NC0072702_Permit Issuance_20070815

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
August 15, 2007
Mr. Walter Humphrey
Water Department Supervisor
Town of Beaufort
P. O. Box 390
Beaufort, North Carolina 28516
Subject: Issuance of NPDES Permit NCO072702
Glenda Drive WTP
Carteret County
Dear Mr. Humphrey:
Division personnel have reviewed and approved your application for renewal of the subject permit
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated May 9,1994 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on June 20, 2007.
This permit includes a TRC limit that will take effect on March 1. 2009. If you wish to install dechlorination
equipment, the Division has promulgated a simplified approval process for such projects. Guidance for
approval of dechlorination projects may be viewed online at hM://www.nccgl.net/news/ATCoverview.htmi.
Per your comments on the draft permit, the Division understands there is no upstream flow; therefore, please
indicate "No Flow" on the portion of the DMR for the upstream sampling.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days
following receipt of this letter. This request must be in the form of a written petition, conforming to Chapter
150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail
Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final
and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required. If you have any questions concerning this permit, please contact
Karen Rust at telephone number [phone], extension 361.
Sincerely, /
.1C ; Coleen H. Sullins
cc: Central Files
_— Wilmington RegionaLDffice/Surface_Water-ProtectionSectio❑ ______
NPDES Files
Aquatic Toxicology Unit Noy` Caro ina
r/VlllllC/l�%(/
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Phone: [phone] Customer Service
Internet htlpJ/h2o.enr.state.nc.us 512 N. Salisbury St Raleigh, NC 27604 Fax: [phone]
An Equal Opporlunity/ABirmative Aden Employer

Permit NCO072702
STATE OF NORTH CAROLINA -
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted -by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended, the
Town of Beaufort
is hereby authorized to discharge wastewater from a facility located- at the
Glenda Drive WTP
Glenda Drive
Beaufort
Carteret County
to receiving waters designated as an unnamed tributary to Turner Creek in the
White Oak River Basin in accordance with effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective September 1, 2007.
This permit and authorization to discharge shall expire at midnight on July 31, 2012.
Signed this day August 15, 2007.
•�ar Coleen H. Sullins, Directo
Division of Water Quality
By Authority of the Environmental Management Commission _ _

Permit NCO072702
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or
discharge are hereby revoked. As of this permit issuance, any previously issued
permit bearing this number is no longer effective. Therefore, the exclusive authority
to operate and discharge from this facility arises under the permit conditions,
requirements, terms, and provisions included herein.
The Town of Beaufort is hereby authorized to:
1. Continue to operate a drinking -water treatment plant with a discharge of water
softener -backwash wastewater. This facility is located in Beaufort off Glenda
Drive at the Glenda Drive WTP in Carteret County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Turner Creek, classified SA HQW waters in
the White Oak River Basin.

uad: Beaufors_N_C.
Latitude: 34°43'46"
Longitude: 76°38'08"
Stream Class: SA HQW
Subbasin: 30504
Receiving Stream: UT Turner Creek
-NC0072702 - - Facility -
Town of Beaufort Location
Glenda Drive WTP
North SCALE 1:24000

Permit NCO072702
A. (I.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge filter backwash from outfall 001. Such discharges shall be limited and monitored by
the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Typal
Sample Location
Flow
Weekly
Estimate
Effluent
Temperature (00010)
Monthly
Grab
Effluent, Upstream, and
Downstream
Salinity (00480)
Monthly
Grab
Effluent, Upstream, and
Downstream
Conductivity (00094)
Monthly
Grab
Effluent, Upstream, and
Downstream
pH3 (00400)
2/Month
Grab
Effluent, Upstream, and
Downstream
Dissolved Oxygen (00300)
Monthly
Grab
Effluent, Upstream, and
Downstream
Total Dissolved Solids
70295
Monthly
Grab
Effluent
Total Suspended Solids
00530
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
Total Residual Chlorine4
50060
13 µg/L
2/Month
Grab
Effluent
Total Copper 01042
Monthly
Composite
Effluent
Total Chloride 00940
MonthlyComposite
Effluent
Total Iron 01045
Monthlyite
Effluent
Total Manganese 01055
Monthlyite
EffluentTotal
Lead 01051
Monthl
ite
Effluent
Total Zinc 01092
Monthl
ite
Effluent
Ammonia -Nitro en 00610
Monthl
ite
Effluent
Fluoride 00951
Monthly
Composite
Effluent
Total Nitrogen 00600
Monthly
Composite
Effluent
Total Phosphorus 00665
Monthly
Composite
Effluent
Whole Effluent Toxicity
Monitoring5 (TGE3E)(i/use
M sid Shfimp astest organism)
Quarterly
Composite
Effluent
Footnotes:
1. An exception to the composite sampling is provided by 15A NCAC 213.0505 (C), which states that facilities
with design flows under 30,000 gallons per day may use grab samples to characterize their effluent.
2. Upstream = at least 100 feet upstream from the outfall; Downstream = at least 100 feet downstream from
the outfall.
3. The pH shall not be less than 6.8 standard units nor greater than 8.5 standard units.
4. The limit for total residual chlorine will take March 1, 2009, only if chlorine is used for disinfection.
5. Acute Toxicity 24-hour Pass/Fail Monitoring: January, April, July, and October. Permitee may choose to
use Fathead Minnow, or Mysid Shrimp, or Silverside Minnow as the test organism. (see A. (2.) below).
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NCO072702
A. (2.) ACUTE TOXICITY PASS/FAIL MONITORING (QRTRIM
The permittee shall conduct acute toxicity tests on a auarterIU basis using protocols defined in the
North Carolina Procedure Document entitled "Pass/Fail Methodology For Determining Acute Toxicity
In A Single Effluent Concentration" (Revised -July, 1992 or subsequent versions). The monitoring
shall be performed as a Mysidopsis bahia 24-hour static test. The effluent concentration defined as
treatment two in the procedure document will be 90%. Effluent samples for self -monitoring purposes
must be obtained during representative effluent discharge below all waste treatment. The tests will be
performed during the months of January, April, July and October.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR 1) for the month in which it was performed, using the parameter
code TGE3E. Additionally, DWQ Form AT-2 (original) is to be sent to the following address:
Attention: North Carolina Division of Water Quality
Environmental Sciences Section
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no
later than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete and accurate and include all supporting chemical/physical
measurements performed in association with the toxicity tests, as well as all dose/response data.
Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is
employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT)
test form indicating the facility name, permit number, pipe number, county, and the month/year of
the report with the notation of "No Flow" in the comment area of the form. The report shall be
submitted to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, them
monthly monitoring will begin immediately until such time that a valid test is submitted. Upon
submission of a valid test, this monthly test requirement will revert to quarterly in the months
specified above.
Should any test data from this monitoring requirement or tests performed by the North Carolina
Division of Water Quality indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival and appropriate environmental controls, shall constitute an invalid test
and will require immediate follow-up testing to be completed no later than the last day of the month
following the month of the initial monitoring.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
June 20, 2007
MEMORANDUM
To: Gina Brooks
NC DENR / DEH / Shellfish Sanitation
From: Karen Rust -
Eastem NPDES Program
Subject: Review of Draft NPDES Permit NCO072702
Glenda Drive WTP
Carteret County
kit
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RE%OURCE5
JUN 22
SHELLFISH SANITATION
Please indicate below your agency's position or viewpoint on the draft permit and return this form by July 27, 2007,
If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at
the bottom of this page.
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated effluent limits
are met prior to discharge, and the discharge does not contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
Siened m,- \__ I..;L %n.t 1 " ��'`"' Date: 6 ZS 07
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 7335083, extension 361 (fax) 919 733-0719
VISIT US ON THE INTERNET@htlp:/1h2o.ennr.state.nc.us/NPOES [e-mail]

JUIV 9. 2007
To: Karen Rust
Eastern NPDES Prugam
From: Frank Sansone
Town ofBeaufort
Operator in Responsible Charge
Re: GlendaDiive WTP
Peml t NC 0072702
Dear Machin:
The Glenda Dive Water Treatment Plant discha yes into a series of drahiage
ditches. The effluent is the source of w ater flow down stream. Dhainage ditches up stream of
the Glenda Drive Water Treatment Plant are dry. For this reason no up stun sampling can
be drawn. Ifyou Dave any questions please contact Flank Sansone at (252) 728--2130.
Thnkyou.
� A
Frank Sansone
Town of Beaufort
Operator in Responsible Charge
WED EJUL ,
DENR • WATER OUAUTY
___POINT SOURCE BRANCH

To: NPDES Permitting Unit
Surface Water Protection Section
Attention: Gil Vinzani/Karen Rust
Date: April 30, 2007
NPDES STAFF REPORT AND RECOMMENDATION
County: Carteret
Permit No.: NCO072702
PART I -GENERAL INFORMATION
1. Facility and Address:
Facility Name: Glenda Drive WTP
Physical Address: 215 Pollock Street, Beaufort, NC 28516
Mailing Address: P.O. Box 390 Beaufort, NC 28516
2. Date oflnvestigation: April 4, 2007
3. Report Prepared by: Linda Willis
4. Persons Contacted and Telephone Number:
Name: Frank Sansone
Title: ORC
Telephone: [phone]
�I
�i MAY -7 2007 '
1Y
5. Directions to Site: Hwy 70 to Pinners Point Rd., turn right to Glenda, take right and watch for
plant under water tower.
6. Discharge Point (List for all discharge points):
The facility has (1) discharge points
• Outfall 001 — discharge from backwash of water softeners (IE process)
Latitude: 34' 43' 46" Longitude: 760 38' 08"
U.S.G.S. Quad No: P-62 U.S.G.S. Quad Name: Beaufort, NC
7. Topography (relationship to food plain included):
7' All in the flood zone
8. Location of nearest dwelling: Approximately 100 feet, immediately across the street.
9. Receiving stream or affected surface waters:
a) Classification: UT to Turner Creek, SA, HQW, PNA
b) River Basin and Subbasin No.: White Oak Basin 030504
c) Describe receiving stream features and pertinent downstream uses:
Fishing, boating, recreation, marine fisheries primary nursery area, conditionally approved

shellfishing waters. There are 39,176 acres of shellfish harvesting waters in the subbasin.
Most of these (25,958 acres) are classified ORW's in the Core Sound.
PART II - BACKGROUND AND HISTORY
The facility has not provided any methods of wastewater treatment and discharges backwash water
from ion exchange softening units. The facility utilizes (gas) chlorine disinfection for potable water
and fluoridates (23%) the water as well. Backwash water is provided using chlorinated/fluoridated
water. The brine backwash removes calcium and magnesium chlorides in a soluble form. The plant
previously has not been rated, nor is rating recommended given the fact there is no treatment
provided. Water treatment plant permitting guidance dated January 2004 will be requested in the
recommendations section with tighter limits on TSS to protect receiving waters designated Marine
Fisheries Primary Nursery Areas.
PART III - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1) Volume of wastewater to be permitted:
As per permit application:
• Outfall 001— 0.005 MGD
2) What is the current permitted, ow limit?
• Outfall 001—None
3) Actual treatment capacity of the current, aciliN?
The plant treats 0.30 MGD with a backwash of 0.005 MGD
4) Date() and construction activities allowed by previous Authorizations to Construct issued in the
previous two years:
N/A
5) Please provide a description of existing or substantially constructed wastewater treatment
facilities:
This facility utilizes water softeners to remove hardness.
6) Please provide a description orpMposed wastewater treatment, acilities: N/A
7) Possible toxic impacts to surface waters:
upon the quality of the source water.
8) Pretreatment Program (POTWs only),:
chlorine, fluorides, potential metals depending
N/A
Residuals handling and utilization/disposal scheme:
This facility has no settling basins and does not add chemical additives for wastewater
treatment.

Compliance historyy for this within the past permit cycle is asfollows:
The facility has had 12 separate monitoring violations resulting in 3 notices of violation.
There are also 3 months of monitoring violations that have yet to be verified. See attached.
9) Treatment plant classification: Type: No settling/No chemical additives/no treatment
Class: Unclassified
10) SIC Code(s): 4941
PART IV - OTHER PERTINENT INFORMATION
1. Is this ,facility being constructed with Construction Grant Funds or are any public monies
(municipals only) involved?
No
2. Special monitoring or limitations (including toxicity) requests:
Must impose a TSS limitation of 10 mg/L to protect the PNA waters, chlorine limit of 13µg/L for
salt water. And impose all of the permit requirements as referenced in the WTP permitting
guidance given in January 2004.
3. Important SOC. JOC or Compliance Schedule dates:
Compliance schedule can be given to allow the facility time to comply with the new permit
requirements (with the exception of TSS limits which should be effective immediately). Suggest
no more than 12 months in which to comply with the rest.
4. Alternative Analysis Evaluation:
N/A
5. Other Special Items:
N/A
PART V - EVALUATION AND RECOMMENDATIONS
This facility has a brine tank with no overflow alarms. During the site inspection for permit renewal,
a spill occurred in which a significant amount of brine water overflowed the holding tank
(approximately 6,000 gallon holding tank). The permiee must ensure that no discharge from this
tank occurs, automatic shutoff should be provided if the filling of this tank is not supervised during
the time the tank is being filled. The tank should have no less than an audible and visible alarm.
The discharge goes to PNA, HQW, and SA waters and should therefore require a total suspended
solids limit of 10 mg/L. The WTP permitting guidance for ion exchange (in it's entirety) should be
imposed. The limit for fluoride of 1800 µg/L and total residual chlorine limit of 13 µg/L should be
imposed. The flow is less than 0.50 MGD; therefore the monitoring frequency for limited
parameters should be 2/month and monthly for those not limited. Please refer to the attached
(appendix B, page 5 of the WTP permitting guidance) for the list of parameters that should be
included. A compliance schedule for the TRC limit can be given. A much shorter compliance
window should be given to the additional parameters, since it requires monitoring only.

The Wilmington Regional Office recommends reissuance of the permit in accordance with the White
Oak River Basin Plan permitting strategy provided no significant adverse public comment is
received. The Wilmington Regional Office also requests that the recommendations provided herein
are considered in the reissuance of Permit No. NC0072702.
Water Quality Regional Supervisor
$ iw7
Date
cc: WiRO NPDES Permit File with attachments
Central Files — DWQ/NPDES with attachments
Linda Willis with attachments.

i r 1
s
Mitchell Creek - r
r :01038ai �
r.
/� Gulden Creek 1 Isaac Creek .Back a b H Y )
Back Creek -
�11
I,
Clubfoot Creek
i
.0103 8 a Clubfoot Creek r
North River N
f • 1 �, �' r
( Z I y
Eastman Creek
W
• 1 ✓ Harlow Creek .0103 11 c vi
s "1 ' �-✓ -� Newport River .07658 I 7 .�: ./ Bell Creek
i
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.010311c11
( - .0103 11 c v Ware Creek
Ne rt River
I III 0311c rn.>•, Oyster
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sF F (( Cke6 Pwe / North River
�W �. Russel Creek AV
� `i NGCi Ro(nr )
t
1
_ - l
1— A
Crab Point Bay
Calico Creek .010311'cvii Morehead. / :(� .010311 bII
city bbpM �r r raxvllW.
Turner Creek = __
,. (Gibbs Creek)
This map was produced for Illustrative purposes as a general guide to r-�"<�-.l !rww b4e✓
assist the public. Informational data used for this map were collected -
from federal, state, county, and private organlzagons. While every il:~.
effort is made to keep this map accurate and up-to­date, it is not
Intended to replace any official source. Under no circumstances shall the -- >ITT
State of North Carolina be liable for any actions taken or omissions made stare vnM
from reliance on any information contained herein from whatever source nor
shall the State be liable for any other consequences from any such reliance. hob,
Background imagery are U.S. Geological Fishery Nursery Aress Fishery Nurse Areas
Survey 1:100,OOOaserY Nursery
cele planlmstric maps. ® Primary
I�q Permanent SewMary
® Special Secondary
® Military Danger
Zones and
I
ocaW—PP2 trcted Am"
IrhMwaiwe(WRC l�w ) Map 17
�/ Map Datum: NAD83
°- '�` a Map Pmjedon: NC State Plane
Map Date: July20oa MARINE
1000 0 1000 2000 Yards
0.7 0 0.7 1.4 Mlles a

TOWN OF BEAUFORT
412 Hedrick Street
Beaufort, N.C. 28516
[phone], [phone] fax
www.beaufortnc.org
December 19, 2006
TO WHOM IT MAY CONCERN:
RE: NPDES Permit No. NCO072-T02
The Town Of Beaufort is requesting renewal of the NPDES permit No. 0072702. There have
been no changes at this facility since the issuance of the last permit.
Attention in this matter is greatly appreciated.
RES Y:
ALTER HUMPHREY
WATER DEPARTMENT SUPERVISOR
John Young, Director of Public Works
Johnny O'Shall, Public Works Supervisor Walter Humphrey, Water/ORC
Elbert Godette, Construction & Maintenance Supervisor Dennis Metcalf, W WTP/ORC
Sallie Pace, Administrative Support Specialist

TOWN OF BEAUFORT
412 Hedrick Street
Beaufort, N.C. 28516
[phone], [phone] fax
www.beaufortnc.org
December 19, 2006
TO WHOM IT MAY CONCERN:
RE: NPDES Permit No. NCO072702
The Water Treatment Plant covered under NPDES Permit No. NCO072702 produces no solids.
This Discharge Permit is for the backwash produced by water softening.
ALTER HUMP Y
WATER DEPARTMENT SUPERVISOR
JAN 1
L3
John Young, Director of Public Works
Johnny O'Shall, Public Works Supervisor Walter Humphrey, Water/ORC
Elbert Godette, Construction & Maintenance Supervisor Dennis Metcalf W WTP/ORC
Sallie Pace, Administrative Support Specialist

O�U20A .6.eIUE /°LAtc)T
/JAW /A Aa
Ayer Wo,&s I4 PEE E i0 6 Y Q rs -rR ip cue Teo a

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit ` j AN
1617 Mail Service Center, Raleigh, NC 27699-1017 � ----
NPDES Permit Number INCOO?.27o-,
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name a L r-00b.4 DR
1 OIL
Mailing Address P. �,8 px,
D
City BEAU Foar
State / Zip Code jV o ICT µ C A RO G �� xi .2 14
Telephone Number W XA) 'fag .
a / 3 d
Fax Number (, -2) 7.28 -
S-*9-2 9
e-mail Address f-AIEA 9
2. Location of facility producing discharge:
Check here if same as above [�
Street Address or State Road
City
State / Zip Code
County
3. Operator Information: .
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORQ
Name 70 6 F Q 6 4 U F O leT. -
Mailing Address �. $� 3 d?0
city J6ElauOrdIt T
State / Zip Code )Ud R rk C A e 0 G/.t)A 62 9sV/ �o
Telephone Number 'a,) 7� S oZ .13 co
Fax Numbers)
4. Ownership Status:
Federal ❑ State ❑ Private ❑ Public Zj--
Page 1 of 2 C-WTP 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ✓�
6. Description of source water(s) (i.e. groundwater, surface water)
ROuAa610H-rJE �
7. Describe the treatment process(es) for the raw wate
Al�
actJ �
�' aL �IQo�N 042 A K1 a Id FS
,e o� c
S. Describe the wastewater and the treatment process(es). for wastewater generated by the
facility:
9. Number of separate discharge points: I
Outfall Identification number(s)
10. Frequency of discharge: Continuous ❑ Intermittent Er
If intermittent: r �s
Days per week discharge occurs: 7 Duration: h
11. Plant design potable flowrate r 366 MGD
Backwash or reject flow t. 0616 MGD
12. Name of receiving streams) (Provide a map showing the exact location of each outfall, including
latitude and longitude): 4e-
r's, 4A Os �-,�
OAK 0q(()EK., RAS/k)
Page 2 of 2 C-WTP 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals, that have the
potential to be discharged.
j3L5 r a 5
/-I Fs a3 10
14. Is this facility located on Indian country? (check one)
Yes ❑ No 9-1"
15. Additional Information:
➢ Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.
➢ Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
➢ New applicants must contact the NCDENR Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
➢ Analyses of source water collected
➢ Engineering Alternative Analysis
➢ Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
lAJAC. 841M)OIJ4" jd1Areg' AF1°T. 54/?*6:r2c//s0X-
Printed name of Person Signing I Title
of
Date
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
Page 3 of 3 C-WTP 03/05

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
' ►%
nn c
Permit Number
AI C
00
Facility Name
,3 a �d�-t- G le �,
D ��`✓P WrP
Basin Name/Sub-basin number
w-hl E-e
QaA
Receiving Stream
Stream Classification in Permit
5!� — N Q�✓
Does permit need NH3 limits?
I�19
Does permit need TRC limits?
e
Does permit have toxicity testing?
Al p
all
Does permit have Special Conditions?
/✓�
Does permit have instream monitoring?
Is the stream impaired (on 303(d) list)?
�' e
Any obvious compliance concerns?
Any permit mods since lastpermit?
Existing ex iration date
New expiration date
New permit effective date
Miscellaneous Comments
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
/ name/ownership changes). Include conventional WTPs in this group.
YES V This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
NO 7=9_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)