NC0088749_Renewal Application_20180801

-',4*1;77ex4,-*
k ,v-
l
y,,,3-17 4
t,„,k.„ ,,,,,-,,,,
es&geu,u:fe '
ROY COOPER NORTH CAROLINA
Gans,nor Environmental Quality
MICHAEL S_BEGAN
Secretciy
LINDA CULPEPPER
Interim Director
August 21, 2018
C J Ramey
Lissara Partners LLC
PO Box 10
Bethania, NC 27010
Subject: Permit Renewal
Application No. NC0088749
Lissara WTP
Forsyth County
Dear Applicant:
The Water Quality Permitting Section acknowledges the August 9, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
S6114410
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
DEQ*
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

LISSARA PARTNERS, LLC RECE9VED/DENR/DWR
P.O.BOX 10 AUG 0 7 2018
BETNANIA,NC 27010 Water Resources
Permitting Section
August 1,2018
NCDEQ -Division of Water Resources
WQ Permitting Section—Complex Permitting Branch
1617 Mail Service Center
Raleigh,NC 27699-1617
RE: NPDES Permit Renewal Application
Lissara Wastewater Treatment Plant-Forsyth County
Permit No.NC0088749
Dear Reviewer:
Please find enclosed one original and two copies of the completed Short Form D NPDES
permit application and three copies of the Residuals Management Plan for our treatment
plant.
We request the referenced permit be renewed. Please advise if you require any further
information.
Yours truly,
Lissara Partners, LLC
C.J. Ramey, Manager
Enclosures
Cc: John F. Phillips, P.E.,Diehl&Phillips,P.A.

•
NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC0088749
If you are completing this form in computer use the TAB key or the up—down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact Information:
Owner Name Lissara Partners, LLC
Facility Name Lissara Wastewater Treatment Plant
Mailing Address P.O. Box 10
City Bethania
State / Zip Code NC / 27010
Telephone Number [phone]
Fax Number ()
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above o
Street Address or State Road 9689 Wildflower Woods Way
City Lewisville
State / Zip Code NC / 27023
County Forsyth
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Lissara Partners, LLC
.. Mailing Address P.O. box 10
City Bethania
State / Zip Code NC / 27010
Telephone Number [phone]
Fax Number ()
e-mail Address [e-mail]
1 of 5 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
2 of 5 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
-- Industrial 0 Number of
Commercial 0 Number of
Residential 0 Number of 65
School 0 Number of
Other 0 Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Flow is from two subdivisions: The Lake at Lissara and The Estates at Lissara. These are new
subdivisions, with the number of homes continually growing from zero to the current approximate
count of 65.
Number of persons served: 140 (estimated)
5. Type of collection system
❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
IYadkin River
8. Frequency of Discharge: ❑ Continuous 0 Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. - Describe the treatment system -
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
3 of 5 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Wastewater from subdivisions is pumped to the treatment plant via a septic tank effluent pump
(STEP) system. The treatment plant consists of one 18,900 gallon flow-equalization tank with a
38 SCFM blower and two 2HP flow equalization pumps; two 20,000 gallon aeration tanks; three
135 SCFM plant blowers; two 12 ft square clarifiers with airlift sludge and scum pumps; two
8,100 gallon sludge tanks with supernatant airlift pumps; chlorination/ dechlorination tank
with two tube chlorine tablet feeders and two tube dechlorination tablet feeders; effluent flow
measurement box with weir and ultrasonic flow measurement device; 45 KW standby power
generator (natural gas fueled) and automatic transfer switch; alarm dialer; blower building; and
associated yard piping, electrical work, and control systems. Plant is designed to reduce BOD5
and TSS concentrations to be compliant with NPDES permit.
10. Flow Information:
Treatment Plant Design flow 0.054 MGD
Annual Average daily flow 0.00365 MGD (for the previous 3 years)
Maximum daily flow 0.0109 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ❑ No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed.Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used.If more than one analysis is reported,
report daily maximum and monthly average.If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 44 14.5 mg/1
Fecal Coliform 2420 19.7 MPN/100 ml
- Total Suspended Solids 55.1 9.5 mg/1
Temperature (Summer) 28.5 22.4 °C
Temperature (Winter) 17.8 10.9 °C
pH 8.5 7.3 Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NA NESHAPS (CAA) NA
UIC(SDWA) NA Ocean Dumping(MPRSA) -NA
NPDES NC0088749 Dredge or fill (Section 404 or CWA) NA
PSD (CAA) NA Other
Non-attainment program (CAA) NA
14. APPLICANT CERTIFICATION
4 of 5 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
C.J. Ramey Manager, Lissara Partners LLC
Printed name of Person Signing Title
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2)states:Any person who knowingly makes any false statement representation, or certification in any
application,record,report,plan,or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies,tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
5of5
Form-D 11/12

•
RESIDUALS MANAGEMENT PLAN
LISSARA WASTEWATER TREATMENT
NPDES PERMIT NO. NC0088749
Lissara Partners, LLC utilizes Transou's Forsyth Septic Tank Service to transport
the residual solids from the Lissara Treatment Plant to the City of Winston-
Salem's Archie Elledge Wastewater Treatment Plant, where the solids are
incorporated into that Plant's biosolids program. The ultimate disposal of the
majority of the conditioned solids from the Elledge Plant is land application at
agronomic rates for fertilization, with the remaining portion of the solids going to a
landfill.