to Item 1.23.
0
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
o Disposal Location of Size of Annual Average Continuous or Intermittent
Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
Water is reused The NPDES Permit 0 Continuous
N/A acres 30,000 gpd
by Water Plant is a hackun ❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
acresgpd ❑ Continuous
❑ Intermittent
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.
a) N Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
C ❑ Discharges into marine waters(CWA ❑✓ Water quality related effluent limitation(CWA Section
▪ cr
cu Section 301(h)) 302(b)(2))
❑ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
❑ Yes ❑✓ No 4SKIP 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
0o Contractor name N/A
(company name)
Mailing address
(street or P.O.box)
City,state, and ZIP
code
o Contact name(first and
c� last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and (2))
0 Outfalls to Waters of the State of North Carolina
= 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ElYes ❑✓ No 4 SKIP to Section 3.
= 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration.
0.0 gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
c N/A
R
0
L 2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
0.
specific requirements.)
0, 6O
o
o ✓❑ Yes ❑ No
E 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.)
o a,
" o ❑✓ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑✓ No 4 SKIP to Section 3.
= Briefly list and describe the scheduled improvements.
1.N/A
d
E
m
a 2.
U) 3.
d
0)
d
U)
4.
g 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
Scheduled Begin End Begin
Outfalls Operational
2 Improvement Construction Construction Discharge
(from above) (list outfall Level
(MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
number) (MM/DD/YYYY)
1. N/A
d
U 2.
U)
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No ElNone required or applicable
Explanation:
N/A
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall.(Attach additional sheets if you have more than three outfalls.)
Outfall Number 001 Outfall Number Outfall Number
State North Carolina
County Lenoir
pLaGrange
9- City or town
0
0 Distance from shore on shore ft. ft. ft.
a
tn Depth below surface 10'Abop ft• ft. ft.
w
a
Average daily flow rate 0.030 mgd mgd mgd
Latitude 35' 14 3.18" N „
Longitude 77 49' 386' v "
R
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ✓❑ Yes ❑ No 4 SKIP to Item 3.4.
d
R 3.3 If so, provide the following information for each applicable outfall.
s
y Outfall Number 001 Outfall Number Outfall Number
0
`' Number of times per year
o— No Discharge Since 2006
0 discharge occurs
a Average duration of each
`® discharge(specify units) No Discharge Since 2006
o Average flow of each 0.030 mgd mgd mgd
to discharge
rzi
cn Months in which discharge
Occurs No Discharge Since 2006
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
a, 3.5 Briefly describe the diffuser type at each applicable outfall.
,T Outfall Number 001 Outfall Number Outfall Number
d
to
= N/A
to
r..
O
o 0,5 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
w one or more discharge points?
Y ElYes 0 No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number 001 Outfall Number Outfall Number
Receiving water name roamed Tributary to Neuse Rh'
Name of watershed, river,
0 or stream system Walnut Creek-Neuse River
a U.S. Soil Conservation
H Service 14-digit watershed 030202020107
en code
L
°' Name of state
management/river basin Neuse River Basin
1 co
U.S. Geological Survey
O 8-digit hydrologic 03020202
ce cataloging unit code
Critical low flow(acute) ? cfs cfs cfs
Critical low flow(chronic) ? cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow ? CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
i
Outfall Number 001 Outfall Number Outfall Number
Highest Level of 0 Primary 0 Primary ❑ Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary 0 Secondary 0 Secondary
❑ Advanced 0 Advanced 0 Advanced
O Other(specify) 0 Other(specify) 0 Other(specify)
a Settling
o
fl. Design Removal Rates by
u Outfall
d
BOD5 or CBOD5 85 % %
c
to
'2 TSS 85 % %
I-
© Not applicable 0 Not applicable 0 Not applicable
Phosphorus
m Not applicable 0 Not applicable 0 Not applicable
PPPPpP
Nitrogen
Other(specify)sP eci m Not applicable 0 Not applicable 0 Not applicable
Page 7

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
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.
CD
None
a>
O
O
Outfall Number 001 Outfall Number Outfall Number
a Disinfection type None
0
= Seasons used None
d
Dechlorination used? ❑✓ Not applicable ❑ Not applicable ❑ Not applicable
❑ Yes ❑ Yes ❑ Yes
❑ No ❑ No ❑ No
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 001 Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
Number of tests of discharge N/A N/A
water
Number of tests of receiving N/A N/A
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?
✓❑ 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?
❑ Yes ✓❑ No
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?
El Yes ✓❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
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?
El 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?
El Yes ❑✓ No—I 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 Summary of Results
{MMlDDNYYY}
The Water Plant has not discharged since 2006.No monitoring is done
because there has been no discharge. All wastewater is recycled and is
d blended with the raw well water and treated prior to being distributed to
the District's Customers as drinking water.
r 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
o toxicity?
c ❑ Yes ❑✓ No 4 SKIP to Item 3.26.
13 3.23 Describe the cause(s)of the toxicity:
The Water Plant has not discharged since 2006.No monitoring is done because there has been no discharge. All
wastewater is recycled and is blended with the raw well water and treated prior to being distributed to the District's
Customers as drinking water.
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.
The Water Plant has not discharged since 2006.No monitoring is done because there has been no discharge. All
wastewater is recycled and is blended with the raw well water and treated prior to being distributed to the District's
Customers as drinking water.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
El Yes ❑✓ Not applicable because previously submitted
information to the NPDES •ermittin• authorit .
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP 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.
Column 1 Column 2
❑✓ Section 1: Basic Application 0 w/variance request(s) ❑ w/additional attachments
Information for All Applicants
❑✓ Section 2:Additional ✓❑ w/topographic map ❑✓ w/process flow diagram
Information ✓❑ w/additional attachments
❑ w/Table A ❑ w/Table D
❑ Section 3: Information on ❑ w/Table B ❑ w/additional attachments
c Effluent Discharges
E 0 w/Table C
N
Section 4: Not Applicable
0
" Section 5: Not Applicable
40
" Section 6:Checklist and
c ❑ El attachments
Certification Statement
6.2 Certification Statement
vI 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) Official title
Larry Bridges District Manager
Signatur Date signed
I Z q 20Z2
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP 001 Modified March 2021 •
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Number of Analytical ML or MDL
Value Units Value Units Method (include units)
Sam•les
Biochemical oxygen demand
❑BOD5 or❑CBOD5 No Discharge Since 2006 ❑ML
❑MDL
report one
Fecal coliform No Discharge Since 2006 ❑ML
❑MDL
Design flow rate No Discharge Since 2006 _.
pH(minimum) No Discharge Since 2006
pH(maximum) No Discharge Since 2006
Temperature(winter) No Discharge Since 2006
Temperature(summer) No Discharge Since 2006
0 ML
Total suspended solids(TSS) No Discharge Since 2006 0 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

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Rockford Church Rd WTP Modified March 2021
No Discharge Since 2006 NC0086918 001
TABLE B. EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge
Pollutant Number of Analytical ML or MDL
Value Units Value Units Method (include units)
Samples
Ammonia(as N) No Discharge Since 2006 ❑ML
❑MDL
Chlorine ❑ML
(total residual,TRC)2 No Discharge Since 2006 ❑MDL
Dissolved oxygen No Discharge Since 2006 ❑ML
❑MDL
❑ML
Nitrate/nitrite No Discharge Since 2006 0 MDL
0 ML
Kjeldahl nitrogen No Discharge Since 2006 0 MDL
Oil and grease No Discharge Since 2006 ❑ML
❑MDL
Phosphorus No Discharge Since 2006 El ML
❑MDL
Total dissolved solids No Discharge Since 2006 ID ML
❑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).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Rockford Church Rd WTP Modified March 2021
No Discharge Since 2006 NC0086918 001
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Method' (include units)
Samples
Metals,Cyanide,and Total Phenols
Hardness(as CaCO3) No Discharge Since 2006 ❑ML
❑MDL
0 ML
Antimony,total recoverable No Discharge Since 2006 ❑MDL
0 ML
Arsenic,total recoverable No Discharge Since 2006 0 MDL
0 ML
Beryllium,total recoverable No Discharge Since 2006 0 MDL
0 ML
Cadmium,total recoverable No Discharge Since 2006 0 MDL
❑ML
Chromium,total recoverable No Discharge Since 2006 ❑MDL
0 ML
Copper,total recoverable No Discharge Since 2006 0 MDL
Lead,total recoverable No Discharge Since 2006 ❑ML
❑MDL
0 ML
Mercury,total recoverable No Discharge Since 2006 0 MDL
0 ML
Nickel,total recoverable No Discharge Since 2006 0 MDL
0 ML
Selenium,total recoverable No Discharge Since 2006 0 MDL
Silver,total recoverable No Discharge Since 2006 ❑ML
❑MDL
ID ML
Thallium,total recoverable No Discharge Since 2006 ❑MDL
0 ML
Zinc,total recoverable No Discharge Since 2006 0 MDL
0 ML
Cyanide No Discharge Since 2006 0 MDL
0 ML
Total phenolic compounds No Discharge Since 2006 0 MDL
Volatile Organic Compounds
❑ML
Acrolein No Discharge Since 2006 ❑MDL
❑ML
Acrylonitrile No Discharge Since 2006 0 MDL
0 ML
Benzene No Discharge Since 2006 0 MDL
0 ML
Bromoform No Discharge Since 2006 0 MDL
EPA Form 3510-2A(Revised 3-19) Page 13

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP 001 Modified March 2021 •
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant — Analytical ML or MDL
Number of
Value Units Value Units Methods (include units)
Samples
❑ML
Carbon tetrachloride No Discharge Since 2006 ❑MDL
❑ML
Chlorobenzene No Discharge Since 2006 ❑MDL
❑ML
Chlorodibromomethane No Discharge Since 2006 ❑MDL
❑ML
Chloroethane No Discharge Since 2006 0 MDL
❑ML
2-chloroethylvinyl ether No Discharge Since 2006 0 MDL
❑ML
Chloroform No Discharge Since 2006 0 MDL
❑ML
Dichlorobromomethane No Discharge Since 2006 0 MDL
❑ML
1,1-dichloroethane No Discharge Since 2006 ❑MDL
❑ML
1,2-dichloroethane No Discharge Since 2006 0 MDL
❑ML
trans-1,2-dichloroethylene No Discharge Since 2006 ❑MDL
❑ML
1,1-dichloroethylene No Discharge Since 2006 ❑MDL
❑ML
1,2-dichloropropane No Discharge Since 2006 0 MDL
❑ML
1,3-dichloropropylene No Discharge Since 2006 0 MDL
❑ML
Ethylbenzene No Discharge Since 2006 0 MDL
❑ML
Methyl bromide No Discharge Since 2006 0 MDL
❑ML
Methyl chloride No Discharge Since 2006 0 MDL
❑ML
Methylene chloride No Discharge Since 2006 0 MDL
❑ML
1,1,2,2-tetrachloroethane No Discharge Since 2006 0 MDL
❑ML
Tetrachloroethylene No Discharge Since 2006 ❑MDL
❑ML
Toluene No Discharge Since 2006 0 MDL
0 ML
1,1,1-trichloroethane No Discharge Since 2006 0 MDL
❑ML
1,1,2-trichloroethane No Discharge Since 2006 ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP 001 Modified March 2021
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Pollutant Analytical ML or MDL
Value Units Value Units Number of Methods (include units)
Samples
❑ML
Trichloroethylene No Discharge Since 2006 0 MDL
0 ML
Vinyl chloride No Discharge Since 2006 0 MDL
Acid-Extractable Compounds
p-chloro-m-cresol No Discharge Since 2006 ❑ML
❑MDL
2-chlorophenol No Discharge Since 2006 ❑ML
❑MDL
❑ML
2,4-dichlorophenol No Discharge Since 2006 ❑MDL
2,4-dimethylphenol No Discharge Since 2006 ❑ML
❑MDL
4,6-dinitro-o-cresol No Discharge Since 2006 ❑ML
❑MDL
❑ML
2,4-dinitrophenol No Discharge Since 2006 0 MDL
El ML
2-nitrophenol No Discharge Since 2006 0 MDL
4-nitrophenol No Discharge Since 2006 ❑ML
❑MDL
0 ML
Pentachlorophenol No Discharge Since 2006 ❑MDL
Phenol No Discharge Since 2006 ❑ML
❑MDL
0 ML
2,4,6-trichlorophenol No Discharge Since 2006 0 MDL
Base-Neutral Compounds
0 ML
Acenaphthene No Discharge Since 2006 ❑MDL
Acenaphthylene No Discharge Since 2006 ❑ML
❑MDL
0 ML
Anthracene No Discharge Since 2006 0 MDL
0 ML
Benzidine No Discharge Since 2006 0 MDL
0 ML
Benzo(a)anthracene No Discharge Since 2006 0 MDL
❑ML
Benzo(a)pyrene No Discharge Since 2006 ❑MDL
0 ML
3,4-benzofluoranthene No Discharge Since 2006 ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP 001 Modified March 2021
•
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method' (include units)
Value Units Value Units Samples
❑ML
Benzo(ghi)perylene Since 2006 ❑MDL
0 ML
Benzo(k)fluoranthene Since 2006 0 MDL
Bis(2-chloroethoxy)methane Since 2006 ❑ML
❑MDL
ID ML
Bis(2-chloroethyl)ether Since 2006 0 MDL
Bis(2-chloroisopropyl)ether Since 2006 ❑ML
❑MDL
El ML
Bis(2-ethylhexyl)phthalate Since 2006 0 MDL
4-bromophenyl phenyl ether Since 2006 ❑ML
❑MDL
0 ML
Butyl benzyl phthalate Since 2006 0 MDL
2-chloronaphthalene Since 2006 ❑ML
❑MDL
0 ML
4-chlorophenyl phenyl ether Since 2006 ❑MDL
0 ML
Chrysene Since 2006 0 MDL
0 ML
di-n-butyl phthalate Since 2006 ❑MDL
di-n-octyl phthalate Since 2006 ❑ML
❑MDL
0 ML
Dibenzo(a,h)anthracene Since 2006 0 MDL
1,2-dichlorobenzene Since 2006 El ML
❑MDL
1,3-dichlorobenzene Since 2006 ❑ML
❑MDL
1,4-dichlorobenzene Since 2006 El ML
❑MDL
3,3-dichlorobenzidine Since 2006 ❑ML
❑MDL
0 ML
Diethyl phthalate Since 2006 0 MDL
0 ML
Dimethyl phthalate Since 2006 ❑MDL
❑ML
2,4-dinitrotoluene Since 2006 ❑MDL
2,6-dinitrotoluene Since 2006 El ML
❑MDL
EPA Form 3510-2A(Revised 3-19) Page 16

•
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Rockford Church Rd WTP Modified March 2021 •
No Discharge Since 2006 NC0086918 001
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge _ Analytical ML or MDL
Pollutant Number of Method1 (include units)
Value Units Value Units Samples
❑ML
1,2-diphenylhydrazine No Discharge Since 2006 0 MDL
Fluoranthene No Discharge Since 2006 ❑ML
❑MDL
Fluorene No Discharge Since 2006 ❑ML
❑MDL
Hexachlorobenzene No Discharge Since 2006 ❑ML
❑MDL
0 ML
Hexachlorobutadiene No Discharge Since 2006 0 MDL
0 ML
Hexachlorocyclo-pentadiene No Discharge Since 2006 0 MDL
Hexachloroethane No Discharge Since 2006 ❑ML
❑MDL
0 ML
Indeno(1,2,3-cd)pyrene No Discharge Since 2006 0 MDL
0 ML
Isophorone No Discharge Since 2006 0 MDL
0 ML
Naphthalene No Discharge Since 2006 0 MDL
Nitrobenzene No Discharge Since 2006 ❑ML
❑MDL
0 ML
N-nitrosodi-n-propylamine No Discharge Since 2006 0 MDL
0 ML
N-nitrosodimethylamine No Discharge Since 2006 0 MDL
❑ML
N-nitrosodiphenylamine No Discharge Since 2006 0 MDL
Phenanthrene No Discharge Since 2006 ❑ML
❑MDL
0 ML
Pyrene No Discharge Since 2006 0 MDL
1,2,4-trichlorobenzene No Discharge Since 2006 ❑ML
❑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).
EPA Form 3510-2A(Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
No Discharge Since 2006 NC0086918 Rockford Church Rd WTP Modified March 2021
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Pollutant Maximum Daily Discharge Average Daily Dischar e Analytical ML or MDL
(list) Value Units Value Units Number of Method' (include units)
Samples
❑✓ No additional sampling is required by NPDES permitting authority.
❑ML
No Discharge Since 2006 ❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑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 18

Eastern Wayne Sanitary District WTP No. 3—301 Rockford Church Road
Sludge Management Plan
The WTP treats well water via aeriation and filtration,using three 10' diameter greensand filters. The
primary function of the aeriation is to oxidize the iron and manganese,which makes them easier to
remove from the water. The greensand filters remove the oxidized iron and manganese. These
components are backwashed from the filters,and directed to the waste holding tanks.
The waste holding tank is divided into two sides. Each side holds 47,695 gallons in a baffled tank. There
is an additional foot of freeboard above the normal high water level.
Backwash of one filter includes 10 minutes of backwash at 945 gpm,and 5 minutes of rinse at 250 gpm.
The total wash per filter is 9,575 gallons/cycle/filter or 28,725 gallons/cycle for three filters.Typically,
the design assumes backwashing each filter one time per day. Therefore,the discharge would be 28,725
gallons per day, say 30,000 gpd.
The backwash containing iron and manganese is allowed to settle in the backwash tanks. Typically,
decant from the waste tank is recycled,blended with raw well water, is treated again,and sent out into the
distribution system. The District must retain the NPDES Permit in case there becomes an issue regarding
recycling of the decanted backwash.
After decanting,the remaining iron and manganese settle in the tank. These residuals are hauled away,
and land applied by Granville Farms, Inc. every other year. Granville Farms has amended their permit to
accommodate sludge from Eastern Wayne Water District's Water Treatment Plant No. 3.
144;)
Larry Bridges
District Manage
December 8,2022
W:\DIOXX_GEN\DIOOX_MSW�D1005_CORRES_MSW\CGM\2022\EASTERN WAYNE SANITARY DISTRICT\SLUDGE
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Rockford Church Road WTP NPDES Permit No. NC0086918
Eastern Wayne Sanitary District
Latitude: 35° 14' 03"N State Grid/Quad: G 27 NE/Seven Springs
Longitude: 77°49' 43"W Permitted Flow: Not Limited
Receiving Stream: UT of Neuse River Drainage Basin: Neuse River
W:\DI0XX GEN\DI00X MSW\D1005 CORRES MSW\CGM\2022\EASTERN WAYNE SANITARY DISTRICT\NPDES MAP.DOCX

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