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HomeMy WebLinkAboutNC0088099_Renewal (Application)_20170523Water Resources ENVIRONMENTAL QUALITY May 23, 2017 Mr. Rick Owen, Town Manager Town of Banner Elk PO Box 2049 Banner Elk, NC 28604 Subject: Permit Renewal Application No. NCO088099 Banner Elk WWTP Avery County Dear Mr. Owen: ROY COOPER Governor MICHAEL S. REGAN Secretary S. JAY ZIMMERMAN nrreelor The Water Quality Permitting Section acknowledges receipt of your permit application and supporting documentation received on May 19, 2017. The primary reviewer for this renewal application is Derek Denard. The primary reviewer will review your application, and he 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 Derek Denard at 919-807-6307 or Derek.Denard@ncdenr.gov. cc: Central Files NPDES Asheville Regional Office Sincerely, ?Am 7&ec Wren Thedford Wastewater Branch State of North Carolina I Environmental Quality I Water Resources 1617 Mail Service Center I Raleigh, North Carolina 27699-1617 919-807-6300 RECEIVED/NCDEQ jDw an R MAY 19 2 017 NCDENR Water Quality North Carolina Department of Environment and Natural ResourcesPefrnitting Sectin Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee Freeman Governor Director Secretary RENEWAL REQUIREMENTS FOR MUNICIPAL NPDES PERMITS EPA Form 2A must be used for your permit renewal application. Expanded effluent testing is also required if you have a permitted flow > 1 MGD or if you received pretreatment wastewater: 1. Conduct three Priority Pollutant Analysis (PPA) tests; submit results with your renewal application. The PPA must include: Analyses for all total recoverable metals listed in Part D of form 2A. This includes metals that are not normally monitored through your NPDES permit. Analyses for total phenolic compounds and hardness. Analyses for all of the volatile organic compounds listed in Part D. Analyses for all of the acid -extractable compounds listed in Part D. i= Analyses for all base -neutral compounds listed in Part D. PLEASE NOTE: If your permit already contains a requirement for annual PPA testing, you should not need to conduct any additional tests. Any PPA data submitted cannot be over 4 % years old. 2. Conduct four toxicity tests for an orgA- n otb(: n your normal test species; submit the results with your renev Al application. Y.'a' ` the .zl uatic Toxicology Unit at (919) 743- 8401 for guidance regarding the addit ono es,, s. The ests should be conducted quarterly, with samples collected on t__.: odme day as your regular toxicity test. These additional analyses must accompany your permit application. The Division cannot draft your permit without them. Any data submitted cannot be over 4 '/2 years old. The following items are REQUIRED for all renewal packages: o A cover letter requesting renewal of the permit and documenting any changes at the facility since issuance of the last permit. Submit one signed original and two copies. o The completed application form (copy attached), signed by the permittee or an Authorized Representative. Submit one signed original and two copies. o If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares the renewal package, written documentation must be provided showing the authority delegated to the Authorized Representative (see Part II.13.111 of the existing NPDES permit). o A narrative description of the sludge management plan for the facility. Describe how sludge (or other solids) generated during wastewater treatment are handled and disposed. Submit one signed original and two copies. Send the completed renewal package to: Mrs. Dina Sprinkle NC DENR / DWQ / NPDES 1617 Mail Service Center Raleigh, NC 27699-1617 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarohna Phone: 919 807-6300 / FAX 919 807-6495 / Internet: www.ncwaterquality.org Natzmally An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper Water Quality Lab & Operations, Inc. P.O. Box 1167/ 1522 Tynecastle Highway Banner Elk, NC 28604 Ph. 828-898-6277 Fax 828-898-6255 May 3, 2017 Wren Thedford NCDENR/DWR/NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Re: Town of Banner Elk Mr. Thedford: Please find enclosed an application for the permit renewal for The Town of Banner Elk. All items on the checklist are included with the permit renewal. There have been no significant changes to the facility since the last permit application. If we can be of further assistance, please do not hesitate to contact us. Sincerely, Jadd Brewer ORC Rick Owen, Town Manager Stacy C. Eggers, IV, Attorney Town of Banner Elk I, the undersigned, do hereby give my permission and grant my authority as the Town Manager of The Town of Banner Elk to Jadd Brewer, Co-Owner/Operator of Water Quality Lab and Operations, Inc. to complete, sign and submit the Wastewater Permit Renewal Application for The Town of Banner Elk for 2017. This is the day of _ '2017. Printed Name and Title: Rick Owen, Town Manager Signature: 71k (JA I Rick Owen Town Manager Council Members PO Box 2049 Brenda Lyerly, Mayor Banner EIk, North Carolina 28604 David Lecka, Mayor Pro Tem Telephone (828) 898-5398 Charlie B. VonCanon Fax (828) 8984568 Robert Tufts www.townofbannerelk.org Allen Bolick Mike Dunn I, the undersigned, do hereby give my permission and grant my authority as the Town Manager of The Town of Banner Elk to Jadd Brewer, Co-Owner/Operator of Water Quality Lab and Operations, Inc. to complete, sign and submit the Wastewater Permit Renewal Application for The Town of Banner Elk for 2017. This is the day of _ '2017. Printed Name and Title: Rick Owen, Town Manager Signature: 71k (JA I Rick Owen Town Manager FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: Banner Elk WWTP, NPDES NC 0032115 Renewal FORM 2A NPDES FORM 2A APPLICATION OVERVIEW NPDES RIVER BASIN: Watauga APPLICATION OVERVIEW Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a "Supplemental Application Information" packet. The Basic Application Information packet is divided into two parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd must also complete Part B. Some applicants must also complete the Supplemental Application Information packet. The following items explain which parts of Form 2A you must complete. BASIC APPLICATION INFORMATION: A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.8. A treatment works that discharges effluent to surface waters of the United States must also answer questions A.9 through A.12. B. Additional Application Information for Applicants with a Design Flow >_ 0.1 mgd. All treatment works that have design flows greater than or equal to 0.1 million gallons per day must complete questions B.1 through B.6. C. Certification. All applicants must complete Part C (Certification). SUPPLEMENTAL APPLICATION INFORMATION: D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or more of the following criteria must complete Part D (Expanded Effluent Testing Data): 1. Has a design flow rate greater than or equal to 1 mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to provide the information. E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data): 1. Has a design flow rate greater than or equal to 1 mgd, 2. Is required to have a pretreatment program (or has one in place), or 3. Is otherwise required by the permitting authority to submit results of toxicity testing. F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any significant industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges and RCRA/CERCLA Wastes). SIUs are defined as: 1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR Chapter I, Subchapter N (see instructions); and 2. Any other industrial user that: a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain exclusions); or b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of the treatment plant; or C. Is designated as an SIU by the control authority. G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems). _ J ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION) EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22 FACILITY NAME AND PERMIT NUMBER: Banner Elk WWTP, NPDES NC 0032115 BASIC APPLICATION INFORMATION PERMIT ACTION REQUESTED: RIVER BASIN: i Renewal Watauga PART A. BASIC APPLICATION INFORMATION FOR ALL APPLICANTS: II treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet. A.1. Facility Information. Facility Name Mailing Address Contact Person Title Telephone Number Facility Address Banner Elk WWTP P.O. Box 2049 Banner Elk. NC 28604 Mill Pond Road. % Mile ` ''est of H shwa 184 near Banner Elk (not P.O. Box) A.2. Applicant Information. If the applicant is different from the above, provide the following: Applicant Name Jadd Brewer Mailing Address P.O. Box 1167 Banner Elk. NC 28604 Contact Person Same Title ORC Telephone Number f8281 260-2027 Is the applicant the owner or operator (or both) of the treatment works? ❑ owner ® operator Indicate whether correspondence regarding this permit should be directed to the facility or the applicant. ® facility ® applicant A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works (include state -issued permits). NPDES NCO032115 _ PSD UIC Other _ RCRA Other A.4. Collection System Information. Provide information on municipalities and areas served by the facility. Provide the name and population of each entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.). Name Population Served Type of Collection System Ownership Town of Banner Elk 1.407 _ Se. arate Town of Banner Elk Total population served 1407 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8, 7550-22. Page 2 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal Watauga A.5. Indian Country. a. Is the treatment works located in Indian Country? ❑ Yes ® No b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows through) Indian Country? ❑ Yes ® No A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12 -month time period with the 12'h month of "this year" occurring no more than three months prior to this application submittal. a. Design flow rate 0.600 _ mgd Two Years AQ o Last Year This Year b. Annual average daily flow rate 0.145 0.237 0.211 C. Maximum daily flow rate 0.349 0.535 0.421 A.7 Collection System. Indicate the type(s) of collection system(s) used by the treatment plant. Check all that apply. Also estimate the percent contribution (by miles) of each. ® Separate sanitary sewer 12.5 % ❑ Combined storm and sanitary sewer A.8. Discharges and Other Disposal Methods. a. Does the treatment works discharge effluent to waters of the U.S.? ® Yes ❑ No If yes, list how many of each of the following types of discharge points the treatment works uses: i. Discharges of treated effluent ii. Discharges of untreated or partially treated effluent iii. Combined sewer overflow points iv. Constructed emergency overflows (prior to the headworks) No V. Other b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the U.S.? ❑ Yes If yes, provide the following for each surface imL•oundment: Location: Annual average daily volume discharge to surface impoundment(s) Is discharge ® continuous or ❑ intermittent? C. Does the treatment works land -apply treated wastewater? If yes, provide the following for each land application site: Location: Number of acres: NIA ® No mgd ❑ Yes ® No Annual average daily volume applied to site: mgd Is land application ❑ continuous or ❑ intermittent? d. Does the treatment works discharge or transport treated or untreated wastewater to another treatment works? ❑ Yes ® No EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 3 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal Watauga If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works (e.g., tank truck, pipe). r If transport is by a party other than the applicant, provide: Transporter Name Mailing Address Contact Person Title Telephone Number For each treatment works that receives this discha e, provide the following: Name Mailing Address Contact Person Title Telephone Number If known, provide the NPDES permit number of the treatment works that receives this discharge Provide the average daily flow rate from the treatment works into the receiving facility. mgd e. Does the treatment works discharge or dispose of its wastewater in a manner not included in A.8. through A.8.d above (e.g., underground percolation, well injection): ❑ Yes ❑ No If yes, provide the following for eachdist osal method: Description of method (including location and size of site(s) if applicable): Annual daily volume disposed by this method: Is disposal through this method ❑ continuous or ❑ intermittent? EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 4 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal f Watauga WASTEWATER DISCHARGES: If you answered "Yes" to question A.8.a, complete -questions A.9 through A.12 once for each outfall (including bypass points) through which effluent is discharged. Do not include information on combined sewer overflows in this section. If you answered "No" to question A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd." A.9. Description of Outfall. a. Outfall number 001 b. Location Elk River 28604 (City or town, if applicable) m (Zip Code) Avery NC (County) (State) 36'09'27"N 81-53'10"W (Latitude) (Longitude) C. Distance from shore (if applicable) ft. d. Depth below surface (if applicable) ft. e. Average daily flow rate 0.211 _ mgd f. Does this outfall have either an intermittent or a periodic discharge? ❑ Yes ® No (go to A.g.g.) If yes, provide the following information: Number f times per year discharge occurs: Average duration of each discharge: Average flow per discharge: mgd Months in which discharge occurs: g. Is outfall equipped with a diffuser? ❑ Yes ® No A.10. Description of Receiving Waters. a. Name of receiving water Elk River b. Name of watershed (if known) United States Soil Conservation Service 14 -digit watershed code (if known): C. Name of State Management/River Basin (if known): Watauga United States Geological Survey 8 -digit hydrologic cataloging unit code (if known): d. Critical low flow of receiving stream (if applicable) acute cfs chronic _ cfs e. Total hardness of receiving stream at critical low flow (if applicable): _ mg/I of CaCO3 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 8 7550-22. Page 5 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal Watauga A.11. Description of Treatment a. What level of treatment are provided? Check all that apply. ® Primary ® Secondary ❑ Advanced ❑ Other. Describe: _ b. Indicate the following removal rates (as applicable): i Design BOD5 removal or Design CBOD5 removal 90 i Design SS removal 90 Design P removal 85 Design N removal 85 Other C. What type of disinfection is used for the effluent from this outfall? If disinfection varies by season, please describe: If disinfection is by chlorination is dechlorination used for this outfall? ❑ Yes ® No Does the treatment plant have post aeration? ❑ Yes ® No A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is dischar-ed. Do not include information on combined sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart. Outfall number: 001 PARAMETER MAXIMUM DAILY VALUE Value Units pH (Minimum) �6,6 s.u. pH (Maximum) 7.6 S.U. Flow Rate 0.946 MGD Temperature (Winter) 17 Deg. Celcius Temperature (Summer) 26 Deg. Celcius For pH please report a minimum and a maximum daily value MAXIMUM DAILY POLLUTANT DISCHARGE Conc. Units CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS BIOCHEMICAL OXYGEN BOD5 22.7 mg/L DEMAND (Report one) CBOD5 AVERAGE DAILY VALUE Value Units Number of Samples 0.204 MGD Continuous 14 Deg. Celcius Dail 23 Deg. Celcius Dail AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDLConc. Units Number of METHOD Samples 9.5 f mg/L f 3/week 4 SM -5210B 1 2.0 FECAL COLIFORM 6000 cuf/100mL 84 cuf1100mL 3/week SM -9222D 1cfu/100mL TOTAL SUSPENDED SOLIDS (TSS) 91 m lL 25 mg/L 3/week SM -2540D r 2.5 ma/L END OF PART A. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A ;Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 6 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED Banner Elk WWTP, NPDES NC 0032115 Renewal BASIC APPLICATION INFORMATION RIVER BASIN: Watauga PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WITH A DESIGN FLOW GREATER THAN OR EQUAL TO 0.1 MGD (100,000 gallons per day). All applicants with a design flow rate >_ 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification). B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from inflow and/or infiltration. • 1 111 gpd Briefly explain any steps underway or planned to minimize inflow and infiltration. An inflow and infiltration study has been started. 8.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire area.) a. The area surrounding the treatment plant, including all unit processes. b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which ftreated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable. c. Each well where wastewater from the treatment plant is injected underground. d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within X mile of the property boundaries of the treatment works, and 2) listed in public record or otherwise known to the applicant. e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed. f. If the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail, or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed. B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, including disinfection (e.g., chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate daily flow rates between treatment units. Include a brief narrative description of the diagram. BA. Operation/Maintenance Performed by Contractor(s). Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ® Yes ❑ No If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional pages if necessary). Name: Water Qualiti Lab and Operations via Jadd Brewer, ORC Mailing Address: P.Q. Box 1167 Banner Elk, NC 28604 Telephone Number: (828) 260-2027 Responsibilities of Contractor: Operations B.5. Scheduled improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5 for each. (If none, go to question B.6.) a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule. b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies. ❑ Yes ❑ No i EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 i£ 7550-22. Page 7 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal Watauga c. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable). d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as applicable. For improvements planned independently of local, State, or Federal agencies, indicate planned or actual completion dates, as applicable. Indicate dates as accurately as possible. Schedule Actual Completion Implementation Stage MM/DD/YYYY MM/DD/YYYY - Begin Construction - End Construction - Begin Discharge - Attain Operational Level e. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No Describe briefly: B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY). Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include information on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate QA/QC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be based on at least three pollutant scans and must be no more than four and on -half years old. Outfall Number: AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDL Number of METHOD Conc. Units Samples 1.32 MAXIMUM DAILY 3/wk DISCHARGE POLLUTANT UV Disinfection UV Disinfection UV Disinfection UV Disinfection Conc. Units CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS AMMONIA (as N) 15.1 mg/L CHLORINE (TOTAL Uv UV RESIDUAL, TRC) Disinfection Disinfection DISSOLVED OXYGEN N/A N/A TOTAL KJELDAHL 19 6 mg/L NITROGEN (TKN) NIA N/A NITRATE PLUS NITRITE 15.6 mg/L NITROGEN 0.02mg/L N/A NIA OIL and GREASE N/A NIA PHOSPHORUS (Total) 4.01 mg/L TOTAL DISSOLVED SOLIDS NIA N/A (TDS) AVERAGE DAILY DISCHARGE ANALYTICAL ML/MDL Number of METHOD Conc. Units Samples 1.32 mg/L 3/wk SM-4500NH3F 0.1 mg/L UV Disinfection UV Disinfection UV Disinfection UV Disinfection UV Disinfection N/A N/A NIA NIA NIA 12.64 mg/L 21year SM-450ON 0.5 9.45 mg/L 2/year SM -4500 0.08 N/A NIA NIA NIA N/A 3.5 mg/L 2/year EPA 200.7 0.02mg/L N/A NIA NIA NIA NIA OTHER NIA N/A N/A N/A N/A NIA NIA END OF PART B. REFER TO THE APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHER PARTS OF FORM 2A YOU MUST COMPLETE EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 8 of 22 FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN: Banner Elk WWTP, NPDES NC 0032115 Renewal Watauga BASIC APPLICATION INFORMATION PART C. CERTIFICATION i All applicants must complete the Certification Section. Refer to instructions to determine who is an officer for the purposes of this certification. All applicants must complete all applicable sections of Form 2A, as explained in the Application Overview. Indicate below which parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed Form 2A and have completed all sections that apply to the facility for which this application is submitted. Indicate which parts of Form 2A you have completed and are submitting: ® Basic Application Information packet Supplemental Application Information packet: ❑ Part D (Expanded Effluent Testing Data) ❑ Part E (Toxicity Testing: Biomonitoring Data) ❑ Part F (Industrial User Discharges and RCRA/CERCLA Wastes) ❑ Part G (Combined Sewer Systems) ALL APPLICANTS MUST COMPLETE THE FOLLOWING CERTIFICATION. I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name and official title Jadd Brewer. ORC Signature Telephone number Li 260-2027 e Date signed Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment works or identify appropriate permitting requirements. SEND COMPLETED FORMS TO: NCDENR/ DWQ Attn: NPDES Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22 Water Quality Lab & Operations, Inc. P.O. Box 1167/ 1522 Tynecastle Highway Banner Elk, NC 28604 Ph. 828-898-6277 Fax 828-898-6255 BANNER ELK `V`VTP SLUDGE MANAGEMENT Sludge is managed via a commercial hauler, Triple T located on 1372 NC Hwy 194 N, Boone, NC 28607. A A-2 j .-4 I AV op ri 0 I MIA V STI ._'A � T ; - ' Balm '.iYN• ar i MI h� _ f 4 �e � 5 7. V _ `t 1 Y`3 — — _1 fi,r ff ``.i�rS• F. 11 _ '777 . 7, ;7777 a ' -V y 1k� •h:::lei N. JAJ'�J 60.t �� J• 10� . f e. its 'T N .. ---J . i��O.e!Now Banner Elk WWTP 4 J V STI ._'A � T ; - ' Balm '.iYN• ar i MI h� _ 7. V _ `t 1 Y`3 — — _1 fi,r ff ``.i�rS• F. OutfaH '777 . 7, ;7777 a ' •h:::lei N. JAJ'�J 60.t y- — e. ---J . i��O.e!Now - �- • . pp_��. Receiving Stream: Elk River Subbasin: 04-02-01 Drainage Basin: Watauga River Basin Latitude: 36' 09' 27" V Loneitude: 81'53' 10" W Permitted Flow: 0.6 MGD Stream Class: C -Tr GriWQuad_ C 11 NW Facility Location AOMW not to scale NPDES Permit No. NCO032115 NOYtj2 Avery County