NC0086193_Renewal (Application)_20150302

A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
March 17,2015
Thomas J.Roberts
Aqua North Carolina, Inc.
Maplecest WTP
202 Mackenan Court
Cary,NC 27511
Subject: Acknowledgement of Permit Renewal
Permit NC0086193
Gaston County
Dear Mr. Roberts:
The NPDES Unit received your permit renewal application on March 13, 2015. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit,please contact Maureen
Kinney(919) 807-6388.
Sincerely,
W rrew Tltieolrof,
Wren Thedford
Wastewater Branch
cc: Central Files
Mooresville Regional Office •
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604
Phone:[phone] Fax:[phone]/Customer Service:1-877-6/3-6748
Internet::www.ncwater.orq
An Equal OpportunityWffirmative Action Employer

A au A.
March 2, 2015
Wren Thedford
NC DENR / DWR/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Maplecrest Subdivision Well #3
NPDES No. NC0086193
Gaston County
Ms. Thedford:
Enclosed are three (3) copies of the completed application Short Form C- WTP.
This submittal includes the necessary attachments for your office to renew the
subject permit.
If you need any additional information or assistance, please feel free to
contact our Regional Compliance Manager, Michael A. Melton @ 704-489-9404
ext. 57238 or by e-mail at [e-mail].
Sinc ly
Thoma J. Roberts
President & COO
Enc
202 MacKenan Court,Cary,NC,27511 • 919.467.8712 • AquaAmerica.com

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0086193
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 Maplecrest Subdivision-Well #3 WTP
Mailing Address 202 Mackenan Ct
City Cary
State / Zip Code NC/27511
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road SR 2797 (Forest Wood Court)
City Gastonia
State / Zip Code NC/ 28056
County Gaston
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name Aqua North Carolina, Inc.
Mailing Address 4163 Sinclair Street
City Denver
State / Zip Code NC / 28037
Telephone Number [phone]
Fax Number [phone]
Page 1 of 3 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
4. Ownership Status:
Federal 0 State 0 Private ® Public ❑
5. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
® Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ❑
6. Description of source water(s) (i.e. groundwater, surface water)
Groundwater Well
7. Describe the treatment process(es) for the raw water:
Raw water is treated by an existing 0.00126 MGD greensand water treatment plant with a
discharge of filter backwash utilizing the following treatment components:
• Ground water source well
• Filtering through two (2) Green sand filters
• Potassium Permanganate (KMnO4) injection for iron removal
• Backwashing of Filters using finished water
• Chlorine / De-chlorination of effluent
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Wastewater discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Catawba Creek, classified C waters in Catawba River
Basin.
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge: Continuous ❑ Intermittent El
If intermittent:
Days per week discharge occurs: 1 Duration: 102 minutes
11. Plant design potable flow rate 0.047 MGD
Backwash or reject flow 0.00128 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Unnamed Tributary to Catawba Creek
Page 2 of 3 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate Yes No I
Iron sulfate / ferrous sulfate Yes No
Fluoride Yes No
Ammonia nitrogen / Chloramines Yes No
Zinc-orthophosphate or sweetwater CP1236 Yes No
List any other additives below:
Chlorine
Potassium Permanganate
14. Is this facility located on Indian country? (check one)
Yes ❑ No El
15. Additional Information:
• Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
• Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
• New applicants must contact a permit coordinator with the NCDENR Customer
Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
• Analyses of source water collected
• Engineering Alternative Analysis
• Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
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.
Tho -f. J Roberts President and COO, Aqua North Carolina, Inc.
P,', :•j!me of P. on ' n' T'tle
Signature of ��.plicant to
North Carolina General Statute 143-215.6(b)(2)provides that: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.)
Page 3 of 3 Version 5/2012

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Aqua North Carolina, Inc. A Facility
Maple
crest Subdivision (Well #3) WTP Location
Latitude: 35°12'36" N Slate Grid: Belmont South not to scale
Longitude: 81°06'40" W Permitted Flow: N/A
Receiving Stream: UT to Catawba Creek Stream Class: C North r NPDES Permit No.NC0086 193
Drainage Basin: Catawba River Basin Sub-Basin: 03-08-37 L V rt Gaston County