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NC0034827_Regional Office Historical File Pre 2016
A3140- NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor June 30, 2015 Winston-Salem/Forsyth County School System Attn: Wayne Loflin 4897 Lansing Drive Winston-Salem, NC 27105 Donald R. van der Vaart Secretary Subject: Compliance Evaluation Inspection Permittee: Winston-Salem/Forsyth County Board of Education Facility: Old Richmond Elementary School Wastewater Treatment Plant NPDES Permit #: NCO034827 Forsyth County Dear Mr. Loflin: Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division) conducted a compliance evaluation inspection (CEI) of the Old Richmond Elementary School Wastewater Treatment Plant (WWTP) on June 18, 2015. The assistance and cooperation -of Chris Marion, Operator in Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings are summarized below. General Information The WWTP is located on the west side of the school, in Winston-Salem, Forsyth County, NC, at approximately coordinates 36.205729°N,-80.389910°W. The permit authorizes the Winston-Salem/Forsyth County Board of Education to operate this 0.0064 MGD WWTP, which consists of!' : grease-trap;�ya 15,000 gallon septic tank, a 3,000 gallon dosing, chamber with twin 5-inch siphons, twin recirculating san`l'filters, a 10,000 gallon recirculation tank, a recirculation controller, twin 50 gallon per minute effluent pumps, ultraviolet disinfection and cascade aeration, and discharge the treated effluent via outfall 001 into an unnamed tributary (UT) to Fries Creek, which is currently classified as Class WS-IV waters in the Yadkin Pee -Dee river basin. . Site Review The plant was not in operation during the inspection because school was out and minimal wastewater was being produced. Mr. Marion appears to have done a good job of operating and maintaining the plant. However, the filter bed walls are badly deteriorated and look as though they may fail. The school may need to look at repairing the walls at some point in the near future. This was also noted during the previous inspection. The sand filter beds and distribution system were in good condition. 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105 Phone: 336-776-98001 Internet: www.ncdenr.gov An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper Documentation Review All documentation was reviewed. No discrepancies were noted. Mr. Marion has very good records and all required records were available on site, complete, and well organized; this includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, and chains of custody, etc. A new operator designation form does need to be submitted to the Division as soon as possible to designate Mr. Marion as the new ORC, and other individual(s) as backup ORCs You are reminded that violations of the permit are subject to enforcement actions by the Division of Water Resources. Violations are subject to civil penalties not to exceed $25,000 per day, per violation. If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) 776-9800. Thank you for your cooperation in this matter. Sincerely, 41 `f W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources Attachments: BIMS Inspection Report CC: 1WS'� entral Files NPHS Unit United States Environmental Protection Agency Form Approved. EPA Washington, D,C. 20460 OMB No. 2040-0057 Water Compliance Inspection Report Approval expires 8-31-98 Section A: National Data System Coding (i.e., PCS) . Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 IN I 2 15 1 3 I NC0034827 I11 12 15/06/18 17 18 LC I 19 I G I 20I I Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA — --Reserved-- ----- 72 L ,, � 731 I 174 751 I I I I I I I80 67 70I I 71 itI JI L LJ J I I Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 10:00AM 15/06/18 14/06/01 Old Richmond Elementary School Exit Time/Date permit Expiration Date 4897 Lansing Dr 11:00AM 15/06/18 19/01/31 Winston Salem NC 27105 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Officialfritle/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336-661-4975/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Ron Boone WSRO WQ//336-776-9690/ 2- S 9 Signatt}u$re of Management Q A Reviewer Agency/Office(/Phone and Fax Numbers Date �$ 44.4��Y ',. 9 'Y� ��5��' S"'t �/ �'s �� 7'�Y _-..•"s:'��y EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCO034827 I11 12 15/06/18 17 18 ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# A Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 06/18/2015 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 ❑ ❑ M ❑ application? Is the facility as described in the permit? M ❑ ❑ ❑ # Are there any special conditions for the permit? ❑ 0 ❑ ❑ Is access to the plant site restricted to the general public? M ❑ ❑ ❑ Is the inspector granted access to all areas for inspection? M ❑ ❑ ❑ Comment: None Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? M ❑ ❑ ❑ Is all required information readily available, complete and current? M ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? ■ ❑ ❑ ❑ Are analytical results consistent with data reported on DMRs? ® ❑ ❑ ❑ Is the chain -of -custody complete? M ❑ ❑ ❑ Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis . Name of person performing analyses Transported COCs Are DMRs complete: do they include all permit parameters? M ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ ❑ M ❑ (If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator ❑ ® ❑ ❑ on each shift? Is the ORC visitation log available and current? ❑ ❑ ❑ Is the ORC certified at grade equal to or higher than the facility classification? ❑ ❑ ❑ Is the backup operator certified at one grade less or greater than the facility classification? 0 ❑ ❑ ❑ Is a copy of the current NPDES permit available on site? M ❑ ❑ ❑ Facility has copy of previous year's Annual Report on file for review? ❑ ❑ M ❑ Comment: None Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑ Page# 3 I Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 06/18/2015 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE # Is the facility using a contract lab? 0 ❑ ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? ❑ ❑ ❑ Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ 0 ❑ Is sample collected below all treatment units? M ❑ ❑ ❑ Is proper volume collected? N ❑ ❑ ❑ Is the tubing clean? ❑ ❑ ■ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type N ❑ ❑ ❑ representative)? Comment: None Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and ❑ ❑ ❑ sampling location)? Comment: None Septic Tank Yes No NA NE (If pumps are used) Is an audible and visual alarm operational? ❑ ❑ 0 ❑ Is septic tank pumped on a schedule? M ❑ ❑ ❑ Are pumps or syphons operating properly? M ❑ ❑ ❑ Are high and low water alarms operating properly? ❑ ❑ N ❑ Comment: None Sand Filters (Low rate) Yes No NA NE (If pumps are used) Is an audible and visible alarm Present and operational? ❑ N ❑ ❑ Is the distribution box level and watertight? ❑ ❑ ❑ Is sand filter free of ponding? N ❑ ❑ ❑ Page# 4 9 Permit: NC0034827 Inspection Date: 06/18/2015 Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Sand Filters (Low rate) Is the sand filter effluent re -circulated at a valid 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: None Flow Measurement - Effluent # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units are separated) Does the chart recorder match the flow meter? Comment: None . Disinfection - UV Are extra UV bulbs available on site? Are UV bulbs clean? Is UV intensity adequate? Is transmittance at or above designed level? Is there a backup system on site? Is effluent clear and free of solids? Comment: Plant not in operation at time of inspection. School is not in session. Pump Station - Effluent Is the pump wet well free of bypass lines or structures? Are all pumps present? Are all pumps operable? Are float controls operable? Is SCADA telemetry available and operational? Is audible and visual alarm available and operational? Comment: None 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? Yes No NA NE • ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ Yes No NA NE ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ■ ❑ Yes No NA NE ❑ ❑ ❑ ■ ❑ ❑ ❑ • ❑ ❑ ❑ • ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ Yes No NA NE • ❑ ❑ ❑ • ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ ■ ❑ ❑ ❑ Yes No NA NE ■ ❑ ❑ ❑ ❑ ❑ ❑ Page# 5 Permit: NCO034827 Inspection Date: 06/18/2015 Effluent Pipe If effluent (diffuser pipes are required) are they operating properly? Comment: None Owner -Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation . Operations & Maintenance Is the plant generally clean with acceptable housekeeping? Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Yes No NA NE ❑ ❑ N ❑ Yes No NA NE ■ ❑ ❑ ❑ ❑ ❑ ❑ Page# 6 N.C.Dept. of ENR MAY 2 2 20 Ons 0n-Saale Regional Office March 10, 2015 Wastewater Branch Water Quality Permitting Section Division of Water Resources 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Delegation of Signature Authority Winston-Salem/Forsyth County Schools Old Richmond Elementary School WWTP NPDES Number NCO034827 To Whom It May Concern: By notice of this letter, I hereby delegate signatory authority to each of the following individuals for all permit applications, discharge monitoring reports, and other information relating to the operations at Old Richmond Elementary School WWTP required by all applicable federal, state, and local environmental agencies specifically with the requirements for signatory authority as specified in 15A NCAC 2B.0506. James M. Cheshire President/CEO Research & Analytical Laboratories, Inc. If you have any questions regarding this letter, please feel free to contact James Cheshire at 336- 996-2841. Sincerely, W -5 - Wayne Loflin Operations Director of Maintenance Winston-Salem/Forsyth County Schools cc: Winston-Salem Regional Office, Water Quality Permitting Section Winston-Salem/Forsyth County Schools Maintenance and Operations Division 4897 Lansing Drive Winston-Salem, NC 27105 (336) 6614999 Fax(336) 6614971 website: wsfcs.k12.nc.us Board of Education Donny C. Lambeth, Chair A.L. (Buddy) Collins John Davenport, Jr. Jane D. Goins Victor Johnson, Jr. Jeannie A. Metcalf Elisabeth Motsinger Marilyn A. Parker Jill A. Tackabery Dr. Beverly Emory, Superintendent RECEIVE] N.C. Dept. or ENR June 30, 2014 JUL Q 3 20% g WINSTON-SALEM W. Corey Basinger' REGIONAL OFFICE NC Division of Water Resources, Winston Salem Regional Office 585 Waughtown St. Winston Salem, NC 27107 RE: NOV for Old Richmond Elementary School, Permit No. NCO034827 Dear Mr. Basinger, This letter is in response to your NOV letter dated June 23, 2014, which outlines a monthly average exceeded reported value for Ammonia Total (as N) Concentration. The following is a statement from R&A Labs, certified operator for the wastewater treatment system at Old Richmond Elementary School. Re: Forsyth County Schools (Old Richmond) — High Ammonia, February 2014 High ammonia due to freezing weather conditions, system had a high flow and was not able to recirculate the water properly. The operator repaired busted laterals and system was back up and running optimally within the next couple of days. Ryan Smith, ORC I trust that this response will resolve this issue. If you have any questions, please contact me. Thank you. Sincerely, l4'C A.,JI&L Todd Kneller Environmental Coordinator WS/FCS Maintenance Division NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor . Director Secretary June 23, 2014 CERTIFIED MAIL 7.013-1710-00024865-5054 RETURN RECEIPT REQUESTED Winston-Salem/Forsyth County Board of Education Attn: Todd Kneller. 4897 "Lansing Dr Winston. Salem, NC 27105 Subject: Notice of Violation and Recommendation for Enforcement NOV-2014-LV-0239 Permit No. NCO034827 Old Richmond Elementary School Forsyth County Dear Mr. Smith: A review of Old Richmond Elementary School's monitoring report for February 2014 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total (as N) - Concentration 02/28/14 4 mg/I 5.6 mg/I Monthly Average Exceeded A Notice of Violation/Notice of Recommendation for Enforcement (NOWNRE) is being issued for the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0034827. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information regarding the noted violation(s), request technical assistance, or discuss overall compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of your response will be considered along with any information provided on the February, 2014, Discharge North Carolina Division of Water Resources, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-5000 \ FAX: 336-77146301 Customer Service;1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer ((OWNER_UNIT _ISSUE_ROSPV» 5/30/2014 Page 2 of 2 Monitoring Report. You will then be notified of any civil penalties that may be assessed regarding the violation(s). If no response is received in this Office within the 10-day period, a civil penalty assessment may be prepared. Remedial actions, if not already implemented, should be taken to correct any problems. The Division of Water Resources may pursue enforcement actions for this and any additional violation(s). If the violation(s) are of a continuing nature, not related to operation and/or maintenance problems, or you anticipate remedial construction activities, then you may wish to consider applying for a Special Order by Consent. If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at (336) 771-5000. Sincerely, W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources cc: Point Source Branch SWP — Central Files WSRO Files 0 °p .` A MCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder John E. Slcvarla, III Governor . Director Secretary June 23, 2014 CERTIFIED MAIL 7013-1710.0002.1865.5054 RETURN RECEIPT REQUESTED Winston-Salem/Forsyth County Board of Education Attn: Todd Kneller 4897 Lansing Dr Winston Salem, NC'27105 Subject: Notice of Violation and Recommendation for Enforcement NOV-2014-LV-0239 Permit No., NCO034827 Old Richmond Elementary School Forsyth County . Dear Mr. Smith: A review of Old Richmond Elementary School's monitoring report for February 2014 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total (as N) - Concentration '02/28/14 4 mg/I 5.6 mg/I Monthly Average Exceeded A Notice of Violation/Notice of Recommendation for Enforcement.(NOWNRE) is being issued for the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0034827. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms, conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information regarding the noted violation(s), request technical assistance, or discuss overall compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of your response will be considered along with .any information provided on the February, 2014, Discharge North Carolina Division of Water Resources, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-77146301 Customer Service;1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity (Affirmative Action Employer «OWNER_ UNIT _ISSUE_ROSPV» 5/30/2014 Page 2 of 2 Monitoring Report. You will then be notified of any civil penalties that may be assessed regarding the violation(s). If no response is received in this Office within the 10-day period, a civil penalty assessment may be prepared. Remedial actions, if not already implemented, should be taken to correct any problems. The Division of Water Resources may pursue enforcement actions for this and any additional violation(s). If the violation(s) are of a continuing nature, not related to operation and/or maintenance problems, or you anticipate remedial construction activities, then you may wish to consider applying for a Special Order by Consent. If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at (336) 771-5000. Sincerely, W. Corey Basinger Regional Supervisor Water Quality Regional Operations Division of Water Resources cc: Point Source Branch SWP — Central Files V42-0-TE " DMR ReAew Record Facility: 61 Y �i c lest vn�, Permit fro.: Pipe No.: a u c MonthNear: o a- L Monthly Average Violations Parameter Permit Limit DMR Value 0 s 6 % Over Limit 410. i 2S Action Weekly/Daily Violations Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported # of Violations Action Other Violations/Staff Remarks: Supervisor Remarks: Completed by: / &Za Assistant Regional Supervisor Sign Off: Date: S�Z - // � —I—r Date: Regional Supervisor Sign ,- .$-j /` Off: Date:% I EFFLUENT .a°� NPDES PERMIT NO. NC 0034827 DISCHARGE NO. 001 MONTH Februa!y YEAR 2014 FACILITY NAME Forsyth County Schools/ Old Richmond Elementary School CLASS I COUNTY Forsyth CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Ryan Smith GRADE I CERTIFICATION NO. 996389 PERSON(S) COLLECTING SAMPLES Operators ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE x Mail ORIGINAL and ONE COP to: RE. EIVED N C.D= t. of ENR L% ATTN: CENTRAL FILES X DIVISION OF WATER QUALITY APR 2014 (SIGN TURE OF PERATOR IN RESPONSIBLE CHARGE) DATE 1617 MAIL SERVICE CENTER BY TE IS SIGNATURE, I CERTIFY THAT THIS REPORT IS RALEIGH, NC 27699-1617 VVinstL n-.Salem ACCU tATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. Regio fal Office Q A Y •�• N GE OF' '~' ❑ O x M O U O 50050 00010 00400 50060 00310 00610 00530 31616 00300 FLOW i F x Uv disinfection eq � eE E E d Fr v w 'O > y A EFF dA MGD Oc I SU MR/1 m /1 m /l #100/ml m /1 HRS HRS elBIN Weekly Weekly Weekly 2/Month Monthly 2/Month 2/Month Weekly 2 3 :0`�0;„ °`0:'S.0 X.„ti,. n�H�ha 4 0830 0.50 Y `5 6800" ' 0.k Y A PP A` 6 1455 0.50 Y _ v 7, 16004, .80-,Y 0.80---Y, , -' ° '0.0008 10.0 7,10' CE I 1:1 I p, 8.9 8 `a9 w '-> l i![ �fl0"�� a�' r�iti G., r p �a �yn� NRA, gyi77, � till „ 77777 °eu'� ", � B4 �OIInV(� ��ln, 4 ,� .,.p.b'�1 � ,. � ' �I w 101 1630 1 0.50 Y 11 1730 0.50 Y 12 0700 0.80 Y 7.0 1 6.7 9.9 N Could not visit due fo,the,inclement weather------------------; - -;- ---7--------------r------- _ 1 1, - 14 N 0.0016 Could not visit due to the inclement weather --------------------------------------------------------------------------------------- 45 16 17,,0800 -1.00 Y, 18 0930 0.80 Y 2.78 1.68 1.0 <1 19 ;,163Q O� 0,,: „Y ° " 20 0730 0.30 Y 21 0.80, „Y,. , -;: 0:0029 9.0 ` � 6:7 , ,.,. ., �;.. ,,, _.. .. " ° 9.3 22 23 24 0830 0.50 Y 26 0730 0.50 1 Y 27 `.1130. °2.00 28 1000 0.80 Y 0.0028 9.0 6.8 <2.00 9.53 <1.0 <1 10.1 29 30 m .x �`i� ���r s p AVERAGE 0.0020 8.8 <2.00 1of 561 <1.0 <1 9.6 MAXIMUM" -- ' ° -'' 0.0029 ,10s0 _ 7.1 2.78 „ ° w ;10.5 1.0 <f 10.1 , . MINIMUM 0.0008 7.0 6.7 <2.00 1.68 <1.0 <1 8.9 Comp. (.C)./,Grab;`((i) �. x: i 1 .° G G, G G. G `, . G, G " G Monthly Limit 0.0064 1 N/A =16<9 N/A W/10;S/5 W/4;S/2 1 30.0 200.0 >6.0 ON Copy DWQ Form MR-1 (01/00) " Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant 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 permitte 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. If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. "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 a 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 of fines and imprisonment for knowing violations." James . Ches ire (Authorize"ae Perm ttee (P as in r Sig atur o Permiee' * Date ( ired unless s mi /edelectronically) 6315 Tobaccoville Road Tobaccoville, NC 01/31/14 Permittee Address Phone Number Permit Exp. Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the parameters on the DMR for the entire monitoring period. ** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. ** Signature of Permittee: If signed by other than the permitte, then tie:delt;gati6nrof the signatory authority must be on file with the state per 15ANCAC213.0506 (b) (2) (D). 3 NP,DES NO: NC 0034827 DISCHARGE NO: 001 MONTH: February YEAR: 2014 FACILITY NAME: Forsyth County Schools - Old Richmond Elementary COUNTY: Forsyth STREAM: None LOCATION: None (Upstream -iii l i„i ii.ii ii i ii •l= ii.. Mmmmm Enter Paiameter Code above .i Name and Units Below ®==®====---- ®-------_----- m-----MIRA 2MMMMM ®----.'-",�.---- m--5d----_--0-. STREAM: Unnamed Tributary to Fries Creek LOCATION: Highway 67 ®wnstream 00010 00300 00400 00310 00340 31616 00995 Vy (,, O N E C~ a E" 01 o o A N 0.O1 A O E w U ° U Enter Parameter Code above Name and Units Below Weekly Weekly HRS °C mg/1 SU mg/1 mg/1 100m1 ,,mhos/em it ;�':;7 r x , -�� 77 � "n o :, Ni�Ni&�IY+Ars"a ��I��WtiY„. 'SIN I"tti4 iid �ll;a ;gp_ .ni.�' n, 4➢JN 7P 164 119i1 0�- :.] 0 6 —777 r,A�(� (i�iuipN(� k'" N° puff '� i -+ui h N 0700 5.0 10.0 t ;_Np�gUl ,y T0 yi.. . >ifin-bi ,4 'a�,�.9= .(7 •,�I DPP 1120. 9.O•� s, , �p 77, 1045 7.0 10.1 N vL', e, ia�ipt 1 UiN F r j l 5.0 9.8 Copy DEM Form MR-3 (11184) WSRO MONTHLY DMR VIOLATIONS REPORT FOR: Forsyth NCO034827 Limit Violation Old Richmond Elementary School Interest Name Parameter Desc !03-19-2013 ;Violatiob Action reeddi BOD, 5-Day (20 Deg. C) • Milligrams j 2013 3 001 Concentration 2 X month per Liter 22.6 50.66667 Proceed to NOV Average Nitrogen, Ammonia Total Milligrams Exceeded 2013 2 001 (as N) - Concentration 02-28-2013 Monthly per Liter 4 4.8 19.875 Proceed to NOV ont y Average BOD, 5-Day (20 Deg. C) - Milligrams Exceeded 2013 3 001 Concentration - 03-31-2013 2 X month per Liter 10 11.3 13 Proceed to NOV Monthly Average Nitrogen, Ammonia Total Milligrams Exceeded 1 2013 31 001 (as N) - Concentration 03-31-2013 Monthly per Liter 4 6.67 66.75 Proceed to NOV Monthly Million Average 1 Flow, in conduit or thru Gallons per Exceeded 2013 10 001 treatment plant 10-31-2013 Weekly Day 0.006 0.0205 220.3125 Proceed to NOV FA iCDENR North Carolina Department of Environment and Natural Resources Pat McCrory. John E. Skvarla, III Governor Secretary July 9, 2014 Winston-Salem/Forsyth County School System Attn: Barry Smith, Superintendent 4897 Lansing Drive Winston-Salem, NC 27105 Subject: Compliance Evaluation Inspection Permittee: Winston-Salem/Forsyth County Board of Education Facility: Old Richmond Elementary School Wastewater Treatment Plant NPDES Permit #: NCO034827 . Forsyth,County Dear Mr. Smith: Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the Division) conducted a compliance evaluation inspection (CEI) of the Old Richmond Elementary School Wastewater Treatment Plant (WWTP) on July. 1st, 2014. The assistance and cooperation of Chris Marion, Operator in Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings are summarized below. .General Information The WWTP is located on the west side of the school, in Winston-Salem, Forsyth County, NC, at approximately coordinates 36.205729°N,-80.3899100W. The permit authorizes the Winston-Salem/Forsyth County Board of Education to operate. this 0.0064 MGD WWTP, which consists of a grease trap, a 15,000 gallon septic tank, a 3,000 gallon dosing chamber with twin 5-inch siphons, twin recirculating sand filters, a 10,000 gallon recirculation tank, a recirculation controller, twin 50 gallon per minute effluent pumps, ultraviolet disinfection and cascade aeration, and discharge the treated effluent via outfall 001 into an unnamed tributary (UT) to Fries Creek, which is currently classified as Class WS-IV waters in the Yadkin Pee -Dee river basin. Site Review The plant was not in operation during the inspection because school was out and minimal wastewater was being produced. Mr. Marion appears to have done a good job of operating and maintaining the plant. However, the filter bed walls are badly deteriorated and look as though they may fail. The school may need to look at repairing the walls at some point in the near future. This was also noted during the previous inspection. The sand filter beds and distribution system were in good condition. 585 Waughtown Street, Winston-Salem, North Carolina 27107 Phone: 336-771-50001 Internet: www.ncdenr.gov An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper The flow meter was out of calibration. The practice at this plant is to have two separate meters and have one installed while the other is being calibrated by the manufacturer. Mr. Marion explained that the manufacturer was taking a longer than normal time to calibrate the meter and was unsure of its current status. Because there is low or no flow at the school right now, this should suffice as long as the newly calibrated meter can be received and installed as flow starts to pick up and school begins in August. Please remember that a properly calibrated flow meter is a requirement of your permit. Documentation Review All documentation was reviewed. No discrepancies were noted. Mr. Marion has very good records and all required records were available on site, complete, and well organized; this includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, and chains of custody, etc. A new operator designation, form does need to be submitted to the Division as soon as possible to designate Mr. Marion as the new ORC, and other individual(s) as backup ORCs You are reminded that violations of the permit are subject to enforcement actions by the Division of Water Resources. Violations are subject to civil penalties not to exceed $25,000 per day, per violation. Please respond to this letter in writing within 30 days of receiving it. Your reply should explain what you plan to do about the filter walls and keeping the flow meter properly calibrated, as well as address the outdated ORC designation form. If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) 771-5000. Thank you for your cooperation in this matter. Sincerely, -tW. Corey Basinger Regional Supervisor Water -Quality Regional Operations Division of Water Resources Attachments: BIMS Inspection Report CC: VW ';SRigl Central Files NPDES Unit 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 IN 1 2 I� I 3 I NCO034827 I11 12 14/07/01 17 181, 1 19 I G I 201 211111 1 1 I I I I II 11 1 I I I I I I I I I I I I I I I I I I I III I I I I I f6 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------Reserved-- 71 2 L�731 751 I I I I I 80 67 70 L_1 J7 Section B: Facility Data Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date POTW name and NPDES permit Number) 09:OOAM 14/07/01 14/06/01 Old Richmond Elementary School 4897 Lansing Dr Exit Time/Date Permit Expiration Date Winston Salem NC 27105 10:OOAM 14/07/01 19/01/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data /// Christopher S Madon/ORC/336-786-3597/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336-661-4975/ No 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 Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Ron Boone % WSRO WQ//336-771-4967/ / ({ / Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date / -- �Z' ° 1 7//0%/q EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page# NPDES yr/mo/day Inspection Type 31 NCO034827 I11 12 1 14/07/01 17 18 Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page# 1 Permit: NCO034827 Inspection Date: 07/01/2014 Owner -Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Operations & Maintenance Is the plant generally clean with acceptable housekeeping? Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge Judge, and other that are applicable? Comment: None Permit (If the present permit expires in 6 months or less). Has the permittee submitted a new application? Is the facility as described in the permit? # Are there any special conditions for the permit? Is access to the plant site restricted to the general public? Is the inspector granted access to all areas for inspection? Comment: None Yes No NA NE ® ❑ ❑ ❑ ® ❑ ❑ ❑ Yes No NA NE ❑ -❑ ® ❑ ® ❑ ❑ ❑ ❑ M ❑ ❑ ® ❑ ❑ ❑ ® ❑ ❑ ❑ Record Keeping Are records kept and maintained as required by the permit? Is all required information readily available, complete and current? Are all records maintained for 3 years (lab. reg. required 5 years)? Are analytical results consistent with data reported on DM Rs? Is the chain -of -custody complete? Dates, times and location of sampling Name of individual performing the sampling Results of analysis and calibration Dates of analysis Name of person performing analyses Transported COCs Are DMRs complete: do they include all permit parameters? Has the facility submitted its annual compliance report to users and DWQ? (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? Is the ORC visitation log available and current? Is the ORC certified at grade equal to or higher than the facility classification? Is the backup operator certified at one grade less or greater than the facility classification? Is a copy of the current NPDES permit available on site? Yes No NA NE M ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ❑ ■ ❑ ❑ ❑ ®❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ® ❑ ❑ ❑ M ❑ M ❑ ❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ ❑ M ❑ ❑ ❑ Page# 3 Permit: NC0034827 Owner -Facility: Old Richmond Elementary School Inspection Date: 07/01/2014 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑ Comment: None 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: None Flow Measurement - Effluent # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units are separated) Does the chart recorder match the flow meter? Yes No NA NE ■ ❑ '❑ ❑ ■ ❑ ❑ ❑ ❑ ❑ M ❑ Yes No NA NE ❑ ❑ ❑ M ❑ ❑ ❑ ❑ ❑ ■ ❑ Comment: Flow meter is currently out of calibration Waiting for second meter to be returned from the manufacturer after calibration. Septic Tank Yes No NA NE (If pumps are used) Is an audible and visual alarm operational? ❑ M ❑ ❑ Is septic tank pumped on a schedule? 0 ❑ ❑ ❑ Are pumps or syphons operating properly? M❑ ❑ ❑ Are high and low water alarms operating properly? 0_ ❑ ❑ ❑ Comment: None Sand Filters (Low rate) Yes No NA NE (If pumps are used) Is an audible and visible alarm Present and operational? ❑ M ❑ ❑ Is the distribution box level and watertight? ❑ ❑ ❑ Is sand filter free of ponding? ❑ ❑ ❑ Is the sand filter effluent re -circulated at a valid ratio? ❑ ❑ ❑ # Is the sand filter surface free of algae or excessive vegetation? 0 ❑ ❑ ❑ # Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) 0 ❑ ❑ ❑ Comment: Effluent pump tank is the only tank that has alarms. Page# 4 f Permit: NCO034827 Owner -Facility: Old Richmond Elementary School Inspection Date: 07/01/2014 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? ® ❑ ❑ ❑ Are all other parameters(excluding field parameters) performed by a certified lab? N ❑ ❑ ❑ # Is the facility using a contract lab? ® ❑ - ❑ ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ❑ Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? ❑ ❑ ❑ Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? ❑ ❑ ❑ Comment: None Upstream ! Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and ® ❑ ❑ ❑ sampling location)? Comment: None Effluent Sampling Yes No NA NE Is composite sampling flow proportional? ❑ ❑ ® ❑ Is sample collected below all treatment units? ® ❑ ❑ ❑ Is proper volume collected? ® ❑ ❑ ❑ Is the tubing clean? ❑ ❑ ® ❑ # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees ❑ ❑ ® ❑ Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type ® ❑ ❑ ❑ representative)? Comment: None Page# 5 Attn: Todd Kneller Winston-Salem/Forsyth Co. Schools 4897 Lansing Drive Winton -Salem, NC 27105 RECEIVED N.C.Dept. of ENR JAN 3 0 2014 NC®11 NR I Rr Office -Office North Carolina Department of Environment and Natural Resources Division of Water Resources Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary 2014 Subject: Receipt of permit renewal Permit NCO034827 Forsyth County January 23, Dear Mr. Kneller: /h U ��� f " l n, M t o 5 c �\ O `' I The NPDES Unit received your permit renewal application on January 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 Charles Weaver (919) 807-6391. Sincerely, Wren Thedford Wastewater Branch cc: Central Files --Winston Salem--Regional=Office NPDES Unit 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone: 919-807-63001 Fax: 919-807-6492/Customer Service:1-877-623-6748 Internet:: www.ncwater.orq An Equal OpportunitylAffirmative Action Employer • ' ""Y'h January 13, 2014 RECEIVED N.C.Dept. of ENR Y `= JAN 3 0 2014 ^a Wren Thedford � NCDENR \ DWR \ NPDES Unit Winston-saiem Regional Office 1617 Mail Service Center Raleigh, NC 27699-1617 Winston-Salem/Forsyth County Schools Maintenance and Operations Division RE: Old Richmond Elementary School permit renewal, NCO034827 4897 Lansing Drive Winston-Salem, NC 27105 (336)661-4999 Fax(336)661-4971 website: wsfcs.kl2.nc.us The Winston Salem/Forsyth County Board of Education would like to request renewal of permit #NC0034827. There have been no significant changes to the facility since the permit was last renewed in 2009. Supporting documents are enclosed. Sincerely, Todd Kneller Environmental Coordinator WS/FCS Maintenance Division enclosures wren. thedford@ncdenr. gov Board of Education Donny C. Lambeth, Chair A.L. (Buddy) Collins John Davenport, Jr, Jane D. Goins Victor Johnson, Jr. Jeannie A. Metcalf Elisabeth Motsinger Marilyn A. Parker Jill A. Tackabery Dr. Beverly Emory, Superintendent Alt 7014 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. DENR / Division of Water Resources / NPDES Program 1617 Mail Service Center, Raleigh, NC 27699-1617 NPDES Permit INCO034827 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 Winston Salem / Forsyth County Board of Education Facility Name Old Richmond Elementary School Mailing Address PO Box 2513 City Winston Salem State / Zip Code North Carolina 27102-2513 Telephone Number (336) 727-2816 Fax Number (336) 661-6572 e-mail Address dwwalker@wsfcs.kl2.nc.us 2. Location of facility producing discharge: Check here if same address as above ❑ Street Address or State Road 6315 Tobaccoville Road City Tobaccoville State / Zip Code North Carolina, 27050 County Forsyth 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 Wayne Loflin, Director Mailing Address Maintenance Division, 4897 Lansing Drive City Winston Salem State / Zip Code North Carolina, 27105 Telephone Number (336) 661-4999 Fax Number (336) 661-4971 e-mail Address wloflin@wsfcs.kl2.nc.us 1 of 3 Form-D 9/2013 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 4. Description of wastewater: Facilitv Generating Wastewater(check all that apply): Industrial ❑ Number of Employees Commercial ❑ Number of Employees Residential ❑ Number of Homes School ® Number of Students/Staff 536 Other ❑ Explain: Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Elementary school building Number of persons served: 536 5. 'lope 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): Unnamed tributary of Fries Creek, classified as WS-IV waters in the Yadkin -Pee Dee River Basin S. Frequency of Discharge: ❑ Continuous ® Intermittent If intermittent: Days per week discharge occurs: Monday -Friday Duration: Sam - 6am 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. One grease trap (no longer in use), septic tank (15,000 gal), dosing chamber (3,000 gal), twin recirculating surface sand filter (2,112 Sq Ft), recirculation tank (10,000 gal) and controller, twin effluent pumps, UV disinfection and cascade re -aeration. 2 of 3 Form-D 912013 NPDES APPLICATION - FORM D For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD 10. Flow Information: Treatment Plant Design flow 0.0064 MGD Annual Average daily flow 0.0027 MGD (for the previous 3 years) Maximum daily flow 0.0057 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 t urrentl in our ermit Mark other arameters "N/A". the ast 36 months or arame ers c Parameter Daily Maximum Monthly Average Units of Measurement Biochemical Oxygen Demand (BOD5) 22.6 2.54 Mg/l Fecal Coliform 41 2 col/ 100ml Total Suspended Solids 9.0 1.55 Mg/l Temperature (Summer) 31.0 23.3 °C Temperature (Winter) 17.0 13.2 °C pH 7.2 6.9 Std. units 13. List all permits, construction approvals and/or applications: Type Permit Number Type Permit Number Hazardous Waste (RCRA) UIC (SDWA) NPDES PSD (CAA) Non -attainment program (CAA) NESHAPS (CAA) Ocean Dumping (MPRSA) NCO03482% Dredge or fill (Section 404 or CWA) Other 14. APPLICANT CERTIFICATION I certify that I am familiar with the information contained in the application and that to the best of my knowledge and belief such information is true, complete, and accurate. -J�d Ky+C I Qer s�V cli9r► � rzs Printed name of Person Signing Title Signature of Applicant Date North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the Environmental Management 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 9/2013 Winston-Salem/Forsyth County Schools Maintenance and Operations Division 4897 Lansing Drive Winston-Salem, NC 27105 (336) 661-4999 Fax(336) 661-4971 website: wsfcs.k12.nc.us Board of Education Donny C. Lambeth, Chair A.L, (Buddy) Collins John Davenport, Jr. Jane D. Goins Victor Johnson, Jr. Jeannie A. Metcalf Elisabeth Motsinger Marilyn A. Parker Jill A. Tackabery Dr. Beverly Emory, Superintendent January 13, 2014 Wren Thedford NCDENR \ DWR \ NPDES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 RE: Old Richmond Elementary School permit renewal, NCO034827 Sludge Management Plan Annually or on an as -needed basis, the Winston Salem/Forsyth County Schools Maintenance Division contracts pumping of the septic tank and dosing chamber for sludge management at this facility. Sludge is disposed of according to State and local regulations by the contractor. Sincerely, Todd Kneller Environmental Coordinator WS/FCS Maintenance Division June 17, 2013 PAGES: 4 (INCLUDING COVER) TO: W. COREY BASINGER (336) 771. 4630 M : MARCH 2013 DAILY MAXIMUM EXCEEDENCES �r F o o � � D �a Winston Salem/Forsyth Co. Schools MainCenanco Division 469 , Lansing Drive Winston Salem. NC 27105 998.661.4999 fax 9J6.661.4971 PLEASE SEE THE ATTACHED EXPLANATION FROM OUR OPERATOR AS TO.THE NON— COMPLIANCE ITEMS YOU HAVE MENTIONED IN YOUR LETTER DATED JUKE 13. WE UNDERSTAND THAT ALL OF THESE ITEMS HAVE BEEN ADDRESSED AND THAT THE SYSTEM IS FUNCTIONING NORMALLY. YOU WILL NOTE THAT AN INSPECTION WAS COMPLETED BY RON BOONE ON MAY 28, 2013. YOU MAY CONTACT ME WITH ANY QUESTIONS. THANK YOU! Todd Kneller Environmental Coordinator WS/FCS Maintenance Division (336) 661-4999 office WSIFCS Main,tonance Division LO 'd S0 :9 L E LOZ L L un f LL6V L999H:Xe3 3.3NVNhN I VW S03SM OA NCDENR Noah Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Acting Director Secretary June 13, 2013 Winston-Salem/Forsyth County Board of Education. Attn: Barry Smith 4897 Lansing Or Winston Salem, NC 27106 Subject: NOTICE OF VIOLATION: NOV-2013-LV-0359 Permit No. NCO034827 Forsyth County Dear Mr. Smith: A review of Old Richmond Elementary School's monitoring report for March 2013 showed the following violations: Parameter Date Limit Value Reported Value Limit Type BOD, 5-Day (20 Deg. C) - 03/19/13 15 mg/l 22.6 mg/l Daily Maximum Concentration Exceeded Nitrogen, Ammonia Total (as N) - 03131/13 4 mgll 6.67 mgll Monthly Average Concentration Exceeded BOD, 5-Day (20 Deg. C) - 03/31/133 10 mg/1 11.mg/l Monthly Average Concentration Exceeded Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). Please be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any additional violations of State law. If you should have any questions, please do not hesitate to contact Ron Boone at (336) 771-5000. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: SWP — Central Files WSRO Files North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waugrtwwn St Winston-Saiem, North Carolina 27107 Phone; 336-771.5000 l FAX: 335 771-4,6301 Customer Service: 1-877 623-6748 Internet; www.ncwai.erquality.oro An Equal Oppomnmity % Affirmative Ac9cn Employer ne atmallff ZO'd SO:9L CLOZ LL unr LL6VL999CC:xed 30Nb' AM bIW S3dSA �< RESEARCh & ANA[yTICAL LAb®RAT®RiES, INC. Analy6cal/Process Consultations Re: Old Richmond Elementary — NH-3-N Exeeedance in February 2013 The non-cornpliance associated with high N14-31 1 concentration was due to alkalinity depletion caused by insufficient buffering capacity of the raw -wastewater beingAreated- The ORC had increased the alkalinity by increasing the dosage requirement for the sodium bicarbormte that is currently being applied. This should correct the problem., Historically this WWTP has experienced alkalinity depletion however this is the first time we have experienced elevated NCI-3-N caused by not adding enough alkalinity to the wastewater. 1 -.lames M. Cheshire, JMC (03/2-29/13) P.O. Box 473 • 106 Short Street - Kernersville, North Carolina 27284 •336.998-2®41 • Fax 336-996-0326 www,randaiabs,corn SO 'd SO:91 S LOZ L t un r LL6b t999S6: Xe.J 33NUN3A M S33SM r RESEARCh & ANA1yTICA1 LAbORATORiES, INC. Analytical/Process Consultations Re: Old Riclunwid .Stementary — NTH-3-N 1lxeeedence in March 2013 We experienced low alkalinity levels in the water. We have since increased the dose rate of sodiurn bicarbonate and have noticed a drop in the ammonium. -Ryan Smith, ORC P.O. Box 473 - 106 Short Street • Kernersville, North Carolina 27294 • 336-996.2641 • Fax 336-995-0326 www.randalabszom b0'd 90:9l CLOZ Ll unr Lt6b1999CC:Xe3 30NVN31N1VW SO.JSM E 1;T A�ff HCDEHR North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Thomas A. Reeder Governor Acting Director June 13, 2013 Winston-Salem/Forsyth County Board of Education Attn: Barry Smith 4897 Lansing Dr Winston Salem, NC 27105 Subject: NOTICE OF VIOLATION: NOV-2013-LV-0359 Permit No. NCO034827 Old Richmond Elementary School Forsyth County Dear Mr. Smith: John E. Skvarla, III Secretary A review of Old Richmond Elementary School's monitoring report for March 2013 showed the following violations: Parameter Date Limit Value Reported Value Limit Type BOD, 5-Day (20 Deg. C) - 03/19/13 15 mg/I 22.6 mg/I Daily Maximum Concentration Exceeded Nitrogen, Ammonia Total (as N) - 03/31/13 4 mg/I 6.67 mg/I Monthly Average Concentration Exceeded BOD, 5-Day (20 Deg. C) - 03/31/13 10 mg/I 11.3 mg/l Monthly Average Concentration Exceeded Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s)-. Please be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any additional violations of State law. If you should have any questions, please do not hesitate to contact Ron Boone at (336) 771-5000. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: SWP — Central Files GU R00I'F les t North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. tiVinston-Salem; North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 Internet: www.ncwaterquality.org One NorlhCarolina. Xatmally An Equal Opportunity', Affirmative Action Employer DMR Review Record Facility: Old Richmond Elem. School Permit No.: 34827 Pipe No.: 001 MonthNear: 03/2013 Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Action BOD5 10 11.3 13.00 NH3 4 6.67 66.75 #DIV/0! #DIV/0! Weekly/Daily Violations Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action 3/19/13 BOD5 15 Daily Max 22.6 50.67 #DIV/O! #DIV/O! #DIV/0! Monitoring Frequency Violations Date Parameter Permit Frequency Values Reported. # of Violations Action Other Violations/Staff Remarks:-��J— Completed by: Ron Boone Failure to monitor parameter with limit: $50 Failure to monitor parameter without limits: $25 Any facility with just a single daily max violation to receive NOV only. No civil assessment cases for less than $100, not including cost of investigation. NOV only. Threshold for flow is 10%; threshold for all other parameters is 20%. Stipulated demand letters for SOCs..... automatic.' Failure to obtain a permit ..... $4,000. Date: 6/7/13 Multipliers: Number of assessments for previous 12 months: 0-2 Multiply base penalty by 1.0 3-5 Multiply base penalty by 1.25 6-8 Multiply base penalty by 1.5 9-12 - Multiply base penalty by 2.0 Delgated Fast Track Penalties/Base Penalty Amounts: DMR Monthly Flow Avg Monthly Average Weekly Average Daily Max :50.05 MGD--------- $250 ($0-500) $150 ($0-200) $100 ($0-200) >0.05 but <0.1 MGD $500 ($0-1,000) $250 ($0-500) $100 ($0-200) 2!0.1 but <0.5 MGD $750 ($0-1,500) $300 ($0-500) $200 ($0-500) 4.5 but <1.0 MGD $1,000 ($0-2,000) $350 ($0-500) $200 ($0-500) >1.0 but <10.0 MGD $1,500 ($0-3,000) $500 ($0-1,000) $250 ($0-500) >10.0 but <25.0 MGD $2,000 ($0-4,000) $750 ($0-1,000) $350 ($0-500) >_25.0 MGD $2,500 $0-5,000 $750 ($0-1,000) $350 ($0-500 Supervisor Remarks: A18V-2.o13-LV-0359 �j Regional Water Quality Supervisor Sign Off: Date: . /4 % WSRO MONTHLY DMR VIOLATIONS REPORT FOR: Forsyth NCO034827 Limit Violation Old Richmond Elementary School 10 A -a �oall MCDENR North Carolina Department of Environment and Natura Division of Water Quality Pat McCrory Charles Wakild, P.E. Governor Director May 6, 2013 Barry Smith Winston-Salem/Forsyth County Board of Education 4897 Lansing Dr. Winston Salem, NC 27105 Subject: NOTICE OF VIOLATION NOV-2013-LV-0286 Permit No. NCO034827 Old Richmond Elementary School Forsyth County . Dear Mr. Smith: Resources John E. Skvarla, III Secretary A review of Old Richmond Elementary School's monitoring report for February 2013 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Nitrogen, Ammonia Total 02/28/13 4 mg/1 4.8 mg/1 Monthly (as N) - Concentration Average Exceeded Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem(s). Please be aware that violations of your NPDES permit could'result in enforcement action by the Division of Water Quality for this and any additional violations of State law. If you should have any questions, please do not hesitate to contact Ron Boone at (336) 771-5000. cc: SWP — Central Files %91RT®)Hiles North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 Internet: wvvw.ncwaterquality.org An Equal Opportunity 4 AYrmative Action Employer Sincerely, UkI W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality One NofthCarolina )UMM1119 Facility: Old Richmond ES WWTP Parameter NH3 Date Parameter Date Parameter DMR Review Record Permit No.: 34827 Pipe No.: 001 MonthNear: 02/2013 Monthly Average Violations Permit Limit DMR Value % Over Limit Action 4.0 .4.8 20.00 #DIV/0! #DIV/0! #DIV/0! Weekly/Daily Violations Permit Limit Limit Type DMR Value % Over Limit Action #DIV/0! #DIV/0! #DIV/0! #DIV/0! Monitoring Frequency Violations Permit Frequency Values Reported # of Violations Action Other Violations/Staff Remarks: No other violations in past 12 months. Completed by: Ron Boone criteria Failure to monitor parameter with limit: $50 Failure to monitor parameter without limits: $25 Any facility with just a single daily max violation to receive NOV only. No civil assessment cases for less than $100, not including cost of investigation. NOV only. Threshold for flow is 10%; threshold for all other parameters is 20%. Stipulated demand letters for SOCs..... automatic. Failure to obtain a permit ..... $4,000. Date: 5/6/13 Multipliers: Number of assessments for previous 12 months: 0-2 Multiply base penalty by 1.0 3-5 Multiply base penalty by 1.25 6-8 Multiply base penalty by 1.5 9-12 Multiply base penalty by 2.0 Delgated Fast Track Penalties/Base Penalty Amounts: DMR Monthly Flow Avq Monthly Average Weekly Average Daily Max :50.05 MGD--------- $250 ($0-500) $150 ($0-200) $100 ($0-200) *05 but <0.1 MGD $500 ($0-1,000) $250 ($0-500) $100 ($0-200) >_0.1 but <0.5 MGD $750 ($0-1,500) $300 ($0-500) $200 ($0-500) 4.5 but <1.0 MGD $1,000 ($0-2,000) $350 ($0-500) $200 ($0-500) >_1.0 but <10.0 MGD $1,500 ($0-3,000) $500 ($0-1,000) $250 ($0-500) >_10.0 but <25.0 MGD $2,000 ($0-4,000) $750 ($0-1,000) $350 ($0-500) >_25.0 MGD $2,500 ($0-5,000) $750 ($0-1,000) $350 ($0-500) Supervisor Remarks: V4, QV 2D13'-)V —072; Regional Water Quality Supervisor Sign Off:�Dater o Q , North Carolina Department of Environment and Natural Resources Division of Water Quality Pat McCrory Charles Wakild, P. E. John E. Skvarla, III Governor Director Secretary May 28, 2013 Winston-Salem/Forsyth County School System Attn: Barry Smith, Superintendent 4897 Lansing Drive Winston-Salem, NC 27105 Subject: Compliance Evaluation Inspection Permittee: Winston-Salem/Forsyth County Board of Education Facility: Old Richmond Elementary School Wastewater Treatment Plant NPDES Permit #: NCO034827 Forsyth County Dear Mr. Smith: Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) of the Old Richmond Elementary School Wastewater Treatment Plant (WWTP) on May 22, 2013. The assistance and cooperation of Ryan Smith, Operator in Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings are summarized below. General Information The WWTP is located on the west side of the school, in Winston-Salem, Forsyth County,.NC, at approximately coordinates 36.205729°N,-80.389910°W. The permit authorizes the Winston-Salem/Forsyth County Board of Education to operate this 0.0064 MGD WWTP, which consists of a grease trap, a 15,000 gallon septic tank, a 3,000 gallon dosing chamber with twin 5-inch siphons, twin recirculating sand filters, a 10,000 gallon recirculation tank, a recirculation controller, twin 50 gallon per minute effluent pumps, ultraviolet disinfection and cascade aeration, and discharge the treated effluent via outfall 001 into an unnamed tributary (UT) to Fries Creek, which is currently classified as Class WS-IV waters in the Yadkin Pee -Dee river basin. Site Review Mr. Smith has done an excellent job of operating and maintaining the plant. It is in very good condition and Mr. Boone noted no discrepancies. The sand filter beds and distribution system were in North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-77146301 Customer Service;1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity \Affirmative Action Employer One NdithCarolina 0Vawo,I/Y Winston-Salem/Forsyth County School System, Attn: Barry Smith, Superintendent Compliance Evaluation Inspection, Old Richmond Elementary School Wastewater Treatment Plant NPDES Permit NCO034827 May 28, 2013, Page 2 of 2 excellent condition. The only thing Mr. Boone noted was the deteriorating condition of the concrete walls around the filters, which is not affecting operation. Documentation Review All documentation was reviewed. No discrepancies were noted. Mr. Smith has excellent records and all required records were available on site, complete, and well organized; this includes operations and visitation logs, discharge monitoring reports, laboratory and field laboratory records, and chains of custody, etc. Mr. Boone noted no concerns during his inspection. If you have any questions regarding the inspection or this letter, please call him or me at (336) 771-5000. Thank you for your cooperation in this matter. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality Attachments: 1. BIMS Inspection Report CC: Ql� 70"gh.=.=SWP; Central Files NPDES Unit t United States Environmental Protection Agency Form Approved. EPA Washington, D.C. 20460 OMB No. 2040-0057 VVater Compliance Inspection Rpport Approval expires 6-31-98 Section A: National Data System Coding (i.e., PCS) Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type 1 INI 2 15 I 31 NCO034827 111 121 13/05/22 117 181 C I 19I S I 20III Remarks 21111111111111111111111111111111111111111111111116 Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA --------------------------- Reserved ----- ----------------- 67 I 169 70 I I 711 I 721 N I 73 L.0 74 751 I I I I I I 180 L 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) Old Richmond Elementary School 09:00 AM 13/05/22 09/02/01 Exit Time/Date Permit Expiration Date 4897 Lansing Dr Winston Salem NC 27105 10:00 AM 13/05/22 14/01/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data /// Ryan M Smith/ORC/336-996-2841/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336-661-4975/ No 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 ® Laboratory Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Ron Boone WSRO WQ//336-771-4967/ .2013 Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date � —J '9;d4: 7 m IN _Y 7,� ' EPA Form 3560-3 (Rev 9-94) Previous editions,are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3 NC0034827 111 12, 13/05/22 117 18 CI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as.necessary) Please refer to the attached inspection summary letter. Page # 2 i Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 05/22/2013 Inspection Type: Compliance Evaluation Permit Yes No NA NE (if the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ ❑ ■ Is the facility as described in the permit? ■ n n n # Are there any special conditions for the permit? n ■ n o 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 Comment: Please refer to the attached inspection summary letter. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ n n n Is all required information readily available, complete and current? ■ n n ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? ■ n n n Are analytical results consistent with data reported on DMRs? ■ fl n n Is the chain -of -custody complete? ■ n n n Dates, times and location of sampling ■ Name of individual performing the sampling ■ Results of analysis and calibration ■ Dates of analysis ■ Name of person performing analyses ■ Transported COCs ■ Are DMRs complete: do they include all permit parameters? ■ n n n Has the facility submitted its annual compliance report to users and DWQ? ❑ 0 ■ 0 (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? 0 ■ n Is the ORC visitation log available and current? ■ n ❑ n Is the ORC certified at grade equal to or higher than the facility classification? ■ 0 Is the backup operator certified at one grade less or greater than the facility classification? ■ n n n Is a copy of the current NPDES permit available on site? ■ n n ❑ Facility has copy of previous year's Annual Report on file for review? n n ■ n Comment: Please refer to the attached inspection summary letter. Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? ■ ❑ n n Page # 3 Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 05/22/2013 Inspection Type: Compliance Evaluation Laboratory Yes No NA NE Are all other parameters(excluding field parameters) performed by a certified lab? ® n n n # Is the facility using a contract lab? ® n n n # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees? Comment: Please refer to the attached inspection summary letter. Effluent Sampling Is composite sampling flow proportional? Is sample collected below all treatment units? Is proper volume collected? Is the tubing clean? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Yes No NA NE nn®n ®nnn Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ® n n n Comment: Please refer to the attached inspection summary letter. Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ® n n n Comment: Please refer to the attached inspection summary letter. Grease Removal Yes No NA NE # Is automatic grease removal present? Is grease removal operating properly? Comment: Please refer to the attached inspection summary letter. (If pumps are used) Is an audible and visual alarm operational? Is septic tank pumped on a schedule? Are pumps or syphons operating properly? Are high and low water alarms operating properly? Comment: Please refer to the attached inspection summary letter. Sand Filters (Low rate) (If pumps are used) Is an audible and visible alarm Present and operational? Is the distribution box level and watertight? ®nnn o000 Yes No NA NE ®nnn ®nnn ®nnn ®nnn Yes No NA NE o n n n t Page # 4 P Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 05/22/2013 Inspection Type: Compliance Evaluation Sand Filters (Low rate) Yes No NA NE Is sand filter free of ponding? ■ ❑ fl 0 Is the sand filter effluent re -circulated at a valid 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: Please refer to the attached inspection summary letter. Disinfection - UV Are extra UV bulbs available on site? Are UV bulbs clean? Is UV intensity adequate? Is transmittance at or above designed level? Is there a backup system on site? Is effluent clear and free of solids? ®nnn ■nnn ®nnn Yes No NA NE ®nnn ®nnn Comment: Please refer to the attached inspection summary letter. Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ■ ❑ n 1-1 Is flow meter calibrated annually? ®❑ fl fl Is the flow meter operational? ® 0 n 11 (If units are separated) Does the chart recorder match the flow meter? n n ■ n Comment: Please refer to the attached inspection summary letter. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ® fl fl fl Are the receiving water free of foam other than trace amounts and other debris? ■ n ❑ fl If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ U Comment: Please refer to the attached inspection summary letter. Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ®❑ n n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ ❑ ❑ Judge, and other that are applicable? Comment: Please refer to the attached inspection summary letter. Page # 5 d FF-VA AM NCDEHR 1tiCJrt1 10arolina Department of Enviroriillent and Nat- Ira Division of Water Quality Beverly Cages Perdue Coleen H. SuIJIns Governor Direr�;ior December 13, 2011 Barry Smith Winston-Salem/Forsyth County Board of Education 4897 Lansing Drive Winston Salem, NC 27105 Subject: NOTICE OF VIOLATION NOV-2011-MV-0197 Permit No. NCO034827 Old Richmond Elementary School Forsyth County Dear Mr Smith: Resources Dee Freeman Secretary A review of Old Richmond Elementary School's monitoring report for August 2011 showed the following violations: Parameter Date Measuring Number of Violations Frequency BOD, 5-Day (20 Deg. C) - 08/31/11 2 X month 1 Concentration Nitrogen, Ammonia Total (as N) 08/31/11 Monthly 1 - Concentration Coliform, Fecal MF, M-FC 08/31/11 2 X month 1 Broth,44.5C Solids, Total Suspended - 08/31/11 2 X month 1 Concentration Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem. Please be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any additional violations of State law. North Carolina Division of Water Quality, INinston-Salem Regional Office Location: 585 Waughtown St. INinston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 Internet: wvvvv.ncwaterquality.org Nne orthCarolina An Equal Opportunity 1 Affirmative Action Employer Barry Smith Winston-Salem/Forsyth County Board of Education Notice of Violation NOV-2011-MV-0197 Old Richmond Elementary School, NCO034827 December 13, 2011, Page 2 of 2 If you should have any questions, please do not hesitate to contact Ron Boone at (336)771-4967. Sincerely, W. Corey Basinger Surface Water Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: SWP — Central Files WSRO Files j Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: d Permit/Pipe No.: 321,9.2 6 6 1 Month/Year d Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit Weekly/Daily Violations Date Parameter Permit Limit/Tvpe DMR Value % Over Limit Monitoring Frequency Violations Date Parameter. Permit Frequency . Values Reported # of Violations a CI Lr/ t/ Pt Ot�he� Violations / /VJYI 2 SAY, e 6� 26/G a Completed by: AO n le, Date: - // �/i /1 Regional Water Quality Supervisor Signoff: Date: '4 -sue- A NCDENR North Carolina Department of Environment and Natural Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director February 7th, 2011 Winston-Salem/Forsyth County School System Attn: Todd Kneller, Environmental Coordinator 4897 Lansing Drive Winston-Salem, NC 27105 Resources Dee Freeman Secretary Subject: Compliance Evaluation Inspection Permittee: Winston-Salem/Forsyth County Board of Education Facility: Old Richmond Elementary School Wastewater Treatment Plant NPDES Permit #: NC0034827 Forsyth County Dear Mr. Kneller: Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI) of the Old Richmond Elementary School Wastewater Treatment Plant (WWTP) on February 1st, 2011. Your assistance and cooperation, as well as that of Mr. Chris Marion, Operator in Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and inspection findings are summarized below. General Information The WWTP is located on the west side of the school, in Winston-Salem, Forsyth County, NC, at approximately coordinates 36.205729°N,-80.3899100W. The permit authorizes the Winston-Salem/Forsyth County Board of Education to operate this 0.0064 MGD WWTP, which consists of a grease trap, a 15,000 gallon septic tank, a 3,000 gallon dosing chamber with twin 5-inch siphons, twin recirculating sand filters, a 10,000 gallon recirculation tank, a recirculation controller, twin 50 gallon per minute effluent pumps, ultraviolet disinfection and cascade aeration, and discharge the treated effluent via outfall 001 into an unnamed tributary (UT) to Fries Creek, which is currently classified as Class WS-IV waters in the Yadkin Pee Dee River basin. Site Review Mr. Marion appears to have done an excellent job of operating and maintaining the plant. It is in very good condition and Mr. Boone noted no discrepancies. The sand filter beds were in good condition and nearly all spray heads were fully operational., Mr. Marion knew the system very well and was able to explain its operation in detail. North Carolina Division of Water Quality Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-77146301 Customer Service:1-877-623-6748 NofthCarollna Internet: www.ncwaterquality.org Vatuyrally An Equal Opportunity 1 Affirmative Action Employer Winston-Salem Forsyth County School System Attn: Todd Kneller, Environmental Coordinator Compliance Evaluation Inspection NC0034827, Old Richmond Elementary School WWTP Page 2 of 2, February7t', 2011 Documentation Review All documentation was reviewed. No discrepancies were found. Mr. Marion has done an excellent job of documenting the operation and maintenance of the plant as required by the permit. This includes his operations and visitation logs, his discharge monitoring reports and laboratory and field laboratory records, chains of custody, etc. Mr. Boone noted no concerns during his inspection. If you have any questions regarding the inspection or this letter, please call him or me at (336) 771-5000. Thank you for your cooperation in this matter. Sincerely, W. Corey Basinger Interim Regional Supervisor Surface Water Protection Section Attachments: BIMS Inspection Report CC: ?'MM- S, r Central Files NPDES Unit Chris Marion 1070 Flinty Knoll Road Pinnacle, NC 27043 M United States Environmental Protection Agency Form Approved. E Washington, D.C. 20460 A OMB No. 2040-0057 Water Compliance Inspection Re ort 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 I SI 3I NCO034827 Ill 121 11/02/01 117 18I CI 19I SI 20I II Remarks 2111111111111111111111111111111111111111111III1116 Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA--------- —Reserved-------- 67 I 169 701 I 711 I 72 I N I 73 W 74 751 I I I I 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) 09/02/01 03:30 PM 11/02/01 Old Richmond Elementary School Exit Time/Date Permit Expiration Date 4897 Lansing Dr Winston Salem NC 27105 04:15 PM 11/02/01 14/01/31 Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336=661-4975/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit N Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program 0 Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Ron Boone WSRO WQ//704-663-1699 Ext.2202/ Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date j16-41 It 2-04 EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NC0034827 I11 12I 11/02/01 117 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) Please refer to the attached inspection summary letter. Page # 2 Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 02/01/2011 _ 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? D n ■ 11 Is the facility as described in the permit? ■ n n n # Are there any special conditions for the permit? n ■ Is access to the plant site restricted to the general public? ■ n n Is the inspector granted access to all areas for inspection? ®❑ ❑ n Comment: Please refer to the attached inspection summary letter. Laboratory Yes No NA NE Are field parameters performed by certified personnel or laboratory? ■ n ❑ El Are all other parameters(excluding field parameters) performed by a certified lab? IN n n n # Is the facility using a contract lab? ■ n n n # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? n n n ■ Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees? n n n ■ Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees? Cl n ❑ ■ Comment: Please refer to the attached inspection summary letter. Effluent Sampling Yes No NA NE Is composite sampling flow proportional? n n ■ Is sample collected below all treatment units? ■ n n n Is proper volume collected? ■ ❑ ❑ n Is the tubing clean? n n ■ n nnn # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? — — — ■ Is the facility sampling performed as required by the permit (frequency, sampling type representative)? n n n ■. Comment: Please refer to the attached inspection summary letter. Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n n Comment: No upstream. Please refer to the attached inspection summary letter. Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? \ ■ n n ❑ Is all required information readily available, complete and current? ■ ❑ n n Are all records maintained for 3 years (lab. reg. required 5 years)? ■ n n n Are analytical results consistent with data reported on DMRs? ■ n ❑ n Page # 3 Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 02/01/2011 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Is the chain -of -custody complete? ■ n ❑ ❑ Dates, times and location of sampling IN Name of individual performing the sampling ■ Results of analysis and calibration ■ Dates of analysis Name of person performing analyses ■ Transported CM ■ Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ El Has the facility submitted its annual compliance report to users and DWQ? n n ■ n (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n IN n n Is the ORC visitation log available and current? ■ n n n Is the ORC certified at grade equal to or higher than the facility classification? IN n n n Is the backup operator certified at one grade less or greater than the facility classification? ■ n n n Is a copy of the current NPDES permit available on site? ■ n n n Facility has copy of previous year's Annual Report on file for review? n n ■ n Comment: Please refer to the attached inspection summary letter. Flow Measurement - Influent Yes No NA NE # Is flow meter used for reporting? IN ❑ ❑ ❑ Is flow meter calibrated annually? ■ n n n Is the flow meter operational? ■ n n n (If units are separated) Does the chart recorder match the flow meter? ■ n n n Comment: Flow meter calibrated 09/23/2010. Please refer to the attached inspection summary letter. Grease Removal Yes No NA NE # Is automatic grease removal present? n ■ n n Is grease removal operating properly? ■ n n n Comment: Please refer to the attached inspection summary letter. Septic Tank Yes No NA NE (If pumps are used) Is an audible and visual alarm operational? n ■ n n Is septic tank pumped on a schedule? IN n n n Page # 4 L Permit: NC0034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 02/01/2011 Inspection Type: Compliance Evaluation Septic Tank Yes No NA NE Are pumps or syphons operating properly? ■ n n n Are high and low water alarms operating properly? n n ■ n Comment: Please refer to the attached inspection summary letter. Sand Filters (Low rate) Yes No NA NE (If pumps are used) Is an audible and visible alarm Present and operational? n ■ n n Is the distribution box level and watertight? ■ n n n Is sand filter free of ponding? ■ ❑ ❑ ❑ Is the sand filter effluent re -circulated at a valid ratio? ■ n n n # Is the sand filter surface free of algae or excessive vegetation? ■ n n n # Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) ■ n n n Comment: Please refer to the attached inspection summary letter. Pump Station - Effluent Yes No NA NE Is the pump wet well free of bypass lines or structures? ■ n n n Are all pumps present? ■ n ❑ n Are all pumps operable? ■ n n n Are float controls operable? ■ n n n Is SCADA telemetry available and operational? ■ n n Is audible and visual alarm available and operational? ❑ ❑ ■ n Comment: Station actually recires and pumps to effluent alternately. Please refer to the attached inspection summary letter. Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ■ n n n Are the receiving water free of foam other than trace amounts and other debris? ■ If effluent (diffuser pipes are required) are they operating properly? n n ■ n Comment: Please refer to the attached inspection summary letter. Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? ■ n n n Are UV bulbs clean? ■ n n n Is UV intensity adequate? ■ ❑ ❑ n Is transmittance at or above designed level? ■ n n n Page # 5 Permit: NCO034827 Owner - Facility: Old Richmond Elementary School Inspection Date: 02/01/2011 Inspection Type: Compliance'Evaluation Yes No NA NE Disinfection - UV Is there a backup system on site? ❑ ❑ 11 Is effluent clear and free of solids? ❑ n Cl Comment: Please refer to the attached inspection summary letter. Operations & Maintenance Is the plant generally clean with acceptable housekeeping? ■ ❑ fl fl Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ Judge, and other that are applicable? Comment: Please refer to the attached inspection summary letter. Page # 6 r NCDEHR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director December 22, 2009 Mr. Barry Smith Winston-Salem/Forsyth County Board of Education 4897 Lansing Drive Winston-Salem, NC 27105 Subject: NOTICE OF VIOLATION NPDES Permit No. NCO034827 Old Richmond Elementary School Forsyth County Dear Mr. Smith: Dee Freeman Secretary A review of the Old Richmond Elementary School monitoring report for September 2009 showed the following violation: Parameter Date Limit Value Reported Value Limit Type Fecal Coliform 09/30/09 400 #/100ml 460 #/100ml Daily Maximum Exceeded Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem. Please be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any additional violations of State law. If you should have any questions, please do not hesitate to contact Mike Mickey at (336)771-5000. Sincerely, Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality cc: Central Files - SWP SRc�a North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St, Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-771-46301 Customer Service: 1-877-623-6748 Internet: wvvw.ncwaterquality.org One NofthCarolina An Equal Opportunity 1 Affirmative Action Employer IM Cover Sheet from Staff Member to Regional Supervisor DNIR Review Record Facility: Permit/Pipe No.: �� -�, �� Month/Year a Monthl Average Violations Parameter Permit Limit DMR Value % Over Limit Date Parameter M Date Parameter Wly aily Violations Permit Limit/Type DMR Value % Over Limit �AQ a Frequency Violations Permit e uencv Values Reported # of Violations c Completed by: '�A� Regional Water Quality Supervisor Signoff: 1i/ Date: Date: /" / -2 — -/i C ; �' FFF 'T NOV 17 2009 NPDES PERMIT NO. `L C1034'-827 DISCHARGE NO. 001 MONTH Sjdlterftber -r-t --YE=ARw20G19 FACILITY NAME CJ'1d� chino d7,ElerrienFa`, .School CLASS I COUNTY Forsyth CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Chris Marion GRADE IV CERTIFICATION NO. 10602 PERSON(S) COLLECTING SAMPLES Operators ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLE Mail ORIGINAL and ONE COP-Y_to- -_ - ATTN: CENTRAL FILES DIVISION OF WATER QUALITY 1617 MAIL SERVICE CENTER 1`4J4 5 RALEIGH, NC 27699-1617 ;ry i;:, „z_5ai cxr, ,a.n: Of :^ S (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 50050 00010 00400 50060 00310 00610 00530 31616 00300 FLOW 7 'H uv LxJo e x EFF y��+,' P• disinrxtion INF oCIOL x U F Weekiv Weekiv I Weekl 2/month Monthly 2/month 2/month Weekly HRS HRS BIN MGD Or SU /1 m /1 Mg/1 m /l #100/m1 ME /I Q. 2 0620 0.30 Y 3, 44 4 0955 0.25 B .a� N :a4 P '^,-e''+'�i r•• < 6 '. �+ a � .'i�b�a2, �',:,� >'��z.,�s.?'.:.ta>�'''�° :'�«�;i a.,''�• �. 8 1640 0.75 Y 0.0027 23.0 7.34 7.05 C �< �<�� �•�,- ;�= -�s` ,a�-r�>�:~,_-.�,•,.,. .,< aa2..,�.4- 10 1630 2.50 Y r�C 3Y% 12 „ r; - r ,� 14 1100 0.35 B i,p 161 0620 0.30 Y 1,' ., �xELL 18 0630 0.35 Y > > D�>: <'�., e.,A, . �.,5 n �.ac . ��.er�. ;rr x-aaQ; «m. <�.rx.<....>.>'_ae.�,, ,F�.",<,v... ",�y. .✓, :.:- t" �� ' _ - 20 1R! ate. 22 1625 1.50 Y 0.0026 22.0 6.99 6.72 s`3 ;23; rc,Q62R;° 35"� 24 1530 0.75 Y K, .,a-< a':,x,^Nis -Z.�: •r ^ i�d`� sr',�;YR�; .,a_ �,;f .>�<" ..>' ""���p Z5�'��663Qi°- ,��}.SQ . ,fps °=r- �,.� �4 ate.',>, ':.. -.�.. � } "�,.�" < r 26 a..:G�i°�y'a.';z'��, o�•:�" -ii�t`5:, '-3..72', 28 1610 1.50 Y 30 0620 0.50 Y 460«' �� 1, •1e S a,�•Es:>: •.�z&".gir ' "rs'�:',i, ,,',:,:;; i ,Rl •, AVERAGE 0.0027 23.0 "[�� <2 <0.1 1.5 62 7.10 �re°P .6.µEre Nn7U;s; ♦? a''rr �<, MINIMUM 0,0025 20.0 6.99 <2 <0.1 1.0 11 6.37 Ceiir+ :•(C ',�Gralf, �) : � : 'W �.� ��� . M < »»^'�,7`•„` ��' /� �.��-: -. Monthly Limit J 0.0064 1 =>6<9 W/10; S/5 W/4; S/2 1 30.0 1 200.0 1 >6 Copy DWQ Form MR-1 (01/00) September 2009 — Old Richmond School Corrective actions taken for Fecal Coliform noncompliance. The UV lamps were replaced prior to the start of school year. The UV transmittance levels were high and the system was operating properly. Upon notification of the noncompliance, the UV system, step cascade, and outfall lines were once again disinfected and the UV quartz sleeves and sensor probes were cleaned. Shortly thereafter, test samples were taken and the results were compliant. The facility return to compliance for October 2009. s NIC®ENfR North Carolina Department of Environment_ and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Governor Director November 20, 2009 Mr. Barry Smith, Operations Manager Winston-Salem/Forsyth County Schools 4897 Lansing Drive - Winston Salem, NC 27105 Subj ect: NOTICE OF VIOLATION NPDES Permit No. NCO034827 Old Richmond Elementary School Forsyth County Dear Mr. Smith: Dee Freeman Secretary A review of the Old Richmond Elementary School monitoring report for August 2009 showed the following violations: Parameter Date Limit Value Reported Value Limit Type Fecal Coliform 08/26/09 400 #/100ml 3,200 9/100ml Daily Maximum Exceeded Fecal Coliform 08/31/09 200 #/100m1 3,200 #/100ml Monthly Limit Exceeded Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem. Please be aware that violations of your NPDES permit could result in enforcement action by the Division of Water Quality for this and any additional violations of State law. If you should have any questions, please do not hesitate to contact Mike Mickey at (336)771-5000. Sincerely, Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Region Division of Water Quality cc: Central Files - SWP WARM* North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 Phone: 336-771-50001 FAX: 336-77146301 Customer Service:1-877-623-6748 Internet: www.ncwaterquality.org An Equal Opportunity 1 Affirmative Action Employer Nne ®rthCarohna naturally Cover Sheet from Staff Member to Regional Supervisor DMR Review Record Facility: `���V�D� "ermit/Pipe No.: ���3`���1 Month/Year QOccl Monthly Average Violations Parameter Permit Limit DMR Value % Over Limit ���ly a,VD 3 3.b \, IS 0DIt(- Date Parameter -et Mo Date Parameter N�41y Owly Violations Permit LimitfTvl2e DMR Value \-\�- aa-,R g Frequency Violations Completed by: Regional Water Quality Supervisor Signoff: Y,-� VP /10 % Over Limit - (Q07.a Values Reported # of Violations Date: \ \` V) Date: /( r/' 2 el p nds� 1 / EFF3, • EN d NPDESPERMIT NO. rvNCjA0.034`827 DISCHARGE NO. 001 MONTH Au`gist� ¢':YE ,R- 200=9fi FACILITY NAME ®.1dVRrichmond�Elemetlt4mSchooI CLASS I COUNTY Forsyth CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34 (List additional laboratories on the backside/page 2 of this form) OPERATOR IN RESPONSIBLE CHARGE (ORC) Chris Marion GRADE IV CERTIFICATION NO. 10602 PERSON(S) COLLECTING SAMPLES Operators ORC PHONE 336-996-2841 CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SA LES Operators tt— l�l'fY,: ----•------ Mail ORIGINAL and ONE COP to: fd.qa- G. :n!. o` Etd — ac ATTN: CENTRAL FILES ei e; qe : X yJ� r 09 h r :; DIVISION OF WATER QUALITY `°' �' ' ' f t "(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE i 1617 MAIL SERVICE CENTER :tdins ; n -Safe ;BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS RALEIGH, NC 27699-1617 [ Regir 151 t''`'t-tACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. �i A x Uc o F y [—Q O p s =w 50050 00010 00400 50060 00310 00610 00530 31616 00300 FLOW h U H uv LXJ disinfectionCOD N Z o u F s K EFF INF A Weeklv Weekl' I Weeld 2/month Monthly 2/month 2/month Weekl HRS HRS B/N MGD 0 r. SU /l Mg/1 m /1 m /l H100/tr11 m /I s - 2 -^ yr;x ' 4 1610 0.35 Y No School - No Discharge � xrvyW 6 1620 0.35 Y x: 8 c •_„ .mow 101 0615 0.30 Y I1 TG x1:5 . `E ' 12 0615 0.30 Y y Ar. 141 1645 0.30 Y ,F °tea Nil , yix°o p,i •akiID 4 16. 620 " �=0 r' - 181 0620 0.30 Y No School - No Discharge :20 0610 0.30 Y 7 22 i' .rya>q,. y'< Fig' :«c'; i=. , ':.as.' -✓"'a i,.ta ..,°<,`,_"-; '; 24 0610 0.50 Y >3- r# � » > -dn,r 26 0600 0.35 Y <2 <0.102 3.0 �-:_-34ftO7777 4 -JJ' nX r �ytax;w -_ Kq} - b. «y- <4: 281 1515 0.75 Y „ r 30 a31 161Qs �t .S, .�„r>;� spa c��'�-'; rF:,ra.iy> �;,;« AVERAGE 0.0024 25.0 <2 <0.102 3.0 -3,200' 7.18 .0 MINIMUM 0.0024 25.0 6.73 <2 <0.102 3.0 3,200 7.18 ;Coin .,{Cj=1.�Grati:{G z;v G �G G Monthly Limit 0.0064 =>6<9 W/10; S/5 W/4; S/2 1 30.0 1 200.0 >6 Copy DWQ Form MR-1 (01/00) Facility Status: (Please check one of the following) All monitoring data and sampling frequencies meet permit requirements (including weekly averages, if applicable) Compliant All monitoring data and sampling frequencies do NOT meet permit requirements Noncompliant 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 permitte 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. If th.c facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by Part II.E.6 of the NPDES permit. 0.,Y w,�aAd y , v 1 6,,,v /Ps t "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 a 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 of fines and imprisonment for knowing violations." James heshire Authorized A ent Pe itte (Please p ' p A S' n ure f Permi e*** Date equired unles submitted electronically) 4897 Lansing Drive Winston-Salem NC 27105 336 661-4999 01/31/2014 Permittee Address Phone Number Permit Exp. Date Certified Laboratory (2) Certified Laboratory (3) Certified Laboratory (4) Certified Laboratory (5) ADDITIONAL CERTIFIED LABORATORIES PARAMETER CODES Certification No. Certification No. Certification No. Certification No. Parameter Code assistance may be obtained by calling the NPDES Unit at at (919) 733-5083, or by visiting the Surface Water Protection Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages. Use only units of measurement designated in the reporting facility's NPDES permit for reporting data. * No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the parameters on the DMR for the entire monitoring period. ** `ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. *** Signature of Permittee: If signed by other than the permitte, then the delegation of tk sV toT q*ority must be on file with the state per 15ANCAC2B.0506 (b) (2) (D). o 1 V T,c Permit No. NCO051713 SECTION A(1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to discharge treated wastewater from Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below: Flow 0.015 MGD Weekly . Instantaneous I or E BOD, 5-day, 200C 17.0 mg/L 25.5 mg/L Weekly Grab E Total Suspended Residue 30.0 mg/L 45.0 mg/L Weekly Grab E NH3 as N 2.0 mg/L 10.0 mg/L Weekly Grab E (April 1 - October 31) NH3 as N 4.0 mg/L 20.0 mg/L Weekly Grab E (November 1 - March 31) Total Residual Chlorine2 17 }ig/L 2/Week Grab E Fecal Coliform 200/100 ml 400/100 ml Weekly Grab E (geometric mean) Dissolved Oxygen3 Weekly Grab E,U,D Temperature Weekly Grab E,U,D pHa Weekly. Grab E Total Nitrogen Monthly Grab E (NO2+NO3+TKN) Total Phosphorus Monthly Grab E Notes: 1. Sample locations: E- Effluent, U- Upstream above outfall, D- Downstream 0.1 miles below outfall. 2. TRC Limit takes effect February 1, 2006. Limit and monitoring requirement apply only if chlorine is used for disinfection. 3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/l. 4. 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. 4T4 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Colleen H. Sullins Dee Freeman Governor Director Secretary May 4, 2009 5299 Mr. Kevin L. Booe Winston-Salem/Forsyth Co. Schools 4897. Lansing Drive Winston-Salem, NC 27105- Subject: North Carolina Wastewater/Groundwater Laboratory Certification Dear Mr. Booe: RECEty s N.C. Dept of ENR MAY 2009 ` lston•SaleM Regional 0jiice Per the written request dated April 17, 2009, we are discontinuing the North Carolina Wastewater/Groundwater Laboratory Certification of your laboratory # 5299 - Winston- Salem/Forsyth Co. Schools. We will proceed with removing your laboratory from "the certified list. You are reminded that it is not legal to analyze environmental samples required by the N.C. Division of Water Quality without our certification. Do not hesitate to call on us if we can be of assistance in the future. Contact me immediately at (919) 733-3908 if this action is incorrect or if you have questions. Sincerely, / (&'Z �� Pat Donnelly Certification Branch Manager Laboratory Section Enclosure cc: Ramon L. Cook Dana Satterwhite Winston-Salem Regional Office DENR DWQ Laboratory Section NC Wastewater/Groundwater Laboratory Certification Branch 1623 Mail Service Center, Raleigh, North Carolina 27699-1623 Location: 4405 Reedy Creek Road. Raleigh, North Carolina 27607-6445 Phone: 919-733-39081 FAX: 919-733-6241 Internet: www.dwqlab.org An Equal opportunity 1 Affirmative Action Employer Customer Service: 1-877-623-6748 www.ncwaterquality.org Nne orthCarohna Nattmal`l, j 14ja NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Coleen H. Sullins Dee.Freeman Governor Director Secretary April 28, 2009 Barry Smith Forsyth County School System 4897 Lansing Dr Winston Salem NC 27105 SUBJECT: Compliance Evaluation Inspection Forsyth County School System Old Richmond Elementary School Permit No: NCO034827 " Forsyth County. Dear Mr. Smith: Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on April 22, 2009. The Compliance Evaluation Inspection was conducted by Rose Pruitt of the Winston-Salem Regional Office. The facility was found to be in Compliance with permit NC0034827. Kevin Booe, ORC was present for the inspection. The inspection consisted of two parts: an on -site, inspection of the treatment facility . and a file review. The following are the findings from the subject inspection. I. Permit The NPDES permit for the Old Richmond Elementary School WWTP became effective February 1, 2009 and expires on January 31, 2014. The permitted components of the 0.0064 MGD wastewater treatment plant include: Grease trap, 15,000 gallon septic tank, 3,000 gallon dosing chamber with twin 5", siphons, twin recirculating sand filters, 10,000 gallon recirculation tank, ultraviolet (UV) disinfection; and cascade re -aeration. The facility is located near Tobaccoville at the, Old Richmond Elementary School off Tobaccoville Rd at Highway 67 in Forsyth County.: " H. Records/Reports A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Old Richmond Elementary School WWTP for the period January 2008 through December 2008 revealed that the facility had no limit violations. Operations records include all sample analyses and process control tests that are performed. III. Facility Site Review The facility site review indicated that the 0.0064 MGD treatment works is consistent with the permitted components. The actual treatment system consists of Grease trap,15,000 gallon septic tank, 3,000 gallon dosing chamber with twin 5" siphons, twin recirculating sand filters, 10,000 gallon recirculation tank, ultraviolet (UV) disinfection, and cascade reaeration. IV. Effluent / Receiving Stream The WWTP discharges to an unnamed tributary to Fries Creek (WS-IV waters in the Yadkin — Pee Dee River Basin). The effluent was clear and free of visible solids on the date of inspection. The receiving stream was free of solids, foam and debris, North Carolina Division of Water Quality, Winston-Salem Regional Office Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One Phone: 336-771-50001 FAX: 336-77146301 Customer Service:1-877-623-6748 N6it1Carolina Intemet: www.ncwaterquality.org Natzm l An Equal Opportunity 1 Affirmative Action Employer " N V. Flow Measurement Effluent flow is measured with a Master Meter. The meter was calibrated at the factory on September 25, 2008. This meter is switched out annually with another meter and sent to the factory for calibration. VI. Self -Monitoring Program A review of the discharge monitoring reports (DMRs) for the time period of January 2008 through December 2008 demonstrated that the Old Richmond Elementary School WWTP had no effluent violations. VII. Laboratory All of the sample analyses are conducted by R & A Labs, Certification 934. The laboratory was not reviewed at the time of the subject inspection. The field parameter certification 45299 for this facility is current but decertification has been requested by the facility as contract operations will begin May 1, 2009. VIII.Operation and Maintenance Operation and maintenance at the time of the subject inspection was deemed satisfactory. The effluent was clear and free of visible solids. The inspector notes that Kevin Booe the current ORC will be replaced by a contract lab (R&A) on May 1, 2009 IX. Sludge Utilization/Disposal Solids are removed from the WWTP as necessary by a licensed contract hauler and disposed of properly. The septic tank had last been pumped down by Transou Septic tank Service on August 18, 2008. The Division of Water Quality greatly appreciates your continued oversight at this facility. The Division also encourages you to continue to be proactive in your efforts to maintain compliance. Please refer -to the enclosed inspection report for additional observations and comments. If you or your staff have any questions,. please call Rose Pruitt at 336-771-5000. Sincerely, teve W. Tedder Water Quality Regional Supervisor Winston-Salem Regional Office Division of Water Quality Attachment cc: Kevin L Booe, 4911 Sebania Ct, Walnut Cove NC 27052 Central Files WSRO United States Environmental Protection Agency Form Approved.,., EPA Washington, D.C. 20460 OMB No. 2040-0057 Water Compliance Inspection Re port 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 2 151 31 NCO034827 111 121 09/04/22. 117 181 CI 19I SI 201 Remarks 21I1IIIIIIIIIIII111III1IIIII111111IIII1IIII1111'116 Inspection Work Days Facility Self -Monitoring Evaluation Rating .' 61 QA — — ---Reserved------ 67 I 169 701 I 71 I_I 721 NJ 73 LJJ 74 751 I. I I I I Li 80 u� 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) Old Richmond Elementary School 09:20 AM 09/04/22 09/02/01 Exit Time/Date Permit Expiration Date 4897 Lansing Dr Winston Salem NC 27105 10:30 AM 09/04/22 14/01/31 Name(s) of Onsite Representative (s)/Titles(s)/Phone "and Fax Number(s) Other Facility Data Kevin L Booe/ORC/336-661-4975/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336=661-4975/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program 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 Rose Pruitt WSRO WQ//336-771-5000/ � C Signature of Managem nt Q A Revie r 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 NCO034827 I11 .12I 09/04/22 I17 18LC Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) The inspector was met at the facility by the ORC Kevin Booe. At the time of the inspection the facility appeared well maintained and was operating properly. The effluent was clear, the stream was clear and free of solids. All records requested were avilable for inspection. . This facility will begin contract operations with R&A Labs on May 1, 2009. The facility has requested . decertification of it's Field Parameter Certification (WS/FC Schools #5299). . Page # 2 Permit: NCO034827 Inspection Date: 04/22/2009 Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation . 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 ■ n ❑ n Judge, and other that are applicable? Comment: Xf-- \I_ \IA \IC (If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ Cl Is the facility as described in the permit? n n n # Are there any special conditions.for the permit? 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? ■ ❑ ❑ ❑ Comment: Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ ❑ ❑ ❑ Is all required information readily. available, complete and current? ■ ❑ ❑ ❑ Are all records maintained for 3 years (lab. reg. required 5 years)? o n n ■ Are analytical results consistent with data reported on DMRs? ■ ❑ ❑ n Is the chain -of -custody complete? ■ ❑ ❑ n Dates, times and location of sampling ■ Name of individual performing the sampling ■ Results of analysis and calibration ■ Dates of analysis ■ Name of person performing analyses ■ Transported COCs ■ Are DMRs complete: do they include all permit parameters? ■ ❑ ❑ ❑ Has the facility submitted its annual compliance report to users and DWQ? ❑ n ■. n (If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n n ■ ❑ Is the ORC visitation log available and current? ■ n n n Is the ORC certified at grade equal to or higher than the facility classification? ■ n n n Is the backup operator certified at one grade less or greater than the facility classification? ■ n n n Is a copy of the current NPDES permit available on site? ■ n n ❑ Page # 3 Permit: NCO034827 Owner- Facility: Old Richmond Elementary School Inspection Date: 04/22/2009 Inspection Type: Compliance Evaluation Record Keeping Yes No NA NE Facility has copy of previous year's Annual Report on file for review? 00 ■ n Comment: Effluent Pipe Yes No NA NE Is right of way to the outfall properly maintained? ■ n n Fj Are the receiving water free of foam other than trace amounts and other debris? ■ n n n If effluent (diffuser pipes are required) are they operating properly? n n ■ n Comment: Flow Measurement - Effluent Yes No NA NE # Is flow meter used for reporting? ■ n n n Is flow meter calibrated annually? ■ n n n Is the flow meter operational? ■ n n n (If units are separated) Does the chart recorder match the flow meter? n n n Comment.- Master Meter last calibrated 9/25/2008 . Disinfection - UV Yes No NA NE Are extra UV bulbs available on site? ■ n ❑ Are UV bulbs clean? n n n ■ Is UV intensity adequate? n n n ■ Is transmittance at or above designed level? n n n ■ Is there a backup system on site? ■ ❑ n Is effluent clear and free of solids? ■ n F1 n Comment: Sand Filters (Low rate) Yes No NA NE (If pumps are used) Is an audible and visible alarm Present and operational? n n n ■ Is the distribution box level and watertight? n n n ■ Is sand filter free of ponding? ■ n n n Is the sand filter effluent re -circulated at a valid ratio? n n n ■ # Is the sand filter surface free of algae or excessive vegetation? ■ n n n # Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) n n n ■ Comment: Effluent Sampling Yes No NA NE Page # 4 Permit: NCO034827 . Inspection Date: 04/22/2009 Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Effluent Sampling Yes No NA NE Is composite sampling flow proportional? . ❑ ❑ ■ ❑ Is sample colleoted below all treatment units? fl (l ❑ Is proper volume collected? Is the tubing clean? # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? Is the facility sampling performed as required by the permit (frequency, sampling type representative)? Comment: Page # 5 3 Faxed To: Kevin Booe Fax #: 661-4981 Phone 462-2271 WWTP Annual Inspection Checklist This information should be available to the inspector at inspection time. Facility: Old Richmond Elem NPDES: NC0034827 Permit Effective Dates: 02/01/2009 to 0113112014 Inspection Date: April22, 2009 Inspection Time: 9:00 am 11-11) DMRs (Dates: January 2008 to December 2008 ) _,`2) Lab Data (per DMR dates) ✓3) Laboratories used for analysis & certification #'s Q-744- - ✓4) Chain of Custody forms (per DMR dates) ,) Complete copy of current NPDES permit, atorium issuance (if applicable) Jl) ORC and Back-up ORC current certification 4w t� bw / ✓8) Wastewater Annual Report (fiscal or calendar year — if applicable) (/9) Daily Operator's log / ORC visitation log ,/10) Maintenance log /11) Process control data (which includes field parameters tested and equipment calibrations) ✓'12) Field Parameter certification (if applicable) 50-109 " b^'S/� ,/l 3) Flow meter calibration records (if applicable) ,feu-;CF- o -S t sam lers • �� licable) sp ction / under load checks 17r ) Spill Response Plan (with current emergency contact numbers) A 8) Sludge / Residuals hauling records (if applicable) 19) Plant visual inspection of treatment units 20) Stream accessible for inspection (at effluent discharge pipe) Please call with questions: Rose Pruitt NC Department of Environment & Natural Resources Division of Water Quality Winston-Salem Regional Office (336) 771-5000 Fax: (336) 771-4630 WINSTON-SDI LEM/FORSYIH COUNTY SCHOOLS Maintenance Division April 17, 2009 To: Ramon Cook (ENR/DWQ- Laboratory Section) From: Kevin Booe (Lab Supervisor) Subject: Certificate # 5299 De -certification WS/FC Schools management has decided to contract operation of its wastewater treatment plant at Old Richmond Elementary School (Permit #NC0034827) to Research & Analytical Labs Inc. starting May 1 st, 2009. I am requesting de -certification of our field parameter lab certificate #5299. After April 30t", 2009 we will no longer be performing field parameter tests for temperature, dissolved oxygen, or pH. Starting May 1st, 2009 Research & Analytical Labs Inc. be performing all tests, both lab and field parameter, for our permit #NC0034827. I am including an amendment application for our certificate with this letter. R&A Labs is sending their amendment application separately. Kevin Booe X � I 'I /'/' 4-17-09 If you have any questions, or if you need further information, please contact me. Kevin Booe WS/FC Schools Maintenance Division 4897 Lansing Drive Winston-Salem, NC 27105 Mobile (336) 462-2271 Fax (336) 6614981 kbooe@,Yvsfcs.k12.nc.us CC Rose Pruitt (WSRO) Barry Smith (Permittee) Bill Vaught Kim .Sutton Steve Cutright Montie Hamby DEPARTMENT OF ENVIRONMENT & NATURAL RESOURCES Laboratory Certification Application SDIVISION OF WATER QUALITY LABORATORY CERTIFICATION Form #101-amendment May/2007 INSTRUCTIONS: This amendment application is only one part of the certification process; completing and submitting an amendment form does not constitute certification. Upon review of the completed amendment request, additional clarifications and information maybe required. Clarifications received in a timely manner will expedite the amendment application process. Please complete all applicable parts of this form using a typewriter, computer, or print legibly in ink. To apply for an amendment to your current laboratory certification, return the original and one copy of this form to: ENR/DWQ Laboratory Section Certification Branch 1623 Mail Service Center Raleigh, NC 27699-1623 For additional information, contact the Laboratory Certification program office: Telephone: 919-733-3908 Fax: 919-733-6241 Program Homepage: wfiiw.esb.enr.state.nc.us/lab/cert.htm orw-mv.dwgIab.orq AMENDMENT FEES: No fees are charged to file an amendment request. ADDITIONAURECERTIFICATION PARAMETER FEES: Requests for additional parameters or recertification of a parameter will be reviewed and invoices for all additions/recertifications will be calculated in accordance with 15A NCAC 2H .0800. For each additional inorganic parameter (excluding metals), a fee of $50.00 will be assessed. For each additional organic parameter and metals analyte, a fee of $100.00 will be assessed. For each recertification of a parameter, a fee of $200.00 will be assessed. Section A: Facility and Contact Information Facility Name Sc.JLo4S NC Certification Number Contact Person !c� vrr. ���'-fJ Telephone #, ext.� E-Mail Address kke_-(4- r) ta5 Fc s K 12— nL as Fax #: 33� 6 ` 1�6 - �X)ey Section B: Requested Amendment Complete only applicable areas. If facility information has changed, (i.e., name of facility, supervisor/manager change, phone numbers or contact information) - please indicate below: T LLel- rejikeU&+ern 1 t'�� C� �i C G{ �G: 1 G 7' GLL ;0'/i 6L/vlL2-kr r j.��1' P } -}-j%J �tr IIJ�� `�D1 ��'� (.:�f�1�iG4\�: ��C?.L,lf�Vl. �` T!1'1LLit.��"iCrGl.[ l.G.�'� �1LC—• ihi�6�, (>+Lf•!"O!—IYl c:1-�( 'T�'��''!'� i J � ,Aitj 0!- Dtir P,,rerL,i� �ll�Gg3 $�7 _3�ct��J',tv.� %I'iL ���J�. If you are requesting to delete any parameter(s) from your certificate, please list the analytical parameter(s), including the specific method number(s), below. Page 2 of 2 N.C. Laboratory Certification Amendment If you are requesting additional certified parameters, please list the information in the table below: All requested information must be supplied. For all organic analytical categories, please attach a typed list of analyte specific lower reporting limits. DO NOT provide us with the laboratory method detection limit, unless the lower reporting limit and method detection limit are the same number. For "method reference", list all appropriate method number(s) and the approved reference(s), such as Standard Methods for the Examination of Water and Wastewater, 18th 19th or 201h Edition. If you are requesting recertification, list the parameters you wish to recertify after the decertification period has expired. It is required that an acceptable performance evaluation study for each applicable parameter be supplied. It is required that two (2) acceptable performance evaluation studies be submitted for each applicable parameter prior to recertification. Are Performance Evaluation Studies for each of the requested additional/recertified analytical parameters being sent to the Laboratory Section? Yes No If not supplied, are they on order? Yes No Anticipated Completion Date Section D Authorized Signature This statement certifies that the information in this amendment is truthful and accurate, and that the applicant is aware of all regulations regarding the Quality Assurance requirements of Laboratory Certification. Signature of Laboratory Supervisor: /� z h ' /7�l'� Date: Print Full Name: IS "J'A 4 First Name M.I. Last Name 0 To: From: Subject: WINSTON-SALEM/FORSYTH COUNTYSCHOOLS Maintenance Division RECEIVED N.C. Dept of ENR APR � I: 2009 Winston-Salem Regional Office NCDENR DWQ Kevin Booe (ORC) Permit #NC0034827 Contract Operation Notification April 17, 2009 WS/FC Schools management has decided to contract operation of its wastewater treatment plant at Old Richmond Elementary School (Permit #NC0034827) to Research & Anal�rtical Labs Inc. starting May 1 st, 2009. As a result of this decision, April 30 h, 2009 will be the last day that I, or my backup will be responsible for the operation of the Old Richmond Elementary plant. Kevin Booe (WW-1 #21122) will not be the ORC after April 30th, 2009. X , &.—• 1 / 4-17-09 Montie Hamby (WW-1 #28094) will not be the Backup ORC after April 30th, 2009. X Y4-17-09 If you have any question , Orr you need further information, please contact me. Kevin Booe WS/FC Schools Maintenance Division 4897 Lansing Drive Winston-Salem, NC 27105 Mobile (336) 462-2271 Fax (336) 661-4981 kbooe@wsfcs.k12.nc.us P6-- 'Marc S I (WSRO) ry Smith (Permittee) Bill Vaught Kim Sutton Steve Cutright Montie Hamby , Yt To: From: Subject: NCDENR DWQ WINSTON-SALEM/FORSYTH COUNTYSCHOOLS Maintenance Division Kevin Booe (ORC) Permit #NC0034827 Contract Operation Notification April 17, 2009 WS/FC Schools management has decided to contract operation of its wastewater treatment plant at Old Richmond Elementary School (Permit #NC0034827) to Research & AnalVcal Labs Inc. starting May 1st, 2009. As a result of this decision, April 30 ", 2009 will be the last day that I, or my backup will be responsible for the operation of the Old Richmond Elementary plant. Kevin Booe (VWV-1 #21122) will not be the ORC after April 30t", 2009. 4-17-09 Montie Hamby (WW-1 #28094) will not be the Backup ORC after April 301", 2009. 4-17-09 i If you have any question , or if you need further information, please contact me. Kevin Booe WS/FC Schools Maintenance Division 4897 Lansing Drive Winston-Salem, NC 27105 Mobile (336) 462-2271 Fax (336) 661-4981 kboo>e sfca k92onc.v,s CC Marc Stokes (WSRO) Barry Smith (Permittee) Bill Vaught Kim Sutton Steve Cutright Montie Hamby 47` 4 NCDENR. North Carolina Department of Environment and Natural Resources Division of Water Quality. Michael F. Easley, Governor William G. Ross, Jr., Secretary Coleen H. Sullins, Director November 5, 2008 RECEIVED iV.C. Dept of EMIR Mr. Barry Smith NOV 0 7 2008 Operations Manager Winston-Salem ffice Winston-Salem / Forsyth County Schools Regional O 4897 Lansing Drive Winston-Salem, N.C. 27105 Subject: Draft NPDES Permit NCO034827 Old Richmond Elementary School WWTP Forsyth County Dear Mr. Smith: The Division has reviewed your request to renew the subject permit. Please review this draft permit carefully to ensure your thorough understanding of the information, conditions, and requirements it contains. The draft permit includes no significant changes from the existing permit. With this notification, the Division will solicit public comment on this draft permit by publishing a notice in newspapers having circulation in the general Forsyth 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 call me at (919) 807-6391, or you may e-mail me at charles.weaver@ncmail.net. Sincerely, Charles H. Weaver, Jr. NPDES Unit cc: Winston-Salem Regional Office /Rose Pruitt + NPDES Uni 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604 Phone: 919 807-6391 / FAX 919 807-6495 / Internet: www.ncwaterquality.org An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper NorthCarolina Naturally Permit NCO034827 STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY PERMIT TO DISCHARGE WASTEWATER UNDER THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the Federal Water Pollution Control Act, as amended, the Winston-Salem / Forsyth County Board of Education is hereby authorized to discharge wastewater from a facility located at the Old Richmond Elementary School WWTP 6315 Tobaccoville Road Tobaccoville Forsyth County to receiving waters designated as an unnamed tributary to Fries Creek in subbasin 03-07- 02 of the Yadkin -Pee Dee River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof. This permit shall become effective This permit and authorization to discharge shall expire at midnight on January 31, 2014. Signed this day Coleen H. Sullins, Director Division of Water Quality By Authority of the Environmental Management Commission V Permit NCO034827 SUPPLEMENT TO PERMIT COVER SHEET All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked. As of this permit issuance, any previously issued permit bearing this number is no longer effective. Therefore, the exclusive authority to operate and discharge from this facility arises under the permit conditions, requirements, terms, and provisions included herein. The Winston-Salem / Forsyth County Board of Education is hereby authorized to: 1. Continue to operate an existing 0.0064 MGD wastewater treatment system with the following components: ♦ Grease trap ♦ 15,000-gallon septic tank ♦ 3,000-gallon dosing chamber with twin 5" siphons ♦ Twin recirculating surface sand filters ♦ 10,000-gallon recirculation tank ♦ Recirculation controller ♦ Twin 50-GPM effluent pumps ♦ Ultraviolet (UV) disinfection [3 units] ♦ Cascade reaeration The facility is located near Tobaccoville at the Old Richmond Elementary School off Tobaccoville Road [at NC Highway 671 in Forsyth County. d 2. Discharge from said treatment works at the location specified on the attached map into' an unnamed tributary to Fries Creek, currently classified WS-IV waters in subbasin 03-07-02 of the Yadkin -Pee Dee River Basin. i ti�l J Center'+' e _Ce U -� - O q� .�'�/• °' • :Sol 1 ,�. r - (.'ord-r �„����_ 111 _ �=`�.� ,1•�. ^;p' IVY((" ;' .'�•. 973', tea' ', •,. - 1\, \V ' . , '. I,. \r - • \\ _ 7 f'+_�� - V : ' �.. _. �� i' •%ram-�Cein� 952 A 975. 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NCO034827 - Old Richmond Elementary, SchooL WWTP Latitude: 36°12' l9" Sub -Basin: 03-07-02 Longitude: 80"23'26' River Basin: Yadkin -Pee Dee Quad #: C17NW Stream Class: WS-lv Receiving Stream: an unnamed tributary to Fries Creek Permitted Flow: 0.0064 MGD Facility Location `mot A %_ , l h Forsyth County ��/ i�� [map not to scale) Perinit NCO034827 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 Daily . Measurement Sample Type Sample Location' Average Maximum Frequency Flow 0.0064 MGD Weekly Instantaneous , Influent or Effluent BOD, 5-day (20°C) 5.0 mg/L 7.5 mg/L 2/Month Grab Effluent April 1 — October 31 BOD, 5-day (20°C) 10.0 mg/L 15.0 mg/L 2/Month Grab Effluent November 1— March 31 Total Suspended Solids 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent NH3 as N 2.0 mg/L 10.0 mg/L Monthly Grab Effluent April 1 — October 31 NH3 as N 4.0 mg/L 20.0 mg/L Monthly Grab Effluent November 1— March 31 Dissolved Oxygen Daily average > 6.0 mg/L Weekly Grab Effluent, Downstream Fecal Coliform 200/100 ml 400/100 ml 2/Month Grab Effluent (geometric mean Temperature (°C) Weekly Grab Effluent, Downstream pH > 6.0 and < 9.0 standard units Weekly Grab Effluent Footnotes: 1. Downstream: at least 300 feet downstream from the outfall. There shall be no discharge of floating solids or visible foam in other than trace amounts 20yG— Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources August 5, 2008 BARRY SMITH OPERATIONS MANAGER WINSTON SALEM/FORSYTH COUNTY BOARD OF EDUCATION 4897 LANSING DRIVE WINSTON SALEM NC 27105 Dear Mr. Smith: Coleen H. Sullins, Director Division of Water Quality RECEIVED N.C. Dept. of ENR Winston-Salem Regional Office Subject: Receipt of permit renewal application NPDES Permit NCO034827 Old Richmond Elementary School Forsyth County The NPDES Unit received your permit renewal application on July 31, 2008. 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 (919) 807-6391. Sincerely, MIN 1 E 31 1 Dina Sprinkle NPDES Unit cc: CENTRAL FILES V E ff I! -' Te"T M T1171, - � c /Surface Water Protection NPDES Unit Mailing Address Phone (919) 807-6300 Location Northcarol 1617 Mail Service Center Fax (919) 807-6492 512 N. Salisbury St. Aatdl1 all Raleigh, NC 27699-1617 Raleigh, NC 27604 Internet: www.newatergualitv.org Customer Service 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper ri Winston-Salem/Forsyth County Schools Maintenance Division To: Mrs. Dina Sprinkle NC DENR / DW / Point Source Branch r 3 1 r DENJ;, - I�InTE?3 DUAIIrY From: Mr. Barry Smith r �c+??�r sa�ATE Q WS/FC Schools / Maintenance Division / Operations 1VTanage Date: June 242 2008 Subject: NC0034827 NPDES Permit Renewal - Old Richmond Elementary School Enclosed is a completed application form, and a description of our sludge management plan, that are required to renew our NPDES permit for Old Richmond Elementary School. The only change at the facility since our last permit renewal was the addition of a redundant LTV disinfection unit. Prior to 2006 our system had two UV disinfection units. We now have three units. This doesn't affect our system description, which is listed as "Ultraviolet (UV) disinfection" and doesn't list the number of units. There have. been no changes in the operation of this system since the issuance of the last permit. Barry Smith (Date) NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD Mail the complete application to: N. C. Department of Environment and Natural Resources_.. Division of Water Quality / NPDES Unit `�jr 1617 Mail Service Center, •Raleigh, NC 27699-16J on NPDES Permit ROO P `d 2 -7L J U L 3 12008 vF� Please print or type.. ry DE4R 6`I/iTER 0U4L!1Y 1. Contact Information: " - Pt)'!"T SD�pCE Owner Name i�jitl5 or+ - S���M,FCsrSvj�� �Q,,�n+� 13 ,rck 04 iVA Facility Name (cal �. it Inc) AA E (P_rti6-wt a:CH Sc40D J Mailing Address q go) -r City a,-46�oyw - Sede-m State / Zip Code. Z7 10-T Telephone Number Fax Number (33 b) (o (o) - .Li 9 71 e-mail Address. �j5 ;�-� �c1 (:5ffee k )� ii e, 2. Location of facility producing discharge: Check here if same address as above ❑ e Street Address or State Road (a 3 jT j o b&ca© -j Pond City -Tobac-r,oyVice . State / Zip Code �L 270O County 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 Sc_.00ls )Ko_1'1je_icCA co— f71.vi6 on Mailing Address q3 q? Lan s n 3 Dri a_' City 1alii0Ao', ^ < Ivy) State / Zip Code NC, Telephone Number - Fax Number, . . . _ ( 33( ) 60 - y q `71 1 of 3 Form-D 4/05 v. NPDES APPLICATION - FORM D For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD 4. Description of wastewater: Facility Generating Wastewater(check all that apply): Industrial _ ❑ Commercial = ❑ Residential ❑ School Other ❑ Number of Employees Number of Employees Number of Homes Number of Students/Staff 53!5,-10 Explain: Describe the sources) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants, etc.): Population served: S. Type of collection system Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer) 6. Outfall Information: Number of separate discharge points Outfall Identification number(s) 00 Is the outfall equipped with a diffuser? ❑ Yes [9'No 7. Name of receiving -streams) (Provide a map shouring the exact location of each outfall): Uln rlamj 6,,- -ax Li A-o e'r)-0-6 Ccee,1L 8. Frequency of Discharge: ❑ Continuous Intermittent If intermittent:.Y _ . (� (.lsa.aJC < 3 hears �dq� Days per week discharge occurs: iil$- Duration:- 1 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. Odd c�(lovi dosi�t� C�1.a,+►tic�r Cr're-asc, +ram -� i 5 '000 gCat o A sc p�� C. � j 3` 9 —�--- . +�1A,o sj pho��-tUz�.� Girt LA- � are'©✓1 -F � �-- � th.5�� � a,�r ���+ f � J fiWo 90.9 prA 2of3 Form-D 4/05 y For privately owned treatment systems- treating 100% domestic wastewaters <1.0 MGD 3cis cl ow 10 p464fl, q(EAr For ZOA9 ZOO, Z667_ 10. Flow Information: In a0aro-iQ-) Treatment Plant Design flow 0,LQQb q MGD Annual Average daily flow 0,00 3 2. MGD (for the previous 3 years) "AL Maximum daily flow 0 00,-'5MGD (for the previous 3 years) s - 11. Is this facility located on Indian country? ❑ Yes No r 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 (BOD5) Fecal Coliform Total Suspended Solids Temperature (Summer) Temperature (Winter) pH 13. List all permits, construction approvals and/or applications: Type Permit Number Type Hazardous Waste (RCRA) NESHAPS (CAA) Permit Number UIC (SDWA) Ocean Dumping (MPRSA) NPDES Al(, OO,; y $ 2-7 Dredge or fill (Section 404 or CWA) PSD (CAA) Oth'e Non -attainment program (CAA) s `, 14. APPLICANT CERTIFICATION I certify that I am familiar wit h'th{ vi ormaron contained in the application and that to the best of my know` -ledge and belie sub iriforma iiSn is , e, complete, and accurate. Printed name of Person Signing`s *�`? i`„``_ Title WUNA Signatur f Applicant Date North Carolina General Statute-143-215.6 (b)(2) states:' -Any person who knowingly makes any false statement representation, or certification in any application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, or who falsifies, tampers with, or knowly 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 4/05 1 - N Old Richmond Elementary Sludge Management Sludge that collects in our septic tank is monitored by our ORC. When the ORC determines that sludge needs to be removed he contacts Transou's & Martins Septic Tank Service. They pump the solids from the tank for us and haul solids to Elledge Wastewater Treatment. Plant for disposal. Contaminated sand that is skimmed from our sandfilter is removed and landfilled according to regulations by our Grounds Department. W A7, Michael F. Easley, Governor \O�0 9pG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources rColeen H. Sullins. Director >_ Division of Water Quality May 27, 2008 CERTIFIED MAIL 7007 3020 0000 6279 6986 RETURN RECEIPT REQUESTED Barry Smith Forsyth County School System 4897 Lansing Dr Winston Salem NC 27105 SUBJECT: Compliance Evaluation Inspection Forsyth County School System Old Richmond Elementary School Permit No: NCO034827 Forsyth County Dear Mr. Smith: Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on May 7, 2008. The Compliance Evaluation Inspection was conducted by Rose Pruitt of the Winston-Salem Regional Office. The facility was found to be in Compliance with permit NC0034827. Kevin Booe, ORC was present for the inspection. The inspection consisted of two parts: an on - site inspection of the treatment facility and a file review. The following are the findings from the subject inspection. I. Permit The NPDES permit for the Old Richmond Elementary School WWTP became effective July 1, 2004 and expires on January 31, 2009. The permitted components of the 0.0064 MGD wastewater treatment plant include: Grease trap, 15,000 gallon septic tank, 3,000 gallon dosing chamber with twin 5" siphons, twin recirculating sand filters, 10,000 gallon recirculation tank, ultraviolet (UV) disinfection, and cascade re -aeration. . II. Records/Reports A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Old Richmond Elementary School WWTP for the period January 2007 through December 2007 revealed that the facility had two limit violations, a monthly average violation of NH3 as N and a daily pH violation. Operations records include all sample analyses and process control tests that are performed. The electronic flow meter was calibrated on September 17, 2007 by Master Meter. E E R 585 Waughtown Street Winston-Salem, NC 27107 Phone (336) 771-5000 Fax (336) 771-4630 Old Richmond Elem Page 2 May 27, 2008 ` III. Facility Site Review The facility site review indicated that the 0.0064 MGD treatment works is consistent with the permitted components. The actual treatment system consists of Grease trap, 15,000 gallon septic tank, 3,000 gallon dosing chamber with twin 5" siphons, twin recirculating sand filters, 10,000 gallon recirculation tank, ultraviolet (UV) disinfection, and cascade reaeration. IV. Effluent / Receiving Stream The WWTP discharges to an unnamed tributary to Fries Creek (WS-IV waters in the Yadkin — Pee Dee River Basin). The effluent was clear and free of visible solids on the date of inspection. The receiving stream was free of solids, foam and debris. V. Flow Measurement Effluent flow is measured with a Master Meter. The meter was calibrated at the factory on September 17, 2007. This meter is switched out annually with another meter and sent to the factory for calibration. VI. Self -Monitoring Program A review of the discharge monitoring reports (DMRs) for the time period of January 2007 through December 2007 demonstrated that the Old Richmond Elementary School WWTP had two effluent violations. The first violation was for exceeding the monthly average in February 2007 for NH3 as N, an enforcement action was initiated for this violation. The second violation received no further action and was a daily violation of pH in August 2007. VII. Compliance Schedules No compliance schedules to evaluate. VIII. Laboratory All of the sample analyses are conducted by R & A Labs, Certification #34. The laboratory was not reviewed at the time of the subject inspection. The field parameter certification #5299 for this facility is current. IX. Operation and Maintenance Operation and maintenance at the time of the subject inspection was deemed satisfactory. The effluent was clear and free of visible solids. X. Sludge Utilization/Disposal Solids are removed from the WWTP as necessary by a licensed contract hauler and disposed of properly. The septic tank had last been pumped down by Transou in July 2004. XI. Pretreatment Not evaluated during this inspection. No pretreatment program required. Old Richmond Elem i� Page 3 May 27, 2008 XII. Stormwater Not evaluated during this inspection. XIV. Sewer Overflow None to report. XV. Pollution Prevention Not evaluated during this inspection. XVI. Multimedia Not evaluated during this inspection. The Division of Water Quality greatly appreciates your continued oversight at this facility. The Division also encourages you to continue to be proactive in your efforts to maintain compliance. Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any questions, please call Rose Pruitt at 336-771-5000. Sincerely, Steve W. Tedder Water Quality Regional Supervisor Winston-Salem Regional Office Division of Water Quality cc: Kevin L Booe, 4911 Sebania Ct, Walnut Cove NC 27052 Central Files �� 4 ..; United States Environmental Protection Agency Form Approved. n Washington, D.C. 20460 EPA C i'1 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 2 151 31 NCO034827 111 121 08/05/07 117 181 Cl 191sl 20I 1I Remarks 2111111111111111111111 111111111111111111111111 1116 Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ---------------------- 671 169 701 1 711 I 72 I N I 73 I I 174 751 I I I I I I 180 I—LJ 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) Old Richmond Elementary School 09:15 AM 08/05/07 05/05/01 Exit Time/Date Permit Expiration Date 4897 Lansing Dr Winston Salem NC 27105 il:15 AM 08/05/07 09/01/31 Names) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data W Kevin L Booe/ORC/336-661-4975/ Name, Address of Responsible Official/Title/Phone and Fax Number Contacted Kevin L Booe,4897 Lansing Dr Winston Salem NC 27105//336-661-4975/ No Section C: Areas Evaluated During Inspection (Check only those areas evaluated) Permit Flow Measurement Operations & Maintenance Records/Reports Self -Monitoring Program ® Sludge Handling Disposal ® Facility Site Review ® Effluent/Receiving Waters Laboratory Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary) (See attachment summary) Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date Rose Pruitt WSRO WQ//336-771-5000/ _ C 65V Signature of Man g ment Q A Revie er Agency/Office/Phone and Fax Numbers Date 'Z 7 t V�- EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete. Page # 1 NPDES yr/mo/day Inspection Type 3I NC0034827 I11 12I 08/05/07 1 17 18ICI Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary) The inspector was met at the facility by Kevin Booe, ORC. At the time of the inspection the facility appeared well maintained and was operating properly. The effluent was clear and the stream was clear of solids. Page # 2 Permit: NCO034827 Inspection Date: 05/07/2008 Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Operations & Maintenance Yes No NA NE Is the plant generally clean with acceptable housekeeping? ■ n n n Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge I♦ n n n Judge, and other that are applicable? Comment: (If the present permit expires in 6 months or less). Has the permittee submitted a new application? n n ■ n Is the facility as described in the permit? ■ n n n # Are there any special conditions for the permit? n. n ■ n Is access to the plant site restricted to the general public? ■ ❑ n Is the inspector granted access to all areas for inspection? ■ n ❑ . n Comment: Record Keeping Yes No NA NE Are records kept and maintained as required by the permit? ■ n n Is all required information readily available, complete and current? ■ n n n Are all records maintained for 3 years (lab. reg. required 5 years)? ■ n n n Are analytical results consistent with data reported on DMRs? ■ n n n Is the chain -of -custody complete? ■ n .n n Dates, times and location of sampling ■ Name of individual performing the sampling ■ Results of analysis and calibration ■ Dates of analysis ■ Name of person performing analyses ■ Transported COCs Are DMRs complete: do they include all permit parameters? ■ n n n Has the facility submitted its annual compliance report to users and DWQ? ❑ n ■ n (If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? 5 n n ■ n Is the ORC visitation log available and current? ■ n n n Is the ORC certified at grade equal to or higher than the facility classification? ■ n n n Is the backup operator certified at one grade less or greater than the facility classification? ■ ❑ ❑ n Is a copy of the current NPDES permit available on site? ■ ❑ n n Page # 3 Permit: NC0034827 Inspection Date: 05/07/2008 Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Record Keeping Facility has copy of previous year's Annual Report on file for review? 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: Flow Measurement - Effluent # Is flow meter used for reporting? Is flow meter calibrated annually? Is the flow meter operational? (If units are separated) Does the chart recorder match the flow meter? Comment: Disinfection - UV Are extra UV bulbs available on site? Are UV bulbs clean? Is UV intensity adequate? Is transmittance at or above designed level? Is there a backup system on site? Is effluent clear and free of solids? 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 valid 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: Effluent Sampling Yes No NA NE .nnn ■nnn nn■n ®Qnn ■nnn ■n.nn nnn■ ■nnn nnn■ Page # 4 Permit: NCO034827 Inspection Date: 05/07/2008 Effluent Sampling Is composite sampling flow proportional? Is sample collected below all treatment units? Owner - Facility: Old Richmond Elementary School Inspection Type: Compliance Evaluation Is proper volume collected? ■ n n n Is the tubing clean? n n ■ n # Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? ❑ n ■ ❑ Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ®n n n Comment: Upstream / Downstream Sampling Yes No NA NE Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n n Comment: Page # 5 'R\0� WA7F9P �O G r Az o � 5299 Mr. Kevin L. Booe Winston-Salem/Forsyth Co. Schools 4897 Lansing Drive Winston-Salem, NC 27105- eo* _ Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality May 6, 2008 RECEIVED C Deft of ENR MAY 12 2008 . �.nston•Salem Regional Office SUBJECT: North Carolina Wastewater/Groundwater Laboratory Certification (NC WW/GW LC) Laboratory Certification Inspection Dear Mr. Booe : Enclosed is a report for the inspection performed on April 22, 2008 by Mr. Ramon Cook and Mr. David Livingston . No findings are cited in this report, a response is not required. We appreciate the fine job you and your staff are doing. As a certification requirement, your laboratory must continue to carry out the requirements set forth in 15A NCAC 2H .0800. Copies of the checklists completed during the inspection may be requested from this office. Thank you for your cooperation during the inspection. If you wish to obtain an electronic copy of this report by email, or if you have questions or need additional information please contact us at 919-733-3908. Sincerely, Dan atterwhite Certification Unit Supervisor Laboratory Section Enclosure cc: Ramon Cook Winston-Salem Regional Office One N?WthCarolina 4(ra!!y North Carolina Division of Water Quality . 1623 Mail Service Center Raleigh, NC 27699-1623 Phone (919) 733-3908 Customer Service Internet: www.dwqlab.org Location: 4405 Reedy Creek Rd Raleigh, NC 27607 Fax (919) 733-6241 1-877-623-6748 An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper 9 LABORATORY NAME: NPDES PERMIT #: ADDRESS: CERTIFICATE #: DATE OF INSPECTION: TYPE OF INSPECTION: AUDITOR(S): LOCAL PERSON(S) CONTACTED: I. INTRODUCTION: On -Site Inspection Report Winston-Salem/Forsyth County Schools NCO034827 4897 Lansing Drive Winston-Salem, NC 27105 5299 April 22, 2008 Field Maintenance Inspection Ramon Cook and David Livingston Kevin Booe This laboratory was inspected to verify its compliance with the requirements of 15A NCAC 2H .0800 for the analysis of environmental samples. II. GENERAL COMMENTS: The laboratory is spacious and well equipped. All facilities and instrumentation are well maintained. III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS: No findings were noted during the inspection. IV. PAPER TRAIL INVESTIGATION: The paper trail consisted of comparing field testing records and contract lab reports to Discharge Monitoring Reports (DMRs) submitted to the North Carolina Division of Water Quality for the months of January, February and March 2008. No transcription errors were detected. The facility appears to be doing a good job of accurately transcribing data. V. CONCLUSIONS: No findings were noted during the inspection. The inspectors would like to thank the staff for its assistance during the inspection and data review process. No response is required. Report prepared by: Ramon L. Cook Date: April 25, 2008 Report reviewed by: David Livingston Date: April 29, 2008 NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor Barry Smith Forsyth County School System P.O. Box 2513 Winston-Salem, NC 27102-2513 Dear Permittee: William G. Ross, Jr., Secretary Coleen H. Sullins, Director June 2, 2008 RECEIVED N.C. Deot of ENR I JUN 0 41008 Winston-Salem Regional Office Subject: Renewal Notice NPDES Permit NCO034827 Old Richmond Elementary School Forsyth County Your NPDES permit expires on January 31, 2009. Federal (40 CFR 122.41) and North Carolina (15A NCAC 211.0105 (e)) regulations state that permit renewal applications must be filed at least 180 days prior to expiration of the current permit. If you have already mailed your renewal application, you may disregard this notice. Your renewal package must be sent to the Division postmarked no later than August 4, 2008. Failure to request renewal by this date may result in a civil penalty assessment. Larger penalties may be assessed depending upon the delinquency of the request. If any wastewater discharge will occur after January 31, 2009, the current permit must be renewed. Discharge of wastewater without a valid permit would violate North Carolina General Statute 143-215.1; unpermitted discharges of wastewater may be assessed civil penalties of up to $25,000 per day. If all wastewater discharge has ceased at your facility and you wish to rescind this permit, contact me at the telephone number or address listed below. Use the enclosed checklist to complete your renewal package. The checklist identifies the items you must submit with the permit renewal application. If you have any questions, please contact me at the telephone number or e-mail address listed below. Sincerely, Charles H. Weaver, Jr. NPDES Unit cc: Central Files no .0 iMf7�. NPDES File 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Oriel, 1 512 North Salisbury Street, Raleigh, North Carolina 27604 NOrthCarohna Phone: 919 733-5083, extension 511 / FAX 919 733-0719 / charles.weaver@ncmail.net Vau`�L`L�An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper ` NPDES PERMIT NC0034827 OLD RICHMOND ELEMENTARY SCHOOL FORSYTH COUNTY The following items are REQUIRED for all renewal packages: ➢ A cover letter requesting renewal of the permit and documenting any changes at the facility since issuance of the last permit. Submit one signed original and two copies. ➢ The completed application form (copy attached), signed- by the permittee or an Authorized Representative. Submit one signed original and two copies. ➢ If an Authorized Representative (such as a consulting engineer or environmental consultant) prepares the renewal package, written documentation must be provided showing the authority delegated to any such Authorized Representative (see Part II.B.11.b of the existing NPDES permit). ➢ A narrative description of the sludge management plan for the facility. Describe how sludge (or other solids) generated during wastewater treatment are handled and disposed. If your facility has no such plan (or the permitted facility does not generate any solids), explain this in writing. Submit one signed original and two copies. The following items must be submitted by any Municipal or Industrial facilities discharging process wastewater: Industrial facilities classified as Primary Industries (see Appendices A-D to Title 40 of the Code of Federal Regulations, Part 122) and ALL Municipal facilities with a permitted flow >_ 1.0 MGD must submit a Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part 122.21. The above requirement does NOT apply to privately owned facilities treating 100% domestic wastewater, or facilities which discharge non process wastewater (cooling water, filter backwash, etc.) Send the completed renewal package to: Mrs. Dina Sprinkle NC DENR / DWQ / Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 UNITED STATE§:P_6§tktStWTdff RRIADJ*k' IF 7- 0 Sender: Please print your name, address, and ZIP+4 in this box * NCDENR- Water Quality Section 585 Waughtown Street Winston-Salem, NC 27107 1! .111 td! if ... I l!1J!J1JJJ!!1l Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. If 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. Article Addressed to: Barry Smith Forsyth County School System 4897 Lansing Drive Winston-Salem, NC 27105 A. ❑ Agent ❑ Addressee B. Received b ( Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type Certified Mail ss Mail Registered Return Receipt for Merchandise El Insured Mail F.O.D.6 C l(' 4. Restricted Delivery? (Extra Fee) ❑ Yes 70�7 3020 0000 6279 6986 'S Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154( UNITED STAT6S'06&$ L'tt , R' VA GE 'NIC 2'.-A-04 ,s � _IE,JN '14 First -Class Mail Postage & Fees Paid USPS Permit No. G-10 0 Sender: Please print your name, address, and ZIP+41" in this boxO NICIDENR, -- Division of Water Quality 585 WaLlphtown Street RECEIVED Winston-Salem, INC 27107 N.C.Dept. of ENR JUN 2 6 2014 Winston-Salem Regional Office 0)jjj+)1W1" T I I Ilk HIJ Hill I I I 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. Article Addressed to: VJ-S 1=or.`;yth ::otlnty BOO 11'd of F711C7i'601-7 Attn: Todd Kneller 4897 Lansing Drive Winston-Salem, NC 271:75 (Do3y � z 7 A. Signature X ❑ Agent VWP ❑ Addressee B. ReceivedCy (Printed Name) C. Date of Delivery . Cxl l V k -zi D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. El Type —6,ertified Mail" Priority Mail Express" Lf Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 7013 1710 0002 1865 5054 YL)V RI=1,-H'JVZu14 - Kc Fir,,, 3R1 1 1, d„ Om Q n— —ti, Ror... ,, R... i. t /, - 7 t - 1 t l I V - 6 2 Zc4