NC0087645_Fact Sheet_20230125

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
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
Emily Richards 10-2022
Permit Number
NCO087645
Facility Name
Milton WWTP
Basin Name/Sub-basin number
Roanoke / 03-02-04
Receiving Stream
Country Line Creek
Stream Classification in Permit
C
Does permit need Daily Maximum NH3 limits?
No — already resent
Does permit need TRC limits/language?
No — already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Dissolved Oxygen and Temperature
Is the stream impaired on 303 d list)?
No
Any obvious compliance concerns?
No enforcements have ever been issued against
this facility. No effluent violations of any
consequence.
Any permit mods since lastpermit?
No
New expiration date
5/31/2022
Comments received on Draft Permit?
Updated eDMR requirements
Updated Oufall map
Compliance History:
There has never been an enforcement issued against this facility. The most recent violations were
found during an inspection in 2018 where the generator and flow meer were found to not be
functioning properly. This issue has since been addressed.
eDMR Summary Jan 2018 — June 2022
Parameter
00010 - Temperature, Water Deg. Centigrade
00300 - Oxygen, Dissolved (DO)
00400 - pH
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C
50050 - Flow, in conduit or thru treatment plant
50060 - Chlorine, Total Residual
C0310 - BOD, 5-Day (20 Deg. C) - Concentration
C0530 - Solids, Total Suspended - Concentration
C0600 - Nitrogen, Total - Concentration
Data
Average
Max
Min
n
16.56
27
2
1603
5.06
9.1
0.6
705
6.50
7
6
234
--
201
1
235
0.003
0.011
0.0002
1596
71.67 379 2 470
53.37 1290 2.5 470
59.78 79.7 37.5 18

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D9419F
C0610 - Nitrogen, Ammonia Total (as N) - 2.75 34.9 0.1 235
Concentration
C0665 - Phosphorus, Total (as P) - Concentration 7.17 27.8 0.074 18
Proposed changes:
This renewal did not require any major changes. The outfall map was updated, and eDMR
language was updated to be consistent with current federal requirements.

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D9419F
Nort, irolina Environmental Manage-
ment �_ommission/NPDES Unit1617 Mail
Service CenterRaleigh, NC 27699-
1617Notice of Intent to Issue a NPDES
Wastewater Permit NCO087645 Milton
WWTP The North Carolina Environmental %L NORTH CAROLINA,
Management Commission proposes to is-
sue a NPDES wastewater discharge per- CASWELL COUNTY
mit to the person(s) listed below. Writter
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 in-
terest. Please mail comments and/or infor-
mation requests to DWR at the above ad-
dress. 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 web -
site: http://deq.nc.gov/about/divisions/wa-
ter-resources/water-resou rces-
oermits/wastewater-branch/n pdes-wastew-
ater/public-notices,or by calling (919) 707-
3601. NPDES Permit NCO087645: The
Town of Milton (P.O. Box 85, Milton, NC
27305-0085) has requested renewal of the
NPDES permit for the Milton WWTP in
Caswell County. This permitted facility dis-
charges treated wastewater to Country
Line Creek in the Roanoke River Basin.
Currently, ammonia nitrogen, fecal col-
iform, and total residual chlorine are water
quality limited. This discharge may affect
future allocations in this portion of the
Roanoke River Basin.
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and
State, duly commissioned, qualified, and authorized by law to
dmini° ter oaths, personally appeared Debra Ferrell who be-
ng fi st duly sworn, deposes and says: that she is an authorized
mployee of The Caswell Messenger, engaged in the publication
o a newspaper known as The Caswell Messenger published, is-
sued, and entered as second class mail in the City of Yanceyville
n said County and State; that she is authorized to make this af-
davit and sworn statement; that the notice or other legal adver-
tisement, a true copy of which is attached hereto, was published
'n The Caswell Messenger on the following date, November 9,
022 that the said newspaper in which such notice, paper, docu-
ment, or legal advertisement was published was, at the time of
each and every such publication, a newspaper meeting all of the
equirements and qualifications of Section 8-597 of the General
Statutes of North Carolina and was qualified newspaper within
he meaning of Section 1-597 of the General Statutes of North
Carolina.
hs 7th day of December
Signature of person making affidavit)
Sworn to and subscribed before me, this 7th day of December
Y
Notary Public
ANITA B. SMITH
Notary Public, North Carolina
Caswell County
My C isJU
ion Expires
_..

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Town of Milton
Attn: John Wallace
PO Box 85
Milton, NC 27305-0085
Subject: Permit Renewal
Application No. NCO087645
Milton WWTP
Caswell County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
November 15, 2021
The Water Quality Permitting Section acknowledges the November 10, 2021 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 15OB-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https•//de4 nc Qov/pgrmits-regulations/permit guidance/environmental application tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
cc: Matt Smith -PACE
ec: WQPS Laserfiche File w/application
QQ
Sinc rely,
ort
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes M11 Road. Sufte 300 1 Winston-Salem, North Carolina 27105
336.776.9800

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number Facility Name Modified Application Form
Modified March 202121
NCO087645 Milton Wastewater Treatment
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
Form
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
NPDES
the instructions ma result in denial of the application.
Facility name
1.1
Town of Milton
Mailing address (street or P.O. box)
P.O. Box 8S
City or town
State
ZIP code
o
Milton
NC
27305
E
Contact name (first and last)
Title
Phone number
Email address
c
Sharon Williams
Administration
[phone]
miltonfinanceofficer@gmail.c
Location address (street, route number, or other specific identifier) ❑Same as mailing address
Doll Branch Rd. (SR 1538)
U-
City or town
State
ZIP code
Milton
NC
27305
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?
0 Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Pace Analytical Services
Applicant address (street or P.O. box)
=
w
1377 South Park Dr.
€
City or town
State
ZIP code
Kernersville
NC
27
Contact name (first and last)
Title
Phone number
Email address
a
a
Matt Smith
Operator
[phone]
[e-mail]
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑✓ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
Facility ❑ Applicant ❑ Facility and applicant
❑ y (they 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.
E
Existing Environmental Permits
a
❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
�
water)
control)
NCO087645
2
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
.5
c
w
rn
• ;
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number Facility Name Modified Application Form 2A
reatment
NCO087645 Milton Wastewater T
Modified March 2021 _
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
indicate percentage)
100 % separate sanitary sewer
IZI Own El Maintain
1
164
% combined storm and sanitary sewer
❑ Own ❑ Maintain
Z
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
n%
separate sanitary sewer
❑ Own ❑ Maintain
D
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
E
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
c
.0
Total
°'
Population
0
Served
Combined Storm and
Separate Sanitary Sewer System
Sanitary Sewer
°,
%
Total percentage of each type of
sewer line in miles
100 '°
z'
1.8
Is the treatment works located in Indian Country?
o
❑ Yes No
r-
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
0.025 mgd
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
o
o.003 mgd
0.003 mgd
0.003 mgd
y "
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
0.007 mgd
o.008 mgd
o.o11 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 Dischar a Points by Type
a
Constructed
►T
m
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Emergency
L M
Overflows
U
N_
0
1
Page 2

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number
Facility Name
Modified ApphcaUon Form zn
Modified March 2021
NCO087645
Milton Wastewater Treatment
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 0 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
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
gpd
❑ Continuous
N
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
a
Land Application Site and Discharge Data
o
Average Daily Volume
Continuous or
Intermittent
o
d
Location
Size
Applied
check one
Q,
❑ Continuous
N
acres
gpd
❑ Intermittent
a
❑ Continuous
acres
gpd
❑ Intermittent
0
❑ Continuous
acres
gpd
❑ Intermittent
In
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
❑ Yes No 4SKIP 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 trans orter 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

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number Fadli NaName Modified Application Form 2A
NC0087645 I Milton Wastewater Treatment I 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.
Receivin Facili Data
Facility name
Mailing address (street or P.O. box)
Milton Wastewater Treatment Plant
P.O. Box 85
`
City or town
State
ZIP code
0
Milton
NC
27305
(n
Contact name (first and last)
Title
0
Sharon Williams
Administration
w
a
Phone number
Email address
[phone]
[e-mail]
o
NPDES number of receiving facility (if an() 121 None
Average daily flow rate 0.003 mgd
a.
-
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
8
not have outlets to waters of the Stale of North Carolina (e.g., underground percolation, underground injection)?
CM
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
6
Provide information in the table below on these other disposal methods.
1.22
Information on Other Disposal Methods
oDisposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one )
Description
Volume
❑ Continuous
acres
gpd
❑ Intermittent
o
ElContinuous
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.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
btn
ElDischarges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
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 4 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
0
Contractor name
(company name
Mailing address
—_
street or P.O. box
o
City, state, and ZIP
L)
code
Contact name (first and
c�
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
-- - - -- - -- Facility Name r✓Rx1wCV
NPDES Permit Number Y
Modified March 2021
NCO087645 Milton Wastewater Treatment
a Outfalls 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?
En
❑ Yes ❑ No -* SKIP to Section 3.
0
2.2
Provide the treatment works' current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
c
and infiltration. gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
c
m
3
0
c
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
M n.
specific requirements.)
Im tO
o
o
❑ Yes ❑ No
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
E
3 12
(See instructions for specific requirements.)
o rn
" o
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
w
;g
1.
c
--—
a�
E
a�
n.
E
2.
--
0
0
N
d
3.
cLi
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled
or Actual Dates of Completion for Im rovements
E
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
o
Improvement
(list l
Construction
Construction
Discharge
Level
CL
E
from above
( )
number)
)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
MMlDDIYYYY
ai
L
2.
to
3.
4.
2.7
Have appropriate permits/clearances concerning other federaUstate requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number racuny name — , —
Modified March 2021-
NC0087645 Milton Wastewater Treatment
for each outfall. (Attach additional sheets if you have more than three outfalls.)
3.1
Provide the following information
Outfall Number 001
Outfall Number
Outfall Number
State
NC
2
County
Caswell
0
City or town
Milton
Distance from shore
0 ff.
.n
Depth below surface
8 ft.
it.
ft.
0
Average daily flow rate
0.003 mgd
mgd
mgd
Latitude
Longitude
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o
❑ Yes ✓❑ No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
N
Outfall Number
Outfall Number
Outfall Number
o
Number of times per year
_
discharge occurs
C
a
Average duration of each
o
discharge (specify units
o
Average flow of each
mgd
mgd
mgd
y
discharge
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.
CL
Outfall Number
Outfall Number
Outfall Number
N
0
w
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
dui
3.6
one or more discharge points?
w
❑ Yes ❑ No -*SKIP to Section 6. j
i
Page 6

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
NC0087645
Milton Wastewater Treatment
3.7
Provide the receivinq water and related information if known for each outfall.
Outfall Number
Outfall Number
Outfall Number
Receiving water name
Name of watershed, river,
0
or stream system
a
U.S. Soil Conservation
N
Service 14-digit watershed
o
code
Name of state
management/river basin
rn
y
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
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
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
aDesign
Removal Rates by
Outfall
BODs or CBODs
%
%
%
c
E
a
TSS
%
%
H
❑ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
Page 7

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number
Facility Name
Modified Applicabon Form 2A
Modified March 2021
NCO087645
Milton Wastewater Treatment
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.
d
0
Outfall Number
Outfall Number
Outfall Number
0
Disinfection type
U
N
d
Seasons used
E
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?
❑ 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
A
0
Number of tests of discharge
rn
water
'
d
Number of tests of receiving
`—
water
c
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. ❑ No 4 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?
❑ 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?
❑ No additional sampling required by NPDES
El Yes permitting authority.
Page 8

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number racmty name I raumueu yrynwuvn -... —
Modified March 2021
NC0087645 Milton Wastewater Treatment©
l
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
76.1
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
❑ Section 1: Basic Application
❑ wf variance request(s) ❑ wl additional attachments
Information for All A licants
Section 2: Additional
❑ wl topographic map ❑ wl process flow diagram
❑ Information
❑ wl additional attachments
❑ wl Table A ❑ wl Table D
❑ Section 3: Information on
❑ wl Table B ❑ wl additional attachments
Effluent Discharges
❑ wl Table C
d
io
Section 4: Not Applicable
c
0
Section 5: Not Applicable
r
Section 6: Checklist and
❑
0 wl attachments
@
Certification Statement
6.2
Certification Statement
I 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 that qualified personnel property 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 fide
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Matt Smith
Operator
Signature
Date signed
Page 10

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D9419F
NPDES Pe,mit Number
Facility Name
Modified Application Form 2A
NCO087645
Milton Wastewater Treatment
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?
❑ No 4 Provide results in Table E and SKIP to
❑ Yes 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
MM/DDNYYY
d
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
o
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
d
3.23
Describe the cause(s) of the toxicity:
c
a
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?
❑ Not applicable because previously submitted
❑ Yes information to the NPDES ermittin authority.
Page 9

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D941 9F
NPDES Permit Number
Facility Name
Outfall Number
NC0087645
Milton Wastewater Treatment
Modified Applicatiop Form 2A ,
Modified March 2021
Maximum Daily Discharge Average Daily Discharge Analytical
ML or MDL
Include units
( )
Pollutant
Value
Units
Value
Units
Number of
Samples
Methods
Biochemical oxygen demand
❑ BOD5 or ❑ CBOD5
(report one
38
mg/L
6.12
mg/L
156
varies
NA ❑ MDL
Fecal coliform
201
col/100ml
1.18
col/100ml
156
varies
NA ❑ MDL
Design flow rate
0.011
mgd
0.003
mgd
780
varies NA O MDL
pH (minimum)
6.4 (minimum)
Std. Units
pH (maximum)
7.0
Std. Units
Temperature (winter)
19
°C
12.5
°C
109
Temperature (summer)
27
°C
21.3
'C
151
Total suspended solids (TSS)
39.4
mg/L
10.7
mg/L
156
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 4U W-K I Jb for the anaiysls of ponutanis or poumant pdrarnururs ui
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D9419F
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USGS Quad: Milton, N.C. NCO087645 Facility
Stream Class: C Town of Milton Location
`"­�ubbasin: 03-02-04
—atitude: 36'31'46" Milton WWrP
Longitude: 79*12'25" Caswell County
Receiving Stream: Country Line Creek Norm Map not to scale

DocuSign Envelope ID: A687001 B-C6AE-4489-AOA5-EB9B76D9419F
Sludge Management Plan
Town of Milton Rest Home WWTP
NPDES Permit No. NC 0087645
Sludge from the Town of Milton wastewater treatment plant are disposed of in the following
manner:
Solids are collected in the sludge holding tank. The excess solids are periodically pumped
and hauled by a licensed septic pumper contractor and disposed of in Danville, VA.