NC0037737_Permit Renewal Application_20230308

NPDES Permit Number
Facility Name Modified Application Form 2A
��� i
Modifiers March 2021
l G C 1
Form
NC Department of Environmental Quality
- Application for ODES Permit to Discharge Wastewater
Ni
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
the Instructions ma result in denial of the
plication.
\
f0 1 ILI I MWIT&IR610 Niue M,
1.1
Facility name
Nantahala Village WWTP
Mailing address (street or P.O. box)
9400 US Hwy 19 W
City or town
State ZIP code
g
Bryson City
NC 28713
E
Contact name (first and last) Title
Phone number
Email address
_
Wendy Miller
[phone]
accounting@nantahalavillage.
"=
Z
Location address (street, route number, or other specific identifier)
m Same as mailing
address
0
LL
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
Mark Bentley
o
Applicant address (street or P.O. box)
279 Chestnut Street
0
City or town State
ZIP code
5
AndrewsNC
28901
t name (first and last) Title Phone number
[Mark
Email address
06
entley ORC [phone]
meta liicdragon1776@yahoc
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ✓❑ Operator ❑
Both
ich entity should the Ni permitting authority send correspondence? (Check only one response.)
T1.6�lndicate
Facility ❑ Applicant ❑Facility
and applicant
(they are one and the same)
below any existing environmental permits. (Check all that apply and print or type the corresponding permitnumer
for each.
IL
Existing Environmental Permits
0 NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑
UIC (underground injection
a
E
water}
N C, ,..
control)
i
;'
>
PSIJ air emissions
❑ ( )
❑ Nonattainment program (CAA)
❑
Ni (CAA)
C
w
❑ Ocean dumping (MPRSA)
[j
Other (specify)
❑ Dredge or fill (CWA Section
>�
404)
Page 1

NPaFS Permit Number
1.7
Provide the collection
system information
Municipality
Population
Served
Served
5- 105 Rentals
m
.
o
❑
CL
0
CL
a
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E
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as
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FServed
T:7
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u
Facility Name
Modified Application Form 2A
Modified March 2021
�sted below for the treatment works.
Collection System Type
indicate percentage)
Ownership Status
% separate sanitary sewer
❑
Own
❑
Maintain
% combined storm and sanitary sewer
❑
Own
❑
Maintain
Unknown
ElOwn
ElMaintain
% separate sanitary sewer
❑
Own
❑
Maintain
% combined storm and sanitary sewer
❑
Own
❑
Maintain
Unknown
❑
Own
❑
Maintain
% separate sanitary sewer
❑
Own
❑
Maintain
% combined storm and sanitary sewer
❑
Own
❑
Maintain
Unknown
❑Own
❑
Maintain
% separate sanitary sewer
❑
Own
❑
Maintain
% combined storm and sanitary sewer
❑
Own
❑
Maintain
Unknown
❑
Own
❑
Maintain
Separate Sanitary Sewer System
Total percentage of each type of
sewer line (in miles) %
1.8 1 Is the treatment works located in Indian Country?
o ❑ Yes
v 0 No
1.9 Does the facility discharge to a receiving water that flows through Indian Country?
_ ❑ Yes
No
1.10 Provide design and actual flow rates in the designated spaces.
Combined Storm and
Sanitary Sewer
0 Annual Average Flow Rates Actual}
Two Years Ago Last Year
0.0007 mgd 0.0007 mgd
Maximum Dail Flow Rates (Actual}
Two Years Ago Last Year
0,0007 mgd 0.0007 mgd
1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina
Total Number of Effluent Discharge Points b T pe
C,
Treated Effluent Untreated Effluent Combined Sewer
Bypasses
Overflows yp
� 1
Flow Rate
0.007s mgd
This Year
0.0007 mgd
This Year
o.0007 mgd
Constructed
Emergency
Overflows
Page 2

0
cc
(A
O
C.
a
'o
d
s
0
a
0
-o
0
NPbES Permit Number
C
Facility Name
Modified Application Form 2A
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 Im oundment Location and Dischar a Data
Average Daily Volume
Location Discharged to Surface Continuous or Intermittent
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
ElContinuous
gpd ❑ Intermittent
gpd ElContinuous
1,14 Is wastewater applied to land? ❑ Intermittent
❑ Yes No 4 SKIP to Item 1.16.
1.15 Provide the land application site and discharge data requested below.
Land Application Site and Dischar a Data
Average Continuous or
Location Size ge Daily Volume
Applied Intermittent
acres
acres
acres
1.16 Is effluent transported to another facility for treatment prior to discharge?
❑ Yes ® No + SKIP to Item 1.21,
1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Entity name
City or town
Contact name (first and last)
Phone number
check One
gpd
❑
Continuous
❑
Intermittent
gpd
❑
Continuous
❑
Intermittent
gpd
I]
Continuous
❑
Intermittent
r Data
Mailing address (street or P.D. box)
State ZIP code
Title
Email address
Page 3

NPnFS Permit Number Facility Name Modified Application Form 2A
23 7 i ,�� 14CW 64'1C10. 1/f` � Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDE number, and average daily flow rate of the
receiving facility,
Receivin Facili Data
Facility name Mailing address (street or P.O. box)
0
City or town State ZIP code
U
0
Contact name (first and last) Title
0
Phone number Email address
o
NPDES number of receiving facility (if any) ❑ None
Average daily flour rate mgd
Ca
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1,14 through 1.21 that do
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
❑ Yes Z No -+ SKIP to item 1.23.
is
1.22
Provide information in the table below on these other disposal methods,
d
information on Other Disposal Methods
a
Disposal Annual Average
Method Location of Size of Continuous or intermittent
Daily Discharge
Disposal Site Disposal Site
Description (Check one)
Volume
acres gpd ❑ Continuous
o
❑ Intermittent
acres ❑ Continuous
gpd
❑ Intermittent
acres gpd ❑ Continuous
1.23
❑ Intermittent
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
a
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 +SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
o
Contractor 1 Contractor 2 Contractor 3
Contractor name
Acompany name Earth Environmental services
o
Mailing address
or P.O, box (street75 Bison Lane
a
City, state; and ZIP
roc
code Murphy, NC 28906
o
Contact name (first and
Mark Bentley y
number [phone]
ddress meta llicdragon1776@yahoo.a
Operational and
maintenance Testing/reporting of Permit
responsibilities of requirements. Basic
contractor maintenance at W WTP.
Page 4

NPUES Perm it Number Facilit
y Name Modified Application Form 2A
Modified March 2021
o OutFafils to Waters of the State of North Carolina
LLM
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
b ❑ Yes ❑ No 4 SKIP to Section 3.
0 22 Provide the treatment works' current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
.� and infiltration.
o.0007 gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Collection system lines have been fixed in the year 2022.
3
0
c
2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for
C specific requirements.)
c
CL
❑✓ Yes
� ❑ Na
o � 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.)
LL- _T
�+ ❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
D Briefly list and describe the scheduled improvements.
m
E
2
si 2.
E
46
0
-
W
a
3,
-a
U
4.
2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
o
E
Improvement
(from above)
(list outfall
Construction
MM/DDNYYY
{ )
Construction
Discharge
Operational
Level
number
(MMIDDIYYYY)
(MMIDDNYYY)
MM/DDIYYYY
-a
a�
cj
2.
3,
4,
2.7 Have appropriate Permits/clearances concerning other federallstate requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation;
Page 5

NP©ES Permit Number Facility Name Modified Application Form 2A
11/ QQ; fk3��t �r� Modified March 2021
�s� IVct six � e.. a1.11ao p
3.1
Provide the following information for each outfall. {Attach additional sheets if you have more than three outfa)ls.)
Outfall Number 001 Outfall Number Outfall Number
State North Carolina
;n
County Swain
oCity
or town Bryson City
o
tance from shore o ff. ft.
ft.
FDepth
below surface o
ft.
Average daily flow rate 0.0007 mgd mgd mgd
Latitude
Longitude a
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
ca
❑ Yes ❑ No 4 SKIP to Item 3,A.
3.3
If so, provide the following information for each applicable outfall.
c�
Q
Outfall Number 0Wall Number Outfall Number
Number of times per year
p
discharge occurs
Average duration of each
o
dischar e s eci units
Average flow of each
discharge mgd mgd mgd
rn
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 31 equipped with a diffuser?
❑ Yes ❑ No SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each a pliable outfalL
a
Outfall Number Outfall Number Outfall Number
'o
o
3 6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
w
0 Yes ❑ No 4SKIP to Section 6.
Paae 6

NPDES
Permit Number
FacUity Name Modified Application Form 2A
-r ` ' ����
� � � i � wo—1 Modified March 2021
3.7 Provide the receiving water
and related information if known
for each 06all.
Outfall Dumber 001
Outfall Number Outfall Number
Receiving water name
Unnamed Tributary
Name of watershed, river,
a
or stream system
Little Tennesee River Basin
.?
U.S. Soil Conservation
Service 14-digit watershed
a
code
Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
06010202
Cataloging unit code
(acute)
cfs
cfs cfs
(chronic)
rhardnesS
cfs
cfs cfs
at critical
mg]L of
mg1L of mglL of
3.8 Provide the foll0win information
CaCfla
describingthe treatment rovided
CaCO3 CaCO3
for dischar es from each ovtfall.
Outfall Number oo,
Outfall Number OutfallNumber
Highest Level of
Treatment (check all that
I] Primary
❑ Equivalent to
ElPrimary ElPrimary
❑ Equivalent to
apply per outfall)
secondary
0 Equivalent to
secondary secondary
❑ Secondary
❑ Secondary ❑ Secondary
❑ Advanced
❑ Advanced ❑ Advanced
c
❑ Other (specify)
❑ Other (specify) ❑ Other (specify)
0
a
Design Removal Rates by
U
Outfall
BOD5 or C3OD5
%
%
E
%
T5S
%
%
n
Phosphorus
ElNot applicable
ElNot applicable
ElNot applicable
Nitrogen
ElNot applicable
ElNot applicable
ElNot applicable
Other (specify)
❑ Not applicable
El Not applicable
❑ Not applicable
%
%
Page 7

NPDES Permit Number
Facility Name
Modified Applicator Form 2A
{ CIO ')
r �a Ut (1 at, i.2)W v
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.
Disinfection performed by chlorine tablets and chlorine removed with declortablets.
c
0
v
o
Outfall Number 001
Outfall Number
Outfall Number
Disinfection type
w
Chlorination (tablets)
m
0
Seasons used
ate,
E
All
R
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?
0 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
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
R
Number of tests of discharge
water
Number of tests of receiving
water
d
w
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. ElNo i 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?
0 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?
❑ Yes 0 No additional sampling required by NPDES
ermittin aft orit .
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
Modified March 2021
73.1the POTW conducted either (1) minimum of four quarterly WET tests one year preceding this permit application
) at least four annual WET tests in the past 4.5 years?
❑ Yes 0 No + Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3,26.
3.21 Indicate the dates the data were submitted to our NPDES permitting authorityand provide a summaryof the results.
Date(s)(MMDbYmiited Summary of Results
a
0
;0 r32
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
otoxicity?
ElYes ❑ No 4 SKIP to Item 3.26.
Describe the cause(s) of the toxicity:
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑✓ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes 0 Not applicable because previously submitted
information to the NPDES oermittina authorif
Page 9

49 ``'
Pollutant
r NPDFS Permit Number
1�CW -7 1V 1�t9
�' ••
Maximum Daily Discharge
FacilitySy Name Dutfaii Number Modified Application Form 2A
Cl Vi �.y1t41 Modified March2621
Average Daily Discharge
Number of Analytical ML or MDL
Value Units Methods (include units)
Sam les
Value
Units
Biochemical oxygen demand
❑ BOD5 or ❑ CBOD5
S`� 5 `" t 0 i� a, O'r`j'� El MIL(report
one
5
,rr}}
�]f
, ��yy
_ Y MCa lk ❑ MDL
Fecal coliform
�G
COU4$ t�
t � �, j � ❑ MIL
�.'a� cc, 1co,.t_ s: ��2zZ 1� r vlLf7 MDL
Design flow rate
pH (minimum)
pH (maximum)
Temperature (winter)
Temperature (summer)
fir_
.j ` V C
Total suspended solids (TS5)
j t 5
m� � r�
Li i i.� _ � 2— 11 MIDL
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 IdenbficaUor; Number
Number Facility Name
ouvall
Modified Application Form 2A
Modified March 2021
Pollutant
Maximum Daily
Discharge
Average
Daily Discharge
Analytical
Method'
ML or MDL
(include units)
Value
Units
Value
Units
Dumber of
Samples
Ammonia (as N)
Chlorine
11VU
1v }
❑ ML
0,1� L7 MDL
`tom 0
�U Y) OML MDL
total residual, TRC 2
Dissolved oxygen
❑ ML
Nitratelnitrlte
-
❑MDLL7
ML
Kjeldahl nitrogen
❑ MDL
❑ ML
Oil and grease
© MDL
❑ ML
Phosphorus
0 MDL
❑ ML
Total dissolved solids
❑ MDL
❑ ML
' Sampling shall be conducted according
required under 40 CFR chapter I, subchapter
2 Facilities that do not use chlorine for
required to report data for chlorine.
to sufficiently sensitive
N or 0. See
disinfection, do not use
test procedures
instructions and 40 CFR
chlorine elsewhere
(Le., methods) approved
122.21(e)(3),
in the treatment process,
under4D CFR 136
and have no reasonable
for the analysis of pollutants
potential to discharge
❑ MDL
or pollutant parameters or
chlorine in their effluent are not
EPA Form 3510-2A (Revised 3-19)
Page 12

USGS Quad: Wesser, N.C. ����%%%
Stream Class: B-Trout
Subbasin: 04-64-02 Nantahala Village WWTP
Latitude: 35"21'16"
Longitude: 83033'32"
Receiving Stream: UT Nantahala River
Facility
Location
Map not to scale
Swain Cnunty

NPDFS Permit Number Facility Name Modified Application Form 2A
is lt} �� Modified March 2021
6.1
In Column 1 below, marls 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
0 Section 1: Basic Application
Information for All Appijcarits ❑ w1 variance request(s) ❑ wl additional attachments
0 Section 2: Additional w1 topographic map ❑ wl process flow diagram
Information ❑ wl additional attachments
❑ wl Table D
Section 3: Information on © wl Table A✓0
0
Effluent Discharges wl Table B ❑ wl additional attachments
❑ wl Table C
Section 4: Not Applicable
Section 5: Not Appiicable
Section 6: Checklist and
❑ Certification Statement❑ wl attachments
6.2 Certification Statement
l 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 &at 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. 1 am aware that there are significant penalties for submitting false informafion, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name) Official title
Crate signed
31 g11z)-1
Page 10