NC0087980_Renewal (Application)_20160816

Stokes County Schools
STOKES COUNTY BOARD OF EDUCATION
SUPERINTENDENT
Sonya M. Cox, Chair
::
Dr. Brad Rice
Patricia M. Messick, Vice Chair
Rebecca P. Boles` ASSISTANT SUPERINTENDENT
William F. Hart
Tony George
Jamie B. Yontz
wwwstokes.k12.nc.us . 100 Courthouse Circle PO Box 50 Danbury, NC 27016 Phone: [phone] . Fax: [phone]
August 5, 2016
REC.ElVE®1NMEODWR
Sludge Management Plan AUG 16 2016
For
Pine Hall Elementary School WWTP Water Quality
NPDES No. 0087980 Permitting ,section
The Pine Hall Elementary School WWTP utilizes both grease traps and septic tanks to capture solids generated
by the school. Stokes County Schools contracts with a licensed septage management firm to pump all tanks and
dispose of as required by North Carolina Division of Waste Management.
okes Co ty Schools
Ricky Goins, Director of Maintenance

I 4 I
Stokes County Scbools
STOKES COUNTY BOARD OF EDUCATION
Sonya M. Cox, Chair
Patricia M. Messick, Vice Chair
Rebecca P. Boles
William F. Hart
Jamie B. Yontz
SUPERINTENDENT
Dr. Brad Rice
ASSISTANT SUPERINTENDENT
Tony George
www.stokes.k12.nc.us . 100 Courthouse Circle . PO Box 50 . Danbury, NC 27016 . Phone: [phone] . Fax: [phone]
August 5, 2016
NCDENR/DWR/NPDES Unit cq)ppr
1617 Mail Service Center
Raleigh, NC 27699-1617
Attn: Mr, Wren Thedford
Re: Pine Hall Elementary School WWTP NPDES Renewal Application Cover Letter
NC NPDES Permit No. NCO087980 RECEI °ED/NMENVIM
Stokes County, NC AUG 16 2016
Dear Mr. Thedford, Water Qu,ality
Perinitting Se iorl
As required for all NPDES renewal application packaages, on behalf of the Stokes County Board of Education,
we request renewal of the Pine hall Elementary School WWTP NPDES Premit No. NC0087980.
There have been no modifications to the facility since the issuance of the last permit.
Sincerely,
Stokes County Schools
Jd ?
Ricky Goins, Director of Maintenance
„&'t'j J��.�„

Stokes County Schools
STOKES COUNTY BOARD OF EDUCATION SUPERINTENDENT
Sonya M. Cox, Chair Dr. Brad Rice
Patricia M. Messick, Vice Chair
Rebecca P. Boles ASSISTANT SUPERINTENDENT
William F. Hart Tony George
Jamie B. Yontz
www.stol<es.k12.nc.us . 1 100 Courthouse Circle . PO Box 50 . Danbury, NC 27016 . Phone: [phone] . Fax: [phone]
August 5, 2016
Sludge Management Plan
For
Pine Hall Elementary School WWTP
NPDES No. 0087980
The Pine Hall Elementary School WWTP utilizes both grease traps and septic tanks to capture solids generated
by the school. Stokes County Schools contracts with a licensed septage management firm to pump all tanks and
dispose of as required by North Carolina Division of Waste Management.
4okes County Schools
JOL--
Ricky Goins, Director of Maintenance

NPDES APPLICATION - FORINT 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 C0087980
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
Stokes County Board of Education
Facility Name
Pine Hall Elementary School WWTP
Mailing Address
P.O. Box 50
City
Danbury
State / Zip Code
NC 27016
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 1400 Pine Hall Road
City Pine Hall
State / Zip Code NC 27042
County Stokes
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility
referring to the Operator in Responsible Charge or ORC)
Name Research and Analytical Laboratories, Inc.
Mailing Address P.O. Box 473 - 106 Short Street
City Kernersville
State / Zip Code NC 27285 - 27284
Telephone Number [phone]
Fax Number ( )
e-mail Address [e-mail]
(Note that this is not
1 of 3 Form -D 11/12

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 applyr
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
®
Number of Students/Staff 180/30
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
High School
Number of persons served: 210
5. 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
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Eurins Creek
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: _
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.
See description of waste water treatment system components on separate sheet of paper
attached.
2of3
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 0.004 MGD
Annual Average daily flow 0.0013 MGD (for the previous 3 years)
Maximum daily flow 0.0072 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® 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
tL ___.... OG -....-+1,r. f r .��rnmotorc MIYTOYIf/il 171 ,Il1,I1' »erm.it. Mark other parameters "N/A".
aLG past JV IILVI Lw LJ vl
Parameter
­ -• •' ""-• _ "---- ------
Daily
Maximum
- -
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
14.6
2.10
MG/L
Fecal Coliform
<2420
1.47
C01 / 100ML
Total Suspended Solids
35.8
3.61
MG/L
Temperature (Summer)
28
21.02
°C
Temperature (Winter)
18
11.03
°C
pH
6.9
N/A
SU
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO087980
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
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.
Ricky Goins Director of Maintenance
Printed name of Person Signing Title
Signature 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 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 11/12

Stokes County Schools
STOKES COUNTY BOARD OF EDUCATION -":•. SUPERINTENDENT
Sonya M. Cox, Chair Dr. Brad Rice
Patricia M. Messick, Vice Chair MEN. M-1 0-MIRMSF
Rebecca P. Boles ASSISTANT SUPERINTENDENT
William F. Hart
Tony George
Jamie B. Yontz
wwwstokes.k12.ncus . loo Courthouse Circle . PO Box 5o . Danbury, NC 27016 . Phone: [phone] . Fax: [phone]
August 5, 2016
Description of Waste Water Treatment System Components
Pine Hall Elementary School WWTP
1400 Pine Hall Road
Pine Hall, NC 27042
Stokes County, NPDES Permit No.: NCO087980
The existing Pine Hall Elementary School WWTP includes the following components:
• Septic tank (±8,000 gallons)
• Dosing chamber (±2,800 gallons)
• Recirculation tank (3,500 gallons)
• Surface sand filter (±1,640 sq. ft.)
• Dual ultraviolet disinfection unit

Water Resources
ENVIRONMENTAL QUALITY
PAT MCCRORY
Gorenmr
DONALD R. VAN DER VAART
Secretory
S. JAY ZIMMERMAN
Director
August 23, 2016
Mr. Ricky D. Goins, Director of Maintenance
Stokes County Board of Education
PO Box 50
Danbury, NC 27016
Subject: Permit Renewal
Application No. NCO087980
Pine Hall Elementary School WWTP
Stokes County
Dear Permittee:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on August 16, 2016. The primary reviewer for this renewal
application is Charles Weaver.
The primary reviewer will review your application, and he will contact you if additional
information is required to complete your permit renewal. Per G.S. -150B-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.
If you have any additional. questions concerning renewal of the subject permit, please
contact Charles Weaver at 919-807-6391 or [e-mail].
Sincerely,
?pug %Cie J"d
Wren Thedford
Wastewater Branch
cc: Central Files ,
NPDES
Winston-Salem Regional Office
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300