NC0083313_Permit Issuance_20160217

PAT MCCRORY
Water Resources
ENVIRONMENTAL OLIALITT
February 17, 2016
Brookside Camp Village, Brookside Village Condos
C/O James and James Environmental Mgt., Inc.
3801 Asheville Hwy
Hendersonville, North Carolina 28791
Dear Ms. James:
Govenmr
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Issuance of NPDES Permit NCO083313
Brookside Village Condos WWTP
630 Brookside Camp Road, Hendersonville
Henderson County
The Division of Water Resources (the Division) hereby issues the attached NPDES permit for the
subject facility. We issue this permit 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.
Changes for Renewal. The Division understands that you have made no significant changes to your
treatment processes since last renewal. We have therefore made only minimal changes to your permit by
updating your permit format and site map. However, please note that electronic reporting of Discharge
Monitoring Reports (DMRs) is now required.
Implementing Electronic Discharge Monitoring Reports (eDMRs). Please be advised that the Division
has implemented an electronic Discharge Monitoring Report (eDMR) program, in accord with pending
requirements by the Environmental Protection Agency (EPA). We include the details to implement the
eDMR program in this permit [see Section A. (2.)].
Proposed Federal regulations require electronic submittal of all DMRs and specify that, if North
Carolina does not establish a program to receive such submittals, Permittees must then submit eDMRs
directly to EPA. For more information on eDMRs, registering for eDMR submittal, and obtaining an
eDMR user account, please visit DWR's webpage:
htW://portal.nedenr.org/web/wa/admin/bog/ipu/edmr
For information on EPA's proposed NPDES Electronic Reporting Rule, please visit EPA's website:
http•//www2 epa gov/compliance/proposed-npdes electronic reporting rule
State of North Carolina I Environmental Quality I Water Resources
1611 Mail service Center I Raleigh, Nortlr Carolina 27699-1611
919 707 9000

C/O James and James Environmental Mgt., Inc.
Brookside Camp Village
February 16, 2015
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within
thirty (30) days after receiving this letter. Your request must take the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes, and you must file it with the office
of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless
such a demand is made, this permit shall be final and binding.
This permit is not transferable except after notifying the Division of Water Resources. The Division
may require permit modification, or revocation and re -issuance. Please note that this permit does not
affect your legal obligation to obtain other permits required by the Division of Water Resources, the
Division of Land Resources, the Coastal Area Management Act, or other federal or local governments.
If you have questions, or if we can further assist you, please contact Joe Corporon at
Fjoe.corporon ,ncdenngovl or call [phone].
esp ctfully,
S. Jay Zimmerman, P.G.
Enclosure: NPDES Permit NC0083313 (issuance final)
hc: Central Files
ARO/SWPS, Landon Davidson
NPDES Program Files
ec: ARO/SWPS, Landon Davidson
OCP, Maureen Kinney

Permit NCO083313
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
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, the
Brookside Camp Village
is hereby authorized to discharge wastewater from a facility located at the
Brookside Village Condos WWTP
630 Brookside Camp Road (NCSR 1528), Hendersonville
Henderson County
to receiving waters designated as Featherstone Creek in the French Broad 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 April 1, 2016.
This permit and authorization to discharge shall expire at midnight onNovember 30, 2020.
Signed this day February 17, 2016.
ay Zimmerman, P.G., Di ctor
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 o'167

Permit NCO083313
SUPPLEMENT TO PERMIT COVER SHEET
As of this permit issuance, any previously issued permit bearing this number is no longer effective. All
previous NPDES Permits issued to this facility, whether for operation or discharge, are hereby revoked.
Therefore, the exclusive authority to operate and discharge from this facility arises under the permit
conditions, requirements, terms, and provisions included herein.
Brookside Camp Village
is hereby authorized to:
1. continue to operate an existing 0.005 MGD extended -aeration type wastewater treatment
system with the following components:
♦ equalization basin
♦ aeration basin
♦ clarifier
♦ tertiary filter
♦ chlorination
♦ dechlorination
♦ effluent pump station
♦ sludge holding facilities
these facilities located at the Brookside Village Condos, 630 Brookside Camp Road in
Hendersonville, Henderson County, and
2. discharge from said treatment works via Outfall 001, a location specified on the attached map,
into Featherstone Creek [stream segment 6-55-12], a waterbody currently classified C within
subbasin 04-03-02 [HUC: 06010105] of the French Broad River Basin.
Page 2 ovI CP

Permit NCO083313
PART I
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
.[NCAC 02B.0400 et seq., 02B.0500 et seq.]
During the period beginning on the effective date of this permit, the Permittee is authorized to
discharge from Outfall 001. Such discharges shall be limited, monitored and reported 1 by the Permittee
as specified below:
� �
E LFh
� [
;.;,e .__.. a
MEZVT
CFIARA,CTERISTIGS
Monthly
Daly
Measurement
Sam le
_
Sa p I.
[Parameter Codes]
Overage
Maximum
Frequency-:
Type'
Location -2
Flow
50050
0.005 MGD
Weekly
Instantaneous
Influent or
Effluent
Total Residual
Chlorine (TRC) 3
50060
28 µg/L
2/ Week
Grab
Effluent
Dissolved Oxygen
00300
Weekly
Grab
U & D
Temperature (°C)
00010
Weekly
Grab
U & D
BOD, 5-day (20°C)
C0310
10.0 mg/L
15.0 mg/L
Weekly
Grab
Effluent
BOD, 5-day (20°C)
C0310
20.0 mg/L
30.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
C0530
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Temperature (°C)
00010
Weekly
Grab
Effluent
Dissolved Oxygen
00300
Daily Ave. not < 6.0 mg/L
Weekly
Grab
Effluent
pH
00400
Not < 6.0 or > 9.0 s.u.
Weekly
Grab
Effluent
Ammonia Nitrogen
(NH3 as N)
C0610
2.0 mg/L
10.0 mg/L
2/ Month
Grab
Effluent
(Apr 1— Oct 31)
Ammonia Nitrogen
(NH3 as N)
C0610
4.0 mg/L
20.0 mg/L
2/ Month
Grab
Effluent
(Nov 1— Mar 31)
Fecal Coliform
(geometric mean)
31616
200 / 100 ml
400 / 100 ml
2/ Month
Grab
Effluent
Footnotes:
1. Beginning no later than December 21, 2016, the Permittee shall submit discharge Monitoring Reports electronically
using DWR's eDMR submittal system [See Section A. (2)].
2. Upstream (U) = at least 100 feet from discharge point, Downstream (D) = at Howard Gap Road.
3. The Division shall consider compliant all effluent TRC values reported below 50 µg/L. However, the Permittee shall
continue to record and submit all values reported by a North Carolina -certified test method (including field certified),
even if these values fall below 50 µg/L.
Condition: The Permittee shall discharge no floating solids or foam.
Page 3 of 6

Permit NCO083313
A. (2.) ELECTRONIC REPORTING - DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
program reports and specify that, if a state does not establish a system to receive such submittals, then
permittees must submit monitoring data and reports electronically to the Environmental Protection
Agency (EPA). The final NPDES Electronic Reporting Rule was adopted and became effective on
December 212 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)l
Effective December 21, 2016, the permittee shall report discharge monitoring data electronically
using the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be. summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements may
be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3)
or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the
mailing address above. See "How to Request a Waiver from Electronic Reporting" section below.
Page 4 of 6

Permit NCO083313
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports; and
Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a
Waiver from Electronic Reporting" section below).
2. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to
the Division. Requests for temporary electronic reporting waivers must be submitted in writing to
the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin submitting monitoring data and reports. The duration of a
temporary waiver shall not exceed 5 years and shall thereupon expire. At such time, monitoring
data and reports shall be submitted electronically to the Division unless the permittee re -applies for
and is granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting waiver request
may submit monitoring data and reports on paper to the Division for the period that the approved
reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on
the following web page: '
http://portal.ncdenr.org/web/wq/admin/bop►/ipu/edmr
3. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.) (d)1
All eDMRs submitted to the permit issuing authority shall. be signed by a person described in Part
H, Section B. (11.)(a) or by a duly authorized representative of that person as described in Part 11,
Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
littp://Portal.nedenr.org/web/wo/admin/bogLi]2u/edmr
Page 5 of 6

Permit NC•0083313
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22] . NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief, true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. "
4. Records Retention (Supplements Section D. (Q]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions.
These records or copies shall be maintained for a period of at least 3 years from the date of the report. This
period may be extended by request of the Director at any time [40 CFR 122.41].
Page 6 of 6

R
.o
Downstream ' +�
Sample Point
3 141 ��♦ r 206E d
0
Mud Creek M�
e (flows NW)
!,
Brookside Camp Village
Brookside Village Condos WWTP
Latitude: 32°22'39" N State Grid/Quad: FMW/Fniitland
F,mtgitude: 82028'01" W Permitted Flow: 0.005MOD
Receiving Stream: Featherstone Creek Stream Segment: 6-55-12
Stream Class: C Sub -Bashi: 04-03-02
Drainage Basin: French Broad River HOC: 06010105
,
1 �
1�. Y \ � ♦
I � • I
`�.i. 7�i►tR
Outfa11001
(Flows SW)
•! d .
Interstate Hwy
• �` I_26
Facility
Location ", 444W]
not to scale
North NPDPS Permit NCO083313
Henderson County

NCDEQ / DWR / NPDES Unit
FACT SHEET FOR EXPIDITED PERMIT RENEWAL
NPDES Permit NCO083313
Facility Information
Applicant / Facility Name:
Brookside Camp
Village / Brookside Village Condos
Applicant Address:
3801 Asheville Hwy,
Hendersonville, NC 28791
Facility Address:
630 Brookside Camp
Road, Hendersonville, 28791
Permitted Flow
0.005 MGD
Type of Waste:
100% Domestic
Facili /Permit Status:
Renewal
County:
Henderson County
Miscellaneous
Receiving Stream:
Featherstone Creek
[se : 6-55-12]
Regional Office:
Asheville
Stream Classification:
C
State Grid/USGS Topo
Quad:
F9NE/ Fruitland
303(d) Listed?
No
Permit Writer:
Joe R. Corporon, L.G.
Subbasin:
04-03-02
Date:
14Dec2015
Drainage Area (mi2):
3.3
Summer 7Q10 cfs)
0.78
Winter 7Q10 (cfs):
1.23
Average Flow (cfs):
4.95
IWC (%):
0.98
Primary SIC Code:
4952
This extended -aeration wastewater treatment system (WWTP) services 19 condominiums, the system
consisting of:
♦ equalization basin
♦ aeration basin
♦ clarifier
♦ tertiary filter
♦ chlorination
♦ dechlorination
♦ effluent pump station
♦ sludge holding facilities
Renewal Summary - A review of effluent data (Jan2012-Ju12015) suggests regular discharge typical
of a 100%-domestic wastewater. The application reveals no significant changes in facility operations
since last renewal; no changes in flow (see Flow Summary below).
Compliance Summary - BIMS compliance record shows monitoring -frequency violations for TRC;
some trouble meeting BOD5 limits in August 2015; otherwise clean record (see attached summary).
This facility does not test for Whole Effluent Toxicity (WET) - no changes recommended.
Page 1 of 2

NCDEQ / DWR / NPDES Unit
FACT SHEET FOR EXPIDITED PERMIT RENEWAL
NPDES Permit NCO083313
Receiving Stream — This facility discharges directly Featherstone Creek, French Broad River Basin
(IWC summer = 0.98 %; IWC winter = 0.63 %). This facility does not monitor the receiving stream — no
changes recommended.
DMR Data Review
Table 1: BIMS Summary of DMR Data - Outfall 001 [dan2012 - Oct2015]
Flow
(MGD)
BOD
(mg/L)
TSS
(mg/L)
TRC
(µg/L)
Fecal
Coliform
#/ 100 ml
Ammonia as N
(mg/ L)
DO
(mg/L)
Average
0.0013
3.53
8.82
<15
2.37
0.187
9.6
Maximum
0.0060
17.45
38
<15
57
5.4
15.2
Minimum
0.000,
0.0
2.5
<15
< 1
0.10
5.9
Count
201
94
92
389
93
92
204
Proposed Schedule for Permit Issuance
Draft Permit to Public Notice:
Permit Scheduled to Issue:
Permit Effective Date (Tentative):
NPDES Contact
x /✓
Joe R. Corpbron, L.G.Jfoe.corporon(
December 16, 2015
January 25, 2015
March 1, 2016
.gov]; direct line [phone]
Date:
Page 2 of 2

IWC Calculations
Brookside Village Condos WWTP
NC0083313
Prepared By: Joe Corporon, NPDES Program
Residual Chlorine
Ammonia (NH3 as N)
(summer)
7Q10 (cfs)
0.78
7Q10 (CFS)
0.78
DESIGN FLOW (MGD)
0.005
DESIGN FLOW (MGD)
0.005
DESIGN FLOW (cfs)
0.00775
DESIGN FLOW (cfs)
0.00775
STREAM STD (ug/L)
17.0
STREAM STD (mg/L)
1.0
UPS BACKGROUND LEVEL (1
0
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
0.98
IWC (%)
0.98
Allowable Conc. (ugll)
1728
Allowable Conc. (mg/1)
79.5
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
1.23
Fecal Limit
2001100ml
DESIGN FLOW (MGD)
0.005
(If DF >331; Monitor)
DESIGN FLOW (cfs)
0.00775
(If DF <331, Limit)
STREAM STD (mg/L)
1.8
Dilution Factor (DF)
101.65
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
0.63
Allowable Conc. (mg/1)
252.6
NPDES Servor/Current Versions/IWC
12/16/2015

ASHEVILLE
CrMEN IB ES
VOICE OF THE MOUNTAINS a C3TIZEN-TIMES.mm
AFFIDAVIT OF PUBLICATION
BUNCOMBE COUNTY
SS.
NORTH CAROLINA
orblic Notice
Carolina
Env
Envhmmenlal
Mandgw"ent
Cammissmn
Before the undersigned, a Notary Public of said County and
NlW5
Unit
1617Mail 5eryiCe
State, duly commissioned, qualified and authorized by law
Ra)N9h, NC 27=1sil
Nan=ea�lmwtltq issue
to administer oaths, personally appeared Kelly Loveland,
a NPREs Wastewater
who, being first duly sworn, deposes and says: that she is
IIie North Carrlira v
"Time" Ma"a9°-
merit mlo
the Staff Accountant of The Asheville Citizen -Times,
to
pp5es to ISSue a NtPpES.
a 7
im' to he �NX,
engaged in publication of a newspaper known as The
isred no". WnNen
xmments regarding.
Asheville Citizen -Times, published, issued, and entered as
MII be"'a°��geot dP°un Mgt
)0 days after tfte pol~
ish
first class mail in the City of Asheville, in said County and
date o/ tMs notice.
the D,r jor of the NC
)Ivisi"n n, Water Re.
�rur"ws (DWR) mays
State; that she is authorized to make this affidavit and
loid -a Pq tic hearing)
ihoaltl 'here Ne a 5I
is mlt degree pt pub-''
sworn statement; that the notice or other legal
m mlerest. Pleese
umments
advertisement a true copy of which is attached hereto was
antl/ar in
in
"motion requests t
IWRat the above ad!
e e
publishedm The Asheville Citizen -Times on the
MS& Interested or-'
t may N. the BwRI
t !4 ei SeNC to
'rye) Raleigh. NC to
following date: December 23rd 2015. And that the said
on qn
emew Addition.
le. AdtllUonal rtpnor-
newspaper in which said notice, paper, document or legal
morn on NPsF$ per-
tgs and this nogce
reX�,t`� ,o�n �WrtO°arl
advertisement was published was, at the time of each and
[
nctlenro wog
,p/P5/npa r . m3aIs
r
every publication, a newspaper meeting all of the
'T ca11l"9 (9)9) 867-.
requirements and qualifications of Section 1-597 of the
r"okside Camp Village'
""ksfetl � nCw
%oksitle
General Statues of North Carolina and was a qualified
ViIIdgO Cart`
ps WWTP, Hender$on
nutty tllschdrgi
newspaper within the meaning of Section 1-597 of the
eared dome,'t{�i
a=teCnt ek, French]
'.one creto Feather.
_,
General Statutes of North Carolina.
Signed this 231 dayADecember, 2015
Sworn to and subscribed before me the 23`d day of
I � Decem r, 2015.
expires the 5`^ day of October, 2018.
[phone] 1 [phone] FAX
14 O. HENRY AVE. I P.O. BOX 2090 1 ASHEVILLE, NC 28802 1 (800) 8004204
NOTARY
PUBLIC
¢y GMNErr

April 30, 2015
James & James Environmental Management, Inc.
3801 Asheville Hwy., Hendersonville, N. C. 28791
OFFICE: [phone] FAX: [phone]
RECEIVED/DENR/DWR
N. C. Department of Environment and Natural Resources MAY 5 2015
Division of Water Quality/NPDES Unit
1617 Mail Service Center Water Qualify
Raleigh, N. C. 27699-1617 �'erMitting section
Regarding All Waste Water Facilities Operated by James & James Environmental Mgt., Inc
To Whom It May Concern:
This letter is to request the renewal of the permit for the waste water treatment facility of Brookside
Village Condos WWTP, NPDES number NC0083313.
Sincerely
40
Juanita James
James and James Environmental Mgt., Inc.
[e-mail]

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 000083,313
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
Brookside Camp Village
Facility Name
Brookside Village Condos
Mailing Address
c/o James and James Environmental Mgt., Inc 3801 Asheville
Hwy
City
Hendersonville
State / Zip Code
NC 28791 K
Telephone Number
828-697-0063 MAY 5 2015
Fax Number
828-697-0065 water Q 2l!�
e-mail Address
[e-mail] PSIMIt"Hu MGM
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 630 Brookside Camp Road (NCSR 1528)
City Hendersonville
State / Zip Code NC 28791
County Henderson
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 Brookside Came VillaLre
c/o James and James Environmental Mgt., Inc 3801 Asheville
Mailing Address
Hwy
City
Hendersonville
State / Zip Code
NC 28791
Telephone Number
828-697-0063
Fax Number
828-697-0065
e-mail Address
[e-mail]
1 of 3 Form-D 11/12

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 X
Number of Homes 19
School
Number of Students/Staff
Other
Explain: Nursing Home
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Condominiums
Number of persons served: 25
5. Type of collection system
X 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 X No
7. Name of receiving stream(s) (NEW applicants: Provide a map shouring the exact location of each
outfallj.
Featherstone Creek in the French Broad River Basin
S. Frequency of Discharge: X
If intermittent:
Days per week discharge occurs:
Continuous ❑ Intermittent
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.
A 0.005 MGD facility with equalization basin, aeration basin, clarifier, tertiary filter,
chlorination, dechlorination, effluent pump station, sludge holding facilities.
2 of 3 Form-D 11 /12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.005 MGD
Annual Average daily flow 0.001 MGD (for the previous 3 years)
Maximum daily flow 0.004 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X 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 APPLICANT'S: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "lli/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
5.8
4.0
MG/L
Fecal Coliform
57
8.0
CFU/ 100ML
Total Suspended Solids
13.9
11.7
MG/L
Temperature (Summer)
27.1
22.3
C
Temperature (Winter)
15.5
7.4
C
pH
8.4
6.7
units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO083313
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
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.
Printed name of Person Signing
of Applicant
Title
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.)
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