NC0021628_Fact Sheet_20190506

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets.
Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc) that can be
administratively renewed with minor changes, but can include facilities with more complex issues (Special
Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily DelDuco 12/4/2018
Permit Number
NCO021628
Facility Name
Town of Norwood WWTP
Basin Name/Sub-basin number
Yadkin -Pee Dee 03-07-14
Receiving Stream
Rocky River
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Yes
Does permit have toxicity testing?
Yes
Does permit have Special Conditions?
Yes -Mercury
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)? For
what parameter?
No
Any obvious compliance concerns?
9 NOVs and 3 enforcements since 2014. Facility is
working on improvements.
Any permit mods since last permit?
No
New expiration date
1/31/24
Comments received on Draft Permit?
none
Please note the following modifications to this draft:
• HUC added to site description on supplement to cover page
• Updated TRC footnote
• Updated Mercury language (A.(4.))
• Updated Tox language (A. (3.))
• Updated Reporting Requirements language (A.(3.))
• New outfall map
• Regulatory citations added
DMR export summgU (Jan 2014 — Nov 2018)
Parameter
Mean
Min
Max
00010 - Temperature, Water Deg. Centigrade
18.280
6.700
29.200
00400 - pH
6.745
5.900
7.500
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C
448.079
1.000
9700.0
50050 - Flow, in conduit or thru treatment plant
0.368
0.100
2.078
50060 - Chlorine, Total Residual
16.845
0.000
47.0
C0310 - BOD, 5-Day (20 Deg. C) - Concentration
55.225
2.000
909.0
C0530 - Solids, Total Suspended - Concentration
80.076
2.500
1730.0
C0600 - Nitrogen, Total - Concentration
7.666
2.080
16.470
C0610 - Nitrogen, Ammonia Total (as N) -
0.982
0.040
11.520
Concentration
C0665 - Phosphorus, Total (as P) - Concentration
2.167
0.860
3.730
TGP3B - Pass/Fail Static Renewal 7Day Chronic
0.500
0.000
1.0
Ceriodaphnia
Units of Measurement: Flow = MGD; Temp =°C; Fecal
= #/100m1;
TRC, BOD, TSS, Nitrogen
Phosphorous = mg/L; TGP3B = (1
= pass, 2=fail)
0I
1253
1252
756
1765
591
1510
1510
19
252
19
18

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561138A
ROY COOPER NORTH CAROLINA
Governor Environmental Quality
NIICH AEL S_ REGAN
Secretmzt
LMA CULPEPPER
Inrerfn¢ Director
July 27, 2018
John Mullis
Town of Norwood
PO Box 670
Bailey, NC 27807
Subject: Permit Renewal
Application No. NCO021628
Norwood WWTP
Stanly County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 17, 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://deg.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,
,XURU
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-707-6301

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
N 0 RWBB-D-
(RECEIVED/DENR/DWR
]une 21, 2018 JUL 17 2018
Water Resources
Permitting Section
NCDEQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Town of Norwood WWTP NPDES Permit Renewal NCO021628
To Whom it may concern,
Enclosed you will find the original and one copy of the application renewal package for the Town of
Norwood Wastewater Water Treatment Plant. Please do not hesitate to contact me if there are
additional questions or concerns.
Sincerely,
Mullis
Town Administrator

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561138A
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Norwood, NC 0021628 Renewal Yadkin -Pee Dee
FORM --- — -- ---- _--
2A NPDES FORM 2A APPLICATION OVERVIEW
NPDES
APPLICATION OVERVIEW
Form 2A has been developed in a modular format and consists of a "Basic Application Information" packet and a
"Supplemental Application Information" packet. The Basic Application Information packet is divided into two
parts. All applicants must complete Parts A and C. Applicants with a design flow greater than or equal to 0.1 mgd
must also complete Part B. Some applicants must also complete the Supplemental Application Information
packet. The following items explain which parts of Form 2A you must complete.
BASIC APPLICATION INFORMATION:
A. Basic Application Information for all Applicants. All applicants must complete questions A.1 through A.B. A treatment works that
discharges effluent to surface waters of the United States must also answer questions A.9 through A.12.
B. Additional Application Information for Applicants with a Design Flow 2 0.1 mgd. All treatment works that have design flows greater
than or equal to 0.1 million gallons per day must complete questions BA through B.6.
C. Certification. All applicants must complete Part C (Certification).
SUPPLEMENTAL APPLICATION INFORMATION:
D. Expanded Effluent Testing Data. A treatment works that discharges effluent to surface waters of the United States and meets one or
more of the following criteria must complete Part D (Expanded Effluent Testing Data):
1. Has a design flow rate greater than or equal to 1mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to provide the information.
E. Toxicity Testing Data. A treatment works that meets one or more of the following criteria must complete Part E (Toxicity Testing Data):
1. Has a design flow rate greater than or equal to 1 mgd,
2. Is required to have a pretreatment program (or has one in place), or
3. Is otherwise required by the permitting authority to submit results of toxicity testing.
F. Industrial User Discharges and RCRA/CERCLA Wastes. A treatment works that accepts process wastewater from any significant
industrial users (SIUs) or receives RCRA or CERCLA wastes must complete Part F (Industrial User Discharges
and RCRA/CERCLA Wastes). SIUs are defined as:
1. All industrial users subject to Categorical Pretreatment Standards under 40 Code of Federal Regulations (CFR) 403.6 and 40 CFR
Chapter I, Subchapter N (see instructions); and
2. Any other industrial user that:
a. Discharges an average of 25,000 gallons per day or more of process wastewater to the treatment works (with certain
exclusions); or
b. Contributes a process wastestream that makes up 5 percent or more of the average dry weather hydraulic or organic capacity of
the treatment plant; or
C. Is designated as an SIU by the control authority.
G. Combined Sewer Systems. A treatment works that has a combined sewer system must complete Part G (Combined Sewer Systems).
ALL APPLICANTS MUST COMPLETE PART C (CERTIFICATION)
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 1 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
,L•J
[FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Norwood, NC 0021628 1 Ren( I Yadkin -Pee Dee
A.5. Indian Country.
a. Is the treatment works located in Indian Country?
❑ Yes ® No
b. Does the treatment works discharge to a receiving water that is either in Indian Country or that is upstream from (and eventually flows
through) Indian Country?
❑ Yes ® No
A.6. Flow. Indicate the design flow rate of the treatment plant (i.e., the wastewater flow rate that the plant was built to handle). Also provide the
average daily flow rate and maximum daily flow rate for each of the last three years. Each year's data must be based on a 12-month time period
with the 12" month of "this year" occurring no more than three months prior to this application submittal.
a. Design flow rate 0.75 mgd
Two Years Ago Last Year This Year
b. Annual average daily flow rate 0.357 0.326 0.347
C. Maximum daily flow rate 1,506 1.292 1.513
A.7. Collection System. Indicate the type(s) of collection system(s) used by the treatment plant Check all that apply. Also estimate the percent
contribution (by miles) of each.
® Separate sanitary sewer 100 %
❑ Combined storm and sanitary sewer %
A.S. Discharges and Other Disposal Methods.
a. Does the treatment works discharge effluent to waters of the U S? ® Yes ❑ No
If yes, list how many of each of the following types of discharge points the treatment works uses.
I. Discharges of treated effluent
ii. Discharges of untreated or partially treated effluent
III. Combined sewer overflow points
iv, Constructed emergency overflows (prior to the headworks)
1
0
0
V. Other 0
b. Does the treatment works discharge effluent to basins, ponds, or other surface impoundments
that do not have outlets for discharge to waters of the U.S.? ❑ Yes ® No
If yes, provide the following for each surface Impoundment:
Location.
Annual average daily volume discharge to surface Impoundment(s) mgd
Is discharge ❑ continuous or ❑ intermittent?
C. Does the treatment works land -apply treated wastewater? ❑ Yes ® No
If yes, provide the following for each land application site.
Location:
Number of acres:
Annual average daily volume applied to site: mgd
Is land application ❑ continuous or ❑ intermittent?
d. Does the treatment works discharge or transport treated or untreated wastewater to another
treatment works? ❑ Yes ® No
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 3 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
F9
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town 'of Norwood, NC 0021628
Renewal
Yadkin -Pee Dee
,BASIC°APPL:ICATION,INFORMATION,
.PART A. BASIC,APPLICATION INFORMATION FOR ALL APPLICANTS: >� a,
All treatment works must complete questions A.1 through A.8 of this Basic Application Information Packet.
A.1. Facility Information.
Facility Name Town of Norwood WWTP
Mailing Address PO Box 697
Norwood NC 28128
Contact Person John Mullis
Title Town Administrator
Telephone Number [phone]
Facility Address 6896 US 52 South Norwood NC28128
(not P.O. Box)
A.2. Applicant Information. If the applicant is different from the above, provide the following:
Applicant Name
Mailing Address
Contact Person
Title
Telephone Number ( 1
Is the applicant the owner or operator (or both) of the treatment works?
® owner ❑ operator
Indicate whether correspondence regarding this permit should be directed to the facility or the applicant.
® facility ❑ applicant
A.3. Existing Environmental Permits. Provide the permit number of any existing environmental permits that have been issued to the treatment works
(include state -Issued permits).
NPDES NCO021628 PSD
UIC Other
RCRA Other
A.4. Collection System Information. Provide Information on municipalities and areas served by the facility. Provide the name and population of each
entity and, if known, provide information on the type of collection system (combined vs. separate) and its ownership (municipal, private, etc.).
Name Population Served Type of Collection System Ownership
Town of Norwood 4128 Separate Municipal
Total population served 4128
EPA Form 3510.2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22
Page 2 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561138A
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Norwood, NC 0021628 1 Renewal I Yadkin -Pee Dee
WASTEWATER DISCHARGES:
If you answered "Yes" to question A.8.a, complete questions A.9 through A.12 once for each outfall (including bypass points) through
which effluent is discharged. Do not Include information on combined sewer overflows in this section. If you answered "No" to question
A.8.a, go to Part B, "Additional Application Information for Applicants with a Design Flow Greater than or Equal to 0.1 mgd"
A.9. Description of Ouffall.
a. Outfall number 001
b. Location Norwood 28128
(City or town, if applicable) (Zip Code)
Stanly NC
(County) (State)
(Latitude)
(Longitude)
c.
Distance from share (if applicable)
ft.
d.
Depth below surface (if applicable)
ft.
e.
Average daily flow rate
0.326
mgd
f.
Does this outfall have either an intermittent or a periodic discharge?
Yes
® No (go to A.9.g.)
If yes, provide the following information.
Number f times per year discharge occurs:
Average duration of each discharge:
Average flow per discharge:
mgd
Months in which discharge occurs:
n.
Is nutfall eauinned with a diffuser?
Yes
® No
A.10. Description of Receiving Waters.
a. Name of receiving water Rocky River
b. Name of watershed (if known)
United States Soil Conservation Service 14-digit watershed code (if known).
C. Name of State Management/River Basin (if known): Yadkin -Pee Dee
United States Geological Survey 8-digit hydrologic cataloging unit code (if known):
d. Critical low flow of receiving stream (if applicable)
acute cfs chronic ON
e. Total hardness of receiving stream at critical low flow (if applicable): mg/1 of CaCO3
t
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 & 7550-22.
Page 5 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Norwood, NC 0021628
Renewal
Yadkin -Pee Dee
A.11. Description of Treatment `
a. What level of treatment are provided? Check all that apply.
® Primary ® Secondary
❑ Advanced ❑ Other. Describe:
b. Indicate the following removal rates (as applicable):
Design BOD5 removal or Design CBOD5 removal
Design SS removal %
Design P removal %
Design N removal %
Other %
C. What type of disinfection is used for the effluent from this outfali? If disinfection varies by season, please describe:
Chlorine gas
If disinfection is by chlorination is dechlorination used for this outfall? ® Yes ❑ No
IVI
Does the treatment plant have post aeration? ❑ Yes ® No
A.12. Effluent Testing Information. All Applicants that discharge to waters of the US must provide effluent testing data for the following
parameters. Provide the indicated effluent testing required by the permitting authority for each outfali through which effluent is
discharged. Do not include information on combined sewer overflows in this section. All information reported must be based on data
collected through analysis conducted using 40 CFR Part 136 methods. In addition, this data must comply with QA1QC requirements of
40 CFR Part 136 and other appropriate QAIQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a
minimum, effluent testing data must be based on at least three samples and must be no more than four and one-half years apart.
Outfali number. 001
MAXIMUM DAILY VALUE
AVERAGE DAILY VALUE
PARAMETER
Value
Units
Value
Units
Number of Samples
pH (Minimum)
6.03
s.u.
pH (Maximum)
7.22
S.U.
Flow Rate
1.292
MGD
0.318
MGD
182
Temperature (Winter)
25.2
Deg C
13.1
Deg C
45
Temperature (Summer)
29.2
Deg C
18.2
Deg C
54
' For pH please report a minimum and a maximum daily value
MAXIMUM DAILY
DISCHARGE
AVERAGE DAILY DISCHARGE
POLLUTANT
ANALYTICAL
METHOD
ML(MDL ,
Conc.
Units
Cone.
Units
Number of
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
BIOCHEMICAL OXYGEN
BOD5
40
Mg/L
9.04
M /L
77
521 OB-11
<2.0
CBOD5
DEMAND (Report one)
FECAL COLIFORM
6000
#1100 MI
6.47
y/1 0
MI
77
9222D-06
<1
TOTAL SUSPENDED SOLIDS (TSS)
47
M /L
7.08
M /L
77
254OD-11
<2.5
END OF PART A: °
REFER TO THE -APPLICATION OVERVIEW (PAGE 1) TO DETERMINE WHICH OTHERPARTS
° OF FORM 2A YOU MUST COMPLETE
EPA Form 3510-2A (Rev. 1-99) Replaces EPA forms 7550-6 8 7550-22.
Page 6 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Norwood, NC 0021628
Renewal
Yadkin -Pee Dee
"BASIC APPLICATION iNFORMATiON '
PART B. ADDITIONAL APPLICATION INFORMATION FOR APPLICANTS WiTH A DESIGN FLOW,GREATER"THAN OR
EgUAL T,0.0.1 MCti,D.(100,000 gallons per day).
All applicants with a design flow rate',' 0.1 mgd must answer questions B.1 through B.6. All others go to Part C (Certification).
B.I. Inflow and Infiltration. Estimate the average number of gallons per day that flow into the treatment works from Inflow and/or infiltration.
100,000 gpd
Briefly explain any steps underway or planned to minimize inflow and infiltration.
The Town of Norwood has applied for funding to asset inventory the system to include a CIP for the WWTP and
and the collection system. This will allow the Town a method of prioritizing capital improvements.
8.2. Topographic Map. Attach to this application a topographic map of the area extending at least one mile beyond facility property boundaries. This
map must show the outline of the facility and the following information. (You may submit more than one map if one map does not show the entire
area.)
a. The area surrounding the treatment plant, including all unit processes.
b. The major pipes or other structures through which wastewater enters the treatment works and the pipes or other structures through which
treated wastewater is discharged from the treatment plant. Include outfalls from bypass piping, if applicable.
c. Each well where wastewater from the treatment plant Is injected underground.
d. Wells, springs, other surface water bodies, and drinking water wells that are: 1) within '/4 mile of the property boundaries of the treatment
works, and 2) listed in public record or otherwise known to the applicant.
e. Any areas where the sewage sludge produced by the treatment works is stored, treated, or disposed.
I. if the treatment works receives waste that is classified as hazardous under the Resource Conservation and Recovery Act (RCRA) by truck, rail,
or special pipe, show on the map where the hazardous waste enters the treatment works and where it is treated, stored, and/or disposed.
B.3. Process Flow Diagram or Schematic. Provide a diagram showing the processes of the treatment plant, including all bypass piping and all
backup power sources or redunancy in the system. Also provide a water balance showing all treatment units, Including disinfection (e.g.,
chlorination and dechlorination). The water balance must show daily average flow rates at influent and discharge points and approximate dally flow
rates between treatment units. Include a brief narrative description of the diagram.
B.4. Operation/Maintenance Performed by Contractor(s).
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a
contractor? ® Yes ❑ No
If yes, list the name, address, telephone number, and status of each contractor and describe the contractor's responsibilities (attach additional
pages if necessary).
Name: Envirolink, Inc.
Mailing Address- 4700 Homewood Court Suite 108
Raleigh, NC 27609
Telephone Number: [phone]
Responsibilities of Contractor ORC for the Facility
B.5. Scheduled Improvements and Schedules of Implementation. Provide information on any uncompleted implementation schedule or
uncompleted plans for improvements that will affect the wastewater treatment, effluent quality, or design capacity of the treatment works. If the
treatment works has several different implementation schedules or is planning several improvements, submit separate responses to question B.5
for each. (If none, go to question B.6.)
a. List the outfall number (assigned in question A.9) for each outfall that is covered by this implementation schedule.
b. Indicate whether the planned improvements or implementation schedule are required by local, State, or Federal agencies.
❑ Yes ❑ No
EPA Form 3510-2A (Rev.1-99). Replaces EPA forms 7550-6 8 7550-22.
Page 7 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Norwood, NC 0021628
Renewal
Yadkin -Pee Dee
C. If the answer to B.5.b is "Yes," briefly describe, including new maximum daily inflow rate (if applicable).
d. Provide dates imposed by any compliance schedule or any actual dates of completion for the implementation steps listed below, as
applicable. For improvements planned independently of local, State, or Federal agencies, Indicate planned or actual completion dates, as
applicable. Indicate dates as accurately as possible.
Schedule Actual Completion
Implementation Stage MM/DD/YYYY MM/DD/YYYY
Begin Construction I I ! l
End Construction ! I ! 1
Begin Discharge I I I !
Attain Operational Level I I ! !
G. Have appropriate permits/clearances concerning other Federal/State requirements been obtained? ❑ Yes ❑ No
Describe briefly:
B.6. EFFLUENT TESTING DATA (GREATER THAN 0.1 MGD ONLY).
Applicants that discharge to waters of the US must provide effluent testing data for the following parameters. Provide the indicated
effluent testing required by the permitting authority for each outfall through which effluent is discharged. Do not include Information
on combine sewer overflows in this section. All information reported must be based on data collected through analysis conducted
using 40 CFR Part 136 methods. In addition, this data must comply with QA/QC requirements of 40 CFR Part 136 and other appropriate
QAfQC requirements for standard methods for analytes not addressed by 40 CFR Part 136. At a minimum effluent testing data must be
based on at least three pollutant scans and must be no more than four and on -half years old.
Outfall Number:
MAXIMUM DAILY
AVERAGE DAILY DISCHARGE
POLLUTANT
DISCHARGE
ANALYTICAL
MUMDL
Conc.
Units
Conc.
Units
Number of
METHOD
Samples
CONVENTIONAL AND NON CONVENTIONAL COMPOUNDS
AMMONIA (as N)
3.54
Mg/L
0.54
Mg/L
26
350.1 R2-93
0.02
CHLORINE (TOTAL
47
Ug/L
16
Ug/L
77
SM 4500 CL G-
RESIDUAL, TRC)
2000
DISSOLVED OXYGEN
TOTAL KJELDAHL
NITROGEN (TKN)
NITRATE PLUS NITRITE
NITROGEN
OIL and GREASE
PHOSPHORUS (Total)
2.91
Mg/L
2.60
Mg/L
3
365.4-74
0.20
TOTAL DISSOLVED SOLIDS
(TDS)
OTHER
END OF PART B. ..�.
REFER, TO THE APPLICATION OVERVIEW (PACE 1) TO,DETERMINE WHICKOTHERPARTS n
OF FORM 2A YOU MUST COMPLETE w, m
EPA Form 3510-2A (Rev.1-99). Replaces EPA fors 7550-6 & 7550-22 Page 8 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561138A
FACILITY NAME AND PERMIT NUMBER:
PERMIT ACTION REQUESTED:
RIVER BASIN:
Town of Norwood, NC 0021628
Renewal
Yadkin -Pee Dee
;BASIC APPLICATION INFORMATION '
`PART C. a' CERTIFICATION "
All applicants must complete the Certification Section. Refer to Instructions to determine who is an officer for the purposes of this
certification. All applicants must complete all applicable sections of Form 2A, as explained In the Application Overview. Indicate below which
parts of Form 2A you have completed and are submitting. By signing this certification statement, applicants confirm that they have reviewed
Forth 2A and have completed all sections that apply to the facility for which this application is submitted.
Indicate which parts of Form 2A you have completed and are submitting:
® Basic Application Information packet Supplemental Application Information packet'
❑ Part D (Expanded Effluent Testing Data)
❑ Part E (Toxicity Testing: Biomonitoring Data)
❑ Part F (Industrial User Discharges and RCRAICERCLA Wastes)
❑ Part G (Combined Sewer Systems)
ALL APPLICANTS'MUST'COMPLETE THE'FOLLOWING CERTIFICATION.
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system
designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my Inquiry of the person or persons who
manage the system or those persons directly responsible for gathering the information, the information is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment
for knowing violations.
Name and official title John Mullis Town Administrat r
Signature
44-4307 -70 4 - 4 -74 -
Telephone number
Date signed
Upon request of the permitting authority, you must submit any other information necessary to assure wastewater treatment practices at the treatment
works or identify appropriate permitting requirements.
SEND COMPLETED FORMS TO:
NCDENRI DWQ
Attn: NPDES Unit
1617 Mail Service Center
Raleigh, NoFthGarelima-27-688 1617
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 & 7550-22. Page 9 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
L'
FACILITY NAME AND PERMIT NUMBER: PERMIT ACTION REQUESTED: RIVER BASIN:
Town of Norwood, NC 0021628 Renewal Yadkin -Pee Dee
If yes, describe the mean(s) by which the wastewater from the treatment works is discharged or transported to the other treatment works
(e.g., tank truck, pipe).
If transport is by a party other than the applicant, provide:
Transporter Name
Mailing Address
Contact Person
Title
Telephone Number ( )
For each treatment works that receives this discharge, provide the following:
Name
Mailing Address
Contact Person
Title
Telephone Number ( )
If known, provide the NPDES permit number of the treatment works that receives this discharge
Provide the average daily flow rate from the treatment works into the receiving facility. mgd
e. Does the treatment works discharge or dispose of its wastewater in a manner not included
In A 8. through A.8.ti above (e.g., underground percolation, well Injection): ❑ Yes ® No
If yes, provide the following for each disposal method:
Description of method (including location and size of site(s) if applicable):
Annual daily volume disposed by this method:
Is disposal through this method ❑ continuous or
EPA Form 3510-2A (Rev. 1-99). Replaces EPA forms 7550-6 R 7550-22.
❑ intermittent?
Page 4 of 22

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
MONITORING REPORT(MR) VIOLATIONS for:
Permit: nc0021628 MRS Between 3 - 2014 and 3 - 2019 Region: %
Facility Name: % Param Name % County: %
Major Minor: %
Report Date: 03/20/19 Page: 1 of 3
Violation Category:% Program Category:
Subbasin: % Violation Action: %
PERMIT: NCO021628 FACILITY: Town of Norwood - Norwood WWTP COUNTY: Stanly REGION: Mooresville
Limit Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED %
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
11 -2016
001
Effluent
11 -2016
001
Effluent
11 -2016
001
Effluent
11 -2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
12 - 2016
001
Effluent
11 -2014
001
Effluent
01 -2015
001
Effluent
12 - 2015
001
Effluent
Chlorine, Total Residual
11/09/16
Weekly
ug/I
28
31
10.7
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
11/11/16
Weekly
ug/I
28
36
28.6
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
11/15/16
Weekly
ug/I
28
34
21.4
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
11/21/16
Weekly
ug/I
28
30
7.1
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/01/16
Weekly
ug/I
28
33
17.9
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/05/16
Weekly
ug/I
28
47
67.9
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/08/16
Weekly
ug/I
28
34
21.4
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/09/16
Weekly
ug/I
28
31
10.7
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/13/16
Weekly
ug/I
28
38
35.7
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/21/16
Weekly
ug/I
28
45
60.7
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/27/16
Weekly
ug/I
28
29
3.6
Daily Maximum
No Action, BPJ
Exceeded
Chlorine, Total Residual
12/28/16
Weekly
ug/I
28
46
64.3
Daily Maximum
No Action, BPJ
Exceeded
Coliform, Fecal MF, MFC
11/29/14
3 X week
#/100ml
400
625.26
56.3
Weekly Geometric Mean
Proceed to
Broth, 44.5 C
Exceeded
Enforcement Case
Coliform, Fecal MF, MFC
01/03/15
3 X week
#/100ml
400
600
50.0
Weekly Geometric Mean
Proceed to
Broth, 44.5 C
Exceeded
Enforcement Case
Coliform, Fecal MF, MFC
12/26/15
3 X week
#/100ml
400
623
55.7
Weekly Geometric Mean
Proceed to
Broth, 44.5 C
Exceeded
Enforcement Case

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561138A
MONITORING REPORT(MR) VIOLATIONS for:
Permit: nc0021628 MRS Between 3 - 2014 and 3 - 2019 Region: %
Facility Name: % Param Name % County: %
Major Minor: %
Report Date: 03/20/19 Page: 2 of 3
7MW
Violation Category:% Program Category: %
Subbasin:% Violation Action: %
PERMIT: NCO021628 FACILITY: Town of Norwood -Norwood WWTP COUNTY: Stanly REGION: Mooresville
Limit Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED %
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
06 -2016
001
Effluent
Coliform, Fecal MF, MFC
06/25/16
3 X week
#/100ml
400
496.51
24.1
Weekly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
05 -2017
001
Effluent
Coliform, Fecal MF, MFC
05/27/17
3 X week
#/100ml
400
755.95
89.0
Weekly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
03 - 2018
001
Effluent
Coliform, Fecal MF, MFC
03/24/18
3 X week
#/100ml
400
5,598.13
1,299.5
Weekly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
09 - 2018
001
Effluent
Coliform, Fecal MF, MFC
09/22/18
3 X week
#/100ml
400
674.75
68.7
Weekly Geometric Mean
No Action, BPJ
Broth, 44.5 C
Exceeded
11 - 2018
001
Effluent
Coliform, Fecal MF, MFC
11/17/18
3 X week
#/100ml
400
700.14
75.0
Weekly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
11 - 2018
001
Effluent
Coliform, Fecal MF, MFC
11/24/18
3 X week
#/100ml
400
412.91
3.2
Weekly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
11 - 2018
001
Effluent
Coliform, Fecal MF, MFC
11/30/18
3 X week
#/100ml
200
226.32
13.2
Monthly Geometric Mean
Proceed to NOV
Broth, 44.5 C
Exceeded
11 - 2015
001
Effluent
Flow, in conduit or thru
11/30/15
Continuous
mgd
0.75
0.792
5.6
Monthly Average
No Action, BPJ
treatment plant
Exceeded
12 - 2018
001
Effluent
Flow, in conduit or thru
12/31/18
Continuous
mgd
0.75
0.864
15.2
Monthly Average
Proceed to NOD
treatment plant
Exceeded
01 - 2015
001
Effluent
Solids, Total Suspended -
01/03/15
3 X week
mg/I
45
48.15
7
Weekly Average
Proceed to
Concentration
Exceeded
Enforcement Case
12 - 2015
001
Effluent
Solids, Total Suspended -
12/26/15
3 X week
mg/I
45
210
366.7
Weekly Average
Proceed to
Concentration
Exceeded
Enforcement Case
12 -2015
001
Effluent
Solids, Total Suspended -
12/31/15
3 X week
mg/I
30
51.92
73.1
Monthly Average
Proceed to
Concentration
Exceeded
Enforcement Case
09 -2016
001
Effluent
Solids, Total Suspended -
09/30/16
3 X week
mg/I
30
40.17
33.9
Monthly Average
Proceed to NOV
Concentration
Exceeded
10 -2016
001
Effluent
Solids, Total Suspended -
10/01/16
3 X week
mg/I
45
114.33
154.1
Weekly Average
Proceed to NOV
Concentration
Exceeded
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
%
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
MONITORING REPORT(MR) VIOLATIONS for: Report Date: 03/20/19 Page: 3 of 3
Permit: nc0021628 MRS Between 3 - 2014 and 3 - 2019 Region: % Violation Category:% Program Category:
Facility Name: % Param Name oho County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NCO021628 FACILITY: Town of Norwood - Norwood WWTP COUNTY: Stanly REGION: Mooresville
Monitoring Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
%
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
01 -2015 001
Effluent
BOD, 5-Day (20 Deg. C) -
01/03/15
3 X week
mg/I
Frequency Violation
Proceed to
Concentration
Enforcement Case
01 - 2015 001
Effluent
Solids, Total Suspended -
01/03/15
3 X week
mg/I
Frequency Violation
Proceed to
Concentration
Enforcement Case
Reporting Violation
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
%
REPORT PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
05-2016
07/01/16
Late/Missing DMR
Proceed to NOV

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
Permit: NC0021628 Facility:
Region: Mooresville County:
Penalty
Assessment Penalty Enforcement
Case Approved Amount Costs
Permit Enforcement History by Permit
Norwood WWTP
Stanly
Remission Enforcement EMC
Request Conference Hearing
Damages Received Held Held
Owner:
Collection
Memo Sent
To AGO
Town of Norwood
Total Paid
Balance Due
Has
Payment
Plan
Case
Closed
LV-1998-0257
12/11/98
$500.00
$84.93
$584.93
$0.00
No
01/07/99
LV-2004-0334
08/05/04
$250.00
$85.04
$335.04
$0.00
No
08/24/04
LV-2008-0372
10/09/08
$250.00
$90.40
10/30/08
02/25/09
$0.00
No
03/02/09
LV-2010-0005
01/07/10
$250.00
$85.37
$335.37
$0.00
No
02/01/10
LV-2010-0061
02/22/10
$250.00
$85.37
$335.37
$0.00
No
03/09/10
LV-2010-0255
08/09/10
$250.00
$85.37
09/09/10
07/19/11
$210.37
$0.00
No
08/25/11
LV-2010-0333
09/29/10
$250.00
$86.74
$336.74
$0.00
No
10/18/10
LV-2010-0342
10/07/10
$250.00
$86.74
03/04/11
$336.74
$0.00
No
03/21/11
LV-2011-0019
01/14/11
$625.00
$86.74
02/11/11
07/25/11
$711.74
$0.00
No
08/31/11
LV-2011-0034
02/07/11
$312.50
$86.74
09/14/11
$399.24
$0.00
No
09/20/11
LM-2011-0020
06/01/11
$403.00
$86.74
06/29/11
09/23/11
$399.24
$0.00
No
12/11/11
LV-2012-0174
10/23/12
$1,000.00
$141.10
$1,141.10
$0.00
No
11/25/12
LV-2015-0189
09/11/15
$250.00
$146.97
$396.97
$0.00
No
10/13/15
LM-2015-0021
09/15/15
$390.00
$143.85
10/01/15
$393.85
$0.00
No
11/24/15
LV-2016-0155
08/02/16
$450.00
$100.53
$550.53
$0.00
No
08/30/16
Total Cases:
Total Penalties:
15 $5,680.50
$1,482.63
$7,163.13
Total Penalties after
$6,467.23
$0.00
$6,467.23

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
The Stanly News & Press
237 W. North Street
Albemarle, NC 28001
CLASSIFICATION
AtL_6
START
AFFIDAVIT OF INSERTION
�62434
NORTH CAROLINA,
STANLY COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said
County and State, duly commissioned, qualified and
authorized by law to administer oaths, personally ap-
peared; Tracey Almond, who being first duly sworn,
deposes and says; that she is Advertising Manager of
a newspaper known as THE STANLY NEWS &
PRESS, published, issues and entered as second
class mail in the Town of Albemarle, in said County and
State; that she is authorized to make this affidavit and
sworn statement; that the notice or other legal adver-
tisement, a true copy of which is attached hereto, was
published in THE STANLY NEWS & PRESS on the
dates specified on the copy attached and that the said
newspaper in which such notice, paper, document or
legal advertisement was published was, at the time of
each and every such publication, a newspaper meet-
ing all of the requirements and qualifications of Sec-
tion 1 -597 or the General Statures of North Carolina
and was a qualified newspaper within the meaning of
Section 1-597 of -tie General Statures of North Car-
oiina.
Tracey Aln1ohT
Advertising Manager
DATE: t / t / / i9
EDITIONS
fv�_� � P/ua-a,
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
i Management Commission pro-
poses to issue a NPDES waste-
water discharge permit to the
person($) listed Below. Written
comments regarding the proposed
permit will be accepted until 30
days after the publish date of this
notice. The Director of the NC Di-
vision of Water Resources (DWR)
may hold a public hearing should
there be a significant degree of
public interest. Please mail com-
ments and/or information requests
to DWR at the above address
Interested persons may visit the
DWR at 512.N. Salisbury Street,
Raleigh, NC to review information
on file. Additional information on
fNPDES permits and this notice
may be found on our website:
h deq.nc-goo/abni#f�ivisi
l loofa r resourc_
es-nermits[iwrater-nch/
np es-Wa_ctew__a�taring4licznotic-
O, or by calling (919) 7073601.
NCG021628. Town of .Norwood
has requested renewal of per-
mit for its WWTP; Stanly County.
This permitted tacil4 discharges
treated domestic wastewater to
the Rocky River, Yadkin -Pee Dee
River Basin. Currently fecal coli-
form, whole -effluent toxicity and
total residual chlorine .are wa-
ter quality limited. Paul J Smith
requested .renewal of NPDES
permit NC0041718/ClearView
at Misenheimer WWTPiSlanly
County. Facility discharges to Curl
Tait _CreekNadkin-Pee Dee River
Basin. Currently, BQD, ammonia
nitrogen, fecal col€farm, dissolved
oxygen, and total residual chlorine
are water quality limited.
I Oacember 23. 2018
Sworn to and subscribed to betore me this
tt day of ��i�,� , 20_1_�.
Sherry Nance, Notary Public
My Commission expires July 14, 2021

DocuSign Envelope ID: 58E32F11-388F-4B02-A315-531784561B8A
DelDuco, Emily
From:
Scheller, Roberto
Sent:
Thursday, December 20, 2018 5:41 PM
To:
DelDuco, Emily
Cc:
Basinger, Corey
Subject:
RE: Town of Norwood DRAFT NC0021628
Miss Emily:
Found error in 2.A. Chronic Tox, second paragraph, third sentence. Should be changed, March, June, September, and
December not first months of the quarter.
Other than that looks good.
From: DelDuco, Emily
Sent: Tuesday, December 11, 2018 3:32 PM
To: Scheller, Roberto <[e-mail]>
Cc: Basinger, Corey <[e-mail]>
Subject: Town of Norwood DRAFT NCO021628
Good Afternoon,
Attached is the draft permit and fact sheet for Town of Norwood WWTP / NCO021628 in Stanly county. Tomorrow is
likely the last public notice date for the year, so please get comments to me by early January. I have sent the draft to
Derek so that he can incorporate any changes into his SOC.
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
emilv,delducoPncdenr.gov
!'"Nothing Compares
Email correspondenc-_> to arld frorn this address is subject to the
North Carolina Public Recorris Late- and may he 6,zcfosed to lhiid parties.