NC0039471_Fact Sheet_20220124

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
Siying Chen / 10/27/2021
Permit Number
NC0039471
Facility Name / Facility Class
Bennett Elementary School / WW-1
County / Regional Office
Chatham / RRO
Basin Name / Sub -basin number
Cape Fear / 03-06-09
Receiving Stream / HUC
UT Flat Creek / 030300030208
Stream Classification / Stream Segment
C / 17-24
Does permit need Daily Maximum NH3 limits
Already present
Does permit need TRC limits/language?
N/A (uses UV)
Does permit have toxicity testing? IWC (%) if so
No
Does permit have Special Conditions?
Nutrient reopener, ammonia compliance,
temporary disinfection
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
Eleven violation and enforcement cases
(including one NOD and one NOV) during the
permit cycle. Most violations were for ammonia
nitrogen limit exceedance.
Any permit mods since last permit?
Added WWTP classification
Updated eDMR requirements
Updated temporary means of disinfection
Updated nutrient reopener condition
New expiration date
9/30/2026
Comments on Draft Permit?
No
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing
impaired waters is a high priority with the Division, and instream data will continue to be
evaluated. If there is noncompliance with permitted effluent limits and stream impairment can
be attributed to your facility, then mitigative measures may be required".
Fact Sheet for Permit Renewal
December 2021 -- NPDES Permit NC0039471 - Page 1

Facility Overview:
This facility is a minor facility (flow < 1 MGD) discharging 100% domestic wastewater with a design
capacity of 0.005 MGD. This WWTP utilizes the following treatment components:
• Septic tank
• Recirculating sand filter
• UV disinfection system
Compliance History (April 2017 — October 2021):
• Nine ammonia nitrogen limit violations in April 2017, May 2017, August 2017, December 2017,
January 2018, February 2018, April 2018, February 2019, and May 2019.
• One Dissolved oxygen limit violation in January 2018.
• One pH limit violation in February 2018.
• One NOD for ammonia nitrogen limit violation in September 2017.
• One NOV for ammonia nitrogen limit violation in May 2019.
Changes from previous permit to draft:
• Added facility grade in A. (1)
• Updated eDMR footnote in A. (1) and language in A. (5)
• Updated temporary means of disinfection in A. (2)
• Updated nutrient reopener condition in A. (3)
Comments received on draft permit:
• No comment received on draft permit.
Changes from draft to final:
• No change to final permit.
Fact Sheet for Permit Renewal
December 2021 -- NPDES Permit NC0039471 - Page 2

Chatham News
NORTH CAROLINA
CHATHAM COUNTY
Record
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 appeared Florence Turner
, who
being first duly sworn, deposes and says: that he (she) is
Accounts Receivable Clerk
(Owner, partner, publisher, or other officer or employee authorized to make this affidavit)
of the Chatham Media Group, LLC., engaged in the publication of
a newspaper known as, Chatham News+Record, published, issued,
and entered as second class mail in the Town of Siler City, in said
County and State; that he (she) is authorized to make this affidavit
and sworn statement; that the notice or legal advertisement,
a true copy of which is attached hereto, was published in the
Chatham News+Record on the following dates:
and that the said newspaper in which such notice, paper,
document, or legal advertisement wasRHIWhed was, at the
time of each and every such publi� IpIa1M paper meeting
all of the requirements and qualOrtons of Sedie)?_, 1-597 of the
General Statues of North Caroliet andk4431,440fiid newspaper
within the meaning of Section 597 citif he Generagstatues of
the
North Carolina.
This day of C��`
(Signature of person making affidavit)
Sworn to and subscribed before me, this
day of
Ld
�
My Commission expires:
16
Pu� is -v
L1110�
CLIPPING OF LEGAL
ADVERTISEMENT
ATTACHED HERETO
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
NC0039381 Chatham Central
High School WWTP, NC0039471
Bennett Elementary School
WWTP, NC0039331, and Bonlee
Elementary School WWTP.
The North Carolina Environ-
mental Management Com-
mission proposes to issue a
NPDES wastewater discharge
permit to the person(s) 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 Division of Water
. Resources (DWR) may hold a
public hearing should there
C 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 DWR at 512 N.
Salisbury Street, Raleigh, NC
27604 to review information
on file. Additional information
on NPDES permits and this
notice may be found on our
website: http://deq.nc.gov/
about/divisions/water-re-
sources/water-resources-per-
m its/wastewater-branch/
n pdes-wastewater/pu b-
Iic-notices,or by calling
[phone]. Chatham
County Schools (P.O. Box 128,
Pittsboro, NC 27312-0128)
has applied for renewal of
NPDES Permit NC0039381
for the Chatham Central
High School WWTP. This
permitted facility discharges
treated domestic wastewater
to an unnamed tributary to
Bear Creek in the Cape Fear
River Basin. Currently, BOD,
ammonia nitrogen, dissolved
oxygen, and fecal coliform
are water quality limited. This
discharge may affect future
allocations in this portion
of the watershed. Chatham
County Schools (P.O. Box 128,
Pittsboro, NC 27312-0128) has
applied for renewal of NPDES
permit NC0039471 for the Ben-
nett Elementary School WWTP
in Chatham County. This
permitted facility discharges
treated domestic wastewater
to an unnamed tributary to
Flat Creek in the Cape Fear
River Basin. Currently, BOD,
ammonia -nitrogen, dissolved
oxygen, fecal coliform, and
total residual chlorine are
water quality limited, which
may affect future allocations
in this portion of the Cape

County Sc,,,,uis tv.u. t30x 128,
Pittsboro, NC 27312-0128)
has applied for renewal of
NPDES Permit NC0039331 for
the Bonlee Elementary School
WWTP. This permitted facility
discharges treated domestic
wastewater to an unnamed
tributary to Bear Creek in
the Cape Fear River Basin.
Currently, BOD, ammonia -ni-
trogen, and dissolved oxygen
are water quality limited. This
discharge may affect future
allocations in this portion of
the watershed. Nll,ltc

NH3/TRC WLA Calculations
Facility: Bennett Elementary School WWTP
PermitNo. NC0039471
Prepared By: Siying Chen
Enter Design Flow (MGD):
Enter s7Q10 (cfs):
Enter w7Q10 (cfs):
0.005
0
0
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
Upstream Bkgd (ug/I)
IWC (%)
Allowable Conc. (ug/I)
Fecal Coliform
Monthly Average Limit:
(If DF >331; Monitor)
(If DF<331; Limit)
Dilution Factor (DF)
0
0.005
0.00775
17.0
0
100.00
17
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/I)
w7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
1.00 Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N1
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
0
0.005
0.00775
1.0
0.22
100.00
1.0
0
0.005
0.00775
1.8
0.22
100.00
1.8
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 1 of 6
Permit: nc0039471
Facility Name:
Major Minor: %
MRs Betweei 4 - 2017 and11 - 2021 Region: %
Param Nam( % County: %
Violation Category:%
Subbasin:%
Program Category:
Violation Action: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham
REGION: Raleigh
Limit Violation
MONITORING OUTFALL
REPORT
LOCATION
PARAMETER
VIOLATION
UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE VIOLATION ACTION
04-2017 001
05-2017 001
08-2017 001
09-2017 001
12-2017 001
01-2018 001
02-2018 001
04-2018 001
02-2019 001
05-2019 001
05-2021 001
01-2018 001
02-2018 001
Monitoring Violation
MONITORING OUTFALL
REPORT
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
LOCATION
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Oxygen, Dissolved (DO)
pH
PARAMETER
04/30/17
05/31/17
08/31/17
09/30/17
12/31/17
01 /31 /18
02/28/18
04/30/18
02/28/19
05/31/19
05/31/21
01/27/18
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
2 X month
Weekly
02/17/18 2 X month
VIOLATION
DATE FREQUENCY MEASURE
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
su
UNIT OF
2
2
2
2
4
4
4
2
4
2
2
6
6
LIMIT
3.35 67.5 Monthly Average
Exceeded
3.6 80 Monthly Average
Exceeded
2.6 30 Monthly Average
Exceeded
2.05 2.5 Monthly Average
Exceeded
6.95 73.8 Monthly Average
Exceeded
8.2 105.0 Monthly Average
Exceeded
12.8 220 Monthly Average
Exceeded
2.46 22.8 Monthly Average
Exceeded
6.05
2.55
2.85
51.3
27.5
42.5
Monthly Average
Exceeded
Monthly Average
Exceeded
Monthly Average
Exceeded
5.69 5.2 Daily Minimum Not
Reached
5.7 5 Daily Minimum Not
Reached
CALCULATED
VALUE
Over
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to NOD
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to
Enforcement Case
Proceed to NOV
Proceed to
Enforcement Case
Proceed to
Enforcement Case
VIOLATION TYPE VIOLATION ACTION

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 2 of 6
Permit: nc0039471 MRs Betweei 4 - 2017 and11 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham REGION: Raleigh
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
06/01/17 Daily -- week deg c
06/02/17 Daily -- week deg c
06/05/17 Daily -- week deg c
06/06/17 Daily -- week deg c
06/07/17 Daily -- week deg c
06/08/17 Daily -- week deg c
06/09/17 Daily -- week deg c
06/12/17 Daily -- week deg c
06/13/17 Daily -- week deg c
06/14/17 Daily -- week deg c
06/15/17 Daily -- week deg c
06/16/17 Daily -- week deg c
06/19/17 Daily -- week deg c
06/20/17 Daily -- week deg c
06/21/17 Daily -- week deg c
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ
Frequency Violation No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 3 of 6
Permit: nc0039471 MRs Betweei 4 - 2017 and11 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham REGION: Raleigh
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
06-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
06/22/17 Daily -- week deg c
06/23/17 Daily -- week deg c
06/26/17 Daily -- week deg c
06/27/17 Daily -- week deg c
06/28/17 Daily -- week deg c
06/29/17 Daily -- week deg c
06/30/17 Daily -- week deg c
07/03/17 Daily -- week deg c
07/04/17 Daily -- week deg c
07/05/17 Daily -- week deg c
07/06/17 Daily -- week deg c
07/07/17 Daily -- week deg c
07/10/17 Daily -- week deg c
07/11/17 Daily -- week deg c
07/12/17 Daily -- week deg c
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 4 of 6
Permit: nc0039471 MRs Betweei 4 - 2017 and11 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham REGION: Raleigh
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
07-2017 001
08-2017 001
08-2017 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
07/13/17 Daily -- week deg c
07/14/17 Daily -- week deg c
07/17/17 Daily -- week deg c
07/18/17 Daily -- week deg c
07/19/17 Daily -- week deg c
07/20/17 Daily -- week deg c
07/21/17 Daily -- week deg c
07/24/17 Daily -- week deg c
07/25/17 Daily -- week deg c
07/26/17 Daily -- week deg c
07/27/17 Daily -- week deg c
07/28/17 Daily -- week deg c
07/31/17 Daily -- week deg c
08/01/17 Daily -- week deg c
08/02/17 Daily -- week deg c
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 5 of 6
Permit: nc0039471 MRs Betweei 4 - 2017 and11 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham REGION: Raleigh
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
08-2017 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
08/03/17 Daily -- week deg c
08/04/17 Daily -- week deg c
08/07/17 Daily -- week deg c
08/08/17 Daily -- week deg c
08/09/17 Daily -- week deg c
08/10/17 Daily -- week deg c
08/11/17 Daily -- week deg c
08/14/17 Daily -- week deg c
08/15/17 Daily -- week deg c
08/16/17 Daily -- week deg c
08/17/17 Daily -- week deg c
08/18/17 Daily -- week deg c
08/21/17 Daily -- week deg c
08/22/17 Daily -- week deg c
08/23/17 Daily -- week deg c
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/27/21 Page 6 of 6
Permit: nc0039471 MRs Betweei 4 - 2017 and11 - 2021 Region: % Violation Category:% Program Category: %
Facility Name: % Param Nam(% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0039471
FACILITY: Chatham County Schools - Bennett Elementary School
WWTP
COUNTY: Chatham REGION: Raleigh
Monitoring Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
08 -2017 001 Effluent
08 -2017 001 Effluent
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
08/24/17 Daily -- week deg c
08/25/17 Daily -- week deg c
Frequency Violation
Frequency Violation
No Action, Facility
Reporting Error
No Action, Facility
Reporting Error

Permit Enforcement History by Permit
Case
Permit: NC0039471
Region: Raleigh
Facility: Bennett Elementary School WWTP
County: Chatham
Owner: Chatham County Schools
Penalty Remission Enforcement EMC Collection Has
Assessment Penalty Enforcement Request Conference Hearing Memo Sent Payment Case
Approved Amount Costs Damages Received Held Held To AGO Total Paid Balance Due Plan Closed
LV-1998-0101 09/14/98 $2,250.00 $22.90 10/19/98 12/08/98 $0.00 No 01/11/99
LV-1998-0261 12/16/98 $1,250.00 $37.90 01/04/99 02/03/99 05/13/99
$1,287.90
$0.00 No 06/17/99
LV-2005-0201 06/13/05 $250.00 $41.40 $291.40 $0.00 No 06/27/05
LV-2005-0197 06/14/05 $350.00 $41.40
$391.40
$0.00 No 06/28/05
LV-2005-0219 08/23/05 $250.00 $41.40
$291.40
$0.00 No 09/07/05
LV-2005-0272 08/23/05 $250.00 $41.40
$291.40
$0.00 No 09/07/05
LM-2005-0036 10/04/05 $387.50 $44.60
$432.10
$0.00 No 10/18/05
LV-2006-0073 06/06/06 $437.50
$44.60 $482.10 $0.00 No 06/26/06
LV-2006-0420 11/16/06 $450.00
$43.67 $0.00
$493.67
$0.00 No 11/21/06
LV-2006-0378 01/08/07 $1,000.00 $50.56 $0.00 $1,050.56 $0.00 No 01/31/07
LV-2006-0450 01/08/07 $1,000.00
$43.67 $0.00
$1,043.67
$0.00 No 01/31/07
LV-2007-0146 04/16/07 $312.50
$43.67 $356.17 $0.00 No 05/01/07
LV-2007-0302 07/27/07 $625.00 $43.67
$668.67
$0.00 No 08/20/07
LV-2008-0235 07/08/08 $250.00 $49.68
$299.68
$0.00 No 07/25/08
LV-2009-0069 03/04/09 $100.00 $46.59
$146.59
$0.00 No 03/20/09
LV-2009-0070 03/04/09 $250.00 $46.59
$296.59
$0.00 No 03/24/09
LV-2009-0145 05/11/09
$812.50 $50.32 $862.82 $0.00 No 06/04/09
LV-2009-0444 12/17/09 $1,100.00 $53.32
$1,153.32
$0.00 No 01/27/10
LV-2010-0046 02/05/10
$750.00 $53.34 $803.34 $0.00 No 03/03/10

Penalty Remission Enforcement EMC Collection Has
Assessment Penalty Enforcement Request Conference Hearing Memo Sent Payment Case
Case Approved Amount Costs Damages Received Held Held To AGO Total Paid Balance Due Plan Closed
LV-2010-0193 06/25/10
$350.00 $47.54
$397.54 $0.00 No 07/07/10
LV-2010-0275 08/23/10
$250.00 $47.54
$297.54 $0.00 No 09/14/10
LV-2010-0285 08/24/10
$250.00 $47.54
$297.54 $0.00 No 09/14/10
LV-2010-0289 08/26/10
$250.00 $47.54
$297.54 $0.00 No 09/14/10
MV-2010-0026 12/02/10
$250.00 $51.05
$301.05 $0.00 No 01/14/11
LV-2011-0080 03/29/11
$100.00 $47.54
$147.54 $0.00 No 04/19/11
LV-2011-0098 04/19/11
$700.00 $47.54
$747.54 $0.00 No 05/16/11
LV-2011-0145 05/31/11
$100.00 $47.54
$147.54 $0.00 No 06/14/11
LV-2011-0189 08/10/11
$600.00 $47.54
$647.54 $0.00 No 08/31/11
LV-2012-0086 06/01/12
$100.00 $47.54
11/19/12 $147.54 $0.00 No 06/14/12
LV-2013-0063 04/11/13
$250.00 $47.54
$297.54
$0.00 No 04/22/13
LV-2013-0064 04/11/13
$250.00 $47.54
$297.54
$0.00 No 04/22/13
LV-2016-0026 01/27/16
$250.00 $40.44 $0.00
$290.44 $0.00 No 02/15/16
LV-2016-0152 07/28/16 $250.00
$37.78 $0.00
$287.78
$0.00 No 08/22/16
LV-2016-0188 09/13/16 $250.00
$37.78 $0.00
$287.78 $0.00 No 10/18/16
LV-2016-0233 11/07/16 $250.00
$37.78 $0.00
$287.78 $0.00 No 11/22/16
LV-2017-0138 04/24/17 $250.00
$37.78 $0.00
$287.78
$0.00 No 05/18/17
LV-2017-0158 05/31/17 $312.50
$37.78 $0.00
$350.28
$0.00 No 06/13/17
LV-2017-0237 07/26/17 $312.50
$37.78 $0.00
$350.28
$0.00 No 08/21/17
LV-2017-0283 10/05/17 $250.00
$37.78 $0.00
$287.78
$0.00 No 10/25/17
LV-2017-0304 10/31/17 $312.50
$37.78 $0.00
$350.28
$0.00 No 12/04/17
LV-2018-0016 01/30/18 $312.50
$37.78 $0.00
$350.28
$0.00 No 09/12/19

Case
Penalty Remission Enforcement EMC Collection Has
Assessment Penalty Enforcement Request Conference Hearing Memo Sent Payment Case
Approved Amount Costs Damages Received Held Held To AGO Total Paid Balance Due Plan Closed
LV-2018-0119 06/04/18 $312.50
$37.78 $0.00
$350.28 $0.00 No 07/05/18
LV-2018-0122 06/04/18 $312.50
$37.78 $0.00
$350.28 $0.00 No 07/05/18
LV-2018-0123 06/04/18 $375.00
$37.78 $0.00
$412.78
$0.00 No 07/05/18
LV-2018-0277 11/14/18 $375.00
$37.78 $0.00
$412.78 $0.00 No 12/11/18
LV-2018-0283 11/20/18 $312.50
$37.78 $0.00
$350.28 $0.00 No 12/11/18
LV-2019-0176 07/29/19 $250.00
$39.64 $0.00
$289.64
$0.00 No 08/28/19
LV-2019-0319 11/18/19 $250.00
$39.64 $0.00
$289.64 $0.00 No 12/10/19
Total Cases: 48 $20,462.50 $2,063.31
Total Penalties: $22,525.81
Total Penalties after
$20,252.91 $0.00
$20,252.91

From:
To:
Subject:
Date:
Chris Blice
Chen Sivinq
[External] Re: NPDES Permit Renewal - NC0039471, NC0039331, NC0039381
Thursday, October 28, 2021 12:04:44 PM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Ms. Siying,
Electronic communication is fine with me.
Thanks!
On Thu, Oct 28, 2021 at 10:59 AM Chen, Siying <[e-mail]> wrote:
Good morning Mr. Blice,
My name is Siying and I'm the assigned permit writer for your NPDES permit renewals for
Bennett Elementary School WWTP (NC0039471), Bonlee Elementary School WWTP
(NC0039331), and Central Chatham High School WWTP (NC0039381). I've been
reviewing the applications you submitted and working on draft permits for public notice. I
would like to touch base with you about transmission of permit documents electronically.
In order to provide more convenience, control, and security to our permittees and assist them
in processing their transactions, The Division of Water Resources is currently transitioning
towards electronic correspondence. This will hopefully provide more efficient service to our
permittees and other partners and will allow us to more effectively process and track
documents. We are writing to ask you for your approval of the transmittal of documents
related to your permitting and related activities with the Division in an electronic format.
Documents will be emailed to the appropriate contact person(s) in your organization in a
PDF format.
Please respond to me through email with verification that transmittal of your
documents in an electronic manner is acceptable to you. If you have any questions,
please feel free to contact me.
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist I

Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Depaitment of Environmental Quality
Email: siying.chen(a»ncdenr.gov
Phone: [phone] (Office)
041.tilOnrclil al €maroflr'+1CaI1i1 Qcisliri
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
L'
Mr. Chris D. Blice
Chatham County Schools
Assistant Superintendent for Operations
t. 919-542-3626 ext. 23250
f. 919-642-5611
a. Post Office Box 128/369 West Street, Pittsboro, NC 27312
Website Email
****This Message was sent through the Chatham County Schools E-Mail Server* * * * All e-
mail correspondence to and from this address is subject to the North Carolina Public Records
Law, which may result in monitoring and disclosure to third parties, including law
enforcement.

From:
To:
Cc:
Subject:
Date:
Chris Blice
Chen, Siying
poteat2CThaol.com; Vinson, Scott; Manuel, Vanessa; Weaver, Charles
[External] Re: NPDES Permit Issuance - NC0039331, NC0039381, NC0039471
Monday, January 24, 2022 4:40:39 PM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Good afternoon.
I have received this email, opened all of the attachments, and will save/print copies to keep for
our records.
These permit renewals are for Bonlee School, Chatham Central High School, and Bennett
School.
Thank you for your help with this process.
On Mon, Jan 24, 2022 at 4:24 PM Chen, Siying <siying.chen@,ncdenr.gov> wrote:
Good afternoon Mr. Blice,
Attached are the final NPDES permit renewals for Bonlee Elementary School WWTP
(NC0039331), Central Chatham High School WWTP (NC0039381), and Bennett Elementary
School WWTP (NC0039471). The permits will be effective on March 1, 2022.
Please respond to this email confirming that you received the attached documents,
were able to open and view the documents and have saved/printed a copy for your
records.
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: siying.chenancdenr.gov

Phone: [phone] (Office)
DEQ�
Ii44 1iITLE1 ai Fnti 7E141r 1plI1 19HAM
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties
Mr. Chris D. Blice
Chatham County Schools
Assistant Superintendent for Operations
t. 919-542-3626 ext. 23250
f. 919-642-5611
a. Post Office Box 128/369 West Street, Pittsboro, NC 27312
Website Email
****This Message was sent through the Chatham County Schools E-Mail Server* * * * All e-
mail correspondence to and from this address is subject to the North Carolina Public Records
Law, which may result in monitoring and disclosure to third parties, including law
enforcement.

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Chatham County Schools
Attn: Chris Blice, Assistant Superintendent
Chatham County Schools
PO Box 128
Subject: Permit Renewal
Application No. NC0039471
Bennett Elementary School WWTP
Chatham County
NORTH CAROLINA
Environmental Quality
October 26, 2021
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 26, 2021 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.
ec: WQPS Laserfiche File w/application
2L.,.1?„...E CV
Sincere)
..rwt) cl
Wren edford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

EPA Identification Number
NPDES Permit Number
NC0039471
Facility Name
Bennett Elementary
Form Approved 03/05/19
OMB No. 2040-0004
Form
NPDES
•—•EPA
U.S. Environmental Protection Agency RECEIVE
Application for NPDES Permit to Discharge Wastewater
GENERAL INFORMATION ;)c 12 5 2021
SECTION
1. ACTIVITIES REQUIRING
AN NPDES PERMIT
(40 CFR 122.21(f) and (f)(1))
Form 1 f t
Activities Requiring an NPDES Permit
1.1
Applicants Not Required to Submit
1.1.1
Is the facility a new or existing publicly owned
treatment works?
If yes, STOP. Do NOT complete No
Form 1. Complete Form 2A.
1.1.2
Is the facility a new or existing treatment works
treating domestic sewage?
If yes, STOP. Do NOT No
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
1.2.1
Is the facility a concentrated animal feeding
operation or a concentrated aquatic animal
production facility?
Yes 4 Complete Form 1 No
and Form 2B.
1.2.2
Is the facility an existing manufacturing,
commercial, mining, or silvicultural facility that is
currently discharging process wastewater?
Yes 4 Complete Form No
1 and Form 2C.
1.2.3
Is the facility a
mining, or silvicultural
commenced to
new manufacturing, commercial,
facility that has not yet
discharge?
Complete Form 1 No
and Form 2D.
1.2.4
Is the facility a new
commercial, mining,
discharges only nonprocess
Yes -4 Complete
1 and
or existing manufacturing,
or silvicultural facility that
wastewater?
Yes 4
Form No
Form 2E.
1.2.5
Is the facility a
discharge is composed
associated with
discharge is composed
non-stormwater?
new or existing facility whose
entirely of stormwater
industrial activity or whose
of both stormwater and
Complete Form 1 No
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15 .
• Yes 4
cn
Name, Mailing Address, and Location o
0
2. NAME,
MAILING ADDRESS, AND LOCATION (40 CFR 122.21(f)(2))
2.1
Facility Name
Bennett Elementary School Wastewater Treatment Plant
2.2
EPA Identification Number
2.3
Facility Contact
Name (first and last)
Chris Bice
Title
Chief operations officer
Phone number
[phone]
Email address
[e-mail]
2.4
Facility Mailing Address
Street or P.O. box
PO BOX 128
City or town
Pittsboro
State
NC
ZIP code
27713
EPA Form 3510-1 (revised 3-19)
Page 1
DES

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
OMB No. 2040-0004
Name, Mailing Address,
and Location Continued
2.5
Facility Location
Street, route number, or other specific identifier
61 Randolph Street
County name
Chatham
County code (if known)
City or town
Bennett
State
NC
ZIP code
27208
3. SIC
AND NAICS CODES (40 CFR 122.21(f)(3))
cn
SIC and NAICS Codes
3.1
SIC Code(s)
Description (optional)
3.2
NAICS Code(s)
Description (optional)
4. OPERATOR
INFORMATION (40 CFR
122.21(f)(4))
Operator Information
4.1
Name of Operator
John Poteat
4.2
Is the name you listed in Item 4.1 also the owner?
❑Yes No
4.3
Operator Status
❑ Public —federal ❑ Public —state ❑ Other public (specify)
•
Private
• Other (specify) Chatham Count
Phone Number of Operator
4.4
919-412-7554
Indian m Operator Information
Land —I Continued
0
4.5
Operator Address
Street or P.O. Box
PO Box 16474
City or town
Chapel Hill
State
NC
ZIP code
27516
Email address of operator
[e-mail]
N 5. INDIAN
LAND (40 CFR 122.21(f)(5))
5.1
Is the facility located on Indian Land?
❑ Yes ❑ No
EPA Form 3510-1 (revised 3-19)
Paget

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
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)
❑✓ NPDES (discharges to surface
water)
NC0039331
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
fluids)
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section 404)
❑ Other (specify)
SECTION 7. MAP (40 CFR 122.21(f)(7))
7.1
c.
Have you attached a topographic map containing all required information to this application? (See instructions for
specific requirements.)
❑r Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
SECTION 8. NATURE OF BUSINESS (40 CFR 122.21(f)(8))
8.1
Nature of Business
Describe the nature of your business.
PUBLIC SCHOOL SYSTEM
SECTION 9. COOLING WATER INTAKE STRUCTURES (40 CFR 122.21(f)(9))
9.1
Does your facility use cooling water?
❑ Yes ❑ No 4 SKIP to Item 10.1.
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
NPDES permitting authority to determine what specific information needs to be submitted and when.)
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.)
❑ Fundamentally different factors (CWA
Section 301(n))
❑ Non -conventional pollutants (CWA
Section 301(c) and (g))
❑ Not applicable
❑� Water quality related effluent limitations (CWA Section
302(b)(2))
❑ Thermal discharges (CWA Section 316(a))
EPA Form 3510-1 (revised 3-19)
Page 3

EPA Identification Number
NPDES Permit Number
Facility Name
Form Approved 03/05/19
OMB No. 2040-0004
SECTION 11. CHECKLIST AND
CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
mark the sections of Form 1 that you have completed and are submitting with your application.
specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
are required to provide attachments.
Checklist and Certification Statement
11.1
In Column 1 below,
For each section,
that not all applicants
Column 1
Column 2
❑ Section 1: Activities Requiring an NPDES Permit
v w/ attachments
❑ Section 2: Name, Mailing Address, and Location
v wl attachments
❑ Section 3: SIC Codes
❑ w/ attachments
❑ Section 4: Operator Information
v w/ attachments
❑ Section 5: Indian Land
❑ w/ attachments
❑ Section 6: Existing Environmental Permits
❑ wl attachments
7: Map
❑ w/ additional attachments
■ Section
map pographic
❑ Section 8: Nature of Business
❑ wl attachments
9: Cooling Water Intake Structures
• Section
• w/ attachments
❑ Section 10: Variance Requests
❑ w/ attachments
❑ Section 11: Checklist and Certification Statement
❑ w/ attachments
11.2
Certification Statement
1 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)
Nis.O .I ►�',e
Official title
4ss,s+4Al- .d�-�
Signa re
Date signed
10 (121 i
EPA Form 3510-1 (revised 3-19)
Page 4

NPDES Permit Number
NC0039471
Facility Name
Bennett Wastewater Plant
Modified Application Form 2A
Modified March 2021
Form
NPDES
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
the instructions may result in denial of the application.)
Facility Information
N
1
C APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.216)(1) and (9))
Facility name
BENNETT ELEMENTARY SCHOOL WASTEWATER TREATMENT PLANT
Mailing address (street or P.O. box)
PO BOX 128
City or town
PITTSBORO
State
NC
ZIP code
27713
Contact name (first and last)
CHRIS BLICE
Title
Chief operations officer
Phone number
[phone]
Email address
[e-mail]
Location address (street, route number, or other specific identifier)
61 Randolph Street
❑ Same as mailing
address
City or town
Bennett
State
NC
ZIP code
27208
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission
requirements for new dischargers.
•
No
Applicant Information
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
1.4
Is the
IS
applicant the facility's owner, operator,
Owner
•
or both? (Check only one response.)
Operator ❑ Both
1.5
To which entity should the NPDES permitting
❑ Facility
❑
authority send correspondence? (Check only one response.)
Applicant ❑ Facility and applicant
(they are one and the same)
Existing Environmental Permits
1.6
Indicate below any existing environmental
number for each.)
permits.
(Check all that apply and print or type the corresponding permit
Existing Environmental Permits
❑ NPDES (discharges to surface
water)
❑
RCRA (hazardous waste)
❑ UIC (underground injection
control)
❑ PSD (air emissions)
El
Nonattainment program (CM)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
gi
Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
310
100 % separate sanitary sewer
0 Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own ❑ Maintain
0 Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own 0 Maintain
% combined storm and sanitary sewer
0 Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
❑ Own 0 Maintain
Total
Population
Served
310
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
100
Indian Country
1.8
Is the treatment works located in Indian
❑ Yes
Country?
❑ No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through
•
Indian Country?
No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
.005 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
.0020 mgd
.0038 mgd
mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
mgd
mgd
mgd
Discharge Points
by Type
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total
Number of Effluent Discharge Points by Type
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
one
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods
Outfal s 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
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
0 Intermittent
1.14
Is
•
wastewater applied to land?
Yes ■
No 4 SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gp d
0 Continuous
0 Intermittent
acres
gp d
❑ Continuous
0 Intermittent
acres
gp d
0 Continuous
0 Intermittent
1.16
Is effluent
■
transported to another facility for treatment
Yes •
prior to discharge?
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
❑ Yes
applicant?
•
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
Modified March 2021
Outfalls and Other Discharge or Disposal Methods Continued
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
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than those a ready mentioned in Items 1.14 through 1.21 that do
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.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Dis osal Site
p
Size of
Dis osal Site
p
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
(check one)
NA
acres
gp d
❑ Continuous
❑ Intermittent
NA
acres
gp d
❑ Continuous
0 Intermittent
NA
acres
gpd
0 Continuous
0 Intermittent
Variance
Requests
1.23
Do
Consult
❑
v
you intend to request or renew one or more of the
with your NPDES permitting authority to determine
Discharges into marine waters (CWA
•
Section 301(h))
Not applicable
variances authorized at 40 CFR 122.21(n)? (Check all that apply.
what information needs to be submitted and when.)
Water quality related effluent limitation (CWA Section
302(b)(2))
Contractor Information
1.24
Are
the
v
any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
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
Contractor name
(company name)
JOHN POTEAT
Mailing address
(street or P.O. box)
PO BOX 16474
City, state, and ZIP
code
CHAPEL HILL NC
Contact name (first and
last)
JOHN POTEAT
Phone number
919-412-7554
Email address
[e-mail]
Operational and
maintenance
responsibilities of
contractor
System operation and
treatment
Page 4

NPDES Permit Number
Facility Name
Modified Application Fomi 2A
Modified March 2021
SECTION 2. ADDITIONAL INFORMATION
(40 CFR 122.21(j)(1) and
(2))
o
rn
o
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?
❑ Yes ❑ No 4 SKIP to Section 3.
Inflow and Infiltration
2.2
Provide the treatment works' current average daily volume of inflow
and infiltration.
Average Daily Volume of Inflow and Infiltration
0.0 gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
The system has been smoke tested
Topographic
Map
2.3
Have you attached
specific requirements.)
a topographic map to this application that contains all the required information? (See instructions for
❑ No
✓ Yes
E
3 2 o �
`r 6
2.4
Have you attached
(See instructions
a process flow diagram or schematic to this application that contains all the required information?
for specific requirements.)
❑ No
✓ Yes
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements
to the facility scheduled?
❑ No 4 SKIP to Section 3.
• Yes
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)
Affected
Outfalls
(list outfall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
1.
2.
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

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Description of Outfalls
�RMATION ON EFFLUENT DISCHARGES (40 CFR 122.21(j)(3) to (5))
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
County
City or town
Distance from shore
10 ft.
ft.
ft.
Depth below surface
2.0 ft.
ft.
ft.
Average daily flow rate
mgd
mgd
mgd
Latitude
„
Longitude
"
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasonal or periodic discharges?
❑ No 4 SKIP to Item 3.4.
3.3
If so, provide the following information
for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
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 t pe at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Waters of
the U.S.
3.6
Does
one
the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
or more discharge points?
Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Receiving Water Description
3.7
3.8
Provide the receiving water and related information (if known) for each outfall.
Outfall Number o01
Outfall Number
Outfall Number
FLAT CREEK
Receiving water name
Name of watershed, river,
or stream system
CAPE FEAR
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
CAPE FEAR
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
CaCO3
mg/L of
CaCO3
Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number
Outfall Number
Outfall Number
mg/L of
CaCO3
Highest Level of
Treatment (check all that
apply per outfall)
❑ Primary
❑ Equivalent to
secondary
O Secondary
❑ Advanced
O Other (specify)
❑ Primary
❑ Equivalent to
secondary
❑ Secondary
❑ Advanced
❑ Other (specify)
❑ Primary
❑ Equivalent to
secondary
O Secondary
❑ Advanced
O Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
95 %
TSS
98
OA
0 Not applicable
Phosphorus
%
0 Not applicable
❑ Not applicable
%
0 Not applicable
Nitrogen
0 Not applicable
❑ Not applicable
Other (specify)
❑ Not applicable
0 Not applicable
0 Not applicable
%
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Treatment Description Continued
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.
Outfall Number
001
Outfall Number
Outfall Number
Disinfection type
UV DISINFECTION
Seasons used
ALL SEASONS
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
•
Yes
❑ Yes
❑ Yes
❑ No
❑ No
•
No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the app ication package?
Yes
■ 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?
❑ 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
Acute
Chronic
Acute
Chronic
Acute
Chronic
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.
• 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 ❑ 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?
❑ ❑ No additional sampling required by NPDES
Yes
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has the POTW
or (2) at least
conducted either (1) minimum of four
four annual WET tests in the past 4.5
quarterly WET tests for one year
years?
No 4 Complete
preceding this permit application
tests and Table E and SKIP to
■ Yes
■
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ 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
(MM/DDNYYY)
Summary of Results
3.22
Regardless of
toxicity?
how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
❑ No 4 SKIP to Item 3.26.
• Yes
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment
works conducted a toxicity reduction evaluation?
❑ No 4 SKIP to Item 3.26.
• Yes
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
information to the NPDES .ermittin• author i .
• Yes
Page 9

NPDES Permit Number
Facility Name
Modified Application Form 2A
Modified March 2021
CKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
Checklist and Certification Statement
rn rn
N
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
❑ Information for All Applicants
❑ w/ variance request(s) ❑ w/ additional attachments
■
Section 2: Additional
Information
❑ w/ topographic map ❑ wl process flow diagram
❑ w/ additional attachments
•
Section 3: Information on
Effluent Discharges
•
■
❑
w/ Table A
w/ Table B
w/ Table C
•
■
w/ Table D
w/ additional attachments
Section 4: Not Applicable
Section 5: Not Applicable
❑ Section 6: Checklist and
Certification Statement
❑ w/ attachments
Certification Statement
1 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.
ast name)
Name (pr'nt or type first a?1ie
As D0
Official
title
scte. r S u
Signatur
!
Date signed
10(l� I2a 7t
Page 10

NPDES Permit Number
Facility Name
Outfall Number
Modified Application Form 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
a BOD5 or ❑ CBOD5
(report one)
s/7.5. w/15.0
mg/I
s/5.0. w/10.0
mg/I
2/month
Standard methods
❑ ML
0 MDL
Fecal coliform
400/100
mpn
200/100
mpn
2/month Standard Methods
ElML
0 MDL
Design flow rate
.007
mgd
.0045
mgd
NA
pH (minimum)
6
Standard
pH (maximum)
Temperature (winter)
9
Standard
Temperature (summer)
Total suspended solids (TSS)
45
mg/I
c0
mg/I
2/month Standard Methods IDML
❑ 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
0utfall Number
001
Modified Application Form 2A
Modified March 2021
TABLE B. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS WITH A FLOW EQUAL
Maximum Daily Discharge
TO OR GREATER THAN 0.1 MGD
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Sam•les
Ammonia (as N)
10
mg/I
2
mg/I
2/month
CIML
0 MDL
Chlorine
(total residual, TRC)2
NA
❑ ML
❑ MDL
Dissolved oxygen
>6
mg/I
2
mg/I
4/month
0 ML
0 MDL
Nitrate/nitrite
NA
❑ ML
0 MDL
Kjeldahl nitrogen
NA
❑ ML
0 MDL
Oil and grease
NA
❑ ML
0 MDL
Phosphorus
NA
❑ ML
❑ MDL
Total dissolved solids
NA
0 ML
0 MDL
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

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
NPDES Permit Number
FOR SELECTED POTWS
Maximum Daily Discharge
Facility Name
Average
Outfall Number
Daily Discharge
Modified
Analytical
Method1
Application Form 2A
Modified March 2021
ML or MDL
(include units)
Pollutant
Value
Units
Value
Units
Number of
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ ML
0 MDL
Arsenic, total recoverable
❑ ML
0 MDL
Beryllium, total recoverable
❑ ML
0 MDL
Cadmium, total recoverable
❑ ML
0 MDL
Chromium, total recoverable
❑ ML
0 MDL
Copper, total recoverable
❑ ML
0 MDL
Lead, total recoverable
❑ ML
0 MDL
Mercury, total recoverable
❑ ML
0 MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
0 MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
0 MDL
Cyanide
❑ ML
0 MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
0 MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
0 MDL
Bromoform
❑ ML
0 MDL
EPA Form 3510-2A (Revised 3-19)
Page 13

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
Pollutant
NPDES Permit Number
FOR SELECTED POTWS
Maximum Daily Discharge
Facility Name
Average
Outfall Number
Daily Discharge
Modified
Analytical
Method1
Application Form 2A
Modified March 2021
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
Carbon tetrachloride
❑ ML
0 MDL
Chlorobenzene
❑ ML
0 MDL
Chlorodibromomethane
❑ ML
❑ MDL
Chloroethane
❑ ML
0 MDL
2-chloroethylvinyl ether
❑ ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
0 MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans-1,2-dichloroethylene
❑ ML
0 MDL
1,1-dichloroethylene
❑ ML
❑ MDL
1,2-dichloropropane
❑ ML
0 MDL
1,3-dichloropropylene
❑ ML
❑ MDL
Ethylbenzene
❑ ML
0 MDL
Methyl bromide
❑ ML
❑ MDL
Methyl chloride
❑ ML
❑ MDL
Methylene chloride
❑ ML
0 MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
❑ ML
0 MDL
Toluene
❑ ML
❑ MDL
1,1,1-trichloroethane
❑ ML
0 MDL
1,1,2-trichloroethane
0 ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 14

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Analytical
Method1
Application Form 2A
Modified March 2021
ML or MDL
(include units)
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Value
Units
Value
Units
Number of
Samples
Trichloroethylene
0 ML
❑ MDL
Vinyl chloride
0 ML
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
o ML
❑ MDL
2-chlorophenol
0 ML
0 MDL
2,4-dichlorophenol
0 ML
0 MDL
2,4-dimethylphenol
0 ML
0 MDL
4,6-dinitro-o-cresol
❑ ML
❑ MDL
2,4-dinitrophenol
0 ML
0 MDL
2-nitrophenol
0 ML
❑ MDL
4-nitrophenol
0 ML
0 MDL
Pentachlorophenol
0 ML
0 MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
0 ML
❑ MDL
Base -Neutral Compounds
Acenaphthene
o ML
❑ MDL
Acenaphthylene
0 ML
0 MDL
Anthracene
❑ ML
❑ MDL
Benzidine
❑ ML
❑ MDL
Benzo(a)anthracene
0 ML
0 MDL
Benzo(a)pyrene
0 ML
0 MDL
3,4-benzofluoranthene
0 ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 15

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
Pollutant
NPDES Permit Number
FOR SELECTED POTWS
Maximum Daily Discharge
Facility Name
Outfall Number
Daily Discharge
Modified
Analytical
Methods
Application Form 2A
Modified March 2021
ML or MDL
(include units)
Average
Value
Units
Value
Units
Number of
Samples
Benzo(ghi)perylene
❑ ML
0 MDL
Benzo(k)fluoranthene
❑ ML
0 MDL
Bis (2-chloroethoxy) methane
❑ ML
❑ MDL
Bis (2-chloroethyl) ether
❑ ML
❑ MDL
Bis (2-chloroisopropyl) ether
❑ ML
❑ MDL
Bis (2-ethylhexyl) phthalate
❑ ML
❑ MDL
4-bromophenyl phenyl ether
❑ ML
❑ MDL
Butyl benzyl phthalate
❑ ML
❑ MDL
2-chloronaphthalene
0 ML
❑ MDL
4-chlorophenyl phenyl ether
❑ ML
❑ MDL
Chrysene
❑ ML
0 MDL
di-n-butyl phthalate
❑ ML
❑ MDL
di-n-octyl phthalate
❑ ML
❑ MDL
Dibenzo(a,h)anthracene
❑ ML
0 MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4-dichlorobenzene
❑ ML
❑ MDL
3,3-dichlorobenzidine
❑ ML
0 MDL
Diethyl phthalate
❑ ML
❑ MDL
Dimethyl phthalate
❑ ML
o MDL
2,4-dinitrotoluene
❑ ML
0 MDL
26-dinitrotoluene
❑ ML
0 MDL
EPA Form 3510-2A (Revised 3-19)
Page 16

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Analytical
Method1
Application Form 2A
Modified March 2021
ML or MDL
(include units)
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Value
Units
Value
Units
Number of
Samples
1,2-diphenylhydrazine
CI ML
❑ MDL
Fluoranthene
❑ ML
❑ MDL
Fluorene
❑ ML
❑ MDL
Hexachlorobenzene
❑ ML
❑ MDL
Hexachlorobutadiene
❑ ML
❑ MDL
Hexachlorocyclo-pentadiene
0 ML
❑ MDL
Hexachloroethane
El ML
❑ MDL
Indeno(1,2,3-cd)pyrene
0 ML
0 MDL
Isophorone
0 ML
0 MDL
Naphthalene
0 ML
❑ MDL
Nitrobenzene
El ML
❑ MDL
N-nitrosodi-n-propylamine
0 ML
0 MDL
N-nitrosodimethylamine
0 ML
0 MDL
N-nitrosodiphenylamine
0 ML
❑ MDL
Phenanthrene
❑ ML
❑ MDL
Pyrene
0 ML
❑ MDL
1,2,4-trichlorobenzene
❑ 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).
EPA Form 3510-2A (Revised 3-19)
Page 17

NPDES Permit Number
Facility Name
Outfall Number
Modified Application Form 2A
Modified March 2021
TABLE D. ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING
AUTHORITY
Maximum Daily Discharge
Average Daily Dischar
e
Pollutant
(fist)
Value
Units
Value
Units
Number of
Samples
Analytical
Method1
ML or MDL
(include units)
•
No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
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❑ MDL
❑ ML
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0 MDL
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0 MDL
Sampling shall be conducted according to sufficiently sensitive test procedures (Le., 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 18

Latitude:35°33'47" NC0039471
Longitude: 79°32'56"
Stream Class: C Chatham County Schools
Subbasin: 30609 Bennett Elementary School
USGS Quad: Bennett, N.C.
Receiving Stream: UT Flat Creek
Map not to scale

Permit NC0039471
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
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
Chatham County Schools
are hereby authorized to discharge wastewater from a facility located at the
Bennett Elementary School WWTP
61 Randolph Street
Bennett
Chatham County
to receiving waters designated as an unnamed tributary to Flat Creek in the Cape Fear 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 April 1, 2017.
This permit and authorization to discharge shall expire at midnight on September 30, 2021.
Signed this day, March 15, 2017
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

Permit NC0039471
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 Chatham County Schools
are hereby authorized to:
1. Continue to operate an existing 0.005 MGD wastewater treatment facility that includes the following
components:
• Septic tank
• Recirculating sand filter
• UV disinfection system
This facility is located at the Bennett Elementary School WWTP (61 Randolph Street, Bennett) in
Chatham County.
2. Discharge from said treatment works at the location specified on the attached map into an unnamed
tributary to Flat Creek, currently classified C waters in the Cape Fear River Basin.
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Permit NC0039471
PART I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
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:
PARAMETER
Parameter Code
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample Location
Flow 50050
0.005 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
(April 1 — October 31) C0310
5.0 mg/L
7.5 mg/L
2/Month
Grab
Effluent
BOD, 5-day (20°C)
(November 1 — March 31) C0310
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
Total Suspended Solids C0530
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NH3 as N
(April 1 — October 31) C0610
2.0 mg/L
10 mg/L
2/Month
Grab
Effluent
NH3 as N
(November 1 — March 31) C0610
4.0 mg/L
20 mg/L
2/Month
Grab
Effluent
Dissolved Oxygen C0300
Daily Average >_ 6.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean) 31616
200 / 100 ml
400 / 100 ml
2/Month
Grab
Effluent
Temperature (°C) 00010
Monitor & Report
Daily
Grab
Effluent
pH 00400
>_ 6.0 & <— 9.0 Standard Units
2/Month
Grab
Effluent
Footnotes:
1. The permittee shall submit Discharge Monitoring Reports electronically using the Division's eDMR
application system [see A. (5)].
See A. (2) for instructions should the facility's permitted UV system fail and an alternate means of
disinfection is required.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
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Permit NC0039471
A. (2) TEMPORARY MEANS OF DISINFECTION
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
In the event that the wastewater treatment plant's ultraviolet (UV) disinfection system should fail,
underperform, or otherwise be removed from effective service, the permittee or his agent should
immediately inform the Surface Water Protection Section staff of the Raleigh Regional Office of this
development and discuss temporary, alternate means for disinfection of the effluent.
If chlorine compounds are used as temporary means of disinfection, the total residual chlorine (TRC)
concentration of the effluent must be monitored on a daily basis while this method of disinfection is in
use and values must be reported on the discharge monitoring report. TRC in the effluent may not
exceed 17 µg/L; therefore, dechlorination methods may also be necessary to ensure protection of water
quality in the receiving stream.
In the event that TRC monitoring should occur, the Division shall consider all effluent TRC values
reported below 50 µg/L to be in compliance with the permit. However, the Permittee shall continue to
record and submit all values reported by a North Carolina certified laboratory (including field certified),
even if these values fall below 50 µg/L.
Use of a disinfection system other than the permitted UV system during circumstances not deemed as
emergency and/or temporary (replacement of lamps, lamp cleaning or maintenance, etc.) will be
considered a violation of the terms of this permit.
A. (3) PERMIT RE -OPENER: NUTRIENT MONITORING
[NCGS 143-215.1 (b)]
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the North
Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II sections B-12
and B-13 of this permit, the Director may reopen this permit to require supplemental nutrient monitoring
of the discharge. The purpose of the additional monitoring will be to support water quality modeling
efforts within the Cape Fear River Basin and shall be consistent with a monitoring plan developed
jointly by the Division and affected stakeholders. In addition, the results of water quality modeling may
require that limits for Total Nitrogen and Total Phosphorus be imposed in this permit upon renewal.
A. (4) PERMIT RE -OPENER: AMMONIA (NH3 as N) NONCOMPLIANCE
[NCGS 143-215.1 (b)]
To help ensure the viability of habitat for endangered species and species of special concern known to
live within the portion of the Cape Fear River Basin where this discharge occurs, in the event that the
facility exhibits consistent noncompliance with permit effluent limits for ammonia nitrogen, the permit
may be reopened for the purpose of imposing increased monitoring frequencies and/or stricter effluent
limitations for this parameter. For the purposes of this section, consistent noncompliance shall be
Page 4 of 7

Permit NC0039471
defined as any noncompliance with effluent limitations (monthly average or daily maximum limits) that
occurs during three consecutive months or during any four of six consecutive months.
A. (5) ELECTRONIC REPORTING OF MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and program
reports. The final NPDES Electronic Reporting Rule was adopted and became effective on December
21, 2015.
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. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)1
The permittee shall report 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 / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
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. See "How to Request a Waiver from Electronic Reporting" section below.
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Permit NC0039471
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.
Starting on December 21, 2020, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a
Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the time
of each electronic submission. The permittee should use the EPA's website resources to identify the
initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity
(EPA or the state authorized by EPA to implement the NPDES program) that is the designated entity
for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for
each type of electronic submission and for each state. Instructions on how to access and use the
appropriate electronic reporting tool will be available as well. Information on EPA's NPDES
Electronic Reporting Rule is found at: http://www2.epa.gov/compliance/final-national-pollutant-
discharge-elimination-system-npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to
the Division. Requests for temporary electronic reporting waivers 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 submitting monitoring data and reports. The duration of a
temporary waiver shall not exceed 5 years and shall thereupon expire. At such time, monitoring data
and reports shall be submitted electronically to the Division unless the permittee re -applies for and is
granted a new temporary electronic reporting waiver by the Division. Approved electronic reporting
waivers are not transferrable. Only permittees with an approved reporting waiver request may
submit monitoring data and reports on paper to the Division for the period that the approved
reporting waiver request is effective.
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Permit NC0039471
Information on eDMR and the application for a temporary electronic reporting waiver are found on
the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
4. 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. (11.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (11.)(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://deq.nc.gov/about/divisions/water-resources/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:
"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 fines and imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.)1
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 7 of 7