WQCS00380_Renewal Application_20180427

AQUAS.
April 27, 2018 RECEIVED/DENR/DWR
NCDEQ, DWR MAY 11 2018
PERCS Unit
Water Resources
512 N. SalisburySt.
Permitting Section
Suite 925
Raleigh, NC 27604
RE: System-Wide Wastewater Collections Systems Permit Renewal
Hawthorne, WQCS00380
To Whom It May Concern:
Aqua North Carolina, Inc. (Aqua) is pleased to provide submission of the `Hawthorne
Subdivision' wastewater collection system renewal package as outlined by form CSA
04-16. This documentation is being submitted in pursuit of a permit renewal for
existing permit WQCS00380.
Please find enclosed the following documentation:
• One (1) original and one (1) copy of the Wastewater Collection System Renewal
Form (CSA 04-16)
• Two (2) copies of the existing Certificate of Public Convenience and Necessity
• Two (2) copies of documentation of business registration with the North
Carolina Secretary of State
• Two (2) copies of the current Pump Station inventory
• Two (2) copies of the current High Priority Lines inventory
• Two (2) copies of the current Annual Budget for Collection System
• Two (2) copies of the current Capital Improvement Plan
• Two (2) copies of the current Response Action Plan
• Two (2) copies of the current Contingency Plan
• Two (2) copies of the current Comprehensive Collection System Map
Please contact our compliance department with any concerns at
[e-mail] or 919.653.6965.
Sincerely,
/9„..
tialja
Jacob Mueller
Aqua North Carolina, Inc.
202 MacKenan Court, Cary, NC 27511 • 0: 919.467.8712 • F: 919.460.1788 • AquaAmerica.com

State of North Carolina
DiA/R Department of Environmental Quality
Division of Water Resources
ISA NCAC 02T.0400—SYSTEM-WIDE WASTERWATER COLLECTION SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM CSA 04-16&SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the System-wide Collection System Permitting website:
General — When submitting an application to the Pretreatment, Emergency Response, & Collection Systems (PERCS)
Unit, please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to
these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of
requested additional information.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Cover Letter
® Submit a cover letter listing all items and attachments included in the permit application package
B. No Application Fee Required
> No application fee is necessary. The permittee will be billed an annual fee upon issuance of the permit
> The appropriate annual fee for systemwide wastewater collection system permits may be found at:
> Annual Non-Discharge Fees
C. System-Wide Wastewater Collection System(FORM: CSA 04-16)Application:
® Submit the completed and appropriately executed System-wide Wastewater Collection System (FORM: CSA 04-
16) application. Any unauthorized content changes to this form shall result in the application package being
returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
® If the Applicant Type in Section 1.3 is a Privately-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity (CPCN) from the North Carolina Utilities Commission demonstrating the Applicant
is authorized to hold the utility franchise for the area to be served by the wastewater collection system, or
0 Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area
or that franchise royal is expected.
petted.
® If the Applicant Type in Section I.3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
> The Authorized signing official listed in Section 1.4 should match with that of the Applicant
accordance with 15A NCAC 02T .0106(b). Per 15A NCAC 02T.0106 c an alternate person may bead son ignated
ilage in
as the signing official if a delegation letter is provided from a person who meets the criteria in A NCAC 02T
.0106(b).
> NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16&SUPPORTING DOCUMENTATION
Page 1 of 5

E. Summary of Attachments Required:
❑ Instruction A: Cover Letter
❑ Instruction C: Application
❑ Instruction C: Ownership Documentation(i.e. CPCN)(If necessary)
❑ Instruction D: Delegation Letter(If necessary for signing official)
❑ Section IV.3 Pump Station List
❑ Section IV.4 High Priority Lines List
❑ Section V.4 Annual Budget for Collection System(Updated and Approved)
❑ Section V.6 Capital Improvement Plan(Updated and Approved)
❑ Section VI. 2 Response Action Plan
❑ Section VI.4 Contingency Plan
❑ Section VI.6 Comprehensive Collection System Map
❑ Section VII Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery:
Attn:PERCS Unit Supervisor 512 N. SALISBURY ST. Suite 925
1617 MAIL SERVICE CENTER RALEIGH,NORTH CAROLINA 27604
RALEIGH,NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 04-16& SUPPORTING DOCUMENTATION
Page 2 of 5

1. APPLICANT INFORMATION:
1. Applicant's name(Municipality,Public Utility,etc):Aqua North Carolina,Inc.
2. Facility Information: Name: Hawthorne Collection System Permit No.:WQCS00380
3. Applicant type: ❑Municipal ❑State ®Privately-Owned Public Utility
❑County ❑Other:
4. Signature authority's name: Shannon V.Becker per 15A NCAC 02T.0106(b)
Title:President
5. Applicant's mailing address: 202 Mackenan Court
City:Cary State:NC Zip:27511-
6. Applicant's contact information:
Phone number: [phone] Fax number: [phone] Email address: svbeckeraquaamerica.com
II. CONTACT/CONSULTANT INFORMATION:
1. Contact Name:Amanda Owens
2. Title/Affiliation:Manager,Environmental Compliance—Aqua North Carolina.Inc.
3. Contact's mailing address:202 Mackenan Court
4. City: Cary State:NC Zip: 27511
5. Contact's information:
Phone number: [phone] Fax number: (2n)460-1788 Email address: aaowens(a,aquaamerica.com
III. GENERAL REQUIREMENTS:
1. New Permit or Premit Renewal? ❑New ®Renewal
2. County System is located in: Wake County
3. Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s):Aqua North Carolina.Inc—Hawthorne Subdivision WWTF
4. WWTF Permit Number(s): WQ0049662
5. What is the wastewater type? 100%Domestic IIor %Industrial(See 15A NCAC 02T.0103(20))
y Is there a Pretreatment Program in effect?❑Yes or®No
6. Wastewater flow: 0.110 MGD(Current average flow of wastewater generated by collection system)
7. Combined permitted flow of all treatment plants: 0.250 MGD
8. Explain how the wastewater flow was determined: ❑ 15A NCAC 02T.0114 or®Representative Data
9. Population served by the collection system: 815 connections
IV. COLLECTION SYSTEM INFORMATION:
1. Line Lengths for Collection System:
Sewer Line Description Length
Gravity Sewer 15.0(miles)
Force Main 2.0(miles)
Vacuum Sewer 0.0(miles)
Pressure Sewer 0.25(miles)
APPLICATION CSA 04-16
Page 3 of 5

2. Pump Stations for Collection System:
Pump Station Type Number
Simplex Pump Stations(Serving Single Building) 10
Simplex Pump Stations(Serving Multiple Buildings) 0
Duplex Pump Stations 6
3. Submit a list of all major(i.e.not simplex pump station serving a single family home)pump stations. Include the following
information:
➢ Pump Station Name
➢ Physical Location
➢ Alarm Type(i.e. audible,visual,telemetry, SCADA)
➢ Pump Reliability(Can convey peak hourly wastewater flow with largest single pump out of service)
➢ Reliability Source(permanent/portable generator,portable pumps)
➢ Capacity of Station(Pump Station Capacity in GPM)
4. Submit a list of all high priority lines according per 15A NCAC 02T.0402(2)known to exist in the collection system. Head
the list with"Attachment A for Condition V(4)"and include the system name.
➢ Use the same line identification regularly used by the applicant
➢ Indicate type of high priority line(i.e. aerial),material and general location
V. COLLECTION SYSTEM ADMINISTRATION:
1. Provide a brief description of the organizational structure that is responsible for management, operation and maintenance of
the collection system.
The operation of the existing Woodlake Country Club Wastewater Collection system is the responsibility of the main ORC.
The main ORC is supervised by a Regional Supervisor who reports to an Area Manager. Operations teams are supported by
internal Engineering, Compliance, and Customer Care mangers.
2. Indicate the current designated collection system operators for the collection system per 15A NCAC 08G.0201
Main ORC Name: Larry Wayne Alford Certification Number: 997605
Back-Up ORC Name:Kathy Broadwell Certification Number: 996661
See the"WOCS Contacts and ORC Report"for a current listing of the ORC(s)the Division has on file for WQCS permit
3. Approximate annual budget for collection system only: $489,128.15
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budget for the collection system only: $378,432.54(through 2022)
6. Submit a copy of your current capital improvement plan.
7. Is this collection system currently a satellite system 0 Yes or®No
8. Do any satellite systems discharge to this collection system 0 Yes or®No(If yes complete table below)
Satellite System Contact Information(Name,Address,Phone Number)
Complete for Satellite Systems that have a flow or capacity greater than 200,000 GPD(Average daily flow)
9. List any agreements or ordinances currently in place to address flows from satellite systems:
APPLICATION CSA 04-16 Page 4 of 5

VL COLLECTION SYSTEM COMPLIANCE:
1. Is a Response Action Plan currently in place®Yes or❑No
2. If Yes,submit a copy of the Response Action Plan or see table 6 below.
3. Is a pump station contingency plan currently in place?® Yes or❑No
4. If Yes,submit a copy of the pump station contingency plan or see table 6 below.
5. Is a comprehensive collection system map currently in place? ®Yes or❑No
6. Submit a submit a copy of the collection system map(CD or hardcopy)or indicate a schedule for completion
7. Thoroughly read and review the System-Wide Collection System Permit Conditions. Typically compliance schedules
are only offered to NEW permit applicants and NOT permit renewals. Any compliance dates must be included within
the permit prior to issuance or the permit holder will be found in violation upon inspection.
Current If no,Indicate a Typical
Permit Condition Compliance Compliance
Compliance? P
Date Schedule
I(4)—Grease ordinance with legal authority to inspect/enforce ®Yes ❑No
12- 18 mo.
1(5)— Grease inspection and enforcement program ® Yes ❑No 12— 18 mo.
1(6)—Three to five year current Capital Improvement Plan. // Yes ❑No
12- 18 mo.
I(8)—Pump station contingency plan ®Yes ❑No 3 mo.
I(9)—Pump station identification signs. ® Yes ❑No
3 mo.
I(11)—Functional and conspicuous audible and visual alarms. ® Yes ❑No
3—6 mo.
II(5)—Spare pumps for any station where one pump cannot
handle peak flows alone(in a duplex station,the 2nd pump is ®Yes ❑No
the spare if pump reliability is met). 6—9 mo.
II(7)—Accessible right-of-ways and easements. ®Yes ❑No
6- 12 mo.
II(9)—Response action plan with Items 9(a—h). ®Yes ❑No
3 mo.
111(3)—Comprehensive collection system map ®Yes ❑No
10%per year
For conditions not listed,compliance dates are not typically offered. List any permit conditions that may be difficult for the
applicant to meet(attach clarification if needed):
N/A
VII. APPLICANT'S CERTIFICATION per 15A NCAC 02T.0106(b):
I, Shannon V. Becker,President attest that this application for Hawthorne Subdivision WWCS
(Signature Authority's Name&Title from Item 1.4)
(Facility name from Item I.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
$10,000 as well as civil penalties up to$25,000 per violation.
Signature: _ily Date: j 7
y
APPLICATION CSA 04-16
Page 5 of 5

STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A-71
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA, INC.
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
AVOCET (Lots 1-66, 114-116, 131) BARCLAY DOWNS, BARTON CREEK BLUFFS,
BARTONS CREEK OVERLOOK, BOULDER CREEK, BRIARWOOD FARMS,
CHESTNUT OAKS AT BARTON CREEK BLUFFS, CROOKED CREEK, CROOKED
CREEK BLUFFS, CROOKED CREEK SOUTH, CROOKED CREEK TRACK D, CROSS
CREEK MHP, ENCLAVE OF BARTON CREEK BLUFFS, FAIRWAYS OF CROOKED
CREEK, GRAYLYN, HASENTREE PHASES 1, 2, 3, 5, 6A, 66, 6C, 7 & 11(LAKE
VILLAS), HAWTHORNE, MALLARD CROSSING, MONTICELLO, NEUSE RIVER
VILLAGE, OLDE MILBURNIE CROSSING, SADDLERIDGE, SAWYER'S MILL,
STILLWATER LANDING, TRADEWINDS, VICTORY CHURCH ROAD, WESTWOOD
AT CROOKED CREEK, WILDWOOD GREEN AND WOODVALLEY SUBDIVISIONS
Wake County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 29th day of January , 2013.
NORTH CAROLINA UTILITIES COMMISSION
Gail L. Mount, Chief Clerk

Business Corporation
Legal Name Reg Office
Aqua North Carolina, Inc. 2626 Glenwood Avenue, Suite 550
Prey Legal Name Raleigh,NC 27608
Hydraulics, Limited
Prey Legal Name Reg Mailing
Hydraulics, Ltd. 2626 Glenwood Avenue, Suite 550
Raleigh,NC 27608
Information
Officers
Sosld: 0072603
Status: Current-Active President
Annual Report Status: Current Shannon V. Becker
Citizenship: Domestic 202 MacKenan Court
Date Formed: 7/16/1965 Cary NC 27511
Fiscal Month: December
Registered Agent: Corporation Service Secretary
Company Christopher P. Luning
202 MacKenan Court
Addresses Cary NC 27511
Mailing Stock
202 MacKenan Court
Cary,NC 27511-6447 Class: COMMON
Shares: 10000
Principal Office No Par Value: Yes
202 MacKenan Court
Cary,NC 27511-6447

AQUA ..
Pump Station List - Hawthorne
Pump Station Name Physical Location Alarm Type Reliability Capacity of
Yp Pump Reliability
2899 Rocky Point Ct, Raleigh, Source Station
L/S#1 - Boulder Creek NCSCADA, Audible, Visual Yes Portable -
Generator 95 gpm
L/S#2 - Boxelder 10201 Boxelder Dr, Raleigh NC SCADA, Audible, Visual Yes Portable
Generator 60 gpm
L/S#3 - Galway 12308 Galway Dr, Raleigh, NC SCADA, Audible, Visual Yes Portable
L/S#4 Glennlevit 12329 Glennlevit Dr, Raleigh,
Generator 140 gpm
NC SCADA, Audible, Visual Yes Portable
L/S#5 - Hawthorne Warwickshire Way,
Generator
12400 W 120 gpm
Raleigh, NC Perm.
SCADA, Audible, Visual Yes 240 gpm
Generator
L/S#6 - Wexford 7051 Wildlife Trail, Raleigh, NC SCADA, Audible, Visual Yes Portable
Generator 160 gpm
202 MacKenan Drive, Cary, NC 27511

A . UA ...,_ .
High Priority Lines List - Governors Club Collection System
Attachment A for Condition V(4)
Line Identification Physical Location
Type Material
1 - Primrose Behind 2324 Primrose Valley Ct. Crosses Water
Body DIP
2 Boulder Creek Boulder Creek L/S to Sunnystone Way and Rocky Point Ct. Crosses Water
Body DIP
3 - Terra Cotta #1 5109 Terra Cotta Drive Crosses Water
Body DIP
4 - Terra Cotta #2 5209 Terra Cotta Drive Crosses Water
Body DIP
5 - Sunnystone #1 2440 Sunnystone Way Crosses Water
Body DIP
6 Loing Court Intersection of Loring Court and Victory Church Road Crosses Water
Body DIP
7 - Sunnystone #2 2709 Sunnystone Way Crosses Water
Body DIP
8 - Indigo Moon 5308 Indigo Moon Way Crosses Water
Body DIP
9 - Amoretto 12749 Amoretto Way Crosses Water
Body DIP
10 - Whatrons Park 12332 Whartons Park Crosses Water
Body DIP
202 MacKenan Drive, Cary, NC 27511

AQUA
Current Annual Operation Budget(2018)-Hawthorne Collection System&WWTF
ITEM JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
04.1-REG LABOR $ 7,031.01 $ 5,940.38_ $ 6,686.54 $ 6,418.50 $ 7,111.72 $ 5,879.06_ $ 6,311.88 $ 7,187.40 $ 6,137.13 $ 7,115.63 $ 6,754.48 $ 5,969.46 $ 78,543.18
04.2-OT LABOR $ 406.91 $ 406.91 $ 406.91 $ 419.12 $ 419.12 $ 419.12 $ 628.63 $ 419.12 $ 419.12 $ 419.12 $ 419.12 $ 628.63 $ 5,411.84
04.3-LABOR BON/OPT $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 282.68 $ 3,392.11
05-EMP BEN $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 2,777.92 $ 33,335.03
07-PRCH WW T $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 166.83 $ 2,001.94
08-SLUDGE $ 3,194.52 $ 1,884.22 $ 2,699.07 $ 2,132.98 $ 2,522.74 $ 1,813.77 $ 2,947.82 $ 2,337.83 $ 2,522.74 $ 2,517.98 $ 2,663.75 $ 1,956.73 $ 29,194.15
09-PRCH PWR $ 4,402.77 $ 1,235.74 $ 6,013.08 $ 3,637.32 $ 3,960.81 $ 4,113.57 $ 3,883.46 $ 3,813.18 $ 3,898.65 $ 4,353.28 $ 3,797.34 $ 4,556.64 $ 47,665.84
10-CHEMICALS $ 1,931.48 $ 1,622.33 $ 1,938.47_$ 1,748.90 $ 1,769.12 $ 1,622.33 $ 2,228.78 $ 1,622.33 $ 1,769.12 $ 1,748.90 $ 1,769.12 $ 1,622.33 $ 21,393.22
11-MGMT FEES-CORP $ 2,076.22 $ 2,076.22 $ 2,076.22 $ 3,174.39 $ 2,076.22 $ 2,076.22 $ 2,076.22 $ 2,076.22 $ 3,174.39 $ 2,076.22 $ 2,076.22 $ 2,076.22 $ 27,110.95
12-MGMT FEES-ST $ 2,417.70 $ 2,247.24 $ 2,379.77 $ 2,518.17 $ 2,603.08 $ 2,506.43 $ 2,537.18 $ 2,617.06 $ 2,467.56 $ 2,608.76 $ 2,559.83 $ 2,480.80 $ 29,943.58
13-CUST OPS-ACO $ 747.74 $ 689.40 $ 739.26 $ 703.01 $ 741.69 $ 708.04 $ 719.22 $ 736.37 $ 682.32 $ 757.25 $ 717.83 $ 710.74 $ 8,652.87
14-OUST OPS-DIR $ 355.09 $ 355.09 $ 355.09 $ 356.02 $ 356.02 $ 356.02 $ 356.86 $ 356.86 $ 356.86 $ 357.89 $ 357.89 $ 357.89 $ 4,277.60
17-OS SVCS-ACCT $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 92.64 $ 1,111.69
19-0S SVCS-LAB $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 872.63 $ 10,471.58
22-0S SVCS-MAINT $ 185.47 $ 185.47 $ 185.47 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 185.47 $ 185.47 $ 10,054.42
22-05 SVCS-MAINT $ 185.47 $ 185.47 $ 185.47 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 1,303.87 $ 185.47 $ 185.47 $ 10,054.42
23-OS SVCS-OTH $ 765.27 $ 765.54 $ 765.54 $ 765.54 $ 765.73 $ 765.54 $ 765.54 $ 765.54 $ 765.54 $ 765.54 $ 765.54 $ 765.54 $ 9,186.44
25-SUPPLIES $ 1,786.92 $ 243.16 $ 197.02 $ 102.24 $ 232.81 $ 125.17 $ 317.91 $ 323.96 $ 163.29 $ 376.34 $ 307.65 $ 372.80 $ 4,549.28
26.1-TRANS LEASE $ 25.54 $ 33.65 $ 22.55 $ 38.68 $ 36.72 $ 8.39 $ 14.45 $ 43.80 $ 69.06 $ 8.39 $ 45.76 $ 45.76 $ 392.74
26.2-TRANS FUEL $ 682.60 $ 522.20 $ 711.49 $ 714.28 $ 563.67 $ 611.21 $ 760.23 $ 596.85 $ 625.37 $ 625.74 $ 625.37 $ 625.56 $ 7,664.58
26.3-TRANS OTH $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 323.03 $ 3,876.37
27-INSURANCE $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792.29 $ 792,29 $ 9,507.52
28-BAD DEBT $ 121.44 $ 121.44 $ 121,44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 121.44 $ 1,457.28
29-8 OTHER COMM $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 132.72 $ 1,592.60
29-C OTHER OFF SUPP $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 0.93 $ 11.18
29-D OTHER DUES $ - $ - $ $
29-FD OTHER DU/PERM - $ - $ - $ 93.20 $ - $ - $ $ - $ - $ 93.20
$ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661.72 $ 661,72 $ 661.72 $ 661.72 $ 7,940.64
29-G OTHER POST $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 0.47 $ 5.59
29-H OTHER T&E $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 23.30 $ 279.60
29-J OTHER $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 87.89 $ 1,054.65
30-NON UTILITY EXP $ 93.67 $ 93.67 $ 93.67 $ 93.67 $ 93.67 $ 93.67 $ 93.67 $ 93.67 $ 93,67 $ 93.67 $ 93.67 $ 93.67 $ 1,123.99
33.1-OTHER TAXES-PUC $ 72.04 $ 69.06 $ 77.08 $ 75.12 $ 85.65 $ 85.18 $ 87.42 $ 95.25 $ 84.53 $ 91.62 $ 90.31 $ 81.64 $ 994.91
33.2-OTHER TAXES-PROP $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 116.22 $ 1,394.64
33.3-OTHER TAXES-PR $ 675.23 $ 580.36 $ 644.76 $ 632.55 $ 692.94 $ 623.79 $ 642.80 $ 700.12 $ 608.50 $ 693.50 $ 662.00 $ 619.97 $ 7,776.51
33.4-OTHER TAXES-OTH $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 255.00 $ 3,059.94
39-BENEFIT COSTS $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 19.85 $ 238.22
40-INT EXP-STD $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 23.58 $ 282.96
41-INT EXP-LTD $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,143.00 $ 3,304.16 $ 3,304.16 $ 3,304.16 $ 38,199.52
42-INT EXP-CUST DEP $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 3.54 $ 42.50
45-AMORT-DEBT ISSUANCE CO $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 42.97 $ 515.58
46-FEDERAL TAXES $ 2,694.97 $ 5,472.80 $ 5,846.62 $ 4,285.15 $ 5,302.89 $ 4,449.27 $ 3,793.71 $ 6,553.64 $ 2,068.95 $ 4,931.03 $ 7,275.01 $ 7,299.61 $ 59,973.64
47-STATE TAXES $ 238.13 $ 483.61 $ 516.61 $ 378.67 $ 468.61 $ 393.12 $ 335.24 $ 579.14 $ 182.86 $ 435.71 $ 642.89 $ 645.04 $ 5,299.63
Subtotal $ 39,909.38 $ 35,033.15 $ 42,481.32 $ 40,742.68 $ 42,351.59 $ 39,198.26 $ 41,142.60 $ 43,466.73 $ 38,638.04 $ 42,686.10 $ 42,098.52 $ 41,381.77 $ 489,128.15
202 MacKenan Drive,Cary,NC 27511

AQUA.
Current Capital Budget - Hawthorne Collection System
FUNDING NUMBER DESCRIPTION 2018 2019 2020 2021 2022 5-YEAR TOTAL
FP35880026556 Force Main Renovation Central $ 6,524.00 $ 6,850.20 $ 7,192.71 $ 7,552.46
$ 7,930.39 $ 36,049.76
FP35880026557 Gravity Main Renovation Central $ 1,864.00 $ 1,957.20 $ 2,055.06 $ 2,157.58 $ 2,265.23 $ 10,299.07
FP35880026560 New Services WW Central $ 932.00 $ 932.00 $ 932.00 $ 932.00 $ 932.00 $ 4,660.00
FP35880027406 Remote Monitoring WW Central $ 2,796.00 $ 2,935.80 $ 3,082.12 $ 3,236.37
$ 3,398.54 $ 15,448.83
FP35880026550 Lift Station Renovation Central $ 4,660.00 $ 4,893.00 $ 5,137.65 $ 5,394.42 $ 5,664.23 $ 25,749.30
FP35880026573 Pumping Equipment WW Central $ 7,223.93 $ 7,585.08 $ 7,964.41 $ 13,980.00 $ 14,679.00 $ 51,432.42
FP35880026572 Grinder Pumps Central $ 27,960.00 $ 29,358.00 $ 30,825.90 $ 27,960.00 $ 29,358.00 $ 145,461.90
FP35880093354 New Grinder Pumps $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 13,980.00
FP35880052346 Generator Renovations WW Central $ 2,796.00 $ 1,249.35 $ 1,311.79 $ 1,377.50 $ 1,446.00 $ 8,180.63
FP35880026570 Tools&Safety Equipment $ 549.88 $ 577.37 $ 606.27 $ 932.00
$ 978.60 $ 3,644.12
FP35880016649 Services WW Central $ 12,116.00 $ 12,358.32 $ 12,387.68 $ 13,006.99 $ 13,657.53 $ 63,526.52
GRAND TOTAL $ 72,235.81 $ 73,511.32 $ 76,311.58 $ 81,346.32 $ 85,127.51 $ 378,432.54
202 MacKenan Drive, Cary, NC 27511

AO UA sro
Standard Operating
Procedure
CENTRAL PROGRAM
Effective Date
Aqua North Carolina, Inc. March 1, 2018
Sanitary Sewer Overflow(SSO) Revision
0
I. PURPOSE
a. To effectively respond to and remediate sanitary sewer overflows to protect
public health and the environment and to comply with all regulatory
requirements
b. Sanitary sewer overflows can be caused by numerous events and/or
obstructions including substantial rain events, root intrusion, grease buildup,
etc. The best practice to eliminate or minimize SSOs is through preventive
maintenance. If an SSO does occur, it is the responsibility of the utility to
respond as quickly as possible to mitigate the SSO and reduce and remove the
hazard.
II. DEFINITIONS
a. Sanitary Sewer Overflow - Discharges of raw sewage from municipal sanitary
sewer systems or from privately owned sewer collection systems. SSOs can
release untreated sewage into basements or out of manholes and onto city
streets, playgrounds, and into streams before it can reach a treatment facility.
SSOs are often caused by blockages in sewer lines and breaks in the sewer
lines.
III. SCOPE
a. This procedure applies to all employees that may deal with SSOs. At a
minimum, these procedures will be reviewed on an annual basis or whenever
revised guidance from state or federal authorities dictates a revision is
necessary.
IV. RESPONSE TIME REQUIREMENTS
a. Upon notification of a spill or utility outage, operators or utility workers shall
respond and take action to safeguard life and the property immediately.
V. Procedure
1. Initial Service Call
— -- Page 1

a) When a report of an SSO is received, the operator/utility worker shall notify
the supervisor immediately and advise he/she is responding to a SSO
response.
2. Initial Response
a) The first responder should respond immediately and confirm the SSO.
Responder should notify Regional Supervisor (or on-call Supervisor for
after-hours). Supervisor is required to report to the site.
Once SSO is confirmed, implement all necessary safety measures including
road closures, barricading area, etc.
b) Contain spill as much as possible. (See Containment Procedures)
c) The first responder should observe and document the estimated volume of
the SSO.
d) If any wastewater reaches the surface waters of the state, poses a threat to
human health or the environment, or exceeds 1,000 gallons, it must be
reported to North Carolina Department of Environment and Natural
Resources (NCDENR) within 24 hours. (See Section VI. SSO Reporting
Procedures and VIII. SSO Affecting Waters of the State)
e) Take photographs of area for documentation.
f) Determine corrective actions to be taken and execute.
3. Implementation of Corrective Actions
a) Determine cause of SSO and restore the flow as soon as possible.
b) Check downstream manhole for flow and accessibility.
c) Mobilize equipment (vacuum truck,jetter, etc).
d) Try to break loose obstruction from downstream manhole.
e) Should conditions warrant and responders are unable to restore the flow,
the supervisor shall contact qualified, emergency subcontractors (list
attached).
f) If flow cannot be restored, bypass pumping may need to be installed and
further planning will be needed to correct the problem.
4. Clean-up
a) If flow cannot be restored, bypass pumping may need to be installed and
further planning will be needed to correct the problem.
b) Apply lime to all affected areas.
c) Take photographs of area for documentation.
d) Provide notification to regulatory agency and local environmental office of
completed corrective actions and clean-up.
e) If the SSO was determined to be 15,000 gallons or more to surface water or
have the potential to affect public health, a public notification must be
executed within 24 hours.
5. Follow-up Once Flow is Restored
a) Schedule wastewater line to be cleaned and visually inspected with CCTV
equipment.
b) Document inspection and determine if further action is necessary. If so,
schedule as needed.
Page2 ---- .._._.__........

VI. SSO REPORTING PROCEDURES
1. Upon discovery of a possible SSO, the responding operator or utility worker shall
notify the Collections ORC and/or Regional Supervisor. If the system is permitted
per 15A NCAC 08G.03, the Collections System ORC and/or Back-up ORC must
also be notified.
2. Regional Supervisor shall notify Area Manager who is then responsible for notifying
the Director of Operations and Manager of Environmental Compliance.
3. If media communications are required, the Area Manager shall inform Director of
Operations and Manager of Environmental Compliance immediately to request
assistance from Corporate.
4. Before any SSO is reported to the state, the ORC or the Backup ORC (if permitted)
or Regional Supervisor (deemed systems) must visit and evaluate the spill site
within 24 hours (required by permit). Once evaluated, a panel consisting of the
responding operators, ORC, and Regional Supervisor shall discuss the spill,
determine estimated volumes and determine causes before calling the Division
within the 24-hour time frame.
5. Reportable spills must be called into NC DWQ within 24 hours of first knowledge
of discharge. DWQ-Regional Office should be contacted during normal business
hours. The date, time, incident number and person contacted must be documented
on the Spill Report Form.
6. During weekends and holidays when DWQ cannot be reached, The Division of
Emergency Management must be called at 1-800-858-0368. Spill Report is
documented the same way as during normal business hours. Upon arriving to work
on the first business day after the spill, DWQ must be contacted and given the
reported spill incident number.
7. Spill Reporting:
a. ORC and/or responding operator completes the DEQ - 5Day Report within
48 hours of the spill.
b. ORC forwards completed form to Regional Supervisor and Area Manager
for review and comment. Corrections must be made within 24 hours.
c. Regional Supervisor provides 5-day report to Manager of Environmental
Compliance within 72 hours of spill. He/she (or designee) is responsible for
submitting to DEQ within 5 business days of the event.
d. These forms must be readily available to DEQ staff for three (3) years.
SSO Event Reporting Requirements
Page 3

All Discharges Immediately report to ORC
Discharge >1,000 gallons Report to state within 24 hours, Spill Report faxed within
5 days
Discharge to Waters of the State, Report to state within 24 hours, Spill Report faxed within
including storm drains 5 days
Discharge >1,000 gal to Surface 1. Report to state within 24 hours, Spill Report faxed
Water within 5 days
2. Press release within 24 hours of first knowledge of
SSO.
Discharge of 15,000 gal or more to 1. Report to state within 24 hours, Spill Report faxed
Surface Water within 5 days
2. Press release within 24 hours of SSO.
3. Certified public notice within 10 days and proof shall
be provided to the Division within 30 days
Summary of Reporting Requirements
VII. CONTAINMENT
Immediately upon SSO discovery, employees shall assess the situation and mobilize
resources necessary to remove any blockage, contain the SSO, and stabilize the overflow
condition. Notification should be made to the ORC at this time. As soon as the extent of
the SSO has been determined, a containment berm or a dam should be established at the
lower edge of the SSO or at an area that meets the needs of containment and clean-up
operations. The containment dam should be large enough to prevent breaching in dry
weather conditions.
SPILLS INVOLVING ASPHALT OR CONCRETE
1. Set up containment at or near any threatened storm drainage system; every attempt
should be made to prevent the spill from entering the drainage structures.
2. Spread dry sand or absorbent material to a depth of 1 inch. Let stand for one hour and
sweep up. If moisture or grease is still present, repeat.
3. After removing the contaminated material, wash down the area with high water
pressure and a mild bleach solution and then pump residue back into the sewer
system.
If the spill enters a storm drainage structure, a Reportable Spill has occurred and
therefore a Spill Report should be filed with NC DWQ and treated as a SSO affecting
Waters of the State. Reported volumes would include the initial estimated spill + plus
flush water - minus the calculated amount removed prior to storm drain entrance.
FORCE MAIN OR INACCESSIBLE GRAVITY SEWER SPILL
In the event a spill occurs at a pump station with no bypass capability or at a force main or
gravity sewer where no access to a dump point exists, pump and haul or bypass
operations shall be considered. Where pump and haul operations are deemed the best
solution, wastewater will be collected from the closest tanker access point for continuous
loading operations. Consideration should be made for traffic control, noise, access, etc. A
Pump & Haul Record Form must be completed for each toad. If Aqua-North Carolina does
Page 4 ..

1

not have the internal capabilities of containing the SSO, an outside contractor shall be
used. See below for a list of pump providers and pump and haul tanker services.
COMPANY NAME EQUIPMENT PHONE NUMBER
Vaughn Utilities Construction/Safety 919-266-3158/919-422-
3673
David Jacobs Construction/Safety 252-469-0838
We Pump It Pump and Haul 919-545-1139
Bruce Allen Construction/Safety 919-524-1366
**See attached Pump and Haul Record Form
VIII. SSOs AFFECTING WATERS OF THE STATE
Waters of the United States -As defined by the Clean Water Act,40 CFR 230.3(s)
All waters which are currently used, or were used in the past, or may be susceptible to
use in interstate or foreign commerce, including all waters which are subject to the ebb
and flow of the tide;
1. All interstate waters including interstate wetlands;
2. All other waters such as intrastate lakes, rivers, streams (including intermittent
streams), mudflats, sandflats, wetlands, sloughs, prairie potholes, wet meadows, playa
lakes, or natural ponds, the use, degradation or destruction of which could affect
interstate or foreign commerce including any such waters:
a. Which are or could be used by interstate or foreign travelers for recreational or
other purposes;
b. From which fish or shellfish are or could be taken and sold in interstate or
foreign commerce;
c. Which are used or could be used for industrial purposes by industries in
interstate commerce;
3. All impoundments of waters otherwise defined as waters of the United States under
this definition;
4. Tributaries of waters identified in paragraphs (s)(1) through (4) of this section;
5. The territorial sea;
6. Wetlands adjacent to waters (other than waters that are themselves wetlands)
identified in paragraphs (s)(1) through (6) of this section; waste treatment systems,
including treatment ponds or lagoons designed to meet the requirements of CWA
(other than cooling ponds as defined in 40 CFR 423.11(m) which also meet the criteria
of this definition) are not waters of the United States.
Waters of the United States do not include prior converted cropland. Notwithstanding the
determination of an area's status as prior converted cropland by any other federal agency,
for the purposes of the Clean Water Act, the final authority regarding Clean Water Act
jurisdiction remains with EPA.
PROCEDURES:
-- Page 5 ___.

1. Building of containment devices should ONLY be performed if the responding crew
has the right equipment and expertise to safely build without impacting dry weather
flow conditions. if the responding crew does not have the capability/expertise, please
contact an environmental contractor.
2. Take dissolved oxygen readings of the receiving stream to determine the proper
placement of containment/diversion devices within the intervals on the Field
Reporting Form. The following items shall be considered when determining dam
location:
a. Proximity to manhole
b. Accessible to jet/vacuum truck
c. Lowest measured conductivity reading
3. Build a containment device using dirt that is capable of handling creek and hydrant
flow without breaching during dry weather conditions. Position two pumps at the dam
capable of handling creek and hydrant flow with one pump in use and the second as
backup. Pump SSO release from the dam into the manhole.
4. Put up warning tape, "Danger Do Not Enter" from the SSO site to the pump site on
both sides of the creek in populated areas. In unpopulated areas restrict access
where there is any chance of human contact with the SSO.
5. Flush the stream with de-chlorinated hydrant water to remove wastewater from creek.
Continue to pump and flush the stream until the conductivity readings are equivalent
to the higher of either upstream or hydrant water readings. Make sure that all
readings taken during cleanup are recorded on the Field Reporting Form and taken
within the intervals listed on the form.
6. If there is rip-rap in the creek, wash down with high water pressure until there is no
remaining on or within the rip-rap noticeable waste residue rema g p p structure.
7. If the creek flows into a body of water used for recreation and/or drinking water
supply, notify the affected officials as soon as possible.
8. Continue periodic monitoring of Dissolved Oxygen readings. All additional readings
should be notated on the Field Readings Form. Take an upstream and downstream
fecal coliform every 24 hours as needed until the waterway is restored to pre-event
condition.
SSO NOT REACHING WATERS OF THE STATE
1. In open areas spread powdered lime heavily over the spill site, till into the ground and
then repeat the procedure again but not within 24 hours of predicted rain fall event.
2. Seed the disturbed area and place straw over the tilled area. Soil may need to be
removed and replaced with clean fill material for a large spill where the ground has
become saturated.
REFERENCES
A. 40 Code of Federal Regulations (CFR) Part 122-124. The Clean Water Act, 1969.
B. North Carolina General Statute 143.215.1
C. Title 15A, North Carolina Administrative Code, Subchapter 2H .0100-.0200
Emergency Contact List
__.._..__......... Page 6 .........._... — - -

Region Name Office Number Cellular Number Home Number
Western Laurie 'son 704-489-9404 704-507-5831
(57234)
Western Duane Rimmer 704-489-9404 704-507-3343 704-528-4224
(57225)
Western Matt Costner 704-489-9404 704-507-3413 803-810-5138
(57245)
Western David McDaniel 336-992-9000 336-880-1115
Central Robert Krueger 919-653-6982 260-312-3269
Central Roger Tupps 919-653-6966 919-632-6120 919-757-4252
Central Jackie Jackson 919-653-5773 919-624-2348
Central Lorrie Stagner 919-653-5776 919-625-2573
Central Vacant
Supervisor
Coastal Joel Mingus 910-270-1412 910-620-6057
Coastal Chris Collins 910-779-0794 910-635-7479 910-534-1184
Compliance Lori Lester 704-489-9404
(Western) (57239)
Compliance Mark English 919-653-5779
(Eastern/Coastal)
Manager of Amanda Owens 910-653-6965 910-773-0406
Environmental
Compliance
Director of Vacant
Operations
President Shannon Becker 919-653-5770
- Page 7 ----------
— —

Spill and Conductivity Reporting Form
Location of Spill:
Time of Spill: AM or PM Date of Spill:
Time of Clearing Spill: AM or PM Date of Clearing Spill:
Cause of Spill:
Did spill reach surface water?: Time ORC was notified:
DO Readings
Initial DO 2nd 3rd 4th DO (if
DO DO required)
Entry Point
Time Recd.
50'
Downstream
Time Recd.
100'
Downstream
Time Recd.
150'
Downstream
Time Recd.
200'
Downstream
Time Recd.
250'
Downstream
Time Recd.
**Note: 2nd and 3`d readings are to be taken during cleanup.
**More readings may be necessary depending upon the size of the spill and the time period in
which the stream is being flushed to maintain water quality.
--- Page 8 .._.. —

Pump and Haul Record
Date: Page of
Tanker Tanker , Drivers License Destination Time
Company Capacity Name Plate# Loaded
Page9 ......_.............

SANTITARY SEWER OVERFLOW CHECKLIST
SSO Event Reporting Requirements Any Question and Requirements Initial and Date
when completed
All Discharges Immediately report to ORC Who Reported SSO event and what time?
Have the required AQUA-NC List who all has been notified in next
personnel been notified? column:
Discharge >1,000 gallons Yes
If yes, report to state within 24 hours by Report Call/Fax made to DWQ by ORC W/I
No Regional Supervisor. 24hrs? Roger Tupps, 919-632-6120
Discharge to Waters of the Yes If yes, report to state within 24 hours by
State? Regional Supervisor Report call/Fax made to DWQ by ORC W/I
No 24hrs? Roger Tupps, 919-632-6120
Discharge >1,000 gal to Yes Notification immediately to DWQ Staff.
Surface Water If yes, must be Press Released within 24
No hours.
Notify Regional Supervisor Immediately.
Regional Supervisor shall notify Manger of
Environmental Compliance and Director of
Operations to coordinate Press Release by
Corporate Staff.
Yes If yes,press Release within 24 hours of Reported to DWQ within 24 hours?
first knowledge.
Discharge >15,000 gal to No
Surface Water Notify Regional Supervisor Immediately.
Regional Supervisor shall notify Manger of
Environmental Compliance and Director of
Operations to coordinate Press Release by
Corporate Staff.
Certified Public Notice within 10 days and Compliance to send out certified public
proof shall be provided to the Division notice within 10 days of SSO.
within 30 days
Sent to State Division within 30 days.
SSO Report Form To be faxed and emailed within five(5) ORC completes report, reviewed by
days to DWQ. Regional Supervisor and Area Manager,
Compliance sends to DWQ.
Report sent to DWQ by Compliance.
Page
10

Estimating by volume by"Eyeball Method"
1. Utilizing pictorial reference below, determine which picture corresponds best with the overflow. (Courtesy: OCSD)
2. Determine volume by multiplying the time by the flow rate found below the picture.
3. For a more detailed determination please reference the following manual:
a. https://www.ocsd.com/Home/ShowDocument?id=16226
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AO UA,,,
PROGRAM
Effective Date
Aqua North Carolina, Inc. April 26, 2018
Contingency Plan Revision
0
I. PURPOSE
a. To effectively respond to emergencies within the sanitary sewer collection
system. Purpose is to protect public health and the environment and to comply
with all regulatory requirements
II. SCOPE
a. This procedure applies to all employees that may respond to emergencies at
pump stations within a collection system. At a minimum, these procedures will
be reviewed on an annual basis or whenever revised guidance from state or
federal authorities dictates a revision is necessary.
III. RESPONSE TIME REQUIREMENTS
a. Upon notification of a spill or utility outage, operators or utility workers shall
respond and take action to safeguard life and the property immediately.
IV. PLAN
Aqua North Carolina, Inc. (ANC) owns and operates 8 wastewater pump
stations listed in Table 1. The pump stations owned and operated by ANC are
routinely checked by trained personnel.
ANC has a Supervisory Control and Data Acquisition (SCADA) system for the 8
pump stations. The SCADA remotely monitors pump station operations, and
sends alarms to the ANC 24-hour dispatch in the event of a malfunction or
emergency. The SCADA system records all activities at a pump station and
provides a hard-copy printout for backup documentation. The SCADA provides
continuous status of pump station operations for the following items:
• Status of pumps (including operational alarms)
• Pump start / stop cycles
• Power status (including power failure alarms)

Table 1. Pump Station Locations
Pump Station List - Hawthorne Collection System
Pump Station Physical Location Alarm Type Pump Reliability Capacity of
Name Reliability Source Station
L/S #1 - 2899 Rocky Point SCADA,Audible, Yes Portable 95m
Boulder Creek Ct, Raleigh, NC Visual Generator 9p
L/S #2 - 10201 Boxelder Dr, SCADA,Audible, Portable
Yes 60m
Boxelder Raleigh NC Visual Generator 60gpm
#3 - 12308 Galway Dr, SCADA,Audible, Portable
Yes 140m
Galway Raleigh, NC Visual Generator gpm
L/S #4- 12329 Glennlevit SCADA, Audible, Yes Portable 120m
Glennlevit Dr, Raleigh, NC Visual Generator gpm
L/S #5 - 12400 SCADA,Audible, Perm.
Hawthorne Warwickshire Way, Visual Yes Generator 240 gpm
L/S #6 - 7051 Wildlife Trail, SCADA, Audible, Portable
Yes 160m
Wexford Raleigh, NC Visual Generator gpm
Pump rebuilding, motor rewinds, and HVAC repairs for the pump stations are
contracted to Charles Underwood, Inc.. Repairs to motor control centers, flow
meters, remote monitoring equipment, and valves are typically repaired by
ANC's maintenance crews or an ANC Contractor.
All repairs are recorded and tracked with the CMMS system.
1. Emergency Support
Addressing some problems may require resources beyond ANC forces. This is
particularly true of main line breaks or major pump station failures where there
is a risk of a significant sewer overflow. In these situations, ANC may enlist the
aid of contractor that specializes in these services. ANC maintains a general
services agreement with several companies for situations that require the
prompt reconstruction of sewer lines.
These companies are capable of mobilizing construction equipment and
personnel quickly to handle emergency assignments. ANC contract for
emergency sewer repairs requires the contractor to respond to the site within 2
hours of notification to mobilize. This response time and the level of response
will vary due to several factors, some are identified below:
• Location of the sewer repair in relation to the contractor's equipment
yard

• Scope of the repair, size of sewer, depth of sewer and volume of flow
• The size, type and availability of equipment and number of workers
• The time of day, day of the week and the proximity to a holiday
• Weather conditions, clear, rain, snow, extreme cold or heat
Spill Contractor:
In the event of a spill that cannot be controlled by ANC, We Pump It, Inc. will
provide professional services for the removal and disposal of contaminated
material.
Emergency Contractor:
In the event that a pump station failure occurs that is exceeds ANC available
on-staff response; an emergency contractor will be requested to assist.
Contractors may be requested for emergency power generation, by-pass
pumping situations, or large excavations.

EMERGENCY PROCEDURES
A. PROBLEM: Wastewater Pump Station Alarms General Response Actions
EMERGENCY PROCEDURES:
• Send an individual to the station indicating an alarm as soon as possible for a
Priority Alarm. If failure is apparent, call for additional assistance and keep an
individual at the station until further instructions are received.
• Always check with the power company when an alarm goes on to see if there is
a power outage in the area, although a power failure that has not been
reported to the power company can occur at a pump station. The pole number
nearest the station should be reported.
• Personnel called in to investigate pump station alarms shall respond to the
station even if the alarm has cleared prior to their arrival. All alarm conditions
are to be checked and logged. Use the following guidelines and follow
confined space entry procedures if applicable:
Wetwell/Drywell Type Stations
1. Observe all safety precautions per training. If a Confined Space Entry (CSE)
is required, notify the Regional Supervisor Immediately. A contractor will be
requested to respond.
2. Note any unusual odors - i.e. burning electrical equipment or paint.
3. Listen and note any unusual noises.
4. Check for heat around pump motors and pump bearing housings. Note any
which seem unusually hot.
5. Observe every piece of equipment in the station. Note anything that looks
out of place.
6. Record all gauge readings including wet well level, hour meters, on-off
levels, psi gauges on pump, rpm (on VFD's) and anything else that you feel
is significant.
7. Using available information and the trouble shooting guide, systematically
run through the system. Use a process of elimination to identify the cause
of the failure. Check the level controls, check pump operation using manual
position, check pump output by pressing on check valve counterweight as
defined in the trouble-shooting guide. Once the cause of the problem is
isolated, engage mechanical or electrical disciplines for repairs.
8. Emergency personnel should be absolutely certain that the cause of the
pump station alarm or failure has been properly identified and corrected
prior to leaving the station.
9. Reset any/all alarm feature indicator lights.

Submersible Type Stations
1. Take all safety precautions per training.
2. Listen for any unusual noises and note if pump(s) are running.
3. Observe every piece of equipment in the station (pay specific attention to
the level control system). Note anything that looks out of place.
4. Record all gauge readings from the control panel including: wet well level,
hour meters, flow charts, on-off levels, psi gauges on pump, rpm (on VHD's)
and anything else that you feel is significant.
5. Using available information and the trouble-shooting guide, systematically
run through the system. Use a process of elimination to isolate the cause of
the failure. Check level controls, check pump operation using manual
position, check pump output by observing the check valve counterweight as
defined in the trouble shooting guide. Once the cause of the problem is
isolated, engage mechanical or electrical disciplines for repairs
6. Emergency personnel should be absolutely certain that the cause of the
pump station alarm or failure has been properly identified and corrected
prior to leaving the station.
7. Reset any/all alarm feature indicator lights.
• Check the O&M manual to trouble shoot the level sensor system and pump
controls
• Pumps may be checked easily for operation by checking the arm of the check-
valve in the discharge line of an operating pump. If it feels "spongy" (or soft)
when downward pressure is applied with the palm of the hand, the pump is
pumping. If a breaker is off and the pump motor is hot to the touch, DO NOT
attempt to reset and start. If a pump motor is simply warm, one attempt to
restart can be made. Turning the selector switch to manual will normally start a
pump, and the check valve arm should move upwards. If the pump has lost
prime or is lugged, the check valve will not open.
B. PROBLEM: Pumping Station Failure Caused by Secondary Power Failure During
Power Outage
EMERGENCY PROCEDURES:
• Dispatch pump station crew to the pumping station immediately. The crew
needs to bring the auxiliary generator for that specific station as a backup,
assuming that repair to the dedicated generator cannot be made immediately.
• Upon entry, identify the storage capacity in the well. This will give some
indication of the time available for response. If flooded, skip to pump-out steps
under "Pumping Station Failure inside valve pit, pump or valve failure"
procedure.

• Dispatcher shall request the assistance of the power company in restoring
power to the station if necessary. Determine the estimated time of arrival of
the power company crew and then notify the pumping station operators.
• As they approach the pumping station, the pumping station crew should check
the overhead power lines for fuses that might have blown or down power lines.
If the crew notices a blown fuse or down power line, identify the location and
pole number(s), and notify the dispatcher to relay this information to the power
company.
• Lock out and tag out (LOTO) the main line, disconnect (if applicable).
• Check all components of the dedicated generator to determine failure cause.
Use the manufacturer-prepared trouble-shooting guide to aid in diagnosis. If it
cannot be repaired immediately, connect the portable generator to the
auxiliary power connection located outside the building. Examine plug type and
ensure consistency. Use adapters as necessary.
• Go through the specific procedures for starting the generator to supply power
to the station.
• Obtain the services of a qualified generator repair facility to address the
dedicated generator failure.
• Once fully repaired, disconnect the portable generator and reconnect the
dedicated unit. Operate the dedicated unit through several pump cycles.
Check unit for regular exercise.
C. PROBLEM: Pumping Station Failure Inside Valve Pit, pump or valve failure
(submersible type application)
EMERGENCY PROCEDURES:
• Dispatch pumping station crew to the pumping station immediately.
• Prior to viewing the wetwell, measure the atmospheric conditions for sufficient
oxygen and the presence of explosive or toxic gases.
• Upon arrival the crew should identity the storage capacity in the wetwell. This
will give some indication of the time available for response. If flooded, skip to
pump-out steps.
• Inspect the main controls looking for failure indications. Check processor to
determine failure if applicable. If pump failure is determined, skip to wetwell
inspection steps.
• Inspect the valvepit. Observe all valves and force mains. If flooded, arrange to
pump out the valve pit or pump-and-haul as appropriate. If failure within the
valvepit is detected, skip to pump-out steps.
• Constantly monitor the atmospheric conditions while working in or above the
wetwell. Inspect the wetwell. Check the wetwell floats or level control system,
bar rack and pump volute area for clogging or other problems.

Pump-Out Steps
• If pump failure, determine if pump out and/or pump-and-haul is necessary. If
unnecessary, skip to repair procedures.
• Pump the flow with portable pumps if available. Call additional crew to bring
appropriate portable pump(s) including all required lengths of suction and
discharge hose, to the pumping station if necessary. Upon arrival of the
portable pump, connect the appropriate lengths of suction hose that will
suspend all the way into the wetwell, and then connect enough discharge hose
to pump into appropriate manhole or connection (if so equipped). Go through
the procedures for starting the portable pump, and begin pumping.
• If the station does not contain a force main connection point, arrange for
pump-and-haul as required.
Repair Steps
• Lock out and tag out (LOTO) the main line, disconnect (if applicable).
• Complete repairs to pipe, pump or valve as per policy. ANC Personnel are not
allowed to perform a CSE. If a CSE is required, notify the Regional Supervisor
Immediately. A contractor will be required to complete remaining work. If
permanent materials are not readily available, install temporary repairs until the
permanent repairs can be completed.
• Restore facilities to normal and inspect other components of the force main
and pumping system for signs of similar failure.
• Shut down portable pumping operation. Do not disconnect hoses until repair is
checked for leaks. Operate pumps to check repair under pressure and normal
operating conditions.
• If no leaks are observed, return pumps to normal conditions by removing
LOTO. Monitor pumps to check lead/lag operations.
• Make out a report indicating the time of the call, description of the problem,
the repair work done, personnel present and equipment used.

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State of North Carolina
of Environmental Quality
Division of Water Resources
15A NCAC 02T.0400—SYSTEM-WIDE WASTERWATER COLLECTION SYSTEMS
Division of Water Resources INSTRUCTIONS FOR FORM CSA 04-16&SUPPORTING DOCUMENTATION
Documents shall be prepared in accordance with 15A NCAC 02T .0100, 15A NCAC 02T .0400, and all relevant
Division Policies. Failure to submit all required items will necessitate additional processing and review time.
For more information, visit the System-wide Collection System Permitting website:
General— When submitting an application to the Pretreatment, Emergency Response, & Collection Systems (PERCS)
Unit,please use the following instructions as a checklist in order to ensure all required items are submitted. Adherence to
these instructions and checking the provided boxes will help produce a quicker review time and reduce the amount of
requested additional information.
The Applicant shall submit one original and one copy of the application and supporting documentation.
A. Cover Letter
® Submit a cover letter listing all items and attachments included in the permit application package
R. No Application Fee Required
No application fee is necessary. The permittee will be billed an annual fee upon issuance of the permit
> The appropriate annual fee for systemwide wastewater collection system permits may be found at:
> Annual Non-Discharge Fees
C. System-Wide Wastewater Collection System(FORM: CSA 04-16)Application:
® Submit the completed and appropriately executed System-wide Wastewater Collection System (FORM: CSA 04-
16) application. Any unauthorized content changes to this form shall result in the application package being
returned. If necessary for clarity or due to space restrictions, attachments to the application may be made, as long
as the attachments are numbered to correspond to the section and item to which they refer.
® If the Applicant Type in Section I.3 is a Pnvately-Owned Public Utility, provide the Certificate of Public
Convenience and Necessity (CPCN) from the North Carolina Utilities Commission demonstrating the Applicant
is authorized to hold the utility franchise for the area to be served by the wastewater collection system, or
❑ Provide a letter from the North Carolina Utilities Commission's Water and Sewer Division Public Staff stating an
application for a franchise has been received and that the service area is contiguous to an existing franchised area
or that franchise approval is expected.
® If the Applicant Type in Section I 3 is a corporation or company, provide documentation if it is registered for
business with the North Carolina Secretary of State.
D. General Information:
> The Authorized signing official listed in Section I.4 should match with that of the Applicant certification page in
accordance with 15A NCAC 02T.0106(b). Per 15A NCAC 02T .0106(c), an alternate person may be designated
as the signing official if a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T
.0106(b).
> NOTE - Public Works Director's are not authorized to sign this permit application according to the rule
unless they are delegated.
INSTRUCTIONS FOR APPLICATION CSA 04-16& SUPPORTING DOCUMENTATION Page 1 of 5

E. Summary of Attachments Required:
❑ Instruction A: Cover Letter
❑ Instruction C: Application
❑ Instruction C: Ownership Documentation(i.e. CPCN) (If necessary)
❑ Instruction 0: Delegation Letter(If necessary for signing official)
❑ Section IV.3 Pump Station List
❑ Section IV.4 High Priority Lines List
❑ Section V.4 Annual Budget for Collection System(Updated and Approved)
❑ Section V.6 Capital Improvement Plan(Updated and Approved)
❑ Section VI.2 Response Action Plan
❑ Section VIA Contingency Plan
❑ Section VL6 Comprehensive Collection System Map
O Section VII Note Any Potential Compliance Issues
THE COMPLETED APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
MATERIALS,SHOULD BE SENT TO:
NCDEQ-DWR
Water Quality Permitting Section
PERCS UNIT
By U.S.Postal Service: By Courier/Special Delivery:
Attn:PERCS Unit Supervisor 512 N.SALISBURY ST.Suite 925
1617 MAIL SERVICE CENTER RALEIGH,NORTH CAROLINA 27604
RALEIGH,NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
INSTRUCTIONS FOR APPLICATION CSA 04-16& SUPPORTING DOCUMENTATION Page 2 of 5

L APPLICANT INFORMATION
1. Applicant's name(Municipality,Public Utility, etc):Aqua North Carolina,Inc
2 Facility Information Name: Hawthorne Collection System Permit No . WQCS00380
3 Applicant type ❑Municipal ❑ State 1 Privately-Owned Public Utility
❑ County ❑Other
4 Signature authority's name Shannon V Becker per I5A NCAC 02T 0106(b)
Title President
5 Applicant's mailing address 202 Mackenan Court
City- Cary State:NC Zip 27511-
6 Applicant's contact information-
Phone number [phone] Fax number. [phone] Email address. svbecker!,aquaamerica corn
I[. CONTACT/CONSULTANT INFORMATION:
1. Contact Name Amanda Owens
2 Title/Affiliation Manager,Environmental Compliance—Aqua North Carolina,Inc
3. Contact's mailing address. 202 Mackenan Court
4. City Cary State NC Zip 27511
5. Contact's information.
Phone number [phone] Fax number: [phone] Email address. aaowens!,aquaamerica corn
M. GENERAL REQUIREMENTS:
1 New Permit or Premit Renewal? ❑New 1 Renewal
2. County System is located in: Wake County
3 Owner&Name of Wastewater Treatment Facility(ies)receiving wastewater from this collection system:
Owner(s)&Name(s).Aqua North Carolina,Inc—Hawthorne Subdivision WWTF
4. WWTF Permit Number(s) W00049662
5. What is the wastewater type? 100%Domestic IIor %Industrial(See 15A NCAC 02T.0103(20))
Is there a Pretreatment Program in effect?❑Yes or 1, No
6. Wastewater flow 0 110 MGD(Current average flow of wastewater generated by collection system)
7 Combined permitted flow of all treatment plants 0 250 MGD
8. Explain how the wastewater flow was determined ❑ 15A NCAC 02T 0114 or®Representative Data
9 Population served by the collection system. 815 connections
IV. COLLECTION SYSTEM INFORMATION:
1 Line Lengths for Collection System
Sewer Line Description Length
Gravity Sewer 15 0(miles)
Force Main 2 0(miles)
Vacuum Sewer 0 0(miles)
Pressure Sewer 0.25 (miles)
APPLICATION CSA 04-16 Page 3 of 5

2 Pump Stations for Collection System
Pump Station Type Number
Simplex Pump Stations(Serving Single Building) 10
Simplex Pump Stations(Serving Multiple Buildings) 0
Duplex Pump Stations 6
3 Submit a list of all major(0 e not simplex pump station serving a single family home)pump stations. Include the following
information
> Pump Station Name
> Physical Location
> Alarm Type(i e audible,visual,telemetry, SCADA)
> Pump Reliability(Can convey peak hourly wastewater flow with largest single pump out of service)
> Reliability Source(permanent/portable generator,portable pumps)
> Capacity of Station(Pump Station Capacity in GPM)
4. Submit a list of all high priority lines according per 15A NCAC 02T 0402(2)known to exist in the collection system Head
the list with"Attachment A for Condition V(4)"and include the system name.
> Use the same line identification regularly used by the applicant
➢ Indicate type of high priority line(i e. aerial), material and general location
V. COLLECTION SYSTEM ADMINISTRATION:
1. Provide a brief description of the organizational structure that is responsible for management, operation and maintenance of
the collection system
The operation of the existing Woodlake Country Club Wastewater Collection system is the responsibility of the main ORC.
The main ORC is supervised by a Regional Supervisor who reports to an Area Manager. Operations teams are supported by
internal Engineering, Compliance, and Customer Care mangers
2. Indicate the current designated collection system operators for the collection system per l 5A NCAC 08G 0201
Main ORC Name Larry Wayne Alford Certification Number. 997605
Back-Up ORC Name.Kathy Broadwell Certification Number. 996661
See the"WOCS Contacts and ORC Report"for a current listing of the ORC(s)the Division has on file for WQCS permit
3. Approximate annual budget for collection system only $489,128 15
4. Submit a copy of your current annual budget.
5. Approximate capital improvement budget for the collection system only: $378,432.54(through 2022)
6 Submit a copy of your current capital improvement plan.
7. Is this collection system currently a satellite system❑ Yes or®No
8. Do any satellite systems discharge to this collection system❑ Yes or®No(If yes complete table below)
Satellite System Contact Information(Name,Address,Phone Number)
Complete for Satellite Systems that have a flow or capacity greater than 200,000 GPD(Average daily flow)
9 List any agreements or ordinances currently in place to address flows from satellite systems.
APPLICATION CSA 04-16 Page 4 of 5

VL COLLECTION SYSTEM COMPLIANCE:
1 Is a Response Action Plan currently in place®Yes or❑No
2. If Yes,submit a copy of the Response Action Plan or see table 6 below.
3 Is a pump station contingency plan currently in place?® Yes or❑No
4. Iff Yes,submit a copy of the pump station contingency plan or see table 6 below.
5. Is a comprehensive collection system map currently in place? Z Yes or❑No
6. Submit a submit a copy of the collection system map(CD or hardcopy)or indicate a schedule for completion
7. Thoroughly read and review the System-Wide Collection System Permit Conditions. Typically compliance schedules
are only offered to NEW permit applicants and NOT permit renewals. Any compliance dates must be included within
the permit prior to issuance or the permit holder will be found in violation upon inspection.
Current If no,Indicate a Typical
Permit Condition Compliance Compliance
Compliance? P
Date Schedule
I(4)—Grease ordinance with legal authority to inspect/enforce ®Yes ❑No 12— 18 mo.
I(5)— Grease inspection and enforcement program ®Yes ❑No 12— 18 mo.
I(6)—Three to five year current Capital Improvement Plan ®Yes ❑No 12— 18 mo
I(8)—Pump station contingency plan ®Yes ❑No 3 mo
I(9)—Pump station identification signs ®Yes ❑No
3 mo
I(11)—Functional and conspicuous audible and visual alarms. ®Yes ❑No
3—6 mo
11(5)—Spare pumps for any station where one pump cannot
handle peak flows alone(in a duplex station,the 2°d pump is Z_Yes ❑No
the spare if pump reliability is met). 6—9 mo.
11(7)—Accessible right-of-ways and easements. ®Yes ❑No 6— 12 mo
11(9)—Response action plan with Items 9(a—11). ®Yes ❑No 3 mo
III(3)—Comprehensive collection system map ® Yes ❑No
10%per year
For conditions not listed, compliance dates are not typically offered List any permit conditions that may be difficult for the
applicant to meet(attach clarification if needed).
N/A
VII. APPLICANT'S CERTIFICATION per 15A NCAC 02T.0106(b):
I, Shannon V Becker,President attest that this application for Hawthorne Subdivision WWCS
(Signature Authority's Name&Title from Item I 4) (Facility name from Item I 1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete
Note. In accordance with NC General Statutes 143-215.6A and 143-215 6B, any person who knowingly makes any false statement,
representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed
$10,000 as well as civil penalties up to$25,000 per violation
Signature: P /.: .-,,,
e. Date , , I— /71
APPLICATION CSA 04-16
Page 5 of 5

i
STATE OF NORTH CAROLINA
UTILITIES COMMISSION
RALEIGH
APPENDIX A-71
DOCKET NO. W-218, SUB 341
BEFORE THE NORTH CAROLINA UTILITIES COMMISSION
AQUA NORTH CAROLINA, INC.
is granted this
CERTIFICATE OF PUBLIC CONVENIENCE AND NECESSITY
to provide water and sewer utility service
in
AVOCET (Lots 1-66, 114-116, 131) BARCLAY DOWNS, BARTON CREEK BLUFFS,
BARTONS CREEK OVERLOOK, BOULDER CREEK, BRIARWOOD FARMS,
CHESTNUT OAKS AT BARTON CREEK BLUFFS, CROOKED CREEK, CROOKED
CREEK BLUFFS, CROOKED CREEK SOUTH, CROOKED CREEK TRACK D, CROSS
CREEK MHP, ENCLAVE OF BARTON CREEK BLUFFS, FAIRWAYS OF CROOKED
CREEK, GRAYLYN, HASENTREE PHASES 1, 2, 3, 5, 6A, 6B, 6C, 7 & 11(LAKE
VILLAS), HAWTHORNE, MALLARD CROSSING, MONTICELLO, NEUSE RIVER
VILLAGE, OLDE MILBURNIE CROSSING, SADDLERIDGE, SAWYER'S MILL,
STILLWATER LANDING, TRADEWINDS, VICTORY CHURCH ROAD, WESTWOOD
AT CROOKED CREEK, WILDWOOD GREEN AND WOODVALLEY SUBDIVISIONS
Wake County, North Carolina
subject to any orders, rules, regulations,
and conditions now or hereafter lawfully made
by the North Carolina Utilities Commission.
ISSUED BY ORDER OF THE COMMISSION.
This the 29th day of January , 2013.
NORTH CAROLINA UTILITIES COMMISSION
4ui , flu *
Gail L. Mount, Chief Clerk
1
1
I
1
I

Business Corporation
Legal Name Reg Office
Aqua North Carolina, Inc. 2626 Glenwood Avenue, Suite 550
Prey Legal Name Raleigh,NC 27608
Hydraulics, Limited
Prey Legal Name Reg Mailing
Hydraulics,Ltd. 2626 Glenwood Avenue, Suite 550
Raleigh,NC 27608
InfOrmatiOn
Officers
Sosid: 0072603
Status: Current-Active President
Annual Report Status: Current Shannon V. Becker
Citizenship: Domestic 202 MacKenan Court
Date Formed: 7/16/1965 Cary NC 27511
Fiscal Month: December
Registered Agent: Corporation Service Secretary
Company Christopher P. Luning
202 MacKenan Court
Addresses Cary NC 27511
Mailing Stock
202 MacKenan Court
Cary,NC 27511-6447 Class: COMMON
Shares: 10000
Principal Office No Par Value: Yes
202 MacKenan Court
Cary,NC 27511-6447

AOLV :,,
,....,,,
Pump Station List - Hawthorne
Pump Station Name Physical Location Alarm Type Pump Reliability Reliability Capacity of
2899 Rocky Point Ct, Raleigh, Source Station
L/S #1 - Boulder Creek NCSCADA, Audible, Visual Yes Portable
Generator 95 gpm
L/S #2 - Boxelder 10201 Boxelder Dr, Raleigh NC SCADA, Audible, Visual Yes Portable
Generator 60 gpm
L/S #3 - Galway 12308 Galway Dr, Raleigh, NC SCADA,Audible, Visual Yes Portable
Generator1140 gpm
L/S #4 - Glennlevit 12329 Glennlevit Dr, Raleigh, Portable
SCADA, Audible, Visual Yes 120 gpm
12400 Warwickshire Way, Generator
L/S#5 - Hawthorne SCADA, Audible, Visual Yes Perm.
Raleigh, NC Generator 240 gpm
L/S#6 - Wexford 7051 Wildlife Trail, Raleigh, NC SCADA, Audible, Visual Yes Portable
Generator 160 gpm
202 NMacKenari Drive, Cary, NC 27511

AQUA.
--z„.....„
High Priority Lines List - Governors Club Collection System
Attachment A for Condition V(4)
Line Identification Physical Location
Type Material
1 - Primrose Behind 2324 Primrose Valley Ct. Crosses Water
Body DIP
2 - Boulder Creek Boulder Creek L/S to Sunnystone Way and Rocky Point Ct. Crosses Water
Body DIP
3 - Terra Cotta #1 5109 Terra Cotta Drive Crosses Water
Body DIP
4 - Terra Cotta #2 5209 Terra Cotta Drive Crosses Water
Body DIP
5 - Sunnystone #1 2440 Sunnystone Way Crosses Water
Body DIP
6 - Loing Court Intersection of Loring Court and Victory Church Road Crosses Water
Body DIP
7- Sunnystone #2 2709 Sunnystone Way Crosses Water
Body DIP
8 - Indigo Moon 5308 Indigo Moon Way Crosses Water
Body DIP
9 -Amoretto 12749 Amoretto Way Crosses Water
Body DIP
10 - Whatrons Park 12332 Whartons Park Crosses Water
Body DIP
202 MacKenan Drive, Cary, NC 27511

AQUA_
Current Annual Operation Budget(2018)- Hawthorne Collection System&WWTF
ITEM JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER TOTAL
04 1-REG LABOR $ 7,031.01 $ 5,940 38 $ 6,686 54 $ 6,418.50 $ 7,111 72
04 2-OT LABOR $ 406 91 $ 406 91 $ 406 91 $ 419 12 $ 419 12 $ 5 419 112 $ 6 628 63 $ 7 4189 12 $40 $ 6 419 12 $ 7,11541912 $3 $ 6 419 12 $ 5 628 63 $ 75,,543 18
411 84
04 3-LABOR BON/OPT $ 282.68 $ 282 68 $ 282 68 $ 282 68 $ 282 68 $ 282 68 $ 282.68 $ 282 68 $ 282 68 $ 282 68 $ 282.68 $ 282 68 $ 3,392.11
05-EMP BEN $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 2,777 92 $ 33,335.03_
07-PRCH W W T $ 166 83 $ 166 83 $ 166 83 $ 166 83 $ 166.83 $ 166 83 $ 166 83 $ 166 83 $ 166 83 $ 166 83 $ 166 83 $ 166 83 $ 2,001.94
08-SLUDGE $ 3,194 52 $ 1,884 22 $ 2,699 07 $ 2,132 98 $ 2,522.74 $ 1,813 77 $ 2,947 82 $ 2,337 83 $ 2,522 74 $ 2,517,98 $ 2,663 75 $ 1,956 73 $ 29,194 15
09-PRCH PWR $ 4 402 77 $ 1,235 74 $ 6 013 08 $ 3 637 32 $ 3 960 81 $ 4,113 57 $ 3 883 46 $ 3 813.18 $ 3,898 65 $ 4,353 28 $ 3,797 34 $ 4,556 64 $ 47,665 84
10-CHEMICALS $ 1,931 48 $ 1,622 33 $ 1,938 47 $ 1,748 90 $ 1,769 12 $ 1,622 33 $ 2,228 78 $ 1,622 33 $ 1,769 12 $ 1,748 90 $ 1,769 12 $ 1,622 33 $ 21,393 22
11-MGMT FEES-CORP $ 2,076 22 $ 2,076 22 $ 2,076.22 $ 3,174.39 $ 2,076 22 $ 2,076 22 $ 2,076 22 $ 2,076 22 $ 3,174 39 $ 2,076,22 $ 2,076 22 $ 2,076 22 $ 27,110.95
12-MGMT FEES-ST $ 2,417 70 $ 2,247 24 $ 2,379 77 $ 2,518 17 $ 2,603 08 $ 2,506 43 $ 2,537 18 $ 2,617 06 $ 2,467 56 $ 2,608 76 $ 2,559 83 $ 2,480 80 $ 29,943 58
13-CUST OPS-ACO $ 747 74 $ 689 40 $ 739 26 $ 703 01 $ 741 69 $ 708 04 $ 719.22 $ 736 37 $ 682 32 $ 757 25 $ 717 83 $ 710 74 $ 8,652.87
14-CU5T OPS-DIR $ 355 09 $ 355 09 $ 355 09 $ 356 02 $ 356 02 $ 356 02 $ 356 86 $ 356 86 $ 356 86 $ 357 89 $ 357 89 $ 357 89 $ 4,277.60
17-OS SVCS-ACCT $ 92.64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 92 64 $ 1,111 69
19-OS SVCS-LA3 $ 872 63 $ 872 63 $ 872 63 $ 872 63 $ 872.63 $ 872 63 $ 872 63 $ 872 63 $ 872 63 $ 872 63 $ 872 63 $ 872 63 $ 10,471.58
22-0S SVCS-MAINT $ 185 47 $ 185 47 $ 185 47 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 185 47 $ 185 47 $ 10,054 42
22-OS SVCS-MAINT $ 185 47 $ 185 47 $ 185 47 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 1,303 87 $ 185 47 $ 185 47 $ 10,054.42
23-OS SVCS-OTH $ 765 27 $ 765 54 $ 765 54 $ 765 54 $ 765 73 $ 765 54 $ 765 54 $ 765 54 $ 765 54 $ 765 54 $ 765 54 $ 765 54 $ 9,186.44
25-SUPPLIES $ 1,786 92 $ 243 16 $ 197 02 $ 102 24 $ 232 81 $ 125 17 $ 317 91 $ 323 96 $ 163 29 $ 376 34 $ 307 65 $ 372 80 $ 4,549 28
26,1-TRANS LEASE $ 25 54 $ 33 65 $ 22 55 $ 38 68 $ 36 72 $ 8 39 $ 14 45 $ 43 80 $ 69 06 $ 8 39 $ 45 76 $ 45 76 $ 392 74
26.2-TRANS FUEL $ 682.60 $ 522 20 $ 711 49 $ 714 28 $ 563 67 $ 611 21 $ 760.23 $ 596 85 $ 625 37 $ 625 74 $ 625 37 $ 625 56 $ 7,664 58
26.3-TRANS OTH $ 323.03 $ 323 03 $ 323,03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 323 03 $ 3,876.37
27-INSURANCE $ 792 29 $ 792 29 $ 792.29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 792 29 $ 9,507 52
28-BAD DEBT $ 121 44 $ 121 44 $ 121,44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 121 44 $ 1,457 28
29-6 OTHER COMM $ 132 72 $ 132 72 $ 132 72 $ 132 72 $ 132.72 $ 132 72 $ 132 72 $ 132 72 $ 132 72 $ 132 72 $ 132 72 $ 132 72 $ 1,592 60
29-C OTHER OFF SUPP $ 093 $ 093 $ 093 $ 093
29-D OTHER DUESF $ $ $ 0 93 $ 0 93 $ 0 93 $ 0 93 $ 0 93 $ 0 93 $ 0 93 $ 0 93 $ 11.18
29- OTHER U $ $ $ - $ - $ 93 20 $ $ - $ -
-
$ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 661 72 $ 7,940 64
29-G OTHER POST $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 0 47 $ 5.59
29-H OTHER T&E $ 23 30 $ 23 30 $ 23 30 $ 23 30 $ 23 30
29-J OTHER $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 87 89 $ 1,054 66
30-NON UTILITY EXP $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 93 67 $ 1,123.99
33.1-OTHER TAXES-PUC $ 72 04 $ 69 06 $ 77 08 $ 75 12 $ 85 65 $ 85 18 $ 87 42 $ 95 25 $ 84 53 $ 91 62 $ 90.31 $ 81 64 $ 994.91
33,2-OTHER TAXES-PROP $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 116 22 $ 1,394 64
33 3.0THER TAXES-PR $ 675 23 $ 580 36 $ 644 76 $ 632 55 $ 692 94 $ 623 79 $ 642 80 $ 700 12 $ 608 50 $ 693 50 $ 662 00 $ 619 97 $ 7,776.51
33.4-OTHER TAXES-OTH $ 255 00 $ 255 00 $ 255 00 $ 255 00 $ 255 00 $ 255 00 $ 255 00
39-BENEFIT COSTS $ 1985 $ 1985 $ 1985 $ 1985 $ 1985 $ 1985 $ 1985 $ 219.85 $ 21985 $ 21985 $55.00 $ 2119.85 $55.00 $ 21985 $ 323822
40-INT EXP-STD $ 23 58 $ 23 58 $ 23.58 $ 23 58 $ 23 58 $ 23 58 $ 23 58 $ 23 58 $ 23 58 $ 23 58 $ 23 58
41-INTEXP-LTD $ 3,14300 $ 3,14300 $ 3,143,00 $ 3,14300 $ 3,14300 $ 3,14300 $ 3,14300 $ 3,14300 $ 3,14300 $ 3,30416 $ 3,30416 $ 3,30416 $ 38,199.52
42-INT EXP-CUST DEP $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 3 54 $ 42 50
45-AMORT-DEBT ISSUANCE CO $ 42 97 $ 42 97 $ 42 97 $ 42 97 $ 42 97 $ 42 97 $ 42 97 $ 42 97 $ 42 97_ $ 42 97 $ 42 97 $ 42 97 $ 515 58
46-FEDERAL TAXES $ 2,694 97 $ 5,472 80 $ 5,846,62 $ 4,285 15 $ 5,302 89 $ 4,449 27 $ 3,793 71 $ 6,553 64 $ 2,068 95 $ 4,931 03
47-STATE TAXES $ 238.13 $ 483 61 $ 516 61 $ 378 67 $ 468 61 $ 393 12 $ 335 24 $ 579 14 $ 182 86 $ 435 71 $ 7 642 89 $ 7 645 04 $ 55,,973 64
299 63
Subtotal $ 39,909 38 $ 35,033 15 $ 42,481 32 $ 40,742 68 $ 42,351 59 $ 39,198.26 $ 41,142.60 $ 43,466.73 $ 38,638 04 $ 42,686 10
$ 42,096 52 $ 41,381.77 $ 489,128 15
202 MacKenan Drive,Cary,NC 27 511

AQUA
Current Capital Budget - Hawthorne Collection System
FUNDING NUMBER DESCRIPTION 2018 2019
2020 2021 2022 5-YEAR TOTAL
FP35880026556 Force Main Renovation Central $ 6,524 00
$ 6,850.20 $ 7,192.71 $ 7,552.46 $ 7,930.39 $ 36,049.76
FP35880026557 Gravity Main Renovation Central
$ 1,864.00 $ 1,957.20 $ 2,055.06 $ 2,157.58 $ 2,265.23 $ 10,299.07
FP35880026560 New Services WW Central $ 932.00
$ 932.00 $ 932.00 $ 932.00 $ 932 00 $ 4,660.00
FP35880027406 Remote Monitoring WW Central $ 2,796.00
$ 2,935.80 $ 3,082.12 $ 3,236.37 $ 3,398.54 $ 15,448.83
FP35880026550 Lift Station Renovation Central $ 4,660.00
$ 4,893.00 $ 5,137.65 $ 5,394.42 $ 5,664.23 $ 25,749.30
FP35880026573 Pumping Equipment WW Central $ 7,223.93
$ 7,585.08 $ 7,964.41 $ 13,980.00 $ 14,679.00 $ 51,432.42
FP35880026572 Grinder Pumps Central $ 27,960.00 $ 29,358 00 $ 30,825.90 $ 27,960.00
FP35880093354 New Grinder Pumps $ 29,358 00 $ 145,461.90
p $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 2,796.00 $ 13,980.00
FP35880052346 Generator Renovations WW Central $ 2,796.00 $ 1,249.35
$ 1,311.79 $ 1,377 50 $ 1,446.00 $ 8,180.63
FP35880026570 Tools&Safety Equipment $ 549.88 $ 577.37
$ 606.27 $ 932.00 $ 978.60 $ 3,644.12
FP35880016649 Services WW Central $ 12,116.00
GRAND TOTAL $ 12,358.32 $ 12,387.68 $ 13,006.99 $ 13,657.53 $ 63,526.52
$ 72,235.81 $ 73,511.32 $ 76,311.58 $ 81,346.32 $ 85,127.51 $ 378,432.54
•
202 MacKenan Drive, Cary, NC 27511

A'.
Standard Operating
X40_
Procedure
CENTRAL PROGRAM
Effective Date
Aqua North Carolina, Inc. March 1, 2018
Sanitary Sewer Overflow(SSO) Revision
0
I. PURPOSE
a. To effectively respond to and remediate sanitary sewer overflows to protect
public health and the environment and to comply with all regulatory
requirements
b. Sanitary sewer overflows can be caused by numerous events and/or
obstructions including substantial rain events, root intrusion, grease buildup,
etc. The best practice to eliminate or minimize SSOs is through preventive
maintenance. If an SSO does occur, it is the responsibility of the utility to
respond as quickly as possible to mitigate the SSO and reduce and remove the
hazard.
II. DEFINITIONS
a. Sanitary Sewer Overflow — Discharges of raw sewage from municipal sanitary
sewer systems or from privately owned sewer collection systems. SSOs can
release untreated- sewage into basements or out of manholes and onto city
streets, playgrounds, and into-streams before it can reach a treatment facility.
SSOs are often caused by blockages in sewer lines and breaks in the sewer
lines.
III. SCOPE
a. This procedure applies to all employees that may deal with SSOs. At a
minimum, these procedures will be reviewed on an annual basis or whenever
revised guidance from state or federal authorities dictates a revision is
necessary.
IV. RESPONSE TIME REQUIREMENTS
a. Upon notification of a spill or utility outage, operators or utility workers shall
respond and take action to safeguard life and the property immediately.
V. Procedure
1. Initial Service Call
— — Page 1 --- --- ---

a) When a report of an SSO is received, the operator/utility worker shall notify
the supervisor immediately and advise he/she is responding to a SSO
response.
2. Initial Response
a) The first responder should respond immediately and confirm the SSO.
Responder should notify Regional Supervisor (or on-call Supervisor for
after-hours). Supervisor is required to report to the site.
Once SSO is confirmed, implement all necessary safety measures including
road closures, barricading area, etc.
b) Contain spill as much as possible. (See Containment Procedures)
c) The first responder should observe and document the estimated volume of
the SSO.
d) If any wastewater reaches the surface waters of the state, poses a threat to
human health or the environment, or exceeds 1,000 gallons, it must be
reported to North Carolina Department of Environment and Natural
Resources (NCDENR) within 24 hours. (See Section VI. SSO Reporting
Procedures and VIII. SSO Affecting Waters of the State)
e) Take photographs of area for documentation.
f) Determine corrective actions to be taken and execute.
3. Implementation of Corrective Actions
a) Determine cause of SSO and restore the flow as soon as possible.
b) Check downstream manhole for flow and accessibility.
c) Mobilize equipment (vacuum truck,jetter, etc).
d) Try to break loose obstruction from downstream manhole.
e) Should conditions warrant and responders are unable to restore the flow,
the supervisor shall contact qualified, emergency subcontractors (list
attached).
f) If flow cannot be restored, bypass pumping may need to be installed and
further planning will be needed to correct the problem.
4. Clean-up
a) If flow cannot be restored, bypass pumping may need to be installed and
further planning will be needed to correct the problem.
b) Apply lime to all affected areas.
c) Take photographs of area for documentation.
d) Provide notification to regulatory agency and local environmental office of
completed corrective actions and clean-up.
e) If the SSO was determined to be 15,000 gallons or more to surface water or
have the potential to affect public health, a public notification must be
executed within 24 hours.
5. Follow-up Once Flow is Restored
a) Schedule wastewater line to be cleaned and visually inspected with CCTV
equipment.
b) Document inspection and determine if further action is necessary. If so,
schedule as needed.

VI. SSO REPORTING PROCEDURES
1. Upon discovery of a possible SSO, the responding operator or utility worker shall
notify the Collections ORC and/or Regional Supervisor If the system is permitted
per 15A NCAC 08G.03, the Collections System ORC and/or Back-up ORC must
also be notified
2. Regional Supervisor shall notify Area Manager who is then responsible for notifying
the Director of Operations and Manager of Environmental Compliance
3. If media communications are required, the Area Manager shall inform Director of
Operations and Manager of Environmental Compliance immediately to request
assistance from Corporate.
4. Before any SSO is reported to the state, the ORC or the Backup ORC (if permitted)
or Regional Supervisor (deemed systems) must visit and evaluate the spill site
within 24 hours (required by permit) Once evaluated, a panel consisting of the
responding operators, ORC, and Regional Supervisor shall discuss the spill,
determine estimated volumes and determine causes before calling the Division
within the 24-hour time frame
5. Reportable spills must be called into NC DWQ within 24 hours of first knowledge
of discharge DWQ-Regional Office should be contacted during normal business
hours. The date, time, incident number and person contacted must be documented
on the Spill Report Form
6 During weekends and holidays when DWQ cannot be reached, The Division of
Emergency Management must be called at 1-800-858-0368. Spill Report is
documented the same way as during normal business hours Upon arriving to work
on the first business day after the spill, DWQ must be contacted and given the
reported spill incident number.
7 Spill Reporting-
a ORC and/or responding operator completes the DEQ — 5Day Report within
48 hours of the spill
b ORC forwards completed form to Regional Supervisor and Area Manager
for review and comment Corrections must be made within 24 hours.
c. Regional Supervisor provides 5 day report to Manager of Environmental
Compliance within 72 hours of spill. He/she (or designee) is responsible for
submitting to DEQ within 5 business days of the event
d. These forms must be readily available to DEQ staff for three (3) years
SSO Event Reporting Requirements
Page 3

All Discharges Immediately report to ORC
Discharge >1,000 gallons Report to state within 24 hours, Spill Report faxed within
5 days
Discharge to Waters of the State, Report to state within 24 hours, Spill Report faxed within
including storm drains 5 days
Discharge >1,000 gal to Surface 1. Report to state within 24 hours, Spill Report faxed
Water within 5 days
2. Press release within 24 hours of first knowledge of
SSO.
Discharge of 15,000 gal or more to 1 Report to state within 24 hours, Spill Report faxed
Surface Water within 5 days
2. Press release within 24 hours of SSO.
3. Certified public notice within 10 days and proof shall
be provided to the Division within 30 days
Summary of Reporting Requirements
VII. CONTAINMENT
Immediately upon SSO discovery, employees shall assess the situation and mobilize
resources necessary to remove any blockage, contain the SSO, and stabilize the overflow
condition. Notification should be made to the ORC at this time. As soon as the extent of
the SSO has been determined, a containment berm or a dam should be established at the
lower edge of the SSO or at an area that meets the needs of containment and clean-up
operations. The containment dam should be large enough to prevent breaching in dry
weather conditions.
SPILLS INVOLVING ASPHALT OR CONCRETE
1. Set up containment at or near any threatened storm drainage system; every attempt
should be made to prevent the spill from entering the drainage structures.
2. Spread dry sand or absorbent material to a depth of 1 inch. Let stand for one hour and
sweep up. If moisture or grease is still present, repeat.
3. After removing the contaminated material, wash down the area with high water
pressure and a mild bleach solution and then pump residue back into the sewer
system.
If the spill enters a storm drainage structure, a Reportable Spill has occurred and
therefore a Spill Report should be filed with NC DWQ and treated as a SSO affecting
Waters of the State. Reported volumes would include the initial estimated spill + plus
flush water- minus the calculated amount removed prior to storm drain entrance.
FORCE MAIN OR INACCESSIBLE GRAVITY SEWER SPILL
In the event a spill occurs at a pump station with no bypass capability or at a force main or
gravity sewer where no access to a dump point exists, pump and haul or bypass
operations shall be considered. Where pump and haul operations are deemed the best
solution, wastewater will be collected from the closest tanker access point for continuous
loading operations. Consideration should be made for traffic control, noise, access, etc. A
Pump & Haul Record Form must be completed for each load. If Aqua-North Carolina does
---

not have the internal capabilities of containing the SSO, an outside contractor shall be
used. See below for a list of pump providers and pump and haul tanker services.
COMPANY NAME EQUIPMENT PHONE NUMBER
Vaughn Utilities Construction/Safety 919-266-3158/919-422-
3673
David Jacobs Construction/Safety 252-469-0838
We Pump It Pump and Haul 919-545-1139
Bruce Allen Construction/Safety 919-524-1366
**See attached Pump and Haul Record Form
VIII. SSOs AFFECTING WATERS OF THE STATE
Waters of the United States-As defined by the Clean Water Act,40 CFR 230.3(s)
All waters which are currently used, or were used in the past, or may be susceptible to
use in interstate or foreign commerce, including all waters which are subject to the ebb
and flow of the tide;
1. All interstate waters including interstate wetlands;
2. All other waters such as intrastate lakes, rivers, streams (including intermittent
streams), mudflats, sandflats, wetlands, sloughs, prairie potholes, wet meadows, playa
lakes, or natural ponds, the use, degradation or destruction of which could affect
interstate or foreign commerce including any such waters:
a Which are or could be used by interstate or foreign travelers for recreational or
other purposes;
b. From which fish or shellfish are or could be taken and sold in interstate or
foreign commerce;
c. Which are used or could be used for industrial purposes by industries in
interstate commerce;
3. All impoundments of waters otherwise defined as waters of the United States under
this definition;
4. Tributaries of waters identified in paragraphs (s)(1) through (4) of this section;
5. The territorial sea;
6. Wetlands adjacent to waters (other than waters that are themselves wetlands)
identified in paragraphs (s)(1) through (6) of this section; waste treatment systems,
including treatment ponds or lagoons designed to meet the requirements of CWA
(other than cooling ponds as defined in 40 CFR 423.11(m) which also meet the criteria
of this definition) are not waters of the United States.
Waters of the United States do not include prior converted cropland. Notwithstanding the
determination of an area's status as prior converted cropland by any other federal agency,
for the purposes of the Clean Water Act, the final authority regarding Clean Water Act
jurisdiction remains with EPA.
PROCEDURES:
------------ ---- --- Page 5 - --

1. Building of containment devices should ONLY be performed if the responding crew
has the right equipment and expertise to safety build without impacting dry weather
flow conditions. if the responding crew does not have the capability/expertise, please
contact an environmental contractor.
2. Take dissolved oxygen readings of the receiving stream to determine the proper
placement of containment/diversion devices within the intervals on the Field
Reporting Form. The following items shall be considered when determining dam
location:
a. Proximity to manhole
b. Accessible to jet/vacuum truck
c. Lowest measured conductivity reading
3. Build a containment device using dirt that is capable of handling creek and hydrant
flow without breaching during dry weather conditions. Position two pumps at the dam
capable of handling creek and hydrant flow with one pump in use and the second as
backup. Pump SSO release from the dam into the manhole.
4. Put up warning tape, "Danger Do Not Enter" from the SSO site to the pump site on
both sides of the creek in populated areas. In unpopulated areas restrict access
where there is any chance of human contact with the SSO.
5. Flush the stream with de-chlorinated hydrant water to remove wastewater from creek.
Continue to pump and flush the stream until the conductivity readings are equivalent
to the higher of either upstream or hydrant water readings. Make sure that all
readings taken during cleanup are recorded on the Field Reporting Form and taken
within the intervals listed on the form.
6. If there is rip-rap in the creek, wash down with high water pressure until there is no
noticeable waste residue remaining on or within the rip-rap structure.
7. If the creek flows into a body of water used for recreation and/or drinking water
supply, notify the affected officials as soon as possible.
8. Continue periodic monitoring of Dissolved Oxygen readings. All additional readings
should be notated on the Field Readings Form. Take an upstream and downstream
fecal coliform every 24 hours as needed until the waterway is restored to pre-event
condition.
SSO NOT REACHING WATERS OF THE STATE
1. In open areas spread powdered lime heavily over the spill site, till into the ground and
then repeat the procedure again but not within 24 hours of predicted rain fall event.
2. Seed the disturbed area and place straw over the tilled area. Soil may need to be
removed and replaced with clean fill material for a large spill where the ground has
become saturated.
REFERENCES
A. 40 Code of Federal Regulations (CFR) Part 122-124. The Clean Water Act, 1969.
B. North Carolina General Statute 143.215.1
C. Title 15A, North Carolina Administrative Code, Subchapter 2H .0100-.0200
Emergency Contact List
— — — Page 6

Region Name Office Number Cellular Number Home Number
Western Laurie !son 704-489-9404 704-507-5831
(57234)
Western Duane Rimmer 704-489-9404 704-507-3343 704-528-4224
(57225)
Western Matt Costner 704-489-9404 704-507-3413 803-810-5138
(57245)
Western David McDaniel 336-992-9000 336-880-1115
Central Robert Krueger 919-653-6982 260-312-3269
Central Roger Tupps 919-653-6966 919-632-6120 919-757-4252
Central Jackie Jackson 919-653-5773 919-624-2348
Central Lorne Stagner 919-653-5776 919-625-2573
Central Vacant
Supervisor
Coastal Joel Mingus 910-270-1412 910-620-6057
Coastal Chris Collins 910-779-0794 910-635-7479 910-534-1184
Compliance Lori Lester 704-489-9404
(Western) (57239)
Compliance Mark English 919-653-5779
(Eastern/Coastal)
Manager of Amanda Owens 910-653-6965 910-773-0406
Environmental
Compliance
Director of Vacant
Operations
President Shannon Becker 919-653-5770
- - --- - - Page 7 -- --- --

Spilt and Conductivity Reporting Form
Location of Spill:
Time of Spill. AM or PM Date of Spill:
Time of Clearing Spill: AM or PM Date of Clearing Spill:
Cause of Spill:
Did spill reach surface water?: Time ORC was notified:
DO Readings
Initial DO 2nd 3rd 4th DO (if
DO DO required)
Entry Point
Time Recd.
50'
Downstream
Time Recd.
100'
Downstream
Time Recd.
150'
Downstream
Time Recd.
200'
Downstream
Time Recd.
250'
Downstream
Time Recd.
**Note: 2"d and 3rd readings are to be taken during cleanup.
**More readings may be necessary depending upon the size of the spill and the time period in
which the stream is being flushed to maintain water quality.
------ ----------- Page 8 ----- ----- -----

Pump and Haul Record
Date: Page _of_
Tanker Tanker Drivers License Destination Time
Company Capacity Name Plate# Loaded
--

SANTITARY SEWER OVERFLOW CHECKLIST
SSO Event Reporting Requirements Any Question and Requirements Initial and Date
when completed
All Discharges Immediately report to ORC Who Reported SSO event and what time?
Have the required AQUA-NC List who all has been notified in next
personnel been notified? column
Discharge >1,000 gallons Yes
If yes, report to state within 24 hours by Report Call/Fax made to DWQ by ORC W/I
No Regional Supervisor. 24hrs? Roger Tupps, 919-632-6120
Discharge to Waters of the Yes If yes, report to state within 24 hours by
State? Regional Supervisor Report call/Fax made to DWQ by ORC W/I
No 24hrs? Roger Tupps, 919-632-6120
PP a g r� Arim M,CM"RAT •WLniV4 i ry
Discharge >1,000 gal to Yes Notification immediately to DWQ Staff
Surface Water If yes, must be Press Released with'n 24
No hours. �-,, . 5 ;x WWW' *'". '"' ;.5:�� T " "+ ' �"'` '7 ;�
',r' 's'.���'.�n ,s x;y2,.: t s, "'�. �,�r �.- ,r. +�{.��.�^s- t'aC�'i��k.K
Notify Regional Supervisor Immediately
Regional Supervisor shall notify Manger of
Environmental Compliance and Director of
Operations to coordinate Press Release by
Corporate Staff
Yes If yes, press Release within 24 hours of Reported to DWQ within 24 hours?
first knowledge
Discharge >15,000 gal to No
Surface Water Notify Regional Supervisor Immediately
Regional Supervisor shall notify Manger of
Environmental Compliance and Director of
Operations to coordinate Press Release by
Corporate Staff
Certified Public Notice within 10 days and Compliance to send out certified public
proof shall be provided to the Division notice within 10 days of SSO
within 30 days
Sent to State Division within 30 days.
SSO Report Form To be faxed and emailed within five(5) ORC completes report, reviewed by
days to DWQ Regional Supervisor and Area Manager,
Compliance sends to DWQ
Report sent to DWQ by Compliance
Page
10

Estimating by volume by "Eyeball Method"
1. Utilizing pictorial reference below, determine which picture corresponds best with the overflow. (Courtesy: OCSD)
2. Determine volume by multiplying the time by the flow rate found below the picture.
3. For a more detailed determination please reference the following manual:
a. https://www.ocsd.com/Home/ShowDocument?id=16226
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Page
11

sm
PROGRAM
Effective Date
Aqua North Carolina, Inc. April 26, 2018
Contingency Plan Revision
0
I. PURPOSE
a. To effectively respond to emergencies within the sanitary sewer collection
system. Purpose is to protect public health and the environment and to comply
with all regulatory requirements
II. SCOPE
a. This procedure applies to all employees that may respond to emergencies at
pump stations within a collection system. At a minimum, these procedures will
be reviewed on an annual basis or whenever revised guidance from state or
federal authorities dictates a revision is necessary.
III. RESPONSE TIME REQUIREMENTS
a. Upon notification of a spilt or utility outage, operators or utility workers shall
respond and take action to safeguard life and the property immediately.
IV. PLAN
Aqua North Carolina, Inc. (ANC) owns and operates 8 wastewater pump
stations listed in Table 1. The pump stations owned and operated by ANC are
routinely checked by trained personnel.
ANC has a Supervisory Control and Data Acquisition (SCADA) system for the 8
pump stations. The SCADA remotely monitors pump station operations, and
sends alarms to the ANC 24-hour dispatch in the event of a malfunction or
emergency. The SCADA system records all activities at a pump station and
provides a hard-copy printout for backup documentation. The SCADA provides
continuous status of pump station operations for the following items:
e Status of pumps (including operational alarms)
• Pump start / stop cycles
• Power status (including power failure alarms)

Table 1. Pump Station Locations
Pump Station List - Hawthorne Collection System
Pump Station Physical Location Alarm Type Pump Reliability Capacity of
Name Reliability Source Station
L/S#1 - 2899 Rocky Point SCADA,Audible, Yes Portable 95m
Boulder Creek Ct, Raleigh, NC Visual Generator gp
L/S#2- 10201 Boxelder Dr, SCADA, Audible, Yes Portable 60m
Boxelder Raleigh NC Visual Generator gP
L/S #3 - 12308 Galway Dr, SCADA,Audible, Portable
Yes 140m
Galway Raleigh, NC Visual Generator gP
L/S #4- 12329 Glennlevit SCADA,Audible, Yes Portable 120m
Glennlevit Dr, Raleigh, NC Visual Generator gp
L/S#5 - 12400 SCADA,Audible, Perm.
Yes 240m
Hawthorne Warwickshire Way, Visual Generator gP
L/S#6 - 7051 Wildlife Trail, SCADA,Audible, Yes Portable 160m
Wexford Raleigh, NC Visual Generator gp
Pump rebuilding, motor rewinds, and HVAC repairs for the pump stations are
contracted to Charles Underwood, Inc.. Repairs to motor control centers, flow
meters, remote monitoring equipment, and valves are typically repaired by
ANC's maintenance crews or an ANC Contractor.
All repairs are recorded and tracked with the CMMS system.
1. Emergency Support
Addressing some problems may require resources beyond ANC forces. This is
particularly true of main line breaks or major pump station failures where there
is a risk of a significant sewer overflow. In these situations, ANC may enlist the
aid of contractor that specializes in these services. ANC maintains a general
services agreement with several companies for situations that require the
prompt reconstruction of sewer lines.
These companies are capable of mobilizing construction equipment and
personnel quickly to handle emergency assignments. ANC contract for
emergency sewer repairs requires the contractor to respond to the site within 2
hours of notification to mobilize. This response time and the level of response
will vary due to several factors, some are identified below:
o Location of the sewer repair in relation to the contractor's equipment
yard

® Scope of the repair, size of sewer, depth of sewer and volume of flow
® The size, type and availability of equipment and number of workers
® The time of day, day of the week and the proximity to a holiday
© Weather conditions, clear, rain, snow, extreme cold or heat
Spilt Contractor:
In the event of a-spill.that cannot be controlled by ANC, We Pump It, Inc. will
provide professional services for the removal and disposal of contaminated
material.
Emergency Contractor:
In the event that a pump station failure occurs that is exceeds ANC available
on-staff response; an emergency contractor will be requested to assist.
Contractors may be requested for emergency power generation, by-pass
pumping situations, or large excavations.

EMERGENCY PROCEDURES
A. PROBLEM: Wastewater Pump Station Alarms General Response Actions
EMERGENCY PROCEDURES:
a Send an individual to the station indicating an alarm as soon as possible for a
Priority Alarm. If failure is apparent, call for additional assistance and keep an
individual at the station until further instructions are received.
• Always check with the power company when an alarm goes on to see if there is
a power outage in the area, although a power failure that has not been
reported to the power company can occur at a pump station. The pole number
nearest the station should be reported.
o Personnel called in to investigate pump station alarms shall respond to the
station even if the alarm has cleared prior to their arrival. All alarm conditions
are to be checked and logged. Use the following guidelines and follow
confined space entry procedures if applicable:
Wetwell/Drywell Type Stations
1. Observe all safety precautions per training. If a Confined Space Entry (CSE)
is required, notify the Regional Supervisor Immediately. A contractor will be
requested to respond.
2. Note any unusual odors - i.e. burning electrical equipment or paint.
3. Listen and note any unusual noises.
4. Check for heat around pump motors and pump bearing housings. Note any
which seem unusually hot.
5. Observe every piece of equipment in the station. Note anything that looks
out of place. -
6. Record all gauge readings including wet well level, hour meters, on-off
levels, psi gauges on pump, rpm (on VFD's) and anything else that you feel
is significant.
7. Using available information and the trouble shooting guide, systematically
run through the system. Use a process of elimination to identify the cause
of the failure. Check the level controls, check pump operation using manual
position, check pump output by pressing on check valve counterweight as
defined in the trouble-shooting guide. Once the cause of the problem is
isolated, engage mechanical or electrical disciplines for repairs.
8. Emergency personnel should be absolutely certain that the cause of the
pump station alarm or failure has been properly identified and corrected
prior to leaving the station.
9. Reset any/all alarm feature indicator lights. ,

Submersible Type Stations
1. Take all safety precautions per training.
2. Listen for any unusual-noises and note if pump(s) are running.
3. Observe every piece of equipment in the station (pay specific attention to
the level control system). Note anything that looks out of place.
4. Record all gauge readings from the control panel including: wet well level,
hour meters, flow charts, on-off levels, psi gauges on pump, rpm (on VHD's)
and anything else that you feel is significant.
5. Using available information and the trouble-shooting guide, systematically
run through the system. Use a process of elimination to isolate the cause of
the failure. Check level controls, check pump operation using manual
position, check pump output by observing the check valve counterweight as
defined in the trouble shooting guide. Once the cause of the problem is
isolated, engage mechanical or electrical disciplines for repairs
6. Emergency personnel should be absolutely certain that the cause of the
pump station alarm or failure has been properly identified and corrected
prior to leaving the station.
7. Reset any/all alarm feature indicator lights.
• Check the O&M manual to trouble shoot the level sensor system and pump
controls
• Pumps may be checked easily for operation by checking the arm of the check-
valve in the discharge line of an operating pump. If it feels "spongy" (or soft)
when downward pressure is applied with the palm of the hand, the pump is
pumping. If a breaker is off and the pump motor is hot to the touch, DO NOT
attempt to reset and start. If a pump motor is simply warm, one attempt to
restart can be made. Turning the selector switch to manual will normally start a
pump, and the check valve arm should move upwards. If the pump has lost
prime or is lugged, the check valve will not open.
B. PROBLEM: Pumping Station Failure Caused by Secondary Power Failure During
Power Outage
EMERGENCY PROCEDURES:
• Dispatch pump station crew to the pumping station immediately. The crew
needs to bring the auxiliary generator for that specific station as a backup,
assuming that repair to the dedicated generator cannot be made immediately.
® Upon entry, identify the storage capacity in the well. This will give some
indication of the time available for response. If flooded, skip to pump-out steps
under "Pumping Station Failure inside valve pit, pump or valve failure"
procedure.

• Dispatcher shall request the assistance of the power company in restoring
power to the station if necessary. Determine the estimated time of arrival of
the power company crew and then notify the pumping station operators.
a As they approach the pumping station, the pumping station crew should check
the overhead power lines for fuses that might have blown or down power lines.
If the crew notices a blown fuse or down power line, identify the location and
pole number(s), and notify the dispatcher to relay this information to the power
company.
• Lock out and tag out (LOTO) the main line, disconnect (if applicable).
• Check all components of the dedicated generator to determine failure cause.
Use the manufacturer-prepared trouble-shooting guide to aid in diagnosis. If it
cannot be repaired immediately, connect the portable generator to the
auxiliary power connection located outside the building. Examine plug type and
ensure consistency. Use adapters as necessary.
• Go through the specific procedures for starting the generator to supply power
to the station.
• Obtain the services of a qualified generator repair facility to address the
dedicated generator failure.
• Once fully repaired, disconnect the portable generator and reconnect the
dedicated unit. Operate the dedicated unit through several pump cycles.
Check unit for regular exercise.
C. PROBLEM: Pumping Station Failure Inside Valve Pit, pump or valve failure
(submersible type application)
EMERGENCY PROCEDURES:
• Dispatch pumping station crew to the pumping station immediately.
• Prior to viewing the wetwell, measure the atmospheric conditions for sufficient
oxygen and the presence of explosive or toxic.gases.
• Upon arrival the crew should identity the storage capacity in the wetwell. This
will give some indication of the time available for response. If flooded, skip to
pump-out steps.
a Inspect the main controls looking for failure indications. Check processor to
determine failure if applicable. If pump failure is determined, skip to wetwell
inspection steps.
• Inspect the valvepit. Observe all valves and force mains. If flooded, arrange to
pump out the valve pit or pump-and-haul as appropriate. If failure within the
valvepit is detected, skip to pump-out steps.
• Constantly monitor the atmospheric conditions while working in or above the
wetwell. Inspect the wetwell. Check the wetwell floats or level control system,
bar rack and pump volute area for clogging or other problems.

Pump-Out Steps
• If pump failure, determine if pump out and/or pump-and-haul is necessary. If
unnecessary, skip to repair procedures.
• Pump the flow with portable pumps if available. Call additional crew to bring
appropriate portable pump(s) including all required lengths of suction and
discharge hose, to the pumping station if necessary. Upon arrival of the
portable pump, connect the appropriate lengths of suction hose that will
suspend all the way into the wetwell, and then connect enough discharge hose
to pump into appropriate manhole or connection (if so equipped). Go through
the procedures for starting the portable pump, and begin pumping.
• If the station does not contain a force main connection point, arrange for
pump-and-haul as required.
Repair Steps
• Lock out and tag out (LOTO) the main line, disconnect(if applicable).
• Complete repairs to pipe, pump or valve as per policy. ANC Personnel are not
allowed to perform a CSE. If a CSE is required, notify the Regional Supervisor
Immediately. A contractor will be required to complete remaining work. If
permanent materials are not readily available, install temporary repairs until the
permanent repairs can be completed.
• Restore facilities to normal and inspect other components of the force main
and pumping system for signs of similar failure.
• Shut down portable pumping operation. Do not disconnect hoses until repair is
checked for leaks. Operate pumps to check repair under pressure and normal
operating conditions.
• If no leaks are observed, return pumps to normal conditions by removing
LOTO. Monitor pumps to check lead/lag operations.
• Make out a report indicating the time of the call, description of the problem,
the repair work done, personnel present and equipment used.

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