WQ0018253_Final Permit_20131129

4
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
November 29, 2013
Dave Purcell — Executive Director
YMCA of Greater Charlotte
1 Thunderbird Lane
Lake Wylie, South Carolina 29710
Subject: Permit No. WQ0018253
YMCA of Greater Charlotte — Herring Ridge
Non -Conjunctive Reclaimed Water
Utilization System
Wilkes County
Dear Mr. Purcell:
In accordance with your permit change of ownership request received October 25, 2013, we are
forwarding herewith Permit No. WQ0018253 dated November 29, 2013, to YMCA of Greater Charlotte —
Herring Ridge for the construction and operation of the subject reclaimed water generation and non -
conjunctive reclaimed water utilization facilities.
Please note the Permittee has been changed from YMCA of Greater Charlotte to YMCA of
Greater Charlotte — Herring Ridge.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit
No. WQ0018253 issued December 21, 2007, and shall be subject to the conditions and limitations as
specified therein. Please pay particular attention to the monitoring requirements listed in Attachments A
and B, 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.
For your convenience, customized electronic copies of your facility's NDMR and NDAR-1
reporting forms are available for download at: httl2.//portal.nedenr.org/web/wq/aps/lau/tel2orting.
Please note the following permit conditions are new or have been modified since the last
permit issuance:
➢ Condition 1-1. —requires an engineering certification before the system becomes operational
➢ Condition B.5. — lists the requirements for performance of the reclaimed facilities
➢ Condition 11.13. —requires the pre -sale establishment of anew compliance boundary
➢ Condition 1I.14. —restricts the types of wells within the compliance boundary
WATER QUALITY PERMi[TTING SECTION
1636 Mail Service Confer, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St„ Raleigh, North Carolina 27604
Phone: [phone] FAX: 91M07-6496
Internet: http:11portal,nodenr.ory1weblwa
An Equal Opportunity 4 Affirmative Action Employer

Mr. Dave Purcell
November 29, 2013
Page 2 of 2
Condition M.2. — requires maintaining an Operation and Maintenance Plan
➢ Condition ILIA. — requires a qualified ORC to be on call 24 hours a day
➢ Condition III.10. — requires an automatically -activated standby power source
➢ Condition W.11. — prohibits public access to the reclaimed water generation system
➢ Condition III.18. — requires proper disposal of the residuals generated by the facility
➢ Condition IV.8. — requires a maintenance log to be maintained at the facility
➢ Condition IV.11. — requires an annual report summarizing the performance of the facility
➢ Condition IV.12. — addresses noncompliance notification requirements
➢ Condition VIA. — the permit does not exempt the permittee from following other regulations
➢ Condition VIX — the permit is subject to unilateral revocation or modification under certain
circumstances
➢ Condition VI.9. — the permitted facilities cannot be expanded if certain circumstances prevail
➢ Condition VI.10. -- the annual fee must be paid within 30 days of billing
If any parts, requirements or limitations contained in this permit are unacceptable, the Perntittee
has the right to request an adjudicatory nearing upon written request within 30 days following receipt of
this permit. This request shall be in the forme 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 matter, please contact David Goodrich at (919)
807-6352 or at [e-mail].
Sincerely,
or loinas A. Reeder
cc: Wilkes County Health Department
Winston-Salem Regional Office, Water Quality Regional Operations Section
Permit File WQ0018253
Notebook File WQ0018253

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
NON -CONJUNCTIVE RECLAIMED WATER AND 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
YMCA of Greater Charlotte — Herring Ridge
Wilkes County
FOR THE
construction and operation of a 25,000 gallon per day (GPD) non -conjunctive reclaimed water utilization
system consisting of
primary and secondary treatment including rough screening, extended aeration and secondary
clarification, sludge recycle, a 6,250 gallon flow equalization tank, two 12,500 gallon aeration tanks, two
165 cfm centrifigal blowers, and two 2,167 gallon hopper settling tanks, tertiary filters, two 3.626 gallon
sludge holding tanks, effluent flow measuring, tablet chlorination, a 750,000 gallon wet weather pond, a
125,000 gallon 5-day storage pond, an a_ 7.02 acre drip irrigation area; and all associated piping, valves
and appurtenances
to serve Camp Harrison at Herring Ridge, with no discharge of wastes to surface waters, pursuant to the
application received October 25, 2013 and in conformity with the project plans, specifications, and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until October 31, 2018, shall void Permit No.
WQ0018253 issued December 21, 2007, and shall be subject to the following specified conditions and
limitations:
L SCHEDULES
I. In accordance with 15A NCAC 02T .0116, upon completion of construction and prior to operation of
the new reclaimed water utilization facilities, a certification (attached) shall be submitted from a
licensed North Carolina Professional Engineer certifying that the permitted facility has been installed
in accordance with this permit, Division approved plans and specifications, and other supporting
documentation, including the location of all monitoring wells as applicable. If this project is to be
completed in phases and partially certified the Permittee shall retain the responsibility to track further
construction approved under the same permit, and shall provide a final certificate of com letion once
the entire project has been completed. Mail the Certification to the Division of Water Resources,
Water Quality Permitting Section, 1636 Mail Service Center, Raleigh, NC 27699-1636_
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2. The Winston-Salem Regional Office, telephone number [phone], shall be notified at least 48
hours in advance (excluding weekends and holidays) of operation of the newly installed facilities
such that an in -place inspection can be made. Notification to the regional supervisor shall be made
from 8:00 a,m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
3. A gauge to monitor reclaimed water levels in the wet weather pond and the 5-day storage pond shall
be installed prior to operation.. Caution shall be taken not to damage the integrity of the liner (if
present) when installing the gauge.
4. 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.
H. PERFORMANCE STANDARDS
The subject reclaimed water 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 utilization areas to adequately
assimilate the reclaimed water, the Permittee shall take immediate corrective actions including
Division required actions, such as the construction of additional or replacement reclaimed water
generation and utilization facilities.
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.
3. Effluent limitations for generated reclaimed water shall not exceed those specified in Attachment A.
4. Application rates, whether hydraulic, nutrient, or other pollutant, shall not exceed those specified in
Attachment B.
5. The following shall be requirements for the reclaimed water 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 be at 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.
6. A reduced pressure principle backflow preventer, an approved air gap separation, or other device
approved by the Division of Environmental Health shall be installed at the potable water service
connection to the use area where both reclaimed water and potable water are supplied to a reclaimed
water use area. The installation of the reduced pressure principle backflow prevention device shall
allow proper testing.
7. An air gap separation, approved and regularly inspected by the Pennnittee shall be provided between
the potable water and reclaimed water systems where potable water is used to supplement a reclaimed
water system.
8. 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.
9. Reclaimed water distribution Iines shall be located at least 10 feet horizontally from and 18 inches
below any water line where practicable. Where these separation distances cannot be met, the piping
and integrity testing procedures shall meet water main standards in accordance with 15A NCAC 18C.
10. Reclaimed water distribution lines shall not be less than 100 feet from a well unless the piping and
integrity testing procedures meet water main standards in accordance with 15A NCAC 18C, but in no
case shall they be less than 25 feet from a private well or 50 feet from a public well.
11. Reclaimed water distribution lines shall meet the separation distances to sewer lines in accordance
with Rule .0305 of Subchapter 02T.
12. The compliance and review boundaries 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.
13. The Permiee shall apply for a permit modification to establish a new compliance boundary prior to
any sale or transfer of property affecting a compliance boundary.
14. 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).
15. The lagoon shall have either a liner of natural material at least one foot in thickness, compacted to
95% proctor standard dry density and installed and compacted in Iayers no thicker than six inches,
with a hydraulic conductivity of no greater than 1 x 10-6 cm/sec or a synthetic liner of sufficient
thickness to exhibit structural integrity and an effective hydraulic conductivity no greater than that of
the natural material Iiner. Following installation and inspection of the lagoon liner, and prior to waste
disposal operations, verification of the liner's compliance with hydraulic conductivity and thickness
specifications must be provided to the Non -Discharge Permitting Unit, Water Quality Permitting
Section, 1636 Mail Service Center, Raleigh, NC 27699-1636, by the project engineer.
16. The facilities permitted herein shall be constructed according to the following setbacks:
a. 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
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iii. Any well with exception to monitoring wells: 100
b_ The setbacks for treatment units 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
III. OPERATION AND MAINTENANCE REQUIREMENTS
1. The reclaimed water generation and utilization 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 reclaimed water or partially treated effluent resulting from the operation
of this facility.
2. The Permittee shall maintain an Operation and Maintenance Plan pursuant to 15A NCAC 02U .0801,
which at a minimum shall include the following:
a. Description of the system in sufficient detail to show what operations are necessary for the
system to function and by whom the functions will be conducted;
b. A map of all distribution lines and record drawings of all utilization systems under the
Permittee's control;
c. Description of anticipated maintenance activities;
d. Include provisions for safety measures including restriction of access to sites and equipment; and
e. Spill control provisions including response to upsets and bypasses including control, containment,
remediation, and contact information for plant personnel, emergency responders and regulatory
agencies.
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.
4. An operator certified by the Water Pollution Control System Operators Certification Commission
(WPCSOCC) of a grade equivalent or greater than the facility classification shall be on call 24 hours
per day.
5. A suitable year round vegetative cover shall be maintained on irrigation sites at all times, such that
crop health is optimized, allows for even distribution of reclaimed water, and allows inspection of the
irrigation system.
6. Adequate measures shall be taken to prevent reclaimed water ponding in or runoff from the irrigation
sites.
7. Irrigation shall not be performed during inclement weather or when the ground is in a condition that
will cause ponding or runoff.
8. All reclaimed water irrigation equipment shall be tested and calibrated at least once per permit cycle.
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.
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9. Only reclaimed water generated at the YMCA WWTF (Permit No. WQ0018253) shall be utilized in
accordance with this permit.
10. An automatically activated standby power source capable of powering all essential treatment units
shall be on site and operational at all times. If a generator is employed as an alternate power supply,
it shall be tested weekly by interrupting the primary power source.
11. Public access to the reclaimed water generation facilities shall be prohibited.
12. 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.
13. Diversion or bypassing of untreated or partially treated wastewater from the treatment facilities is
prohibited.
14. Freeboard in both the wet weather pond and the 5-day storage pond shall not be less than two feet at
any time.
15. A gauge to monitor waste water levels in the wet weather storage pond and in the 5-day irrigation
shall be provided. This gauge shall have readily visible permanent markings at inch or tenth of a foot
increments.
16. 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.
17. All effluent shall be routed to the five day holding 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 five day holding pond shall be pumped back to the treatment plant
headworks for re -treatment or treated in the five day holding pond prior to utilization.
18. 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 02U .0802.
N. MONITORING AND REPORTING REQUIRMENTS
I. 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.
2. Per I5A NCAC 02H .0800, a Division certified laboratory shall conduct all laboratory analyses for
the required effluent, groundwater or surface water parameters.
3. Flow through the reclaimed water generating 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:
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a. Date of flow measurement device calibration,
b. Name of person performing calibration, and
c. Percent from true flow.
4. The Permittee shall monitor the reclaimed water from the generating facility at the frequencies and
locations for the parameters specified in Attachment A when the treatment system becomes
operational.
5. The Permittee shall maintain adequate records tracking the amount of reclaimed water utilized.
Records shall be maintained for a minimum of five years. At a minimum, these records shall include
the following information for each, utilization site listed in Attachment B:
a. Date of reclaimed water utilization;
b. Volume of reclaimed water applied;
c. Site irrigated;
d. Length of time site is irrigated;
e. Continuous weekly, monthly, and year-to-date hydraulic (inches/acre) loadings for each field;
f. Continuous monthly and year-to-date loadings for any non -hydraulic parameter specifically
limited in Attachment B for each field;
g. Weather conditions; and
h. Maintenance of cover crops.
6. Freeboard (i.e., waste level to the lowest embankment elevation) in the wet weather pond and in the
5-day 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.
7. 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_
8. 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. Daily sampling results including residual chlorine, settleable matter, and dissolved oxygen in the
aeration basin and the clarifier weir;
b. Visual observations of treatment plant and plant site;
c. Date of calibration of flow measurement device(s);
d. Date and results of power interruption testing on alternate power supply;
e. Record of preventative maintenance (e.g., changing/adjusting of equipment, pump and valve
maintenance, cross connection control, testing, inspections and cleanings, etc.; and
f. Record of all unpermitted releases of reclaimed water to surface water or land surface including
date of occurrence, estimated volume of release, cause, and corrective action taken.
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9. Three copies of all effluent monitoring data and reclaimed water distribution data (as specified in
Conditions IV.3. and IVA.) shall be submitted on Form NDMR for each PPI listed in Attachment
A. Reporting forms shall be submitted on or before the last day of the following month. If no
reclaimed water distribution activities occurred during the monitoring month, monitoring reports
documenting the absence of the activity are still required to be submitted. All effluent monitoring
data shall be submitted to the following address: Division of Water Resources, Information
Processing Unit, 1617 Mail Service Center, Raleigh, North Carolina, 27699-1617.
10. Three copies of all operation and utilization records (as specified in Conditions IV.5. and IV.6. )
shall be submitted on Form NDAR-1 for every non -conjunctive utilization site listed in Attachment
B. (Note: conjunctive use sites do not require NDAR-1 submission). Reporting forms shall be
submitted on or before the last day of the following month. If no reclaimed water utilization
activities occurred during the .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.
11. Pursuant to § 143--215.1 C., the Permittee shall provide to its users and the Division of Water
Resources an annual report summarizing the performance of the wastewater treatment and
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, 1636 Mail
Service Center, Raleigh, North Carolina 27699-1636.
12. Noncompliance Notification:
The Permittee shall report by telephone to the Winston-Salem Regional Office, telephone number
[phone], 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. Any occurrence at the facility resulting in the treatment of significant amounts of wastes that is
abnormal in quantity or characteristic, including the known passage of a hazardous substance.
b. Any process unit failure (e.g., mechanical, electrical, etc.), due to known or unknown reasons,
rendering the facility incapable of adequate wastewater treatment.
c. Any failure resulting in a discharge of reclaimed water directly to surface waters or any
unpermitted release of reclaimed water to land surface greater than or equal to 5,000 gallons.
Unpermitted releases less than 5,000 gallons to land surface shall be documented by the permittee
in accordance with Condition IV. I I but do not require Regional Office notification.
d. Any time self -monitoring indicates the facilities permitted herein have gone out of compliance
with the limitations contained in this permit.
e. Ponding in or runoff from the reclaimed water utilization sites.
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], [phone], 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 be taken to ensure the problem does not recur.
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V. INSPECTIONS
1. The Permittee shall provide adequate inspection and maintenance to ensure proper operation of the
reclaimed water generation and utilization facilities.
2. The Permittee or their designee shall inspect the reclaimed water generation and utilization facilities
to prevent malfunction, 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.
3. Any duly authorized Division representative may, upon presentation of credentials, enter and inspect
any property, premises or place on or related to the reclaimed water generation and utilization
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.
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.
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.
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).
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., local, 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 the Division's General Permit NCG010000; any requirements pertaining to wetlands under
15A NCAC 02B .0200 and 02H .0500; National Pollutant Discharge Elimination System (NPDES)
requirements under 15A NCAC 0211 .0100, and documentation of compliance with Article 21 Part 6
of Chapter 143 of the General Statutes.
5_ In the event the permitted facilities change ownership or the Permittee changes their name, a written
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.
6. The Permittee shall retain a set of Division approved plans and specifications for the life of the
facilities permitted herein.
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 pursuant to 15A NCAC
02T .01050).
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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 .0110.
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).
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 pursuant to 15A
NCAC 02T .0105(e)(3).
Permit issued this the 29th day of November 2013
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
Th as A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Permit Number WQ0018253
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Permit No. WQ0418253 Non -Conjunctive Wastewater Treatment and Reclaimed Water Utilization
YMCA of Greater Charlotte —Herring Ridge November 29, 2013
YMCA Camp Harrison at Herring Ridge Wilkes County
ENGINEERING CERTIFICATION
❑ Partial ❑ Final
In accordance with 15A NCAC 02T .0116, 1,_ ,
as a duly registered Professional Engineer in the State of North Carolina, having the Permittee's
authorization to ❑periodically ❑ weekly ❑ fully observe the construction of the permitted facility,
hereby state to the best of my abilities that due care and diligence was used in the observation of the
construction, such that the facility was built within substantial compliance and intent of this permit, the
Division approved plans and specifications, and other supporting documentation.
❑ Any variation to this permit, the Division approved plans and specifications, and other supporting
documentation has been documented in the attached as -built drawings, and shall serve as the
Permittee's minor modification request to amend the permit accordingly.
Provide a brief narrative description of any variations:
Professional Engineer's Name
Finn
Mailing Address
Ci
Telephone
E-mail
State Zip
NC PE
nature & Date
THE COMPLETED ENGINEERING CERTIFICATION, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHALL BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON -DISCHARGE PERMITTING UNIT
By U.S. Postal Service:
1636 MAIL SERVICE CENTER
By Courier/Special Delive :
512 N. SALISBURY STREET
RALEIGH, NORTH CAROLINA 27699-1636 RALEIGH, NORTH CAROLINA 27604
W Q0018253 Version 3.0 Shell Version 131016 Page 10 of 10

ATTACHMENT A - LIMITATIONS AND MONITORING REQUIREMENTS
PPI Dal - Reclaimed Water Generation System Effluent
Permit Number: WQ0018253 Version: 3.0
EFFLUENT CHARACTERISTICS
EFFLUENT LIMIT'S
MONITORING REQUIREMENTS
PCS
Code
Parameter Description
p
Units of
Measure
Monthly
Average
Monthly Geometric Mean
Daily
Minimum
Daily Maximum
Measurement
Frequency
Sample
Type
00076
Turbidity, HCH Turbidimeter
ntu
10
Continuous
Continuous
70300
Solids, Total Dissolved — 180 Deg. C
mg/1
3 X year
Composite
00310
BOD, 5-Day (20 Deg. C)
mg/l
10
15
Monthly
Composite
00530
Solids, Total Suspended
mg/1
5
10
Monthly
Composite
00610
Nitrogen, Ammonia Total (as N)
mg/l
4
6
Monthly
Composite
00620
Nitrogen, Nitrate Total (as N)
mg/1
Monthly
Composite
00400
pH
su
6.0
9.0
Daily -- weekdays
Grab
31616
Coliform, Fecal MF, M-FC
Broth,44.5C
#/100ml
14
25
Monthly
Grab
00940
Chloride (as Cl)
3 X year
Grab
50060
Chlorine, Total Residual
Daily -- weekdays
Grab
50050
Flow, in conduit or thru treatment
lant
gp d
25 000
Continuous
Recorder
There shall be no discharge of floating solids or visible foam in other than trace amounts.
WQ0018253 Version 3.0 Attachment A Page 1 of 1

ATTACHMENT B - APPROVED RECLAIMED WATER USES
NON -CONJUNCTIVE LAND APPLICATION SITES
YMCA of Greater Charlotte -- Herring Ridge
Permit Number: WQ0018253 Version: 3.0
Zane
I
2
3
IRRIGATION AREA INFORMATION
Owner County Latitude Lon itude Net Dominant
g Acreage Soil Series
YMCA of Greater Charlotte Wilkes 36001'41" 81017'53" 45 Pacolet sandy clay loam, 8 to 15% slopes
YMCA of Greater -Charlotte Wilkes 3600I41" 81° 17'52" 40 Pacolet sandy clay loam, 8 to 15% slopes
YMCA of Greater Charlotte Wilkes 36001'38" 8101752" A5 Pacolet sandy clay loam, 8 to 15% slopes
APPLICATION LIMITATIONS
Hourly Yearly
Parameter Rate Max Units
1284 —Application Surface Irrigation 0.15 52 Inches
1284 — Application Surface Irrigation 0.15 52 Inches
1284 — Application Surface Irrigation 0.15 52 Inches
4
YMCA of Greater Charlotte
Wilkes
36001'38"
81°17'54"
40
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0.15
52
Inches
5
YMCA of Greater Charlotte
Wilkes
36001'36"
81°17-56"
.45
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0.15
52
Inches
6
YMCA of Greater Charlotte
Wilkes
36001'34"
81 ° 17'5T'
.40
Pacolet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
7
YMCA of Greater Charlotte
Wilkes
36001'28"
81017'57"
.50
Pacolet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
8
YMCA of Greater Charlotte
Wilkes
36001'29"
81017'55"
.40
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0,15
52
Inches
9
YMCA of Greater Charlotte
Wilkes
36001'30"
81 °17'53"
.40
Pacolet sandy clay loam, 8 to 15% slopes
I284 — Application Surface Irrigation
0.15
52
Inches
10
YMCA of Greater Charlotte
Wilkes 1
36001'32"
81017'54"
.45
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0.15
52
Inches
11
YMCA of Greater Charlotte
Wilkes
36001'33"
81 ° 17'53"
.45
PacoIet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
12
YMCA of Greater Charlotte
Wilkes
36001'29"
8101T53"
.40
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0.15
52
Inches
13 1
YMCA of Greater Charlotte
Wilkes
36001'28"
8101754"
.40
Pacolet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
14
YMCA of Greater Charlotte
Wilkes
36001'27"
81017155"
.45
Pacolet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
15
YMCA of Greater Charlotte
Wilkes
36001'26"
81 ° 17'56"
.50
Pacolet sandy clay loam, 8 to 15% slopes
1284 — Application Surface Irrigation
0.15
52
Inches
16
Totals
YMCA of Greater Charlotte
Wilkes
3600126"
81017'57"
.50
7.00
Pacolet sandy clay loam, 8 to 15% slopes
1284 —Application Surface Irrigation
0.15
52
Inches
WQ0018253 Version 3.0 Attachment B Page l of 1

FORM: Nr . 1 10-13 NON -DISCHARGE MON1T 'ING REPORT (NDMR) Page
Permit No.: WQ001 8253
Facility Name- YMCA of Greater Charlotte - Herrin g Ridge
County: Wilkes
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FORM: Nr^R-1 10-13 NON -DISCHARGE APPL[f —ION REPORT (NDAR-1) Page
Permit No.: WQ0018253
Facility Name: YMCA of Greater Charlotte - Herring Ridge
County: Wilkes
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,
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Cover Crop,
Cover Crop:
YES NO
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FORM: NT ' 1:Z-1 10-13 NON -DISCHARGE APPLiC "ON REPORT (NDAR-1) Page _
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Annual Rate (in):
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FORM: Nr . R-1 10-13 NON -DISCHARGE APPLIC "ON REPORT (NDAR-1) Page
Name:of •tte - Herring Ridge
County:Did
r
irrigation occur
= a
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at this facility?
YES NO
Hourly Rate (in):
Annual Rate (in).
AnnualRate(in):
Field Irngated?:
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Field Irrigated?
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FORM: h'' `-1 10-13 NON -DISCHARGE APPLIC 'ON REPORT (NDAR-1) page
Permit No.: WQ0018253
Facility Name: YMCA of Greater Charlotte - Herring Ridge
County: Wilkes
Did irrigation occur
_.Field
at this facility?
cowr crop,
Cover Crop:;
E] YES F1 NO
Hourly Rate (in);
Hourly Rate (in):
Annual Rate (in):
Annual Rate (in):
Fi&lf Irrigated?
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