NC0071773_Permit Issuance_20140115

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Dr. L. Stewart Hobbs
Yadkin County Schools
121 Washington St
Yadkinville, N.C. 27055-7725
Dear Dr. Hobbs:
Division of Water Resources
Thomas A. Reeder
Director
January 15, 2014
John E. Skvarla III
Secretary
Subject: Issuance of NPDES Permit NC0071773
Forbush High School WWTP
Class WW-2
Yadkin County
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 major change from the draft permit sent to you
on November 20, 2013.
➢ Section A. (2) has been added to require electronic submission of effluent data. Proposed Federal
regulations require electronic submittal of all discharge monitoring reports (DMRs). The
proposed regulations specify that if a state does not establish a system to receive such
submittals permittees must submit DMRs electronically to the Environmental Protection
Agency (EPA). Accordingly, NC DENR has established an electronic data -submission system.
Permittees must begin using the system no later than 270 days following the issuance of permit
renewals. In your case, that deadline is November 1. 2014.
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 other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required. If you have any questions concerning this permit, please
contact Charles Weaver at telephone number [phone].
Sine ely,
Thomas A. Reeder
cc: Central Files Winston-Salem Regional Office NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] / hfp://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer -50% Recycled/10'k Post Consumer Paper

Permit NCO071773
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended, the
Yadkin County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Forbush High School WWTP
1525 Falcon Road
East Bend
Yadkin County
to receiving waters designated as Forbush Creek in subbasin 03-07-02 of the Yadkin -Pee
Dee River Basin in accordance with effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective February 1, 2014.
This permit and authorization to discharge shall expire at midnight on December 31, 2018.
Signed this day January 15, 2014
Th A. Reeder, Director
Di 'sion of Water Resources
By Authority of the Environmental Management Commission
1of5

Permit NCO071773
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 Yadkin County Board of Education hereby authorized to:
1. Continue to operate an existing 0.026 MGD wastewater treatment system that
includes the following components:
➢ Grease trap
➢ Bar screen
➢ 8,000-gallon equalization basin with flow splitter box
➢ Dual 13,000-gallon aeration basins
➢ Dual 3,250-gallon clarifiers
➢ Dual sludge storage with alternating pumps
➢ UV disinfection system
➢ 1,500-gallon backup tablet chlorinationldechlorination unit
➢ Flow meter
This facility is located at the Forbush High School WWTP (1525 Falcon Road, East
Bend) in Yadkin County.
2. Discharge treated wastewater from said treatment works at the location specified on
the attached map into Forbush Creek (via outfall 001), currently classified WS-IV
waters in subbasin 03-07-02 of the Yadkin -Pee Dee River Basin.
2 of 5

Permit NCO071773
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning upon the effective date of the 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
LIMITS'
MONITORING REQUIREMENTS
[PCS, Code]
Moathly,
Daily°
Measurements '
'T Sa_ m_ ale;`
y x _ -
$ample.
` Avera e: ,'Nt"aRimnm`
�Frequency
� e.
Location
Flow
50050
0.026 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
00310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
00530
NH3 as N
2/Month
Grab
Effluent
00610
Fecal Coliform [31616]
200/100 mL
400/100 mL
Weekly
Grab
Effluent
(geometric mean
Total Residual Chlorine (TRC)2
28 Ng/L
2/Week
Grab
Effluent
50060
Temperature CC)
Weekly
Grab
Effluent
Total Phosphorus (TP)
Quarterly
Grab
Effluent
Total Nitrogen (TN)
Quarterly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
2/Month
Grab
Effluent
Footnotes:
1. No later than November 1, 2014, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR application system [see A. (3)].
2. Limit and monitoring requirements apply only if chlorine is added to disinfect_ The Permittee
shall report all effluent TRC values reported by a NC -certified laboratory [including field -
certified]. Effluent values < 50 µg/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) NUTRIENT REOPENER FOR HIGH ROCK LAKE
This permit may be reopened and modified to implement nutrient requirements in accordance
with any future TMDL and / or nutrient management strategy for High Rock Lake.
3of5

Permit NCO071773
A. (3) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and specify that, if a state does not establish a system to receive such submittals, then
permittees must submit DMRs electronically to the Environmental Protection Agency (EPA).
The Division anticipates that these regulations will be adopted and is beginning implementation
in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)]
Beginning no later than November 1, 2014, the permittee shall begin reporting discharge
monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each
month and submitted electronically using eDMR. The eDMR system allows permitted
facilities to enter monitoring data and submit DMRs electronically using the internet. Until
such time that the state's eDMR application is compliant with EPA's Cross -Media Electronic
Reporting Regulation (CROMERR), permittees will be required to submit all discharge
monitoring data to the state electronically using eDMR and will be required to complete the
eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer -printed eDMR to the following address:
NC DENR / Division of Water Resources / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to
the facility being physically located in an area where less than 10 percent of the households
have broadband access, then a temporary, waiver from the NPDES electronic reporting
requirements may be granted and discharge monitoring data may be submitted on paper
DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by the Director. Duplicate signed
copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the
date the facility would be required under this permit to begin using eDMR. Temporary
waivers shall be valid for twelve (12) months and shall thereupon expire. At such time,
DMRs shall be submitted electronically to the Division unless the permittee re -applies for and
is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic
reporting requirements is found on the following web page:
4 of 5

Permit NCO071773
http://portal.ncdenr.org/web/wq/admin/bog/iou/edmr
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the
month following the commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section
B. (11.) (d)l
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. (I1.)(b). A person, and not a position, must be delegated signatory
authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR
user account and login credentials to access the eDMR system. For more information on
North Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account,
please visit the following web page:
http://Portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"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."
3. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from
the date of the report. This period may be extended by request of the Director at any time [40
CFR 122.41] .
5of5

NCO071773 - Forbush High School Facility
USGS Quad: Farmington Lat.: 36008'29" Location
Receiving Stream: Forbush Creek Long.: 80°33'44"
Stream Class: WS-IV
Basin / Subbasin: Yadkin / 03-07-02 N®rth Not to SCALE

NORTH CAROLINA
FORSYTH COUNTY
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 D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a
newspaper known as the Winston-Salem Journal, published, issued and
entered as second class mail in the City of Winston-Salem, in said County and
State: that he is authorized to make this affidavit and sworn statement: that the
notice or other legal advertisement, a true copy of which is attached hereto,
was published in the Winston-Salem Journal on the following dates:
November 27, 2013
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such
publication, a newspaper meeting all the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina and was a qualified
newspaper within the meaning of Section 1-597 of the General Statutes of
North Carolina.
This 27th day of November, 2013 �VA
(signature of p rs ma 'ng affidavit)
Sworn to and subscribed before me, this 27th day of No ber, 2013
Nota P blic
My Commission expires: September 28, 2015
KIMALEY JOHNSON
NOTARY PUBLIC
FORSYTH COUNTY
STATE OF NORTH CAR I
MY COMMISSION EXPIRES •lv

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
Charles H. Weaver 11/18/2013
Permit Number
NCO071773
Facilitv Name
Hope Valle WWI?
Basin Name/Sub-basin number
03-07-02
Receiving Stream
Forbush Creek
Stream Classification in Permit
WS-IV
Does permit need Daily Max NH3 limits?
N / A
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
None. No enforcements on record. One
violation in 2013, four in 2012.
Any permit modifications since lastpermit?
one.
New expiration date
12/31/2018
Comments on Draft Permit
➢ Added parameter codes.
➢ Added High Rock reopener condition.
➢ Added eDMR requirements.
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".
TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
'The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/L will be treated as zero for
compliance purposes."
This page has been printed on scrap paper to save money and reduce our programis environmentaL
Impact. Disregard any content on the back of this page.

Weaver, Charles
From:
Sent:
To:
Cc:
Subject:
Good Morning Charles,
Hudson, Gary
Tuesday, August 27, 2013 11:28 AM
Weaver, Charles
Basinger, Corey
Permit Renewels
Concerning permit numbers: NC00 — 70459,39420, 29599, 29611, 29602, and 71773 (all in Yadkin County).
Our office has no concerns and recommends the renewal of these permits.
Gary Hudson
NC DEN Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
Please note my new e-mail address: Gary. [e-mail]
***********************************************************************
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.
1

grow vr,imection rcequirements, for NCG550000
1. Check Chlorinator and pachlorinstor weekly.
2. Chlorinator `must be po l l IMMntly labeled Chorine tablets only.
I Dechkxmator moat be patrmaner ft labeled Dechlonnation tablets only.
4. Put no morr than three tablets per tube in the Chlorinator for proper operation.
5. Put no more than three tablets per tube in the Dechlo fmft for proper operation.
fi. All Mutnent components must be 50 feet from the bank of creek or bank of dry ditch tributary to
creek.
7. All piping rriust be 4 inch Schedule 40 PVC throughout N_ot TQ
8. Only approved wasWm3ter rated Chlorine and Dechkxination tablets are to be used. Swimming
Pool tab are not approved.
! Chlorinator Chlorine Contact Tank Dochlorinator
SSFKHRW
--� 4
Oar
! Rip Rap or Cascade Aerator
Watertight SMiM'rt inside.
Vitt
C�
Sots or holes to allow flaw through.
i
G4 Ban (2500 pp minimum)
The Chlorinator and DechWnstor shelf be tablet type for use with low flows
The Chlorine Contac' Tank shall be oonatr nW to provide minimum 30 minute detention time at average now.
The Chlorine Contact Tank Baffle Wall should be constructed of concreft ftw tod wrrA nr ataahakLm at bw"j ,,,,,_

NPDES APPLICATION - FORM D
y For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit 000071773
If you are completing this form in computer use the TAB key or the up — down arrows to move from one
field to the next To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
YADKIN COUNTY BOARD OF EDUCATION
Facility Name
FORBUSH HIGH
Mailing Address
121 WASHINGTON STREET
City
YADKINVILLE
State / Zip Code
N.C. 27018
Telephone Number
(336 679 3138)
Fax Number
(336 679 3262 )
e-mail Address
MARK. MATTHEWS@YADKIN. K 12. NC.US
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 1525 FALCON RD
City
EAST BEND
State / Zip Code
N.C. 27018
County
YADKIN
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name YADKIN COUNTY BOARD OF EDUCATION
Mailing Address 121 WASHINGTON ST,
City YADKINVILLE
State / Zip Code N.C. 27018
Telephone Number (336 679 3138)
Fax Number (336 679 3262)
1 of 4
D
AUG 2 2013
DENR-WATER QUAL _ _ -D

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
®
Number of Students/ Staff APP:1500
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
SCHOOL
Population served: APP. 1500
S. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
?.. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
FORBUSH CREEK
S. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration:
9. Describe the treatment system
List all installed components, including capacity, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
GREASE TRAP
BAR SCREEN
8000 GAL EQ TANK
DUAL 13000 GAL AERATION BASINS
DUAL SLUDGE STORAGE
UV DISINFECTION SYSTEM
1500 GALLON BACKUP TABLET CHLORINATOR/DECLORINATOR
FLOW METER
2 of 4 Form-D 1/06

NCO071773 - Forbush High School
USGS Quad: Farmington Lat.: 36008'29"
Receiving Stream: Forbush Creek Long.: 8003344"
Stream Class: WS-1V
Facility
Location
Northir Not to SCALE

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .026 MGD
Annual Average daily flow 0.013 MGD (for the previous 3 years)
Maximum daily flow .017 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal CoIiform, Temperature and pH shall be grab samples, for ail other
parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Daily
Monthly
Units of
Number of
Parameter
Maximum
Average
Measurement
Samples
Biochemical Oxygen Demand
45
30
MG/L
4
(BODS)
Fecal Coliform
400
200
MG/L
4
Total Suspended Solids
45
30
MG/L
4
Temperature (Summer)
NA
NA
C
4
Temperature (Winter)
NA
NA
C
4
6-9
6-9
STANDARD
4
P H
UNITS
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES MC0071773 Dredge or fill (Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non -attainment program (CAA) Other
14. APPLICANT CERTIFICATION
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
3 of 4 Form-D 1/06

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
DR. STEWART HOBBS SUPERINTENDANT
Printed name of Person Sieninz-----r-,. Title
of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be
maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or
who falsifies, tampers with, or knowly renders inaccurate any recording or monitoring device or method required to be
operated or maintained under Article 21 or regulations of the' Environmental Management Commission implementing
that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to
exceed six months, or by both. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $25,000 or
imprisonment not more than 5 years, or both, for a similar offense.)
4 of 4 Farm-D 1106