NC0055191_Renewal (Application)_20160330

AOUA,.
RECEKD/NCDEQ/DWR
March 30, 20-16 APR 0 7 2016
Water Qua"'
permitting Section
NCDENR / Division of Water Quality/ NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-0167
Re: Application for Permit Renewal
Aqua North Carolina, Inc.
Penman Heights WWTP
NPDES No. NCO055191
Randolph 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.
Should you need any additional information or assistance, please feel free to
contact our Regional Compliance Manager, Michael A. Melton C@ 704-489-9404
ext. 57238 or by e-mail at [e-mail].
Sinc VCOO ThomasjPresiden
Enc
202 MacKenan Court,Cary,NC,27511 • 919.467.8712 • AquaAmerica.com

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 NC0055191
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 PENMAN HEIGHTS
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 NCSR 1917
City ARCHDALE
State / Zip Code NORTH CAROLINA
County RANDOLPH
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 [phone]
Fax Number [phone]
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):
RECENED/NCDEQ/DWR
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees APR 0 7 2016
Residential ® Number of Homes 29
School ❑ Number of Students/Staff Water Quality
Permitting Section
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: 74
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 showing the exact location of each outfallf
MUDDY CREEK IN THE CAPE FEAR RIVER BASIN
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
The 0.0315 MGD package plant consist of the following:
• Influent pump station
• Manual Bar Screen
• Equalization Basin w/duplex pumps
• Aeration chambers
• Blower units (3)
• Clarifier
• Aerated sludge digester
• Tablet Chlorination
• Post aeration
• Chlorine contact chamber with tablet chlorination
2 of 3 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 0.025 MGD
Annual Average daily flow .005 MGD (for the previous 3 years)
Maximum daily flow .0112 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Pro uide 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 Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 21.0 3.9 MG/L
Fecal Coliform 85.0 2.9 #/100ML
Total Suspended Solids 41.5 10.9 MG/L
Temperature (Summer) 30.7 22.4 'Celsius
Temperature (Winter) 18.5 11.0 ° Celsius
pH 8.5 N/A UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO055191 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. 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.
Thomas,J. Roberts I President 8s Chief Operating Officer
PWppliof Person gni Title
30 /
a ate
North Carolina General St to 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 05/08

AOUA,.
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.
202 MacKenan Court,Cary,NC,27511 • 919.467.8712 • AquaAmerica.com

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PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secteiary
WS. JAY ZIMMERMAN
Water Resources
D,reciur
ENVIRONMENTAL QUALITY
April 8, 2016
Thomas J. Roberts,President
AQUA North Carolina, Inc.
202 Mackenan Court
Cary,NC 27511
Subject: Acknowledgement of Permit Renewal
Application No.NCO055191
Penman Heights W WTP
Randolph County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on April 7,
2016. A member of the NPIDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-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. Please respond in a timely manner to
requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact Sonia
Gregory at 919-807-6333 or [e-mail].
Sincerely,
W!re*t,Tkt f orO�
Wren Thedford
Wastewater Branch
cc: Central Files
NPD LS
Winston-Salem Regional Office
r
State of North Carolina Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North CaIrohna 27699-1617
919-807-6300