NC0082767_Renewal Application_20160426

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
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0082767
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 Town of Spruce Pine
Facility Name Town of Spruce Pine
Mailing Address P.O. Box 189 RECEIVED/NCDEQ'DWR
City Spruce Pine APR 2 5 2016
State / Zip Code NC 28777
Watcr Quality
Telephone Number 828-765-3000 Permitting Section
Fax Number 828-765-3014
e-mail Address [e-mail]
bellsouth.net
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road 95 Clearwater Lane
City Spruce Pine
State / Zip Code NC 28777
County Mitchell
-
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 American Water-Town of Spruce Pine
Mailing Address 95 Clearwater Lane
City Spruce Pine
State / Zip Code NC 28777
Telephone Number (828-765-3011)
Fax Number (828-765-3013)
4. Ownership Status:
Federal ❑ State ❑ Private ❑ Public x❑
Page 1 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
S. Type of treatment plant:
x❑ 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 D
6. Description of source water(s) (i.e. groundwater, surface water)
Beaver Creek Water Shed WS-1
North Toe River
7. Describe the treatment process(es) for the raw water:
Chlorine Gas for disinfection, Alum /Caustic for coagulation, Caustic for post PH
adjustment, Ortho-Poly Phosphate for corrosion control
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
All Backwash water goes to WWTP NCOO21423
9. Number of separate discharge points: 1
Outfall Identification number(s) NC0082767
10. Frequency of discharge: Continuous ❑ Intermittent x❑
If intermittent:
Days per week discharge occurs: Never been used Duration:
11. Plant design potable flowrate 1.61 MGD
Backwash or reject flow MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Beaver Creek
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Page 2 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Alum / aluminum sulfate Yes yes No
Iron sulfate / ferrous sulfate Yes No no
Fluoride Yes No no
Ammonia nitrogen / Chloramines Yes No no
Zinc-orthophosphate or Sweetwater CP1236 Yes No no
List any other additives below:
Phosphate 70% Poly 30 % Ortho Caustic
14. Is this facility located on Indian country? (check one)
Yes 0 No x❑
15. Additional Information:
Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
i,4‘efi5 p e c.trr 0 LA (-'Q gm,.rt
r Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
New applicants are highly encouraged to contact a permit coordinator with the
NCDENR Customer Service Center.
Was the Customer Service Center contacted? 0 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.
Richard Canipe Town Manager
Printe,•' if P; so ing Title
//"2-g.77 .
-gnature of 'pplicant Date
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
Page 3 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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 4 of 4 Version 5/2012

PAT MCCRORY
DONALD R. VAN DER VAART
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
April 26, 2016
Richard Canipe, Town Manager
Town of Spruce Pine
PO Box 189
Spruce Pine,NC 28777
Subject: Acknowledgement of Permit Renewal
Application No. NC0082767
Spruce Pine WTP
Mitchell County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on April 25,
2016. A member of the NPDES 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 Tom
Belnick at 919-807-6390 or [e-mail].
Sincerely,
W re ' Theobfo-rob
Wren'Medford
Wastewater Branch
cc: Central Files
NPDES
Asheville Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-S07-6300

_ 4
•(F. Tree.
it°il Town of Spruce Pine, North Carolina
°'4rH tpRo
N.
April 28, 2016
RECEIVEDINCDEQIDWR
Wren Thedford
NCDENR/DWR/NPDES Unit MAY 0 2 2016
1617 Mail Service Center
Raleigh, NC 27699-1617 Water y
Permittingg Section
Dear Wren:
The Town of Spruce Pine would like to request the renewal of the discharge permit for our water
treatment facility. Since the issuance of the last permit, the water plant filters have been totally
refurbished. In addition, an automated sludge removal system was installed in the sedimentation
basin. If you have questions or need further information please feel free to contact me. Thank you for
your assistance in this matter.
Sincerely,
Richard Canipe
Manager
Town of Spruce Pine -
Post Office Box 189,Spruce Pine,North Carolina 28777-0189
Telephone: [phone] Fax: [phone] Website: www.sprucepine-nc.gov

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete lete a PP lication to:
P
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number NC0082767
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 Town of Spruce Pine
RECEIVED/NCDEQ/DWR
Facility Name Town of Spruce Pine
Mailing Address P.O. Box 189 MAY 0 2 2U16
Water City Spruce Pine Permitting Section
State / Zip Code NC 28777
Telephone Number 828-765-3000
Fax Number 828-765-3014
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 95 Clearwater Lane
City Spruce Pine
State / Zip Code NC 28777
County Mitchell
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 American Water-Town of Spruce Pine
Mailing Address 95 Clearwater Lane
City Spruce Pine
State / Zip Code NC 28777
Telephone Number (828-765-3011)
Fax Number (828-765-3013)
4. Ownership Status:
Federal El State ❑ Private ❑ Public x❑
Page 1 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
x❑ 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)
Beaver Creek Water Shed WS-1
North Toe River
7. Describe the treatment process(es) for the raw water:
Chlorine Gas for disinfection, Alum /Caustic for coagulation, Caustic for post PH
adjustment, Ortho-Poly Phosphate for corrosion control
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
All Backwash water goes to WWTP NC0021423
9. Number of separate discharge points: 1
Outfall Identification number(s) NC0082767
10. Frequency of discharge: Continuous ❑ Intermittent x❑
If intermittent:
Days per week discharge occurs: Never been used Duration:
11. Plant design potable flowrate 1.61 MGD
Backwash or reject flow MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Beaver Creek
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Page 2 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Alum / aluminum sulfate Yes yes No
Iron sulfate / ferrous sulfate Yes No no
Fluoride Yes No no
Ammonia nitrogen / Chloramines Yes No no
Zinc-orthophosphate or sweetwater CP1236 Yes No`no
List any other additives below:
Phosphate 70% Poly 30 % Ortho Caustic
14. Is this facility located on Indian country? (check one)
Yes ❑ No x❑
15. Additional Information: -
• Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
• Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15:
• New applicants are highly encouraged to contact a permit coordinator with 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.
Richard Canipe Town Manager
Printed . . e of P- son Signing Title
,2 5—
Signature of Applicant Date
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
Page 3 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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 4 of 4 Version 5/2012

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USGS Quad: DlONE Spruce Pine, NC
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Latitude: 35° 55' 9.3"N 35° 55' 23.1" N 4=W:-.7elftiT".eT'i-X5--:p..'z-.mr,.-44.,sem.3P,..0,.._. • :
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Longitude: 82° 3' 38.4" W 82° 3' 38.2" W
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Facility Location -V..."-.;t44.-5,,..7'
Stream Class: ('-Trout North
Subbasin: 04-03-06 HUC: 06010108 Spruce Pine WTP NC0082767
Receiving Stream: UT to Beaver Creek Mitchell County