NC0089478_Permit Issuance_20171001

ROY COOPER
Go eroor
..; MICHAEL S. REGAN
Seere[my
S. JAY ZIMMERMAN
Water Resources Director
ENVIRONMENTAL QUALITY
October 1, 2017
Paul P. Vest, President
YMCA of Western Carolina
53 Asheland Avenue, Suite 105
Asheville, North Carolina 28801
Subject: Issuance of NPDES Permit NC0089478
Camp Watia WWTP/Class II
Swain County
Dear Mr. Vest:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued
pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of
Agreement between North Carolina and the U.S. Environmental.Protection Agency dated October 15,
2007 (or as subsequently amended).
The final permit includes the following significant changes from the existing permit:
➢ Section A. (2.) has been updated to reflect current language regarding electronic submission of
effluent data. Federal regulations require electronic submittal of all discharge monitoring
reports (DMRs).
➢ Regulatory citations have been added to the permit.
➢ An updated outfall map has been included.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless
such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division
may require modification or revocation and reissuance of the permit. This permit does not affect the
legal requirements to obtain any other Federal, State, or Local governmental permit that may be
required. If you have any questions concerning this permit, please contact Anjali B. Orlando at
telephone number [phone] or an'ali.orlando ncdenr ov.
Sin rely,
S. Jay Zimmerman, P
Director, Division of Water Resources
cc: Central Files
Asheville Regional Office
NPDES Unit
State of North Carolina Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.ne.gov/about/divisions/water-resources/water-resources-pemvts/wastewater-bmch/npdes-wastewater-permits

NPDES Permit NCO089478
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATIOX SYSTEM
(NPDES
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Wafter Pollution Control Act, as amended,
YMCA of Western North Carolina
is hereby authorized to discharge wastewater from a facility located at
Camp Watia
5030 Watia Road, Bryson City
Swain County
to receiving waters designated as Townhouse Branch (Stream Segment 2-58) in the Little
Tennessee River Basin in accordance with effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III, and IV hereof.
The permit shall become effective November 1, 2017.
This permit and the authorization to discharge.shall expire at midnight on October 31, 2022.
Signed this day October 1, 2017.
S immerman, P.G.
ector, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6
f

NPDES Permit NCO089478
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are
hereby revoked. As of this permit issuance, any previously issued permit bearing this
number is no longer effective. Therefore, the exclusive authority to operate and discharge
from this facility arises under the permit conditions, requirements, terms, and provisions
included herein.
YMCA of Western North Carolina is hereby authorized to:
1. begin operating a 0.012 MGD, 100%-domestic wastewater treatment facility utilizing
• Central sewage pumping station with duplex grinder pumps
• Flow equalization tank
• Activated sludge aeration tank (12,000 gallons)
• Positive displacement blowers
• Clarifier with return activated sludge
• Tablet chlorination
• Tablet de-chlorination
• Chart recording flow meter
• Automatic electrical backup
located at YMCA Camp Watia, 5030 Wati.a Road, Bryson City, 28713, and
2. discharge from said treatment works via Outfall 001, as located on the attached map, into
Townhouse Branch [Stream Segment 2-581, a waterbody currently classified C waters
within subbasin 04-04-02 [HUC 0601020203061 of the Little Tennessee River Basin.
Page 2 of 6
I

NPDES Permit NCO089478
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15 NCAC 02B .0400 et seq., 02B .0500 et seq.] .
Beginning on the effective date of this permit and lasting until permit expiration, the Permittee is
authorized to discharge from Outfall 001. Such discharges shall be limited, monitored, and reported 1
by the Permittee as specified below:
- LIMI?S tIONJT'ORfIVG RE �UEME .T>S�j
EFFLUENT CHARACTERISTICS
`y`[Parameter Code] Mor�thl . Daily Itieasuenent y`.` Sample Sampler
�Avera "e,.,_ Maximum:'_ �: �Fr_e uenc" _ T e ,__ ,LoCato'n:x
_
Flow 50050 0.012 MGD WeeklV Instantaneous I or E
Total Residual Chlorine 3 50060 28 Ng/L 2/Weekly Grab E
Dissolved Oxygen 00300 Weekly Grab E
pH 00400 Not<6.0 nor>9.0 Weekly Grab E
standard units
Temperature(°C) 00010 Weekly Grab E
Fecal Coliform(geometric 31616 200/100 ml 400/100 ml 2/Monthly Grab E
mean)
BOD,5-day(20°C) C0310 30.0 mg/L 45.0 mg/L 2/Monthly Grab E
Total Suspended Solids C0530 30.0 mg/L 45.0 mg/L 2/Monthly Grab E
Ammonia[NH3 as N] C0610 j 13 mg/L j 35 mg/L j 2/Monthly j Grab E
Footnotes:
1. eDMR-The Permittee shall report electronically all discharge monitoring data using
NCDWR's Electronic Discharge Monitoring Report (eDMR) internet application (see
Section A. (2.)).
2- Sampling: E= Effluent; I=Influent. A given effluent sample shall accurately represent
the chemical and physical character of its discharge event.
3. Total Residual Chlorine (TRC)—The Permittee shall monitor and report Total Residual
Chlorine only if chlorine is used to disinfect. TRC effluent concentrations reported below
50µg/L shall be deemed compliant with this permit, however the Permittee shall submit
all levels reported by NC-certified test methods (including field certified), even if these
levels are below 50µg/L. '
Conditions:
• All samples must be taken from a typical discharge event.
• The Permittee shall discharge no floating solids or foam
Page 3 of 6

NPDES Permit NCO089478
A. (2). ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program reports. The final NPDES Electronic Reporting Rule was adopted and became
effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II
of this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.1 (a11
The permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each
month and submitted electronically using eDMR. The eDMR system allows permitted
facilities to enter monitoring data and submit DMRs electronically using the internet.,
Until such time that the state's eDMR application is compliant with EPA's Cross-Media
Electronic Reporting Regulation (CROMERR), permittees will be required to submit all
discharge monitoring data to the state electronically using eDMR and will be required to
complete the eDMR submission by printing, signing, and submitting one signed original
and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due
to the facility being physically located in an area where less than 10 percent of the
households have broadband access, then a temporary waiver from the NPDES electronic
reporting requirements may be granted and discharge monitoring data may be submitted
on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the mailing address above. See "How to
Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the
month following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
Page 4 of 6

NPDES Permit NC0089478
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41 a)(9), the permittee must identify the initial recipient at
the time of each electronic submission. The permittee should use the EPA's website
resources to identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means
the entity (EPA or the state authorized by EPA to implement the NPDES program) that is
the designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting
tool for each type of electronic submission and for each state. Instructions on how to
access and use the appropriate electronic reporting tool will be available as well.
Information on EPA's NPDES Electronic Reporting Rule is found at:
http•//www2 eya Gov/compliance/final-national-pollutant-discharge-elimination-system-
npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. How to Request a Waiver from-Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers must be submitted in writing to the Division for written approval at least sixty
(60) days prior to the date the facility would be required under this permit to begin
submitting monitoring data and reports. The duration of a temporary waiver shall not
exceed 5 years and shall thereupon expire. At such time, monitoring data and reports
shall be submitted electronically to the Division unless the permittee re-applies for and is
granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting
waiver request may submit monitoring data and reports on paper to the Division for the
period that the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http•//deg nc gov/about/divisions/water-resources/edmr
i
Page 5 of 6

NPDES Permit NC0089478
4. SjMtory Requirements (Supplements Section B. 111.1 (b) and Supersedes
Section B. (11.)10
All eDMRs submitted to the permit issuing authority shall be signed by a person
described in Part II, Section B. (11.)(a) or by a duly authorized representative of that
person as described in Part 11, Section B. (11.)(b). A person, and not a position, must be
delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an
eDMR user account and login credentials to access the eDMR system. For more
information on North Carolina's eDMR system, registering for eDMR and obtaining an
eDMR user account, please visit the following web page:
http://deg.nc.gov/­­aboulLdivisions/water-resources/­edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system
shall make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"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
quaffed 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 fines and
imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.)l
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years
from the date of the report. This period may be extended by request of the Director at any
time [40 CFR 122.411.
Page 6 of 6

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Invoice / Affidavit
Smoky Mountain Times
Post Office Box 730
Bryson City, NC 28713
STATE OF NORTH CAROLINA
COUNTY OF SWAIN
AFFIDAVIT OF PUBLICATION
Personally appeared before the undersigned, Rachel Hoskins, who having been
duly sworn on oath that she is the Regional Publisher of the Smoky Mountain
Times, and the following legal advertisement was published in the Smoky Public Notice
Mountain Times newspaper, and entered as second class mail in the Town of North Carolina Environmental
Management
Bryson City in said county and state; and that she is authorized to make this Ciommisslon/NPDES Unit
affidavit and sworn statement; that the notice or other legal advertisement, a 1617 Mail Service Center
Raleigh,NC 27699-1617
true copy of which is attached hereto, was published in the Smoky Mountain Notice of Intent to Issue a
Times newspaper on the following dates: NPDES Wastewater PermitThe North - Carolina
Environmental Management
Commission proposes to issue a
PUBLIC NOTICE WASTEWATER NPDES wastewater discharge
PUBLIC NOTICE NORTH CAROL penult to the person(s) listed
below. Written comments
08/17/2017 regarding the proposed permit
will be accepted until 30 days
And that the said newspaper in which such notice, paper, document or legal after the publish date of this
P P g notice. The Director of the NC
advertisement was published, was at the time of each and every such Division of Water Resources
publication, a newspaper meetin all the requirements and qualifications of (DWR)may hold a public headng
Pg �� � shouldd there be a significant
Section I-597 of the General Statues of North Carolina and was a qualified degree of public interest. Please
mad comments and/or
newspaper within the meaning of the Section I-597 of the General Statues of information requests to DWR at
North Carolina. the above- address. Interested
parsons may visit the DWR at
512 N. Salisbury Street, Raleigh,
NC to review information onE
Additional Information on NPIDPDES
Permits and this notice may be
Signet re of person making found on our website:fidavit http•J/deq.nc.gov/about/divisional
water-resou rces/water-resou rces-
permits/wastewater-
ranch/npdes-wastewater/public-
notices,or by calling (919) 807-
Sworn to and subscribed before me this 18th day of August, 2017. (Ash YMCA a Western Carolina
(Asheville) requested NPDES
Permit NCO089478 for Camp
Wells. Bryson City, Swain
County to discharge treated
100%-domestic wastewater to
Townhouse Branch, Little
' Tennessee.RiverHasin. TWASA
l� f Judy Ann White requested renewal of permit
NC0087602/Whihier
otary Public TcOy n LJIr�'fc, WWTP/Jackson County. Facility
My Commision Expires: -,rv_ o?O/ 9 NOTARY PUBLIC discharges
ive argge t Tennessee Tueeaseeepee
Macon County, North Carolina Basin. Currently,fecal ooliform is
My Commission Expires September 5,2019 water quality-limited.
NCDENR-Div.Water Resources
1617 Mail Service Center
Raleigh,NC 27699
Total Cost of Advertisement: $56.95 09/17364368 _
Filed With: NCDENR-DIV WATER RESOURCES
Address: 1617 MAIL SERVICE CENTER RALEIGH NC 27699-1617

Orlando, Anjali
From: Heim,Tim
Sent: Wednesday,July 12, 2017 2.40 PM
To: Orlando,Anjali
Cc: Price,Zan (George); Davidson, Landon
Subject: RE:89478 Draft 2017
The fact sheet lists Class I, but this is a Class II facility.
Everything else looks accurate. I plan on making a trip out there as soon as they complete construction.
-Tim
From: Davidson, Landon
Sent:Wednesday,July 12, 2017 2:12 PM
To: Heim,Tim<Tim.Heim @ncdenr.gov>
Cc: Price,Zan (George)<Zan.Price @ncdenr.gov>
Subject: FW: 89478 Draft 2017
For review/processing.
G. Landon Davidson, P.G.
Regional Supervisor—Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ—Division of Water Resources
828 296 4680 office
828 230 4057 mobile
Landon.Davidson(a)ncdenr.gov
2090 U.S. Hwy. 70
Swannanoa, N.C. 28711
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From:Orlando,Anjali
Sent:Wednesday,July 12,2017 2:11 PM
To: Davidson, Landon<[e-mail]>; Price,Zan (George)<[e-mail]>
Subject:89478 Draft 2017
Good Afternoon,
Please see the attached draft of Camp Watia—YMCA of Western North Carolina
N00089478 for regional review.
Comments are requested by 8/25/2017.
Thanks,
Anjali
Anjali Orlando
1

DEQ/DWR/NPDES
FACT SHEET
NPDES Permit NCO089478
Anjali Orlando,JD,NPDES Unit/919-807-6388 July 7,2017
Facility Information
Facility Name Camp Watia WWTP
Applicant YMCA of Western Carolina
Contacts Engineer:William G.Lapsley,P.E. [wgla.com]; 828-687-7177
Permittee: Paul P. Vest,Pres./CEO [[e-mail]]; 828-251-59
Applicant Address 53 Asheland Avenue, Suite 105,Asheville 28801
Facility Address 5030 Watia Creek Road,Bryson City 28713
Permitted Flow 0.012 MGD
(MGD)
Type of Waste Summer Camp,seasonal residents/commercial kitchen(s)and
dining halls .Episodic discharge June throw h October only).
Facility Class Class 1 [100%domestic] County Swain
Facility Status NEW Regional Office ARO
Stream Characteristics
Receiving Stream Townhouse Branch Stream C
Classification
Stream Segment 2-58 Drainage basin Little Tennessee
Summer 7Q10(cfs) 0.29 Subbasin 04-04-02
Winter 7Q 10(cfs) 0.33 Use Support Yes
30Q2(crs) 0.5 303(d)Listed No
Average Flow(cfs) 1.9 State Grid ME
IWC(%) 6% USGS Topo Quad Wesser,NC
➢ Section A.(2.)has been added to require electronic submission of effluent data. Federal
regulations require electronic submittal of all discharge monitoring reports(DMRs).
➢ Regulatory citations have been added to the permit.
➢ Updated outfall map included

y ..
NPDE8 APPLICATION-FORM D
For privately-owned treatment systems treating 100%domestic wastewaters<1.0 MGD
Mail the complete application to:
N.C.DENR/Division of Water Resources/NPDES Unit
1617 Mail Service Center,Raleigh,NC 27699-1617
NPDES Permit NCODS9478
If you are completing this form in computer use the TAB key or the up—down arrows to move from one
field to the next.To check the boxes,click your mouse on top of the box.Oth,erwcse,please print or type.
1. Contact Information:
Owner Name YMCA of Western North Carolina
Q�cENE�
Facility Name YMCA Camp Watia t Q 1017
Mailing Address 5030 Watia Road
City Bryson City pertnitttn8
State/Zip Code NC/28713
Telephone Number 828-209-9600
Fax Number (828)-251-2437
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above❑
Street Address or State Road 5030 Watia Road
City Bryson City
State/Zip Code NC/28713
County Swain
S. Operator Information:
Name of the firm, public organwz twn or other entity that operates the facility. (Note that this is not
referring to the Operator to Responsible Charge or ORC)
Name YMCA of Western North Carolina- Camp Watia
Mailing Address 53 Asheland Ave Ste 105
City Asheville
State/Zip Code NC 28801
Telephone Number 828-209-9600
Fax Number 828-251-2437
e-mail Address [e-mail]
1 of 4 Form-D 11/12

r ROY COOPER
G..m.
MICHAELS REGAN
N C- Saomml
WaterResoum S JAY 2IMMER MAN
u.
ENWROMIENTALOVALITT
May 11,2017
Paul P.Vest,President
YMCA of Western North Carolina
53 Asheland Ave Ste 105
Asheville,NC 28801
Subject:Renewal Application
Application No.NCO089478
Camp Watia WWTP
Swain County
Dear Mr.Vest:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 10, 2017. The primary reviewer for this renewal
application is Anjah Orlando.
The primary reviewer will review your application, and she will contact you if additional
information is required to complete your permit renewal. 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.
Please respond in a timely manner to requests for additional information necessary to
complete the permit application. If you have any additional questions concerning renewal of the
subject permit,please contact Anjali at 919-807-6388 or [e-mail].
Sincerely,
26t" 7&# 7
Wren Thedford
Wastewater Branch
ce: Central Files
NPDES
Asheville Regional Office
SNroofNm Camlw Fuvwnmeoul @�llylwLkr Ruoumes
1617 Mad Svvma C ftr I Rek1 k XO OmlmL 2709 1617
919 9074300

NPDES APPLICATION- FORM D
For privately-owned treatment systems treating 100%domestic wastewaters<1.0 MGD
4. Description of wastewater:
FaciRty Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
School ❑ Number of Students/Staff
Other ® Explain: �a s"�'sl0�
Describe the source(s)of wastewater(example:subdivision,mobile home park,shopping centers,
restaurants,etc.):
10 seasonal cabins,dining hall,two shower houses,boathouse,welcome depot,house
Number of persons served: 150
S. Type of collection system
® Separate(sanitary sewer only) ❑Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification numbers) 001
Is the outfall equipped with a diffuser? ❑ Yes ®No
7. Name of receiving stream(s) LJMW au-nlicants:Provide a map shounng the exact location of each
outfallk
Townhouse Branch
S. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: 7 days Duration: 2 hours
9. Describe the treatment system
Last all installed components,iniciuding capacities,provide descgn removal for BOD, TSS,nitrogen and
phosphorus. If the space provided is not suffwtent,attach the description of the treatment system in a
separate sheet of paper.
1. Central sewage pumping station with duplex grinder pumps
2. Flow equalization tank(SIZE?)
3. Activated sludge aeration tank(12,000 gallons)
4. Positive displacement blowers
S. Clarifier with return activated sludge
6. Tablet chlorination
7. Tablet de-chlorination
8. Chart recording flow meter
9. Automatic electrical backup
2 of a Fonn-D 11/12

• NPDES APPLICATION- FORM D
• For privately-owned treatment systems treating 1009A domestic Wastewaters<1.0 XGD
10: Flow Information:
Treatment Plant Design flow.012 MGD
Annual Average daily flow.00039 MGD (for the previous 3 years)
Maximum daily flow 001 MGD(for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLiCANT6:Provide data for the parameters listed Fecal Cohform,Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used If more than one analysts is reported,
report daily maximum and monthly average.Ifonly one analysts is reported,report as daily maximum
RRREWAL APPZJCAA76. Provide the highest single reading(Daily Maaamum)and Monthly Average over
thepast 36 months for parameters currentl in your rmutt. Mark other parameters'NIA".
Parameter Daily Monthly Units of
ffiaximum Average Measurement
Biochemical Oxygen Demand(BODs) 37.4 247 mg/L
Fecal Conform 20 11.4 #/100m1
Total Suspended Solids <25 20.1 mg/L
Temperature(Summer) 259 24.7 degrees Celsius
Temperature(Winter) N/A N/A N/A
pH 18.3 N/A N/A
13. List all permits,construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous waste(RCRA) NESHAPS(CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES NCO089478 Dredge or fill(Section 404 or CWA)
PSD(CAA) Other
Non-attainment program(CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
be of my knowledge and belief such information is true,complete,and accurate.
4- Args t 4—
a of Person Signing Title 7d6—q/�
Signature of Applicant 11 Da
North Carolina General Statute 143-215 6(b)(2)states Any person who knowingly makes any false statement representation,or certification in any
application,record,report,plan,or other document files or required to be maintained under Amide 21 or regulations of the Environmental Management
Commission implementing that Afte,or who falsifies,tampers with,or knowingly renders inaccurate any recording or monrtonng device or method
required to be operated or mamtaured under Article 21 or regulations of the Environmental Management Commission fmplemantmg that Article,shag be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by cmpnsommerd not to exceed sic months,or by both (18 U S C Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense)
4 of 4 Fong-011/12