NC0083933_Permit Issuance_20120327

V
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Thomas J. Roberts
Aqua North Carolina, Inc.
202 MacKenan Court
Cary, North Carolina 27511
Dear Mr. Roberts:
Division of Water Quality
Charles Wakild, P.E.
Director
March 27, 2012
Subject: NPDES PERMIT ISSUANCE
Permit Number NC0083933
Salem Quarters WWTP-Class WW-2
Forsyth County
Dee Freeman
Secretary
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 Quality 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 Scardina of my staff at [phone].
7�
Wakild, P.E.
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 9IM07.63001 FAX:9IM07-6492
Internet http://portal.ncdenrorg/wabhvgfine
ne
)ac6f Carolina
tura!!ll
An Equal Opportunity k Alfirmalive Action Employer

Permit NCO083933
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AI`v'D NATURAL RESOURCES
DIVISION OF WATER QUALITY
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 Quarters WWTP
Belews Creek Road
Walkertown
Forsyth County
to receiving waters designated as an unnamed tributary to Belews Creek 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 May 1, 2012.
This permit and authorization to discharge shall expire at midnight on February 28, 2017.
Signed this day March 27, 2012.
les Wakild, P.E., Director
ivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0083933
SUPPLEMENT TO PERMIT COVER SHEET
All previous NTPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this 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 0.06 MGD wastewater treatment system with the following
components:
♦ Bar screen
♦ Flow Sputter Box
♦ Equalization basin
♦ Dual aeration basins
♦ Dual clarifiers
♦ Dual sand filters
♦ Ultraviolet disinfection system
♦ Back-up chlorinator, contact basin
♦ Dechlorinator
♦ Sludge holding tank
♦ Stand-by power
The facility is located near Walkertown at the Salem Quarters WWTP on Belews Creek Road in
Forsyth County.
2. Discharge from said treatment works at the location specified on the attached map into an unnamed
tributary to Belews Creek, currently classified C waters in sub -basin 03-02-01 of the Roanoke
River Basin.

Aqua North Carolina, Inc.
Salem Quarters WWTP
County:
Forsyth
Stream Class:
Receiving Stream:
UT to Belews Creek Sub -Basin:
Latitude:
360 11' 30"
Grid/Quad:
Longitude:
800 06' 35"
HUC:
C
030201
C18NE
03010103
t
Facility
Location
(not to scale) '
NORTH NPDES Permit: NCO083933

Permit NCO083933
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 Pen ittee as specified below:
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Flow
or
50050
0.060 MGD
Continuous
RecordingInfluent
Effluent
BOD, 5-day (20°C)
BOD
30.0 mg/L,
45.0 mg/L
Weekly
Composite
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
NH3 as N — Summer*
2.0 mg/L
10.0 mg/L
Weekly
Composite
Effluent
C0610
NH3 as N —Winter*
NH3 as
7.1 mg/L
35.0 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen
Daily average > 5.0 mg/L
Weekly
Grab
Effluent
00300
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine'
28 ug/L
2/Week
Grab
Effluent
50060
Temperature (°C)
Daily
Grab
Effluent
00010
Total Phosphorus
Quarterly
Composite
Effluent
C0665
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
C0600
pH
Not < 6.0 nor > 9.0
Weekly
Grab
Effluent
00400
Standard Units
Dissolved Oxygen'
Upstream &
00300
Weekly
Grab
Downstream
Temperature (°C)
Upstream &
00010
Weekly
Grab
1
Downstream
*Summer: April 1— October 31
*Winter: November 1— March 31
Footnotes:
1. Upstream = at least 100 feet above discharge point; Downstream at NCSR 2009
2. 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
µme•
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS

3h9 /1 a
Winston-Salem Journal
Advertising Affidavit
Winston-Salem Journal
P.O Box 3159
Winston-Salem, NC 27102
NCDENR/DWQ/POINT SOURCE BRANCH
ATTN: DINA SPRINKLE
1517 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
FEB 15 2012
Account Number
3376309
Date
February 11, 2012
Date Category Description Ad Size Total Cost
02/11/2012 Legal Notices
PUBLIC NOTICE
North Carolina Environmental
Management Commission/NPDES Unit
161T Mail Service Center
Raleigh NC 27699.1617
N.U. of Intent to Issue a
Ill Wastewater Permit
North Carolina Environmental Management
omission proposes to issue a NPDES wastewa-
discharge permit to the person(s) listed below.
tten commentsregardingthe proposed- permit
s mayy visit the D'
Ralei h, INC tore%
nal information on
may be found on of
or
.Aqua North Carolina, Inc has requested renewal -
of NCO028746 for Briarwood Subdivision WWTP;
Stokes County. This permitted facility discharges
treated wastewater to an unnamed tributary to
Brushy Fork Creek; Roanoke River Basin. .
Aqua North Carolina, Inc. has requested renewal
of NC0083933 for Salem Quarters WTP, Forsyth.
County. This permitted facility discharges treated
wastewater to an unnamed tributary to Belews
Creek, Roanoke River Basin.
-.Aqua North Carolirra, Inc. has applied for renewal
of
NC0078115. This permitted facility discharges
treated wastewater to an unnamed tributary to
Belews Creek; Roanoke River Basin.
Cainsway Homeowner's Association has applied
for .renewal of NPDES .permit NCO075027 for the
Cainsway Mobile. Home Park WWTP;Forsyth
County. This permitted facility discharges 0.0432
MGD treated wastewater to Ader Creek; Roanoke
River Basin.
Aqua North CaroOna, Inc. has requested renewal
of NCO067091 for Mikkola Downs WTP; Forsyth
County. This permitted facility discharges treated
wastewater to East. Belews Creek, Roanoke River
Basin.
WSJ: February 11, 2012
PUBLIC NOTICE North Carolina Environmental Management C 1 x 59 L 431.00
Media General Operations, Inc.
Publisher of the
Winston-Salem Journal
Forsyth County
Before the undersigned, a Notary Public of Forsyth County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, personally appeared S.
A. Bragman, who by being duly sworn deposes and says: that she is the Assistant Controller
of the Winston-Salem Journal, engaged in the publishing of a newspaper known as
Winston-Salem Journal, published, issued and entered as second class mail in the City of
Winston-Salem, 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 Winston-Salem Journal on the following dates:
02/11/2012
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
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 I Ith day of February, 2012
(signature )"person making aJJidaviQ
Sworn to and subscribed before me, this I I th day of
My Commission expires v ' 2 b 10 t k1—
KIMALEY JOHNS ON
NOTARY PUBLIC
FORSYTH COUNTY
STATE OF NORTH CARW '
MY COMMISSION EXPIRE^a!'L
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Scardina, Maureen
From: Boone, Ron
Sent: Tuesday, February 07, 2012 8:29 AM
To: Scardina, Maureen; Basinger, Corey
Subject: RE: DRAFT Permits - Forsyth County (4)
Maureen,
My comments are below:
78115 —Greystone — Reviewed again
1. The receiving stream on the supplement page should be changed to "Belews Creek", as it is on the first page of
the permit and in BIMS.
2. Why did the downstream sample point change from 0.01 miles from discharge point to 0.18 miles from the
discharge point?
3. What happened to section A.2 of the permit?
67091— Mikkola — No Comments
75027 — Cains Way
1. A dechlorinator needs to be added to the plant description on the Supplement to Permit Cover Sheet.
83933 —Salem Quarters— Reviewed again
1. A dechlorinator needs to be added to the plant description on the Supplement to Permit Cover Sheet.
Let me know if you have questions. \ ; p (L
Regards,
Ron Bcone
NC DENR Winston-Salem Regional Office W
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Email: ron.booneC)ncdenr.Rov
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Scardina, Maureen
Sent: Friday, February 03, 2012 11:27 AM
To: Basinger, Corey; Boone, Ron
Subject: DRAFT Permits - Forsyth County (4)
Corey/Ron:
Please see the draft permits attached. They have not actually gone out for public notice yet. Dina, our admin, is out
recouping from knee surgery so they didn't go on the V as indicated but still wanted to get these out for regional office
review.

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 Scardina 1/23/12
Permit Number
NCO083933
FacilityName
Salem Quarters W WTP
Basin Name/Sub-basin number
Roanoke River 03-02-01
Receiving Stream
UT to Belews Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes No - Updated TRC footnote
Does permit have toxicity testing?
Yes No
Does permit have Special Conditions?
Yes No
Does permit have instream monitoring?
Yes No - Tem erature & DO
Is the stream impaired (on 303(d) list)? For
whatparameter?
Yes No
Any obvious compliance concerns?
No
Anpermit mods since lastpermit?
No
Current expiration date
2/29/12
New expiration date
2/28/17
Comments received on Draft Permit?-
WSRO has reviewed the application and
recommends renewal.
A Total Residual Chlorine footnote has been updated in Section A.(1.).
Parameter codes added to effluent sheet

Scardina, Maureen
From:
Boone, Ron
Sent:
Tuesday, September 20, 2011 12:35 PM
To:
Scardina, Maureen
Cc:
Basinger, Corey
Subject:
NC0083933 and NC0078115
Maureen,
I have received and reviewed the permit renewal applications for Salem Quarters (NC0083933) and Greystone
(NC0078115). I have no questions, comments or concerns on either of them.
Let me know if you need to discuss anything with me regarding these two facilities.
Best Regards,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.

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 XC0083933
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 QUARTERS WWTP
Mailing Address
202 MACKENAN COURT
City
CARY
State / Zip Code
NC 27511
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road BELEWS CREEK ROAD
City
BELEWS CREEK
State / Zip Code
NORTH CAROLINA / 27009
County
FORSYTH
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 D
City CARY
State / Zip Code NORTH CAROLINA 27511
t
Telephone Number [phone] POINT SOURCE BRANCH
Fax Number [phone]
1 of 4 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 177
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
This wastewater system serves residential customers only.
Population served: 450
5. 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
7. Name of receiving stream(s) (Provide a map shouring the exact location of each outfallp.
UT to Belews Creek
8. Frequency of Discharge:
If intermittent:
Days per week discharge occurs_
Continuous
7
❑ Intermittent
Duration: 24 hours
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.
This 0.060 MGD wastewater treatment facility consists of:
• Bar screen
• Flow Splitter Box
• Equalization basin
• Dual aeration basins
• Dual clarifiers
• Dual sand filters
• Ultraviolet disinfection system
• Back-up chlorinator, contact basin and dechlorinator
2 of 4 Form-D 05108

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Sludge holding tank
Stand-by power
3 of 4 Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.060 MGD
Annual Average daily flow 0.021 MGD (for the previous year)
Maximum daily flow 0.027 MGD (for the previous year)
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)
10.9
2.86
MG/L
Fecal Coliform
85.0
3.2
#/ 100ML
Total Suspended Solids
22.0
5.9
MG/L
Temperature (Summer)
29.8
25.7
*Celsius
Temperature (Winter)
20.4
16.7
° Celsius
pH
7.8
N/A
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA)
NPDES NCO083933
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
be
st of my knowledge and belief such information is true, complete, and accurate.
..f j-, Z'0' Tj �/��f /.J�ir�'i i ego
Printed -name oPPerson Signing .01� Title
9110007A.'0
ture of h&6licant
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.)
4 of 4 Form-D 05/08

Aqua North Carolina, Inc. www.aquaamerica.com
202 MacKenan Court
Cary, NC 27511
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.