NC0059439_Renewal Application_20170331

Water Resources
ENVIRONMENTAL QUALITY
September 11, 2017
Patty Carland
A&D Water Service Inc
117 Kira Ln
Hendersonville, NC 28739
Subject: Permit Renewal
Application No. NCO059439
Sapphire Lakes Plant WWTP #2
Transylvania County
Dear Applicant:
ROY COOPER
Governor
MICHAEL S. REGAN
Sccretory
S. JAY ZIMMERMAN
Director
The Water Quality Permitting Section acknowledges the March 31, 2017 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 1506-3 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.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https•//deq nc gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
47A
IIAM
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application (ARO)
ec: WQPS Laserfiche File w/application
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

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 INCO059439
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
A & D Water Service, Inc.
Facility Name
Sapphire Lakes WWTP #2
Mailing Address
P.O. Box 1407
City
Pisgah Forest
State / Zip Code
N.C. 28768
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 Off US 64 at Sapphire Lakes Subdivision
City Sapphire
State / Zip Code N. C. 28774
County Transylvania
3. Operator Information:
Name of the firm, public organization or other entity that operates the facrIity. (Note that this is not
refemng to the Operator in Responsible Charge or ORC)
Name A & D Water Service, Inc.
Mailing Address P. O Box 1407
City Pisgah Forest
State / Zip Code N. C. 28768
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
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c --
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
Commercial ❑ Number of Employees
Residential X Number of Homes g
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater i:example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Residential Condos
Number of persons served: 16
S. Type of collection system
X 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? X Yes ❑ No
?. Name of receiving stream(s) (NEW applicants• Provide a map showing the exact location of each
outfall):
James Creek
8. Frequency of Discharge: X 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 suf
separate sheet of paper. ficient, attach the description of the treatment system in a
Septic tank sank filter, chlorination, dechlorination and step aeration
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Form -D 11112

a
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.005 MGD
Annual Average daily flow 0.000 MGD (for the previous 3 years)
Maximum daily flow 0.000 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X 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 analysts is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS.• Provide thehighest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currentl in our ernut. Mark other parameters ON/AA.
Parameter Daily Monthly Units of
B'
Maximum Avera a Measurement
ih oc em.
CM Oxygen Demand (BODS)
N/A
N/A
mg/1
Fecal Coliform
N/A
N/A
/ 100 ml
Total Suspended Solids
N/A
N/A
Temperature (Summer)
N/A
N/A
mg/1
Temperature (Winter)
N/A
N/A
C
pH
N/A
N/A
C
su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO059439 Dredge or fill (Section 404 or CWA)
PSD (CAA)
Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
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.
Aubrey Deaver President
Printed name of Person Sigri�pg Title
Signature
Applicant
F01 J'7
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 monitonng device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article shall hp
guilty of a misdemeanor punishable by a tine not 10 exceed $25,000, or by lmprlsonment 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 )
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Form -011112