NC0043974_Permit Issuance_20180511

Water Resources
ENVIRONMENTAL QUALITY
May 11, 2018
Mr. Phillip Williams, Superintendent
Public Schools of Gates County
P.O. Box 125
Gatesville, NC 27938-0125
ROY COOPER
Gown,
MICHAEL S. REGAN
Secreimy
LINDA CULPEPPER
Interim Director
Subject: Issuance of NPDES Permit NCO043974
BucIdand Elementary School WWTP
Gates County
Class WW-1
Dear Permittee:
Division personnel have reviewed and approved your application for renewal of the
subject permit. Accordingly, we are forwarding the attached 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).
This final permit includes the following significant changes from the existing permit:
➢ Section A. (3.) has been added to require electronic submission of effluent data.
Federal regulations require electronic submittal of all discharge monitoring
reports (DMRs).
➢ Regulatory citations have been added to the permit.
➢ An updated outfall map has been included.
➢ Post aeration has been added to the system component list, as well as dimensions
of the two wetland systems.
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 decision shall be
final and binding.
Please note that this permit is not transferable except after notice to the Division. The
Division may require modification or revocation and reissuance of the permit. This permit
does not affect the legal requirements to obtain any other Federal, State, or Local
governmental permit that may be required. If you have any questions concerning this
permit, please contact Emily Phillips at telephone number [phone].
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.ne.gov/about/divisions/water-resources/water-resources-permits/wastewater-bmch/npdes-wastewater-permits

nicer ly,
Linda Culpepper, Interim Director
Division of Water Resources
cc: Central Files
NPDES files

Permit NCO043974
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
GATES COUNTY BOARD OF EDUCATION
is hereby authorized to discharge wastewater from a facility located at the
Buckland Elementary School
448 NC Highway 37 North
Gates
Gates County
to receiving waters designated as an unnamed tributary to Cole Creek in the Chowan
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 June 1, 2018.
This permit and authorization to discharge shall expire at midnight on November 30,
2022.
Signed this day May 11, 201 .
C
Culpepper -
L'erimm Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

Permit NCO043974
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 Gates County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.006 MGD wastewater treatment system
which includes the following components:
♦ Grease trap (1,500 gallons)
♦ Septic tank (8,000 gallons)
♦ Two wet well dosing tanks (1,000 gallons each)
♦ Two vertical flow wetland systems - 40' x 40'
♦ Two horizontal flow wetland systems - 40' x 40'
♦ Recirculating line
♦ Post aeration
♦ UV disinfection
This class WW-1 facility is located south of Buckland at Buckland
Elementary School at 448 NC Highway 37 North in Gates County.
2. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Cole Creek, currently classified
C; NSW waters in sub -basin 03-01-01 of the Chowan River Basin.
Page 2 of 7

Permit NCO043974
Part I.
A. (I.) 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:
.EFFLUENT CHARACTERISTICS
LIMITS
MONITORINGrREQUIREMENTS.
Monthly•
Daily. -
Measurement°
Sample
Sample
-Parameter Code.:
:Avers ` e:. ;
:Maximum.= -
- : Fre :uen. c :
T , e:
Location; "..
Flow
0.006 MGD
Weekly
Instantaneous
Influent or Effluent
50050
BOD, 5-day (20°C) — Summer*
5.0 mg/L
7.5 mg/L
2/Month
Grab
Effluent
C0310
BOD, 5-day (20°C) — Kinter*
10.0 mg/L
15.0 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 — Summer*
2.0 mg/L
10.0 mg/L
2/Month
Grab
Effluent
C0610
NH3 as N — Winter*
4.0 mg/L
20.0 mg/L
2/Month
Grab
Effluent
C0610
Dissolved Oxygen
00300
Daily Average > 6.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
31616
Total Nitrogen (NO2+NO3+TKN)
C0600
Quarterly
Grab
Effluent
Total Phosphorus
Quarterly
Grab
Effluent
C0665
Temperature (°C)
Weekly
Grab
Effluent
00010
pH
Not < 6.0 nor > 9.0
2/Month
Grab
Effluent
00400
Standard Units
'Wummer: Apru 1 - October 31
*Winter. • November 1 - March 31
Footnote:
1. The Permittee shall submit discharge monitoring reports electronically using the Division's eDMR
system [see A. (3.)].
Health and development of wetland vegetation shall be checked at least weekly for any abnormal
conditions.
THERE SHALL BE NO DISCHARGE OF FLOATR iG SOLIDS OR VISIBLE FOAM IN OTHER THAN
TRACE AMOUNTS
Page 3 of 7

Permit NCO043974
A. (2.) TEMPORARY MEANS OF DISINFECTION
[NCGS 143-215.1 (a)]
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 Washington
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.
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.) ELECTRONIC REPORTING OF DISCHARGE 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. Re portina Re uirements Su ersedes Section D. 2. and Section E. 5. a
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:
Page 4 of 7

Permit NCO043974
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.
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:
https: / lwww.federalregister.gov / documents / 2015 / 10 / 22/ 2015-24954 /national -pollutant-
discharge-elimination-system-npdes-electronic-reporting-rule
Page 5 of 7

Permit NCO043974
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.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http: / /deg.nc.govIabout/divisions.Jwater-resources/edmr
4. Signatory Requirements (Supplements Section B. (11.1 (b) and Supersedes Section B.
11. d
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:/Zdeg.ng.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 122.221. 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
Page 6 of 7

Permit NCO043974
penalties for submitting false information, including the possibility of, fines and
imprisonment for knowing violations."
5. Records Retention [Supplements Section D. MAI
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 122.411.
Page 7 of 7

NCO043974 - Buckland Elementary
School WWTP
Latitude: 362 28' 11" Sub-basin:03-01-01
Longitude: 762 45' 44" Receiving Stream: Cole Creek
Stream Class: C; NSW
Facility
Location
Gates County
NORTH Map not to scale

FACT SHEET
EXPEDITED - PERMIT RENEWAL
NCO043974 — Class WW-1
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily Phillips / NPDES / February 20, 2018
Permit Number - Class
NC0043974 — Class WW-1
Flow
0.006 MGD [305 people)
Owner
Gates County Board of Education
Facility Name
Buckland Elementary School WWTP
Type of Waste
100 % domestic
Basin Name/Sub-basin number
Chowan River Basin / 03-01-01
Receiving Stream
Cole Creek [segment 25-12-7)
Stream Classification in Permit
C; NSW
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
No
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Yes — If TRC is used for disinfection
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit MODS since last permit?
No
Requests for Renewal
Received August 3, 2017
New expiration date
November 30, 2022
Changes to current permit?
Updated map, added eDMR language, & added regulatory
citations
Data Review -- Reviewed BIMS data from 2012 through present. Numerous violations for daily maximum for
total solids & fecal coliform, and monthly geomet. for fecal coliform. All proceeded to NOVs.

Phillips, Emily
From: Hennessy, John
Sent: Tuesday, March 20, 2018 3:56 PM
To: Phillips, Emily
Subject: FW: [External] Buckland Elementary Schools WWTF (NC0043974)
Let me know if you want me on the phone call with WaRO
John Hennessy
Supervisor, Compliance and Expedited Permitting Unit
Division of Water Resources
m
Department of Environmental Quality
C� `
919-807-6377 office
-ev� t Kt
[e-mail]
j��l n � M
6Y
p�� � � ZZ 1
1617 Mail Service Center
fil �" A
Raleigh, NC 27669-1617
�I�V
l I " `-tll, r�4
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Sledge, Bob
Sent: Tuesday, March 20, 2018 6:08 AM
To: Hennessy, John <[e-mail]>; Phillips, Emily <[e-mail]>
Subject: FW: [External] Buckland Elementary Schools WWTF (NC0043974)
Hi Y'all,
Michael called me yesterday to ask about potential avenues of relief for the subject school as they deal with a situation
of ongoing noncompliance. At first he was asking about how they might enter into a SOC. After he described the
situation, it seems like the school system has an idea of what the problem is and has a plan to fix it, but they can't
reasonably perform the work until school ends this summer. I mentioned that we had entered into compliance
agreements with permittees under similar circumstances. Due to the (probable) short time aspect of getting the repair
done, a CA may be a better fit than a SOC, but it may need to be extended through the fall to see if the repairs have their
desired effect once the kids come back to school.
I told him I'd pass this along to you and let you quiz WARD to see if they'd be interested in going down this path, or that
of a traditional SOC. He's provided some background below.
In case you didn't know or remember, Michael is a sharp engineer who worked in PERCS for a number of years before
moving to DPI. He's got the position Bob DeWeese used to have, providing assistance to schools regarding wastewater
issues.
Thank you,
MM

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: Michael Leggett[mailto:[e-mail]]
Sent: Monday, March 19, 2018 10:33 AM
To: Sledge, Bob <[e-mail]>
Subject: [External] Buckland Elementary Schools WWTF (NC0043974)
Bob,
Thanks for the assistance. Per our conversation I wanted to provide some background related to the Buckland ES and
their compliance issues. The facility consists of settling tanks, dosing tanks, 2 vertical flow wetland systems, 2 horizontal
flow wetland systems, and UV disinfection.
Over the summer of 2017, the system had a contractor come in and remove the existing plants and media from the
wetland cells. The intent was to remove the original brick fines from the cells that was causing issues (color leaching)
with the UV disinfection system. The sand media that was placed down however was a very fine media that's leading to
ponding and limit violations. The existing effective size is less than 0.27 mm. For a recirculating sand filter, you would
expect to see sand on the order of 0.8 mm to 1.5 mm. Even a finer media for a single pass sand filter would require an
effective size of at least 0.35 mm to 0.6 mm. The uniformity coefficient is also higher than would be expected.
The school is planning to replace the media with a coarser sand to meet the original specifications over the summer
when school is out.
The school has begun to receive enforcement actions and are looking to evaluate their options. It sounds like a
compliance agreement would be a valid alternative to an SOC. Any assistance you can provide would be
appreciated. Thanksl
Michael Leggett, PE
Engineer / Plant Operation Section
NCDPI
m [e-mail]
[phone]
Visit us on the web at www.ncpublicschools.org. 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.
Email correspondence to and from this address maybe subject to the North Carolina Public Records Law and maybe disclosed to third parties by an authorized
state official.

Publisher's Certificate of Publication
STATE OF NORTH CAROLINA
PUBLIC NOTICE
COUNTY OF GATES
NMan
gementComm son/
NPDES Unit
Ann Potter, being duly sworn, on oath says she
1617 Mail Service Center
Raleigh, NC 27699-1617
is and during all times herein stated has been an
employee of Roanoke-Chowan Publications, Inc.
Notice of Intent to Issue a
NPDES Wastewater Permit
publisher and printer of the The Roanoke-Chowan
News -Herald (the "Newspaper"), has full knowledge
The North Carolina Environ-
of the facts herein stated as follows:
mental Management Com-
mission proposes to issue a
NPDES wastewater discharge
1. The Newspaper printed the copy of the matter
permit to the persons) listed
attached hereto (the "Notice") was copied from the
below. written comments re -
columns of the Newspaper and was printed and
garding the proposed permit will
ublished in the En lish Ian ua a on the followin
P 9 9 9 9
be accepted until 30 days after
days and dates:
the publish date of this notice.
The Director of the NC Division
of Water Resources (DWR) may
03/20/18 -
hold a public hearing should
there be'a significant degree
2. The sum charged by the Newspaper for said
of public interest. Please mail
comments and/or information
publication is the actual lowest classified rate paid
requests to DWR at the above
by commercial customer for an advertisement of
address. Interested persons
similar size and frequency in the same newspaper
9 YSalisbury
may visit the DWR at 512 N.
Street, Raleigh, NC to
in which the Notice was published.
review information on file. Ad-
ditional information on NPDES
3. There are no agreements between the News-
permits and this notice may be
paper, publisher, manager or printer and the officer
9 P
found on our websi iv, ions/
dee.nc.aov/about/divisions)
or attorney charged with the duty of placing the at-
water- o r P /war r-r o rc-
tached legal advertising notice whereby any advan-
es-cermits/wastewater-branch/
loge, gain or profit accrued to said officer or attorney
nod es-wastewater/public-no-
'.es,or
by calling (919) 807-
6397. Public Schools of Gates
Countyty requested renewal of
NC0033804 for T.S.
Cooper El-
ementary School W VM,, Gates
County. This permitted facility
discharges treated wastewa-
ter to an unnamed tributary to
Raynor Swamp, owRiver
Basin. Public Schools of Gates
County requested renewal of
NCO043974 for Buckland Ele-
mentary School WWTP, Gates
Ann Potter, Employee
County. This permitted facility
discharges treated wastewater
Subscribed and sworn to before me this
to an unnamed tributary to Cole
Creek, Chowan River Basin.
20th Day of March, 2018
�. "r,
�t, c" = Q OfARy
Amy M. Whitaker, Notary Public
Beaufort County, NC to pUg1.0
My commission expires August 25, 2018 =_t_(,
Account # WNL00012453
Ad # 458562
NCDENR-DIVISION OF WATER RESOURCES
(RCP)
1617 MAIL SERVICE CENTER
RALEIGH NC 27699

State of North Carolina
Division of Water Resources
Water Quality Regional Operations Section
Environmental Quality Staff Report
To: ® NPDES Unit ❑ Non -Discharge Unit
Attn: Charles Weaver
From: Will Hart
Washington Regional Office
lVcc)04397y
Application No.: (include permit #)
Facility name: Buckland Elementary School
Note: This form has been adapted from the non -discharge facility staff report to document the review of both non
discharge and NPDES permit applications and/or renewals Please complete all sections as they are applicable
I. GENERAL AND SITE VISIT INFORMATION RECEIVEDINCDEQIDWR
1. Was a site visit conducted? ❑ Yes or ® No
a. Date of site visit:
b. Site visit conducted by:
c. Inspection report attached? ❑ Yes or ❑ No
d. Person contacted: _ and their contact information: (�
e. Driving directions:
ext.
SEP 2 6 2017
Water Quality
Permitting
2. Discharge Point(s): BIM location coordinates for facility outfall are inaccurate; following are closer to
location:
Latitude: 36.28.11 Longitude: 76.45.44
3. Receiving stream or affected surface waters: UT to Cole Creek (Lilley's Millpond)
Classification: C; NSW
River Basin and Subbasin No. Chowan River (03-01-01)
Describe receiving stream features and pertinent downstream uses:
H. EXISTING FACILITIES: MODIFICATION AND RENEWAL APPLICATIONS
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ® Yes ❑ No ❑ N/A
ORC: Certificate #: Backup ORC: Certificate #:_
2. Are the design, maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes or ❑ No
If no, please explain:
Description of existing facilities: The description in the current permit appears to be correct.
Proposed flow: 0.006 MGD
Current permitted flow: 0.006 MGD
Explain anything observed during the site visit that needs to be addressed by the permit, or that may be important
for the permit writer to know (i.e., equipment condition, function, maintenance, a change in facility ownership,
etc.)
3. Are the site conditions (e.g., soils, topography, depth to water table, etc) maintained appropriately and adequately
assimilating the waste? ® Yes or ❑ No
If no, please explain:
FORM: WQROSSR 04-14 Page I of 3

'� 4: Has the site changed in any way that may affect the permit (e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or ® No
If yes, please explain:
5. Is the residuals management plan adequate? ® Yes or ❑ No
If no, please explain:
6. Are the existing application rates (e.g., hydraulic, nutrient) still acceptable? ® Yes or ❑ No
If no, please explain:
7. Is the existing groundwater monitoring program adequate? ❑ Yes ❑ No ® N/A
If no, explain and recommend any changes to the groundwater monitoring program:
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or ® No
If yes, attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or ❑ No
If no, please explain:
10. Were monitoring wells properly constructed and located? ❑ Yes ❑ No ® N/A
If no, please explain:
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑ No ® N/A
12. Has a review of all self -monitoring data been conducted (e.g., DMR, NDMR, NDAR, GW)? ® Yes or ❑ No
Please summarize any findings resulting from this review: Issues revealed from self -monitoring are discussed
below in Iitem 14.
Provide input to help the permit writer evaluate any requests for reduced monitoring, if applicable.
13. Are there any permit changes needed in order to address ongoing BIMS violations? ❑ Yes or ® No
If yes, please explain:
14. Check all that apply:
❑ No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
® Notice(s) of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments (i.e., NOV, NOD, etc.)
If the facility has had compliance problems during the permit cycle, please explain the status. Has the RO been
working with the Permittee? Is a solution underway or in place? The facility filter media was interfering with
W disinfection, resulting in violations of fecal coliform limits for effluent. The permittee changed the filter
media to correct the coliform issues and are now experiencing condition of low Dissolved Oxygen. The Regional
Office inspector, who is also our technical consultant, is working through these issues with the facility.
Have all compliance dates/conditions in the existing permit been satisfied? ❑ Yes ❑ No ® N/A
If no, please explain:
15. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑ Yes ®No❑N/A
If yes, please explain:
16. Possible toxic impacts to surface waters:
IT Pretreatment Program (POTWs only):
III. REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or ® No
If yes, please explain:
FORM: WQROSSR 04-14 Page 2 of 3

2. Recommendation: ❑ Hold, pending receipt and review of additional information by regional office
® Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
❑ Issue
❑ DeUleaseto reasons: _)
3. Signature of report preparer: k—
Signature of regional supervisor:
Date: zz �►
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
An inspection was not conducted for this permit review. The Regional Office inspector is scheduled to perform a
FORM: WQROSSR 04-14 Pave 3 of 3