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HomeMy WebLinkAboutNC0062481_Permit Issuance_20100224'gja NCDENR North Carolina Department of Environment and Natural Resources Beverly Eaves Perdue Governor Mr. Michael A. Melton Aqua North Carolina, Inc. 4163 Sinclair Street Denver, NC 28037 Division of Water Quality Coleen H. Sullins Director February 24, 2010 Subject: Issuance of NPDES Permit NCO062481 Aqua North Carolina, Inc. — Mallard Head WWTP Iredell County Dear Mr. Melton: Dee Freeman Secretary 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). This final permit was changed from the draft permit sent to you on January 6, 2010 (misdated as January 6, 2009) to include a standby power generator in the facility description. 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 other permits which may be required by the Division of Water Quality or permits required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be required. If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919) 807- 6398. Sincerely, �an Coleen H. Sullins cc: Central Files Mooresville Regional Office/Surface Water Protection Section NPDES Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One Location: 512 N. Salisbury St. Raleigh, North Carolina 27604' Phone: 919-807-6300 \ FAX: 919-807-6492 \ Customer Service: 1-877-623.6748 NorthCdrolina Internet: www.ncwaterquality.org Naturally An Equal Opportunity \ Affirmative Action Employer 1. Permit NCO062481 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM 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 Water Pollution Control Act, as amended, Aqua North Carolina, Inc. is hereby authorized to discharge wastewater from a facility located at Mallard Head Condominiums 1112 Mallard Head Lane (NCSR 1112) Near Mooresville Iredell County to receiving waters designated as an unnamed tributary to Reeds Creek in the Catawba River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become effective April 1, 2010. This permit and authorization to discharge shall expire at midnight on March 31, 2015. Signed this day February 24, 2010. 04- Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission Permit NC0062481 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. Aqua North Carolina, Inc. is hereby authorized to: 1. Continue to operate an existing 0.01 MGD wastewater treatment system which includes the following components: ➢ Bar Screen ➢ Aeration basin ➢ Clarifier ➢ Chlorine contact chamber with tablet chlorination ➢ Dechlorination facilities ➢ Digester ➢ Cascade Post Aeration ➢ Standby Power Generator This wastewater treatment system is located at the Mallard Head Condominiums at 1112 Mallard Head Lane (NCSR 1112) near Mooresville in Iredell County. 2. After receiving an Authorization to Construct from the Division of Water Quality, construct the necessary components to upgrade the wastewater treatment system to 0.02 MGD. 3. Discharge from said treatment works at the location specified on the attached map into an unnamed tributary to Reeds Creek, classified WS-IV & B CA waters in the Catawba River Basin. 11 Permit NCO062481 tom, "s L r' 3t }. � ✓ Fy t�/J r/ 6171 .lVg•, to. �%iCi �4 �. 1Yf f t1✓ ��jj � ,fit �., 4 1� N N '(}�}�' g,. s µ � �..^ �� M1 \ � j t 4 \ t � � '1y. ��` \ i d +•7 �v `V � (/ayj➢ ` a$. � P li,1 ti 4 \ y li � � t � l.t i 4 SY Y l.,[ 1 j' ` \t'�9t�" vU' Y •f < vy`\J ,�i\ Ki d�`t'�cty.c ry VI i`Jl `340 �W[` �Si` �t :. d��qy' � Z•�Ny{�i't��Kt1��t \,�� '±a,�f�V'. 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Subbasin:30832 North SCALE 1 :24000 Mallard Head Permit NCO062481 A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL During the period beginning on the effective date of the permit and lasting until expansion above 0.01 MGD, the Permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: Characteristics Limits ' Monitoring Requirements 4 Monthly Daily Measurement y Sample Type Sample Average:`. Maximum Frequency Lo0ation1 Flow 0.01 MGD Weekly Instantaneous I or E BOD, 5-day, 20°C 18.0 mg/L 27.0 mg/L Weekly Grab E Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Grab E NH3-N (summer2) 2.0 mg/L 10.0 mg/L Weekly Grab E NH3-N (winter2) 4.0 mg/L 20.0 mg/L Weekly Grab E Dissolved Oxygen3 Weekly Grab E Fecal Coliform (geometric mean) 200/ 100ml 400/ 100ml Weekly Grab E Total Residual Chlorine4 17 µg/L Meek Grab E Temperature Daily _ Grab . E Temperature Weekly Grab U, D pH5 Weekly Grab E Footnotes: 1. Sample Location: I- Influent, E — Effluent, U- Upstream at least 100 feet upstream from the outfall, D- Downstream at NCSR 1114. 2. - Summer is defined as the period from April 1 through October 31, while winter is defined as November 1 through March 31. ' 3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L. 4. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µg/L. 5. The pH of the effluent shall not be less than 6.0 nor greater than 9.0 (on the standard units scale). There shall be no discharge of floating solids or visible foam in other than trace amounts. Permit NC0062481 ` A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL During the period beginning after expansion above 0.01 MGD and lasting until expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: a b Effluent Llrnits MoriltoringReglairements ChaT bterl st1, Y Monthly Daily - Measurement Sample Type Sample ' +f 5- , rh .1A� , .v ra Average: Maximum „Frequency ::. , _ ... - Location, Flow 0.02 MGD Continuous Recorder I or E BOD, 5-day, 20°C 5.0 mg/L 7.5 mg/L Weekly Grab E BOD, 5-day, 20°C 10.0 mg/L 15.0 mg/L Weekly Grab E Total Suspended Residue 30.0 mg/L 45..0 mg/L Weekly Grab E NHA (summer2) 2.0 mg/L 10.0 mg/L Weekly , . Grab E NH3-N (winter2) 4.0 mg/L 20.0 mg/L Weekly Grab E Dissolved Oxygen3 Weekly Grab E Fecal irm 200/ 100ml 400/ 100ml Weekly Grab E c mean (geometric Total Residual Chlorine4 17 µg/L 2/Week Grab E Temperature Daily Grab E Temperature Weekly Grab U, D pH5 Weekly Grab I E Footnotes: 1. Sample Location: I- Influent, E — Effluent, U- Upstream at least 100 feet upstream from the outfall, D- Downstream at NCSR 1114. 2. Summer is defined as the period from April 1 through October 31. Winter is defined as November 1 through March 31. 3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L. 4. The pH of the effluent shall not be less than 6.0 nor greater than 9.0 (on the standard units scale). There shall be no discharge of floating solids or visible foam in other than trace amounts. Permit NCO062481 A. (3.) SPECIAL CONDITION — Operations Pursuant to the terms of the Settlement Agreement established between Heater Utilities, Inc. and the Division of Water Quality, signed on June 26, 2006, Aqua North Carolina, Inc. shall: (d), Continue to operate a turbidimeter at the plant to mdasure turbidity in the plant effluent, and set the turbidimeter to notify the plant operator automatically in the event that the turbidimeter records a reading of 10 nephelometric turbidity units or greater; (b) Inspect the performance of the plant's disinfection system every weekday and maintain a log of such inspections; and (c) Operate a Supervisory Control and Data Acquisition (SCADA) system at the plant. A. (4.) SPECIAL CONDITION — Spill Notification (a) Contacting Public Health Directors The facility must notify the Iredell, Lincoln, Catawba, and Mecklenburg County Public Health Directors within 12 hours of first knowledge by the owner/operator of any discharge of untreated wastewater to waters of the State or a discharge from the wastewater treatment plant that has not received adequate disinfection due to a malfunctioning treatment unit. The County Public Health Directors can be contacted using the following information: Catawba County Health Director 3070 111h Ave. Dr. S.E. Hickory, NC 28602 828-695-5800 Lincoln County Health Director 151 Sigmon Rd. Lincolnton, NC 28092-8643 704-736-8634 (b) Public Notification Iredell County Health Director 318 Turnersburg Highway Statesville, NC 28625 704-878-5302 Mecklenburg County Health Director 249 Billingsley Rd. Charlotte, NC 28211 704-336-4700 The facility must notify the public of untreated wastewater spills. Wastewater facility owners or operators must issue a press release after a discharge to surface waters of 1,000 gallons within 48 hours of first knowledge of the spill by the owner/operator. The press release must be issued to "all electronic and print news media outlets that provide general coverage in the county where the discharge occurred." A copy of the press release must be maintained for one year by the owner/operator. This press release is required in addition to the permit requirement of contacting the North Carolina Division of Water Quality (DWQ). Permit NC0062481 A. (4.) SPECIAL CONDITION — Spill Notification, continued If a discharge of 15,000 gallons or more reaches surface water, a public notice is required in addition to the press release. The public notice must be placed in a newspaper having general circulation in tKe County in which the discharge occurred and the county immediately downstream. At a minimum the notice should be published in a newspaper of general circulation in Iredell, Lincoln, Catawba, and Mecklenburg Counties. If a discharge of 1,000,000 gallons of wastewater or more reaches surface waters, the DWQ regional office must be contacted to determine in what additional counties, if any, a public notice must be published. A copy of these public notices and proof of publication must be sent to the DWQ within 30 days of publication. The copy should be sent to the following address: PERCS Unit Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699 The minimum content of the notice is the location of the discharge, estimated volume, water body affected and steps taken to prevent future discharges. Sledge, Bob From: Bou-ghazale, Samar Sent: Monday, January 11, 2010 1:28 PM To: Sledge, Bob Subject: RE: Draft NPDES Permits Bob, It will be a good idea. I was thinking to do the same. Also, I looked at the DMR to see the maximum discharge from the facility and found out that the maximum discharge for the past two years was at half the permitted discharge. However, in order to play it right we need to go exactly by your suggestion. "Great mind think alike". Thanks Samar From: Sledge, Bob Sent: Monday, January 11, 2010 1:06 PM To: Bou-ghazale, Samar Subject: RE: Draft NPDES Permits Hi Samar, I'll make the fixes to the permits as you have directed. I'm sorry I missed them the first time around. Regarding Diamond Head, since the smaller of the two treatment systems is not in use (and it appears its been out of service for a while), should they be given some form of tiered limits that allows flow only to the capacity of the working system until they bring the other one on-line? Just a thought ... From: Bou-ghazale, Samar Sent: Monday, January 11, 2010 11:29 AM To: Sledge, Bob Subject: RE: Draft NPDES Permits Hi Bob, Happy New year. How R U? 1 hope everything is well with you. Please note that the description of the existing facility for permit NCO074772 (Diamond Head) needs to be revised to reflect the changes mentioned in the Staff Report. There are major changes that needs to be noted. Also, in permit NCO062481 Mallard Head Condominiums you may need to add in the description of the existing facility a power generator (if it is not too much trouble)?. Please call me to discuss the above changes at your convenience. Have a great day! Samar From: Sledge, Bob Sent: Wednesday, January 06, 2010 2:43 PM To: Bou-ghazale, Samar Subject: Draft NPDES Permits Hi Samar, 1 The Charlotte Observer Publishing Co. Charlotte, NC North Carolina } ss Affidavit of Publication Mecklenburg County} THE CHARLOTTE OBSERVER DINA SPRINKLE NCDENR/DWQ/POINT SOURCE BRANCH 1617 MAIL SERVICE CENTER RALEIGH NC 27699 REFERENCE: 30063432 6426206 aqua, nc, inc Before the undersigned, a Notary Public of said County and State, duly authorized to administer oaths affirmations, etc., personally appeared, being duly sworn or affirmed according to Law, doth depose and say that he/she is a representative of The Charlotte Observer Publishing Company, a corporation organized and doing business under the Laws of the State of Delaware, and publishing a newspaper known as The Charlotte Observer in the city of Charlotte, County of Mecklenburg, and State of North Carolina) and that as such he/she is familiar with the books, records, files, and business of said Corporation and by reference to the files of said publication, the attached advertisement was inserted. The foLLowing is correctly copied from the books and files of the aforesaid Corporation and Publication. PUBLISHED ON: 01/10 AD SPACE: 100 LINE FILED ON: _01/15/10 Public Notice North Carolina Environmental Management Commission/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Notice of intent to Issue a NPDES Wastewater Permit the North Carolina Environmental Management Commission Droposes to issue aNPDES wastewater discharge permit to the Derson(s) listed below. Written comments regarding the proposed permit will be accepted until 30 days after the publish date of this notice. The Director of the NC Division of Water Quality (DWQ) may hold a public hearing should there be a significant degree of public interest. Please mail .comments and/or information requests to DWQ ai the above address. Interested persons may visit the DWO at 512 N. Salisbury Street, Raie- In NC to review information on file. Additional information on NPDES permits and this notice may be found on our website: ..ncwaterquality.org, or by calling (919) 807-6304: Aqua North Carolina, Inc. requested renewal of permit NCO080691 for the Windemere Subdivision WWTP in Iredell County; this discharge is treated wastewater to the Catawba River in the Catawba River Basin. Aqua North fortheAlexander Islanarbine. Inc requested WTP in Iredell Count Nthis discharge is treated wastewater to the Catawba River (Lake Norman) in the Catawba River Basin. rmit NQC0074772 forNorth theDiamond Head requested in Iredell County; his discharge is treated wastewater to Lake Norman (Reeds Creek Arm) inthe Catawba River Basin. , A North Carolina, Inc. requested renewal of permit NC0062461 for the Mallard Head Condominiums WWTP in Iredell County; this discharge is treated wastewater to an unnamed trib- utary to Reeds Creek in the Catawba River Basin. Aqua .North Carolina, Inc. requested renewal of permit NCOD56154 for the Bridgeport WWTP in Iredell County; this dis- charge is treated wastewater to the Catawba River (Lake Norman) in the Catawba River Basin. - Aqua North Carolina, Inc. requested renewal of permit NC0063355 for the Killian Crossroads W WTP in Catawba County; this permitteddischargeis treated wastewater to Lake Norman (Reed Creek) in the Catawba River Basin. 1P6426206 - NAME: o!!g2I rrLCFV TITLE: DATE: In Testimony Whereof I have hereunto set my hand and affixed my seal, the day and ear aforesaid. r Not `t Commission Expires: ,.e f t My ommission Expires May 27, 2011 Sledge, Bob From: Setzer, Britt Sent: Friday, January 08, 2010 11:12 AM To: Sledge, Bob Cc: James McRight Subject: RE: Draft NPDES Permits :.• I only found 5 NPDES permits attached, and there were no forms attached for my signature. I will try and handle these with an e-mail so you don't have to send the forms to me. The system I reviewed are listed below. Castaways Shores/Bridgeport WWTP - NCO056154 Mallard Head Condominiums WWTP - NCO062481 Killians Crossroads WWTP - NCO063355 Diamond Head WWTP - NCO074772 Alexander Island WWTP - NCO075205 We concur with the issuance of these permits provided the facilities are operated and maintained properly, the stated effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality standards. Jim - Please add these to your tracking data base - Thanks From: Sledge, Bob Sent: Wednesday, January 06, 2010 2:22 PM To: Setzer, Britt Subject: Draft NPDES Permits Hi Mr. Setzer, Here are copies of 6 draft NPDES permits for facilities discharging in the Lake Norman area, along with associated cover letters and the certifications for your review and signature. I apologize for the large number of files I've attached. We had some problems with a server here in the Archdale building and I wasn't able to use a scanning function that would allow me to consolidate some of the documents. Please call or reply if you have any questions. Bob Sledge Environmental Specialist NPDES Western Unit NC Division of Water Quality Bob. Sled Ee @ i1cdenr. eov (919)807-6398 i SOC PRIORITY PROJECT: No To: Western NPDES Program Unit Water Quality Section Attention: Dina Sprinkle Date: October 28, 2009 NPDES STAFF REPORT AND RECOMMENDATIONS County: Iredell NPDES Permit No.: NCO062481 PART I - GENERAL INFORMATION Facility and Address: Mallard Head Condominiums WWTP Aqua North Carolina, Inc. 4163 Sinclair Street Denver, North Carolina 28037 2. Date of Investigation: October 22, 2009 3. Report Prepared by: Samar Bou-Ghazale, Env. Engineer II 4. Persons Contacted and Telephone Number: Dana Bixby, ORC (704) 489-9401. 5. Directions to Site: From the intersection of SR 1100 (Brawley School Road) and SR 1112 (Stuffs Road), travel south on SR 1112 approximately 0.4 miles. The entrance to the condominiums is located on the right side of SR 1112. The WWTP is located at the end of a dirt drive behind the condominiums. 6. Discharge Point(s), List for all discharge points: Latitude: 350 33' 45" Longitude: 800 54' 22" Attach a USGS map extract and indicate treatment facility site and discharge point on map. U.S.G.S. Quad No.: E15SW U.S.G.S. Quad Name: Lake Norman North, NC 7. Site size and expansion area consistent with application? Yes. 8. Topography (relationship to flood plain included): Moderate sloping; the WWTP is not located within the 100 year flood plain. 9. Location of nearest dwelling: The nearest condo unit is approximately 200 feet from the facilities. Page Two 10. Receiving stream or affected surface waters: UT to Lake Norman a. Classification: WS-IV CA b. River Basin and Subbasin No.: Catawba 030832 C. Describe receiving stream features and pertinent downstream uses: Good flow observed in the receiving stream (3 feet wide x 2-3 inches deep). General "C"- classification uses downstream until the stream reaches Lake Norman, which is used as a water supply and for primary recreation. PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of wastewater to be permitted: 0.020 MGD (ultimate design capacity) b. Current permitted capacity of the wastewater treatment facility: 0.020 MGD C. Actual treatment capacity of the current facility (current design capacity): 0.010 MGD d. Date(s) and construction activities allowed by previous Authorizations to Construct issued in the previous two years: N/A e. Please provide a description of existing or substantially constructed wastewater treatment facilities: The existing WWT facility is a 10,000 gpd package type WWTP consisting of a bar screen, aeration basin, clarifier, chlorine disinfection, chlorine contact chamber, de -chlorination facilities, aerobic sludge holding tank, standby power generator and cascade post aeration. f. Please provide a description of proposed wastewater treatment facilities: N/A g. Possible toxic impacts to surface waters: N/A h. Pretreatment Program (POTWs only): N/A 2. Residuals handling and utilization/disposal scheme: a. Residuals are removed by Robert's Septic Tank Service and disposed at the City of Newton's wastewater treatment plant. 3. Treatment plant classification (attach completed rating sheet): Class II 4. SIC Code(s): 4952 Wastewater Code(s) Primary: 06 Secondary: Main Treatment Unit Code: 06007 Page Three PART III- OTHER PERTINENT INFORMATION Is this facility being constructed with Construction Grant Funds or are any public monies involved? N/A 2. Special monitoring or limitations (including toxicity) requests: N/A 3. Important SOC, JOC or Compliance Schedule dates (Please indicate): N/A 4. Alternative Analysis Evaluation: N/A 5. Air quality and/or groundwater concerns or hazardous materials utilized at this facility that may impact water quality, air quality, or groundwater: There are no known air quality, groundwater, or hazardous materials concerns. 6. Other Special Items: N/A PART IV - EVALUATION AND RECOMMENDATIONS The permittee, Aqua North Carolina, Inc., has requested renewal of the subject permit for the continue discharge of treated domestic wastewater from the Mallard Head Condominiums. An on -site investigation revealed the WWTP to be in good operational condition. Pending review and approval by the Western NPDES Program Unit, it is recommended that the permit be renewed as requested. Signature of repo prep er e-�Zll -f'1' L_ Water Quality Regional Supervisor Iop'lIDf Date A - UA_ North Carolina October 1, 2009 Mrs. Dina Sprinkle NC DENR/DWQ/POINT Source Branch 1617 Mail Service Center Raleigh, NC 27699-167 Re: Mallard Head WWTP Permit Renewal Application Permit #: NCO062481 Iredell County Dear Mrs. Sprinkle, Aqua North Carolina, Inc. T. 704.489.9401 4163 Sinclair Street F: 704.489.9409 Denver, NC 28037 www.aquanorthcarolina.com Enclosed you'll find our application for renewal of our NPDES Permit and required documentation. Aqua North Carolina, Inc. requests the renewal of the current limitations for this facility as recorded on the previous permit set to expire on March 31, 2010. If you have any questions feel free to contact me at (704) 489-9404, extension 57238. Sincerely, J$Z�aj v4ollt Michael A. Melton Regional Manager of Compliance Aqua North Carolina, Inc. jrm/MAM Enclosures cc: Tom Roberts, President and COO, Aqua NC DENR - WATER QUALITY POINT SOURCE BRANCH An Aqua America Company NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit 000062481 If you are completing this form in computer use the TAB key or the up - down arrows to move from one field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type. 1. Contact Information: Owner Name Aqua North Carolina, Inc Facility Name Mallard Head WWTP Mailing Address 202 MacKenan Court City Cary State / Zip Code N.C., 27511 Telephone Number (919)467-8712 Fax Number (919)460-1788 e-mail Address DGSchlobohm@AquaAmerica.com 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 1112 Mallard Head Lane -NCSR 1112 City Mooresville State / Zip Code N.C., 28117 County Iredell 3. Operator Information: Name of the firm, public organization or other entity that operates the facility referring to the Operator in Responsible Charge or ORC) Name Aqua North Carolina, Inc. Mailing Address 4163 Sinclair Street City Denver State / Zip Code N.C., 28037 Telephone Number (704)489-9404 Fax Number (704)489-9409 (Note that this is not DENR - WATER PINT SOURCE BRANCH 1 of 3 Form-D 05/08 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 4. Description of wastewater: Facility Generating Wastewater(check all that apply): Industrial ❑ Number of Employees Commercial ❑ Number of Employees Residential ® Number of Homes - 41 School ❑. Number of Students/Staff Other. ❑ Explain: Describe the, source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Residential . Population served: 104 5. 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 number(s) 001 Is the outfall equipped with a diffuser? ❑ Yes ® No 7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall): Lake Norman (see attachment). . 8. Frequency of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: 7 Duration: 9. Describe the treatment system List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and phosphorus. If the space provided is not sufficient, attach the _description of the treatment system in- a separate sheet of paper. This 0.01 MGD . wastewater treatment facility consists of a bar screen, aeration basin, clarifier, an aerated sludge -holding tank, tablet chlorination de -chlorination, and cascade post aeration . 2 of 3 Form-D 05/08 NPDES APPLICATION - FORM: D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.01 MGD Annual Average daily flow 0.001 MGD (for the previous 3 years) Maximum daily flow 0.001 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes ® No 12. Effluent Data Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum and monthly average. If only one analysis is reported, report as daily maximum. Parameter Daily Maximum Monthly Average Units of Measurement ' Biochemical Oxygen Demand (BOD5) 4.5 0.9 MG/L Fecal Coliform 41.8 1.6 #/ 100ML Total Suspended Solids 10.4 -3.1 MG/L Temperature (Summer) 27.7° - 26.0° 'Celsius Temperature (Winter). 16.0° 12.7° 'Celsius pH •7.6 7.1 Units 13. List all permits,- construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCO062481 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non -attainment program (CAA) 14. APPLICANT CERTIFICATION Permit Number I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. Signature of Applicant Date North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.) 3 of 3 Form-D 05/08