NC0085294_Renewal (Application)_20230127

,iH„STATE
/it
ROY COOPER _ -
Governor
ELIZABETH S.BISER _ "^I 06
Secretary Qm� `''.
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
January 27, 2023
Pavillon International
Attn: Tara Hamlin
241 Pavillon PL
PO Box 189
Mill Springs, NC 28756
Subject: Permit Renewal
Application No. NC0085294
Britten Creek WWTP
Polk County
Dear Applicant:
The Water Quality Permitting Section acknowledges the January 27, 2023, 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.
Sincere! ,
, 44,,se„..414/
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality Division of Water Resources
Asheville Regional Office 12090 US.Highway 70 I Swannanoa.North Carolina 28778
�. . 828 296 4500

V
Pavillon
January 24, 2023
NCDEQ-Division of Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Re: Britten Creek WWTP/ NC0085294
To Whom It May Concern:
On behalf of Britten Creek Wastewater Treatment Facility, this letter is to request renewal of the
permit NC0085294 for Pavillon International. There have been no changes affecting this facility.
Thank you,
,/
Tara Hamlin
Director of Non-Clinical Support Services
RECEIVED
JAN 2 7 2023
NCDEQ/DWR/NPDES
241 Pavillon Place • PO Box 189 • Mill Spring, NC 28756
828.694.2300 • Fax [phone]
www.pavillon.orq

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
Ncoob5acl a OMB No.2040-0004
Britten Creek WWTP
Form U.S.Environmental Protection Agency
1 \= EPA Application for NPDES Permit to Discharge Wastewater
NPDES GENERAL INFORMATION
SECTION 1.ACTIVITIES REQUIRING AN NPDES PERMIT(40 CFR 122.21(f)and(f)(1))
1.1 Applicants Not Required to Submit Form 1
Is the facility a new or existing publicly owned Is the facility a new or existing treatment works
1.1.1 12
treatment works? 1. . treating domestic sewage?
If yes, STOP. Do NOT complete ❑✓ No If yes, STOP. Do NOT ✓❑ No
Form 1.Complete Form 2A. complete Form 1. Complete
Form 2S.
1.2 Applicants Required to Submit Form 1
. 1.2.1 Is the facility a concentrated animal feeding 1.2.2 Is the facility an existing manufacturing,
operation or a concentrated aquatic animal commercial, mining,or silvicultural facility that is
a production facility? currently discharging process wastewater?
o ❑ Yes 4 Complete Form 1 No Yes 4 Complete Form 0✓ No
a and Form 2B. 1 and Form 2C.
0 1.2.3 Is the facility a new manufacturing,commercial, 1.2.4 Is the facility a new or existing manufacturing,
c3 mining,or silvicultural facility that has not yet commercial, mining,or silvicultural facility that
:= commenced to discharge? discharges only non process wastewater?
Cr ❑ Yes 4 Complete Form 1 ❑✓ No ❑ Yes 4 Complete Form ❑✓ No
and Form 2D. 1 and Form 2E.
1.2.5 Is the facility a new or existing facility whose
' discharge is composed entirely of stormwater
a associated with industrial activity or whose
discharge is composed of both stormwater and
non-stormwater?
❑ Yes 4 Complete Form 1 0✓ No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x)or
b 15 .
SECTION 2. NAME,MAILING ADDRESS,AND LOCATION(40 CFR 122.21(f)(2))
2.1 Facility Name
Britten Creek WWTP
0 2.2 EPA Identification Number
0
O
J
2.3 Facility Contact
Name(first and last) Title Phone number
Tara Hamlin Director of Non-Clinical Support Services [phone]
Q
Email address
:c [e-mail]
2
2.4 Facility Mailing Address
Street or P.O.box
P.O.Box 189
City or town State ZIP code
Mill Spring NC 28756
EPA Form 3510-1(revised 3-19) Page 1
1

t I
EPA Identification Number NPDES Permit Number Facility Form Name Approved 03/05/19
PP
Britten Creek WWTP OMB No.2040-0004
d 2.5 Facility Location
wStreet, route number,or other specific identifier
Q o Lake Adger Road NCSR 1238
rn
a_ 0 County name County code(if known)
`d Polk
0
City or town State ZIP code
z R Mill Spring NC 28756
SECTION 3.SIC AND NAICS CODES(40 CFR 122.21(f)(3))
3.1 SIC Code(s) Description(optional)
cn
0
U
U
V
3.2 NAICS Code(s) Description(optional)
-0
c.)
SECTION 4.OPERATOR INFORMATION(40 CFR 122.21(f)(4))
4.1 Name of Operator
RPB Systems,Inc.
0 4.2 Is the name you listed in Item 4.1 also the owner?
0 ElYes ❑✓ No
4.3 Operator Status
❑ Public—federal ❑✓ Public—state ❑ Other public(specify)
o ❑ Private ❑ Other(specify)
4.4 Phone Number of Operator
[phone]
4.5 Operator Address
o
Street or P.O. Box
E 0 P.O.Box 1325
0
City or town State ZIP code
o 0 Asheville NC 28802
al
Email address of operator
O [e-mail]
SECTION 5.INDIAN LAND(40 CFR 122.21(f)(5))
0 5.1 Is the facility located on Indian Land?
113
J ❑Yes ❑✓ No
EPA Form 3510-1(revised 3-19) Page 2

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
Britten Creek WWTP OMB No.2040-0004
SECTION 6.EXISTING ENVIRONMENTAL PERMITS(40 CFR 122.21(f)(6))
6.1 Existing Environmental Permits(check all that apply and print or type the corresponding permit number for each)
m NPDES(discharges to surface ❑ RCRA(hazardous wastes) ❑ UIC(underground injection of
o N water) fluids)
2 = NC0085294
> E
w ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
47,
.X ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section 404) ❑ Other(specify)
ECTION 7.MAP(40 CFR 122.21(f)(7))
7.1 Have you attached a topographic map containing all required information to this application?(See instructions for
0 specific requirements.)
❑✓ Yes ❑ No ❑ CAFO—Not Applicable(See requirements in Form 2B.)
SECTION 8.NATURE OF BUSINESS(40 CFR 122.21(f)(8))
8.1 Describe the nature of your business.
Support Services
w
N
c
N
m
O
d
Z
.ECTION 9.COOLING WATER INTAKE STRUCTURES(40 CFR 122.21(f)(9))
9.1 Does your facility use cooling water?
❑ Yes ❑✓ No -) SKIP to Item 10.1.
cc . 9.2 Identify the source of cooling water.(Note that facilities that use a cooling water intake structure as described at
' 40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r).Consult with your
o Y NPDES permitting authority to determine what specific information needs to be submitted and when.)
0
U
SECTION 10.VARIANCE REQUESTS(40 CFR 122.21(f)(10))
10.1 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)?(Check all that
apply. Consult with your NPDES permitting authority to determine what information needs to be submitted and
when.)
a ❑ Fundamentally different factors(CWA ❑ Water quality related effluent limitations(CWA Section
e Section 301(n)) 302(b)(2))
cp
❑ Non-conventional pollutants(CWA ❑ Thermal discharges(CWA Section 316(a))
Section 301(c)and(g))
❑ Not applicable
EPA Form 3510-1(revised 3-19) Page 3

EPA Identification Number NPDES Permit Number Facility Name Form Approved 03/05/19
Britten Creek WWTP OMB No.2040-0004
SECTION 11.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
11.1 In Column 1 below, mark the sections of Form 1 that you have completed and are submitting with your application.
For each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note
that not all applicants are required to provide attachments.
Column 1 Column 2
❑✓ Section 1:Activities Requiring an NPDES Permit ❑ w/attachments
❑✓ Section 2: Name, Mailing Address,and Location ❑ w/attachments
❑ Section 3: SIC Codes ❑ wl attachments
❑✓ Section 4: Operator Information ❑ wl attachments
❑✓ Section 5: Indian Land ❑ wl attachments
❑✓ Section 6: Existing Environmental Permits ❑ wl attachments
Section 7: Mapwl topographic
❑ ❑ map ❑ w/additional attachments
o ElSection 8: Nature of Business ❑ w/attachments
13
w ❑✓ Section 9: Cooling Water Intake Structures ❑ w/attachments
❑✓ Section 10:Variance Requests ❑ wl attachments
❑✓ Section 11: Checklist and Certification Statement ❑ w/attachments
11.2 Certification Statement
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 submitted 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(print or type first and last name) Official title
Noll1n .kreeio( o-c Nan-Giivtical c c k
Searv;ces
Signature Date signed
c_detta
124I ZoZ3
RECEIVED
JAN 2 7 2023
NCDEQ/DWR/NPDES
EPA Form 3510-1(revised 3-19) Page 4

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Cedar Beach Investment Group, LLC Facility
Cedar Hill WWTP f Location •
County: Jackson Stream Class: C-Trout (not to scale)
Receiving Stream: Horsepasture River Sub-Basin: 03-13-02 �%
Latitude: 35'08'03" Grid/Quad: Big Ridge
Longitude: 83-04'14" HUC u: 03060101 NORTH NPDES Permit: NC0068918

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
W
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
the instructions ma result in denial of the application.
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
Britten Creek WWTP
Mailing address(street or P.O. box)
P.O.Box 189
City or town State ZIP code
0 Mill Spring NC 28756
Contact name(first and last) Title Phone number Email address
Tara Hamlin Director c.JI fl1 10.4z t`J
SzYvi<Gs
" ' [phone] [e-mail]
Location address(street, route number,or other specific identifier) ❑ Same as mailing address
ii Lake Adger Road NCSR 1238
City or town State ZIP code
Mill Spring NC 28756
1.2 Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑✓ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Pavillon International
Applicant address(street or P.O. box)
0
P.O.Box 189
City or town State ZIP code
c Mill Spring NC 28756
Contact name(first and last) Title Phone number Email address
a Tara Hamlin Director I�CIlCt:n:tut`t'�c'`' [phone] [e-mail]
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑✓ Owner ❑ Operator ❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
El Facility ❑✓ Applicant ❑ Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
a
To ✓❑ NPDES(discharges to surface 0 RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
E NC0085294
o ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
o' 0 Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
w 404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type Ownership Status
Served Served (indicate percentage)
100 %separate sanitary sewer 17 Own 0 Maintain
O %combined storm and sanitary sewer 0 Own 0 Maintain
c) 0 Unknown 0 Own 0 Maintain
0 %separate sanitary sewer 0 Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
Q 0 Unknown 0 Own 0 Maintain
a %separate sanitary sewer 0 Own 0 Maintain
c %combined storm and sanitary sewer 0 Own 0 Maintain
E 0 Unknown 0 Own 0 Maintain
a' %separate sanitary sewer ❑ Own 0 Maintain
%combined storm and sanitary sewer 0 Own 0 Maintain
o CIUnknown 0 Own 0 Maintain
Total
d Population
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line(in miles)
L' 1.8 Is the treatment works located in Indian Country?
o ❑ Yes 0No
0
U
c 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
Iiii
c ❑ Yes ❑✓ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.00586 mgd
(I) Annual Average Flow Rates(Actual)
CO
Two Years Ago Last Year This Year
_
= 0 0.001935 mgd 0.001567 mgd 0.001920 mgd
Maximum Daily Flow Rates(Actual)
o
Two Years Ago Last Year This Year
0.0041 mgd 0.004 mgd 0.003 mgd
u) 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
aTotal Number of Effluent Discharge Points by Type
Combined Sewer 0.
Constructed
C F- Treated Effluent Untreated Effluent Overflows Bypasses Emergency
0 Overflows
w
in 1
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12 Does the POTW discharge wastewater to basins,ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes ❑✓ No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd 0 Intermittent
O Continuous
gpd ❑ Intermittent
w 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
c 1.15 Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Continuous or
° Location Size Average Daily Volume Intermittent
Applied (check one)
acres gpd ❑ Continuous
o ❑ Intermittent
acres gpd 0 Continuous
o ❑ Intermittent
a acres d 0 Continuous
gp ❑ Intermittent
3 1.16 Is effluent transported to another facility for treatment prior to discharge?
o ❑ Yes m No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck, pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O.box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
1.20 In the table below, indicate the name,address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
0 Facility name Mailing address(street or P.O. box)
City or town State ZIP code
0
U
Contact name(first and last) Title
0
CD Phone number Email address
0 NPDES number of receiving facility(if any) 0 None Average daily flow rate mgd
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
8 not have outlets to waters of the State of North Carolina(e.g., underground percolation,underground injection)?
❑ Yes ❑✓ No -4 SKIP to Item 1.23.
u
1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
5 Disposal Annual Average
Location of Size of Continuous or Intermittent
0 Method Disposal Site Disposal Site Daily Discharge
co Description p p Volume (check one)
❑ Continuous
oacres gpd ❑ Intermittent
acres gpd 0 Continuous
0 Intermittent
acres gpd ❑ Continuous
0 Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
r Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
y ❑ Discharges into marine waters(CWA ❑ Water quality related effluent limitation (CWA Section
cr
Section 301(h)) 302(b)(2))
✓❑ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility of a contractor?
✓❑ Yes ❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
0
Contractor name
(company name) RPB Systems,Inc.
oMailing address
(street or P.O.box) P.O.Box 1325
City,state,and ZIP
cc) code Asheville,NC 28802
Contact name(first and
0 last) Robert P.Barr
Phone number [phone]
Email address [e-mail]
Operational and
maintenance Operations and general
responsibilities of maintenance
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
SECTI•N 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
Outfalls to Waters of the State of North Carolina
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ❑ Yes ❑✓ No 4 SKIP to Section 3.
0 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration. gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
a
0
0
C
c
Q2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
:° a specific requirements.)
o
a
o ❑ Yes ❑ No
I-
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
o (See instructions for specific requirements.)
Er_ cti
❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
C
1.
d
E
2.
E
"5
3.
V
a)
n 4.
cti 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
E Scheduled Affected Begin End Begin Attainment of
Outfalls Operational
2 Improvement Construction Construction Discharge p
(list outfall Level
(from above) (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
number) (MM/DD/YYYY)
00
1.
0)
a)
Z
N
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5
ill

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number ooi Outfall Number Outfall Number
State NC
County Polk
0 City or town Mill Spring
0 Distance from shore ft. ft. ft.
.Q
Depth below surface ft. ft. ft.
0
Average daily flow rate 0.001807 mgd mgd mgd
Latitude 35° 22' 15" "
Longitude 82° 13' 00"
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes ✓❑ No SKIP to Item 3.4.
3.3 If so, provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
0
Number of times per year
o discharge occurs
a Average duration of each
discharge(specify units)
Average flow of each
discharge mgd mgd mgd
(n Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑✓ No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
n '
Outfall Number Outfall Number Outfall Number
d
0
3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
y ❑✓ Yes ❑ No +SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number oo1 Outfall Number Outfall Number
Receiving water name Britten Creek
Name of watershed,river,
0 or stream system Broad River Basin
U.S. Soil Conservation
Service 14-digit watershed
code
L
15 Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
re cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number 001 Outfall Number Outfall Number
Highest Level of ❑ Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to 0 Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
0 Secondary 0 Secondary 0 Secondary
❑ Advanced 0 Advanced 0 Advanced
0 Other(specify) 0 Other(specify) 0 Other(specify)
c
0
c Design Removal Rates by
Outfall
BODs or CBODs
d
E
TSS
I
❑ Not applicable 0 Not applicable 0 Not applicable
Phosphorus
070
0 Not applicable 0 Not applicable 0 Not applicable
Nitrogen
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
Page 7

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season,describe below.
-a
C
0
U
Outfall Number 001 Outfall Number Outfall Number
a Disinfection type
Tablet Chlorine
G)
Seasons used
E
Dechlorination used? ❑ Not applicable 0 Not applicable
pp ❑ Not applicable
❑✓ Yes 0 Yes 0 Yes
0 No 0 No 0 No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑✓ Yes 0 No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
O Yes ❑✓ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number Outfall Number
co Acute Chronic Acute Chronic Acute Chronic
ro
Number of tests of discharge
water
Number of tests of receiving
water
3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process,or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑✓ Yes 4 Complete Table B, including chlorine. 0 No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑✓ Yes 0 No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
❑✓ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
El Yes ❑ No.4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
0
w3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
a ❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
c
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
Not applicable because previously submitted
❑ Yes information to the NPDES .ermittin. authorit .
RECEIVED
JAN 2 7 2023
NCDEQ/DWR/NPDES
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
NC0085294 Britten Creek WWTP Modified March 2021
SECTION 6.CHECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to provide attachments.
Column 1 Column 2
Section 1: Basic Application wl variance request(s)
❑ Information for All Applicants 0 quest� ) ❑ w/additional attachments
❑ Section 2:Additional ❑✓ w/topographic map ❑ w/process flow diagram
Information ❑ w/additional attachments
© w/Table A ❑ w/Table D
Section 3: Information on
❑ Effluent Discharges © w/Table B ❑ w/additional attachments
❑ w/Table C
cn Section 4: Not Applicable
0
47,
co
Section 5: Not Applicable
-a ID Section 6:Checklist and
Certification Statement ❑ w/attachments
6.2 Certification Statement
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 submitted 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(print or type first and last name) Official title "Di reC' rx-of
TaiGL \1/4,n A10r1-Ct1rt c $u0(tSetrv\ce5
Signatur , Date signed
Iz40
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0085294 Britten Creek WWTP 001 Modified March 2021 •
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods (include
Value Units Value Units Samples units)
Biochemical oxygen demand
©BODs or❑CBODs 33.4 mg/I 8.32 mg/I 154 SM 5210B ❑ML
❑MDL
(report one)
Fecal coliform 627.0 CFU/100mL 1.45 CFU/100mL 150 SM 9222D ❑ML
❑MDL
Design flow rate 0.004100 mgd 0.001807 mgd 157
1 pH(minimum) 6.6 su
pH(maximum) 7.7 su
Temperature(winter) 23.0 Deg C 16.14 Deg C 66
Temperature(summer) 28.0 Deg C 23.45 Deg C 91
Total suspended solids(TSS) 31.30 mg/L 5.47 mg/L 157 SM 2540D ❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A _
NC0085294 Britten Creek WWTP 001 Modified March 2021
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of
Value Units Value Units Methods (include units)
Samples
Ammonia(as N) 18.10 mgL 1.24 mg/L 40 EPA 350.1 ❑ML
❑MDL
Chlorine 0 ML
(total residual,TRC)2 24.0 ug/L 9.84 ug?I 233 ❑MDL
Dissolved oxygen ID ML
0 MDL
Nitrate/nitrite El ML
0 MDL
Kjeldahl nitrogen ❑ML
❑MDL
Oil and grease ❑ML
❑MDL
Phosphorus ❑ML
0 MDL
Total dissolved solids ❑ML
❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 12
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Cedar Beach Investment Group, LLC Facility
Cedar Hill WWTP Location X
County: Jackson Stream Class: C-Trout (not to scale)
Receiving Stream: Horsepasture River Sub-Basin: 03-13-02
Latitude: 35'08'03" Grid/Quad: Big Ridge NPDES Permit: NC0068918
Longitude: 83`04'14" HUC a: 03060101 NORTH