NC0050075_Fact Sheet Binder_20200518

DENR/DWQ
EXPEDITED FACT SHEET - NPDES PERMIT DEVELOPMENT
NPDES Permit: NCO050075
2020 Renewal
This form must be completed by Permit Writers for all expedited permits which do not require full Fact Sheets.
Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc.) that can be
administratively renewed with minor changes, but can include facilities with more complex issues (Special
Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance concerns).
Facility and Stream Information
Applicant/Facility Name:
Caldwell County Schools / CollettsvilleElementary School
WWTP
Applicant Address:
1914 Hickory Blvd SW; Lenoir, NC 28645
Facility Address:
4690 Collettsville Road; Collettsville, NC 28611
Facility Class Permit Status:
Grade II Biolo ical WPCS Renewal
Permitted Flow
0.010 MGD
Type of Waste
100% Domestic
Receiving Stream
Johns River
Stream Class ID
C 11-38- 28
7Q10 Sum Win cfs
20 29
30Q2 cfs
44
Avg. Stream Flow cfs
102
IWC %
0.08 %
Subbasin
03-08-31
USG S Too
DUNW / Collettsville, NC
County
Caldwell
Regional Office
ARO
Basic Information for
Expedited Permit Renewal
Permit Writer / Date
Bradley Bennett / March 22, 2020
Does permit need daily max NHs limits?
No limit, summer monitoring only
Does permit need TRC limits/language?
Not required
Does permit have toxicity testing?
WET testing not required
Does permit have Special Conditions?
No
Does permit have instream monitoring?
None
Stream on 303(d) List? For w/parameter?
No
Any compliance concerns?
No Compliance issues
Any modifications since lastpermit?
None noted in application
New expiration date:
February 28, 2025
FACILITY OVERVIEW:
This facility is 100% domestic waste. The design capacity of the treatment system is 0.010 MGD and consists of
the following wastewater treatment components:
• Influent bar screen
• Aeration basin
• Clarifier with sludge return and skimmer
• Wet well with effluent pumps
No modifications were noted or proposed in the current application. In 2015 a Collection System permit
(WQ0037567) was issued to West Caldwell Health Council to allow the Collettsville Medical Center to discharge
to the Collettsville Elementary School WWTP. This collection system permit was rescinded in July 2019. No
information on this process was in the application, but an email from Dr. Church (3/9/2020) verified that there
was no connection to this, or any other, school system WWTP, also verified that the medical facility never used
their facility in a second email (3/11/2020).
Most recent inspection (11/16/2017) found no significant issues and that the facility was well maintained and
operated.

COMPLIANCE:
There were no compliance actions during the permit cycle and there have been no enforcement actions since
2010 for this facility.
MONITORING DATA REVIEW:
Parameter Units
Avg.
High
Low
Permit Limit
Comments
Flow (MGD)
0.0019
.002
0.001
0.010 MA
Avg. flow 19% of permitted flow
BOD (mg/L)
3.24
31.3
1.0
30MA
45DM
No exceedances
TSS (mg/L)
9.4
42
1.25
30MA
45DM
No exceedances
Temp (C)
18.24
27.5
4.3
-
Values in line w seasonal variation
pH (SU)
N/A
8.1
6.1
6 to 9
All values within range
NH3-N (mg/L) summer
0.83
9.9
<0.20
No Limit
Monitoring only
MA - Monthly Average DM - Daily Max
The data reviewed for the renewal is from April 2015 through December 2019.
PROPOSED PERMIT CHANGES:
Updated eDMR requirements
Added regulatory citations throughout permit
Updated parameter codes
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: March 25, 2020
Permit Scheduled Effective Date: June 1, 2020
STATE CONTACT:
If you have questions concerning the above or the attached documents, please contact Bradley Bennett
at [phone].
Colletsville Elementary School WWTP Fact Sheet
NPDES Renewal 2020 — March 22, 2020
Page 2

Public Notice
AFFP North Carolina
Environmental Management
Public Notice Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Aff idavit of Publication Notice of Intent to Issue a NP-
DES Wastewater Permit
NCO030783 Baton Element-
ary School WWTP,
NCO050075 Callettsville Ele-
STATE OF NORTH SS mentary School WWTP and
CAROLINA } NCO041220 Oak Hill Element -
COUNTY OF } ary School
The North Carolina Environ-
mental Management Commis -
Guy Lucas, being duly sworn, says: sion proposes to issue a NP-
DES wastewater discharge
That he is Publisher of the News -Topic, a daily newspaper permit to the person(s) listed
of general circulation, printed and published in Lenoir, below. Written comments re -
County, North Carolina; that the publication, a copy of garding the proposed permit
which is attached hereto, was published in the said will be accepted until 30 days
newspaper an the fallowing dates: after the publish date of thisnotice. The Director of the NC
March 28, 2020 Division of Water Resources
(DWR) may hold a public
hearing should there be a sig-
nificant degree of public in-
terest. Please mail comments
and/or information requests to
DWR at the above address.
Interested persons may visit
the DWR at 512 N. Salisbury
That said newspaper was egularly issued and circulated Street, Raleigh, NC to review
on thos tes. information on file. Additional
SIG i� information on NPDES per-
mits and this notice may be
found on our website'
http://deq.nc.gov/about/divi-
Publisher ' sions/water-resources/water-
resources-permits/wastewa-
Subscribed to and sworn to me this,?�� t AW h ter- branch / n p d e s -
202p• r !a� •Q�,��i, wastewater/public-notices,or
' i •• �' % by calling [phone].
Caldwell County Schools re-
quested renewal of permit
NC0030783/Baton Element-
ary School WWTP. Facility
Michael C. Lambert Sr, Notary, �oLil arr I discharges to Stafford
%''-���a..•`a``� Creek/Catawba River Basin.
My commission expires: May 17, 2�,j�\+•� Fecal coliform and ammonia
�a�'��rt��'` nitrogen are water quality lim-
ited. Caldwell County Schools
requested renewal of permit
NC0050075/Callettsville Ele-
mentary School WWTP. Facil-
30134007 30901030 ity discharges to Johns
River/Catawba River Basin.
Wren Thedford Caldwell County Schools re-
NCDEQ DIVISION OF WATER RESOURCES quested renewal of permit
1617 MAIL SERVICE CENTER NC0041220/Oak Hill Element-
RALEIGH, NC 27699-1617 ary School WWTP. Facility
discharges to Mountain Run
Creek/Catawba River Basin.
Currently, fecal colifarm and
total residual chlorine are wa-
ter quality limited.
Mar. 28, 2020

Bennett, Bradley
From: Heim, Tim
Sent: Wednesday, March 25, 2020 12:59 PM
To: Bennett, Bradley
Subject: RE: Three Draft Permits - Caldwell County Schools
I concur
From: Wiggs, Linda
Sent: Wednesday, March 25, 2020 12:47 PM
To: Bennett, Bradley <[e-mail]>; Heim, Tim <[e-mail]>
Subject: RE: Three Draft Permits - Caldwell County Schools
Tim will have the final say on these, but I do not have a problem with the flows and the drafts you sent for these
facilities.
Environmental Senior S ecialis ' ivision 1
North Carona Department of Eav ronmer
828-296-4500 (Office)
Linda. wigg ncde r.goy
&Md cWC*PQn&YW is W d &M arAkes'S iS SubjeCt 10 He Wth QrUkV I
fTm be dr c*)Sw 10 ffxd twin
From: Bennett, Bradley
Sent: Wednesday, March 25, 2020 11:22 AM
To: Wiggs, Linda <linda.wiggs@ncdenrgov>; Heim, Tim <Tim.HeimTim.Heim@ncdenrgov>
Subject: Re: Three Draft Permits - Caldwell County Schools
So do you guys think this is a big deal given the small flow and their compliance history? I don't want to
include any changes/requirements that don't make sense and aren't worth the cost of the change.
Bradley Bennett
Compliance and Expedited Permitting
NC Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
Email: bradlev.bennett�ncdenrgov.
Email correspondence to and from this address may be subject to public records laws

From: Wiggs, Linda <[e-mail]>
Sent: Wednesday, March 25, 2020 10:57 AM
To: Heim, Tim <[e-mail]>; Bennett, Bradley <[e-mail]>
Subject: RE: Three Draft Permits - Caldwell County Schools
These facilities don't have flow meters. And I believe if you ask Jerry, he will tell you they pretty much just put the same
number every time and don't do calculation based on well records or a bucket and stop watch.
Emironmental
Forth Caro i a I
- - 5 o ((
. i '�(
.. IF • .•
dit
r-• r •�
From: Heim, Tim
Sent: Wednesday, March 25, 2020 10:35 AM
To: Bennett, Bradley <bradley. ben [e-mail]>
Cc: Wiggs, Linda <[e-mail]>
Subject: RE: Three Draft Permits - Caldwell County Schools
Thanks Bradley,
I believe you are correct about the rounding, their flow meters probably do not go low enough to achieve precision
below that. We could discuss having them change meters, but I don't know if there would be a lot of value in that since
they are staying well below permit limits.
From: Bennett, Bradley
Sent: Monday, March 23, 2020 3:49 PM
To: Heim, Tim <[e-mail]>
Cc: Wiggs, Linda <[e-mail]>
Subject: Three Draft Permits - Caldwell County Schools
Tim,

I have attached three draft permit renewals that will be going to notice later this week. For each I have
included the draft permit and cover letter (in one file) and the Fact Sheet in a separate file. I have copied Linda
also since I think you may have mentioned getting her comments on these at some point earlier. If they need
to go to someone else then please forward on or let me know who to get them to.
• NCO030783 - Baton Elementary - NH3-N Monitoring - See the write up in the fact sheet and cover letter
- the monitoring has changed to be consistent with Rule 2 .0404(c) requiring winter limits to be no less
stringent than 2x summer limits. This one is to WS waters so I will also email to PWS for their
comment.
• NCO041220 - Oak Hill Elementary - Corrected map from previous version; added TRC language in
effluent footnote to be consistent with current language.
• NCO050075 - Collettsville Elementary - No major changes.
One question Tim. In all of these permits the DMR data showed that for flow there were only a very few
distinct values that were reported. Most likely this is due to the small nature of the reported values as
MGD. It just seems a little odd for example that for Colletsville there are 248 flow values reported but they
are all either .001 or .002? Maybe there is really no issue with this? Looks like they are just maybe rounding
everything off.
Bradley Bennett
Compliance and Expedited Permitting Phone: [phone]
NC Division of Water Resources
1617 Mail Service Center Email: bradley.bennett @ncdenr.gov
Raleigh, NC 27699-1617
Email correspondence to and from this address may be subject to public records laws

Bennett, Bradley
From: Jeff Church <[e-mail]>
Sent: Wednesday, March 11, 2020 11:12 AM
To: Bennett, Bradley
Cc: Steve Soots; Jeff Church
Subject: RE: [External] RE: Wastewater Permit Renewals
We discussed the option with the medical center; however, they came up with a different
solution. They never used our facility.
Hope all is well.
Jeff
From: Bennett, Bradley <bradley. ben [e-mail]>
Sent: Wednesday, March 11, 2020 11:00 AM
To: Jeff Church <[e-mail]>
Cc: Steve Soots <[e-mail]>
Subject: RE: [External] RE: Wastewater Permit Renewals
Dr. Church,
Thanks for your quick response on this question. I would like to try and verify with you whether there was any time
during the permit cycle when the Medical Center was actually discharging into your system. Possibly they just received
the permit to do so, but never actually did. If you were accepting flow from them I'd like to be aware of the timeframe
so I can consider that as I review data for your Collettsville permit renewal.
Thanks for your help on these questions.
From: Jeff Church [mailto:[e-mail]]
Sent: Monday, March 9, 2020 11:16 AM
To: Bennett, Bradley <bradley. ben [e-mail]>
Cc: Jeff Church <[e-mail]>; Steve Soots <[e-mail]>
Subject: [External] RE: Wastewater Permit Renewals
mm(@nc.gov
External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Good morning Bradley,
The West Caldwell Medical Center does not use our Collettsville facility. There are no outside
facilities connected to any of the district's treatment systems.
Hope all is well,
Jeff

From: Bennett, Bradley <bradley. ben [e-mail]>
Sent: Monday, March 9, 2020 8:38 AM
To: [e-mail]
Subject: Wastewater Permit Renewals
Mr. Church,
I am currently working on drafting the permit renewals for three Caldwell County Schools. In reviewing records for one
of the schools, Collettsville Elementary, I noticed that during the permit cycle this system was potentially accepting
discharge from West Caldwell Medical Center. It appears that this discharge ended in July 2019. 1 just wanted to check
with you to make sure that there were no other outside facilities that may be connect to this school's treatment system
or any of your other school's treatment systems. The renewal applications don't indicate this but I wanted to make sure
so we can accurately reflect the components of your schools treatment systems.
Thanks for your help on this. Feel free to respond to this email address. You can also contact me at [phone] if
you want to discuss this, or any other issues related to your permit renewals. Please note that I am a part-time
employee and I'm usually in the office Monday - Wednesday.
Bradley Bennett
Compliance and Expedited Permitting
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
email: [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.

Bennett, Bradley
From: Heim, Tim
Sent: Tuesday, February 25, 2020 7:57 AM
To: Bennett, Bradley
Subject: RE: Permit Renewals for Caldwell County Schools
Attachments: Jan2014 Inspect NC0030783.pdf; 20190228_NC0030783_CEI_Rpt.pdf; WQ0037567
Collettsville Med Center.pdf; 20171120_NC0050075_CEI.PDF
Bradley,
Here are comments from the last inspections. Sorry for the delay in responding, we are extremely short staffed right
now.
From: Bennett, Bradley
Sent: Monday, February 03, 2020 3:44 PM
To: Heim, Tim <[e-mail]>
Subject: Permit Renewals for Caldwell County Schools
Hi Tim,
Hope you are doing well. I just wanted to run a couple more renewals by you to see if you had any comments on
them. All of these have a renewal application in-house and the renewals are in Laserfiche. See list below.
NC0030783 — Baton Elementary School
NC0041220 — Oakhill Elementary School
NC0050075 — Collettsville Elementary School
Let me know if you have any comments. I hope to be able to put the draft permits together within the next week or so.
Thanks
Bradley Bennett
Compliance and Expedited Permitting
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Phone: [phone]
email: [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Low and may be disclosed
to third parties.
1

NH3/TRC WLA Calculations
Facility: Colletsville Elementary WWTP
PermitNo. NC0050075
Prepared By: Bradley Bennett
Enter Design Flow (MGD): 0.1
Enter s7Q10 (cfs): 20
Enter w7Q10 cfs : 29
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/1)
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/1)
s7Q10 (CFS)
20
s7Q10 (CFS)
DESIGN FLOW (MGD)
0.1
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
0.155
DESIGN FLOW (CFS)
STREAM STD (UG/L)
17.0
STREAM STD (MG/L)
Upstream Bkgd (ug/1)
0
Upstream Bkgd (mg/1)
IWC (%)
0.77
IWC (%)
Allowable Conc. (ug/1)
2211
Allowable Conc. (mg/1)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/1)
20
0.1
0.155
1.0
0.22
0.77
101.6
Fecal Coliform
w7Q10 (CFS)
29
Monthly Average Limit:
200/100ml DESIGN FLOW (MGD)
0.1
(If DF >331; Monitor)
DESIGN FLOW (CFS)
0.155
(If DF<331; Limit)
STREAM STD (MG/L)
1.8
Dilution Factor (DF)
130.03 Upstream Bkgd (mg/1)
0.22
IWC (%)
0.53
Allowable Conc. (mg/1)
297.4
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N)
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

NC0050075 Collettsille Elem. School WWTP / Caldwell County Schools - Doc Review ARO
Comments / Notes from Application and other Info:
• No comments or requested changes in the renewal application.
• Facility has eDMR contacts with ESA.
• In 2015 a Collection System permit (WQ0037567) was issued to West Caldwell Health Council to
allow the Collettsville Medical Center to discharge to the Collettsville Elementary School WWTP.
This collection system permit was rescinded in July 2019.
• No information on this process was in the application, but an email from Dr. Church (3/9/2020)
verified that there was no connection to this, or any other, school system WWTP, also verified
that the medical facility never used their facility in a second email (3/11/2020).
Review of Monitoring Data:
Unlike some other Caldwell County School System permits, the data for this facility was very consistent
and there were very few waiver during periods of no flow. Flow appears to be continuous.
• BOD —Values averaged 3.24 mg/L with no noted exceedances (31.30 max).
• TSS —Values averaged 9.40 mg/L with no noted exceedances (42 max).
• Flow average for permit term — 0.0019 MGD. No values exceeded the 0.010 MGD permit design
flow rate. Average flow is at 19% of permitted flow. Only two separate values reported in the
248 total values (0.001, 0.002). May be due to small nature of the values and eDMR significant
digits?
• Temperature — only monitor at the effluent. Values seem in line with seasonal variation.
• Fecal Values— not required
• pH — no issue from data (6.1 to 8.1).
• NH3-N — average of 0.83 mg/L overall. Monitoring requirement only in summer months.
• No WET requirement
Compliance / Enforcement:
• No compliance violations.
• No enforcement actions since 2010.
Other:
• Facility lat/long updated to reflect school location rather than outfall location.
• Facility treatment system updated to septic tank/sand filter

C.-
Water Resources
CNV-A MQNTA1 UVALI"
November 20, 2017
Steve Soots
Caldwell County Schools
1914 Hickory Blvd SW
Lenoir, NC 28645
SUBJECT: Compliance Inspection Report
Collettsville Elementary School
NPDES WW Permit No. NCO050075
Caldwell County
Dear Permittee:
ROY COOPER
Gv�6TraG.
!vIICI I DEL S. REG_ N
safralmn
LrXI)A CUT -PEPPER
Ivaer102 Dzrarra*
The North Carolina Division of Water Resources conducted an inspection of the Collettsville
Elementary School on 11/16/2017. This inspection was conducted to verify that the facility is
operating in compliance with the conditions and limitations specified in NPDES WW Permit No.
NC005007S. The findings and comments noted during this inspection are provided in the
enclosed copy of the inspection report entitled "Compliance Inspection Report",
There were no significant issues or findings noted during the inspection and therefore, a
response to this inspection report is not required.
If you should have any questions, please d❑ not hesitate to contact Timothy Heim with the
Water Quality Regional Operations Section in the Asheville Regional Office at 828-296-4500 or
via email at [e-mail].
Sincerely,
Tim Heim, P.E., Environmental Engineer
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Asheville Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File
20171120_NCO050075_CEI Letter.Rtf
Slate of North Camlina I Envirt)nmenlul Quulily I Water RieL4surce,,
2090 UI S, 70 Highway, Swanoauoa, NC 28779
X28-296-3500

United Slakes Environmental Protection Agency
Form Approved.
EPA Washington, D.C.24A66
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 yrlmolday Inspection Type Inspector Fac Type
T IN I 2 15 I 3 1 NCOU50075 Ill 12 1' I'17 18 I d 19 ICI 20f
2111 1 I 1 I I I I I I 1 I I 1 1 1 I I I_ III I_ 1 I I I I I 1_.I._,I, I I fS
.1 _ .1
Inspection Work Days Facility Self -Monitoring Evaluatlon Rating Bi CIA -Reserved - -
67
72 I r, f 73I �I I74 751 l 1 1 1 1 j IS0
70I LJ I 71 L_j L _! L
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW; also include
Entry Tirne/Date
Permit Effective Date
PQTW name and NPDES hermit Number)
1t7:00AM 171111t6
15104/01
Collettsville Elementary School
4690 Collettsville School
Exit TimelDate
Permit Expiration hate
Callettsvllle NC 28611
12:OOPM 1711106
24102/29
Name(s) of Onsfte Representative (s)1Ttles(sjlPhone and Fax Num►ier(s1
Other Facliity Data
/11
Jerry Lynn Younce OR01826-757-21981
Name. Address of Responsible Official/TitlelPhone and Fax Number
Contacted
Jeff Church,1914 Hickory Blvd SW Lenoir NC 286451/928-728-840718287280012
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Flaw Measurement Operations & Maintenance 0 Records/Reports
Self -Monitoring Program ■ Facility Site Review Effluent/Receiving Waters
Section D: Summary of FindinglComments (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
Timothy H Heim ARO WQP828-296-46G5!
.I-fi, L112012017
Signature of Management Q A Rev lewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete,
Page#

NPDES yrlmolday Inspection Type
NC0050075 it 1 121 17/11/16 17 18 I C I
Section D; Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Tim Heim of the Asheville Regional Office performed a Compliance Evaluation Inspection on November
15, 2017. Jerry Younce (ORC) and Marc Dillinger (Shop Foreman) assisted with the inspection and
facility review. The facility appeared well maintained and operated, and in compliance with Permit
NC0050075.
The following additional observations were made at the time of the inspection -
The fence near the effluent pump station should include a sign with emergency notification info,
Page#

Permit: NC0050075
Inspection Rate: 1111612017
Owner - Facility; Collettsville Elementary School
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: The facility appeared well maintained and operated at the time of the inspection,
Permit
(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?
Yes No NA N E
M
❑
❑
❑
❑
❑
■
❑
Yes No NA NE
M ❑ ❑ ❑
■ ❑ Cl ❑
■ ❑ ❑ ❑
Comment: The fence near the effluent pump station should include a siren with emergency notification
info_
Page# 3

ROy COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Direcrar
NORTH CAROLINA
Environmental Quality
July 3, 2019
Mr. Edward K. Winkler, Director of Operations
West Caldwell Health Council, lnc.
P.O. Drawer 9
Colletsville, NC 28611
Subject: Permit Rescinded: Permit Number WQ0037567
Callettsville Medical Center
Caldwell County
Dear Mr. Winkler:
A rescission request was recently received for Permit No. WQ0037567, Issued January 29, 2015. Staff
from the Division of Water Resources has confirmed that this Permit is'no Ianger required. Therefore, in
accordance with your request, Sewer Extension Permit No. WQ0037567 is rescinded, effective
immediately.
If in the future, if you wish again to operate a non -discharge system, you must first apply for and receive
a new Wastewater Collection System Permit. Operating a non -discharge system without a valid
Wastewater Collection Permit will subject the responsible party to a civil penalty of up to $10,000 per
day.
If you have any questions or would like to discuss this natter further, please do not hesitate to contact
Nyle Hathem at [phone] or via email at [e-mail] .
Sincerely,
r
for Linda Culpepper
Director, Division of Water Resources
cc: Asheville Regional Office, Water Quality Section Regional Operations
Water Quality Central Files — WQ0037567
*. North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11b17 M311 Service Center I Raleigh. North Carofma 27699-1617
runan�,vyt Cy �
a m r 919,707.9000

i r`IJ
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
January 29, 2015
Thomas B. McRay, COD
West Caldwell Health Council, Inc.
PO Drawer 9
Collettsville, North Carolina, 28611
Subject: Permit No. WQ0037567
West Caldwell Health Council, Inc.
Collettsville Medical Center
Wastewater Collection System Extension Permit
Caldwell County
Dear Mr..McRay:
Donald van der Vaart
.Secretary
In accordance with your application received January 23, Z015, we are forwarding herewith Permit No.
WQ0037567 dated Issued January 29, 2015, to the West Caldwell Health Council, Inc. (Permittee) for
the construction and operation upon certification of the subject wastewater collection system
extension. This permit shall be effective from the date of issuance until rescinded, and shall be subject
to the conditions and limitations as specified therein. This cover letter shall be considered a part of this
permit and is therefore incorporated therein by reference.
Please pay particular attention to the following conditions contained within this permit:
Condition 11.1: This permit. shall not be automatically transferable; a request must be made and
approved.-.
Condition IIA: Requires that the wastewater collection facilities be properly operated and maintained
in accordance with 15A NCAC 2T .0403 or any individual system -wide collection system
permit issued to the Permittee.
It shall be responsibility of the Permittee to ensure that the as -constructed project meets the
appropriate design criteria and rules. Failure to comply may result in penalties in accordance with North
Carolina General Statute §143-215.6A through §143-215.6C, construction of additional or replacement
wastewater collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to
the licensing board.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adjudicatory hearing upon written request within 30 days following receipt of this permit.
This request must be in the form of a written petition, conforming to Chapter 150$ of North Carolina
General Statutes, and filed with the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh,
NC 27699-6714. Unless such demands are made, this permit shall be final and binding.
20§0 U.S. 70 Highway, 5wannanoa, NC 28778
Phone: [phone]\ Internet: www.ngwaterauality.org
An Equal Opportunity\Af lrmative Action Employer— Made in part by recycled paper

West Caldwell Health Council, Inc
Permit No. WQ0037567
If you need additional information concerning this matter, please Contact Tim Heim at [phone] or
via a -mail -at [e-mail]. —
Sincerely,
fors. Jay Zimmerman, Acting Director
Division of Water Resources, NCDENR
by G. Landon Davidson, Regional supervisor
Water quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDENR
cc: Kevin B. Greer, P.E. (electronic copy)
Collettsville Elementary School
Asheville, Regional Office.Files
Water Resources Central Files
PERCS (electronic Copy)
G:\WR\WQ\Caldwell\Callection systems\Ccllettsville Elam Collection 5ystem\Fastirack\WQ0037567 Collettsville Med Center.docx
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STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENTCOMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
WASTEWATER COLLECTION SYSTEM EXTENSION PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina -as
amended, and other applicable laws, Rules, and Regulations, permission is hereby granted to the -
West Caldwell Health Council, Inc. (Town of Collettsville)
Caldwell County
for the construction and operation of approximately 40 linear feet of 6-inch gravity sewer; a 2,000—
gallon per minute pump station with duplex pumps, on -site audible and visual high water alarms,
telemetry, and a portable generator receptacle with telemetry; as well as approximately 1,S00 linear
feet of 2-inch force main to serve a 10 employee medical center with 7 exam rooms as part of the
Collettsville Medical .Center project, and the discharge of 810 gallons per day of collected domestic
wastewater into the Collettsville. Elementary's existing sewerage system,. pursuant to the application
received January 23, 2015, and in conformity with 15A NCAC 2T; the Division's Gravity Sewer Minimum
Design Criteria adopted February 12, 1996 as applicable; the Division's Minimum Design Criteria for the
Fast -Track Permitting of Pump Stations and Forte Mains adopted June 1, 2000 as applicable; and other
supporting data subsequently filed and approved by the Department of Environment and Natural
Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
specified conditions and limitations contained therein.
for S. Jay Zimmerman, Acting Director
Division of Water Resources; NCDENR
By Authority of The Environmental Management Commission
Permit Number: WQ0037567
Permit Issued; January 29, 2015
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