NC0070459_Renewal (Application)_20230828

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Donald Hawks
Yadkin County Board of Education
121 Washington St
Yadkinville, NC 27055-7725
Subject: Permit Renewal
Application No. NCO070459
Starmount High School WWTP
Yadkin County
Dear Permiee:
NORTH CAROLINA
Environmental Quality
August 28, 2023
The Water Quality Permitting Section acknowledges the August 28, 2023 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-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•//dgq nc gov/permits-reciulation/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
Sincerely,
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes MITI Road, Suite 300 1 Winston-Salem, North Carolina 27105
336.776.9600

Yadkin County Board of Education
Renewal request for discharge wastewater
treatment facility:
Starmount High School WWTP
2516 Longtown Road,
Boonville, NC 27011
Permit # NCO070459
RECEIVED
AUG 2 8 2023
NCDEQIDWRINPDES

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO070459
Starmount High School
Modified March 2021
Form
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
NPDES
the instructions may result in denial of the application.
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.210)(1) and (9))
Facility name
1.1
Starmount High School
Mailing address (street or P.O. box)
121 Washington St
City or town
State
ZIP code
o
Yadkinville
NC
2705S
EContact
name (first and last)
Title
Phone number
Email address
Mitchell T Long
ORC
[phone]
[e-mail].i
c
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
M
U-
2516 Longtown Road
City or town
State
ZIP code
Boonville
NC
27011
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission E] No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes 0 No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
0
City or town
State
ZIP code
o
c i
Contact name (first and last)
Title
Phone number
Email address
a
a
`=
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
Facility and applicant
❑ Facility Applicant ElFacility
are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
r
number for each.
m
Existing Environmental Permits
°
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
c
water)
control)
'E
NCO070459
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
E]NESHAPs (CAA)
w
N
E]Ocean dumping (MPRSA)
E]Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO070459
Starmount High School Modified March 2021
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type Ownership Status
Served
Served
(indicate percentage)
_
1
168
100 °io separate sanitary sewer El Own 171 Maintain
w
% combined storm and sanitary sewer ❑ Own ❑ Maintain
2:
d
❑ Unknown ❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
0
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
E%
separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
Total �1,168
Population
c°�
Served
Combined Storm and
Separate Sanitary Sewer System
Sanitary -Sewer
_
100 %
°
Total percentage of each type of
sewer line in miles)��
1.8
Is the treatment works located in Indian Country?
c
o
❑ Yes 0 No
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
c
❑ Yes ❑ No
1.10
Provide design and actual flow rates in the designated spaces.
Desi n Flow Rate
0.026 mgd
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
0.008 mgd
0.008 mgd
0.008 mgd
0
"'
Maximum Daily Flow Rates Actual
d
Two Years Ago
Last Year
This Year
0.010 mgd
0.010 mgd
0.010 mgd
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
a a
Constructed
►�'
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Emergency
Overflows
.y
�
1
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO070459
Starmount High School
Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes 0 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 Im oundment Location and dischar a Data
Average Daily Volume
Continuous or intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes ❑ No 4 SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
y
Land Application Site and Discharge Data
o
Average Daily Volume
Continuous or
o`
Location
Size
Applied
Intermittent
�
check one
c
acres
gpd
❑ Continuous
y
0
❑ Intermittent
m
acres
gpd
El
❑ Intermittent
0
acres
gpdEl
Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
a
ElYes ❑✓ No -+ 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 parry other than the applicant?
❑ Yes ❑ No -+ SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter 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
NCO070459
Starmount High School
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
facility.
—receiving
F cillity Data
o
—__Receiving
Facility name Mailing address (street or P.O. box)
m
City or town
State
ZIP code
0
Contact name (first and last)
Title
0
d
Phone number
Email address
g
cNPDES
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 already 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 0 No 4 SKIP to Item 1.23.
0
1.22
Provide information in the table below on these other disposal methods.
m
Information on Other Disposal Methods
oDisposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
❑ Continuous
R
acres
9p d
❑ Intermittent
0
❑ Continuous
acres
gpd
❑ Intermittent
ElContinuous
acres
gpd
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
y
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
d
A
Discharges into marine waters (CWA Water quality related effluent limitation (CWA Section
❑ ❑
Cr
Section 301(h)) 302(b)(2))
❑� Not applicable
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
Z 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
o
Contractor name
Lentz Septic Tank Service
(company name
0
Mailing address
418 Lentz Road,
street or P.O. box
o
City, state, and ZIP
Statesville, NC 28625
code
Contact name (first and
c0
last
Jason Lentz
Phone number
[phone]
Email address
off [e-mail]
Operational and
Clean Sludge Storage Tanks at
maintenance
the end of School Year.
responsibilities of
Usually in June.
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO070459 Starmount High School Modified March 2021
SECTION 2. ADDITIONAL INFORMATION (40 CFR 122.216)(1) and (2))
3 Outfalls to Waters of the State of North Carolina
0
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
a,
❑ Yes ❑ No -+ SKIP to Section 3.
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
9pd
and infiltration.
Indicate the steps the facility is taking to minimize inflow and infiltration.
c
R
3
0
_
a2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
R fl.
specific requirements.)
6 tO
02
❑ Yes ❑ No
t°
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
c as
(See instructions for specific requirements.)
U
o
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
_
0
1.
m
d
CL
2.
E
O
N
m
3.
I
0
4.
U)
a
R
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Im rovements
0
m
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
O
Improvement
(list l
Construction
Construction
Discharge
Level
CL E
(from above)
number)
)
(MM/DDIYYYY)
(MM/DDNYYY)
(MM/DD/YYYY)
MM/DDIYYYY
m
a
I
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
I
Explanation:
Page 5

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO070459
Starmount High School Modified March 2021
SECTION•'
• ON I 1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
3.1
Outfall Number 1
Outfall Number
Outfall Number
-
State
NC
N '
County
Yadkin
Y
w
O
w
City or town
Boonville
0
Distance from shore
300
a
Depth below surface
3 ft.
Average daily flow rate
.008 mgd
mgd
mgd
Latitude
3e id 49"
°
Longitude
so° 4d 21" T__
T
"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o
❑✓ Yes ❑ No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
y
Outfall Number oos
Outfall Number
Outfall Number
o
Number of times per year
170
s
discharge occurs
a
Average duration of each
20 hours
`o
discharge (specify units
o
Average flow of each
.008 mgd
mgd
mgd
ti
discharge
,n
Months in which discharge
Jan. - May Aug. -Dec.
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑v No 4 SKIP to Item 3.6.
3.5
describe the diffuser t pe at each applicable outfall.
CL
-Briefly
Outfall Number _
Outfall Number
Outfall Number
N
7
0
I
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
0 ui
d�
3 6
one or more discharge points?
7
a)
M =
i
❑ Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO070459
Starmount High School
Modified March 2021
3.7
Provide the receiving water and related information if known for each outfall
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
remed tributary to South Deer
Name of watershed, river,
sub Basin 03 07 oz
0
or stream system
U.S. Soil Conservation
Q
Service 14-digit watershed
o
code
L
w
Name of state
management/river basin
Yadkin Pee Deer River
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
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number 00,
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
El Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
o
Q
Design Removal Rates by
U
1
Outfall
d
BOD5 or CBOD5
70 %
%
%
m
>_
d
TSS
70 %
%
%
r`
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
93 %
%
%
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO070459
Starmount High School
Modified March 2021
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Ultra Violet disinfection is used through all seasons.
a
m
_
c
w.
0
Outfall Number 1
Outfall Number
Outfall Number
a
.a
Disinfection type
Ultraviolet Light
N
d
0
Seasons used
all
d
E
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 application package?
0 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
by outfall number or of the receiving water near the discharge points.
-discharges
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
rn
=
water
Number of tests of receiving
`—
water
d
Uj
w
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?
2 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?
additional sampling required by NPDES
El
❑ Yes permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO070459
Starmount High School
Modified March 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No + Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
No + Provide results in Table E and SKIP to
❑ Yes ❑
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MM/DDNYYY
m
c
c
0
w
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
a
toxicity?
a'
c
ElYes ❑ No SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
m
Ui
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permitting authority.
Page 9

NPDES Permit Number
Facility Name Modified Application Form 2A
NCO070459
Starmount High School Modified March 2021
SECTION1
CERTIFICATION STATEMENT (40
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
6.1
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
❑ w/ variance request(s) ❑ w/ additional attachments
Information for All Applicants
❑ Section 2: Additional
❑ w/ topographic map ❑ wl process flow diagram
Information
❑ w/ additional attachments
Q w/ Table A ❑ w/ Table D
❑ Section 3: Information on
© w/ Table B ❑ w/ additional attachments
Effluent Discharges
❑ w/ Table C
d
Section 4: Not Applicable
0
Section 5: Not Applicable
d
ca
❑ Section 6: Checklist and
❑ wl attachments
Certification Statement
Uf
x
6.2
Certification Statement
I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Mitchell Thomas Long
ORC
Signature
Date signed
08/21/2023
rA
ISM
Page 10

NPDES Permit Number Facility Name Outtall Number
NC0070459 Starmount High School 1
Modified Application Form 2A
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical
ML or MDL
Pollutant I Number of
Value Units Value Units
Method'
Include units
( )
1 —Samples
Biochemical oxygen demand
-
o BOD5 or ❑ CBOD5
3.8 mg/L
1.76
mg/I
36
sm5210b-2016
O ML
❑ MDL
(report one
Fecal coliform
0
#/1OOml
0
#/1O0ml
36 Colilert-18 O ML
❑ MDL
36
Design flow rate
0.026
MGD
0.008
MGD
pH (minimum)
>6.0
standard
pH (maximum)
<9.0
standard
C
E
36
❑ ME
Temperature (winter)
No limit
Temperature (summer)
No limit
c
Total suspended solids (TSS)
9.9
mg/I
3.02
mg/I
' 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 I Outfall Number
NCO070459 Starmount High School 1
Modified Application Form 2A
Modified March 2021
Average Daily Discharge
Analytical
ML or MDL
Maximum Daily
Discharge
Value
Units
Pollutant
Number of
Value Units
Methods
Include units
( )
Samples
Ammonia (as N)
35.0
mg/I
2.1
mg/I
36
Z ML
❑ MDL
Chlorine
❑ ML
total residual, TRC 2
❑ MDL
Dissolved oxygen
>5.0
mg/I
8.76
mg/I
36
21 ML
❑ MDL
❑ ML
Nitrate/nitrite
❑ MDL
0 MIL
Kjeldahl nitrogen
❑ MDL
❑ ML
Oil and grease
❑ MDL
❑ ML
Phosphorus
❑ MDL
Total dissolved solids
❑ ML
❑ MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

EPA Identification Number I NPDES Permit Number Facility Name Outfall Number I Modified Application Form 2A
NC0070459 Starmount High School Modified March 2021
•• ••
Maximum Daily Discharge Average Daily Discharge
Analytical I ML or MDL
Pollutant Number of Method' (include units)
Value Units Value Units
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
OML
❑ MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
11 ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
DML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
OML
❑ MDL
Total phenolic compounds
OML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
❑MDL
Acrylonitrile
_
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 13

EPA Identification Number l NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC007O459 Starmount High School
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant - -- - Number of
Method' (include units)
Value Units Value Units Samples
Carbon tetrachloride
❑ ML
❑ MDL
Chlorobenzene
❑ ML
❑ MDL
❑ ML
❑MDL
Chlorodibromomethane
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
OML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans- 1, 2-dichloroethylene
OML
❑ MDL
1,1-dichloroethylene
El ML
❑ MDL
1,2-dichloropropane
0 ML
❑ MDL
1,3-dichloropropylene
OML
❑ MDL
Ethylbenzene
OML
❑ MDL
Methyl bromide
El ML
❑ MDL
Methyl chloride
El ML
❑ MDL
Methylene chloride
0 ML
❑ MDL
1,1,2,2-tetrachloroethane
El ML
❑ MDL
Tetrachloroethylene
El ML
❑ MDL
Toluene
❑ ML
❑ MDL
1,1,1-trichloroethane
❑ ML
❑ MDL
1,1,2-trichloroethane
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 14

EPA Identification Number
NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO070459 Starmount High School
Modified March 2021
Ic - 1 - •
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant
Method' (include units)
I
Number of
Value
Units
Value
Units
Samples
Trichloroethylene
❑ ML
❑ MDL
Vinyl chloride
0 ML
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
LJ ML
❑ MDL
2-chlorophenol
El ML
❑ MDL
2,4-dichlorophenol
El ML
❑ MDL
2,4-dimethylphenol
El MI
❑ MDL
4,6-dinitro-o-cresol
❑ ML
{
❑MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
0 ML
❑ MDL
4-nitrophenol
OML
❑ MDL
Pentachlorophenol
El ML
❑ MDL
Phenol
El ML
❑ MDL
2,4,6-trichlorophenol
❑ ML
❑ MDL
Base -Neutral Compounds
Acenaphthene
LJ ML
❑ MDL
Acenaphthylene
11 ML
❑ MDL
Anthracene
El ML
❑ MDL
Benzidine
❑ ML
❑ MDL
Benzo(a)anthracene
El ML
❑ MDL
Benzo(a)pyrene
11 ML
❑ MDL
3,4-benzofluoranthene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO070459 Starmount High School
Modified March2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant -- Number of
Method' (include units)
Value Units Value Units Sam le_s
Benzo(ghi)perylene
Li ML
❑ MDL
Benzo(k)fluoranthene
_
DIAL
❑ MDL
Bis (2-chloroethoxy) methane
0 ML
❑ MDL
Bis (2-chloroethyl) ether
0 ML
❑ MDL
Bis (2-chloroisopropyl) ether
OML
❑ MDL
Bis (2-ethylhexyl) phthalate
11 MIL
❑ MDL
4-bromophenyl phenyl ether
0 ML
❑ MDL
Butyl benzyl phthalate
OML
❑ MDL
2-chloronaphthalene
C1 ML
❑ MDL
4-chlorophenyl phenyl ether
OML
❑ MDL
Chrysene
0 ML
❑ MDL
di-n-butyl phthalate
OML
❑ MDL
di-n-octyl phthalate
OML
❑ MDL
Dibenzo(a,h)anthracene
El ML
❑ MDL
1,2-dichlorobenzene
❑ ML
❑MDL
1,3-dichlorobenzene
_
El ML
❑ MDL
1,4-dichlorobenzene
❑ ML
❑ MDL
3,3-dichlorobenzidine
El ML
❑ MDL
❑ ML
Diethyl phthalate
❑ MDL
❑ ML
Dimethyl phthalate
❑ MDL
❑ ML
2,4-dinitrotoluene
❑ MDL
❑ ML
2,6-dinitrotoluene
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO070459 Starmount High School
Modified March 2021
�• 1 'I
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant Number of
Method' (include units)
Value Units Value Units gam les
❑ ML
1,2-diphenylhydrazine
❑ MDL
❑ ML
Fluoranthene
❑ MDL
❑ ML
Fluorene
❑ MDL
❑ ML
Hexachlorobenzene
❑ MDL
❑ ML
Hexachlorobutadiene
❑ MDL
❑ ML
Hexachlorocyclo-pentadiene
❑ MDL
❑ ML
Hexachloroethane
❑ MDL
❑ ML
Indeno(1,2,3-cd)pyrene
❑ MDL
❑ ML
Isophorone
❑ MDL
❑ ML
Naphthalene
❑ MDL
❑ ML
Nitrobenzene
❑ MDL
❑ ML
N-nitrosodi-n-propylamine
❑ MDL
❑ ML
N-nitrosodimethylamine
❑ MDL
❑ ML
N-nitrosodiphenylamine
❑ MDL
❑ ML
Phenanthrene
❑ MDL
❑ ML
Pyrene
❑ MDL
❑ ML
1,2,4-trichlorobenzene
❑ 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
NCO07O459 Starmount High School
Modified March 2021
�� • 1 •'
Maximum Daily Discharge Avera a Dail Discharge
Pollutant - —
Number of
Analytical ML or MDL
y
(list) Value Units Value Units
Method' (include units)
Samples
❑ No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
--
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
-
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ 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).
Page 18

A:
r
7�
Discharge
Location
S
AN
ICP
1100
0
"00 A
NCO070459 Starmount High School Facility +
Latitude: 36010'49" Sub -Basin: 03-07-02 Location
Longitude: 80046'21" USGS Quad: Elkin South
Stream Class: WS-III
Receiving Stream: UT to South Deep Creek Ne4& Yadkin County
I Map not to scale