NC0075515_Permit Issuance_20131114

A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla III
Governor Director Secretary
November 14, 2013
Mr. Tommy Spicer
Wilkes County Schools
613 Cherry St
North Wilkesboro, N.C. 28659
Subject: Issuance of NPDES Permit NCO075515
Boomer Ferguson Elementary School WWTP
Wilkes County
Dear Mr. Spicer:
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 September 25, 2013.
➢ Section A. (3) 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). NC DENR has established an electronic data -submission system. Permittees
must begin using the system no later than 90 days following the issuance of permit renewals. In
your case, that deadline is March 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 required by Federal, state or local governments. If you have any
questions concerning this permit, please contact Charles Weayer-It telephone number [phone].
Sin erely,
Thomas A. Reeder - --
cc: Central Files Winston-Salem Regional Office/Surface Water Protection NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / httpl/poaal.ncdenr.orgtweb/wq
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Permit NCO075515
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 provision 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
Wilkes County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Boomer Ferguson Elementary School WWTP
556 Boomer Ferguson School Rd
Boomer
Wilkes County
to receiving waters designated as an unnamed tributary to Warrior Creek in subbasin 03-
07-01 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 December 1, 2013.
This permit and authorization to discharge shall expire at midnight on September 30, 2018.
Signed this day November 14, 2 3
L
R�s A. Reeder, Directo --
Division of Water Resources
By Authority of the Environmental Management Commission
1of5

Permit NCO075515
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked,
and as of this 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 Wilkes County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.003 MGD wastewater treatment facility with the
following components:
• Septic tank
• Dosing tank
• Two surface sand filters
• Calcium hypochlorite disinfection
• Sodium sulfite dechlorination
The facility is located at the Boomer -Ferguson Elementary School WWTP [556 Boomer -
Ferguson School Rd, Boomer] in Wilkes County.
2. Discharge from said treatment works *at the location specified on the attached map into
an unnamed tributary to Warrior Creek, currently classified WS IV waters in subbasin
03=07-01 of the Yadkin -Pee Dee River Basin.
2of5

Permit NCO075515
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on 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 monitored1 by the Permittee as specified below:
;PARAMETER.. ; _.
LIMITS„
MON.I.TORING`
REQUIREl11�ENTS
[�cs code]
'.1 Y'�'�,1 Y f a-.L
jR{/�t y`
! ,
_ 'Daily
t.
'�.."Z+Y
MeasurementS�miple
Went.
1
!L
-:..•.�
! , < •4
#tl� i „a. ,. ,y,
}• 1,
Ave"rage
a
�
Maxi Mn M,
�A ,
_ requenc
_ d
F
Type
P
Loci, _on ,:.
Flow
50050]
0.003 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5 day, 200C
00310]
30.0 mg/L
45.0 mg/L
2 / Month
Grab
Effluent
Total Suspended Solids
00530]
30.0 mg/L
45.0 mg/L
2 / Month
Grab
Effluent
NH3 as N [00610]
(April 1 to October 31
12.7 mg/L
35.0 mg/L
2 / Month
Grab
Effluent
NH3 as N [00610]
November 1 to March 31
Monthly
Grab
Effluent
Fecal Coliform [31616]
(geometric mean
200 / 100 ml
400 / 100 ml
2 / Month
Grab
Effluent
Total Residual Chlorine (TRC)2
28 Ng/L
2 / Week
Grab
Effluent
50060]
Temperature
00010
Weekly
Grab
Effluent
Total
Total Nitrogen
[006Total
Quarterly
Grab
Effluent
Phosphorus
Quarterly
Grab
Effluent
00665
pH
[00400]
> 6.0 and < 9.0 standard units
— —
2 / Month
Grab
Effluent
Notes:
1 No later than March 1, 2014, the permittee shall begin submitting discharge monitoring reports
electronically using the Division's eDMR application system [see A. (3)].
2 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 NCO075515
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 March 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
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 no later than February 1, 2014
(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
4 of 5

Permit NCO075515
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:
http://portal.ncdenr.org/web/wg/admin/bog/i,pii/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
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://Portal.ncdenr.org/web/wg/admin/bo�pu/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.)l
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

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Subbasin:30701 Wilkes County Board of Education Locationt's'``-`�
Latitude: 36006'01"
Longitude: 81 °17'4.7"
Boomer Ferguson Elementary School
Stream Class: WS-TV
Receiving Stream: UT Warrior Creek North SCALE 1:Z�OOO

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory, Governor Thomas A. Reeder, Director John E. Skvarla III, Secretary
September 18, 2013
MEMORANDUM
To: Lisa Edwards
NC DENR / DWR / Regional Engineer
Winston-Salem Regional Office
From: Charles H. Weaver, Jr.
NPDES Unit
Subject: Review of Draft NPDES Permit NCO075515
Boomer Ferguson Elementary School WWTP
Wilkes County
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by October 18, 2013. If you have any questions on the draft permit, please contact me
at the telephone number or e-mail address listed at the bottom of this page.
RESPONSE: (Check one)
©Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed 9"�L • F E Date: 10-7-13
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919807-6391 (fax) 919807&189
VISIT US ON THE INTERNET@HTrPI/PoRTALNCIDENRORGIWEB/WG chades.weaver@ nodencgov
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NORTH CAROLINA
FORSYTH COUNTY
Cj4'v/jkr
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:
September 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. x�J1 (A1
This 27th day of September, 2013
(signature of per o)naking affidavit)
Sworn to and subscribed before me, this 27th day of September, 2013
Nota Ablic
My Commission expires: September 28, 2015
KIMALEY JOHNSON
NOTARY PUBLIC
: FORSYTH COUNTY
STATE OF NORTH
MY COMMISSION EXPIRES INA n Y
OCT 82013
PUBLIC NOTICE
North Carolina Environmental
Management Commission/NPDES Unit
1617 Mail Service Center
Raleih, NC 27699.1617
Notice gof Intent to Issue a
NPDES Wastewater Permit
WSJ: September 27, 2013

Weaver, Charles
From: Smith, George
Sent: Thursday, September 19, 2013 8:44 AM
To: Weaver, Charles
Subject: RE: DRAFT permit renewals for 5 school sin Wilkes County
Charles,
I reviewed the draft permits and all is ok. I have no comments on these.
Robert Day is no longer the ORC, and has retired. Tommy Spicer is the ORC
Hang in there Charles, you're doing a fine job,
George
George Smith
New email: oeoroe.smith()ncdenr.00v
NC DENR Winston-Salem Regional Office
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Weaver, Charles
Sent: Wednesday, September 18, 2013 11:16 AM
To: Smith, George
Subject: DRAFT permit renewals for 5 school sin Wilkes County
Importance: High
George —these are all class W W-1 facilities. The permits will go to Public Notice on 9/25/2013.
Send me any comments you have by October 181h.
Thanks,
CH W

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 9/10/2013
Permit Number
NC0075515
Facility Name
Boomer Ferguson Elementary School WWTP
Facility Classification
WW-1
Basin Name/Sub-basin number
03-07-01
Receiving Stream
UT Warrior Creek
Stream Classification in Permit
WS-IV
Does permit need Daily Max NH3 limits?
No — already resent
Does permit need TRC limits/lan e?
No - already resent
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 since 2010.
Any permit modifications since lastpermit?
None.
New expiration date
9/30/2018
Comments on Draft Permit
Added parameter codes.
Added High Rock reo ever condition.
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/1 will be treated as zero for
compliance purposes."

Wilkes County Schools Maintenance Department
Bergie C. Speaks - Maintenance Director Telephone [phone] ext.24
613 Cherry Street Fax [phone]
North Wilkesboro, NC 28659 [e-mail]
May 1, 2013
Mr. Charles H. Weaver
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27669-1617
Subject: Delegation of Authority for preparing renewal packages for NC NPDESS Permits.
Dear Mr. Weaver,
This letter is to delegate authority to process the NC NPDES permits for the below listed
facilities.
NC NPDES PERMIT NUMBERS
NAME OF FACILITY
NC
0075515
Boomer Ferguson Elementary
NC
0038709
Roaring River Elementary
NC
0046426
Traphill Elementary
NC
0076066
North Wilkes High
NC
0046418
Mountain View Elementary
Robert Day will process these renewals and related matters of the Wilkes County Schools
Robert is a Grade H Certified Wastewater Operator and ORC for the School Systems. Robert can
be reached at [phone].
Should you have any question, please contact our office.
Sincerely,
Bergie C. Speaks, III
Director of Maintenance

Wilkes County Schools Maintenance Department
Bergle C. Speaks —Maintenance Director Telephone [phone] ext. 24
613 Cherry Street Fax [phone]
North Wilkesboro, NC 28659 [e-mail]
May 1, 2013
Mr. Charles A. Weaver
NC DENR Water Quality Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Renewal Of NPDES Permit NC 0075515
Dear Mr. Weaver:
With this letter the Wilkes County Board of Education is requesting renewal of the above
referenced NPDES Permit.
Enclosed are the renewal application, delegation of authority letter, and the sludge
management control plan letter.
If you should need further information please contact me at [phone].
Sincerely,,
OOL�
Robert Day
ORC of Water Facility

It
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit CO075515
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
Wilkes County Schools
Facility Name
Boomer Ferguson Elementary School
Mailing Address
613 Cherry Street
City
North Wilkesboro
State / Zip Code
NC 28659
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 556 Boomer Ferguson School Road
City Boomer
State / Zip Code NC 28606
County Wilkes
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 Wilkes County Schools
Mailing Address 613 Cherry Street
City North Wilkesboro
State / Zip Code NC 28659
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 11112

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
X
Number of Students/ Staff 215
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Elementary School (Domestic)
Number of persons served: 215
5. Type of collection system
X 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 X No
7. Name of receiving stream(s) (NEW applicants: Provide a map shouting the exact Iocation of each
outfallp.
Unnamed tributary to Warrior Creek
S. Frequency of Discharge: ❑ Continuous X Intermittent
If intermittent:
Days per week discharge occurs: 15 Duration: 15 Min
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
This facility has a septic tank, dosing tank, two surface sand filters, chlorinator with
contact tank with tube type chlorination using calcium hypochlorite and tube type de -
chlorination using sodium sulfite.
2 of 3 Form-D 11/12

NPDES APPLICATION • FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .0030 MGD
Annual Average daily flow .0025 MGD (for the previous 3 years)
Maximum daily flow .0046 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
.NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
tho nn.ct .16 mnnths fnr nnrnmP_ters mrrentlu in flour Derrnit. Mark other parameters "NIA".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
39.5
11.5
MG/L
Fecal Coliform
550
30
MG/L
Total Suspended Solids
33.0
11.0
MG/ L
Temperature (Summer)
26
20
C
Temperature (Winter)
21
11
C
pH
8.78
7.66
S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO075515
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
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.
Robert Day ORC
Printed name of Person Signing Title
Signature of Applica 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 knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 11112

Wilkes Countv Schools Maintenance
rtment
Bergie C. Speaks —Maintenance Director Telephone [phone] ext. 24
613 Cherry Street Fax [phone]
North Wilkesboro, NC 28659 speaksbfwilkes.ki2.nc.us
May 1, 2013
Mr. Charles A. Weaver
NC DENR Water Quality Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Sludge Management Plan
Dear Mr. Weaver:
The following information is provided as requested for all NC NPDES Permit renewal
packages:
The sludge generated from the below listed NC NPDES facilities are removed annually
by or staff and Myers Septic Service. It is transported to the Town of North Wilkesboro
Wastewater Treatment plant for treatment and ultimate disposal.
NC
0075515
Boomer Ferguson Elementary
NC
0038709
Roaring River Elementary
NC
0046426
Traphill Elementary
NC
0076066
North Wilkes High
NC
0046418
Mountain View Elementary
See the attached authorization form signed by Jimmy Martin, Facility Operator for the
Town of North Wilkesboro, Wastewater Treatment Plant.
If you need further information please contact me at [phone].
Sincerely,
Robert Day
ORC of Water Facilities
Wilkes County Schools

AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
1646 Mail Service Center, Raleigh, NC 27699-1646
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment
facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
I, Jimmy Martin ORC License # North Wilkesboro, NC WWTP
(Plant Operator in Responsible Charge (ORC) and ORC License Number)
P. 0 Box 218 N. Wilkesboro, NC 28659 / Thuram Street, N. Wilkesboro, NC 28659
(Address)
336-838-5001 do hereby authorize Wilkes County Schools / Robert Day
(Phone Number) (Owner/Operator of Septage Management Firm)
Of Wilkes County Schools NCS # 11478
(Septage Management Firm Name and NCS number)
to dispose of: domestic septage X , portable toilet waste
grease septage (grease trap pumpings) commercial/industrial septage , from
Wilkes County Schools
(County or other Geographic Area)
at the above named wastewater treatment facility. Septage shall be discharged at:
North Wilkesboro, NC WWTP
(Location)
between the hours of lam to 5pm Monday - Friday
Reintroducing partially treated liquid into a grease trap is acceptable Yes X No
This authorization shall be valid until December 31 2013
(Usually December 31, Year)
c
Signed Date a g
(Facility Operator)
Swom to and subscribed before me this C I ! day of 20
My Commission expires: DY, 3 A401!L
(Notary Pu is
ELAINE P MARTIN
( &M, 11�3�2014
My F�c hm
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
S:/Solid Waste/CLA/SEPTAGE/FORMS/2013 Firm Application/WWTP Authorization Form 2013