NC0051381_Fact Sheet_20230313

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc.) that can be administratively renewed with minor changes but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles Weaver 3/13/2023
Permit Number
NCO051381
Facility Name
Highlands Falls Country Club WWTP
Basin Name/Sub-basin number
Little Tennessee 04-04-01
Receiving Stream
Saltrock Branch
Stream Classification in Permit
WS-III
Does permit need Daily Max NH3 limits?
No - already present. The ammonia limits in
the permit have been in place since 1992 and
are adequate to protect against instream NH3
toxicity.
Does permit need TRC limits/language?
Uses UV; Temporary Cl condition present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Temporary Cl disinfection limits/guidelines
Does permit have instream monitoring?
Temperature
Is the stream impaired on 303 d list)?
No
Any obvious compliance concerns?
One enforcement in 2022, no other NOVs or
NODs in this permit cycle.
Any permit mods since lastpermit?
No
New expiration date
January 31, 2028
Changes in Draft Permit?
Updated eDMR language
Changes to finalpermit?
None.

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
MEMORANDUM
S ATe
NORTH CAROLINA
Environmental Quality
December 20, 2022
To: Nicole Hairston
NC DEQ / DWR / Public
Asheville Regional Office
From: Charles H. Weaver, Jr.
NPDES Unit
Water Supply
Subject: Review of Draft NPDES Permit NCO051381
Highlands Falls Community Association WWTP
Macon County
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by January 20, 2023. If you have any questions on the draft permit, please contact me
at 919-707-3616 or via e-mail [[e-mail]].
RESPONSE: (Check one)
51the
Concur with the issuance of this permit provided the facility is operated and maintained properly,
stated effluent limits are met prior to discharge, and the discharge does not contravene the
designated water quality standards.
1-1
Concurs with issuance of the above permit, provided the following conditions are met:
F-1
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed Niw, - HA,t.>v'sft- Date: 12/28/2022
North Carolina Department of Environmental Quality Division of Water Resources ^�
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611 D �./
919.707.9000 o�canouN�iQ�` �

Highlands Falls WWTP
NC0051381
Prepared By: Charles Weaver
Enter Design Flow (MGD):
Enter s7Q10(cfs):
Enter w7Q10 (cfs):
Residual Chlorine
IWC Calculations
0.135
0.3
0.37
Ammonia (NH3 as N)
(summer)
7Q10 (cfs)
0.3
7Q10 (CFS)
0.3
DESIGN FLOW (MGD)
0.135
DESIGN FLOW (MGD)
0.135
DESIGN FLOW (cfs)
0.20925
DESIGN FLOW (cfs)
0.20925
STREAM STD (ug/L)
17.0
STREAM STD (mg/L)
1.0
UPS BACKGROUND LEVEL (l
0
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
41.09
IWC (%)
41.09
Allowable Conc. (ug/1)
41
Allowable Conc. (mg/1)
2.1
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
0.37
Fecal Limit
200/100ml
DESIGN FLOW (MGD)
0.135
(If DF >331; Monitor)
DESIGN FLOW (cfs)
0.20925
(If DF <331; Limit)
STREAM STD (mg/L)
1.8
Dilution Factor (DF)
2.43
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
36.12
Allowable Conc. (mg/1)
4.6
NPDES Servor/Current Versions/IWC
3/13/2023

Invoice / Affidavit
The Highlander
Post Office Box 249
Highlands, NC 28741
STATE OF NORTH CAROLINA
COUNTY OF MACON
AFFIDAVIT OF PUBLICATION
Personally appeared before the undersigned, Rachel Hoskins, who having been
duly sworn on oath that she is Regional Publisher of The Highlander, and the
following legal advertisement was published in The Highlander newspaper, and
entered as second class mail in the Town of Highlands in said county and state;
and that she is authorized to make this affidavit and sworn statement; that the
notice or other legal advertisement, a true copy of which is attached hereto,
was published in The Highlander newspaper on the following dates:
PUBLIC NOTICE - NPDES
NCO051381
01/26/2023
And that the said newspaper in which such notice, paper, document or legal
advertisement was published, was at the time of each and every such
publication, a newspaper meeting all the requirements and qualifications of
Section I-597 of the General Statues of North Carolina and was a qualified
newspaper within the meaning of the Section I-597 of the General Statues of
North Carolina.
Signature of person/making affidavit
Sworn to and subscribed before me this 26th day of January, 2023.
• Notary Public f� = Ry •
My Commission Expires: l'�� n
? 9 PUBLIG .•'_
ORN
Total Cost of Advertisement: $58.79
Filed With: NCDENR-DIVISION OF WATER RESOURCES
Address: 1617 MAIL SERVICE CENTER RALEIGH NC 27699-1617
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
NCO051381 Highlands Falls
Country Club WWTP The North
Carolina Environmental
Management Commission
proposes to issue a NPDES
wastewater discharge permit '^
the person(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
Resources (DWR) may hold a
public hearing should there be a
significant degree of public
interest. Please mail comments
and/or information requests to
DWR at the above address.
Interested persons may visit the
DWR at 512 N. Salisbury Street,
Raleigh, NC 27604 to review the
information on file. Additional
information on NPDES permits
and this notice may be found on
our website:
https://deq.nc.gov/public-notices-
hearings,or by calling (919) 707-
3601. The Highlands Falls
Community Association (91 Falls
Drive West, Highlands, NC
28741) requested renewal of
NPDES permit NCO051381 for
the Highlands Falls Country Club
WWTP in Macon County. This
permitted facility discharges
treated domestic wastewater to
Saltrock Branch in the Little
Tennessee River Basin.
Currently, fecal coliform, total
residual chlorine, ammonia
nitrogen are water quality limited.
This discharge may affect future
allocations in this portion of the
watershed.
#745150 01/26/23

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO051381
Highlands Fall Community
Modified March 2021
Form
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
NPDES
the instructions M result in denial of the a ication.
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.210)(1) and (9))
1.1
Facility name
Highlands Falls Community Association WWTP
Mailing address (street or P.O. box)
91 Falls Drive West
.
City or town
State
ZIP code
Highlands
North Carolina
28741
Contact name (first and last)
Title
Phone number
Email address
Jennifer Royce
Community Manager
[phone]
jennifer@high landsfallsca.con
1k
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
21 Laurelwood Court
City or town
State
ZIP code
Highlands
North Carolina
28741
-'
L2
Is this application for a facility that has yet to commence discharge?
;'
❑ Yes 4 See instructions on data submission 0 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.
P
Applicant name
a
Applicant address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
0 Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
'
❑ Facility El Applicant ❑ Facility and applicant
E'
the are one and the same
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.
�
❑ UIC (underground injection
❑r NPDES (discharges to surface
❑ RCRA (hazardous waste)
water)
control)
NCO051381
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
x �,5'
❑ Dredge or fill (CWA Section
❑ Other (specify)
❑ Ocean dumping (MPRSA)
404)
T
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO051381
Highlands Fall Community
Modified March 2021
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Served
Served
indicatepercentage)Ownership
Status
Highlands Falls
Private facility
100 % separate sanitary sewer
0 Own ❑ Maintain
a
d
Community
not PCTW
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
ElOwn ❑ Maintain
N
c
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
Q
❑ Unknown
❑ Own ❑ Maintain
a
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
c
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
N%
combined storm and sanitary sewer
❑ Own ❑ Maintain
c
❑ Unknown
❑ Own ❑ Maintain
Total Private Facility
Population
U
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line in miles
100 %
o Rio
1.8
Is the treatment works located in Indian Country?
c
'
0
U
ElYes 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.
Design Flow Rate
0.135 mgd
w
Annual Average Flow Rates(Actual)
Two Years Ago,
last Year
This Year
c
c
0 024 mgd
0.022 mgd
0.0242 mgd
�u-
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year '
This Year
0.051 mgd
0.057 mgd
0.1534 mgd
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type
Total Number of Effluent Discharge Points by Type
c
a a
�
Combined Sewer
Constructed
C'
Treated Effluent
Untreated Effluent
Bypasses
Emergency
L ;
v
Overflows
Overflows
O 1
�
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO051381
Highlands Fall Community
Modified March 2021
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 ountlment Location and Dischar a Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
Impoundment
(check one)
El Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
w
c
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes No 4 SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
CL
Land Application Site and Discharge Data
Average Daily Volume
Continuous or
Location
Size
Applied
Intermittent
check one
acres
9P d
❑ Continuous
a
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
0
❑ Yes © No 4 SKIP to Item 1.21.
i
I
I
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.
Trans orter Data
Entity name Mailing address (street or P.O box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
NCO051381 Highlands Fall Community Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving F cility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
0
Contact name (first and last)
Title
0
L
VPhone
number
Email address
o
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
0.
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
0
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other
Disposal Methods
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Dis osal Site
p
Dis osal Site
p
Daily Discharge
(check one)
Description
Volume
w
acres
gpd
❑ Continuous
❑ Intermittent
o
❑ Continuous
acres
gpd
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
d
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ElWater quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
❑r 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?
r❑ 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
Contractor 1
Contractor 2
Contractor 3
o
Contractor name
iv
COm an name
Environmental, Inc
<'
Mailing address
c
street or P.O. box
PO BOX 954
City, state, and ZIP
R
code
Cullowhee, NC 28723
o
Contact name (first and
c�
last)g
Mark Teague
Phone number
[phone]
Email address
[e-mail]
Operational and
All operations & maintenance
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO051381 Highlands Fall Community Modified March 2021
11 ��...:..a.... 1 h 11 A ITII
SECTION 2. ADDITIONAL INFORMATION t
o OutfaIIS to Waters of the State of North Carolina
c
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
m
❑ Yes ❑ No -+ SKIP to Section 3.
0
a
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
9Pd
.w
and infiltration.
Indicate the steps the facility is taking to minimize inflow and infiltration.
v
c
co
3 '
a
c
z
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
0.
specific requirements.)
R
0
0
$
❑ Yes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
o is
(See instructions for specific requirements.)
u_ C3
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
m
E
d
'&
2.
E
16
0
d
3.
d
=
4.
a
m
26
Provide scheduled or actual dates of completion for im rovemems.
Scheduled or Actual Dates of Completion for Improvements
°3
Scheduled
Affected
Begin
End
Begin
Attainment of
>
o
Q,
Improvement
Outfalls
(list outfail
Construction
Construction
Discharge
Operational
Level
E
(from above)
number)
(MM/DDIYYYY)
(MM/DDIYYYY)
(MM/DD/YYYY)
MM/DDNYYY
v
d
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
NCO051381 Highlands Fall Community Modified March 2021
n....,...,..l— %enurn
SECTION•'
• ON 1 1
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
North Carolina
`n
A
County
Macon
City or town
Highlands
0
c
w
Distance from shore
ft.
ft.
ft.
c.
Depth below surface
ft.
ft.
ft.
0
Average daily flow rate
mgd
mgd
mgd
Latitude
35° 03' S3" N
Longitude
83° 10' 44" W
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
a
❑ Yes ❑✓ No 4 SKIP to Item 3.4.
o
3.3
If so, provide the following information for each applicable outfall.
P 9 PP
s
Outfall Number
Outfall Number
Outfall Number
y
Number of times per year
discharge occurs
a
Average duration of each
`o
discharge (specify units
c
Average flow of each
mgd
mgd
mgd
<°n
discharge
in
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑✓ Yes ❑ No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
c.
Outfall Number 001
Outfall Number
Outfall Number
W
non -clog air diffusers
O
0
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?
a�
w
❑✓ Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
Facility
Modified Application Form 2A
NCO051381
7ame
Highlands Fallnity
Modified March 2021
3.7
Provide the receivinq water and
related information if known
for each outfall.
EWd
i
Receiving water name
Saltrock Branch
Name of watershed, river,
-'
or stream system
Little Tennessee River Basin
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
Little Tennessee River Basin
U.S. Geological Survey
8 digit hydrologic
0601020202
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
t
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr
vided for discharges from each
outfall.
Outfall Number 001
Outfall Number
Outfall Number
.W
Highest Level of
0 Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
w%
❑ Secondary
❑ Secondary
❑ Secondary
w-
❑ Advanced
❑ Advanced
❑ Advanced
'E
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
Design Removal Rates by
Outfall
BODs or CBOD5
,.
TSS
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
e
/o o
0 /o
%
/°
❑ Not applicable
❑ Not applicable
❑ Not applicable
s�
Nitrogen
%
/o o
/o
%
N
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
GE,E; Elm-'
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO051381
Highlands Fall Community
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.
lEi Y
aY fiF
Outfall Number 001
Outfall Number
Outfall Number
Disinfection type
uv Disinfection
.,,
a„•, , r
Seasons used
Continious Year Round
Dechlorination used?
❑r Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
g!;
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ 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.
�,
f
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
dischar es b outfall number or of the receivingwater near the discharge points.
E
Outfall Number
Outfall Number
Outfall Number
N
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
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?
ElYes 4 Complete Table B, including chlorine. ❑✓ No 4 Complete Table B, omitting chlorine.
jE
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
El Yes El 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?
a�
No additional sampling required by NPDES
❑ Yes 0
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
N00051381
Highlands Fall Community
Modified March 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 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 authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MMlDD/YYYY
c
c
0
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
c
toxicity?
c
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
c
LU
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 permitting authority.
Page 9

NPOES Permit Number Facility Name —
Modified App icaflon Form 2A
1
NC00S1381 Highlands Fall Community Modified Match 2021
SECTION 6 CHECKLIST
AND CERTIFICATION STATEMENT,"40 CFR 122.22(a) and (d))
6.1
In Column 1 below, mark the sections of Form N Mal 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 ae icants are re5uired to ovide attachments.
"I
M,
Section 1: Basic Application
❑ w/ variance request(s) ❑ w/ additional attachments
Information for All Aicants
ppl
❑ Section 2: Additional
wj topographic map ❑ wl process flow diagram
Information
El wl additional attachments
Q w/ Table A 0 wl Table D
o Section 3: Information on
❑ w/ Table B 0 wl' additional attachments
Effluent Discharges❑
w/ Table C
Section 4: Not Applicable
Section 5: Not Applicable
Section 6 -Checklist and
❑w/ attachments
Certification Statement
6.2
Certification Statement
I certify under penalty of low that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to mute that 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. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and fm 'sonmen( for knowing violations.
Name (print or type first and last name)
Official title
Jennifer Royce
Community Manager
Signature I
Date signed
12/07/2022
Page 10

NPDES Permit Number
Facility Name
Cutfall Number
NC0051381
Highlands Fall Community
001
Modified Application Form 2A
Modified March 2021
Pollutant
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method'
ML or MDL
(include units)
Value
7.8
Units
Mg/L
Value
1.62
Units
Mg/I
Number of
Samples
Biochemical oxygen demand
a BOD5 or ❑ CBOD5
(report one
52 sm52106-2011
❑ ML
O MDL
Fecal coliform
152
CFU/100ml
14.10
CFU/100ml
52 sm9222D-1997
❑ ML
O MDL
Design flow rate
pH (minimum)
pH (maximum)
Temperature (winter)
0.1534
6.2
7.7
17.6
MGD
su
su
Celcius
0.0242
9.19
MGD
Celcius
Continious
26
Temperature (summer)
21
Celcius
17.18
Celcius
26
Total suspended solids (TSS)
12.4
Mg/I
2.03
Mg/I
52 sm2540D
El ML
p MDL
I 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