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HomeMy WebLinkAboutNC0043125_Fact Sheet_20240118DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD FACT SHEET FOR EXPEDITED PERMIT RENEWALS This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc.) that can be administratively renewed with minor changes but can include facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns). Basic Information for Expedited Permit Renewals Permit Writer/Date Charles H. Weaver 1/18/2024 Permit Number NC0043125 Facility Name The Patterson School WWTP Basin Name/Sub-basin number 03-07-01 Receiving Stream Yadkin River Stream Classification in Permit C-Trout Does permit need Daily Max NH3 limits? N/A due to massive dilution Does permit need TRC limits/language? Already resent Does permit have toxicity testing? No Does permit have Special Conditions? Yes — High Rock reo ener Does permit have instream monitoring? No Is the stream impaired (on 303(d) list)? For whatparameter? No Any obvious compliance concerns? No enforcements since 1990. No effluent limit violations since November 2017. Any permit modifications since lastpermit? None New expiration date 10/31/2028 Changes in Draft Permit ➢ Added monitoring for turbidity to determine compliance with 15A NCAC 0213.0211 (21) ➢ Added instream temperature monitoring to determine compliance with 15A NCAC 0213.0211 (18) ➢ Added monitoring for dissolved oxygen to determine compliance with 15A NCAC 0213.0211 (6) ➢ Updated eDMR text Changes to final permit ➢ None DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD AFFP Public Notice North Carolina Affidavit of Publication STATE OF NC } SS COUNTY OF )Cold V4 Carolyn Setzer, being duly sworn, says: That she is Sales of the Lenoir News Topic, a daily newspaper of general circulation, printed and published in Lenoir, Count,, NC; that the publication, a copy of which is attached hereto, was published in the said newspaper on the following dates: November 14, 2023 That said newspaper was regularly issued and circulated on those dates. SIGNED, _0 Sales Subscribed to and sworn to me this 14th day of November 2023. Michael C. Lambert Sr., NOTARY Burke, County, NC My commission expires: June 05, 2027 00006166 70823053 (NT) Wren Thedford NCDEQ-Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699 Public Notice North Carolina Environmental Management Comm ission?NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Notice of Intent to Issue NP- DES Wastewater Permit NCO043125 Patterson School The North Carolina Environ- mental Management Commis- sion proposes to issue a NP- DES wastewater discharge per- mit to the person(s) listed be- low. Written comments regard- iog the propused permit will be accepted until 30 days after the publish date of this notice. The Director of the NC Division of Water Resources (DWR) may hold a public hearing should there be a significant degree of public interest, Please mail comments and/or information requests to DWR at the above address. Interested persons may visit the DWR at 512 N, Salisbury Street, Raleigh, NC 27604 to review the informa- tion on file. Additional informa- tion on NPDES permits and this notice may be found on our website: https:,I/deq.nc.gov/pub- lie-notices-hearings,or by call- Ing (91, 911 707-3601. The Patter- son School, Inc. has requested renewal of NPDES permit NCO043125 for its WWTP (4646 Patterson School Drive, Lenoir) in Caldwell County. This permitted facility discharges treated domestic wastewater to the Yadkin Fiver in the Yadkin - Pee Dee River Basin. Cur- rently total residual chlorine is water quality limited. This dis- charge may affect future alloca- tions in this portion of the Yadkin River. Nov.14, 2023 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Patterson School Foundation, Inc. Attn: Dawn Turner, Director of Facilities PO Box 500 Patterson, NC 28661-0500 Subject: Permit Renewal Application No. NCO043125 Patterson School Caldwell County Dear Applicant: NORTH CAROLINA Environmental Quality October 03, 2023 The Water Quality Permitting Section acknowledges the October 3, 2023, receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https•//deq nc aov/permits-regulations/permit-guidance/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. ec: WQPS Laserfiche File w/application Sincerely, o��Q4U Wren Thedford Administrative Assistant Water Quality Permitting Section North Carolina Department of Environmental Quality I Division of Water Resources Ash"Ille Regional Office 1 2090 US. Highway 70 1 Swannama. North Carolina 28778 .+o+n� 828.296.4500 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD PATTERSON SCHOOL FOUNDATION PO BON,00, RVITFRSON, NC 28661 September 27, 2023 Ms. Wren Thedford NC DEQ — DWR — NPDES 1617 Mail Service Center Jn Raleigh NC 27699-1617 Dear Ms. Thedford, On behalf of the Patterson School Foundation, please accept my apologies for our NPDES Permit NCO043125 Application delay. After the death of our President in late 2021, who was the former operator of our system, I was left with the undertaking of our water and wastewater treatment facilities. It has been an ongoing challenge to understand all of the various agencies and the requirements of each, but I do believe that this was the final hurdle! Thank you for your patience and understanding. If there are any further questions or items that I need to follow up with, please do not hesitate to contact me. Kin Regard Dawn Turner Director of Facilities Patterson School Foundation business.psf@gmail.com Paterson School Foundation, Inc. is a ;01(c)(3) organization. DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD North Carolina Department of Environmental Quality Division of Water Resources Modified Application Form 2A Revised March 2021 Modified Application Form 2A Minor Sewage Facilities < 0.1 MGD and No Pretreatment Program NPDES Permitting Program RECEIVED OCT 0 3 2023 NCDEQ/DWR/NPDES Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works. DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Modified Application Form 2A NCO043125 Patterson School WWTP Modified March 2021 Form NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater MINOR SEWAGE FACILITIES (Before completing this form, please read the instnictions. Failure to follow NPDES the instructions mgy result in denial of the application.) INFORMATION •- i Facility name 1.1 Patterson School Foundation, Inc. Mailing address (street or P.O. box) PO Box 500 City or town State ZIP code o Patterson NC 28661-0500 E Contact name (first and last) Title Phone number Email address 0 c Dawn Turner Facilities Director (828) 962-7127 business.psf@gmail.com Location address (street, route number, or other specific identifier) ❑ Same as mailing address R u- 4646 Patterson School Drive City or town State ZIP code Lenoir NC 28645 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission ✓❑ No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? ❑ Yes ❑✓ No 4 SKIP to Item 1.4. Applicant name Applicant address (street or P.O. box) a E City or town State ZIP code Contact name (first and last) Title Phone number Email address CL a 1.4 Is the applicant the facility's owner, operator, or both? (Check only one response.) ❑✓ Owner ❑ Operator ❑ Both 1.5 To which entity should the NPDES permitting authority send correspondence? (Check only one response.) ❑✓ Facility ❑ Applicant ❑ Facility and applicant (they are one and the same) 1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit Y number for each. Existing Environmental Permits ✓❑ NPDES (discharges to surface ❑ RCRA (hazardous waste) ❑ UIC (underground injection water) control) E L ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) c w rn V; ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section ❑ Other (specify) w 404) Page 1 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Modified Application Form 2A NCO043125 Patterson School WWTP Modified March2021 1.7 Provide the collections stem information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served indicate percentage) % separate sanitary sewer wn ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain / ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain 0 % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ElMaintain a 0 % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain - Total d ' Population Served •� Combined Storm and Separate Sand#ary Sewer System ;.•Sanity Sewer Total percentage of each type of sewer line in miles o /. a rn, L� / GD �° 0 �° 1.8 Is the treatment works located in Indian Country? ❑ Yes No ` 1.9 noes the facility discharge to a receiving water that flows thr ugh Indian Country? c ❑ Yes No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate, mgd Annual -Average Flow Rates. Actual Two Years A o Last Year This Year. o� mgd D , db / mgd C7u / mgd U. Maximum Daily Flow Rates Actual Two ,Years Ago,:, fast Year This Year D CJb ! mgd U1l) J mgd mgd 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type. c Total Number of Effluent Discharge' Points b T, e. �- a . ,,. a Treated Effluent Untreated,Effluent ` _ Combined Sewer .. = overflows Bypasses' Constructed . Emer ency 9 Overffows H Page 2 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Faculty Name Modified Application Form 2A Nc0043125 Patterson School WW'TP Modified March2021 Outfalls Other Than to Waters of the State of North Carolina 1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the State of North Carolina? ❑ Yes No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surfacelm o6diment Location and Dischar a Data Average Daily Volume Continuous or)ntermittent Lo�atlon Discharged to Surface ` (check one) Impoundment ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd ❑ Intermittent gpd ElContinuous ❑ Intermittent s°, 1.14 Is wastewater applied to land? ❑ Yes No -+ SKIP to Item 1.16. 0 1.15 Provide the land application site and discharge data requested below. CL 0 Land Application Site and Discharge Data .. - Location Size Average Daily Volume Continuous or Intermittent p, Applied check one N acres gpd ❑ Continuous ❑ Intermittent res ac gpd ❑ Continuous ❑ Intermittent acres gpd ❑ Continuous ❑ Intermittent 1.16 Is effluent transported to another facility for treatment rior to discharge? o El Yes No 4 SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported (e,g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? El Yes ❑ No -3 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Transporter Data Entity name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address Page 3 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD C M 0 0 s U f/7 5 CD s 0 N 0 NPDES Permit Number Facility Name 1 Modified Application Foam 2A N00043125 Patterson School WWTP Modif ed March 2021 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the receiving facility. Receiving Facility Data Facility name City or town Contact name (first and last) Mailing address (street or P.O, box) State ZIP code Title Phone number I Email address NPDES number of receiving facility (if any) ❑ None Average daily flaw rate mgd 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)? ❑ Yes ` No 4 SKIP to Item 1.23. 1.22 Provide information in the table below on these other disposal methods. _ Information on Other Disposal Methods Disposal Annual Average Location of Size of Continuous or Intermittent Method Daily Discharge Dino, .1 Site Disposal Site {check one Description Volume . ❑ Continuous acres gpd ❑ Intermittent 0 Continuous acres gpd ❑ Intermittent ❑ Continuous acres gpd ❑ Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) ❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section Section 301(h)) 302(b)(2)) Not applicable 1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ❑ Yes No +SKIP to Section 2, 1.2 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information �— Contractor 1 I Contractor 2 Contractor 3 Contractor name (company name Mailing address - - -- - - street or P.0, box City, state, and ZIP code Contact name (first and lash Phone number I Email address Operational and maintenance responsibilities of contractor Page 4 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Modified Application Form 2A NC0043125 Patterson School WWTP Modified March2021 SECTION 2. ADDITIONAL s• • 40 o Outfalls toRaters of the State of North Caroflna 2.1 Does the treatment works have a design flow greate than or equal to 0.1 mgd? n ' El No 4 SKIP to Section 3. 0 2.2 Provide the treatment works' current average daily volume of inflow Avera Daily Volume of Inflow and Infiltration and Infiltration. gpd Indicate the steps the facility is taking to minimize inflow and infiltration, >o r 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for specific requirements.) ❑ Yes ❑ No 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? c A! (See instructions for specific requirements.) o; ❑ Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes ❑ No SKIP to Section 3. ., Briefly list and describe the scheduled improvements. o., Q .r 1. = E: a 2. E o. d 3. 4. 2.6 Provide scheduled or actual dates of completion for improvements., Scheduled or Actual Dates of Com letion for Improvements c Scheduled • Affected Outfalls Begin End Begin Attainment of Op®rational Improvement (list outfall Construction Construction Discharge - Level (from abrne} number)(MM/DDIY`(YY} (MMIDD/YYl'Y) (MMIDDlYYYY)' MM/DDIYYYY d o :. � 2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your response. ❑ Yes ❑ No ❑ None required or applicable Explanation; Page 5 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Mod!fled Application Forrn 2A NCO043125 Patterson School W WTP Modified March 2021 SECTION•• • ON DISCHARGES3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.) Outfall Number Outfall Number Outfall Number.' State County42 �L 0 City or town 0 yDistance from shore �-p ft, fl. Depth below surface ft. o - - Average daily flow rate (D . O O / mgd mgd mgd Latitude /� 36, OT 7 2- Longitude 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? o ❑ Yes No 4 SKIP to Item 3.4. w 3.3 If so, provide the following information for each applicable outfall, N Outfall Number Outfall Number Outfall Number 0 Number of times per year a discharge occurs a I Average duration of each o discharge (specify units 0 1 Average flow of each mgd mgd mgd CA discharge Months in which discharge occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? I ❑ Yes No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser t pe at each applicable outfall. CL Outfall Number Outfall Number Outfall NWYfber. I o o I 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from d one or more discharge points? w ! Yes ❑ No 4SKIP to Section 6. Page 6 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Modified Application Form 2A NCO043125 Patterson School WWTp Mocified March, 2021 3.7 Provide the receiving water and related information if known for each outfalf, Outfap Number Outfall Number Outfall �fumber . Receiving water name Name of watershed, river, 0 or stream system a- U,S. Soil Conservation Service 14-digit watershed code m Name of state management/river basin U.S. Geological Survey 8-digit hydrologic cataloging unit code Critical low flow (acute) cfs cfs cfs Critical low flow (chronic) cfs cfs cfs Total hardness at critical mg/L of mg/L of mglL of low Flow CaCO3 CaCO3 CaCO3 3.8 Provide the following informa ion_describing the treatment provided for discharges from each outfall. Outfall Number Outfall Number Outfall Number Highest Level of ❑ Primary ❑ Primary ❑ Primary Treatment (check all that ❑ Equivalent to ❑ Equivalent to ❑ Equivalent to apply per outfall) secondary secondary secondary Secondary ❑ Secondary ❑ Secondary ❑ Advanced ❑ Advanced ❑ Advanced ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) Design Removal Rates by Outfall BOD5 or CBOD5 i1 % TSS 96 Phosphorus Nitrogen Other (specify) Klot applicable of applicable Not applicable ❑ Not applicable ❑ Not applicable ❑ Not applicable ❑ Not applicable ❑ Not applicable ❑ Not applicable Page 7 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPOES Pemwt Number Faclllty Name plod fed Application Form 2A NC001125 Patterson School WWTP Modified March2o21 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by season, describe below. c Outfall Number Outfall Number' Outfall Number �a .� Disinfection type / w J " 0 Seasons used d E Dechlorination used? Not applicable ❑ Not applicable ❑ Not applicable ❑ Yes ❑ Yes ❑ Yes ❑ No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? Yes ❑ No 3.11 Have you conducted any WET tests during the 4,5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑ Yes No 4 SKIP to Item 3.13. Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's 3.12 by outfall number or of the receiving water near the dischar a points. -discharges Outfall Number Outfall NuMber ` Outfall Number Acute Chronic Acute Chronic Acute Chronic M a Number of tests of discharge rn water Number of tests of receiving water d w 3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have reasonable potental to discharge chlorine in its effluent? ❑ Yes 4 Complete Table B, including chlorine. No -+ Complete Table B, omitting chlorine. 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application ac e? Yes ❑ No Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and 3.18 attached the results to this application package? ❑ Yes No additional sampling required by NPDES _:_--. :. permitting authority. Page 8 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Faality Name Modified Application Form 2A NC0043125 Patterson School WWTP ModifiiedMarch 2021 3.19 Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application or (2) at least four annual WET tests in the past 4.5 years? ❑ Yes /� No 4 Complete tests and Table E and SKIP to "11A ❑ Item 3.26. 3.24 Have you previously submitted the results of the above tests to your NPDES permitting authority? ❑ Yes `4 ❑ No + Provide results in Table E and SKIP to Item 3.26. 3.21 indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results. Datetsl Submitted Summary of Results MMJDDlY C ,o m , 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in p toxicity? El Yes ❑ No 4 SKIP to Item 3.26. 3.23 Describe the cause(s) of the toxicity: "LU 3.24 Has the treatment works conducted a toxicity reduction evaluation? ❑ Yes ❑ No 3 SKIP to Item 3.26. 3.25 Provide details of any toxicity reduction evaluations conducted, 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? ❑ Yes ' //A ❑ Not applicable because previously submitted information to the NPDES permittin authority. Page 9 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Modified Application Form 2A NCO043125 Patterson School WW1'P Modified March2021 SECTION 6. CHECKLIST r i 6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to provide attachments. Column t Column 2 Section 1: Basic Application for All A licants wl variance request(s) ❑ w/ additional attachments ElInformation ❑ Section 2: Additional ❑ wl topographic map ❑ w/ process flow diagram Information ❑ wl additional attachments wl Tab e A ❑ wl Table D c Section 3: Information on Effluent Discharges w/ Table B ❑ wl additional attachments E 1 Elwl Table C d .r --- :g Z6 Section 4: Not Applicable C 0 Section 5: Not Applicable ,C -d rU Section 6: Checklist and ❑ w! attachments Certification Statement H 6.2 Certification Statement d 1 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 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print or type first and last name) Official title tv , PI'��.� FACILIT'E5�112eGTc> Signaturb Date signed 7 Page 10 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Outfall Number NCO043125 I Patterson School WWTP j Modified Application Form 2A Modified March 2021 Maximum t?aily: Drscharge Average Dall tjl Diseharge Analytical ML or MaL Value , Units Value Units Number of Samples Pollutant Method. Includeunits { ) Bio emical oxygen demand M a ,�A OD5 or ElCBODs re ort one `� % • 2. 1 L Q . YVt-k L. l�'�"'u 0 MDL Fecal coliform A // /) (" H Y D ML ❑ MDL Design flow rate pZ s— pH (minimum) j t 46wi pH (maximum) , Z 'Is Temperature (winter) Temperature (summer) :5— o Z C Total suspended solids (TSS) /L j j 3 -� r2its O MDL s .;amnlinn shall he nnnductPd arnnrdinn to sufficiently sensitive test nrncedures (i_e_ methodsl annroved under 40 CFR 136 for the analvsis of pollutants or pollutant Darameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). Page 11 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identficaton Number NPDES Permit Number �— Faclfty Name Outfall Number NC0043125 Patterson School WWTP Modified Application Form ?A Modified March 2021 •g •• • •• r e r r• Moor Maxrmu.1n Dalily Discharge Average Dailyblk arge Analytical ML or MDL Value Units Value Units Number of Pollutant � Metliod mdude,unifs { ) Sam les Ammonia (as N) Of - Z . g Z- /� / O XML W./, ❑ MDL _ Chlorine a ML (total residual, TRC)2 Q MDL Dissolved oxygen ML U MDL Nitrate/nitrite — - Q ML Ll MDL Kjeldahl nitrogen ❑ ML ❑ MDL Cil and grease j 0 ML ❑ MDL Phosphorus _ D ML ❑ MDL Total dissolved solids ❑ ML LJ MDL ' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). 2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not required to report data for chlorine. EPA Form 3510-2A (Revised 3-19) Page 12 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identification Number NPDES Permft Number Facility Name Outfall Number NC0043125 Patterson School W WTP Maximum Daily Discharge Average Daily Discharge Modfied Application Form 2A Modred March 2021 Analytical ML or MDL Method? (indude units) Pollutant Value Units ' Value Units Number of Samples Metals, Cyanide, and Total Phenols Hardness (as CaCO3) 13 ML MDL Antimony, total recoverable ❑ ML U MDL Arsenic, total recoverable ❑ ML ❑ MDL Beryllium, total recoverable El ML ❑ MDL Cadmium, total recoverable ❑ ML Cl MDL Chromium, total recoverable T ❑ ML ❑MDL Copper, total recoverable -_- - -- ❑ ML O MDL Lead, total recoverable i 13 ML L7 MDL Mercury, total recoverable _ Ll MIL ❑ MDL Nickel, total recoverable I ❑ ML [I MDL Selenium, total recoverable ❑ ML ❑ MDL -... -- Silver, total recoverable --- - - ❑ ML LJ MDL Thallium, total recoverable ❑ ML u MDL Zinc, total recoverable El ML U MDL Cyanide El ML Cl MDL Total phenolic compounds ❑ ML ❑ MDL Volatile Organic: Cortfpounds ein - --- - — ❑ ML ❑ MDL onitrile [Benzene ❑ ML ❑ MDL ❑ ML ❑ MDL oform 7t El ML El MDL EPA Form 3510-2A (Revised 3-19) Page 13 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0043125 Patterson School WWTP Modified March 2021 •U- •- XIM111041 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL . o.: ant Numberof Method' (Inciudeunits): Value Units Value, Units Sam les Carbon tetrachloride _ ❑ ML ❑ MDL Chlorobenzene El ML ❑ MDL Chlorodibro mo methane ❑ ML ❑ MDL Chloroethane o ML ❑ MDL 2-chloroethylvinyl ether OML MDL Chloroform ❑ ML ❑ MQL Dichlorobromomethane ❑ ML ❑ MDL ❑ ML 1,1-dichloroethane ❑ MDL ❑ ML 1,2-dichloroethane ❑ MDL 0 MIL trans-1,2-dichloroethylene ❑ MDL ❑ ML 1,1-dichloroethylene ---- 0 MDL ! ❑ ML 1,2-dichloropropane LI MDL -- — — -- ❑ ML 1,3-dichloropropylene ❑ MDL Ethylbenzene ❑ MDL ❑ ML Methyl bromide Lf MDL ❑ ML Methyl chloride -- ❑ MDL _ ❑ ML Methylene chloride LI MDL L] ML 1,1,2,2-tetrachloroethane ❑ MDL 0 ML Tetrachloroethylene ❑ MDL — ❑ ML Toluene ❑ MDL ❑ ML 1,1,1-tdchloroethane ❑ MDL ❑ ML 11,24richloroethane ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 14 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NCO043125 Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Methods (include units] Numberof Value Units Value Units � .�� . 7richloroLi ethylene IVIL ❑ MDL Vinyl chloride _ Li ML ❑ MDL Acid -Extractable WhP, -unds p-chloro-m-cresol 0 Mr- ❑MDL 2-chlorophenol _ El ML ❑MDL 2,4-dichlorophenoi El ML ❑ MDL 2,4-dimethylphenol 13 ML El MDL ❑ ML El MDL 4,6-dinitro-o-cresol 2,4-dinitrophenol El ML ❑ MDL 2-nitrophenol Ul ML ❑ MDL 4-nitrophenol El ML ❑ MDL Pentachlorophenol 0 ML ❑ MDL Phenol -- - - - � ❑ ML ❑ MDL OML 2,4,64richlorophenol ❑ MDL Base-Neutral.:Co m you n ds ML Acenaphthene _ 0 MDL T ML Ou Acenaphthylene - — - I MDL - ❑ ML Anthracene _. ❑ MDL -- ❑ML Benzidine ❑ MDL Benzo(a)anthracene LJ ML p MDL El ML Benzo(a)pyrene ❑ MDL ❑ ML 3,4-benzofluoranthene ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 15 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identification Number NPDES Permit Number Facility Name Out(all Number Modified Application Form 2A NCOO43125 Patterson School WWTP ModfiedMarch 2021 �• •• wdmum DaittKalsoarge Average Daily Discharge Analytical ML,or MDL Pollutant Method' (include units) Number of Value Units Value Units . Samples Benzo(ghi)perylene ! ❑ MDL Benzo(k)fluoranthene - -- ❑ ML ❑ MDL Bis (2-chlOroethoXy) methane ❑ ML ❑ MDL Bis (2-chloroethyl) ether_ 0 ML ❑ MDL Bis (2-chloroisopropyl) ether El ML ❑ MDL Bis2-eth the I phthalate ( y �) p ❑ ML [.:I MDL 4-bromophenyl phenyl ether _ _ T ❑ ML u MDL Butyl benzyl phthalate 0ML MDL 2-chloronaphthalene OML ❑ MDL 4-chlorophenyl phenyl ether 0 MIL ❑ MDL El MIL Chrysene ❑ MDL El ML di-n-butyl phthalate ❑ MDL LI ML di-n-octyl phthalate ❑ MDL ❑ ML Dibenzo(a,h)anthracene ❑ MDL F1 ML 1,2-dichlorobenzene ❑ MDL - ❑ ML 1,3-dichlorobenzene ❑ MDL ❑ ML 1,44chlorobenzene _ ❑ MDL 3,3 dichlorobenzidine ❑ MDL ❑ ML Diethyl phthalate u MDL ❑ ML Dimethyl phthalate ❑ MDL 11 ML 2,4-dinitrotoluene ❑ MDL 2,6-dinitrotoluene U ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 16 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD EPA Identification Number NPDES Permit Number I Facility Naive Outfall Number Modified Application Form 2A NC0043125 Patterson School WWTP Modified March 2021 Maximum Daily Discharge Average Daily Discharge AnaiyEical ML or MDL Pollutant Number of Me"dl (include units) Value Units Value Units Samples 1,2-diphenylhydrazine ❑ ML ❑ MDL Fluoranthene El ML -- - -- - - ❑ MDL ❑ ML FluOrene - ❑ MDL Hexachlorobenzene T a ML ❑ MDL Hexachlorobutadiene ❑ ML ❑MDL ❑ ML ❑ MDL Hexachlorocyclo-pentadiene HeX8ChI0r0ethane ❑ ML ❑ MDL ❑ ML ❑ MDL Indeno(1,2,3-cd)pyrene isophorone j ❑ MIL ❑ MDL ❑ ML Naphthalene ❑ MDL _ ❑ ML Nitrobenzene - ❑ MDL N-nitrosodi-n-propylamine --- O ML ❑ MDL OML N-nitrosodimethyl amine — ❑ MDL ❑ ML -- N-nitrosodiphenyla mine - ❑ MDL — ❑ML Phenanthrene p MDL 0 MIL Pyrene I ❑ MDL _ ❑ ML 1,2,4-trichlorobenzene ❑ MDL Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 17 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0043 l25 Patterson School W WTP Modified March 2021 R Ti NMI Maximum Daily Discharge". Avers a Dat 'Dlsitha e Pollutant Analytical ML or MDL Number of (list) Value Units Value Units Method' (include units) Samples ❑ No additional sampling is required by NPDES permitting authority. ❑ ML Q MDL — -- _ Q ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML i Q MDL ❑ ML ❑ MDL ❑ ML ❑ MDL OlML 0 MDL ❑ ML ❑ MDL 0 ML LJ MDL ❑ ML ❑ MDL -- - Q ML LJ MDL ❑ ML LJ MDL ❑ ML ❑ MDL ❑ ML — ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL t Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 4u ut-K isb for the analysis of ponutants or pollutant parameters or requirea under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). Page 18 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD Jw#VTffR4IwLrCM LRDS 1 /2/2019 1/15/2019 2/5/2019 2/12/2019 3/6/2019 3/15/2019 4/9/2019 4/16/2019 5/8/2019 5/14/2019 6/5/2019 6/ 18/2019 BOD BOD BOD BOD BOD BOD BOD BOD BOD BOD BOD BOD Patterson EFFLUENT- I EFFLUENT INFLUENT STREAMS EXIT Scftool- I RC. 2 3 EFFLUENT 9.1 TSS 9.2 NH3 1.70 12.3 TSS 12.0 18.8 TSS 20.0 NH3 31.9 TSS 14.0 3.5 TSS 13.6 NH3 16.7 TSS 5.2 12.2 TSS 26.0 NH3 13.2 TSS 15.0 8.7 TSS 20.5 NH3 11.6 TSS 11.6 16.9 TSS 7.3 NH3 22.1 TSS 4.2 4.23 3.78 <0.2 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 05,1' Em 9'11 SSZ t7'17Z QOR OZOZ/17/Z Z'L SS.L ti'Zi QOg OZOZ/bi/i 5117 £HN 0'8 SSZ 0'LI QOg OZOZ/8/i S't'i SSZ i'ZZ QOS 61OZ/LI/ZI 00'£ £HN Z'S SSZ £'81 QOU 61OZ/£/ZI 0'91 SSZ O'tIZ (IOU 61OZ/t,I/II L9'0 £HM L'01 SS.L 9'8I QOg 61OZ/9/I1 O'L SSZ 9' i Z QOg 61 OZ/01/0 i Z'0> £HN £'Zi SSZ Z'ZI QOR 610Z/Z/0I Z'0> £HM 0'01 SSI i'OZ QOg 6IOZ/OI/6 S'LI SSZ 9*91 QOS 61OZ/£/6 0'9 SSZ L'ZZ QOS 61OZ/91/8 89't, £HN 0'L SSZ Z'£ Goa 610Z/9/8 0'OZ SSZ 0'9 QOg 61OZ/6/L Z'O> £HM 017 SSZ 9'LI QOg 61OZ/Z/L f DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 2/18/2020 BOD 10.2 TSS <2.5 3/3/2020 BOD 26.8 TSS 15.0 NH3 3.40 3/10/2020 BOD 17.9 TSS 17.0 4/1/2020 BOD 24.9 TSS 4.1 NH3 2.80 4/ 15/2020 BOD 6.9 TSS 6.0 5/5/2020 SOD 11.3 TSS 3.7 NH3 <0.2 5/13/2020 BOD 16.6 TSS 8.4 6/2/2020 BOD 18.8 TSS <2.5 NH3 <0.2 6/9/2020 BOD 12.1 TSS <2.5 7/8/2020 BOD 19.9 TSS 5.0 NH3 0.92 7/15/2020 BOD 39.8 TSS 4.5 8/5/2020 BOD 14.9 TSS 10.7 NH3 4.83 8/12/2020 BOD 23.7 TSS 10.3 9/15/2020 BOD 41.2 TSS 4.1 NH3 9.65 9/23/2020 BOD 29.0 TSS 4.5 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 10/8/2020 BOD 16.2 TSS 15.2 NH3 4.08 10/13/2020 BOD 13.4 TSS 18.5 11/4/2020 BOD 5.2 TSS 4.4 NH3 0.76 11/24/2020 BOD 9.5 TSS 3.7 12/9/2020 BOD 3.4 TSS 6.0 NH3 0.37 12/18/2020 BOD 6.1 TSS 21.0 1/12/2021 BOD <2.0 TSS <2.5 NH3 <0.2 1/27/2021 BOD 6.1 TSS 4.1 2/10/2021 BOD 3.9 TSS <2.5 NH3 1.32 2/17/2021 BOD 7.4 TSS 11.3 3/10/2021 BOD 12.8 TSS 5.5 NH3 7.65 4/8/2021 BOD 7.9 TSS 13.2 NH3 7.89 4/13/2021 BOD 4.8 TSS 10.3 5/5/2021 BOD 15.3 TSS 3.6 NH3 4.51 slope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 5/13/2021 BOD 10.3 TSS 9.2 6/2/2021 BOD 18.9 TSS 11.0 NH3 <1.0 6/10/2021 BOD 12.9 TSS 11.3 7/8/2021 BOD 17.0 TSS 4.7 NH3 <1.0 7/14/2021 BOD 16.0 TSS 4.3 8/4/2021 BOD 16.6 TSS 8.7 NH3 <1.0 8/25/2021 BOD 17.1 TSS 6.0 9/14/2021 BOD 9.6 TSS 5.7 NH3 1.18 9/29/2021 BOD 6.2 TSS 5.5 10/7/2021 BOD 7.5 TSS 6.0 NH3 1.98 10/21/2021 BOD 9.8 TSS 3.6 11/15/2021 BOD 11.5 TSS 5.8 NH3 <1.0 11/29/2021 BOD 5.1 TSS 4.3 12/15/2021 BOD 2.8 TSS <2.5 NH3 1.22 12/29/2021 BOD <2.0 TSS <2.5 8/17/2022 BOD 42 TSS 4.3 NH3 1.26 7 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 8/30/2022 BOD 5.4 TSS 3.9 9/6/2022 BOD <2.0 TSS 3.3 NH3 1.25 9/19/2022 BOD 2.4 TSS 5.4 10/3/2022 BOD <2.0 TSS <2.5 NH3 1.52 10/17/2022 BOD <2.0 TSS <2.5 NH3 <1.0 11/1/2022 BOD <2.0 TSS <2.5 NH3 2.04 11/14/2022 BOD <2.0 TSS <2.5 NH3 1.42 12/1/2022 BOD <2.0 TSS 12.5 NH3 1.26 12/12/2022 BOD <2.0 TSS <2.5 NH3 1.15 1/3/2023 BOD <2.0 TSS <2.5 NH3 1.48 1/17/2023 BOD <2.0 TSS <2.5 2/1/2023 BOD 10.4 TSS <2.5 NH3 4.39 2/13/2023 BOD 2.9 TSS 5.6 3/1/2023 BOD 9.1 TSS <2.5 NH3 2.56 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 3/13/2023 BOD 23.1 TSS 11.7 4/3/2023 BOD 2.4 TSS <2.5 4/17/2023 BOD 8.0 TSS <2.5 5/1/2023 BOD 6.0 TSS <2.5 5/15/2023 BOD 7.6 TSS 3.9 6/5/2023 BOD <2.0 TSS <2.5 6/19/2023 BOD 5.2 TSS <2.5 7/5/2023 BOD 8.6 TSS <2.5 7/17/2023 BOD 8.7 TSS 5.0 8/2/2023 BOD 8.9 TSS 4.3 8/14/2023 BOD 7.9 TSS <2.5 9/5/2023 BOD 10.4 TSS 9.2 9/18/2023 BOD 9.8 TSS <2.5 NH3 �� NH3 NH3 NH3 2.15 <1.0 2.54 2.11 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD 1/11/2022 BOD <2.0 TSS <2.5 NH3 <1.0 1/26/2022 BOD <2.0 TSS 5.3 2/9/2022 BOD 2.7 TSS 4.4 NH3 <1.0 2/23/2022 BOD 12.9 TSS 6.5 3/15/2022 BOD 3.7 TSS <2.5 NH3 <1.0 3/30/2022 BOD 4.2 TSS 4.3 4/13/2022 BOD 3.2 TSS 3.3 NH3 1.32 4/27/2022 BOD <2.0 TSS <2.5 5/11/2022 BOD <2.0 TSS <2.5 NH3 <1.0 5/25/2022 BOD <2.0 TSS <2.5 6/15/2022 BOD <2.0 TSS 3.3 NH3 <1.0 6/29/2022 BOD <2.0 TSS 3.5 7/14/2022 BOD <2.0 TSS 3.1 NH3 <1.0 7/28/2022 BOD <2.0 TSS 5.3 NH3 <1.0 8/17/2022 BOD 4.2 TSS 4.3 NH3 1.26 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD ATTACHMENT A Harnett County CASE NUMBER: DV-2023-0124 PERMIT NO: WQCS00166 REGION: Fayetteville FACILITY: Harnett County Collection System COUNTY: Harnett Other Violations INCIDENT NUMBER VIOLATION DATE VIOLATION TYPE VIOLATION DESCRIPTION TOTAL VOLUME (GALLONS) PENALTY AMOUNT 202301021 7/9/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 2,000 $750.00 202301022 7/9/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 2,000 $750.00 902301046 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 1,800 $800.00 202301043 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 2,700 $1,000.00 202301047 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 3,000 $1,200.00 202301044 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 3,600 $1,200.00 202301049 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 3,600 $1,200.00 202301045 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 7,200 $1,200.00 202301048 7/14/2023 CSO/SSO(Sewer Overflow) Discharge without valid permit 21,600 $1,500.00