NC0050075_Regional Office Historical File 2000 to 2015

MAY.12.2010 8:21AM CALDWELL CO. SCHOOLS
Caidwell County Schools
To: Dina Sprinkle
NC DENR/DWQ/Point Source Branch
From: Dr. Jeff Church
Date: May 11, 2010
Re: Point of Contact Change
NO.3842 P. 2
1914 Hickory Blvd 5W :!
Lenoir, NC 28645
Telephone [phone]
Fax [phone]
Dr. Jeff Church, Assistant Superintendent
Dr. Jeff Church is now the point of contact for Caldwell County Schools. Donnie Bassinger has
retired and no longer works here. This change applies to all correspondence pertaining to water
quality for Caldwell County Schools.
Thank you
COL ��. vA/C 00_5ev
� .1z. R
MAY X 2 2010
1 ---
E;
DENR-4AX :�JlaLriY
3 ilk 0
WATER QUALITY SECTION
R:rGiONAL OFFICE
/-7j BOS��

Permit Number WQ0008761
Program Category
Non -discharge
Permit Type
Gravity Sewer Extension, Pump Stations, & Pressure Sewer
Extensions
Primary Reviewer
kim.colson
Coastal SW Rule
Permitted Flow
Central Files: APS SWP
10/11/10
Permit Tracking Slip
Status
Project Type
Active
New Project
Version
Permit Classification
1.00
Individual
Permit Contact Affiliation
Facility
Facility Name Major/Minor Region
Caldwell Co Boe-Kincaid Furni Minor Asheville
Location Address
County
Caldwell
Facility Contact Affiliation
Owner
Owner Name Owner Type
Caldwell County Schools Government - County
Owner Affiliation
Jeff Church
Assistant Auxiliary Services Superintendent for
1914 Hickory Blvd
Lenoir NC 28645
Dates/Events
Scheduled
Orig Issue App Received Draft Initiated Issuance Public Notice Issue Effective Expiration
03/08/94 12/01/93 03/08/94 03/08/94
Regulated Activities Reauested/Received Events
School RO staff report requested 12/06/93
Wastewater collection RO staff report received 12/28/93
Additional information requested 02/03/94
Additional information received 02/25/94
Engineer/tech specialist certification requested 04/28/95
Outfall NULL
Waterbody Name Stream Index Number Current Class Subbasin

1914 Hickory Blvd., SW
Caldwell county schoo8645
ls Lenoir, NC20012
Telephone [phone]
Fax [phone]
Dr. Tom McNeel, Superintendent
July 16, 2002
Jim Reid
NC Dept. of Environment, Health & Natural Resources
Division of Environmental Management
Interchange Bldg.
59 Woodfin Place _
Asheville, NC 28801
Dear Jim:
Please direct all future communications to Mr. Donnie Bassinger, Assistant
Superintendent for Auxiliary Services, 1914 Hickory Blvd., SW, Lenoir, NC 28645, as I
retired from Caldwell County Schools on June 30, 2002.
Many thanks.
c: Preston Howard, Raleigh Office
Donnie Bassinger
Sincerely,
Earl (June) Bradshaw
An equal opportunity employer

r-„ r
Performance Annual Report
I. General Information _
Facility/System Name: Sawmills Elementary School
Responsible Entity: Caldwell County Schools 828) 728-8407
Person in Charge/Contact: Ron McClure [phone] Pager
Applicable Permit(s): NCO041165
Description of Collection System or Treatment Process:
Line to septic tank, then into a dosing tank then onto sand filter, then into C/2 tank,
then into a lift station then force mained to the creek.
H. Performance
Text Summary of System Performance for Fiscal Year 1999-2000
No violations for the fiscal year 1999-2000
List (by month) any violations of permit conditions or other environmental regulations.
Monthly lists should include discussion of any environmental impacts and corrective
measures taken to address violations.
No violations during past fiscal year 1999-2000

III. Notification
State how this report has been made available to users or, customers of the system and
how those users have been notified of its availability.
Information posted in conspicuous areas at each school. Copy of report will be made
available to the public at each school office and at the superintendent's office of Caldwell
County Schools.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the users or
customers of the named system and that those users have been notified of its availability.
f/0 4;z 1 /'- SL�4y�7
—���
Earl Bradshaw, Associate Superintendent Date
Caldwell County Schools

ppp-
FACILITY
COUNTY CLASS
MAILING ADDRESS
RESPONSIBLE
OFFICIAL
TELEPHONE NO.
WHERE LOCATED
NPDES PERMIT NUMBER NC_
STATE FEDERAL
DATE ISSUED
EXPIRATION DATE
STREAM: NAME
CLASS
7Q10
SUB —BASIN
FACILITY OPERATOR
REPRESENTATIVE
'A
V. .
- yqz
r6-
GcJtIT�/Z--��CLj _�a�sl
CERT. NUMBER
.CLASS
OTHER PERMIT NO.
DATE ISSUED

Donald R. Bassinger
Caldwell County Schools
Assistant Superintendent
1914 Hickory Blvd.
Lenoir, North Carolina
Dear Mr. Bassinger:
Michael F. Easley
A Governor
William G. Ross, Jr., Secretary
NCDENR North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
28645
RECEIVED
N.C. Dept. of ENR
June 4, 2004 J U N 0 8 2004
Winston Salem
Regional Office
Subject: Receipt of permit renewal application
NPDES Permit NC0030783, NC0050075,
NC0041157, NCO041220
Caldwell County Schools WTP
The NPDES Unit received your permit renewal application on June 4, 2004. We need one additional item in
order to process your permit renewal:
♦ Solids handling and disposal. How often are solids (sludge) removed from your facility? How are
solids disposed after removal?
A member of the NPDES Unit will review your application. That staff member 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. The requirements in your existing permit will remain in effect
until the permit is renewed (or the Division takes other action).
If you have any additional questions concerning renewal of the subject permit, please contact me at (919)
733-5083, extension 520.
Sincerely,
Carolyn Bryant
Point Source Branch
cc: CENTRAL,FILES
W' ston Salem P.egtonal. O cel/Water Quality Se bons
i�1�?D.LS-Unit
N. C. Division of Water Quality / NPDES Unit Phone: [phone] Fax: (919) 7�1
1617 Mail Service Center, Raleigh, NC 27699-1617 DENR Customer Service Center: 1 800 623-7748
Internet: h2o.enr.state.nc.us email: [e-mail]

001• 1914 Hickory Blvd SW
28645
Caldwell County Schools Telephone 828-7Lenoir, NC28-8407
Fax [phone]
•
Donnie Bassinger, Assistant Superintendent
June 1, 2004
Charles H. Weaver
NC DENR/Water Quality/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
J U N 4 2004
. ilt DERR VYMB QUALI-ly
POI�sT SOAR*,E BRANCH
n-
Enclosed are the renewal applications for wastewater permits for the following Caldwell County
Schools: Baton Elementary (NC0030783), Collettsville Elementary (NC0050075), Gateway School
(NC0041157) and Oak Hill Elementary (NC0041220).
If you need any additional information, please feel free to call me.
Thank you.
Sincerely,
Donnie Bassinger
Assistant Superintendent
DRB:gf
Enclosures

`NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater ('<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.ne.us/NPDES/
North Carolina NPDES Permit Number NC00
Please print or type
1. Contact Information:
Facility Name _ Baton ' Elementary School
Owner Name Caldwell County Schools
Street Address - 1914 Hickory Blvd.
City Lenoir
State / Zip Code NC 28645
Telephone Number ( 828 ) 728-8407
Fax Number ( 828 ) 728-0012
e-mail Address [e-mail]
Operator Name Ran McClure
Street Address
P n Rnx 840
-City
- Hiirienn
State / Zip Code NC 286 �8
County. residence)
(
Telephone Number ( 828 ) 499-1759
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name (If different from above) same
Street Address or State Road 1400 Baton School Road
City
Granite Falls
State / Zip Code NC 28630
County Caldwell County
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal New Facility
* Provide a description of the expansion/modification:
Page 1 of 3
Version 12102

NPDES APPLICATION .FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
1
4. Description of the existing treatment facilities (list all installed components with
capacities):
0,015 MGD wastewater treatment system consisting of a 15,000 gallon septic
tank, subsurface sand filter, dual effluent pumps, dual disinfection units
and a subsurface discharge pipe with an energy dissipator housed in a
protective structure.
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School X Number of Students/Staff
Other
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
Public School
6. List all permits, construction approvals and/or applications (check all that apply):
Type
RCRA
UIC
NPDES
PSD
NESHAPS
Permit Number
Type
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls): 1 ( one
S. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Stafford Creek - Catawba River Basin
Page 2 of 3 Version 12102

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/V fp 3N
cp
'.Mountain Grove
atop
yoJtFf Oat2wba
(NorthjCbtaw a�
69
em
060
7 X.
i —
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It
It
-17
:1 n o' ' I,
Latitude: 35°48' 10" N C 0 0 3 0 7 8 3 Facility
Longitude: 31132'46"
Quad# Dl_SE Location
Stream Class: WS-IV Caldwell County Schools
Subbasin: 30931
Receiving Stream: Stafford Creek Baton Elementu� School
�J�r�j'-�, SCALE 1 :24000

PLICATION FOR PERMIT RENEWAL- SHORT FORM D
privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
lvui Ali �..arolina NPDES Permit Number 11411-00 500 5
Please print or type
1. Contact Information:
Facility Name
Collettsville Elementary School
Owner Name
Caldwell County Schools.
Street Address
1914 Hickory Blvd. SW
City
Lenoir
State / Zip Code
NC 28645
Telephone Number
( 828 ) 728-8407
Fax Number
( 828 ) 728-0012
e-mail Address
[e-mail]
Operator Name
Ron McClure
Street Address
p 0 Box 840
City
Hudson
State / Zip Code
NC 28638
County Burke (residence)
Telephone Number ( 828 ) 493-1759
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name (If different from above) same
Street Address or State Road 4690 0l l ..tsville School Drive
City Collettsville
State / Zip Code NC 28611
County Caldwell County
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal X New Facility
* Provide a description of the expansion/modification:
Page 1 of 3
Version 12102

NPDES APPLICATION FOR PERNIIT RENEWAL- SHORT F�
To be filed only by privately -owned dischargers of 100% domestic wastewater (<1
4. Description of the existing treatment facilities (list all installed components with
capacities):
0.010 MGD wastewater treatment system consisting of an influent bar screen,
aeration basin, secondary clarifier, into a contact tank, into lift station,
and Dumped into the river.
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential Number of Homes
School X Number of Students/Staff
Other
_ Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.): .
Public School
6. List all permits, construction approvals and/or applications (check all that apply):
Type Permit Number Zee Permit Number
RCRA
Non -Attainment
UIC
Ocean Dumping _
NPDES
Dredge/Fill Permits
PSD
Other
NESHAPS
r
7:' Number of separate wastewater discharge pipes (wastewater outfalls): 1 (one)
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfad):
Johns River - Catawba River Basin
Page 2 of 3 Version 12102

'PLICATION FOR PERMIT RENEWAL- SHORT FORM D
privately -owned dischargers of 100% domestic wastewater .(<1 MGD flow)
7 located on Native American lands? (check one)
.ES ❑ NO ❑
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.
Donald R. Bassinger
Printed Name of Person Signing
Assistant Superintendent
Title
Signature of Applicant
Date
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 Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a
similar offense.)
Page 3 of 3 Version 12102

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III '� o �• l`�� 1 1 _ '7�, t! .� �� � .\ ,, /'�. (. �)�! t
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It
it
Mulvale
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L �j S M 110
-�
zz
,N y OUTFALL —
Latitude: 35'55' 28"
Longitude: 81'40'25"
Quad it D12NW
Stream Class: C
Subbasin: 30831
Receiving Stream: Johns River
NC0050075'
Caldwell County Schools
Collemville Elementary School
Facility
Location
/Vorz�� SCALE 1.24000

'PLICATION FOR PERMIT RENEWAL- SHORT FORM D
privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
ivornn Larolina NPDES Permit Number NC00 141157
1. Contact Information:
Facility Name
Owner Name
Street Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Operator Name
Street Address
City
State / Zip Code
County
Telephone Number
Please print or type
Gatewav School
Caldwell County Schools
1914 Hickory.Blvd: SW
Lenoir
NC 28645
( 828) 728-8407
( 828) 728-0012
[e-mail]
Ron McClure
P 0 Box 840
Hudson
NC 28698
Caldwell
( 828 ) 49�-1759
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name. (If different from above) same
Street Address or State Road 1889 Dudley Shoals Road
City Granite' Falls
State / Zip Code NC 28630
County Caldwell County
3. Reason for application:
Expansion/Modification
Renewal
Existing Unpermitted Discharge
N F ii
X ew aci rty
* Provide a description of the expansion/modification:
Page 1 of 3
Version 12102

NPDES APPLICATION FOR PERNUT RENEWAL- SHORT Fly
To be filed only by privately -owned dischargers of 100% domestic wastewater (<
4. Description of the existing treatment facilities (list all installed components with
capacities):
0.004 wastewater treatment system consisting of a septic tank
dosing facility, surface sand filter, tablet type chlorinator
and effluent pump station.
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial
Commercial
Residential
School X
Other
Number of Employees
Number of Employees
Number of Homes
Number of Students/Staff
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
Public School
6. List all permits, construction approvals and/or applications (check all that apply):
Type
RCRA
UIC
NPDES
PSD
NESHAPS
Permit Number
Type
Non -Attainment
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls): 1 (one)
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
9. Name of receiving stream(s) (Provide a map showing the exact Location of each outfall):
Upper Little River - Catawba River Basin
Page 2 of 3 Version 12102

'PLICATION FOR PERMIT RENEWAL- SHORT FORM D
privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
r located on Native American lands? (check one)-
YES ❑ NO ❑
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.
Donald R. Bassinl
Printed Name of Person Signing
Assistant Superintendent
Title
Signature of Applicant` D9rfe Signed .
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 Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a
similar offense.)
0
Page 3 of 3
Version 12102

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967
ir
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it
".3
396
If
1*
745
50,
Latitude: 35°51'47"
Longitude: 81°22'22"
Quad' D13SE
Stream Class: WS-N
Subbasin: 30832
Receiving Stream: Upper Little River
Facility
!
Location
r � = �` xp� F� � r
SCALE 1:24000 z

PPLICATION' FOR PERNUT RENEWAL- SHORT FORM D
y privately -owned dischargers of 100% domestic wastewater (<1 MGD flow)
C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number I NC00 ll
Please print or type
1. Contact Information:
Facility. Name
Oak Hill m n ry School
Owner Name
Caldwell County Schools
Street Address
1914 Hickory Blvd. SW
City
Lenoir
State / Zip Code
NC 28645
Telephone Number
( 828) 728-8407
Fax Number
( 828) 728-0012
e-mail Address
[e-mail]
Operator Name
Ron McClure
Street. Address
p 0 Box 840
City
Hudson
State / Zip Code
NC 28638
County
Burke
Telephone Number
( 828 ) 493-1759
2. Location of facility producing discharge:
Check here if same as above ❑
Facility Name (If different from above) Same
Street Address or State Road 460� Oak Hill School Road
City Lenoir
State / Zip Code NC 28645
County Caldwell County
3. Reason for application:
Expansion/Modification *
Existing Unpermitted Discharge
Renewal X New Facility
* Provide a description of the expansion/modification:
Page 1 of 3
Version 12102

NPDES APPLICATION FOR PERIVIIT RENEWAL- SHORT
To be filed only by privately -owned dischargers of 100% domestic wastewa,
4. Description of the existing treatment facilities (list all installed compo
capacities):
A 3,000 gallon wastewater treatment system consisting of a
dosing tank, sand filter, tablet chlorination and cascade aerator-
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial
.Commercial
Residential
School X
Other
Number of Employees
Number of Employees
Number of Homes
Number of Students/Staff
Describe the source(s) of wastewater (example: subdivision, mobile home.park, etc.):
6. List all permits, construction approvals and/or applications (check all that apply):
Type
RCRA
UIC
NPDES
PSD
NESHAPS
Permit Number
Type
Non -Attainment .
Ocean Dumping
Dredge/Fill Permits
Other
Permit Number
7. Number of separate wastewater discharge pipes (wastewater outfalls): 1 (one)
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Mountain Run Creek - Catawba River Basin
Page 2 of 3 Version 12102

PPLICATION FOR PERMIT RENEWAL- SHORT FORM D
iy privately -owned dischargers of 100% domestic wastewater (< 1 MGD flow)
ty located on Native American lands? (check one)
YES ❑
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.
-Donald R. Bassinger
Printed Name of Person Signing
Assistant Superintendent
Title
Signature of Applicarit`�\ k\ `\ . - Da
North Carolina General Statute 143-215.6(b)(2) provides tl`al: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with,
or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under
Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be guilty of a
misdemeanor punishable by a fine not to exceed $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a
similar offense.)
Page 3 of 3 ,
Version 12102

01
(f-
0
�g
I
Latitude: 35°54' 15" N C 0 0 41 2 Z 0 Facility 3
Longitude: 81 °25'06"
Quad # D13NW Caldwell County Schools LOCat10II
Stream Class: C Subbasin: 30832
Oak Hill ElementarySchool
Receiving Stream: Mountain Run Creek NC� SCALE 1 : 2 4000

State of North Carolina
Department of Environment
and Natural Resources
Asheville Regional Office
Michael F. Easley, Governor
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Division of Water Quality
• •
jl
NCDEiTR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
WATER QUALITY SECTION
Mr. Donnie Bassinger
Assistant Superintendent
Caldwell County Schools
1914 Hickory Boulevard SW
Lenoir, North Carolina 28645
Dear -Mr. Bassinger:
May 6, 2003
Subject: Compliance Evaluation Inspections
Caldwell County Schools
Caldwell County
On April 24, 2003, the Division of Water Quality inspected the
wastewater treatment facilities serving Baton, Collettsville, Gateway,
Happy Valley, Kings Creek, and Oak Hill Schools. Comments concerning
each of the schools are offered below. Inspection reports are attached.
Due to scheduling difficulties in this agency's laboratory, no samples
were collected. _Compliance judgements were based upon observations and
review of operational records.
BATON ELEMENTARY SCHOOL
Compliance Evaluation Inspection
NPDES Permit Number NCO030783
Status: Compliance
The discharge from the school's septic tank -subsurface sand filter
was clean and clear in appearance. The operator's log book and
calibration records revealed adequate operational attention. The
facility was judged to be operating in compliance with its discharge
permit.
59 Woodfin Place, Asheville North Carolina 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Caldwell County Schools
May 6, 2003
Page Two
COLLETTSVILLE ELEMENTARY SCHOOL
Compliance Evaluation Inspection
NPDES PERMIT Number NCO050075
Status: Compliance
The
system we
excessive
material
facility's effluent was clean and clear; all components of the
re operational. The chlorine contact basin contained an
volume of settled solids. Removal of the accumulated
is needed to Drevent escaue of solids in the
GATEWAY SCHOOL
Compliance Sampling Inspection
NPDES Permit Number NCO041157
Status: Compliance
effluent stream.
The system appeared well maintained. The sand filter was dry,
free of vegetation and accumulated solids.
HAPPY VALLEY SCHOOL
Compliance Evaluation Inspection
NPDES Permit Number NCO041181
Status: Compliance
A clean, clear discharge was trickling from the system. The
operating sand bed was partially plugged with fine solids. As
discussed in previous correspondence, the device that alternates flow
to the sand filters should be repaired. Repair of the alternating
device will minimize required operational attention and maximize
longevity of sand in the system. For Happy Valley and other schools at
which water records are used to determine flow, the water records must
be maintained with the wastewater facilitv's data.
KINGS CREEK ELEMENTARY SCHOOL
Compliance Sampling Inspection
NPDES Permit Number NCO041190
Status: Compliance
A chlorinator and de -chlorinator had been installed since this
agency's previous inspection; they appeared to be performing
59 Woodfin Place, Asheville North Carolina 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

ell County Schools
�j •2003
Page Three
satisfactorily.. The effluent was clean and clear. Flow was trickling
onto the sand bed and appeared to have been doing so for a period of
time. Repair of the dosing bell should be affected as soon as possible
to insure continued compliance with discharge limits.
OAK HILL ELEMENTARY SCHOOL
Compliance Sampling Inspection
NPDES Permit Number NCO041220
Status: Compliance
Flow at Oak Hill School appeared to be trickling onto the sand
bed, rather than being "dosed" onto the bed as designed. If needed,
repair of the dosing apparatus should occur.
Your attention to these matters and Mr. Ron McClure's assistance
during the inspections are appreciated. Please contact me at
828-251-6208 if there -are questions or items with which I could be of
help.
Sincerely,
/a�s R. Reid
Environmental Engineer
Enclosure
xc: Ron McClure
59 Woodfin Place, Asheville North Carolina 28801 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

United States Environmental Protection Agency
Form Approved
Washington, D.C. 20460
OMB No. 2040-0003
EPA
Approval Expires 7-31-85
NPDES Compliance Inspection Report
Section A: National Data System Coding
Transaction
Code NPDES yr/mo/day
Inspection Type Inspector
Fac Type
1 IN I
715 1 3INCO030783 Ill 12 I03/04/24 117
18 IC I 19 Is I
2012 I
Remarks
IIIIIIIIIIIIIIIIIIIIIIIIIIIIiIII
Reserved Facility Evaluation Rating BI QA ----------------------------------- Reserved ---------------------
66
67
1
1
69 70
3 1
71
N I
72
N 1
73
1 1
74 75
1
1
1
1
1
1
80
Section B: Facility Date
xme and Location of Facility Inspected
Entry Time
Permit Effective Date
kTON SCHOOL
10:10
JUNE 1 2000
100 BATON SCHOOL RD
Exit Time/
Permit Expiration Date
2ANITE FALLS NC
10:30 4-24-03
FEBRUARY 28 2005
ime(s) of On -Site Representatives)/Title(s)
Phone No(s)
)N MCCLURE, CONTRACT OPERATOR
828-493-1759
ime, Address of Responsible Official
Title
)NNIE BASSINGER
ASSISTANT SUPERINTENDENT
114 HICKORY BLVD SW
Phone No.
Contacted
:NOIR NC 28645
828-728-8407
NO
!ction C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
S
Operations FL
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
!ction D: Summary of Findings/Comments (Attach additional sheets if necessary)
he discharge from the school's septic tank -subsurface sand filter was clean and clear in
opearance. The operator's log book and calibration records revealed adequate operational
ttention. The facility was judged to be operating in compliance with its discharge permit
ime(s) and Signature(s) of Inspector(s) ,��� f�
Agency/Office/Telephone
Date
DWQ/ARO 828-251-6208
'" �' " G 3
,na ure f Re ' wer
t ¢ i
Agency/Office
DWQ/ARO 828-251-6208
Date
S— 2
v VY4_t X�l
% Regulatory Office Use Only
tion Taken
Date
Compliance Status
❑ Noncompliance
Compliance

United States Environmental Protection Agency Form Approved
Washington, D.C. 20460 OMB No. 2040-0003
Approval Expires 7-31-85
r NP®ES Compliance Inspection Report
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day
1 IN I 215 I 3IN00050075 Ill 12 I03/04/24 117
IRemarks
Inspection Type Inspector Fac Type
18 IC I 19 IS I 2012 I
Z' Reserved Facility Evaluation Rating BI QA - Reserved---------------------
----------------------------------
66
67
1
1
69 70
3 1
71
N
1 72
N 1
73
1
1
74 75
1
1
1
1
1
1
80
Section B: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
COLLETTSVILLE ELEMENTARY SCHOOL
10:50
JUNE 1 2000
NC HIGHWAY 90
Exit Time/
Permit Expiration Date
COLLETTSVILLE NC
11:10 4-24-03
FEBRUARY 28 2005
Name(s) of On -Site Representative (s)/Title(s)
Phone No(s)
RON MCCLURE, CONTRACT OPERATOR
828-493-1759
Name, Address of Responsible Official
Title
DONNIE BASSINGER
ASSISTANT SUPERINTENDENT
1914 HICKORY BLVD SW
Phone No.
Contacted
LENOIR NC 28645
828-728-8407
NO
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
M
Operations Et
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Disposal
Other:
S
S
N
S Sludge
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
The facility's effluent -was clean and clear; all components of the system were operational.
The chlorine contact basin contained an excessive volume of settled solids. Removal of the
accumulated material is needed to prevent escape of solids in the effluent stream.
Name and ignature(s) of Inspector(s) JT rnq_3 1Z y��,)
Agency/Office/Telephone
Date
�
DWQ/ARO 828-251-6208
//1�
S• ature of Reviewer /
Agency/Office
DWQ/ARO 828-251-6208
Date
i
Regulatory Office Use Only
Action Taken
Date
Compliance Status
❑ Noncompliance
WCompliance

United States Environmental Protection Agency Form Approved
Washington, D.C. 20460 OMB No. 2040-0003
Approval Expires 7-31-85
EPA NP®ES Compliance Inspection Report
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2I5 I 3INCO041157 I11 12 I03/04/24 117 18 IC I 19 IS I 2012 I
Remarks
Illill1111111111111111 IIIIIIIII
Reserved Facility Evaluation Rating
BI QA ----------------------------------- Reserved ---------------------
66
67
1
1
69 70
3 1
71
N
1 72
1 N 1
73
1 1
74 75
1
1
1
1
1
1
80
Section B: Facility Date
ime and Location of Facility Inspected
Entry Time
Permit Effective Date
1TEWAY ALTERNATIVE SCHOOL
1:20
AUGUST 1 2000
89 DUDLEY SHOALS RD
Exit Time/Date
Permit Expiration Date
ZANITE FALLS NC
1:40 4-24-03
MARCH 31 2005
ime(s) of On -Site Representative (s) /Title (s)
Phone No(s)
)N MCCLURE, CONTRACT OPERATOR
828-493-1759
tme, Address of Responsible Official
Title
)NNIE BASSINGER
ASSISTANT SUPERINTENDENT
14 HICKORY BLVD SW
Phone No.
Contacted
NOIR NC 28645
828-728-8407
NO
ction C: Areas Evaluated During Inspection
CODES
S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
S
Operations Et .
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Disposal
Other:
S
S
N
S Sludge
S
S
S
ction D: Summary of Findings/Comments (Attach additional sheets if necessary)
ie system appeared well maintained. The
sand filter was dry, free of vegetation and
:cumulated solids.
me(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
TAMES R. REID-'
Zx-
�
DWQ/ARO 828-251-6208
J
3 to
GG �vf..-C-y
�"
nature of Reviewer FORREST R WESTALL
-
Agency/Office
Date
/I� " ;� %
"��
DWQ/ARO 828-251-6208
y
}
&
Regulatory. Office Use Only
:ion Taken
Date
Compliance Status
ENoncompliance
Compliance

United States Environmental Protection Agency Form Approved
Washington, D.C. 20460 OMB No. 2040-0003
FA
Approval Expires 7-31-85
NPDES Compliance Inspection Report
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 215 1 3INCO041181 Ill 12 I03/04/24 117 18 IC I 19 IS I 2012 I
Remarks
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
Z' Reserved Facility Evaluation Rating BI QA ----------------------------------- Reserved ---------------------
66
67
1
1
69 70
3 1
71
N
1 72
N 1
73
1
1
74 75
1
1
1
1
1
1
80
Section B: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
HAPPY VALLEY ELEMENTARY SCHOOL
11:20
AUGUST 1 1999
1350 YADKIN RIVER RD
Exit Time/Date
Permit Expiration Date
LENOIR NC
11:40 4-24-03
OCTOBER 31 2003
Name(s) of On -Site Representative (s)/Title(s)
Phone No(s)
RON MCCLURE, CONTRACT OPERATOR
828-493-1759
Name, Address of Responsible Official
Title
DONNIE BASSINGER
ASSISTANT SUPERINTENDENT
1914 HICKORY BLVD SW
Phone No.
Contacted
LENOIR NC 28645
828-728-8407
NO
Section C: Areas Evaluated During Inspection CODES S - Satisfactory .. M . Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
M
Operations ii
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Disposal
Other:
S
S
N
S Sludge
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
A clean, clear discharge was trickling from the system. The operating sand bed was partially
plugged with fine.solids. The device that alternates flow to the sand filters should be
repaired. Repair of the alternating device will minimize the required amount of operational_
attention and maximize the life of sand in the system. For Happy Valley and other schools at
which water records are used to determine flow, the water records must be maintained with the
wastewater facility's data.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
"-JAMES R. RE -
DWQ/ARO 828-251-6208
/
e' 3
Signatur of Fj iewer FORRESWESTALL
�TR /�
Agency/Office
DWQ/ARO 828-251-6208
Date
_S
Regulatory Office Use Only
Action Taken
Date
Compliance Status
❑ Noncompliance
Compliance

United States Environmental Protection Agency
Form Approved
Washington, D.C. 20460
OMB No. 2040-0003
EPA
Approval Expires 7-31-85
NP®ES Compliance Inspection Report
Section A: National Data System Coding
Transaction
Code NPDES yr/mo/day
Inspection Type Inspector
Fac Type
1 IN I
215 I 3IN00041190 I11 12 I03/04/24 117
18 IC I 19 IS I
7012 I
Remarks
illlllllllllllllllllllllllllllll
Reserved Facility Evaluation Rating BI QA ----------------------------------- Reserved ---------------------
66
67
1
1
69 70
3 1
71
N
1 72
N
73
1
1
74 75
80
Section B: Facility Date
ime and Location of Facility Inspected
Entry Time
Permit Effective Date
NGS CREEK ELEMENTARY SCHOOL
11:55
AUGUST 1 1999
•80 WILKESBORO BLVD
Exit Time/
Permit Expiration Date
NOIR NC
12:45 4-24-03
OCTOBER 31 2003
ime(s) of On -Site Representatives)/Title(s)
Phone No(s)
)N MCCLURE, CONTRACT OPERATOR
828-493-1759
ime, Address of Responsible Official
Title
)NNIE BASSINGER
ASSISTANT SUPERINTENDENT
14 HICKORY BLVD SW
Phone No.
Contacted
NOIR NC 28645
828-728-8407
NO
-ction C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
M
Operations it
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
ction D: Summary of Findings/Comments (Attach additional sheets if necessary)
chlorinator and de -chlorinator had been installed since this agency's previous inspection;
Zey appeared to'be performing satisfactorily. The effluent was clean and clear. Flow was
tickling onto the sand bed and appeared to have been doing so for a period of time. Repair
the dosing bell should be affected as soon as possible to insure continued compliance with
Lscharge limits.
me(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
IAMES R. REID "
le Al-e✓
DWQ/ARO 828-251-6208
nature of Reviewer FORREST R WESTALL l
Agency/Office
Date
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Lion Taken
Date
Compliance Status
Noncompliance
Compliance

United States Environmental Protection Agency
Form Approved
Washington, D.C. 20460
OMB No. 2040-0003
Approval Expires 7-31-85
PA NP®ES Compliance Inspection Report
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 215 I 3INCO041220 Ill 12 I03/04/24 117 18 IC I 19 IS I 2017 I
IRemarks
IIIIIIIIIIIIIIIIilllllllllllllll
Z' Reserved Facility Evaluation Rating BI QA ----------------------------------- Reserved ---------------------
66
67
1
1
69 70
3 1
71
N
1 72
N 1
73
1
1
74 75
1
1
1
1
1
1
80
Section B: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
OAK HILL ELEMENTARY SCHOOL
1:00
JULY 1 2000
4603 OAK HILL SCHOOL ROAD
Exit Time/
Permit Expiration Date
LENOIR NC
1:15 4-24-03
MARCH 31 2005
Name(s) of On -Site Representative (s)/Title(s)
Phone No(s)
RON MCCLURE, CONTRACT OPERATOR
828-493-1759
Name, Address of Responsible Official
Title
DONNIE BASSINGER
ASSISTANT SUPERINTENDENT
1914 HICKORY BLVD SW
Phone No.
Contacted
LENOIR NC 28645
828-728-8407
NO
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not
S
Permit
S
Flow Measurement
N
Pretreatment
M
Operations Ii
Records/Reports
Facility Site Review
Laboratory
Effluent/Receiving Waters
Compliance Schedules
Self -Monitoring Program
Maintenance
Disposal
S
S
N
S Sludge
S
S
S
Other:
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
Flow at Oak Hill School appeared to be trickling onto the sand bed, rather than being "dosed"
onto the bed as designed. If needed, repair of the dosing apparatus should occur.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
"-DAMES R. R -
'
/,�
_
-6 `0 3
( .1�1 ze� �j
DWQ/ARO 828-251-6208
,5
Signat4re ofwer FORREST WESTALL
' a e
Agency/Office
Date
DWQ/ARO 828-251-6208
b
Regulatory Office Use Only
Action Taken
Date
Compliance Status
Noncompliance
Compliance

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
ASHEVILLE REGIONAL OFFICE
WATER QUALITY SECTION
June 15, 2000
Mr. Earl Bradshaw
Assistant Superintendent
Caldwell County Schools
Post Office Drawer 1590
Lenoir, North Carolina 28645
Subject: Compliance Sampling
Inspections
Caldwell County Schools
Caldwell County
Dear Mr. Bradshaw:
. On April 27, 2000, the Division of Water Quality
inspected the wastewater treatment facilities serving Baton,
Collettsville, Gateway, Happy Valley, Kings Creek, Oak Hill
and Saw Mills Elementary Schools. Comments concerning each
of the schools are offered below. Inspection reports and
sampling results are attached. Each discharge complied with
the limitations in the respective school's permit. In order
to insure continued compliance, attention to the sand filters
at Happy Valley and Kings Creek Schools is recommended.
BATON ELEMENTARY SCHOOL
Compliance Sampling
NPDES Permit Number
�5tatus: Compliance
Inspection
NCO030783
The effluent was clean and clear; all sample values were
below permitted limitations. Pumping the tanks (which
occurred following the Division of Water Quality's inspection
in 1999) resulted in dramatic improvements in effluent
quality.
INTERCHANGE BUILDING, 59 WOODFIN PLACE, ASHEVILLE, NORTH CAROLINA 28801-8414
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10`j'o POST -CONSUMER PAPER

Caldwell County Schools
June 15, 2000
Page Two
COLLETTSVILLE ELEMENTARY SCHOOL
Compliance Sampling Inspection
NPDES PERMIT Number NCO050075
\,Status: Compliance
1
The facility's effluent was in compliance with the School's
discharge limitations. Some of the grates over the aeration basin were
rusted and deteriorated to the point of sagging. All structurally
unsound grates covering the package plant must be replaced_
Someone falling into a running aeration basin risks serious injury or
even death.
Gwt�w-
�- LEYkSHOALS SCHOOL
��Compliance Sampling Inspection
NPDES Permit Number NCO041157
RJStatus: Compliance
The system appeared well maintained, and effluent concentrations
were all below maximum levels allowed in the School's discharge permit.
Effluent pH was 4.6 standard units, outside the permitted range.
Rainfall preceding the inspection may have influenced the pH.
HAPPY VALLEY SCHOOL
Compliance Sampling Inspection
NPDES Permit Number NCO041181
,,Status: Compliance
Effluent concentrations complied with the school's
limitations. However, the BOD concentration of 27 mg/1
the monthly average limitation of 30 mg/l. In order to
compliance is maintained, attention to the sand filter
Plugging of the right filter (back to river, facing the
occurring. The operator reported that reworking of the
occur following the school term.
KINGS CREEK ELEMENTARY SCHOOL
f Compliance Sampling Inspection
':'NPDES Permit Number NCO041190
�,5tatus: Compliance
permitted
was approaching
insure that
is needed.
school) was
filter would
Kings Creek School's discharge concentrations were below permitted
levels. The left sand filter (back to school, facing filters) was
somewhat plugged. Attention to the filter is recommended after
completion of the school year.

or
Caldwell County Schools
June 15, 2000
Page Three
OAK HILL ELEMENTARY SCHOOL
Compliance Sampling Inspection
g4NPDES Permit Number NC0041220
Status: Compliance
Sample results and observations indicated compliance with
requirements contained in the School's discharge permit. Rainfall
preceding the inspection may have resulted in a low effluent pH value.
SAWMILLS ELEMENTARY SCHOOL
NPDES Permit Number NC0041165
Compliance Sampling Inspection
Status: Compliance
All effluent values complied with the limitations in the School's
permit. However, the effluent pH of 3.1 units was outside the
permitted range of 6.0 - 9.0 standard units. Rainfall the afternoon
preceding the inspection may have influenced the pH.value.
Your attention to these matters and Mr. Ron McClure's assistance
during the inspections are appreciated. Please contact me at
828-251-6208 if there are questions or matters which I could be of
help.
Sincerely,
le-2
James R. Reid
Environmental Engineer
Enclosure
xc: Ron McClure

United States ------- Protection Agency Form Approved
Washington, D.C. 20460 OMB
No. 2040-0003
PA NP®ES Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES • yr/mo/day Inspection Type Inspector Fac Type
L-J 2 u 3 1 NCO0307-83 11 12.1000427 .) 7 18 I�
19 u 20 L`J
Remarks
I I I I I I I I I I I I I I I I I I I I I I I I I I
I
' Reserved Facility Evaluation Rating BI QA
Reserved 66
67 L__I__U 69 70 13 I 71 I N I 72 I N uI 73 74
u
75 80
Section B: Facility Date
Jame and Location of Facility Inspected
Entry Time
Permit Effective Date
3aton Elementary
10:35 am
000601
'. O. Box 1590
Exit Time/Date
Permit Expiration Date
-enoir, NC 28645
10:55 am
050228
Jame(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Zon McClure, Operator
828/496-0372
flame, Address of Responsible Official
Title
:arl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsafisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
1ATON SCHOOL 4/27/00
Permit Sample
'arameter Limit Units Value
IOD 30 mg/I 2.6
of Susp Residue 30 mg/I 2
ecal 200 counts/100 ml <2
41-13 as N 3.0 mg/I 2.2
ank was pumped after last inspection; it had not been pumped in a number of years. Pumping resulted in dramatically better effluent.
4ame(s) and Signature(s) of Inspector(s)
Agency/Office/Telep hone
Date
AMES R. R
DWQ/ARO 828-251-6208
;ignaturfiVof Reviewer /'
Agency/Office
DWQ/ARO 828-251-620812
Date
_��2 G '��Q�
Regulatory Office Use Only
fiction Taken
Date
Compliance Status
Noncompliance
Compliance

IFP!7 United States.Enviror al Protection Agency Form Approved
Washington, D.C. 20460 OMB
No. 2040-0003
NPDES Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES • yr/mo/day Inspection Type Inspector Fac Type
1 IN. 1 2 L=J 3 1 NC0030783 11 12 . 000427, 17 18 L__I .
19 IS 1 20 L`-J
Remarks
I I I( I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I
Z' Reserved Facility Evaluation Rating BI QA
Reserved 66
67 I I . I 169 70 13 I 71 I N I 72 (v 73 LLU 74
u
LDate
75 80
Section B: Facility .
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Baton Elementary
10:35 am
000601
P. Box 1
Exit Time/Date
Permit Expiration Date
Lenoir,
Lir, NC 2868645
10:55 am
050228
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
BATON SCHOOL 4127100
Permit Sample
Parameter Limit Units Value
BOD 30 mg/I 2.6
Tot Susp Residue 30 mg/I 2
Fecal 200 counts/100 ml <2
NH3 as N 3.0 m&A 2.2
Tank was pumped after last inspection; it had not been pumped in a number of years. Pumping resulted in dramatically better effluent.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
LAMES R. REID
DWQ/ARO 828-251-6208
Signature of Reviewer
Agency/Office
Date
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Action Taken
Date
Compliance Status
11 Noncompliance
Compliance

ON OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
,
F
12,7-Z3SAMPLE
SINTO:
PRIORITY
TYPE
❑AMBIENT
❑ QA
❑ STREAM EFFLUENT
R FRO MRO RHO WaRO WiRO WSRO TS
OtherBM
Other
COMPLIANCE
EEMERGENCY
❑CHAIN
❑ LAKE ❑ INFLUENT
Shipped by: Bus Cou er, tefl they
OF CUSTODY
❑ ESTUARY
COLLECTORS):Irij%�
For Lab IT.. narr V
Lab Number: ;4
U-0 p (o ;2
Date Received: V
a 7 -0 Q Time: (/ •' / S
Rec'd by:
I From: Bus-Courle an��
DATA ENTRY BY:
S '^ CK:
DATE REPORTED:
.3 — 6 p
Estimated HOD Range: 0-5/5-25/25-65/40-130 or 100 plus
STATION LOCATION: ���%
Seed: Yee r No ❑
Chlorinated: Yes'pf No ❑
REMARKS:
Station ,97`- '
O`� �•
�
Date Begin (yy/mm/dd)
Tlme Begin
Date End
Time End
l) PtW9DB DBM
Val" Type
oslte
Sample e
—Ah?
d
AH
T S B
C/
GNXX
1
BOD310
6 mg/i
Chloride 940
mg/I
3 COD Low 335 mg/l
4 . Coliform: MF Fecal 31616 n /IOOmI
5 Coliform: MF Totai 31504 L /100ml
m 6 Colifor: Tube Fecal 31615 /100m1
7 Coliform: Fecal Strep 31673 /loom(
8 Residue: Total 500 m9/1
9 Volatile 505 mg/l
10 Fixed 510 mg/l
11 Residue: Suspended 530 mg/I
12 Volatile 535 mg/I
13 Fixed 540 mg/l
14 PH 403 units
15 Acidity to pH 4.5 436 mg/l
16 Acidity to pH 8.3 435 mg/l
17 Alkalinity to pH 9.3 415 mg/l
is Alkalfnity to pH 4.5 410 mg/l
19 TOC 680 mgA
?n Turbidity 76 NTU
Chi a: Trl 32217 ug/1
Chi a: Corr 32209 • ug/l
Pheophytln a 32213 ug/l
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color: pH 7.6 82 ADM[
Cyanide 720 mg/I
Fluoride 951 mg/I
Formaldehyde 71890 mg/1
Grease and Oils 656 mg/l
Hardness Total900 mg/I
Specific Cond. 95 2
uMhos/cm,
MBAS 38260 mg/I
Phenols '32730 ug/l
Sulfate 945 mg/I
Sulfide 745 mg/l
NH3 as N 610 mg/i
a , �
TKN as N 625 mgA
NO2 plus NO3 as N 630 mg/1
P: Total as P 665 mg/I
PO4 as P 70507 mgA
P: Dissolved as P 666 mg/I
CdCadmium 1027 ug/I
CrChromlum Total 1034 ug/I
Cu-Copper 1042 ug/l
NI-Nlckei 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zinc 1092 ug/I
Ag liver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca -Calcium 116 mg/I
Co -Cobalt 1037 USA
Fe -Iron 1045 ug/I
Sampling Point % Conductance at 25 C Water Temperature D.O. mgA pH Alkalinity Acidity•. , : ° c ? .. -...-- _;� r Temperature (C)
PH 8.3 pH 4.5 pH 4.5 PH,
H
294 10900 is 400 to 82244 431 82243 92242 20
Salinity % Precip►tlon On/day) Cloud Cover % Wind Direction (Deg) Stream Flow Severity Turbidity Severity Wind Velocity M/H Mean Stream Depth ft. Stream Width ft.
480 45 32 36 11351 1350 35 64 4
Chi a: Trl 32217 ug/1
Chi a: Corr 32209 • ug/l
Pheophytln a 32213 ug/l
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color: pH 7.6 82 ADM[
Cyanide 720 mg/I
Fluoride 951 mg/I
Formaldehyde 71890 mg/1
Grease and Oils 656 mg/l
Hardness Total900 mg/I
Specific Cond. 95 2
uMhos/cm,
MBAS 38260 mg/I
Phenols '32730 ug/l
Sulfate 945 mg/I
Sulfide 745 mg/l
NH3 as N 610 mg/i
a , �
TKN as N 625 mgA
NO2 plus NO3 as N 630 mg/1
P: Total as P 665 mg/I
PO4 as P 70507 mgA
P: Dissolved as P 666 mg/I
CdCadmium 1027 ug/I
CrChromlum Total 1034 ug/I
Cu-Copper 1042 ug/l
NI-Nlckei 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zinc 1092 ug/I
Ag liver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca -Calcium 116 mg/I
Co -Cobalt 1037 USA
Fe -Iron 1045 ug/I
Sampling Point % Conductance at 25 C Water Temperature D.O. mgA pH Alkalinity Acidity•. , : ° c ? .. -...-- _;� r Temperature (C)
PH 8.3 pH 4.5 pH 4.5 PH,
H
294 10900 is 400 to 82244 431 82243 92242 20
Salinity % Precip►tlon On/day) Cloud Cover % Wind Direction (Deg) Stream Flow Severity Turbidity Severity Wind Velocity M/H Mean Stream Depth ft. Stream Width ft.
480 45 32 36 11351 1350 35 64 4
NH3 as N 610 mg/i
a , �
TKN as N 625 mgA
NO2 plus NO3 as N 630 mg/1
P: Total as P 665 mg/I
PO4 as P 70507 mgA
P: Dissolved as P 666 mg/I
CdCadmium 1027 ug/I
CrChromlum Total 1034 ug/I
Cu-Copper 1042 ug/l
NI-Nlckei 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zinc 1092 ug/I
Ag liver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca -Calcium 116 mg/I
Co -Cobalt 1037 USA
Fe -Iron 1045 ug/I
Sampling Point % Conductance at 25 C Water Temperature D.O. mgA pH Alkalinity Acidity•. , : ° c ? .. -...-- _;� r Temperature (C)
PH 8.3 pH 4.5 pH 4.5 PH,
H
294 10900 is 400 to 82244 431 82243 92242 20
Salinity % Precip►tlon On/day) Cloud Cover % Wind Direction (Deg) Stream Flow Severity Turbidity Severity Wind Velocity M/H Mean Stream Depth ft. Stream Width ft.
480 45 32 36 11351 1350 35 64 4
Sampling Point % Conductance at 25 C Water Temperature D.O. mgA pH Alkalinity Acidity•. , : ° c ? .. -...-- _;� r Temperature (C)
PH 8.3 pH 4.5 pH 4.5 PH,
H
294 10900 is 400 to 82244 431 82243 92242 20
Salinity % Precip►tlon On/day) Cloud Cover % Wind Direction (Deg) Stream Flow Severity Turbidity Severity Wind Velocity M/H Mean Stream Depth ft. Stream Width ft.
480 45 32 36 11351 1350 35 64 4

United States Environ it Protection Agency Form Approved
F PP
Washington, D.C. 20460 OMB No. 2040-0003
PA R1P®ES Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES . yr/mo/day Inspection Type Inspector Fac Type
1. U 2 [5 1 3 NCO0500.75 11 12 000427 17 18 IS L-1 19 I� I 20 L-J
Remarks
21 Reserved Facility Evaluation Rating BI QA Reserved 66
67 I I I 169 70 3 71 I N I 72 N 73 L_L_Lj 74 75 80
LL_L_I ►�
Section B: FacilityL Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Collettsville Elementary
11:15 am
000601
Post Office Box 1590
Lenoir, NC 28645
Exit Time/Date
11:50 am
Permit Expiration Date
050228
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory N - Not evaluated/Not applicable
S
Permit
S
Flow Measurement
N
Pretreatment
S
Operations & Maintenance
Records/Reports
Laboratory
Compliance Schedules
Sludge Disposal
S
S
N
S
Facility Site Review
Effluent/Receiving Waters
Self -Monitoring Program
Other:
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
COLLETSVILLE SCHOOL 4/27/00
Permit Sample
Parameter Limit Units Value '
BOD 30 mg/I 11
Tot Susp Residue 30 mg/I 11
pH 6-9 std units 6.8
25 min Aeration Basin Set Solids were 750 ml/l, Aeration Basin D.O. was 0.5 me. Operator increased run time and opened air valves at the time of inspection.
REPLACE RUSTED GRATES (WITH STRUCTURAL DETERIORATION) OVER AERATION BASIN.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
JAMES R EID
�L
DWQ/ARO 828-251-6208�/1
ora
S.&4 of Rev' wer
Agency/Office
DWQ/ARO 828-251-6208
Date
Regulatory Office Use Only
Action Taken
Date
Compliance Status
Noncompliance
v� Compliance

FNTY
ON OFENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
,�G PRIORITY SAMPLE TYPE
S1N ❑AMBIENT ❑ ❑ ®EFFLUENT
RET PORT O: RO RO MRO RRO WaRO WIRO WSRO TS QA STREAM
AT BM
Other VWCOMPLiANCE ❑ CHAIN ❑ LAKE ❑ INFLUENT
OF CUSTODY
Shipped by: Bus Co er, taff Other ❑EMERGENCY ❑ ESTUARY
COLLECTOR(S):� % Q
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus
Seed: Yes ❑ NoF_ Chlorinated: Yes ❑ No P
Statlon #f Date Begin (y
,
oo 4 Qpag
1 BOD5 310 mg/I
2 COD High 340 mg/I
3
COD Low 335 mg/1
4
Coliform: MF Fecal 31616 /100m1
5
Coliform: MF Total 31504 /100m1
6
Coliform: Tube Fecal 31615 /100ml
7
Coliform: Fecal Strep 31673 /100m1
8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
10
Fixed 510 mg/I
11
Residue: Suspended 530 mg/I
12
Volatile 535 mg/1
13
Fixed 540 mg/I
14
pH 403 units
15
Acidity to pH 4.5 436 mg/1
16
Acidity to pH 8.3 435 mg/I
17
Alkallnity:to pH 8.3 415 mgA
1s
Alkalinity to pH 4.5 410 mg/1
19 TOC 690 mg/I
20 .' Turbidity 76 NTU
Begin I Date End (Time End IDepth M DB DBM
Chloride 940 mg/I
Chi a: Tri 32217 ug/I
Chi a: Corr 32209 ug/l
Pheophytin a 32213 ug/I
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color: pH 7.6 82 ADMI
Cyanide 720 mg/I
Fluoride 951 mg/I
Formaldehyde 71880 mg/1
Grease and Oils 556 mg/I
Hardness Total900 mg/I
Specific Cond. 95 2
uMhos/cm.
MBAS 38260 mg/1
Phenols '32730 ug/I
Sulfate 945 mgA
Sulfide 745 mg/I
Fnr 1. h tine nary v
Lab Number: 0:0
o (32 6 3
Date Received: 1{
--A) -CiC Time: �•/
Rec'd by: '.—
I From: Bus-Courler6and Ole,
DATA ENTRY BY:
Q
4 " CK:
DATE REPORTED:
5— ' �J - d t7
A H L
NH3 as N 610 mg/I
TKN as N 625 mg/I
NO2 plus NOS as N 630 mg/1
P: Total as P 665 mg/I
PO4 as P 70507 mg/I
P: Dissolved as P 666 mg/I
CdCadmium 1027 ug/I
CrChromium:Tota11034 ugA
Cu-Copper 1042 ug/I
NI -Nickel 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zlnc 1092 ug/I
Ag ilver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca-Calclum 916 mg/1
Co -Cobalt 1037 ug/I
Fe -Iron 1045 ugA
T S B C G GNXX
LI-Lithium 1132 ug/l
Mg-Magneslum 927 mg/1
Mn-Manganese 1055 ug/I
Na-Sodfum 929 mg/l
Arsenlc:Total 1002 ug/I
Se -Selenium 1147 ug/I
Hg-Mercury 71900 ug/I
Organochlorine Pesticides
Organophosplwrus Pesticides
Acid Herbicides
I Base/ Neutral Extractable Organics
Forgeable Organics (VOA bottle reg'd) I
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mg/l
pH
AlkalinityIi
'
Acldlty.�.:, :.'� '..f
AlrTe' rhperature(C)
pH 8.3 pH 4.5
pH 4.5 pH 8.3
2
94
10
300 .
400 It
82244 431
82243 82242
20
Salinity %
Precipltion on/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity Turbidity Severity
Wind Velocity M/H can Stream Depth ft.
Stream Width ft.
480
45
32
36 11351
1350 135
64 14
miss

United States Enviro tal Protection Agency
Form Approved
Washington, U.C. 20460
OMB
No. 2040-0003
FPA7
Approval Expires 7-31-85
NPDES Compliance Inspection Report
- Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
IN 1 2LJ 3 1 NC004115711 12 000427 17 18 S
19 IS 1 20I` I
Remarks ,
Il.IIIIIIIIIIIIIillllllllllllllllllll'Illllllllll
" Reserved Facility Evaluation Rating BI QA
Reserved 66
67 I__I� 69 70 I—J � 3 I 71 I N I 72 [N ' 73 � 74
75. 80
Section B: FacilityDate
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Gateway (formerly Dudley) School
1:45 pm
950601
P. Box
Exit Time/Date
Permit Expiration Date
Lenoir,
Lir, NC 2868645
2:05 pm
000630
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
8281496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other.
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
GATEWAY SCHOOL (formerly Dudley) 4127/00
Permit Sample
Parameter Limit Units Value
BOD 30 mg/I 2.4
Tot Susp Residue 30 mg/I 7
Fecal Coliform 200 counts/100 ml <2
pH 6-9 std units 4.6
Rain had fallen the afternoon prior to inspection; pH may have been affected. Sand filter was level and well raked. Approximately 40 students at this school.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
JAM RE1D
112 Ae�L�
DWQ/ARO 828-251-6208
S' ur f Rev' wer
Agency/Office
Date
X.
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Action Tak9
Date
Compliance Status
❑ Noncompliance
Compliance

ION OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
L PRIORITY
SAMPLE TYPE
BASIN �'�(
REPORT TVARO RO MRO HBO WaRO WiRO WSRO TS ❑AMBIENT El
❑ STREAM Lew
rM EFFLUENT
OthererAT B COMPLIANCE El CHAIN ❑ LAKE ❑ INFLUENT
Lab Number: '44) Q Q .7 b i
Date Received: t{ - a ' U 0 Time: Ll
Rec'd by: ey - I From: Bus -Courier end D I
DATA ENTRY BY: CK• i&_
OF CUSTODY
Shipped by: Bus Courier , Staft, Other ❑EMERGENCY ❑ ESTUARY DATE REPORTED: $^ — 3 — O O
COLLECTOR(S): Sj
Estimated DOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION:
Seed: Yes,X No ❑ Chlorinated: Yes $ No ❑ REMARKS:
Chloride 940 mg/1
Chi a: Tri 32217 ug/I
Chi a: Corr 32209 ug/I
Pheophytin a 32213 ug/I
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color, pH 7.6 82 ADMI
Cyanide 720 mg/l
Fluoride 951 mg/1
Formaldehyde 71880 mg/I
Grease and Oils 556 mgA
Hardness Total900 mg/l
Specific Cond. 95 2
uMhos/cm
MBAS 38260 mg/I
Phenols 32730 ug/I
Sulfate 945 Iq/i
Sulfide 745 mg/I
NH3 as N 610 mgA
TKN as N 625 mg/1
NO2 plus NO3 as N 630 mgA
P: Total as P 665 mg/I
PO4 as P 70507 mgA
P: Dissolved as P 666 mgA
CdCadmlum 1027 ug/I
CrChromlum Tatal 1034 ug/I
Cu-Copper 1042 ug/I
NI -Nickel 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zlnc 1092 ug/I
Ag-Sliver 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca -Calcium 916 mg/1
Co -Cobalt 1037 ug/I
Fe -Iron 1045 ug/I
LI-Llthlum 1132 ug/I
Mg -Magnesium 927 mgA
Mn-Manganese 1055 ug/I
Na-Sodlum 929 mg/1
Arsenic. -Total 1002 ug/l
Se-Selenlum 1147 ug/I
Hg-Mercury 71900 ug/I
Organochlorine Pesticides
Organophosphorus Pesticides
Acid Herbicides
Base/ Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle reg'd)
Phytdalk*ion ti....
Sampling Point %
Conductance at 25 C
Water Temperature (LI
D.O. mg/I
PH
Alkalinity
Acidity = "!. f
Air TdtnpeiaEure (C)
PH 8.3 PH 4.5
pH 4.5 pH
94
10
300 1.
400 1.
82244 431
82243 822 "l= §,,; S
20
Salinity
Preclpitlon on/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity
ty Turbidity Severity
"•-�
Wind Velocity M/H[eari3tre3m DepfR�it
Stream�Lllkith ft.
48045
32
36
1351 1350
35 4 14

United States Environ al Protection Agency Form Approved
FPA 7NPI)ES
Washington, D.C. 20460 OMB
No. 2040-0003
Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 u 2 I5 I 3 NC00411.81 11 12 000427 17 18 l
t�I
19 L___I 20 u
Remarks
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
I
2' Reserved Facility Evaluation Rating BI QA
Reserved 66
67 I__I__ U 69 70 13 I 71 onI (\J I 72 I jN uI 73 74
u
75 80
Section B: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Happy Valley Elementary
12:00 pm
990801
P. O. Box 1590
Exit Time/Date
Permit Expiration Date
Lenoir, NC 28645
12:15 pm
031031
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
S
N
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
HAPPY VALLEY SCHOOL 4/27/00
Permit Sample
Parameter Limit Units Value
BOD 30 mg/I 27
Tot Susp Residue 30 mg/I 10
pH 6-9 std units 5.9
Rain had fallen the afternoon prior to inspection; pH may have been affected. Right sand filter (back to river, facing school) was somewhat plugged. Operator
reported that sand is to be replaced after school is out.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
JA R. EID
�' '
�'C�
DWQ/ARO 828-251-6208
Si ure'of Revi er
Agency/Office
Date
J
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Action Taken
Date
Compliance Status
❑ Noncompliance
lif Compliance

N OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
�.
D
SIN❑AMBIENT
rO
PRIORITY
SAMPLE TYPE
y'
TO: RO RO MRO RRO WaRO WIRO WSRO TS
❑ QA
❑ STREAM I4rl
EFFLUENT
AT
® ❑
❑ ❑
Other
Otherer
COMPLIANCE CHAIN
LAKE
INFLUENT
OF CUSTODY
❑
❑
Shipped by: Bus Courier, toff, then
EMERGENCY
ESTUARY.
COLLECTOR(S):( �)
Eatfmated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus
STATION LOCATION: "
Y ('14)
d
See : Yes ❑ No Chlorinated: Yee ❑ No REMARKS:
Station ` Date Begin (yy/mm/dd) Time Begin Date End Time End De t DM B DBM V 1 T
1
BOD5 310 a mg/I
2
COD High 340 mg/I
3
COD Low 335 mg/I
4
Collform: MF Fecal 31616 /loo-
5
Collform: MF Total 31504 /100ml
6
Collform: Tube Fecal 31615 /100ml
7
Collform: Fecal Strep 31673 /100ml
8
Residue: Total 500 mg/1
9
Volatile 505 mg/I
10
Fixed 510 mg/I
11
Residue: Suspended 530 mg/I
12
Volatile 535 mg/i
13
Fixed 540 mg/I
14
pH 403 units
15
Acidity to pH 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/I
17
Alkalinity to pH 8.3 415 mg/I
1)3
Alkalinity to pH 4.5 410 mg/I
19
TOC 680 mg/I
20
Turbidity 76 NTU
Fnr Lah riuo ANr V
Lab Number: 0o
V 3 C"S
,
Date Received: 00 Time:
R_ ec'd by:
From: Bus-Courle -Hand D
DATA ENTRY BY:
�" CK: <<'—'
DATE REPORTED:
p a ue ype Compoefte Sample Ty
D A H L T S B C G GNXX
--
Chloride 940
mg/I
Chi a: Tri 32217
ug/I
Chi a: Corr 32209
ug/I
Pheophytin a 32213
ug/l
Color: True 80
Pt -Co
Color:(pH ) 83
ADMI
Color: pH 7.6 82
ADMI
Cyanide 720
mg/I
Fluoride 951
mg/1
Formaldehyde 71880
mg/i
Grease and 0119-556
mg/1
Hardness Total900
mg/I
Specific Cond. 95
uMhos/cm2
MBAS 38260
mg/I
Phenols '32730
ug/I
Sulfate 945
mg/I
Sulfide 745
m0/1
NH3 as N 610 mg/i
TKN as N 625 mg/I
NO2 plus NO3 as N 630 mg/l
P: Total as P 665 mg/I
PO4 as P 70507 mgA
P: Dissolved as P 666 mg/I
Cd-Cadmium 1027 ugA
Cr-Chromium --Total1034 ugA
Cu-Copper 1042 ug/I
NI -Nickel 1067 ug/I
Pb-Lead 1051 ug/I
Zn-Zinc 1092 ugA
Ag fiver 1077 ug/I
Al -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca-Calclum 916 mg/1
Co -Cobalt 1037 ug/I
Fe -iron 1045 ugA
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mgA
pH
Alkalinity
Acidity
Air Temperature (C)
pH 8.3 pH 4.5
pH 4.5 pH 8.3
2
94
10
300 •
400 .
82244 431
82243 182242
20
Salinity %
Preclpltion (In/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity
Turbidity Severity
Wind Velocity M/H
can Stream Depth ft.
Stream Width ft.
480
45
32
136
1351
1350 135
64 14
.

United States Enviror al Protection Agency
Form Approved
Washington, D.C. 20460
OMB
No. 2040-0003
PA NP®ES Compliance Inspection Report
Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES. yr/mo/day Inspection Type Inspector Fac Type
LJ. 2 u 3 1 NC00411.90 11 12 000427 17 18 lJ
19 u 20 u
Remarks
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIlI
21 Reserved Facility Evaluation Rating BI QA
Reserved 66
67 [_M 69 70 13 71 72 73 74
u
75 Lj 80
SecttiioonJB: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Kings Creek Elementary
12:45 pm
990801
P. O. Box 1590
Exit Time/Date
Permit Expiration Date
Lenoir NC 28645
1:05 pm
031031
Name(s) of On -Site Rep resentative(s)/fitle(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
KINGS CREEK SCHOOL 4/27/00
Permit Sample
Parameter Limit Units Value
BOD 30 mg/I 20
Tot Susp Residue 30 mg/I 17
pH 6-9 std units 6.8
Left sand filter (back to school, facing filters) was somewhat plugged.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/Telep hone
Date
JA. REID
DWQ/IRO 828-251-6208
o
Revie r
Agency/Office
Date
DWQ/IRO 828-251-6208
Regulatory Office Use Only
Action Taken
Date
Compliance Status
❑ Noncompliance
_
Compliance

ON OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD- For Lab Use ONLY
LAB FORM (DM1)
rE
PRIORITY
SAMPLE TYPESIN
AMBIENT
QA
❑ STREAM
JpJ
EFFLUENT
TO: R FRO MRO RRO Wa�RO.ROWSRO TS
AT Otheerr
Other
RCOMPLiANCE
❑ CHAIN
❑ LAKE
❑
INFLUENT.
Shipped by: Bus Courier, taff Other
❑EMERGENCY
OF CUSTODY
❑ESTUARY
COLLECTOR(S):
Lab Number: A b O O J% (O
Date Received: 1% - i d 0 Time: 7 fs^
Rec'd by: cis I From: Bus -Courier and D
DATA ENTRY BY: CK: <—
DATE REPORTED: 3 - 0 O
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION:A e-
Seed: Yes ❑ Nopl- Chlorinated: Yee ❑ No REMARKS:
Station # Date Begin (yy/ m/dd) Time Begin Date End Time End De th M B DBM Value T 'y 60
/I90 P Type Composite Sample
(/ �,�.7 U © A H L T S B C GNXX
1
BOD5 310 p mg/I
2
COD High 340 mg/I
3
COD Low 335 mg/I
4
Conform: MF Fecal 31616 /100ml
5
Coliform: MF Total 31504 /100m1
6
Coliform: Tube Fecal 31615 /loom,
7
Coliform: Fecal Strep 31673 /100m1
8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
10
Fixed 510 mg/I
11
Residue: Suspended 530 / mg/I
12
Volatile 535 mg/I
13
Fixed 540 mg/I
14
PH 403 units
15
Acidity to pH 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/I
17
Alkalinity to pH 8.3 415 mg/I
18
Alkalinity to pH 4.5 410 mg/I
19
TOC 68o mg/I
gn
.Turbidity 76 NTU
Chloride 940 mg/I
Chi a: Trl 32217 ug/I
Chi a: Corr 32209 ug/I
Pheophytin a 32213 ug/1
Color: True 80 Pt -Co
Color:(pH ) 83 ADM,
Color: pH 7.6 82 ADMI
Cyanide 720 mg/I
Fluoride 951 mg/I
Formaldehyde 71880 mg/I
Grease and Oils 556 mg/I
Hardness Total900 mg/I
Specific Cond. 95 2
uMhos/cm
MBAS 38260 mg/I
Phenols 32730 ug/I
Sulfate 945 mgA
Sulfide 745 mg/I
NH3 ae N 610 mg/I
TKN as N 625 mg/I
NO2 plus NO3 as N 630 mg/I
P: Total as P 665 mg/I
PO4 as P 70507 mg/I
P: Dissolved as P 666 mg/I
CdCadmium 1027 ug/I
Cr-Chromlum:Tota11034 u9A
Cu-Copper 1042 ug/1
NI -Nickel 1067 ug/I
Pb-Lead 1051 ugA
Zn-Zinc 1092 ug/I
Ag over 1077 ug/I
AI -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/1
Ca-Calclum 916 mg/I
Co -Cobalt 1037 ug/I
Fe -Iron 1045 ugA
LI-Lithium 1132 ug/I
Mg-Magneslum 927 mg/I
Mn-Manganese 1055 ug/1
Na-Sodium 929 mg/I
Arsenic -Total 1002 ug/I
Se -Selenium 1147 ug/I
Hg-Mercury 71900 ug/I
Organochlorine Pesticides
Organophosphorus Pesticides
I 1 Acid Herbicides I
Base/ Neutral Extractable Organics 1
Acid Extractable Organics
,Kurggable Organics (VOA bottle reg'd)
.w
r - '-`mow !+. ii•
'4
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mgA
pH
Alkalinity
pH 8.3 PH 4.5
Acidity
pH 4.5 pH 8.3
Air Temperature (C)'
2
94
Salinity %
30
Precipltlon On/day)
300 .
Cloud Cover %
400 it
Wind Direction (Deg)
82244 431
Stream Flow Severity Turbidity Severity
82243 182242
Wind Velocity MAI can Stream Depth ft.
20
Stream Width ft.
480
145
32
36
1351 1350 135
64 14
nu, .o_...-_' ... —

United States Environ it Protection Agency Form Approved
Washington, D.C. 20460 OMB No. 2040-0003
PA NP®ES Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 N 2 15 1 3 1 NCO041220 11 12 000427 1.7 18 IJ 19 IS 20 L21
Remarks
I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I
2' Reserved Facility Evaluation Rating BI QA Reserved 66
67 L� 69 70 � 3 � 71 I N I 72 [ L N ] 73 74 75 80
�J Section B: FacilityDate
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Oak Hill Elementary School
1:15 pm
000701
P. O. Box 1590
Exit Time/Date
Permit Expiration Date
Lenoir, NC 28645
1:30 pm
050331
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Earl Bradshaw
Title
Assistant Superintendent
Phone No.
828/728-8407
Contacted
No
Section C: Areas Evaluated During Inspection
CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
OAK HILL SCHOOL 4/27/00
Permit
Sample
Parameter
Limit
Units
Value
BOD
30
mg/I
10
Tot.Susp Residue
30
mg/I
4
Fecal Coliform
200
counts/100 ml
<2
pH
6-9
std units
5.9
Rain had fallen the afternoon
prior to inspection; rain may
have affected pH.
Name(s) and Signature(s) of Inspector(s)
Agency/Office/reIephone
Date
JA R. EID
DWQ/ARO 828-251-6208
Sig t re of Re iewer
/
Agency/Office
Date
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Action T en
Date
Compliance Status
11 Noncompliance
Ek Compliance

N OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1) For Lab Use ONLY
777 L PRIORITY Lab Number: ; �(�- �?'.0
SAMPLE TYPE % l/ -v C FBASIN � ]-� ��'�" j'�/ / Date Received: 7 ` Time: �� O D
. ARO RO MRO RRO WaRO WiRWSROTS❑AMBIENT QA STREAM 13EFFLUENT Rec'd b : cr- From: Bus -Courier- and eOherW COMPLIANCE ❑ CHAIN ❑ LAKE ❑ INFLUENT DATA ENTRY BY: - CK:
OF CUSTODY
Shipped by: Bus r, w Other ❑ EMERGENCY ❑ ESTUARY
DATE REPORTED: S- ? -D O
COLLECTOR(Sh / Y%
Estimated ROD Range: 0-5/5-25/2"5/40-130 or 100 plus STATION LOCATION: �(L lC ' / zq V
Seed: Y6 ,` - No Chlorinated: Yes Qb No ❑ REMARKS:
Station Date Begin (yy/ m/dd) Time Be in Date End g Time End Dept M B DBM Value Type Composite Sample T e
COO Z Zd OC} D Z r A H L T S B C GNXX ." .
BODS 310 v

1 FPA United States Enviror al Protection Agency Form Approved
Washington, D.C. 20460 OMB
No. 2040-0003
NPDES Compliance Inspection Report Approval Expires 7-31-85
Section A: National Data System Coding
Transaction Code NPDES • yr/mo/day Inspection Type Inspector Fac Type
t o 2 3 NC00411.65 11 12 000427, 17 18 L_J
�t lI
t9 u 20 LLI
Remarks
I I I I I I I I I I I I I I I I I I I I I I I I I I
I I I I I I I I I
Z' Reserved Facility Evaluation Rating BI QA
Reserved 66
67 I__I� 69 70 13 I 71 I (\J I 72 I �I 73 I I I 174
u
75 Li j 80
Section B: Facility Date
Name and Location of Facility Inspected
Entry Time
Permit Effective Date
Sawmills School
10:01 am
950601
P. O. Box 1590
Exit Time/Date
Permit Expiration Date
Lenoir, NC 28645
10:25 am
000531
Name(s) of On -Site Representative(s)/Title(s)
Phone No(s)
Ron McClure, Operator
828/496-0372
Name, Address of Responsible Official
Title
Earl Bradshaw
Assistant Superintendent
Phone No.
Contacted
828/728-8407
No
Section C: Areas Evaluated During Inspection CODES S - Satisfactory M - Marginal U - Unsatisfactory
N - Not evaluated/Not applicable
S
Permit
Records/Reports
Facility Site Review
S
Flow Measurement
Laboratory
Effluent/Receiving Waters
N
Pretreatment
Compliance Schedules
Self -Monitoring Program
S
Operations & Maintenance
Sludge Disposal
Other:
S
S
N
S
S
S
S
Section D: Summary of Findings/Comments (Attach additional sheets if necessary)
SAWMILLS SCHOOL 4/27/00
Permit Sample
Parameter Limit Units Value
BOD 30 mg/I <2
Tot Susp Residue 30 mg/I 1
Fecal Coliform 200 counts/100 ml <2
NH-2 as N 7.7 me 1.1
pH 6-9 std units 3.1
Rain haad fallen the afternoon prior to inspection; rain may have affected pH.
Filter was well raked. Connection to the Town of Sawmills system and abandonment of this system is anticipated to occur within the next few weeks.
Name( Signature(s) of Inspector(s)
Agency/Office/Telephone
Date
JANKSR.R ID 52
z zfe�__z
DWQ/ARO 828-251-6208(Z_J&'
Sig a of Reviewer
Agency/Office
Date
,12�
JZL
DWQ/ARO 828-251-6208
Regulatory Office Use Only
Action Taken
Date
Compliance Status
EI Noncompliance
9 Compliance

N OF ENVIRONMENTAL MANAGEMENT WATER QUALITY FIELD -LAB FORM (DM1)
For r_„ h rr.e nivr v
/PRIORITY
VA
SAMPLE TYPE
❑AMBIENT
ElQA
❑STREAM
®EFFLUENT
TO:SINR
FRO MRO RRO WeRO WFRO WSRO TS
BM
®COMPLIANCE
El
❑LAKE
Ot
Other
CHAIN
❑ INFLUENT
Shipped
❑EMERGENCY
OF CUSTODY
❑ESTUARY
by: Bus Courier, taf Other
COLLECTOR(S): �? //,
Lab Number:
Date Received: 1/-J 2-0 0 Time: S
Rec'd by: 4­ From: Bus -Courier and D I
DATA ENTRY BY: G - CK:
DATE REPORTED: S -/O -- O 0
I
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION:
Seed: Yes`. NOD Chlorinated: Yes No ❑ REMARKS:
IK
Stall o / // Begin Date
9 (yy/mm/dd) Time Begin Date End Time End Depth M B DBM Value Type Composite Semple Type
t I O� r A H L T S 8 C/;.G GNXX
1
iavuo oAV G mg/1
2
COD High 340 mgA
3
COD Low 335 mg/I
4
Coliform: MP Fecal 31616 /IOOmI
b
Coliform: MF Total 31504 /100ml
6
Coliform: Tube Fecal 31615 /100ml
7
Coliform: Fecal Strep 31673 /100m1
8
Residue: Total 500 mg/I
9
Volatile 505 mg/I
10
Fixed 510 mg/I
11
Residue: Suspended 530 ( rng/I
12
Volatile 535 mg/I
13
Fixed 540 mg/1
14
pH 403 units
15
Acidity to pH 4.5 436 mg/I
16
Acidity to pH 8.3 435 mg/I
17
Alkalinity to pH 8.3 415 mg/1
18
Alkalinity to pH 4.5 410 mg/I
19
TOC 680 mg/I
gn
irurbidity 76 NTU
Chloride 940 mg/1
Chi a: Tri 32217 ug/I
Chi a: Corr 32209 ug/1
Pheophytin a 32213 ug/1
Color: True 80 Pt -Co
Color:(pH ) 83 ADMF
Color: pH 7.6 82 ADMI
Cyanide 720 mg/1
Fluoride 951 mg/l
Formaldehyde 71880 mg/l
Grease and Oils 556 mg/I
Hardness Total900 mg/I
Specific Cond. 95 2
uMhos/cm,
MBAS 38260 mg/I
Phenols 32730 ug/I
Sulfate 945 mg/I
Sulfide 745 mg/I
NH3 as N 610 / r mg/I
TKN as N 625 mgA
NO2 plus NO3 as N 630 mg/I
P: Total as P 665 mg/1
PO4 as P 70507 mg/I
P: Dissolved as P 666 mg/I
CdCadmlum 1027 ugA
Cr-ChromiunuTatal1034 ugA
Cu-Copper 1042 ug/I
Ni-Nickel 1067 ug/I
Pb-Lead 1051 ugA
Zn-Zinc 1092 ug/I
Ag Ilver 1077 ug/I
Al -Aluminum 1105 ug/I
Be -Beryllium 1012 ug/I
Ca-Calclum 916 mgA
Co -Cobalt 1037 ug/I
Fe -Iron 1045 ugn
Sampling Point %
Conductance at 25 C
Water Temperature (C)
D.O. mgA
pH
Alkalinity
Acidity
Air Temperature (C)
pH 8.3 pH 4.5
pH 4.5 pH 8.3
2
94
10
300 It
400 1 r
82244 431
82243 182242
20
Salinity %
Precipitlon On/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity Turbidity Severity
Wind Velocity M/H can Stream Depth ft.
Stream Width ft.
480
45
32
36
1351 1350
35 64
4

Caldwell County Schools
Earl (Junie) Bradshaw
Associate Superintendent
1914 Hickory Blvd., SW
Lenoir, NC 28645
-
_
Telephone [phone]
_ August 1, 2000
Fax [phone]
System Performance Annual Rep-ort -
- North Carolina Division of Water Quality
Attn: Ken T. Stevens, Director
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Stevens: -
Enclosed are the Performance Annual Reports for
the following schools:
Baton Elementary School
NC0030783
Collettsville Elementary School
NC0050075
Gateway Alternate School
NC0041157
Happy Valley Elementary School
NC0041181
Kings Creek Elementary School
NC0041190
Oak Hill Elementary School
NC0041220
Sawmills Elementary School
NC0041165
As stated in the reports, each report will be posted in conspicuous areas at each school
and made available for the public at each school office and at the superintendent's office.
If you need additional information, please contact me.
Sincerely,
Earl radshaw
Associate Superintendent
Enclosures --
c: Jim Reid
DENR Regional Office
rC\vi -
zC4r
Z,

'/MP 04/25/2000
PAGE 1
PERMIT- '% G' LOC --- E
LITY--CAI/ �� �uF-,,.� -i s 0060 CLASS--1
- - -> ' '"
ITION--LEIIWELL
5G k r_,�"i'� 00010 00400
TEMP PH
� r
MIT F 0 e� NOL 9.0 6.0
I/ F`'. a a_ ,; _•. 12.00 6.8-6. 8
I
99/04 .0 13.50 6.8-6.8
i
/ 9 9 / 0 5 .0
------- ----- --- - --- - ---- - - - --- I 16.50 6 . 7,- 6 . 6
99/06
99/07
99/08 .0050 8.85 4.8 14.00 22.50 6.6-6.6
99/09 .0050 15.30 LESSTHAN 9.60 19.00 6.6-6.5
99/10 .0050 LESSTHAN 4.8 8.35 16.00 6.5-6.5
99/11 .0050 7.60 LESSTHAN 9.55 14.50 6.5-6.4
99/12 .0050 28.25 7.3 9.00 11.00 6.4-6.4
00/01 .0050 9.85 15.8 7.35 6.50 6.6-6.5
00/0.2 .0050 13.15 12.3 9.40 5.00 6.5-6.5
AVERAGE .0050 14.16 9.0 9.25 13.65
MAXIMUM .0050 28.50 15.8 17.60 22.50 6.800
MINIMUM .0050 LESSTHAN LESSTHAN 1.12 5.00 6.400
UNIT MGD MG/L MG/L MG/L 4/100ML UG/L DEG.0 SU

/MP 04/25/2000
COMPLIANCE EVALUATION ANALYSIS REPORT PAGE 2
PERMIT--NC0041190 PIPE--001 REPORT PERIOD: 9903-0002 LOC---E
LITY--CALDWELL CO SCH-KINGS CREEK DESIGN FLOW-- .0060 CLASS--1
.TION--LENOIR REGION/COUNTY--01. CALDWELL
00600 00665
TOTAL- N PHOS-TOT
9/12
00/01
00/02
AVERAGE
MAXIMUM
MINIMUM
UNIT MG/L MG/L

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery. is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
1,1IR.. EARL BRADSiIAW
�ASSIS'TANT SUPERINTENDENT
�CALDWELL COUNT' SCHOOLS
'POST OFFICE BOX 1590
LENOIR, NC 28645
A. Received by (Please Print Clearly) B. Date of Deliver
C. Signaturetl n
❑ Agent
D. I elivery-address—different from item 1? '❑ Yes
YES, enter delivery address below: ❑ No
•
3. Serv' Type
ertified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandis
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Copy from se ice abel)
_40
PS Form 811, July 1999 Domestic Return Receipt 102595-99-M-178f

"UNITED STATES POSTAL SERVIV01 'A
� PM
?! MAR
v � Paid
0
P ' o. - —
X
i1r; A North Carolina Department of
14 CDENR Environment and .Natural Resources
a u- 59 Woodfin Place Asheville, NC 28901-2414
MV OF WATUR QUALM'
TO: MR. JAMES REID
NCDENR - WATER QUALITY SECTION
59 WOODI:IN PLACE
ASIIEVILLE. NC 28801

FACILITY
COUNTY CLASS
MAILING ADDRESS
RESPONSIBLE
OFFICIAL
TELEPHONE NO.
WHERE LOCATED
NPDES PERMIT NUMBER NC_
STATE FEDERAL
DATE ISSUED
EXPIRATION DATE
STREAM: NAME.
CLASS
7Q10
SUB -BASIN
FACILITY
REPRESENTATIVE
/9^
OPERATOR
Tc
CERT. NUMBER
CLASS
OTHER PERMIT NO.
DATE ISSUED

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
January 20, 2010
Dr. Jeff Church
Caldwell County Schools
1914 Hickory Blvd SW
Lenoir, N.C. 28645
Subject: Issuance of NPDES Permit NCO050075
Collettsville Elementary School WWTP
Caldwell County
Dear Dr. Church:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to
the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between
North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended).
This final permit includes no changes from the draft permit sent to you on December 2,
2009.
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this letter. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings
(6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this
decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required. If you have any questions concerning this permit, please
contact .Charles Weaver at telephone number [phone].
cc: Central Files
slheville�Regional `Office/S� dace-Waater Pr 3
NPDES Uni
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
1tU��IJ"�' ,
H. tM1
JAN 2 5 2010
t WATER QUALITY SECTION
ASHEVILLE R 0110 L FFIC
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

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Caldwell County Schools
Collettsville Elementary School
County: Caldwell Stream Class: C
Receiving Stream: Johns River Sub -Basin: 030831
Latitude: 35' 55' 28" Crid/Ouad: D12NW
Longitude: 81' 40' 25"
- I
Facility X tI .1t
Location XX
(not to scale)
NORTH I Permit NCO050075

Permit NCO050075
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by
the Permittee as specified below:
PARAMETER
`
LIMITS
MONITORING REQUIREMENTS
Monthl Y
Average
Dail Y::
Maximum:.'
Measurement
Frequency
Sam le T e
P YP
".Sam le Location .'
P.
Flow
0.010 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

Permit NC0050075
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended, the
Caldwell County Schools
are hereby authorized to discharge wastewater from a facility located at the
Collettsville Elementary School WWTP
NC Highway 90
Collettsville
Caldwell County
to receiving waters designated as the Johns River in subbasin 03-08-31 of the Catawba River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
1% III and IV hereof.
This permit shall become effective March 1, 2010.
This permit and authorization to discharge shall expire at midnight on February 28, 2015.
Signed this day January 20, 2010
en H. Sullins, Director
j7/
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0050075
SUPPLEMENT TO PERMIT COVED 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 included herein.
The Caldwell County Schools are hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment facility with the following
components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
This facility is located at the Collettsville Elementary School WWTP on NC Highway 90 in
Caldwell County.
2. Discharge from said treatment works at the location specified on the attached map into the Johns
River, currently classified C waters in hydrologic unit 03050/01 of the Catawba River Basin.

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PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall
be representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
B ass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which
is not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 ml in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time
interval between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically.
Composite samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour
period of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period
with the time intervals between samples determined by a preset number of gallons passing the sampling
point. Flow measurement between sample intervals shall be determined by use of a flow recorder and
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totalizer, and the preset gallon interval between sample collection fined at no greater than 1/24 of the
expected total daily flow at the treatment system, or
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at
a constant time interval. Use of this method requires prior approval by the Director. This method
may only be used in situations where effluent flow rates vary less than 15 percent. The following
restrictions also apply:'
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent
grab samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect
effluent grab samples at least every six hours; there must be a minimum of four samples during a 24-hour
sampling period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. The "daily discharge" concentration comprises the mean
concentration for a 24-hour sampling period as either a composite sample concentration or the arithmetic mean of all
grab samples collected during that period. (40 CFR 122.2)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWO or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
EMC
The North Carolina Environmental Management Commission.
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow
this permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]' shall be considered =1.
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Grab Sample
Individual samples of at least 100 ml collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
A measure of flow taken at the time of sampling, when both the sample and flow will be representative of the total
discharge.
Monthly Average (concentration limio
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform, the geometric mean of such discharges.
Permit Issuing Authoritv
The Director of the Division of Water Quality.
Quarterly Average (concentration limitl
The average of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable,
or substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Up -set
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limitl
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation
of the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions
or standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate
the requirement.
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b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or
any requirement imposed in a pretreatment program approved under sections 402 (a) (3) or 402 (b) (8) of the
Act, is subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319 (d) and 40
CFR 122.41 (a) (2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of the
Act, or any condition or limitation implementing any of such sections in a permit issued under section 402 of
the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a
negligent violation, a person shall be subject to criminal penalties of not more than $50,000 per day of
violation, or by imprisonment of not more than 2 years, or both. [33 USC 1319 (c) (1) and 40 CFR 122.41 (a)
(2)]
d. Any person who knowinVI violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In
the case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319 (c) (2) and 40 CFR 122.41 (a) (2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
`condition or limitation implementing any of such sections in a permit issued under section 402 of the Act,
and who knows at that time that he thereby places another person in imminent danger of death or serious
bodily injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not
more than 15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment
violation, a person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than
30 years, or both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction
of violating the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined
up to $2,000,000 for second or subsequent convictions. [40 CFR 122.41 (a) (2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such
sections in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are
not to exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC 1219
(g) (2) and 40 CFR 122.41 (a) (3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41 (d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II. C. 4), "Upsets" (Part II. C. 5) and "Power
Failures" (Part II. C. 7), nothing in this permit shall be construed to relieve the Permittee from any
responsibilities, liabilities, or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309
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of the Federal Act, 33 USC 1319. Furthermore, the Permittee is responsible for consequential damages, such as
fish kills, even though the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor
any infringement of Federal, State or local laws or regulations [40 CFR 122.41 (g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the
Permit Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41 (h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41 (b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic
authorization to discharge beyond the expiration date, the Permittee shall submit such information, forms, and
fees as are required by the agency authorized to issue permits no later than 180 days prior to the expiration date.
Any Permittee that has not requested renewal at least 180 days prior to expiration, or any Permittee that does not
have a permit after the expiration and has not requested renewal at least 180 days prior to expiration, will subject
the Permittee to enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified
[40 CFR 122.41 (k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any other person who performs similar policy or decision
making functions for the corporation, or (b) the manager of one or more manufacturing, production, or
operating facilities, provided, the manager is authorized to make management decisions which govern the
operation of the regulated facility including having the explicit or implicit duty of making major capital
investment recommendations, and initiating and directing other comprehensive measures to assure long
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term environmental compliance with environmental laws and regulations; the manager can ensure that
the necessary systems are established or actions taken to gather complete and accurate information for
permit application requirements; and where authority to sign documents has been assigned or delegated
to the manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if: .
1. The authorization is made in writing by a person described above;
2. The authorization specified either an individual or a position having responsibility for the overall
operation of the regulated facility or activity, such as the position of plant manager, operator of a well or
well field, superintendent, a position of equivalent responsibility, or an individual or position having
overall responsibility for environmental matters for the company. (A duly authorized representative may
thus be either a named individual or any individual occupying a named position.); and
3. The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate
because a different individual or position has responsibility for the overall operation of the facility, a new
authorization satisfying the requirements of paragraph (b) of this section must be submitted to the Director
prior to or together with any reports, information, or applications to be signed by an authorized
representative [40 CFR 122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel property gather and evaluate
the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons
directly responsible for gathering the information, the information submitted is, to the best of my knowledge and
belief, true, accurate, and complete. 1 am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition [40 CFR 122.41 (0].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Tide 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 2H.0100; and North Carolina General Statute 143-215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 21-1.0105 (b) (2)
may cause this Division to initiate action to revoke the permit. .
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Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Upon classification of the permitted facility by the Certification Commission, the Permittee shall employ a
certified water pollution control treatment system operator in responsible charge (ORC) of the water pollution
control treatment system. Such operator must hold a certification of the grade equivalent to or greater than the
classification assigned to the water pollution control treatment system by the Certification Commission. The
Permittee must also employ one or more certified Back-up ORCs who possess a currently valid certificate of the
type of the system. Back-up ORCs must possess a grade equal to (or no more than one grade less than) the grade
of the system [15A NCAC 8G.0201].
The ORC of each Class I facility must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 8G.0204.
The ORC of each Class II, III and IV facility must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 8G.0204.
Once the facility is classified, the Permittee shall submit a letter to the Certification Commission designating the
operator in responsible charge:
a. Within 60 calendar days prior to wastewater being introduced into a new system
b. Within 120 calendar days of:
➢ Receiving notification of a change in the classification of the system requiring the designation of a
new ORC and back-up ORC
➢ A vacancy in the position of ORC or back-up ORC.
2. Proper Operation and Maintenance
The Permittee shall at all times provide the operation and maintenance resources necessary to operate the existing
facilities at optimum efficiency. The Permittee shall at all times properly operate and maintain all facilities and
systems of treatment and control (and related appurtenances) which are installed or used by the Permittee to
achieve compliance with the conditions of this permit. Proper operation and maintenance also includes adequate
laboratory controls and appropriate quality assurance procedures. This provision requires the Permittee to install
and operate backup or auxiliary facilities only when necessary to achieve compliance with the conditions of the
permit [40 CFR 122.41 (e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and
maintenance of the facility, and all documentation required thereof, whether acting as a contract operator
[subcontractor] or a member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41
(c)]
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41 (m) (2)]
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The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41 (m) (3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior
notice, if possible at least ten days before the date of the bypass; including an evaluation of the
anticipated quality and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II. E. 6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This .
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41 (n) (2)]: An upset constitutes an affirmative defense to an action
brought for noncompliance with such technology based permit effluent limitations if the requirements of
paragraph b. of this condition are met. No determination made during administrative review of claims that
noncompliance was caused by upset, and before an action for noncompliance, is final administrative action
subject to judicial review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the
affirmative defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or
other relevant evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II. E. 6. (b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II. B. 2. of this permit.
c. Burden of proof [40 CFR 122.41 (n) (4)]: The Permittee seeking to establish the occurrence of an upset
has the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States. The Permittee
shall comply with all existing Federal regulations governing the disposal of sewage sludge. Upon promulgation of
40 CFR Part 503, any permit issued by the Permit Issuing Authority for the utilization/disposal of sludge may be
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reopened and modified, or revoked and reissued, to incorporate applicable requirements at 40 CFR 503. The
Permittee shall comply with applicable 40 CFR 503 Standards for the Use and Disposal of Sewage Sludge (when
promulgated) within the time provided in the regulation, even if the permit is not modified to incorporate the
requirement. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 2H.0124) to prevent
the discharge of untreated or inadequately treated wastes during electrical power failures either by means of
alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
Representative Sampling
Samples collected and measurements taken, as required herein, "shall be characteristic of the volume and nature of
the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day and time that is
characteristic of the discharge over the entire period the sample represents. All samples shall be taken at the
monitoring points specified in this permit and, unless otherwise specified, before the effluent joins or is diluted
by any other wastestream, body of water, or substance. Monitoring points shall not be changed without
notification to and the approval of the Permit Issuing Authority [40 CFR 122.41 (j)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1.1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of
these, and all other reports required herein, shall be submitted to the following address:
NC DENR / Division of Water Quality / Water Quality Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I
of this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or htq2://h2o.enr.state.nc.us/lab/cert.htm) for information
regarding laboratory certifications.
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Personnel conducting testing of field -certified parameters must hold the appropriate field parameter
certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to
NCGS 143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to
Section 304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum
detection and reporting levels that are below the permit discharge requirements and all data generated must be
reported down to the minimum detection or lower reporting level of the procedure. If no approved methods are
determined capable of achieving minimum detection and reporting levels below permit discharge requirements,
then the most sensitive (method with the lowest possible detection and reporting level) approved method must
be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of
not more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both.
If a conviction of a person is for a violation committed after a first conviction of such person under this
paragraph, punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more
than 4 years, or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge
use and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40
CFR 503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record
the following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting
as a representative of the Director), upon the presentation of credentials and other documents as may be required
by law, to;
a. Enter upon the Permittee's premises where a regulated facility or activity is located or conducted, or where
records must be kept under the conditions of this permit;
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b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this
Pit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41 (i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge.
of any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall
constitute a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or
additions to the permitted facility [40 CFR 122.41 (1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29 (b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42 (a) (1).
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices,
and such alteration, addition or change may justify the application of permit conditions that are different
from or absent in the existing permit, including notification of additional use or disposal sites not reported
during the permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41 (1) (2)].
4. Transfers
This permit is not transferable to any person without approval from the Director. The Director may require
modification or revocation and reissuance of the permit to document the change of ownership. Any such action
may incorporate other requirements as may be necessary under the CWA [40 CFR 122.41 (1) (3)].
5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41 (1) (4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II. D. 2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit, the results of such
monitoring shall be included in the calculation and reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written
submission shall contain a description of the noncompliance, and its cause; the period of noncompliance,
including exact dates and times, and if the noncompliance has not been corrected, the anticipated time it is
expected to continue; and steps taken or planned to "reduce, eliminate, and prevent reoccurrence of the
noncompliance [40 CFR 122.410) (6)].
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b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II. E. 5 and 6. of this permit at
the time monitoring reports are submitted. The reports shall contain the information listed in Part II. E. 6. of
this permit [40 CFR 122.410) (7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director, it shall promptly submit
such facts or information [40 CFR 122.41 (1) (8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the
Division as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of
all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5' days following first
knowledge of the occurrence.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making
any false statement on any such report may result in the imposition of criminal penalties as provided for in
NCGS 143-215.1(b)(2) or in Section 309 of the Federal Act.
11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more
than $25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR
122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C).
The report shall summarize the performance of the collection or treatment system, as well as the extent to which
the facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality.
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The report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon
which annual period is used for evaluation.
The report shall be sent to:
NC DENR / DWQ / Central Files
1617 Mail Service Center -
Raleigh, NC 27699-1617
PART III
OTHER REQUIREMENTS
Section A. Construction
The Permittee shall not commence construction of wastewater treatment facilities, nor add to the planes treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless the Division has issued an
Authorization to Construct (AtC) permit. Issuance of an AtC will not occur until Final Plans and Specifications for
the proposed construction have been submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent
basis, of any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms
per liter (500 µg/L) for 2.4-dinitrophenol and for 2-methyl-4.6-dinitrophenol; and one milligram per liter
(1 mg/L) for antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or
infrequent basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the
highest of the following "notification levels';
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter 0 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Evaluation of Wastewater Discharge Alternatives
The Permittee shall evaluate all wastewater disposal alternatives and pursue the most environmentally sound
alternative of the reasonably cost effective alternatives. If the facility is in substantial non-compliance with the terms
and conditions of the NPDES permit or governing rules, regulations or laws, the Permittee shall submit a report in
such form and detail as required by the Division evaluating these alternatives and a plan of action within 60 days of
notification by the Division.
Section E. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system
covered by this permit. The Division may require specific measures during deactivation of the system to prevent
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adverse impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit
continue at the permitted facility.
PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities: .
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing Pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (b) (i) and (j)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the POTWs NPDES Permit or prevents sewage sludge use
or disposal in compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC
2H.0903 (b) (13)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the POTWs NPDES permit, or of an instream water quality standard. [15A NCAC 2H.0903 (b) (23)]
Publicly Owned Treatment Works (POT)&)
A treatment works as defined by Section 212 of the CWA, owned by a State or local government entity. This
definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes sewers, pipes, and other conveyances only if they
convey wastewater to a POTW. The term also means the local government entity, or municipality, as defined in
section 502(4) of the CWA, which has jurisdiction over indirect discharges to and the discharges from such a
treatment works. [15A NCAC 2H.0903 (b) (27)]
"Significant Industrial User" or "SIU
An industrial user that discharges wastewater into a publicly owned treatment works and that [15A NCAC 2H.0903
(b) (34)]:
(a) discharges an average of 25,000 gallons or more per day of process wastewater to the POTW (excluding
sanitary, noncontact cooling and boiler blowdown wastewaters) or;
(b) contributes more than 5 percent of the design flow of the POTW treatment plant or more than 5 percent of
the maximum allowable headworks loading of the POTW treatment plant for any pollutant of concern, or;
(c) is required to meet a national categorical pretreatment standard, or;
(d) is, regardless of Parts (a), (b), and (c) of this definition, otherwise determined by the POTW, the Division, or
the EPA to have a reasonable potential for adversely affecting the POTWs operation or for violating any
pretreatment standard or requirement or POTWs receiving stream standard, or to limit the POTWs sludge
disposal options.
Section B. Publicly Owned Treatment Works (POTWs)
All POTWs are required to prevent the introduction of pollutants into the POTW which will interfere with the
operation of the POTW, including interference with its use or disposal of municipal sludge, or pass through the
treatment works or otherwise be incompatible with such treatment works. [40 CFR 403.2]
All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42 (b)]:
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1. Any new introduction of pollutants into the POTW from an indirect discharger, including pump and
hauled waste, which would be subject to section 301 or 306 of CWA if it were directly discharging those
pollutants; and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger
as influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of
effluent introduced into the POTW, and (2) any anticipated impact that may result from the change of the
quantity or quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from industries
using the municipal system may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water
quality standards.
2. Prohibited Discharges
a. Under no circumstances shall the Permittee allow introduction of pollutants or discharges into the waste
treatment system or waste collection system which cause or contribute to Pass Through or Interference
as defined in 15A NCAC 2H.0900 and 40 CFR 403. [40 CFR 403.5 (a) (1)]
b. Under no circumstances shall the Permittee allow introduction of the following wastes in the waste
treatment or waste collection system [40 CFR 403.5 (b)]:
1. Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees
Centigrade using -die test methods specified in 40 CFR 261.21;
2. Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with
pH lower than 5.0, unless the works is specifically designed to accommodate such discharges;
3. Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting
in Interference;
4. Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a
flow rate and/or pollutant concentration which will cause Interference with the POTW;
5. Heat in amounts which will may inhibit biological activity in the POTW resulting in Interference,
but in no case heat in such quantities that the temperature at the POTW Treatment Plant exceeds
40°C (104°F) unless the Division, upon request of the POTW, approves alternate temperature
limits;
6. Petroleum oil, nonbiodegradable cutting oil, or products of mineral oil origin in amounts that will
cause interference or pass through;
7. Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a
quantity that may cause acute worker health and safety problems;
8. Any trucked or hauled pollutants, except at discharge points designated by the POTW.
C. The Permittee shall investigate the source of all discharges into the WWTP, including slug loads and
other unusual discharges, which have the potential to adversely impact the permittee's Pretreatment
Program and/or the operation of the WWTP.
The Permittee shall report such discharges into the W 71T to the Director or the appropriate Regional
Office. Any information shall be provided orally within 24 hours from the time the Permittee became
aware of the circumstances. A written submission shall also be provided within 5 days of the time the
Permittee becomes aware of the circumstances. The written submission shall contain a description of
the discharge, the investigation into possible sources; the period of the discharge, including exact dates
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and times; and if the discharge has not ceased, the anticipated time it is expected to continue; and steps
taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance,
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance
by the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary
regarding some or all of the industries discharging to the municipal system.
4. The Permittee shall require any industrial discharger sending its effluent to the permitted system to meet
Federal Pretreatment Standards promulgated in response to Section 307(b) of the Act as amended (which
includes categorical standards and locally derived limits and narrative requirements). Prior to accepting
wastewater from any significant industrial user, the Permittee shall either develop and submit to the Division a
new Pretreatment Program or a modification of an existing Pretreatment Program, for approval as required
under section D below as well as 15A NCAC 2H.0907 (a) and (b). [40 CFR 122.44 0) (2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved
POTW Pretreatment Program or to include a compliance schedule for the development of a POTW
Pretreatment Program as required under Section 402 (b) (8) of the CWA and implementing regulations or by
the requirements of the approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402 (b) (8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3 (14) and implementing regulations 15A NCAC 214.0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the Pretreatment
Program Submittal are an enforceable part of this permit. [40 CFR 122.44 0) (2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402 (b) (8) of the CWA,
40 CFR 403, 15A NCAC 2H.0900, and the legal authorities, policies, procedures, and financial provisions contained
in its pretreatment program submission and Division approved modifications thereof. Such operation shall include
but is not limited to the implementation of the following conditions and requirements. Terms not defined in Part II
or Part IV of this permit are as defined in 15A NCAC 2H.0903 and 40 CFR 403.3.
Sewer Use Ordinance (SILO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 2H.0905 and .0906; 40 CFR 403.8 (f) (1) and 403.9 (1), (2)]
2. Industrial Waste Survey (IWS)
The permittee shall implement an IWS consisting of the survey of users of the POTW, as required by 40 CFR
403.8 (f) (2) (i-iii) and 15A NCAC 2H.0905 [also 40 CFR 122.44 0) (1)], including identification of all industrial
users and the character and amount of pollutants contributed to the POTW by these industrial users and
identification of those industrial users meeting the definition of SIU. The Permittee shall submit a summary of
its IWS activities to the Division at least once every five years, and as required by the Division. The IWS
submission shall include a summary of any investigations conducted under paragraph B, 2, c, of this Part.
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data
to be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific
pretreatment local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Part II,
Section D, and Section E.5.). [15A NCAC 2H.0906 (b) (2) and .0905]
4. Headworks Analysis (HWAj and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
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Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5 (c) and 15A NCAC 2H.0909, specific Local Limits to implement the
prohibitions listed in 40 CFR 403.5 (a) and (b) and 15A NCAC 2H.0909.
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all significant industrial users, permits for
operation of pretreatment equipment and discharge to the Permittee's treatment works. These permits shall
contain limitations, sampling protocols, reporting requirements, appropriate standard and special conditions,
and compliance schedules as necessary for the installation of treatment and control technologies to assure that
their wastewater discharge will meet all applicable pretreatment standards and requirements. The Permittee
shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits from
all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA. [15A NCAC 2H.0909, .0916, and .0917; 40 CFR 403.5, 403.8 (f) (1) (iii); NCGS 143-
215.67 (a)]
6. Authorization to Construct (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtC) is issued to all applicable industrial
users for the construction or modification of any pretreatment facility. Prior to the issuance of an AtC, the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 2H.0906 (b) (6) and .0905; NCGS 143-
215.1 (a) (8)]
7. POTW Inspection & Monitoring of their IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by industrial users,
compliance with applicable pretreatment standards. [15A NCAC 2H .0908(d); 40 CFR 403.8(f)(2)(v)]. The
Permittee must:
a. Inspect all Significant Industrial Users (SIUs) at least once per calendar year; and
b. Sample all Significant Industrial Users (SIUs) at least twice per calendar year for all permit -limited
pollutants, once during the period from January 1 through June 30 and once during the period from
July 1 through December 31, except for organic compounds which shall be sampled at least once per
calendar year; For the purposes of this paragraph, "organic compounds" means the types of
compounds listed in 40 CFR 136.3(a), Tables IC, ID, and IF, as amended.
8. IU Self Monitoring and Reporting
The Permittee shall require all industrial users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or
in 15A NCAC 2H .0908. [15A NCAC 2H .0906(b)(4) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.440) (2)]
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the Clean Water Act (40 CFR 405 et. seq.), prohibitive
discharge standards as set forth in 40 CFR 403.5 and 15A NCAC 2H .0909, and specific local limitations. All
enforcement actions shall be consistent with the Enforcement Response Plan (ERP) approved by the Division.
[15A NCAC 2H .0906(b)(7) and .0905; 40 CFR 4038(f)(5)]
10. Pretreatment Annual Reports ARi
The Permittee shall report to the Division in accordance with 15A NCAC 2H .0908. In lieu of submitting
annual reports, Modified Pretreatment Programs developed under 15A NCAC 2H .0904 (b) may be required to
submit a partial annual report or to meet with Division personnel periodically to discuss enforcement of
pretreatment requirements and other pretreatment implementation issues.
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For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual
Report (PAR) describing its pretreatment activities over the previous twelve months to the Division at the
following address:
NC DENR / DWQ / Pretreatment, Emergency Response, and Collection Systems Unit (PERCS)
1617 Mail Service Center
Raleigh, NC 27699-1617
These reports shall be submitted according to a schedule established by the Director and shall contain the
following.
a.) Narrative
A brief discussion of reasons for, status of, and actions taken for all Industrial Users (IUs) in Significant
Non -Compliance (SNC);
b.) Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on specific forms approved by the Division;
c.) Significant Non -Compliance Report (ShLCR
The nature of the violations and the actions taken or proposed to correct the violations on specific forms
approved by the Division;
d.) Industrial Data Summary Forms (IDSQ
Monitoring data from samples collected by both the POTW and the Significant Industrial User (SIU)
and any monitoring data for other Industrial Users (IUs) in SNC. These analytical results must be
reported on Industrial Data Summary Forms (IDSF) or other specific format approved by the Division;
e.) Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules,. public
notice of IUs in SNC, and any other information, upon request, which in the opinion of the Director is
needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (IUs) that were in Significant Non -Compliance
(SNC) as defined in the Permittee's Division -approved Sewer Use Ordinance with applicable pretreatment
requirements and standards during the previous twelve month period. This list shall be published within four
months of the applicable twelve-month period. [15A NCAC 2H .0903(,b)(35) .0908())(5) and .0905 and 40
CFR 403.8(o (21(vii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on the
POTW. [15A NCAC 2H .0908(f); 40 CFR 403.12(o)]
13. Funding and Financial Report
The Permittee shall maintain adequate funding and staffing levels to accomplish the objectives.of its approved
pretreatment program. [15A NCAC 2H .0906(a) and .0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local limits modifications,
POTW monitoring of their Significant Industrial Users (SIUs), and Monitoring Plan modifications, shall be
considered a permit modification and shall be governed by 15 NCAC 2H .0114 and 15A NCAC 2H .0907.
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Michael F. Easley, Governor
State of North Carolina
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
February 10, 2005
Mr. Donald R. Bassinger
Caldwell County Schools
Assistant Superintendent
1914 Hickory Blvd.
Lenoir, North Carolina 28645
Subject: NPDES PERMIT ISSUANCE
Permit Number NCO050075
Collettsville Elementary School
Caldwell County
Dear Mr. Bassinger:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the
Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within
thirty (30) days following receipt of this letter. This request must be in the form of a written
petition, conforming to Chapter 150B of the North Carolina General Statutes, and filed with the
Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-
6714). Unless such demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or
permits required by the Division of Land Resources, Coastal Area Management Act, or any other
Federal or Local governmental permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact
Maureen Crawford of my staff at [phone], extension 538.
cc: Central Files
NPDES Unit Files
,Asheville Re66nal- Office
Sincerely,
ORIGINAL SIGNED BY
Tom B.elnick
Alan W. Klimek, P.E.
Director, Division of W pp
V
D
FEB 14 2005
WATER QUALITY SECTION
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617 - TELEPHONE [phone]/FAX [phone]
VISIT US ON THE WEB AT http://h2o.enr.state.nc.us/NPDES

Permit NCO050075
0
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Caldwell County Schools
is hereby authorized to discharge wastewater from a facility located at the
Collettsville Elementary School WWTP
NC Highway 90
Collettsville
Caldwell County
to receiving waters designated as the Johns River in the Catawba River Basin in accordance with
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, IlI and IV
hereof.
This permit shall become effective March 1, 2005.
This permit and authorization to discharge shall expire at midnight on February 28, 2010.
Signed this day February 10, 2005.
ORIGINAL SIGNED BY
Tom BeInick
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0050075
an
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 included herein.
Caldwell County Schools is hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment facility with the following
components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
This facility is located at the Collettsville Elementary School WWTP in Collettsville on NC
Highway 90 in Caldwell County.
2. Discharge from said treatment works at the location specified on the attached map into the Johns
River, classified C waters in the Catawba River Basin.

Caldwell County Schools
Collettsville Elementary School
County: Caldwell Stream Class: C
Receiving Stream: Johns River Sub -Basin: 030831
Latitude: 35' 55' 28" _ Grid/Quad: D12NW
Longitude: 81' 40' 25"
Facility,.
Location
(not to scale) S
NORTH I I NPDES Permit No. NC0050075

Permit NCO050075
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS — FINAL
During the period beginning March 1, 2005 and lasting until expiration, the Permittee is authorized to
discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
EF +u ,U , NT
CRARACTI�STCS
rq
W Lim
O1�iIT.ORING itEQI7IlZElVII;NTS
Monthly
Averse
Daily
w1Vlax1mum
lYleasurement
Fre genc
Sample Type
Saanple-Location -
Flow
0.010 MGD
Weekly
Instantaneous
Influent or Effluent�
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH'
Weekly
Grab
Effluent
Footnotes'
1. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Mr. Earl Bradshaw
Caldwell County Schools
1914 Hickory Boulevard SW
Lenoir, North Carolina 28645
Dear Mr. Bradshaw:
klk
• •
�m
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
May 3, 2000
t mAY i 0 2m
Subject: Issuance of NPDES Permit NCO050075
Collettsville Elementary School
Caldwell County
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the
requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North
Carolina and the U.S. Environmental Protection Agency dated Mav 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of
this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh,
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be
required.
If you have any questions concerning this permit, please contact Charles `leaver at telephone number (919)
733-5083, extension 511.
Sincerely,
DoOd A. Goodfich
Kerr T. Stevens
cc: Central Files
17e `e Regional"Off ce/��arer Quality Secti
NPDES Unit""4"�
Point Source Compliance Enforcement Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer VISIT US ON THE INTERNET @ http://h2o.enr.state.nc.us/NPDES

Permit NCO050075
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Caldwell County Schools
is hereby authorized to discharge wastewater from a facility located at the
Collettsville Elementary School WWTP
NC Highway 90
Collettsville
Caldwell County
to receiving waters designated as the Johns River in the Catawba River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective June 1, 2000.
This permit and authorization to discharge shall expire at midnight on February 28, 2005.
Signed this day May 3, 2000.
Original Signed By
David A. Goodrich
Kerr T. Stevens, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO050075
SUPPLEMENT TO PERMIT COVER SHEET
Caldwell County Schools is hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment facility with
the following components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
♦ Chlorine contact tank with tablet chlorinator
This facility is located at the Collettsville Elementary School WWTP in Collettsville
on NC Highway 90 in Caldwell County.
2. Discharge from said treatment works at the location specified on the attached
map into the Johns River, classified C waters in the Catawba River Basin.

Receiving Stream: Johns River lVorml SCALE 1:24000

Permit NCO050075
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REgUIREMENTS — FINAL
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as
specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample Location
Flow
0.010 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3as N
2/Month
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH1
Weekly
Grab
Effluent
Footnotes:
1. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Orr NCDENR
A&se
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Jeff Church
Caldwell County Schools
1914 Hickory Blvd. SW
Lenoir, NC 28645
Dear Mr. Church:
Donald R. van der Vaart
.,,--„ --Secretary
F,C iV D 1
March 2, 2015 Division of'lJater Resources
APR - 2 2015
Water C)uality R�gionai Operations -
Ashe fl!e Regiona! Ofki e
— —
Subject: Issuance of NPDES Permit NCO050075
Collettsville Elementary School WWTP
Caldwell County
Class WW-1
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly,
we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of
North Carolina General Statute 143-215.1 and the Memorandum of Agreement betweenNorth Carolina and the
U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
This final permit includes the following changes from the draft permit sent to you on January 14, 2015:
A. (1) table - NH3 parameters being monitored in summer months and not winter months.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this
letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North
Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to
obtain any other Federal, State, or Local governmental permit that may be required. If you have any questions
concerning this permit, please contact Sonia Gregory at telephone number [phone].
incerel ,
S. Jay Zimmerman, Actin irector
Division of Water Resources
cc: Central Files
sheville tegi�enalffe
NPDES Unit
1617 Mail Service Center, Raleigh, Nbrth-Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / http://portal.ncdenr,org/web/wq
An Equal Opportunity/Affirmative Action Employer —50% Recycled/10% Post Consumer Paper

Permit NCO050075
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and
Tegulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended, the
Caldwell County Schools
are hereby authorized to discharge wastewater from a facility located at the
Collettsville Elementary School WWTP
NC Highway 90
Collettsville
Caldwell County
to receiving waters designated,as the Johns River in subbasin 03-08-31 of the Catawba River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
H, III and IV hereof.
This permit shall become effective April 1, 2015.
This permit and authorization to discharge shall expire at midnight on February 29, 2020.
Signed this day March 2, 2015
S.,Y �immerman, Acting Director.
Division of Water Resources
By Authority of the Enviromnental Management Commission
Page 1 of 6

Permit NCO
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 included herein.
The Caldwell County Schools are hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment facility with the following components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
This facility is located at the Collettsville Elementary School WWTP on NC Highway 90 in Caldwell
County.
2. Discharge from said treatment works at the location specified on the attached map into the Johns River,
currently classified C waters in hydrologic unit 03050101 of the Catawba River Basin.
0
Page 2 of 6

Permit NCO050075
A. (1) EFFLUENT LIMITATIONS AND MONITORING REA QUIR_ EMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored' by the Permittee as
specified below:
PARAMETER
ILIMITS
MONITORING REQUIREMENTS
Mo ithly
Daily
Measurement
Sample Type.
Sample
Average,
Maximum.
Frequency
Location
Flow
[50050]
0.010
MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (20°C)
3 0. 0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
[00310]
Total Suspended
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Solids
[C0530]
NH3 as N [C0610]
2/Month
Grab
Effluent
(April 1-
October 31)
Temperature (°C)
Weekly
Grab
Effluent
[000101
pH
> 6.0 and < 9.0
Weekly
Grab
Effluent
[00400]
standard units
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (2)].
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G. S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify
that, if a state does not establish a system to receive such submittals, then permittees.must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations
will be adopted and is beginning implementation.
NOTE: This special condition supplements or supersedes the following sections within Part 11 of this permit
(Standard Conditions for NPDES Permits):
o Section B. (11.)
o Section D. (2.)
• Section D. (6.)
Signatory Requirements
Reporting
Records Retention
Page 3 of 6

Permit NC0(
• Section E. (5.) Monitoring Reports 00tiOn ? `5.)
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)]
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and
submit DMRs electronically using the internet. Until such time that the state's eDMR application is
compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer -printed eDMR to the following address: .
NC DENR / Division of Water Resources / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.nedenr.or web/wq/adinin/bog/ipu/ednu
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (11.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (I 1.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the
following web page:
Page 4 of 6

Permit NC0050075
portal.ncdonr.or web/wq/admih/bog%i u/p edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
7 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualifiedpersonnelproperly gather and .
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties foe
submitting false information, including the possibility offines and imprisonment for knowing violations. "
3. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41J.
Page 5 of 6

Caldwell County Schools
Collettsville Elementary School
County: Caldwell Stream Class: C
Receiving Stream: Johns River Sub -Basin: 030831
�d�

NPDES Permit Standard Conditions
Page 1 of 18
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established or operating mode for the facility.
Calendar Day
The period from midnight of one day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
Version 1110912011.1

NPDES Permit Standard
P
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour p
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWR or "the Division"
The Division of Water Resources, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
Version 1110912011.1

NPDES Permit Standard Conditions
Page 3 of 18
Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority
The Director of the Division of Water Resources.
Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe propegy damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.41].
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
Version 1110912011.1

fI
e.
NPDES Permit Standard
F
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act. Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class II violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class II penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part II.C.4), "Upsets" (Part II.C.5) and "Power Failures"
(Part II.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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abili
lty
_ "- rrovisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 15013-231.
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duly to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to -discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director. (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Si ng atory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmental laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.221
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accura
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.22]
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility offines and imprisonment for knowing violations. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 02H .0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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S) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class H, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse i
the Permit Issuing Authority determines that it will meet the three conditions listed above in Pa.ub.ur....
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.4 1 (n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. MonitorinjZ and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.410)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
3. Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
5. Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40 CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall recora the
following information [40 CFR 122.41]:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment (including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215. 1 (b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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toring Reports
,mwin oring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41VR1+)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reoccurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
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Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certificanon in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that primarily collect or treat municipal or domestic wastewater and have
an average annual flow greater than 200,000 gallons per day shall provide an annual report to the Permit Issuing
Authority and to the users/customers served by the Permittee (NCGS 143-215.IC). The report shall summarize the
performance of the collection or treatment system, as well as the extent to which the facility was compliant with
applicable Federal or State laws, regulations and rules pertaining to water quality. The report shall be provided no
later than sixty days after the end of the calendar or fiscal year, depending upon which annual period is used for
evaluation.
The report shall be sent to:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the plant's treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215.1(a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharses of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels';
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit. The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and 0) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes, regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [I 5A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
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A must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
1. Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
2. Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5.0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
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With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permit
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.440)(2)]
This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.440)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part II or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [I 5A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.440)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years, and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(f)(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 02H .0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
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ceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
5. Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. These
permits shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a current Allocation Table (AT) which summarizes the results of the HWA and the limits
from all IUPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity .of the POTW as
determined by the HWA. [15A NCAC 02H .0906(b)(6), .0909, .0916, and .0917; 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct (AtC)
The Permittee shall ensure that an Authorization to. Construct permit (AtC) is issued to all applicable Industrial
Users for the .construction or modification of any pretreatment facility. Prior to the issuance of an AtC, the
proposed pretreatment facility and treatment process must be: evaluated for its capacity to comply with all
IndusMal User Pretreatment. Permit (IUP) limitations. [15A,NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)]
7. POTW Inspection &. Monitoring of their IUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment programin order to determine, independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [ 15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect, all Significant Industrial Users (SIUs) at least once per calendar year;
b.. Sample all Significant Industrial. Users (SIUs) at least once per calendar year for all SIU permit -limited
parameters including, flow .except as allowed under 15A NCAC .0908(e); and,
c. At least once per year,: document an evaluation of any non -significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
8. IU Self Monitoringand nd Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's .pretreatment permit, or in 1.5A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.440)(2) and 40 CFR 40312]
9. Enforcement Response Plan (ERP)
The Permittee shall enforce and obtain_ appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et. seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other;, shall be consistent with ,the Enforcement Response
Plan (ERP) approved by the Division. [15A NCAC 02H .0903(b)(7), .0906(b)(8) and .0905; 40 CFR 403..8(f)(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC 02H .0904 (b) may be required to submit, a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the. Permittee shall submit two copies' of a. Pretreatment Annual Report
(PAR) describing its pretreatment activities over the previous calendar year to the Division at the following
address:
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NC DENR / Division of Water Resources / Water Quality Permitting Section
Pretreatment; Emergency Response, and Collection Systems '(PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken, or proposed, bythe Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the Division;
c. Significant Non -Compliance Report (SNCR)
A list of Industrial Users (lUs) in significant _noncompliance (SNC) with pretreatment requirements, and the,
nature of the violations on forms or in a format provided by the Division;
d. Industrial Data Sum. inga Forms (ID.SF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SIUs). These
analytical results must be reported on ..Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division
e. Other Information
Copies of the POTW's allocation table, new or modified, enforcement compliance schedules; public notice of
lUs in SNC, a summary of data or other information related to. significant noncompliance determinations for
IUs that are not considered SLUs, and any other information, upon request, which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice
The Permittee shall publish annually a list of Industrial Users (IUs) that were in significant noncompliance (SNC)
as defined in the Permitte&s Division -approved Sewer Use Ordinance with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month period. [1'5A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .0905; 40. CFR 403,8(f)(3); 403.9(b)(3)]
14. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to. local limits modifications, POTW
monitoring of 'their Significant Industrial Users (SIUs), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC '02H .0114 and 15A NCAC 02H .0907.
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BILE
14CUENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild; P.E. John E. Skvarla III
Director Secretary
February 5, 2013
Jeff Church
Caldwell County Schools
1914 Hickory Blvd
Lenoir NC 28645
SUBJECT: Compliance Sampling Inspection
Collettsville. Elementary School
Permit No: NCO050075
Caldwell County
Dear Mr. Church:
On January 16, 2013 a Compliance Sampling Inspection was performed at the subject
wastewater facility. Present during the inspection were Kathy Jimison, with the Division of Water
Quality, Steve Suit with Caldwell County, John Younce and John Gragg with Water Tech Labs.
The facility was found to be Compliant with permit NC0050075. Please refer to the enclosed
inspection report for additional observations and comments. If you or your staff have any
questions, please call me at 828-296-4500.
Sincerely,
y�
Linda Wiggs
Environmental Senior Specialist
Asheville Regional Office
Enclosure
cc: Central Files
Water Tech Labs, John Gragg
PO Box 1056
Granite Falls, NC 28630
S:\SWP\Caldwell\WastewaterWlinors\Collettsville Elementary School 50075\CSI.Ltr.Jan2013.doc
SURFACE WATER PROTECTION—ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone]\FAX: [phone]
Internet: www.ncwaterguality.org
NorthCarolina
NaAmally

United States Environmental Protection Agency Form Approved.
D n Washington, D.C. 20460 OMB No. 2040-0057
Water Complianrp /`1 Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yUmo/day Inspection Type Inspector Fac Type
1 INI 2 15I 31 NCO050075 111 121 13/01/16 117 18I S I 19I S I 20III
Remarks
2111111111IIIIIIII II_II I I I I I I I I I I I I I I I I I I I I IIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -----------Reserved----------
67I 169 70131 711 I 721 N I 73I I 174 751 I I I I I I 180
Section B: Facility Data �u
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)
Collettsville Elementary School
11:30 AM 13/01/16 10/03/01
4690 Collettsville School Exit Time/Date Permit Expiration Date
Collettsville NC 28611 12:05 PM 13/01/16 15/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
Name, Address of Responsible OfficiallTitle/Phone and Fax Number
Contacted
Jeff Church,1914 Hickory Blvd Lenoir NC 28645//828-728-8407/8287280012 Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance 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
Linda S Wiggs w ARO WQ//828-29674500 Ext.4653/
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 NC0050075 111 12, 13/01/16 117 18IS
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Effluent samples were obtained. pH 7.1 s.u., BOD 9.3 mg/I, TSS 13 mg/I.
No concerns with WWTP or receiving waters were noted during the inspection.
Page # 2

Permit: NCO050075
on Date: 01/16/2013
operations & Maintenance -
Owner - Facility: Collettsville Elementary School
Inspection Type: Compliance Sampling
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 ■ ❑ ❑ n
Judge, and other that are applicable?
Comment: Pumps are checked — 3 months for maintenance problems.
(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:
M__ c--____,-
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment:
Aeration Basins
Mode of operation
Type of aeration system
Is -the -basin -free of-dead-spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Yes No NA NE
Yes No NA NE
Ext. Air
Diffused
■❑-❑n
--
nn■n
■nnn
■
❑
❑
❑
■nnn
■nnn
■nnn
Page # 3,

Permit: NCO050075
Inspection Date: 01/16/2013
Aeration Basins
Owner - Facility: Collettsville Elementary School
Inspection Type: Compliance Sampling
Comment: DO between 0.6-0.8 mg/I
Primary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the sludge blanket level acceptable?
Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth) .
Comment: The blanket was getting high. ORC believed it -was due to pH adjustments
recently made.
Sludge is brought to Lower Crk WWTP when removed.
Yes No NA NE
Page # 4

COUNTY J
RIVER BASIN:
REPORT TO 0
Regional Office
Other :
COLLECTOR(S) : _ [� i to A I C ,—,
Estimated BOD Range:
Seed:
f
Chlorinated:
DIVISION OF WATER QUALITY
Chemistry Laboratory Report/ Water Quality
PRIORITY SAMPLE TYPE
,� AMBIENT ❑ QA STREAM FEFFLUENT
5 COMPLIANCE a CHAIN OF CUSTODY LAKE ❑'�
1INFLUENT
❑EMERGENCY VISIT ID ESTUARY
Station Location:
Remarks:
Date�BenQn (37/ r/dd) I Date End (y//mm/dd) I Time Begin I Time End I Depth - DM, DB, DBM I Value Type -,A, H, L
BOD 3 10 mg/L
COD High 340 mg/L
COD Low 335 mg/L
Coliform: MF Fecal 31616 /100ml
Coliform: MF Total 31504 / 100 ml
Coliform: tube Fecal 31615 /100ml
Coliform: Fecal Strep 31673 /100ml
Residue: Total 500 mg/L
Volatile 505 mg/L
Fixed 510 mg/L
Residue: Suspended 530 mg/L
Volatile 535 mg/L
Fixed 540 mg/L
PH 403 units
Acidity to pH 4.5 436 mg/L
Acidity to pH 8.3 435 mg/L
Alkalinity to pH 8.3 415 mg/L
Alkalinity to pH 4.5 410 mg/L
TOC 680 mg/L
Turbidity 76 NTU
Coliform Total Tube /100 ml
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option ug/L
Color: True 80 C.U.
Color: (pH) 83 pH= C.U.
Color: pH 7.6 82 C.U.
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease and Oils 556 mg/L
Hardness Total900 mg/L
Specific Cond. 95 umhos/cm
MBAS 38260 mg/L
Phenols 32730 ug/L
Sulfate 945 mg/L
Sulfide 745 mg/L
Boron
Tannin & Ligroin ug/L
Hexavalent Chromium ug/L
Bicarbonate mg/L
Carbonate mg/L
Total Dissolved Solids mg/L
COMMENTS:
NH3 as N 610 mg/L
TKN an N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 70507 mg/L
P: Dissolved as P 666 mg/L
K-Potassium mg/L
Cd-Cadmium 1027 ug/L
Cr-Chromium:Total 1034 ug/L
Cu-Copper 1042 ug/L
Ni-Nickel 1067 ttg/L
Pb- Lead 1051 ug/L
Zn-Zinc 1092 ug/L
V-Vanadium ug/L
Ag-Silver 1077 ug/L
AI -Aluminum 1105 ug/L
Be -Beryllium 1012 ug/L
Ca- Calcium 916 mg/L
Co -Cobalt 1037 ug/L
Fe- Iron 1045 ug/L
Mo-Molybdenum ug/L
Sb-Antimony ug/L
Sn-Tin ug/L
TI-Thallium ug/L
Ti-Titanium ug/L
Hg-1631 ng/L
Lab Number
J l
Date Received
: f(Jf(J•
Time Received
�'
Received BY'
i/ j�•�
Data Released :
Date Reported:
Composite-T, S, B I Sample Type
Li -Lithium 1132 ug/L
Mg- Magnesium 927 mg/L
Mn-Manganese 1055 ug/L
Na- Sodium 929 mg/L
Afsenic:Total 1002 ug/L
Se -Selenium 1147 ug/L
Hg- Mercury 71900 ug/L
Ba-Barium ug/L
Organochlorine Pesticides
Organophosphorus Pesticides
Organonitrogen Pesticides
.Acid Herbicides
Base/Neutral&Acid Extractable Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPWBTEX Gasoline Range
Phytoplankton
Temperature on arrival (°C):

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspertion 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
c I 201 I
1 I N j 2 1 s 1 31 NCO050075 111 121 13/01/13 117 181 S I 191 U
�J U U
Remarks
21I1IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------------Reserved -------- —------ ---
67I 169 70 U 71 LI 72 U N ( 73 74 751 I I I I I 11 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)
01:30 PM 13/01/13
10/03/01
Collettsville Elementary School
Exit Time/Date
Permit Expiration Date
4690 Collettsville School
Collettsville NC 28611
02:30 PM 13/01/13
15/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Officiallfitle/Phone and Fax Number �' �S'^ ` 1, w, •'.
Contacted
Jeff Church,1914 Hickory Blvd L•'enoir NC 28645//828-728-8407/828728001'2'" ""` No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance 0 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
Linda S Wiggs ARO WQH828-296-4500 Ext.4653/
Signature of Management Q A Reviewer ' ' g g j .;,: . AgehCy/Oi ce/Pti'orie and Fax Numbers _ Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO050075 I11 12I 13/01/13 117 1111S
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
cue 4m---Ir
Page # 2

Permit: NCO050075
Inspection Date: 01/13/2013
Owner - Facility: Collettsville Elementary School
Inspection Type: Compliance Sampling
40 �45 k-
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:
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? ;V
❑
Cl
❑
❑
Is access to the plant site restricted to the general public?
%
❑
Cl
❑
❑
Is the inspector granted access to all areas for inspection?
/
❑
❑
❑
❑
Comment:
Bar Screens
Yes
No
NA
NE
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment: /
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
❑
❑
C=:, ��
` Yes No NA NE
Are surface aerators and mixers operational?
❑
❑
❑
❑
Are the diffusers operational? 16-011
❑
❑
❑
❑
Is the foam the proper color for the treatment process?
❑
❑
❑
❑
Does the foam cover less than 25% of the basin's surface? C
❑
❑
❑
❑
Is the DO level acceptable? ,'
61VI2L�
Y gip, . ���a��rtrt
❑
❑
❑
❑
Is the DO level acceptable?0 to 3.0 mg/1)_
„y.� /,C-�?�—` ��
1300
❑
Page # 3

Permit: NC0050075
Inspection Date: 01/13/2013
Aeration Basins
Comment:
Primary Clarifier
Is the clarifier free of black and odorous wastewater?
Owner - Facility: Collettsville Elementary School
inspection Type: Compliance Sampling
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge? y
Is the drive unit operational?
Is the sludge blanket level acceptable? �-�o -v✓� G �/�/ r�',
Is the sludge blanket level acceptable? (Approximately'/4 of the sidewall depth)
Comment:
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free,of ponding?
Is the sand filter effluent -re -circulated at_a-Galid ratio?
# Is the sand filter,surface free`of.algae or excessive vegetation?
# Is the sand filter effluent re -circulated at -a valid ratio? (Approximately 3 to 1)
Comment:
U
Yes No NA NE
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nnnn
❑ ❑ ❑ Cl
❑❑❑n
nnn❑
nn❑❑
❑❑❑❑
Yes No NA NE
❑❑❑❑
❑❑❑❑
nnnn
nnnn
❑ ❑ ❑ ❑
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Page # 4
—,�/Y Ik-:--7 IV

d
Permit NC0050075
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 included herein.
The Caldwell County Schools are hereby authorized to:
1. Continue to operate an existing 0.010 MGD wastewater treatment facility with the following
components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
This facility is located at the Collettsville Elementary School WWTP on NC Highway 90 in
Caldwell County.
2. Discharge from said treatment works at the location specified on the attached map into the Johns
.River, currently classified C waters in hydrologic unit 03050101 of the Catawba River Basin.

ccnncnn-��Ttiuua.�_'_.:.._�Perinit1VC0050075
....
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and monitored by
the Permittee as specified below:
PARAMETER ° �
=_
-
- :. -LIMITS;
MONITORING REQUIREMENTS "
Monthly
Average
Daily ' .`
Mazimum ..'
Measurement
Fre uenc
" Sample Type
Sample Location .":.
Flow
0.010 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N
2/Month
Grab
Effluent
Temperature (°C)
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 01/14/13 Page: 1 of 1
Permit: nc0050075
: MRs Between.. 1-2010 and 1 2013 Region: % ='
Violation Category: %4'
--_
°Program Category: %
Facility Name: % a
tY
- ,
Param Name: % - � - - �_� County: %
� Subbasin: % �
_
� Vidlation Action:
Major Minor: %
--
-- _
PERMIT: NCO050075
FACILITY: Caldwell County Schools-Mollettsville Elementary
COUNTY: Caldwell
REGION: Asheville
School
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT VALUE % OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
01 -2010
001
Effluent BOD, 5-Day (20 Deg. C) -
01/19/10
Weekly
mg/I
45 56.8 26.22
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
01 -2010
001
Effluent Solids, Total Suspended -
01/19/10
Weekly
mg/I
45 58.7 30.44
Daily Maximum Exceeded
Proceed to
Concentration
Enforcement Case
IL

Wiggs, Linda
From: Gregory, Sonia
Sent: Tuesday, January 13, 2015 3:16 PM
To: Wiggs, Linda
Subject: RE: Draft permit review for NCO050075
Agreed. Possibly monitor NH3 May 1st- Sept. 31?
Thank you for the comments. I will make these changes.
Sonia Gregory
Compliance and Expedited Unit, Environmental Specialist
Mailing Address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Phone: [phone]
sonia.gregorV(a�ncdenr.gov
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.
From: Wiggs, Linda
Sent: Tuesday, January 13, 2015 1:13 PM
To: Gregory, Sonia
Subject: RE: Draft permit review for NCO050075
Hi Sonya,
See the attached for comments also.
My comments/questions are basically around the NH3. We are not going to give them a NH3 limit right? Just monitor for
NH3. The draft effluent table is listing NH3 as (November -March). If we are going to have them monitor NH3 at a
reduced rate, that is acceptable, but the summer months would be a more meaningful timeframe to monitor.
What do you think?
[e-mail]
Environmental Senior Specialist
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Resources - Water Quality Regional Operations
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Link to Division of Water Resources Home Page
http://Porta1.ncdenr.org/web/­wq
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: Gregory, Sonia
Sent: Monday, January 12, 2015 5:10 PM
To: Wiggs, Linda
Subject: Draft permit review for NCO050075

This is for class WW-2 facility in Caldwell County. Please sent comments by February 13th. Thank You.
Sonia Gregory
Compliance and Expedited Unit, Environmental Specialist
Mailing Address: 1617 Mail Service Center, Raleigh, NC 27699-1617
Phone: [phone]
sonia.gregory(a�ncdenr.gov
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.

Permit NCO050075
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended, the
Caldwell County Schools
are hereby authorized to discharge wastewater from a facility located at the
Collettsville Elementary School WWTP
NC Highway 90
Collettsville
Caldwell County
to receiving waters designated as the Johns River in subbasin 03-08-31 of the Catawba River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I,
II, III and IV hereof.
This permit shall become effective
This permit and authorization to discharge shall expire at midnight on February 29, 2020.
Signed this day
Thomas A. Reeder, Director
Division of Water Quality
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0050075
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 included herein.
The Caldwell County Schools are hereby authorized to:
1. Continue to `operate an existing 0.010 MGD wastewater treatment facility with the following components:
♦ Influent bar screen
♦ Aeration basin
♦ Secondary clarifier
This facility is located at the Collettsville Elementary School WWTP on NC Highway 90 in Caldwell
County.
2. Discharge from said treatment works at the location specified on the attached map into the Johns River,
currently classified C waters in hydrologic unit 03050101 of the Catawba River Basin.
Page 2 of 6

Permit NCO050075
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge from outfall 001. Such discharges shall be limited and monitored' by the Permittee as
specified below:
PARAMETER
LIMITS
MONITORING REQUIREMENTS
;Monthly
Daily
Measureme
Sample
Sample Location
Average
Maximum
nt
Type
Frequency
°
Flow
0.010 MGD
Weekly
Instantaneou
Influent or Effluent
[50050]
s
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
[00310]
Total Suspended
3 0. 0 mg/L
45.0-mg/L
Weekly
Grab
Effluent
Solids
[00530]
NH3 as N [006101
2/Month
Grab
Effluent
(November 1-
March 31)
Temperature (°C)
Weekly
Grab
Effluent
[000101
pH
> 6.0 and < 9.0 standard
Weekly
Grab
Effluent
[00400]
units
Footnotes:
1. No later than 270 days from the effective date of this permit, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (2)].
2. The facility shall report all effluent TRC values reported by a NC certified laboratory including field certified. However,
effluent values < 50 µg/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[G.S. 143-215.1(b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and specify
that, if a state does not establish a system to receive such submittals, then permittees must submit DMRs
electronically to the Environmental Protection Agency (EPA). The Division anticipates that these regulations
will be adopted and is beginning implementation.
NOTE: This special condition supplements or supersedes the following sections within Part 11 of this permit
(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
Page 3 of 6

Permit NC0050075
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin reporting
discharge monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and
submit DMRs electronically using the internet. Until such time that the state's eDMR application is
compliant with EPA's Cross -Media Electronic Reporting Regulation (CROMERR), permittees will be
required to submit all discharge monitoring data to the state electronically using eDMR and will be required
to complete the eDMR submission by printing, signing, and submitting one signed original and a copy of the
computer -printed eDMR to the following address:
NC DENR / Division of Water Resources / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge
monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by
the Director. Duplicate signed copies shall be submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be submitted in
writing to the Division for written approval at least sixty (60) days prior to the date the facility would be
required under this permit to begin using eDMR. Temporary waivers shall be valid for twelve (12) months
and shall thereupon expire. At such time, DMRs shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary waiver by the Division.
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.iiedenr.org/web/wq/adi-niii/bog/ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Sil4natory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (I 1.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (I 1.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Page 4 of 6

Permit NCO050075
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the
following web page:
http://poi-tal.iiedeni-.org/web/wq/adi-niii/bog/ipu/edmr
Certification. Any person submitting an electronic.DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualifiedpersonnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations. "
3. Records Retention [Supplements Section D. (6.)]
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time [40 CFR 122.41].
Page 5 of 6

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Caldwell County Schools
Collettsville Elementary School
County: Caldwell Stream Class: C
Receiving Stream: Johns River Sub -Basin: 030831
Latitude: 35' 55' 28" Grid/Quad: D12NW
Longitude: 81a 40' 25"

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
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).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Sonia Gregory 1/14/2015
Permit Number
NC0050075
Facility Name
Collettsville Elementary School WWTP
Basin Name/Sub-basin number
03-08-31
Receiving Stream
Johns River
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
yes
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
None
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
No.
Any permit modifications since last permit?
None.
New expiration date
2/29/2020
Comments on Draft Permit
➢ Added eDMR requirements
➢ Added parameter codes
➢ Added citations
Most Commonly Used Expedited Language:
0 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/L will be treated as zero for
compliance purposes."
This page has been printed on scrap paper to save money and reduce our
program's environmental impact. Disregard any content on the back of
this page.

NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Dr. Jeff Church
Caldwell County Schools
1914 Hickory Blvd., SW
Lenoir, N.0 28645
Dear Dr. Church:
Donald van der Vaart
Secretary
January 14, 2015
Subject: Draft NPDES Permit NCO050075
Collettsville Elementary School
WWTP Class WW-2
Caldwell County
The Division has reviewed your request to renew the subject permit. Please review this draft carefully to
ensure your thorough understanding of the information, conditions, and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
➢ Section A. (2) has been added to require electronic submission of effluent data. Proposed Federal
regulations require electronic submittal of all discharge monitoring reports (DMRs). The
proposed regulations specify that if a state does not establish a system to receive such submittals
permittees must submit DMRs electronically to the Environmental Protection Agency (EPA).
➢ Parameter codes have been added to section A. (1) to simplify data entry on DMR forms.
➢ Citations have been added to A.(1) and A.(2)
With this notification, the Division will solicit public comment on this draft permit by publishing a notice
in newspapers having circulation in the general Caldwell County area, per EPA requirements. Please
provide your comments, if any, to me no later than 30 days after receiving this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft, please
contact me at 919-807-6333, or contact me via e-mail at [e-mail]
Sincerely,
Sonia Gregory
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-63001 Fax: [phone]/Customer Service: 1-877-623-6748
Intemet:: www.ncwater.org
An Equal OpportunityxAffirmative Action Employer

1.ittel
BOD, 5-day (20°C)
Total Suspended Solids
NH3 as N
[—Temperature (0Q
mid,
0.010 MGD,
30.0 mg/L 45.0 mg/L
30.0 mg/L 45.0 mg/L
�—�6O and �:��9.0 standard Tunits
=-2=�
Weekly
Instantaneous
Influent or Effluent
Weekly
Grab
Effluent
Weekly
Grab
Effluent
2/Month
Grab
Effluent
Weekly
Grab
Effluent
Weekly
Grab
Effluent
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

CALDWELL COUNTY SCHOOLS
1914 HICKORY BOULEVARD, SW
LENOIR, NC 28645
September 15, 2014
Mr. Wren Thedford
NCDENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mr. Thedford:
RECEIVEDIDENRIDWI
SEP Z 2 2014
Water Quality
Permitting Section
Please accept this letter as a request for renewal of the Collettesville Elementary School
Wastewater Treatment Plant NPDES Permit #NC0050075 (Caldwell County).
There have been no operational or design changes at the facility since the issuance of the
last permit.
Sincerely,
Dr. Jeff Church
Assistant Superintendent
Auxiliary Services
RECEIVE®
bhrision of water Resources
OCT - 3 2014
Water QuaMty Regional operations
Asheville Regional Office

NPDES APPLICATION - FORM D
privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO050075
If you are completing this form in computer use the TAB key or the up - down arrows to moue 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
Caldwell County Schools
Facility Name
Collettesville Elementary School
Mailing Address
1914 Hickory Boulevard SW
City
Lenoir
State / Zip Code
North Carolina 28645
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 4690 Collettesville School Road
City
Collettesville
State / Zip Code
North Carolina 28611
County
Caldwell
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Dr. Jeff Church, Caldwell County Schools
Mailing Address 1914 Hickory Boulevard SW
City Lenoir.
State / Zip Code North Carolina 28645
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3
Form-D 11 /12

NPDES APPLICATION - FORM D
privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
iption of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
®
Number of Students/Staff 391
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
100% Domestic
Number of persons served: 391
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Johns River in Catawba River Basin
S. Frequency of Discharge:
If intermittent:
Days per week discharge occurs;
Continuous ❑ Intermittent
Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
- Bar Screen - Manual
- Activated sludge aeration basin - 10, 000 gal
- Clarifier with air lift sludge return & skimmer
- Wet well with 2 alternating effluent pumps - 500 gal
- Design removal: BOD 85%
TSS 85%
Nitrogen None
Phosphorus None
2of3
Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.010 MGD
Annual Average daily flow 0.002 MGD (for the previous 3 years)
Maximum daily flow 0.003 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average
over the past 36 months for parameters currentlu in uour permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
32.9
5.5
mg/L
Fecal Coliform
N/A
Total Suspended Solids
42
14.3
mg/L
Temperature (Summer)
25
22
co
Temperature (Winter)
10
7.5
co
pH
7.2
6.8
SU's
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO050075
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed nam(f of Person Signing
pplicant
tle
to
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 11/12

Sludge Management Plan
For: Collettesville Elementary School Wastewater Treatment Plant
NPDES Pen -nit #NC0050075 (Caldwell County)
Date: 9-15-14
The waste sludge produced at the treatment facility is removed directly from the basins
by Bumgarner Septic Service of Lenoir, NC (Caldwell County — License #NCS00829) and
discharged into the City of Lenoir (Caldwell County) sewage collection system/Lower Creek
WWTP.
By: Dr. Jeff Church
Assistant Superintendent
Auxiliary Services

Pat McCrory
Governor
NC®ENR
North Carolina Department of Environment and Natural Resources
September 29, 2014
Jeffi-ey R. Church, Assistant Superintendent
Caldwell County Schools
Collettesville Elementary Schools
1914 Hickory Blvd., SW
Lenoir, NC 28645
Dear Mr. Church:
John E. Skvarla, III
Secretary
Subject: Acknowledgement of Permit Renewal
Permit NCO050075
Caldwell County
The NPDES Unit received your permit renewal application on September 22, 2014. 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 Joe
Corporon [phone].
Sincerely,
W rre v Tltieofo-ro�
Wren Thedford
Wastewater Branch
cc: Central Files
he '1�1e Regiona Kfiee
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone:[phone] Fax: [phone]ICustomer Service: 1-877-623-6748
Internet:: www.ncwater.orq
F►ECEIVED
Division of Water Resources
OCT - 3 2014
Water Quality Regional Operations
Asheville Regional Office
An Equal OpportunitylAtfirmative Action Employer

NCDENR
North Carolina Department of Environment and Natural Resources.
ory
January 29, 2015
Thomas B. McRay, COO
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, 2015, 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 permitshall not be automatically transferable; a request must be made and
approved.
Condition 11.4: 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
wastewatercollection 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 150E 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.
2090 U.S. 70 Highway, Swannanoa, NC 28778
Phone: [phone]\ Internet: www.ncwaterguality.ore
An Equal opportunity\Affirmative 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 (828) 296-4
via e-mail at [e-mail].
Sincerely,
for S. 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_ Regio..nal:Offi.ce..F-,ilei s;
Water 11096i rc8- exit al-Fiies ,
PERCS (electronic copy)
G:\WR\WQ\Caldwell\Collection Systems\Collettsville Elem Collection System\Fast Track\WQ0037567 Collettsville Med Center.docx
Page 2 of 9

AaAmn,
.
NCDENR
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
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, Inca (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 1,500 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 Force 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
Page 3 of 9

SUPPLEMENT.TO PERMIT COVER SHEET
West Caldwell Health Council, Inc. is hereby authorized to:
Construct, and then operate upon certification the aforementioned wastewater collection ext� ... ,...
The sewage and wastewater collected by this system shall be treated in the Collettsville Elementary
Wastewater Treatment Facility in accordance with Permit Number NC0050075.
Permitting of this project does not constitute an acceptance of any part of the project that does not
meet 15A NCAC 2T; the Division's Gravity Sewer Minimum Design Criteria adopted February 12, 1996 as
applicable; and .the Division's Minimum Design Criteria for the Fast -Track Permitting of Pump Stations
and Force Mains adopted June 1, 2000 as applicable, unless specifically mentioned herein. Division
approval is based on acceptance of the certification provided by a North Carolina -licensed Professional
Engineer in the application. It shall be the Permittee's-responsibility to ensure that the as -constructed
project meets the appropriate design criteria and rules. .
Construction and operation is contingent upon compliance with the Standard Conditions and any Special
Conditions identified below. .
SPECIAL CONDITIONS
1. This,permit shall become voidable unless the agreement between West Caldwell Health Council, Inc.
and The Collettsville Elementary Wastewater Treatment Facility for the collection and final
treatment.of wastewater is in full force and effect. [15A NCAC 02T.0304(h)]
2. Each pump station shall be clearly and conspicuously posted using a weatherproof sign with a pump
station identifying name/number, 24-Hour Emergency telephone number, and name of the
owner/operator of the sewer system/pump station and instructions to call the number in the event
of alarm activation or other emergency. [15A NCAC 02T .0305(h)(2)]
II. STANDARD CONDITIONS
1. This permit shall not be transferable. In the event there is a desire for the wastewater collection
facilities to change ownership, or there is a name change of the Permittee, a formal permit request
shall be submitted to the Division accompanied by documentation from the -parties involved, and
other supporting materials as may be appropriate. The approval of this request shall be considered
on its merits and mayor may not be approved. [15A NCAC 02T.0104; G.S 143-215.1(d3)]
2. This permit shall become voidable unless'the wastewater collection facilities are constructed in
accordance with the conditions of this permit; 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 Force Mains adopted June 1, 2000 as applicable; and
other supporting materials unless specifically mentioned herein. [15A NCAC 02T.0110]
3. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data. [15A NCAC 02T .0110]
Page 4of9

wastewater collection facilities shall be properly maintained and operated at all times. The
ittee shall maintain compliance with an individual system -wide collection system permit for the
ition and maintenance of these facilities as required by 15A NCAC 2T .0403. If an individual
it is not required, the following performance criteria shall be met: [15A NCAC 02T .0108(b)]:
he sewer system shall be effectively maintained and operated at all times to prevent discharge
to land or surface waters, and to prevent any contravention of groundwater standards or
surface water standards.
b. A map of the sewer system shall be developed and shall be actively maintained.
c. An operation and maintenance plan including pump station inspection frequency, preventative
maintenance, schedule; spare -parts inventory and overflow response has been developed and
implemented. .
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days per year). Pump stations that are connected to a telemetry system shall be inspected
at least once per week.,
e. High -priority sewer lines shall be inspected at least once per every six -months and inspections
are documented.
f. A general observation of the entire sewer system shall be conducted at least once per year.
g. Overflows and bypasses shall be reported to the appropriate Division regional office in
accordance with 15A NCAC 2B .0506(a), and public notice shall be provided as required by North
Carolina General Statute §143-215.1C.
h. A Grease Control Program is in place as follows:
1. For public owned collection systems, the Grease Control Program. shall include at least
biannual distribution of educational materials for both commercial and residential users and
the legal means to require grease interceptors at existing establishments. The plan shall also
include legal means for inspections of the grease interceptors, enforcement for violators and
the legal means to control grease entering the system from other public and private satellite
sewer systems.
2. For privately owned collection systems, the Grease Control Program shall include at least bi-
annual distribution of grease education materials to users of the collection system by the
permittee or its representative.
3. Grease education materials shall be distributed more often than required in Parts (1) and (2)
of this Subparagraph if necessary to prevent grease -related sanitary sewer overflows.
i. Right-of-ways and easements shall be maintained in the full easement width for personnel and
equipment accessibility;
j. Documentation shall be kept for Subparagraphs (a) through (i) of this Rule for a minimum of
three years with exception of the map, which shall be maintained for the life of the system.
Page 5 of 9

5. The Permittee shall report by telephone to a water resources staff member at the Asheville.Regional
Office, telephone number [phone], as soon as possible, but in no case more than 24,
following the occurrence or first knowledge of the occurrence of either of the.following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility
incapable of adequate wastewater transport, such as mechanical or electrical failures of
pumps, line blockage or breakage, etc.; or
b. Any SSO and/or spill over 1,000 gallons; or
c. Any SSO and/or spill, regardless of volume, that reaches surface water
Voice mail messages or faxed information is permissible, but this shall not be considered as the
initial verbal report: Overflows and spills occurring outside normal business hours may also be
reported to the Division of Emergency Management at telephone number (800.) 858-0368 or (919)
733-3300. Persons reporting any of the above occurrences shall file a spill report by completing and
submitting Part I of Form CS-SSO (or the most current Division approved form) within five days
following first knowledge of the occurrence. This report must outline the. actions taken.or proposed
to be taken to ensure.that the problem does not recur. Part II of Form CS-SSO (or the most current
Division approved form) can also be completed to show that the SSO was beyond control. [G.S. 143-
215AC(a1)]
6. Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt service by.the existing utilities nor result in an overflow or bypass discharge of wastewater
to the surface waters of the State. [15A NCAC 02T.0108(b)]
7. Upon completion of construction and prior to operation of these permitted facilities, the completed
Engineering Certification form attached to this permit shall be submitted with the required
supporting documents to the address provided on the form. A complete certification is one where
the form is fully executed and the supporting documents are provided as applicable. Any
wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Engineer's Certification shall be considered a violation of the permit and shall subject.the
Permittee to appropriate enforcement actions.
If the permit is issued to a private entity with an Operational Agreement, then a copy of the
Articles of Incorporation, Declarations/Covenants/Restrictions, and Bylaws that have been
appropriately filed 'with the applicable County's Register of Deeds office shall be submitted with
the certification.
A complete certification is one where the form is fully executed and the supporting documents are
provided as applicable. Supporting documentation shall include the following:
a. One copy of the project construction record drawings (plan & profile views of sewer lines &
force mains) of the wastewatercollection system extension. Final record drawings should be
clear on the plans or on digital media (CD or DVD disk) and are defined as the design drawings
that are marked up or annotated with after construction information and show required buffers,
separation distances, material changes; etc.
b. One copy of the supporting applicable design calculations including pipe and pump sizing,
velocity, pump cycle times, and level control settings, pump station buoyancy, wet well storage,
surge protection, detention time in the wet well, and force main, ability to flush low points in
force mains with a pump cycle, and downstream sewer capacity analysis. If a portable power
Page 6 of 9

)urce or pump is dedicated to multiple stations, an evaluation of all the pump stations' storage
ipacities and the rotation schedule of the portable power source or pump, include travel
meframes, shall be provided.
hanges to the project that do not result in non-compliance with this permit,, regulations, or the
linimum Design Criteria should be clearly identified on the record drawings, on the certification
in the space provided, or in written summary form.
Prior to Certification (Final or Partial): Permit modifications are required for any changes resulting
in non-compliance with this permit (including pipe length increases of 10% or greater, increased
flow, pump station design capacity design increases of 5% or greater, and increases in the
number/type of connections), regulations, or the Minimum Design Criteria. Requested
modifications or variances to the Minimum Design Criteria will be reviewed on a case -by -case basis
and each on its own merit. Please note that variances to the Minimum Design Criteria should be
requested and approved during the permitting process prior to construction. After -construction
requests are discouraged by the Division and may not -be approved, thus requiring replacement or
repair prior to certification & activation. [15A NCAC 02T .0116]
8. Gravity sewers installed greater than ten percent below the minimum required slope per the
Division's Gravity Sewer Minimum Design Criteria shall not be acceptable and shall not.be certified
until corrected. If there Is an unforeseen obstacle in the field where all viable solutions have been
examined, a slope variance can be requested from the Division with firm supporting documentation.
This shall be done through a permit modification with fee. Such variance requests will be evaluated
on a case -by -case basis. Resolution of such request shall be evident prior to completing and
submitting the construction certification. [ 15A NCAC 02T.0105(n)]
9. A copy of the construction record drawings shall be maintained on file by the Permittee for the life
of the wastewater collection facilities. [15A NCAC 02T .0116]
10. Failure to abide by the conditions and limitations contained in this permit; 15A NCAC 2T; the
Division's Gravity Sewer Design Criteria adopted February 12, 1996 as applicable; the Division's
Minimum Design Criteria for the Fast -Track Permitting of Pump Station and Force Mains adopted
June 1, 2000 as applicable; and other, supporting materials may subject the Permittee to an
enforcement action by the Division, in accordance with North Carolina General Statutes §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. [15A
NCAC 02T .0104; 15A NCAC 02T .0108(b-c)]
11. In the event that the wastewater collection 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
facilities. [15A NCAC 02T .0110; 15A NCAC 02T .0108(b)]
12. The issuance of this permit shall not exempt the Permittee from complying with any and all statutes,
rules, regulations, or ordinances that may be imposed by the Division any other Federal, State, or.
Local government agencies which have jurisdiction or obtaining other permits which maybe required
by the Division or any other Federal, State, of Local government agencies. [G.S. 143-215.1(b)]
Page 7 of 9

FAST TRACK SEWER ENGINEERING CERTIFICATION
PERMITTEE:
PERMIT. #:
PROJECT:
ISSUE DATE:
WEST CALDWELL HEALTH COUNCIL, INC.
WQ0037567
COLLETTSVILLE MEDICAL CENTER
January 29, 2015
This project shall not be considered complete nor allowed to operate in accordance With Condition 7 of
this permit until the Division has received this Certification and all required supporting documentation.
It should be submitted in a manner that documents the Division's receipt. Send the required
documentation the Regional Supervisor, Water Quality Section at the address at the bottom.
Any wastewater flow made tributary to the wastewater collection system extension prior to completion
of this Certification shall be considered a.violation of the permit and shall subject the Permittee to
appropriate enforcement actions. The Permittee is responsible for tracking all partial certifications up
until a final certification is received. A Final Certification shall be a complete set of record drawings and
design calculations regardless of whether partials have been submitted.
PERNTTECS CERTIFICATION
I, the undersigned agent for the Permittee, hereby state that this project has been constructed pursuant
to the applicable standards & requirements, the Professional Engineer below has provided applicable
design/construction information to the Permittee, and the Permittee-is prepared to operate & maintain
the wastewater collection system permitted herein or portions thereof.
Printed Name, Title Signature Date
ENGINEERS CERTIFICATION
I, as a duly registered .Professional En *Weer in the State of North Carolina,
having been authorized to observe (❑ periodically, ❑ weekly, 'I] full time) the const"ructionof the
Collettsville Medical Center and location as referenced above for the above Permittee hereby state that,
to the best of my abilities, due care and diligence was used in the observation of the construction such
that the construction was observed to be built within substantial compliance of this permit; 15A NCAC
02T; the Division of Water Resources' (Division) 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 Force Mains adopted June 1, 2000 as applicable; and other supporting materials.
North Carolina Professional Engineer's Seal w/signature & date:
❑ Final ❑ Partial (include description)
Certification Comments/Qualifiers (attach if necessary):
NC DWR — Water Quality Section
Asheville Regional Office
2090 U.S. 70 Highway, Swannanoa, NC 28778
Phone: [phone] FAX: [phone]

b"
Division of Water Quality
Fast Track Application (FTA 12.12) for Sewer Systems— Review Checklist
Project Name: Cb 1 1,t4+SV +l 1t 11 14641 Cw 4 Preliminary Review Date:.
Project Number : , WQ0037567 515fo7 Final Review Date:
Reviewer L L
O� Application Pre -Review
Project is located in a County currently covered by the regional office _ �esONo
Application and supporting documentation submitte' tanA 1 Qy []No
One Original and One Copy t e OA�
o fitted? G.S. 143 21� 3D G M9,,,,tS � 0 es Lj1Vo
$480 is submitted and vp_.5jj� a WX4AI
to w�► �. _
' ion (FTA 12-12) N214 ONo
'er Section A of FTA` —r-- — es ONo
���/ ►nvenience. .andNeees _-. ovided O[]No
No
' _ --' — -
��__..a. tigreem'ents, signed an G�,.�(y U Yes ONo.
(if applicable)
Flow Tracking / Acceptance Form 7� es [--]No
Flow Tracking / Acceptance Planni �(� / []Yes ❑No
(if applicable)'
Site Map and Street Level Map (pe��7 ✓vO y eies []No
Stream Classifica SC, OYes []No
(must et _
PE CerAificatio plication _ ed, seal fed"by lv:
Applicant Ce ' is
Yes
sign dated (or lion letter is provided)
]No
es ONo
Permit o s i
xig• �xn ,
ew it Modifi
Does the require a pe the a
RVes [:]No
See 'tting by Regul 15A .1i >, 02T.0M3J for projects deemed permitted
VIV
Is the project eligr the Fast Tta , ogra .9E3Yes
[]No
Project not permitte the fast program
Requires.an En ental . sment per 15A NCAC 0 1 C .0408
Is an alternative s sure sewers, STEP systems, vacuum systems, etc.)
Is funded through th cture Finance Section
If the applicant is a private entity (private utility)
❑Yes [3No
Applicant has been designated as a public utility by the NC Utilities Commission
/
Has submitted a Certificate of Public Convenience and Necessity (CPCN)
or Letter from the Public Staff of the NC Utilities Commission (contact Central Office)
If the applicant is a private entity (Developer)
[]Yes [o
Has submitted an executed Operational Agreement (DEV 06-13)
If the applicant is a Homeowner's or Property Owner's Association:.
1.
OYes 5240
Has submitted an executed Operational Agreement (HOA 06-13)
and, Copy of the Articles of Incorporation, Declarations and By-laws
1

Wastewater Flow Information
Has the, wastewater flow volume been calculated correctly (section B.9 of FTA 12-12)? [/Yes
Flow is calculated per 15A NCAC 02T.0114
or
If daily design flow is not based on regulations ensure that the applicant has an approved flow reduction of
daily design flow rate on file with the Division.
or
If other than 2T.0114, values must be supported with flow data per 15A NCAC 021.0114(fl
(Contact Central Office)
Has submitted Flow Tracking/Acceptance Form (FTSE46l ,}4 El Yes ❑No
Proper certification per 15A NCAC .0106 (b) ❑Yes ❑No
Form is.dated within one year of receipt of application pat Qe CKYes ❑No
Is FTSB Planning Assessment Addendum Required? ❑Yes ZNo
Required only for projects where available pump station capacity is < 0.
Contact Central Office if needed
Additional forms (FTSE 06-13) required? ❑Yes PgNo
Required only if the owner of downstream sewer different then owner of WWTF
Design Information
Has a Stream Classification form been submitted (WSCAS 03-12) ❑Yes MN. (lv#)
Required if any portion of project is within 100 feet of any surface water or wetlands
If no, verify separation on submitted USGS. Topographic Map
Note, 15A NCAC..02T .0305 (fl contains minimum separations required for sewer
A variance is required if minimum separations cannot be avoided l
Has been signed, sealed, and dated by an N.C. PE ❑Yes PNo 1
Is Project design is in accordance with (see section B.13 of FTA 12-12) Yes ❑NoP-
15A NCAC 02T
Gravity Sewer Minimum Design Criteria (latest version)
Minimum Design Criteria for Permitting of Pump Stations and Force Mains (latest version)
If no, a variance approval is required per the requirements of 15A NCAC 02T.0105(b)
Applicant must submit TWO copies of the plans, specifications, and calculations
Contact the Central Office to discuss the variance request to determine a course of action. Variance approvals
are issued from the central office. If approved, the variance should be incorporated into the final permit
Project contains high priority lines (15A NCAC 02T .0402(2)) []Yes 14No
Contact the Central Office
Application Certification
Has a N.C. PE stamped, signed, and dated the application? Yes [:]No
PE with active license in North Carolina? EgYes ❑No
Check the NCBELS to ensure Engineer is currently registered to practice
NCBELS License Lookup
Applicant (Owner/Permittee) signature meets requirement of 15A NCAC .0106(b)? Ayes ❑No
If not, is a delegation letter provided, delegating authority? ❑Yes ❑No
If the owner is a corporation, is the corporation registered in N.C.? ❑Yes $ f No
N.C. Secretary of State (Corporation Search)
2

RECEIVED State of North Carolina
Division of Water Resources D partment of Environment and Natural Resources
Division of Water Resources
­
J A N 2 3 2015 FAST -TRACK APPLICATION (FTA 10-14)
of Water Resource for GRA TY SEWERS, PUMP STATIONS, AND FORCE MAINS
General —When submitting pW06ri'plea se-the4ollowing instructions as a checklist in order to ensure
-all required items are submitted. Adherence to these instructions and checking the provided boxes will help
produce a quicker review time and reduce the amount of requested additional information.
For more information, visit the Surface Water Section's Collection Systems website or;
contact the Regional Office serving your county
Unless otherwise noted the Applicant shall submit one original and one copy of the application and supporting
documentation to the appropriate Regional Office (see page 3).
A. Cover Letter:
® Include�a,,bnef,protect narrative describing. the tina�,design (i a system ana�or;pump:station eto�uitimateiy
serve 500 homesbut flow for only,100 homesbemgyrequested�now) ; For modifications, clearly explain
the reason for the modification (i.e. adding another phase, changing line size, length, etc).
B. Application Form (FTA 10-14):
® Submit the completed and appropriately executed Fast -Track (FTA 10-14) Application. Any unauthorized
content changes to this form shall result in the application being returned. If necessary for clarity or due
to space restrictions, attachment to the application may be made, as long as the attachments are
-numbered to correspond to the section and item to which they refer. You do not need to submit detailed
plans and specifications unless you respond NO to item B(13).
® The Professional Engineer's Certification of the application shall be signed, sealed and dated by a North
Carolina licensed Professional Engineer.
® The Applicant's Certification of the application shall be signed in accordance with 15A NCAC 02T
.0106(b). Per 15A NCAC 02T .0106(c), an alternate person maybe designated as the signing official if
a delegation letter is provided from a person who meets the criteria in 15A NCAC 02T .0106(b).
C. Application Fee:
® Submit a check in the amount of $480 to: North Carolina Department of Environment and Natural
Resources (NCDENR).
➢ Checks shall be dated within 90 days of application submittal.
D. . Certificate of Public Convenience and Necessity (For Privately -Owned Public Utilities Only):
❑ Per 15A NCAC 02T .0115(a)(1), provide two copies of the Certificate of Public Convenience and
Necessity from the North Carolina Utilities Commission demonstrating the Applicant is authorized to hold
the utility franchise for the area to be served by the sewer extension, or
❑ Provide two copies of a letter from the North Carolina Utilities Commission's Water and Sewer Division
Public Staff stating an application for a franchise has been received and that the service area is
contiguous to an existing franchised area or that franchise approval is expected.
❑ The project name in the CPCN or letter must match that provided in Item A(2)a of this application.
E. Operational Agreements (For Home/Property Owners' Associations and Developers of lots to be sold):
➢ Home/Property Owners' Associations
❑ Per 15A NCAC 02T .0115(c), submit the properly executed Operational Agreement (HOA 08-13).
❑ Per 15A NCAC 02T .0115(c), submit a copy of the Articles of Incorporation, Declarations and By-laws.
➢ Developers of lots to be sold
❑ Per _15A NCAC 02T .0115(b), submit the properly executed Operational Agreement (DEV 08-13).
Even if the project may be turned over to a municipality upon completion, Form DEV 08:13 is required.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 1 of 6

stream Sewer, WWTF Capacity and Flow Tracking/Acceptance Form (FTSE 08-13)
Submit the completed and appropriately executed Flow Tracking/Acceptance for Sewer Extension Permit
(FTSE 08-13) Form for all applications.
➢ The applicant (and owners of downstream sewers, pump stations and/or treatment facilities submitting
form FTSE 08-13 certifies that the addition of the volume of wastewater to be permitted in this project
has been evaluated along the route to the receiving treatment plant, and that the flow from this project
will not cause capacity related sanitary sewer overflows or overburden any downstream pump station en
route to the receiving wastewater treatment plant.
➢ Where the applicant is not the owner of the downstream sewer, submit two copies of form FTSE 08-13
from the owner of the downstream sewer and owner of the WWTF, if different.
➢ The flow acceptance indicated in form FTSE 08-13 must not expire prior to permit issuance and must be
dated less than one year prior to the application date.
➢ Submittal of this application and form FTSE 08-13 indicates that owner has adequate capacity
and will not violate G.S. 143-215.67(a).
➢ Intergovernmental agreements or other contracts will not be accepted in lieu of a project -specific
FTSE 08-13.
G. Sit(
lo
The location of the sewer line and pump stations and be of reproducible quality.
Downstream connection points and the permit number for the receiving sewer (if known)
Pump Station Locations and the longitude and latitude for each pump station (if applicable)
Incl:"ude a treetaevel map showing all relevanf p�o�ect_areas.
H. Stream Classification (WSCAS 08-13)
❑ Submit the completed and appropriately executed Watershed Classification Attachment form
(WSCAS 08-13) if any portion of the sewer system project is within 100 feet of any surface water or
wetlands.
➢ A variance must be requested for encroachment within required setbacks or buffers pursuant to 15A
NCAC 02T,.0305(f)
I. Environmental Assessments (Projects subject to an Environmental Assessment (EA)):
➢ Projects involving an Environmental Assessment per 15A NCAC 01 C .0408, must be submitted for a full
technical review and must be submitted to the PERCS Unit on application forms provided by the Division.
Alternative Sewer Systems
➢ Projects involving low pressure sewer systems, vacuum sewer systems and other alternative sewer
systems must be submitted for a full technical review and must be submitted to the PERCS Unit on
application forms provided by the Division.
K. Flow Direction
➢ Many wastewater treatment systems are entering into agreements for regionalization efforts and
emergency treatment capacity. Parts of the system are installed so that the wastewater flow can be
directed to more than one treatment facility. If this is the case with the project, please indicate in B(12)
and give the permit number of the second facility.
L. Certifications — Section C
➢ The application must be certified by both the applicant and the design engineer who is a North Carolina
Registered Professional Engineer (PE). The applicant signature must match the signing official listed in
Item A(1 b). The PE should NOT certify the application if he/she is unfamiliar with 15A NCAC Chapter
2T, The Gravity Sewer Minimum Design Criteria (most recent version) and the Minimum Design Criteria
for the Permitting of Pump Stations and Force Mains (most recent version), as applicable to the project.
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 2 of 6

APPLICATION PACKAGE INCLDING ALL SUPPORTING INFORMATION AND
ALS, SHOULD BE SENT TO THE APPROPRIATE REGIONAL OFFICE:
REGIONAL OFFICE
ADDRESS
COUNTIES SERVED
Asheville Regional Office
2090 US Highway 70
Avery, Buncombe, Burke, Caldwell, Cherokee,
Water Quality Section
Swannanoa, North Carolina 28778
Clay, Graham, Haywood, Henderson, Jackson,
[phone]
Macon, Madison, McDowell, Mitchell, Polk,
[phone] Fax
Rutherford, Swain, Transylvania, Yancey
Fayetteville Regional Office
225 Green Street Suite 714
Anson, Bladen, Cumberland, Harnett, Hoke,
Water Quality Section
Fayetteville, North Carolina 28301-5094
Montgomery, Moore, Robeson, Richmond,
[phone]
Sampson, Scotland
[phone] Fax
Mooresville Regional Office
610 E. Center Avenue
Alexander, Cabarrus, Catawba, Cleveland,
Water Quality Section
Mooresville, North Carolina 28115
Gaston, Iredell, Lincoln, Mecklenburg, Rowan,
[phone]
Stanly, Union
(704)-663-6040 Fax
Raleigh Regional Office
1628 Mail Service Center
Chatham, Durham, Edgecombe, Franklin,
Water Quality Section
Raleigh, North Carolina 27699-1628
Granville, Halifax, Johnston, Lee, Nash,
[phone]
Northampton, Orange, Person, Vance, Wake,
[phone] Fax
Warren, Wilson
Washington Regional Office
943 Washington Square Mall
Beaufort, Bertie, Camden, Chowan, Craven,
Water Quality Section
Washington, North Carolina 27889
Currituck, Dare, Gates, Greene, Hertford, Hyde,
[phone]
Jones, Lenoir, Martin, Pamlico, Pasquotank,
[phone] Fax
Perquimans, Pitt, Tyrrell, Washington, Wayne
Wilmington Regional Office
127 Cardinal Drive Extension
Brunswick, Carteret, Columbus, Duplin, New
Water Quality Section
Wilmington, North Carolina 28405
Hanover, Onslow, Pender
[phone]
[phone] Fax
Winston-Salem Regional Office
450 W. Hanes Mill Road
Alamance, Alleghany, Ashe; Caswell, Davidson,
Water Quality Section
Suite 300
Davie, Forsyth, Guilford, Rockingham, Randolph,
Winston-Salem, North Carolina 27105
Stokes, Surry, Watauga, Wilkes, Yadkin
[phone]
INSTRUCTIONS FOR APPLICATION FTA 10-14 & SUPPORTING DOCUMENTATION Page 3 of 6

USE THE TAB KEY TO MOVE FROM FIELD TO FIELD
Application Number: VVQ0037567
(to be completed by DWR)
1.
Owner/Permittee:
1a.
West Caldwell Health Council, Inc.
Full Legal Name (company, municipality, HOA, utility, etc.)
0
1 b.
Thomas B. McRa , COO
0
Signing Official Name and Title (Please review 15A NCAC 2T .0106 (b) for authorized signing officials)
Q
1c.
The legal entity who will own this system is:
❑ Individual ❑ Federal ❑ Municipality ❑ State/County ❑ Private Partnership ® Corporation ❑ Other (specify):
0
1 d.
PO Drawer 9
1 e. Collettsville
Mailing Address
Cif
_
E \/ '•,'
LL
1f.
NC
1g. 28411
Division of water esour—
State
Code
Z,
Zi
0-
1 h.
828-493-0200 1
i.
1j.
i 2019
Telephone
Facsimile
E-mail
2.
Project (Facility) Information:
J
12a.
Collettsville Medical Center 2b: Cal we IatprOile'liv ti°ns— _ :+.•:' -
m i �,r n
a
Brief Project Name (permit will refer to this name) Coun y 1/ ere .rolecpis ocated
I�---
Q
3.
Contact Person:
a'
3a.
Kevin B. Greer, PE
Name and Affiliation of Someone Who Can Answer Questions About this Application
3b.
828-244-8218
3c. [e-mail]
Phone Number
E-mail
1.
Project is ® New ❑ Modification (of an existing permit) If Modification, Permit No.:
Owner is ❑ Public (skip to Item B(3)) ® Private (go to Item 2(a))
2a.
If private, applicant will be:
2b. If sold, facilities owned by a (must choose one
® Retaining Ownership (i.e. store, church, single office, etc.) or
❑ Public Utility (Instruction D)
❑ Leasing units (lots, townhomes, etc. - skip to Item B(3))
❑ Homeowner Assoc./Developer (Instruction E)
❑ Selling units (lots, townhomes, etc. - go to Item B(2b))
O3.
Caldwell County Schools
Owner of Wastewater Treatment Facility (VW1rTF) Treating Wastewater From This Project
F _
Q I4a.
Collettsville Elementary School
4b. NC 0050075
Name of WWTF
WWTF Permit No.
�5a.
Caldwell County Schools
5b. 6-inch
IN Gravity
5c.
Permit # of Downstream Sewer (Instruction F)
LL
Owner of Downstream Sewer
(Receiving Sewer Size
❑ Force Main
Z'
6,
The origin of this wastewater is check
all that apply):
H�❑
Residential Subdivision
❑ Retail (Stores, shopping centers)
100 % Domestic/Commercial
❑ Apartments/Condominiums
❑ Institution
% Industrial
❑ Mobile Home Park
❑ Hospital
UJ
® School
❑ Church
(Attach Description)
a.
❑ Restaurant
❑ Nursing Home
Other
❑ Office
❑ Other (specify):
m _
G9ftacb-DescriationL
7.
Volume of wastewater to be allocated or permitted for this particular project: 810 gallons per day
*Do not include future flows or previously permitted allocations
8.
If the permitted flow is zero, indicate why:
❑ Pump Station, Outfall or Interceptor Line where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit No.
❑ Rehabilitation or replacement of existing sewer with no new flow expected
(see 15A NCAC 02T .0303 to determine if a permit is required)
FTA 10-14 APPLFCATION Page 4 of 6

......_ ___... ...... __. _. -- . . _-_.:.._ _.. _...-..__ .._ - -- ­­1 .
Provide the wastewaterflow calculations used in determining the permitted flow in accordance with 15A NCAC 2T 0114 .for
the value in Item B(7) AND/OR the design flow for line or pump station sizing if a reduced or zero flow is being requested in
Item B(7). Values other than that in 15A NCAC 2T .0114 (b) and (c) must be supported with actual water or wastewater use
data in accordance with 15A NCAC 2T .0114 (f).
10 employees @ 25 gpd/emp = 250 gpd ;
7 exam rooms @ 2 patients/hr for 8 hours = 7x2x8= 112 patients/day @ 5 gpd/patient = 560 gpd
Total Flow= 250 gpd + 560 gpd= 810 gpd
`10. Summary of Sewer Lines to be Permitted (attach additional sheets if necessary)
Size (inches).
2-inch
Length (feet)New Gravity or Additional
Force Main
1500 ,FM
:11. Summary of Pump Stations wl associated Force Mains to be Permitted (attach additional sheets as necessary)
'Pump Station Location ID: Medical Center PS 1 (self chosen - as shown on plans/map for reference)
Longitude: 35.9265 Latitude:-81.6757
Design Flow Power Reliability Option
Operational Point I
(MGD) GPM @TDH ' 1 - permanent generator w/ATS; ; Force Main Size Force Main Length
2 - portable generator w/MTS i
.002 ..... 20 gpm @ 30 ft _. . _ __ 2... _2 inch 1500 ft
___...._... ____.. _-
,Pump Station Location ID: (self chosen - as shown on plans/map for reference)
`Longitude: Latitude:
Design Flow Power Reliability Option
(MGD) Operational Point'1 -permanent generator w/ATS;
GPM @TDH' 2 - portable generator wIMTS
Force Main Size Force Main Length
2. Will the wastewater flow in the proposed sewer lines or pump stations be able to be directed to another treatment facility?
Yes ® No If Yes, permit number of 2nd treatment facility :
O — if "yes" to B,12 please contact the Central Office PERCS Unit)
3. Does the sewer systemcomply with the Minimum Design Criteria for the Permitting of Pump Stations and Forte Mains
(latest version), the Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC Chapter 2T as applicable?
9d® Yes ❑ No
j-Xi 1 j
If No, complete and submit the Variance/Alternative Design Request (VADC 10-19) application and supporting
documents for review. Approval of the request is required prior to submittal of the Fast Track Application and
supporting documents.
FTA 10-14 APPLICATION Page 5 of 6

4. Have the following permits/certifications been submitted for approval for the system or project to be served?
Wetland/Stream Crossings - General Permit or 401 Certification? ❑ Yes ❑ No ® N/A
Sedimentation and Erosion Control Plan? ® Yes ❑ No ❑ N/A
Trout Buffer Waiver? ❑ Yes ❑ No ® N/A
Stormwater? ❑ Yes ❑ No ® N/A
5. Does this project include any high priority lines (15A NCAC 02T .0402 (2)) involve aerial lines, siphons, or interference
manholes)? These lines will be considered high priority and must be checked once every six months
:heck if Yes: ❑ and provide details:
1, Owner/Permittee's Certification: (Signature of Signing Official and Project Name)
I
1, Thomas B. McRary, attest that this application for Collettsville Medical Cernter PS 1 and FM has been
reviewed by me and is accurate and complete to the best of my knowledge. 1 understand that if all required parts of this
application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. Note: In accordance with North Carolina General Statutes
143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misdemeanor, which may include a fine not to exceed $10,000 as well as civil
penalties up to $25 000 per violation.
`
la. 14107' 19
Signing Official Signature Date
ENGINEERING DESIGN DOCUMENTS MUST BE COMPLETED PRIOR TO SUBMITTAL OF THIS
APPLICATION. THESE DOCUMENTS MUST INCLUDE PLAN AND PROFILE OF SEWERS, THEIR PROXIMITY
�.
TO OTHER UTILITIES, DESIGN CALCULATIONS, ETC. REFER TO 15A NCAC 02T .0305
Z
®I
QI2.
Professional Engineer's Certification: (Signature of Design Engineer and Project Name)
.1, Kevin B. Greer. PE attest that this application for Collettsville Medical Cernter PS 1 and FM has
LL
I been reviewed by me and is accurate, complete and consistent with the information in the engineering plans, calculations,
F—
and all other supporting documentation to the best of my knowledge. 1 further attest that to the best of my knowledge the
proposed design .has been ,prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria
W
for Gravity Sewers adopted February 12, 1996, and the Minimum Design Criteria for the Fast -Track Permitting of Pump
Q
Stations and Force Mains adopted June 1, 2000 and the watershed classification in accordance with Division guidance.
Although other professionals may have developed certain portions of this submittal package, inclusion of these materials
undermy signature and seal signifies that 1 have reviewed this material and have judged it to be consistent with the proposed
design. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes
any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
2a. Kevin B. Greer, PE
Professional Engineer Name
`����++�++•+•,�,��
GAR01
141- lri
2b. Self
�•osn¢�oay�
Z4ZOi1r, SIp�
Engineering Firm
R
2c. 4331 Acorn Trace
; SEAL a _
3
0269V
Mailing Address
2d. Mor anton
2e. NC
2f. 28655
City
State
Zip
12g.. 828-244-82111
h.
12i. [e-mail]
Telephone
Facsimile
E-mail
j NC PE Seal, Signature & Date
FTA 10-14 APPUCATTON Page 6 of 6

State of North Carolina
Department of Environment and Natural Resources
<� Division of Water Resources
r; „ s® Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: Caldwell County Schools
Project Name for which flow is being requested: Collettsville Medical Center
More than one FTSE may be requiredfor a single project if the owner of the WWTP is not responsible for allpump
stations along the route of the proposed wastewater flow.
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: Collettsville elementary School
b. WWTP Facility Permit #: NC 0050075
All flows are in MGD
c. WWTP facility's permitted flow .010
d. Estimated obligated flow not yet tributary to the WWTP 0
e. WWTP facility's actual avg. flow .002
f. Total flow for this specific request .000810
g. Total actual and obligated flows to the facility .002810
h. Percent of permitted flow used 21.8%
Il. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A) (B) (C) (D)=(B+C) (E)=(A-D)
Design Obligated,
Pump Average Daily Approx. Not Yet Total Current
Station Firm Flow** Current Avg. Tributary Flow Plus
(Name or Capacity,* (Firm / pf), Daily Flow, Daily Flow, Obligated Available
Number) MGD MGD MGD MGD Flow Capacity* * *
MCPS1 .002 .000810 0 0 0 .000810
R : EDrces
Division ; 1
J hN 2 3 2015
I Water UUd"'y ,
Asheville Renal O'rlice
c}ia
* The Firm Capacity of any pump station is defined as the -maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
*** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Page 1 of 6
rrrcr n4 ill

III. Certification Statement:
I Dr. Jeff Church certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation of
the planned improvements identified in the planning assessment where applicable. This analysis
has been performed in accordance with local established policies and procedures using the best
available data. This certification applies to those items listed above in Sections I and II plus all
attached planning assessment addendums for which I am the responsible party. Signature of this
form indicates acceptance of this wastewater flow.
Signature
Page 2 of 6
PTCF nQ_i z

Printing: Layout Page
Page 1 of 1`
Caldwell
49 L
-
47
oil➢ W 9
°may, // t � 4 mow( a � ➢ � 01
r
➢
'Ile ,� hIPR ° 4 e
1 inch = 300 feet
This map is prepared for the inventory of real property found within this jurisdiction, and is compiled from recorded deeds, plats, and other public records and data. Users of this map are hereby notified that the
aforementioned public primary information sources should be consulted for verification of the information contained on this map. Caldwell County and its mapping and software contractors assume no legal responsibility
for the information contained on this map or in this website. This map and information are NOT of land survey quality and are NOT suitable for such use.
http://gis.caldwelleountyne.org/maps/layout.aspx 12/22/2014

GCD Engineering
NCDENR- Asheville Regional Office- Water Quality Section
2090 US Highway 70
Swannanoa, NC 28778
ATTN: Linda Wiggs
RE: Collettsville Medical Center- 4330 Collettsville Rd
Dear Ms. Wiggs:
The purpose of this correspondence is to provide a brief narrative describing the proposed Lift Station
and Force Main for the subject medical office. The proposed medical office is intended to replace an
existing office for the West Caldwell Health Council, Inc. that is located immediately south of the proposed
site that is outdated and located within the flood zone recently established by updated FEMA mapping.
The proposed office was originally designed to be serviced by on -site septic, however due to conditions
resulting from grading of the site and access to a surface water discharge wastewater treatment facility
the owners desire to access the treatment facility.
The proposed project will consist of a duplex lift station with telemetry and an auxiliary emergency
generator plug located on the property of the proposed medical center with the sole purpose of serving
the medical center. The proposed lift station is not intended to serve additional properties surrounding
the medical center. The lift station is located approximately 1500-Ift from the Collettsville Elementary
School WWTP, as the force main will lay. The proposed force main will parallel the entrance drive
southerly to Collettsville Road for approximately 200-Ift, then turn east paralleling Collettsville Road for
approximately 800-Ift, before finally turning northerly paralleling the entrance drive to Collettsville
Elementary School for approximately 500-Ift and terminating at the Collettsville Elementary School WWTP
(NC 0050075).
The Collettsville Elementary School WWTP is permitted at 10,000 gpd capacity. Presently, the facility is
receiving a monthly maximum average of 2,000 gpd, therefore the facility has excess capacity. Use of
this capacity by the medical center will provide a benefit to the community as a whole and will give a joint
user for the school to share operational expenses. The Caldwell County Board of Education is in
agreement with this connection and has witnessed this agreement with signing the requisite FTSE form
for the Collettsville Elementary School WWTP.
Thank you for the opportunity to submit this project. Should you have any questions or concerns please
do not hesitate contacting me via email at greerengr()-charter.net or telephone at 828-244-8218.
Respectfully Submitted;
Mr. Kevin B. Greer, PE
GCD Engineering
4331 Acorn Trace; Morganton, NC 28655
828-244-8218
[e-mail]
Viwiio o WEf RE
JA N 2 3 2015
LLAshev
Regionalille Reglonal OKCetlon'

►Heim, Tim
From: [e-mail]
Sent: Thursday, January 29, 2015 1:51 PM
To: Heim, Tim
Cc: Viggs, Linda
Subject: RE: Collettsville Medical Center Fast Track Application
Good afternoon Tim.
The length of gravity'sewer is approximately 40-ft running between 2 manholes. SO teh sewer would
come into the first manhole and turn 90-degrees then run approximately 40-ft and turn into the dog
house manhole with the field cast invert.
Please let me know if you have any other questions.
Thank you for working on this for us.
I hope your having a great week so far.
Thank You
Kevin
On Thu, Jan 29, 2015 at 12:52 PM, Heim, Tim wrote:
Mr. Greer,
A final question before we complete the permit:
Approximately what is the distance (linear footage) of the proposed 6-inch gravity sewer
mentioned in #2 below?
Regards
-Tim
Tim Heim, P.E.
NCDENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
t: 828-296-4500 f: 828-299-7043
[e-mail]
www.ncwaterguality.org
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. .
1

IFrom: [e-mail] [mailto:[e-mail]]
OSent: Tuesday, January 27, 2015 7:26 AM
To: Heim, Tim
Cc: Wiggs, Linda
Subject: RE: Collettsville Medical Center Fast Track Application
Good morning Mr. Heim.
Thank you for reviewing the package so quickly.
1. I appologize for missing the box on verifying Minimum Design Criteria. I will
complete that and scan to you this morning.
2. The force main will be connected to the existing influent line with the use of a flow
disipating manhole. Plans include a termination manhole then a short section of gravity
sewer into a dog house manhole over the existing influent line with inverts cast to
promote flow assimilation before entering the WWTP.
3. The pump control panel is proposed to be NEMA 3R with audible and visual alarms.
4. The pumps are designed around 3 Hp Hydromatic submersible grinder pumps.
I will call a little later this morning and look forward to speaking with you then.
I hope your having a good week and not snowed in to bad.
Thank You.
Kevin B. Greer, PE
On Mon, Jan 26, 2015 at 1:12 PM, Heim, Tim wrote:
Mr. Greer,
Per my voicemail, please provide the following so that we may proceed with processing
your Fast Track Application for the Collettsville Medical'Center:
1. A completed page 5/6 of the Application with Item #13 completed (initial and
date the replacement page, so I ,may insert it with your application).
2. A brief description of how the 2" force main will be discharged prior to flow
entering the Collettsville Elementary School WWTP without disrupting, operation of the
WWTP. (i.e. into a manhole with gravity flow to the WWTP)
3. Verification that the proposed duplex lift station described in your,application will
include weather-proof audible and visual alarms as required by NCDENR
2

,Mini.mum Design Criteria for the Permitting of Pump Stations and Force Mains 5.03
• B.2.c.
4. Verification that the proposed duplex lift station described in your application will
include pumps capable of grinding, chopping, or cutting solids or a mechanical means of
reducing the size of a three-inch solid and any trash or stringy material as required by
NCDENR Minimum Design Criteria for the Permitting of Pump Stations and. Force Mains
4.02 A. 1. (For force mains with diameter less than 4-inches)
Please let me know if I may be of any further assistance with additional questions.
Regards,
Tim Heim, P.E.
NCDENR - Division of Water Resources
Water Quality Regional Operations Section
Asheville Regional Office
2090 U.S. 70 Highway
Swannanoa, NC 28778
t: 828-296-4500 f: 828-299-7043
[e-mail]
www.ncwaterquality.org
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.
3

I

MAY.12.2010. 8:21AM —CAQWELL CO. SCHOOLS NO. 3842 P. 2 c�
11NO 07* 1914 Hickory Blvd 5W
Lenoir, NC 28645
AWA &W Caldwell County Schools Telephone' 828-728-8407
Fax [phone]
Dr. Jeff Church, Assistant Superintendent
To: Dina Sprinkle
NC DENR/DWQ/Point Source Branch
From: Dr. Jeff Church
Date: May 11, 2010
Re: Point of Contact Change
Dr. Jeff Church is now the point of contact for Caldwell County Schools. Donnie Bassinger has
retired and no longer works here. This change applies to all correspondence pertaining to water
quality for Caldwell County Schools.
Thank you.
�/GDo�a7 P;?
MAY 12 2010
L
M A"]/ 1 3 2010
0 S LE -if �,J.
WATER QUALITY SECTION
QUA
LITY
R�EG,11101 �AL O-FICE
Ile-
..........

Beverly Eaves Perdu
Governor
® I
NCDENR
North Carolina Department of Environment and Nat
Division of Water Quality
e Coleen H. Sullins
Director
May 25, 2010
DONNIE BASSINGER
CALDWELL COUNTY SCHOOLS
1914 HICKORY BLVD
LENOIR NC 28645
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Collettsville Elementary School
Permit Number: NCO050075
Case Number: L�j=2Ol>0x.0J 64 •
Caldwell County
Dear Mr. Bassinger:
s...-a.L.•Tilt}.. J✓..' �JCb'➢V'5.� •,p�"u - ... .na '
e V E
ra! oureA, 2 7 2010 f�,.:
Dee Fr eman
; x WATER QUALITY SEC]RdretarJj
q'HEVILLE REGIONAL OFFICEE _
.'+[:iii}�iIA�.Y [\L, i•. ��__iria':i+�..c•.'.::1fbr:Y2a�W:.n:'.e.'.c:�sr.fl'•�::+' . ,. .�
This letter is to acknowledge receipt of check number 595410 in the amount of $267.00 received from you
dated May 21, 2010. This payment satisfies in full the above civil assessment levied against the subject facility,
and this case has been closed. Payment of this penalty in no way precludes future action by this Division for
additional violations of the applicable Statutes, Regulations, or Permits.
If you have any questions, please call Bob Guerra at 919-807-6387.
cc: Cent File
' i Ws'Fe—vill-e-Xe—gi7onal Office Supervisor
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: 91M07-6492 \ Customer Service: 1-877-623-6748 Nol hQarolina
Internet: wwva.ncwaterquality.org alli l
An Equal Opportunity \ Affirmative Action Employer Sri u 6�1i

A=V4iILE " "
_ �_
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
;rdue Coleen H. Sullins Dee Freeman
Director Secretary
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Donnie Bassinger
Caldwell County Schools
1914 Hickory Boulevard SW
Lenoir, North Carolina 28645
May 7, 2010
7008 0150 0000 7472 9901
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO050075
Caldwell County Schools
Collettsville Elementary School WWTP
Case No. LV-2010-0140
Caldwell County
Dear Mr. Bassinger:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $267.00
($200.00 civil penalty + $67.00 enforcement costs) against Caldwell County Schools..
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR)"submitted by Caldwell County Schools for the month of January 2010.
This review has shown the subject facility to be in violation of the discharge limitations and/or
monitoring requirements found in NPDES Permit NC0050075. The violations which occurred in
January 2010 are summarized in Attachment A to this. letter.
Based upon the above facts, I conclude as a matter of law that Caldwell County Schools violated
the terms, conditions or requirements of NPDES Permit NCO050075 and G.S. 143-215.1(a)(6) in
the manner and extent shown in Attachment A. In accordance with the maximums established by
G.S. 143-215.6A(a)(2), a civil penalty may be assessed against any person who violates the terms,
conditions or requirements of a permit required by G.S. 143-215. 1 (a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Quality,l, Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Caldwell County Schools:
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa; NC 28778
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748
Internet: www.ncwateraualitv.org 9®�
One
NorthCarolina
Naturatlrf

$100.00
$100.00
$200.00
$67.00
$267.00
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permi
NC0050075, by discharging waste water into the waters of the
in violation of the Permit Daily Maximum limit for BOD - Cor
1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permi
NC0050075, by discharging waste water into the waters of the
in violation of the Permit Daily Maximum limit for TSS - Com
TOTAL CIVIL PENALTY
Enforcement Costs
TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-
282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative

rpa
ng, such a request must ne accompanied by a waiver of your rignt to an administrative
ng and a stipulation and agreement that no factual or legal issues are in dispute. Please
re a detailed statement that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Quality at the address listed below.. In
determining whether a remission request will be approved, the following factors shall be
considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of the Division of Water Quality will review your
evidence and inform you of his decision in the matter of your remission request. The response will
provide details regarding the case status, directions for payment, and provision for further appeal
of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that
was not part of the original remission request considered by the Director. Therefore, it is very
important that you prepare a complete and thorough statement in support of your request for
remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Quality also requests that
you complete and submit the enclosed "Justification for Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
CIS
3. File a petition for an administrative hearing with the Office of Administrative
Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an
attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a
filing fee is required by NCGS § 15013-23.2) is received in the Office of Administrative Hearings
within seven (7) business days following the faxed or electronic transmission. You should contact
the Office of Administrative Hearings with all questions regarding the filing fee and/or the details

of the filing process. The mainng address and telephone and fax numbers for the Office of
Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DENR as follows:
Mary Penny Thompson, General Counsel
DENR
1601 Mail Service Center
Raleigh, NC 27699-1601
Failure to exercise one of the options above within thirty (30) days of receipt of this notice, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action.
Please be advised that additional penalties may be assessed for violations that occur after the
review period of this assessment. If you have any questions, please contact Janet Cantwell of
the Water Quality staff of the Asheville Regional Office at 828-296-4500.
Sincerely,
4 � 2. Z--z
TrEdwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
�D'�'Q'�Ashevl'l�le �il`e's�ttac�e�ts�
DWQ Central Files w/ attachments
Bob Guerra/ DWQ Enforcement Files w/ attachments
Water Tech Labs/ ORC w/ attachments
S.`:SLVP;C: tidwell.l4'ti3(��� xl r•,�1ino�5'•C:�?Il Tls�ille F.Icmentary Schi of 50075-IV-2010-0140.doe

JUS -IiiICATION FOR REMISSION REi EST
Case Number: LV-2010-0140
County: Caldwell
Assessed Party: Caldwell County Schools / Collettsville Elementary
Permit No.: NC0050075 Amount Assessed: $267.00
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts "
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
_ (e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i. e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROL.,., -,A DEPARTIvirAT OF ENVIRONMI1
AND NATURAL RESOURCES
COUNTY OF CALDWELL
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
CALDWELL COUNTY SCHOOLS )
/ COLLETTSVILLE ELEMENTARY 1
PERMIT NO. NCO050075 ) FILE NO. LV-2010-0140
Having been assessed civil penalties totaling $267.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated May 7, 2010, the undersigned, desiring
to seek remission of the civil penalty, does hereby waive the right to an administrative hearing in the
above -stated matter and does stipulate that the facts are as alleged in the assessment document. The
undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the director of the Division of Water Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after (30) days from the receipt of the notice of assessment.
This the
day of
SIGNATURE
ADDRESS
TELEPHONE
20

ATTACHMENT A
Caldwell County Schools
CASE NUMBER: LV-2010-0140
PERMIT: NCO050075
FACILITY: Collettsville Elementary School
COUNTY: Caldwell
REGION:
Asheville
Limit Violations
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
% OVER
PENALTY REPORT
PPI
LOCATION PARAMETER DATE
FREQUENCY
MEASURE LIMIT
VALUE
LIMIT
VIOLATION TYPE
$100.00 1-2010
001
Effluent BOD - Conc 01/19/10
Weekly
mg/I 45
56.8
26.22
Daily Maximum Exceeded
$100.00 1-2010
001
Effluent TSS - Conc 01/19/10
Weekly
mg/I 45
58.7
30.44
Daily Maximum Exceeded

Effl nt % �/
rmit No.. NC0050075 Discharge No.: 001 Month: January Year. 2010
ame: Collettsville School Class: II County: Caldwell {�
Pan
or in Responsible Charge: Douglas Lee Jr. Grade: II Phone: [phone] v
d Laboratory (1): Water Tech Labs, Inc. (2)
e in ORC: No Person Collecting Samples: Douglas Lee Jr.
Mail Original and One Copy to:
Attn: Central Files (Signat of Operator i esponsible Charge)
Div. Of Water Quality By this signature, I certify that this report is IVAR 0 `a_ l010
1617 Mail Service Center accurate and complete to the best of my knowledge
Raleigh, NC 27699-1617
;?Gi0
50050 00010 60400 50060 00310 60610 00530 31616 00300 00600 00665 .00556 00545
O y0 .�. C C la f`0 j C C N 'O 7 O j •a) O C N � W
L°>U U O 3 a) it m x v N o rn 16 �v. U rn '.9 rn mt mv_
mao a)Eo B o. o, ur0 N Eo oQw w o0 on �y m..o.
oaN0 o LLWo �U m Q'z ~�� LL oo ~'z ~a oc� CO)
HR5 HRS Y/N MGD C S.U. UG/L MG/L MG/L MG/L /100ML MG/L MG/L MG/L MG/L ML/L
2
..... .............. ......
4 0717 0.3 Y
...... ...... .............. .
0 ::8:2:: ::7.3 ::::•::•::: ::8:8:: ::7:8 ::::16:9:: :::::...... •:::::::: : : •; ::•:•:::::
... ...... .............. ...... ........'--.. ...... .............. ........ .......
6 1602 1 0.4 Y
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8 0718 0.35 Y
10
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C:Umsoffice�\excel\dmrforms\dmrform.xls

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc., and
a time table for improvements to be made.
"1 certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted
is, to the best of my knowledge and belief, ti-ue, accurate, and complete. I am aware that there are significa"alfies for 8ubmitting-fals4
information, including the possibility of fines and imprisonment foi• knowing violation"
Vr. 0cli Ghiir6k.
Permittee (Please print or type)
a- a3-1v
" of Permittee*" Date
. S.W. Leno;r-.r Q d8b
a19 1 1,s-
Permittee Addrdss Phone Number permit Exp. Date
00010 Temperature
00076 Turbidity
00080 Color (Pt -Co)
00082 Color (ADMI)
00095 Conductivity
00300 Dissolved Oxygen
00310 BOD5
00340 COD
00400 pH
00530 Total Suspended
Residue
00545 Settleable Matter
00556 Oil & Grease
00600 Total Nitrogen
00610 Ammonia. Nitrogen
00625 Total lgeldhal
Nitrogen
00630 Nitrates/Nitrites
00665 Total Phosphorous
00720 Cyanide
00745 Total Sulfide
00927 Total Magnesium
00929 Total Sodium
00940 Total Chloride
PARAMETER CODES
00951 Total Flouride
01002 Total Arsenic
01027 Cadium
01032 Hexavalent Chromiun
01034 Chromium
01037 Total Cobalt
01042 Copper
01045 Iron
01051 Lead
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
01147 Total Selenium
31616 Fecal Coliform
32730 Total Phenolics
34235 Benzene
34481 Toluene
38260 MBAS
39516 PCBs
50050 Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
01062 Molybdenum
00410 Total Alkalinity
Parameter Code assistance may be obtained by calling the Water Quality Compliance Group at [phone], extension 547
The monthly average for fecal coliform is to be reported as a GEOMETRIC mean. Use only units designated in the reporting facility's
permit for reporting data.
*ORC must visit facility and document visitation of facility as required per 15A NCAC 8A.0202 (b) (5) (B).
**If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 213.0506 (b) (2) (D).

Permit Enforcement History by Owner
Owner: Caldwell County Schools
Facility: Collettsville Elementary School
Permit: NCO050075
Region: Asheville County: Caldwell
Penalty Remission Enf EMC EMC OAH Collection Has
Assessment Penalty Enforcement Request Enf Conf Remission Hearing Remission Remission Memo Sent Pmt Case
Case Number MR Approved Amount Costs Damages Received Held Amount Held Amount Amount to AGO Total Paid Balance Due Plan Closed
LV-2010-0140 1-2010 05/06/10 $200 $67.00 $267.00 No
Total Cases: 1 1 $67.00 $267.00
Total Penalties: $267.00
Total Penalties after remission(s): $267.00
E

County:
CALDWELL
Sample ID:
AB53958
River Basin
CATAWBA
,UF A/F�,
~ Q�
PO Number#
ARO
Report To
AROSP
O
Date Received:
01/19/2010
r
Time Received:
16:30
Collector.
J CANTWELL
O `c
Labworks LoginlD
KJIMISON
Region:
ARO
Date Reported:
2/9/10
Sample Matrix:
WASTEWATER
Loc. Type:
EFFLUENT
Report Generated:
02/09/2010
Emergency Yes/No
VisitlD
COC Yes/No j
Loc. Descr.: COLLETTSVILLE WWTP r
Location ID: COLLETTSVILLE-50075 Collect Date: 0111912010 Collect Time:: 13:00 Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
B1-Countable membranes with <20 colonies; Estimated
B2- Counts from all filters were zero.
B3- Countable membranes with more than,60 or 80 colonies; Estimated
B4-Filters have counts of both >60 or 80 and < 20; Estimated
B5-Too many colonies were present; too numerous to count (TNTC)
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
N1-The component has been tentatively identified based on mass spectral library search and has an estimated value
ARO
N3-Estimated concentration is < PQL and >MDL
NE -No established PQL
P-Elevated PQL due to matrix interference and/or sample dilution
Q1-Holding time exceeded prior to receipt at lab.
Q2- Holding time exceeded following receipt by lab
PQL- Practicfi.Ousr)titttiotrl mit subject, to ,change;dueAo-instrument sen
U- Samples aPlyzed,fW this compound but notdetected, .
X1- Sample n ft oalyzedlfor thisscco(mmpoun�
1II 1I L� l9 v
Laboratory Section 1623 Mall Service Center, Raleigh, NC 27699.1623 [phone]
FEB 1 5 2010
-r:m n1 IA ITV CFnTln�l
ASHEVILLE REGIOPh e 1 ofF2iCE i

COLLETTSVILLE-50075
COLLETTSVILLE WWTP
%C DWQQ Laboratory Section Results
Collect Date:
Collect Time::
AB53958
01/1912010
13:00
CAS t1 Analyte Name POL Result Qualifier Units Analyst/Date Approved By /Date .
Sample temperature at receipt by lab 2.6 °C KJIMISON SMATHIS
Method Reference 1119/10 1/25/10
BOD, 5-Day In liquid 2 mg/L KJIMISON CGREEN
Method Reference APHA5210B ` 1/20/10 2/8/10
6.2
mg/L
CGREEN
Method Reference APHA2540D-20th 1126/10 218/10
Laboratory Section 1623 Mail Service Center, Raleigh, NC 27699.1623 [phone] Page 2 of 2

ON OF WATER QUALITY WATER QUALITY.FIELD-LAB FORM (DM 1) For Lab Use ONLY
PRIORITY
SAMPLE TYPE
r
IN
AMBIENT
❑ STREAM
FNLUENT
REPORT T ARO FRO MRO RRO WaRO WiRO WSRO TS
AT BM
COMPLIANCE
❑ LAKE
❑ INFLUENT
Other
Shipped by: Bus Courier Staff then
Lab Number:
Date Receiveda.: , • f v Time:
'(p
Rec'd by: I-WFrom: Bus-Couri and D
DATA ENTRY BY: CK:
DATE REPORTED:
J- ❑ EMERGENCY ❑ ESTUARY
COLLECTOR(S):V <
Estimated BOD Range: 0-5/5-2525-65/40-130 or 100 plus STATION LOCATION:
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑
REMARKS:
St ' n 9 rr Date Begin (yy/mm/dpd) Time Begin Date End ' a Time End Depth DM DB DBM Value Type Composite Sample Type
A H L T S B C Q GNXX
a
1
BOD5 310 mg/L
2
COD High 340 mg/L
3
COD Low 335 mg/L
4
Coliform: MF Fecal 31616 /100ml
5
Coliform: MF Total 31504 /100m1
6
Coliform: Tube Fecal 31615 /100m1
7
Coliform: Fecal Strep 31673 /100ml
8
Residue: Total 500 mg/L
9
Volatile 505 mg1L
10
Fixed 510 mg/L
11
Residue: Suspended 530 mg/L
12
Volatile 535 mg/L
13
Fixed 540 mg/L
14
pH 403 units
15
Acidity to pH 4.5 436 mg/L
16
Acidity to pH 8.3 435 mg/L
17
Alkalinity to pH 8.3 415 mg/L
18
Alkalinity to pH 4.5 410 mg/L
19
TOC 690 mg/L
20
Turbidity 76 NTU
Chloride 940 mg/L
Chl a 70953 µ V"
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color:pH 7.6 82 ADMI
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease and Oils 556 mg/L
Hardness Total 900 mg/L
Specific Cond, 95
MBAS 38260 mg/L
Phenols 32730 µg/L
Sulfate 945 mg/L
Sulfide 745 mg/L
NH3 as N 610 mg/L
TKN as N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 665 mg/L
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 µg(L
Cr-Chromium;Total 1034 ' µg/L
Cu-Copper 1042 µg/L
Ni-Nickel 1067 µg/L
Pb-Lead 1051 µg/L
Zn-Zinc 1092 µg/L
Ag-Silver 1077 µg/L
Al -Aluminum 1105 µg/L
Be -Beryllium 1012 µg/L
Ca -Calcium 916 mg/L
Co -Cobalt 1037 lrg/L
Fe -Iron 1045 µg/L
Li -Lithium 1132 µg/L
Mg -Magnesium 927 mg/L
Mn-Manganese 1055 µg/L
Na-Sodium 929 mg/L
Arsenic:Total 1002 pg/L
Se -Selenium 1147 µg/L
Hg-Mercury 71900 lug/L
Organochlorine Pesticides
Organophosphorus Pesticides
Acid Herbicides
Base/Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottlereq'd)
Phytoplankton
Lab Use Only
Temperature on arrival:
Sampling Point %
Conductance at 25aC
Water Temperature °C
D.O. mg/L
pH
Alkalinity
Acidity
Air Temperature °C
pH 8.3 pH 4.5
pH4.5 pH 8.3
2
94
10
300
400
82244 431
82243 82242
20
Salinity Sao
Precipitation (in/day)
Cloud Cover %a
Wind Direction (Deg)
Stream Flow Severity
Turbidity Severity .
Wind Veloci7164
Mean Stream Depth ft.
Stream Width ft.
490
5
2
6
1351
1350
35
4

,County:
CALDWELL
Sample ID:
AB53978
River Basin
CTB
yt}F Wa?F�
PO Number#
10W0549
Report To
AROSP
O� 4
Date Received:
0112212010
Time Received:
08:30
Collector:
J CANTWELL
_� y
Q t
Labworks LoginlD
SMATHIS
Region:
ARID
Date Reported:
1/28/10
Sample Matrix:
WASTEWATER
Loc. Type:
EFFLUENT
Report Generated:
01/28/2010
Emergency Yes/No
VisitlD
COC Yes/No
Loc. Descr.: COLLETTSVILLE 50075
a Ip I LJ
Location ID:
COLLETTSVILLE50075
Collect Date: 01/19/2010
Collect Time:: 13:00
Sample Depth
Sample Qualifiers and Comments
Routine Qualifiers
For a more detailed description of these qualifier codes refer to www.dwqlab.org under Staff Access
A -Value reported is the average of two or more determinations
B1-Countable membranes with <20'colonies; Estimated
B2- Counts from all filters were zero.
B3- Countable membranes with more than 60 or 80 colonies; Estimated
B4-Filters have counts of both >60 or 80 and < 20; Estimated
B5-Too many colonies were present; too numerous to count (TNTC)
J2- Reported value failed to meet QC criteria for either precision or accuracy; Estimated
J3-The sample matrix interfered with the ability to make any accurate determination; Estimated
J6-The lab analysis was from an unpreserved or improperly chemically preserved sample; Estimated
NI -The component has been tentatively identified based on mass spectral library search and has an estimated value
LAB
N3-Estimated concentration is < PQL and >MDL
NE -No established PQL
P-Elevated PQL due to matrix interference and/or sample dilution
Q1-Holding time exceeded prior to receipt at lab.
Q2- Holding time exceeded following receipt by lab
PQL- Practical_Qyantitation—iMit-subjecttochange_due,to.instrutngritsensitivity
U- Samples anaCyied'fbr'this compound but'not detecfed ss,::
XI- not analyzed forthis compound
i
FEB -8 2010
Laboratory Section 1623 Mall Service Center, Raleigh, NC 27699-1623 [phone] I ASHEVILLE REGIONAL OFFMqqE� of 20
G'
, ::ti:'r+,1^>R /1:+1•�tY=..,.;b'.ii. .. iS�:.:.Yaf6..,. a,... Y

NC DWQQ Laboratory Section Results
COLLETTSVILLE50075
COLLETTSVILLE 50075
Sample ID AB53978
Collect Date: 01/19/2010
Collect Time:: 13:00
CAS # Analyte Name PQL Result Qualifier Units Analyst/Date Approved By /Date
Sample temperature at receipt by lab 1.9 °C DSAUNDERS SMATHIS
Method Reference 1/22/10 1/26/10
NUT
NH3 as N In liquid 0.02 44 mg/L as N MAJAYI CGREEN
Method Reference LaC10-107-06-1-J 1122110 1/28/10
l
Laboratory Section» 1623 Mall Service Center, Raleigh, NC 27699.1623 [phone] Page 2 of 2

COL o��
W'V7""'rU'Q UALITY WATER QUALITY FIELD -LAB FORM (DM1) For Lab Use ONLY
PRIORITY SAMPLE TYPE TJ�j
FBM
IN❑ AMBIENT ❑ STREAM EFFLUENT
AR RO MRO RRO WaRO WiRO WSRO TSAT COMPLIANCE ❑ LAKE ❑ INFLUENT
Other
Sh' d b B C •e Staff Other
tppe y. us, our r, ❑ EMERGENCY ❑ ESTUARY
COLLECTOR(S41_. eehW ./ � 'e s
Estimated BOD Range: 0-5/5-25/25-65/40-130 or 100 plus STATION LOCATION: L+�Y'/) ✓ Y i Mai
Seed: Yes ❑ No ❑ Chlorinated: Yes ❑ No ❑
Date
1
BOD5 310 mg/L
2
COD High 340 mg/L
3
COD Low 335 mg/L
4
Coliform: MF Fecal 31616 /100m1
5
Coliform: MF Total 31504 /100m1
6
Coliform: Tube Fecal 31615 /100ml
7
Coliform: Fecal Strep 31673 /100ml
8
Residue: Total 500 mg/L
9
Volatile 505 mg/L
10
Fixed 510 mg/L
11
Residue: Suspended 530 mg/L
12
Volatile 535 mg/L
13
Fixed 540 mg/L
14
pH 403 units
15
Acidity to pH 4.5 436 mg/L
16
Acidity to pH 8.3 435 mg/L
17
Alkalinity to pH 8.3 415 mg/L
18
Alkalinity to pH 4.5 410 mg/L
19
TOC 690 mg/L
20
Turbidity 76 NTU
Date
of ' M
M
Chloride 940 mg/L
Chl a 70953 µg/L
Color: True 80 Pt -Co
Color:(pH ) 83 ADMI
Color:pH 7.6 82 ADMI
Cyanide 720 mg/L
Fluoride 951 mg/L
Formaldehyde 71880 mg/L
Grease and Oils 556 mg/L
Hardness Total 900 mg/L
Specific Cond. 95
MBAS 38260 mg/L
Phenols 32730 µg/L
Sulfate 945 mg/L
Sulfide 745 mg/L
Lab Number: A* -� '�(q
Date Received: �� �% Time:
Rec'd by: From: Bus -Courier -Hand Del.
DATA ENTR BY: CK:
DATE REPORTED:
End Depth DM DB DBM I Value Type Composite Sample Type
A H L T S B C(D GNXX
3 as N 610 mg/L
TKN as N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 665 mg/L
P: Dissolved as P 666 mg/L
Cd-Cadmium 1027 lig/L
Cr-Chromium;Total 1034 µg/L
Cu-Copper 1042 Itg/L
Ni-Nickel 1067 µ€1L
Pb-Lead 1051 µg/L
Zn-Zinc 1092 µg/L
Ag-Silver 1077 pg/L
Al -Aluminum 1105 µg/L
Be -Beryllium 1012 µg/L
Ca Calcium 916 mg/L
Co -Cobalt 1037 µg/L
Fe -Iron 1045 {tee,
Li -Lithium 1132 µg/L
Mg -Magnesium 927 mg/L
Mn-Manganese 1055 µg/L
Na-Sodium 929 mg/L
Arsenic:Total 1002 pg/L
Se -Selenium 1147 µg/L
Hg-Mercury 71900 µg/L
Organochlorine Pesticides
Organophosphorus Pesticides
Acid Herbicides
Base/Neutral Extractable Organics
Acid Extractable Organics
Purgeable Organics (VOA bottle req'd)
Phytoplankton
Lab Use Only
Temperature on arrival:
Sam ling Point %
Conductance at 25°C
Water Temperature °C
D.O. mg/L
pH
Alkalinity
Acidity
Air Temperature °C
pH 8.3 pH 4.5
pH4.5 PH 8.3
2
94
0
300
400
82244 431
82243 82242
20
Salinity %o
Precipitation (in/day)
Cloud Cover %
Wind Direction (Deg)
Stream Flow Severity Turbidity Severity
Wind Velocity Mean Stream Depth ft.
Stream Width ft.
80
45
32
36
1351 1350
35 64
4

Ao�A
NCDENR
North Carolina Department of Environment and Natural
Beverly Eaves Perdue
Governor
JEFF CHURCH
ASSISTANT SUPERINTENDENT
AiTYJLTARY SERVICES
CALDWELL COUNTY SCHOOLS
1914 HICKORY BLVD SW
LENOIR NC 28645
Dear Dr. Church:
Division of Water Quality
Coleen H. Sullins
Director
September 9, 2009
Resources
� 17t �
Dee Freeman
Secretary
Subject: Receipt of permit renewal application
NPDES Permit NC0050075
Collettsville Elementary School
Caldwell County
The NPDES Unit received your permit renewal application on August 21, 2009. 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 Charles
Weaver at [phone].
Sincerely,
1 01 IM 1 E 1 21
Dina Sprinkle
Paint Source Branch
cc: CENTRAL FILES
Fr. R,gi� o alf@7f/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-6300 \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterqualit .org
An Equal Opportunity\ Affirmative Action Employer
'�IY 'v5...a�A .'+,...v�l.mn..•..v+�;vA.?��� ra1..Y6•,t P�.,sv �a�, :-�e.:i.�c..r %4
1
i
f
•NortIWW66a
N tllra ll

1914 Hickory Blvd SW
Caldwell County Schools Lenoir, NC2864
Telephone [phone]
Fax [phone]
r. Jeff unurcn,ssis an uperm en en
August 18, 2009
Mrs. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mrs. Sprinkle:
Please accept this letter as a request for renewal of the Collettsville Elementary School Wastewater
Treatment Plant NPDES Permit# NCO050075 (Caldwell County).
There have been no operational or design changes at the facility since the issuance of the last
permit.
Sincerely,
Dr. Jeff Church
Assistant Superintendent
Auxiliary Services
i
F D
SEP 11 2009
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
R
V-'ED
`f>i
�, E �
,7 y
®ENR - WATER QUALITY
POINT SOURCE BRANCH
i

PDES APPLICATION - FORM
rivately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO050075
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 Caldwell County School
Facility Name Collettesville Elementary School
Mailing Address 1914 Hickory Boulevard SW
City Lenoir
State / Zip Code NC 28645
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 4690 Collettesville School Road
City Collettesville
State / Zip Code NC 28611
County Caldwell
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Dr. Jeff Church, Caldwell County Schools
Mailing Address 1914 Hickory Boulevard SW
City Lenoir
State Zip Code NC 28645
Telephone Number [phone] 'per; L,'
Fax Number,.-f��81��28�Q:©1.,,,._,.. _.._._..,.,....._'.
1 of 3
W�m
o W -E
j S E P 1 1 2009
J
WATER 01-IALITY SECTION �
ASHEViLLE REGIONAL OFFICE I
Hvu L I L"!O%j
DEAR , N,VATI E R UALITY
} POINT [
Form-D 05/08

PDES APPLICATION - FORM
irivately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3tion of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
®
Number of Students/Staff 432
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
100% Domestic
Population served: 432
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a map shouring the exact location of each outfall):
Johns River in Catawba River Basin
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration: _
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
- Bar Screen - Manual
- Activated sludge aeration basin - 10,000 gal
- Clarifier with air lift sludge return & skimmer
- Wet well with 2 alternating effluent pumps - 500 gal
- Design removal: BOD 85%
TSS 85%
Nitrogen None
Phosphorus None
2of3
Form-D 05/08

_ _ PDES APPLICATION - FORM —
irivately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.010 MGD
Annual Average daily flow 0.002 MGD (for the previous 3 years)
Maximum daily flow 0.003 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
39.5
9.7
mg/L
Fecal Coliform
N/A
Total Suspended Solids
43
17.1
mg/L
Temperature (Summer)
26
24
Co
Temperature (Winter)
9
7.5
co
pH
7.5
7.0
SU's
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO050075
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar, with the information contained in the application and that to the
best of my knowledge and belief such information is true(, complete, and accurate.
1.i � ` � e cY � l � J f c.J�— 7� S � �.1 S-� "� Ca ,. ✓ C+� Oltr-/
Printed name of Person Signing Title
8/„
to
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3of3
Form-D 05/08

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7/24/2009

Sludge Management Plan
For: Collettesville Elementary School Wastewater Treatment Plant
NPDES Permit # NCO050075 (Caldwell County)
Date: 8-17-09
The waste sludge produced at the treatment facility is removed directly from the
basins by Phillips Septic Service of Lenoir, NC (Caldwell County — License
# NCS00214) and discharged into the City of Lenoir (Caldwell County) sewage
collection system/Lower Creek WWTP.
By: Dr. Jeff Church
Assistant Superintendent
Auxiliary Services

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
E3FILE COPY
SURFACE WATER PROTECTION
Mr. Donnie. Bassinger
Caldwell County Schools
1914 Hickory Boulevard SW
Lenoir, North Carolina 28645
Dear Mr. Bassinger:
June 3, 2008
Coleen H. Sullins, Director
Division of Water Quality
Asheville Regional Office
SUBJECT: Compliance Evaluation Inspection
Collettsville Elementary School ,
Permit No: NC0050075
Caldwell County
Enclosed is the Compliance Evaluation Report of the inspection conducted on May
16, 2008 by staff of the Asheville Regional Office. The facility was judged to be in
Compliance with permit NC0050075, but attention to certain items was needed to ensure
that complaince continued.
The first item requiring attention was the grease trap serving the kitchen. Grease
was noted in the wastewater treatment plant but did not appear to be present in sufficient
mass to prevent operation of the plant. The operator reported that school personnel were
responsible for the pumping schedule for the grease trap. The level of grease in the
treatment plant indicated that pumping of the trap was required. Perhaps the wastewater
treatment plant operator should be authorized to have the grease trap serviced so that
operation of the treatment plant can be optimized.
Secondly, the grates over the wastewater treatment plant should be replaced. - The
grates were rusted to the point of being structurally compromised and would not support
the Weight of the operator or inspector. As the grates provide the operator access to all
components of the plant, proper maintenance of the.grates is needed.
The steel sheets forming the treatment plant were rusted and in need or proper
coating or painting. Left unchecked, the rust will threaten the integrity of the plant and the
function of certain components.
Nose Carolina
Naturally
2090 U.S. Highway 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1 877 623-6748

Mr. Donnie Bassinger
June 3, 2008
Page 2
Please refer to the enclosed inspection report for additional observations and
comments. If there are questions, please call the writer at 828-296-4651.
Sincerely,
James R Reid
Environmental Engineer
Enclosure
cc: Douglas Hill Lee, ORC
Central Files

United States Environmental Protection Agency
Form Approved.
Washington, D.C. 20460
PA
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 IJ 2 31 NCO050075 I11 121 08/05/16 117 181rl 19u 201 I
U t- u l _
Remarks
21111111111111111111111111111111111111Jill 11111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------Reserved--------
671 1 69 70I 3I 71 U 72I N1 73L_U 74 751 I I I 1 I I 180
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)
Collettsville Elementary School
10:15 AM 08/05/16
05/05/01
Exit Time/Date
Permit Expiration Date
4690 Collettsville School
Collettsville NC 28611
10:35 AM 08/05/16
10/02/28
Name(s) of Onsite Representative(s)rTtles(s)/Phone and Fax Number(s)
Other Facility Data
Douglas Hill Lee/ORC/828-396-4444/
Name, Address of Responsible Official/Title/Phone and Fax Number
Donnie Bassin gqer,1914 Hickory Blvd SW Lenoir NC 28645/Assistant Contacted
Superintendent/828-728-8407/8287280012 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance N Sludge Handling Disposal
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
J s R Reid 'D ARO WQ//828-296-4500 Ext.4651/ ✓ QGl
la
Signature of Ma agement Q A Reviewer Agency/Office/Phone and Fax Numbers Date
7-1t A- fP6 �Q G -2-"d6
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NC0050075 I11 "1 08/05/16 I17 18UC
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Grease trap required inspection; grease noted in plant, but at the time of inspection, the mass did not
appear sufficient to interfere with operation of the plant. Attention to the grease trap would be required to
prevent additional grease from getting into the package plant.
Top portions of steel tank rusted.
Grates rusted to the point that they were not structurally sound.
Page # 2

Permit: 14CO050075 Owner - Facility: Collettsville Elementary School
i Date: 05/16/2008 Inspection Type: Compliance Evaluation
operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? MOOD
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑
Judge, and other that are applicable?
Comment: Grease trap required inspection. Top portions of steel tank rusted. Grates
rusted to the point that they were not structurally sound.
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? ■ 0 0 ❑
Is access to the plant site restricted to the general public? ■ 110.0
Is the inspector granted access to all areas for inspection? ■ 1100
Comment:
Page # 3

Michael F. Easley, Governor
William G. Ross Jr., Secretary
y North Carolina Department of Environment and Natural Resources
r Alan W. Klimek, P.E. Director
Division of Water Quality
Asheville Regional Office
SURFACE WATER PROTECTION SECTIO1-sV
May 31, 2007
Mr.. Earl E. Bradshaw
Caldwell County Schools
1914 Hickory Blvd. SW
Lenoir, NC 28645
SUBJECT: Compliance Evaluation Inspection
Caldwell County Schools
Collettsville Elem. School WWTP
Permit No: NCO050075
Caldwell County
Dear Mr. Bradshaw:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the
inspection conducted on May 29, 2007. The facility was found to be in compliance with permit
NC0050075.
Please refer to the enclosed inspection report for additional observations and comments.
If you or your staff have any questions, please. call me at 828-296-4500 extension 4662.
Sincerely,
Wanda P. Frazier
Environmental Specialist
Enclosure
cc: Tony Gragg
Toby Lee, ORC
Central Files
NorthCarolina
.Xaiurally
(12;0 US Hwy 70, Swannanoa, NC 28778 Telephone: [phone] Fax: [phone] Customer Service 1-877-623-6748

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 l 5I 31 N0005007S 111 121 07/05/29 117 181 CI 19I sl 20I lI
Remarks
21IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA --------------------------- Reserved ----- ----------------
67I 1.0 169 70131 711 I 72 L N I 73 I I 174 751 I I I I I 1-1 80
t_ t__i__i
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)
Collettsville Elementary School
10:45 AM 07/OS/29
OS/05/01
Exit Time/Date
Permit Expiration Date
4690 Collettsville School
Collettsville NC 28611
11:15 AM 07/05/29
10/02/28
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Douglas Hill Lee/ORC/828-396-4444/
Name, Address of Responsible Official/Title/Phone and Fax Number
Donnie Bassin er,1914 Hickory Blvd SW Lenoir NC 28645/Assistant Contacted
Superintendent7828-728-8407/8287280012 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance 0 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
Wanda P Frazier ARO WQ//828-296-4500 Ext.4662/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
Z 3 3 / G�
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO050075 I11 12I 07/05/29 1
17 18N
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necess-,
Treatment Units / Process Control Testing / Effluent Data:
The activated sludge aeration basin process control data was as follows:
Temperature = 26.2 degrees Celcius
pH = 7.52 units
Dissolved Oxygen = 1.5 mg/I
Tip: The ideal level for dissolved oxygen in the aeration basin is generally 1 to 3 mg/I.
Seasonal changes in temperature require the adjustment of the aeration timer to achieve ideal
dissolved oxygen levels.
Settleable Solids = 200 ml/I = 20%
Tip: Using the settleability test, the return sludge pumping rate is usually set so that the
flow rate is approximately equal to the percentage volumes occupied by the settleable solids
from the aeration basin after settling for 30 minutes in a settleometer. For example, a
settleability of 30% would generally indicate a recommended return sludge pumping rate of 30%.
Having the percent settleable solids (i.e. 30%) the same as the percent return sludge pumping
rate (i.e. 30%), allows for the solids balance in the plant to be maintained. If the plant
cannot handle that return sludge pumping rate, then wasting is probably recommended, unless the
sludge is too young.
The effluent data was as follows:
Dissolved Oxygen = 4.5 mg/I
pH = 7.93 units
Temperature = 26.5 degrees Celcius
Chlorine = n/a -- no chlorination required
Records & Reports:
A review of the files indicates that the last compliance evaluation inspection was conducted. on
8-24-2006 by Janet Cantwell.
The permit expires on 2-28-2010. Please request a permit renewal 6 months prior to
expiration. A renewal notice will be mailed as a reminder.
The Annual Performance Report has been filed for the year and was on -site, along with a
complete copy of the current permit.
The log book was present on -site and had good notation of daily events.
Operations & Maintenance / Summary:
The activated sludge basin has recently been pumped of excess solids to the desired level
Page # 2

Permit: NC0050075
te: 05/29/2007
Owner - Facility: Collettsville Elementary School
Inspection Type: Compliance Evaluation
The effluent appeared to be clear, indicating compliance with permit Limits.
This facility appears to be well operated and maintained.
The operator was on -site -during the inspection and is doing a good job.
Action Required:
The existing bar screen has rusted through. Please replace the bar screen using
proper design specifications.
Page # 3

Permit: NCO050075 Owner - Facility: Collettsville Elementary School
Inspection Date: 05/29/2007 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?
n
n
■
0
Is the facility as described in the permit?
■
❑
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:
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 Solids, pH, DO, Sludge ■
n
n
❑
Judge, and other that are applicable?
Comment:
41-
\IA
A1C
Type of bar screen
a.Manual
■
b.Mechanical
n
Are the bars adequately screening debris?
■
n
❑
❑
Is the screen free of excessive debris?
■
n
n
n
Is disposal of screening in compliance?
■
n
n
n
Is the unit in good condition?
n
■
n
n
Comment: The bar screen has rusted through and is in need of replacement.
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext.
Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
n
ri
n
Are surface aerators and mixers operational?
n
n
■
n
Are the diffusers operational?
■
❑
n
❑
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
■
n
n
n
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
❑
■
n
Page # 4

'mit: NC0050075
ite: 05/29/2007
ns
VVI I If I101 II.
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Owner - Facility: Collettsville Elementary School
Inspection Type: Compliance Evaluation
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately Y4 of the sidewall depth)
Comment:
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 1.0 to 4.4 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
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:
■ n n n
nn■n
■nnn
■nnn
■ n n n
■ n n n
■nnn
nn■n
■nnn
■nnn
■nnn
Yes No NA NE
nn®n
■nnn
■ n n n
nn■n
■nnn'
■nnn
Yes No NA NE
■nnn
■ n n n
nn®n
Page # 5

Performance Annual Report
I. General Information
Facility/System Name: Collettsville Elementary School
Responsible Entity: Caldwell County Schools [phone]
Person in_Charge/Contact: Ron McClure (828) 4-96-0372 Pager
Applicable Permit(s): NCO050075
Description of Collection System or Treatment Process:
Line to 10,000 GPD flow goes into aeration basin, flow then goes in clarifier, with a
returned sludge and skimmer flow then goes through a 500 GPD tank_ then into a lift
station, then is forced mained to river.
II. Performance
Text Summary of System Performance for Fiscal Year 1999-2000 .
No violations for the fiscal ,year 1999-2000
List (by month) any violations of permit conditions or other environmental regulations.
Monthly lists should include discussion of any environmental impacts and corrective
measures taken to address violations.
No violations during past fiscal year 1999-2000

III. Notification
State how this report has been made available to users or customers of the system and -
how those users have been notified of its availability.
Information posted in conspicuous areas -at each school. Copy of report will be made
available to the public at each school office and at the superintendent's office of Caldwell
County Schools.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge I further certify that this report has been made available to the users or
customers of the named system and that those users have been notified of its availability.
/ vi v0
Earl Bradshaw, Associate Superintendent Da e
Caldwell County Schools