HomeMy WebLinkAboutNC0083925_Permit Issuance_20131223NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Thomas J. Roberts
Aqua North Carolina, Inc.
202 Mackenan Court
Cary, North Carolina 27511
Dear Mr. Roberts:
Division of Water Resources
Water Quality Programs
Thomas A. Reeder
Director
December 23, 2013
John E. Skvarla, III
Secretary
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO083925
Salem Glen Subdivision W WTP - Class II
Davidson 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 Resources 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.
Sine rely,
Thomas A. Reeder
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office, Surface Water Protection Section
1617 Mail Service Center, Ralegh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: 919-807-63001 Fax: 919-807-6492
Internet:: wwvv.ncvvateroualitv.oro
An Equal Oppo tunilyrAffinnalive Adon Employer
Permit NCO083925
�f
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
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,
Aqua North Carolina, Inc.
is hereby authorized to discharge wastewater from a facility located at the
Salem Glen Subdivision WWTP
Dock Davis Road
Clemmons
Davidson County
to receiving waters designated as the Yadkin River in the Yadkin -Pee Dee River in accordance
with. effluent limitations, monitoring requirements, and other conditions set forth in Parts I, H, III
and IV hereof.
This permit shall become effective February 1, 2014.
This permit and authorization 'to discharge shall expire at midnight on December 31, 2018.
Signed this day December 23, 2013.
Th A. Reeder, Director
Di 'sion of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7
Permit NC0083925
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.
Aqua North Carolina, Inc. is hereby authorized to:
1. , Continue to operate an existing 0.10 MGD extended -aeration package wastewater treatment
system with a discharge of treated domestic wastewater consisting of:
• Effluent flow control chamber w/bar screen
• Flow equalization tank
• Two (2) 50,000 gallon aeration basins with coarse air bubblers
• Two (2) rectangular clarifiers w/air sludge wasting and return
• UV disinfection w/backup tablet chlorination/dechlorination
• Effluent clear well
• Effluent pump station
• Flow measuring device
• Stationary generator (backup)
The facility is at the Salem Glen WWTP located on Dock Davis Road near Clemmons in Davidson
County.
2. After receiving Authorization to Construct from the Division of Water Resources, expand the
facility to a 0.20 MGD WWTP.
3. Discharge from said treatment works at the location specified on the attached map into the Yadkin
River, classified as WS-1V waters in the Yadkin -Pee Dee River Basin.
Page 2 of 7
Permit NCO083925
PART I .
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration or
expansion above 0.10 MGD, the Permittee is authorized to discharge treated domestic wastewater from
outfall 001. Such discharges shall be limited and monitored' by the Permittee as specified below:
EFFLUENT
LD41TS
MONITORING REQUIREMENTS
CHARACTERISTICS
Monthly
Daily
Measuremeni
Sample
Sample
Parameter Code
Average
Maximum
Fre uenc
nTe
Location
Flow
0.10 MGD
Continuous
Recording
Influent or Effluent
50050
BOD5i 5-day, 20'
30.0 m
45.0 m
WeeklyComposite
p
Effluent
C0310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
NH3 as N
2/Month
Composite
Effluent
C0610
Temperature
Weekly
Grab
Effluent
00010
Fecal Coliform (geometric mean)
Weekly
Grab
Effluent
31616
pH
Not < 6.0 nor > 9.0
Weekly
Grab
Effluent
00400
Standard Units
Total Residual Chlorine
28 µg/L
2/Month
Grab
Effluent
50060
Total Nitrogen (NO2 + NO3 +
TKN)
Monthly
Composite
Effluent
C0600
Total Phosphorus
Monthly
Composite
Effluent
C0600
Footnotes:
1. No later than 90 days from the effective date of this permit, begin submitting discharge
monitoring reports electronically using NC DWR's eDMR application system. See Special
Condition A.(3.).
2. Total Residual Chlorine (TRC) monitoring requirements and limits are applicable if chlorine
compounds are used for disinfection.
3. The Division shall consider all effluent TRC values reported below 50 µg/1 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.
All samples collected should be from a representative discharge event.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.
Page 3 of 7
Permit NCO083925
A. (2.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning upon authorized expansion above 0.10 MGD and lasting until expiration, the Permittee is
authorized to discharge treated domestic wastewater from outfa11001. Such discharges shall be limited
and monitored' by the Permittee as specified below:
EFFLUENT
LIMITS
MONITORING 'REQTJIREMENTS
CHARACTERISTICS
Monthly
Daily.
Measurement.
Sample::
Sample
Parameter Code
Average
Maximum
Frequency
Type,
Location
Flow
0.20 MGD
Continuous
Recording
Influent or Effluent
50050
BOD5, 5-day, 20°
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
NH3 as N
2/Month
Composite
Effluent
C0610
T emp
Temperature
010
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
Weekly
Grab
Effluent
31616
pH
(6.0 — 9.0 s.u.)
Weekly
Grab
Effluent
00400
Total Residual Chlorine2,3
28 ug/L
2/Month
Grab
Effluent
50060
Total Nitrogen (NO2 + NO3 + TKN)
C0600
Monthly
Composite
Effluent
Total Phosphorus
C0665
Monthly
Composite
Effluent
Footnotes:
1. No later than 90 days from the effective date of this permit, begin submitting discharge
monitoring reports electronically using NC DWR's eDMR application system. See Special
Condition A.(3.).
2. Total Residual Chlorine (TRC) monitoring requirements and limits are applicable if chlorine
compounds are used for disinfection.
3. 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.
All samples collected should be from a representative discharge event.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.
Page 4 of 7
Permit NCO083925
A. (3.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge, monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part H 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 [Supersedes Section D. (2.) and Section E. (5.) (a)l
Beginning no later than 90 days from the effective date of this permit, the permittee shall begin
reporting 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 / DWR / Information Processing Unit
ATTENTION: Central Files/eDMR
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.
Requests for temporary waivers from the NPDES electronic reporting requirements 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 using eDMR. Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re -applies for and is granted a new temporary
waiver by the Division.
Page 5 of 7
Permit NCO083925
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.ncdenr.ox web/wq/admin/bo�pu/edmr
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.
2. 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 H,
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: http://portal.ncdenr.or web/wq/admin/bog�ipu/edmr
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. "
3. Records Retention [Supplements Section D. (6.)l
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].
A. (4.) NUTRIENT REOPENER FOR HIGH ROCK LAKE
This permit may be reopened and modified to implement nutrient requirements in accordance with any
future TMDL and/or nutrient management strategy for High Rock Lake.
Page 6 of 7
1 �
/ r
OUTFALL 001 ti
4�
"
Aqua North Carolina, Inc.
Salem Glen Subdivision WWTP
County:
Davidson Stream Class:
WS-Iv
Receiving Stream: Yadkin River Sub -Basin:
03-07-02
Latitude:
350 57' 57" Grid/Quad:
Advance
longitude:
800 23' 11" HUC M
03040101
Facility
Location
(not to scale)
)NORTH NPDES Permit: NCO083925
42008346
J000456449
AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA LEXINGTON, NC November 7, 2013
DAVIDSON COUNTY
I, Lynn Bowers OF THE DISPATCH, A NEWSPAPER PUBLISHED IN THE CITY OF LEXINGTON, COUNTYAND STATE
AFORESAID, BEING DULY SWORN, SAYS THE FOREGOING LEGAL OF WHICH THE ATTACHED IS A TRUE COPY,
WAS PUBLISHED IN SAID NEWSPAPER ONCE, BEGINNING THE 7th DAY OF November, 2013.
PUBLICATION FEE: $ 88.80
&�eAA 1
(SEAL)
S O N TO AND SUBSCRIBE BEFORE ME, THIS 7 DAY OF 412)
MY COMMISSION EXPIRES
Ad Copy:
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
Environmental Management
Commission proposes to issue
a NPDES wastewater
discharge permit to the
person(s) listed below. Written
comments regarding the
proposed permit will be
accepted until 30 days after the
publish date of this notice. The
Director of the NC Division of
Water Resources (DWR) may
hold a public hearing should
there be a significant degree of
public interest. Please mail
comments and/or information
requests to DWR at the above
address. Interested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC
to review information on file.
Additional information on
NPDES permits and this notice
may be found on our website:
http�/!portal. neden r. orgAveb/wo/
swp/ps/npdes/calendaror by
calling (919) 807-6360 Aqua
North Carolina, Inc, has
applied for renewal of its
discharge permit NCO083925
for Salem Glen Subdivision
WVVTP. This facility discharges
treated wastewater to the
Yadkin River, Yadkin -Pee Dee
River Basin.
November 7, 2013
\\0 ON L flgyF�
P� s
Notary PUblla
Dovldson County
=1v1V Commission Expin=.
Ht�O``\`\\
NOV - 7 Z913
/r �'
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
November 6, 2013
MEMORANDUM
To: Lisa Edwards
NC DENR / DWR / Regional Engineer
Winston-Salem Regional Office
From: Maureen Kinney
Compliance & Expedited Permitting Unit
Subject: Review of Draft NPDES Permit NCO083925
Salem Glen Subdivision W ffP
Davidson County
John E. Skvarla, III
Secretary
Please indicate below your agency's position or viewpoint on the draft permit and return this form by
December 1, 2013. 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
F-1 limits are met prior to discharge, and the discharge does not contravene the designated water quality standards.
F-1
Concurs with issuance of the above permit, provided the following conditions are met:
F-1 Opposes the issuance of the above permit, based on reasons stated below, or attached:
P
Signed Date: Nov. 5, 2013
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 807-6391 (fax) 919 807-6496
VISIT US ON THE INTERNET @ HTTP://PORTAI.NCDENR.ORGMEB/wa Maureen.Kinney@ncdenr.gov
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper
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 11 /4/2013
Permit Number
NC0083925
Facility Name
Salem Glen Subdivision WWTP
Basin Name/Sub-basin number
Yadkin -Pee Dee 03-07-02
Receiving Stream
Yadkin River
Stream Classification in Permit
WS-IV
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes No
Does permit have toxicity testing?
Yes No
Does permit have Special Conditions?
Yes No — Electronic Reporting Requirement
Does permit have instream monitoring?
Yes No
Is the stream impaired (on 303(d) list)? For
whatparameter?
Yes No
Any obvious compliance concerns?
No
Any permit mods since lastpermit?
No
Current expiration date
12/31 /2013
New expiration date
12/31 /2018
Comments received on Draft Permit?
Please note the following modifications to this draft:
• Parameter codes added to Section A.(l .) Effluent Limitations and Monitoring
Requirements.
• A Fecal Coliform monitoring requirement has been added to Section A.(L) and A.(2.);
it was not included in previous version of this permit due to oversight, but has been
added during this renewal.
• A Nutrient Re -opener has been added to all dischargers in sub -basins 03-07-01 thru 03-07-
07, see Special Condition A. (4.).
• Lastly, a requirement to begin reporting discharge monitoring data electronically using
the NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application
has been added to this draft. [See Special Condition A. (3.)] For information on
eDMR, registering for eDMR and obtaining an eDMR user account, please visit the
following web page: hnp://portal.ncdenr.org/web/wg/admin/boglipu/edmr.
AOUA.
� Aqua North Carolina, Inc. vvww.aquanorthcarolina.com
4163 Sinclair Street
Denver, NC 28037
June 19, 2013
NCDENR / Division of Water Quality/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Salem Glen Subdivision WWTP
NPDES No. NC0083925
Davidson County
Gentlemen:
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.
If you need any additional information or assistance, please feel free to
contact our Regional Compliance Manager, Michael A. Melton @ 704-489-9404
ext. 57238 or by e-mail at MAMelton@aquaamerica.com.
Si erely,
Thomas J. oberts
President & COO
Enc
An Aqua America Company
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 000083925
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 SALEM GLEN SUBDIVISION WWTP
Mailing Address 202 MACKENAN COURT
City CARY
State / Zip Code NC 27511
Telephone Number (919) 653-5770
Fax Number (919)460-1788
e-mail Address tjroberts@aquaamerica.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road Dock Davis Road
City CLEMMONS
State / Zip Code NORTH CAROLINA
County DAVIDSON
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 (919) 653-5770
Fax Number (919) 460-1788
1 of 3 Form-D 05/08
' 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 303
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.) :
This system serves residential customers only.
Population served: 770
S. 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
?. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Yadkin River, classified class WS-IV waters in the Yadkin -Pee Dee River Basin
S. Frequency of Discharge: 19
If intermittent:
Days per week discharge occurs:
Continuous ❑ Intermittent
Duration:
9.
10. 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 0.10 MGD extended -aeration package WW plant consist of the following:
• An effluent flow control chamber with bar screen
• A flow equalization tank
• Two (2) 50,000 gallon aeration basins with coarse air bubblers
• Two (2) rectangular clarifiers with air sludge wasting and return
• UV disinfection with backup tablet chlorination/ declorination
• Effluent clear well
• Effluent pump station
• Flow measuring device
• Stationary Generator at the plant for backup power
2 of 3 Form-D 05/08
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
11. Flow Information:
Treatment Plant Design flow 0.10 MGD
Annual Average daily flow 0.038 MGD (for the previous 3 years)
Maximum daily flow MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
15.2
2.5
MG/L
Fecal Coliform
N/A
N/A
#/ 100ML
Total Suspended Solids
15.0
6.0
MG/L
Temperature (Summer)
28.0
23.4
'Celsius
Temperature (Winter)
18.0
14.1
° Celsius
pH
7.1
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO083925
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.
Thomas J. Roberts President & Chief Operating Officer
Printcftame of Person/Sign�4g _ Title , /1
Z 7 //_
Signature of Applifant - �uaie i
North Carolina General SSStatute 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 05108
�AO,UA
North Carolina -
SLUDGE MANAGEMENT PLAN
For
Aqua North Carolina, Inc.
No sludge will be treated on any wastewater treatment plant site operated
by Aqua N.C., Western Division
Where practical, sludge removed from a Aqua N.C., Western Division
facility will be transported via a contract hauler to another Aqua N.C.,
Western Division facility for the purpose of "seeding" a new or under
loaded plant.
Unusable (or "dead") sludge will be removed by a contract hauler and
properly disposed of in accordance with NCGS 143-215.1. Contract
haulers used by Aqua N.C., Western Division will be required to report the
quantity of sludge transported and identify the location of the proposed
disposal site if the sludge is not taken to an existing plant operated by Aqua
N.C., Western Division. Aqua N.C., Western Division has not entered into
any agreement to accept sludge into its facilities from plants not owned by
them.
Aqua N.C., Western Division will keep records on the quantity of sludge
removed from each facility, the name of the contract hauler, and the
destination of the sludge (whether used in another plant or disposed of).
The information will be kept on file and will be made available to any
regulatory agency having jurisdiction over sludge treatment or disposal.
Aqua N.C., Western Division includes all of the facilities under the
jurisdiction of the Winston-Salem Regional Office.