NC0086983 Historical Pre-2016

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ppppppp NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
December 22, 2014
Caswell County Schools
Attn: Mr. Jerry Hatchett
P.O. Box 160
Yanceyville NC 27379
SUBJECT: Compliance Evaluation Inspection
South Elementary WTP
Permit No. NCO086983
Caswell County
Dear Mr. Hatchett:
John E. Skvarla, III
Secretary
A compliance Evaluation Inspection was performed at South Elementary School's well water treatment
system on December 15, 2014 by Jenifer Carter of the Winston-Salem Regional Office. Matthew Smith,
ORC, was present for the inspection. This type of inspection consists of two basic parts: a review of
facility files and self -monitoring data, and an on -site inspection.
There were no violations noted during the inspection. Lab data correlated correctly with data submitted on
the monthly Discharge Monitoring Reports. Maintenance and ORC visitation logs were available for
review and complete.
Please review the enclosed inspection form for more detailed information. If you have any questions,
please call Jenifer Carter at [phone].
enclosure
cc: DWR central files
WSRO files
Sincerely,
1k
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources — NC DENR
450 W Hanes Mill Rd., Suite 300, Winston-Salem, NC 27105
Phone: [phone] Internet: www,ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

United States Environmental Protection Agency
PFEPA
Form Approved.
Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 I N00086983 I11 12 14/12/15 j17 18 L C J 19 L G j 201 1
211
II I 11 I I I I II 111 I I I I I I I I I I I I I I I I I I I I II I( 1 I I f6
Inspection
Work Days Facility Self -Monitoring Evaluation Rating 61 QA -- Reserved
67
70 71 72 _ti 73 75I I I ( I I
I
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:OOAM 14/12/15
12/08/01
South Elementary WTP
8925 NC Hwy 86 S
Exit Time/Date
Permit Expiration Date
Mebane NC 27302
09:30AM 14/12/15
17/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
N
Matthew P Smith//336-414-8274 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Allen Hatchett,PO Box 160 Yanceyville NC 27379/Maintenance
Director/336-694-4116/3366945249 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance E Records/Reports
Self -Monitoring Program N Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jeni arter WSRO WQ//336-771-5000/
12- �G Z/ �l�
(((
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
44 f%G �O7G - ZZ bec z41
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/nro/day Inspection Type
31 NCO086983 I11 12� 14/12/15 17 18 1,,i I'll
i
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

PP
Permit NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 12/15/2014 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
❑
application?
Is the, facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment:
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
❑
Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
M
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
M
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
M
❑
on each shift?
Is the ORC visitation log available and current?
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
M
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment:
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ ❑ M ❑
Is sample collected below all treatment units? ❑ ❑ ❑
Page# 3

Permit NCO086983
Inspection Date: 12115/2014
Owner - Facility: South Elementary wf P
Inspection Type: Compliance Evaluation
Effluent Sam mina Yes No NA NE
Is proper volume collected?
❑
❑
❑
Is the tubing clean?
❑
❑
0
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
0
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
0
❑
❑
❑
representative)?
Comment:
Flow Measurement - Effluent
Yes No NA NE
# Is flow meter used for reporting?
0
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
0
❑
Is the flow meter operational?
0
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
M
❑
Comment: flow metering cannot be calibrated, as it is a flanaed system built into the DiDina and would
have to be dismantled to check the calibration. Since there is no flow limit in the permit, this
is acceptable.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Filtration (High Rate Tertiary)
Yes No NA NE
Type of operation. -
Is the filter media present?
0
❑
❑
❑
Is the filter surface free of clogging?
❑
❑
❑
Is the filter free of growth?
❑
❑
M
❑
Is the air scour operational?
❑
❑
0
❑
Is the scouring acceptable?
❑
❑
0
❑
Is the clear well free of excessive solids and filter media?
❑
❑
M
❑
Comment: This section is used for 30"-wide greensand filter. ORC says the media can be replaced if
needed.
De -chlorination Yes No NA NE
Page# 4

r P. NC0086983 Owner -Facility: South Elementary WTP PPPPP
Inspection Date: 12/15/2014 Inspection Type:
Compliance Evaluation
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑ ❑
M
❑
Is storage appropriate for cylinders?
❑ ❑
0
❑
# Is de -chlorination substance stored away from chlorine containers?
M ❑
❑
❑
Comment:
Are the tablets the proper size and type? ❑ ❑ ❑
Are tablet de -chlorinators operational? ❑ ❑ ❑
Number of tubes in use? 1
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? M ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? ❑ ❑ 0 ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ M ❑
Comment: discharges at the bottom of a vegetated slope where it flows through the woods before
reaching a dry ditch.
Page# 5

P.O. Box 160 a, Yanmyvine v North Carolina VM a Phone:[phone] Fax [phone]
For
July 10, 2014
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Centel'
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Caswelt County Schools
South Elementary School WTP-Class 1
NPDES Number NCO086983
To Whom It May Concern
By notice of this letter, I hereby delegate signatory authority to each of the following individuals
for all permit applications, discharge monitoring reports, and other information relating to the
operations at South Elementary School WWT required by all applicable federal, state, and local
environmental agencies specifically with the requirements for signatory authority as specified in
15A NCAC 213.0506.
James M. Cheshire
President/CEO
Research & Analytical Laboratories, Inc.
If you have any questions regarding this letter, please feel free to contact James Cheshire at 336-
996-2841.
Sincerely,
,J� /Vaz�zw
Jerry A. Hatchett
Maintenance Director
Caswell County Board of Education
cc: Winston-Salem Regional Office, Water Quality Permitting Section
Schools, Parents & Communities Working Together To Make A Difference In Our Future...

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Affik
NCDE SIR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations
Pat McCrory Thomas A. Reeder
Governor Director
January 10, 2014
Caswell County Schools
Attn: Mr. Jerry Hatchett
P.O. Box 160
Yanceyville NC 27379
SUBJECT: Compliance Evaluation Inspection
South Elementary WTP
Permit No. NCO086983
Caswell County
Dear Mr. Hatchett:
John E. Skvarla, III
Secretary
A compliance Evaluation Inspection was performed at South Elementary School's well water treatment system
on December 18, 2013 by Jenifer Carter of the Winston-Salem Regional Office. Matthew Smith, ORC, was
present for the inspection. This type of inspection consists of two basic parts: a review of facility files and self -
monitoring data, and an on -site inspection.
There were no violations noted during the inspection. Lab data correlated correctly with data submitted on the
monthly Discharge Monitoring Reports. Maintenance and ORC visitation logs were available for review and
complete.
Mr. Smith noted during the inspection that flow is measured with a flanged flow meter that cannot be calibrated
without dismantling the piping. It is not necessary to check the calibration since there no flow limit in the
permit.
Please review the enclosed inspection form for more detailed information. If you have any questions, please
call Jenifer Carter at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
enclosure
cc: DWR central files
4WSRO files
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown Street, Winston-Salem, NC 27107
Phone: [phone] Fax: [phone] l Customer Service: 1-877-623-6748
Internet: http://www.ncwater.org
NorthCarolina
Xitumlly
An Equal Opportunity 1 Affirmative Action Employer

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 U N( 2 1 5 I 31 NCO086983 111 121 13/12/18 117 181 C I 19 L g I 20 U
LL=.J1 1u1 l l U u
Remarks
2111111111111111111111111111111111111 L IIIIIIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 CIA -----
67 I 169 70 U 71 u 72 73 W 74 751 I I I I I Li 80
��----��
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:05 AM 13/12/18
12/08/01
South Elementary WTP
8925 NC Hwy 86 S
Exit Time/Date
Permit Expiration Date
Mebane NC 27302
09:30 AM 13/12/18
17/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
111
Matthew P Smith//336-414-8274 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Jerry Allen Hatchett,PO Box 160 Yanceyville NC 27379/Maintenance Contacted
No
Director/336-6944116/3366945249
Section C: Areas Evaluated During Inspection Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance E Records/Reports
Self -Monitoring Program Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jenifer Carter WSRO WQ//336-771-5000/
/L
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO086983 1
11 12) 13/12/18 17 18' _'
Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary)
Page # 2
11

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑ ❑ ■ ❑
Is the facility as described in the permit?
■
❑ ❑ ❑
# Are there any special conditions for the permit?
❑
■ ❑ ❑
Is access to the plant site restricted to the general public?
■
❑ ❑ ❑
Is the inspector granted access to all areas for inspection?
■
❑ ❑ ❑
Comment:
Record Keeping
Yes
No NA NE
Are records kept and maintained as required by the permit?
■
❑ ❑ ❑
Is all required information readily available, complete and current?
■
❑ ❑ ❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
❑ ❑ a
Are analytical results consistent with data reported on DMRs?
■
❑ ❑ ❑
Is the chain -of -custody complete?
■
❑ ❑ ❑
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
❑ ❑ ❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑ ■ ❑
(if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
❑ ■ ❑
Is the ORC visitation log available and current?
■
❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification?
■
❑ ❑ ❑
Is a copy of the current NPDES permit available on site?
■
❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑ ■ ❑
Comment:
Effluent Sampling
Yes
No NA NE
Is composite sampling flow proportional?
❑
❑ ■ ❑
Page # 3

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 12/18/2013 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is sample collected below all treatment units? ■ ❑ ❑ ❑
Is proper volume collected? ■ ❑ ❑ ❑
Is the tubing clean? ❑ ❑ 0 ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? ❑ ❑ ■ ❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ ❑ ❑ ❑
Comment:
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting? ■ ❑ ❑ ❑
Is flow meter calibrated annually? ❑ ❑ ■ ❑
Is the flow meter operational? ■ ❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ■ ❑
Comment: The flow measurement cannot be calibrated, as it is a flanged system built
into the piping, and would have to be dismantled to check the calibration. Since there is
no flow limit in the permit, it is okay.
Operations & Maintenance
Yes No NA NE
Is the plant generally clean with acceptable housekeeping?
■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge
❑ ❑ ■ ❑
Judge, and other that are applicable?
Comment:
Filtration (High Rate Tertiary)
Yes No NA NE
Type of operation:
Is the filter media present?
■ ❑ ❑ ❑
Is the filter surface free of clogging?
❑ ❑ ❑ ■
Is the filter free of growth?
110 ■ ❑
Is the air scour operational?
❑ ❑ ■ ❑
Is the scouring acceptable?
❑ ❑ ■ ❑
Is the clear well free of excessive solids and filter media?
❑ ❑ ■ ❑
Comment: This section is used for 30" wide greensand filter. Media has never been
replaced. ORC says it can be replaced as needed.
De -chlorination
Yes No NA NE
Type of system ? Tablet
Page # 4

Permit: NC0086983
Inspection Date: 12/18/2013
Owner - Facility: South Elementary WTP
Inspection Type: Compliance Evaluation
De -chlorination
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: discharges at the bottom of a slope where it then flows throught the woods
before reaching a dry ditch.
Yes No NA NE
Page # 5

NCDEE R
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Douglas N. Barker
Caswell County Schools
353 County Home Rd.
Yanceyville, NC 27379
Division of Water Quality
Charles Wakild, P.E.
Director
January 3, 2013
Subject: NOTICE OF DEFICIENCY
NOD-2013-MV-002 & NOD-2013-MV-003
Permit No. NCO086983
South Elementary WTP
Caswell County
Dear Mr. Barker:
Dee Freeman
Secretary
A review of South Elementary WTP's monitoring reports for August 2012 and September 2012 showed the
following deficiencies:
Parameter
Period
Ending
Required
Frequency
Violation
Turbidity
09/30/12
2 X month
Not Monitored
Turbidity
10/31/12
2 X month
Not Monitored
Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this deficiency is due to a
transcription error, and certifiable data are available to rectify the noncompliance, we ask that you please submit
an amended DMR(s) to the Division of Water Quality. Send a copy of the amended report to:
Central Files and Winston Salem Regional Office
Division of Water Quality Division of Water Quality — Surface Water
1617 Mail Service Center 585 Waughtown St.
Raleigh, NC 27699-1617 Winston-Salem, NC 27107
Unresolved deficiencies may lead to the issuance of a Notice of Violation and/or assessments of civil penalties.
Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each violation. Any efforts
undertaken to bring the facility back into compliance are not an admission of culpability. Your above -
mentioned corrective actions, the degree and extent of harm to the environment, and the duration and gravity of
the deficiencies will be considered in any future actions undertaken.
continued on reverse...
North Carolina Division of Water Quality, Winston-Salem Regional Office One
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 NorthCarolina
Phone:: www.1cwate gFAX: 336-771 48301 Customer Service: 1-877-823-6748 �atura!!�
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

If you have any questions or require any additional information, please contact Jenifer Carter or myself at (336)
771-5000.
Sincerely,
W. Corey Basinger
Regional Office Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
cc: WSRO SWP Files
SWP Central Files

FKA
CCDEENR
North Carolina Department of Environment and Natura
Beverly Eaves Perdue
Governor
Douglas N. Barker
Caswell County Schools
353 County Home Rd
Yanceyville, NC 27379
Subject: NOTICE OF DEFICIENCY
NOD-2012-MV-0084
Permit No. NCO086983
South Elementary WTP
Caswell County
Dear Mr. Barker:
Division of Water Quality
Charles Wakild, P.E.
Director
November 19, 2012
Resources
Dee Freeman
Secretary
A review of South Elementary WTP's monitoring report for August 2012 showed the following deficiencies:
Parameter
Period Ending
Required Frequency
Violation
Turbidity
08/31/12
2 X month
Not monitored as per newly renewed permit
Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this deficiency is due to a
transcription error, and certifiable data are available to rectify the noncompliance, we ask that you please submit
an amended DMR(s) to the Division of Water Quality. Send a copy of the amended report to:
Central Files and Winston Salem Regional Office
Division of Water Quality Division of Water Quality — Surface Water
1617 Mail Service Center 585 Waughtown St.
Raleigh, NC 27699-1617 Winston-Salem, NC 27107
Unresolved deficiencies may lead to the issuance of a Notice of Violation and/or assessments of civil penalties.
Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each violation. Any efforts
undertaken to bring the facility back into compliance are not an admission of culpability. Your above -
mentioned corrective actions, the degree and extent of harm to the environment, and the duration and gravity of
the deficiency(ies) will be considered in any future actions undertaken.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
continued on reverse...
Nne
orthCarohna
vahma!!tf
An Equal Opportunity 1 Affirmative Action Employer

If you have any questions or require any additional information, please contact Jenifer Carter or myself at (336)
771-5000.
Sincerely,
W. Corey Basinger
Regional Office Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
cc: ,SRO SWP Files
SAT Central Files

A7flfA
__
WMENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Douglas N. Barker
Caswell County Schools
353 County Home Rd
Yanceyville, NC 27379
Subject: NOTICE OF DEFICIENCY
NOD-2012-LV-0074
Permit No. NCO086983
South Elementary WTP
Caswell County
Dear Mr. Barker:
Division of Water Quality
Charles Wakild, RE,
Director
August 22, 2012
Dee Freeman
Secretary
A review of South Elementary WTP's monitoring report for April 2012 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended
04/19/12
45 mg/1
46 mg/1
Daily Maximum Exceeded
Remedial actions should be taken to correct the cause(s) of this violation. Unresolved violations may lead to the
issuance of a Notice of Violation and/or assessments of civil penalties by the Division of Water Quality of up to
$25,000.00 per day for each violation. Any efforts undertaken to bring the facility back into compliance are not
an admission of culpability. Your response, the degree and extent of harm to the environment, and the duration
and gravity of the violation(s) will be considered in any future actions undertaken.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] FAX: 336-771 A6301 Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarohna
Naturally
An Equal Opportunity', Affirmative Action Employer

A
NCDENR
North Carolina Department of 'Environment and
Beverly Eaves Perdue
Governor
Mr. Lang H. Jeffress
Town of Milton
P.O. Box 85
Milton, NC 27305-0085
Subject: NOTICE OF DEFICIENCY
NOD-2012-MV-0041
Permit No. NCO087645
Milton WWTP
Caswell County
Dear Mr. Jeffress:
Division of Water Quality
Charles Wakild, P.E.
Director
July 18, 2012
Natural Resources
A review of Milton WWTP's monitoring report for March 2012 showed the following violations:
Dee Freeman
Secretary
Parameter
Week Ending
Required Frequency
Violation
Temperature
03/10/12
5 X week
data reported only 4 of 5 required days
Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this violation is due to a
transcription error, and certifiable data are available to rectify the noncompliance, we ask that you please submit
an amended DMR(s) to the Division of Water Quality. Send a copy of the amended report to:
Central Files and Winston Salem Regional Office
Division of Water Quality Division of Water Quality — Surface Water
1617 Mail Service Center 585 Waughtown St.
Raleigh, NC 27699-1617 Winston-Salem, NC 27107
Unresolved violations may lead to the issuance of a Notice of Violation and/or assessments of civil penalties.
Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each violation. Any efforts
undertaken to bring the facility back into compliance are not an admission of culpability. Your above -
mentioned corrective actions, the degree and extent of harm to the environment, and the duration and gravity of
the violation(s) will be considered in any future actions undertaken.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
continued on reverse...
NorthCarohna
�aturq!!t�
Ar Equal Opportunity + Affirmative Action Employer

If you have any questions or require any additional information, please contact Jenifer Carte or myself at (336)
771-5000.
Sincerely,
W. Corey Basinger
Regional Office Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
cc: WSRO SWP Files
SWP Central Files

i&A
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Jerry A. Hatchett, Maintenance Director
Caswell County BOE
P.O. Box 160
Yanceyville, North Carolina 27379
Dear Mr. Hatchett:
Charles Wakild, P.E.
Director
May 9, 2012
Dee Freeman
Secretary
Subject: Review of Draft Permit
NPDES NCO086983 for
South Elementary School WTP — Class 1
8925 NC Hwy 86 South
Caswell County
In response to your request to renew the subject NPDES permit, the Division of Water Quality (the Division)
hereby transmits this draft for your review and comment. Please review this document to assure your
understanding of the permit limits and monitoring conditions, and to correct errors, if any.
Concurrent with this notification, the Division will solicit public comment on this draft by publishing a notice in
newspapers having circulation in the general Caswell County area, as required by the NPDES Program. Please
provide your comments, if any, to me via email [e-mail]] or write to my attention care of
DENR / DWQ I NPDES Program no later than June 8, 2012.
The Division understands that you have made no significant alterations to your potable water waste -treatment
plant (WTP) facilities during the previous permit cycle except to add dechlorination (ATC May 4, 2009). For
renewal we updated your permit, applying the latest permitting strategy for WTPs statewide specific to green -
sand filter treatment technology (adopted September 2009). This strategy includes a revised list of monitoring
requirements, permit limits, and effluent parameters of concern [see permit Section A. (L)].
Following the mandatory 30-day public comment period, the Division will review all pertinent comments and
take appropriate action prior to issuing your NPDES permit final. If you have questions concerning this draft,
please e-mail me or call my direct line [phone].
Respectfully,
Joe R. Corporon, L.G.
NPDES Program
Enclosure: NPDES Permit NCO086983 (DRAFT)
hc: NPDES Program Files [draft permit and Fact Sheet] �
ec: WSRO/SWPS, Attn: Cory Basinger [draft permit, Fact Sheet]
TACU, Attn. James Pugh [draft permit and Fact Sheet] Y
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748 JhCaip
Internet: www.ncwaterquality.org 4( �r
An Equal Opportunity ',Affirmative Action Employer

V

Permit NCO086983
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
(NPDES)
In compliance with the provisions of North Carolina General
and regulations promulgated and adopted by the North
Commission, and the Federal Water Polluli4$r
Caswell County Schools —
is hereby authorized to
South Elementary-Sckool" Wa r T re
8!�2� NC 1jWy 9,6�,9outk'
\, ,ea�well`Cunty
k'43-215.1, other lawful standards
Environmental Management
,.Act, as amended,
(BOE)
a facility located at the
ent Plant (WTP)
bane
to receiving waters dp�' nated as,qri Wn ed tribufaWy d Hyco Creek within the Roanoke River Basin
in accordance with efh t limitatian�, rngni�ormg requirements, and other conditions set forth in Parts
I, II, III, and IV hereof. `
This permit shall become effective on , 2012.
This permit and the authorization to discharge shall expire at midnight on March 31, 2017.
Signed this day , 2012.
Charles Wakild, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO086983
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 described herein.
Caswell County Schools — Board of Education (BOE)
is hereby authorized to:
1. continue to treat filter -backwash wastewater generatedduriag the production of potable water from a well
utilizing green -sand filter water -treatment technology; from facilities including
• caustic soda tank
• potassium permanganate tank
• chlorine -contact chamber /chlorinator
• green -sand filter
• dechlorinator
• holding basin for filter lick -wash
• drain line to outfall
located at the 36u�'Elemeroa ,y Schg61 Wat Treatment Plant, 8925 NC Hwy 86 South, Mebane,
Caswell County 6qd,
2. discharge from said treatment works, at the location specified on the attached map, to an unnamed
tributary to Hyco Creek [stream segment 22-58-1], a waterbody currently classified C within
Subbasin 03-02-05 of the Roanoke River Basin.

Permit NCO086983
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning with the Permit effective date and lasting until expiration, the Permittee is
authorized to discharge filter backwash from Outfall 001. Such discharges shall be limited and monitored by the
Permittee, as specified below:
IITS
�O�C
RAW
Avefmlo Mox min
Flow
Flow
2/Month
Instantaneous
E
[50050]
or estimate 2
PH
[00400]
Not < 6.0 nor > 9.0
Standard Units
2/Montb,,
Grab
E
Turbidity 3
xMon0i
Grab
E
[00076]
Total Residual Chlorine 4
17 µg/L `
s'2/Month'.. '�
Grab
E
[50060]
,.
Total Suspended Solids
30.0 mg/L
45.0 mg/L1 `
2/Manth
~x `^',, Grab
E
C0530
Total Fluoride 5�Q
' "erly
i'ab
E
[00951]�.
Total Iron
0*terly
Grab
E
01045]
Total Manganese
, *"
`,
Qukefly
Grab
E
1010551
Footnotes: -
" e
}\ 0
1. E = Effluent; U-`Vl8stream (at )`eas't 10t et upstreatr}rfrom the outfall). D = Downstream (at least 100 feet
downstream from th'e,o"atfall). \�, `"v
2. In addition to total flock,*e Permittee "shalt"reaprd and reportflow rate and flow duration on monthly
Discharge Monitoring R�pox�ts,.(DMks).k
3. Discharge shall not cause r'eceiying,-sU' am turbidity to exceed 50 NTU. If the natural background turbidity
exceeds 50 NTU, this dischar&\tnay i& cause receiving -stream turbidity to increase.
4. Total Residual Chlorine (TRO,-.The Division shall consider all TRC values reported below 50µg/L to be
compliant with this permit. However, the Permittee shall continue to record and submit all results reported by
North Carolina -certified test methods (including field certified), even if these results fall below 50µg/L.
5. Total Fluoride to be monitored only if filters are back washed with fluoridated finish water.
Conditions:
1. All samples shall be collected during the backwash cycle.
2. The Permittee shall discharge no floating solids or foam.

'Im
FACT SHEET
EXPEDITED - PERMIT RENEWAL
NPDES NCO086983
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Joe R. Corporon L.G. / 25A r2012
Permit Number — County - Region
NCO086983 — Caswell County - WSRO
Facility Name
Caswell Co BOE — South Elementary School WTP
Basin Name/Sub-basin number
Roanoke / 03-02-05
Receiving Stream
UT to H co Creek [segment 22-58-1]
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
Limit = No; language = Yes
Does permit have toxicity testing?
No TOX — Green sand filter exempt
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since lastpermit?
Yes - added dechlor; ATC May 4, 2009
Request for Renewal
September 13, 2011
Current expiration date
March 31, 2012
New expiration date
March 31, 2017
Comments:
Chlor /dechlor; soda ash [Na2C031; green sand filter
Correspondence with the Permittee — the Application for renewal indicates no changes to wastewater treatment
facilities since last renewal other than adding dechlor.
Proposed Renewal - Changes from Previous Permit — the Division will revised the permit and update the
effluent page to reflect the Water Treatment Plant (WTP) Permitting procedures 2009
Total Iron, Total Zinc, and Total Manganese data are available for Reasonable Potential Analyses (RPA) — all
three show reasonable potential to exceed respective water -quality standards (see attached RPA). Total
Manganese monitoring is required for greensand technology, but it remains as "monitoring only, no limit."
Although Total Manganese past data do show RP to exceed the Human Health standard of 200µg/L (MAX
predicted = 4,032µg/L), this standard applies to Class WS waters only. There are no other parameters of
concern.
Toxici - Green sand filter systems do not require Whole Effluent Toxicity (WET) testing.
Compliance - This facility has an excellent compliance record (see attached).

PPPFP
A K
�t
NCDENR
North Carolina Department of Environment and Natural Resources
Division of !Hater Quality
Beverly Eaves PerdLle Charles Wakild, P.E.
Governor Director
February 24, 2012
Caswell County Schools
Attn: Mr. Jerry Hatchett
P.O. Box 160
Yanceyville NC 27379
SUBJECT: Compliance Evaluation Inspection
South Elementary WTP
Permit No. NCO086983
Caswell County
Dear Mr. Hatchett:
Ltee Reetnan
Secretary
A compliance Evaluation Inspection was performed at South Elementary School's well water treatment
system on January 25, 2012 by Jenifer Carter of the Winston-Salem Regional Office. Mr. Glen Price,
ORC, was present for the inspection. This type of inspection consists of two basic parts: a review of
facility files and self -monitoring data, and an on -site inspection.
There were no violations noted during the inspection. Lab data correlated correctly with data submitted on
the monthly Discharge Monitoring Reports. Maintenance and ORC visitation logs were available for
review and complete. The dechlorination system and discharge pipe seemed to be well -maintained and
functioning properly.
Please review the enclosed inspection form for more detailed information. If you have any questions,
please call Jenifer Carter at [phone].
enclosure
cc: SWP central files
WSRO files
North Carolina Division of Water Quality, VVinston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] �. FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
Ammallty
An Equal Opportunity `, Affirmative Action Employer

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 15 I 31 NCO086983 111 121 12/01/25 117 181 C I 19101 201 I
IuJ t.� U U LJ
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII]6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 0A ------Reserved -
67 I 169 70 U 3 71(N 72 ) N 73 � 74 751 I I I I I Li 80
�t--++ �--�
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
02:00 PM 12/01/25
07/10/01
South Elementary WTP
8925 NC Hwy 86 S
Exit Time/Date
Permit Expiration Date
Mebane NC 27302
02:30 PM 12/01/25
12/03/31
Name(s) of Onsite Representafive(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price//336-996-2841 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry Allen Hatchett,PO Box 160 Yanceyville NC 27379/Maintenance No
Director/336-6944116/3366945249
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance 0 Records/Reports
Self -Monitoring Program 0 Facility Site Review Effluent/Receiving Waters
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jenifer Carter WSRO W0//336-771-5000/ ,,/
Signature,pf Managejnent 0 A Reviewer Agency/Office/Phone and Fax Numbers Date
7r
�CI ft Ai l ' % ��.' %�Cr ("lt" - it v� i i K i.J 2 - / � 1.v /
d,C. y
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 NC0086983 I11 "1 12/01/25 117 18I ^'
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 0 0 ■ Q
Is the facility as described in the permit? 0000
# Are there any special conditions for the permit? 0 ■ 0 0
Is access to the plant site restricted to the general public? ■ 0 0 0
Is the inspector granted access to all areas for inspection? 00110
Comment:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
0 0 ■ 0
Is sample collected below all treatment units?
■ 0 0
Is proper volume collected?
■ 0 O O
Is the tubing clean?
0 0 ■ 0
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑ 0 ■ ❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■ 0 0 0
Comment: No composite samples required, so no sample storage required on site.
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
■ Q 0
Is all required information readily available, complete and current?
■ 0
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ 00 ❑
Are analytical results consistent with data reported on DMRs?
■ 00 0
Is the chain -of -custody complete?
■ 0
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■ ❑ 11 O
Has the facility submitted its annual compliance report to users and DWQ?
0 0 ■ 0
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
0 ❑ ■ 0
Page # 3

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Is the ORC visitation log available and current? ■ ❑ ❑ ❑
Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑ ❑ ❑
Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ ❑
Is a copy of the current NPDES permit available on site? ■ ❑ ❑ ❑
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ ■ ❑
Comment:
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting? ■ ❑ ❑ ❑
Is flow meter calibrated annually? ■ ❑ ❑ ❑
Is the flow meter operational? ■ ❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ■ ❑
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ■ ❑
Judge, and other that are applicable?
Comment:
Filtration (High Rate Tertiary) Yes No NA NE
Type of operation:
Is the filter media present? 000 ❑
Is the filter surface free of clogging? ❑ ❑ ❑ ■
Is the filter free of growth? ❑ ❑ ■ ❑
Is the air scour operational? ❑ ❑ ■ ❑
Is the scouring acceptable? ❑ ❑ ■ ❑
Is the clear well free of excessive solids and filter media? ❑ ❑ ■ ❑
Comment: This section used for 30" wide Greensand filter. Media can be replace as
needed through opening in the top.
De -chlorination Yes No NA NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ■ ❑
Is storage appropriate for cylinders? ❑ ❑ ■ ❑
Page # 4

Permit: NC0086983 Owner - Facility: South Elementary WTP
Inspection Date: 01/25/2012 Inspection Type: Compliance Evaluation
De -chlorination Yes No NA NE
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: Discharges at the bottom of a slope where it flows through the woods
before reaching a dry ditch.
Yes No NA NE
■❑❑❑
❑ ❑ ■ ❑
❑ ❑ ■ ❑
Page # 5

IPV
tJ S'
WASTEWATER SYSTEM
PERFORMANCE ANNUAL REPORT
2011
I. General Information
Facility Name:
Responsible Entity:
Contact Person:
South Elementary School
Caswell County Schools
Clifford Cain
Applicable Permit (s): NPDES Permit No. NCO086983
Description of collection system or process:
RECEIVED
N.C.Dept. of ENR
MAR 21 2012
Winston-Salem
Regional Cifflee
Continue to operate a well water treatment system that discharges backwash water and filter rinse
water from Greensand Filters. The Facility is located southeast of Yanceyville at South
Elementary School at 8925 NC Highway 86 South in Caswell County. Discharge from said
treatment works into an unnamed tributary to Hyco Creek, classified C waters in the Roanoke
River Basin.
II. Performance
Summary of system performance for calendar year 2011:
January 2011
RAL not ORC at this time
February 2011
RAL not ORC at this time
March 2011
RAL not ORC at this time
April 2011
RAL not ORC at this time
May 2011
RAL not ORC at this time
June 2011
RAL not ORC at this time
July 2011
RAIL not ORC at this time
August 2011
RAL not ORC at this time
September 2011
Compliant with all effluent permit limitations
October 2011
Compliant with all effluent permit limitations
November 2011
Compliant with all effluent permit limitations
December 2011
Compliant with all effluent permit limitations
�IIAR 1 S 2m',

IOV
III. Notification
Annual notice is posted at the rest area.
ITV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge.
Clifford Cain
Responsible Person
Field Services Manager
Title
Research & Analytical Laboratories, Inc.
Entity
January 25, 2012
Date

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 14, 2011
JERRY A HATCHETT
MAINTENANCE DIRECTOR
CASWELL COUNTY SCHOOLS
PO BOX 160
YANCEYVILLE NC 27379
Dee Freeman
Secretary
RECEIVED
N.C. Deot, of ENR
i
SEP 19 2011
Winston-Salem
Regional Office
Subject: Receipt of permit renewal application
NPDES Permit NCO086983
South Elementary WIT
Caswell County
Dear Mr. Hatchett:
The NPDES Unit received your permit renewal application on September 13, 2011. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact John
Hennessy at [phone].
Sincerely,
I MIZ 0 1 E 1 01
Dina Sprinkle
Point Source Branch
cc: CENTRAL. FILES
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org �atura!!t�
An Equal Opportunity 1 Affirmative Action Employer

PIV
To: Mrs. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
I am submitting this application on behalf of Caswell County
Schools for Permit Number NCO086983 South Elementary for a
renewal of permit. Since the last application we have installed a
Dechlorinator into our system and was approved by NCDENR in
2009. There has not been any other changes to our system since.
Any questions please feel free to contact me. Thanks
Jerj**,,Hat ev
�
swell County Schools
Maintenance Director
September 8, 2011
SEP 13 2011
INT

PrV
NPDF,S PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of guvironment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Ralei&I NC 276"-1617
NPDES Permit Number
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
Facility Name
Mailing Address
City
State / Zip Code
-t?� Bow 1(0-0 l -
Caro%iftck_,
Telephone Number
Fax Number wre ) (p.?q - Sol -�
e-mail Address L .,1, L„1L CgSI c/�/ • Q• f L• V S
2. Location of facility producing discharges
Check here if same as above
Street Address or State Road
City
State / Zip Code
County
ggaS Ax,
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
4. Ownership Status:

FIV
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Federal ❑ State 10 Private ❑ Public ❑
6. Type of treatment plant:
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
Green Saari Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener ❑
6. Description of source water(:) (i.e. groundwater, surface water)
Gw,-wAcoe C1 wel i
7. Describe the treatment processes) for the raw water:
C��OrZt/�Gt�ioK� 50- ) sftl ' ice,
S. Describe the wastewater and the treatment process(es) for wastewater generated by the
&cilityI
lL TonW -to 4-he- 4;t5vi LOJ Piccry
pre
9. Number of separate discharge points:
Qutfall IdentiRcatioa number(s) vv J
10. Frequency of discharge: Continuous 91 Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
11. Plant design potable Vbwsate.DQ&5Q MOD
Backwash or reject flow - 00 IS MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfait, including
latitude and longitudeh

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
14. Is this facility located on Indian country? (check one)
Yes ❑
15. Additional Information:
> Provide a schematic of flow through the facility, include flow volumes at all in
the treatment process, and point of addition of chemicals. <66 AtklA C
> Solids Handling Play SrV a 4'1�GU► s --s��I G
16. NEW Applicants �JSit+J CIS VI
Information needed in addition to rte
> Now applicants must contact a permit coordi:w*.wl thd 1fCD3irR Customer
Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
> Analyses of source water collected
> Englneering Alternative Analysis
> Discharges from Ion Eachaage and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
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.
North Carolina General Statute 143-215.6 (b)(2) provides that: 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

PIV
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
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.)

PPV
Sludge Management Plan
Caswell County Schools
Po Box 160
Yanceyville, NC 27379
The sludge is removed by a domestic waste removal
business and is disposed of in a proper manner complying
with State laws.
Jerry Hatchett
Maintenanc irector
Signature:
Date:
°,.W 5 D
SEP 3 2011
,J kLITY

Al,
�
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 8, 2011
Dr. Douglas N. Barker, Superintendent
Caswell County School System
P.O. Box 160
Yanceyville, NC 27378
Natural Resources
Dee Freeman
Secretary
SUBJECT: Compliance Evaluation Inspection — NPDES Permit No. NCO086983
South Elementary School WTP — Caswell County
Dear Dr. Barker:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the South
Elementary School water treatment filter backwash discharge in Caswell County on February 3,
2011. Steven Yarbrough, Operator in Responsible Charge (ORC), was present for the
inspection. This type of inspection consists of two basic parts: an in -office review of facility files
and self -monitoring data and an on -site inspection of the facility. This particular inspection
evaluated eight (8) areas, and observations from each area are addressed below:
1. Permit
The permit became effective October 1, 2007 and expires March 31, 2012.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from January 2010 through December 2010
showed one violation of the permit limit for Total Residual Chlorine that occurred in February
2010. This violation was already addressed by a previous correspondence from our office.
3. Flow Measurement
The flow from the filter backwash system is measured by a Hershey flow meter. The operators
calibrate the meter on an annual basis. Verification (date, name, etc.) of the calibration and the
method used is maintained with plant records. The flow meter was calibrated in August 2009
before the students returned to school from the summer break.
4. Facility Site Review
All system components appeared to be operating properly. The system is designed to
backwash every 150,000 gallons of water filtered, and occurs typically two to three times per
week. Approximately 300-500 gallons are released during each backwash event.
A Backwash Dechlorinator Norweco Bio-Dynamic Tablet Feeder Model LF 1000 was installed in
May 2009 to comply with the new Total Residual Chlorine limit that took effect April 1, 2009.
Upon installation, the unit had some issues with leakage and improper flow design for the
system. Therefore, the operators enclosed the unit inside a casing to prevent these problems
from occurring. Since then, the unit has been working with no issues. Mr. Randall Thompson
from Simmons Engineering signed the Engineer's Certification for the unit.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
Naturally

"�q
5. Operations & Maintenance
The facility appeared to be functioning properly during the inspection. Daily Backwash Logs,
ORC Visitation Logs, and Monthly Preventive Maintenance Logs are kept in the operations
building. Mr. Steven Yarbrough is the ORC. Mr. Jerry Hatchett is Back -Up ORC.
6. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are very well organized in one
binder and are maintained at the Caswell County Schools Maintenance Shop. All records were
available for review during the inspection.
7. Laboratory
Pace Analytical performs all sample analysis on a bi-monthly basis. The lab technician from
Pace performs Total Residual Chlorine and pH tests at the facility. All other samples are
collected as grab samples and transported to Pace Analytical's laboratory for analysis.
8. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the well house. The effluent is
discharged into a dry drainage ditch that ultimately drains to Hyco Creek in the Roanoke River
Basin.
Please refer to the attached report for specific details from the inspection. If you have
any questions concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: WSRO — SWP
Central Files — SWP

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 1 51 31 NCO086983 111 121 11/02/03 117 181 CI 191 CI 2011 1
Remarks
211111111111111111 1111 1111111111111111 111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --- - ---- -- —Reserved --- ------
671 1 69 70I 1 71 11 721 N I 73 LL] 74 751 1 1 1 1 1 I 1 80
Section B: Facility Data
Name and Location of Facility Inspected (Far Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
South Elementary WTP '
11:00 AM 11/02/03
07/10/01
Exit Time/Date
Permit Expiration Date
8925 NC Hwy 86 S
Mebane NC 27302
12:00 PM 11/02/03
12/03/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Steven Ashley Yarbrough/ORC/336-694-4116/
Name, Address of Responsible OfficiaUTitle/Phone and Fax Number
Jerry Allen Hatchett,PO Box 160 Yanceyville NC 27379/Maintenance Contacted
Director/336-694-4116/3366945249 No
Section C: Areas Evaluated During Inspection Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program E Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
%
Jennifer F Graznak WSRO WQ//336-771-5000/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
d
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NC0086983
Insoection Date: 02/03/2011
owner - Facility: South Elementary wTP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping? ■
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑ ❑ ■
Judge, and other that are applicable?
Comment:
Yes
No
NA
NE
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
nn■n
■nnn
Is the facility as described in the permit?
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■nnn
■
Inn
Is the inspector granted access to all areas for inspection?
Comment:
Yes
No
NA
NE
Flow Measurement - Effluent
# Is flow meter used for reporting? ■nnn
■Inn
Is flow meter calibrated annually?
■000
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
nn■n
Comment: The flow from the filter backwash system is measured by a Hershey flow
meter. The operators calibrate the meter on an annual basis.
Yes No
NA
NE
Record Keeping
Are records kept and maintained as required by the permit?
■non
Is all required information readily available, complete and current?
■nnn
Are all records maintained for 3 years (lab. reg. required 5 years)?
■ n
❑
n
Are analytical results consistent with data reported on DMRs?
■nnn
■nnn
is the chain -of -custody complete?
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
■
Dates of analysis
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■nnn
Page # 3

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 02/03/2011 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Has the facility submitted its annual compliance report to users and DWQ?
❑
■
❑
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
In
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
n
■
o
o
Comment: An annual report is not required for this system.
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
❑
❑
❑
Are the receiving water free of foam other than trace amounts and other debris?
■
❑
❑
❑
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
■
❑
Comment: The effluent is discharged into a dry drainage ditch that ultimately drains to
Hyco Creek.
De-chinrinatinn
Yes
No
NA
NE
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ■ ❑
Is storage appropriate for cylinders? ❑ ❑ ■ ❑
# Is de -chlorination substance stored away from chlorine containers? ■ ❑ ❑ ❑
Comment:
Are the tablets the proper size and type?
■ ❑
❑
❑
Are tablet de -chlorinators operational?
■
❑
❑
❑
Number of tubes in use?
1
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
❑
❑
■
❑
Is sample collected below all treatment units?
■
❑
n
❑
Is proper volume collected?
■
n
n
❑
Is the tubing clean?
n
o
■
o
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
❑
n
n
Page # 4

Permit: NC0086983
Inspection Date: 02/03/2011
Effluent Sampling
Owner - Facility: South Elementary WfP
Inspection Type: Compliance Evaluation
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment:
Yes No NA NE
■ ❑ ❑ ❑
Page # 5

Am
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 30, 2010
Dr. Douglas N. Barker, Superintendent
Caswell County School System
P.O. Box 160
Yanceyville, NC 27378
SUBJECT: Compliance Evaluation Inspection — NPDES Permit No. NCO086983
South Elementary School WTP — Caswell County
Dear Dr. Barker:
Jenny Graznak and Mike Thomas of this office performed a Compliance Evaluation
Inspection at the South Elementary School water treatment filter backwash discharge in Caswell
County on September 23, 2010. Steven Yarbrough, Operator in Responsible Charge (ORC),
was present for the inspection. This type of inspection consists of two basic parts: an in -office
review of facility files and self -monitoring data and an on -site inspection of the facility. This
particular inspection evaluated eight (8) areas, and observations from each area are addressed
below:
1. Permit
The permit became effective October 1, 2007 and expires March 31, 2012.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from June 2009 through June 2010 showed one
violation of the permit limit for Total Residual Chlorine that occurred in February 2010.
3. Flow Measurement
The flow from the filter backwash system is measured by a Hershey flow meter. The operators
calibrate the meter on an annual basis. Verification (date, name, etc.) of the calibration and the
method used is maintained with plant records. The flow meter was calibrated in August 2009
before the students returned to school from the summer break.
4. Facility Site Review
All system components appeared to be operating properly. The system is designed to
backwash every 150,000 gallons of water filtered. Backwashing typically occurs two times per
week. Approximately 300-500 gallons are released during each backwash event.
A dechlorination system was installed in May 2009 to comply with the new Total Residual
Chlorine limit that took effect April 1, 2009. According to Mr. Yarbrough, the dechlorination
system did not operate properly once installed, and operators were forced to remove it. With
the help of an engineer, operators designed a workable dechlorination system that is currently in
place. Please note that you will need to secure the engineer's certification for the modified
dechlorination system and maintain this with the facility files.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarofina
vvahwilrf

5. Operations & Maintenance
The facility appeared to be functioning properly during the inspection. Daily Backwash Logs,
ORC Visitation Logs, and Monthly Preventive Maintenance Logs are kept in the operations
building. Mr. Steven Yarbrough is the ORC. Mr. Jerry Hatchett is Back -Up ORC.
6. Records/Reports
The Discharge Monitoring Reports (DMRs), files, and lab data are very well organized in one
binder and are maintained at the Caswell County Schools Maintenance Shop. All records were
available for review during the inspection.
7. Laboratory
Pace Analytical performs all sample analysis on a bi-monthly basis. The lab technician from
Pace performs Total Residual Chlorine and pH tests at the facility. All other samples are
collected as grab samples and transported to Pace Analytical's laboratory for analysis.
8. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the well house. The effluent is
discharged into a dry drainage ditch that ultimately drains to Hyco Creek in the Roanoke River
Basin. There was not effluent on the day of the inspection.
Please refer to the attached report for specific details from the inspection. If you have
any questions concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: WSRO — Surface Water Protection Section
Central Files — Surface Water Protection Section

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NC0086983 111 121 10/09/23 117 181CI 191SI 201
Remarks
2111111.111 111111111111111111111111111111111111 M6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ------ —------------------- Reserved ------------- ------
67) 169 70131 711 I 72 I N I 73 L Lj 74 751 III I I 1180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:00 AM 10/09/23
07/10/01
South Elementary WTP
Exit Time/Date
Permit Expiration Date
8925 NC Hwy 86 S
Mebane NC 27302
12:00 PM 10/09/23
12/03/31
Name(s) of Onsite Representative(s)fTitles(s)/Phone and Fax Number(s)
Other Facility Data
Steven Ashley Yarbrough/ORC/336-694-4116/
Name, Address of Responsible Official/Title/Phone and Fax Number
Jerry Allen Hatchett,PO Box 160 Yanceyville NC 27379/Maintenance Contacted
Director/336-694-4116/3366945249 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program 0 Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Jennifer F Graznak WSRO WQ//336-771-5000/
i
Signature of Management A R/e_viewer Agency/Office/Phone and Fax Numbers Date
!✓ f - f/ ^�O
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO086983 Owner - Facility: South Elementary WTP
Inspection Date: 09/23/2010 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ O 0 O
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge p ❑ ■
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
Record Keeping
Yes No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
Q
fl
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
n
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 3

• Permit: NCO086983 Owner - Facility: South Elementary VVfP
Inspection Date: 09/23/2010 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
■
n
Comment:
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
0
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
❑
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
■
n
n
n
Is the flow meter operational?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
n
n
■
n
Comment:
..
Yoc
Mn
NO
NF
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
■
Is storage appropriate for cylinders?
n
n
■
n
# Is de -chlorination substance stored away from chlorine containers?
■
n
n
n
Comment:
Are the tablets the proper size and type?
■
n
n
n
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
1
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
Cl
n
# Is the facility using a contract lab?
■
n
n
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
■
n
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
■
n
Page # 4

Permit: NCO086983
Inspection Date: 09/23/2010
Owner - Facility: South Elementary WTP
Inspection Type: Compliance Evaluation
Laboratory
Comment: Pace Analytical performs all sample analysis on a bi-monthly basis.
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment:
Yes
No
NA
NE
Page # 5

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LPIWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
May 7, 2010
Mr. Jerry Hatchett, Maintenance Director
Caswell County Schools
Post Office Box 160
Yanceyville, NC 27379
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0086983 — South Elementary School WTP
Caswell County
Dear Mr. Hatchett:
A review of the self -monitoring report for the month of February 2010 revealed the following
violation of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Total Residual
Chlorine
2/4/2010
17 ug/L
57 ug/L
Daily Limit Violation
Please note that your self -monitoring report for the month of February 2010 was checked as
"compliant", meaning that you attested that all monitoring data and sampling frequencies met
the permit requirements. In future, please carefully review the data before checking "compliant."
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
(� z 1 1 -4 �Z_ -
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
SWP—WSRO ,#
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterqualq.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCarolina
,vaturally

Graznak, Jenny
From: Tedder, Steve
Sent: Friday, December 11, 2009 9:02 AM
To: Graznak, Jenny
Subject: FW: Green sand filters - operator license?
The answer according to the Rules is "yes". That is it is required (to have an 'ORC and BUORC) once the "Division"
officially classifies the facility. At least that's how it's supposed to work.
Tedder
E-mail correspondence to and from this address
may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.
Steve Tedder
Steve.Tedder(@NCDENR.eov
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
From: Price, Don
Sent: Friday, December 11, 2009 8:05 AM
To: Tedder, Steve
Cc: 'Roger Edwards'
Subject: RE: Green sand filters - operator license?
Steve,
"If" the filter is part of a Discharging system, such as a "Well" system that treats for Iron and Manganese and has a back-
wash, they would be
required by regulation to have an NPDES permit and need to be classified to have an ORC and Back-up ORC. There was
some discussion at prior
Consultants meetings that these "small" water systems needed to be permitted and have operators. I disagreed, with
the stance that they
should be dealt with on a case -by -case basis depending on the environmental impact. The new "Ground Water Rule"
being enforced by PWSS
requires that a lot of the small water systems meet a "CT" time regarding their disinfection methods. To do this, some of
these small systems will have to use "everything" capable to meet the "CT" requirement. This may include "back
washing" hydropunematic pressure tanks to back -washing
1st customer distribution lines. I hope this helps, let me know if you have additional questions. Thanks, Don Price.
Don Price, CET- [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Surface Water Protection Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
1

Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Tedder, Steve
Sent: Friday, December 11, 2009 7:01 AM
To: Price, Don
Cc: 'Roger Edwards'
Subject: FW: Green sand filters - operator license?
You guys (Training and Certification) are not requiring ORC and BUORCs for green sand filters are you??
E-mail correspondence to and from this address
may be subject to the North Carolina Public Records
Law and may be disclosed to third parties.
Steve Tedder
[e-mail]
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
(336)-771-4950
Fax [phone]
From: Graznak, Jenny
Sent: Thursday, December 10, 2009 3:36 PM
To: Tedder, Steve
Subject: Green sand filters - operator license?
I know that Mark made some noise about trying to get the operators of green sand filters to have a operators' license
requirement (physical/chemical). As far as I know, nothing ever came of that. I just received a call from a green sand
filter operator who was told by staff from Pace Analytical that he would need a Physical/Chemical certification to
continue to run the backwash system. I conferred with Gary and we both agreed that we had not seen/heard about a
new requirement. Do you know if this is still the case? Thanks.
Jenny Graznak
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX. [phone]
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosed to third parties.

FF A7iA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
RECEIVE C
N.C. Dept. of M,
May 4, 2009
MAY 1 1 2Q09
Mr. Steven Yarbrough
Winston-Salem
Regional office
Caswell County Schools I
P.O. Box 160
Yanceyville, North Carolina 27379
SUBJECT: Authorization to Construct
A to C No. 086983A01
Caswell County Schools
South Elementary WTP
Dechlorination Facilities
Caswell County
Dear Mr. Yarbrough:
A fast track application for Authorization to Construct dechlorination facilities was
received on April 27, 2009, by the Division of Water Quality (Division). Authorization is hereby
granted for the construction of modifications to the existing South Elementary WTP, with
discharge of washwater effluent into Hyco Creek in the Roanoke River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a dechlorination system utilizing sodium thiosulfate pursuant to the
fast track application received on April 27, 2009, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO086983 issued September 7, 2007, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0086983.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604 NorthCarolina
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org NatmallyAn Equal Opportunity 1 Affirmative Action Employer

Mr. Yarbrough
May 4, 2009
Page 2
The Winston-Salem Regional Office, telephone number [phone] shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of these permitted facilities, the
attached Engineer's Certification form must be received from a professional engineer certifying
that the permitted facility has been installed in accordance with the NPDES Permit and this
Authorization to Construct. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities.. The operator must hold a certificate of the type and grade at least
equivalent to or greater than the classification assigned to the wastewater treatment facilities by
the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and, when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-215.6A to 143-215.6C.
11

Mr. Yarbrough
May 4, 2009
Page 3
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
If you have any questions or need additional information, please do not hesitate to contact
Seth Robertson, P.E. at telephone number [phone].
Sincerely,
(Y Coleen H. Sullins
swc/sr
cc: Randall Thompson, P.E., Simmons Engineering & Surveying, Inc., 115 Glendale Ave.,
Burlington, NC 27215
Caswell County Health Department
Winston-Salem Regional Office, Surface Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Daniel Blaisdell, P.E.
Steve Coffey, P.E.
ATC File No. 086983A01

Caswell County Schools
A To C No. 086983AOI
Issued May 4, 2009
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the South Elementary WTP, located
on NC Hwy 86 S in Caswell County for Caswell County Schools, hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following construction:
Installation of a dechlorination system utilizing sodium thiosulfate pursuant to the
fast track application received on April 27, 2009, and in conformity with the
Minimum Design Criteria for Dechlorination Facilities.
I certify that the construction of the above referenced project was observed to be built
within substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/D WQ
1633 Mail Service Center
Raleigh, NC 27699-1633
11

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