NC0042439_Renewal (Application)_20181221

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
:MICHAEL S.REGAN
Secretor
LINDA CULPEPPER
Interim Director
January 02, 2019
Tim Smith, President ,
Westside Swim &Racquet Club
PO Box 895
Salisbury, NC 28145
Subject: Permit Renewal
Application No. NC0042439
Westside Swim &Racquet Club
Rowan County
Dear Applicant:
The Water Quality Permitting Section acknowledges the January 2, 2019 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,
3a
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
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

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12-21-2018
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center RECEIVED/DENR/DWR
Raleigh,NC 27699-1617 ,IA(\I ®2 2018
Water Resources
Permitting section
Subject: NPDES Permit Renewal Application
Permit Number: NC0042439
Westside Swim and Racquet Club
Rowan County
Mr. Thedford,
The NPDES permit for the wastewater treatment facility at the Westside Swim and Racquet Club
located at 630 Neel Road in Salisbury,North Carolina,is nearing its expiration on June 30,2019.
Thus, it is our desire to renew this permit by means of this NPDES permit renewal application
package. This facility, described in Form D of this package,has not had any significant
upgrades or changes since the renewal of the current permit.
You will find subsequent to this cover letter an NPDES Application: Form D, documentation of
authorization to prepare this renewal package,and a description of the sludge management
program currently in place at this facility. It is our request that this package be processed and
our permit to discharge treated wastewater be renewed following the expiration of the current
permit on June 30,2019.
Thank you for your time.
Sincerely,
Westside Swim and Racquet Club

• 4
Cc: Michael Myers, Envirolink Inc.
David Strum, Envirolink Inc.
Chris Bitterman, Envirolink Inc.

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 NC0042439
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 Westside Swim and Racquet Club RECEIVEIQ/DFNR/DWR
Facility Name Westside Swim and Racquet Club JAN
02 201C
Mailing Address 630 Neel Road
Water Kesources
City Salisbury Permitting Section
State / Zip Code NC 28147
Telephone Number [phone]
Fax Number ( )
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ►V
Street Address or State Road
City
State / Zip Code
County
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 Envirolink Inc.
Mailing Address 4700 Homewood Court, Suite 108
City Raleigh
State / Zip Code NC 27609
Telephone Number 252-235-4900
Fax Number ( )
e-mail Address [e-mail]
1113 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 ❑ Number of Employees
Commercial 0 Number of Employees
Residential 0 Number of Homes
School 0 Number of Students/Staff
Other ® Explain: Swimming Pool
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Swimming Pool
Number of persons served: 60 Members (Families)
5. Type of collection system
® Separate (sanitary sewer only) El 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? El Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Draft Branch
8. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: June, July, and August
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.
This is a 0.003 MGD wastewater treatment facility that is equipped with an aeration
basin with diffused air, clarifier, chlorine tablet feeder, chlorine contact basin,
dechlorination, and post aeration.
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM I)
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.003 MOD
Annual Average daily flow 0.000196 MGD (for the previous 3 years)
Maximum daily flow 0.0005 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) 20.9 4.329 mg/L
Fecal Coliform 50 2.867 MPN
Total Suspended Solids 25.5 6.608 mg/L
Temperature (Summer) 28.2 24.915 ° C
Temperature (Winter) N/A N/A ° C
pH 7.7 7.057 S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste(RCRA) NESHAPS (CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
Timothy T Smith President
Printed name of Person . ning Title
12/27/18
Signature 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.)
3 of 3 Form-D 11/12

RECEIVED/DENR/DWR
Date: 944!1R
V JAN- 0 2 2018
Wastewater Branch
Water Quality Permitting Section Water kesourcea
Division of Water Resources Permitting Section
16I7 Mail Service Center
Raleigh,NC 27699-1617
Subject: Delegation of Signature Authority
Facility Name: idesisi e S"h,,,,, ,Qae
NPDES Permit Number: NICI0101 02141319
To Whom It May Concern:
By notice of this letter,I hereby delegate signatory authority to each of the following individuals for all
permit applications,discharge monitoring reports,and other information relating to the operations at
the subject facility as required by all applicable federal,state,and local environmental agencies
specifically with the requirements for signatory authority as specified in l5A NCAC 213.0506.
Individual#1 Individual#2(if applicable)
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If you have any questions regarding this letter,please feel free to contact me at either the ph 3ne
number or email address below.
Sincerely, ,
11
uthorized i ing Official's Signature
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)1'AV:it Submitter Change Request Form— (Add/update users)
North Carolina Electronic Discharge Monitoring Report System
Dtv#ddon of Water Resources
EDMR registered Owners may use this form to add or update eDMR users to the NCDWR's Electronic
Discharge Monitoring Report system. If the Organization is not currently registered for eDMR,-hen the
Owner or designated Responsible Official will need to complete the required eDMR Registration Form
(available from the eDMR website)and submit it to the NCDWR eDMR Administrator at the address
below.
Type of Request(please select):
Add Submitter Permissions: (See Section B)
UpdalR Submitter Permissions: (See Section B)
To add or update eDMR user permissions,please provide the following information:
Section A: Owner Information
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tot;1 ion R: Activate New Submitter or Update Existing User
Pl rm z e complete the Submitter User Details on page 2 for the individuals who will need Submitte
pe rut issiorr,ortoupdateSubmitterdetails,suchasaddingadditionalpermits,toanexistinguser.
Sul,nitterF:''rmissionscanonlybeassignedbytheNCDWReDMRAdministrator. Note: The t' ner
aif r!Facility.t rindnirtrator can deactivate or delete eDMR user permissions for any Individual Min
its nrvatrtzotho 0, including Submitter permissions.
The ,S'uhnrirlcr•is equivalent to the individual whogigns the certification statement on the back oft e
Dr schrrrgc h tonttpring Report. The Submitter must be an individual with delegated signatory aut •rity
for t',e 0"l;,?cr/Qt ganization. If individuals other than the Responsible Official for the Owner hay been
d.i c t;!?Icd i w_nrltory authority,the Division of Water Resources must be notified in writing of suc
do le ,Lions. A delegation of authority form is available from the eDMR website.
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In ad lition to the User Details,please specify the NPDES permit(s)that each user will be associat d with
for eDMR submittal.Should additional space be needed for users and/or permits,please make ads itional
copi rs of t!le Submitter User Details page and complete as needed.
Ni 11'', ; li t i Sub"'rnI tier Change Request Fomt-ver.1.o Page 1

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Responsible Official Authorization
The R(-spoils ble Official,as identified in accordance with 44 C1:R 122.22,is the appropriate ind vidual
with the authority to sign reports for the organization,
1 r'-t o (printed name),have the authority to make this req t for
.0`")+r'1 Co 1,fAL(Jt4 (Owner/Organization Name).
1 request the 1.1CDWR add or update the eDMR Submitter user permission(s)as indicated above in the
Submitter Us('rDetails page.
, ?f reS ICGA 1 o/ZZ/
Owner/Resporsib e.Official Signature Title Date
I'1 e s,q e return the completed form to the NCD WR eDMR Administrator via:
Fey: or E-mail: or
Mail to:
(9I9)807-6,198 eEMRadinin@ncderlrgov Information Processing nit
Attn: eDMR Registra on
1617 Mail Service Ce ter
Raleigh,NC 27699-1,17
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NCDWR el)MR su Inn(tier Change Request Form-ver.to Page 3

Sludge Management Plan for Westside Swim &
Racquet Club WWTP
The wastewater treatment facility serving the Westside Swim &Racquet Club is a seasonal
facility that only operates in the summer months. Thus, the accumulation of solids occurs at a
much slower rate than facilities that operate year-round. However, as solids accumulate, they are
periodically pumped by a local septic tank company. This process takes place one to two times
annually.
RECEIVED/DE�y�®��
JAN022018
Water Raso
Pern°►ttrng Section
(Alit-t5 S rrc &i flN f-E p.it4, Aova
Name (Print) Title
�-- �2-24-Zo Ili
Signature Date