NC0086690_Permit Issuance_20030918

Mr. Jerry H. Tweed
Heater Utilities, Inc.
P.O. Drawer 4889
Cary, North Carolina
Dear Mr. Tweed:
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
NCDENR North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
27519
September 18, 2003
Subject: Issuance of NPDES Permit NCO086690
Stansted Well #2 WTP
Wake County
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 the following major changes from the draft permit sent to you on July 23, 2003:
➢ The monitoring frequencies for Total Nitrogen (TN), TN components and Total Phosphors have been reduced to
semi-annually, based on the minimal flow (<5000 gallons/day) from your facility.
• This reduction in sampling frequency makes it imperative that representative samples are collected. Collect the
TN and TT samples on days when flow is monitored.
• Data from the semi-annual samples will be used to calculate the TN load for the facility. The Permittee should
maintain accurate estimates of the total discharge each month (total monthly flow, or IMF). The TMF values
will be multiplied by the TN values for the semi-annual samples to calculate a TN load for the facility.
This permit includes a TRC limit that will take effect on May L 2005. If you wish to install dechlorination equipment,
the Division has promulgated a simplified approval process for such projects. Guidance for approval of dechlorination projects
is attached.
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 Charles Weaver at [phone], extension 511.
v
cc: Central Files
Raleigh Regional Office/Water Quality Section
NPDES Unit
Kent Penny / Wake County Environmental Services
Sincerely,
ORIGINAL SIGNED BY
Tom Belnick
Alan W. Klimek, P.E.
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 fax: [phone]
Internet: h2o.enr.stale.nc.us DENR Customer Service Center. 1 800 623-7748

Permit NCO086690
M
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,
Heater Utilities, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Stansted Subdivision Well #2
Stansted Drive north of Fuquay-Varina
Wake County
to receiving waters designated as an unnamed tributary to Basal Creek in the Neuse
River Basin in accordance with effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and N hereof.
This permit shall become effective November 1, 2003.
This permit and authorization to discharge shall expire at midnight on April 30, 2008.
Signed this day September 18, 2003.
., ORIGINAL SIGNED BY
Tom BeInick
Alan ' W. Kiimek ' P.E. , Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO086690
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.
Heater Utilities, Inc. is hereby authorized to:
1. Operate a well -water treatment system with a discharge of filter -backwash
wastewater. This facility is located at the Stansted Subdivision Well #2 on
Stansted Drive north of Fuquay-Varina in Wake County.
2. Discharge at the location specified on the attached map into an unnamed
tributary to Basal Creek, classified B-NSW waters in the Neuse River Basin.

NCO086690 L[Facility
cation
Quad #: F23N W
Receiving Steam: UT Basal Creek Heater Utilities
Stream Class: B-NSW Stansted Well #2 SCALE 1:24000
Subbasin: 30403

Permit NCO086690
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REgUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored
by the Permittee as specified below for each outfall:
Effluent
Characteristics
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily,
Maximum
Measurement
Frequency
Sample Type
Sample Location
Flow
Monthly
Estimate
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Quarterly
Grab
Effluent
Settleable Solids
0.1 ml/L
0.2 ml/L
Quarterly
Grab
Effluent
Iron
Quarterly
Grab
Effluent
Total Residual Chlorines
17 /ug/L
Quarterly
Grab
Effluent
Turbidity
50 NTU
Quarterly
Grab
Effluent
Total Nitrogen (TN) 2
Monitor & Report (mg/L)
Semi-annually
Grab
Effluent
Total Monthly Flow 2
Monitor & Report
milliongallons/month)
Monthly
Calculated
Effluent
Nitrate/Nitrite Nitrogen2
(NO2 + NO3)
Monitor & Report (mg/L)
Semi-annually
Grab
Effluent
Total Kjeldahl Nitrogen (TKN)2
Monitor & Report (mg/L)
Semi-annually
Grab
Effluent
TN load (pounds/month) 2
Monitor & Report
(pounds per month
Monthly
Calculated
Effluent
TN load (pounds/year) 2
Monitor & Report
(pounds per ear
Annually
Calculated
Effluent
Total Phosphorus
Monitor & Report (mg/L)
Semi-annually
Grab
Effluent
Footnotes:
1. Limit takes effect May 1. 2005. Permittee will monitor TRC until the limit takes effect.
2. See A. (2) for Total Nitrogen monitoring and reporting requirements.
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 NC0086690 '
A. (2) CALCULATION OF TOTAL NITROGEN LOADS
a. The Permittee shall calculate monthly and annual TN Loads as follows:
L Monthly TN Load (pounds/month) = TN x TMF x 8.34
where:
TN = TN concentration (mg/L) of the sample collected during the semi-annual monitoring event. Use the
TN value for the month in which the sample was taken and successive months until another TN
sample is collected.
TMF = Total Monthly Flow of wastewater discharged during the month (MG/month). If all discharges are not
recorded at the facility, document the calculation(s) used to determine total monthly flow.
8.34 = conversion factor, from (mg/L x MG) to pounds
ii. Annual TN Load (pounds/year) = Sum of the 12 Monthly (calculated) TN Loads
for the calendar year
b. The Permittee shall report the semi-annual Total Nitrogen results in the discharge
monitoring report (DMR) for that month. The calculated pounds of TN load per month
will be reported on each month's DMR. The Permittee shall report each year's annual
results (pounds per year) on the December DMR.

NPDES REGIONAL WATER
STAFF REPORT AND RE
SEP 2 4 200.
TIONS -
(This form is best filled out on computer, rather than hard copy)
Date: 09/09/03 County: Wake
To: NPDES Discharge Permitting Unit Permitee: Heater Utilities - Stansted Sub.
Attn. NPDES Reviewer: Charles Weaver Application/ Permit No.: NCO086690
Staff Report Prepared By: Wilson Mize
SOC Priority Project? (Y/N) No If Yes, SOC No.
A. GENERAL INFORMATION
1. This application is (check all that apply): ❑ New ® Renewal
❑ Modification
2. Was a site visit conducted in order to prepare this report? ® Yes or ❑ No.
a. Date of site visit: 09/05/2003
b. Person contacted and telephone number: No one was contacted at this time, site visited by only
DWQ personnel.
c. Site visit conducted by: Wilson Mize
d. Inspection Report Attached: ® Yes or ❑ No.
3. Keeping BIMS Accurate: Is the following BIMS information (a. through e. below) correct?
® Yes or ❑ No. If No, please either indicate that it is correct on the current application or the
existing permit or provide the details. If none can be supplied, please explain:
Discharge Point: (Fill this section only if BIMS or Application Info is incorrect or missinel
a. Location OK on Application ❑,
OK on Existing Permit ®, or provide Location:
b. Driving Directions OK on Application ❑,
OK on Existing Permit ❑, or provide Driving Directions (please be accurate): From Raleigh,
take US HWY. 1 South to Apex, take the Ten Ten Rd. exit. From the exit turn right onto Ten
Ten Rd. (SR 1010) and proceed approximately sixteen miles, turn right onto Holly Springs Rd.
(SR 1152). Proceed approximately ten miles on Holly Springs Rd., turn left onto Sunset Lake
Rd. (SR 1301). Proceed approximately eight miles and Stansted Subdivision will be on the right,
enter via Beretta Lane.
c. USGS Quadrangle Map name and number OK on Application ❑,
OK on Existing Permit ®, or provide USGS Quadrangle Map name and number:
d. Latitude/Longitude OK on Application ❑, (check at hJW://topozone.com These are often
inaccurate) OK on Existing Permit ®, or provide Latitude: Longitude:
e. Receiving Stream OK on Application ❑,
OK on Existing Permit ®, or provide Receiving Stream or affected waters:
a. Stream Classification: B-NSW
b. River Basin and Sub basin No.: Neuse River Basin - 03/04/03

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
c. Describe receiving stream features and downstream uses:
For NEW FACILITIES Proceed to Section C. Evaluation and Recommendations
(For renewals or modifications continue to section B)
B. DESCRIPTION OF FACILITIES AND WASTES) (renewals and modifications only)
1. Describe the existing treatment facility: Filter backwash wastewater discharge from a well.
2. Are there appropriately certified ORCs for the facilities? ® Yes or ❑ No.
Operator in Charge: Ricky Scarborough Certificate # (Available in BIMS or Certification
Website)
Back- Operator in Charge: Certificate #
3. Does the facility have operational or compliance problems? Please comment: No
Summarize your BIMS review of monitoring data (Notice(s) of violation within the last permit cycle;
Current enforcement action(s)):
Are they currently under SOC, ❑ Currently under JOC, ❑ Currently under moratorium ❑? Have
all compliance dates/conditions in the existing permit, SOC, JOC, etc. been complied with? ❑ Yes
or ® No. If no, please explain:
4. Residuals Treatment: PSRP ❑ (Process to Significantly Reduce Pathogens, Class B) or
PFRP ❑ (Process to Further Reduce Pathogens, Class A)?
Are they liquid or dewatered to a cake?
Land Applied? Yes ❑ No ❑ If so, list Non -Discharge Permit No.
Contractor Used:
Landfilled? Yes ❑ No❑ If yes, where?
Other?
Adequate Digester Capacity? Yes ❑ No ❑ Sludge Storage Capacity? Yes ❑ No ❑
Please comment on current operational practices:
5. Are there any issues related to compliance/enforcement that should be resolved before issuing this
permit? ❑ Yes or ® No. If yes, please explain:
C. EYALUATIONAND RECOMMENDATIONS
1. Alternative Analysis Evaluation: has the facility evaluated the non -discharge options available? Give
regional perspective for each option evaluated:
Spray Irrigation: NA
Connect to Regional Sewer System: Not available
FORM: NPDES-RRO 06/03 2

NPDES REGIONAL WATER QUALITY
STAFF REPORT AND RECOMMENDATIONS
Subsurface: NA
Other Disposal Options: NA
2. Provide any additional narrative regarding your review of the application: NA
3. List any items that you would like NPDES Unit to obtain through an additional information
request. Make sure that you provide a reason for each item:
4. List specific Permit requirements that you recommend to be removed from the permit when
issued. Make sure that you provide a reason for each condition:
5. List specific special requirements or compliance schedules that you recommend to be included in
the permit when issued. Make sure that you provide a reason for each special condition:
6. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office;
Hold, pending review and approval of required additional information by NPDES permitting
office; ® Issue; Deny. If deny, please state reasons:
Reminder: attach inspection report if Yes was checked for 2 d.
Q
7. Signature of report preparer:
7
_p Signature of WQS regional st
FORM: NPDES-RRO 06/03

■
AFFIDAVIT OF PUBLICATION
NORTH CAROLINA.
Wake County. ) Ss.
Before the undersigned, a Notary Public of Johnston
County North Carolina, duly commissioned and authorized to
administer oaths, affirmations, etc., personally appeared Ivy
Marsch, who, being duly sworn or affirmed, according to law,
doth depose and say that she is Billing Manager -Legal
Advertising of The News and Observer a corporation
organized and doing business under the Laws of the State of
North Carolina, and publishing a newspaper known as The
News and Observer, in the City of Raleigh , Wake
County 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
she makes this affidavit; that she is familiar with the books,
files and business of said corporation and by reference to the
files of said publication the attached advertisement for NC
DIVISION OF WATER QUALITY was inserted in the
Hollow WTP. This permitted
e ntlllitrenewal
a clone Pu°IEer bbackwash wastewater ew ter to Doan: aforesaid newspaper on dates as follows: 07/25/03
unnamed tributary to Middle Creek Int he House River Basin. Currently total tesldual
chlorines Is water quality limited. This discharge may effect futureallocallans In his
Portion of Middle Creek. Account Number: 73350831
Heater Utilities, INc. hpaesf--applied for renewal of NPDES permit NC008M for the li
'unnamed tributary tolsMI Biel C Creek IIn the discharges
Rivfilter-backwashsin.Crently fiotal�resiE all
chlorine Iswaterquality limited. thlsdlschmyemav offectfutureallomttans In thisaortlon
of Mfddle Creek.
Mr. Joseph Thompson (9530 Penny Road Raleigh, NC 27606) has owned for renewal of
NPDES permit NCOD83767 for the Twin Lake WTP. This Permitted facility discharges
filter -backwash wastewater to an unnamed tributary to Bowl Creek in the House River!
Basin. Currently total residual chlorine is water quality limited Thisdisctarge mavaHect
future allocations in this portion of Basal Creek.
Carolina Water Service, Inc. of NC hosavolied for renewal of NPDESpermit NCO086266 for
the Woodtrace Water System WTP. This permitted faculty discharges filterbnckwash
wastewater to an unnamed tributary M Little River in the Neuse River Basin. Currently
total residual chlorine Is water quality limited. This discharge may affect future
allocations In this Partial of the Little River.
First Craven Sonitary District has agplle ! for renewal of NPDES permit NC00 ODD for its
WTP. This permitted facility discharges filter -backwash wastewater to an unnamed
tributary to Duck Creek in the Neuse River Basin. Currently total residual chlorinelswater
quality limited. This discharge may affect futureallocatiaas in this portion of Duck Creek.
'The City of Havelock has ePPlled far renewal of NPDES permit NCOM17 for Ih,e books and files of the aforesaid Corporation and publication.
Lvnnwavne WTP. This cermlHed toclllty tllstlarges fllterbockwosh wastewater te tla
Sauthrresl Prong of Slocum Creek In the Neuse River Basin. Currently total residual'
chlorine is water quality Jimifect This c1l. ge nay affect future allarntions In his
portion of Slocum Creek.
The City of Havelock has applied for renewal of NPDES permit NC0078131 for Its Brown
Boulevard WTP. This permitted facility discharges filter -backwash wastewater te /
MCCotter Canal (to Hancock Creek) In the Neuse River Bbsln. Currently total residual //��
chlorine is water quality limited. This discharge may affect
portion of Hancock Creek.
Nao: July 95, 0010 _ I ! Billing Manager -Legal Advertising
SEAL Sworn or affirmed to, and subscribed before me, this
28 day of JULY , 2003 AD
In Testimony Whereof, I have hereunto set my hand
and affixed my official seal, the day and year aforesaid.
Notary Public
My commission expires 2nd day of July, 2005.

Well water Filter Backwash Permits
From: "Jerry Tweed (Cary)" <[e-mail]>
Subject: W'cll water Filter Backwash Permits
To: "Charles \Fearer (L-mail)" <CharlcsAN'[e-mail]>
Fri 1:24 PM
Charles:
Heater has 5 pending renewals of discharge permits for the backwash water form
canister type iron filters on community drinking water wells. These are very small
intermittent discharges which have little to no impact on the environment and when
time permits, we would like to investigate the possibility of covering these type
permits under a general permit. They are not at all like water treatment plant
discharge from a typical surface water treatment plant such as those operated by
cities.
Each of these permits requires a chlorine limit to be implemented within 18 months
which would require installation of chlorine removal equipment on each of these
systems. This seems extreme for these small intermittent discharges. Please consider
exempting these systems form the chlorine policy due to the insignificance of the
discharge.
The five permits that Heater has pending are as follows along with my comments:
(1) Waterfall Plantation - Permit NC0085863
This draft permit issued on 7/16/03 requires monthly monitoring for
everything but TSS which is 2/month and residual chlorine which is required weekly.
All of the other draft permits (except Nottingham Forest as discussed below) and
existing permits generally require quarterly monitoring for everything including
residual chlorine. The Waterfall Plantation draft also includes a monitoring
requirement for Aluminum which seems inappropriate since this is not a surface water
treatment plant and would not have any aluminum.
Please consider changing the monitoring frequency for Waterfall Plantation
to quarterly for all parameters, eliminating the Aluminum monitoring requirement,
and eliminating the chlorine limit as discussed above.
(2) Nottingham Forest - Permit NC0055701
This draft permit issued on 7/23/03 requires quarterly monitoring on
everything except TSS and Iron which are required monthly.
Please consider changing the monitoring frequency for TSS and Iron to
quarterly and eliminating the chlorine limit as discussed above.
(3) Oak Hollow - Permit NC0073679
This draft permit issued on 7/23/03 requires quarterly monitoring on all
parameters which Heater believes is appropriate for this type facility. Please
consider eliminating the chlorine limit as discussed above.
(4) Hollybrook - Permit NC0082996
This draft permit issued on 7/23/03 requires quarterly monitoring on all
parameters which Heater believes is appropriate for this type facility. Please
consider eliminating the chlorine limit as discussed above.
(5) Stanstead Well #2 - NC0086690
This draft permit issued on 7/23/03 requires quarterly monitoring on all
parameters which Heater believes is appropriate for this type facility. Please
consider eliminating the chlorine limit as discussed above.
Thank you for any consideration of my requests. If I can provide further
information regarding these systems please contact me by email at [e-mail]
or by telephone at 919 467 8712 ext. 37.
Thanks
Jerry
1 of 2 8/4/2003 7:11 AM

Permit NCO055701
A. (2) CALCULATION OF TOTAL NITROGEN LOADS
a. The Permittee shall calculate quarterly and annual TN Loads as follows:
i. Quarterly TN Load (pounds/quarter) = TN x Qw x Days x 8.34
where:
TN = the average TN concentration (mg/L) of the sample(s) collected during
the quarter
Qw = The average daily discharge flow for the quarter
Days = The number of discharge days during the quarter
8.34 = conversion factor, from (mg/L x MG) to pounds
ii. Annual TN Load (pounds/year) = Sum of the Quarterly TN Loads for the
calendar year
b. The Permittee shall report quarterly Total Nitrogen results (mg/L and pounds/quarter)
in the appropriate discharge monitoring report. The Permittee shall report each year's
annual results (pounds per year) in the December report for that year.

Heater
�� Utilities
WATER AND WASTEWATER SERVICES
October 23
Mrs. Valery Stephens
NCDENR/Water Quality/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Permit Renewal - NPDES Permit NC 0086690
Stanstead Well #2 WTP - Wake County
Dear Valery:
202 MacNenan Court
Cary, North Carolina 27511
phone : [phone]
tax: 919.460.1788
P.O. Drawer 4889, Cary, NC 27519
T,
OCT 2 8 2002
L)
-- , — vdar�a uo9,i Irr
pl,;,;f SuuiC� Bii
The above -referenced facility involves the backwash from iron and
manganese filters on a community well located in Stanstead subdivision. The
iron and manganese residue in the backwash water is captured on a sand filter.
There is no sludge production. The iron and manganese residue is periodically
raked from the top of the sand filter and disposed of in a landfill.
Heater Utilities (Heater), at this and other similar facilities is
required to perform quarterly monitoring on most parameters. Heater requests
renewal of this permit with a continued quarterly monitoring frequency.
If I can provide further information, please contact me at 919-467-8712,
Ext. 37.
Sincerely,
?Jer H. Tweed
ce President
JHT/rt

NPDES PERMIT APPLICATION - SHORT FORM C
For manufacturing or commercial facilities with a discharge < 1 MGD (or WTPs)
N. C. Department of Environment and Natural Resources
Division of Water Quality! NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
North Carolina NPDES Permit Number NC00 86690
Please print or Type
1. Applicant and facility producing discharge
A. Name Heater Utilities, Inc. (Stanstead Well #2 WTP) Attn: Jerry Tweed
B. Mailing address of applicant:
Street address P.O. Drawer 4889
City Cary County Wake
State North Carolina Zip Code 27519
Telephone Number ( 919 ) 467-7854
Fax Number ( 919) 460-1788
e-mail address itweed(&-huinc.com
C. Location of facility:
Contact Person Reid Campbell (Heater Utilities. Inc.
Street Stanstead_ Drive, North of Fuauav Varina
City County Wake
State North Carolina Zip Code
Telephone Number ( 919 ) 467-8712, Ext. 39
2. Standard Industrial Classification (SIC) code(s): 4941
3. Number of employees: NIA
4. Principal product(s) produced:_ Drinking Water
Principal raw material(s) consumed: NIA
5. Principal process(es): Iron/Manganese Removal Filtration
6. Amount of principal product produced or raw material consumed
(List snecifin amnuntc cnnciimarl aneflnr iinifc of nrnehto-finnl
Product Produced or Raw Material Consumed
AVERAGE
Product Produced or Raw Material Consumed
PEAK
per Da
per Month
per Year
7. Check here if discharge occurs all year X , or
Circle the month(s) in which discharge occurs: January February March April
May June July. August September October November December
Days per week discharge occurs: Three Days per week _
NOTE: If the facility has separate discharge points (outfalls) or multiple industrial processes, Include a schematic diagram
of wastewater flow at the facility.
Page 1 of 2 Version -6-99

NPDES PERMIT APPLICATION - SHORT FORM C
For manufacturing or commercial facilities with a discharge < 1 MGD (or WTPs)
8. Types of wastewater discharged to surface waters only (check as applicable).
Discharge per operating day
Flow
GALLONS PER OPERATING DAY
Volume treated before discharging
PERCENT
Sanitary - daily average
Cooling water, etc. - daily average
Process water - daily average
1,700
Zero
Maximum per operating day for
total discharge (all types)
6,300
9. If any of the types of wastewater identified in item 8 (either treated or untreated) are discharged to places
other than surface waters, record the amount(s) discharged below:
A.
Municipal sewer system
and
B.
Underground well
and
C.
Septic tank
and
D.
Evaporation lagoon or pond
and
E.
Other, specify.
and
10. Number of separate discharge points: One
11. Name of receiving stream(s): Unnamed Tributary to Basal Creek — Neuse River Basin
12. Does your discharge contain or is it possible for your discharge to contain one or more of the following
substances added as a result of your operations, activities, or processes? Circle all that apply:
aluminum ammonia beryllium cadmium chromium
copper cyanide lead mercury nickel oil and grease
phenols selenium zinc
None of the above
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.
Jerry H. Tweed Vice President
Printed name of Person Signing Title
of AAlicant
V
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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both, for a similar offense.)
Page 2 of 2
Version —6-99