NC0004464_fact sheet_20231018

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
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 10/18/2023
Permit Number
NC0004464
Facility Name
Woodland Mills WWTP
Basin Name/Sub-basin number
Broad 03-08-02
HUC #
030501050202
Receiving Stream
South Branch
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
NH3 limits are correct to protect
against instream toxicity.
Does permit need TRC limits/language?
Already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
One enforcement, eight NOVs,
and one NOD in the last permit
cycle. No violations since July
2022.
Any permit mods since last permit?
No
New expiration date
8/31/2028
Changes included in Draft Permit?
➢ Deleted Total Mercury
sampling; no detections in
last permit cycle
➢ Updated eDMR text
Changes in Final Permit?
➢ None

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
Publisher's Certificate of Publication
STATE OF NORTH CAROLINA
COUNTY OF POLK
Kevin Powell, being ouly
That he is General Mana
tin, a daily newspaper of
and published in Tryon,
that the publication, a co
sworn, says:
ger of theTryon Daily Bulle-
general circulation, printed
Polk County, North Carolina;
py of which is attached
hereto, was published in the said newspaper on the
following dates:
08/30/23
That said newspaper was regularly issued and
circulated on those dates.
The sum charged by the Newspaper for said publi-
cation does not exceed the lowest rate paid by com-
mercial customers for an advertisement of similar
size and frequency in the same newspaper in which
the public notice appeared.
There are no agreements between the Tryon Daily
Bulletin and the officer or attorney charged with the
duty of placing the attached legal advertising no-
tices whereby any advantage, gain or profit accrued
to said officer or attorney.
SIGNED:
Kevin Powell, General Manager
Subscribed and sworn to before me this
30th Day of August, 2023
p ESK
Mary Jo Eskridge, Notary Public
State of Alabama at Large NOTARY `•
My commission expires 03-02-2026 =;;
_-): ►.�
° PUBLIC ' m
9l�ARGE
m,PQ
Account # 144932
Ad # 1700878
NCDENR&DWQ&POINT SEARCH BRANCH
1617 MAIL SERVICE CENTER
RALEIGH NC 27699
PUBLIC NOTICE
North Carolina
Environmental Management
Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue NPDES
Wastewater Permit NCO087122
for their Healing Farm WWTP•
NCO071005 Lynnbrook Estates
WWTP, NC0004464 Woodland
Mills WWTP The North Caroli-
na Environmental Management
Commission proposes to issue
a NPDES wastewater discharge
permit to the person(s) listed
below. Written comments re-
garding the proposed permit
will be accepted until 30 days
after the publish date of this
notice. The Director of the NC
Division of Water Resources
(DWR) may hold a public hear-
ing should there be a signifi-
cant degree of public interest.
Please mail comments and/or
information requests to DWR
at the above address. Interest-
ed persons may visit the DWR
at 512 N. Salisbury Street, Ra-
leigh, NC 27604 to review the
information on file. Additional
information on NPDES permits
and this notice may be found on
our website: https://deq.nc.gov/
public -notices -hearings, or by
calling [phone]. Cooper-
Riis. Inc. applied to renew NP-
DES permit NCO087122 for
their Healing Farm WWTP (101
Healing Farm Lane, Mill Spring)
in Polk County. This facility dis-
charges to Canal Creek in the
Broad River Basin. Currently
ammonia nitrogen, Fecal Coli-
form. and Total Residual Chlo-
rine (TRC) are water -quality lim-
ited. This discharge may affect
future wasteload allocations in
this portion of Canal Creek. The
Lynnbrook Estates HOA applied
for renewal of NPDES per-
mit NCO071005 for its WWTP
(NCSR 1135. Columbus) in
Polk County. This permitted
facility discharges to Skyuka
Creek in the Broad River Basin.
Currently fecal coliform and to-
tal residual chlorine are water
quality limited. This discharge
may affect future allocations in
this portion of Skyuka Creek.
Polk County applied for renewal
of NPDES permit NC0004464
for the Woodland Mills WWTP
(4021 NC Hwy 108. Mill Spring)
in Polk County. This facility
discharges treated domestic
wastewater to South Branch in
the Broad River Basin. Current-
ly ammonia nitrogen, fecal coli-
form, and total residual chlorine
are water quality limited. This
discharge may affect future al-
locations in this portion of the
Broad River basin.
Tryon Daily Bulletin:
Aug. 30. 2023
PERMITS NCO087122

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
Weaver, Charles
From: Rose, Rachel F
Sent: Friday, September 8, 2023 4:35 PM
To: Weaver, Charles
Subject: RE: NC0004464 Draft Permit Inquiry
Hi Charles,
Thank you for updating that.
I had another question regarding this permit. Right now, this facility has no backup generator that can hook up to the
WWTP's control panel. There's a portable one that can connect to the lift station directly before the WWTP, but there's
no ability to connect with the WWTP.
The question I emailed you yesterday about the standby power requirement was related to a CEI that I just did for this
facility where I found this issue. From the language in the NC Rule 15 A NCAC 021-1.0124 that we emailed about, do you
think that this facility may need to require a backup generator that can hook up to the WWTP?
The ORC has given this response for why they don't need a backup generator for the WWTP:
Regarding the generator, first and foremost, it was not in the engineering plans and
required by the State permit review. After that, there is a flow through pipe from the
EQ basin to the aeration basin that will allow the forward flow of water through the
system and not allow for a bypass. When a treatment facility is in the off position, the
solids settle out and the only water that leaves the facility is the supernate from the
clarifier and through the chlorine and dechlor chamber. The effluent discharge will
have final treatment for the water that flows through. Since the system would have
been operational before the power outage, the water leaving would still be as compliant
leaving the facility as if the power was on. Fortunately, the power is seldom down very
long there, and, if the power is off, there is very few using the system. The lift station
can have a generator attached so that the lift station will not overflow.
Let me know what you think and/or if you need any more information about this.
Thank you,
Rachel Rose (she/her/hers)
Environmental Specialist I — Asheville Regional Office
Water Quality Regional Operations
Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]
kl;NORTH CAROLINA 7.9� Q
Department of Environmental Duality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
From: Weaver, Charles <[e-mail]>
Sent: Thursday, September 7, 2023 10:13 AM
To: Rose, Rachel F <[e-mail]>
Subject: RE: NC0004464 Draft Permit Inquiry
Thanks for letting me know about that, Rachel. The permit has been updated.
Charles H. Weaver
Environmental Specialist II
Division of Water Resources
919-707-3616
charles.weaveradeg. nc. qov
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
REQ7>
Emil correspondence to and from this address is _,WbJed to the North
Carona fi+nbJrc Records Lew and may be drsabsed �* thrrd parties,
From: Rose, Rachel F <[e-mail]>
Sent: Wednesday, September 6, 2023 2:53 PM
To: Weaver, Charles <[e-mail]>
Subject: RE: NC0004464 Draft Permit Inquiry
Hi Charles,
The NPDES draft permit needs the following components added to the list on page 2 (the page titled "Supplement to
Permit Cover Sheet"):
• Bar Screen
• Equalization Basin
• Aerobic Digester
Let me know if you need any more information.
Thank you,
Rachel Rose (she/her/hers)
Environmental Specialist I —Asheville Regional Office
Water Quality Regional Operations
Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
4;; - �E
oeperlmfni of EnwronmeMal aueldy
Emaif correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
From: Shadwell, Kate <[e-mail]>
Sent: Wednesday, September 6, 2023 2:48 PM
To: Rose, Rachel F <[e-mail]>
Cc: Weaver, Charles <charles.weaver@deg. nc.gov>
Subject: Re: NC0004464 Draft Permit Inquiry
Hello,
Yes, Charles Weaver (cc'd) is assigned to NC0004464.
Thanks,
Kate Shadwell (she/her)
Environmental Specialist I
Division of Water Resources
North Carolina Department of Environmental Quality
[phone]
kate.shadwel I @deg. nc.gov
ED
�E
Oeparlmenl of EAvJronnLemal 00ily
Emarit correspondence to and from this -address is subject to the North
Carolina Public Records Law and may be d)sclosed to third parties.
From: Rose, Rachel F <rachel.rose@deg. nc.gov>
Sent: Wednesday, September 6, 2023 2:36 PM
To: Shadwell, Kate <[e-mail]>
Subject: NC0004464 Draft Permit Inquiry
Good Afternoon,
Could you point me in the right direction of who to contact to add to/edit the drafted permit for NPDES permit #
NC0004464? It's just missing some components in the facility.

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
Thank you,
Rachel Rose (she/her/hers)
Environmental Specialist I —Asheville Regional Office
Water Quality Regional Operations
Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone] 1 Cell: [phone]
[e-mail]
r��rlal:�f •.t.;.�r.n _
14"Mmml of EariranrwrrUl 4uel+ty
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: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number Facility Name Modified Application Form 2A
NCO004464 WOODLAND MILLS 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 may result in denial of the application.)
SECTION 1. BASIC
APPLICATION INFORMATION s ,
Facility name
1.1
WOODLAND MILLS WWTP
Mailing address (street or P.O. box)
P.O. BOX 308
City or town
State
ZIP code
o
COLUMBUS
NC
28722
EContact
name (first and last)
Title
Phone number
Email address
c
POLK COUNTY
[phone]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
lL
4021 NC HIGHWAY 108
City or town
State
ZIP code
MILL SPRING
NC
23756
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission 0 No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
.9
E
City or town
State
ZIP code
0
w
c
Contact name (first and last)
Title
Phone number
Email address
.Q
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑� Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility 0 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.
Existing Environmental Permits
a
❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
NC0004464
0
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
w
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name
Modified Application Form 2A
NC0004464
WOODLAND MILLS WWTP
Modified March 2021
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
indicate percentage)
600
100 % separate sanitary sewer
0 Own I1 Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
d
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
o
19
% combined storm and sanitary sewer
❑ Own ❑ Maintain
ElUnknown
ElOwn ❑ Maintain
o.
O
a
% 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
Total soo
Population
v
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
100 %
%
sewer line in miles
1.8
Is the treatment works located in Indian Country?
1r
o
❑ Yes ❑✓ No
ca
1.9
Does the facility discharge to a receiving water that Flows through Indian Country?
❑ Yes © No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
015 mgd
Annual Average Flow states Actual
a
Two Years Ago
Last Year
This Year
0
0.002 mgd
0.0025 mgd
0.002 mgd
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
'005 mgd
O.OD55 mgd
0.005 mgd
y
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge ointsbyType
fL
Combined Sewer
Constructed
T
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
Overflows
0
1
0
0
0
0
Page 2

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name
Modified Application Form 2A
NC0004464
WOODLAND MILLS WWTP
Modified March2021
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 Q No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface im oundment and associated dischar e 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
❑ Continuous
gpd
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
C
Land Application Site and Discharge Data
a
a
Average Daily Volume
Continuous or
0,
Location
Size
Applied
Intermittent
check one
acres
gpd
El
a
❑ Intermittent
r
acres
gpd
El ConUnuous
0
❑ Intermittent
acres
gpd❑
❑ Continuous
Intermittent
N
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 otter 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: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name
Modified Application Form 2A
NC0004464
WOODLAND MILLS WWTP
Modified March2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receivinca F cilitv Data
Facility name
Mailing address (street or P.O. box)
a
City or town
State ZIP code
0
v
y
Contact name (first and last)
Title
0
Z
Phone number
Email address
oNPDES
number of receiving facility (if any) ❑ None
Average daily Flow rate mgd
Q
N
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)?
cc
❑ Yes © No 4 SKIP to Item 1.23.
cn
0
1.22
Provide information in the table below on these other disposal methods.
Information on Other
Dis osal Methods
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
w`i,
acres
9P d
❑ Continuous
❑ Intermittent
❑ Continuous
acres
9Pd
❑ Intermiftent
❑ Continuous
acres
gp 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.)
y
R
❑ Discharges into marine waters (CWA ElWater quality related effluent limitation (CWA Section
Cr
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 4SKIP 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 res onsibilifes.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
0
Contractor name
R
(company name
E
Mailing address
0
street or P.O. box
`o
City, state; and ZIP
R
code
o
Contact name (first and
U
last
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number Facility Name Modified Application Form 2A
NCO004464 WOODLAND MILLS WWTP Modified March 2021
SECTIONDD• •' I
o 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?
M
o
❑ Yes 0 No 4 SKIP to Section 3.
0
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
0
0
s
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
0
specific requirements.)
C
6M
0
0
❑ Yes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
c [
(See instructions for specific requirements.)
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
=
O
1.
w,
E
V
a
2.
v
N
3.
40
w
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
w
Scheduled
Affected
Begin
End
Begin
Attainment of
n
a
Improvement
Outfalls
(list outf)
Construction
Construction
Discharge
Operational
Level
FE
(from above)
number
(MMIDWYYYY)
(MMIDWYYYY)
(MMlDD/YYYY)
MMIDDIYYYY
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federalistate requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name Modified Applicatlon Form 2A
NCO004464
WOODLAND MILLS WWTP Modified March 2021
SECTION 3. INFORMATION
ON EFFLUENT 1 I
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
3.1
Outfall Number oat
Outfall Number
Outfall Number
State
NC
cc
County
POLK
O
City or town
MILLSPRING
0
.Q
Distance from shore
0 ft.
ft.
ft.
a
Depth below surface
2 ft.
ft.
ft.
0
Average daily flow rate
.002 mgd
mgd
mgd
Latitude
35' ly 4Y' NB
Longitude
82° id oy' vE]
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
R
a
❑ Yes ❑ No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
s
dischar e occurs
IL
Average duration of each
o
discharge (specify units
o
Average flow of each
mgd
mgd
mgd
N
discharge
in
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.
3.5
Briefly describe the diffuser t pe at each applicable outfall.
F
Outfall Number
Outfall Number
Outfall Number
O
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?
CD
❑✓ Yes ❑ No -+SKIP to Section 6.
Page 6

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number Facility Name
Modified Application Form 2A
NC0004464 WOODLAND MILLS WWTP
Modified March 2021
3.7
Provide the receiving water and related information if known for each outfail.
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
SOUTH BRANCH
Name of watershed, river,
0
or stream system
BROAD RIVER BRP
•L
U.S. Soil Conservation
Service 14-digit watershed
03050105150010
n
code
L
R
Name of state
rn
management/river basin
BROAD
U.S. Geological Survey
8-digit hydrologic
03050105
cata lo&g unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg1L of
mg1L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment provided for discharges from each outfall.
Outfall Number 091
Outfall Number
Outfall Number
Highest Level of
© Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfail)
secondary
secondary
secondary
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
0
Q
Design Removal Rates by
Outfall
CA
d,
BOD5 or CBOD5
85 %
%
%
c
a�
E
a
TSS
85 %
%
%
F-
IJ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
El Not applicable
❑ Not applicable
❑ Not applicable
Page 7

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name Modified Application Form 2A
NC0004464
WOODLAND MILLS WWTP Modified March 2021
3.9
Describe the type of disinfection used for the effluent from each outfali in the table below. If disinfection varies by
season, describe below.
_
0
U
Outfall Number 001
Outfall Number
Outfall Number
o
rL
Disinfection type
CHLORINE
N
di
=
Seasons used
ALL
a�
tr
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
F
Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
© Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes © No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
w
m
C'
Number of tests of discharge
rn
water
FNumber
of tests of receiving
water
UJI
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number
Facility Name
Modified Application Form 2A
NCo004464
WOODLAND MILLS WWTP I
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 -3- Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MMlDDNYYY
w
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.
CU
3.23
Describe the cause(s) of the toxicity:
LU
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permiffinq authority.
Page 9

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NFDFS Permit Number
Facility Name Modified Application Form 2A
NC0004464
WOODLAND MILLS WWTP Modified March2021
SECTIONr
CERTIFICATION STATEMENT (40
6.1
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1
Column 2
❑ Section 1: Basic Application
Information for All Applicants
❑ wl variance request(s) ❑ wl additional attachments
© Section 2: Additional
❑ wl topographic map ❑ wl process flow diagram
Information
❑ wl additional attachments
© wl Table A ❑ wl Table D
© Section 3: Information on
❑ wl Table B ❑ wl additional attachments
Effluent Discharges
E
❑ wl Table C
R
Section 4: Not Applicable
0
Section 5: Not Applicable
a�
v
Section 6: Checklist and
©
© wl attachments
Certification Statement
N
x
6,2
Certification Statement
u
a
l certify underpenalty 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. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or ty t n last name)
Official title
�.
Co" +y Man4 er
Si nature
Date signed
`7131 If z.3
Page 10

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDFS Permit Number Facility Name Cutfa[I Number Mod4ed Application Farm 2A
NC0004464 WOODLAND MILLS WWTP McditiedMarch 2021
Maximum Daily Discharge
Average Daily Discharge Analytical ML or MDL
Value
Units
Pollutant
Number of Method' (include units)
Value Units
Samples
Biochemical oxygen demand
0 BODs or ❑ CBODs
23.6
MG/L
12.57
MG/L
52 5210 B © ML
p MOL
(report one)
Fecal coliform
140
CFU/100ML
5
CFU/100ML
52 9222-D 10 ML
❑ MDL
Design flow rate
.005
MGD
.002
MGD
365
pH (minimum)
6.0
SU
pH (maximum)
7.2
SU
Temperature (winter)
14.71
C
16.32
C
130
Temperature (summer)
24.6
C
18.2
C
131
Total suspended solids (TSS)
19.24
MG/L
12A
MG/L
12 ML
52 2540-0 Q MDL
' Sampling shall be conducted according to sufficientlysensitive 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 instruOons and 40 CFR 122.21(e)(3).
Page 11

DocuSign Envelope ID: 11CA2CC2-E490-4DB5-AB1F-317D554F8740
NPDES Permit Number -7Facility Name Outrall Number Modled Application Farm 2A
NCO004464 WOODLAND MILLSWWTP ModfiedMarch 2021
Maximum DailyDischarge Average Dail Discha e
Pollutant
Analytical ML cr MDL
(hs1) Value Units Value Units Numbers
Method' (include units)
Samples
No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
ML
❑
DL
❑ MD❑M
❑M
❑ ML
© MOL
CIML
© MD
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
m ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
Cl MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
13 ML
13 MDL
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 far 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 18