NC0020354_Historical_2015

North Carolina Department of Environmental QualitIN
Division of Water Resourees
Permit Number: NCO020354
Permit Type: Municipal Wastewater Discharge, < 1MGD
Facility Name: Town of Pittsboro WWTP
Facility Addressl: Small St Extension
Facility Addressl:
City, State & Zip: Pittsboro, NC 27312
Owner Information Details:
MUST submit a Change of Name/Ownership form to DWR to make any changes to this Owner information.
(Click Here for "Change of Name/Ownershio"Form)
Owner Name: Town of Pittsboro
Owner Type: Government - Municipal Owner Type Group: Organization
*** Legally Responsible for Permit ***
(Responsible corporate officer/principle executive officer or ranking elected official/general partner or proprietor;
or any other person with delegated signatory authority from the legally responsible person.)
Owner Affiliation: Chris Kennedy
Addressl:
PO Box 759
Address2:
City, State & Zip:
Pittsboro, NC 27312-0759
Work Phone:
919-542-2063
Email Address:
ckennedy@l)ittsboronc.000v
Owner Contact Person(s)
Contact Name
Title Address
Title:
Fax:
Phone Fax
Email
Facility Contact Person(s)
Contact Name Title Address Phone Fax Email
Permit Contact
Contact Name Title
Permit Billina Contact Person
Address
Phone Fax Email
Contact Name Title Address Phone Fax Email
iohr �Yt-ar_ PO Box 759, Pittsboro, NC 27312-0759 919-542-2530 919-542-0503 [e-mail]
Page 1

Permit Number: NCO020354
Permit Type: Municipal Wastewater Discharge. < iMGD
Facility Name: Town of Pittsboro WWTP
Facility Addressl: Small St Extension
Facility Address2:
City, State & Zip: Pittsboro, NC 27312
Persons with Signatory Authority
Type Contact Name Title Address Phone FM E0ai1
Permit Jamie L McLaurin 635 East St, Pittsboro, NC 919-200-8927 jmclaurin@pittsboronc.g
NC 27513
Owner Kent Jackson PO Box 759, Pittsboro, NC 919-533-5480 kjackson@pittsboronc.g
27312-0759 ov
Permit Scott A Siletzky PO Box 3729, Sanford, NC 919-775-8305 scott.siletzky@sanfordn
Designated Operators
rf the designated operators listed below are incorrect or no longer associated with the collection system, the information can be updated by s
"Operator Designation Form"(Click Here for ORC Designation Form). Please provide specific details as to the changes requested, including th
designated operators For another operator questions or issues, please can 919-807-6353.
Facility Classification: WUJ4
Operator Name
Role
Cert Type
Cert Status
Cert #
Effective Date
Jamie Lee McLaurin
ORC
WW-4
Active
998331
7/1/2021
Freddy Wesley Peele
Backup
WW-3
Active
1007259
12/13/2018
'v*0
Jimmy Holland, PE
Process Group Leader
[e-mail]
Mc M&CREED
704 841.2588 0
91 n 409 8717 M
Seen Siletzky Office: [phone]
Water Reclamation Facility Fax: [phone]
Administrator
i� O
Mailing: Shipping:
P.O. Box 3729 5327 Iron Furnace Rd.
Sanford, NC 27331 Sanford, NC 27330
[e-mail]
1/10/2022 Page 2

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
TIMOTHY R. SMITH — VICE PRESIDENT
CHATHAM PARK INVESTORS LLC
105 WESTON ESTATES WAY
CARY, NORTH CAROLINA 27513
Dear Mr. Smith:
NORTH CAROLINA
Envlronmental Quality
August 27, 2021
Subject: Permit No. WQ0039375
Chatham Park Water
Recovery Center
Reclaimed Water
Generation System
Chatham County
In accordance with your permit minor modification request received June 17, 2021, we are
forwarding herewith Permit No. WQ0039375 dated August 27, 2021, to Chatham Park Investors LLC for
the construction and operation of the subject reclaimed water generation facilities.
The following modifications to the subject permit are as follows: Removed the facilities from this
permit that are dual -permitted under Permit Nos. NCO020354 and 020354A04.
This permit shall be effective from the date of issuance through January 31, 2023, shall void Permit
No. W00039375 issued November 19, 2020, and shall be subject to the conditions and limitations therein.
The Permittee shall submit a renewal application no later than August 4, 2022.
Please pay attention to the monitoring requirements listed Attachments A they may differ from the
previous permit issuance. Failure to establish an adequate system for collecting and maintaining the
required operational information shall result in future compliance problems.
The Division has removed the following permit conditions since the last permit issuance
dated November 19, 2020:
Y Old Condition 1.3. —An executed Master Services Agreement was received August 3, 2021 via
email to satisfy the old Condition I.3.a.
➢ Attachment A — Removed PPI 001 as there is no phases references in Permit Nos. NCO020354
or 020354A04, nor in this permit.
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 1 1617 Mail Service Center I Raleigh. North Carolina 276" 1617
919,707.9000

Mr. Timothy R. Smith
August 27, 2021
Page 2 of 2
2020:
The following permit conditions are new since the last permit issuance dated November 19,
➢ Condition 1.2. — The Permittee shall notify the Raleigh Regional Office at least two business
days in advance of initial operation of the constructed facilities.
➢ Condition III.12. — If turbidity exceeds 10 NTUs or if the permitted pathogen levels cannot be
met, all effluent shall be prohibited from entering the storage, distribution, or utilization system,
and shall be disposed of in accordance with Permit No. NC0020354 until the reclaimed water
standards are met at the generating facility.
➢ Attachment A — Updated the permitted flow to 499,000 gallons per day (GPD) to match the
NPDES permit and the Master Services Agreement.
If any parts, requirements, or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall 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 at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Otherwise, this permit shall be final and binding.
If you need additional information concerning this permit, please contact Vivien Zhong at (919)
707-3627 or vivien.zhong(i ncdenr.gov.
Sincerely,
7'6.,,.,..P.2).
d--Z�T
dt S. Daniel Smith, Director
Division of Water Resources
cc: Chatham County Health Department (Electronic Copy)
Raleigh Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Joshua A. Powell, PE — McKim & Creed, Inc. (Electronic Copy)
Laserfiche File (Electronic Copy)
Digital Permit Archive (Electronic Copy)

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
RECLAIMED WATER GENERATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Chatham Park Investors LLC
Chatham County
FOR THE
construction and operation of a 499,000 gallon per day (GPD) reclaimed water generation facility consisting
of
the facilities permitted under Permit Nos. NCO020354 and 020354A04; and all associated piping, valves,
controls, and appurtenances; and
a reclaimed water distribution pump station consisting of a turbidity meter, a 100,000 gallon reclaimed
water storage tank with sodium hypochlorite feed system containing two 1.4 gallon per hour (GPH) NaOCI
chemical feed pumps; two 80 gallon per minute (GPM) reclaimed water service pumps to provide plant
water; two 695 GPM reclaimed water pumps to feed the reclaimed water distribution system; and all
associated piping, valves, controls, and appurtenances
to serve the Chatham Park Water Recovery Center, with no discharge of wastes to surface waters, pursuant
to the application received June 17, 2021, and in conformity with the Division -approved plans and
specifications considered a part of this permit.
This permit shall be effective from the date of issuance through January 31, 2023, shall void Permit No.
W00039375 issue November 19, 2020, and shall be subject to the following conditions and limitations:
I. SCHEDULES
Upon completion of construction and prior to operation of the permitted facility, the Permittee shall
submit an engineering certification from a North Carolina licensed Professional Engineer certifying
that the permitted facility has been constructed in accordance with G.S. 143-215.1, Administrative
Code Title 15A Subchapter 02U, this permit, and the Division -approved plans and specifications. For
phased and partially certified facilities, the Permittee shall retain the responsibility to track further
construction approved under this permit, and shall provide a final engineering certification upon project
completion. Mail the Engineering Certification to the Division of Water Resources, Non -Discharge
Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617, or Non-Discharge.Reports(a nedenr.gov.
[ 15A NCAC 02T .0I 16(a)]
2. The Permittee shall notify the Raleigh Regional Office, telephone number [phone], at least two
business days in advance of initial operation of the constructed facilities so that the Division can
conduct a startup inspection. [15A NCAC 02T .0108(b)(l)(B)]
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3. Prior to operation of the newly installed facilities, a Final Operation and Maintenance Plan shall be
submitted for review. The plan shall be sent to the Division of Water Resources, Non -Discharge
Branch, 1617 Mail Service Center, Raleigh, NC 27699-1617 or Non-Discharge.Reports(dncdenr.sov.
[15A NCAC 02T.0108(b)(1)(B), 02U .0801(a)]
4. The Permittee shall request renewal of this permit on Division -approved forms no later than August 4,
2022. [15A NCAC 02T .0105(b), 02T .0109]
IL PERFORMANCE STANDARDS
The Permittee shall maintain and operate the subject reclaimed water facilities so there is no discharge
to surface waters, nor any contravention of groundwater or surface water standards. In the event the
facilities fail to perform satisfactorily, including the creation of nuisance conditions due to improper
operation and maintenance, the Permittee shall take immediate corrective actions, including Division
required actions, such as the construction of additional or replacement reclaimed water generation
facilities. [15A NCAC 02T.0108(b)(1)(A)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [15A NCAC 02T .0108(b)(1)(A)]
3. Effluent limitations for generated reclaimed water shall not exceed those specified in Attachment A.
[15A NCAC 02U .0301]
4. All reclaimed water valves, storage facilities, and outlets shall be tagged or labeled to warn the public
or employees that the water is not intended for drinking. [ 15A NCAC 02U .0403(b)]
5. All reclaimed water piping, valves, outlets, and other appurtenances shall be color -coded, taped, or
otherwise marked to identify the source of the water as being reclaimed water as follows:
a. All reclaimed water piping and appurtenances shall be either colored purple (Pantone 522 or
equivalent) and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER -
DO NOT DRINK" or be installed with a purple (Pantone 522 or equivalent) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and repeated
every three feet or less;
b. Identification tape shall be at least three inches wide and have white or black lettering on purple
(Pantone 522 or equivalent) field stating "CAUTION: RECLAIMED WATER - DO NOT
DRINK". Identification tape shall be installed on top of reclaimed water pipelines, fastened at least
every 10 feet to each pipe length and run continuously the entire length of the pipe; and
c. Existing underground distribution systems retrofitted for the purpose of conveying reclaimed water
shall be taped or otherwise identified as noted in II.5.a. and I1.5.b. This identification need not
extend the entire length of the distribution system but shall be incorporated within 10 feet of
crossing any potable water supply line or sanitary sewer line.
[15A NCAC 02U .0403(c)]
6. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits operation
by personnel authorized by the entity that operates the reclaimed water system. [ 15A NCAC 02U
.0403(d)]
7. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -potable
quality. As an alternative to the use of locked vaults with standard hose bib services, other locking
mechanisms such as hose bibs that can only be operated by a tool may be placed above ground and
labeled as non -potable water. [ 15A NCAC 02U .0403(e)]
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8. There shall be no direct cross -connections between the reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .0403(f)]
9. Reclaimed water distribution lines shall be located at least 5 feet horizontally from and 18 inches below
any water line if practicable. If these separation distances cannot be met, the piping and integrity testing
procedures shall meet water main standards in accordance with 15A NCAC 18C. [15A NCAC 02U
.0403(g), 02U .0403(h)]
10. Reclaimed water distribution lines shall not be less than 50 feet from a well unless the piping and
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well. [ 15A NCAC 02U .0403(g), 02U .0403(i)]
11. Reclaimed water distribution lines shall meet the separation distances to sewer lines in accordance with
15A NCAC 02T .0305. [ 15A NCAC 02U .0403(g), 02U .04030)]
12. The facilities herein were permitted per the following setbacks:
a. The storage and treatment units were originally permitted February 15, 2018. The setbacks for
storage and treatment units originally permitted or modified from June 18, 2011 to August 31, 2019
are as follows (all distances in feet):
i. Each habitable residence or place of assembly under separate ownership: 1001
ii. Each private or public water supply source: 100
iii. Surface waters: 50
iv. Each well with exception of monitoring wells: 100
v. Each property line: 50 z
Habitable residences or places of assembly under separate ownership constructed after the
facilities herein were originally permitted or subsequently modified are exempt from this
setback.
Z Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02U .0701(a)]
b. The final effluent storage units were originally permitted February 15, 2018. The setbacks for final
effluent storage units originally permitted or modified from June 18, 2011 to August 31, 2018 are
as follows (all distances in feet):
i. Each private or public water supply source: 100
ii. Surface waters: 50
iii. Each well with exception of monitoring wells: 100
iv. Each property line: 50
Setbacks to property lines are not applicable when the Permittee, or the entity from which the
Permittee is leasing, owns both parcels separated by the property line.
[15A NCAC 02U .0701(b)]
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III. OPERATION AND MAINTENANCE REQUIREMENTS
1, The Permittee shall operate and maintain the subject facilities as a non -discharge system. [15A NCAC
02U .0101]
2. The Permittee shall maintain an Operation and Maintenance Plan, which shall include:
a. A description of the operation of the system in detail to show what operations are necessary for the
system to function and by whom the operations are to be conducted;
b. A description of anticipated maintenance of the system;
c. Provisions for safety measures, including restriction of access to the site and equipment; and
d. Spill control provisions that include response to upsets and bypasses, including control,
containment, and remediation, and contact information for personnel, emergency responders, and
regulatory agencies;
[15A NCAC 02U .0801(a)]
3. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, the Permittee shall designate and employ a certified
operator in responsible charge (ORC), and one or more certified operators as back-up ORCs. The ORC
or their back-up shall operate and visit the facilities as required by the WPCSOCC. [ 15A NCAC 02T
.0117]
4. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day. [15A NCAC 02U .0401(e)]
5. The Permittee shall prohibit public access to the wastewater treatment and storage facilities. [15A
NCAC 02U .0402(e)]
6. The Permittee shall dispose or utilize generated residuals in a Division -approved manner. [ 15A NCAC
02T A 100, 02U .0802].
7. The Permittee shall not divert or bypass untreated or partially treated reclaimed water from the subject
facilities. [ 15A NCAC 02U .0402(g)]
8. A protective vegetative cover shall be established and maintained on all berms, pipe runs, erosion
control areas, surface water diversions, and earthen embankments (i.e., outside toe of embankment to
maximum allowable temporary storage elevation on the inside of the embankment). Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankments shall be kept mowed or otherwise controlled and accessible. [ l5A NCAC 02U .0801(g)]
9. Metering equipment shall be tested and calibrated annually. [15A NCAC 02U .0801(d)]
10. An automatically activated standby power source capable of powering all essential treatment units shall
be on site and operational at all times. If a generator is employed as an alternate power supply, it shall
be tested weekly by interrupting the primary power source. [15A NCAC 02U .0401(d)]
11. Continuous online monitoring and recording for turbidity or particle count and flow shall be provided
prior to storage, distribution, or utilization of reclaimed water. [ 15A NCAC 02U .0401(b)]
12. If turbidity exceeds 10 NTUs or if the permitted pathogen levels cannot be met, all effluent shall be
prohibited from entering the storage, distribution, or utilization system, and shall be disposed of in
accordance with Permit No. NCO020354 until the reclaimed water standards are met at the generating
facility. [15A NCAC 02U .0401(c)]
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13. The Permittee shall provide notification to the public and its employees about the use of reclaimed
water, and that reclaimed water is not intended for drinking. Such notification shall be provided to
employees in a language they can understand. [ 15A NCAC 02U .0501(a)(2)]
14. The Permittee shall develop and implement an education program to inform users and its employees
about the proper use of reclaimed water. Educational material shall be provided to all residents and/or
other facilities provided with reclaimed water, and these materials shall be maintained consistent with
the reclaimed water uses. All educational materials shall be made available to the Division upon
request. [15A NCAC 02U .0501(a)(4)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. The Permittee shall conduct and report any Division required monitoring necessary to evaluate this
facility's impact on groundwater and surface water. [ 15A NCAC 02T .0108(c)]
2. A Division -certified laboratory shall conduct all analyses for the required effluent, groundwater, and
surface water parameters. [15A NCAC 02H .0800]
Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR. Facilities with a permitted flow less than 10,000 GPD may estimate their
flow from water usage records provided the water source is metered. [15A NCAC 02T .0105(k), 02T
.0108(c)]
4. The Permittee shall monitor the generated reclaimed water at the frequencies and locations for the
parameters specified in Attachment A. [ 15A NCAC 02T .0108(c)]
5. Three copies of all monitoring data (as specified in Conditions IV.3. and IVA.) on Form NDMR for
each PPI shall be submitted on or before the last day of the following month. If no activities occurred
during the monitoring month, monitoring reports are still required documenting the absence of the
activity. All information shall be submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[15A NCAC 02T .0105(1)]
6. Pursuant to G.S. 143-215.1C(a), the Permittee shall provide to its users and the Division of Water
Resources an annual report summarizing the performance of the reclaimed water generation facility
and the extent to which the facility has violated this permit, or federal or State laws, regulations, or
rules related to the protection of water quality. This report shall be prepared on either a calendar or
fiscal year basis and shall be provided no later than 60 days after the end of the calendar or fiscal
year. Two copies of the annual report provided to the Permittee's users shall be submitted to:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[G. S. 143-215.1 C(a)]
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The Permittee shall maintain a record of all residuals removed from this facility. This record shall be
maintained for five years, and shall be made available to the Division upon request. This record shall
include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled: and
d. Volume of residuals removed.
[ 15A NCAC 02U .0802(b)]
8. A maintenance log shall be kept at this facility. This log shall be maintained for five years, and shall
be made available to the Division upon request. This log shall include:
a. Date of flow measurement device calibmtiw
b. Date of turbidimeter calibration;
c. Date and results of power interruption tasting on alternate power supply;
d. Visual observations of the plant and plant site; and
e. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.); and
f. Record of all discharges of reclaimed water to surface waters or the land surface, including the date
of occurrence, estimated volume, and corrective action taken.
[15A NCAC 02U .0801(h)]
9. Noncompliance Notification:
The Permittee shall report to the Raleigh Regional Office, telephone number [phone], within
24 hours of first knowledge of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.) rendering the facility incapable of
adequate wastewater treatment.
c. Any failure resulting in a discharge untreated or partially treated wastewater to surface waters.
d. Any failure resulting in a discharge of reclaimed water directly to surface waters or any unpermitted
release of reclaimed water to land surface greater than or equal to 5,000 gallons. Unpermitted
releases less than 5,000 gallons to land surface shall be documented by the Permittee in accordance
with Condition IV.81 but do not require Regional Office notification.
e. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
Emergencies requiring reporting outside normal business hours shall call the Division's Emergency
Response personnel at telephone number [phone], [phone], or [phone]. All
noncompliance notifications shall file a written report to the Raleigh Regional Office within five days
of first knowledge of the occurrence, and this report shall outline the actions proposed or taken to ensure
the problem does not recur. ] 15A NCAC 02T .0108(b)(1)(A)]
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V. INSPECTIONS
1. The Permittee shall perform inspections and maintenance to ensure proper operation of the reclaimed
water generation facilities. [ l5A NCAC 02U .0801(i)]
The Permittee shall inspect the reclaimed water generation facilities to prevent malfunctions, facility
deterioration, and operator errors that may result in discharges of wastes to the environment, threats to
human health, or public nuisances. The Permittee shall maintain an inspection log that includes the
date and time of inspection, observations made, and maintenance, repairs, or corrective actions taken.
The Permittee shall maintain this inspection log for a period of five years from the date of the inspection,
and this log shall be made available to the Division upon request. [15A NCAC 02U .0801(h), 02U
.0801(i)]
3. Division authorized representatives may, upon presentation of credentials, enter and inspect any
property, premises, or place related to the reclaimed water generation facilities permitted herein at any
reasonable time for determining compliance with this permit. Division authorized representatives may
inspect or copy records maintained under the terms and conditions of this permit, and may collect
groundwater, surface water, or leachate samples. [G.S. 143-215.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to a
Division enforcement action. [G.S. 143-215.6A, 143-215.613, 143-215.6C]
2. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, and Division -approved plans and specifications. [G.S. 143-215.1(d)]
3. Unless specifically requested and approved in this permit, there are no variances to administrative codes
or general statutes governing the construction or operation of the facilities permitted herein. [15A
NCAC 02T .0105(n)]
4. The issuance of this permit does not exempt the Permittee from complying with all statutes, rules,
regulations, or ordinances that other jurisdictional government agencies (e.g., local, state, and federal)
may require. [15A NCAC 02T .0105(c)(6)]
5. If the permitted facilities change ownership, or the Permittee changes their name, the Permittee shall
submit a permit modification request on Division -approved forms. The Permittee shall comply with
all terms and conditions of this permit until the permit is transferred to the successor -owner. [G.S. 143-
215.1(d3)]
6. The Permittee shall retain a set of Division -approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0105(o)]
The Permittee shall maintain this permit until the proper closure of all facilities permitted herein, or
until the facilities permitted herein are permitted by another authority. [15A NCAC 02T .01050)]
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8. This permit is subject to revocation or modification upon 60-day notice from the Division Director, in
whole or part for:
a. violation of any terms or conditions of this permit or Administrative Code Title 15A Subchapter
02U;
b. obtaining a permit by misrepresentation or failure to disclose all relevant facts;
c. the Permittee's refusal to allow authorized Department employees upon presentation of credentials:
i. to enter the Permittee's premises where a system is located or where any records are required
to be kept;
ii. to have access to any permit required documents and records:
iii. to inspect any monitoring equipment or method as required in this permit: or
iv. to sample any pollutants;
d. the Permittee's failure to pay the annual fee for administering and compliance monitoring; or
e. a Division determination that the conditions of this permit are in conflict with North Carolina
Administrative Code or General Statutes.
[15A NCAC 02T.01101
9. Unless the Division Director grants a variance, expansion of the facilities permitted herein shall not
occur if any of the following apply:
a. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has been convicted of
environmental crimes under G.S. 143-215.6B, or under Federal law that would otherwise be
prosecuted under G.S. 143-215.6B, and all appeals of this conviction have been abandoned or
exhausted.
b. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has previously abandoned
a wastewater treatment facility without properly closing the facility.
c. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid a civil
penalty, and all appeals of this penalty have been abandoned or exhausted.
d. The Permittee or any parent, subsidiary, or other affiliate of the Permittee is currently not compliant
with any compliance schedule in a permit, settlement agreement, or order.
e. The Permittee or any parent, subsidiary, or other affiliate of the Permittee has not paid an annual
fee.
[15A NCAC 02T .0120(b), 02T .0120(d)]
10. This permit shall not be renewed if the Permittee or any affiliation has not paid the required annual fee.
[I5A NCAC 02T.0I20(c)]
Permit issued this the 27 h day of August 2021
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
S. Daniel Smith, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0039375
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Permit No. W00039375 Reclaimed Water Generation System
Chatham Park Investors LLC August 27, 2021
Chatham Park Water Recovery Center Chatham County
ENGINEERING CERTWICATION
❑ Partial ❑ Final
I, as a duly licensed North Carolina Professional
Engineer, having ❑ periodically / ❑ fully observed the construction of the permitted facilities, do hereby
state to the best of my abilities that the facility was constructed in compliance with G.S. 143-215.1,
Administrative Code Title 15A Subchapter 02U, this permit, and the Division -approved plans and
specifications.
Documentation of any variation to this permit, and the Division -approved plans and specifications, is in the
attached as -built drawings.
Description of variations:
Professional Engineer's Name
Firm Name Firm No.
Address
City State Zip Code
Telephone Email Seal, Signature, and Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
DOCUMENTATION, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
NON -DISCHARGE BRANCH
By U.S. Postal Service By Courier/Special Delivery
1617 MAIL SERVICE CENTER 512 N. SALISBURY ST.
RALEIGH, NORTH CAROLINA 27699-1617 RALEIGH, NORTH CAROLINA 27604
W00039375 Version 1.3 Shell Version 200201 Page 9 of 9

THIS PAGE BLANK

ATTACHMENT A— LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001 — Reclaimed Water Generation System Effluent
Permit Number: W00039375 Version: 1.3
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCS
Code
Parameter Description
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
00310
BOD, 5-Day (20 °C)
mg/L
10
15
2 x Month
Composite
50060
Chlorine, Total Residual
mg/L
5 x Week
Grab
31616
Coliform, Fecal MF, M-FC Broth, 44.5 °C
#/100 mL
14
25
2 x Month
Grab
50050
Flow, in Conduit or thru Treatment Plant
GPD
499,000
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/L
4
6
2 x Month
Composite
00625
Nitrogen, Kjeldahl, Total (as N)
mg/L
2 x Month
Composite
00620
Nitrogen, Nitrate Total (as N)
mg/L
2 x Month
Composite
00600
Nitrogen, Total (as N)
mg/L
2 x Month
Composite
00400
pH
so
5 x Week
Grab
00665
Phosphorus, Total (as P)
mg/L
=-==
2 x Month
Composite
00530
Solids, Total Suspended
mg/L
5
10
2 x Month
Composite
00076
Turbidity, HCH Turbidimeter
NTU
10
Continuous
Recorder
WQ0039375 Version 1.3 Attachment A Page 1 of 1

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Manuel, Vanessa
From:
Kurtz, Cassidy
Sent:
Tuesday, January 4, 2022 8:41 AM
To:
Manuel, Vanessa
Cc:
Vinson, Scott
Subject:
Chatham Park Site Visit (1/5)
Hey Vanessa,
Here is the information I have from scheduling the Chatham Park Water Recovery Center site visit scheduled for
tomorrow, January 5, since I am not feeling so well and am anticipating not being able to attend.
RRO staff will be meeting Jimmy Holland and others from McKim and Creed at 9:30am. It is 40-45 minute drive from the
office.
Jimmy Holland's Mobile: [phone]
Facility is located at: Chatham Park WRRF, 2261 US-64 BUS, Pittsboro, NC 27312 (link below helps for mapping- avoid
tolls!)
https://www.gooR le.com/maps/d i r/3800+Barrett+D rive,+Ra le iR h,+NC/Chatham+Park+WRRF.+2261+US-
64+BUS,+Pittsbo ro.+NC+27312/@ 35.7314519,-
79.1697595,1Oz/data=!3ml!4bl!4ml6!4m15!lm5! lm l!lsOx89ac58COf3b58Oa9:Ox237f24ffO66610ed!2m2!ld-
78.6325594! 2 d 35.8279317 ! l m 5! l m l! lsOx89acb93dO8443c97:Ox9f757 b4a7907e430! 2 m 2! 1d-
79.1390228! 2d 35.7195358! 2 m 1! 2 b 1! 3eO
RRO Staff attending:
- Cheng
- Stephanie
- Dorothy
- Molly
- Vanessa
- Jason
- Chris
Vehicles Reserved: Caravan (ft18), Traverse (#20), and Journey (q16)
Required PPE: None (no active construction)
Here are both permit numbers for the facility: NCO020354 (and AtC No. 020354AO4) and WQ0039375
(just so all of the information is in one place if you wanted to take a look at the permits beforehand!)
Let me know if there's anything I'm missing and I will try to get that information to you!
Thanks Vanessa!
Cassidy
Cassidy Kurtz
Engineer
Raleigh Regional Office
Water Quality Regional Operations

NC DEQ / Division of Water Resources
[phone]
cassidv. ku rtz(a) ncdenr. aov
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has adjusted operations
to protect the health and safety of staff and public. Many employees work remotely or on staggered shifts. Please check with
appropriate staff before visiting our offices. as we may be able to handle your requests by phone or email. We can also be available via
Microsoft Teams or other web -based calling services if requested. We appreciate your continued patience as we continue to serve the
public during this challenging time.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

S4r VI-S14 : WF�b.) Jcn. '5 202Z
Manuel, Vanessa
From:
Sent:
To:
Subject:
Yes, please and thanks.
Vinson, Scott
Friday, December 3, 2021 4:49 PM
Manuel, Vanessa
RE: [External] Chatham Park WRF
Scott Vinson
Regional Supervisor
Raleigh Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
[phone] office
[phone] direct line
Email: Scott.Vinsonanncdenr.gov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Manuel, Vanessa <[e-mail]>
Sent: Friday, December 3, 20214:37 PM
To: Vinson, Scott <[e-mail]>
Subject: RE: [External) Chatham Park WRF
xcr'>0Zp3S•/f� � �QW39315
That would be a great opportunity for the newer staff. I can coordinate if you like. -VEM
From: Vinson, Scott
Sent: Friday, December 3, 20214:34 PM
To: Manuel, Vanessa <[e-mail]>
Subject: FW: [External] Chatham Park WRF
Vanessa,
Do you think some newer staff would benefit from a walk through with the engineer for the startup of this facility?
Scott Vinson
Regional Supervisor
Raleigh Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
3800 Barrett Drive
1

Raleigh, NC 27609
[phone] office
[phone] direct line
Email: Scott.Vinsonia0cdenr.aov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Jimmy Holland <[e-mail]>
Sent: Friday, December 3, 20217:05 AM
To: Vinson, Scott <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Wanted to give you guys a heads up that the Chatham Park WRC will be certififed either today or by early next
week. While this is happiening we will not be discharging from the plant yet and will be sending effluent to
Pittsboro. We seeded plant this week with activated sludge from Sanford and are going to use the next few weeks or
month to grow the biology and monitor plant operations and performance . You guys will be copied on the certification
but wanted to give you a heads up on what was going on. While it is certified we will not be discharging, but upon
certification Sanford will assume and take over operations via contract with the owner Chatham Park Investors.
Please give me a call to discuss this in greater detail, my mobile number is 910.409.8717. Would even love to meet you
guys on site and walk through with you. I know last time we discussed this Scott you guys were understaffed and didn't
have the available resources to accommodate that, let me know if you would like to walk through.
Look forward to hearing from you guys.
From: Jimmy Holland
Sent: Friday, June 25, 2021 11:26 AM
To: Vinson, Scott <scott.vinson@ncdenr.¢ov>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
Scott,
I hope you guys are doing well, just trying to figure out when the best time for us to talk about this project would be, any
feedback or direction would be appreciated.
Thanks
Jimmy

From: Jimmy Holland
Sent: Wednesday, June 23, 20217:54 AM
To: Vinson, Scott <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
Scott,
If you could give me a call sometime today on my mobile [phone]) to discuss this in greater detail I would
appreciate it. I would like to just talk through where we are and what needs to happen.
I am heading out the door right now for a site visit with a client, but should be available after 12.
Thanks
Jimmy
From: Jimmy Holland
Sent: Thursday, June 17, 2021 10:45 AM
To: Vinson, Scott <scott.vinsonCcDncdenr.gov>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
We would like to have review for final inspection and place facility into operation. We have sometime before actual
flow comes to plant, but would like to meet with the regional office with a plan for placing plant into operation and
would like to meet onsite with your and or your staff to discuss concerns and issues you may have as well. I think that
this will be the first of meeting and/or discussions we will have over the course of the start up.
Would just love to start the dialog and discussion.
From: Vinson, Scott <[e-mail]>
Sent: Thursday, June 17, 2021 10:39 AM
To: Jimmy Holland <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: (External] Chatham Park WRF
Jimmy,
Could you let us know the purpose or need of the requested site visit?
Thanks,
Scott
Scott Vinson
Regional Supervisor
Raleigh Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
[phone] office
(919) 7914252 direct line

Email: Scott.Vinson &ncdenr.aov
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Jimmy Holland <[e-mail]>
Sent: Wednesday, June 16, 2021 8:11 AM
To: Vinson, Scott <[e-mail]>
Subject: [External] Chatham Park WRF
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Mr. Vinson,
I hope that you are doing well and your family is safe and healthy.
I am trying to schedule a sit visit and inspection for the Chatham Park WRC with the local regional office and would like
to discuss with you or appropriate person on your staff. If you or someone from your office could give me a call to
discuss in greater detail, I would greatly appreciate it. My mobile number which is the best way to reach me is
910.409.8717.
Thanks
Jimmy
Jimmy Holland Process Group Leader
T 704.841.2588 M 910.409.8717
8020 Tower Point Drive, Charlotte, NC 28227
]Holland(a)mckimcreed.com I www.mckimcreed.com
Voted 'Best Firm To Work For" - Zweig Group
F1
Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented in this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.

Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented in this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.

Manuel, Vanessa
From:
Jimmy Holland <[e-mail]>
Sent:
Monday, January 3, 2022 11:46 AM
To:
Scott, Michele
Cc:
Charles Weaver; Hennessy, John; Manuel, Vanessa
Subject:
RE: [External] RE: Need Assistance With NC0020354
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Thanks Michele.
From: Scott, Michele <[e-mail]>
Sent: Monday, January 3, 2022 11:34 AM
To: Jimmy Holland <[e-mail]>
Cc: Charles Weaver <[e-mail]>; Hennessy, John <[e-mail]>; Manuel, Vanessa
<va nessa.ma nuel @ ncdenr.gov>
Subject: Re: [External] RE: Need Assistance With NC0020354
Jimmy
I did and hope you did as well. I have copied those from the 9/30 email for a follow-up for you .
Michele
Michele Scott
Sent from my iPhone
On Jan 3, 2022, at 11:29 AM, Jimmy Holland <[e-mail]> wrote:
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Ms. Scott,
I hope you had a great holiday and Santa was good to you and brought you all you wanted for
Christmas.
I was following up on this to see if any progress or further thoughts had been discussed or addressed
with this and how to handle. The Chatham Park Facility was certified on December 3rd, and while there
is "zero" flow going through the facility, a DMR will still need to be filed, right now we cant do this
electronically as this was not able to be set up to accommodate that. Do we just submit hard copy?
Any help and guidance would be helpful and appreciated.
Thanks

Jimmy
From: Scott, Michele <[e-mail]>
Sent: Thursday, September 30, 20214:30 PM
To: Jimmy Holland <[e-mail]>
Subject: Re: [External] RE: Need Assistance With NC0020354
What's your phone number?
From: Jimmy Holland <[e-mail]>
Sent: Thursday, September 30, 20214:28 PM
To: Scott, Michele <[e-mail]>; Hennessy, John <[e-mail]>;
Weaver, Charles <[e-mail]>; Manuel, Vanessa <[e-mail]>
Cc: Jamie McLaurin <[e-mail]>; [e-mail]
<scott.si letzkv@sa nfo rd nc.net>
Subject: [External] RE: Need Assistance With NC0020354
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Ms. Scott,
For now, could we revert the eDMR permissions and responsibilities back to allow for the Town of
Pittsboro to be the signatory for this permit number. We can work on addressing how we need to
handle this once both plants are on line and will need to have access for all parties. Paperwork has been
filed, but lets revert it back to the way is was so that documentation can be submitted with the correct
parties at this time.
Please feel free to contact me to discuss in greater detail.
Thanks
Jimmy
From: Jimmy Holland
Sent: Wednesday, September 29, 2021 3:30 PM
To: Scott, Michele <[e-mail]>; Hennessy, John <[e-mail]>;
Weaver, Charles <[e-mail]>; Manuel, Vanessa <vanessa.manuel(@ncdenr.eov>
Cc: Jamie McLaurin <[e-mail]>
Subject: RE: Need Assistance With NC0020354
Ms. Scott,
This is issue and concern we had discussed last week, please let me know what I can do to assist in this
matter.
Thanks
Jimmy

From: Scott, Michele <[e-mail]>
Sent: Wednesday, September 29, 2021 2:49 PM
To: Hennessy, John <[e-mail]>; Weaver, Charles <charles.weaver@ncdenr.¢ov>;
Manuel, Vanessa <[e-mail]>
Cc: Jamie McLaurin <[e-mail]>; Jimmy Holland <[e-mail]>
Subject: Need Assistance With NCO020354
Importance: High
Good Afternoon,
I received an ORC Designation Form (see attached) from Jimmy Holland last week to update the
ORC/Backup for NCO020354 which was completed. The attached list the facility as Chatham Parks Water
Reclamation Facility. However, BIMS lists this facility as the Town of Pittsboro WWTP. Jamie McLaurin
called me today and stated that he is trying to create a report and noticed he was not listed as ORC. He
stated that Chatham Parks is a Private Entity and Pittsboro is a Municipality but they seem to sharing the
same permit number with separate outfalls. Can someone call him at 919-200-8927 as soon as possible
to resolve this issue? Once resolved let me know what changes need to be made within eDMR. Thanks
in advance.
Michele Scott
Information Processing Unit Supervisor
Public Water Supply Section/Information Processing Unit
Division of Water Resources
Department of Environmental Quality
919-707-3681 (New Number Effective 7/27/2018) Office
m ichele.scottCcDncdenr.aov
Mailing: 1617 Mail Service Center
Raleigh, NC 27699-1617
Physical: 512 N Salisbury Street. Room 625D
Raleigh, NC 27604-1170
nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or
entity to whom they are addressed. If you have received this e-mail in error please notify the system manager.
Please note that any views or opinions presented in this e-mail are solely those of the author and do not
necessarily represent those of the company. Finally, the recipient should check this e-mail and any attachments for
the presence of viruses. The company accepts no liability for any damage caused by any virus transmitted by this
e-mail.

Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or
entity to whom they are addressed. If you have received this e-mail in error please notify the system manager.
Please note that any views or opinions presented in this e-mail are solely those of the author and do not
necessarily represent those of the company. Finally, the recipient should check this e-mail and any attachments for
the presence of viruses. The company accepts no liability for any damage caused by any virus transmitted by this
e-mail.
Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented in this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.

Manuel, Vanessa
From: Jimmy Holland <[e-mail]>
Sent: Monday, January 3, 2022 11:08 AM
To: Vinson, Scott
Cc: Manuel, Vanessa; Kurtz, Cassidy
Subject: RE: [External] Chatham Park WRF
Attachments: 15a ncac 02t .0118.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
All,
Just to follow up on the Final Certification for the Chatham Park Water Recovery Center (NC0020354) that was
submitted on December 3, 2021 and make sure we are cleared to start allocating flow to this plant up to the permitted
flow of 0.499 MGD.
While the rule attached specifically states municipalities, county, sanitary districts, or public utilities, is this the
applicable rule for us to manage flow through and by, and when to start planning for future phases of the facility?
Thanks for your assistance and look forward to walk through on Wednesday at the facility.
Please feel free to contact me to discuss in greater detail.
Thanks
Jimmy
From: Jimmy Holland
Sent: Friday, December 3, 20217:05 AM
To:'Vinson, Scott' <[e-mail]>
Cc:'Manuel, Vanessa' <[e-mail]>
Subject: RE: [External] Chatham Park WRF
Wanted to give you guys a heads up that the Chatham Park WRC will be certififed either today or by early next
week. While this is happiening we will not be discharging from the plant yet and will be sending effluent to
Pittsboro. We seeded plant this week with activated sludge from Sanford and are going to use the next few weeks or
month to grow the biology and monitor plant operations and performance . You guys will be copied on the certification
but wanted to give you a heads up on what was going on. While it is certified we will not be discharging, but upon
certification Sanford will assume and take over operations via contract with the owner Chatham Park Investors.
Please give me a call to discuss this in greater detail, my mobile number is 910.409.8717. Would even love to meet you
guys on site and walk through with you. I know last time we discussed this Scott you guys were understaffed and didn't
have the available resources to accommodate that, let me know if you would like to walk through.
Look forward to hearing from you guys.

From: Jimmy Holland
Sent: Friday, June 25, 2021 11:26 AM
To: Vinson, Scott <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
Scott,
I hope you guys are doing well, just trying to figure out when the best time for us to talk about this project would be, any
feedback or direction would be appreciated.
Thanks
Jimmy
From: Jimmy Holland
Sent: Wednesday, June 23, 20217:54 AM
To: Vinson, Scott <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
Scott,
If you could give me a call sometime today on my mobile [phone]) to discuss this in greater detail I would
appreciate it. I would like to just talk through where we are and what needs to happen.
I am heading out the door right now for a site visit with a client, but should be available after 12.
Thanks
Jimmy
From: Jimmy Holland
Sent: Thursday, June 17, 2021 10:45 AM
To: Vinson, Scott <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF
We would like to have review for final inspection and place facility into operation. We have some time before actual
flow comes to plant, but would like to meet with the regional office with a plan for placing plant into operation and
would like to meet onsite with your and or your staff to discuss concerns and issues you may have as well. I think that
this will be the first of meeting and/or discussions we will have over the course of the start up.
Would just love to start the dialog and discussion.
From: Vinson, Scott <[e-mail]>
Sent: Thursday, June 17, 2021 10:39 AM
To: Jimmy Holland <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: [External] Chatham Park WRF

Jimmy,
Could you let us know the purpose or need of the requested site visit?
Thanks,
Scott
Scott Vinson
Regional Supervisor
Raleigh Regional Office
Water Quality Regional Operations Section
NCDEQ — Division of Water Resources
3800 Barrett Drive
Raleigh, NC 27609
[phone] office
[phone] direct line
Email: Scott.VinsonCci)ncdenr.00v
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
From: Jimmy Holland <1Holland @mckimcreed.com>
Sent: Wednesday, June 16, 20218:11 AM
To: Vinson, Scott <scott.vinson@ncdenr.¢ov>
Subject: [External) Chatham Park WRF
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Mr. Vinson,
I hope that you are doing well and your family is safe and healthy.
I am trying to schedule a sit visit and inspection for the Chatham Park WRC with the local regional office and would like
to discuss with you or appropriate person on your staff. If you or someone from your office could give me a call to
discuss in greater detail, I would greatly appreciate it. My mobile number which is the best way to reach me is
910.409.8717.
Thanks
Jimmy
Jimmy Holland Process Group Leader
T 704.841.2588 M 910.409.8717
8020 Tower Point Drive, Charlotte, NC 28227
]HollandColmckimcreed.com I www.mckimcreed.com
Voted 'Best Firm To Work For" - Zweig Group

Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented In this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.
Disclaimer
This e-mail and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they
are addressed. If you have received this e-mail in error please notify the system manager. Please note that any views or opinions
presented in this e-mail are solely those of the author and do not necessarily represent those of the company. Finally, the recipient
should check this e-mail and any attachments for the presence of viruses. The company accepts no liability for any damage caused
by any virus transmitted by this e-mail.

Certified Mail # 7017 2680 0000 2219 SSS8
Return Receipt Requested
April 22, 2021
Bryan Gruesbeck, Town Manager
Town of Pittsboro
PO Box 759
Pittsboro, NC 27312-0759
SUBJECT: NOTICE OF VIOLATION & INTENT TO ASSESS CIVIL PENALTY
Tracking Number: NOV-2021-LV-0262
Permit No. NCO020354
Town of Pittsboro WWTP
Chatham County
Dear Permittee:
A review of the February 2021 Discharge Monitoring Report (DMR) for the subject facility revealed the
violation(s) indicated below:
Limit Exceedance Violation(sl:
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent BOD, 5-Day (20 Deg. C) - 2/20/2021 15 22.17 Weekly Average Exceeded
Concentration (C0310)
001 Effluent Flow, in conduit or thru 2/28/2021 0.75 0.844 Monthly Average Exceeded
treatment plant (50050)
001 Effluent Nitrogen, Ammonia Total (as 2/28/2021 2 2.55 Monthly Average Exceeded
N) - Concentration (C0610)
A Notice of Violation/Intent to Issue Civil Penalty is being issued for the noted violation of North Carolina General
Statute (G.S.) 143-215.1 and the facility's NPDES WW Permit. Pursuant to G.S. 143-215.6A, a civil penalty of
not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or
fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S.
143-215.1.

If you wish to provide additional information regarding the noted violation, request technical assistance, or
discuss overall compliance please respond in writing within ten 10 business days after receipt of this Notice. A
review of your response will be considered along with any information provided on the submitted Monitoring
Report(s). You will then be notified of any civil penalties that may be assessed regarding the violations. If no
response is received in this Office within the 10-day period, a civil penalty assessment may be
prepared.
Remedial actions should have already been taken to correct this problem and prevent further occurrences in the
future. The Division of Water Resources may pursue enforcement action for this and any additional violations of
State law. If the violations are of a continuing nature, not related to operation and/or maintenance problems,
and you anticipate remedial construction activities, then you may wish to consider applying for a Special Order by
Consent.
Reminder: Pursuant to Permit Condition 6 in Section E, the Permittee is required to verbally notify the Regional
Office as soon as possible, not to exceed 24 hours, from first knowledge of any non-compliance at
the facility including limit violations, bypasses of, or failure of a treatment unit. A written report may
be required within 5 days if directed by Division staff. Prior notice should be given for anticipated or
potential problems due to planned maintenance activities, taking units off-line, etc.
If you have any questions concerning this matter or to apply for an SOC, please contact Cheng Zhang of the
Raleigh Regional Office at 919-791-4200.
Sincerely,
[DocuSigned by:
vim Ssa f. 1LLatLu�t�
82916E6AB32144F..
Vanessa E. Manuel, Assistant Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Raleigh Regional Office - Enforcement File
Laserfiche

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CERTIFIED MA112"RECEIPT
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■ Complete items t, 2, and 3.
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1. Article Addressed to:
BRYAN GRUESBECK, TOWN MANAGER
TOWN OF PITTSBORO
PO BOX 759
PITTSBORO, NC 27312-0759
NOV-2021-LV-0262: NCO020354: TOWN OF PITTSBORO
CHATHAM COUNTY: NOV & INTENT TO ASSESS CP
I 04/22/2021: MAILED: 04/23/2021: ZHANG
BRYAN GRUESBECK, TOWN MANAGER
TOWN OF PITTSBORO
PO BOX 759
PITTSBORO, NC 27312-0759
NOV-2021-LV-0262: N00020354: TOWN OF PITTSFORD -----
CHATHAM COUNTY: NOV & INTENT TO ASSESS CP
04122/2021: MAILED: 04/23/2021: ZHANG --
A Signature
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Postal Service t /`
NCDEQ DIVISION OF WATER QUALITY
Raleigh yeg1011k112,Gffd"LREGIONAL OFFICE
3800 BARRETT DRIVE
RALEIGH, NC 27609
113.�Z DIN
_.-..._ Irrlrlllilrlli11nrPr,I'rllllulllPlrtltl1lPlir�t111�rtlllhr

North Carolina Department of Environment and 11a.ural Resources
Division of Wryer Resources
(Please Print or Type Use
Permittee: Town of Pittsboro Permit Number. NC0020354_
Facility Name: _Pittsboro WWTP County: Chatham
Incident Started: Date: _2/13/2021_ Time: _6:00pm
Incident Ended: Date: _2/22/2021_ Time: _10:00am
Level of Treatment:
_None _Primary Treatment X_Secondary Treatment X_ UV / Disinfection
Estimated Volume of Spill/Bypass: _10,271,521 Gallons_(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? _X_Yes _No
If yes, please list the following:
Volume Reaching Surface Waters: _10,271,521 Gallons_ Surface Water Name: Roberson Creek_
Did the Spill/Bypass result in a Fish Kill? _Yes _X_No
Was WWTP compliant With permit requirements? _Yes _x_No Exceeding Flow
Were samples taken during event? _X_Yes —No
of the sand filters on
Cause or Reason for the Upset/Spill/Bypass:
High flow coming in due to rain. We received 1.40 inches of rain leading up to the bypass on Saturday
evening. Received 3.10 inches of rain during the event.
Describe the Repairs Made or Actions Taken:
Actions taken were to manage flow to retain solids, the bypassing of the sand filters
to prevent damage to the filters and washout of the filter media. The filters have limited flow capacity.
All banks of U.V. disinfection were ran at 100% capacity on all banks during the entirety of the event.
.(;N111Rvnacc Rannrtinn Fnrm Minimt MlAl

WWTP Upset, Spill, or Bj . s 5-Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site of applicable):
Action Taken or Proposed to be Taken to Prevent Occurrences:
More aggressive flow management, future I and I studies.
Additional Comments About the Event:
24-Hour Report Made To: Division of Water Resources _ Emergency Management _X_
Contact Name: George Ref # 270797 Date: 2/14/2021 5:29pm Time:
Josh Brigham incident # 202100472 2/15/2021 7:30am
Jason Robinson 2/17/2021 4:29pm
Other Agencies Notified (Health Dept, etc):
Person Reporting Event: _Jamie McLauri
Phone Number: _919-200-8927
Did DWR Request an Additional Written Report? _Yes _X_No
If Yes, What Additional Information is Needed: None.
Spill/Bypass Reporting Form (August 2014)

ROY COOPER
Governor
MICHAEL S. REGAN
Secretory
S. DANIEL SMITH
Director
Certified Mail # 7017 0190 0000 9569 86002
Return Receipt Requested
Timothy R. Smith, Vice President
Chatham Park Investors LLC
105 Weston Estates Way
Cary, NC 27513
NORTH CAROLINA
Environmental Quality
February 4, 2021
Subject: Chatham Park Sewer Extension Applications that propose to flow to
Chatham Park Water Recovery Center - WQ0039375 & NCO020354 (proposed)
Mr. Smith:
VIM VI!T r—
_7d 57— L— --,
This letter is in regards to the following Fast Track Sewer System Extension Applications that have been
received by this office:
A. Chatham Park —Section 5.1 Subdivision North Phases 5/6A (received January 13, 2021); and
B. Chatham Park —Section 5.1 Subdivision North Phases 6B Thru 6C (received January 13, 2021)
C. Chatham Park —Section 5.1 Subdivision North Phases 4A & 4B (received December 10, 2020
These applications list the Chatham Park Water Recovery Center (WQ0039375) as the receiving treatment
facility. To date, this facility does not have an approved/permitted disposal system, and therefore does not
currently have treatment capacity. In accordance with 15A NCAC 02T.0107(c & e), the applications listed as
A and B above are being returned with the accompanying checks and the review of the application listed as
C above is being put on hold, until the following conditions can be met:
1. Per 15A NCAC 02T.0304(b), applications shall not be submitted unless the permittee has assured
downstream capacity. Assured downstream capacity is interpreted to include existing
infrastructure and/or permits which include capacity for the transport and treatment of
wastewater.
2. Per 15A NCAC 02T.0304(e), applications for sewers involving an Environmental Assessment shall
not be considered to be complete until either a FONSI or an EIS with ROD have been issued. As the
proposed method of final transport and treatment for wastewater from this extension involves an
Environmental Assessment, these applications cannot be considered to be complete until one of
the actions as described have been finalized.
3. In 15A NCAC 02T.0304(g), documentation is required from the receiving entity stating that they
have the capacity to transport and treat the proposed new wastewater. Because the plant does
not have an approve/permitted disposal system, this cannot be assured.
D � ��� North Carolina Department of Environmental Quality Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh. North Carolina 27609
919.791.4200

Sincerely,
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
cc: WithersRavenel c/o Nicholas J. Antrilli, PE: 115 McKenan Drive, Cary, NC 27511
RRO Water Quality Regional Operations
DWR Laserfiche

ru
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Er Postage TIMOTHY R. SMITH, VICE PRESIDENT
r-3 CHATHAM PARK INVESTORS LLC
C3 Total Pr 105 WESTON ESTATES WAY
171- S CARY, NC 27513
Sent To. CHATHAM PARK SEWER EXT: WQ0039375 & NCO020354
0 y /�f e', CHATHAM COUNTY: CHATHAM PARK SEWER EXT ""'""""
t` 02/04/2021: MAILED: 02105/2021: ROBINSON
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X
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D. Is delivery address different from Item 19 ❑ Ym
If YES, enter delivery address below: ❑ No
TIMOTHY R. SMITH, VICE PRESIDENT
CHAT14AM PARK INVESTORS LLC
105 W ESTON ESTATES WAY
CARY, NC 27513
CHATHAM PARK SEWER EXT: W00039375 & NC00203S4 3. Saroes Type
CHATHAM COUNTY: CHATHAM PARK SEWER EXT CexY acl Mail ❑ Pyprsss Mail
02/04/2021: MAILED: 02/0512022: ROBINSON ❑ Regbteled Retum Receipt for Merchandie
❑ Insured Mail 0 C.O.D.
4. Restricted Delivery! pft Fee) ❑ Yes
7017 0190 0000 9569 8602
1 1, February 2004 Domestic Return Receipt
102595-02-M-.15r
H

• Attempt (thin patbn of the eerafled Mall Intel).
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IMPORTARC save this receipt ter or records.
Ps f"nn 3800, APm 2015 mrwrsel PSN Tsao Ue W 91) t!
UNITED STATES P68TAl_�5tRV10E �
First -Class Mall
Postage & Fees Paid
USPS
, ��, ,r. c-T;'. •`
Permit No. G-10
1
• Sender: Please print your name, address and ZIP+4 in this box
WATEWUlb�tI ffGDiNAL oPEtRAT(CINS,Cali t� SECTION F di YY kl
INC DEQ- RALEIGH REGIONAL OFFICE
3800 BARRETT DRIVE
RALEIGI1, NC 27609
Raleigh Regional Office
ilinnnnlluirlllltlrllnnnllllnnillllrii IllbdIIIi,uIIIIII),

North Carolina Department of Environment and Natural Resources
DWR
Division of Water Resources
Print or Type Use Attachments if
Permittee: Town of Pittsboro Permit Number. NC0020354
Facility Name: _Pittsboro WWTP County: Chatham
Incident Started: Date: _11/12/2020_ Time: _02:00pm
Incident Ended: Date: 11/16/20 Time: 06:30am Incident # 2020 03 086
Level of Treatment:
None _Primary Treatment _X_Secondary Treatment _X_ UV/Disinfection
Estimated Volume of Spill/Bypass: 3,465,375 Gallons_(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? _X_Yes No
If yes, please list the following:
Volume Reaching Surface Waters: 3,465,375 Gallons_ Surface Water Name: Roberson Creek_
Did the Spill/Bypass result in a Fish Kill? Yes _X_No
Was WWTP compliant with permit requirements? _X_Yes No
Were samples taken during event? _X_Yes —No
Source of the Upset/Spill/Bypass (Location or Treatment Unit):
Bypass of the sand filters only.
Cause or Reason for the Upset/Spill/Bypass:
High flow coming in due to rain. We received 3 inches of rain leading up to the bypass on Thursday.
Describe the Repairs Made or Actions Taken:
Actions taken were to manage flow to retain solids, the bypassing of the sand filters
to prevent damage to the filters and washout of the filter media. The filters have limited flow capacity.
All banks of U.V. disinfection were ran at 100% capacity on all banks during the entirety of the event.

WWTP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill, Clean Up and Remediate the Site 6f applicable):
Additional Comments About the Event:
24-Hour Report Made To: Division of Water Resources _X_ Emergency Management
Contact Name: Stephanie Goss 919-437-0047 Date: 11/13/2020 Time: 10:40am
Other Agencies Notified (Health Dept, etc):
Person Reporting Event: _Jamie McLaurin Phone Number. _919-200-8927
Did DWR Request an Additional Written Report? _Yes _X_No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

ROY COOPER .
corer nor
MICHAEL S. REGAN
seaerary
S. DANIEL SMITH
Director
Bryan Gruesbeck
Town of Pittsboro
PO Box 759
Pittsboro, North Carolina 27312-0759
Dear Mr. Gruesbeck:
1:0�T +--,P0 Iyy
Environmental Quality
February 6, 2020
Re: Compliance Evaluation Inspection
Pittsboro Water Treatment Plant
NPDES Permit #: NCO080896
Chatham County
On February 05, 2020, Erin Deck with the Raleigh Regional Office (RRO) of the Division of
Water Resources (DWR) conducted a compliance evaluation inspection of theTown of
Pittsboro's Water Treatment Plant. The assistance of Adam Pickett, Operator in Responsible
Charge (ORC) and Curtis Hall, Backup ORC, was greatly appreciated during the inspection.
Observations during the inspection and subsequent file review, are summarized below. An
inspection checklist is also attached for your records.
1. The current permit became effective April 01, 2017 and expires April 30, 2021. The
facility is permitted to discharge a monthly average of 0.118 MGD and consists of:
circular clarifier; pumping well; de -chlorination, non -discharging lagoon; 5 sediment
basins; 4 filters.
2. Record Review: ORC Log Book is filled out and maintained as required. Discharge
monitoring reports (DMRs) for January, May and August of 2019 were checked against
bench sheets and lab data. No discrepancies were noted. Calibration logs and chain of
custody forms are completed and kept on site.
3. Discharge Monitoring Reports for the period of January through December 2019 were
reviewed for compliance with permit limits and monitoring requirements. No
discrepancies were noted.
4. The onsite laboratory (certification no. 5405) analyzes for pH and total chlorine. The
remaining parameters are sent to ENCO labs for analysis.
hart h C'm,Iina Dcpv trnrm.)I F nmon[n1Q il,t L=ns n 4 [er 2csourcc,
fDW Q�:
Ral gh I uyunal Jf-'c 1±it� L c C` i.c ti J qn. .eth I:na L'/b04

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5. The facility -discharges the Haw River, classified as WS-IV, Nutrient Sensitive Waters,
-Critieel gear in the Cape Fear River basin. The facility was not discharging at the time
of the inspection.
You are reminded to contact this office of any situation that potentially threatens public health or
the environment. Thank you for your cooperation during this inspection. If you have any
questions please contact Erin Deck at [phone] or via email Erin.DeckC&)ncdenr.gov.
Sincerely,
Axe®
Scott Vinson, Regional Supervisor
Water Quality Regional Operations Section
Raleigh Regional Office
Division of Water Resources, NCDEQ
Attachment: Inspection Check list
Cc: RRO files/ Laserfiche
Adam Pickett, ORC, via email: apicketta pittsboro.gov

United Slates Environmental Protection Agency
EPA Form Approved.
Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fee Type
1 2 �� �
U L_ 1 3 I NCO080896 I11 12 20/02/05 117 18 t r t 191 c I 201 I
Inspection Work Days Facility Self -Monitoring Evaluation Rating Bit CIA
67I I Reserved __-
u 70 LJ 71 Lj 72 � 73I I74 75L—) _I IW
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
Pittsboro WiP
- 1000AM 20/02/05 17/04/01
US Hwy 15-501 N Exit Time/Date permit Expiration Date
Pittsboro NC 27312 11,00AM 20/02/05
21/04/30
Names) of Onsite Representative(s)MVes(s)/Phone and Fax Numbers)
Other Facility Data
Adam Vincent Pickelt/ORC/919-542-3530/
Curtis D HaIVORC/919-542-3530/
Name, Address of Responsible OfficiaVTitle/Phone and Fax Number
Holly Coleman,40 E Chatham St Millsboro NC 27312//919-542.8215/9195458449 Contacte-
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Operations & Maintenance N Records/Re orts
P Facility Site Review
Effluent/Receiving Waters 0 Laboratory
i Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Names) and Signatures) of Inspectors)
Ern M Deck 1/n a4i
Signature of Management O A Reviewer
Agency/Office/Phone and Fax Numbers
DWR/RRo WO/919-7914200/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Agency/Office/Phone and Fax Numbers
Date
Date
Page# 1

NPDES yr/mo/day Inspection Type
(Cont.)
31 NCo080896 I11 12 20/02/05 17 18 I C I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Sludge is hauled 34 times a year by Synagro. The sludge is applied to the Town's fields, but can also
be applied on Synagro's fields as well.
1. The current permit became effective April 01, 2017 and expires April 30, 2021. The facility is
permitted to discharge a monthly average of 0.118 MGD and consists of: circular clarifier; pumping
well; de -chlorination, non -discharging lagoon, 5 sediment basins; 4 filters.
2. Record Review: ORC Log Book is filled out and maintained as required. Discharge monitoring
reports (DMRs) for January, May and August of 2019 were checked against bench sheets and lab data.
No discrepancies were noted. Calibration logs and chain of custody forms are completed and kept on
site.
3. Discharge Monitoring Reports for the period of January through December 2019 were reviewed for
compliance with permit limits and monitoring requirements. No discrepancies were noted.
4. The onsite laboratory (certification no. 5405) analyzes for pH and total chlorine. The remaining
parameters are sent to ENCO labs for analysis.
5. The facility discharges the Haw River, classified as WS-IV, Nutrient Sensitive Waters, Critical Area,
in the Cape Fear River basin. The facility was not discharging at the time of the inspection.
Page#

Permit Owner - Facility: Pittsboro VVTP
Inspection Date: .= _._. Inspection Type: compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new ❑ ❑ M ❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: Permit was issued April 01 2017 and expires April 30, 2021.
Record Keeping
Yes
No
NA NE
Are records kept and maintained as required by the permit?
M
❑
❑
❑
Is all required information readily available, complete and current?
M
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
0
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
M
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24f7 with a certified operator
❑
❑
M
❑
on each shift?
Is the ORC visitation log available and current?
0
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
M
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
M
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment: approx. 8 years of data are kept on site.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? M ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page#

Permit: NCO080896 Owner • Facility: Pittsboro wrP
Inspection Date: 02/05/2020 Inspection Type: Compliance Evaluatior
Laboratory
Yes
No
NA
NE
# Is the facility using a contract lab?
E
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
0
❑
❑
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0degrees?
❑
❑
0
❑
Comment: January. May and Auqust 2019 DMRs were compaired to the bench sheets and no
dicrepencies were noted.
Lab Cert. no. 5405
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ EEI
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Are the tablets the proper size and type?
Comment: Calcium Thiosulfate is added to the effluent pipe.
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Yes No NA NE
Dq..
d
❑
❑
■
❑
❑
❑
❑
❑
❑
❑
❑
❑
N
❑
❑
❑
E
❑
Page# 4

North Carolina Department of Environment and Natural Resources
Division of Water Resources
RECEfVED+'DENPJDWR
APR 00 2019
Water Rasour i a
permiring
WWTP Upset Spill or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee: Town of Pittsboro_ Permit Number: NCO020354
Facility Name: _Pittsboro WWTP County: ___Chatham
Incident Started: Date: 02/23/19 Saturday Time: _9:00am_
Incident Ended: Date: 02/26/19 Tuesday Time: _11:20am_
Level of Treatment:
_None _Primary Treatment _x_Secondary Treatment _x_UV / Disinfection
Estimated Volume of Spill/Bypass: _ 3,901,942 gallons_(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? X Yes No
If yes, please list the following:
Volume Reaching Surface Waters: 3,901,942 gallons Surface Water Name: Roberson Creek
Did the Spill/Bypass result in a Fish Kill? Yes X No
Was WWTP compliant with permit requirements? _X_Yes _No
Were samples taken during event? _X_Yes No
Source of the Upset/Sulll/BVoass .Location or Treatment Unit:
Bypass of the sand filters only.
Cause or Reason for the ULset/ScilUBvnass:
High flow coming in due to rain. We received 1.3 inches of rain leading up to the bypass on Saturday
morning. Then we had another 1.8 inches of rain during the bypass event.
Describe the Re ;airs Made or Actions Taken_
Actions taken were to manage flow to retain solids, the bypassing of the sand filters
to prevent damage to the filters and washout of the filter media. The filters have limited flow capacity
All banks of U.V. disinfection were ran at 100% capacity on all banks during the entirety of the event.
SpilVBypass Reporting Form (August 2014)

WWTP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain S,_ill Clean U;: and Remediate the Site (if applicable):
Action Taken or Proposed to be Taken to Prevent Occurrences:
More aggressive flow management. future I and I studies.
Additional Comments About the Event:
Incident number when called into emergency management was 207923.
Incident number when I called in to close the event with Stephanie Goss was 201900451
24-Hour Report Made To: Division of Water Resources _ Emergency Management _X_
Contact
Other Agencies Notified (Health Dept, etc):
Date: 02/23/19 Saturday Time: 6:00 pm
Person Reporting Event: _Jamie McLaurin Phone Number: 919-200-8927
G �
Did DWR Request an Additional Written Report? _Yes _X_No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

North Carolina Department of Environment and Natural Resources
Division of Water Resources
(Please Print or Type Use Attachments if Needed
Permittee: Town of Pittsboro
Facility Name: Pittsboro WWTP
Incident Started: Date: 02/23/19
Incident Ended: Date: 02/26/19
Level of Treatment:
Permit Number. NC0020354
County:
Saturday
Tuesday
Chatham
Time: 9:00am
Time: 11:20am
_None _Primary Treatment _x_Secondary Treatment _x_UV / Disinfection
Estimated Volume of Spill/Bypass: _ 3,901,942 gallons(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? _X_Yes No
If yes, please list the following:
Volume Reaching Surface Waters: 3,901,942 gallons Surface Water Name: Roberson Creek_
Did the Spill/Bypass result in a Fish Kill? _Yes _X_No
Was WWTP compliant with permit requirements? _X_Yes No
Were samples taken during event? _X_Yes —No
Source of the UpseUSpill/Bypass (Location or Treatment Unit):
Bypass of the sand filters only.
Cause or Reason for the Upset/Spill/Bypass:
High flow coming in due to rain. We received 1.3 inches of rain leading up to the bypass on Saturday
morning. Then we had another 1.8 inches of rain during the bypass event.
Describe the Repairs Made or Actions Taken:
Actions taken were to manage flow to retain solids, the bypassing of the sand filters
to prevent damage to the filters and washout of the filter media. The filters have limited flow capacity.
All banks of U.V. disinfection were ran at 100% capacity on all banks during the entirety of the event.
Rnill/Rvnacc Rannrtinn Fnrm (Aimimt 9n1A)

WWTP Upset, Spill, or Bypass ..-..ay Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if applicable):
Action Taken or Proposed to be Taken to Prevent Occurrences:
More aggressive flow management, future I and I studies.
Additional Comments About the Event:
Incident number when called into emergency management was 207923.
Incident number when I called in to close the event with Stephanie Goss was 201900451
24-Hour Report Made To: Division of Water Resources _ Emergency Management
Contact
to me was 201900451.
Other Agencies Notified (Health Dept, etc):
Date: 02/23/19 Saturday Time:
Person Reporting Event: _Jamie McLaurin Phone Number: 919-200-8927
Did DWR Request an Additional Written Report? _Yes _X_No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

Goss, Stephanie
From: Jamie McLaurin <[e-mail]>
Sent: Tuesday, February 26, 2019 4:22 PM
To: Goss, Stephanie
Subject: (External] Pittsboro Bypass Report
Attachments: 7 WWTP-Bypass 02.23.19.doc
Hi Stephanie,
Thank you for taking my call earlier. Here is the 5 day bypass report that I spoke to you about. If there is anything further
that you need, please let me know. I will probably be stepping out of the office until in the morning and will contact you
when I come in if you need anything. If it is more urgent please use my cell # if you don't mind.
Thank you.
Sincerely
Jamie McLaurin
Town of Pittsboro
Wastewater Treatment Plant Superintendent
[phone] office#
[phone] cell#
Sent from Mail for Windows 10

WATER POLLUTifm CONTROL SYSTEM OPERATOR E ___ 3NATION FORM (M (WPCSOCC)
NCAC 15A 8G .0201 I I I COPY
Press TAB to enter information L( J
Permittee Owner/Officer Name: Town of Pittsboro / Bryan Gruesbeck
Mailing Address: PO Box 759 Phone: [phone]
city: Pittsboro
Email Address:
Signature:
Facility Name: Town of Pittsboro Wastewater Treatment Plant
County: Chatham
State: NC Zip: 27312
Date: 11/ q eta
Permit # NCO0203.54
NC Dept of Environmental Quality
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFICATION OF SYSTEM:
Facility Type:
WW Q
Facility Grade:
Jill
Q
JUL 16 2018
Raleigh Regional Office
OPERATOR IN RESPONSIBLE CHARGE (ORC)
Print Full Name: Jamie Lee McLaudn Work Phone: [phone]
Certificate Type: WW El Certificate Grade: IV Q Certificate #: 998331
Email Address:
Signature: (;� - 14� //l Effective Date:
"1 certify that4Wree to my designation as the Operator in Responsible Charge for the facility noted. 1 understand and will abide by the -
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Anions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Freddy Wesley Peele Work Phone:[phone]
Certificate Type: WW 0 Certificate Grade: II 0 Certificate #:1006351
Email Address:
Signature: Effective Date: —7— q� t
"1 certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email WPCSOCC, 1618 Mail Service Center, Fax: [phone] Email: [e-mail]
ORIGINAL to: Raleigh, NC27699-1618
Mail or Fax Asheville
a COPY to: 2090 US Hwy 70
Swannanoa, NC 28778
Fax:[phone]
Phone:[phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax:[phone]
Phone:[phone]
Fayetteville
225 Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: [phone]
Phone:[phone]
Wilmington
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax:[phone]
Phone:[phone]
Mooresville
Raleigh
610 E. Center Ave., Suite 301
3800 Barrett Dr.
Mooresville, NC 28115
Raleigh, NC 27609
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Winston-Salem
45 W. Hanes Mall Rd.
Winston-Salem, NC 27105
Fax:[phone]
Phone:[phone] ReHaed412016

WPCSOCC Operator Designation Form (continued)
Facility Name: Town of Pittsboro Wastewater Treatment Plant
Permit #: NCO020354
BACKUP ORC
Print Full Name: Samuel Wayne Perry Work Phone:[phone]
Certificate Type: WW El Certificate Grade: I 0 Certificate #:1002779
Page 2
Email Address: Jmclaurm m iusooronc.yov
Signature: Effective Date: `%- 9 - ( Y
%certify that a to my designation as a Bac -up Op for in sponsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of t e RC as set forth in 15A NCAC 08G .0204 and foiling to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Print Full Name:
Certificate Type: Select
Email Address:
Signature:
BACKUP ORC
Certificate Grade: Select
Work Phone:
Certificate #:
Effective Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Print Full Name:
Certificate Type: Select
Email Address:
BACKUP ORC
Certificate Grade: Select
Work Phone:
Certificate M
Signature: Effective Date:
"1 certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC os set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
BACKUP ORC
Print Full Name: Work Phone:
Certificate Type: Select Certificate Grade: Select Certificate #:
Email Address:
Signature: Effective Date:
"I certify that/ agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Revised 412016

Cashion, Ted
From: John Poteat <[e-mail]>
Sent: Thursday, March 15, 2018 9:06 AM
To: Cashion, Ted
Cc: Robinson, Jason; Ihnatolya, John ([e-mail])
Subject: Re: [External] Re: Chatham Park - Thompson Street Subdivision sewer extension permit
xternal email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to
am. JA
Hi Ted
There are a couple of things that will happen that may ease your concern a little. One, the plans currently are to send a
portion of our flow to the new Chatham Park decentralized plant as soon as its operational. We are looking at a year to
a year and a half before that happens. The plans are to redirect the flows from the Northwood High School Station, The
Autism Center and Pittsboro Christian Village station to the Decentralized Plant freeing up from 16,000 to 20,000 gallons
per day.
Secondly, Hydrostructers engineers and working on our sewer flow reconciliation that should be done hopefully this
week, so we can see exactly where we are. Some projects should go to actual flow from proposed flow. That should
give us an accurate number.
If you have any additional questions of comments please feel free to contact me. Communication is important to keep
this project on track.
Thanks
John
From: "Cashion, Ted" <[e-mail]
Date: Wednesday, March 14, 2018 at 1:10 PM
To: John Poteat <[e-mail]>
Cc: "Robinson, Jason" <[e-mail]>, "Ihnatolya, John ([e-mail])"
<[e-mail]>
Subject: RE: [External] Re: Chatham Park - Thompson Street Subdivision sewer extension permit
John,
We're concerned that growth will occur very quickly in Pittsboro and flows to the WWTP will increase substantially prior
to connecting to the Town connecting to the City of Sanford. Just wanted to mention that to you and be aware so no
issues pop up prior to connecting to Sanford.
See the attached permit for your files. A hard copy will be mailed to you today.
Thx
ted
Ted Cashion
Water Quality Regional Operations
Division of Water Resources
NC Department of Environmental Quality
Raleigh Regional Office
919-791-4254

Zhang,Cheng
From: Jamie McLaurin <[e-mail]>
Sent: Thursday, February 01, 2018 8:10 AM
To: Zhang, Cheng
Subject: [External] RE: Bypass report
Attachments: WWTP-Bypass 1.29.18.doc
CAUTION: External email. Do not click links or open attachments unless verified. Send all suspicious email as an attachment to
[e-mail].
Mr. Cheng Zhang,
I have completed the bypass report that you requested. Please look over
it and let me know if you have any questions. Thank you very much for the
help that you gave me yesterday.
Sincerely,
Jamie McLaurin
919-200-8927
Sent from Mail for Windows 10
From: Zhang, Cheng
Sent: Tuesday, January 30, 2018 4:43 PM
To: Jamie McLaurin
Subject: Bypass report
Jamie,
Please complete the attached form and send back to me, the incident number is 201800144.
Thanks,
Cheng Zhang
Environmental Senior Specialist
Raleigh Regional Operations Section
Division of Water Resources
919 791 4259 office
919 788 7159 fax
cheng.zhang(d)ncdenr gov
1628 Mail Service Center
Raleigh, NC 27699-1628
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

North Carolina D irtment of Environment an(
itural Resources
DWR
DMsion of Water Resources
�N+erea� �hf� i30171
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee: Town of Pittsboro Permit Number: NC0020354
Facility Name: _Pittsboro WWTP County: Chatham
Incident Started:
Incident Ended
Level of Treatment:
Date: 1 /29/18
Date: 1 /30/18
Time: _2:40pm_
Time: _ 1:30pm_
}(r(2--otF i✓i
_None _Primary Treatment _x_Secondary Treatment _x_Chlorination/Disinfection
Estimated Volume of Spill/Bypass: _925,291 gallons_(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? X Yes No
If yes, please list the following:
Volume Reaching Surface Waters: 925,291 Surface Water Name: Roberson Creek
Did the Spill/Bypass result in a Fish Kill? Yes X No
Was W WTP compliant with permit requirements? _X_Yes No
Were samples taken during event? Yes x No
Source of the Upset/Spill/Bvpass (Location or Treatment Unit):
Bypass of the sand filters
Cause or Reason for the Upset/Spill/Bypass:
High flow coming in due to 2.1 inches of rain.
Describe the Repairs Made or Actions Taken
Actions taken were to manage flow to retain solids, the bypassing of the sand filters
To prevent damage to the filters and washout of the filter media. The filters have limited flow capacity.
Rnill/RvnnQQ Rannrfinn Fnrm /Aiinimt 9Md1

WWTP Upset, Spill, or By s 5-Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if applicable)
Additional Comments About the Event:
This is for incident number 201800144.
24-Hour Report Made To: Division of Water Resources X_ Emergency Management _
Contact Name: Cheng Zhano Date: 1/30/18 Time: 1:50pm
Other Agencies Notified (Health Dept, etc):
Person Reporting Event: _Jamie McLaurin Phone Number: 919-200-8927
Did DWR Request an Additional Written Report? _Yes _X_No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

Robinson, Jason
From: McKinney, Thomas H
Sent: Thursday, October 05, 2017 1:56 PM
To: Robinson, Jason
Subject: Chatham Park WRF & Pittsboro WWTP
Jason,
Below are some relevant "add info" questions that our permit office (Tessa, Nathaniel) just sent to McKim &
Creed and Old North State for the Chatham Park treatment plant permit application:
- Submit a letter from the NC Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised
area or that franchise approval is expected.
- Provide an agreement from the Town of Pittsboro addressing the following:
i. Use of the distribution line (and all associated pumps, etc.) to the existing 3M Plant
ii. Town of Pittsboro permit WQ0024838 will need to be modified to relinquish distribution to the 3M Plant
iii. Use of the NPDES permit NCO020354
- Provide documentation from DWR allowing this facility to utilize the NPDES permit NC0020354.
- Provide demonstration that other permitted means of disposal are available if 100 percent of the reclaimed
water cannot be utilized.

PAT MCCRORY
K(C. Gnx'rnur
DONALD R. VAN DER VAART
se, retory
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY Duvow
February 23, 2016
Bryan Gruesbeck { d
Town of Pittsboro
PO Box 759
Pittsboro, NC 27312-0759
NC
Subject: Acknowledgement of Permit Renewal
Application No. NCO020354
Pittsboro WWTP
Chatham County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on February 05,
2016. A member of the NPDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. 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. Please respond in a timely manner to
requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact Tom
Belnick at 919-807-6390 or [e-mail].
Sincerely,
W re ly. Tkzd faro(,
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Raleigh Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail service Center I Raleigh, North Carolina 27699-1617
919-8076300

CINDY S. PERRY
Mayor
BRYAN L. GRUESBECK
Town Manager
PAUL S. MESSICK, JR.
Town Attorney
P.O. Box 759 — 635 East Street
PITTSBORO, N.C. 27312
January 26, 2016
Ms. Wren Thedford
NCDEQ/DWRINPDES
1617 Mail Service Center
Raleigh NC 27699-1617
RE: Town of Pittsboro Wastewater Treatment Plant — Permit Number NCO020354
Dear Ms Thedford:
BOARD OF COMMISSIONERS
PAMELA BALDWIN
JAY FARRELL
MICHAELA. ROCCO
BETT WILSON FOLEY
BETH TURNER
TELEPHONE
[phone]
FAX [phone]
RECEIVED/NCDEUDWR
FEB 0 5 2016
Water Quality
Permitting Section
We are respectfully requesting permit renewal for the Town of Pittsboro's wastewater treatment plant permit number
NCoo2o354. The permit renewal application was due in October 30" 2015.
In 2010 the Town of Pittsboro began a wet weather flow improvements project at the Towns wastewater treatment plant. The
project consisted of the construction of two new 330,000-gallon equalization/storage basins. Other improvements included three
Return Activated Sludge Pumps (RAS) providing return sludge flow to the biological treatment units. Also included in the
upgrade was a new UV disinfection system and channel to replace our older units.
The Town of Pittsboro's Biosolids are removed from the treatment process daily. Sludge is thickened using a rotary drum
thickener and sent to two (2) aerobic digesters. Biosolids are then stabilized and land applied to several permitted sites by
Synagro, our contracted biosolids management company. Synagro is contracted to handle all permitting, sampling and lab
analysis as well as the ORC requirements for the Town of Pittsboro. Approximately 100 dry tons of biosolids are applied
annually.
Other changes in the permit renewal include a change in plant treatment capacity to increase from .75 mgd to 1.249 pending
plant expansion. We also have future allocation to Haw River pipe 002 for 3.47 mgd pending future construction and expansion.
Sincerely,
/Bryan Gruesbeck, ICMA-CM
Town Manager
CHARTERED1787 NC DENR Raleigh Regional OTce

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Permit Renewal Cape Fear
FORM
2A J
PDES FORM 2A APPLICATION OVERVIEW
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a `Basic Application Information" packet
and a "Supplemental Application Information" packet. The Basic Application Information packet is divided
Into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or
equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental
Application Information packet. The following Items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works
that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow a 0.1 mgd. All treatment works that have design flows
greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets
one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): RECEIVEDINCDEQIDWR
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or FEB 0 5 Z016
3. Is otherwise required by the permitting authority to provide the information. Water Quality
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must cempFAr"A0�)Rtyffesting
Data):
Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRAICERCLA Wastes. A treatment works that accepts process wastewater from any
significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRAICERCLA Wastes). SIUs are defined as:
1. All Industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and
40 CFR Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process waste stream that makes up 5 percent or more of the average dry weather hydraulic or organic
capacity of the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer
Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Permit Renewal Cape Fear
BASIC APPLICATION INFORMATION
PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS:
All treatment works must complete questions AA through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Town of Pittsboro NC NCO020354
Mailing Address P.O. Box 759
Pittsboro, NC
Contact Person Bryan
Title
Telephone Number
Facility Address 485 Small St. Pittsboro, NC 27312.
(not P.O. Box) Small St Extension
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number {
Is the applicant the owner or operator (or both) of the treatment works?
® owner ® operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
❑ facility ® applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(inciude state -issued permits).
NPDES NCW20354 PSD
UIC Other W00024838Coniunctive Reclaimed Water
RCRA Other W000200191and Application
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Town of Pittsboro 4033 Gravity, Lift Station FM Separate Town of Piltsborc
Total population served 4033
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 755M & 7550-22. Pe e 2 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Major Modificatio I Cape Fear
A.5. Indian Country. (existing)
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that Is either In Indian Country or that Is upstream from (and eventually flows
through) Indian Country?
❑ Yes ® No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each years data must be based on a 12-month time period
with the 12" month of 'this year' occurring no more than three months prior to this application submittal.
a. Design flow rate 0.75 mgd (outfall 001 Robeson Creek Proposed)
Two Years Ago
b. Annual average daily Flow rate .327 MGD/2013
Last Year
.382/2014
This Year
.412 MGD/2015
C. Maximum daily Flow rate 1.382 MGD 1.15 MGD 1.320 MGD
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each. (existing)
® Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer %
A.B. Discharges and Other Disposal Methods. (existing)
a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
1. Discharges of treated effluent 1 RFCFIUEDINCDECJDWR
it. Discharges of untreated or partially treated effluent 0 FEg U 5 2niG
ill. Combined sewer overflow points 0 wata7 nualit
iv. Constructed emergency overflows (prior to the headworks) 0 Permitting Section
V. Other 0 0
b. Does the treatment works discharge effluent to basins, ponds, or other surface Impoundments
that do not have outlets for discharge to waters of the U.S.? (existing) ❑ Yes ® No
If yes, provide the following for each surface impoundment:
Location: n/a
Annual average daily volume discharge to surface impoundment(s) 0 mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? (existing) ❑ Yes ❑ No
If yes, provide the following for each land application site:
d.
Location:
Number of acres:
Annual average daily volume applied to site:
Is land application ❑ continuous or ❑ intermittent?
Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works(existing)?
mgd
❑ Yes ® No
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 6 7550-22. Page 3 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Permit Renewal Cape Fear
A.S. Indian Country. (new)
C. Is the treatment works located in Indian Country?
❑ Yes ® No
d. Does the treatment works discharge to a receiving water that is either In Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes ® No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12" month of -this year' occurring no more than three months prior to this application submittal.
a. Design Flow rate 2.47 mgd (Outfall 002 Haw River, Proposed)
Two Years Aao Last Year This Year
b. Annual average daily flow rate N/A N/A NIA
C. Maximum daily Flow rate N/A NIA N/A
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent
contribution (by miles) of each.
® Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer %
A.B. Discharges and Other Disposal Methods. (new)
a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
vi. Discharges of treated effluent
vii. Discharges of untreated or partially treated effluent
viii. Combined sewer overflow points
Ix. Constructed emergency overflows (prior to the headworks)
X. Other 0 0
b. Does the treatment works discharge effluent to basins, ponds, or other surface Impoundments
that do not have outlets for discharge to waters of the U.S. (new)? ❑ Yes
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s) (new)
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? (new)
If yes, provide the following for each land application site:
Location:
Number of acres:
Annual average daily volume applied to site:
Island application ❑ continuous or ® intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? (new)
® No
mgd
❑ Yes ® No
mgd
❑ Yes ® No
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC permit Renewal Cape Fear
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatnent works
(e.g., tank truck, pipe).
If transport is by a parry other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number )
For each treatment works that receives this dischargeprovide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility.
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.B. through AAA above (e.g., underground percolation, well injection):
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous
or ❑ intermittent?
mgd
❑ yes ❑ No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 5 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Permit Renewal Cape Fear
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each ouffall (including bypass paints) through
which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question
A.B.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.S. Description of Outfall.
a. Outfall number 001 (EXISTING)
b. Location Robeson Creek W WTP Small Street Extension Pittsbom. NC
(City or town, If applicable) (Zip Code)
(County)
(State)
35-42.47.99 N
79-10.13.51 W
(Latitude)
(Longitude)
C. Distance from shore (if applicable) 0
ft.
d. Depth below surface (d applicable) n/a
ft,
e. Average daily flow rate 0.412
mgd
I. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes
® No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months In which discharge occurs:
g. Is outfall equipped with a diffuser? ❑ Yes
® No
A.10. Description of Receiving Waters
a. Name of receiving water Robeson Creek
b. Name of watershed (if known) Cape Fear
United States Soil Conservation Service 14-digit watershed code (f known):
C. Name of State Management/River Basin (if known): Cape Fear
United States Geological Survey B-digh hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute 0 cis chronic 0 ds
e. Total hardness of receiving stream at critical low flow (if applicable): mg/I of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fors 7550-6 8 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
TOWN OF PITTSBORO, NC Permit Renewal Cape Fear
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.S.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "No" to question
A.B.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd."
A.9. Description of Outfall.
C. Outfall number 002 Proposed
d. Location Al US Hwy 84 Bridge crossing Haw River on the Western most shore
(Cay or town, M applicable) (Zip Code)
(County)
(State)
35-4349.49 N
79-08-23.25
(Latitude)
(Longitude)
C. Distance from shore (if applicable) -30
ft.
d. Depth below surface (if applicable) n/a
R
e. Average daily flow rate 1.97
mgd
I. Does this ouffall have either an intermittent or a periodic discharge? ❑ Yes
® No (go to A.9.g.)
If yes, provide the following information:
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months in which discharge occurs:
g. Is outfall equipped with a diffuser? ❑ Yes
® No
A.10. Description of Receiving Waters.
d. Name of receiving water Haw River
e. Name of watershed (if known) Cape Fear
United States Soil Conservation Service 14-digh watershed code (if known):
I. Name of State Management/River Basin (if known):
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute 0 cis chronic 0 cis
e. Total hardness of receiving stream at critical low flow (if applicable): 30 mg/l of CaCO3
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550-8 S 7550-22. Page 7 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
TOWN OF PITTSBORO, NC
Permit Renewal
Cape Fear
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply
❑ Primary ® Secondary
❑ Advanced ® Other. Describe: tertiary sand filters, UV
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal 85 %
Design SS removal 85 %
Design P removal Monitor and Report %
Design N removal Monitor and Report %
Other %
C. What type of disinfection Is used for the effluent from this outfall? If disinfection varies by season, please describe:
UV
If disinfection is by chlorination is dechlorination used for this outfall? ❑ Yes ® No
Does the treatment plant have post aeration? ® Yes ❑ No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each ouffall throuah which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of
40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number: 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.0
s.u.
PH (Ma)imum)
9.0
s.u.
Flow Rate
0.75
MGD
0.373
MGD
365 Dail
Temperature (Winter)
10.9
Degrees C
15.0
Degrees C
260 5/week
Temperature (Summer)
26.4
Degrees C
25.0
Degrees C
260 5/week
' For PH plesse, report a minimum and a maximum daily value
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MUMDL
Conc.
Units
Conc.
Units
Number of
METHOD
Samples
CONVENTIONAL AND NON
CONVENTIONAL
COMPOUNDS
BIOCHEMICALOXYGEN
DEMAND
BOD5
5.0
MgII
2.5
Mg/1
156
3/week
SM 5210B
300
(Report one
CBOD5
FECAL COLIFORM
200
#/100 MIL
14
#1100
156
SM 9222 D
ML
3/week
TOTAL SUSPENDED SOLIDS (TSS)
30.0
Mg/I
2.5
Mg/1
15
SM 2540 D
3/week6
EPA Form 3510-2A (Rev. 1-99). Replaces EPA fortes 7550-6 & 7550-22. Page 8 of 22

END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
FACILITY NAME AND PERMIT NUMBER.
PERMIT ACTION REQUESTED:
RIVER BASIN:
TOWN OF PITTSBORO, NC
Permit Renewal
Cape Fear
A.11. Description of Treatment
a What level of treatment are provided? Check all that apply (Future O utfa 11002 )
❑ Primary ❑ Secondary
❑ Advanced ❑ Other. Describe:
d. Indicate the following removal rates (as applicable): (see Speculative Limits)
Design BOD5 removal or Design CBOD5 removal 99(to achieve spec limits) %
Design SS removal 90(to achieve spec limits) %
Design P removal 97(to achieve spec limits) %
Design N removal 89(to achieve spec limits) %
Other %
e. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe:
If disinfection is by chlorination is dechlonnation used for this outfall? ❑ Yes ❑ No
Does the treatment plant have post aeration? ❑ Yes O No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the Indicated effluent testing required by the permitting authority for each outfall through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QAfQC requirements of
40 CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfall number:
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
S.U.
pH (Ma)imum)
S.U.
Flow Rate
Temperature (Winter)MIN
Temperature (Summer)MAX
` For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Conc.
Units
Conc.
Units
Number of
METHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL
COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
DEMAND (Report one)
CBOD5
FECAL COLIFORM
TOTAL SUSPENDED SOLIDS (TSS)
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550.6 & 7550-22. Page 9 of 22

END OF PART A.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 10 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUEb i tu:
RIVER BASIN:
TOWN OF PITTSBORO, NC
Permit Renewal
Cape Fear
BASIC APPLICATION INFORMATION
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR
EQUAL TO 0.1 MGD (100,000 gallons per day).
All applicants with a design flow rate a 0.1 mgd must answer questions BA through B.6. All others go to Part C (Certification).
8.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow Into the treatment works from Inflow and/or infiltration.
147,583 gpd (Discussion in Exhibit G-0 of EIS)
Briefly explain any steps underway or planned to minimize inflow and infiltration.
The Town of Pittsboro has an extensive ongoing 1/1 program to reduce the storm flow. The repairs and replacements
began in 2002 and continue today and have paid off in reducing the non -wastewater flows. Stimulus money
applications as well as other grants are consistently applied for in hopes of getting real assistance to finish the job.
B.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, Including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outlets from bypass piping, if applicable. (See Attached Schematic 1)
c. Each well where wastewater from the treatment plant is injected underground. iN/A)
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within % mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act by truck,
(RCRA) rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redundancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and de -chlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily
flow rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes ® No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name:
Mailing Address:
Telephone Number. t )
Responsibilities of Contractor:
B.S. Scheduled Improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. lithe
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
001,002
b. Indicate whether the planned Improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes ® No
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 11 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
TOWN OF PITTSBORO, NC
Permit Renewal
Cape Fear
c. If the answer to B.5.b is "Yes; briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned Independently of local. State, or Federal agencies, indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DDNYYY MMIDD/YYYY
- Begin Construction
- End Construction
- Begin Discharge
- Attain Operational Level
e. Have appropriate permits/clearances conceming other Federal/State requirements been obtained? ® Yes ❑ No
Describe briefly: Record of decision for the pro act was issued on March 29 2010
8.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number: 001
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
ML/MDL
Conc.
Units
Conc.
Units
NumberMETHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
2.0
mg/I
<0.1
Mg0
3/week
CHLORINE (TOTAL
Na
RESIDUAL, TRC)
DISSOLVED OXYGEN
>6.0
mgll
>6.0
mgll
Daily
TOTAL KJELDAHL
Monitor&
NITROGEN (TKN)
Report
NITRATE PLUS NITRITE
Monitor &
NITROGEN
Report
OIL and GREASE
Na
2.0
PHOSPHORUS (Total)
Quarterly
mg0
<2.0
mgll
weekly
Avg.
TOTAL DISSOLVED SOLIDS
Na
(TDS)
OTHER TP Load
322
lbs. April-
Oct.
<322
lbs.
weekly
END OF PART B.
REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS
OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. P,,,ae 12 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUES, cv:
RIVER BASIN:
TOWN OF PITTSBORO, NC
Permit Renewal
Cape Fear
BASIC APPLICATION INFORMATION
PART C. CERTIFICATION
All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Form 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
® Basic Application Information packet Supplemental Application Information packet:
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Bio monitoring Data)
❑ Part F (industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel property 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 is, to the best of my knowledge and belief, We,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
/
Name and official title 12. Ai 6n'v��17 iqJ r*-
Signature
Telephone
number
Date signed i.
Upon request of the permitting authority, ou musts bmit any other Information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting r quirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Forth 3510-2A (Rev. 1-99). Replaces EPA fortes 7550.6 & 7550-22. Page 13 of 22

North Carolh lepartment of Environment
Natural Resources �eY
Division of Water Resources
or Type Use Attachments if
Permittee:./r3W'y IIl7�
Facility Name: P/ ?7 kro 0azi
Incident Started
Incident Ended:
Level of Treatment:
Date: -2
Date:
Permit Number: /Vc— O�o74 S-'7
County: CLAfi m M
Time: �+
Time: s O
_None _Primary Treatment Secondary Treatment T U
Estimated Volume of Spill/Bypass: —2, OS-2 (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? _xYes _No
If yes, please list the following
Volume Reaching Surface Waters:.4 7dS6 Surface Water Name: ,L Q �x'a ( lee__
Did the Spill/Bypass result in a Fish Kill? _Yes XNo
Was WWTP compliant with permit requirements? _Yes _No ••S,&Al/�li5 s6tZ nJ7/
Were samples taken during event? 4Yes __No Nd /es id is �J i /"
Source of the Upset/Spill/Bypass (Location or Treatment Unity
-� ss o,4'--
Cause or Reason for the Upset/Spill/Bypass:
1-'xGPss�'oe 7zML- o'o- -14905.s
Describe the Repairs Made or Actions Taken:
N�l�

WWTP Upset, Spill, ypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if applicable):
!✓/x
Action Taken or Proposed to be Taken to Prevent Occurrences:
CB/I7///i u eW GI%a/e /O
Additional Comments About the Event:
24-Hour Report Made To: Division of Water Resources Emergency Management
Contact Name: �l e Date: Time:; SSg/Y)
Other Agencies Notified (Health Dept, etc): /167/1 e,
Person Reporting Event: Phone Number:7��`�y�7�`Y
Did DWR Request an Additional Written Report? _Yes/d-No
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

United States Environmental Protection Agency
Form Approved.
EPA Washington, DC 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 1 3 I NCO020354 I11 12 17/03/15 17 18 I r• l 19 t S I 20I I
21111111111111111111111111111111111111111111 r6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 31 CA Reserved
671 I 70LJ1 71 I 731 174 75L L _J_L LI 80
72 LuJ
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Pend Effective Date
POTW name and NPDES permit Number)
09:30AM 17/03/15
14/09/01
Pittsboro WWfP
Exit Time/Date
permit Expiration Date
Small St Extension
72:00PM 17/03/15
78/0//30
Pideboro NC 27312
Name(s) of Onsde Representa"syrPoes(s)/Phone and Fax Number(s)
Other Facility Data
///
Randall M Heard/ORC/919-542-2444/
Name, Address of Responsible Olfidal/fitie/Phone and Fax Number
Contacted
Bryan Gruesback,PO Box 759 Pittsbom INC 273120759//919-542-4621/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Recordsis eports
Sludge Handling Disposal 0 Facility Site Review Efluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Nam(s) and Slgnatum(s) of Inspectort�s)) Agency/OtScelPhone and Fax Numbers Date
c3'
Stephanie Goae r `�� �� RRO WO//919-791�200/
Andrew W Nae1 PRO WO//919-791�4248/ o��/
Si atu of Management Revi " er Ag� ce/Phone and Fax Numbers Data
EPA Form 3560/4(Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inepectlon Type
31 NCO020354 I11 12 17/03/15 17 18 ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

Permit: 'd C5020354 Owner - Facility: Picstwro VVVV-rP
Inspection Date: C3,15201 7 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? E ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable 0 ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
❑
0
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
M
❑
❑
❑
Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (labreg. required 5 years)?
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
Is the chain -of -custody complete?
❑
❑
0
❑
Dates, times and location of sampling
❑
Name of individual performing the sampling
❑
Results of analysis and calibration
❑
Dates of analysis
❑
Name of person performing analyses
❑
Transported COCs
❑
Are DMI complete: do they include all permit parameters?
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWO?
❑
❑
❑
(If the facility is = or > 5 MGD permitted Flow) Do they operate 24/7 with a certified operator
❑
❑
0
❑
on each shift?
Is the ORC visitation log available and current?
0
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Page# 3

Permit: NC0020354 Owner - Facility: P'nsborc WWTP
Inspection Date: 03/15/2017 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ❑
Comment:
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
0
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
N
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
0
❑
❑
❑
Flow Measurement - Influent
Yes No NA NE
# Is flow meter used for reporting?
❑
❑
0
❑
Is flow meter calibrated annually?
0
❑
❑
❑
Is the flow meter operational?
E
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
N
❑
❑
❑
Comment
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
0
❑
❑
❑
Is flow meter calibrated annually?
0
❑
❑
❑
Is the flow meter operational?
E
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
E
❑
❑
❑
Comment
Aerobic Digester
Yes No NA NE
Is the capacity adequate?
0
❑
❑
❑
Is the mixing adequate?
0
❑
❑
❑
Is the site free of excessive foaming in the tank?
0
❑
❑
❑
# Is the odor acceptable?
S
❑
❑
❑
# Is tankage available for properly waste sludge?
0
❑
❑
❑
Comment
Bar Screens Yes No NA NE
Type of bar screen
Page# 4

Permit: NC0020354
Inspection Date: 031l 52017
Owner - Facility: P115oOio VVVVrP
inspection Type: Compliance Evaluation
Bar Screens
Yes No NA NE
a.Manual
b.Mechanical
Are the bars adequately screening debris?
E
❑
❑
Cl
Is the screen free of excessive debris?
0
❑
❑
❑
Is disposal of screening in compliance?
M
❑
❑
❑
Is the unit in good condition?
M
❑
❑
❑
Comment:
Equalization Basins
Yes No NA NE
Is the basin aerated?
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
0
❑
❑
❑
Is the basin free of excessive grease?
❑
❑
❑
0
Are all pumps present?
❑
❑
❑
Are all pumps operable?
❑
❑
❑
0
Are float controls operable?
❑
❑
❑
N
Are audible and visual alarms operable?
❑
❑
❑
M
# Is basin sizetvolume adequate?
❑
❑
❑
Comment:
Primary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
M
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
0
❑
❑
❑
Are weirs level?
0
❑
❑
❑
Is the site free of weir blockage?
❑
❑
❑
Is the site free of evidence of short-circuiting?
❑
❑
❑
Is scum removal adequate?
❑
❑
❑
Is the site free of excessive floating sludge?
M
❑
❑
❑
Is the drive unit operational?
0
❑
❑
❑
Is the sludge blanket level acceptable?
M
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
0
❑
❑
❑
Comment:
Disinfection - UV Yes No NA NE
Page# 5

Permit: NG0020354
Owner - Facility: Pittsboro WWTP
Inspection Date: 03/15/2017
Inspection Type: Compliance Evaluation
Disinfection - UV
Yes No NA NE
Are extra UV bulbs available on site?
0
❑
❑
❑
Are UV bulbs clean?
0
❑
❑
❑
Is UV intensity adequate?
M
❑
❑
❑
Is transmittance at or above designed level?
❑
❑
❑
Is there a backup system on site?
❑
❑
❑
Is effluent clear and free of solids?
M
❑
❑
❑
Comment:
De -chlorination
Yes No NA NE
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
❑
Is storage appropriate for cylinders?
❑
❑
0
❑
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
M
❑
Comment:
Are the tablets the proper size and type? ❑ ❑ 0 ❑
Are tablet de -chlorinators operational? ❑ ❑ M ❑
Number of tubes in use?
Comment:
Standby Power
Yes No NA NE
Is automatically activated standby power available?
M
❑
❑
❑
Is the generator tested by interrupting primary power source?
M
❑
❑
❑
Is the generator tested under load?
0
❑
❑
❑
Was generator tested & operational during the inspection?
❑
❑
❑
Do the generator(s) have adequate capacity to operate the entire wastewater site?
M
❑
❑
❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
0
❑
❑
❑
Is the generator fuel level monitored?
0
❑
❑
❑
Comment:
Page# 6

STATE OF NORTH CAROLINA
Department of Environment and Natural Resources
Raleigh Regional Office
FILE ACCESS RECORD
%� r
SECTION Z_ � ' (ti� rOS DATE/TIME .� / /�
V�( NAME Z• _ S-)sorcd[- REPRESENTING SF-ACG
Guidelines for Access: The staff of the Raleigh Regional Office is dedicated to making public
records in our custody readily available to the public for review and copying. We also have the
responsibility to the public to safeguard these records and to carry out our day-to-day program
obligations. Please read carefully the following before signing the form.
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment for file review so you can be accommodated.
Appointments are scheduled between 9:00 a.m. and 3:00 p.m on Tuesday Wednesday and
Thursday. Viewing time ends at 4:45 p.m. Anyone arriving without an appointment may view
the files to the extent that time and staff supervision are available.
2. You must specify files you want to review by facility name or incident number, as appropriate.
The number of files that you may review at one appointment will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is 5 cents for ALL copies, front and back will be 10 cents per copy. Payment is
to be made by check, money order, or cash in the administrative offices.
4. FILES MUST BE KEPT IN THE ORDER YOU RECEIVED THEM. Files may not be taken
from the office. No briefcases, large totes, etc. are permitted in the file review area. To
remove, alter, deface, mutilate, or destroy material in one of these files is a misdemeanor for
which you can be fined up to $500.00.
5. In accordance with General Statute 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
6. The customer must present a photo ID, sign -in, and receive a visitor sticker prior to reviewing
files.
FACILITY NAME
2.
3.
4.
5.
' UA-d / 3 i /6
Signs Xe an me of Firm/Business bgte
Pleasd attach a business card to this form if available
Time In
COUNTY
4; )�)
Time Out

Feb 08 16 10:15a Mark Tirone
919-542-2468 p.1
North Carolina Department of Environment and Natural Resources
DWR
Dlvlslon of Water Resources
(Please Print or Type I
Permittee: Bgwly /a-7�— 1-40,11�O10
Facility Name:
Incident Started:
Incident Ended:
Level of Treatment:
Date:
Date'.
Permit Nummbber.. /L/6C O33- -t
County: C /1GC7�6tA9
Time: /6%37 .4/Y7
Time: fq y�
_None _Primary TreatmenV"�Secondary Treatment 4QI410F61���
Estimated Volume of Spill/Bypass: y7 33 1 693 (must be given even if it is a rough estimate)
Did the SpillBypass reach the Surface Waters? XYes No
If yes, please list the following:
Volume Reaching Surface Waters: Surface Water Name: U tSry�
Did the Spill/Bypass result in a Fish Kill? _Yes XNo
Was WWTP compliant with permit requirements?Yes,No
S iR
Were samples taken during event? _Yes L No
Source of the Upset/Spill/Bypass (Location or Treatment Unit):
Cause or Reason for the UosettSoillBvpass:
Describe the Repairs Made or Actions Taken:

Feb 08 16 10:15a Mark Tirone
919-542-2468 p.2
WWPP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken or Proposed to be Taken to Prevent Occurrences•
Additional Comments About the Event:
%VU17e--
24-Hour Report Made To: Division of Water Resources Emergency Management
r �/
Contact Name1J� �N 417SuAJ Dated "I& Time: 11111 14
Other Agencies Notified (Health Dept, etc): ZY, —
Person Reporting Event: Ly Phone Number:
Did DWR Request an Additional Written Report? _YesANo
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

Jan..04 16 09:54a Mark Tlrnna
919-542-2468 PA
North Carolina Department of Environment and Natural Resources
DWR
Division of Water Resources
Print orTVDe Use
f
Permittee: �iDldA/ / a/fj
Facility Name: AZ�
Incident Started:
Incident Ended:
Level of Treatment:
Date:
Date:
Permit Number.�G4y'_;2423r/f
County:Z 7/4m
Time: " /
Time: _/ O&
None —Primary Treatmentecondary Treatmer*�C �v
Estimated Volume of Spill/Bypass: Ze) `j j (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? /CYes _No
If yes, please list the following:
mG
Volume Reaching Surface Waters:, a �� Surface Water Name:
Did the Spill/Bypass result in a Fish Kill? _Yes No
Was WWTP compliant with permit requirements? _Yes _No
Were samples taken during event? Yes No
Source of theJJUDset/Spill/Bvpass (Location or Treatment Unit),
Cause or Reason for the Upset/SDill/Bvpass•
46ne55 "V C /�7a �Al
Describe the Repairs Made or Actions Taken:
/ 1' _
3ul�s ,l®f

Jan 04 16 09:54a Mark Tirone 919-542-2468 p,2
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if aoplicable)7
Al
Action Taken or Proposed to be Taken to Prevent Occurrences
Additional Comments About the Event
Ale
24-Hour Report Made To: Division of Water Resources Emergency Management _
Contact Name: ar6jt Date: �� �/ ,CS� Time: 144o Ih/S-,yam
Other Agencies Noted (Health Dept, etc): / lAe Z�—
Person Reporting Event: 4
lLf Phone Number.
Did DWR Request an Additional Written Report? _Ye!ANo
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

Jan.OA 16 09:54a Mark Tirone
919-542-2468 PA
North Carolina Department of Environment and Natural Resources
DWR
Mision of Water Resources
WWTP Upset Spill or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee: ,jAIA1 gqzfE p— / L5 O/Z� Permit Number. /Z/6- �e�$—
Facility Name: lit/ County:4'_iz7/ � *"
Incident Started
Incident Ended:
Level of Treatment:
Date:
Date:
Time: "�/
Time: lt!�
_None _Primary Treatment t econdary Treatment�C u�
Estimated Volume of Spill/Bypass: < a� Ze) 5 8- (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? Yes _No
If yes, please list the following:
Volume Reaching Surface Waters;Sa�' , �Surface Water Name: �
Did the Spill/Bypass result in a Fish Kill? _Yes No
Was WWTP compliant with permit requirements? _Yes No /) «ul7I`S Ury- ,AI&f
Were samples taken during event? Yes No ( cSc,,,
Source of the UpsetiSpill/Bypass (Location or Treatment Unit)•
Cause or Reason for the Upset/SpillBwass:
8-xC-e'�5s 4,V t_' /�u Al
Describe the Repairs Made or Actions Taken

Jan 04 16 09:54a Mark Tii 919-542-2468 p.2
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill, Clean Up and Remediate the Site (if applicable)
Al
Action Taken or Proposed to be Taken to Prevent Occurrences.
Additional Comments About the Event
/t v
24-Hour Report Made To: Division of Water Resources -Emergency Management _
Contact Name:�1104 Date: Time:
Other Agencies Noted (Health Dept, etc): Afldw ro—
Person Reporting Event: GL Phone Number:
Did DWR Request an Additional Written Report? _Ye!,XNo
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Farm (August 2014)

Apr 13 15 10:36a Mark Tirone 919-542-2468 p.1
North Carolina Department of Environment and Natural Resources
Division of Water Quality
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee: 6✓W/y D � /r'T�p�/D
Facility Name: Z:640110
Permit Number:
County: CZ6 1,Y?
Incident Started: Date: Time: 'V Z_ /'
Incident Ended: Date: Time: IW30 �Iw
Level of Treatment:
_None _Primary Treatment X Secondary Treatment 4ChlorinationntDisinfection Only
Estimated Volume of Spill/Bypass: f l 7 3) '* 3S
(must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? x Yes No
If yes, please list the following:
ai963i�
Volume Reaching Surface Waters: Surface Water Name: � c 8e�l
Did the Spill/Bypass result in a Fish Kill? _Yes/ No
Was WWTP compliant with permit requirements? Yes No
Were samples taken during event? ,-Yes No
��iar7 �/,
i or i reannern unm:
y 77"_ S
Cause or Reason for the U seUS iIIB ass:
7 '/f �O/J-/z// 02 xes>
Describe the Repairs Made or Actions Taken:

Apr 13 15 10:36a Mark Tirone 919-542-2468
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill, Clean Up and Remediate the Site (if applicable):
.v0�
Action Taken or Proposed to be Taken to Prevent Occurrences:
Z'
-� �IlW1 �ys� ���o��s
Additional Comments About the Event:
24-Hour Report Made To: Division of Water Quality Emergency Management
Contact Name:,,/g an Date: �� Sr Time:
Other Agencies Notified (Health Dept, etc):
Person Reporting Event: /911%� !/ Phone Number:
Did DWQ Request an Additional Written Report? _Yes ZKNo
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 1997)

North Carolin epartment of Environment < Natural Resources 7' Jea,
/
, a/si r
DWR
Division of Water Resources
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee. e oly '9�
Facility Name 144olq u!'1/
Incident Started: Dater-f��
Incident Ended: Date:
Permit Number/v /G/
County: 64a7ih It lrl
Time: C�s,
Time 9�15/7i�i
Level of Treatment:
uv
_None _Primary Treatment Secondary Treatment�C-#er+eattor tDisinfection Only
Estimated Volume of Spill/Bypass c,? 37��oE� Q (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? '_Yes No
If yes. please list the following:
Volume Reaching Surface Waters ,37a m(rSurface Water Name:
Did the Spill/Bypass result in a Fish Kill? Yes XNo
BOO /YSLL� �rnd/%7IJ
Was WWTP compliant with permit requirements? Kg�es No
Were samples taken during event? Yes No &D11,0AA1 ODJ 76r6id�7 y
Source of the Upset/Spill/Bypass (Location or Treatment Unit):
Cause or Reason for the Upset/Spill/Bypass
�XCCSS/Vr � I/)
Describe the Repairs Made or Actions Taken:
i ✓ o /) G % /7 rtS ea /'

WWTP Upset, Spill, rpass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill, Clean Up and Remediate the Site (if applicable):
A11A
Action Taken or Proposed to be Taken to Prevent Occ/currences. //
_ 15-51e 5 o� �'0lleC7"i�� SJ[ 57 C�
Additional Comments About the Event:
24-Hour Report Made To: Division of Water Resources Emergency Management _
Contact Nam� Date lJr Time
Other Agencies Notified (Health Dept. etc):
Person Reporting Event: Phone Number: 9�I Syo� v�7
Did DWR Request an Additional Written Report? _YesxNo
If Yes, What Additional Information is Needed:
Spill/Bypass Reporting Form (August 2014)

North Cal lepartment of Environment
/itX T�
DWR
Division of Water Resources
6Zh'1f # 2�'iS ,J 1-sI
1 Natural Resources
3Av
WWTP Upset, Spill, or Bypass 5-Day Reporting Form
(Please Print or Type Use Attachments if Needed)
Permittee: /66zt B/ 1�/9 Oro
Facility Name: � /yj/ .Lifm7
Incident Started: Dater
Incident Ended Date: 3
Permit Number:/Ve-, OLOa0-3`5-41
County:
Time•.3C9 /2,11
Time: Mczs PW7'
Level of Treatment: / uv
s�e�vynys
_None _Primary Treatment Secondary Treatment ,<G4i frratlon/Disinfection Only
/ c/
Estimated Volume of Spill/Bypass i / V/ 3 7 (must be given even if it is a rough estimate)
Did the Spill/Bypass reach the Surface Waters? Yes _No
If yes, please list the following: / �/
Volume Reaching Surface Waters: /� 9�q Surface Water Name: 4/r' i LbOA/ CI ftK
Did the Spill/Bypass result in a Fish Kill? Yes _Z_No
Was WWTP compliant with permit requirements? zYes No
Were samples taken during event? /yYes No
Source of theUpset/Spill/Bypass (Location or Treatment Unit): ��k 5 i/) S /W—Z
z ''1oD�55 O% Sunc[ Fi'ller� �/G'/srt� �/clw q74 ZOO
Cause o✓or Reason for the Upset/Spill/Bypass:
�XCt55►`UG .1, d�.Z 'i"%'OM /iG//7�5/1BL(% �fICi2��-S�
Describe the Repairs Made or Actions Taken:
/YB/JG 4-1 f�i"5; %/�11

WWTP Upset, Spill, a pass 5-Day Reporting Form
Page 2
Action Taken to Contain Spill Clean Up and Remediate the Site (if applicable):
//A
Action Taken or Proposed to be Taken to Prevent Occurrences:
— 114v, sys-leff SsES VL r4'/0a:/'5,
Additional Comments About the Event
24-Hour Report Made To: Division of Water Resources 2C Emergency Management
Contact Namese/'/'Date: 3 L5 Time: Al'/,5 fj/7J
Other Agencies Notified (Health Dept, etc): r
Person Reporting Event: /✓� Phone Number:
Did DWR Request an Additional Written Report? _Yes4No
If Yes, What Additional Information is Needed:
6/V
Spill/Bypass Reporting Form (August 2014)

North Carolina Emergency M
:ment - EM43 Reporting Page 1 of 4
EM43 Reporting
EM Level:
4
Taken by:
M Rowell
Reported by:
Randy Herd
County:
Chatham
Street Address:
485 Small St
Type: Wastewater
Animal Disease Event Type:
Complaint Event Type:
FNF Event Type:
HazMat Event Type:
Homeland Security Event:
Other Event Type:
Transportation Event Type:
Weather Event Type:
State Resource Request
NCEM Edited: Include in Report:
Yes Yes
Date/Time Reported: Date/Time Occurred:
12/24/201411:21:35 12/24/201411:06:35 U
Agency: Phone:
Pittsboro 919-548-0222 �!
City: Area:
Pittsboro 8
Zip Code: l
EVENT TYPE
CA
Bomb Threat Event Type:
Fire Event Type: O t�
FNF Class:
HazMat Class: HazMat Mode:
Non-FNF Event: Non-FNF Event Type:
SAR Type:
Wastewater Event Type:
Other
Weather Event Name: WMD Event Type
. TO
https://www.ncsparta.net/eoc7/boardsfboard.aspx?tableid=275&viewid=101 I &uvid=1.44... 12/29/2014

North Carolina Emergency M -ment - EM43 Reporting
Page 2 of 4
Event Description:
Bypassing tertiary filter due to excessive rain, filter possible reopen tomorrow morning.
Deaths: Injuries: Evacuation: Radius:
0 0 0 0
Responsible Party:
Point of Contact:
Latitude:
00.000000
RRT Request: RRT Approved:
Responsible Party Phone:
Point of Contact Phone:
Longitude:
-00.000000
RRT Team Number:
RRT Mission
Number:
https://www.nesparta.net/eoc7lboardsiboard.aspx?tableid=275&viewid=1011 &uvid=1.44... 12/29/2014

North Carolina Emergency M;
ement - EM43 Reporting
Page 4 of 4
LEMC:
PD:
CHealth:
PWRK:
AC:
ENV MGMT:
WATER:
CAP:
DOT:
Notes:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
Filename:
NOTIFICATIONS
SO:
LFD:
Sewer:
Other Local Agencies:
SHP/SWP:
DRP:
Other State Agencies:
ATTACHMENTS
https://www.nesparta.net/eoc7/boards/board.aspx?tableid=275&viewid=101 I &uvid=1.44... 12/29/2014