NC0088781_Signatory Authority_20160425

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April 4, 2012
Point Source Branch RECEIVEDUDEQIDWR
Surface Water Protection Section
Division of Water Quality APR 2 5 2016
1617 Mail Service Center Water Quality
Raleigh,NC 27699-1617 Permitting Section
Subject: Delegation of Signature Authority
Lower Cape Fear Water& Sewer Authority's Bladen Bluffs Regional Surface Water
System
NPDES No. NCO08781
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all
permit applications, discharge monitoring reports, and other information relating to the operations at Lower
Cape Fear Water Authority's Bladen Bluffs Regional Surface Water System as required by all applicable
federal, state, and local environmental agencies specifically with the requirements for signatory authority as
specified in 15A NCAC 2B.0506.
Name Title
Robert P. Harris, Jr. Manager Water/Waste Water—Tar Heel Smithfield Packing Company
if you have any questions regarding this letter, please feel free to contact me at(910) 383-1919.
Cordially,
Don Betz
Executive Director
cc: Wilmington Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit
Lower Cape Fear Water & Sewer Aaath®rity
1107 New Pointe Blvd, suite 17 -m - phrn 910.383.19'19 fax [phone]
www.icfwasa.org
Leland, North Carolina 28451

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 INCO088781 I
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 Lower Cape Fear Water and Sewer Authority
Facility Name Bladen Bluffs Regional Water Treatment Plant
Mailing Address LCFWASA/Bladen Bluffs 1107 New Pointe Blvd; Suite 17
City Leland
State / Zip Code NC 28451
Telephone Number [phone] RECEIVEDIN DWR
Fax Number [phone]
e-mail Address admin lcfwasa.org 6
Water Qualny
2. Location of facility producing discharge: Permitting Section
Check here if same as above ❑
Street Address or State Road 17014 Highway 87 West
City Tar Heel
State / Zip Code NC 28392
County Bladen
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 Lower Cape Fear Water and Sewer Authority
Mailing Address LCFWASA/Bladen Bluffs 1107 New Pointe Blvd; Suite 17
City Leland
State / Zip Code NC 28451
Telephone Number [phone]
Fax Number [phone]
4. Ownership Status:
Federal ❑ State ❑ Private ❑ Public
Page I of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
S. 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)
Surface Water (Cape Fear River)
7. Describe the treatment processes for the raw water:
Includes coagulation, flocculation, and sedimentation, followed by filtration, pH
adjustment and disinfection.
8. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Backwash water is pumped to 2 lagoons for settling. Once settled, water is then
dechlorinated, caustic or acid is added as needed for pH adjustment, then the discharge
valve is opened and water is gravity fed to discharge. No sludge removal needed as of yet.
Approximately every 3 months the settling basins at the water plant are drained for
cleaning. Supernatant is drained off to the lagoons for settling, dechlorination and pH
adjustment (as needed), then discharged. Sludge from the basins is pumped into trucks for
land application.
9. Number of separate discharge points: 1
Outfall Identification number(s) 001
10. Frequency of discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 4 Duration: 3 hrs.
11. Plant design potable flowrate: 6 MGD
Backwash or reject flow: 20 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitudes
Unnamed tributary to Cape Fear River;
Page 2 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Latitude: N 340 45' 53" (34.7647)
Longitude: W 780 48' 16" (-78.8044)
(See Attached)
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate - Yes
Iron sulfate / ferrous sulfate - No
Fluoride - No
Ammonia nitrogen / Chloramines: No
Zinc-orthophosphate or sweetwater CP1236: No
List any other additives below:
Sodium Hexametaphosphate (Corrosion Inhibitor for potable water), Sodium Permanganate (Oxidant)
Sodium Hypochlorite (Disinfectant), Calcium Thiosulphate (Dechlorination),
Sodium Hydroxide and Sulphuric Acid (pH adjustment), AOC294P (Water soluble cationic polymer)
14. Is this facility located on Indian country? (check one)
Yes ❑ No
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 points] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
(See Attached)
Solids Handling Plan
All residuals are handled in accordance with Land Application Permit No.
WQ0036916.
In the case of inclement weather we have the capacity to hold years of residuals
onsite.
16. NEW Applicants
Information needed in addition to items 1715:
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
v Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
Page 3 of 4 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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.
Robe Harris Jr. Manager- Water Wastewater Smithfield Tar Heel N.C.
ted e o Pe n Signing T. le
72-0 2�
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
imprisonment not to exceed sic 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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Bladen Bluffs Regional Surface VdTP-N00088781
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(34.7647,-78.8044)

PAT MCCRORY
:,i (fore rnnr
DONALD R. VAN DER VAART
j,
" Secretary
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY D„ector
April 26, 2016
Robert P.Harris,Jr
Lower Cape Fear W&SA
1107 New Pointe Blvd, Suite 17
Leland,NC 28451
Subject: Acknowledgement of Pen-nit Renewal
Application No. NCO088781
Bladen Bluff Regional WTP
Bladen County
Dear Permittee:
The Water Quality Pennitting 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�e,�Tltieo@-�o� •
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Fayetteville Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-307-6300