NC0088897_Fact Sheet_20190322

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
DENR / DWR / NPDES
EXPEDITED FACT SHEET - NPDES PERMIT DEVELOPMENT
NPDES Permit NCO088897
Emily DelDuco, Compliance & Expedited Permitting Unit / 919-707-9125 14 Nov 2018
Facility Information
Applicant/Facility Name
City of King Water Treatment Plant (WTP)
Applicant Address
P.O. Box 1132, King, NC 27021
Facility Address
6949 Donnaha Road, Tobaccoville, NC 27050
Permitted Flow (MGD)
Not limited
Type of Waste
Water Plants and Water Conditioning Discharge — dechlorinated
filter -backwash - Conventional WTP System
Facility Class
Physical Chemical 1
County
Forsyth
Permit Status
Renewal
Regional
Office
WSRO
Stream Characteristics JFr
Receiving Stream
Old Richmond Creek
Stream Classification
WS-IV
Stream Segment
[12-79]
Drainage basin
Yadkin -Pee Dee
Summer 7Q10 (cfs)
0.3
Subbasin
03-07-02
Winter 7Q10 (cfs)
0.3
Use Support
No Data (ND)
30Q2 (cfs)
1.1
303(d) Listed
Not Listed
Average Flow (cfs)
4.5
State Grid
C17NW
IWC (%)
1 59.41%
USGS Topo Quad
Vienna, NC
Changes to previous permit:
- Added HUC to site description on supplement to cover page
- Added regulatory citations
- Updated eDMR language
Facility Summary
This facility is a conventional technology water treatment plant [coagulation, flocculation, sedimentation,
and filtration] with discharge of wastewaters from media filter backwash and sedimentation basins with a
design potable flowrate of 3.0 MGD and a maximum monthly average wastewater discharge of
0.283 MGD. Because the waste flow is >50k gpd, continuous flow monitoring is required. The facility
consists of the following water and wastewater treatment units:
• three (3) clear wells [0.150 MG, 0.230 MG and 1.0 MG]
• high service pump station
• generator
• chemical storage tanks
• a decant sludge holding tank [0.300 MG ]
• wastewater pumping station
• filter belt press
• dechlorination equipment
Since the issuance of the previous permit (2014), the facility completed Phase 2&3 of their WTP
Improvements project. Construction included installation of new raw water intake, new raw water main, 8
Fact Sheet
Renewal -- NPDES NCO082949
Page 1

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
new flocculators, new flash mixer, 2 new sedimentation basins with sludge collection system NaOCI
building, 2 new additional filters, 2 new filter pumps with additional filtration well, new 16" transmission
main. Previously the WTP had 3 chemical application points, now there are 5.
Compliance History
No enforcements. No violations since 2012.
Daily Discharge Summary (parameter code 50050 - MGD) Oct 2014 - Oct 2018 (36mo)
2014
154 0.11
0.00 0.96
2015
253
0.11
0.00
0.55
2016
342
0.10
0.00
0.38
2017
357
0.08
0.00
0.3
2018
268
0.08
0.01
0.58
[ Maximum Monthly average flow (CAMONAVG) in past 36 months (Oct 2014 - Oct 2018) = 0.183
MGD (designated as Qw in RPA)]
DMR Summary June 2014 - Nov 2018
Outfall
Parameter
00070 - Turbidity
001 DIVIR
N Obs
103
summary 2014-2018
Mean Minimum Maximum
I
9.786 1.000 58.200
Reasonable
PotentialTw
n/a
00400 - pH
115
6.775
6.010
7.600
n/a
00951- Fluoride, Total (as F)
17
0.145
0.010
0.345
No
01042 - Copper, Total (as Cu)
17
0.006
0.005
0.010
No
01045 - Iron, Total (as Fe)
17
0.947
0.066
9.760
n/a
01092 - Zinc, Total (as Zn)
17
0.016
0.010
0.040
No
01105 - Aluminum, Total (as Al)
17
1.421
0.177
9.090
n/a
50050 - Flow, in conduit or thru
treatment plant
1374
0.092
0.001
0.963
n/a
50060 - Chlorine, Total Residual
115
13.374
0.000
44.000
n/a
CO530 - Solids, Total Suspended -
Concentration
103
9.812
1.330
39.200
n/a
CO600 - Nitrogen, Total -
Concentration
CO665 - Phosphorus, Total (as P) -
Concentration
17
1.253
0.795
2.720
n/a
17
0.186
0.050
I
0.547
n/a
LA
TGP3B - Pass/Fail Static Renewal 22
7Day Chronic Ceriodaphnia
Pass
Pass
pass
n/a
Toxicity - With an IWC >0.25%, this permit requires Chronic Whole Effluent Toxicity (WET) testing
using Ceriodaphnia dubia to be performed as a 7-day pass/fail test at 59% effluent concentration. All tests
this permit cycle (n=22) were passed.
Fact Sheet
Renewal -- NPDES NC0082949
Page 2

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
Renewal Summary —This permit reflects discharge at Outfall 001.
Stream — Discharge from WTP for Outfall 001 is into Old Richmond Creek [Stream Segment 12-79].
The segment [12-79] from source to the Yadkin River is not currently listed as impaired in the 2012 North
Carolina 303(d) List.
RPA — A Reasonable Potential Analysis (RPA) was conducted on Copper, Fluoride, & Zinc effluent
parameters data because Discharge Monitoring Reports (DMRs) reported concentration above method -
detection levels (MDLs) for the past four and one half (4 1/2) years (June 2014 -November 2018). [See
attached RPA summary sheets.]
• Copper showed no reasonable potential to violate state water quality standards (WQS).
• Fluoride did not show reasonable potential to violate state WQS; however, since the City
backwashes with fluoridated finished water fluoride should be monitored quarterly with no limit.
• Zinc showed no reasonable potential to violate state water quality standards (WQS). However, since
Zinc orthophosphate has potential to be discharged, quarterly monitoring will remain in this permit.
Fact Sheet
Renewal -- NPDES NC0082949
Page 3

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
IWC Calculations
City of King WTP
NCO088897
Prepared By: Emily DelDuco, NPDES Program
Enter Design Flow (MGD): 0.283
Enter s7Q10(cfs): 0.3
Enter w7Q10 (cfs): 0.3
Residual Chlorine
Ammonia (NH3 as N)
(summer)
7Q10 (cfs)
0.3
7Q10 (CFS)
0.3
DESIGN FLOW (MGD)
0.283
DESIGN FLOW (MGD)
0.283
DESIGN FLOW (cfs)
0.43865
DESIGN FLOW (cfs)
0.43865
STREAM STD (ug/L)
17.0
STREAM STD (mg/L)
1.0
UPS BACKGROUND LEVEL (l
0
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
59.39
IWC (%)
59.39
Allowable Conc. (ug/1)
29
Allowable Conc. (mg/1)
1.5
Ammonia (NH3 as N)
(winter)
7Q10 (CFS)
0.3
Fecal Limit
200/100ml
DESIGN FLOW (MGD)
0.283
(If DF >331; Monitor)
DESIGN FLOW (cfs)
0.43865
(If DF <331; Limit)
STREAM STD (mg/L)
1.8
Dilution Factor (DF)
1.68
UPS BACKGROUND LEVEL (mg/L)
0.22
IWC (%)
59.39
Allowable Conc. (mg/1)
2.9
NPDES Servor/Current Versions/IWC
11 /15/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
Table 1.
Freshwater RPA - 95% Probability/95%
MAXIMUM DATA
Project Information
Confidence Using Metal Translators
of
Concern
POINTS
= 58
DATA ENTRY
Table 2.
CHECK WQS
Parameters
REQUIRED
Facility Name
WWTP/WTP Class
NPDES Permit
Outfal I
Flow, Qw (MGD)
Receiving Stream
HUC Number
Stream Class
]CHECK IF HQW OR ORW WQS
Paro1
Par02
Par03
Par04
Par05
Par06
Par07
Par08
Par09
Par10
Part
Par12
Par13
Par14
Parts
I Parts
I Par17
I Par18
Par19
Par20
Par21
Par22
Par23
Par24
Name
WQS
Type
Chronic
Modifier
Acute
PQL
Units
City of King WTP
PC 1
NCO088897
001
0.183
Old Richmond Creek
030401011007
WS-IVApply
❑WS Hardness WQC
7Q10s (cfs)
7Q10w (cfs)
30Q2 (cfs)
QA (cfs)
1 Q1 Os (cfs)
0.30
0.30
Copper
Aquatic Life
NC
7.8806
FW
10.4720
ug/L
1.10
4.50
Fluoride
Aquatic Life
NC
1,800
FW
ug/L
0.26
Effluent Hardness
-------------
Upstream Hardness
-------------
Combined Hardness Chronic
-------------
Combined Hardness Acute
25 mg/L (Avg)
-----------------
25 mg/L (Avg)
----------------
25 m /L
----------9------
I 25 m /L
Data Source(s)
❑CHECK TO APPLY MODEL
Zinc
Aquatic Life
NC
126.7335
FW
125.7052
ug/L
88897 RPA, input
12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
88897 RPA, input
12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
REASONABLE POTENTIAL ANALYSIS
H1
Effluent Hardness
Date Data BDL=1/2DL Results
1 25 25 Std Dev.
2 Mean
3 C.V.
4 n
5 10th Per value
6 Average Value
7 Max. Value
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Use"PASTE SPECIAL
Values" then "COPY"
. Maximum data
points = 58 F
1
25.0000 2
0.0000 3
1 4
25.00 mg/L 5
25.00 mg/L 6
25.00 mg/L 7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
Upstream Hardness
Date Data BDL=1/2DL Results
25 25 Std Dev.
Mean
C.V.
n
10th Per value
Average Value
Max. Value
Use"PASTE SPECIAL
Values" then "COPY"
. Maximum data
points = 58
25.0000
0.0000
1
25.00 mg/L
25.00 mg/L
25.00 mg/L
88897 RPA, data
-3- 12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
REASONABLE POTENTIAL ANALYSIS
Pal
Par13
Use"PASTE SPECIAL
Use"PASTE SPECIAL
Copper
Values" then "COPY"
Fluoride
Values" then "COPY"
. Maximum data
. Maximum data
points = 58
points = 58
Date
Data
BDL=1/2DL
Results
Date
Data
BDL=1/2DL
Results
1
7/8/2014
<
5
2.5
Std Dev.
2.7881
1
7/3/2014
196
196
Std Dev.
116.7850
2
10/7/2014
<
5
2.5
Mean
4.1647
2
10/7/2014
345
345
Mean
117.8824
3
1/12/2015
6.8
6.8
C.V.
0.6695
3
1/12/2015
128
128
C.V.
0.9907
4
4/14/2015
10
10
n
17
4
4/14/2015
248
248
n
17
5
7/7/2015
6
6
5
7/7/2015
316
316
6
10/7/2015
<
5
2.5
Mult Factor =
1.49
6
10/7/2015
<
100
50
Mult Factor =
1.72
7
1/5/2016
<
5
2.5
Max. Value
10.00 ug/L
7
1/5/2016
<
100
50
Max. Value
345.0 ug/L
8
4/5/2016
<
5
2.5
Max. Fred Cw
14.90 ug/L
8
4/5/2016
<
100
50
Max. Pred Cw
593.4 ug/L
9
7/5/2016
<
5
2.5
9
7/5/2016
<
100
50
10
10/4/2016
<
5
2.5
10
10/4/2016
<
10
5
11
1/10/2017
9
9
11
1/10/2017
311
311
12
4/3/2017
<
5
2.5
12
4/3/2017
<
100
50
13
7/11/2017
<
5
2.5
13
7/11/2017
<
10
5
14
10/3/2017
<
5
2.5
14
10/3/2017
<
100
50
15
1/9/2018
9
9
15
1/9/2018
<
100
50
16
4/3/2018
<
5
2.5
16
4/3/2018
<
100
50
17
7/5/2018
<
5
2.5
17
7/5/2018
<
100
50
18
18
19
19
20
20
21
21
22
22
23
23
24
24
25
25
26
26
27
27
28
28
29
29
30
30
31
31
32
32
33
33
34
34
35
35
36
36
37
37
38
38
39
39
40
40
41
41
42
42
43
43
44
44
45
45
46
46
47
47
48
48
49
49
50
50
51
51
52
52
53
53
54
54
55
55
56
56
57
57
58
58
88897 RPA, data
-4- 12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
REASONABLE POTENTIAL ANALYSIS
Par21
Zinc
Use"PASTE SPECIAL
Values" then "COPY"
Par22
. Maximum data
points = 58
Date
Data
BDL=1/2DL
Results
1
7/8/2014
<
10
5
Std Dev.
11.6079
1
2
10/7/2014
<
10
5
Mean
12.6471
2
3
1/12/2015
<
10
5
C.V.
0.9178
3
4
4/15/2015
30
30
n
17
4
5
7/7/2015
40
40
5
6
10/7/2015
20
20
Mult Factor =
1.67
6
7
1/5/2016
<
10
5
Max. Value
40.0 ug/L
7
8
4/5/2016
20
20
Max. Fred Cw
66.8 ug/L
8
9
7/5/2016
20
20
9
10
10/4/2016
<
10
5
10
11
1/10/2017
30
30
11
12
4/3/2017
<
10
5
12
13
7/11/2017
<
10
5
13
14
10/3/2017
<
10
5
14
15
1 /9/2018
<
10
5
15
16
4/3/2018
<
10
5
16
17
7/5/2018
<
10
5
17
18
18
19
19
20
20
21
21
22
22
23
23
24
24
25
25
26
26
27
27
28
28
29
29
30
30
31
31
32
32
33
33
34
34
35
35
36
36
37
37
38
38
39
39
40
40
41
41
42
42
43
43
44
44
45
45
46
46
47
47
48
48
49
49
50
50
51
51
52
52
53
53
54
54
55
55
56
56
57
57
58
58
Use"PASTE SPECIAL
O
Values" then "COPY"
. Maximum data
points = 58
Date Data BDL=1/2DL Results
Std Dev.
NO DATA
Mean
NO DATA
C.V.
NO DATA
n
0
Mult Factor =
N/A
Max. Value
N/A
Max. Pred Cw
N/A
88897 RPA, data
-5- 12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
City of King WTP
NCO088897 Freshwater RPA - 95% Probability/95% Confidence Using Metal Translators
MAXIMUM DATA POINTS = 58
Qw (MGD) = 0.1830
WWTP/WTP Class: PC 1
1Q10S (cfs) = 0.26
IWC% @ 1Q10S = 52.17511266
7Q10S (cfs) = 0.30
IWC% @ 7Q10S = 48.59933179
7Q10W (cfs) = 0.30
IWC% @ 7Q10W = 48.59933179
30Q2 (cfs) = 1.10
IWC% @ 30Q2 = 20.50012648
Avg. Stream Flow, QA (cfs) = 4.50
IW%C @ QA = 5.929572607
Receiving Stream: Old Richmond Creek HUC 030401011007
Stream Class: WS-IV
Outfall 001
Qw = 0.183 MGD
COMBINED HARDNESS (mg/L)
Acute = 25 mg/L
Chronic = 25 mg/L
PARAMETER
NC STANDARDS OR EPA CRITERIA
U)
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
TYPE
J
a
D
Applied
Chronic Acute
n # Det. Max Pred Cw Allowable Cw
Standard
Acute: 20.07
No RP, Predicted Max z 50% of Allowable Cw -
Copper
NC
7.8806 FW(7Q10s) 10.4720
ug/L
17 5
14.90
defer toLTMP
Chronic: 16.22
No RP , Predicted Max z 50% of Allowable Cw
No value > Allowable Cw
apply Quarterly Monitoring
Acute: NO WQS
No RP, Predicted Max < 50% of Allowable Cw - No
Fluoride
NC
1800 FW(7Q10s)
ug/L
17 6
593.4
Monitoring required
-------------
Chronic: 3,703.8
No RP, Predicted Max < 50%of Allowable Cw - No
No value > Allowable Cw
Monitoring required
Acute: 240.9 No RP, Predicted Max < 50% of Allowable Cw - No
Zinc
NC
126.7335 FW(7Q10s) 125.7052 ug/L 17 6 66.8 Monitoring required
Chronic: 260.8 No RP, Predicted Max < 50%of Allowable Cw - No
No value > Allowable Cw Monitoring required
88897 RPA, rpa
Page 6 of 6 12/6/2018

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
From:
man, Jeff
To:
DelDuco, Emilv
Cc:
Hudson, Eric; Kaufman, Tammv
Subject:
FW: PWS Section Comment, Permit Renewal NC0088897
Date:
Tuesday, January 15, 2019 12:48:13 PM
Attachments:
imaae001.Dna
NC0088897 Draft 2018.Ddf
NC0088897 DRAFT fact sheet RPA.Ddf
imaae002.Dno
Re: City King WTP wastewater, NCO088897 Forsyth County (renewal)
Emily,
We concur with issuing the permit provided the facilities are maintained and operated properly, the
stated effluent limits are met, and discharge does not contravene designated water quality
standards of receiving waters.
Regards,
Jeff
Jeff H. Bryan, P.E.
Assistant Regional Engineer
Public Water Supply Section
Department of Environmental Quality
336 776 9663 office
336 403 1092 mobile
0eff. bryan&ncdenr.gov
Winston Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston Salem, NC 27105
'Nothing Compares.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: DelDuco, Emily
Sent: Monday, December 17, 2018 4:23 PM
To: Bryan, Jeff <[e-mail]>
Subject: PWS approval

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
Hi Jeff,
NCO088897 / City of King WTP is a grade PC-1 facility in Forsyth County.
Please send me any comments when you are able.
Please note that we're transitioning to paperless communication. As such, NPDES will no longer
send the separate approval memo for PWS comments on this permit draft. The email response from
you (or another PWS contact) will suffice to document the draft permit review by PWS.
Thanks for your help, and let me know if you have any questions.
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
emily.delducoPncdenr.gov
--- ?Nothing Compares,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-00F8F0C06041
R:OY COOPER- NORTH iCAROLINA
GovernorEnvironmental Quatilly
t&CILAEL S- kEGAN
Seoreffir�-'
LINDA. CUTPEPPER
Interim Director
October 22, 2018
T. Scott Barrow, City Engineer
City of King
PO Box 1132
King, NC 27021-1132
Subject: Permit Renewal
Application No. NCOOSS897
King WTP
Forsyth County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 19, 2018 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https: //deq. nc.gov/permits-regulations/permit-guidance/environmental-a pplication-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.
ec: WQPS Laserfiche File w/application
Since%r--ellly,
—
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
afFn�m.mMtl�
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
CITY OF KING Jack Warren, Mayor
Homer Dearmin, City Manager
Scott Barrow, City Engineer
P.O. Drawer 1132
King, NC 27021-1132
10/15/2018
Re: NPDES Permit renewal
To Wren Thedford:
229 S. Main Street
Telephone [phone]
Fax [phone]
RECEIVED/DENR/DWR
OCT 19 2018
Water Resources
Permitting Section
The purpose of this letter is to request the renewal'-of;NPDES'P,ermit NCO088897. Since issuance of the previous
permit, all construction of Phase 2 & 3r of7ourWatef[ Treatment, PlaAnt1mprovements project are complete and in
operation. Construction included the4nstallation°of,a new raw^:water intake new raw water main, 8 new flocculators,
a new flash mixer, 2 new sedimentation°^basins wth'sludge,-collection system; fyaOCI building, 2 new additional
filters, 2 new filters pumps with an"ad`ditonal filtratioriwell=dnew,xh,igh service.pumpmg station, a 1.0 million gallon
ground storage tank, a new- was-iewater�well-forriaddition^al storage�,'awnew-_16 transM.iission main leaving the plant
and added onto the existing,Flab"building: yPleasetsee,attached,diagram.-This diagram also show the new chemical
application points (prev16usly�we had,3� and: -how we,hay'p -5) \ ^Qur,siudge management plan consist of hauling the
dewatered sludge from the belt=filterfipress to.th',e`,laridfill:., : ,,t, `_ y„
Sincerely,
"'Al
//� fx` �..,.. �` @. ., Z. x,•��;''.%M "�E�?3,"s �` ', �,b"`, w, .;'i <�f^'':'%,
-,. ,k �" P7 _z-"-'"-•y'' ,s.'* '�`izr�.�'.�.^�yy;- •2``r,o �_"„e*--� �.���:�. '" �<i � `� �'�'.�k�# �! ��,''�� �� ��'z€
T. Scott Barrow
[ City Engineer ;
�� _ ,�° ;�, ,W"�", _ ia,aa _�_,,.,_
i, Y6.'S Y e'Qx x . j[ 4z <:
"
ts'q >sg€`II
COUNCILMEN
Mayor ProTem Rick McCraw — Charles Allen — Brian Carico — Wesley Carter

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
NCDEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number INCO088897
If you are completing this form in computer use the TAB key or the up - down arrows to moue 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 City of King
Facility Name City of King Water Treatment Plant
Mailing Address P.O. Box 1132
City King
State / Zip Code NC / 27021
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same as above
Street Address or State Road 6949 Donnaha Road
City Tobaccoville
State / Zip Code NC / 27050
County Forsyth
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
4. Ownership Status:
Federal ❑ State ❑ Private ❑ Public
Page 1 of 3 Version 6/2017

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
® Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ❑
6. Description of source water(s) (i.e. groundwater, surface water)
Surface water from Yadkin River
7. Describe the treatment process(es) for the raw water:
Conventional treatment: coagulation; flocculation; sedimentation; filtration and disinfection.
S. Describe the wastewater and the treatment process(es) for wastewater generated by the
facility:
Filter backwash
9. Number of separate discharge points: 1 Outfall Identification number(s)
10. Frequency of discharge: Continuous ❑
If intermittent:
Days per week discharge occurs: 7 Duration:
11. Plant design potable flowrate 3.0 MGD
Backwash or reject flow 0.078 MGD
Intermittent
2 hr
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Old Richmond Creek; approx. lat 36 deg. 13' 22" long 80 deg. 25' 39"
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate Yes No X
Page 2 of 3 Version 6/2017

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Iron sulfate / ferrous sulfate Yes No X
Fluoride Yes No X
Ammonia nitrogen / Chloramines Yes No X
Zinc -orthophosphate or sweetwater CP1236 Yes X No
List any other additives below:
Sodium hypochlorite (NaOCl)
Delpac (polyaluminum Chloride)
Sodium thiosulfate (Na2S203)
14. Is this facility located on Indian country? (check one)
Yes ❑ No
15. Additional Information:
➢ Provide a schematic of flow through the facility, include flow volumes at all points in
the water treatment process. The plan should show the point[s] of addition for
chemicals and all discharges routed to an outfall [including stormwater].
➢ Solids Handling Plan
16. NEW Applicants
Information needed in addition to items 1-15.
➢ New applicants are strongly recommended to contact a permit coordinator with the
NCDENR Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
➢ Analyses of source water collected
➢ Engineering Alternative Analysis
➢ Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. 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.
Printe Person Sign' g Title
of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) provides that: 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 sic 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.)
Page 3 of 3 Version 6/2017

E32
0
W-

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
From:
Scott Barrow
To:
DelDuco, Emilv
Subject:
[External] RE: Request for information
Date:
Thursday, December 6, 2018 2:57:56 PM
Attachments:
image021.Dng
NO-REPLY(a)CI. KING. NC. US 20181206 155336.Ddf
• xternal email. Do not click links or open attachments unless verified. Send all suspicious email as an
"J
Good afternoon Emily,
We use finished water for our backwash, which is why we use Application Point #5 for Sodium
Thiosulfate. Attached please find a revised DMR, the Sludge Management Plan and a revised
schematic. The schematic has been reduced to a 8.5 x 11", but I can send you a D Size version if you
wish. Please let me know if you need anything further.
Scott
From: DelDuco, Emily[mailto:Emily. Del [e-mail]]
Sent: Wednesday, December 05, 2018 10:45 AM
To: Scott Barrow <[e-mail]>
Subject: Request for information
Good Morning Scott,
I am contacting you in regards to the NPDES permit renewal for City of King WTP / NC0088897.
In order to avoid having copper monitoring frequency increased to monthly and having a limit set in
place, DWR needs you to submit a modified DMR to correct the transcription error for the copper
value we talked about.
I noticed that your application is missing a sludge management plan, which I will need in order to
renew your permit.
Additionally, the flow schematic provided in the application is difficult to make out. Please provide a
more legible flow diagram that shows flow path and points of chemical application.
Lastly, to clarify, are you using finished water or well water to backwash?
Please get this info to me as soon as you are able.
Thanks,
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
[e-mail]
A- 0-- Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
NOTICE: Please be advised that this electronic mail transmission, along with any other electronic mail transmissions for which I am the
recipient, is subject to disclosure in accordance with the North Carolina Public Records Act, N.C.G.S. 132-1 et. seq. unless the
information contained therein falls within one of the limited number of exceptions to the North Carolina Public Records Act. Before
transmitting any personal information or any information which you deem confidential, please consider that the contents of your electronic
transmission, and my responses thereto, will be subject to disclosure to any and all persons, including the media, who may request a
copy of my e-mails.

DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
CITYOF & Ilex.I N
SLUDGE MANAGEMENT PLAN
201
gi is t 4m� tm it,iit Will con fal all p`rceswam;ewo(a IIamn.cili tg fiat"liti � and
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now controls. mid electrical ma ific,ttiO MS, Pip(.IH. ve :X 14418JRMS and T.Cro les. will. lie
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and Nit pmss wx,4h water: will be dkch r M to the The dewal:ered sludge -grill be,
i'r(misl orl 10 ilmc lily r -F Winston-Salem I a:nc.1filt i'ol° eti�t��a�.Eal;
6/2212012

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DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
EFFLUENT
NPDES PERMIT # NCO088897
IIaT�Yil:ll:�e1�►C�a
FACILITY NAME CITY OF KING WATER TREATMENT PLANT
OPERATOR IN RESPONSIBLE CHARGE (ORC): Kenneth R. Gentry
CERTIFIED LABORATORIES (1) R&A Labs
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL, FILES
DIVISION OR WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, N.C. 27699-1617
001 MONTH January YEAR 2015
CLASS 1 COUNTY FORSYTH
GRADE 1 PHONE [phone]
(2)
❑ PERSON(S) COLLECTING SAMPLES Kenneth Gentry & Operators
X W�.ex .21411 5
SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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DocuSign Envelope ID: 86632DE6-B34C-42FE-9282-COF8F0006041
Winston-Salem Journal
Advertising Affidavit Account Number
3376309
P.O Box 3159 Date
Winston-Salem, INC 27102
December 21, 2018
NCDENRIDWQ/POINT SOURCE BRANCH
1617 MAIL SERVICE CENTER
RALEIGH. NC 27699-1617
PO Number Order Category Description���
CITY OF KING 0000527232 Legal Notices PUBLIC NOTICE North Carolina Environmental Management Commission! NPDES Unit 1f
PUBLIC NOTICE
North Carolina Environmental
Management Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental
Management Commission proposes
to issue a NPDES wastewater dis-
charge permit to the person(s) listed Publisher of the
below. Written comments regarding
the proposed permit will be accept- Winston—Salem Journal
ed until 30 days after the publish
date of this notice. The Director of
the NC Division of Water Resources idersigned, a Notary Public of Guilford, North Carolina, duly commissioned.
(DWR) may hold a public hearing d authorized by law to administer oaths, personally appeared the Publisher
should there he a significant degree
of public interest. Please mail com- ve who by being duly sworn deposes and says: that he/she is the Publisher's
ments and/or information requests ve of the Winston-Salem Journal, engaged in the publishing ofa newspaper
to DWR at the above address. Inter-
ested persons may visit the DWR at nston-Salem Journal, published, issued and entered as second class mail in the
512 N. Salisbury Street, Raleigh. NC tan-Salcm, in said County and State: that he/she is authorized to make this
to review information on file. Addi-
tional information on NPDES permits sworn statement: that the notice or other legal advertisement, a copy of which
and this notice may be found on our -reto, was published in the Winston-Salem Journal on the following dates:
website: http://deq.nc.gov/about/di
visions/water-resources/water-
resources•permits/wastewater-
branch/npdes-wastewater/public- 12/21/2018
notices,or by calling [phone].
NC0088897: The City of King re-
quested renewal of permit for the
City of Kinq WTP/Fnr-„Fi °ADO L
-
aid newspaper in which such notice. paper document, or legal advertisement
-
d was. at the time of each and every such publication, a newspaper meeting all
the requirements and qualifications of Section 1-597 of the General Statutes of North
+I Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General
Statutes of North Carolina.
(signature ofperson making affidavit)
Sworn to and subscribed before me the 21 day of December, 2018
l 1 IJ 1VJ
LEA ANNE LAMB (Notary Public) ��t /
NOTARY PUBLIC
GUILFORD COUNTY, NC
My Commission Expires 06-15-19
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU