NC0040908_PERMIT ISSUANCE_20081230

11
NPDES DOCUMENT SCANNIMS COVER SHEET
NPDES Permit:
NC0040908
Tabernacle Elementary School
Document Type:
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Speculative Limits
Complete File - Historical
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date:
December 30, 2008
This dooumeat is priateel oa rft%LW0 paper -more aay
coateat oa the resrerae delft

AMA-
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Michael F. Easley, Governor
December 30, 2008
Mr. Allan D. Kerns
Environmental Manager
Randolph County Schools
2222-C South Fayetteville Street
Asheboro, N.C. 27205
Natural Resources
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Issuance of NPDES Permit NC0040908
Tabernacle Elementary School WWTP
Randolph County
Dear Mr. Kerns:
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 no major changes from the draft permit sent to you on
November 5, 2008.
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 which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required. If you have any questions concerning this permit, please
contact Charles Weaver at telephone number [phone].
aee
erelyn H. Sullins
cc: Central Files
�
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NOrthCarolina
Phone: [phone] / FAX [phone] / Intemet: www.ncwaterquality.org Naturallrf
An Equal Opportunity/Affirmative Action Employer —50%Recycled/10%Post Consumer Paper

Permit NCO040908
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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
Randolph County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Tabernacle Elementary School WWTP
4901 Tabernacle School Road
Asheboro
Randolph County
to receiving waters designated as Caraway Creek in subbasin 03-07-09 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 February 1, 2009.
This permit and authorization to discharge shall expire at midnight on January 31, 2014.
Signed this day December 30, 2008
'Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0040908
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked.
As of this permit 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 Randolph County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components:
♦ 12,000-gallon septic tank
♦ 10,000-gallon distribution tank
♦ Recirculating sand filter
♦ Ultraviolet disinfection
This facility is located near Asheboro on Tabernacle School Road at the Tabernacle
Elementary School WWTP in Randolph County.
2. Discharge from said treatment works at the location specified on the attached map
into Caraway Creek, currently classified C waters in subbasin 03-07-09 of the Yadkin -
Pee Dee River Basin.

Latitude: 35°43'42"('�
N C O O 4 O 9 O Hx'
f
Facility
b' :}
Longitude. 79"57'08"
Quad E191NW
Location '•,i�.vx; �y„��,-a„��,
Receiving Stream: Caraway Creek Randolph County Schools
Stream Gass: C Tabernacle Elementary
North
SCALE 1:2140OO
Subbasin: 30709 School

Permit NC0040908
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
PARAMETER
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location
Flow
0.01 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (MC)
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NH3as N
Monthly
Grab
Effluent
Dissolved Oxygen
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
Fecal Coliform
(geometric mean
200 / 100 ml
400 / 100 ml
2/Month
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
2/Month
Grab
Effluent
There shall be no discharge of floating solids or visible foam in other than trace amounts.

NORTH CAROLINA
RANDOLPH COUNTY
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
Maria Shaw
who being first duly sworn, deposes and says, that
he (she) is
Business Manager
of the Courier -Tribune, engaged in the publication
of a newspaper known as The Courier -Tribune,
published, issued, and entered as second class
mail in the City of Asheboro, in said County and
State; and the he (she) 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 Courier -
Tribune on the following dates:;
November 7, 2008
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 newpaper meeting all of the
requirements and qualifications of Section 1-597 of
the General Statutes of North Carolina, 1943, as
amended, and was a qualified newspaper within the
meaning of Section 1-597 of the General Statutes
of North Carolina.
/{ tthe� 7th day of November, 2008
Sworn to and subscribed before me the 7th
day, f Povember. 2008
- Notary Public ,.,_. -.
My.commissidr: F.xpiresr 6/19/11
STATE OF NORTH
CAROLINA
ENVIRONMENTAL
MANAGEMENT COMMIS-
SIOWNPDES UNIT
1617 MAIL SERVICE
CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT
TO ISSUE A NPDES
WASTEWATER PERMIT
On the basis of thorough staff
review antl application o! NC
General Statute 143.215.1
and 15A NCAC WH.01(09
and other lawful standards
and regulations, the North
Carolina Environmental Man-
agement Commission pro-
poses to issue a National
Pollutant Discharge-Elimina-
lion System (NPDES) waste-
water discharge permit to the
persons) listed below efec.
tive 45 days from the publish t
date of this notice.
Written comments regarding
the proposed permit will )
accepted until 30 days after
the publish date of this no-
tice. All comments received
prior to that data are ermina-
ered in the final propose -
perregarding the proposed
permit. The Director of the
NC Division of Water Quality
may tlto hold a putc
meetingg e for
for ithe proposed
permit, should the Division
receive a rticant degree
of public interest. (
Copies of the draft permit
antl other supporting infoma-
bon on file used to determine
conditions present in the draft
permit are available upon re=
quest and payment of the
costs of reproduction. Mail
comments and/or requests
for information to the NC Di;
vision of Water Duality at the
above address or call Dina
Sprinkle [phone] at
the Point Source Branch.
Please include the NPDES
permit number (below) in any
communication. Interested
persons may also visit the Di-
vision of Water Duality at 512
N. Salisbury Street, Raleigh,
NC 27604-1148 between the
hours of a W am. and 5:00
p.m. to review information an
file.
The Randolph County Board
of Education 12222-C FayeP
teville Street. Ashebam, NC
272051 has applied for to -
naval of NPDES permit
NC0040908 for the Taberna-
cle Elementary School
WWTR This permitted facility
discharges treated domestic
wastewater to Caraway
Creek in the Yadkin -Pee Dee
River Basin. Currently fecal
coliform, dissolved oxygen
and total residual chlorine are
water quality limited. This
discharge may affect future
allocations in Nis portion of
Caraway Creek.
Furniture Illustrators, Inc.
(P.O. Box 112,. Trinity, NC
27370-0112) has applied for
renewal of NPDES permit
NC0084786 for its WWTP in
Randolph Count, This nor
-
mitled facility may discharge
treated wastewater to an un-
named tributary to the
Uwhanie River in the
Yadkin -Pee Dee River Basin.
Currently SOD, ammonia elp
trogen, cyanide, whole-e'lu�
ant toxicity and total residual
chlorine are water quality lin,
Ited. This discharge may af-
fect future allocations in this
portion of the Uwharrie
River.

RANDOLPH COUNTY BOARD OF EDUCATION
snacas 2222-C South Fayetteville Street
�® Asheboro, North Carolina 27205
Telephone: [phone] or 669-5617
FAX:_ [phone] Donald E. Andrews
Email: akemsCcarandoloh k12.nc.us Superintendent
Allen D. Kerns
Assistant Maintenance Director/Environmental Manager
June 12, 2008
Mrs. Dina Sprinkle
NCDENR
Division of Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Mrs. Sprinkle:
We would like to renew Permit # NCO040908 for Tabernacle Elementary School.
Enclosed are three (3) copies of the Cover letter, Form-D 4/05 to renew this permit,
Signature Authorization letter signed by our Superintendent authorizing me to sign
permit applications, reports or other permit related documents and the Sludge
Management Plan. If you have any questions or need additional information contact me
at 336-318-6096.
Sincerely,
) & 6 /Z'f-�—
Allen D. Kerns
Asst. Maint. Dir. / Environ. Mgr.
Randolph County Schools
TOLL FREE NUMBERS
Greensboro -Liberty: 218-4089 / Archdale -Trinity Area: 810,3089

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.OMGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit .
1617 Mail Service Center, Raleigh, NC 276994617.
NPDES Permit INCO040908
If you are completing this form in computer use the TAB key or the up -down arrows to move from one
field the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Street Address
City
State
ZIP Code
Telephone Number
Fax Number
e-mail Address
Randolph County Schools
Tabernacle Elementary School.
2234-B Enterprise Street
North Carolina
336-318-6096
336-318-6079
a kems0randotoh.K12.nc. us
2. Location of facility producing discharge:
Name (If different from above) (same as above
Facility Contact Person Allen Kerns
Street Address or State Road 4901 Tabernacle School Road
City / Zip Code Asheborol27205
County Randolph
3. Operator Information:
Name of thefirm, public organization or other entity that operates the facility: (Note that that this is not
referring to the Operator in Responsible Charge or ORQ
Name
Randolph County Board of Education
Mailing Address
2222-C South Fayetteville Street
City
Asheboro
State/Zip Code
North Carolina 127205
Telephone Number
[phone]
Fax Number
[phone]
1 of 3 _ - Form-D 4/05

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <7.0 MGD
4. Description of wastewater: Domestic
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 539 .
Other
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home:park, shopping centers,
restaurants, etc.):
Elementary School
Population served: 539
5. Type of collection system:
Separate (sanitary sewer only)
6. Outfall Information:
I:�ombined (storm sewer and sanitary sewer)
Number of separate discharge points 1
Outfall Identification number (s) 1
Is the outfall equipped with a diffuser? Ye X N
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Caraway Creek in the Yakin-Pee Dee River Basin
S. Frequency of Discharge: ontinuous 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.
0.01 MGD WW treatment facility, 12,000yallon septic tank, 10,000-gallon distribution tank,
recirculating sand fitter, ultraviolet disinfection
2 of 3 Form-D 4/05

NPDES PERMIT 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 0.0027 MGD (for the previous 3 years)
Maximum daily flow 0.0033 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
]Yes Ox No
12. Effluent Data
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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand ODS
9.7
3.59
MG/L
Fecal Coliform
<1
<1
/100ML
Total Suspended Solids
27
<3.95
MG/L
Temperature Summer
-
-
Degrees Celsius
em erature Winter
-
-
De rees Celsius
H
7.6
1 -
Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit: Number Type
Hazardous Waste (RCRA) NESHAPA (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCO040908 Dredge or fill (Section 404 of CWA)
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.
Allen D. Kerns Asst. Maint. Dir. / Environ. Mgr.
Prirged name of Persop Signing Title
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 then $25, 000 or imprisonment not more than5 years, or both, fora similar
offense.)
3 of 3 Form-D 4/05

Tabernacle School ! 1
D1SCharEe
/ /i
(cation: 35.7364108,-79.950428 j

RANOOLPMCOUNiY RANDOLPH COUNTY BOARD OF EDUCATION
scNoo�s 2222-C South Fayetteville Street
Asheboro, North Carolina 27205
Telephone: [phone]
FAX: [phone] Donald E. Andrews
E-mail: [e-mail] Superintendent
June 12, 2008
Division of Water Quality
Permitting Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Subject: Permitting Signature Authority
To Whom It May Concern:
As an appropriate signing official for the Randolph County Board Of Education as
designated by 15A NCAC 2H .0106, I hereby delegate authority to sign and certify all
permit applications, reports or other permit related documents to the following staff for
the following permit types (point source discharge to surface waters) and/or permit
numbers:
.Position
Asst. Maint. Dir. / Environ. Mgr,
Person Currently in Position
Allen D. Kerns
If you have any questions, please contact me at the following:
Donald E. Andrews, Superintendent
Randolph County Schools
2222-C South Fayetteville Street
Asheboro, North Carolina 27205
[phone] FAX: [phone]
Respectfully,
Permit Number
NCO040975 NCO076287
NCO040924 NCO040908
TOLL FREE NUMBERS
Greensboro —Liberty: 218-4140 / Archdale —Trinity Area: 819-3140

SLUDGE MANAGEMENT PLAN
TABERNACLE ELEMENTARY SCHOOL (NC0040908)
Our wastewater operators monitor the wastewater treatment daily and check
the scum blanket and sludge depth. When needed the sludge is pumped by a
local septic tank service; currently Vann Boys Septic Service. The sludge is
then taken to the City of Asheboro's Wastewater Treatment plant for further
decomposition.
Allen D. Kerns
Assistant Maintenance Director / Environmental Manager
Randolph County Schools

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
5. h.(
Permit Number
ni a 00 9
Facility Name
, o o �6 6
Basin Name/Sub-basin number
0 0
Receiving Stream
CA4AW14Gwir-
Stream Classification in Permit
G
Does permit need NH3 limits?
rao
Does permit need TRC limits?
OA5 UV Pi 51 O+=dC-vt o I
Does permit have toxicity testing?
nl o
Does permit have Special Conditions?
0
Does permit have instream monitoring?
PJO
Is the stream impaired on 303(d) list)?
nta
Any obvious compliance concerns?
Job rlo%e>
Any permit mods since lastpermit?
1,
Existing expiration date
14 3 o
New expiration date
Nevo
Miscellaneous Comments
els-C, 5 S eir- . CV'JD re. f 11Foc vx1
YES This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES_ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)
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