NC0063355_Application_20190924

September 24, 2019
NCDENR / Division of Water Quality/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Killians Crossroads WWTP
NPDES No. NC0063355
Catawba County
Good Afternoon:
Enclosed are three (3) copies of the completed application Form D-WWTP. This
submittal includes the necessary attachments for your office to renew the subject
permit.
Aqua North Carolina is requesting that the temperature monitoring frequency be
updated to reflect weekly versus daily monitoring. Weekly temperature monitoring is
the standard frequency for facilities with less than 0.100 MGD flow.
Should you need any additional information or assistance, please feel free to contact
me [phone] or by a -mail at [e-mail].
Sincerely,
Amanda Berger
Director, Environmental Compliance
Aqua North Carolina
Enc: NPDES Application, Form D
Killians Crossroads NPDES Permit
202 MacKenan Court, Cary, NC, 27511 • 919.467.8712 • AquaAmerica.com

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit WC0063355
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
AQUA NORTH CAROLINA, INC.
Facility Name
KILLIANS CROSSROADS WWTP
Mailing Address
202 MACKENAN COURT
City
CARY
State / Zip Code
NORTH CAROLINA 27511
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here ff same address as above ❑
Street Address or State Road 4306 MOUNT PLEASANT ROAD (NCSR 1849)
City SHERRILLS FORD
State / Zip Code NORTH CAROLINA
County CATAWBA
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name AQUA NORTH CAROLINA, INC.
Mailing Address
202 MACKENAN COURT
City
CARY
State / Zip Code
NORTH CAROLINA 27511
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
1 of 3 For rD 6/2017

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facilit9 Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
f
Number of Employees
Residential
f
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served: 34 Commercial Connections/restaurants/multi-purpose shopping
center and 33 Residential Connections (Bach MHP)
S. Type of collection system
4 Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
b. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes 4 No
7. Name of receiving stream(s) (NEW applicants: Provide a map shouring the exact location of each
outfall):
Lake Norman/Reed Creek (Catawba River Basin)
S. Frequency of Discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: _
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.
The 0.05 MGD package plant consists of the following:
•
0.025 MGD Equalization Basin
•
Flow Splitter Box w/Bar Screen
•
Dual Aeration Basins with Diffused Air
•
Dual Secondary Clarifiers
•
Dual Tertiary Filters
•
Diffused Post Aeration
•
Tablet Chlorination with Contact Chamber
•
Tablet De -chlorination
•
Cascade Post Aeration
•
Aerated Sludge Holding Tank
•
Stand -By Power Generator
2 of 3 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.05 MGD
Annual Average daily flow 0.024 MGD (for the previous 3 years)
Maximum daily flow 0.042 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes
4 No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall 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.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currently in your permit Mark other parameters 'NIA"
Parameter
Daily
Maximum
Monthly
Avenge
Units of
Measurement
Biochemical Oxygen Demand (BODs)
12.7
1.79
MG/L
Fecal Coliform
6.0
1.4
#/ 100 ML
Total Suspended Solids
4.4
1.2
MG/L
Temperature (Summer)
30.0
23.4
° Celsius
Temperature (Winter)
17.0
10.0
° Celsius
rpH
7.9
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA)
NPDES NCO063355
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
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.
Amanda Berger Director, Environmental Compliance
Printed name of Person Signing Title
Signature of Applicant
Date
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 612017