NC0045276_Renewal (Application)_20190104

._
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO045276
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the ,text. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact -Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Brunswick County Board of Education
Waccamaw Elementary School
35 Referendum Dr.
Bolivia
NC 28422
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 5901 Waccamaw School Road (NCSR 1330)
City Ash
State / Zip Code NC 28420
County Brunswick
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 ORQ
Name Brunswick County Board of Education
Mailing Address 35 Referendum Dr.
City Bolivia �J
State / Zip Code NC 28422 ®�
Telephone; Number [phone] Y
Fax Number [phone]
e-mail Address [e-mail]
1 of 4 3(153 Form-D 6/2017

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 545
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
N/A
Number of persons served:
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)
Is the outfall equipped with a diffuser? ❑ Yes X No
7. Name of receiving stream(s) (, VgW applicants: Provide a map showing the exact location of each
outfall):
Unnamed tributary to Bear Branch, classified C-swamp waters in the Lumber River Basin
8. Frequency of Discharge: ❑ Continuous X Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration: 3 HOURS
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 street of paper.
Multiple septic tanks (5)
1000 Gallon Grease Trap
10,000 Gallon Dosing Tank with Duel Dosing Pumps
3000 Gallon Quadplex Effluent
Quadplex Ultra Violet Disinfection
Flow Meter
2 of 4 Form-D 6/2017

•
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0057 MGD
Annual Average daily flow 0031 MGD (for the previous 3 years)
Maximum daily flow 0038 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 thart 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 nnct _30;,nnnthc fnr nnrnmotor-c rurrantlti in vnvir nermit_ Mnrk nther nnmrneters "NIA" -
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
18 (April -Oct)
12.6 Nov -Mar
( )
9 (April -Oct)
4(Nov-Mar)Mg/
L
Fecal Coliform
5.8
1.3
ml
Total Suspended Solids
3.7
3.2
Mg/L
Temperature (Summer)
Temperature (Winter)
pH
6.65
6.6 ---rStandard
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 NC 0045276 Dredge or fill (Section 404 or (.WA)
PSD (CAA) Other
Non -attainment program (CAA)
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.
name of Person Signing
Title
•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-Comiriission 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 Form-D 6/2017

_ BO
I
IFECALCOLIFORM
TSS
PH
DISCHARGE
Daily Max
Monthly
Avg
Daily Max
Monthly
Avg
Daily Max
Monthly
Avg
Daily Max
Monthly
Avg
Daily Max
Annual
Average
daily
2018
_ 2
4
2
1
2.6
5.2
6.78
6.58
5003
3370
2
4
2
1
2.61
5.21
6.461
6.37
31401
2367
2
4
21
1
2.8
7..65�
7.12
6.87
3270
2045
.!
2
4
` 2
1
2.71
2.7
7.4
7.26
4220
2256
_ 2
4
2
11
I 2.6
2.6
2.29
7.16
4751
1934
2
4
2
1
2.6
2.6
7.56
7.22
25311
1410
_
21
4
2
1
32.8
17.7
6.61
6.52
3038
2149
2
4
5
1
2.6
2.6
I 6.52
6.41I
3038
2340
3
4
5
1
2.7
2.65
1 6.56,
6.42
3731
2560
2
2
51
11
2.9
2.75
6.07I
6.04
2694
2251
2
2
5I
11�
_
2.8
2.7
I 6.22
_
6.15
3255
2861
2017
_
3
_ 2
2
2_5
2
2
21
5
5
1�
1 1
11
I
3
I 2.9
2.6
2.91
2.6
2.6
7.05
6.62
6.6
6.64
6.38
6.3
3255
2708
2884
1869
2037
2013
2
2
5
1
3.5
3.05
1 6.63
6.37
2884
2552
2
21
5
1
2.8
2.7
7.08
6.95
1 4735
3711
_
2
2
5
1
31
2.8
7.31
7.03
4315
2669
2
2
5
1
2.5
2.5
7.28
7.17
66
348
2
2
55
7.41
I 2.7
2.65
7.44
6.37
1945
1232
2
1
5
1
3.6
3.15
6.721
6.54
3836
2727
_
_ 5
3.5
5
3.5
1 3
1.5
6.361
6.19
1 4614
2934
6
5.5
5
1
4.91
4.25
6.551
6.19
I 2291
191
_
7
5
5
11
2.8
1.4
7.16
6.6
4758
1993
2016T
2
33
2
1.5
5
I 10
1
3.1
I 2.8
2.7
2.75
2.7
7.04
6.52
4758
3242
7.3
6.95
2226
2226
2
1
1
1 5
1
2.7
2.65
6.44
6.24
I 1754
1754
2
1
I 5
11
2.6I
2.6
6.6
6.531
I 4975
4975
3
1.5
5
1
I
2.7
_
2.65
6.55
6.45
5325
5325
2
2
5
1
2.6
2.6
6.6
5280
5280
2
1
5I
1
2.7
2.7
6.66
_6.5
6.65
1250
1250
2
5
1
2.7
1.35
6.6
6.5
5410
5410
5
3.5
5
11
( 2.7
1.35
6.7
_
6.52
4817
4817
2
2
5
1
2.7
2.7
6.68
6.65
5450
5450
2
1
5
1
2.8
2.8
6.8i
6.62
5700
5700
_
2
2
51
1
1 2.8
2.8
1 6.7
, 6.6
5920
5920
3
3
5
1
1
1 2.8
2.75
6.64
5520
5520
TOTAL
2.55555556
2.657143
5.861111
1.305561
3.675
_
3.1625
6.658333
_6.63
6.599722
3759.639
2963.556
WINTER
12.671
4
SUMMER
_
18
9--