NC0067342_Fact Sheet_20230828

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
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 — 8/28/2023
Permit Number
NCO067342
Facility Name
North View Mobile Home Park WWTP
Basin Name/Sub-basin number
French Broad River 04-03-02
Receiving Stream
Flat Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
Alread resent
Does permit need TRC limits/language?
Already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Yes
Does permit have instream monitoring?
TSS and Fecal Coliform
Is the stream impaired (on 303(d) list)? For
whatparameter?
No
Any obvious compliance concerns?
No enforcements during the last permit cycle.
Twelve NOVs during the last permit cycle.
Any permit mods since lastpermit?
No
New expiration date
7/31/2028
Changes in draft permit
➢ Corrected owner name to Mr. James
Rice
➢ Eliminated footnote from Supplement
to Permit Cover Page
➢ Eliminated stream assessment
condition.
➢ Updated Special Conditions text
➢ Updated eDMR text
Changes to Final Permit?
None.

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
-* LocaliQ
Georgia/North Carolina PO Box 631697 Cincinnati, OH 45263-1697
South Carolina
GANNETT
Public Notice
PROOF OF PUBLICATION
North Carolina
Environmental Management
Commission/NPDES Unit
ITY NC DIV OF WATER QUAL
1617 Mail Service Center
Wren Thedford
Raleigh, NC 27699-1617
Notice of Intent to Issue a
Nc Div Of Water Quality
NPDES Wastewater Permit
1617 Mall Service Ctl'
NCO067342 Northview Mobile
Home Park The North
Raleigh NC 27699-1617
Carolina Environmental
Management Commission
proposes to issue a NPDES
wastewater discharge permit
STATE OF WISCONSIN, COUNTY OF BROWN
to the person(s) listed below.
Written comments regarding
the proposed permit will be
Before the undersigned, a Notary Public, duly
accepted until 30 days after
the publish date of this
commissioned, qualified and authorized b law to
q y
notice. The Director of the
NC Division of Water
administer oaths, appeared said legal clerk, who,
Resources
sh uld
personally
ublic hearingri
there
being first duly deposes and says: that he/she is the
be a significant degree of
sworn,
public interest. Please mail
legal clerk of The Asheville Citizen -Times, engaged in
comments and/or informa-
tion requests to DWR at the
publication of a newspaper known as The Asheville Citizen-
above address. Interested
persons may visit the DWR
Times, published, issued and entered as first class mail in
at 512 N. Salisbury Street,
the cityof Asheville, in Buncombe County, State of North
y
Raleigh, n fil review infor-
motion on file. Additional
Carolina; that he/she is authorized to make this affidavit
information NPDES
permits and this notice may
and sworn statement; that the notice or other legal
found our w/divis:
htip://deq.nc.gov/about/di vi si
ht c.
advertisement, a true copy of which is attached here to,
ons/water-resources/water-
resources-perm i is/waste-
was published in said newspaper in the issues dated:
water-branch/npdes-waste-
water/publ ic-not ices, or by
calling [phone]. Mr.
James Rice has requested
07/14/2023
renewal of permit NCO067342
for the Northview Mobile
Home Park (North View
That said newspaper in which said notice, paper, document
WWTP Road, W avCounte)
or legal advertisement was published was, at the time of
This permitted facility
discharges treated domestic
each and every publication, a newspaper meeting all the
wastewater to Flat Creek in
the French Broad River
requirements and qualifications of Section 1-597 of the
Basin. Currently Total Resid-
General Statutes of North Carolina and was a qualified
ual Chlorine, NH3 as N, and
Fecal Coliform are water
the of Section 1-597 of the
quality limited. This
newspaper within meaning
g
discharge may affect future
General Statutes of North Carolina.
allocations in this portion of
the watershed.
July 14, 2023
Sworn to and subscribed before on 07/14/2023
Legal Clerk
a A&
Notary, State of WI, County o row
My commision expires
Publication Cost: $150.60
Order No: 9047280 # of Copies:
Customer No: 948880 9
PO #: Legal Ad
THIS IS NOT AN INVOICE!
Please do not use thisforni lbr pavinent remittance.
VICKY FELTY
Notary Public Page 1 of 1
State of Wisconsin

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
Weaver, Charles
From: Armeni, Lauren E
Sent: Monday, August 14, 2023 9:55 AM
To: Weaver, Charles
Subject: NCO067342 - North View MHP - Owner info change
Hi Charles,
Please update the following information in BIMS for the owner:
Address: PO Box 647, Weaverville, NC 28787
Email: [e-mail]
Thanks!
Lauren Armeni
Environmental Specialist II —Asheville Regional Office
Water Quality Regional Operations
Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]
DE
kjA�
NORTH CAROLINA -
Department of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized
state official.

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
Weaver, Charles
From:
Boss, Daniel J
Sent:
Monday, June 26, 2023 2:00 PM
To:
Weaver, Charles; Armeni, Lauren E
Subject:
RE: instream data for North View MHP
Browsing these results, it appears the WWTP effluent has very low effect on the receiving stream. This of course
assumes that these values are accurate and representative. The receiving stream itself appears to have high fecal
numbers, probably should be impaired for Fecal Coliform if it's not designated that way already.
Daniel Boss
Assistant Regional Supervisor- Asheville Regional Office
Water Quality Regional Operations Section
NCDEQ- Division of Water Resources
Office Phone: [phone] Cell: 828-273-3991
[e-mail]
2090 U.S. Hwy. 70
Swannanoa, N.C. 28778
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th.
Employee email addresses may look different, but email performance will not be impacted.
My new email address beginning the week of May 15`" will be: [e-mail]
D- E
�
NORTH CAROLINA7.d� Q
CI-10)
Department of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Weaver, Charles <[e-mail]>
Sent: Monday, June 26, 2023 1:41 PM
To: Boss, Daniel J <[e-mail]>; Armeni, Lauren E <[e-mail]>
Subject: instream data for North View MHP
Here's a collection of fecal and TSS data for the period 1/1/2019 through 3/31/2023. It covers the parameters where
instream monitoring was added.
If you ca determine the impact of the WWTP on the instream concentrations, much less explain the wild variability in
instream values, you're far wiser than I am.
Charles H. Weaver
Environmental Specialist II
Division of Water Resources

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
James Rice
Eaven Brice Partnership
329 Emma Rd
Asheville, NC 28806
Subject: Permit Renewal
Application No. NCO067342
North View Mobile Home Park
Buncombe County
Dear Permiee :
NORTH CAROLINA
Environmental Quality
June 22, 2023
The Water Quality Permitting Section acknowledges the June 22, 2023 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. 150B-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.
ec: WQPS Laserfiche File w/application
Sincerely,
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Envhwn tal Quality I Division of Water Resources
Asheville Regional Office 1 2090 US. Highway 70 1 Swannanoa, North Carolina 28778
w\ 041 828.2%.4500

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
Laserfiche
043yiesell
North Carolina Modified Application Form 2A
Department of Environmental Quality Revised March 2021
Division of Water Resources
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
C--[,-F-Q IT)KI V- PI)F-s
�uil- rno'llt 5exvi`
-PNO I~e- 1 C)h , N, C, -4 - I Lf tl-
RECEIVED
JUN 2 2 ZO23
NCDEQ/DWR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
FacOq Name—
Modified Applicawn Form 2A
NCO067342
Northview MHP WWTP
I
Modfted March 2021
Form
NC Department of Eirrvironmentall Quality - Application for NPDES Permit to Discharge Wastewater
NPDES
MINOR SEWAGE FACILITIES (Before omVIedng this form, please read the Instuctions. Failure to follow
Instructions mak result in denial of the 1p?1gft)
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.216)(1) and (9))
Facility name
1.1
Northview MHP VVVVTP
Mailing address (street or P.O. box)
329 Emma Rd
City or town
State
ZIP code
Asheville
North Carolina
28806
Contact name (first and last)
I
Title
Phone number
Email address
James Rice
Owner
[e-mail]
Location address (street, route number, or other specific identifier) ED Same as mailing address
Northview Park Road
City or town
State
ZIP code
Weaverville
North Carolina
11
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 21 No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and list-)
Title
Phone number
Email address
I
1A
Is the applicant the facility's owner, operator, or both? (Check only one response.)
R Owner [3 Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility rl Applicant ID 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
number for each.)
E"!V Ewftrun"W Penults
Cj NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
NCO067342
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
E] NESHAPs (CAA)
❑ Dredge or fill (CWA Section
Other (specify)
❑ Ocean dumping (MPRSA)
1 404)
Page 1

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
Fadifty Name
Modified Application Form 2A
I NCO067342
I Northview MHP WWTP
Modified March 2021
1,7
Provide the collection system information requested below for the treatment works,
Municipality
Population
Collection System Type
Ownership status
Served
Served
(indicate peroerrtage�
Northview MHP
Private facility
100 % separate sanitary sewer
F, Own El Maintain
% combined storm and sanitary sewer
0 Own 13 Maintain
not POTW
-
E] Unknown
El Own 11 Maintain
% separate sanitary sewer
C] Own r7l Maintain
% combined storm and sanitary sewer
C71 Own 0 Maintain
0 Unknown
0 Own 0 Maintain
% separate sanitary sewer
11 Own 0 Maintain
% combined storm and sanitary sewer
171 Own El Maintain
❑ Unknown
I C1 Own 0 Maintain
% separate sanitary sewer
El Own 13 Maintain
% combined storm and sanitary sewer
[I Own 0 Maintain
0 Unknown
El Own 0 Maintain
Total
Private facility
Population
ca Z
Served
Storm
Combined anditary
SWN*A SanSewer System
ASanqit#q,�r
100 %
%
Total percentage of each type of
sewer tine in miles)
1.8
Is the treatment works located in Indian Country?
El Yes 21 No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
F1 Yes [E] No
1,10
Provide design and actual flow rates in the designated spaces.
Des* Fl(yw Rate
0.032 mgd
Annual Average Flow Rats (Actual)
Two Years Ago
Last Year
This Year
mgd—+
rrgd
rngd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Yew
mgd
mgd
(:) -u �mgdCA
1.11
Provide the total number of effluent discharge p2ints to waters of the State of North Carolina by type.
Total Numbw of Effluent Dischar%gePoints b T e
conshileted
F
Treated Effluent
Untreated Effluent
Combined Sm
ers
Bypasses
Emergency
ovefflow
overflows
RECEIVED
yjq 2 2 ')L
OZ3
NCDEQjD\NF1/NPDES
Page 2

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
FactAy Name
Moddied Appiscation Form 2A
N00067342
Northview MHP WWTP
Mcci ied March 2021
Ouft1s
00w Than to Waters of the silk of i
1,12
Does the POT V 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 3 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge irforrration in the table below.
Surface lImpoundmeM Location and t schar a Data
Average Daily Volume
continuous or intermittent
Location
Discharged to Surface
(ched orte)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
1.14
_
is wastewater applied to land?
❑ Yes ( No 4 SKIP to Item 1.1&
1.15
Provide the land application site and discharge data requested below
Land kzdon Site and Discharge Data
Location
size
Average Daily Volume
Continuous or
ter Rent:
Applied
check one..
❑ Continuous
acres
gpd
❑ Intermittent
acres
gf
Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
❑ Yes ® 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 3 SKIP to Item 1.20.
1.19
Provide information on the transporter below. _
Trans 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: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
Facility Name
Modtir?d Application Form 2A
NCO067342
Northview MHP 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 facilit .
Rece&lng F Illity Data
Facility name
Mailing address (street or P.O. box)
City or town
State I-b—p-code
ca
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) D None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
❑ Yes S No 4 SKIP to Item 1.23.
`
1.22
Provide information in the table below on these other disposal methods.
Iriftmation on Other al Methods
Disposal
location of
Size of
Annual Average
Continuous of initernAtent
Method
Disposal Site
Disposal Site
Daily Discharge
(chick one)
Deaicri
Volume
acres
D Continuous
gf�
D Intermittent m
D Continuous
acres
gp d
D Intermittent
acres
gpd
D Continuous
D 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.)
❑ 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
Gantractor 1
Coobutor 2
Contractor 3
Contractor name
(company name
Mailing address
street or P.O. box
City, state, and ZIP
code
Contact name (first and
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number Facility Name Modified ADpi cation Form 2A
NCO067342 Northview MHP WVv`TP WOW March 2021
SECTION 2. ADDITIONAL INFORMATION (40 CFR 122.210)(1) and (2))
OURWIS to WdWs of the lift of 1u; 50&M
21
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
F1 Yes ❑ No 4 SKIP to Section 3.
2.2
Provide the treatment works' current average daily volume of inflow
rage 0"y Volume of Inflow and hifil1iration
L! gpd
and infiltration.
Indicate the steps the facility is taking to minimize inflow and infiltration.
23
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements,)
El Yes n No
r=
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
e
(See instructions for specific requirements.)
0 Yes 0 No
2.5
Are improvements to the facility scheduled?
E] Yes D No SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
226
Provide scheduled or actual dates of completion for improvements.
Scheduled
or Actual Dates of Completion for I ovements
Scheduled 11
Affected
Outfalls
Begin
End
Begin
Attainment of
Opendional
Improvement
(list outfaill
Construction
Construction
Disc urge
Level
(from above)
number)
(Mmloofyyyy)
(MM/00/YYYY)
(MM/DDNYYY)
_IMWDDNYYY)
2.
3,
4.
J
27
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
C1 Yes E:] No ❑ None required or applicable
Explanation:
Page 5

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
Facility Name Mod tad AppE cairn Form 2A
NCO067342
Northview MHP WWTP March 2021
SECTION•'
+ • •ON EFFLUENT DISCHARGES 140
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
3 1
4ulfall plumber., 001
Outten Number
Qutiall Number
State
North Carolina
M
County
Buncombe
City or town
Weaverville
Distance from shore
Depth below surface
Average daily flow rate
mgd
mgd
mgd
Latitude
n
Longitude
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
❑ Yes ❑ No 3 SKIP to Item 3.4.
3.3
If so, provide the following information for each applicable outfall.
Outfall Number
Qutfull Number
€lutfa# Number
25
U
Number of times per year
discharge occurs
Average duration of each
Z
discharge cif units
Average flow of each
mgd
mgd
mgd
discharge
Months in which discharge
occurs
3.4
Are any of the outfails listed under Item 3.1 equipped with a diffuser?
❑ Yes E] No 3 SKIP to Item 3.6.
3.5
Briefly describe the diffuser
at each applicable outfall,
Outtall Number
Outfall Number
Outfall Number
c
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
3.6
one or more discharge points?
C] Yes ❑ No +SKIP to Section 6.
Page 6

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPDES Permit Number
Facility Name
Modted Appicabon Form 2A
NCO067342
Northview MHP WWTP
Modified Miamh 2021
3.7
Provide the receiving water and related information if known for each outfall.
Outfag Number oot
Outfall Number
Outfall Number
Receiving water name
Flat Creek
Name of watershed, river,
French Broad
or stream system
U.S. Soil Conservation
Service 1 "- it watershed
code
Name of state
French Broad
management/river basin
U.S. Geological Survey
8-digit hydrologic
601010509
of
cataloging unit code
Critical low flow (acute)
ofs
cfs
cfs
Critical low flow (chronic)
cts
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.
WWI Number oot
otwwl Number
Outfall Number
Highest level of -
O Primary
O Primary
O Primary
Treatment (check all that
O Equivalent to
O Equivalent to
O Equivalent to
apply per ouifall)
secondary
secondary
secondary
O Secondary
O Secondary
O Secondary
© Advanced
O Advanced
0 Advanced
O Other (specify)
O Other (specify)
O Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBODs
%
%
%
TSS
%
%
%
O Not applicable
0 Not applicable
❑ Not applicable
Phosphorus
%
%
%
© Not applicable
❑ Not applicable
O Not applicable
Nitrogen
%
%
%
Other (specify)
O Not applicable
❑ Not applicable
O Not applicable
%
%
%
RECEIVED
JU;'; f 2 2J-23 Pagel
NCDEQ/DWR/NPDES

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPOES Peffnl Number
Facility Name
Modfied "icatcn Form 2A
I NCO067342
I Northview MHP W\AfTP
I ModW 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 Wow.
Outfall Number 001
Outfall Number
Outtall Rumba
Disinfection type
Calcium Hypochlorite
Seasons used
Continious year round
Dechlorination used?
F1 Not applicable
F1 Not applicable
❑ Not applicable
Yes
0 Yes
❑ Yes
❑ No
E:] No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
[] Yes [D 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?
0 Yes (:1 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 p2ints,
Outfall Number —
Outfall Number—,,.
Outfall, Number..
AcuteChronic
Acute
Chronic
Acute
chronic
Number of tests of discharge
water
Number of tests of receiving
water
LU
3.1-4
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?
Ej Yes + Complete Table B, including chlorine. El No 4 Complete Table 8, omitting chlorine.
—3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
No
E) Yes ❑
Have you completed monitoring for all applicable Table D pollutants required by your NPOES permitting authority and
3,18
attached the results to this application package? No additional sampling required by NPDES
0 Yes El p�rmittin2authotty. ... ..........
Page 8

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
[­­NP1D11ffPefm,t Number Facky Name MDdh)d Appitcaton Form ZA
NCO067342 Northview MHP WWTP Modified March 2021
319 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? No + Complete tests and Table E and SKIP to
r-1 Yes El Item 3.26.
120 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
0 Yes El Item 3.26.
3.21 indicate the dates the data were submitted to our NPDES rmittin authorit and rovideasummarvofthe resutts.
Dato(s) Sullwfted
I Summary of Results
3,22 Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
A toxicity? D Yes 0 No + SKIP to Item 3.26.
—3,23 Describe the cause(s) of the toxicity:
3.24 Has the treatment works conducted a toxicity reduction evaluation?
0 Yes 0 No + 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 21 information to the NPDES permitting L=
Page

DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
J
Modifed Application Form 2A
Modified Mwch 2021
-�1
mitting with your application. For
?rmitting authority. Note that not
❑ wt additional attachments
❑ wl process flow diagram
❑ w/ Table D
❑ w( additional attachments
ter my direction or supervision in
and evaluate the information
hose persons directly responsible
and belief, true, accurate, and
n, including the possibility of fine
ficial title
ir1,A-- A-1
ate signed
. -)4
Page 10

-11 DocuSign Envelope ID: 492B670B-9366-4A7D-9F4C-E167D46D30A1
NPOES Permit Number7 Facility Name Outfall Number Modvfied A�ication Forth 2A
Modified March 2021
Northviewr MHP WWTP G
NC0067342
Maximum t�liy DWO& � AYE DaRy Dischargle
ML or MDL
pollutant
r
Value units value Units Nutter of
les
Ml►thod'
(itnclude, units)
al oxygen demand7-
mgJ52
sm5210B-2011
mg/t pMOt
r o C60D5mg/L
e
Fecal coliform
�q
cfu/loom,
cfu/100m1
52
sm9222D-1997
ML
cfuJ1C30mi MOL
Design flow
^
mgd
mgd
, C4 Lf
continisaus
pH (minimu-
su
PH (maximu
E(sumnmer)
su
celcius
26
26
Temperatur
celcius
Temperatur
celcius
celcius
Total suspended solids (TSS}
52 sm2540D-2011 mg/t p MOt
mg/t
mgft
f: _ _ .tip i .,
,,aa ,,nei— An 17FP 1 JA
fnr thA analvgi5 of rmllutants or Dollutant Darameters or
1 Sampling shall be conauctea accoroing to sulit lunuy wi P, tiu,oa
requited under 40 CFR chapter 1, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11