HomeMy WebLinkAboutNC0064378_fact sheet_20230703DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
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 H. Weaver — 7/3/2023
Permit Number
NCO064378
Facility Name
Willowbrook WWTP
Basin Name/Sub-basin number
Neuse / 03-04-02
Receiving Stream
UT to Beddin field Creek
Stream Classification in Permit
C-NSW
Does permit need Daily Max NH3 limits?
Limits at 0.03 MGD flow phase will convert
to toxicity -based limits in January 2028, as
per 2016 NH3 guidance. Limits at 0.06 MGD
are already at BAT.
Does permit need TRC limits/language?
No — already resent
Does permit have toxicity testing?
Removed at this renewal due to reduction in
NH3 limits at 0.03 MGD].
Does permit have Special Conditions?
Neuse special conditions
Does permit have instream monitoring?
Dissolved oxygen and temperature
Is the stream impaired (on 303(d) list)? For
whatparameter?
Stream segment has been on 303 (d) list since
2014 for Benthos
Any obvious compliance concerns?
No enforcements since 2018. Five NOVs
during this permit cycle.
Any permit mods since lastpermit?
No
New expiration date
3/31/2028
Changes to Draft Permit?
➢ Added BAT NH3 limits for 0.03
MGD flow phase and deleted toxicity
testing, as per 2016 NH3 guidance.
➢ Updated eDMR language
➢ Added Neuse modeling reopener
Changes to final permit?
➢ None
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
AFFIDAVIT OF PUBLICATION
Account #
Order Number
Identification
Order PO
Amount
Cols
Depth
19489
422637 i_
Print Legal Ad-IPL01233540 - IPLO123354
$685.65
1
72 L
Attention: Wren Thedford
DEPARTMENT OF WATER RESOURCES - RALEIGH
1617 MAIL SERVICE CENTER
RALEIGH, NC 276991617
meagen.benton@ncdenr.gov
Public Notice
North Carolina Environmental Man-
agement 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 dis-
charge permit to 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 Di-
vision of Water Resources (DWR) may
hold a public hearing should there be
a significant degree of public interest.
Please mail comments and/or infor-
mation requests to DWR at the above
address. Interested persons may visit
the DWR at 512 N. Salisbury Street,
Raleigh, NC 27604 to review the infor-
mation on file. Additional information
on NPDES permits and this notice may
be found on our website: https://deq.
re gov/public-notices-hearings,or by
calling (919) 707-3601.
Carolina Water Service, Inc. of NC re-
quested renewal of NPDES permit
NC0061638/Amherst WWTP/Wake
County. Facility discharges to Middle
Creek/Neuse River Basin. Currently
BOD, Ammonia Nitrogen, Dissolved
Oxygen, Fecal Coliform, and Total
Residual Chlorine are water quality
limited.
Carolina Water Service, Inc. of NC
requested renewal of NPDES Permit
NC0062219/Kings Grant Subdivision/
Wake County. Facility discharges to an
unnamed tributary to Poplar Creek/
Neuse River Basin. Currently, BOD5,
ammonia, fecal coliform, dissolved
oxygen, and total residual chlorine are
water quality is limited.
Carolina Water Service, Inc. of North
Carolina requested renewal of NPDES
permit NC0064378/Willowbrook
WWTP/Wake County. Facility dis-
charges to an unnamed tributary to
Beddingfield Creek/Neuse River Ba-
sin. Currently, BOD, ammonia -nitro-
gen, dissolved oxygen, fecal coliform,
total residual chlorine, and
4 radioactive substances are water
quality limited.
Carolina Water Service, Inc. of North
Carolina requested renewal of NP-
DES permit NC0051322/Ashley Hills
WWTP/Wake County. Facility dis-
charges to Poplar Creek/Neuse River
Basin. Currently, BOD, ammonia -ni-
trogen, fecal coliform, dissolved oxy-
gen, total phosphorus, and total resid-
ual chlorine are water quality limited.
IPLO123354
May 18 2023
STATE OF NORTH CAROLINA
COUNTY OF WAKE, COUNTY OF DURHAM
Before the undersigned, a Notary Public of Dallas
County, Texas, duly commissioned and authorized to
administer oaths, affirmations, etc., personally
appeared Tara Pennington, who being duly sworn or
affirmed, according to law, cloth depose and say that he
or she is Accounts Receivable Specialist of the News &
Observer Publishing Company, a corporation organized
and doing business under the Laws of the State of North
Carolina, and publishing a newspaper known as The
News & Observer, Wake and State aforesaid, 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 of the requirements and qualifications of Section 1-
597 of the General Statutes of North Carolina and was a
qualified newspaper within the meaning of Section 1-597
of the General Statutes of North Carolina, and that as
such he or she makes this affidavit; and is familiar with
the books, files and business of said corporation and by
reference to the files of said publication the attached
advertisement for DEPARTMENT OF WATER RESOURCES -
RALEIGH was inserted in the aforesaid newspaper on
dates as follows:
1 insertion(s) published on:
05/18/23
I certify or declare) under penalty of perjury that the
foregoing is true and correct.
Ha"tw
Notary Public in and for the state of Texas, residing in
Dallas County
'�"' '• STEPHANIE HATCHER
x: •- My Notary ID # 1335YAX*
Eorss January 14, 2026
Extra charge for lost or duplicate affidavits.
Legal document please do not destroy!
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NORTH CAROLINA 2022 303(D) LIST
Upper Neuse
Neuse River Basin
AU Name
AU Number Classification AU_LengthArea AU —Units
AU ID Description
Beddingfield Creek
27-37 C;NSW 3.7 FW Miles
8158 From source to Neuse River
PARAMETEM IR CATEGORY
CRITERIA STATUS T REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 115 1IExceeding Criteria Fair, Poor or Severe Bioclassification 2014
Marks Creek (Lake Myra)
27-38 C;NSW 10.3 FW Miles
8163 From soruce to Neuse River
PARAMETEJM IR CATEGORY
CRITERIA STATUS REASON FOR RATING 303D YEAR
IBenthos (Nar, AL, FW) 5
Exceeding Criteria Fair, Poor or Severe Bioclassification 2022
Knap of Reeds Creek
27-4-(6)--� WS-IV;NSW I F 5.6 FW Miles
8169 From dam at Lake Butner to a point 1.9 miles downstream of Granville County SR 1120
PARAMETER IR CATEGORY
CRITERIA STATUS REASON FOR RATING 303D YEAR
Zinc (50 µg/I, AL, FW) 5
Exceeding Criteria Legacy Category 5 Total Metals 2008
Assessment
Knap of Reeds Creek
27-4-(8) WS-IV;NSW,CA 0.6 FW Miles
8170 From a point 1.9 miles downstream of Granville County SR 1120 to Falls Lake, Neuse River
PARAMETER _ IR CATEGORY
CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5
Exceeding Criteria Fair, Poor or Severe Bioclassification 1998
Swift Creek
27-437 1)b WS-III;NSW 5.5 FW Mi eslesl
81771 [From confluence with Williams Creek to backwaters of Lake Wheeler (0.5 miles upstream of Penny Road
1379)
PARAMETER a IR CATEGORY
CRITERIA STATUS REASON FOR RATING 303D YEAR
Fish Community (Nar, AL, FW) 5
Exceeding Criteria Fair, Poor or Severe Bioclassification 2018
Swift Creek
27-43-(1)d WS-III;NSW 2.4 FW Miles
8179 From Lake Wheeler Dam to a point
0.6 mile upstream of Wake County SR 1006
PARAMETER IR CATEGORY
CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5
Exceeding Criteria Fair, Poor or Severe Bioclassification 2008
Swift Creek (Lake Benson) I27-43-(5.5)a IWS-III;NSW,CA 0.9 FW Miles
8182 From a point 0.6 mile upstream of Wake County SR 1006 to backwaters of Lake Benson
PARAMETER F IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5 Exceeding Criteria Fair, Poor or Severe Bioclassification 2008
6/7/2022 NC 2022 303d List- Approved by EPA 4/30/2022 Page 69 of 192
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
wnole tttluent I oxlclty I esting ana �>elr Ivlonitoring Summary
CWS The Harbour Well #4 WTP
NCO086606/001
County:
Iredell
Ceri7dPF
Begin:
10/1/2013 Chr Qtr Monit
90%
NonComp:
J
F
M
A
M
2019
-
-
Fail
-
-
2020
-
-
Fail
-
-
2021
-
-
Fail
-
-
2022
-
-
Fail
-
-
CWS The Point WTP - Well # 1
NCO086592/001
County:
Iredell
Ceri7dPF
Begin:
10/1/2013 Chr Monit:
90%
NonComp:
J
F
M
A
M
2019
-
-
Fail
-
-
2020
-
-
Fail
-
-
2021
-
-
Fail
-
-
2022
-
-
Fail
-
-
CWS Willowbrook
NCO064378/001
County:
Wake
Ceri7dPF
Begin:
5/1/2018 chr lim: 90% @ 0.03
NonComp: Single
J
F
M
A
M
2019
Pass
-
-
Pass
-
2020
Pass
-
-
Pass
-
2021
Pass
-
-
Pass
-
2022
Pass
-
-
Pass
-
2023
Pass
-
-
-
-
Daikin Applied-AAF/McQuay, Inc. NCO083658/001
County:
New Hanover
Ceri7dPF
Begin:
5/1/2012 chr lim: 90%
NonComp: Single
J
F
M
A
M
2019
-
Pass
-
-
Pass
2020
-
Pass
-
-
Pass
2021
-
Pass
-
-
Pass
2022
-
Pass
-
-
Pass
2023
-
Pass
-
-
-
DAK Americas, LLC -
Cedar Creek
Site NC0003719/002
County:
Cumberland
Fthd24PF
Begin:
8/1/2018 24hr p/f ac
lim: 90%f
+
NonComp: Single
J
F
M
A
M
2019
-
Fail
Fail
Fail
Fail
2020
-
Pass
-
-
Pass
2021
-
Pass
-
-
Pass
2022
-
Pass
-
-
Pass
2023
-
Pass
-
-
-
Region: MRO Basin: CTB32 Mar Jun Sep Dec SOC JOC:
7Q10: PF: NA IWC: Freq: Q
J J A S O N
Fail - - Fail -
Fail - - Fail -
Fail - - Fail -
Fail - - Fail -
Region:
MRO
Basin:
CTB32
Mar Jun Sep Dec
7Q10:
PF: NA
IWC:
Freq: Q
J
J
A
S
O
Fail
-
-
Fail
-
Fail
-
-
Fail
-
Fail
-
-
Fail
-
Fail
H
Region:
RRO
Basin:
NEU02
Jan Apr Jul Oct
7Q10: 0.0
PF: 0.030 IWC:
100.0 Freq: Q
J
J
A
S
O
-
Pass
-
-
Pass
-
Pass
-
-
Pass
-
Pass
-
-
Pass
-
Pass
-
-
Pass
Region:
WIRO
Basin:
CPF17
Feb May Aug Nov
7Q10: 0.0
PF: 0.36 IWC:
100 Freq: Q
J
J
A
S
O
Pass
-
Pass
H
Pass
Pass
Region:
FRO
Feb May Aug Nov
Basin:
CPF15
7Q10: 791.0
PF: 0.5
IWC:
0.1 Freq: 1xQ
J
J
A
S
O
Pass
-
Pass
-
-
Pass
Pass
Pass
SOC JOC:
N
SOC JOC:
N
SOC JOC:
N
Pass
Pass
Pass
Pass
SOC JOC:
N
Pass
Pass
Pass
Pass
D
Fail
Fail
Fail
H
D
Fail
Fail
Fail
H
C
D
C
Leeend: P= Fathead minnow (Pimohales oromelas). H=No Flow (facilitv is active). s = Solit test between Certified Labs Page 29 of 112
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
ROY COOPER
Governor
ELIZABETH S. BISER
Secretory
RICHARD E. ROGERS, JR.
Director
Carolina Water Service Inc of North Carolina
Attn: Dana Hill, Director of Operations
4944 Parkway Plaza Blvd, Ste 375
Charlotte, NC 28217
Subject: Permit Renewal
Application No. NCO064378
Willowbrook WWTP
Wake County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
August 25, 2022
The Water Quality Permitting Section acknowledges the August 25, 2022, 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://deq.nc.gov/permits-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: Brent Milliron-CWSNC
ec: WQPS Laserfiche File w/application
Sincerely,
yti�
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
,/ Raleigh Regional Office 13800 Barrett Drive I Raleigh. North Carolina 27609
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
� W Carolina Water Service
Nl� of North Carolina""
August 23, 2022
Wren Thedford
Division of Water Resources
Water Quality Permitting Section — NPDES
Archdale Building — 9`h Floor
512 North Salisbury Street
Raleigh, NC 27604
Subject: NPDES Permit Renewal Application
Willowbrook Subdivision WWTP
NPDES NCO064378
Wake County
Wren Thedford,
RECEIVED
A U G 2 5 2022
KDENWRAPDES
Please find the enclosed application as our official request to renew the NPDES permit for the facility
referenced above.
If you should have any questions or need any additional information, please do not hesitate to contact
Dana Hill (252-269-2540), Stephen Harrell (919-868-4701) or myself.
Sincerely,
A� 4ff'k--L
Brent Milliron
Regulatory Compliance Manager
cc: Dana Hill — Director of State Operations, CWSNC
Stephen Harrell — Area Manager, CWSNC
• 4944 Parkway Plaza Blvd. Suite 375 • Charlotte, North Carolina 28217 • 800-525-7990
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP
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 mpy result in denial of the a lication.
SECTION•N
INFORMATION FOR
Facility name
1.1
Willowbrook Subdivision WWTP
Mailing address (street or P.O. box)
PO Box 240908
City or town
State
ZIP code
c
Charlotte
NC
28224
Contact name (first and last)
Title
Phone number
Email address
w
Dana Hill
Director of Operations
(252) 269-2540
dana.hill @carolinawaterservic
c
_
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
m
LL
3623 Willow Tree Lane
City or town
State
ZIP code
Clayton
NC
27520
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 SKIP to Item 1.4.
Applicant name
Carolina Water Service Inc. of North Carolina
Applicant address (street or P.O. box)
PO Box 240908
€
State
ZIP
City or town
code
c
Charlotte
NC
28224
Contact name (first and last)
Title
Phone number
Email address
Q
Dana Hill
Director of Operations
(252) 269-2540
dana.hill@carolinawaterservic
n
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
21 Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility ❑✓ Applicant ❑ Facility and applicant
(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
w
number for each.
aExisting
Environmental P•rmib
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
NCO064378
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
LU
rn
y
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
it
0
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a
0
a
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c
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Cn
N
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c
0
U
d
0
U
NPDES Permit Number
Facility Name
Modified Application Forth 2A
NCO064378
Willowbrook Subdivision WWTP
Modified March 2021
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Status
Served
Served
indicatepercentage)Ownership
100 %
separate sanitary sewer
ID
Own
❑
Maintain
connections;
-42 2 population
%
sanitary
combined storm and sanita sewer
El
Own
1-1
Maintain^'42
❑ 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
❑
Own
❑
Maintain
%
combined stone and sanitary sewer
❑
Own
❑
Maintain
❑ Unknown
❑
Own
❑
Maintain
Total
422
Population
Served
Separate Sanitary Sewer System
Total percentage of each type of 100 %
sewer line in miles
1.8 Is the treatment works located in Indian Country?
❑ Yes 0 No
1.9 Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes 0 No
1.10 1 Provide design and actual flow rates in the designated spaces
Annual Avera a Flow Rates Actuc
Two Years Ago Last Year
014 mgd 1 .015 mgd
Combined Storm and
Sanitary Sewer
Maximum Daily Flow Rates Actual
Two Years Ago Last Year
.048 mgd .039 mgd
1 11 Provide the total number of effluent dischar a points to waters of the State of North Carolina
Design Flow Rate
03 mgd
This Year
013 mgd
This Year
o1s mgd
Total Number of Effluent Discharge Points by Type
a a. Constructed
_ Treated Effluent Untreated Effluent Combined SewerOverflows Bypasses Overflows
Pace 2
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP
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 -* 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
ElContinuous
gpd
❑ Intermittent
w
1.14
Is wastewater applied to land?
❑ Yes No 4 SKIP to Item 1.16.
c
1.15
Provide the land application site and discharge data requested below.
y
Land Application Site and Discharge Data
c
c
Average Daily Volume
Continuous or
d
Location
Size
A tied
PP
Intermittent
check one
acres
gpd
El
c
❑ Intermittent
acres
gpd
ElContinuous
❑ Intermittent
acres
d
gpd
El Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
ElYes ❑✓ No 4 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.
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: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP
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
0
Facility name
Mailing address (street or P.O. box)
a
City or town
State
ZIP code
0
Contact name (first and last)
Title
0
d
Phone number
Email address
c
NPDES number of receiving facility (if any) ElNone
Average daily flow rate mgd
a
N
o
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)?
M
❑ Yes ❑ No 4 SKIP to Item 1.23.
L
V
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other Dis osal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
0
Description
Volume
acres
gpd
❑ Continuous
❑ Intermittent
❑ Continuous
acres
gpd
❑ Intermittent
acres
gpd
ElContinuous
❑ 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 r
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
M
Discharges 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 +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
c
Contractor name
M
(company name
Mailing address
o
street or P.O. box
o
City, state, and ZIP
code
cContact
name (first and
0
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number Facility Name Modified Application Form 2A
--L�
NCO064378 Willowbrook Subdivision WWTP Modified March 2021
SECTION•D• •- • i
c Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
0
0 Yes ❑ No 4 SKIP to Section 3.
c
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
.02 9Pd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Reported volume based on maximum daily flows. Manholes are inspected regularly to detect flow variations and suspect
3
areas are inspected with CCTV with repairs scheduled accordingly.
0
w
c
z
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
E
specific requirements.)
C
0
Co
❑✓ Yes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
c I°
(See instructions for specific requirements.)
_ w
u_ A
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
c
d
� E
a.
2.
E
0
y
3.
a
w
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled
or Actual Dates of Completion for Improvements
d
>
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
o
0.
Improvement
l
(list outanumber)
Construction
Construction
Discharge
Level
E
(from above)
)
(MM/DD/YYYY)
(MM/DDIYYYY)
(MM/DD/YYYY)
MM/DD/YYYY
d
d
t
in
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
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP Modified March 2021
SECTION•R
• ON
i
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
�v
County
Wake
o
0
City or town
Clayton
Distance from shore
0 ft.
n
Depth below surface
0 ft.
ft.
ft.
0
Average daily flow rate
.014 mgd
mgd
mgd
Latitude
3.7 40 51.5?' N
°
Longitude
lit° 2Y 57.9r W
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
�o
o
❑ Yes ❑ No -* SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
H
Outfall Number
Outfall Number
Outfall Number
a
Number of times per year
discharge occurs
a
Average duration of each
_
`0
discharge (specify units
cAverage
flow of each
mgd
mgd
mgd
discharge
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes 0 No 4 SKIP to Item 3.6.
d
3.5
Briefly describe the diffuser type at each applicable outfall.
a
~
d
Outfall Number
Outfall Number
Outfall Number
o �
r
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?
3 w
❑✓ Yes ❑ No 4SKIP to Section 6.
Page 6
r
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number Facility Name Modified Application Form 2A
NCO064378 Willowbrook Subdivision WWTP Modified March 2021
3.7 Provide the receiving water and related information if known for each outfall.
Outfall Number 001 Outfall Number Outfall Number
Receiving water name Unnamed tributary to Beddin
Name of watershed, river,
Neuse River Basin
or stream system
U.S. Soil Conservation
Service 14-digit watershed
030202011103
code
Name of state
Neuse
management/river basin
U.S. Geological Survey
8-digit hydrologic
03020201
cataloging unit code
Critical low flow (acute)
cfs
Critical low flow (chronic)
cfs
Total hardness at critical
mg/L of
low flow
CaCO3
3.8
Provide the following information
describing the treatment
Outfall Number 001
Highest Level of
❑ Primary
Treatment (check all that
❑ Equivalent to
apply per outfall)
secondary
0 Secondary
❑ Advanced
❑ Other (specify)
cfs cfs
cfs cfs
mg/L of mg/L of
CaCO3 CaCO3
tided for discharges from each outfall.
Outfall Number Outfall Number
❑ Primary ❑ Primary
❑ Equivalent to ❑ Equivalent to
secondary secondary
❑ Secondary ❑ Secondary
❑ Advanced ❑ Advanced
❑ Other (specify) ❑ Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
85 %
%
%
TSS
85 %
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
/o °
° /o
°
/o
Other (specify)
0 Not applicable
❑ Not applicable
❑ Not applicable
Page 7
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP
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.
UV- primary disinfection
Chlorination / Dichlorination as emergency backup
c
.c
o
---
c
Outfall Number 001
Outfall Number
Outfall Number
Disinfection type
UV with C12 backup
Q
0
=
Seasons used
All
d
E
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
0 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?
Q 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
is
Number of tests of discharge
rn
water
j F
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. ❑ No + 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
❑✓ Yes ❑
permitting authority.
Page 8
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
--T
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWfP
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 + 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 your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MM/DD/YYYY
v
m
c
c
0
R
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
m
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 Z Not applicable because previously submitted
information to the NPDES permitting authori il
Page 9
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name Modified Application Form 2A
NCO064378
Willowbrook Subdivision WWTP Modified March 2021
SECTION•
I F
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
6.1
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
ID Section 1: Basic Application
w/ variance request(s) ❑ wl additional attachments
Informationforfor All A licants
Section 2: Additional
✓❑ wl topographic map w/ process flow diagram
Information
❑ w/ additional attachments
❑r w/ Table A w/ Table D
a Section 3: Information on
0 wl Table B ❑ w/ additional attachments
Effluent Discharges
❑ w/ Table C
Section 4: Not Applicable
0
Section 5: Not Applicable
m
ca
A
Section 6: Checklist and
0
❑ wl attachments
Certification Statement
Y
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 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 imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Dana Hill
Director of Operations
Signature
Date signed
n...o�� i.�u..a�aur aw...rt
Dana Hill ON C•UB O CWHNL CN•Dn� ENn� 100tlFw tlens wncca
o.�-.1191I::so-s W
Fa GOF Etlllar V�flFn: 11 I.1
07/19/2022
Page 10
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
NPDES Permit Number
Facility Name
Outfall Number
NCO064378
Willowbrook Subdivision WWTP
001
Modified Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge Analytical
ML or MDL
Pollutant
Value Units
Number of Methods
Value Units
Include units
( )
Samples
Biochemical oxygen demand
Ei BOD5 or ❑ CBOD5
17
mg/I
3.9
mg/I
52 SM5210 B-2011 29/15 mg/ O MIL
❑ MDL
(report one
/100 ml
MGD
1.8
.014
/100 ml
MGD
52 Colilert 18 400/100 rr ❑ ML
fJ MDL
365
Fecal coliform
2419
Design flow rate
.03
pH (minimum)
6.4
Su
pH (maximum)
7
Su
Temperature (winter)
17
degrees C
12
degrees C
60
Temperature (summer)
26
degrees C
23
degrees C
60
Total suspended solids (TSS)
19
mg/I
4.8
mg/I
52 SM2540 D-2015
45 mg/I 17 MDL
1 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
DocuSign Envelope ID: 293EBC8F-36AB-48DA-8187-C745481854E5
EPA Identification Number NPDES Permit Number Facility Name Outtall Number
NCO064378 Willowbrook Subdivision WWTP 001
Modified Application Form 2A
Modified March 2021
•• •• • •
• •' t 111 pi
Maximum Daily Discharge
Average Daily Discharge
Analytical
ML or MDL
Value
Units
Value
Units Number of
Pollutant
Method'
(include units)
Samples
Ammonia (as N)
20
_ _
mg/1
_
1.77
mg/1
52
EPa 350.1
35 mg/1 0 MIL
O MDL
Chlorine
N/A
N/A
N/A
N/A
N/A
❑ MIL
17 ug/I
residual, TRC s
O MDL
Dissolved oxygen
10.6
mg/I
8.1
mg/I
52
SM450O O G-2016
>5 mg/I DMIL
2 MDL
Nitrate/nitrite
8.88
mg/I
3.09
mg/I
52
EPA 353.2
MR DMIL
❑ MDL
Kjeldahl nitrogen
8.53
mg/1
3.94
mg/I
52
EPA351.2
MR El MIL
❑ MDL
Oil and grease
N/A
N/A
N/A
N/A
N/A
N/A
DMIL
❑ MDL
Phosphorus
5.95
mg/I
3.7
mg/I
24
EPA 365.4
MR ❑ MDL
Total dissolved solids
N/A
N/A
N/A
N/A
N/A
N/A
❑ ML
❑ MDL
' 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).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12