NC0087866_Permit Issuance_20060718

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
July 18, 2006
Mr. John F. Kime, Executive Director
Piedmont Triad Regional Water Authority
2216 W. Meadowview Road
Greensboro, North Carolina 27407-3480
Subject: NPDES Permit Issuance
Permit No. NCO087866
Randleman Lake WTP
Randolph County
Dear Mr. Kime:
Division personnel have reviewed and approved your application for renewal of the
subject permit. Accordingly, we are forwarding the attached NPDES discharge permit. This
permit is issued pursuant to the requirements of North Carolina General Statute 143-215.1
and the Memorandum of Agreement between North Carolina and the U.S. Environmental
Protection Agency dated May 9, 1994 (or as subsequently amended.)
This permit authorizes the Piedmont Triad Regional Water Authority to discharge up to
1.5 MGD of decant wastewater from the Randleman Lake Water Treatment Plant to
Randleman Lake, a class WS-IV CA water in the Cape Fear River Basin. The permit includes
discharge limitations and/or monitoring for flow, settleable solids, total suspended solids
(TSS), aluminum, calcium, pH, total residual chlorine and chronic toxicity.
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 a demand is made, this permit shall be
final and binding.
Please take notice that this permit is not transferable. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits, which may be required by the Division of Water
Quality, or permits required by the Division of Land Resources, Coastal Area Management
Act, or any other Federal or Local governmental permits may be required.
W7�0ytItCaro¢¢''p,
v/VatUrUP
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: wwwmcwateroualitv.orn Location: 512 N. Salisbury St. Raleigh,NC 27604 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Reeydedll0% Post Consumer Paper

If you have any questions or need additional information, please contact Mr. Agyeman
Adu-Poke at telephone number [phone], extension 508.
Sincerely,
CfL/
,
171u` Alan W. Klimek, P.E.
Attachments
cc: Central File
Winston Salem Regional Office / Surface Water Protection
Division of Environmental Health
EPA/Region IV
NPDES Unit/Permit File

Permit NCO087866
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the 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
Piedmont Triad Regional Water Authority
is hereby authorized to discharge wastewater from a facility located at
Randleman Lake Water Treatment Plant
7297 Adams Farm Road
Randleman, North Carolina
Randolph County
to receiving waters designated as the Randleman Lake in the Cape Fear River Basin
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 September 1, 2006.
This permit and authorization to discharge shall expire at midnight on August 31, 2011.
Signed this day July 18, 2006.
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

,
Permit NCO087866
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued tothis 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.
Piedmont Triad Regional Water Authority is hereby authorized to:
1. After receiving an Authorization to Construct from the Division of Water Quality,
construct and operate facilities necessary to treat up to 1.5 MGD of decant
wastewater, located at Randleman Lake WTP, Randleman, Randolph County.
2. Discharge from said treatment works at the location specified on the attached map
into Randleman Lake, classified WS-IV CA waters in the Cape Fear River Basin.

1,
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(flows south)
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Y
Randleman Lake WTP Facility
Location
State Grid/Ouad: ED19SE / Randleman, NC Permitted Flow: 1.5 MGD not to scale
Latitude: 35' 51' 43.13" N Longitude: 790 49' 25.59" W NPDES Permit No. NCO087866
Receiving Stream: Randleman Lake (Deep River) Sub -Basin: 03-06-08 North
Drainage Basin: Cape Fear River Basin Stream Class: WS-1V CA Randolph Count

Permit NCO087866
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee
is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
EFFLUENT
CHARACTERISTICS
-
LIMITS>-
-
MONITORING REQUIREMENTS
Monthly
Average
Weekly.
Average'-
Daily
Maximum
Measurement
Frequency
Sample
Type 'I
'Sample Locationl
- -
Flow
1.5 MGD
Weekly
Continuous
Effluent
Aluminum
2/Month
Grab
Effluent
Calcium
2/Month
Grab
Effluent
Copper
2/Month
Grab
Effluent
Iron
2/Month
Grab
Effluent
Magnesium
2/Month
Grab
Effluent
Manganese
2/Month
Grab
Effluent
Turbidity
Weekly
Grab
Effluent
Settleable Solids
0.1 MVI
0.2 ml/I
Weekly
Grab
Effluent
Total Suspended Solids
30 m /1
45 m /I
2/Month
Grab
Effluent
H2
Weekly
Grab
Effluent
Total Residual Chlorine
28 /L
Weekly
Grab
Effluent
Total Nitrogen
I/Monthly
Composite
Effluent
Total Phosphorus
11/Monthly
Composite
Effluent
Chronic Toxicity 3
Quarterly
Composite
Effluent
Footnotes
1. Sample location: Effluent
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. Chronic Toxicity (Ceriodaphnia) Monitoring at 23%; January, April, July, and October; See Special
Condition A. (2).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2.) PERMIT RE -OPENER: SUPPLEMENTARY MONITORING
The Division may, upon written notification to the Permittee, require additional
effluent monitoring that it deems necessary to support its water quality protection
and restoration efforts in the receiving stream.

-Permit NCO087866
SUPPLEMENT TO EFFLUENT LIMITATIONS
AND MONITORING REQUIREMENTS
SPECIAL CONDITIONS
A. (3.) CHRONIC TOXICITY MONITORING (QRTRLY)
The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in
the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February
1998, or subsequent versions.
The effluent concentration defined as treatment two in the procedure document is 23%. The
permit holder shall perform ouarierlr� monitoring using this procedure to establish compliance
with the permit condition. The tests will be performed during the months of January April July
October. Effluent sampling for this testing shall be performed at the NPDES permitted final
effluent discharge below all. treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the
Effluent Discharge Monitoring Form (MR-1) for the month in which it -was performed, using the
parameter code TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following
address: .
Attention:- North Carolina Division of Water Quality
Environmental Sciences Branch
1621 Mail Service Center
Raleigh, N.C. 27699-1621-
Test data shall be complete and accurate and include all supporting chemical/physical
measurements performed in association with the toxicity tests, as well as all dose/response,
data. Total residual chlorine -of the effluent toxicity sample must be measured and reported if
chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity
monitoring is required, the permittee will complete the information located at the top of the
aquatic toxicity (AT) test form indicating the facility name, permit number, pipe number,
county, and the month/year of the report with the notation of "No Flow" in the comment area of
the form. The report shall be submitted to the Environmental Sciences Branch at the address
cited above.
Should the permittee fail to .monitor_ during a month in which toxicity monitoring is required,
then monthly monitoring will begin immediately until such time that a valid test is submitted.
Upon submission of a valid test, this monthly test requirement will revert to quarterly in the
months specified above.
Should any test data from this monitoring requirement or tests performed by the North
Carolina Division of Water Quality indicate potential impacts to the receiving stream, this
permit may be re -opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival, minimum control organism reproduction, and appropriate
environmental controls, shall constitute an invalid test and will require immediate follow-up
testing to be completed no later than the last day of the month following the month of the
initial monitoring.

DWO POINT SOURCE Fax:[phone]
�4� Transmit Conf_ ReF-iOf t »cAc
P. 1
Jul 12 2006 8:28
Fax/Phone Number
Mode
Start
Time
Page
Result
Note
913368510720
NORMAL
12, 8:28
6'30"
6
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NORTH CAROLINA DEPARTMENT OF
ENVMONMENTAL AND NATURA►I. RESOURCES
DIVISION OF WATER QUALITY
1617 MWI Service Center
. ': • Raleigh, NC 27699-1617
' Phone: [phone]
Fa= 919-7W 0719
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W4or• Review ❑ Please Comment ❑ Plea►se Reply
Subject _

July 11, 2006
Mr. John F. Kime, Executive Director
Piedmont Triad Regional Water Authority
2216 West Meadowview Road
Greensboro, NC 27407-3480
Dear Mr. Kime:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
Subject: Draft NPDES Permit
Permit NCO087866
Randleman Lake WTP
Randolph County
Enclosed with this letter is a copy of the draft permit for your facility. Please review the draft very
carefully to ensure thorough understanding of the conditions and requirements it contains.
The permit contains the following significant changes from your current permit:
➢ Total nitrogen and phosphorus monitoring have been changed from quarterly to monthly
to comply with the Cape Fear River Basin permitting strategies.
➢ Permit Re -Opener condition has been added to this permit.
Submit any comments to me no later than July 17, 2006. Comments should be sent by fax. If no
adverse comments are received from you, this permit will likely be issued in July, with an effective date
of September 1, 2006. If you have any questions or comments concerning this draft permit, contact me
at the telephone number or e-mail address listed below.
Sincerely,
2Agye&maAn eu-Poku
Environmental Engineer
NPDES Western Program
cc: NPDES Unit
Winston-Salem Regional Office/Surface Water Protection Section
t
Carolina
ura!!rf
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterqualit +Lorg Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opportunity/Af rmadve Aatton Employer— 50°% Recyded110°% Post Consumer Paper

Permit NCO087866
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee
is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
E FLU_ _, �
# � �N.
aHA�tA4��TiERISTiC�S;
1
_J
w. j
f' t.
� EL�II�,.I .�$ � z
M T, �1
�' `QNI �O�NG��
12.
lonh��
;Wr�agea
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s Aieia aMax`tr�umas
�s
easu(=Saiiy
F, den, cY
arnip el
°Yz Zye x
r �` f npt"e�Lzocatt�n
_ <ry
Flow
1.5 MGD
Weekly
Continuous
Effluent
Aluminum
2/Month
Grab
Effluent
Calcium
2/Month
Grab
Effluent
Copper
2/Month
Grab
Effluent
Iron
2/Month
Grab
Effluent
Magnesium
2/Month
Grab
Effluent
Manganese
2/Month
Grab
Effluent
Turbidity
Weekly
Grab
Effluent
Settleable Solids
0.1 ml/l
0.2 ml/I
Grab
Effluent
Total Suspended Solids
30 m /l
45 m /l
-Weekly
2/Month
Grab
Effluent
H2
Weekly
Grab
Effluent
Total Residual Chlorine
28 /L
Weekly
Grab
Effluent
Total Nitrogen
1/Monthly
Composite
Effluent
Total Phosphorus
1/Monthly
Composite
Effluent
Chronic Toxicity 3
Quarterly
Composite
Effluent
Footnotes
1. Sample location: Effluent
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. Chronic Toxicity (Ceriodaphnia) Monitoring at 23%; January, April, July, and October; See Special
Condition A. (2).
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2.) PERMIT RE -OPENER: SUPPLEMENTARY MONITORING
The Division may, upon written notification to the Permittee, require additional
effluent monitoring that it deems necessary to support its water quality protection
and restoration efforts in the receiving stream.

Permit NCO087866
SUPPLEMENT TO EFFLUENT LIMITATIONS
AND MONITORING REQUIREMENTS
SPECIAL CONDITIONS
A. (3.) CHRONIC TOXICITY MONITORING (QRTRLY)
The permittee shall conduct quarterly chronic toxicity tests using test procedures outlined in
the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February
1998, or subsequent versions.
The effluent concentration defined as treatment two in the procedure document is 23%. The
permit holder shall perform gyarterlr� monitoring using this procedure to establish compliance
with the permit condition. The tests will be performed during the months of January April July
October. Effluent sampling for this testing shall be performed at the NPDES permitted final
effluent discharge below all treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the
Effluent Discharge Monitoring Form (MR-1) for the month in which it was performed, using the
parameter code TGP3B. Additionally, DWQ Form AT-1 (original) is to be sent to the following
address:
Attention: North Carolina Division of Water Quality
Environmental Sciences Branch
1621 Mail Service Center
Raleigh, N.C. 27699-1621
Test data shall be complete and accurate and include all supporting chemical/physical
measurements performed in association with the toxicity tests, as well as all dose/response
data. Total residual chlorine of the effluent toxicity sample must be measured and reported if
chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity
monitoring is required, the permittee will complete the information located at the top of the
aquatic toxicity (AT) test form indicating the facility name, permit number, pipe number,
county, and the month/year of the report with the notation of "No Flow" in the comment area of
the form. The report shall be submitted to the Environmental Sciences Branch at the address
cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
then monthly monitoring will begin immediately until such time that a valid test is submitted.
Upon submission of a valid test, this monthly test requirement will revert to quarterly in the
months specified above.
Should any test data from this monitoring requirement or tests performed by the North
Carolina Division of Water Quality indicate potential impacts to the receiving stream, this
permit may be re -opened and modified to include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum
control organism survival, minimum control organism reproduction, and appropriate
environmental controls, shall constitute an invalid test and will require immediate follow-up
testing to be completed no later than the last day of the month following the month of the
initial monitoring.

NORTH CAROLINA
RANDOLPH COUNTY
AFFIDAVIT OF PUSUCATION
Before the undersigned, a Notary Public of said
County and State, duly commissioned, qualified, and
authorized by law to administer oaths, personally
appeared
Maria Shaw
who being first duly sworn, deposes and says, that
he (she) is
Business Manager
of The Courier -Tribune, engaged in the.publication
of a newspaper known as The Courier -Tribune,
published, issued, and entered as second class
mail in the City of Asheboro, in said County and
State; and the he (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 Courier -
Tribune on the following dates:
May 26, 2006
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 newpaper meeting all of the
requirements and qualifications of Section 1-597 of
the General Statutes of North Carolina, 1943, as
amended, and was a qualified newspaper within the
meaning of Section 1-597 of the General Statutes
of North Carolina.
This 26th day of May, 2006
Sworn o and subscribed before me this 26th
day of May, 2006
r""
1 1
Notary Public
My commission expires: 6-19-06
PUBLIC NOTICE
STATE OF NORTH CAROLINA
., -ENVIRONMENTAL
MANAGEMENT COMMISSION
r MPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 276W1617 _: '
NOTIFICATION OF INTENT TO
?ISS ithNPbES r
WASTEWATER_ PERMIT
On the basis,bf thiorbu6 staff,
review andjapplicatlon of NO
General Statute`.14321, -Public
Law' 92-s00' and other lawful
standards amid regulatlons,,the
North Carolina Environmental
ManagemenC Commission pro-
poses - issue a `National Pollut-
ant Discharge Elimination Sys
;te'm (NPDES) wastewater dis-
,charlJ4: eirnit tofthe persons)
listed below effective 45 days
from: the. publish. -date of this no-
ttCe , Kjff„a,.wcsnn,,+yrtc-jp s r `s
comments=received prior to that.}
date are considered the;finat
deter"minatibn"s' Fegarding: the'
proposed,permit.The Director:of_
the NO Division of Water Quality
may-declde:`to hold a -publW
meeting for the proposed permit
should the Division.receive,a:
sigriif�cant.degree of public inter-;
est.
Copies of. the draft permit ,and
other suppor$ng information "on
file used to determine conditions
present in -the, draft permit are
available upon requests and
payrient.of the costs'of repro-
ductlon Mail, comments, and/or
.requests for Information to the.-
NO Division of. Water Ouallty'at
the above addressor call Ms.
Carolyn Bryant-919-733-5083
extension'363' or Ms. Frances'
Cadelaria,919-733-5083, eaten-:
sion 520 ai the: Point ,Source
Branch.' Please lnclud6 the
NPDES permit -number attached
in any communication.Anter-.
ested persons may also visit the
Division of .Water (duality at 512
N. Salisbury Street,. Raleigh: NC-
27604,1143 between the hours
of 8:ogarn and 5:00 to review in-
-fonnatibn onfile.
City of Asheboro (NCO02t3123)
has applied to revlew its permit
discharging to. Hasketts Creek'
-located within, the Cape Fear
River Basin. -The parameters -fe-
cal. coliform, Total Residual
Chlorine and total:tnercury are
water'4uatity limited-. This dis-
charge may'affecf future waste -
load allocations. to the receiving
stream ;�
Hidden'Fore§t Mobile Home
Park ' WWTP,.6602: Holder- In-
Mari Road Ext.; .Randleman,
North Carolina -has; applied for
renewal ;of NPDES permit
NCO065358 .for. its'Hidden For=
est Mobile Horhe`Park WWTP in
Randolph County..This permit -
,,led facility "discharges treated
wastewater l6' the Deep River in
the Cape- Fear, River Basin: Cur-
rently,• CBOD and ammbnia ni
. trogen 'are -water, quality limited.
This discharge, may `affect lutuie
allocations' ri this portion of the
Watershed. x �.�c •;:
Hart s.00d Fashion Country
Hams, .,(NP.661407 •,ties ap-.
plied16. reneig-1ts permit Als-
charging"to,Zandy Creek'lo-'
cated' within--the=Cape``Fear.'
River Basln�,The parameter
chloride` Is'wate�rlquality limited:
Thld discharge may:.aiiect future
wasteload aliocations'to there-."
calving stream
The Piedmont Triad Reglonal
Water Authority (2216; West,
Meadowv14w Road,,•.Greens-,
boro, NC-27407) has applied for'
renewal' df-permit: NCO087866
for its Randleman Lake Water
Treatment Plant -in Randolph.
Couniy.,Thls permitted facility
will discharge treated decant'
wastewater -to the Randleman
Lake to tie Cape Fear. River Ban
sin..Currentiy.settleable solids,
total'suspended solids and total
residual: chlorine are water qual-
ity'Ilmited: This discharge may
affect future- allocations in this
portion of the receiving stream.
1t•5/26It)6
i. --
i U!" ,rn
III i
U 2006 f
DEIVR - WATER QUALITY
-POINT SOURCE BRANCH
:5b
A G1
IxJ�Q

RECEIVED
N.C. Dept. of ENR
QFMA
� MAY ) S 2006
NCDENR Winston-Salem
Regional Off Ice
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
March 23, 2006
MEMORANDUM
To: Lee Spencer
NC DENR / DEH / Regional Engineer
Winston-Salem Regional Office
From: Agyeman Adu-Poke
NPDES Western Program
Subject: Review of Draft NPDES Permit NC0087866
Piedmont Triad regional Water Authority
Randolph County
R --
Ir ij
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i
JUN i
DENR - WATER DUALITY
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by April 16, 2006. 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 limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 7335083, extension 508 (fax) 919 733-0719
VISIT US ON THE INTERNET@hftp:/lh2o.enr.state.nc.us/NPDES [e-mail]
An Equal Opportunity/Affirmative Action Employer —50% Recycled/10% Post Consumer Paper

PIEDMONT TRIAD REGIONAL WATER AUTHORITY
February 8, 2006
Mrs. Carolyn Bryant
NC DENR / DWQ / Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: NPDES Permit NCO087866
Dear Mrs. Bryant:
I am writing on behalf of the Piedmont Triad Regional Water Authority (PTRWA) to
request renewal of NPDES Permit NC0087866.
While no wastewater will be discharged from the Randleman Lake Water Treatment
Plant in FY06-07, the PTRWA wishes to renew the permit.
I have enclosed Short Form C — WTP as required. The narrative description of the sludge
management plan for the facility is unchanged from its original submittal date (5/12/03).
If you have questions, please feel free to call.
Sincerely,
Xohn. �Kime
Executive Director
JFK:js
Enclosure
Wilmington Building, Suite 204 • 2216 West Meadowview Road • Greensboro, North Carolina 27407-3480
Telephone: [phone] . Fax: [phone]

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources :_ r `1 0
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number INCO087866
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Piedmont Triad Regional Water Authority
Randleman Lake Water Treatment Plant
2216 West Meadowview Road, Suite 204
Greensboro
North Carolina / 27407
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road
City
State / Zip Code
County
7297 Adams Farm Road
Randleman
North Carolina / 27317
Randolph
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name To Be Determined After Construction
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
4. Ownership Status:
Federal ❑
State ❑
Private ❑
_4)
Page 1 of 3 C-WTP 03/05

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
® Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
® Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ❑
6. Description of source water(s) (i.e. groundwater, surface water)
Randleman Lake / Surface Water
7. Describe the treatment process(es) for the raw water:
Treatment processes include raw water intake, raw water pump station, flash mix,
clarification, dual media granular filter, ultra -filtration membrane, granular activated
carbon contactor, clear water storage, disinfection and finish water pumping
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Wastewater includes backwash from filtration units and sludge blowdown from clarification
units.
Wastewater treatment processes include backwash equalization lagoon, sludge thickener,
centrifuge and sludge storage
9. Number of separate discharge points: 1
Outfall Identification number(s)
10. Frequency of discharge: Continuous ® Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
11. Plant design potable flowrate 12 MGD
Backwash or reject flow 1.5 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outf414 including
latitude and longitudet
Randleman Lake / Deep River
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NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals, that have the
potential to be discharged.
Aluminum Sulfate
Organic Polymers
Chlorine Residual
14. Is this facility located on Indian country? (check one)
Yes ❑ No ED
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.
Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15.
New applicants must contact the NCDENR Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
Analyses of source water collected
Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
John F. Kime Executive Director
North Carolina General Statute 143-215.6 (b)(2) provides that: Any person who knowingly makes any false
statement representation, or certification in any application, record, report, plan, or other document files or
required to be maintained under Article 21 or regulations of the Environmental Management Commission
implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or
monitoring device or method required to be operated or maintained under Article 21 or regulations of the
Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section
1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both,
for a similar offense.)
Page 3 of 3 C-WTP 03/05