NC0037311_Wasteload Allocation_19921006

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NPDES WASTE LOAD ALLOCATION
PERMIT NO.: NCO037311
pERMr= NAME: Tri-City Haven Rest Home
FACILITY NAME: Tri-City Haven Rest Home
Facility Status: Existing
Permit Status: Renewal
Major
Pipe No.: 001
Design Capacity:
_ Minor
0.010 MGD
Domestic (% of Flow):
Industrial (% of Flow):
1
11 '.
Comments: Refer : Basinwide / Streamline WLA File
�/ Completed By Permits & Engineering
-j( At Front Of Subbasin
RECEIVING STREAM: an unnamed tributary to Belews Creek
Class: C
Sub -Basin: 03-02-01
Reference USGS Quad: C18NE (please attach)
County: Forsyth
Regional Office: Winston-Salem Regional Office
Previous Exp. Date: 12/31/92 Treatment Plant Class:
Classification changes within three miles:
Requested by: Susan Robson Date: 6/23/92
Prepared by: i lea Date:
Reviewed by: �}q Date: 0 S 5
_Bob, T l'S 53.1 0 (o
�zt_ �• �— l 9a-- --
Modeler Date Rec. #
Drainage Area (mil ) �. 3 Avg. Streamflow (cfs): D• 3
7Q10 (cfs) O.0 Winter 7Q10 (cfs) D. D/ 30Q2 (cfs) O. O(�
Toxicity Limits: IWC % Acute/Chronic
Instream Monitoring:
Parameters D .O. i T GMFT .tjZ4r 7- GErat_ cnuGo¢M COO) pac.nviry
Upstream Location Ar LZAsr 10U� uPs—r tit
Downstream Location A-r l eAs-r __; V0u,NsrrzG00k
Effluent
Characteristics
Summer
Winter
BOD5 (mg/1)
30
30
NH3-N (mg/1)
1
1. 1?
D.O. (mg/1)
3
3
TSS (mg/1)
7-0
3
F. Col. V100 ml)
ZOgi
200
pH (SU)
_
G _
Comments: fa<<L ir4 nro-,C- N14= - M u a rT'.
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Facility Name:
NPDES No.:
Type of Waste:
Facility Status:
Permit Status:
Receiving Stream:
Stream Classification:
Subbasin:
County:
Regional Office:
Requestor:
Date of Request:
Topo Quad:
FACT SHEET FOR WASTELOAD ALLOCATION
Tri-City Haven Rest Home
NCO037311
Domestic - 100%
Existing
Renewal
UT Belews Creek
C
030201
Forsyth
WSRO
S. Robson
623/92
C18NE
Request #
eea� r CEI VIED
rt L:'.i �--i L �.
N.C. [)0;pt, of D INR
6996 AUG 2 5 1992
Winston-Salem
Regional Office
Stream Characteristic:
USGS # 07-0(' 103110
Date: i98;F
Drainage Area (mi2):
0.3
Summer 7Q10 (cfs):
0.00
Winter 7Q10 (cfs):
0.06
Average Flow (cfs):
0.3
30Q2 (cfs):
0.06
IWC (%):
100.0
Wasteload Allocation Summary
(approach taken, correspondence with region, EPA, etc.)
Tn-City Haven Rest Home is well under its current limits. Instream data show no cases of "no
flow" upstream. The data show no seasonal fluctuations in D.O. with temperature (seems
suspect). �I
Facility should receive NH3-N/tox testing choice.
Special Schedule Requirements and additional comments from Reviewers:
Recommended by: F�CV �( d(� Date: -813 /9 z.
Reviewed by
Instream j Assessment: l� a n1 Date:/
Regional Supervisor. X. Date:
Permits & Engineering: tl AILZ — Date: �i Zvi
RETURN TO TECHNICAL SERVICES BY: SEP 17 1992

2
CONVENTIONAL PARAMETERS
Existing, Limits:
Monthly Average
Summer
Winter
Wasteflow (MGD):
0.01
0.01
BODS (mg/1):
30
30
NH3N (mg/1):
DO (mg/1):
3
3
TSS (mg/1):
30
30
Fecal Col. (/100 ml):
1000
1000
pH (SU):
6-9
6-9
Residual Chlorine (µg/l):
Oil & Grease (mg/l):
TP (mg/1):
TN (mg/1):
_Recommended Limits:
Monthly Average
Summer
Winter WQ or EL
Wasteflow NGM
0.01
0.01
BODS (mg/1):
30
30
NH3N (mg/1):
** 1
1.8
DO (mg/1):
3
3
TSS (mg/1):
30
30
Fecal Col. (/100 ml):
200
200
pH (SU):
6-9
6-9
Residual Chlorine (µg/1):
Toxicity Testing:
** Chronic Qtrly P/F at 90%
TP (mg/1):
TN (mg/1):
** Facility should receive choice between NH3-N limit of 1/1.8 mg/1(sum/win) or quarterly
chronic toxicity testing at 90%. Region should inform TSB of facility's choice.
Limits Chances Due To:
Change in 7010 data
Change in stream classification
Relocation of discharge
Change in wasteflow
Other (onsite toxicity study, interaction, etc.)
Instream data
New regulations/standards/procedures
New facility information
WUSTFUTR
Fecal coliform, NH3-N/tox
X Pammeter(s) are water quality limited. For some parameters, the available load capacity of
the immediate receiving water will be consumed. This may affect future water quality based
effluent limitations for additional dischargers within this portion of the watershed.
i'
No parameters are water quality limited, but this discharge may affect future allocations.

INSTREAM MONITORING REQUIREMENTS
Upstream Location: at least 100 ft upstream
Downstream Location: at least 300 ft downstream
Parameters: DO, temperature, Fecal coliform, conductivity
Special instream monitoring locations or monitoring frequencies:
MISCELLANEOUS INFORMATION & SPECIAL CONDITIONS
•
Has the facility demonstrated the ability to meet the proposed new limits with existing treatment
facilities? Yes X No
If no, which parameters cannot be met?
Would a "phasing in" of the new limits be appropriate? Yes No X
If yes, please provide a schedule (and basis for that schedule) with the regional
office recommendations:
If no, why not?
T iAr. C>CZL -T4 t •ik s ury+sY GA g mwrvr Tile V-1H: -ii
LKti •
Wasteload sent to EPA? (Major) N (Y or N)
(If yes, then attach schematic, toxics eadsheet, copy of model, or, if not modeled, then old
assumptions that were made, and description of how it fits into basinwide plan)
Additional Information attached? N 11 (Y or N) If yes, explain with attachments.
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cc: Permits and Engineering
Technical Support Branch
County Health Dept.
Central Files
WSRO
Date July 23, 1992
NPDES STAFF REPORT AND RECOMMENDATIONS
County Forsyth
NPDES Permit No. NCO037311
PART I - GENERAL INFORMATION
1. Facility and Address:
Tri City Haven Rest Home, Inc.
8921 Goodw ill Church Road
P. O. Box 368
Kernersville, N.C. 2728
2. Date of Investigation: July 21, 1992
3. Report Prepared by: James C. Watson, Environmental Engineer
4. Persons Contacted and Telephone Number:
Mr. Dennis Hodge, ORC, [phone]
5. Directions to Site:
From the junction of Highway 66 and 158 in Forsyth County,
travel east on Highway 158 (Reidsville Rd.) approximately 5
miles to SR 1971 (Goodwill Church Road). Tri-City Haven is
located on the right of Highway 158 at the intersection of
Highway 158 and Goodwill Church Road.
6. Discharge Point(s) - List for all discharge points
Latitude: 360 12' 49" Longitude: 800 03' 49"
Attach a USGS Map Extract and indicated treatment
plant site and discharge point on map.
USGS Quad No. C18NE or
USGS Quad Name Belews Creek Quad
7. Size (land available for expansion and upgrading):
The wastewater treatment facilities for the rest home were
upgraded from a septic tank-sandfilter system to an extended
aearation system.
8. Topography (relationship to flood plain included):
Gently sloping to the northeast at approximately 2 to 3%.
9. Location of nearest dwelling: Northeast of WWTP
approximately 150 feet.

10. Receiving stream or affected surface waters: U.T. to Belews
Creek.
a. Classification: licit
b. River Basin and Subbasin No.: Roanoke 030201
c. Describe receiving stream features and pertinent
downstream uses: The UT to Belews Creek joins Belews
Creek approximately 2000 feet downstream of the
discharge point. Approximately 1500 feet farther
downstream Belews Creek flows into Belews Lake.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100% Domestic
% Industrial
a. Volume of Wastewater: 0.01 MGD (Design Capacity)
b. Types and quantities of industrial wastewater: N/A
c. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
in development approved
should be required not needed
2. Production rates (industrial discharges only) in
pounds per day: N/A
a. Highest month in the last 12 months: lbs/day
b. highest year in last 5 years: lbs/day
3. Description of industrial process (for industries only)
and applicable CFR Part and Subpart: N/A
4. Type of treatment (specify whether proposed or
existing): This is an existing system which consists of the
following: Bar screen, aeration basin, secondary clarifier,
aerobic digester, post chlorination, V-notch weir. The
system is a 0.01 mgd extended aeration package plant.
5. Sludge handling and disposal scheme: When necessary, sludge
will be pumped from the system by a licensed septic tank
contractor and taken to the nearest municipal WWTP for
disposal.
6. Treatment plant classification: (attach completed rating
sheet) Class II
7. SIC Code(s) 8051
Wastewater Code(s) Primary 11 Secondary
Main Treatment Unit Code: 0 y 0 0 7

PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction
Grants Funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Additional effluent limits requests: N/A
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The system appeared to be operating well. The WSRO
recommends the permit be resissued.
Sig6dture of report preparer
Water Quality Regional upervisor
Date