NC0056154_Permit Issuance_20100224

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 24, 2010
Mr. Michael A. Melton
Aqua North Carolina, Inc.
4163 Sinclair Street
Denver, NC 28037
Subject: Issuance of NPDES Permit NCO056154
Aqua North Carolina, Inc. — Bridgeport 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 includes no changes from the draft permit sent to you on January 6, 2010 (misdated as January
6, 2009).
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,
J� Coleen H. Sullins
cc: Central Files
Mooresville Regional Office/Surface Water Protection Section
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699.1617 �TOne,1 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 1V of U1Cc`l�olinci
Phone:: www.ncwaterquality.org
gFAX: org 807 64921 Customer Service: 1 877 623 6748 AWMAdYInternet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Permit NCO056154
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 the
Castaway Shores / Bridgeport Subdivision
212 Castaway Trail
M000resville
Iredell County
to receiving waters designated as Lake Norman (Catawba River) in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I,11, Ili 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.
�'y\-/Cole— Zit
en H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO056154
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 0.08 MGD wastewater treatment system which includes the
following components:
➢ Influent flow equalization tank
➢ Bar screen
➢ Flow splitt6r box
➢ Dual diffused aeration tanks
➢ Dual clarifiers
➢ Sludge holding tank
➢ Tertiary filter
➢ Dual tablet disinfection units
➢ Dechlorination facilities
➢ Effluent flow recorder with totalizer
➢ Post -aeration
➢ Effluent pumps
➢ Standby power generator
This wastewater treatment system is located at 212 Castaway Trail, off NCSR 1102 at the
Castaway Shores/Bridgeport Subdivision near Mount Mourne in Iredell County.
2. After receiving an Authorization to Construct from the Division, construct the necessary
components to upgrade the wastewater treatment system to 0.100 MGD (see Part I. A. (3)).
3. Discharge from said treatment works at the location specified on the attached map into the Catawba
River, classified WS-IV & B CA waters in the Catawba River Basin.

Permit NCO056154
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Latitude: 35931'15"
Lon
Longitude: NCO056154
Facility
s
Location
Quad# E15SE
Receiving Stream: Lake Norman Aqua North Carolina, Inc.`
SCALE 1 :24000
Stream Class: WS-IV & B CA i
Bridgeport Subdivision Subbasin:30832
North
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Permit NCO056154
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning on the effective date of the permit and lasting until expansion above 0.08
MGD, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored by the Permittee as specified below:
EFFLUEW
CHARACTERISTICS
' LIMITS Z1. -- �
MONITORING REQUIREMENTS_._
->
Monthly
°' Average„ .
Daily
'Maximum,
Measurement.
Frequency "
Sample Type:°
r Sample Location
Flow
0.08 MGD
Continuous
Recorder
Influent or Effluent
BOD, 5 day (20°C)
15.0 mg/L
22.5 mg/L
Weekly
Composite
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
4.0 mg/L
20.Omg/L
Weekly
Composite
Effluent
Dissolved Oxygenl
Weekly
Grab
Effluent
Fecal Coliforrn (geometric mean)
200 100 ml
400 / 100 ml
Weekly
Grab
Effluent
Total Residual Chlorine2
28 µglL
2/Week
Grab
Effluent
Temperature
Weekly
Grab
Effluent
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
Total Phosphorus
Quarterly
Composite
Effluent
pH3
Weekly
Grab
Effluent
Footnotes:
1. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
2. 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.
3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
t

Permit NCO056154
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning after expansion above 0.08 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:
EFFLUENT .:
CHARACTERISTICS '
LIMITS.:
REQUIREMENTS
p =
Monthly. ,
Average
Daily
Maximum,
'Measurement
Frequency
Sample Type
Sample Location
Flow
0.1 MGD
Continuous
Recorder
Influent or Effluent
BOD, 5 day (20°C)
15.0 mg/L
22.5 mg/L
Weekly
Composite
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
4.0 mg/L
20.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygeni
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
200 / 100 ml
400 / 100,ml
Weekly
Grab
Effluent
Total Residual Chlorine2
28pg/L
2/Week
Grab
Effluent
Temperature
Weekly
Grab
Effluent
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
Total Phosphorus
Quarterly
Composite
Effluent
pH3
Weekly
Grab
Effluent
Footnotes:
1. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
2. 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.
3. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (3.) PHASED CONSTRUCTION REQUIREMENTS
If this facility is to be expanded in phases, plans and specifications for the next phase of expansion
shall be submitted when the flow to the existing system reaches 80% (0.064 MGD) of the design
capacity of the installed components (0.08 MGD).
At no time may the flow tributary to the facility exceed the design capacity of the installed components.

Permit NCO056154
A. (4.) 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:
(a) Continue to operate a turbidimeter at the plant to measure 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. (5.) SPECIAL CONDITION — Spill Notification
(a) Contacting Public Health Directors
The facility must notify the Iredell 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:
Current Information for Iredell and Mecklenburg County Health Directors
Iredell County Health Director Mecklenburg County Health Director
318 Turnersburg Highway 249 Billingsley Road
Statesville, NC 28625 Charlotte, NC 28211
Phone Number: 704-878-5302 Phone number: 704-336-4700
(b) Public Notification
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 counties (Iredell, and Mecklenburg)
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 NCO056154
A. (5.) 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 the
County in which the discharge occurred and the county immediately downstream. At, a minimum the
notice should be published in the newspaper of general circulation'in Iredell, 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 27699-1617
The minimum content of the notice is the location of the discharge, estimated volume, water body '
affected and steps taken to prevent future discharges.

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 undersianed, a Notary Public of said
County and State, duly authorized to administer
oaths affirmations, etc., personally appeared, l
being duly sworn or affirmed according to law, l
cloth 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 Carol.inal
and that as such he/she is familiar with the l
books, records, files, and business of said l
Corporation and by reference to the files of said l
publication, the attached advertisement was l
inserted. The following is correctly copied from l
the books and files of the aforesaid Corporation l
and Publication. l
I
I
PUBLISHED ON: 01/10
Publi6 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
proposes to issue a NPDES wastewater discharge permit to the
person(s) listed below.
Written comments regarding the proposed permit will be
accepted until 30 days Director of the NC Diafter h Division of Water
erClualitysh eof this notice. h
(DWO) may hoda
public hearing should there be a significant degree of public
interest. Please mail comments and/or information requests to
DWO at the above address. Interested persons may visit the DWO
on on
file•Salisbury Street,
Add ti nalSnfor ationon NPDES permits and this notice h NC to review umay
be found on our website: www.ncwaterqualdy.org. or by calling
[phone].
Aqua North Carolina, Inc. requested renewal of permit
NCO080691 for the Windub
emere Sdivision WWTP in recall
County; this discharge is treated wastewater to the Catawba River
in the Catawba River Basin.
Aqua North Carolina, Inc. requested renewal of permit
NCO075205 for the Alexander Island WWTP in Iredell County; this
discharge is treated wastewater to the Catawba River (Lake
Norman) in the Catawba River Basin.
of
rmit
NC0074772 forua North Cthe Diamond Heaarolina, Inc. d requested renewal
inl recall County; Countpy this
discharge is treated wastewater to Lake Norman (Reeds Creek
Arm) in the Catawba River Basin.
Aqua Nod h Carolina, Inc. requested renewal of permit
NC00624811orthe 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. NCInc.
O056154 for the Bridgeport WWTpsnededell County; permitrenewal of
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
NCO063355 for the Killian Crossroads WWTP in Catawba County;
this permitted
'm discharge
are is treated
Basin.
wastewater to Lake Norman
(Reed
LP6426206
AD SPACE: 100 LINE
FILED ON: 01/15/10 l
------- --- ---- ----t------------- -- -- -------------
NAME:
DATE:
In Testimony Whereof I have hereunto set my hand and affixed my seal, the
day and 'ear aforesaid.
y.
Notary• Li jj��4f-Allry' Commission Expires:
f
P r
My Commission 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 Le @ncdenr.2ov
[phone]

SOC PRIORITY PROJECT: NO
To: Western NPDES Program Unit
Water Quality Section
Attention: Dina Sprinkle
Date: October 26, 2009
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Iredell
NPDES Permit No.: NCO056154
PART I - GENERAL INFORMATION
1. Facility and Address: Bridgeport Subdivision
c/o Aqua North Carolina Inc.
4163 Sinclair Street
Denver, N.C. 28037
2. Date of Investigation: October 22, 2009
3. Report Prepared By: Samar Bou-Ghazale, Environ. Engr. II
4. Person Contacted and Telephone Number: Dana Bixby, ORC, [phone]
5. Directions to Site: From the jct. of Hwy. 115 and SR 1102 (Langtree Rd.) in the
community of Mount Mourne, travel southwest on SR 1102 ;:Z� 1.6 miles and turn left on
Castaway Trail (No SR Number). The WWTP site is at the end of Castaway Trail (beyond
the cul-de-sac) on a gravel access road.
6. Discharge Point(s), List for all discharge Points: -
Latitude: 35' 31' 15"
Longitude: 80' 52' 15"
Attach a USGS Map Extract and indicate treatment plant site and discharge point on map.
USGS Quad No.: E 15 SE
7. Site size and expansion area consistent with application: Yes. However, limited area is
available for expansion.
8. Topography (relationship to flood plain included): Relatively flat, 1-3% slopes. The site
is not in or near a flood plain.
9. Location of Nearest Dwelling: Approx. 150 feet from the WWTP site.

Page Two
10. Receiving Stream or Affected Surface Waters: Catawba River (Lake Norman)
a. Classification: WS-IV and B
b. River Basin and Subbasin No.: Catawba 030832
C. Describe receiving stream features and pertinent downstream uses: The point of
discharge is in an area immediately adjacent to a large arm of Lake Norman. The
area adjacent to the point of discharge receives frequent bodily contact from a
variety of primary recreational activities including, but not limited to: swimming,
skiing, wading, etc. There is a water intake for the Town of Davidson located ti 1.0
mile towards the main channel of the Lake.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of Wastewater: 0.080 MGD (Design Capacity)
b. What is the current permitted capacity: 0.080 MGD
C. Actual treatment capacity of current facility (current design capacity): 0.080 MGD
d. Date(s) and construction activities allowed by previous ATCs issued in the
previous two years: N/A
e. Description of existing or substantially constructed WWT facilities: The existing WWT
facilities consist of an influent flow equalization tank followed by a bar screen, a flow
splitter box, dual aeration tanks (diffused), dual clarifiers, a sludge holding tank, a tertiary
filter, dual tablet chlorination, tablet de -chlorination, an effluent flow recorder with
totalizer, post aeration, effluent pumps, and a stand-by power generator.
f. Description of proposed WWT facilities: N/A
g. Possible toxic impacts to surface waters: Chlorine is added to the waste stream.
h. Pretreatment Program (POTWs only): Not Needed.
2. Residual handling and utilization/disposal scheme: Residual disposal, when necessary, is
by disposal into the City of Newton WWTP via Robert's Septic Tank Service.
3. Treatment Plant Classification: Less than 5 points; no rating (include rating sheet).
Class II. (No change from the previous rating at the last Permit renewal).
4. SIC Code(s): 4952
Wastewater Code(s): 05
MTU Code(s): 06107

Page Three
PART III - OTHER PERTINENT INFORMATION
Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? No
2. Special monitoring or limitations (including toxicity) requests: None at this time.
3. Important SOC/JOC or Compliance Schedule dates: N/A
4. Alternative Analysis Evaluation
a. Spray Irrigation: Insufficient area.
b. Connect to regional sewer system: None available to the site.
c. Subsurface: Insufficient area.
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee, Aqua North Carolina, is applying for renewal of its NPDES permit to
discharge treated domestic wastewater from the wastewater treatment system serving
approximately 297 residential homes at Bridgeport Community. The wastewater treatment plant
appeared to be in good operational condition during the time of the investigation. It should be
noted that the discharge location of this facility is located approximately 200 feet from the shore
and approximately 4 feet under the water.
Pending review and approval by the Western NPDES Program Unit, it is recommended
that the permit be renewed as requested.
Signature of Rep reparer Date
'-�/ 6 /Z-- /o/2-6b 9
Water Quality Regional Supervisor Date

A'-" U A_
North Carolina
Aqua North Carolina, Inc.
4163 Sinclair Street
Denver, NC 28037
October 1, 2009
Mrs. Dina Sprinkle
NC DENR/DWQ/POINT Source Branch
1617 Mail Service Center
Raleigh, NC 27699-167
Re: Bridgeport WWTP
Permit Renewal Application
Permit #: NCO0561 54
Iredell County
Dear Mrs. Sprinkle,
T: 704.489.9401
F: 704.489.9409
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 [phone], extension
57238.
Sincerely,
IYP,J -A-4 y4w
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 CO056154
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 Bridgeport WWTP
Mailing Address 202 MacKenan Court
City Cary
State / Zip Code N.C., 27511
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 212 Castaway Trail
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. (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 N.C., 28037
Telephone Number [phone]
Fax Number [phone] DENR WATER QUALITY
POINT SOURCE BRANCH
1 of 3 Form-D 05/08

NPDES APPLICATION -]CORM 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 297
School
❑
Number of Students/ Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Subdivision
Population served: 754
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 0.08 MGD wastewater treatment facility consists of a bar screen, a
flow equalization basin, dual aeration basins and clarifiers, an aerated sludge
holding tank, tertiary filter, dual tablet chlorination and de -chlorination, a
continuous flow meter, refrigerated composite sampler, post aeration,
effluent pumps and a standby power generator.
2of3
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 0.08 MGD
Annual Average daily flow 0.053 MGD (for the previous 3 years)
Maximum daily flow 0.076 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)
3.0
0.8
MG/L
Fecal Coliform
47.8
3.7
#/ 100ML
Total Suspended Solids
3.9
0.1
MG/L
Temperature (Summer)
27'
26.1'
'Celsius
Temperature (Winter)
IT
15.3°
'Celsius
pH
7.7
7.4
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 NCO056154 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.)
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Form-D 05/08