NC0071943_Permit Issuance_20031029

Mr. Charles Wiesner
Town of Boiling Springs
PO Box 1014
Boiling Springs, North Carolina
Dear Mr. Wiesner:
Michael F. Easley
©w�
� Governor
William G. Ross, Jr., Secretary
NCDENR North Carolina Department of Environment and Natural Resources
28017
Alan W. Klimek, P.E., Director
Division of Water Quality
October 29, 2003
Subject: Issuance of NPDES Permit NCO071943
Town of Boiling Springs
Cleveland County
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no major changes from the revised draft permit sent to you on October 2,
2003.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of
this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North
Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be
required. If you have any questions concerning this permit, please contact Dawn Jeffries at telephone number (919)
733-5083, extension 595.
Sincerely,
ORIGINAL
�}SIGNED BY
Mar{Caa \I .IKlimek, P.E.
cc: Central Files
Mooresville Regional Office/Water Quality Section
NPDES Unit
N. C. Division of Water Quality / NPDES Unit Phone: (919) 733-SD83
1617 Mail Service Center, Raleigh, NC 27699-1617 tax: [phone]
Internet: h2o.enr.slale.nc.us DENR Customer Service Center: 1 800 623-7748

Permit NCO071943
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other
lawful standards and regulations promulgated and adopted by the North Carolina
Environmental Management Commission, and the Federal Water Pollution Control Act, as
amended,
Town of Boiling Springs
is hereby authorized to discharge wastewater from a facility located at the
Boiling Springs Waste Water Treatment Plant
2556 Rockford Road
Boiling Springs
Cleveland County
to receiving waters designated as Sandy Run Creek in the Broad River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective December 1, 2003
This permit and authorization to discharge shall expire at midnight on August 31, 2008.
Signed this day October 29, 2003.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO071943
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked.
As of this permit issuance, any previously issued permit bearing this number is no longer effective.
Therefore, the exclusive authority to operate and discharge from this facility arises under the permit
conditions, requirements, terms, and provisions included herein.
Town of Boiling Springs is hereby authorized to:
1. Continue to operate an existing 0.60 MGD wastewater treatment plant consisting
of the following:
♦ Mechanically cleaned bar screen and grit chamber
♦ Two aeration basins with coarse bubble diffusers
♦ Two secondary clarifiers
♦ Scum and recycle pump stations
♦ Ultra -sonic flow meter
♦ UV disinfection
♦ Two rectangular sludge digesters
♦ Emergency power generator
2. Discharge from said treatment works at the location specified on the attached
map into Sandy Run Creek, classified C waters in the Broad River Basin.

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Latitude:
35014' 46"
Longitude:
810 41' 33"
USGS Quad #:
G12 W
River Basin #:
03-0�8-04_
Receiving Strewn: Sandy Run Creek
Stream Class:
C
IV i IF
IF
.�• pit '..1 R � •� � 6 ` \
-j �, •.-.� j J� �•.r �`•i� sI
�` �. :ter • •' �_. '`i!
w
B614 Springs WWTP
NGM7194Y
Cleveland County

Permit NC0071943
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration,
the permittee is authorized to discharge from outfall 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
EFFI�U.;NT
-CHARORITfS
LI{11'
v
tl
: IONtTQRINC AEQi11REMEIVTS
Monthly;
Ar o_
- ' �Y
:.�`.,
Daily
d 1rMzirinetrn
Measdr� Oht
Fre{un+j�
ple
T e.
Sample Lo��tia�''
t {
Flow
0.60 MGD
Continuous
Recording
Influent or Effluent
BOD, 5-day'
30.0 mg/L
45.0 mg/L
Weekly
Composite
Influent & Effluent
Total Suspended Solids'
30.0 mg/L
45.0 mg/L
Weekly
Composite
Influent & Effluent
NH3 as N
(April 1- October 31
15.0 mg/L
35.0 mg/L
Weekly
Composite
Effluent
NH3 as N
November 1- March 31
Weekly
Composite
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Temperature (°C)
Daily
Grab
Effluent
pH2
Weekly
Grab
Effluent
Total Nitrogen (NO2+NO3+TKN)
Semi -Annual
Composite
Effluent
Total Phosphorus
Semi -Annual
Composite
Effluent
Footnotes:
1. The monthly average effluent BODS and Total Suspended Solids concentrations shall
not exceed 15% of the respective influent value (85% removal).
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts

M
THE STAR
NCDENR/DWQ/NPDES
1617 MAIL SERVICE CENTER
RALEIGH NC 27699-1617
ATTN: VALERY STEPHENS
NOTIFICATION OF INTENT TO ISSUE A NPDES
CLEVELAND COUNTY
I, Tina Mc Combs, Classified Advertising
Manager at THE STAR, a newspaper
published in Shelby, N. C., do
solemnly swear that the advertisement
hereto annexed appeared in the
SHELBY STAR, for one
successive weekdays beginning
� EPT. 14 003
,\. mC�IYY�
Classified Advertising Manager
Sworn to and subscribed before me
on this the 25TH day of SEPTEMBER, 2003
Notary Puweo
MY COMMISSION EXPIRES
02-26-2007
e�gPRAS\
UU140TA�,tiG)
\� c00%
September 25, 2003
PUBLIC NOTICE
STATE OF NORTH CAROLINA ENVIRONMENTAL
MANAGEMENT COMMISSION/ NPDES UNIT
1617 MAIL. SERVICE CENTER, RALEIGH, NC 27699.1617
NOTIFICATION OF INTENT TO ISSUE A NPDES
WASTEWATER PERMIT
On the basis of a thorough staff review and application of NC General Statute
143.21, Public law 92-500 and other lawful standards and regulations, the
North Carolina Environmental Management Commission proposes to issue a
National Pollutant Discharge Elimination System (NPDES) wastewater dis-
charge permit to the person(s) listed below. effective 45 days from the pub-
lish of this notice.
Written comments regarding the proposed permit will be accepted until 30
days after the publish date of this notice. All comments received prior to that
date are considered in the final determinations regarding the proposed per-
mit. The Director of the NC Division of Water Quality may decide to hold a
public meeting for the proposed permit should the Division receive a signif-
icant degree of public interest.
Copies of the draft permit and other supporting information on file used to
determine conditions present in the draft permit are available upon request
and payment of the costs of reproduction. Mail comments and/or requests for
information to the NC Division of Water Quality at the above address or call
Ms. Valery Stephens at [phone], extension 520. Please indicate the
NPDES permit number (attached) in any communication. Interested persons
may also visit the Division of Water Quality at 512 N. Salisbury Street,
Raleigh, NC 27604-1148 between the boors of 8:00 a.m. and 5:00 p.m. to
review information on file.
The Ramseur Washeiette of Shelby, North Carolina has applied for renewal
of its permit NCO030481 for its washerette in Cleveland County. This per-
mitted facility discharges treated wastewater to an unnamed tribuutary to
Little Creek in the Broad River Basin. Currently ammonia nitrogen and tom]
residual chlorine are water quality limited. This discharge may affect future
allocations in this portion of the watershed.
The Town of Boiling Springs, North Carolina has applied for renewal of per-
mit NCO071943 for its W WTP in Cleveland County. This permitted facility
discharges treated wastewater to Sandy Run Creek in the Broad River Basin.
Currently ammonia nitrogen and total residual chlorine are water quality lim-
ited. This discharge may affect future allocations.
September 14. 2003

SOC PRIORITY PROJECT: No
To: Permits and Engineering Unit
Water Quality Section
Attention: Charles Weaver
Date: August 11, 2003 EOOZ env
NPDES STAFF REPORT AND RECOMMENDATIONS;
County: Cleveland
NPDES Permit No.: NCO071943
MRO No.: 03-21
PART I - GENERAL INFORMATION
Facility and address: Boiling Springs WWTP
% Town of Boiling Springs
Post Office Box 1014
Boiling Springs, N.C. 28107
2. Date of investigation: August 5, 2003
3. Report prepared by: Michael L. Parker, Environ. Engr. II
4. Person contacted and telephone number: Charlie Wiesner, [phone]
5. Directions to site: From the jct. of Hwy. 150 and SR 1195 (College Farm Rd.) south of
the Town of Boiling Springs, travel west on SR 1195 = 0.5 mile and turn right on SR
1194 (Rockford Rd.). Travel - 1.2 mile on SR 1194 and turn right onto a dirt access road.
The WWTP is located at the end of this road.
6. Discharge point(s), list for all discharge points: -
Latitude: 350 14' 46"
Longitude: 810 41' 33"
Attach a USGS Map Extract and indicate treatment plant site and discharge point on map.
USGS Quad No.: G 12 NW
7. Site size and expansion area consistent with application: Yes. Additional area is available
for expansion, if necessary.
8. Topography (relationship to flood plain included): The WWTP site is not located in a
flood plain. Gently rolling topography.
9. Location of nearest dwelling: Approx. 500+ feet from the WWTP site.

Page Two
10. Receiving stream or affected surface waters: Sandy Run Creek
a. Classification: C
b. River Basin and Subbasin No.: Broad 030804
C. Describe receiving stream features and pertinent downstream uses: The receiving
stream passes through a mostly rural area with agriculture being the primary use.
Excellent flow observed at the point of discharge. No other dischargers for any
reasonable distance are known.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater: 0.600 MGD (Design Capacity)
b. What is the current permitted capacity: 0.600 MGD
C. Actual treatment capacity of current facility (current design capacity): 0.600 MGD
d. Date(s) and construction activities allowed by previous ATCs issued in the
previous two years: There have been no ATCs issued in the past 2 years.
e. Description of existing or substantially constructed WWT facilities: the existing
WWT facilities consist of a mechanically cleaned bar screen and grit chamber, a
rectangular aeration basin with coarse bubble diffusers, two secondary clarifiers,
scum and recycle pump stations, an ultra -sonic flow meter, UV disinfection, a
rectangular sludge digester, and an emergency power generator.
f. Description of proposed WWT facilities: There are no WWT facilities proposed at
this time. Should the renewed permit contain effluent limitations for which the
current WWT facilities cannot comply, additional WWTP construction may be
necessary.
g. Possible toxic impacts to surface waters: None that we are aware. Chlorine is not
used for disinfection.
h. Pretreatment Program (POTWs only): Not Needed.
2. Residual handling and utilization/disposal scheme: The Town currently land applies all of
the residuals generated in the WWT process on a site authorized under Permit No.
WQ0018352. The Town also has the option to transport all residuals to the City of
Shelby for disposal by composting.
3. Treatment plant classification: Class II (no change from previous rating).
4. SIC Code(s): 4952 Wastewater Code(s): 01 MTU Code(s): 05003

Page Three
PART III - OTHER PERTINENT INFORMATION
Is this facility being constructed with Construction Grant Funds or are any public monies
involved (municipals only)? Public monies were used in the construction of this facility,
and will also be used in any future expansion.
2. Special monitoring or limitations (including toxicity) requests: None at this time.
Important SOC/JOC or Compliance Schedule dates: The Town is not currently under an
SOC/JOC nor is one being considered at this time.
4. Alternative Analysis Evaluation: There is no known wastewater disposal alternative
presently available to the Town.
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee requests that the subject Permit be renewed. There have been no changes to
the permit or WWTP since the permit was last renewed nor has the Town requested any changes
during the proposed permit term. The existing WWT facilities appeared to be in good operational
.condition at the time of the site investigation.
Pending receipt and approval of the WLA, it is recommended that the Permit be renewed
as requested.
D, //-/4 A;�60�\ X2111AZ -
Water Quality Regi6dal Supervisor Date
h:U%rUsr03\hoi1ing.dsr

NCO071943
Facility: Boiling Springs WWTP
Discharge to: Sandy Run Creek
Stream class and index #: C
Residual Chlorine
Ammonia as NH3
(summer)
7Q10 (CFS)
16.8
7010 (CFS)
16.8
DESIGN FLOW (MGD)
0.6
DESIGN FLOW (MGD)
0.6
DESIGN FLOW (CFS)
0.93
DESIGN FLOW (CFS)
0.93
STREAM STD (UG/L)
17.0
STREAM STD (MG/L)
1.0
UPS BACKGROUND LEVEL (UG/L)
0
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
5.25
IWC (%)
5.25
Allowable Conc. (ug/I)
324.10
Allowable Concentration (mg/1)
15.09
maximum=28 ug/I
minimum = 2
Ammonia as NH3
(winter)
7010 (CFS)
24.1
Fecal Limit
200/100ml
DESIGN FLOW (MGD)
0.6
Ratio of 18.1 :1
DESIGN FLOW (CFS)
0.93
STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC (%)
3.72
Allowable Concentration (mg/1)
42.74
minimum = 4

Town
of Boiling
Springs
P.O. BOX 1014
BOILING SPRINGS, N.C.
28017
Telephone [phone]
Fax [phone]
MAX HAMRICK
Mayor
COMMISSIONERS
WILLIAM K. ELLIOTT. MAYOR PRO-TEM
GREG McGINNIS
JAMES L BEASON. JR
Town Administrator
JOHN C. GLENN
DARLENE J. GRAVETT
MARGRETTA McKEE
MARTY L. THOMAS
Clerk
l;' _ 5 '1003
2/27/03
Mrs Valery Stephens
NCDENR/Water Quality/ Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Permit Renewal
NPDES Permit NCO071943
Boiling Springs, NC
Cleveland County
Dear Mrs. Stephens:
Enclosed are copies of the permit renewal for the Town of Boiling Springs Wastewater
Treatment Plant.
Conversations with Kevin Bowden and Charles Weaver Jr. indicate that the Town of
Boiling Springs Wastewater Treatment Plant did not have to complete the toxicity
testing or the organic scans because of the size of the plant with a 100% domestic flow.
The Town does not have a pretreatment program.
The Town's WWTP disinfects the wastewater effluent with UV disinfection and does
not have to test Chlorine residual in the effluent.
The Town of Boiling Springs Will is currently using the Brook's Farm for a land
application site. A permit is still open for hauling bio-solids to the Shelby WWTP for
composting. The Town would like to keep this permit open an alternative measure.
If you need any additional information or have questions concerning this report, please
contact me at the WWTP, 704-434-5600.

Town of B
P.O. BOX 1014
BOILING SPRINGS, N.C. 28017
Telephone [phone]
Fax [phone]
COMMISSIONERS
WILLIAM K ELLIOTT. MAYOR PRO-TEM
JAMES L. BEASON. JR.
JOHN C. GLENN
DARLENE J. GRAVETT
MARTY L. THOMAS
Sincerely,
Charles Wiesner
Wastewater System Supervisor/ORC
cc: Greg McGinnis, Town Administrator
Joey Gantt, Public Works Director
MAX HAMRICK
Mayor
GREG McGINNIS
Town Administrator
MARGRETTA McKEE
Clerk

fill-in areas are s
'FORM
acee for eafe type, i.e., iz cnamcrersnncn . 1
U.S. ENVIRONMENTAL PROTECTION AGENCY
I. EPA I.D. NUMBER
T'A_ .D
GENERAL INFORMATION
F
1
;
Ci-/'� Consolidated Permits Program
GENERAL
Read the "General Instructions- before srartin .
LABEL ITEMS GENERAL INSTRUCTIONS _
If a reprinted label has been provided,
I. EPA I.D. NUMBER affix ilt in the designated space. Review the
information carefully; if. any of it Is
the
incorrect cross through d and enter.
III. FACILITY NAME correct data in the appropriate fill -In area
below. Also, if any of the prepprinted data Is
absent /the area to the leh of the label.
space sls the information that should
V. FACILITY PLEASE PLACE LABEL IN THIS SPACE appear) please provide it in the proper fill-
in arears) below. If the label Is compIete.-
MAILING LIST and coned yyoou need not complete Itenfs
VI-B be
1,111 V, and VI.(except which must
C ompleted regardless). Complete all Items
VI. FACILITY it no label has been proved. Refer to the
instructions for detailed Item descriptions
LOCATION and for the Ie�eI atrthorization under whicfi
this data is collected.
11. POLLUTANT CHARACTERISTICS
omp ate through to etermine whet er you ne to submit any permit application orms to a you answer es to any
from listed In the following the question. Mark W in the box in the third column U
questions, you must submit this form and the supplemental parenthesis
the supplemental form is attached. If you answer'no' to each question, you need not submit any of these forms. You may an at *no' if your activity is
excluded from permit requirements; see Section C of the Instructions. See also, Section D of the Instructions for definitions of bold-faced terms.
MARK W MARK W
SPECIFIC QUESTIONS FORM SPECIFIC QUESTIONS YES No FORM
YES No ATTACHED A '-
A. s thisfacility a pu c y owned treatment wor s
results Ina discharge to waters of the
❑
❑
Does or vnl this as Iry (either ewshng or
proposed) include a concentrated animal
❑
❑
which
U.S.? (FORM ZA)
feeding operation or aquatic animal
production facility which results in a discharge
to waters of the U.S.? (FORM 2B)
16
17
is
19
21
C. Is this acuity which cumen0y results In
❑
D. Is this proposal facility o er than those descn
in A or B above) which will result in a discharge
❑
�20}
7
discharges to waters of the U.S. other Than
those described in A or B above? FORM 2GI
M
to watersFORM
you
22
23
24
25
26 27
E. Dces or wIl ihls asI heal, store, or Ispoce of
(FORM 3)
❑
❑
or wi I In ecl facl Ily I ustnal or
Yci I
municipal effluent below the ,mile of stratum
❑
❑
ha2ardous wastes?
containing, within one quarter mile of the well
bore, underground sources of drinking wateR
31
32 1 33
(FORM 4)
2e
29
30
G.Do you or vn 1 you In act at this aallry any
water other ;Inds which are brought to
�-y
H. you or vnll you mlect at this faaUryry f u s or
steal processes such as minirg o(sulfer by the
in
❑
❑
produced
the surface in connection with conventional oil or
❑
I VJ
❑
t•rasch process, solution mining of minerals,
situ combustion of fossil fuel, or recovery of
natural gas production, inject fluids used for
recovery of oil or natural gas, or inject
geothermal energy? (FORM 4)
enhanced
fluids for storage of liquid hydrocarbons?
37
38 39
34
35
38
FORM 4
Is this ci ity a propos stationary source
I' is one of the 28 Industrial categories listed
❑
l--I/
Ll�
❑
J. Is t rs Yaahry a proposed stet ovary source
which is NOT one of the 28 industrial categories
listed in the insWctiis and which will potenually
❑
❑
in the instructions and which will poten0aI emit
100 toper year of any air pollutant regulated
the Clean Au Act and may all or be
emit 250 tons per year of any air pollutant
ulated under the Clean Air Act and may aUect
43
4a 45 ,
40
a1
42
under
orbs faceted in an attainment are? FORM 5
located in an adalnment area? FORM 5
III. NAME OF FACILITY
SKIP r*v Tr:otMeN f D/On r .
s9
1s 16-29 30
IV. FACILITY CONTACT B. PHONE area code
A. NAME & TITLE last, first, & 11de
D
•r hal(It OR�-
9c 4 y i y 'r—C
11
2 CS net
45
46 1 52 55
is 16
V. FACILITY MAILING ADDRESS
A. STREET OR P.O. BOX
3x as
15 18
B. CITY OR TOWN C. STATE
D. ZIP CODE
67 51
4
15
i6 40 4i 42
VI. FACILITY LOCATION IN
A. STREET, ROUTE NO. OR OTHER SPECIFIC IDENTIFIER
k�orJ
5 45
is i8
B.COUNTY NAME
CIeJ Itin
46 70
C. CITY OR TOWN D. STATE Ey. ZIbP CODE F. COUNTY CODE
O
rl S
/
r,4
t nao
a7 v sz 54
6
al az
1s
6
CONTINUED ON REVERSE
EPA FORNI 3510.1 (8.90)

VII. SIC CODES 4-dr ft, in order or nont
A. FIRST B. SECOND
C
ad
(specify)
(specify)
15
16 E
1 15 16 19
C. THIRD D. FOURTH
(specify) � (specify)
7
15 1 16 17 15 1 16 19
VIII.OPERATOR INFORMATION
A. NAME B. Is the hams listed In Item
-
_ / VIII-A also me owner_? -
10 w rt O t' 01 '` n t [YES ❑ NO
19
ATUS OF OPERATOR Enterthe a ro riate letter into the answerbox., H'Other,'s ed D. PHONE area code & no.
rF= EDERAL M = PUBLIC (other than federal or state)
O=OTHER(specify)
(specify)
M
cTATE
A70y
yi'a
RIVATE
is16
to
19 21E.
STREET OR PO BOX0
c't 10 1 4
56
26 F. CITY OR TOWN G. STATE F H. ZIP CODE I IX. INDIAN LAND
1t $ r; •i 3 Al C �, g 0 I'j is the facility located on Indian lands?
c 60
601I�ny P y ❑YES'.. [TNO �
B
15 16 40 42 42 47 ,. 51 1t '^
X. EXISTING ENVIRONMENTAL PERMITS
A. NPDES Discha es to surface Water D. PSD AG Emissions hulm� P - ad Sources - - _
1 Alc 00.719 9 e P /q'rr
9 N
15 16 17 18 - 30 15 16 17 18
B. UIC Linde round In action of Fluids E. OTHL(specify)specify)
C T 1 T a9
�l a915
U
16 17 16 30 15 16 17 18C. RCRA Hazardous Wastes E. OTHSpecify)
C T I9
915
R
16 17 18 30 15 15 17 18
XI. MAP
Attach to this application a topographic map of the area extending to at least one mils beyond property boundaries. The map must
structures,'each of Its
show the outline of the facility, the location of each of its existing and proposed intake and discharge
where it injects fluids underground. Include all springs, ,
hazardous waste treatment, storage, or disposal facilities, and each well
rivers and other surface water bodies in the map area. See instructions for precise requirements.
X11. NATURE OF BUSINESS(provide a brief description)
PrI r%j Gera �� S ck-
h� Tocu-) C � i '- */ �� S r
u>��. T reg4l' -e-14- fan+ w�:�l. Erru+ S c�
0,3
es+('c -flaw-
r �I'l
� vG i� �
XIII. CERTIFICATION see instructions
1 under penalty of law that 1 have personally examined and am familiar with the information submitted in this application and • .
in
certify
all attachments and that, based on my inquiry of those persons immediately responsible for obtaining the information contained
I that there are significant penalties for
the application, 1 believe that the information is true, accurate and complete. am aware
submitting false information, Including the ow'bili of fine and imprisonment. C. DATE SIGNED
A. NAME & OFFICIAL TITLE (type or pant) B. SIGNA
Ckct'des I)ie-SneK CRC'
COMMENTS FOR OFFICIAL USE ONLY
c
C ss
15 1 16
EPA FORM 3510-1 (8.90)

F!--
FACILITY NAME AND PERMIT NUMBER: N � 06 T f q y 3 PERMIT ACTION REQUESTED: RIVER BASIN:
w� 04 (30 l:r r,v1 S (uwT
Pc, iti; f Rencwa Bread /P;der (3ns'ih
FORM
2A
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 2 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):
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
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing
Data):
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
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
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 RCRA/CERCLA 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 wastestream 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)
Page 1 of 22
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22.

FACILITY NAME AND PERMIT NUMBER: /VC C)o -11 "/ q S
PERMIT ACTION REQUESTED:
RIVER BASIN:.
Tj., OY 13C;N�5 r,' A 5 Lj—TP
P11 M; 4 re h -e wa 1
Qt0oc1 Pi,tr
;QW I IFUT I I
WON
f4%
If; =11; 15!1 V
All treatment Works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Tow— 04 130, 1;�!� 4
Mailing Address 0'(3- gox 161,y
Cl 0 v%Zq SST, N. C, oL 961 -7
Contact Person r -etj Co 01 V%
V rm
Title
Telephone Number (7j 9) 9 ; 4 - 2 3 5"7 To Lin 14 a I I
Facility Address ROO( -Cerd Pd. RC, V�l 5 IV C, �2 7
(not P.O. Box)
A.2. Applicant Information. It 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?
Erowner [I operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
0 facility E?applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -issued permits).
NPOES PSID
UIC Other
RCRA Other
A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each
entity and, it 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 04 F30:1.,.r4 'Or' T 1-5 q 7 5-- S -C Q- 0.r d4��, rin V A 60" 1
J� 1� '
) -
-y4w Of A4H;I"er , _: 'q -7 .1ctra+-?— VA. 4(
— - L-
P
,-
7 r, 6
LV L) Se pac,:4�— P
Total population servedC6 115-6
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550.6 8 7550-22. Page 2 of 22

-FACILITY NAME AND PERMIT NUMBER: NC oo -7 0APS PERMIT ACTION REQUESTED: RIVER BASIN:
per., o� a I��+ rah 5 ww 1 � ��rw►� �' en �w�.( a�aad rc,��-r f3as. �
A.S. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes EJ/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 [3 No
A.S. 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 Q ' mgd
Two Years Aoo Last Year This Year
b. Annual average daily flow rate
C. Maximum daily flow rate y 31 ' 5-1 y , y i g
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.
�eparate sanitary sewer
❑ Combined stonn and sanitary sewer - %
A.B. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U.S.? �es ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses:
1
I. Discharges of treated effluent
H. Discharges of untreated or partially treated effluent
W. Combined sewer overflow points
iv. Constructed emergency overflows (prior to the headworks)
V. Other
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.? ❑ Yes EI'' No
If yes, provide the following for each surface impoundment:
Location:
Annual average daily volume discharge to surface impoundment(s) mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewaters ❑ No
if yes. provide the following for each land application site:
Location: _
�(6 1c'S !—Urm i��.cc) ` 35
�1 �
Number of acres: -i
I cl e 1 d r i s Aa . I y64.
lied t
d.
Annual average daily volume app o
0/yes ❑ No
Page 3 of 22
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED: I RIVER BASIN;
SDr;hu NC.6o-7J9 SJ pr-*m:i- Re -re -id I $.loud &sa,
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
�irAhSA�✓�etl b SI 4ruc/4 4-v -H-4- 94-A ,r IVWT/6 4aNr Cop"Oo311-Ka
If transport is by a party other than the applicant, provide:
Transporter Name -- TOW h in � ,�D j� � i h � �� r : h�
Mailing Address _ _ / : U• 0Y A J
/� �' %
Contact Person 1. -x rre S ICJ (we S 1114r-
Title I*ti ILJ So e e f v i Set / �-
Telephone Number ( 70 q1 ! q
For each treatment works that receives this dischargeprovide the following:
Name Cou
Mailing Address n `/ t f�-
J
Contact Person-e•-
Title
Telephone Number f '7 0 q) 14 2; 4 - (2 9 5-0
If known, provide the NPDES permit number of the treatment works that receives this discharge bf Q 000i 7 S6 7d h .
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
in A.B. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes �No
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?
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22

FACILITY NAME AND PERMIT NUMBER: N C 00-71 q y 3
a01 4 S -SP i S
PERMIT ACTION REQUESTED: RIVER BASIN:
Poi m; f 1 4rte�40f 8/00P/ it Zvtf 1245 &l
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.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.8.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.
a. Outfall number 001 #L Sd n d Y 12y^ Cie-e
b. Location -T M w h o 19 C) 1 hG r h q R 4 1 `
(City or town, it applicable) (Zip Code)
CleyelaAd Al (-,-
(County) (state)
3111 o W. �i�+� 8 �a A/i I 33
(Latitude) I /] (Longitude)
C. Distance from shore (if applicable) + `� ft•
d. Depth below surface (if applicable) a fl•
e. Average daily flow rate J4 a mgd ^. Q 0 a y e a
f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes R 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. Cra. Name of receiving water Y` ` `� `� �"
b. Name of watershed (if known) 'S'r G Q d /C ► op- ' 3et
United States Soil Conservation Service 14-digit watershed code (If known):
C. Name of State Management/River Basin (if known): V h k n ew t-%
United States Geological Survey 8-digit hydrologic cataloging unit code (if known): V i-% �` n e ` ' •�
d. Critical low flow of receiving stream (if applicable)
e.
acute tJ h k to D LA; V.-, cfs chronic
Total hardness of receiving stream at critical low flow (if applicable): U h P-ew —
cfs
mg/t of CaCO3
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN: -
7 wv c I n S r; COG 19`1"
e, M f-,
8roeid i v 4,
A.11. Description of Treatment
a. What level of treatment are provided? Check all that apply.
GI/primary ❑ Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
po
Design SODS removal or Design COLDS removal 7 /3 _S
Design SS removal �!n1 p 7
Design P removal LR
Design N removal
Other
C. What type of disinfection is usedfor the effluent from this outfall? If disinfection varies by season, please describe:
_ U V d--3in feC'41dh
It disinfection is by chlorination is dechlodnation used for this outfall? ❑ Yes lei' A
Does the treatment plant have post aeration? El Yes L/ No
9/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 QA/OC requirements of
40 CFR Part 136 and other appropriate QAIOC 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: C C I
PARAMETER
MAXIMUM DAILY VALUE
AVERAGE BVAL _AILY UE
Valu l
Units
Value
Units
Number of Samples
pH (Minimum)
S.U.
pH (Maximum)
Ci
S.U.
7, 1
S , U.
Flow Rate
Temperature (Winter)
1 3 . -+
0 C
Temperature (Summer)
' 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
SODS
m /L
M � �L
`3 , ti
�
ka I, ¢cl
DEMAND (Report one)
CBOD5
FECALCOLIFORM
ij L36
IC(: nl1
l.t ml
2
5'�.
7
Ce'}' (�e.
ab
TOTAL SUSPENDED SOLIDS (TSS)
/-J -j
r`1 ��-
%*) I
�',�
C er all '"'r
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 6 of 22

`FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
C6671 `/`t3 elm f enPwq� (jw�r�/ iVri
r
BASIC APPLICATION INE sjir�?ali ?�h
PARTrB ONA P. UG O IN O AT O OAPPLICA ill
,.r-.Rr7f i.4?3i'.'{S.
.All applicants with a design flow rate 2 0.1 mgd must answer questions 8.1 through 8.6. All others go to Part C (Certification).
B.1. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration.
CVL"l 04- e"I"MA+tom gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
_ „ ._ 11 f+)_ ._ _t_.� _41 JI-1 w7.t)TP
) U Y , N 1-- W 1 VA .- / kyN 01", +k
8.2. 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 pipsorother structures through which
treated wastewater is discharged from the treatment plant. Include outtalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within Y. 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.
I. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, 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 redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g.,
chlorination and dechiodnation). 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.
BA. OperationlMaintenance Performed by Contractor(s).
Are any operational or maintenance aspects (rela!pd to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ❑ Yes Ef 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:
Responsibilities of Contractor:
B.5. 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. If the
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 oulfall number (assigned in question A.9) for each oudall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies
❑ Yes ❑ No
Page 7 of 22
EPA Fomt 3510.2A (Rev. 1.99). Replaces EPA forms 7550-6 & 7550-22.

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN] '
1: �; IC06 l 13
Per m44 !
�rGq� �i�cf
wh e
neWet
QS�
C. If the answer to B.5.6 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 MWDDNYYY MWDD/YYYY
- Begin Construction
- End Construction
- Begin Discharge I I I I
- Attain Operational Level
e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.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:
yi�. �AKfWtft.� �f■.lif/'��
LY
AVERAGE DAILYNSCI&G- E
'
POLLUTANT
DISCHARGE
- - � - -
� ANAL:YTICAi. -
•' �4� � : -' -
'MUMDL
Cone.
Units
Conc.
Units
Numberof
Sdinp(es-
METHOD
..��:.,►?,
;• �-
CONVENTIONAL AND NON CONVENTION
L COMPOUNDS
AMMONIA (as N)
JMrn t
rh9 / A-
j
O. 1 q I
iv► y A
�
L ar L
/L 4 b
CHLORINE (TOTAL
U G /,L
a
N A
RESIDUAL, TRC)
DISSOLVED OXYGEN
A/
TOTAL KJELDAHL
NITROGEN
) r'
c �•
NY1 !� L
�.
Ce ( < -4
(TKN)
rU I
_•
l
/,4
NITRATE PLUS NITRITE
NITROGEN
`�
5
JL
'Z
C et
.
/ G:
M
u 6
OIL and GREASE
/V R
PHOSPHORUS (Total)
i I�
-•.�
1 r;�
%� y !4_
1
Ce irn C` ec/
TOTAL DISSOLVED SOLIDS
(TDS)
OTHER
c . 1. �. .� t'�, ,a�C��:«v+�•..-.� �� i.tA .w. F-✓ "�}•; s!k. - ,y .. ,�i.
REFER T4,:THE aPPUCAT 01 EF VIEW PAGE 1°1■ TO bE' RINIf E=w
(
+X_ - •:. Y.,'�,_.
I-3MI
_ == A-YOt1-Nltj 7` Ol1P TE
:, �GFsE�RM': 4
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 22

FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Tnwr $ r.„,. M:CO-7 1q,13
PeiM:k Renewal
,(Q7ont7 Avv (+s y
"'nF t
BS b R1 ATI�ON E "
. .I
M n-+�♦ Y YYY .f w .5=...
w w
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.
which parts of Form 2A you have completed and are submitting:
,I-n-,diic�ate
ay oasic Application Information packet Supplemental Application Information packet:
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Biomonitoring Data)
❑ Part F (industrial User Discharges and RCRArCERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLI.AAWCOMWINOr.
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 properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, two,
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
Signature
Telephone number (r71�0�) V 3o A 3 5 %
Date signed d eZ SS d '�
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENR/ DWO
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA tome 7550-6 8 7550-22. Page 9 of 22