NC0085481_Permit Issuance_20161114

Water Resources
ENVIRONMENTAL QUALITY
November 14, 2016
Mr. John Shepard
Pender County Schools
925 Penderlea Highway
Burgaw, NC 28425
PAT MCCRORY
Garenla
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
Subject: Issuance of NPDES Permit NCO085481
Penderlea Elementary School WWTP
Class WW-1
Pender County
Dear Mr. Shepard:
The Division of Water Resources (the Division) hereby issues the attached NPDES permit for the
subject facility. 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.
We have made the following updates to your previous permit with no subsequent changes from the
draft permit mailed to you:
➢ Section A. (3) has been added to require electronic submission of effluent data. Federal
regulations require electronic submittal of all discharge monitoring reports (DMRs), effective
December 21, 2016.
➢ Regulatory citations have been added to the permit.
D An updated outfall map has been included.
No later than December 21, 2016, 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 final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
The requirement to begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application has been added to your final
NPDES permit. [See A. (3)] For information on eDMR, registering for eDMR and obtaining an
eDMR user account, please visit the following web page:
httv:Hdeg.nc.gov/about/divisions/water-resources/edmr.
For more information on EPA's final NPDES Electronic Reporting Rule, please visit the following
web site:
http://www2.ei)a. gov/compliance/final-national-pollutant-discharge-elimination-syste m-npdes-
electronic-reporting-rule.
If any parts, measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing, upon written request submitted within
thirty (30) days after receiving this letter. Your request must take the form of a written petition
conforming to Chapter 150B of North Carolina General Statutes, and you must file it with the Office
State of North Cawlim J Environmental Quality I Water Reworces
1617 Mail service Center I Raleigh, North Carolina 27699-1617
919 807 6300

of Administrative Hearings, 6714 Mail Service Center, Raleigh, North Carolina 27699-6714. Unless
such a demand is made, this permit shall remain 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 Resources or
any other Federal, State, or Local governmental permits that may be required.
If you have questions, or if we can be of further service, please contact Meredith Wojcik at
[[e-mail]] or call [phone].
pec y, f�
S. Jay Zimmerman, P.G.
Division of Water Resources, NCDEQ
Enclosure: NPDES Permit NC0085481 (Issuance Final)
he: Central Files
NPDES Program Files
WRO Files
ec: Mr. John Shepard [[e-mail]]

Permit NC0085481
STATE OF NORTH CAROLINA
DEPARTMENT OF !ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
i
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,
Pender County Schools
is hereby authorized to discharge wastewater from a facility located at the
Penderlea Elementary School WWTP
82 Penderlea School Road
Willard, NC
Pender County
to receiving waters designated as Crooked Run Creek in subbasin 03-06-22 of the Cape Fear
River Basin in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective February 1, 2016.
This permit and authorization to discharge shall expire at midnight on January 31, 2022.
Signed this day November 28, 2016.
I
SZimmerman, P.G., Dir�Or
S►� '
vision of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 7

Permit NCO085481
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.
Pender County Schools
is hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment system with the
following components:
♦ Underdrain system
♦ 2,500-gallon influent pump station with alarm system
♦ 10,000-gallon septic tank
♦ Recirculation tank with pumps and alarm system
♦ Pea gravel filter bed
♦ Dual -bank ultraviolet disinfection system
♦ Flow meter (continuous monitoring/ reporting)
The facility is located at the Penderlea Elementary School WWTP at 82 Penderlea
School Road in Pender County.
2. Discharge from said treatment works via Outfall 001, at the location specified on
the attached map into Crooked Run Creek [ 18-74-29-4-1 ] currently classified C-
Swamp waters in subbasin 03-06-22 [HUC: 03030007051 of the Cape Fear River
Basin.
Page 2 of 7

Permit NCO085481
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Beginning with the effective date of this permit and lasting until expiration,, the Permittee is
authorized to discharge treated wastewater from Outfall 001. Such discharges shall be limited
and monitored' by the Permittee as specified below:
I
FEFTS
_� V '� rC" —9/ 1" 1 .x1.1 i OX
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-/J�.. .(/i/y.5(�}j�iT(Ry/�
irAI+VS�VIV•
_
r_ +
Flow 50050
0.01 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day, (20°C) - Summer* C0310
5.0 mg/L
7.5 mg/L
2/Month
Grab
Effluent
BOD, 5-day, (20°C) - linter* C0310
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
Total Suspended Solids C0530
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NH3 as N - Summer* C0610
2.0 mg/L
10.0 mg/L
2/Month
Grab
Effluent
NH3 as N - Winter* C0610
4.0 mg/L
20.0 mg/L
2/Month
Grab
Effluent
Fecal Coliform
31616
(geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
pH 00400
>6.Oand <9.0
2/Month
Grab
Effluent
(standard units
Temperature (°C) 00010
Monitor & Report
Weekly
Grab
Effluent
Dissolved Oxygen 00300
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
Temperature (*C) 00010
Monitor & Report
Weekly
Grab
Upstream &Downstream
2
Dissolved Oxygen 00300
Monitor & Report
Weekly
Grab
Upstream &Downstream
2
'Summer. April 1- October 31
*lMnter. November 1- March 31
Footnotes:
1. No later than December 21, 2016, the permittee shall begin submitting discharge monitoring
reports electronically using the NC DWR's eDMR application system [see A. (3)].
2. Upstream = at least 50 feet upstream from the outfall. Downstream = at least 100 feet
downstream from the outfall.
See Condition A. (4) for instructions should the facility's permitted UV system fail and an alternate
means of disinfection is required. Total residual chlorine monitoring requirements and limits are
applicable if chlorine compounds are used for disinfection.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN
TRACE AMOUNTS.
Page 3 of 7

Permit NCO085481
A. (2) PERMIT RE -OPENER: SUPPLEMENTARY NUTRIENT MONITORING/TMDL
IMPLEMENTATION
[NCGS 143-215.1 (b)]
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the
North Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II
sections B-12 and B-13 of this permit, the Director of DWQ may reopen this permit to require
supplemental nutrient monitoring of the discharge. The purpose of the additional monitoring
will be to support water quality modeling efforts within the Cape Fear River Basin and shall be
consistent with a monitoring plan developed jointly by the Division and affected
stakeholders. In addition, the results of water quality modeling may require that limits for
total nitrogen and total phosphorus be imposed in this permit upon renewal.
The Division may, upon written notification to the Permittee, re -open this Permit in order to
incorporate or modify effluent limitations, monitoring and reporting requirements and other
permit conditions when it deems such action is necessary to implement TMDL(s) approved by
the USEPA.
A. (3) ELECTRONIC REPORTING OF MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and program reports and specify that, if a state does not establish a system to
receive such submittals, then permittees must submit monitoring data and reports
electronically to the Environmental Protection Agency (EPA). 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. ReportingReguirements [Supersedes Section D. (2.1 and Section E. (5.1(am
Effective December 21, 2016, 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 NCO085481
NC DEQ / 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 CFR122.410)(9), the permittee must identify the initial recipient
at the time of each electronic submission. The permittee should use the EPA's website
resources to identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means
the entity (EPA or the state authorized by EPA to implement the NPDES program) that is
the designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting
tool for each type of electronic submission and for each state. Instructions on how to
access and use the appropriate electronic reporting tool will be available as well.
Information on EPA's NPDES Electronic Reporting Rule is found at:
http: / / www2 . eDa. gov/ compliance/ final-national-pollutant-discharge-ehmination-
system-npdes-electronic-reporting-rule'.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a'� permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers must be submitted in writing to the Division for written approval at least sixty
Page 5 of 7

Permit NCO085481
(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: / Ideq.nc.govlaboutZdivisions f water-resources/edmr
4. ftrnatoa Requirements [Supplements Section B. U 1.1 (b) and Supersedes
Section B. (11.) (di]
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:% f deg.nc.gov/about/divisions/water-resourcesIedmr
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 certa; f , under penalty of law, that this document and all attachments were prepared
under my direction or supervision in accordance with a system designed to assure that
qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system or those persons directly
responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.�]
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 6 of 7

Permit NCO085481
A. (4) TEMPORARY MEANS OF DISINFECTION
[NCGS 143-215.3 (a)(2)]
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 Water Quality Regional Operations Section
staff of the Wilmington Regional Office of this development and discuss temporary,
alternate means for disinfection of the effluent.
If chlorine compounds are used as temporary means of disinfection, the total residual
chlorine (TRC) concentration of the effluent must be monitored on a daily basis while this
method of disinfection is in use and values must be reported on the discharge monitoring
report. TRC in the effluent may not exceed 17 µg/L; therefore, dechlorination methods
may also be necessary to ensure protection of water quality in the receiving stream.
In the event that TRC monitoring should occur, the Division shall consider all effluent
TRC values reported below 50 pg/ L to be in compliance with the permit. However, the
Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 pg/L.
Use of a disinfection system other than the permitted UV system during circumstances
not deemed as emergency and/or temporary (replacement of lamps, lamp cleaning or
maintenance, etc.) will be considered a violation of the terms of this permit.
Page 7 of 7

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Pender County Schools
N
Penderlea Elementary School WWTP
NPDES Permit 85481
Receiving Stream: Crooked Run Creek Stream Class: C-Swamp
a
�F,cility cale not LocshWt,
Stream Segment: 18-74-29-4-1 Sub -Basin #: 03-06-22
River Basin: Cape Fear HUC: 0303000705
County: Pender
SCALE
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34.6566670,-78.0458330
USGS Quad: Wallace
West

AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
Public Notice
North Carolina Environmental Man-
agement Commission/NPDES Unit
1617 Mail Service Center Before the undersigned, a Notary Public of Said County and State,
to Issue a NPDE5
ter Permit Jarlm Springer
na Environmental y P geC
emission proposes
i wastewater dis-
:o the person(s) Who, being duly sworn or affirmed, according to the law, says that he/she is
dcce ,eu wnu >u odys doer me
publ sh date of this notice. The Di-
Accounting Specialist
rector of the INC Division of Water
Resources (DWR) may hold a public
hearing should there be a 5lgnifi-
of CA North Carolina Holdings, Inc., a corporation organized and doing business under the Laws
Pleasedmail mee mmentsl`andiorein-
of the State of North Carolina, and publishing a newspaper known as StarNews in the City of
formation requests to DWR at the
Wilmington
above address. interested persons
may visit the DWR at 512 N. Salis-
bury Street, Raleigh, NC [ooreview I
information on hie. AdPublic
Notice North Carolina Environmental Management Commission/NPDES Unit 1617
mg
formation on NPDES permits and
Mail Service Center Raleigh, NC 27699-1617 Notice of Intent to Issue a NPDES Wastewater
this notice may be found on our
website:
Permit The North Carolina Environmental Management Commission proposes to issue a
httoWdeo.ncoov/about/d!vr ns/w
arnr-mcnurrodwamr_m<��rroc.
NPDE
was inserted in the aforesaid newspaper in space, and on dates as follows:
form, dissolved oxygen, and am-
monia nitrogen are water quality
limited_ _ 10/101x
And at the time of such publication Star -News was a newspaper meeting all the requirements and
qualifications prescribed by Sec. No. 1-597 G.S. of N.C.
Title: Accou tin Specialist
Sworn or affirmed to, and subscribed before me this t� day of
0L+V'DLr , A.D., 10 I &
In Testimony Whereof, I have hereunto set my hand and affixed my official seal, the day and
y
Lr TANYA V WRIGHT
}'a NOTARY PUBLIC
(� NEW HANOVER COLN?iYa Public
j MY COMM. EXP. /aO-J/
/
My commission expires day of )Xtl 20 }
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the said
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of
Clerk of Superior Court
MAIL TO:

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
Meredith L. Wojcik — 9/2/2016
Permit Number
NCO085481
Facility Name
Penderlea Elementary School WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-22
Receiving Stream
Crooked Run Creek
Stream Classification in Permit
C-Swarnp
Stream Index: 18-74-2944
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?
No
Does permit have instream monitoring?
Yes, for dissolved oxygen and temperature
Is the stream impaired on 303(d) list)?
No
Any obvious compliance concerns?
No. No enforcements for the current permit
cycle. Exceedance and frequency violations
are the main source of NOVs for the current
permit cycle and there have been no NOVs
since 2012. Flow exceedances and low pH
during the current permit c cle.
Any permit mods since lastpermit?
No
New expiration date
1/31/2022
Changes to 2011 Permit?
Added eDMR requirements
Added regulatory citations
Changes to Draft Permit?
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Finai 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 below 50 µg/L will be treated as zero
for compliance purposes."

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 C0085481
If you are completing this form in computer use the TAB key or the up - down arrows to moue 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 Pender County Schools
Facility Name Penderlea Elementary School
Mailing Address
925 Penderlea Hiighway
city Burgaw
State / Zip Code North Carolina 28425
(910-259-2187
CEIVEBINGD-EUDWR
Telephone Number
SEP 14 2016
Fax Number 910-259-0132
Water C i0ty
ntet nc Section
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 82 Penderlea School Road
City Willard
State / Zip Code North Carolina,
County Pender
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 John Shepard
Mailing Address 925 Penderlea Highway 0
City Burgaw
State / Zip Code North Carolina , 28425 Q
Telephone Number 910-259-2187
Fax Number 910-259-0132
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 Generatin¢ Wastewater(check all that applyr
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
School ❑ Number of Students/Staff 530
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
school
Number of persons served: 530
5. Type of collection system
x❑ Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Out fall Information:
Number of separate discharge points I
Outfall Identification number(s) I
Is the outfall equipped with a diffuser? ❑ Yes xNo
7. Name of receiving stream(s) (NEW applicants: Provide a rnap showing the exact location of each
outfall):
Crooked Run Creek
S. Frequency of Discharge: x Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: continious
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 ofpaper.
Filter Bed filtration, spray recirculation, monitor temp. daily, (grab s xE'es), TSS bi-
monthly, BOD bi-monthly, NH3asN , bi-monthly, Dissolved oxygen, whkly, PH, weekly
fecal, bI=weekly
IO
QP
2 of 3 Form-D 11112

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.01 MGD
Annual Average daily flow 0.005000 MOD (for the previous 3 years)
Maximum daily flow .0012000 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 otherparameters 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
the vast 36 months for parameters currentlu in uour permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
8.75
7.30
Mg/l
Fecal Coliform
<5
<5
Geometric means
Total Suspended Solids
3.0
<2.9
Mg/I
Temperature (Summer)
26.7
26
C
Temperature (Winter)
15.7
12.3
C
pH
8.3
7.5
Standard units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
Nc0085481
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
0
I certify that I am familiar with the information contained in the apoation and that to the
best of my knowledge and belief such Information is true, complete, ptd accurate.
Printed name of Person Signing Title N
North Carolina General Statute 143.215.6 (b)(2) stales: 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.)
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