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Home My WebLink AboutNC0083101_Permit Issuance_201205071t ON NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Governor Ms. Clarissa Lipscomb, Director/ORC City of Henderson PO Box 1434 Henderson, NC 27536 Dear Ms. Lipscomb: Charles Wakild, P.E. Director May 7, 2012 Dee Freeman Secretary Subject: Issuance of NPDES Permit No. NCO083101 Kerr Lake Regional WTP — PC-1 Vance County .s 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 October 15, 2007 (or as subsequently amended). This final permit contains the following changes from your January 18, 2012 draft permit: • Measurement frequencies have been changed from 2/Month back to Weekly which are the same frequencies in your existing permit for the following: o Flow changed to recording and continuous o Turbidity o Total Suspended Solids o pH o Total Residual Chlorine • Footnote #1 has been deleted. • The Daily Maximum limit of 1.0 mg/I for Iron has been added. 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. 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St Raleigh, North Carolina 27604 One Phone: 919-807-63871 FAX: 919-807-64951 Customer Service:1-877-623-6748 NorthC trolina Internet www.ncwaterquality.org �%�R'tllr��Cl� f An Equal Opportunity 1 Affirmative Action Employer 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 Bob Guerra at telephone number (919) 807-6387 or email at (bob.guerraancdenr.gov). Director Enclosure: NPDES Permit N00083101 Y Lz# . �6 Wakild, P.E. cc: Raleigh Regional Office / Surface Water Protection danny.smith(a)-ncdenr.govl (ecopy) Aquatic Toxicology / susan.meadows ()ncdenr.gov (ecopy) NPDES Unit Central Files 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One Phone: 919-807-63871 FAX: 919-807.64951 Customer Service: 1-877-623-6748 NOIt1 Carofina InternetEqual www.nnity eA r a live c An Equal Opportunity) Alfirmafive Action Employer Permit NCO083101 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, City of Henderson is hereby authorized to discharge wastewater from a facility located at the Kerr Lake Regional WTP 280 Regional Water Lane Henderson Vance County to receiving waters designated as a UT to Anderson Swamp Creek Arm of Kerr Lake in the Roanoke 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, 2012. This permit and authorization to discharge shall expire at midnight on March 31, 2017. Signed this day May 7, 2012. &ion Wakild P.E. of Water Quality By Authority of the Environmental Management Commission Permit NCO083101 SUPPLEMENT TO PERMIT COVER SKEET 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. The City of Henderson is hereby authorized to: 1. Continue to discharge from conventional water treatment plant filter backwash water and filter wastewater from the plant decanting lagoon system. The Kerr Lake Regional WTP. is located at 280 Regional Water Lane, near Henderson, in Vance County. 2. Discharge from said treatment works at the location specified on the attached map into a UT to Anderson Swamp Creek Arm of Kerr Lake in the Roanoke River Basin, classified WS — III and B - CA waters, in the Roanoke River Basin. IF ,fir JT4r eel - , I p ' � Cerro i L,26 , lnett Road_ y � y �< + s Outfa11001 SO_ IF.I��Y i�� `• � rI I ,r .�J C � - Cam utld (( r3 Cem ,,, _ /I !, ,�• it _ � r ,3I1 =.WTP C( l,1+",` ��,„ i, �`�-. ..iso � 4:•LI " _ III .. I i'r'�. cn ✓ Y� 51, City of Henderson Facility x Kerr Lake Regional WTP AAWOr Latitude: 36°26'15' N State Grid: Middleburg Location Longitude: 78021' 34" W Stream Class:WS-III and B-CA not to scale Receiving Stream: Anderson Swamp Creek Arm of Kerr Lake Drainage Basin: Roanoke River Basin Permitted Flow: N/A 7� NPDES Permit No. NCO083101 Sub -Basin: 03-02-05 North Vance County Permit NCO083101 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: EFFLUENT CHARACTERISTICS LIMITS MONITORING REQUIREMENTS Monthly Average Daily Maximum Measurement Frequency Sample Type Sample Location 50050 - Flow Continuous Recording Effluent 00076 — Turbidity Weekly Grab Effluent 00530 — Total Suspended Solids 30 mg/L 45 mg/L Weekly Grab Effluent 00400 - pH 6.0 — 9.0 s.u. Weekly Grab Effluent 50060 - Total Residual Chlorine' 17 pg/L Weekly Grab Effluent 01042 - Total Copper Quarterly2 Grab Effluent '01105 - Aluminum Quarterly2 Grab Effluent 01045 - Total Iron 1.0 mg/L Quarterly2 Grab Effluent 01055 - Manganese Quarterly2 Grab Effluent 00951 - Fluoride Quarterly2 Grab Effluent TGP313 - Whole Effluent Toxicity Monitoring3 Quarterly Grab Effluent Footnotes: 1) . The Division shall consider all effluent TRC values reported below 50 ug/I 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 ug/I. 2) Parameter should be monitored in conjunction with toxicity test. 3) See Part I, Condition A. (2.). Further studies may be required to determine the cause of toxicity, if any. The collection of samples shall coincide with the sampling of other parameters. There shall be no discharge of floating solids or visible foam in other than trace amounts All samples collected should be of a representative discharge. Permit NCO083101 A. (2.) CHRONIC TOXICITY MONITORING (QUARTERLY) The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in the "North Carolina (Ceriodaphnia Dubia) Chronic Effluent Bioassay Procedure," Revised February 1998, or subsequent versions. The effluent concentration defined as treatment two in the procedure document is 90%. The testing shall be performed as a Ceriodaphnia dubia 7day pass/fail test. The tests will be performed during the months of January, April, July and October. Effluent sampling for this testing shall be performed at the NPDES Permitted final effluent discharge below all treatment processes. All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form (MR-1) for the month in which it was performed, using the parameter code TGP36. Additionally, DWQ Form AT-1 (original) is to be sent to the following address: Attention: North Carolina Division of Water Quality Environmental Sciences Section 1621 Mail Service Center Raleigh, N.C. 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 and accurate and include all supporting chemical/physical measurements performed in association with the toxicity tests, as well as all dose/response data. 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, then monthly monitoring will begin immediately. Upon submission of a valid test, this monthly test requirement will revert to quarterly in the months specified above. 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 than 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. FACT SHEET COMPLEX EXPEDITED PERMIT RENEWAL Permit Writer/Date Bob Guerra / 5-1-12 Permit Number NCO083101 Facility Name Kerr Lake Regional WTP PC -1 Basin Name/Sub-basin number Roanoke Fear River / 03-02-06 Receiving Stream LIT to Swamp Creek Arm of Kerr Lake Stream Classification in Permit WS — III, B - CA Does permit need Daily Max NH3 limits? No Does permit need TRC limits/language? New language added Does permit have toxicity testing? Newly added per WTP Strategy Does permit have Special Conditions? Just Tox testing Does permit have instream monitoring? Not needed Is the stream impaired on 303 d list)? No Any obvious compliance concerns? None Any permit mods since lastpermit? Dechlorination added 7-7-08 Current expiration date 03-31-2012 New date 03-31-2017 M=tion received on Draft Permit? Probably from permittee Changes to the Previous Permit: • Limits and monitoring for Settleable solids deleted • The site map has been updated to reflect [at & long values for your discharge point. • Footnotes have been modified and added. • Parameter codes have been added to the effluent page. • Sampling frequencies have been changed for: o Flow - sample type changed from Instantaneous to recording o Aluminum — 2/month to quarterly o Fluorides from 2/month to Quarterly • Additional monitoring requirements have been added for the following Pollutants of Concern: o Manganese — Quarterly sampling. o Chronic Toxicity Monitoring Only— Quarterly sampling at 90 % IWC o TotalCopper— Quarterly BIMS Downloads: • No enforcement actions during existing permit cycle Parameter Values Export: f10-2007—10-2011) Flow "TSS FE TRC '. FI AL pH Monthly AvAverageerage 2.880 m /L 9 6.330 su Daily Max. 0.968 mgd 9.640 mg/L 0.280 mg/L 14.370 ug/L 0.341 mg/L 0.725 mg/L 6.46 su NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director January 18, 2012 MEMORANDUM To: Michael Douglas NC DENR / DWR / Regional Engineer Raleigh Regional Office From: Bob Guerra NPDES Program Subject: Review of NPDES Permit NCO083101 Kerr Lake Regional WTP Vance County Dee Freeman Secretary Please indicate below your agency's position or viewpoint on the proposed permit modification and return this form as soon as possible. If you have any questions on the proposed modification, please contact me at please contact me at (919) 807-6387 or e-mail bob.guerra cOcderi gov . ❑ua❑❑r��❑c❑❑r❑onn❑❑❑❑❑❑❑❑❑❑❑uu❑❑❑❑❑❑o❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑001100E)ncinc 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. F� Concurs with issuance of the above permit, provided the following conditions are met: Opposes the issuance of the above permit, based on reasons stated below, or attached: Signedt&/JGe,(Z, C4. ! '7— . Date: 1 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Qt1E Phone: 919-807-63001 FAX: 919-807-6492•Customer Service: 1-877-623-6748 North Carolina Internet: www.ncwaterquality.org NatumilY An Equal Opportunity 1 Affirmative Action Employer Public Notice North Carolina Environmental Management Commission/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Notice of Intent to Issue a NPDES Wastewater Permit The North Carolina Envi- ronmental Management Com- mission proposes to issue a NPDES wastewater discharge permit to the person(s) listed below. Written comments regard- ing the proposed permit will be accepted until 30 days after the publish date of this notice. The Director of the NC Divi- sion of Water Quality (DWQ) may hold a public hearing should there be a significant degree of public interest. Please mail comments and/or information requests to DWQ at the above address. Inter- ested persons may visit the DWQ at 512 N. Salisbury Street, Raleigh, NC to review information on file. Additional information on NPDES permits and this notice may be found 0n our website: http://portal. ncden r.orghvebtwq /swp/ps/npdes/calendar, or by calling (919) 807-6304. City of Henderson re- quested renewal of permit NCO083101 for Kerr lake Re- gional WTP in Person County; this permitted discharge is treated filter backwash waste- water to UT to Anderson Swamp Creek Arm of Kerr Lake, Roanoke River Basin. Jan 21, 2012 CLIPPING OF LEGAL ADVERTISEMENT ATTACHED HERE NORTH CAROLINA, VANCE 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, personally appeared CAROLYN WILLIAMS, who being first duly sworn, deposes and says: that he is Business Manager (Owner, partner, publisher, or other officer or employee authorized to make this affidavit) of Henderson Newspapers, Inc., engaged in the publication of a newspaper known as The Daily Dispatch, published, issued, and entered as second class mail in the City of Henderson, in said County and 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 Daily Dispatch on the following dates: _ Jan 21, 2012 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 Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General Statutes of North Carolina. This 26 day of January, 2012. (signature Verson making affidavit) Sworn to and subscribed before me, this 26 day of January, 2012 9 Notary u lic My commission expires: June 28, 2013 Table 1. Project Information ❑ CHECK if HQW or ORW only Facility Name W WTPM/TP Class NPDES Permit Outfal I Flow, Qw (MGD) Receiving Stream Stream Class 7Q10s (cfs) 7Q10w (cfs) 30Q2 (cfs) GA (cfs) 1 Cl Os (cfs) Data Source(s) Ll CHECK for MODEL Freshwater RPA 13 REQUIRED DATA ENTRY Kerr Lake Regional WTP PC-1 NCO083101 001 0.968 UT to Kerr Lake WS 0.00 0.00 0.00 0.00 BIMS data pull Follow directions for data entry. In some cases a comment menu list the available choices or a dropdown menu will provide a list you may select from. Error message occur if data entry does not meet input criteria. Par01 Par02 Par03 Par04 Par05 Parts Par07 Parts ParD9 Peril) Pad Par12 Pa rl3 Par14 Pa r15 Pa It Par17 Paris Parts Par20 Par21 Par22 Table 2. Parameters of Concern Name Type Chronic Modifier Acute PQL Units Arsenio C 50 FW ug/L Arsenic C 10 HH/WS ug/L Beryllium NC 6.5 FW ug/L Cadmium NC 2 FW 15 ug/L Chlorides (AL) NC 230 FW mglL Chlorinated Phenolic Compounds NC 1 A ug/L Total Phenolic Compounds NC 300 A ug/L Chromium NC 50 FW 1,022 ug/L Copper (AL) NC 7 FW 7.3 ug/L Cyanide NC 5 FW 22 10 ug/L Fluoride -: NC 1,800 FW ug/L. Lead NC 25 '. FW 33.8 ug/L Mercury NC 12 FW 0.5 ng/L Molybdenum NC 2,000 HH ug/L Nickel NC 88 FW 261 ug/L Selenium NC 5 FW 56 ug/L Silver (AL) NC 0.06 FW 1.23 ug/L Zinc (AL) NC 50 FW 67 ug/L. Al NC 1 WS mg/L 2011 RPA-Freshwater 5-1-12, input 5/1/2012 REASONABLE POTENTIAL ANALYSIS Date BDL=112DL Results 1 utmto 62 62 Std Dev. 2 vtmto 13 6.5 Mean 3 wtmto 10 10 C.V. 4 utmv; 32 32 n 5 molo 16 16 6 wtrzmo 12 12 Malt Factor= 7 mnom 108 108 Max. Value 8 wtnoto 22 22 Max. Pred Cw 9 wtmto 27 27 10 1wtm10 20 20 11 tutmm 27 27 12 m/tmm 12 12 13 mmtl 17 17 14 mmtt 46 46 15 mmtl 31 31 16 a mtl 31 31 17 wavii 21 21 18 Wmtt 34 34 19 mmn 27 27 20 mmu 28 28 21 mmn 24 24 22 unmrl 14 14 23 tmmn 15 15 241vtm11 12 6 25 1nm12 10 10 26 27 28-' 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 .CPFr. I. I CPFr.w _ 26.3400 0.8048 25 2.62 108.0 ug/L 283.0 ug/L Date Data BDL=112DL Results 1 11112010I si: 0,804 0.804 Std Dev. 1.5246 2 2/1/2010:`IfP'' 0.282 0.282 Mean 0.9204 3 3/1/2010 a 2.81 2.81 C.V. 1.6566 4 4M/2010 "�= Z7 7.7 n 25 5 5/1/2010 0.896 0.896 6 "'12010 0.678 0.678 Mull Factor = 4.79 7 7/1h010 0.153 0.153 Max. Value 7.700000 mg/L 8 8/1/2010 : 0.236 0.236 Max. Pred Cw 36.883000 mg/L 9 9/1/2010 0.179 0.179 10 10/1/2010 0,279 0.279 11 11/1/2010 '0.558 0.558 12 12/1/2010 ;-` 0.419 0.419 13 1/1/2011 - 0.214 0.214 14 2/1/2011 0.42 0.42 15 3/1/2011 ' 0.794 0.794 16 4/l/2011 0.205 0.205 17 5/1/2011 0.93 0.93 18 6/l/2011: 0.608 0.608 19 7/1/2011 0.587 0.587 20 8/l/2011.' 1.41 1.41 21 9/1/2011 0.358 0.358 22 10/l/2011 0.525 0.525 23 11/1/2011 N 1 1.44. 1.44 24 12/1/2011 -99 0.3 0.399 25 1/1/2012 -0.125 0.125 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 ... ... 70 2011 RPA-Freshwater 5.1-12, data -4- 611/2012 Kerr Lake Regional WTP REASONABLE POTENTIAL ANALYSIS Outfall 001 NCO083101 Qw = 0.968 MGD Qw (MGD) = 0.97 WWTP/WTP Class: PC-1 IQIOS(cfs)= 0.00 IWC @ IQIOS = 100.00% 7QIOS (cfs) = 0.00 1WC @ 7QIOS = 100.00% 7QIOW (cfs) = 0.00 IWC @ 7Q10W = 100.00% 30Q2 (cfs) = 0.00 IWC @ 30Q2 = 100.00% Avg. Stream Flow, QA (cfs) = 0.00 IWC @ QA = 100.00% Receiving Stream: UT to Kerr Lake Stream Class: WS CHRONIC TEST CONCENTRATION = DEFAULT % =90% PARAMETER STANDARDS & CRITERIA (2) y REASONABLE POTENTIAL RESULTS RECOMMENDED ACTION TYPE � NC WQS / Applied %2 FAV / II # Det. Max Pred Allowable Cw (1) z = Chronic Standard Acute Cw Acute: NO WQS Fluorlde NC 1800 FW(7QIOs) ug/L 25 23 283.0 Chronic: 1,800.0 — — — No value > Allowable Cw Acute: NO WQS Al NC I WS(7QI Os) mg/L 25 25 36.88300 _ _00 _ Chronic: 1.000 4 value(s) > Allowable Cw Acute: 0 0 N/A Chronic: ------------------------------ Acute: 0 0 N/A _ Chronic: --------- — — -- — — — — — — — — — Acute: 0 0 N/A Chronic: --------- — — — — — 2011 RPA-Freshwater 5-1-12, rpa Page 1 of 1 5/1/2012 City of Henderson Kerr Lake Regional Water System P. O. Box 1434 280 Regional Water Lane Henderson, NC 27536 Phone: 252/438-2141 Fax: 252/438-7866 Dina Sprinkle Point Source Branch 1617 Main Service Center Raleigh, NC 27699-1617 Subject: NPDES Permit NCO083 101 Kerr Lake Regional WTP Vance County Dear Ms. Sprinkle: The sludge that is generated at our Water Treatment Facility is sent to our onsite holding tanks to settle. Granville Farms, out of Oxford NC, then comes in and hauls the sludge off in tanker trucks to be land applied. Water on top of the sludge is pumped back into Kerr Lake after making sure that the turbidity and chlorine limits are met. If additional information is needed, please contact Clarissa Lipscomb at (252) 438-2142. Sincerely, Clarissa Lipscomb Director/ORC Kerr Lake Regional Water System JUL 2 0 2011 City of Henderson Kerr Lake Regional Water System P. O. Box 1434 280 Regional Water Lane Henderson, NC 27536 Phone: 252/438-2141 Fax: 252/438-7866 July 1, 2011 Mrs. Carolyn Bryant NC DENR/ DWQ / Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Kerr Lake Regional Water System Water Treatment Plant NPDES Permit Renewal (NC 0083101) Dear Mrs. Bryant: The Kerr Lake Regional Water System (KLRWS) is pleased to submit one (1) signed original and two (2) additional copies of the completed NPDES Renewal Application form. If there are any questions regarding the NPDES Permit Renewal Application or if additional information is required, please contact Ms. Clarissa Lipscomb, KLRWS, at (252) 438-2142. Sincere , Clarissa Lipscomb l Director/ORC Kerr Lake Regional Water Plant r r------ JUL 1 12011 I NPDES PERMIT APPLICATION - SHORT FORM C - WTP For discharges associated with water treatment plants Mail the complete application to: N. C. Department of Environment and Natural Resources Division of Water Quality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit Number rN-CO0831 01 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 City of Henderson (60%) City of Oxford (20%) Warren County (20%) Facility Name Kerr Lake Regional Water System Mailing Address P O Box 1434 City Henderson State / Zip Code NC Telephone Number (252)438-2141 Fax Number (252)438-7866 e-mail Address clipscomb@ci.henderson.nc.us 2. Location of facility producing discharge: Check here if same as above ❑ Street Address or State Road 280 Regional Water Lane City Henderson State / Zip Code NC/27536 County Vance 3. Operator Information: Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the Operator in Responsible Charge or ORC) Name City of Henderson -Kerr Lake Regional Water System Mailing Address P O Box 1434.; City Henderson State / Zip Code NC ! ` 2 t Telephone Number (252)438-2141' = Y Fax Number (252)438-7866 4. Ownership Status: Federal ❑ - State ❑ Private ❑ Public Z S. Type of treatment plant: Pagel of 4 C-WTP 03/05 NPDES PERMIT APPLICATION - SHORT FORM C - WTP For discharges associated with water treatment plants ® Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by filtration and disinfection) ❑ Ion Exchange (Sodium Cycle Cationic ion exchange) ❑ Green Sand Filter (No sodium recharge) ❑ Membrane Technology (RO, nanofiltration) Check here if the treatment process also uses a water softener ❑ 6. Description of source water(s) (i.e. groundwater, surface water) Surface Water 7. Describe the treatment process(es) for the raw water: Addition of KMN04 to aid with taste and odor problems and control the amount of iron and manganese in the water 8. Describe the wastewater and the treatment process(es) for wastewater generated by the facility: Wastewater generated by the Kerr Lake Regional Water Plant consists of filter backwash water, water and sludge that is removed from the basins by periodic withdrawals by an in basin Spyder system and sludge and water from the quarterly basin washings. Polymer addition can be done but is not needed at this time for settling of .the sludge. After settling the water is decanted into Kerr Lake with turbidity being less than 25ntus. Sludge is hauled by Granville Farms to be land applied. 9. Number of separate discharge points: 1 Outfall Identification number(s) 001 10. Frequency of discharge: Continuous ❑ Intermittent 10 If intermittent: Days per week discharge occurs: 6-7 Duration: 4-12 hours 11. Plant design potable flowrate 10 MGD Backwash or reject flow .5 MGD 12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including latitude and longitude): We are the stream. Page 2 of 4 C-WTP 03/05 NPDES PERMIT APPLICATION - SHORT FORM C - WTP For discharges associated with water treatment plants 13. Please list all water treatment additives, including cleaning chemicals or disinfection treatments, that have the potential to be discharged. Potassium Permanganate, Sodium hypochlorite, Earthtec(algaecide), corrguard, polymer, Caustic, Fluoride, Alum Cleaning Chemicals -greased lightning, spic 'n span, vinegar, winder, soft scrub, comet, The Works 14. Is this facility located on Indian country? (check one) Yes ❑ No 15. Additional Information: > Provide a schematic of flow through the facility, include flow volumes at all points in the treatment process, and point of addition of chemicals. > Solids Handling Plan - 16. NEW Applicants Information needed in addition to items 1-15. > New applicants must contact a permit coordinator with the NCDENR Customer Service Center. Was the Customer Service Center contacted? ❑ Yes ❑ No > Analyses of source water collected > Engineering Alternative Analysis > Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a water quality model. 17. Applicant Certification 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. Clarissa Lipscomb Director/ORC Printed namepf Person Signing Title Signature of A 6IF", Da 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 $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section Page 3 of 4 C-WTP 03/05 r I 1 NPDES PERMIT APPLICATION - SHORT FORM C WTP For discharges associated with water treatment plants 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.) Page 4 of 4 C-WTP 03/05