WQ0001664_Final Permit_20170214

Water Resources
ENVIRONMENTAL QUALITY
.February 14, 2017
MARTIN J. LAsHuA — VICE PRESIDENT OF OPERATIONS
CAROLINA WATER SERVICE, INC. OF NORTH CAROLINA
POST OFFICE BOX 240908
CHARLOTTE, NORTH CAROLINA 28224-0908
Dear Mr. Lashua:
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Subject: Permit No, WQ001664
Belvedere Plantation WWTF
High -Rate Infiltration and
Conjunctive Reclaimed Water
Utilization System
Pender County
In accordance with your permit minor modification request received December 7, 2015, and
subsequent additional information received February 11, 2016, May 16, 2016, and November 22, 2016, we
are forwarding herewith Permit No. WQ0001664 dated February 14, 2017, to Carolina Water Service, Inc.
of North Carolina for the continued operation of the subject wastewater treatment, high -rate infiltration,
and conjunctive reclaimed water utilization facilities.
The modifications to the subject permit are as follows:
♦ Permit Condition III.13 has been removed to eliminate the requirement for maintaining a year
round vegetative cover (winter overseeding) at the Belvedere Golf Course. With the treatment
plant and high -rate irrigation system improvements now operational, the Permittee will be
utilizing the new high -rate infiltration system as the primary disposal method and golf course
irrigation only as a backup disposal alternative. The enhanced treatment of the wastewater
stream coupled with infrequent golf course irrigation eliminates the need for maintaining a year
round vegetative cover.
♦ Attachment A has been modified to combine the two different spray irrigation application rates
(twelve-month application rates of 96.7 inches and 32.2 inches) at the Belvedere Golf Course
into a single application rate (maximum cumulative loading rate over any twelve month period)
of 32.2 inches for the irrigation of all golf course fairways.
This permit shall be effective from the date of issuance until January 31, 2020, shall void Permit
No. WQ0001664 issued February 9, 2015, and shall be subject to the conditions, and limitations as specified
therein. Please pay particular attention to the monitoring requirements listed in Attachments A, B and C
for they may differ from the previous permit issuance. Failure to establish an adequate system for collecting
and maintaining the required operational information shall result in future compliance problems.
'Nothing Compares --.
State of North Carolina I Environmental Quality I Water Resources � Water Quality Permitting I Non -Discharge Permitting
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6332

Mr. Martin J. Lashua
February 14, 2017
Page 2 of 2
Please note the following permit conditions have been removed since the last permit issuance
dated February 9, 2015:
➢ Old Conditions I.1., I.2., I.3., I.4, I.5., I.6.,1.7., I.8., and N.13. — These have been removed as
construction has been completed and the facilities are in operation.
➢ Old Condition 1I.4. — This condition has been removed because it is not applicable to the subject
facility.
➢ Old Condition I11.13. — Has been removed to eliminate the requirement to maintain a year-
round vegetative cover.
➢ Old Condition in Attachment A footnotes requiring two different application (loading) rates
for the conjunctive reclaimed water utilization site — Since the golf course is now entirely
conjunctive irrigation, the application rate has been removed from the permit.
If any parts, requirements or limitations contained in this permit are unacceptable, the Permittee
has the right to request an adjudicatory hearing upon written request within 30 days following receipt of
this permit. This request shall be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings at 6714 Mail Service
Center, Raleigh, NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
If you need additional information concerning this permit, please contact David Schlobohm; at (919)
807-6384 or [e-mail].
Sincerely,
�- S. Jay Zimmerman, P.G., Director
Division of Water Resources
cc: Pender County Health Department (Electronic Copy)
Wilmington Regional Office, Water Quality Regional Operations Section (Electronic Copy)
Linwood Stroud, PE — Stroud Engineering, PA (Electronic Copy)
Digital Permit Archive (Electronic Copy)
Central Files

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENTAL QUALITY
RALEIGH
HIGH -RATE INFILTRATION AND CONJUNCTIVE RECLAIMED WATER UTILIZATION
SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules and Regulations
PERMISSION IS HEREBY GRANTED TO
Carolina Water Service, Inc. of North Carolina
Pender County
FOR THE
continued operation of a 300,000 gallon per day (GPD) wastewater treatment, high -rate infiltration, and
conjunctive reclaimed water utilization facility consisting of:
an influent manual bar screen; a fine screen; an 80,000 gallon flow equalization tank; a flow spiitter box;
two 18,729 gallon anaerobic basins; two 26,272 gallon anoxic basins; two 83,685gallon aeration basins;
two 18,928 gallon anoxic basins; two 3,094 gallon re -aeration basins; a 38,089 gallon clarifier; a 23,450
gallon clarifier; a 30 cell, 175 square foot (W) tertiary filter; a 3,293 gallon mudwell; an 8,976 gallon
chlorination tank; a 60,000 gallon aerobic digester; a 5,000gallon sludge box; a flow meter; a turbidimeter;
a 180 kilowatt (kW) auxiliary generator located at the treatment facility; a 40 kW auxiliary generator located
at the high -rate infiltration site; an 8-inch PVC force main; effluent pump stations; a lined 1,502,986 gallon
5-day upset pond; a 6,023,973 gallon storage pond; three 0.27 acre high -rate infiltration basins; a 568,218
GPD mechanical groundwater lowering system discharging to adjacent wetland; a conjunctive reclaimed
water utilization system with approximately 57.53 acres of irrigation area on Belvedere Golf Course; and
all associated piping, valves, controls, and appurtenances
to serve Belvedere Plantation WWTF, with no discharge of wastes to surface waters, pursuant to the
application received December 7, 2015, and subsequent additional information received by the Division of
Water Resources, and in conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environmental Quality and considered a part of this
permit.
This permit shall be effective from the date of issuance until January 31, 2020, shall void Permit No.
WQ0001664 issued February 9, 2015, and shall be subject to the following specified conditions and
limitations:
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I. SCHEDULES
No later than six months prior to the expiration of this permit, the Permittee shall request renewal of
this permit on official Division forms. Upon receipt of the request, the Division will review the
adequacy of the facilities described therein, and if warranted, will renew the permit for such period of
time and under such conditions and limitations as it may deem appropriate. Please note Rule 15A
NCAC 02T .0105(d) requires an updated site map to be submitted with the permit renewal application.
[ 15A NCAC 02T .0105(d), 02T .0106, 02T .0109, 02T .0115(c)]
H. PERFORMANCE STANDARDS
l . The subject non -discharge facilities shall be effectively maintained and operated at all times so there is
no discharge to surface waters, nor any contravention of groundwater or surface water standards. In
the event the facilities fail to perform satisfactorily, including the creation of nuisance conditions due
to improper operation and maintenance, or failure of the infiltration or irrigation areas to adequately
assimilate the effluent, the Permittee shall take immediate corrective actions including Division
required actions, such as the construction of additional or replacement wastewater treatment, infiltration
or irrigation facilities, additional or replacement reclaimed water utilization facilities, or cessation of
reclaimed water utilization activities. [G.S. 143-215.1, 143-213.3(a)]
2. This permit shall not relieve the Permittee of their responsibility for damages to groundwater or surface
water resulting from the operation of this facility. [15A NCAC 02B .0200, 02L .0100]
3. All wells constructed for purposes of groundwater monitoring shall be constructed in accordance with
15A NCAC 02C .0108 (Standards of Construction for Wells Other than Water Supply), and any other
jurisdictional laws and regulations pertaining to well construction. [ 15A NCAC 02C .0108]
4. Effluent quality shall not exceed the limitations specified in Attachment A. [15A NCAC 02T
.0108(b)(1), 02T .0705(b)]
5. Application rates, whether hydraulic, nutrient or other pollutant, shall not exceed those specified in
Attachment B. [15A NCAC 02T .0705(m)]
6. The following shall be requirements for the reclaimed water distribution, storage, and utilization
facilities:
a. All reclaimed water valves, storage facilities and outlets shall be tagged or labeled to warn the
public or employees that reclaimed water is not intended for drinking. Where appropriate, such
warning shall inform the public or employees to avoid contact with reclaimed water.
b. All reclaimed water piping, valves, outlets and other appurtenances shall be color -coded, taped or
otherwise marked to identify the source of the water as being reclaimed water.
i. All reclaimed water piping and appurtenances shall be either colored purple (i.e., Pantone 522)
and embossed or integrally stamped or marked "CAUTION: RECLAIMED WATER — DO
NOT DRINK" or be installed with a purple (i.e., Pantone 522) identification tape or
polyethylene vinyl wrap. The warning shall be stamped on opposite sides of the pipe and
repeated every three feet or less.
ii. Identification tape shall beat least three inches wide and have white or black lettering on purple
(i.e., Pantone 522) field stating "CAUTION: RECLAIMED WATER — DO NOT DRINK."
Identification tape shall be installed on reclaimed water pipelines in a visible manner, fastened
at least every 10 feet to each pipe length and run continuously the entire length of the pipe.
iii. Existing underground distribution systems retrofitted for the purpose of distributing reclaimed
water shall be taped or otherwise identified as noted above. This identification need not extend
the entire length of the distribution system, but shall be incorporated within 10 feet of crossing
any potable water supply line or sanitary sewer line.
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c. All reclaimed water valves and outlets shall be of a type, or secured in a manner, that permits
operation by authorized personnel only.
d. Hose bibs shall be located in locked, below grade vaults that shall be labeled as being of non -
potable quality. As an alternative to the use of locked vaults with standard hose bib services, other
locking mechanisms such as hose bibs which can only be operated by a tool may be placed above
ground and labeled as non -potable water.
[I5A NCAC 02U .0403]
7. No direct cross -connections shall be allowed between reclaimed water and potable water systems,
unless such connection has been approved by the Department pursuant to 15A NCAC 18C .0406. [15A
NCAC 02U .0403(f)]
The high -rate infiltration disposal system was individually permitted on or after December 30, 1983;
therefore, the compliance boundary is established at either 250 feet from the effluent disposal area, or
50 feet within the property boundary, whichever is closest to the effluent disposal area. An exceedance
of groundwater standards at or beyond the compliance boundary is subject to remediation action
according to 15A NCAC 02L .0106(d)(2) as well as enforcement actions in accordance with North
Carolina General Statute 143-215.6A through 143-215.6C. [15A NCAC 02L .0106(d)(2), 02L
.0107(b)]
9. In accordance with 15A NCAC 02L .0108, the review boundary for the high -rate infiltration system is
established midway between the compliance boundary and the effluent disposal area. Any exceedance
of groundwater standards at the review boundary shall require action in accordance with 15A NCAC
02L .0106. [ 15A NCAC 02L .0106, 02L .0108]
10. The compliance and review boundaries for the conjunctive reclaimed water utilization system are
established at the property boundary. Any exceedance of standards at the compliance or review
boundary shall require action in accordance with 15A NCAC 02L .0106. [15A NCAC 02H
.0219(k)(1)(C)(i)(III)]
11. The Permittee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary. [15A NCAC 02L .0107(c)]
12. In accordance with 15A NCAC 02L .0107(d), no wells, excluding Division approved monitoring wells,
shall be constructed within the compliance boundary except as provided for in 15A NCAC 02L
.0107(g). [15A NCAC 02L .0107]
13. Except as provided for in 15A NCAC 02L .0107(g), the Permitter shall ensure any landowner who is
not the Pennittee and owns land within the compliance boundary shall execute and file with the Pender
County Register of Deeds an easement running with the land containing the following items:
a. A notice of the permit and number or other description as allowed in 15A NCAC 02L .0107(f)(1);
b. Prohibits construction and operation of water supply wells within the compliance boundary; and
c. Reserves the right of the Permittee or the State to enter the property within the compliance boundary
for purposes related to the permit.
The Director may terminate the easement when its purpose has been fulfilled or is no longer needed.
[ 15A NCAC 02L .0107(f)]
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14. The facilities permitted herein shall be constructed according to the following setbacks:
a. The setbacks for high -rate infiltration sites permitted under 15A NCAC 02T .0700 shall be as
follows (all distances in feet):
i. Any habitable residence or place of public assembly under separate ownership:
100,
ii. Any habitable residence or place of public assembly owned by the Permittee:
501
iii. Any private or public water supply source:
100
iv. Surface waters:
1002
v. Groundwater Iowering ditches:
1002
vi. Surface water diversions:
50
vii. Any well with exception of monitoring wells:
100
viii. Any property line:
50 1,3
ix. Top of slope of embankments or cuts of two feet or more in vertical height:
100
x. Any water line from a disposal system:
10
xi. Subsurface groundwater lowering drainage systems:
1002
xii. Any swimming pool:
100
xiii. Public right of way:
50
xiv. Nitrification field:
20
xv. Any building foundation or basement:
15
1 The Permittee has elected to comply with the High -Rate Infiltration System Design Policy
dated October 27, 2006. Therefore, in accordance with meeting the Policy's criteria, the
setback in Condition II.14.a.i. has been reduced from 400 feet to 100 feet, and the setbacks in
Conditions II.14.a.ii. and II.14.a.viii. have been reduced from 200 feet to 50 feet.
2 Setbacks to surface waters, groundwater lowering ditches and subsurface groundwater
lowering drainage systems have been reduced to 100 feet because the treatment units are
designed to meet a Total Nitrogen of 7 mg/L and a Total Phosphorus of 3 mg/L in accordance
with 15A NCAC 02T .0706(b).
3 Per a setback waiver recorded in the Pender County Register of Deeds, setbacks from the high -
rate infiltration sites to any property line has been reduced for the following:
PIN
Deed Book / Page
Setback
Easement
4204-62-1555-0000
4632 / 2495
5 feet
45 feet
[15A NCAC 02T .0706(a), 02T .0706(b)]
b. The setbacks for storage and treatment units permitted under 15A NCAC 02H .0200 shall be as
follows (all distances in feet):
i. Any well with exception of monitoring wells:
ii. Any property line:
[ 15A NCAC 02H .02190)]
100
50
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c. The setbacks for treatment units permitted under 15A NCAC 02T .0700 shall be as follows (all
distances in feet):
i. Any habitable residence or place of public assembly under separate ownership: 100
ii. Any private or public water supply source: 100
iii. Surface waters: 50
iv. Any well with exception of monitoring wells: 100
v. Any property line: 50
[15A NCAC 02T .0706(d)]
d. The setbacks for reclaimed utilization sites shall be as follows (all distances in feet):
i. Surface waters not classified SA: 25
ii. Surface waters classified SA: 100
iii. Any well with exception to monitoring wells: 100
[I 5A NCAC 02U .0701 ]
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The facilities shall be properly maintained and operated at all times. The facilities shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of any wastewater resulting
from the operation of this facility. The Permittee shall maintain an Operation and Maintenance Plan,
which at a minimum shall include operational functions, maintenance schedules, safety measures and
a spill response plan. [15A NCAC 02T .0707]
2. Upon the Water Pollution Control System Operators Certification Commission's (WPCSOCC)
classification of the subject non -discharge facilities, in accordance with 15A NCAC 08G .0200 the
Permittee shall designate and employ a certified operator in responsible charge (ORC) and one or more
certified operator(s) as back-up ORC(s). The ORC or their back-up shall visit the facilities in
accordance with 15A NCAC 08G .0200, and shall comply with all other conditions specified in the
previously cited rules. [15A NCAC 02T .0117]
3. Adequate measures shall be taken to prevent reclaimed water ponding in or runoff from the irrigation
sites. [15ANCAC 02T .0108(b)(1)]
4. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff. [15A NCAC 02T .0108(b)(1)]
Only effluent from Belvedere Plantation WWTF shall be infiltrated or utilized on the sites listed in
Attachment B. [G.S. 143-215.1]
6. No automobiles or machinery shall be allowed on the infiltration sites except during equipment
installation or while maintenance is being performed. [15A NCAC 02T .0108(b)(1)]
7. Public access to the infiltration sites, wastewater treatment facilities, and the 5-day upset pond shall be
prohibited. [15A NCAC 02T .0705(p), 02U .0501]
8. Public access to reclaimed water utilization sites shall be controlled during active site use. Such
controls may include the posting of signs showing the activities being conducted at each site. [15A
NCAC 02U .0501]
9. The residuals generated from the wastewater treatment facilities shall be disposed or utilized in
accordance with 15A NCAC 02T .1100. The Permittee shall maintain a residual management plan
pursuant to 15A NCAC 02T .0708. [ 15A NCAC 02T .0708, 02T .1100]
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10. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited. [15A NCAC 02T .0705(i)]
11. Freeboard in the 1,502,986 gallon 5-day upset pond and the 6,023,973 gallon storage pond shall not be
less than two feet at anytime. [15A NCAC 02T .0705(c)]
12. Gauges to monitor waste levels in the 1,502,986 gallon 5-day upset pond and the 6,023,973 gallon
storage pond shall be provided. These gauges shall have readily visible permanent markings, at inch
or tenth of a foot increments, indicating the following elevations: maximum liquid level at the top of
the temporary liquid storage volume; minimum liquid level at the bottom of the temporary liquid
storage volume; and the lowest point on top of the dam. [ 15A NCAC 02T .0108(b)(1)]
13. A protective vegetative cover shall be established and maintained on all earthen embankments (i.e.,
outside toe of embankment to maximum allowable temporary storage elevation on the inside of the
embankment), berms, pipe runs, erosion control areas, and surface water diversions. Trees, shrubs, and
other woody vegetation shall not be allowed to grow on the earthen dikes or embankments. Earthen
embankment areas shall be kept mowed or otherwise controlled and accessible. [I 5A NCAC 02T
.0108(b)(1)]
14. All effluent shall be routed to the 5-day upset pond should the limit for fecal coliform (e.g., daily
maximum concentration of 25 colonies per 100 mL) or turbidity (e.g., instantaneous maximum of 10
NTU) be exceeded, until the problems associated with the wastewater treatment plant have been
corrected. The wastewater in the 5-day upset pond shall be pumped back to the treatment plant
headworks for re -treatment or treated in the 5-day upset pond prior to infiltration. [15A NCAC 02T
,0108(b)(1)]
15. The infiltration basins shall be periodically cleaned to remove deposited materials that may impede the
infiltration process. Cleaning records shall be maintained at the facility for a period of no less than five
years, and shall be made available to the Division upon request. The Wilmington Regional Office,
telephone number [phone], shall be notified prior to each cleaning. [15A NCAC 02T
.0108(b)(1)]
16. The turbidimeter shall be tested and calibrated at a minimum of once per year. Calibration records
shall be maintained at the facility for a period of no less than five years, and shall be made available to
the Division upon request. [15A NCAC 02T .0108(b)(1)]
IV. MONITORING AND REPORTING REQUIREMENTS
1. Any Division required monitoring (including groundwater, plant tissue, soil and surface water analyses)
necessary to ensure groundwater and surface water protection shall be established, and an acceptable
sampling reporting schedule shall be followed. [15A NCAC 02T .0108(c)]
2. A Division certified laboratory shall conduct all laboratory analyses for the required effluent,
groundwater or surface water parameters. [15A NCAC 02H .0800]
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3. Flow through the treatment facility shall be continuously monitored, and daily flow values shall be
reported on Form NDMR.
The Permittee shall install and maintain an appropriate flow measurement device to ensure the accuracy
and reliability of flow measurement consistent with accepted engineering and scientific practices,
Selected flow measurement devices shall be capable of measuring flows with a maximum deviation of
less than ten percent from true flow; accurately calibrated at a minimum of once per year; and
maintained to ensure the accuracy of measurements is consistent with the selected device's accepted
capability. The Permittee shall maintain records of flow measurement device calibration on file for a
period of at least five years. At a minimum, documentation shall include:
a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
[ 15A NCAC 02T .0105(k)]
4. The Permittee shall monitor the effluent from the subject facilities at the frequencies and locations for
the parameters specified in Attachment A. [15A NCAC 02T .0108(c)]
5. The Perjnittee shall maintain adequate records tracking the amount of effluent infiltrated. At a
minimum, these records shall include the following information for each infiltration site listed in
Attachment B:
a. Date of infiltration;
b. Volume of effluent infiltrated;
c. Site infiltrated;
d. Loading rates to each infiltration site listed in Attachment B; and
e. Weather conditions.
[ 15A NCAC 02T .0108(c)]
6. The Permittee shall maintain adequate records tracking the amount of reclaimed water distributed
to/irrigated on the conjunctive reclaimed water utilization site (Belvedere Golf Course):
a. Date of reclaimed water distributed; and
b. Volume of reclaimed water distributed (monthly total).
Monthly tracking records shall be reported on Form NDMR (see Attachment A) under parameter WQO I
(Flow, Reclaimed Water Distributed). This value shall represent the total volume of reclaimed water
distributed to/irrigated on the golf course. [15A NCAC 02T .4108(c)]
7. Freeboard (i.e., waste level to the lowest embankment elevation) in the 1,502,986 gallon 5-day upset
pond and the 6,023,973 gallon storage pond shall be measured to the nearest inch or tenth of a foot, and
recorded weekly. Weekly freeboard records shall be maintained at the facility for a period of no less
than five years, and shall be made available to the Division upon request. [15A NCAC 02T .0108(c)]
8. Three copies of all monitoring data (as specified in Conditions IV.3., IV A., and IV.6.) on Form NDMR
for each PPI and three copies of all operation and disposal records (as specified in Conditions IV.5. and
IV.7.) on Form NDAR-2 for every site in Attachment B shall be submitted on or before the last day of
the following month. If no activities occurred during the monitoring month, monitoring reports are still
required documenting the absence of the activity. All information shall be submitted to the following
address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[I5A NCAC 02T .0105(1)]
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9. Pursuant to § 143-215.1C., the Permiee shall provide to its users and the Division of Water Resources
an annual report summarizing the performance of the wastewater treatment, high -rate infiltration, and
conjunctive reclaimed water utilization facility and the extent to which the facility has violated this
permit, or federal or State laws, regulations, or rules related to the protection of water quality. This
report shall be prepared on either a calendar or fiscal year basis and shall be provided no later than 60
days after the end of the calendar or fiscal year. Two copies of the annual report provided to the
Permittee's users shall be submitted to:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[G.S. 143-215.1C]
10. A record shall be maintained of all residuals removed from this facility. This record shall be maintained
at the facility for a period of no less than five years, and shall be made available to the Division upon
request. At a minimum, this record shall include:
a. Name of the residuals hauler;
b. Non -Discharge permit number authorizing the residuals disposal, or a letter from a municipality
agreeing to accept the residuals;
c. Date the residuals were hauled; and
d. Volume of residuals removed.
[15ANCAC 02T .0108(b)(1)]
11. A maintenance log shall be maintained at this facility. This log shall be maintained at the facility for a
period of no less than five years, and shall be made available to the Division upon request. At a
minimum, this log shall include.
a. Date and results of power interruption testing on alternate power supply;
b. Date of calibration of flow measurement device;
c. Date of calibration of turbidimeter;
d. Visual observations of the plant and plant site; and
e. Record of preventative maintenance (e.g., changing of equipment, adjustments, testing, inspections
and cleanings, etc.).
[15A NCAC 02T .0108(b)(1)]
12. Monitoring wells shall be sampled at the frequencies and for the parameters specified in Attachment
C. All m4pping, well construction forms well abandonment forms and monitoring data shall refer to
the permit number and the well nomenclature as provided in Attachment C and Figure 1. [15A NCAC
02T A 105(m)]
13. Two copies of the monitoring well sampling and analysis results shall be submitted on a Compliance
Monitoring Form (GW-59), along with attached copies of laboratory analyses, on or before the last
working day of the month following the sampling month. The Compliance Monitoring Form (GW-59)
shall include this permit number, the appropriate well identification number, and one GW-59a
certification form shall be submitted with each set of sampling results. All information shall be
submitted to the following address:
Division of Water Resources
Information Processing Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
[I5A NCAC 02T .0105(m)]
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14. An annual report that shows the impacts of the dewatering on the wetlands shall be submitted to the
Division no later than January 31" of each year. The Permittee shall contact the Division upon
discovering that the monitoring data shows dewatering is impacting more wetlands than is authorized
by the certification. In the event that the reported impacts and/or the annual monitoring reports show
that more wetlands are being dewateried than are originally authorized, additional monitoring will be
required. [15A NCAC 02T .0108(b)(1)]
IS. Noncompliance Notification:
The Permittee shall report by telephone to the Wilmington Regional Office, telephone number (910)
796-7215, as soon as possible, but in no case more than 24 hours, or on the next working day following
the occurrence or first knowledge of the occurrence of any of the following:
a. Treatment of wastes abnormal in quantity or characteristic, including the known passage of a
hazardous substance.
b. Any process unit failure (e.g., mechanicaI, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any facility failure resulting in a by-pass directly to receiving surface waters.
d. Any time self -monitoring indicates the facility has gone out of compliance with its permit
limitations.
e. Ponding in or runoff from the conjunctive reclaimed water utilization sites.
f. Effluent breakout from the infiltration basins.
Any emergency requiring immediate reporting (e.g., discharges to surface waters, imminent failure of
a storage structure, etc.) outside normal business hours shall be reported to the Division's Emergency
Response personnel at telephone number [phone], (800)"858-0368, or [phone]. Persons
reporting such occurrences by telephone shall also file a written report in letter form within five days
following first knowledge of the occurrence. This report shall outline the actions taken or proposed to
betaken to ensure the problem does not recur. [15A NCAC 02T .0105(1), 02T .0108(b)(1)]
V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
wastewater treatment, infiltration and irrigation facilities. [15A NCAC 02T .0108(b)]
2. The Permittee or their designee shall inspect the wastewater treatment, infiltration and irrigation system
facilities to prevent malfunctions, facility deterioration and operator errors resulting in discharges,
which may cause the release of wastes to the environment, a threat to human health or a public nuisance.
The Permittee shall maintain an inspection log that includes, at a minimum, the date and time of
inspection, observations made, and any maintenance, repairs, or corrective actions taken. The Permittee
shall maintain this inspection log for a period of five years from the date of the inspection, and this log
shall be made available to the Division upon request. [15A NCAC 02T .0108(b)]
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the wastewater treatment, infiltration and irrigation
system facilities permitted herein at any reasonable time for the purpose of determining compliance
with this permit; may inspect or copy any records required to be maintained under the terms and
conditions of this permit, and may collect groundwater, surface water or leachate samples. [G.S. 143-
21.5.3(a)(2)]
VI. GENERAL CONDITIONS
1. Failure to comply with the conditions and limitations contained herein may subject the Permittee to an
enforcement action by the Division in accordance with North Carolina General Statutes 143-215.6A to
143-215.6C. [G.S. 143-215.6A to 143-215.6C]
WQ0001664 Version 4.1 Shell Version 151201 Page 9 of 10

2. This permit shall become voidable if the permitted facilities are not constructed in accordance with the
conditions of this permit, the Division approved plans and specifications, and other supporting
documentation. [15A NCAC 02T .0110]
3. This permit is effective only with respect to the nature and volume of wastes described in the permit
application, Division approved plans and specifications, and other supporting documentation. No
variances to applicable rules governing the construction or operation of the permitted facilities are
granted, unless specifically requested and approved in this permit pursuant to 15A NCAC 02T .0105(n).
[G. S. 143-21.5.1 ]
4. The issuance of this permit does not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances, which may be imposed by other jurisdictional government agencies
(e.g., locaI, state, and federal). Of particular concern to the Division are applicable river buffer rules in
15A NCAC 02B .0200; erosion and sedimentation control requirements in 15A NCAC Chapter 4 and
under General Permit NCGO10000; any requirements pertaining to wetlands under 15A NCAC 02B
.0200 and 02H .0500; and documentation of compliance with Article 21 Part 6 of Chapter 143 of the
General Statutes. [15A NCAC 02T .0105(c)(6)]
In the event the permitted facilities change ownership or the Permittee changes their name, a formal
permit modification request shall be submitted to the Division. This request shall be made on official
Division forms, and shall include appropriate property ownership documentation and other supporting
documentation as necessary. The Permittee of record shall remain fully responsible for maintaining
and operating the facilities permitted herein until a permit is issued to the new owner. [I 5A NCAC
02T .0104]
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the facilities
permitted herein. [15A NCAC 02T .0108(b)(1)]
7. The Permittee shall maintain this permit until all permitted facilities herein are properly closed or
permitted under another permit issued by the appropriate permitting authority. [15A NCAC 02T
.01050)]
8. This permit is subject to revocation or unilateral modification upon 60 days notice from the Division
Director, in whole or part for the requirements listed in 15A NCAC 02T A 110. [ 15A NCAC 02T A 110]
9. Unless the Division Director grants a variance, expansion of the permitted facilities contained herein
shall not be granted if the Permittee exemplifies any of the criteria in 15A NCAC 02T .0120(b). [15A
NCAC 02T .0120]
10. The Permittee shall pay the annual fee within 30 days after being billed by the Division. Failure to pay
the annual fee accordingly shall be cause for the Division to revoke this permit. [15A NCAC 02T
.0105(e)(3)]
Permit issued this the 14`h day of February 2017
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
S. Jay Zimmerman, P.G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0001664
WQ0001664 Version 4.1 ShelI Version 151201 Page 10 of 10

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI 001- WWTF Effluent
Permit Number: WQ0001664 Version: 4.1
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCs
Code
Parameter Description
P
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
00310
BOD, 5-Day (20 °C)
mg/L
10
15
2 x Week
Composite
00940
Chloride (as Cl)
mg/L
3 x Year
Composite
50060
Chlorine, Total Residual
mg/L
5 x Week
Grab
31616
Coliform, Fecal MF, M-FC Broth, 44.5 °C
4/100 nil,
14
25
2 x Week
Grab
50050
Flow, in Conduit or thru Treatment Plant
GPD
300,000
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/L
4
6
2 x Week
Composite
00625
Nitrogen, Kjeldahl, Total (as N)
mg/L
2 x Week
Composite
00620
Nitrogen, Nitrate Total (as N)
mg/L
2 x Week
Composite
00600
Nitrogen, Total (as N)
mg/L
7
2 x Week
Composite
00400
pH
su
6
9
5 x Week
Grab
00665
Phosphorus, Total (as P)
mg/L
3
2 x Week
Composite
70300
Solids, Total Dissolved — 180 °C
mg/L
3 x Year'
Composite
00530
Solids, Total Suspended
mg/L
5
10
2 x Week
Composite
00076
Turbidity, HCH Turbidimeter
NTU
10
Continuous
Recorder
1. 3 x Year sampling shall be conducted in March, July, and November.
PPI 002 — Reclaimed Water Distributed to the Belvedere Golf Course
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCS
Code
Parameter Description
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum Daily Maximum
Measurement
Frequency
Sam
YPType
WQ01
Flow, Reclaimed Water Distributed
Gallons
Monthly
Estimate
WQ0001664 Version 4.1 Attachment A Page 1 of 2

PPI 003 -- Groundwater Lowering System Effluent
EFFLUENT CHARACTERISTICS
EFFLUENT LIMITS
MONITORING REQUIREMENTS
PCs
Code
Parameter Description
Units of
Measure
Monthly
Average
Monthly
Geometric Mean
Daily Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
00940
Chloride (as Cl)
mg/L
250
3 x Year
Grab
31616
Coliform, Fecal MF, M-FC Broth, 44.5 °C
41100 m.L,
Weekly
Grab
50050
Flow, in Conduit or thru Treatment Plant
GPD
568,218
Continuous
Recorder
00610
Nitrogen, Ammonia Total (as N)
mg/L
1.5
Weekly
Grab
00620
Nitrogen, Nitrate Total (as N)
mg/L
10
Weekly
Grab
00400
pH
su
6.5
8.5
Weekly
Grab
00665
Phosphorus, Total (as P)
mg/L
Weekly
Grab
70300
Solids, Total Dissolved —180 °C
mg/L
500
3 x Year
Grab
3 x Year sampling shall be conducted in March, July, and November.
WQ0001664 Version 4.1 Attachment A Page 2 of 2

ATTACHMENT B - APPROVED LAND APPLICATION SITES AND LIMITATIONS
Carolina Water Services, Inc. of North Carolina — Belvedere Plantation WWTF
Permit Number: WQ0001664 Version: 4.1
INFILTRATION AREA INFORMATION
APPLICATION LIMITATIONS
Basin
Owner
County
Latitude
Longitude
Net
Dominant
parameter
Rate
Units
Acreage
Soil Series
A
Carolina Water Service, Inc. of
North Carolina
Pender
34.4091770
77.6522920
0.27
Murville
01284 — Non -Discharge Application ]fate
8.55
GPDlft2
Carolina Water Service, Inc. of
B
North Carolina
Pender
34.4080570
77.6516620
0.27
Murville
01284 — Non -Discharge Application Rate
8.55
GPDlft2
C
Carolina Water Service, Inc. of
North Carolina
Pender
34A091630
77.6505520
0.27
Leon
01284 — Non -Discharge Application Rate
8.55
GPD/ftz
Totals
0.81
ONSITE CONJUNCTIVE USES
Carolina Water Services, Inc. of North Carolina — Belvedere Plantation WWTF
Site
ID
Location Name
Owner
County
Latitude
Longitude
Approved Use
Net Acreage
Parameter
Units
1
Belvedere Golf Course
DMB Belvedere, LLC
Pender
34.3957790
-77.6517060
Irrigation
57.53
01284 — Non -Discharge Application Rate
inches
Notes-
1. Utilization records for this site is not required to be reported on Form NDAR-1.
WQ0001664 Version 4.1 Attachment B Page I of I

THIS PAGE BLANK

ATTACHMENT C — GROUNDWATER MONITORING AND LIMITATIONS
Monitoring wells: MW-7, MW-8, MW-9, MW-10, MW-11, MW-12, MW-13, and MW-14
Permit Number: WQ0001664 Version: 4.1
GROUNDWATER CHARACTERISTICS
GROUNDWATER STANDARDS
MONITORING REQUIREMENTS
PCS Code
Parameter Description
Daily Maximum
Frequency Measurement
Sample Type
Footnotes
00940
Chloride (as Cl)
250
mg/L
3 x Year
Grab
1
31616
Coliform, Fecal MF, M-FC Broth, 44.5 °C
#/l00 mL
3 x Year
Grab
1
00610
Nitrogen, Ammonia Total (as N)
1.5
mg/L
3 x Year
Grab
1
00620
Nitrogen, Nitrate Total (as N)
10
mg/L
3 x Year
Grab
1
00400
pH
6.5-8.5
su
3 x Year
Grab
1,2
00665
Phosphorus, Total (as P)
mg/L
3 x Year
Grab
1
70300
Solids, Total Dissolved - 180 °C
500
mg/L
3 x Year
Grab
1
82546
Water Level, Distance from measuring point
feet
3 x Year
Calculated
1, 2, 3
1. 3 x Year monitoring shall be conducted in March, July & November; Annual monitoring shall be conducted every November.
2. The measurement of water levels shall be made prior to purging the wells. The depth to water in each well shall be measured from the surveyed point on the top of the casing. The measurement of
pH shall be made after purging and prior to sampling for the remaining parameters.
3. The measuring points (top of well casing) of all monitoring wells shall be surveyed to provide the relative elevation of the measuring point for each monitoring well. The measuring points (top of
casing) of all monitoring wells shall be surveyed relative to a common datum.
4. Monitoring wells shall be reported consistent with the nomenclature and location information provided in Figure 1 and this attachment
WQ0001664 Version 4.1 Attachment C Page 1 of i

AS -BUILT TA 1
MASTEWATER 1REATMENT PLANE S]TE SWEET I SPECIAL USE PERMIT fPENCER CCUNTYI: SPu 11211
i. PA 15 4204-,A2-R79a-0000
FORCL MAIN ROUTE SHEET 2 STATE STORMWATER PERM]T: 5WO 140114 �' 2. PflOPER11Y IS 21.57 ACRES
,gyp 111 3. 14. PROPERTY A00RESS 15 342 SE OOP POInT
TREATER WASTEWATER APFLICATIQN SITE SWEET 3 EROSION CONTROL PERMIT: NC0010000 ate` Q LOOP ROAD.
I
I WETLANpS pER USLOE JD ACTION
iU:
SAM 2013-0104T
0[YI SIGN OF W.7FR RF50uRCF5 In: MOfx .,1
26TS' Togo
51? 1565 INTSI
+o
Rx4PxiG $ME: 1'-

RECEIVED/NCDEQ/DWR
Prepared By and Return to:
Chris Ayers
301 Fayetteville St.
Suite 1900
Raleigh, NC 27601
STATE OF NORTH CAROLINA
COUNTY OF PEN DER
NOV 2 2 2016
it I II I IIII II I II I I I II II I I II IIf III I ill 84189e?���?L4-"1kERV
Pender County, NC Register of Deeds page 1 of 6
Agreement for Disposal of Treated Effluent
This Agreement for Disposal of Treated Effluent (the "Agreement") is made by and between
Carolina Water Service, Inc. of North Carolina ("CWSNC") and DMB Belvedere, LLC ("Owner"), effective
January 1, 2013 (the "Effective Date").
WHEREAS, CWSNC as successor to Belvedere Utility Development, LLC and Owner as successor
to Bridgewater Golf Properties, Inc. are successor parties to a certain Easement and Maintenance
Agreement dated March 5, 2004 and recorded with the Ponder County Register of Deeds at Book 2336,
Page 155 (the "Easement"); and
WHEREAS, CWSNC succeeded to the interests of Belvedere Utility Development, LLC in and to
the Easement via a Bill of Sale and Assignment of Easements and Maintenance Agreement dated
October 6, 2009 and recorded with the Ponder County Register of Deeds at Book 3703, Page 0018 (the
"Bill of Sale"); and
WHEREAS, CWSNC operates a wastewater treatment facility that disposes treated wastewater
through effluent disposal facilities as more fully described and defined in the Easement as the "Effluent
Disposal Facilities" located on the Belvedere Golf Course (the "Golf Course") more particularly described
in that certain deed recorded in Book 3872 at Page 226, Ponder County Registry;
WHEREAS, CWSNC owns the Effluent Disposal Facilities up to and including the effluent
irrigation pump(s);

1111111111111111 Jill 1111111111111111 B4189They eP0058prevatt .0 PROP
Pender County, NC Register of Deeds page 2 of 6
WHEREAS, Owner owns and operates the Golf Course and Owner operates that portion of the
Effluent Disposal Facilities that disposes treated wastewater onto the Golf Course from the point that
the effluent leaves the holding pond effluent pump (herein the "Effluent Irrigation System");
WHEREAS, Owner incurs certain costs in connection with its operation and maintenance of the
Effluent irrigation System and seeks reimbursement of such costs from CWSNC;
WHEREAS, CWSNC agrees to establish a compensation arrangement with Owner for the regular
operation of the Effluent Disposal Facilities, and
WHEREAS, CWSNC and Owner wish to amend the Easement to formalize the arrangements for
the disposal of treated wastewater via the Effluent Irrigation System;
NOW THEREFORE, in consideration of the sum of ten dollars ($10,00) and othergood and
valuable consideration recited herein, CWSNC and Owner agree as follows:
1. (a) Owner shall regularly dispose of treated wastewater from the Effluent Disposal Facilities
on the Golf Course using the Effluent Irrigation System in compliance with the requirements
contained in NCDENR Permit No. WQ0001664 issued to CWSNC on October 3, 2007 and as
amended or renewed from time to time by the appropriate regulatory authority (the
"Permit"). Owner shall maintain the Effluent Irrigation System and the Golf Course in a
manner that allows regular disposal of treated wastewater in compliance with the Permit.
CWSNC shall maintain its portion of the Effluent Disposal Facilities in compliance with the
Permit.
(b) Owner shall at all times comply with the following provisions of the Permit; Section I,
Paragraphs 9 and 10; Section li, Paragraphs 4, 5 and 6; Section lit, Paragraph 4. CWSNC shall
at all times comply with all other provisions of the Permit.
(c) Owner shall monitor the level of the 20-day effluent holding pond located adjacent to
the driving range on the Golf Course to ensure compliance with the Permit and ensure that
the treated wastewater is disposed of in accordance with all local, state and federal
requirements. Owner will dispose of treated wastewater and operate the Effluent Irrigation
System in a manner that will maintain a freeboard level of greater than 2 feet at all times,
subject to the conditions in section 1(d) below.
(d) Owner shall not be required to dispose of treated wastewater on the Golf Course during
a weather event involving precipitation; when the ground is in a condition that will cause
runoff; or when in the reasonable opinion of the Owner disposal may violate the Permit.
(e) In the event Owner is unable to dispose of treated wastewater on the Golf Course for
more than a 72 hour period pursuant to section 1(d) above, Owner will make reasonable
�a�

B4189 P08�9� ri a qD1QJ1DWWR
11�1111��1 IIIIIIIIIlIli111�11111�1111 Faye Teachey Prevatte PROP
Pender County, NC Register of Deeds page 3 of 6
NOV 2 2 2016
efforts to notify CWSNC of the inability to spray, but Owner shall incur no liability in the
event it fails to provide notification.
Non -Discharge
Perm Piing Unit
2. (a) CWSNC pay Owner $0.006 per gallon of treated wastewater that is disposed on the Golf
Course via the Effluent Irrigation System as measured by the meter at the pump located at
the outtake of the 20-day effluent holding pond. Each year, on the anniversary date of the
agreement, the per gallon fee shall be adjusted equal to the previous year's inflation as
measured by the U.S. Bureau of Labor Consumer Price index.
(b) CWSNC and Owner shall each record the meter readings monthly. Owner will submit a
monthly invoice to CWSNC and CWSNC agrees to render payment to Owner within 30 days
of each invoice (the "Monthly Charge").
(c) CWSNC shall not be obligated to make any additional payment to Owner beyond the
Monthly Charge for the operation or maintenance of the Effluent Irrigation System,
including, but not limited to, any payments that would have otherwise been due and
payable under the Easement.
3. Upon request of CWSNC, Owner agrees to provide documentation of all expenses incurred
related to the operation, maintenance and repair of the Effluent Facilities. Owner agrees to
cooperate with CWSNC in proving such expenses to the extent required by the North
Carolina Utilities Commission or the North Carolina Utilities Commission Public Staff.
4. Except for losses, damages or claims arising solely out of the negligent acts or omissions or
willful misconduct of CWSNC, its agents, contractors or employees, Owner agrees to
indemnify (or defend at CWSNC's sole option) CWSNC, its successors and assigns, and hold it
harmless against any loss, damage, liability, penalties, expense or cost, including reasonable
attorneys' fees, resulting from or arising out of Owner's use and operation of the Effluent
Irrigation System or any breach by Owner's of its obligations under this Agreement. Except
for losses, damages or claims arising solely out of the negligent acts or omissions or willful
misconduct of Owner, its agents, contractors or employees, CWSNC agrees to indemnify (or
defend at Owner's sole option) Owner, its successors and assigns, and hold it harmless
against any loss, damage, liability, penalties, expense or cost, including reasonable
attorneys' fees, resulting from or arising out of CWSNC's use and operation of the Effluent
Disposal Facilities (other than the Effluent Irrigation System) or any breach by CWSNC's of its
obligations under this Agreement.
5. The initial term of this Agreement shall be two (2) years from the Effective Date and shall
automatically renew for subsequent one (1) year terms unless either party provides written
notice to the other party at least thirty (30) days prior to the end of the initial term or any
renewal term, as the case may be.
3

IIIIIIIIII Illllf IIISIIIffIIIIIIIIIIII B�is9 pe��e °,-z6-00.00m
Pender County, NC Register of DFeeydeSTeachey Prevatte PROP
page 4 of 6
6. Unless otherwise explicitly amended herein, this Agreement does not modify the rights or
obligations of the parties under the Easement or the Bill of Sale, the terms of which are
hereby ratified and confirmed.
7, The Agreement shall be governed as to all matters by, and shall be construed and enforced
in accordance with, the laws of the State of North Carolina, without regard to principles of
choice of law.
8. This Agreement maybe executed in any number of counterparts, each of which shall be
deemed an original, but all of which together shall constitute one and the same instrument.
9. If any provision of this Agreement or the application thereof to any person or circumstance
shall be invalid, illegal or unenforceable to any extent, the remainder of the Agreement and
the application thereof shall not be affected and shall be enforceable to the fullest extent
permitted by law.
10. This Agreement shall be binding upon and inure to the benefit of the parties hereto and
their respective successors and assigns. In the event the Golf Course is conveyed by Owner
to a third party, this Agreement and the obligations described herein shall run with the land
and be binding on the subsequent owner of the Golf Course.
11. All notices given pursuant to this Agreement, or required by related matters between the
parties, shall be deemed made when addressed to the proper party and sent by certified
mail, facsimile or electronic mail to the following addresses:
If to Owner: Jeff Broadbridge
DMB Belvedere, LLC
2368 Country Club Road
Hampstead, NC 28443
If to CWSNC: Martin Lashua, Regional Director
Carolina Water Service, Inc. of NC
PO Box 240908
Charlotte, NC 28224-0908
��6

RECEIVED/NCDEQ/DWR
I 84188 P0061 °� afi 00.00040V 2 2 2015
Faye Teachey prevatte PROP
Pender County, NC Register of Deeds page S of C
Non-Dlschorge
IN WITNESS WHEREOF, the parties hereto have executed this Agreement through their dLPgfrnHting Unit
authorized officers or member/manager as of the Effective Date.
DM133 Belvedere, LLC
By:
Title: i4e,4j- _ A,Vt--'4(P
Carolina Wate rvi Inc. of N h Carolina
By:
Name: rYo�4iR."fir�Efj
Title:

01-09-2013
1:M00 coo
ea0he Prevatte PROP
Fender Ceu1111111111 Regty,isttr of Deeds page B of s
STATE OF NORTH CAROLINA
COUNTY
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in the
capacity indicates ea_, "tiaf LAMB Belvedere, LLG.
©ater`:�, �, day of 4 c; 2012.
Official Signature of Notary:
Notary's Printed or Typed Name: ' �� ��<`':.. _`_ , ��' c ,Notary Public
My Commiss•:or, Explre�",r - `\
► � r&
(Official S, O A 0,
cq Usk
�a89gr;,g.fP,. i
STATE OF NORTH CAROLINA
COUNTY OF
I certify that the following person(s) personally appeared before me this day, each acknowledging to me
that he or she voluntarily signed the foregoing document for the purpose stated therein and in the
capacity Indicated: Iu� Cc (qof Carolina Water Service, Inc. of
North Carolina.
Date: � day of r- , 2012.
Official Signature of Notary:(��
N� _.
Notary's Printed or Typed Name: inner �c_ _ , Notary Public
My Commission Expires: 01 lei? I I q
(Official Seal)
S` A
MyC �0 f
' N/Q�rs�L7� nti
0l