NC0022985_Renewal Request_20170217

UtilitiES9
Inc.'
February 7, 2017
Mr. Wren Thedford
NC DENR
Division of Water Resources
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Fairfield Sapphire Subdivision WWTP
NPDES NCO022985
Renewal Request
Dear Mr. Thedford
RECEIVEDINCDEQIDWR
FEB 17 2017
WaterQuality
Permitting Section
Please find enclosed Application and attachments and consider this letter as our official request to renew the NPDES permit for
the facility referenced above.
If you should have any questions or need any additional information, please do not hesitate to call me at 704-319-0523 or by
email at [e-mail] .
Thank you in advance for your attention.
Sincerely,
—\
QOSulJr,-�L
Regional Manager
aUblities,Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 0 Charlotte, NC 28224 0 P: 704-525-7990 a F: 704-525-8174
5701 Westpark Dr., Suite 101 0 Charlotte, NC 28217 0 www.uiwater.com

k' 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 XC0022985
If you are completing this form in computer use the TAB key or the up - down arrows. to moue 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 Carolina Water Service, Inc. of North Carolina
Facility Name Fairfield Sapphire Valley - WWTP
Mailing Address P.O. Box 240908
City Charlotte
State / Zip Code NC, 28224 RECEIVEDINCDEQIDOR
Telephone Number [phone] FEB 17 20117
Fax Number [phone] WaterGuality
e-mail Address [e-mail] her -m- 09caecti011
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 3500 U.S. Highway 64 West
City Sapphire
State / Zip Code NC 28774
County Jackson
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 Carolina Water Service, Inc. of North Carolina
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
P.O. Box 240908
Charlotte
NC, 28224
[phone]
(704-) 525-8174
e-mail Address , [e-mail]
1 of 3 Form -D 11/12

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):
Industrial
❑
Number of Employees 1
Commercial
®
Number of Employees Unknown
Residential
®
Number of Homes 741
School
❑
Number of Students/Staff
Other
❑
Explain:.
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Sapphire Valley - Subdivision
741 x 1.5 (seasonal multiplier) = 1112 population
(38) Commercial
Number of persons served: 1112
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) (NEW applicants: Provide a map showing the exact location of each
outfall):
Trays Island Creek
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 .30MGD treatment facility consists of the following components;
Two (2) 0.075 MGD extended aeration plants with clarifiers and sludge digesters.
One (1) 0.150 MGD extended aeration plant with clarifier and sludge digester.
Three (3) effluent chlorine contact fine settling ponds.
Effluent flow meter, liquid chlorine disinfection, Tablet de -chlorination.
2 of 3 Form -D 11%12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.30 MGD
Annual Average daily flow 0.10 MGD (for the previous 3 years)
Maximum daily flow 0.70 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes 0 No
12. Effluent Data
NEW APPLICANTS: Provide 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
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currentl in our ermit. Mark other parameters ."NIA ".
Parameter
Daily
Maximum.
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
16.5
4.2
Mg/1
Fecal Coliform
1200
7.6
# 100/ml
Total Suspended Solids
43
0.5
Mg/l
Temperature (Summer)
23
19
Celsius
Temperature (Winter)
12.9
11.6
Celsius
pH -
7.9
6.7
Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NC0022985
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
WOCS00227
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.
Printed ame of Person Signing Title
Date
North Carolina General Statute 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 11/12

V , ,A
UtilitiEs. Inc.®
February 7, 2017
Mr. Wren Thedford
NC DENR
Division of Water Resources
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Re: Fairfield Sapphire Valley Subdivision WWTP
NPDES NCO022985
Sludge Management Plan
Dear Mr. Thedford,
As sludge and other solids are generated at this facility, they are periodically removed by the licensed contractor below.
W&S Maintenance
455 Cane Creek Road
Fletcher, NC 28732-7406
Phone: [phone]
-OR-
Mikes Septic Tank Service
P.O. Box 968
Leicester, NC 28748
Phone; 828-785-4364
If you should have any questions or need any additional information, please do not hesitate to call me at 704-319-0523 or by
email [e-mail] .
Thank you in advance for your attention.
Sincerely,
I�
Regional Manager
a Uthes, Inc. company Carolina Water Service, Inc. of North Carolina
P.O. Box 240908 / Charlotte, NC 28224 0 P: 704-525-7990 0 F: 704-525-8174
, 5701 Westpark Dr., Suite 101 o Charlotte, NC 28217 • www.uiwater.com