NC0040908_Permit (Issuance)_20131223

NPDES DOCYNENT SCANNING COVER SHEET
NPDES Permit: NC0040908
Tabernacle Elementary School
Document Type: , Permit Issuance
iWasteload Allocation
Authorization to Construct (AtC)
■ Permit Modification
Speculative Limits
Complete File - Historical
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: December 23, 2013
1
This document is priazted on reuse paper-igiaore a.ny
coateat on the reverse aide

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
December 23, 2013
Mr. Larry T. Chilton
Randolph County Board of Education
2234 B Enterprise Street
Asheboro,North Carolina 27205
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO040908
Tabernacle Elementary School WWTP - Class I
Randolph County
Dear Mr. Chilton:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency dated October 15, 2007 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-
6714). Unless such demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Resources or
permits required by the Division of Land Resources, Coastal Area Management Act, or any other
Federal or Local governmental permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact
Maureen Kinney of my staff at(919) 807-6388.
Sincerely,
/IBC �U
Thomas A. Reeder
cc: Central Files
NPDES Unit Files
Winston-Salem Regional Office, Surface Water Protection Section
1617 Mail Service Center,Ralegh,North Carolina 27699-1617
Location:512 N,Salisbury St.Raleigh,North Carolina 27604
Phone:91 M07-6300\Fax:[phone]
Internet::www.ncwaterguality.org
An Equal Oppocunity'Af rmalive Action Employer

Permit NCO040908
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Randolph County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Tabernacle Elementary School WWTP
4901 Tabernacle School Road
Asheboro
Randolph County
to receiving waters designated as Caraway Creek in subbasin 03-07-09 of the Yadkin-Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV hereof.
This permit shall become effective February 1, 2014.
This permit and authorization to discharge shall expire at midnight on January 31, 2019.
Signed this day December 23, 2013.
T o as A. Reeder, Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NCO040908
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the
permit conditions, requirements, terms, and provisions included herein.
The Randolph County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the following
components:
• 12,000-gallon septic tank
• 10,000-gallon grease trap (kitchen)
• 10,000-gallon distribution tank
• Recirculating sand filter
• Ultraviolet disinfection
This facility is located at the Tabernacle Elementary School WWTP (4901 Tabernacle School
Road) near Asheboro in Randolph County.
2. Discharge from said treatment works at the location specified on the attached map into Caraway
Creek, currently classified C waters in subbasin 03-07-09 of the Yadkin-Pee Dee River Basin.
Page 2 of 6

Permit NCO040908
PART
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored' by the Permittee as specified below:
EFFLUENT' L11%&TS " MONITORING'REQUIREMENTS
CHARACTERISTICS t ,
+Monthly ' batty Measurement Sample Sample Parameter Code �,Avera c . s Maximum Fre d"enc • ,: _ Tye , . "�,..Loc'ation .
Flow 0.01 MGD Weekly Instantaneous Influent or
50050 Effluent
HOD, 5-day(20°C) 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent
C0310
Total Suspended Solids 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent
C0530
NH3 as N Monthly Grab Effluent
C0610
Dissolved Oxygen Daily Average>6.0 mg/L Weekly Grab Effluent
00300 —
Fecal Coliform(geometric mean) 200/100 ml 400/100 ml 2/Month Grab Effluent
31616
Temperature(°C) Weekly Grab Effluent
00010
pH > 6.0 and<9.0 2/Momh Grab Effluent
00400 1 Standard Units
Footnote:
1. No later than 90 days from the effective date of this permit, begin submitting discharge
monitoring reports electronically using NC DWR's eDMR application system. See
Special Condition A.(2.).
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.
Page 3 of 6

Permit NC0040908
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. .Reportin2 [Supersedes Section D. (2.) and Section E. (5.) (a)1
Beginning no later than 90 days from the effective date of this permit, the permittee shall begin
reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross-Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR/ DWR/Information Processing Unit
ATTENTION: Central Files/eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements may
be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3)
or alternative forms approved by the Director. Duplicate signed copies shall be submitted to the
mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty(60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re-applies for and is granted a new temporary
waiver by the Division.
Page 4 of 6

Permit NC0040908
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.ncdenr.ore/web/wq/admin[bog/ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (I I!)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (I L)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page: http://portal.ncdenr.or web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
V 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. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
3. Records Retention [Supplements Section D.(6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from the
date of the report. This period may be extended by request of the Director at any time [40 CFR
122.41].
Page 5 of 6

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M
Public Notice
North Carolina Environmental Management
TEiE7.
Commission/NPDES Unit
LOUR 1z-TV"UNE 1617 Mail Service Center
Raleigh, NC 27699-1617
Affidavit of Publication Notice of Intent to Issue a NPDES Wastewater Permit
The North Carolina Environmental Management Commission
proposes to issue a NPDES wastewater discharge permit to the
person(s) listed below. Written comments regarding the proposed
;rate of North Carolina, permit will be accepted until 30 days after the publish date of this
Randolph County notice. The Director of the NC Division of Water Resources (DWR)
may hold a public hearing should there be a significant degree of
public interest. Please mail comments and/or information requests
to DWR at the above address. Interested persons may visit the
To Whom It May Concern: DWR at 512 N. Salisbury Street, Raleigh, NC to review information
on file. Additional information on NPDES permits and this notice
This is to certify the may be found on our website:
advertisement attached http://portal.ncdenr.org/web/wglswp/ps/npdes/calendar, or by calling
hereto has been published in [phone]. Randolph County Schools applied for renewal of
permit NCO076287 (Farmer Elementary School). This permitted
The Courier Tribune facility discharges treated wastewater to the Uwharrie River; Yadkin-
on the following dates: Pee Dee River Basin. Randolph County Board of Education has
applied for renewal of NPDES permit NCO040908 for Tabernacle
Elementary School WWTP. This permitted facility discharges treated
domestic wastewater to Caraway Creek; Yadkin-Pee Dee River
Basin.
it 11/7/13
Swom to on this I day
of W 2013
0, bkOP4
Courier-Tribune Representative
Sworn to and Subscribed
Before me this �_day
of 2013
i
Notary Public
r
My Commission Expires 08/02/16
F
ina C. Mabeblic NorthCarolinandolph Courtlyommission Expires

Kinney, Maureen
From: Graznak, Jenny
Sent: Wednesday, November 06, 2013 2:05 PM
To: Kinney, Maureen
Subject: RE: DRAFT Renewals: Randolph, Forsyth, Davidson & Davie Counties
Hi Maureen,
I just looked through the Farmer Elementary and Tabernacle Elementary draft permits. I didn't see any issues—don't
really seem to be any changes from last permits besides the eDMR requirement. So no corrections or comments from
ourend.
Thanks.
Jenny Graznak
E-mail Address: lenny.gramak(ancdenr.eov
NCDENR Division of Water Resources
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
[phone];fax[phone]
www.ncwaterguality.org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Caw and may be disclosed to third parties.
From: Basinger, Corey
Sent: Monday, November 04, 2013 2:20 PM
To: Graznak, Jenny; Boone, Ron; Carter, Jenifer
Cc: Mickey, Mike
Subject: FW: DRAFT Renewals: Randolph, Forsyth, Davidson & Davie Counties
Ron, Jen and Jenny,
Please review and respond as necessary to the Draft renewals for Forsyth, Davidson and Randolph.
Thanks.
CB
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Winston-Salem Regional Office
Division of Water Resources
Email: corev.basineer@ncdenr.¢ov
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Kinney, Maureen
Sent: Monday, November 04, 2013 2:12 PM
1

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 Maureen Kinney 11/1/2013
Permit Number NCO040809
Facility Name Tabernacle Elementary School WWTP
Basin Name/Sub-basin number Yadkin-Pee Dee 03-07-09
Receiving Stream Caraway Creek
Stream Classification in Permit C
Does permit need Daily Max NH3 limits? No
Does permit need TRC limits/language? Yes No
Does permit have toxicity testing? Yes No
Does permit have Special Conditions? Yes No—Electronic Reporting Requirement
Does permit have instream monitoring? Yes No
Is the stream impaired (on 303(d) list)? For Yes No
whatparameter?
Any obvious compliance concerns? No
Any permit mods since lastpermit? No
Current expiration date 1/31/14
New expiration date 1/31/19
Comments received on Draft Permit? WSRO reports a history of good housekeeping
and compliance w/ ermit requirements.
Please note the following modifications to this draft:
• Parameter codes added to Section A.(l.) Effluent Limitations and Monitoring
Requirements.
• a requirement to begin reporting discharge monitoring data electronically using the
NC DWR's Electronic Discharge Monitoring Report (eDMR) internet application
has been added to this draft. [See Special Condition A. (2.)] For information on
eDMR, registering for eDMR and obtaining an eDMR user account, please visit the
following web page: http://portal.ncdenr.org/web/wq/admin/boJipu/edin

�� �, . RANDOLPN COUNTY 80At2D OF EDUCATION
s 2234-B Enterprise St
Asheboro, North Carolina 27205
Telephone: [phone] or 215-3835
FAX:[phone] Dr.Stephen Gainey
Emait IchiltonlaZrandoloh.lvi2.nc.us Superintendent
Larry T.Chilton
Assistant Maintenance DirectodEnvironmental Manager
NC DENR/DWQ/NPDES Unit,
I am requesting renewal of the NPDES permit for Tabernacle Elementary School(NC0040908).
There have been no changes to the system since issuance of the current permit. Effluent flow and sample
results are well within limits with many"<" results reported from the laboratory.
Our solids handling procedure is to have the septic tank pumped each summer when school is out or
more frequently if there is an issue detected.
If you have any questions don't hesitate to contact me.
Thank You _
Larry T Chilton
Assistant Maintenance Director/Environmental Manager
Randolph County Schools Maintenance Dept.
336-318-6096
TOLL FREE NUMBERS
Greensboro-Lihertyc 218-4W9IArchdals-Trinity Area:8193089

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES.Permit C00 40 9 O g
If you are completing this form in computer use the TAB key or the up— down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box Otherwise,please print or type.
1. Contact Information:
Owner Name ��do� I Coun �y l�oa rd e f Ed�cio�/
Facility Name Ta6erniac.)e E�ernen�f-ary ..S'e�,eo)
Mailing Address '� 1� a F.v'f2rer�Sf�T
City `jshe�Or'D
State / Zip Code N C
Telephone Number
Fax Number (�36 )3/g - bo-79.
e-mail Address /c�i -EeN rwda1/6("4 . k/,2 .le . US
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 4 q O 1
City 'q5/'P_Ler 0
State / Zip Code N C ,7010$—
County
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name 2ZWLV( `ewv 3t n a,zrr cF G �/ca�i4M
Mailing Address aa3 13 rpr,��
City
t4S ore o1/C
State / Zip Code �a �7 aor
Telephone Number (336 ) _3/9 — (v 0 9L
Fax Number (31& )-3/9 - 4a79
e-mail Address �+-14O.t�c _� ,Q, I'wVd'a/dn. k-l.?,•niG• vS
1 of 3 Farm--D I V12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
School Number of Students/Staff 475
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
E/w�a� Sc1 ao/ — ees-trooms r K;+J red/
Number of persons served: 47 S
5. Type of collection system
19 Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) OO 1
Is the outfall equipped with a diffuser? ❑ Yes ®No
7. Name of receiving stream(s) JMW applicants:Provide a map showing the exact location of each
outfall/:
Carawa C'r-0.e.('.
8. Frequency of Discharge: ❑ Continuous tR Intermittent
If intermittent:
Days per week discharge occurs: s Duration: /5,30, ,'ms 11-6 i4«ef�da�
9. Describe the treatment system
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. if the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
O. O/ m6o
6..c.5�7r�yj -ldrk"kl�
Q£ciCLv%t'{ttN 1. SM/�y�b,j�h l�
2 of 3 Form D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.010000MGD
Annual Average daily flOW0,00265A MGD (for the previous 3 years)
Maximum daily flow 00 6 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed.Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used.If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months or parameters currentl in yaurpermit. Mark other parameters 'N/A'.
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODs) q rN /
Fecal Coliform Cf ulloomf
Total Suspended Solids f q Iva A,,,,,y, <14
rH If
Temperature (Summer) 30 -Z3.3 aC-
Temperature (Winter) ,29 8 • 9 �C
pH 7. `f6 N S.U•
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES Ncoo4e9908 Dredge or fill(Section 404 or CWA)
PSD (CAA) Other
Non-attainment program(CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Larry T G'i�i(-Eon/ AS< s/cw{ M r/eux�:c�t�'c-tclur�E.,u�:ror.«w-k�l fy)". 'Jax-
Printed—name of Person Siigni
ng Title
Siga#ure of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) stales: Any person who knowingly makes any false statement representation, or certification in any
application,record, report, plan,or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article,shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 11112

Randolph County Schools
Sludge Management Plan
Tabernacle Elementary School (NC0040908)
Farmer Elementary School (NC0076287)
Coleridge Elementary School (NC0040975)
Any sludge or solids from the septic tanks, along with grease from the grease
traps, is pumped by our contracted septic pumper, currently Randy Cheek Septic
Tank, Plumbing, & Backhoe Inc.
Our wastewater technicians monitor the tanks and when needed they are
pumped but no less than annually.
Larry Chilton
Assistant Maintenance Director/Environmental Manager