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HomeMy WebLinkAboutNC0064378_Permit Issuance_20130708NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor Mr. Martin Lashua, Regional Director Carolina Water Service, Inc. of NC P.O. Box 240908 Charlotte, North Carolina 28224-0908 Dear Mr. Lashua: Division of Water Quality Thomas A. Reeder Director July 8, 2013 John E. Skvarla, III Secretary Subject: NPDES PERMIT ISSUANCE Permit Number NCO064378 Willowbrook WWTP - Class II Wake County Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are forwarding the attached final 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 October 15, 2007 (or as subsequently amended). 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 permit shall be final and binding. Please take notice that this permit is not transferable. 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, Coastal Area Management Act, or any other Federal or Local governmental permits which may be required. If you have any questions or need additional information, please do not hesitate to contact Maureen Kinney of my staff at (919) 807-6388. ncer ly, homas A. Reeder cc: Central Files NPDES Unit Files Washington Regional Office, Surface Water Protection Section 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St Raleigh, North Carolina 27604 Phone: 919-807-63001 FAX: 919-807-6492 Internet:w .navaterauality.om An Equal Opportunity I Affirmative Action Employer NorthCarolina Natkally Permit NCO064378 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, Carolina Water Service, Inc. of NC is hereby authorized to discharge wastewater from a facility located at the Willowbrook Subdivision WWTP 3623 Willow Tree Lane, Clayton Wake County to receiving waters designated as an unnamed tributary to Beddingfield Creek in the Neuse 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 August 1, 2013. This permit and authorization to discharge shall expire at midnight on February 28, 2018. Signed this day July 8, 2013. C Tho as A. Reeder, Acting Direct Division of Water Quality By Authority of the Environmental Management Commission Permit NC0064378 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. Carolina Water Service, Inc. of NC is hereby authorized to: 1. Continue to operate an existing 0.03 MGD wastewater treatment system with the following components: ➢ Bar screen ➢ Grit removal ➢ Instrumented flow measurement ➢ Diffused aeration basin — 36,000 gallon ➢ Clarifier—11,000 gallon ➢ Sludge holding tank — 5,000 gallon ➢ Chlorination ➢ Dechlorination ➢ Post aeration tank The facility is located northwest of Clayton (3623 Willow Tree Lane) at the Willowbrook Subdivision WWTP in Wake County. 2. After receiving an Authorization to Construct from the Division of Water Quality, construct and operate additional treatment units for treatment of up to 0.06 MGD of wastewater, and 3. Discharge from said treatment works at the location specified on the attached map into an unnamed tributary to Beddingfield Creek, currently classified C-NSW waters in sub -basin 03-04-02 of the Neuse River Basin. �n fit DISCHARGE LOCATION V ` 0, 1 oS I • ' \1 tr-r - _ 1 _ l ur e •; • im Tr 1 t • per■ • `� • i 353 �M x � a. � Lk� r IL Carolina Water Service, Inc. of NC Willowbrook WWTP County: Wake Stream Class: C - NSW Receiving Stream: UT to Beddingfield Creek Sub -Basin: 03-04-02 Latitude: 350 41' 08" Grid/Quad: E24NW Longitude: 780 30' 01" HUC #: 03020201 Facility X Location (not to scale) NORTH NPDES Permit: NCO064378 ---- --- - ---- - - ---- Permit NC-0064378 A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.03 MGD) During the period beginning on the effective date of this permit and lasting until expansion above 0.03 MGD or expiration, the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: EFFLUENT CHARACTERISTICS Parameter Code LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Locations Flow 50050 0.03 MGD Continuous Recordingwent or Effluent Total Monthly Flow Monitor & Report Monthly Calculated Influent or Effluent BOD, 5-day (20*C) — Summer* C0310 15.0 mg/L 22.5 mg/L Weekly Grab Effluent BOD, 5-day (20°C) — Winter* C0310 29.0 mg/L 43.5 mg/L Weekly Grab Effluent Total Suspended Solids C0530 30.0 mg/L 45.0 mg/L Weekly Grab Effluent NH3 as N— Summer* C0610 10.0 mg/L 35.0 mg/L Weekly Grab Effluent NH3 as N— Winter* C0610 20.0 mg/L 35.0 mg/L Weekly Grab Effluent Dissolved Oxygen 00300 Daily average > 5.0 mg/L Weekly Grab Effluent Fecal Colifonm (geometric mean) 31616 200/100 ml 400/100 ml Weekly Grab Effluent Total Residual Chlorine 50060 17 µg/L 2/Week Grab Effluent Temperature (°C) 00010 Daily Grab Effluent pH 00400 Not < 6.0 nor > 9.0 • Standard Units Weekly Grab Effluent TKN (mg/L) 00625 Monitor & Report Weekly Composite Effluent NO2-N + NO3-N (mg/L) 00630 Monitor & Report Weekly Composite Effluent TN (mg/L)3 C0600 Monitor & Report 2/Month Composite Effluent TN Load 4 QM600 Y600 Monitor & Report (lb/mo) Monitor & Report lb/ Monthly Annually Calculated Calculated Effluent Effluent Total Phosphorus C0665 Monitor & Report 2/Month Grab Effluent Combined radium-226 & radium-228 11503 5 Cull p Q uarterl Grab Effluent Alpha emitters (including radium-226, but excluding radon & uranium) 82077 15 pCu/l Quarterlys Grab Effluent Beta emitters (gross beta activity; excluding potassium-40 & other naturally occurring radionuclides)5 03520 50 pCu/L Quarterly5 Grab Effluent Uraniums 22708 30 µg/L Quarterlys Grab Effluent Chronic Toxicity TGP3B Quarterly Composite Effluent Dissolved Oxygen 00300 Weekly Grab Upstream & Downstream Temperature (°C) 00010 Weekly Grab Upstream & Downstream *Summer: April 1— October 31 *Winter: November 1— March 31 Please see Footnotes to this table on the next page. -- - - - - - -- Permit NCO064378 — A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.03 MGD) ... CONTINUED Footnotes: 1. Upstream = at least 50 feet upstream from the outfall. Downstream = at least 300 feet below the outfall. 2. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µg/L. 3. For a given wastewater sample, TN = TKN + NO2-N + NO3-N, where TN is Total Nitrogen and TKN is Total Kjeldahl Nitrogen. 4. TN Load is the mass load of Total Nitrogen discharged in a given period of time [see condition A. (3)]. 5. Sampling frequency will increase to monthly should any one sample exceed four times the average annual activity level. The permitted should notify the Point Source Branch of the Surface Water Protection Section as well as the Raleigh Regional Office in writing, should this occur. 6. Chronic Toxicity (Ceriodaphnia) Pass/Fail at 90%; January, April, July & October (see A. (6)). THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. Permit NC00643-78 — A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.06 MGD) During the period beginning upon expansion to 0.06 MGD 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: EFFLUENT CHARACTERISTICS Parameter Code LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Locationx Flow 50050 0.06 MGD Continuous RecordingInfluent or Effluent Total Monthly Flow Monitor & Report Monthly Calculated Influent or Effluent BOD, 5-day (20°C) — Summer* C0310 5.0 mg/L 7.5 mg/L Weekly Composite Effluent BOD, 5-day (20°C) — Winter* C0310 10.0 mg/L 15.0 mg/L Weekly Composite Effluent Total Suspended Solids C0530 30.0 mg/L 45.0 mg/L Weekly Composite Effluent NH3 as N— Summer* C0610 2.0 mg/L 10.0 mg/L Weekly Composite Effluent NH3 as N— Winter* C0610 4.0 mg/L 20.0 mg/L Weekly Composite Effluent Dissolved Oxygen 00300 Daily average ? 5.0 mg/L Weekly Grab Effluent Fecal Coliform (geometric mean) 31616 200/100 ml 400/100 ml Weekly Grab Effluent. Total Residual Chlorine 50060 17 µg/L 2/Week Grab Effluent Temperature (*C) 00010 Daily Grab Effluent pH 00400 Not < 6.0 nor > 9.0 Standard Units Weekly Grab Effluent TKN (mg/L) 00625 Monitor & Report Weekly Composite Effluent NO2-N + NO3-N (mg/L) 00630 Monitor & Report Weekly Composite Effluent TN (mg/L)3 C0600 Monitor & Report 2/Month Composite Effluent TN Load4 QM600 Y600 Monitor & Report (lb/mo) Monitor & Report lb/ Monthly Annually Calculated Calculated Effluent Effluent Total Phosphorus C0665 Monitor & Report 2/Month Composite Effluent Combined radium-226 & radium-228 5 , 11503 5 Cu/1 p Quarterly'Grab Effluent Alpha emitters (including radium-226, but excluding radon &. uranium)82077 15 pCu/l Quarterly5 Grab Effluent Beta emitters (gross beta activity; excluding potassium-40 & other naturally occurring radionuclides)' 03520 50 pCu/L Quarterly' Grab Effluent Uranium5 22708 30 µg/L Quarterly' Grab Effluent Chronic Toxicity6 TGP3B Quarterly Composite Effluent Dissolved Oxygen 00300 Weekly Grab Upstream & Downstream Temperature (*C) 00010 Weekly Grab Upstream & Downstream *Summer: April 1 — October 31 *Winter: November 1— March 31 Please see Footnotes to this table on the next page. _- - - --- - ------------P-er-mit-NC0064-378__-._. — A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS (0.06 MGD) ... CONTINUED Footnotes: 1. Upstream = at least 50 feet upstream from the outfall. Downstream = at least 300 feet below the outfall. 2. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina certified laboratory (including field certified), even if these values fall below 50 µg/L. 3. For a given wastewater sample, TN = TKN + NO2 N + NO3-N, where TN is Total Nitrogen and TKN is Total Kjeldahl Nitrogen. 4. TN Load is the mass load of Total Nitrogen discharged in a given period of time [see condition A. (3)]. 5. Sampling frequency will increase to monthly should any one sample exceed four times the average annual activity level. The permitted should notify the Point Source Branch of the Surface Water Protection Section as well as the Raleigh Regional Office in writing, should this occur. 6. Chronic Toxicity (Ceriodaphnia) Pass/Fail at 90%; January, April, July & October (see A. (6)). THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS. - Permit NCO064378 A. (3.) CALCULATION OF TOTAL NITROGEN LOADS a. The Permittee shall calculate monthly and annual TN Loads as follows: i. Monthly TN Load (pounds/month) = TN x TMF x 8.34 Where: TN = average TN concentration (mg/L) of the composite samples collected during the month TMF = Total Monthly Flow of wastewater discharged during the month (MG/month) 8.34 = conversion factor, from (mg/L x MG) to pounds H. Annual TN Load (pounds/year) = Sum of the 12 Monthly TN Loads for the calendar year b. The Permittee shall report monthly Total Nitrogen results (mg/L and pounds/month)in the discharge monitoring report for that month and shall report each year's annual results (pounds/year) in the December report for that year. A. (4.) TOTAL NITROGEN ALLOCATIONS a. The following table lists the Total Nitrogen (TN) allocation(s) assigned to, acquired by, or transferred to the Permittee in accordance with the Neuse River nutrient management rule (T15A NCAC 02B .0234) and the status of each as of permit issuance. For compliance purposes, this table does not supercede any TN limit(s) established elsewhere in this permit or in the NPDES permit of a compliance association of which the Permittee is a Co- Permittee Member. ALLOCATION AMOUNT ci) ALLOCATION TYPE SOURCE DATE STATUS Estuary (Ib/yr) Discharge (Ib/yr) Base Assigned by Rule 12/7/97; 607 1,213 Active (T15A NCAC 02B .0234) 4/l/03 TOTAL 607 1,213 Active Footnote: (1) Transport Factor = 50% b. Any addition, deletion, or modification of the listed allocation(s) (other than to correct typographical errors) or any change to Active status of any of the listed allocations shall be considered a major modification of this permit and shall be subject to the public review process afforded such modifications under state and federal rules. Permit NCO064378 A. (5.) CHRONIC TOXICITY PERMIT LIMIT (Quarterly) The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to Ceriodaphnia dubia at an effluent concentration of 90.0%. The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions. The tests will be performed during the months of January, April, July & October_ Effluent sampling for this testing shall be performed at the NPDES permitted final effluent discharge below all treatment processes. If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the two following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions. The chronic value for multiple concentration tests will be determined using the geometric mean of the highest concentration having no detectable impairment of reproduction or survival and the lowest concentration that does have a detectable impairment of reproduction or survival. The definition of "detectable impairment," collection methods, exposure regimes, and further statistical methods are specified in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -February 1998) or subsequent versions. All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form (MR-1) for the months in which tests were performed, using the parameter code TGP313 for the pass/fail results and THP3B for the Chronic Value. Additionally, DWQ Form AT-3 (original) is to be sent to the following address: Attention: NC DENR DWQ / Environmental Sciences Section 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later than 30 days after the end of the reporting period for which the report is made. Test data shall be complete, accurate, include all supporting chemical/physical measurements and all concentration/response data, and be certified by laboratory supervisor and ORC or approved designate signature. Total residual chlorine of the effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of the waste stream. Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No Flow" in the comment area of the form. The report shall be submitted to the Environmental Sciences Section at the address cited above. Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be required during the following month. Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water Quality indicate potential impacts to the receiving stream, this permit may be re -opened and modified to include alternate monitoring requirements or limits. If the Permittee monitors any pollutant more frequently then required by this permit, the results of such monitoring shall be included in the calculation & reporting of the data submitted on the DMR & all AT Forms submitted. NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an invalid test and will require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial monitoring. AFFIDAVIT OF PUBLICATION STATE OF NORTH CAROLINA COUNTY OF WAKE Advertiser Name: NCDENR/ DWQ/ POINT SOURCE Address: 1617 MAIL SERVICE CENTER PROTECTION SECTION, RALEIGH, NC 276991617 Before the undersigned, a Notary Public of Wake County North Carolina, duly commissioned and authorized to administer oaths, affirmations, etc., personally appeared TIM WINSLOW, who being duly sworn or affirmed, according to law, doth depose and say that he or she is Accounts Receivable Specialist of The News & Observer a corporation organized and doing business under the Laws of the State of North Carolina, and publishing a newspaper known as The News & Observer, in the City of Raleigh, Wake County and State aforesaid, the said newspaper in which such notice, paper, document, or legal advertisement was published was, at the time of each and every such publication, a newspaper meeting all of the requirements and qualifications of Section 1-597 of the General Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina, and that as such he or she makes this affidavit; and is familiar with the books, files and business of said corporation and by reference to the files of said publication the attached advertisement for NCDENR/ DWQ/ POINT SOURCE was inserted in the aforesaid newspaper on dates as follows: 04/11/2013 TIM WINSLOW, Accounts Receivable Specialist Wake County, North Carolina Ad Number 0000459542 Padic Ndlm Ngiv Cardona9mlonI PIDES Mmep 1617 all r T to CenW Unit 161IMdl NC 27 Center Rddpu NC # to 1161] NDl Idp,l b Issue a NPDES Wlalexater Permit oY IDllr�q� Notary public = Wake County 20 THrCiARIO �\�`��: Sworn to and subscribed before me This 12th day of April, 2013 My Commission Expires: 211��15� Nof,4y Signature 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 Maureen Kinney 4/5/13 Permit Number NCO064378 Facility Name Willowbrook WWTP Basin Name/Sub-basin number 03-04-02 Receiving Stream UT to Beddin field Creek Stream Classification in Permit C- NSW Does permit need Daily Max NH3 limits? No Does permit need TRC limits/language? No Compliance language added Does permit have toxicity testing? No Does permit have Special Conditions? Yes Does permit have instream monitoring? No Is the stream impaired (on 303(d) list)? For whatparameter? No Any obvious compliance concerns? No Any permit mods since lastpermit? No Current expiration date 2/28/2013 New expiration date 2/28/2018 Comments received on Draft Permit? This facility is Class II Awaiting decision on minors and reductions to TN/TP monitoring requirements (per Mike Templeton) Will make any necessary amendments to this draft. Modifications made to the permit for this renewal are: • Added parameter codes and updated footnotes in Sections A. (l.) & A.(2.) • Updated list of treatment components Regional Office SWP Staff Report Form: All Permit Information should be verified against BIMs Permit Information, note any discrepancies and correction action needed All information in BIMs is Correct No - - correct address and lattlon Permit Number NC0064378 - Permittee Carolina Water Services Facility Name — Willowbrook Subdivision Regional Office_ _ Raleigh RO Contact person Tom Ascenzo Date November 9, 2012 T Facility Location 3623 Willowtree Lane, Clayton, NC 27520 Equipment description Bar Screen, Grit Removal, flow measurement, diffused aeration basin, clarifier, sludge holding tank, chlorination, dechlorination, post aeration tank. Discharge Point(s): - - Latitude 35.682051 Longitude -78.500191 Waterbody: Receiving Stream _UT to Beddingfield Creek Stream Classification C-NSW River Basin j Neuse River Sub -basin 03-04-02 Stream Index 27-37 Effluent limits Toxicity 113 passed 2 failed test Review Permit Enforcement Case List (July 2007-July 2012) Count and List the total number of 2 Enforcement Cases here: Last inspection 110/22/2012 Review Special Conditions: INo special conditions Recommendations for renewal of I RRO has no objections to Wiillowbrook's permit renewal. Utilities, Inc August 31, 2012 NPDES Unit NC Division of Water Quality NC DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Reference: Willowbrook WWTP NPDES Permit NCO064378 Permit Renewal Request Dear Sir: Please find the enclosed application with attachments and consider this letter as our official request to renew the permit for the facility referenced above. If you should have any questions or need any additional information, please do not hesitate to call me at 704-319- 0517 or by email at Lnjlashua@uiwater.com. Thank you in advance for your attention. Regional Director a Ube% Inc. ompoy Carolina Water Service, Inc. of North Carolina P.O. Box 240908 0 Charlotte, NC 28224 8 P: 704-525-7990 ® F: 704-525-8174 5701 Westpark Dr., Suite 101 ® Charlotte, NC 28217 ® www.uiwater.com • NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water (Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit 000064378 If you are completing this form in computer use the TAB key or the up - down arrows to move from one field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type. 1. Contact Information: Owner Name Carolina Water Service, Inc. of North Carolina Facility Name Willowbrook Mailing Address PO Box 240908 City Charlotte State / Zip Code NC, 28224-0908 Telephone Number (704) 319-0517 Fax Number (704) 525-8174 e-mail Address mjlashua@uiwater.com 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 3623 Willow Tree Lane City Clayton State / Zip Code NC, 27520 County Wake 3. Operator Information: Name of the fmTm public organization or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORC) Name Carolina Water Service, Inc. of North Carolina Mailing Address PO Box 240908 City Charlotte State / Zip Code NC 28224-0908 Telephone Number (704) 525-7990 Fax Number (704) 525-8174 1 of 3 Form-D 05108 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 4. Description of wastewater: Facility Generating Wastewater(check all that apply): Industrial ❑ Number of Employees Commercial ❑ Number of Employees Residential ® Number of Homes 168 School ❑ Number of Students/Staff Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): All wastewater is from homes and water treatment facilities. Population served: 420 5. Type of collection system ® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points 1 Outfall Identification number(s) 001 Is the outfall equipped with a diffuser? ® Yes ❑ No 7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall): Unnamed tributary to Beddingfield Creek 8. Frequency of Discharge: ® Continuous ❑ Intermittent If intermittent: Days per week discharge occurs: 7 Duration: 24 9. Describe the treatment system List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a separate sheet of paper. Bar screen, grit removal, diffused aeration basin at 36,000 gallons, clarifier at 11,000 gallons, sludge holding tank at 5,000 gallons, chlorination and de -chlorination, and post aeration. The plant is designed to remove BOD to less than 15 mg/l (summer) and 29 mg/l (winter). Total suspended solids will be removed to less than 30 mg/l, ammonia nitrogen to less than 10 mg/1 (summer) and 20 mg/1 (winter). 2 of 3 Form-D 05/08 NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow .03 MGD Annual Average daily flow .017 MGD (for the previous 3 years) Maximum daily flow .052 MGD (for the previous 3 years) 11. Is this facility located on Indian country? ❑ Yes ® No 12. Effluent Data Provide data for the parameters Iisted. Fecal Coliform, Temperature and pH shall be grab samples, for all other parameters 24-hour composite sampling shah be used. If more than one analysis is reported, report daily maximum and monthly average. If only one analysis is reported, report as daily maximum. Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BODS) 4.4 3.4 Mg/l Fecal Coliform 2 1 #/ 100 Total Suspended Solids 3.9 1.9 Mg/1 Temperature (Summer) 23 22 C Temperature (Winter) 17 15 C PH 7.5 7.3 S.U. 13. List all permits, construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA) NESHAPS (CAA) UIC (SDWA) Ocean Dumping (MPRSA) NPDES NCO064378 Dredge or fill (Section 404 or CWA) PSD (CAA) Other Non -attainment program (CAA) 14. APPLICANT CERTIFICATION Permit Number I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. Printed A-l*e of PersorKSigninA ) Title Signature of Date 31 / Z.o 1 Z North Carolina General Statute 143-215.6 (b)(2) states; Any person who knowingly makes any false statement representation, or certification in any application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.) 3 of 3 Form-D 05/08 Utilftkcs, Inc August 29, 2012 NPDES Unit NC Division of Water Quality NC DENR 1617 Mail Service Center Raleigh, NC 27699-1617 Reference: Willowbrook WWTP NPDES Permit NCO064378 Sludge management Plan Dear S' e's: If and when any sludge and other solids are generated at this facility, they will be removed by a contractor, Granville Farms for disposal. If you have any questions or if I can provide any additional information, please do not hesitate to contact me at 919- 662-7007. Sincerely, Stephen Harrell Area Manager cc: Martin Lashua Danny Lassiter Mary Rollins a usm, ur. wwwCarolina Water Service, Inc. of North Carolina 315B HWY 70 East a Gamer, North Carogna 275294041 & P: 919-662 7798 a F: 919-662 7797 . www.uhNater.com