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HomeMy WebLinkAboutNC0021229_Renewal (Application)_20240807ROY COOPER Governor ELIZABETH S. BISER Secretary RICHARD E. ROGERS, JR. Director Josh Cagle Town of Old Fort 38 Catawba Ave Old Fort, North Carolina 28762 Town of Old Fort Subject: Permit Renewal Application No. NCO021229 Old Fort WWTP McDowell County Dear Applicant: NORTH CAROLINA Environmental Quality August 07, 2024 The Water Quality Permitting Section acknowledges the August 7, 2024 receipt of your permit renewal application and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made. Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a timely manner to requests for additional information necessary to allow a complete review of the application and renewal of the permit. Information regarding the status of your renewal application can be found online using the Department of Environmental Quality's Environmental Application Tracker at: https://www.deg.nc.gov/permits-rules/environmental-application-tracker If you have any additional questions about the permit, please contact the primary reviewer of the application using the links available within the Application Tracker. Sincerely, 4� jt-� Cynthia Demery Administrative Assistant Water Quality Permitting Section ec: WQPS Laserfiche File w/application D �n North Carolina Department of EnAronmental Quality I Division of Water Resources d' Asheville Regional Office 12090 US. Highway 70 1 5wanna ioa, North Carolina 28778 82.8.296.4500 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 Form U.S. Environmental Protection Agency 2A 420EPA Application for NPDES Permit to Discharge Wastewater NPDES NEW AND EXISTING PUBLICLY OWNED T SECTION•N INFORMATION FOR r Facility name 1.1 Town of Old Fort NCO021229 Mailing address (street or P.O. box) 38 Catawba Ave City or town State NODE J87Dz9°IfR/NPDES 0 w. Old Fort NC € Contact name (first and last) Title Phone number Email address 0 c Josh Cagle Superintendent (828) 655-6755 jcagle@oldfortnc.coom Location address (street, route number, or other specific identifier) m Same as mailing address Z R uL City or town State ZIP code 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes 4 See instructions on data submission ❑✓ No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? ❑ Yes ❑✓ No SKIP to Item 1.4. Applicant name Applicant address (street or P.O. box) 0 v €City State ZIP 0 or town code NC Contact name (first and last) Title Phone number Email address a a a 1.4 Is the applicant the facility's owner, operator, or both? (Check only one response.) ❑ Owner ❑✓ Operator ❑ Both 1.5 To which entity should the NPDES permitting authority send correspondence? (Check only one response.) ❑ Facility ❑ Applicant ✓❑ Facility and applicant (they are one and the same) 1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit number for each. Existing Environmental Permits a ✓❑ NPDES (discharges to surface ❑ RCRA (hazardous waste) ❑ UIC (underground injection water) control) E NCO021229 P ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) c W M y ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section Other (specify) w 404) WQ0011260 WQCS00139 EPA Form 3510-2A (Revised 3-19) Page 1 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort W WTP OMB No. 2040-0004 1.7 Provide the collections stem information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served indicate percentage) 100 % separate sanitary sewer El Own 0 Maintain a d Town of Old 901 0 /o combined storm and sanitary sewer ❑ Own ❑ Maintain Fort ❑ Unknown ❑ Own ❑ Maintain % separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain a% separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain 1° ❑ Unknown ❑ Own ❑ Maintain d% separate sanitary sewer ❑ Own ❑ Maintain % combined storm and sanitary sewer ❑ Own ❑ Maintain _ ❑ Unknown ❑ Own ❑ Maintain Total Population 901 � Served Combined Storm and Separate Sanitary Sewer System Sanitary Sewer Total percentage of each type of 100 % 0 sewer line in miles z' 1.8 Is the treatment works located in Indian Country? c 'o ❑ Yes ✓❑ No 0 1.9 Does the facility discharge to a receiving water that flows through Indian Country? 0 ❑ Yes ✓❑ No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate 500 mgd Annual Average Flow Rates Actual ca < Two Years Ago Last Year This Year c .164 mgd 1t mgd .145 mgd " Maximum Daily Flow Rates Actual Two Years Ago Last Year This Year .458 mgd .457 mgd 296 mgd 1.11 Provide the total number of effluent discharge points to waters of the United States by type. w Total Number of Effluent Dischar a Points by Type a Combined Sewer Constructed L a Treated Effluent Untreated Effluent Overflows Bypasses Emergency U Overflows q/ O 1 0 0 0 0 EPA Form 3510-2A (Revised 3-19) Page 2 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 Outfalls Other Than to Waters of the United States 1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the United States? ❑ Yes ✓❑ No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surface Im oundment Location and Dischar a Data Average Daily Volume Continuous or Intermittent Location Discharged to Surface (check one) Impoundment ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd ❑ Intermittent ❑ Continuous gpd a ❑ Intermittent w 1.14 Is wastewater applied to land? ❑ Yes ❑� No SKIP to Item 1.16. 0 1.15 Provide the land application site and discharge data requested below. H Land Application Site and Discharge Data o Continuous or `o Location Size Average Daily Volume Intermittent Cn Applied check one acres d gpd ❑ Continuous Mn ❑ Intermittent ❑ Continuous t o acres gpd ❑ Intermittent a acres ❑ Continuous gpd ❑ Intermittent 1.16 Is effluent transported to another facility for treatment prior to discharge? s o' ElYes m No -+ SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No 4 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Trans orter Data Entity name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address EPA Form 3510-2A (Revised 3-19) Page 3 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the receiving facilit . Receivina F cilitv Data a Facility name Mailing address (street or P.O. box) d 3 City or town State ZIP code 0 NC Contact name (first and last) Title 0 .c d Phone number Email address c NPDES number of receiving facility (if any) ElNone Average daily flow rate m d 9 Y 9 CL 2 0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do not 0 have outlets to waters of the United States (e.g., underground percolation, underground injection)? CD ❑ Yes ❑� No 4 SKIP to Item 1.23. 0 1.22 Provide information in the table below on these other disposal methods. Information on Other Disposal Methods o Disposal Location of Size of Annual Average Continuous or Intermittent Method Disposal Site Disposal Site Daily Discharge (check one) Description Volume acres gpd ❑ Continuous ❑ Intermittent ElContinuous acres gpd ❑ Intermittent ElContinuous acres gpd ❑ Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) R ❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section W Section 301(h)) 302(b)(2)) ✓❑ Not applicable 1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ❑ Yes ✓❑ No +SKIP to Section 2. 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information Contractor 1 Contractor 2 Contractor 3 c Contractor name (company name Mailing address street or P.O. box S City, state, and ZIP 0 code c Contact name (first and 0 last Phone number Email address Operational and maintenance responsibilities of contractor EPA Form 3510-2A (Revised 3-19) Page 4 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 SECTIONDD• •' • 1 0 Outfalls to Waters of the United States 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? rn o ✓❑ Yes ❑ No 4 SKIP to Section 3. c 2.2 Provide the treatment works' current average daily volume of inflow Average Daily Volume of Inflow and Infiltration and infiltration. .015 d 9P Indicate the steps the facility is taking to minimize inflow and infiltration. a R Currently have a AIA system inventory performed by Engineering firm to establish a CIP for replacement and c rehabilitation of collection system lines . w c t 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for M R specific requirements.) C"M 0 CL 0 ❑✓ Yes ❑ No E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? t° o (See instructions for specific requirements.) " o ❑✓ Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes El No SKIP to Section 3. Briefly list and describe the scheduled improvements. 0 is 1. c d E d c- 2. E 0 0 M ai 3. d 4. v A 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements E 0 Scheduled Affected Begin End Begin Attainment of > o CL Improvement Outfalls (list outfal Construction Construction Discharge Operational Level E (from above) number) (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) MM/DD/YYYY a m d ca ca 2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your response. ❑ Yes ❑ No ✓❑ None required or applicable Explanation: EPA Form 3510-2A (Revised 3-19) Page 5 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 SECTION•' • ON A' 1 3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.) Outfall Number 001 Outfall Number Outfall Number State North Carolina 2 County McDowell 0 City or town Old Fort 0 s Distance from shore 0 ft. a Depth below surface 0 ft. 0 Average daily flow rate .162 mgd mgd mgd Latitude 35° 38' 21.4" N Longitude 82° 09 30.7" W " 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? A o ❑ Yes ✓❑ No 4 SKIP to Item 3.4. d 3.3 If so, provide the following information for each applicable ouff all. s y 'o Outfall Number Outfall Number Outfall Number .2 Number of times per year C discharge occurs a Average duration of each `0 discharge (specify units c Average flow of each mgd mgd mgd U) y discharge in Months in which discharge occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? ❑ Yes ❑✓ No -+ SKIP to Item 3.6. W 3.5 Briefly describe the diffuser type at each applicable outf all. CL Outfall Number Outfall Number Outfall Number 0 0 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the United States from one or more 12 j discharge points? r❑ Yes ❑ No 4SKIP to Section 6. EPA Form 3510-2A (Revised 3-19) Page 6 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort W WTP OMB No. 2040-0004 3.7 Provide the receiving water and related information if known for each outfall. Outfall Number 001 Outfall Number Outfall Number Receiving water name Curtis Creek Name of watershed, river, Catawba River `o or stream system a U.S. Soil Conservation L h Service 14-digit watershed o code L 3 Name of state management/river basin North Carolina Catawba River U.S. Geological Survey CD 8-digit hydrologic 03050101 cataloging unit code Critical low flow (acute) cfs cfs cfs Critical low flow (chronic) cfs cfs cfs Total hardness at critical mg/L of mg/L of mg/L of low flow CaCO3 CaCO3 CaCO3 3.8 Provide the following information describing the treatment pr vided for discharges from each outfall. Outfall Number 001 Outfall Number Outfall Number Highest Level of ❑ Primary ❑ Primary ❑ Primary Treatment (check all that ❑ Equivalent to ❑ Equivalent to ❑ Equivalent to apply per outfall) secondary secondary secondary 0 Secondary ❑ Secondary ❑ Secondary ❑ Advanced ❑ Advanced ❑ Advanced ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) c 0 c Design Removal Rates by Outfall d BOD5 or CBOD5 85 % % % c a� E a1Oi L TSS 85 % % % 0 Not applicable ❑ Not applicable ❑ Not applicable Phosphorus /o o 0 /a % /o m Not applicable ❑ Not applicable ❑ Not applicable Nitrogen % % % Other (specify) ❑ Not applicable ❑ Not applicable ❑ Not applicable EPA Form 3510-2A (Revised 3-19) Page 7 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 3.9 Describe the type of disinfection used for the effluent from each ouffall in the table below. If disinfection varies by season, describe below. a Sodium Hypochlorite 12.S% Liquid Bleach and dechlorinate with calcium thiosulfate solution. m c .0 0 U c Outfall Number 001 Outfall Number Outfall Number 0 fl- Disinfection type Sodium Hypochlorite 12.5% y N -- Seasons used Yearly aci E Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable ❑✓ Yes ❑ Yes ❑ Yes ❑ No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? ✓❑ Yes ❑ No 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑✓ Yes ❑ No 4 SKIP to Item 3.13. 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's dischar es by outfall number or of the receiving water near the discharge points. Outfall Number 001 Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic Number of tests of discharge water 0 0 Number of tests of receiving water 0 0 3.13 Does the treatment works have a design flow greater than or equal to 0.1 mgd? ❑✓ Yes ❑ No -* SKIP to Item 3.16. 0 3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have = reasonable potential to discharge chlorine in its effluent? d ✓❑ Yes -* Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine. 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application package? w ❑✓ Yes ❑ No 3.16 Does one or more of the following conditions apply? • The facility has a design flow greater than or equal to 1 mgd. • The POTW has an approved pretreatment program or is required to develop such a program. • The NPDES permitting authority has informed the POTW that it must sample for the parameters in Table C, must sample other additional parameters (Table D), or submit the results of WET tests for acute or chronic toxicity for each of its discharge ouffalls (Table E). ❑ Yes 4 Complete Tables C, D, and E as ❑ No 4 SKIP to Section 4. applicable. 3.17 Have you completed monitoring for all applicable Table C pollutants and attached the results to this application package? 0 Yes ❑ No 3.18 Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and attached the results to this application package? ❑ Yes ❑ No additional sampling required by NPDES permitting authority. EPA Form 3510-2A (Revised 3-19) Page 8 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 3.19 Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application or (2) at least four annual WET tests in the past 4.5 years? ❑ Yes ❑✓ No 4 Complete tests and Table E and SKIP to Item 3.26. 3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority? ❑ Yes ❑ No + Provide results in Table E and SKIP to Item 3.26. 3.21 Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results. Date(s) Submitted Summary of Results MM/DD/YYYY d c 0 w3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in o toxicity? ❑ Yes ❑ No + SKIP to Item 3.26. 3.23 Describe the cause(s) of the toxicity: c d LU w 3.24 Has the treatment works conducted a toxicity reduction evaluation? ❑ Yes ❑ No SKIP to Item 3.26. 3.25 Provide details of any toxicity reduction evaluations conducted. 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? ❑ Yes ❑ Not applicable because previously submitted information to the NPDES permittinq authority. 4. INDUSTRIAL HAZARDOUSSECTION DISCHARGES AND 4.1 Does the POTW receive discharges from SIUs or NSCIUs? ✓❑ Yes ❑ No 4 SKIP to Item 4.7. d 4.2 Indicate the number of SIUs and NSCIUs that discharge to the POTW. w. Number of SIUs Number of NSCIUs h O 0 1 2 4.3 Does the POTW have an approved pretreatment program? ca _ ✓❑ Yes ❑ No a ca 4.4 Have you submitted either of the following to the NPDES permitting authority that contains information substantially d identical to that required in Table F: (1) a pretreatment program annual report submitted within one year of the 21 application or (2) a pretreatment program? H ❑� Yes ❑ No + SKIP to Item 4.6. C3 4.5 Identify the title and date of the annual report or pretreatment program referenced in Item 4.4. SKIP to Item 4.7. t/1 7 4.6 Have you completed and attached Table F to this application package? ✓❑ Yes ❑ No EPA Form 3510-2A (Revised 3-19) Page 9 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 4.7 Does the POTW receive, or has it been notified that it will receive, by truck, rail, or dedicated pipe, any wastes that are regulated as RCRA hazardous wastes pursuant to 40 CFR 261? ❑ Yes 0 No 4 SKIP to Item 4.9. 4.8 If yes, provide the follo ing information: Annual Hazardous Waste Waste Transport Method Amount of Units Number (check all that apply) Waste Received ❑ Truck ❑ Rail ❑ Dedicated pipe ❑ Other (specify) c w c 0 U d ❑ Truck ❑ Rail ❑ Dedicated pipe ❑ Other (specify) UJ 7 O N ❑ Truck ❑ Rail _ ❑ Dedicated pipe ❑ Other (specify) c a #A d 4.9 Does the POTW receive, or has it been notified that it will receive, wastewaters that originate from remedial activities, N including those undertaken pursuant to CERCLA and Sections 3004(7) or 3008(h) of RCRA? 0 ❑ Yes ✓❑ No -* SKIP to Section 5. � th 4.10 Does the POTW receive (or expect to receive) less than 15 kilograms per month of non -acute hazardous wastes as specified in 40 CFR 261.30(d) and 261.33(e)? ❑ Yes 4 SKIP to Section 5. ❑ No 4.11 Have you reported the following information in an attachment to this application: identification and description of the site(s) or facility(ies) at which the wastewater originates; the identities of the wastewater's hazardous constituents; and the extent of treatment, if any, the wastewater receives or will receive before entering the POTW? ❑ Yes ❑ No SECTION• • SEWER OVERFLOWS (40 E 5.1 Does the treatment works have a combined sewer system? a, ❑ Yes ❑� No 4SKIP to Section 6. 5.2 Have you attached a CSO system map to this application? (See instructions for map requirements.) c 1° cc ❑ Yes ❑ No 2 5.3 Have you attached a CSO system diagram to this application? (See instructions for diagram requirements.) 0 0 ❑ Yes ❑ No RECEIVED AUG 0 7 2024 NCOEOPWRINIRDES EPA Form 3510-2A (Revised 3-19) Page 10 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 5.4 For each CSO outfall, provide the following information. Attach additional sheets as necessary.) CSO Outfall Number CSO Outfall Number CSO Outfall Number City or town 0 :. = U) State and ZIP code W 0 County �v Latitude ° 0 0 U Longitude ° ° Distance from shore ft. ft. ft. Depth below surface ft. ft. ft. 5.5 Did the POTW monitor any of the following items in the past year for its CSO outfalls? CSO Outfall Number CSO Outfall Number CSO Outfall Number Rainfall ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No rn c `o CSO flow volume ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No .r CSO pollutant ❑ Yes ❑ No ❑ Yes ❑ No []Yes ❑ No 0 concentrations Receiving water quality ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No CSO frequency ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Number of storm events ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 5.6 Provide the following information for each of your CSO outfalls. CSO Outfall Number _ CSO Outfall Number _ CSO Outfall Number cc Number of CSO events in events events events y the past year Average duration per hours hours hours event ❑ Actual or ❑ Estimated ❑ Actual or ❑ Estimated ❑ Actual or ❑ Estimated LU million gallons million gallons million gallons 0 Average volume per event ❑ Actual or ❑ Estimated ❑ Actual or ❑ Estimated ❑ Actual or ❑ Estimated Minimum rainfall causing inches of rainfall inches of rainfall inches of rainfall a CSO event in last year ❑ Actual or ❑ Estimated ❑ Actual or ❑ Estimated 1 ❑ Actual or ❑ Estimated EPA Form 3510-2A (Revised 3-19) Page 11 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 5.7 Provide the information in the table below for each of your CSO outfalls. CSO Outfall Number _ CSO Outfall Number CSO Outfall Number _ Receiving water name Name of watershed/ streams stem dU.S. Soil Conservation ❑ Unknown ❑ Unknown ❑ Unknown Service 14-digit watershed code '> if known Name of state W management/river basin U.S. Geological Survey ❑ Unknown ❑ Unknown ❑ Unknown 8-Digit Hydrologic Unit Code if known Description of known water quality impacts on receiving stream by CSO (see instructions for examples) SECTION• In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For 6.1 each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to provide attachments. Column 1 Column 2 Section 1: Basic Application ❑ w/ variance request(s) ❑ w/ additional attachments Information for All A licants ❑ Section 2: Additional w/ topographic map ✓❑ w/ process flow diagram Information ✓❑ w/ additional attachments ✓❑ w/ Table A ❑ w/ Table D ❑ Section 3: Information on ❑ w/ Table B ❑ w/ Table E Effluent Discharges E ✓❑ w/ Table C ❑ w/ additional attachments Section 4: Industrial ✓❑ w/ SIU and NSCIU attachments ✓❑ w/ Table F co ✓❑ Discharges and Hazardous ✓❑ c Wastes w/ additional attachments ❑ Section 5: Combined Sewer ❑ w/ CSO map Elw/ additional attachments UOverflows ❑ w/ CSO system diagram a Section 6: Checklist and ❑ w/ attachments cc❑ Certification Statement Y 6.2 Certification Statement d 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 fine and imprisonment for knowing violations. Name (print or type first and last name) Officlipi title C�Mclagr6 S' Date signe i i D EPA Form 3510-2A (Revised 3-19) Page 12 EPA Identification Number NPDES Permit Number Facility Name Outfall Number NCO021229 Town of Old Fort WWTP 001 Form Approved 03/05/19 OMB No. 2040-0004 Maximum Daily Discharge Pollutant Value Units Average Daily Discharge Analytical Method' MIL or MDL (include units) Value Units Numbers Samples Biochemical oxygen demand o BODs or ❑ CBOD5 report one 7.54 mg/I 4.57 mg/I 156 SM52108 2.0 ❑ MDL Fecal coliform 44.81 #i/100ml 2.99 per 100 ml 156 SM9220 10 ML [a MDL Design flow rate .388 mgd .149 mgd. 1095 pH (minimum) 7.15 Std. Unts pH (maximum) 7.71 Std. Unts. Temperature (winter) 12.66 celcius 11.16 celcius 12 Temperature (summer) 22.69 celcius 22.28 celcius 12 Total suspended solids (TSS) 3.13 mg/I 1.85 mg/I 156 SM25400 2.5 LI f 1L ❑ MDL I Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). M i , E rn EPA Form 3510-2A (Revised 3-19) Page 13 This page intentionally left blank. EPA Identification Number I NPDES Permit Number Facility Name Outfall Number NCO021229 Town of Old Fort W WTP Form Approved 03/05/19 OMB No. 2040-0004 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Value Units Value Units Numbers Pollutant Method' (include units) Samples Ammonia (as N) 2.95 mg/I 0.11 mg/I 140 0 ML 0.2 ❑ MDL Chlorine 37 ug/I 15.3 ug/I 320 SM4500CL G 2011 o ML 15ug/I ❑ MDL total residual, TRC z Dissolved oxygen 9.3 mg/I 8.8 mg/I 159 ❑ ML ❑ MDL Nitrate/nitrite mg/I mg/I 0 ML ❑ MDL Kjeldahl nitrogen mg/I mg/I 0 ML ❑ MDL Oil and grease mg/I mg/I ❑� ML ❑ MDL Phosphorus 2.45 mg/I 1.87 mg/I 12 O ML ❑ MDL Total dissolved solids ❑ ML ❑ MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). 2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not required to report data for chlorine. EPA Form 3510-2A (Revised 3-19) Page 15 This page intentionally left blank. NPD EPA Identification Number ES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0021229 Town of Old Fort W WTP OMB No. 2040-0004 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Metals, Cyanide, and Total Phenols Hardness (as CaCO3) 86.0 mg/I 71.4 mg/I 12 0 ML ❑ MDL Antimony, total recoverable 0 ML ❑ MDL Arsenic, total recoverable <10 ugl <10 ug/I 2 ❑ ML ❑ MDL Beryllium, total recoverable ❑ MDL Cadmium, total recoverable <1.0 ug/I <1.0 ug/I 2 ❑ ML ❑ MDL Chromium, total recoverable <5.0 ug/I <5.0 ug/I 2 ❑ ML ❑ MDL Copper, total recoverable 44.6 ug/I 16.4 ug/I 38 0 ML ❑ MDL Lead, total recoverable <5.0 ug/I <5.0 ug/I 2 ❑ ML ❑ MDL Mercury, total recoverable 9.80 ug/I 2.47 ug/I 12 0 NIL ❑ MDL Nickel, total recoverable ❑ ML ❑ MDL Selenium, total recoverable ❑ ML ❑ MDL Silver, total recoverable ❑ ML ❑ MDL Thallium, total recoverable ❑ ML ❑ MDL Zinc, total recoverable ❑ ML ❑ MDL Cyanide <0.8 ug/I < 0.63 ug/I 10 ❑ ML ❑ MDL Total phenolic compounds 0 ML ❑ MDL Volatile Organic Compounds Acrolein ❑ ML ❑ MDL Acrylonitrile ❑ ML ❑ MDL Benzene ❑ ML ❑ MDL Bromoform ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 17 EPA Identification Number -F- NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0021229 Town of Old Fort WWTP OMB No. 2040-0004 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Method' (include units) Number of Value Units Value Units [Chlorodibromomethane Samples Carbon tetrachloride ❑ ML ❑ MDL Chlorobenzene ❑ ML ❑ MDL ❑ ML ❑ MDL Chloroethane [I ML ❑ MDL 2-chloroethylvinyl ether ❑ ML ❑ MDL Chloroform ❑ ML ❑ MDL Dichlorobromomethane ❑ ML ❑ MDL 1,1-dichloroethane ❑ ML ❑ MDL 1,2-dichloroethane ❑ ML ❑ MDL trans-1,2-dichloroethylene ❑ ML ❑ MDL 1,1-dichloroethylene ❑ ML ❑ MDL 1,2-dichloropropane ❑ ML ❑ MDL 1,3-dichloropropylene ❑ ML ❑ MDL Ethylbenzene ❑ ML ❑ MDL Methyl bromide ❑ ML ❑ MDL Methyl chloride ❑ ML ❑ MDL Methylene chloride ❑ ML ❑ MDL 1,1,2,2-tetrachloroethane ❑ ML ❑ MDL Tetrachloroethylene ❑ ML ❑ MDL Toluene ❑ ML ❑ MDL 1,1,1-trichloroethane ❑ ML ❑ MDL 1,1,2-trichloroethane ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 18 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0021229 Town of Old Fort WWTP OMB No. 2040-0004 •' 4 '1111 Maximum Daily Discharge Average Daily Discharge Pollutant Analytical ML or MDL Number of Value Units Value Units Method' (include units) Samples Trichloroethylene ❑ ML ❑ MDL Vinyl chloride ❑ ML ❑ MDL Acid -Extractable Compounds p-chloro-m-cresol ❑ ML ❑ MDL 2-chlorophenol ❑ ML ❑ MDL 2,4-dichlorophenol ❑ ML ❑ MDL 2,4-dimethylphenol ❑ ML ❑ MDL 4,6-dinitro-o-cresol ❑ ML ❑ MDL 2,4-dinitrophenol ❑ ML ❑ MDL 2-nitrophenol ❑ ML ❑ MDL 4-nitrophenol ❑ ML ❑ MDL Pentachlorophenol ❑ ML ❑ MDL Phenol ❑ ML ❑ MDL 2,4,6-trichlorophenol ❑ ML ❑ MDL Base -Neutral Compounds Acenaphthene ❑ ML ❑ MDL Acenaphthylene ❑ ML ❑ MDL Anthracene ❑ ML ❑ MDL Benzidine ❑ ML ❑ MDL Benzo(a)anthracene ❑ ML ❑ MDL Benzo(a)pyrene ❑ ML ❑ MDL 3,4 benzofluoranthene ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 19 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0021229 Town of Old Fort WWTP OMB No. 2040-0004 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Benzo(ghi)perylene ❑ ML ❑ MDL Benzo(k)fluoranthene ❑ ML ❑ MDL Bis (2-chloroethoxy) methane 11 ML ❑ MDL Bis (2-chloroethyl) ether ❑ ML ❑ MDL Bis (2-chloroisopropyl) ether ❑ ML ❑ MDL Bis (2-ethylhexyl) phthalate ❑ ML ❑ MDL 4-bromophenyl phenyl ether ❑ ML ❑ MDL Butyl benzyl phthalate ❑ ML ❑ MDL 2-chloronaphthalene ❑ ML ❑ MDL 4-chlorophenyl phenyl ether ❑ ML ❑ MDL Chrysene ❑ ML ❑ MDL di-n-butyl phthalate ❑ ML ❑ MDL di-n-octyl phthalate ❑ ML ❑ MDL Dibenzo(a,h)anthracene ❑ ML ❑ MDL 1,2-dichlorobenzene ❑ ML ❑ MDL 1,3-dichlorobenzene ❑ ML ❑ MDL 1,4-dichlorobenzene ❑ ML ❑ MDL 3,3-dichlorobenzidine ❑ ML ❑ MDL Diethyl phthalate ❑ MDL Dimethyl phthalate ❑ MDL 2,4-dinitrotoluene ❑ ML ❑ MDL 2,6-dinitrotoluene ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 20 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 •' =6 I MI Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples 1,2-diphenylhydrazine ❑ ML ❑ MDL Fluoranthene ❑ ML ❑ MDL Fluorene ❑ ML ❑ MDL Hexachlorobenzene ❑ ML ❑ MDL Hexachlorobutadiene ❑ ML ❑ MDL Hexachlorocyclo-pentadiene ❑ ML ❑ MDL Hexachloroethane ❑ ML ❑ MDL Indeno(1,2,3-cd)pyrene ❑ ML ❑ MDL Isophorone ❑ ML ❑ MDL Naphthalene ❑ ML ❑ MDL Nitrobenzene ❑ ML ❑ MDL i-n-propylamine ❑ ML ❑ MDL N-nntr troossooddNi iimethylamine ❑ ML ❑ MDL El MLN-nitrosodihenylamine ❑ MDL rP ❑ ML ❑ MDL Pyrene ❑ ML ❑ MDL 12-trichlorobenzene4 ❑ ML , ❑ MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 21 This page intentionally left blank. EPA Idenfificafion Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NC0021229 Town of Old Fort WWTP OMB No. 2040-0004 1 i� • •• • W1 1I Z4 J, I•' Maximum Dail Dischar a Avera a Dail Discharge Pollutant Analytical ML or MDL Number (list) Value Units Value Units Method' (include units) Samples ❑ No additional sampling is required by NPDES permitting authority. Total Molly 149 ug/I 79 ug/I 2 ❑ MIL ❑ MDL ❑ MIL ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ MIL ❑ MDL ❑ MIL ❑ MDL ❑ ML ❑ MDL Cl MIL ❑ MDL ❑ MIL ❑ MDL ❑ MIL ❑ MDL ❑ ML ❑ MDL ❑ MIL ❑ MDL ❑ MIL ❑ MDL ❑ MIL ❑ MDL ❑ ML ❑ MDL ❑ MIL ❑ MDL 'Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 23 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results. Test Information Test Number Test Number Test Number Test species Age at initiation of test Outfall number Date sample collected Date test started Duration Toxicity Test Methods Test method number Manual title Edition number and year of publication Page number(s) Sample Type Check one: ❑ Grab ❑ 24-hour composite ❑ Grab ❑ 24-hour composite ❑ Grab ❑ 24-hour composite Sample Location Check one: ❑ Before Disinfection ❑ After Disinfection ❑ After Dechlorination ❑ Before Disinfection ❑ After Disinfection ❑ After Dechlorination ❑ Before disinfection ❑ After disinfection ❑ After dechlorination Point in Treatment Process Describe the point in the treatment process at which the sample was collected for each test. Toxicity Type Indicate for each test whether the test was performed to asses acute or chronic toxicity, or both. (Check one response.) ❑ Acute El Chronic ❑ Both ❑ Acute El Chronic ❑Both ❑ Acute [IChronic El Both EPA Form 3510-2A (Revised 3-19) Page 25 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/OS/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY The table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results. EWTest Number Test Number Test Number Test Type Indicate the type of test performed. (Check one response.) ❑ Static ❑ Static -renewal ❑ Flow -through ❑ Static ❑ Static -renewal ❑ Flow -through ❑ Static ❑ Static -renewal ❑ Flow -through Source of Dilution Water Indicate the source of dilution water. (check one response.) ❑ Laboratory water ❑ Receiving water ❑ Laboratory water ❑ Receiving water ❑ Laboratory water ❑ Receiving water If laboratory water, specify type. If receiving water, specify source. Type of Dilution Water Indicate the type of dilution water. If salt water, specify "natural" or type of artificial sea salts or brine used. ❑ Fresh water ❑Salt water (specify) ❑ Fresh water ❑Salt water (specify) El Fresh water El Salt water (specify) Percentage Effluent Used Specify the percentage effluent used for all concentrations in the test series. Parameters Tested Check the parameters tested. ❑ pH ❑ Salinity ❑ Temperature ❑ Ammonia ❑ Dissolved oxygen ❑ pH ❑ Salinity ❑ Temperature ❑ Ammonia ❑ Dissolved oxygen ❑ pH ❑ Salinity ❑ Temperature ❑ Ammonia ❑ Dissolved oxygen Acute Test Results Percent survival in 100% effluent % % % LC50 95% confidence interval % % % Control percent survival % % EPA Form 3510-2A (Revised 3-19) Page 26 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Form Approved 03/05/19 OMB No. 2040-0004 NC0021229 Town of Old Fort WWTP TABLE E. EFFLUENT MONITORING FOR WHOLE EFFLUENT TOXICITY e table provides response space for one whole effluent toxicity sample. Copy the table to report additional test results. Test Number Test Number Test Number i Acute Test Results Continued Other (describe) Chronic Test Results NOEC % % % IC25 % % % Control percent survival Other (describe) Quality Control/Quality Assurance Is reference toxicant data available? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ElNo Was reference toxicant test within acceptable bounds? ❑Yes ❑ No ❑Yes El ❑Yes El What date was reference toxicant test run (MM/DD/YYYY)? Other (describe) EPA Form 3510-2A (Revised 3-19) Page 27 This page intentionally left blank. EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 NCO021229 Town of Old Fort WWTP OMB No. 2040-0004 JABILE F. INDUSTRIAL DISCHARGE INFORMATION Response space is provided for three SIUs. Copy the table to report information for additional SIUs. Slu _ SIU Slu Name of SIU Mailing address (street or P.O. box) City, state, and ZIP code Description of all industrial processes that affect or contribute to the discharge. List the principal products and raw materials that affect or contribute to the SIU's discharge. Indicate the average daily volume of wastewater discharged by the SIU. gpd gpd gpd How much of the average daily volume is attributable to process flow? gpd gpd gpd How much of the average daily volume is attributable to non -process flow? gpd gpd gpd Is the SIU subject to local limits? ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Is the SIU subject to categorical standards? ❑ Yes ❑ No ❑Yes ❑ No ❑Yes ❑ No EPA Form 3510-2A (Revised 3-19) Page 29 EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19 OMB No. 2040-0004 NC0021229 Town of Old Fort WWTP INDUSTRIALTABLE F. •' Response space is provided for three SIUs. Copy the table to report information for additional SIUs. SIU _ SIu — Slu _ Under what categories and subcategories is the SIU subject? Has the POTW experienced problems (e.g., upsets, pass -through interferences) in the past 4.5 ElYes ElNo ❑ Yes ElNo ElYes ❑ No ears that are attributable to the SIU? If yes, describe. EPA Form 3510-2A (Revised 3-19) Page 30 Town of Old Fort -FOUNDED IN 1873- 38 CATAWBA AVENUE OLD FORT, NORTH CAROLINA 28762 828-668-4244 August 2, 2024 Division of Water Resources Water Quality Permitting Section - NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 To Whom It May Concern: RECEIVED AUG 0 7 ZON NCDE0/D R/NPDES Attached is the Town of Old Fort Waste Water Treatment Plant's permit renewal. Our current permit number is NC0021229. The town is waiting on the final effluent pollutant scan results. The samples were collected on 7- 9-24. As soon as the town receives the results, we will submit the reminding information for the permit renewal. Please review this permit renewal and if any further information is needed please contact me. Sincerely, J PshCagle, Town of Old Fort WWTP 38 Catawba Ave Old Fort, NC 28762 jcagle@oldfortnc.com W: 828-668-4561 C: 828-655-6755