Loading...
HomeMy WebLinkAboutNC0075205_Permit Issuance_20050511\o�oF warF9Qc C r p Y Mr. Michael Myers Heater Utilities, Inc. PO Box 4889 Cary, North Carolina 27519 Dear Mr. Myers: Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Allan W. Klimek, P. E. Director Division of Water Quality May 11, 2005 Subject: Issuance of NPDES Permit NCO075205 Alexander Island WWTP Iredell County Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we are forwarding the attached NPDES discharge pemrit 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 draft permit sent to you on March 10, 2005. This permit does include spill notification requirements and daily monitoring for fecal coliform. We received and reviewed your letter dated March 31, 2005 regarding the draft pemvts. However, the addition of the daily fecal coliform monitoring is the result of a policy decision, and is applied to all package plant discharges to class B waters of Lake Norman upon permit renewal; therefore, this requirement can not be changed at this time. After the collection of data over a period of at least two summers, you may submit the findings and request a reevaluation of the daily fecal coliform monitoring requirement. This permit includes a TRC limit that will take effect on December 1, 2006. If you wish to install dechlorination equipment, the Division has promulgated a simplified approval process for such projects. Guidance for approval of dechlorination projects is attached. 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 Karen Rust at telephone number (919) 733-5083, extension 361. Sd" RONAL SIGNED BY Mark McIntire Alan W. Klimek, P.E. cc: Central Files Mooresville Regional Office/Surface Water Protection Section NPDES Files Nor`thCarclina )Vatumlly N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Internet httpd/h2o.encstate.nc.us 512 N. Salisbury St. Raleigh, NC 27604 An Equal Opportunity/Affirmative Action Employer Phone: (919) 733-7015 Customer Service Fax: (919)733-0719 1-877-623-6748 Permit NCO075205 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 provision 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, Heater Utilities, Inc. is hereby authorized to discharge wastewater from a facility located at the Alexander Island WWTP NCSR 1102 Lake Norman Iredell County to receiving waters designated as Lake Norman (Catawba River) in the Catawba 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 June 1, 2005. This permit and authorization to discharge shall expire at midnight on March 31, 2010. Signed this day May 11, 2005. ORIGINAL SIGNED BY Mark McIntire Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit NCO075205 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. Heater Utilities, Inc., is hereby authorized to: 1. Continue to operate an existing 0.015 MGD wastewater treatment system that includes the following components: ➢ Equalization tank ➢ Flow splitter box ➢ Parallel extended aeration package plants, each with aeration and clarification ➢ Dual tertiary sand filters ➢ Aerated sludge holding tank ➢ Chlorine contact chamber with tablet disinfection ➢ Post -aeration This wastewater treatment system is located at the Alexander Island WWTP on NCSR 1102 near Lake Noun in Iredell County. 2. Discharge at the location specified on the attached map into Lake Norman (Catawba River), classified WS-IV & B CA waters in the Catawba River Basin. Latitude: 35"31'W' Longitude: 80°54'02" Quad# E15SW Receiving Stream: Lake Norman Stream Class: WS-N & B CA Subbasin: 30832 NCO075205 Heater Utilities Alexander Island Facility Location A4W NorthF SCALE 1 :24000 Permit NCO075205 A. (I.) EFFLUENT MUTATIONS AND MONITORING REQUIREMENTS - FINAL During the period beginning on the effective date of the 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: Q/ MEB'.''i __..... �. • i 1,Ji+/ 11 rL °r Flow 0.015 MGD Weekly Instantaneous Influent or Effluent BOD, 5 day (202C) 30.0 mg/L 45.0 mg/L Weekly Grab Effluent Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Grab Effluent NH3 as N Weekly Grab Effluent Dissolved Oxygenl Weekly Grab Effluent Fecal Coliform (geometric mean) (April 1- October 31 200 / 100 ml 4001100 ml Daily2 Grab Effluent Fecal Coliform (geometric mean) November 1- March 31 200 / 100 ml 400 / 100 ml Weekly Grab Effluent Total Residual Chlodne3 28 µg/L 2/Week Grab Effluent Temperature Daily Grab Effluent pH4 Weekly Grab Effluent Footnotes: 1. The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/L. 2. Daily is defined as seven (7) days per week including Saturday, Sunday, and Holidays during the summer months and 5 days per week during the winter months. 3. The limit for total residual chlorine will take effect December 1, 2006, only if chlorine is used for disinfection. 4. 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. A. (2.) SPECIAL CONDITION - Spill Notification (a) Contacting Public Health Directors The facility must notify the Iredell, and Mecklenburg County Public Health Directors within 12 hours of first knowledge by the owner/operator of any discharge of untreated wastewater to waters of the State or a discharge from the wastewater treatment plant that has not received adequate disinfection due to a malfunctioning treatment unit. The County Public Health Directors can be contacted using the following information: Permit NCO075205 Current Information for Iredell, and Mecklenburg Countv Health Directors Iredell County Health Director Mecklenburg County Health Director 318 Turnersburg Highway 249 Billingsley Road Statesville, NC 28625 Charlotte, NC 28211 Phone Number: 704-878-5300 Phone number: 704-336-5103 (b) Public Notification The facility must notify the public of untreated wastewater spills. Wastewater facility owners or operators must issue a press release after a discharge to surface waters of 1,000 gallons within 48 hours of first knowledge of the spill by the owner/operator. The press release must be issued to "all electronic and print news media outlets that provide general coverage in the counties (Iredell, and Mecklenburg) where the discharge occurred.' A copy of the press release must be maintained for one year by the owner/operator. This press release is required in addition to the permit requirement of contacting the North Carolina Division of Water Quality (DWQ). If a discharge of 15,000 gallons or more reaches surface water, a public notice is required in addition to the press release. The public notice must be placed in a newspaper having general circulation in the County in which the discharge occurred and the county immediately downstream. At a minimum the notice should be published in the newspaper of general circulation in Iredell, and Mecklenburg Counties. If a discharge of 1,000,000 gallons of wastewater or more reaches surface waters, the DWQ regional office must be contacted to determine in what additional counties, if any, a public notice must be published. A copy of these public notices and proof of publication must be sent to the DWQ to the attention of "Pretreatment, Emergency Response, and Collection Systems Unit" at 1617 Mail Service Center, Raleigh, North Carolina 27699 within 30 days of publication. The minimum content of the notice is the location of the discharge, estimated volume, water body affected and steps taken to prevent future discharges. HWJF C WHVTAt_ M4N4G9 4ENr CC M1SSOVIN90 SLNT 1617M4LSEFMCE (No /N (ivIC&) np .'. FEB 7 2C05 P"Gj W2MR;.1617 AMRCATIM FINIENr 706SLEA WCO wasiEw ERPEFArr 07 the basis d tlro►ough stall mWewand agoticadrn of NC Gwwdl Statute 1430, Ataxic law 92-500 and other tawtcrt staxhmbandWJaficm the Abih cardina F r+arna td m rVoemertAanrrissionpr� poses ro issue a Abdar�t Aat- Iuryt em(AMBv der d t,eperrrittothepsr- scn(s) 1rstedbeloweffacdre45 ohs from the publish date of UYs rrod� Written oonrrrsrrtsf breao- Z afterft . pciaGshdareofttisnotioa All carrneMs recdved prior to that datearear stbiDdrnthe frddeteminattaisr+a rdn9 thep grwdpemit_ matt rector of the AC 0(vision of Water Quality may dedde to hdda publicrrreetrrg forthe pf permtshai ftcf v&bn mcm' a slgradrant de• Ages of thedaft pwW and direr sc,ppadrg Lrrfomaatton cnh7eumdtodiier Mecarr ddw" present in ft daft per- rdtarearar7able M7AW andpaymmnt of the costs of ripbdaan hitowne is arxyar liriraforrreticrr to the Division cf Water Q,alrty at the above adchm or call Ms. Cardyn " at 9ig7j15M extensionma Please include the NPOES pernitnumber(attadyo in any communication. w lnserestedAjvrsron of Water Quality at 512 At Salisbury Street,1 p 1between the hours - aw mand= mtorewew C3tawbaRw Msa Q&W1 rtias, k c (POOR* ty BC?D, and total residual W brine are water quali ty er4t� Cary A C2751 has apptiedfarm d lirrited. This dscharge may permit NCO056154 for the affed lultre Bloc Ochs in dhs Bridgeport WWTPIn lredell pation of the Catawba Ewer QWy. 711spam& dfadii y dsdrarges Q 08 m3D by ac9d wastewater to Catawba Rver HnW L611ftes, inc (Ft Dv* in the Catawba Fiver BWA er4889, Qry. AiC275199 has QnE*BM er nVMr*0- ledforraril dN°DES �. t A C0080691 for the c are quaff fait d 714s W indemere Subdivision dsdrarge may affect future WAIPinifedbMuty This trayaffed allooaticns in this perrritteof fadlityC n of #w tawba F1w Q(7g ibK� dea{ed wastewater toC"baRverintheCat awba RFver Basin Currently F bd& Lbrdie% Inc (FODa* BCC, wnvia d.ftgent and er4889, Cary, NC2751-9 has total tesict d d�faine are wa• ginoied forremmwal of WOES terq.d ty linWedL 7Ns ds- dta mgyafled future allo- penrit i�74772 for Me Cf& 1 �Z mono Head W'WTP in lreW1 W cations inthrs pordonofthe Qxrty. Wispemiftedfadidy Qt3"Rvw&dn dschwyes a i ADD treated wastewater to Lake Norman Chrdma VlhterS ift Inc. of ftm b CselcA74 in the Cat - North Carolina ((P�O Box awba Rver&wa Currently 24M CharlottA W114), BW, ammonia rrtrogerk and has agofredforrerrewal Bits fatal residual d*rk Barew;1- NPDES permit (number 4 farTheH3bar- terqualityrimited This ds- daWm9yaWAArea110- VN#4W7P1n1f9cWCanW Cairar rn this portl0rr of the dsdwgirrgg to an unnamed WbAWy toiakeNamran(Ca- Catawba Flwe Bin dawba FTve� Ln the the cam Heater Ltir ties, Ina (FO Box baflfverBasin T>msfaaility 4889, C.`ary,1NC27519) has dsddxuge 5 go d a fa t � of filtarbadcwesh wastewater. Offe*,, rdaf Fb9dd Chb- exana�erlsiand WWTPin Iro- d f1 axnty. Tics pw tied fa- rine is water quality Limited cilih y dscharge Q 015 MGD Thisdsahargemayaffsdflu- ire -3dwastewatertoCat&* lure alloo9drts to the pafiert be Rover (Lake Nmw) in the dthe( tawba�verl�e NORTH CAROLINA IREDELL COUNTY AFFIDAVIT OF PUBLICATION Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified, and authorized by law to administer oaths, per- sonally appeared Kimberly P. Ownbey who being first duly sworn, deposes and says: that she is an employee authorized to make this statement by Media General Newspapers, Inc. engaged in the publication of a newspaper known as the Statesville Record & Landmark published, issued, and entered as second class mail in the city of Statesville in said County adn State, that she is authorized to make this affidavit and sworn statement; that the notice or other legal advertisement, a true copy of which is attached hereto, was published in the Statesville Record & Landmark on the following dates: and that 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 Statues of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the Greater Statues of North Carolina. f This �• day�p, 20-5NO (Signature of*rson-makii ig affidd*it) Sworn to and. subscribed before me, this day of 20 6S NotaryPub Commission expires: �" i a'" W© 1 State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Alan W. Klimek, P.E., Director MEMORANDUM RECEI IED Mooresi JA" 2 4 5 -Pgl�fi •,, _�,�., .._ January 19, 2005 To: Britt Setzer NC DENR / DEH / Regional Engineer Mooresville Regional Office From: Karen Rust NPDES Eastern Unit Subject: Review of Draft NPDES Permit NCO075205 Alexander Island WI'P Iredell County NC ENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES r . ................................ FP A� 3 1 2005 .� FUi6T "H Please indicate below your agency's position or viewpoint on the draft permit and return this form by March 2, 2005. If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at the bottom of this page. RESPONSE: (Check one) Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality standards. Concurs with issuance of the above permit, provided the following conditions are met: F� Opposes the issuance of the above permit, based on reasons stated below, or attached: ASigned �_fDate: 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 361 (fax) 919 733-0719 Vlsrr us ON THE IWERNET @ http:1m2o.enr.state.nc.us1NPDES Karen.Rust@ ncmail.net Heater M utilities .V:!Z � WATER AND WASTEWATER SERVICES Ms. Karen Rust N.C. Division of Water Quality Eastern NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 202 MaaKenan Court Cary, North Carolina 277511 phone: 919.467 7854 fax: 919.460.1788 Q March 31, 2005 APR 5 2005 DENR - WATER QUALITY POINT SOURCE BRANCH Re: Draft Permits - NC0056154, NC0074772, NC0075205, NCO080691 Bridgeport WWTP, Diamond Head WWTP, Alexander Island WWTP, Windemere WWTP, Iredell County Dear Ms. Rust: I have received your letter dated March 10, 2005, and the changes to the draft permit for the Bridgeport permit only. I did not receive modified permits for the other three systems although they were mentioned in your letter. It is my understanding pursuant to your letter "that since the issuance of the permit for Highway 150 WWTP the Division has received numerous requests from concerned citizens asking that these same conditions apply to all discharges to Lake Norman where treatment is performed using package plants." Therefore, the Division is revising our previously issued draft permits to include increased requirements including daily testing for fecal coliform. Heater Utilities, Inc. (Heater) strongly objects to a requirement for daily fecal coliform testing. This means that Heater will have to grab a sample from each plant every day and deliver it to our contract laboratory for analysis. These fecal samples have a six -hour holding time. This is very costly in operator time due to having to transport these samples everyday. These plants are discharging relatively small quantities of high quality effluent into Lake Norman and have an excellent record of compliance with all parameters, including fecal coliform. Performing daily tests for fecal coliform on grab samples from each of these plants is a costly exercise providing no additional protection to the environment. It would simply drive up the rates to our customers. Page Two Ms. Karen Rust March 31, 2005 If the rates to Heater's customers are increased to cover this additional cost, there will be other concerned citizens that may not want to pay for this non -beneficial testing. Please reconsider the requirement for daily fecal coliform testing in these permits. Sincerely, AViey H. Tweed President JHT/rt FACT SHEET FOR EXPEDITED RENEWAL Permit Number S- Facility Name Reviewer Basin/Sub-basin Receiving Stream Stream Classification in permit Stream Classification in BIMS Is the stream impaired (listed on 303(d))? Is stream monitoring required? Do they need NH3 limit(s)? Do they need TRC limit(s)? Do they have whole -effluent toxicity testing? 1 Are there special conditions? Any obvious compliance concerns? Existing Expiration Date Proposed Expiration Date o Miscellaneous Comments: If expedited, is thit impler permit or a ore difficult one? SOC PRIORITY PROJECT: No To: Permits and Engineering Unit Water Quality Section Attention: Carolyn Bryant Date: December 1, 2004 NPDES STAFF REPORT AND RECOMMENDATIONS County: Iredell NPDES Permit No.: NCO075205 MRO No.: 04-57 D PART I - GENERAL INFORMATION 1. Facility and address: Alexander Island WWTP �101FRQOLIT 9 2004c/o Heater Utilities Post Office Box 4889 DENR p01N1 SDURCE BRAN Cary, N.C. 27519 2. Date of investigation: November 30, 2004 3. Report prepared by: Michael L. Parker, Environmental Engineer II 4. Person contacted and telephone number: Tony Parker (704) 489-9404, ext. 232 5. Directions to site: The WWTP site is located at the western end of SR 1102 (Langtree Road) approx. 2.2 miles west of where SR 1102 crosses I-77 in southeastern Iredell County. 6. Discharge point(s), List for all discharge Points: - Latitude: 350 31' 04" Longitude: 80' 53' 59" Attach a USGS Map Extract and indicate treatment plant site and discharge point on map. USGS Quad No.: E 15 SW 7. Site size and expansion area consistent with application: Yes. Limited area is available for expansion, if necessary. 8. Topography (relationship to flood plain included): The WWTP is located above the high water elevation of Lake Norman. 9. Location of Nearest Dwelling: Approx. 150 feet from the WWTP. Page Two 10. Receiving stream or affected surface waters: Catawba River (Lake Norman). a. Classification: WS-IV, B CA b. River basin and subbasin no.: Catawba 030832 C. Describe receiving stream features and pertinent downstream uses: Discharge enters the Reeds Creek channel of Lake Norman. There is a municipal water intake approx. 2.5 miles south of the discharge point. The receiving stream is used for primary and secondary recreation and receives frequent bodily contact. PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS 1. a. Volume of Wastewater: 0.015 MGD (Design Capacity) b. What is the current permitted capacity: 0.015 MGD C. Actual treatment capacity of current facility (current design capacity): 0.015 MGD d. Date(s) and construction activities allowed by previous ATCs issued in the previous two years: There have been no ATCs issued for this facility in the past two years. e. Description of existing or substantially constructed WWT facilities: The existing WWT facilities consist of an equalization tank followed by a flow splitter box, two (2) extended aeration WWTPs connected in parallel (each has 0.0075 MGD capacity) with aeration and clarification, dual tertiary sand filters, an aerated sludge holding tank, tablet disinfection with contact chamber and post aeration. f. Description of proposed WWT facilities: There are no proposed facilities at this time. g. Possible toxic impacts to surface waters: Chlorine is added for disinfection. h. Pretreatment Program (POTWs only): N/A 2. Residual handling and utilization/disposal scheme: Residuals are removed when necessary by Liquid Waste, Inc. and taken for disposal to either a CMU WWT facility or by land application at a site in Anson County under the authority of DWQ permit no. WQ0014843. 3. Treatment Plant Classification: Class II (no change from previous classification) 4. SIC Code(s): 4952 Wastewater Code(s): 04 MTU Code(s): 06107 PART III - OTHER PERTINENT INFORMATION 1. Is this facility being constructed with Construction Grant Funds or are any public monies involved (municipals only)? Public monies were not used in the construction of this facility. 2. Special monitoring or limitations (including toxicity) requests: None at this time. Page Three 3. Important SOC/JOC or Compliance Schedule dates: This facility is neither under an SOC nor is one being considered at this time. 4. Alternative Analysis Evaluation a. Spray Irrigation: Insufficient area available. b. Connect to regional sewer system: None presently available to this site. C. Subsurface: Insufficient area available. PART IV - EVALUATION AND RECOMMENDATIONS The permittee requests renewal of the subject Permit to discharge treated domestic wastewater from a WWT facility that serves the Alexander Island residential development. There have been no changes to this facility or the permit since the permit was last issued. In discussions with Mr. Parker during the site visit, it was learned that there may an opportunity to connect the wastestream tributary to the Alexander Island WWTP to the Bridgeport WWTP (NC0056154), which is located = 1.5 miles east of the current facility. Sufficient capacity exists in the Bridgeport facility, which would allow for the eventual elimination of the Alexander Island plant if the connection is made. This possibility will be explored further by the permittee during the upcoming term of the reissued permit. In light of the litigation about the Highway 150 WWTP (NC0074900), effluent limitations for this discharge into Lake Norman should be based on "modeling" rather than BPJ. Pending receipt and approval of the draft permit, it is recommended that the permit be renewed as requested. Ga« A`/ 2 6 Water Quality egional Supervisor Date hAdsr\dsr04\a1exandr.dsr vA`\ Heater ` WATER SERVICES June 8, 2004 Mr. Charles Weaver NCDENR/Water Quality/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Permit Renewal - NPDES Permit NC 0075205 Alexander Island WWTP - Iredell County Re. 202 MxKenan Court Cary, North Carolina 27511 phone: 919.467..7854 fax; 919.460.1788 P.O. Drawer 4889, Cary, NC 27519 Dear Valery: As owner of the above -referenced facility, Heater Utilities, Inc. request renewal of the discharge permit. The sludge management plan for this facility is the removal of liquid sludge from an aerobic digester, as needed, by Liquid Waste, Inc. and disposed of at CMUD or by land application in Anson County, under Permit No. WQ0014843. If I can provide further information, please contact me at 919-467-8712. Ext. 37 or e-mail at jhtweed@aquaamerica.com. Sincerely, /Jl1eryd Twee a President JHT/rt NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) N. C. Department of Environment and Natural Resources Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 http://h2o.enr.state.nc.us/NPDES/ North Carolina NPDES Permit Number I NC00 75205 Please print or type 1. Contact Information: Facility Name Alexander Island WWTP Owner Name Heater Utilities, Inc. (Jerry Tweed) Street Address P.O. Drawer 4889 City Cary State / Zip Codes _._._ ___ _ North, -Carolina . __ 2751-9 - - _-_Telephone. Number 919 -) 467-7854 Fax Number ( 919 ) - 460-1788 e-mail Address Pubweed t,aquaamerica.com_ Operator Name Dana Bixby c/o Heater Utilities, Inc. Street Address P.O. Drawer 4889 City Cary State / Zip Code North Carolina 27519 County Telephone Number ( ) 2. Location of facility producing discharge: Check here if same as above ❑ Facility Name (If different from above) Street Address or State Road NCSR 1102 City Lake Norman State / Zip Code North Carolina County Iredell 3. Reason for application: Expansion/Modification * Existing Unpermitted Discharge Renewal X New Facility * Please provide a description of the expansion/modification: N/A Page 1 of 3 Version 12102 NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) 4. Description of the existing treatment facilities (list all installed components with capacities): .015 MGD wastewater treatment system with equalization tank, flow splitter box, parallel extended aeration package plants each with aeration and clarification, dual tertiary sand filters, aerated sludge holding tank, chlorine contact chamber with tablet disinfection and post aeration. 5. Description of wastewater (check all that apply): e of Facilitv GeneratinLy Wastewater Industrial -CommexciaL_ .- • . •-.,,Residential X - School Other Number of Employees Number of Employees- Number of Homes Number of Students/Staff Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.): Subdivision 6. List all permits, construction approvals and/or applications (check all that apply): Type Permit Number Type Permit Number RCRA Non -Attainment UIC Ocean Dumping NPDES NC 0075205 Dredge/Fill Permits PSD Other NESHAPS 7. Number of separate wastewater discharge pipes (wastewater outfalls): One S. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each outfall: N/A Page 2 of 3 Version 12102 r NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D To be filed only by privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow) 9. Name of receiving stream(s) (Provide a map shouring the exact location of each outfall): Lake Norman, Catawba River Basin 10. Is this facility located on Native American lands? (check one) YES ❑ NO I certify that I am familiar with the information contained in the application and that to the best- o£.mp knowledgE d belief such information is true, complete, and accurate. Jerry H. Tweed Printed Name of Person Signing Vice President Title of Applicant Date Si -North Carolina General Statute 143-215.6(b)(2) provides that: 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 $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a similar offense.) Page 3 of 3 Version 12102