WQ0022728_Final Permit_20040728

=0F wa rEMichael E. Fasley, Governor
William G. Ross Jr., Secretary
`Q (� North Carolina Department of Environment and Natural Resources
� r Alan W. Klimek, P. E. Director
Division of Water Quality
"C Coleen H. Sullins, Deputy Director
Division of Water Quality
July28, 2004
Mr. Donald Palmer, Board Chair
Davidson County Board of Education
P.O. Box 2057
Lexington, NC 27293-2057
SUBJECT: Pump and Haul Permit No. WQ0022728
Brier Creek Elementary School
Davidson County
Dear Mr. Palmer:
In accordance with your application received July 26, 2004 we are forwarding herewith
Permit No. WQ0022728, for the operation of a pump and haul system. This permit replaces
WQ0022728 that was issued on February 2, 2004, which will expire August 1, 2004.
This permit shall be effective from the date of issuance until January 1, 2005, and shall be
subject to the conditions and limitations as specified therein. Please pay particular attention to
the monitoring requirements in this permit. Failure to establish an adequate system for collecting
and maintaining the required operational information will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable to you,
you have the right to request an adjudicatory hearing upon written request within 30 days
following receipt of this permit. This request must be in the form of a written petition,
conforming to Chapter 150B of North Carolina General Statutes, and filed with the Office of
Administrative Hearings, 6714 Mail Service Center, Raleigh, NC 27699-6714. Unless such
demands are made this permit shall be final and binding.
Should you have any questions concerning this matter, please contact Mr. Steve Mauney
or me at [phone].
Sincerely,
Steve W. Tedder
Regional Water Quality Supervisor
cc: Davidson County Health Department
Non -Discharge Permitting Unit
Central Files
WSRO
N. C. Division of Water Qua]ity/Water Quality Section 585 Waughtown Street Winston-Sadem, North Carolina 27107 [phone] Customer Service
1-877-623-6748

ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
PUMP AND HAUL
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North
Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
DAVIDSON COUNTY BOARD OF EDUCATION
•: m
BRIER CREEK ELEMENTARY SCHOOL
operation of a 5,100 gpd pump and haul system to serve Brier Creek Elementary School in
Thomasville, NC with no discharge of wastes to the surface waters, pursuant to the application
received July 26, 2004, and in conformity with the project plan, specifications, and other supporting
data subsequently filed and approved by the Department of Environment and Natural Resources and
considered a part of this permit.
This permit shall be effective from the date of issuance until January 1, 2005, and shall be
subject to the following specified conditions and limitations:
This permit shall become voidable unless the subject pump and haul activities are carried out in
a manner which has been approved by this Division.
2. This permit is effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The facility shall be properly maintained and operated at all times.
4. This permit is not transferable. In the event there is a desire for the facilities to change
ownership, or there is a name change of the Permittee, a formal permit request must be
submitted to the Division of Water Quality accompanied by an application fee, documentation
from the parties involved and other supporting materials as may be appropriate. The approval
of this request will be considered on its merits and may or may not be approved.

5. The annual administering and compliance fee must be paid by the Permittee within. thirty
(30) days after being billed by the Division. Failure to pay the fee accordingly may cause
the Division to initiate action to revoke this permit as specified by 15 NCAC 2H.205(c)(4).
Permit issued this the 28th day of July, 2004.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
u � �
Steve W. Tedder
Winston-Salem Regional Water Quality Supervisor
By Authority of the Environmental Management Commission
Permit No. WQ0022728

I.
II.
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Mangement
Non -Discharge Permit Application
(THIS FORM MAYBE PHOTOCOPIES FOR USE AS AN ORIGINAL)
PUMP AND HAUL DISPOSAL SYSTEM
GENERAL INFORMATION:
1. Applicant (corporation, individual, or other): Davidson County Board of Education
2. Print Owners or Signing Official's Name and Title (the person who is legally
responsible for the facility and its compliance):
Mr. Donald Palmer. Board Chair
3. Mailing Address: PO Box 2057
City: Lexington State:
NC
Zip. 27293-2057
Telephone No.: 336-249-8182
4. Project Name (subdivision, facility, or establishment name — should be consistent with
project name on plans/specs., letters of flow acceptance, Operational Agreements, etc.):
Brier Creek Elementary School
5. Application Date: July 2004 6. Fee Submitted: S 675.00
7. County where project is located: Davidson Count
8. Latitude: N 35147' ; Longitude W 80' 05' of facility being pumped
PERMIT INFORMATION:
1. Permit No. (will be completed by DEM):
2. If this application is being submitted as a result of a modification to an existing permit,
list the existing permit number W 0022728 and issue date June.2003
3. Specify whether the applicant is
X public or private.
FORM: PHDS 4/91 Page 1 of 6

III. INFORMATION ON WASTEWATER:
1. Nature of Wastewater: 100 % Domestic; % Commercial;
% Industrial; % Other waste (specify):
IV.
y
2. Please provide a one or two word description specifying the origin of the wastewater,
such as a school, subdivision, hospital, commercial, industrial, apartments, etc.:
School
3. If wastewater is not domestic in nature, what level of pretreatment has been provided to
ensure protection of the receiving wastewater treatment facility?
N/A
4. Volume of wastewater to be pumped & hauled: 5,100 gallons per day
5. Explanation of how wastewater volume was determined:
425 students & faculty X 12gpd 4 5,100 gpd
TREATMENT FACILITY INFORMATION:
1. Name of wastewater treatment facility receiving wastewater: Hamby Creels WWTP
2. Treatment facility permit no.: NCO024112
3
Treatment facility contact person and telephone no:
Kelly Craver, City of Thomasville Director of Public Services, [phone]
4. County where treatment facility is located: Davidson County
5. Distance to treatment facility: 5.30 miles
OTHER INFORMATION:
1. Brief project description: Temporary pump & haul for a new elementary school until
the permanent disposal system (public sewer) is operable
2. Explanation of why a pump & haul permit is being requested (be specific and explain if
an environmental emergency exists):The proposed permanent disposal system (public
sewer extension) is currently under construction (Notice to Proceed issued 115/04 with
project construction period of 180 days, substantial completion date of 7/2/04, extended)
3. Specify how long pump & haul permit needed (shall not exceed 6 months): 6 months
4. What will be the permanent method of wastewater disposal once the pump & haul
activities have ceased? Public sewer = aaviiy sewer & pump station with ultimate
treatment by City of Thomasville
5. Date that permanent disposal method will be available: November 2004
FORM. PHDS 4/91 Page 2 of 6

6. Have permits/approvals for permanent disposal method been obtained?
X Yes; Permit No. W00022864 Permitting Agency DWQ - NDPU
No; Pending Permit No. Permitting Agency
7. Describe how the wastewater will be transported (truck, rail car, etc.) and provide the
typical hauling volume of the vehicle providing the hauling:
Pumper truck with capacity of 5,000 gallons
8. Name of owner of transporting vehicle: County of Davidson (Attn. Steve SinkL_
9. Mailing Address of Hauler: 913 Greensboro Street
City: Lexington State: NC Zip: 27292
Telephone No: [phone]
10. What type of tank or other container will the wastewater be pumped from and what is
the volume of this container? Below -grade. precast. 10,000 gallon pumpttok
11. Was the tank or container already in place or will it be installed for these activities?
Already in place — installed under initial issuance of permit
12. What type of high water alarm does the container have?
X audible and visual auto dialer
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE
DIVISION OF ENVIRONMENTAL MANAGEMENT UNLESS ALL OF
THE APPLICABLE ITEMS ARE INCLUDED WITH THE SUBMITTAL
Required Items
a. One original and two copies of the completed and appropriately executed application form.
b. Three sets of detailed plans and specifications signed and sealed by a North Carolina Professional
Engineer. The plans/specifications must include a general location map, a plan view of the storage facility
and its relationship to property lines, and details showing the high water alarms (provide either audible
and visual or an auto dialer). Each sheet of the plans and the first page of the specifications must be
signed and sealed.
c. The appropriate permit processing fee, in accordance with 15A NCAC 211.0205(c)(5).
d. A letter must be provided from the owner/authority of the wastewater treatment facility stating that the
wastewater will be accepted and specifying the volume that will be accepted. The letter should be a recent
letter and should refer to the project by the same name as that identified on the application and the
plans/specifications.
e. A copy of the contract or agreement between the wastewater hauler and the applicant and a map indicating
the haul route.
f. The application package should be sent to the appropriate regional office, according to the attached listing
on page 4, which provides the regional responsibility by county. If there are any questions contact the
appropriate regional office.
FOAM: PHDS 4191 Page 3 of 6

Name and Complete Address of Engineering Firm: Davis -Martin -Powell and Associates
6415 Old Plank Road
City: High Point State: NC Zip: 27265
Telephone No. 336 886-4821
Professional Engineer's Certification:
I, Benjamin A. Palmer , attest that this application for Davidson County Bd. of
Education Brier Creek Element has been reviewed by me and is accurate and
complete to the best of my knowledge. I further attest that to the best of my knowledge the
proposed design has been prepared in accordance with the applicable regulations. Although
certain portions of this submittal package may have been developed by other professionals,
inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
North Carolina Professional Engineer's Registration No. 25496
Print Name of Engineer Benjamin A. Palmer
Seal and Signature (specify date): ,.�`' �� CAP
.``,
SE
IN A. P ,.
Applicant's Certifi do
I er�,�i �•�
attest that this application for Davidson County Bd. of
Education, Brier Creek Elementary
has been reviewed by me and is accurate and complete to the best of my knowledge. I
understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be
returned as in omplete.
Signature X- ate
FORM: PHAS 4/91 Page 5 of 6