NC0033553_Regional Office Physical File Scan Up To 1/8/2021

WATER POLLUTION CONTROL SYSTEM OPERATOR DESIGNATION FORM (WPCSOCC)
NCAC 15A 8G .0201
Press TAB to enter information
Permittee Owner/Officer Name: Polk County Schools
Mailing Address: P.O. Box 638
city:' Columbus State: NC
Email Address: [e-mail]
Phone: [phone]
zip:. 28722
Signature: Date:
'V
Facility Name: Polk Central Elementary School Permit # NCO033553
County: I Polk
YOU MUST SUBMIT A SEPARATE FORM FOR EACH TYPE AND CLASSIFi[13Tinn1 nF cvcTima.
Facility Type: WI/V
Facility Grade: 11
OPERATOR IN RESPONSIBLE CHARGE
Print Full Name:, Deborah M. Bradley
Certificate Type: WW Certificate Grade: IV
Email Address: debmbradley@hoim"ail.com
Work Phone: [phone]
Certificate #:
991330"
r
,
Signature: Date:
"I certffy that i agree to my designation as the Operator in Respo , ble Charge for the facility noted. I understand and wiil abide by the
rules and regulations pertaining to the responsibilities of the ORC as set forth in 15A NG4C 08G .0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Print Full Name: Joel Burrell
Certificate Type: VVW
Email Address:
BACKUP ORC
Certificate Grade: IV
Work Phone: [phone]
Certificate #: 22523
Signature: Q Date:
"1 certifythat 1 agreeYo-irty designation 'as a Back-up Operator in Responsible Charge for the facility noted. 1 understand and will abide by
the rules and regulations pertaining to the responsibilities of the ORC as setforth in 15A NCAC 08G.0204 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators 'Certifrcation Commission."
Mail, fax or email WPCSOCC,1618 Mail Service Center, Fax: [phone] _Email: [e-mail]
ORIGINALto: ,Raleigh, NC 27699-1618
Mail or Fax Asheville
a copy to: '2090 US Hwy 70
.Swannanoa, NC28778
Fax: [phone]
Phone: [phone]
Washington
943 Washington Sq. Mall
Washington, NC 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St., Suite 714
Fayetteville, NC 28301-5043
Fax: 91OA86-070-7
Phone:[phone]
Wilmington-
127 Cardinal Dr.
Wilmington, NC 28405-2845
Fax: [phone]
Phone: [phone]
Mooresville Raleigh
610 E. Center Ave., Suite 301 3800 Barrett Dr.
Mooresville, NC 28115 Raleigh, NC 27609
Fax: [phone] Fax: [phone]
Phone:[phone] Phone:[phone]o
Winston-Salem
45 W. Hanes Mall Rd. -
Winston-Salem, NC-27105
Fax:[phone]
Phone: [phone] Revised 42016

FAX COVER SHEET
Clearwater Services
Deborah Bradley/Contract operator
Polk Central Elementary School
To: Asheville Regional Office
From: Deborah Bradley, ORC
Phone:
Phone: [phone]
Fax: [phone]
Fax: [phone]
Date: August 29, 2016
Email: [e-mail]
SUBJECT
New Superintendent/Polk County Schools
Operator Designation Form
Owner Registration-Permit/Facility Information

Part B: Owner Registration !, Owner User Details:
I
Please provide the following information which is needed for creating the Facility Owner in
eDMR. The Owner is the legal entity to which the permit(s) have been issued and may be an
organization or individual.' For an organization, the information provided for the owner details should
be the official contact person or the person with delegated signatory authority for the Owner.
Last Name:
Greene
Middle Name:
First Name:
Aaron
Phone Number:
828-894-3051
Email:
[e-mail]
User Id: '
(Assigned by DWR eDMR Administrator)
Part C: User Account Information — Submitters
Please provide the users, in addition to the Owner; who will need Submitter permissions.
Submitter permissions can only be assigned by the DWR eDMR Administrator. The Owner specified
above will be given full eDMR permissions including Submitter permissions.
The Submitter is a uivalent to the individual who sigans the certification statement on the back of the
discharge monitoring report. In most cases, the Submitter will be the Owner but may be other
delegated individuals. The Submitter must be an individual with delegated signatory authority. If
individuals other than the duly authorized person for the Owner have been delegated signatory
authority, the Division of Water Resources must be notified in writing of such delegations. A
delegation of authority form is available from the eDMR website.
In addition to the User Details, please specify the permits) that each user will be associated with for
eD1ViR submittal. Should additional space be needed for users and/or permits, please make additional
copies of the Submitter User Details page and complete as needed.
NOTE. The Owner will be responsiblefor,creating all facility users except those with Submitter
permissions.
In addition to the Owner and Submitter user, there arefour additional user types identified
by user permission level: Facility Administrator, Certifier, Data Entry and View Only.
The Owner and Faeiliit' Administrator will have the ability to manage facility users. The
Facility User Administration Guide will provide the appropriate procedures for facility user
management.
.�_.._. NC eDMR Registration Form (Revision 3.1)
Page 2 of 4

Submitter User Details
Permit No. (s):
NCO033553
NCO()
NCOO
NC00
NCOO
First Name:
Deborah
Middle Name:
Last Name:
Bradley
Phone Number:
828-817-9516
Entail:
debmbradley(a�hotmail.com
User ID:
(Assigned by DWR eDMR Administrator)
Submitter User Details
Permit No. (s):
NCO033553
NCDO
NCOO
___FEic7o,)
NC00
First Name:
Robert
Middle Name:
Last Name:
Gilbert
Phone Number:
828-894-3154
Email:
User ID:
(Assigned by DWR eDMR Administrator)
Submitter User Details
Permit No. (s):
NCOO ; NCOO
NC00
[N7CO:O�
NCOO
First Name:
Middle Name:
Last Name:
Phone Number:
(Email:
User ID:
(Assigned by DWR eDMR Administrator)
Submitter User Details
Permit No. (s):
NCOO_
NC00
NCOO
NC00
NC00
First Name:
Middle Name:
Last Name:
Phone [umber:
Email:
User ID:
(Assigned by DWR eDMR Administrator)
NC eDMR Registration Form (Revision 3. l) Page 3 of

Part D: Reeistration Certification:
I request the facility identified above be allowed to submit DMR data using the ATC DGTJR eDMR
system_
I understand that electronic submittal ofthe DMR does not filly satisfy USEPA's electronic signature
requirements and as a result, I understand I will be required to print, sign, and submit hardcopies (one
signed original and a copy) of the eD.,VR to ATC DWR under the same reporting requirements as
paper -based DMRs as specified in Part II, Condition D (2) of the 1bPDESPerm it.
I agree to protect the security of my user ID and password from compromise and shall take all
necessary steps to prevent its loss, disclosure, modification, or unauthorized use.
Aaron Greene
Owner (Permittee) Name (t3Te or print)
Official Title (type or
August 8, 2016
Owner ermittee) Signature Date
Please return the completed Registration Form to the NC Division of Water Resources
Fax: or Email: or Mail to:
[phone] eDMRadmin(),ncdenr.gov, Information Processing Unit
Attn: eDMR Registration
1617 Mail Service Center
Raleigh, NC 27699-1617
KC eD1UtRVRegisirakion Form (Revision 3.1)Page d of r

4DWR
. . . . . . . . .
oivf3lon of Water Resources __.. _ _ ...:
North Ca-o;ina f,Nt", eD.Ail' Reports
eDMR Registration Form
EDMR is an electronic reporting system, which will provide a facility Owner the ability to submit
discharge monitoring reports via the internet. EDMR is only currently available to facilities that
have an NPDES Wastewater permit issued by the Division of Water Resources. Registration for
eD1V1R must be completed by the legal Owner of the facility(s), and this legal Owner must be the
same Owner to which the permit(s) have been issued. Once an Ovmer is registered for eDMR, all
permits held by the Owner will also be. registered and able to submit reports via eDMR.
NOTE. Before completing and submitting the registration form, the legal Owners as specified
above should verify the permit facility, Owner, and ORC designations_ for all permits. This
information can be verified using the eDMR Owner Information Search provided on the
eDMR website. This information is maintained in the D KT, data management system, as
provided by the permittee,, and contained in the permit issued to the Owner. .Should any
discrepancies with this information be determined, the appropriate DWR contact should
be notified so information can be corrected prior to registration. It is important that the
Permit information be correct prior to eDMR re istration.
Please provide all information in Parts A, B, C and D. An Owner signature is required for
eDMR registration. Should the registration information be incomplete, the registration
process may be delayed.
Part A: Owner Reeristration — Permit/Facility Information
Please provide a Permit Number and the associated facility information. Only a single permit
number is needed for registration. If multiple permits are involved, the permit number provided
will be used to identify the Owner and all associated permits. All associated permits issued to the
Owner will be registered for eDMR.
Permit Number:
N I C Q 10 133553
Facility Owner:
Polk County Schools
Facility Name:
Polk Central Elementary School
Facility Address:
2141 NC Highway 9 S.
Facility City:
Mill Spring
Facilty State:'
NC
Facility Zip code:
28756 -
NC eDMR Registration Form (Revision 3.1)•Page i of

Facility information
NPDES permit #:
Facility name:
WWTP class:
NCO033553
Polk County
Polk County Board of Education —
Polk Central School WWTP
(septic tank, intermittent surface sand filter
with low pressure distribution)
(2013 fact sheet incorrectly classified as: Class II)
WWTP type: 0.010 MGD system consisting of:
3000 gallon grease interceptor adjacent to the
cafeteria with a 3000 gpd effluent filter;
11,000 gallon septic tank;
3000 gallon dosing tank with duplex alternating
siphons (3000 gallons per dose);
1500 gallon tank with a 5000 gallon/day effluent
filter;
40 ft x 80 ft (3200 sq ft) surface sand filter with
low pressure distribution to 4-inch pvc
manifold with 1.5-inch pvc predrilled laterals
sleeved in 4-inch perforated corrugated PE
drain pipe (sand specifications: 0.35 — 0.50
mm effective size; uniformity coefficient <3;
dust content < 0.5%);
4 inches of pea -sized washed gravel/stone
covering the sand filter;
tablet chlorinator;
1500 gallon chlorine contact chamber; and
tablet dechlorinator.
A to C: Authorizations to Construct issued:
10-6-2004 & 1-14-1994.
WWTP location: 2141 South NC #9 Hwy., east of Mill Spring
Responsible official: William J. Miller
Responsible "'s title: Superintendent of Schools
Official's location: Polk County Board of Education

Mailing address: PO Box 638; Columbus, NC 28722-0638
Note: The 2008 permit is in the name of ORC, Deborah Bradley.
The 2013 draft permit: Be sure to put the permit in the
name of: William J. Miller, Superintendent of Schools
Phone numbers
828-894-3051 or 3154
828-894-8153
828-894-3053 or 3154
828-894-8233
828-859-5626
828-894-7048
828-859-5934
Operator information
Certified -ORC & grade:
Permit Information
Effective (draft):
Expiration:
Stream Information
Stream:
River basin:
Sub -basin:
Drainage area sq mi:
Quad:
Quad:
Stream classification:
William J. Miller
"— fax
Dean Pace - Maint. Supv @ shop - beeper
Roger Byars- on -site maintenance @ Polk Central
Deborah Bradley - ORC @ Tryon WWTP
" — home ([e-mail])
" — fax @ home
Deborah Bradley — Grade IV — Cert #991330
Clearwater Services
21 Catherine Drive; Columbus, NC 28722
8-1-13
7-31-18
South Branch Little Whiteoak Creek
Broad River Basin
03-08-02
Mill Spring, NC
F10SW
C Trout
Note: Fact sheet 2013 listed as Class C;
However chlorine limit is: 0.17 ug/I in 2008 permit
and 2013 draft permit, indicating the C — Trout
stream Limit.
Instream Waste Conc.: 1.59%
Average flow: 6.1 cfs

l`V
Summer 7Q10 cfs: 0.96
Winter 7Q10 cfs: 1.51
Latitude: 350 17' 20"
Longitude: :820 07' 52"
Other information
Directions: From the intersection of NC Highways 9 & 108 in
Polk County, travel southeast on Hwy 9
approximately 3 miles to the school on the left.

PAT MCCRORY
1
_
_
YS
017
L
Governor
DONALD R. VAN DER VAART
Secretary
Water Resources
S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
Director
September 29, 2016
Aaron Greene
Polk County Board of Education
PO Box 638
Columbus, NC 28722
SUBJECT: Compliance Evaluation Inspection
Polk Central School
Permit No: NCO033553
Polk County
Dear Mr. Greene:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on
August 18, 201'6. The facility appeared to be in compliance with permit NC0033553.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions, please call me at 828-296-4500.
Sincerely,
Katherine H. Jimison
Chemist I ,
Asheville Regional Office '
Enc. Inspection Report
cc: Deborah M Bradley, ORC
MSC 1617-Central Files -Basement
CAsheville Files
G:\WR\WQ\Polk\Wastewater\Minors\Polk Central School 33553\CEI.8-18-2016.Ltr.docx
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. Highway 70 Swannanoa, NC 28778
828 296 4500

uriRed 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 15 I 3 I NC0033553 I11 12 16/08/18 17 18 I � � -- -
19 -201
211111 1 1 111 1 111 1 1 1 I I I I I I I IF I I I I I I I I I I I
I II I I -I I I 166
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1i QA --------Reserved------
----
67
70 72 ' 73 [ I I74 751 �80
L_J �J I 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)
12:15PM 16/08/18
13/10/01
Polk Central School
576 NC Hwy 9 S
Exit Time/Date
Permit Expiration Date
Mill Spring NC 28756
01:OOPM 16/08/18
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
1
11/ -
Deborah M Bradley/ORC/828-859-5626/
Name, Address of Responsible OfficiaYTitle/Phone and Fax Number
Contacted
Aaron Greene,PO Box 638 Columbus NC 28722/Superintendent/828-894-3051/
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit N Operations & maintenancE'N Facility Site Review N 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
Kathy Jimison ARO WQ//828-296-4500/
�} }
Signature of Mana ement Q A Reviewer Agency/Office/Phone and Fax Numbers
Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
31 NC0033553 I11 12 1 6/08/1 8 17 18I (`
Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary)
Ms. Debra Bradley, ORC and Mika[ Willmer, NCDEQ assisted in this inspection.
The facility appears to be maintained very well.
Polk Central School Maintenance staff is responsible for the maintenance of the sandfilter bed and
septic tank.
There was limited flow at the time of this inspection, school was not in session.
Field parameters for effluent performed by Debra Bradley while inspector was on site were as follows:
Residual chlorine 21 ug/I, pH 7.19 and temperature 26.9 degrees Celcius.
Page# 2

Permit: NCO033553 Owner - Facility: Polk Central School
Inspection Date: b8/18/2016 Inspection Type: Compliance Evaluation
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: Ms. Debra Bradley, ORC and Mikal Willmer, NCDEQ assisted in this inspection.
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?
Yes No NA NE
❑ ❑ N ❑
W. ❑ ❑ ❑
❑ M ❑ ❑
❑ ❑ ❑
M. ❑ ❑ ❑
Yes No NA NE
■❑'❑❑
❑
❑
N
❑
Comment: Polk Central School Maintenance 'staff is responsible for the mainenance of the sandfilter
bed and septic tank.
Septic Tank
(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: Septic tank is pumped yearly by Triple A septic.
New dosing bells (syphon).
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)
Yes No NA NE
❑
❑
■
❑
0
❑
❑
❑ ..
■
❑
❑
❑
❑
❑
■
Yes 'No NA NE
❑
❑
■
❑
❑
❑
❑
❑
❑
❑
❑
El-
■❑
■❑❑❑
❑
❑
N
❑
Comment: The sandfilter appears to be maintained very well. There was limited flow at the time of this
inspection: school was not in session.
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? E _- ❑ ❑ ❑
Page# 3

P k
Permit: NC0033553
Owner - Facility: Central School
Inspection Date: 08/18/2016
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
Are the tablets the proper size and type?
M
❑
❑
❑
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
❑
❑
M
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
Comment:
De -chlorination Yes No NA NE..
Type of system ? Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)? ❑ ❑ ❑
Is storage appropriate for cylinders? ❑ ❑ 0 " ❑
# Is de -chlorination substance stored away from chlorine containers? ❑ ❑ 0 ❑
Comment:
Are the tablets the proper size and type? M ❑ ❑ ❑
Are tablet de -chlorinators operational? 0 ❑ ❑ ❑
Number of tubes in use? 2
Comment: Field parameters for effluent performed by Debra Bradley'while inspector was on site were
as follows: Residual chlorine 21 ug/I, pH 7.19 and temperature 26.9 degrees Celcius.
Page# 4

Clearwater Services
2253 NC 108 Hwy E.
Columbus, N.C. 28722
August 1, 2016
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
2090 U.S. 70 Highway
Swannanoa, N.C.- 28778
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0424
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Mr. Davidson:
Please find enclosed an amended report for the month of January 2016. 1 inadvertently left off a
zero in my flow for January 5, 2016 therefore, exceeding the monthly average for flow. The flow should
have been 0.004 MGD instead of 0.04 MGD.
If you questions, please call me at [phone] or by email [e-mail].
Sincerely,
Dor
8�ebah Bradley, ORC �� _
Contract Operator
Polk Central School WWTP
cc: William Miller, Superintendent
Polk County Schools
AIM ' 5 cum
`, _.. Watergyu !jty,ReglonalOperations

rRTY=
Certified Mail # 7012 1010 0002 1965 6928
Return Receipt Requested
July 25, 2016
M
William Miller
Polk County Board of Education
PO Box 638
Columbus, NC 28722-0638
SUBJECT: NOTICE OF VIOLATION
Tracking Number: NOV-2016-LV-0424
Permit No. NCO033553
Polk Central School WWTP
Polk County ,
Dear Permittee:
A review of the January 2016 Discharge Monitoring Report (DMR) for the subject facility revealed,the violation(s)
indicated below:
Limit Exceedance Violation(s):
Sample Limit Reported
Location Parameter Date Value Value Type of Violation
001 Effluent Flow, in conduit or thru 1/31/2016 0.01 0.014 Monthly Average Exceeded
treatment plant (50050)
Remedial actions, if not already implemented, should be taken to correct any noted problems. The Division of
Water Resources may pursue enforcement actions for this and any additional violations. '
Please review the Flows for the January 2016 DMR and submit a written response within 10 day of receipt of this
letter to this Office explaining why the Monthly Average• Flow exceeded the permit limit by 40 %.
State of North Carolina I Environmental Quality I Water Resources
2090 U.S. 70 Highway, Swannanoa, NC 28778
828 296-4500

If you have any questions concerning this matter, please contact Janet Cantwell of the Asheville Regional
Office at 828-296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations Section
Asheville Regional Office
Division of Water Resources, NCDEQ
�Cc:_ _ _WQS-Asheville-Regional Office-= Enforcement File -- -
NPDES Compliance/Enforcement Unit - Enforcement File
Deborah M. Bradley/ ORC
G:\WR\WQ\Polk\Wastewater\Minors\Polk Central School 33553\NOV-2016-LV-0424.rtf

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
April 28, 2015
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF DEFICIENCY
NOD-2016-MV-0074
Permit No. NCO033553
Polk Central School_WWTP
Polk County
Dear Mr. Miller:
A review of Polk Central School's WWTP. monitoring report for August 2014 showed the following
violations:
Parameter
Date `
Measuring Frequency
Violation
Coliform', Fecal
08/31/2014
2 X /Month
Failure to Monitor
Solids, Total Suspended
'08/31/2014
2 X /Month
Failure to Monitor '
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when' iri
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameters were left off inadvertently, please send an amended DMR within 10 business. days of
receipt of this letter to Raleigh at the address found on the front page of yourDMR and also a copy to
this ofFce.
Remedial actions should be taken to'correct this problem. The Division of Water Resources may
pursue enforcement action for this and any additional violations of State law. If you should have any
questions, please do not hesitate to contact Janet Cantwell or me at 828/296-4600.
Sincerely,
G: Landon Davidson, P.G., Regional Supervisor
Water.Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Ashe 'tile files
MSC 1617-Central Files -Basement
Deborah Bradley/ ORC
G:IWRIWQTO!k1NJestewateriMinors%Polk Central School 335531NOD-2015-MV-0074,doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: '[phone] Fax: [phone]
Internet: hfp://portal.ncdenr.org/web/wq '
An Equal Opportunity/ Affirmative Action Employer
i

JDVVR
ti Water Quality iegional l�
JAN 3 0 20b
Opperations Section
Fayei&edille Regional Me
RECEIVEDIDENRIDWR
JAN 2 3 2015
Water Qualm
Permitting Section
2014
POLK CENTRAL ELEMENTARY SCHOOL
WASTEWATER TREATMENT PLANT
ANNUAL PERFORMANCE -REPORT
House Bill 1160, Clean Water Act 1999
RECEIVED
Division of Water Resources
i
FEB - 3 2015
Water Quality Regional Operations
Asheville Regional Office

0
2014
POLK CENTRAL ELEMENTARY SCHOOL
WASTEWATER TREATMENT PLANT
ANNUAL PERFORMANCE REPORT
I. General Information
Facility System Name: Polk Central Elementary School
NPDES Permit No. NCO033553
Responsible Entity: Polk County Schools
Person in Charge: Robert Gilbert, Maintenance Supervisor
Deborah Bradley, ORC
Description of treatment process: Polk Central's Wastewater Treatment is a Class I Facility
with the capacity of treating 0.010 MGD with the following components:
• 3000-gallon grease interceptor adjacent to the cafeteria with a 3000 GPD effluent filter
• 11,000-gallon septic tank
• 3000-gallon dosing tank with duplex alternating siphons (3000 gallons per dose)
• 1500-gallon tank with a 5000 GPD effluent filter
• 3200-ft2 surface sand filter with low pressure distribution
• Tablet chlorinator
• 5000-gallon chlorine contact chamber
• Tablet dechlorinator
Effluent is discharged from said treatment works into the South Branch Little White Oak Creek
In sub -basin 03-08-02 of the Broad River Basin in accordance with effluent limitations, and.monitoring
requirements.
The Facility is located at the Polk Central Elementary School's WWTP, 2141 South NC Highway 9, east of
Mill Spring in Polk County.
II. Plant Performance
Monitoring Violations: None
Reporting Violations: None
To the best of my knowledge there were no environmental impacts due to plant operations or operator
error.
Ill. Notification
This report has been made available to the taxpayers of Polk County and Polk Central Elementary
School. This Annual Performance Report has been advertised in the two local area papers. Copies of this
report will be available at Polk County Board of Education and Polk Central Elementary School during
regular business hours..

IV. Certification
I certify under the penalty of law that this report is complete and accurate to the best of my knowledge.
I further certify that this report has been made available to the public.
Robert Gilbert, Maintenance Supervisor
Polk County Schools
Za-tai'
Deborah Bradley, ORC
Polk Central Elementary WWTP
�- 1(- IS
Date
Date

Clearwater Services
2253 E. Hwy 108
Columbus, N.C. 28722
Deborah Bradley -
[phone]
G. Landon Davidson, P.G. Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, N.C. 28778
Subject. Notice of Violation
NOV-2014-LV -0279
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Mr. Davidson:
This letter is in response to the Notice of Violation received for Polk Central Elementary School
exceeding the daily maximum for BOD. This was caused by taking a grab sample for BOD as the tank
was dosing. I also inadvertently marked compliant instead of non -compliant on the back of the DMR.
I will take remedial action to correct this problem and amend December 2013 DMR to non -compliant.
If you have questions, please call me at [phone].
Sincerely,
Deborah Bradley, ORC
Contract Operator
Polk County Schools
cc: William Miller, Superintendent
RECEIVED
bJvision of waier Rasrn.rc
a 2014
Water Quality Regionat operatians
Ashevi{le Reaignal Office

A
*V,
A
- CDEN R
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 25, 2014
Dr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0279
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Dr. Miller:
John. E. Skvarla, III
Secretary
A review of Polk Central School's monitoring report for December 2013 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
12/17/2013
45 mg/I
49 mg1I
Daily Maximum
Exceeded
It was also noted that the Compliance box -on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance
Remedial actions should be taken to correct this problem. The Division of Water Resources may
pursue enforcement action for this and any additional violations of State law. If you should have any
questions, please do not hesitate to contact Janet Cantwell.or me at 828/296-4600.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
cc: WQ Asheville Files
MSC 1617-Central Files -Basement
Deborah Bradley/ ORC
G:1WR%WQ\Polk\WastewaterVilinors:Pclk Central School 335531NOV-2014-LV-0279.doc
Water Quality Regional Operations — Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: hftp://portal.ncdenr.orgANeblwq
An Equal Opportunity! Affirmative Action Employer

CEN
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 25, 2014
Dr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0279
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Dr. Miller:
John E. Skvarla, III
Secretary
A review of Polk Central School's monitoring report for December 2013 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
12/17/2013
45 mg/I
49 mg/I
Daily Maximum
Exceeded
It was also noted that the Compliance box on the back of the DMR was. marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance
Remedial actions should be taken to correct this problem. The Division of Water Resources may
pursue enforcement action for this and any additional violations of State law. If you should have any
questions, please do not hesitate to contact Janet Cantwell or me at 828/296-4500.
Sincerely,
G. Landon Davidson, P.G., Regional Supervisor
Water Quality Regional Operations, NCDENR
Asheville Regional Office
_- -- �•
'ec-, .' WQ Ashe'vllle Files' . `
MSC 1617-Central Files -Basement
Deborah Bradley/ ORC
G:\WR;WQ\Polk\WastewaterWlinors\Polk Central School 33553\N0V-2014-LV-0279.doc
Water Quality Regional Operations —Asheville Regional Office
2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone] FAX: [phone]
Internet: http://portal.ncdenr,org/web/wq
An Equal Opportunity/ Affirmative Action Employer

A �)
A7LA.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla III
Governor Director Secretary
January 10, 2014
Dr. William J: Miller
Polk County Schools
P.O.' Box 638
Columbus, N.C. 28722-0638
Subject: Clarification .of NPDES Permit NCO033553
Polk Central Elementary School WWTP
Polk County
Class WW-1
Dear Dr. Miller:
The Division issued the subject permit on September 10, 2013. We subsequently received a
request for clarification fromlyour facility operator (Deborah Bradley of Clearwater Services).
Accordingly, we are forwarding this letter to clarify the point she raised.
The facility classification for Polk Central Elementary School is WW-1, rather
than WW 2 [as stated in the permit cover letter].
We apologize for the error, and for any confusion it may have caused.
If you have any questions concerning this permit, please contact Charles Weaver at
telephone number [phone].
nicer y,
G
Thomas A. Reeder �...
cc: Central Files
CWville`'Regional Office/Surface Water Protection RECEIVED
NPDES Vn1-- Division of Water Resources
Deborah Bradley / Clearwater Services (2253 NC Hwy 108 E, Columbus, NC 2 722)
JAN 14 201.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North C Water Quality Regional Operationsrolina 27��p,eville Regional Office
Phone: [phone] / FAX [phone] ! http://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer — 501/6 Recycled/109/6 Post Consumer Paper

NC® NR _,
North Carolina Department of Environment and Natural Resou . s
Pat McCrory
Governor
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Dear Mr. Miller:
Division of Water Quality
Charles Wakild, P.E.
Director
January 24, 2013
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0053
Permit No. NCO033553
Polk Central School WWTP
Polk County
John E. Skvarla, III
Secretary
A review of Polk Central School's WWTP monitoring report for October 2012 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
10/02/2012
45 mg/I
56 mg/I
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the .
comments section on the. reverse of the relevant DMR provided an adequate explanation for the subject
violation, it is not requested that a response be submitted.
The Division of Water Quality may pursue enforcement action for this and any additional violations of
State law. If you should have any questions, please do not hesitate to contact Janet Cantwell or me at
828/296-4500.
Sincerely,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
cc:-- �-� D1NQ-Asheville Files�����•=`�'�`��
DWQ Central Files
Deborah Bradley/ ORC
S:\SWP\Polk\Wastewater\Minors\Polk Central School 33553WOV-2013-LV-0053.doc
NorthCarotina
Nl AMA(111
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwaterouality.org FAX [phone]

k " �u`ji I
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
December 18, 2012
Mr. Robert Gilbert
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0618
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Mr.Gilbert:
A review of Polk Central School's WWTP monitoring report for August 2012 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
'08/28/2012
45 mg/I
48 mg/I
Daily Maximum
Exceeded
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell or me at 828/296-4500.
Sincerely,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
cc: DWQ Asheville�Files
DWQ_Cenfral Files
Deborah Bradley/ ORC
S:\SWP\Polk\Wastewater\Minors\Polk Central School 33553\N0V-2012-MV-0618.doc NorthCazolina
ovaAmIdy
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwaterguality.org FAX [phone]

FIFILE CCH
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
September 28, 2012
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2012-MV-0094
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Mr. Miller:
Dee Freeman
Secretary
A review of Polk Central School's WWTP monitoring report for June 2012 showed the following
violation:
Parameter
Date
Measuring
Violation
Frequency
Chlorine, Total Residual
Week ending
Weekly
Failure to Monitor
06/02/2012
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameterwas left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this and any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell or me at 8281296-4500.
Sincerely,
Chuck ranford, Regional Supervisor
Surface Water Protection Section
cc: DWQ Asheville EiLes
DWQ Central Files
Deborah Bradley/ ORC
S:\SWP\Polk\Wastewater\Minors\Polk Central School 33553\NOV-2012-MV-0094.doc
o e
NCarolina
AdAma!!y
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwatercivality.org FAX. [phone]

F-7
ru GUCI
NCDENR
North Carolina Department of Environment and Natural Resources
D' f W
Beverly Eaves Perdue
Governor
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Dear Mr. Miller:
Ivislon o ater Quality
Charles Wakild, P.E.
Director
September 28, 2012
Subject: NOTICE OF VIOLATION
NOV-2012-MV-0093
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dee Freeman
Secretary
A review of Polk Central School's WWTP monitoring report for May 2012 showed the following
violation:
Parameter
Date
Measuring
Violation .
Frequency
Chlorine, Total Residual
Week ending
Weekly
Failure to Monitor
05/26/2012
It was also noted that the Compliance box on the back of the DMR was marked "Compliant" when in
fact it should have been marked "Non -Compliant" with an explanation for the non-compliance. If the above
parameter was left off inadvertently, please send an amended DMR within 10 business days of receipt
of this letter to Raleigh at the address found on the front page of your DMR and also a copy to this
office.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue
enforcement action for this arid any additional violations of State law. If you should have any questions,
please do not hesitate to contact Janet Cantwell or me at 828/296-4500.
Sincceerely,
Chuck Cranford, Regional Supervisor
Surface Water Protection Section
cc. DW_Q�sheville filesK
DWQ Central Files
Deborah Bradley/ ORC
S:\SWP\Polk\Wastewater\Minors\Polk Central School 33553\NOV-2012-MV-0093.doc
Nne
Carolina
Ad turu!!y
North Carolina Division of Water Quality 1 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone]
Internet: www.ncwateroualitv.ora I FAX [phone]

Q�l
NCENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November 15, 2011
WILLIAM MILLER
POLK COUNTY BOARD OF EDUCATION
PO BOX 638
COLUMBUS NC 287220638
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Polk Central School
Permit Number: NCO033553
Case Number: LV-2011-0269
Polk County
Dear Mr. Miller:
Natural U fesc
NOV2
i
is h;
e reem A
1 I
E. ecre
ary
E:
WATER QUALITY SECTION
`3 ASHEVILLE RFGIOAJAL OFFICE
This -letter is -to acknowledge receipt of check number -8=53196--in the-amount-.of:$492:00 -received --from:-:you---=_
dated"November 4, 2011. This payment satisfi6s in -full --the- above civil assessment= -levied- against -the--subject - -
facility, and this case has been closed. Payment of this penalty in no way precludes future action by this
Division for additional violations of the applicable Statutes; Regulations, or Permits..,,
If you have any questions, please call Bob Guerra at 919-`807-6387.
cc: Central Files
'DW'Q_sh will'eRegioral-0ff'ce-Supervisor .
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Nne
orthCaroEna
Aawrally

• �,4
NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
October 31, 2011
FHLE COPY
Natural Resources
7010 1870 0003 0875 4791
Dee Freeman
Secretary
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NC0033553' `,.
Polk County Board of Education
Polk Central School WWTP
Case No. LV-2011-0269
Polk County
Dear Mr. Miller:
This letter transmits a Notice of Violation and assessment of civil penalty. in the amount of $492.00
($350.00 civil penalty + $142.00 enforcement costs) against Polk County Board of Education.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Polk County Board of Education for the month of January
2011. This review has shown the subject facility to be in violation of the discharge limitations
and/or monitoring requirements found in NPDES Permit NC0033553. The violations which
occurred in January 2011 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Polk County Board of Education
violated the terms, conditions or requirements of NPDES Permit NCO033553 and G.S. 143-
215. 1 (a)(6) in the manner and extent shown in Attachment A. In accordance with the maximums
established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed against any person who
violates the terms, conditions or requirements of.a permit required by G.S. 143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Quality, I, D. Keith Haynes, Division of Water Quality Acting
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Polk County Board of Education:
NoorthCarolina
AatuMAY
SURFACE WATER PROTECTION —ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748
Internet: www.ncwaterouality.org

1 of the 1 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
100.00 NC0033553, by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for BOD - Conc.
1 of the 1 violations of G.S. 143-215. 1 (a)(6) and NPDES Permit No
$250.00
NC0033553, by discharging waste water into the waters of the State
in violation of the Permit Monthly Average limit for BOD - Cone.
$350.00
TOTAL CIVIL PENALTY
$142.00
Enforcement Costs
$492.00
TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 143B-
282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation; ,
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the -violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality.
1617 Mail Service Center
Raleigh, North Carolina' 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative
hearing, such a request must be accompanied by a waiver of your right to an administrative
hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please

prepare a detailed statemerrt that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Quality at the address listed below. In
determining whether a remission request will be approved, the following factors shall be
considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 14313-282.1(b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) . whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted
in writing. The Director of the Division of the Division of Water Quality will review your
evidence and inform you of his decision in the matter of your remission request. The response will
provide details regarding the case status, directions for payment, and provision for further appeal
of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that
was not part of the original remission request considered by the Director. Therefore, it is very
important that you prepare a complete and thorough statement in support of your request for
remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Quality also requests that
you complete and submit the enclosed "Justification for Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality -
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
3. File a petition for an administrative hea'ring with 'the Office of Administrative
Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition form from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an
attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a
filing fee is required by NCGS § 150B-23.2) is received in the Office of Administrative Hearings
within seven (7) business days following the faxed or electronic transmission. You should contact
the Office of Administrative Hearings with all questions regarding the filing fee and/or the details
of the filing process. The mailing address and telephone and fax numbers for the Office of
Administrative Hearings are as follows:

* 1
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DENR as follows:
Mary Penny Thompson, General Counsel
DENR
1601 Mail Service Center
Raleigh, NC 27699-1601
Failure to exercise one of the options above within thirty (30) days of receipt of this notice, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action.
Please be advised that additional penalties may be assessed for violations that occur after the
review period of this assessment. If you have any questions, please contact Janet Cantwell of
the Water Quality staff of the Asheville Regional Office at 828-296-4500.
Si rel ,
D. Keith. Haynes, Acting Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
e .DWQ As evi" a '1' es-w a • e ents `
DWQ Central. Files w/ attachments
Bob Guerra/ DWQ Point Source w/ attachments
Deborah Bradley/ ORC w/ attachments
S:ISWPtPolk!Wastew,iteriMinors%Polk-Central School33553'•.LV-2Q1 I-U269.doc

JUSTIFICATION FOR REMISSION REOUEST
DWQ Case Number: LV-2011-0269
County: Polk
Assessed Party: Polk County Board of Education / Polk Central School
Permit No.: NCO033553 Amount Assessed: $492.00
Please use this form when requesting remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts"
form to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy .of any of the factual. statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil penalty may be granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i. e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
_ (e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i. e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF POLK
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
POLK COUNTY BOARD OF EDUCATION/ )
POLK CENTRAL SCHOOL 1
PERMIT NO. NCO033553 ) FILE NO. LV-2011-0269
Having been assessed civil penalties totaling 1492.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated October 31, 2011, the undersigned,
desiring to seek remission of the civil penalty, does hereby waive the right to an administrative hearing
in the above -stated matter and does stipulate that the facts are as alleged in the assessment document.
The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the director of the Division of Water Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after (30) days from the receipt of the notice of assessment.
This the
day of
ADDRESS
TELEPHONE
SIGNATURE
20

ATTACHMENT A
Polk County Board of Education
CASE NUMBER: LV.2011.0269 .
PERMIT: NCO033553 FACILITY: Polk Central School COUNTY: Polk REGION: Asheville
Limit Violations
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED % OVER
PENALTY REPORT PPI LOC1.ATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE LIMIT VIOLATION TYPE
$100.00 1-2011 001 - Effluent BOD - Conc
01/13/11 2 X month mg/I 45
67 48.89 Daily Maximum Exceeded
$250.00 1-2011 001 Effluent BOD - Conc
01/31/11 2 X month mgA 30
36 20.00 Monthly Average Exceeded
(J"�

DIVISION OF WAixx: ' QUALITY - CIVIL PENALTY ASSESSMENT (FILE)
Violator: Polk County Board of Education / P'o
( January 2011 MIR)
County: Polk
Case Number: LV-2011-0269
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors
set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to
private property resulting from the violation;
All effluent violations may be detrimental to the receiving stream,but may not be
immediately quantified.
2) The duration and gravity of the violation;
One Dail, Max BOD exceeded the permit limit by 48.88 %.
One Monthly Average BOD exceeded the permit limit by 20 %.
3) The effect on ground or surface water quantity, or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may not be
immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved would include the cost of more aeration, keeping the
sludge pumped and more operating time on site.
6) Whether the violation was committed willfully or intentionally;
It does not appear to be either. . ,
7) The prior record of the violator in complying or. -failing to comply with programs over which
the Environmental Management'Commission has regulatory authority; and
There has been one civil penalty assessment in the twelve months prior to this
violation.
8) The cost to the State of the enforcement procedures.
$142.00.
Iy.3l•�\j,00i
Date D: Keith Haynes, Adfng Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
10/28/2011

f
FEB 1 7 2011
EFFLUENW/A
NPDES NO: NC0033553 DISCHARGE MONTH January YEAR: 20
"NA ® '0 r-Y OA'!Lu
FACILITY NAME: Polk Central School Cw- i COUNTY: Polk
CERTIFIED LABORATORIES (1): TRYON WWTP # 247 (2) ETS #600
(List additional laboratories on the backside/page 2 of this form )
OPERATOR IN RESPONSIBLE CHARGE (ORC) Deborah Bradley GRADE 4 CERTIFICATION NO. 9913301 IP N
PERSON(S) COLLECTING SAMPLEE, D. Bradley ORC PHONE: [phone] k! A R 0 11
CHECK BOX IF ORC HAS CHANGED: NO FLOW I DISCHARGE FROM SITE
MAIL ORIGINAL AND ONE COPY TO:
ATTN: CENTRAL FILES
Division of Water Quality
16117 Mail Service Center x
02111111
Raleigh, NC 27699-1617 (SYZNATV RE OF OPERATOR 4SIBLE CKtRGE) DATE
BYTHIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
•
Hill
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DWQFormMR-1(Rev19ed1VO4)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
0
Compliant
see comments below
Noncompliant
The permittee shall report to the Director the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware
of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,
maintenance, etc., and a time table for improvements to be made.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted
is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Dean Pace, Polk County Schools
P i�ttee (Plea rint or type)
�I .t'�'>fl I CX __ 211112011
Signature of Permittee** Date
Permittee Address Phone Number e-mail address Permit Exp. Date
P.O. Box 638 Columbus, N.C. 28722 828-894-3154 7/31/2013
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) ETS
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No. #600
Certification No.
Certification No.
Certification No.
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone],, or by visiting
the Surface Water Protection Sections's web site at h2o.enr.state.nc.us/was and linking to the units information pages.
Use only units of measurement designated in the reporting faciliWs NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurs, and as 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 15A NCAC 8AG 0204.
***If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).
Noncompliant Comments: rylatirdfc,Ja;&e_ kd Sepl,z-+rWk Daj-..arAdra-'-
�eE}
$e',' mal1� ! 060 do0s j'�7o1giees� 1�74n-cnrt)k� 56e4,rf.1 plu'srCL,1b �",jewsyau"erI ' �) - ► t b s^l-,' 1 vain [�- LJb Akp l A] Gra.-f-7 r -..ems
1e 111c�� ti9v�iihrfR2�U tF d1%�d?-tL�lr6'Z'c�' �"d7
- (St L wry Curl... Eo mj� 3 E 1 a- tJ `t- g
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Permit Enforcement History Details by Owner
10/28/11 _
1
Owner: Polk County Board of Education
Facility: Polk Central School
Permit: NCO033553
Region: Asheville
County: Polk
Penalty
Remission
Enf
EMC EMC OAH Collection
Has
Assessment Penalty
Enforcemen
Request Enf Conf
Remission
Hearing Remission Remission Memo Sent
Balance Pmt
Case
Case Number MR Approved Amount
t Costs Damages
Received Held
Amount
Held Amount Amount to AGO
Total Paid
'Due Plan
Closed
LV-2000-0012 01/14/00 $1,250
$80.00
$1,330.00
$.00 No
05/02/00
LV-2011-0041 10-2010 6114/11 $200
$67.00
$267.00
$.00 No
03/0211'\
LV-2011-0269 1-2011 $350
$142.00
$492.00 No
Total Cases: 3 Total Penalty Amount:
$1,800 —
Total Enforcement Cost:
'$269.00
Sum of Total Paid: $1,697.00 Total Balance Due:
$492.00
Sum of Total Case Penalties:
$2,089.00
Total Penalties after remission(s):
$2,089.00

i
AUG
1 0 2011
Clearwater Services .
2225 E. NC 108 Hwy POTION
Columbus, N.C. 28722 WATER GuAuTY s_
pivF.L OFFICE
Deborah Bradley-
828-817-9516
August 9, 2011
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
2090 U.S. Highway 70
Swannanoa, N.C. 28778
'Subject: Notice of Violation and Recommendation °of Enforcement
Tracking #: NOV-2011-LV-0321 .
Polk Central School/NPDES Permit No. NCO033553
Polk County
Dear Mr. Edwards:
Remedial actions have been implemented for noncompliance for BOD for the month of January 2011.
Polk County, maintenance staff and I took immediate action to correct this problem which happened on
December 14, 2010. The grease pit for the school's cafeteria was pumped out and degreaser poured
into septic system causing grease caked on the sides of the tank to be discharged into the effluent
causing high BOD's. The maintenance staff unintentional poured the degreaser into the septic system
not realizing this would, increase the BOD's.
We had the septic system pumped out and reseeded and back in compliance on January 18, 2011.
These violations were caused only by maintenance staff working to maintain system, not aware this
would cause an increase in BOD's therefore resulting in noncompliance for the month of January.
This was a one time incident that the Polk County School Maintenance Staff and I will continue to take
measures -to see that it will. not happen again. I have.been contracted by the Polk County School System
since 1999 to operate the Polk Central Wastewater Treatment Facility and to my knowledge have never
been noncompliant for BOD.
If you have questions, please contact me at 828-859-5625 or by email [e-mail].
Sincerely,
' Deborah Bradley, ORC
Contract Operator
Polk Central Elementary School
cc: Bob Guerra/DWQ Point Source Branch

Beverly Eaves Perdue
Governor
NCDENR
North Carolina department of Environment and Natural Resources
.Division of Water Quality
Coleen H. Sullins
Director
August 4, 2011
CERTIFIED. MAIL _-- _..__. _
RETURN RECEIPT REQUESTED ; 7010 1870 0003 0874 7045
Mr. William Miller
Polk County Board of Education
Polk Central School
P.O. Box 638
Columbus, North Carolina 28722-0638
Subject: Notice of Violation and
Recommendation for Enforcement
Tracking #: NOV-2011-LV-0321
Polk Central School
NPDES Permit No. NCO033553
Polk County
Dear Mr. Miller:
Dee Freeman
. Secretary
A review of the January 2011 self -monitoring report for the subject facility revealed violations of the
following parameter:
Date
Outfall
Parameter
Reported Value
Permit Limit
01/13/2011
001
BOD
>67 mg/ L
45 mg/ L
01/31/2011
001
BOD
36 mg/ L
30 mg/ L
A Notice of Violation/ Notice of Recommendation for Enforcement (NOV/ NRE) is.being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0033553.
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, 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 January 2011 Discharge Monitoring Report. You will then be notified of
any civil penalties that may be assessed regarding the violations. If no response is received in this Office
within the 10-day period, a civil penalty assessment may be prepared.
SURFACE WATER PROTECTION SECTION—ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, North Carolina 28778
Phone: [phone]\ Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: http:lloortal.nodenr.orulweblwa
NorthCarolina
Natural&
An Equal Opportunity \ Affirmative Action Employer — 50% Recycled/10% Post Consumer paper

Mr. William Miller, + �)
August 4, 2011
Page Two
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent. You may
contact this Office for additional information.
If you have questions concerning this matter, please do not hesitate to contact Janet Cantwell or
me at 828/296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
cc: ;D� hevtll�ewFle"sue
Bob Guerra/ DWQ Point Source Branch
S: S��'I'}'i�lkiG4'a,tewater"tMinorsa'olk Central School 335531\OV-NRL'-201I-LV-O32I.doc

Clearwater Services
2225 E. NC 108 Hwy
Columbus, N.C. 28722
Deborah Bradley
828-817-9516
May 4, 2011
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Division of Water Quality
2090 U.S. Highway 70
Swannanoa, N.C. 28772*
Subject: Notice of Violation
NOV-2011-LV-0155
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dear Mr. Edwards:
MAY - 6 2011 t
WATER QUALITY SECTION
u-
- FICE
This letter is to address the NOV received for exceeding the monthly average for BOD at Polk Central
WWTP on December 14, 2010. 'The conclusion for effluent characteristics that differ from what is
normally discharged was caused by the maintenance staff using a degreaser to clean and pump out the
grease pit behind the school cafeteria. The residual grease and degreaser that was not pumped out of
the grease pit was washed down into the septic system, therefore increasing the BOD's.
The maintenance staff has since pumped out the septic system and reseeded it. On January 4th and
13th the BOD's again exceeded the monthly average. On January 18 the plant was back on line and in
compliance and has continued to be in compliance to present.
I have discusse&this matter with the school maintenance staff and we will take a different approach for
cleaning and pumping out the grease pit to keep this problem corrected.
If you have questions, please call me at 828-859-5626.
Sincerely,
v.
./Deborah Bradley, ORC
Polk Central Elementary School
cc: Mr. William Miller, Superintendent
Polk County Schools

r E-IFILE CO
NCDEWR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Dear Mr. Miller:
Division of Water Quality
Coleen H. Sullins
Director
May 2, 2011
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0155
Permit No. NCO033553
Polk Central School WWTP
Polk County
Dee Freeman
Secretary
A review of Polk Central School's WWTP monitoring report for December 2010 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 .Deg. C) -
Concentration
12/31/10
30 mg/I
33.67 mg/I
Monthly Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct any problem. Since the comments
section on the reverse of the relevant DMR provided an adequate explanation for the subject violation, it is not
requested that a response be submitted.
It was noted that a BOD of > 41 mg/I was reported on 12/14/2010 on the December 2010 DMR.
For BOD, the generation of a "greater than" value usually occurs when characteristics of the effluent differ
from what is normally discharged. If laboratories "set up" the test procedures based upon normal conditions, they
may not have the capacity to get an accurate measurement of higher BOD concentrations, hence the reported
"greater than" value. If you are suspicious or aware of conditions at your plant that cause you to believe effluent
pollutant concentrations are beyond their normal levels, you should inform your laboratory of your concern so
modifications to testing procedures can be made.
Remedial actions should be taken to correct this problem. The Division of Water Quality may pursue enforcement
action for this and any additional violations of State law. If you should have any questions, please do not hesitate to
contact Janet Cantwell at 828/296-4500.
Si cerely,
Rogerdwards, Regional Supervisor
Surface Water Protection Section
Zcc�DUy,A s neville FilesIff
D vQ Central Files
Deborah Bradley/ ORC
S:1SWP1Polk\Wastewater\MinorslPolk Central School 33553WOV-2011-LV-0155.doe
ne
orthCaroliria
Naturalfb
North Carolina Division of Water Quality 2090 U.S. Highway 70 Swannanoa, N.C. 28778 Phone[phone] Customer Service
Internet: www.ncwaterguality.ora FAX [phone]

Polk County Board of Education,
:;,;.: > ,. P D: Boz • 638 � ,�' +� � � L��>^� T�F � �z�<;,�.�,�,n�� .�
4 .'.... ..: Ytl Y kYt+s t �7+.k-t. lb_ � � I � t } tg '4. o- s..i x vt•�:.... _._.
a. Columbus,-N C 2872 _ ,; ; , $� '
;r s
April '4, 2011
G
Point Source Branch
Surface Water Protection Section
t
Division of Water Quality
.1617 Mail Service. Center Y�
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Polk'Central Elementary School
NPDES No. NC 0033553
To Whom It May Concern:
By notice of this letter, I hereby delegate signatoryauthority to the following individual
for all permit applications, discharge: -monitoring; -reports, and other information relating to
the operations at Polk Central Elementary -,School; as "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 Bell Maintenance Supervisor
If you have any questions regarding this letter, please feel free to contact me at 828-894-
3051.
Sincerely,
vv
William H. Mille , Superintendent
Polk County Schools.
cc: Asheville Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit

Beverly Eaves Perdu
Governor
North Carolina Department of Environment and Natural Resources
Division of Water Quality
e Coleen H. Sullins Dee Freeman
Director
March 3, 2011`
WILLIAM MILLER
POLK COUNTY BOARD OF EDUCATION
PO' BOX 638
COLUMBUS NC 287220638
SUBJECT: Payment Acknowledgment
Civil Penalty Assessment
Polk Central School
Permit Number: NCO033553
Case Number: LV-2011-0041
Polk County
Dear Mr. Miller:
Q E C � U E- D
MAR - 7 2011
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
This letter is to acknowledge receipt of check number 849496 in the amount of $267.00 received from you
dated February 17, 2011. This payment satisfies in full the above civil assessment levied against the subject
facility, and •this case has been closed. Payment of this penalty in no way precludes future action by this
Division for additional violations of the applicable, Statutes, Regulations, or Permits.
If you have anyZ,V--&tions, please call Bob Guerra at 919-807-6387.
Sincerely,
cc: Central Files
V�Q,rAsh�,yiill�e�Rde�t�nal�®11;firce�Suner�vsbr
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 612 N. Salisbury St. Raleigh, North Carolina 27604
Phone: 91M07-63001 FAX: [phone] i Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
NorthCarohna

ErILE COPY
NCDENR
North Carolina Department of Environment and Natural Resource,
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 14, 2011
CERTIFIED MAIL
RETURN RECEIPT REQUESTED — 7009 1680 0000 7515 2403
Mr. William Miller
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722-0638
Dee Freeman
Secretary
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES Permit NCO033553
Polk County Board of Education
Polk Central School WWTP
Case No. LV-2011-0041
Polk County
Dear Mr. Miller:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $267.00
($200.00 civil penalty + $67.00 enforcement costs) against Polk County Board of Education.
This assessment is based upon the following facts: a review has been conducted of the discharge
monitoring report (DMR) submitted by Polk County Board of Education for -the month of October
2010. This review has shown the subject facility to be in violation of the discharge limitations
and/or monitoring requirements found in NPDES Permit NC0033553. The violations which
occurred in October 2010 are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Polk County Board of Education
violated the terms, conditions or requirements of NPDES Permit NCO033553 and G.S. 143-
215. 1 (a)(6) in the manner and extent shown in Attachment A. In accordance with the maximums
established by G.S. 143-215.6A(a)(2), a civil penalty may be assessed against any person who
violates the terms, conditions or requirements of a permit required by G.S. '143-215.1(a).
Based upon the above findings of fact and conclusions of law, and in accordance with authority
provided by the Secretary of the Department of Environment and Natural Resources and the
Director of the Division of Water Quality, I, Roger C. Edwards, Division of Water Quality
Regional Supervisor for the Asheville Region, hereby make the following civil penalty assessment
against Polk County Board of Education:
NorthCarolina
Aatura!y
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778
Phone: [phone]\FAX: [phone]\Customer Service: 1-877-623-6748
Internet: www.ncwaterouality.orq

2 of the 2 violations of G.S. 143-215.1(a)(6) and NPDES Permit No.
$200.00 NC0033553, by discharging waste water into the waters of the State
in violation of the Permit Daily Maximum limit for FEC COLI.
$200.00 TOTAL CIVIL PENALTY
$67.00 Enforcement Costs
$267.00 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into
account the Findings of Fact and Conclusions of Law and the factors set forth at G.S. 14313-
282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or
to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over
which the Environmental Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose further
enforcement action for any continuing or new violation(s). Please submit payment to the
attention of:
Point Source Compliance/Enforcement Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
2. Submit a written request for remission or mitigation including a detailed justification
for such request:
Please be aware that a request for remission is limited to consideration of the five factors listed
below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s)
occurred or the accuracy of any of the factual statements contained in the civil penalty
assessment document. Because a remission request forecloses the option of an administrative
hearing, such a request must be accompanied by a waiver of your right to an administrative
hearing and a stipulation and agreement that no factual or legal issues are in dispute. Please
prepare a detailed statement that establishes why you believe the civil penalty should be
remitted, and submit it to the Division of Water Quality at the address listed below. In
determining whether a remission request will be approved, the following factors shall' be
considered:

(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282.1(b)
was wrongfully applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from
the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary
remedial actions.
Please note that all evidence presented in support of your request for remission must, be submitted
in writing. The -Director of the Division of the Division of Water Quality will review your
evidence and inform you of his decision in the matter of your remission request.. The response will
provide details regarding the case status, directions for payment, and provision for further appeal
of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that
was not part of the original remission request considered by the Director. Therefore, it is very
important that you prepare a complete and thorough statement in support of your request for
remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission
of Civil Penalties, Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
within thirty (30) days of receipt of this notice. The Division of Water Quality also requests that
you complete and submit the enclosed "Justification for Remission Request." Both forms should
be submitted to the following address:
Point Source Compliance/Enforcement Unit
Division of Water Quality :..�
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
OR
3. File a petition for an administrative hearing with the Office of Administrative
Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition
for an administrative hearing. You may obtain the petition -form. from the Office of Administrative
Hearings. You must file the petition with the Office of Administrative Hearings within thirty (30)
days of receipt of this notice. A petition is considered filed when it is received in the Office of
Administrative Hearings during normal office hours. The Office of Administrative Hearings
accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for
official state holidays. The petition may be filed by facsimile (fax) or electronic mail by an
attached file (with restrictions) - provided the signed original, one (1) copy and a filing fee (if a
filing fee is required by NCGS § 150B-23.2) is received in the Office of Administrative Hearings
within seven (7) business days following.the faxed or electronic transmission. You should contact
the Office of Administrative Hearings with all questions regarding the filing fee and/or the details
of the filing process. The mailing address and telephone and fax numbers for the Office .of
Administrative Hearings are as follows:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699-6714
Tel: [phone]

A f
Fax: [phone]`_"
One (1) copy of the petition must also be served on DENR as follows:
Mary Penny Thompson, General Counsel
DENR
1601 Mail Service Center
Raleigh, NC 27699-1601
Failure to exercise one of the options above within thirty (30) days of receipt of this notice, as
evidenced by an internal date/time received stamp (not a postmark), will result in this matter being
referred to the Attorney General's Office for collection of the penalty through a civil action.
Please be advised that additional penalties may be assessed for violations that occur after the
review period of this assessment. If you have any questions, please contact Janet Cantwell of
the Water Quality staff of the Asheville Regional Office at 828-296-4500.
Sincerely,
Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
ATTACHMENTS
�sheu 11110 _ ' les w/ Mttaehrnen s }�
DWQ Central Files w/ attachments
Bob Guerra/ DWQ Enforcement Files w/ attachments
Deborah Bradley/ ORC w/ attachments
S:'.511 ptPulk'•.4V;;aewater:Adinors.Polk Cenaal School 33553`•.LV-3()1 1-00-1 Ldoc

JUS�oICATION FOR REMISSION-REO EA
DWQ Case Number: LV-2011-0041 County: Polk
Assessed Party: Polk County BOE / Polk Central School
Permit No.: NC0033553 Amount Assessed: $267.00
Please use this form when. requesting, remission of this civil penalty. You must also complete the
"Request For Remission, Waiver of Right to an Administrative Hearing, and Stipulation of Facts"
form .to request remission of this civil penalty. You should attach any documents that you believe
support your request and are necessary for the Director to consider in evaluating your request for
remission. Please be aware that a request for remission is limited to consideration of the five factors
listed below as they may relate to the reasonableness of the amount of the civil penalty assessed.
Requesting remission is not the proper procedure for contesting whether the violation(s) occurred or
the accuracy of any of the factual statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. § 1438-282:1(c), remission of a civil penalty may be -granted only when one or
more of the following five factors applies. Please check each factor that you believe applies to your
case and provide a detailed explanation, including copies of supporting documents, as to why the.
factor applies (attach additional pages as needed).
_ (a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed in the civil
penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or -something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i. e., explain how payment of the civil penalty will prevent you from performing the activities
necessary to achieve compliance).
EXPLANATION:

l
STATE OF NORTH CAROL livA DEPARTMLi (f OF ENVIRONMENT
AND NATURAL RESOURCES
COUNTY OF POLK
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINSTRATIVE HEARING AND
STIPULATION OF FACTS
POLK COUNTY BOE / POLK CENTRAL )
SCHOOL )
PERMIT NO. NCO033553 ) FILE NO. LV-2011-0041
Having been assessed civil penalties totaling $267.00 for violation(s) as set forth in the
assessment document of the Division of Water Quality dated February 14, 2011, the undersigned,
desiring to seek remission of the civil penalty, does hereby waive the right to an administrative hearing
in the above -stated matter and does stipulate that the facts are as alleged in the assessment document.
The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the director of the Division of Water Quality within thirty (30) days of
receipt of the notice of assessment. No new evidence in support of a remission request will be allowed
after (30) days from the receipt of the notice of assessment.
This the
day of
SIGNATURE
ADDRESS
TELEPHONE
20

ATTACHMENT A
Polk County Board of Education
CASE NUMBER: LV-2011-0041
PERMIT: NCO033553 FACILITY: Polk Central School COUNTY:'Polk REGION: Asheville
Limit Violations
G
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED % OVER
PENALTY REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE LIMIT VIOLATION TYPE
$100.00 10-2010_ 001 Effluent FEC COLI
$100.00 10-2010 - 001 Effluent FEC COLT
10/19/10 2 X month #/100ml 400
10/26/10 2 X month #/100ml 400
600 50.00 Daily Maximum Exceeded
600 50.00 Daily Maximum Exceeded

DIVISION OF WA1-.u-.: QUALITY - CIVIL PENALTY ASS16 aiyIENT (FILE)
Violator: Polk County Board of Education / Polk Central,School / NCO033553
( October 2010 DNIR }
County: Polk
Case Number: - LV-2011-0041 . .
ASSESSMENT FACTORS
As required by G.S. 143-214.6A(c), in determining the amount of the penalty I considered the factors
set out in G.S. 143B-282.1(b), which are:
1) The degree and extent of harm to the natural resources of the State, to the public health, or to.
private property resulting from the violation;
All effluent violations may be'detrimental to the receiving stream but may
not be immediately,quantified.
2) The duration and gravity of the violation;
Two Daily Max Fecal Coliforms exceeded the permit limit each by 50.00%
3) The effect on ground or surface water quantity or quality or on air quality;
All effluent violations may be detrimental to the receiving stream but may
not be immediately quantified.
4) The cost of rectifying the damage;
The cost is unknown.
5) The amount of money saved by noncompliance;
The amount of money saved could include more chemicals, sampling and time on
site.
6) Whether the violation was committed willfully:or intentionally;
It does not appear -to -be either.
7) The prior record of the violator in complying or, failing to comply with programs over which
the Environmental Management Commission has -regulatory authority; and
There have been no civil penalty enforcements in the twelve months prior to this violation.
8) The cost to the State of the enforcement. procedures.
$67.00.
Date R49pi C. Edwards, Regional Supervisor
Surface Water Protection Section
Asheville Regional Office
02/11 /2011

eu
t LU T '
NPDES N0: NC0033553 DIS HA G�Nr,.001 MONTH October YEAR: 2010
�. S\ � -
FACILITY NAME: Polk Cen IS LASS: 1 COUNTY: Polk
CERTIFIED LABORATORIES (1)-.. TRYbN V�247 �� 5 _ \C5^ TS 00
(List additional laboratories on the backside/p/,ge 2 f this fo
OPERATOR IN RESPONSIBLE CHARGE (OR ',) . Vl b �I k ay GR/�jp&: CERTIFICATION NO: 991336
PERSON(S) COLLECTING SAMPLES X.D. a ORC PHONE: [phone]
• CHECK BOX IF ORC HAS CHANGED: NO FLOW I DISCHARGE FROM SITE
MAIL ORIGINAL AND ONE GO
ATTN: CENTRAL FILES
Division of Water Quality
1617 Mail Service Center X _.`2 (��-¢� �a� 11112N0
Raleigh, NC 27699-1617 GNATURE OF OPERATOR IN RESPONSIBLE C RGE) DATE
BY THIS SIGNATURE, I .CERTIFY THAT THIS REPQRT IS i
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. j
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DWQ Form MR-1(ReVwd 11n14)

3
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements LJ
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permittee became aware
of the circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation,
maintenance, etc., and a time table for improvements to be made.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with
a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the
person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted
is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false
information, including the possibility of fines and imprisonment for knowing violations."
Dean Pace, Polk County Schools
Permittee (Please print or type)
`tA ce, 11/12/2010
Signature of Permittee** Date
Permittee Address Phone Number e-mail address Permit Exp. Date
P.O. Box 638 Columbus, N.C. 28722 828-894-3154 7/31/2013
ADDITIONAL CERTIFIED LABORATORIES'
Certified Laboratory (2)' ETS
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No. #600
Certification No.
Certification No.
Certfication No.
Parameter Code assistance may obtained by calling the Water Quality Compliance Group at [phone], or by visiting
the Surface Water Protection Sections's web site at h2o.enr.state.nc.us/was and linking to the units information pages.
Use only units of measurement designated in the reporting faciliyrs NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no dlscharge:occurs, and as 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 15A NCAC 8AG 0204.
***If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B.0506 (b) (2) (D).

Permit Enforcement HistoryDetails by Owner
02/11/11
1
Owner: Polk County Board of Education
Facility: Polk Central School
Permit: NC0033553
Region: Asheville County: Polk
Penalty Remission Enf EMC EMC OAH Collection Has
Assessment Penalty Enforcemen Request Enf Conf Remission Hearing Remission Remission Memo Sent Pmt Case
Case Number MR ' Approved Amount t Costs Damages Received Held Amount Held Amount Amount to AGO Total Paid Balance Due Plan Closed
LV-2000-0012 01/14/00 $1,250 $80.00 $1,330.00 $.00 No 05/02/00
LV-2011-0041 10-2010 $200 $67.00 $267.00 No
Total Cases:2 Total Penalty Amount: $1,456 Total Enforcement Cost: $147.00 Sum of Total Paid: $1,330.00 Total Balance Due: $267.00
Sum of -Total Case Penalties: $1,597.00 Total Penalties after remission(s): $1,597.00
A

Clearwater Services
r1 i i
2225 E NC 108 Hwy
F E 8 2 2 2011
Columbus, N.C. 28722
Deborah Bradley
828-817-9516
' WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
February 16, 2011
Roger C. Edwards, Regional Supervisor
-Surface- Water -Protection Section
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa, N.C. 28778
Subject: Notice of Violation and Assessment of Civil Penalty
For Violations of NC -General Statue (G.S.) 143-215.1(a) (6)
And NPDES Permit NCO033553
Polk County Board of Education
Polk�Ce tr""al S, ao W� p ;-:
Case No. t1l"ZQ11- Q41
Polk County
Dear Mr. Edwards:
In response to the Notice of Violation and Assessment of Civil Penalty, I have chosen to submit
payment of the penalty fc rf , :?07 00 or violations of discharge for daily maximum exceedance of fecal
coliform limitations. From my understanding this money goes back to the Polk County School System.
On October 19th and 26th of 2010 it is a possibility the chlorine tablets were not all the way down in the
chlorine tubes, causing an increase in the fecal coliform. Since those violations occurred the
maintenance staff for Polk County Schools had the septic tank and the chlorine contact chamber
pumped out and also washed down the filter before chlorination. To my knowledge there have been no
prior civil 'assessments violations at this facility before. This violation was not committed willfully or
intentionally.
To prevent further recurrence of similar situations I will monitor the facility more closely by permit
regulations.

a � a
If you have questions, please call me at 828-817-9516 or by email [e-mail].
Sincerely,
Deborah Bradley, ORC
Contract Operator for
Polk County Schools
cc: Bob-Guerra/DWQ Enforcement Files
William Miller, Superintendent
Polk County Schools

County: POLK
Sample ID:
AB59185
River Basin
�pF VIA 1'FRQ
Gy
PO Number #
ARID
Report To AROSP
�O
Date Received:
06/0212010
Ui r
>
Time Received:
15:10
Collector. W FRAZIER
�
p
Labworks LoginlD
KJIMISON
Region: ARID
Report Generated:
6/23/10
Sample Matrix:
Date Reported:
06/23/2010
Loc. Type:
Emergency Yes/No
VisitlD
CDC Yes/No
L�/J ✓
Loc. Descr.: P-OLKICEN111, SCHOQL WWTP
di5e - 68 —
P
Location ID: NCO033553
Collect Date: M06f0212010
Collect Time: 13:35
Sample Depth
Result/
Method
Analysis
CAS # Analvte Name
PQL
Qualifier
Units
Reference
Date
Validated by
Others
Sample temperature at receipt by lab
3.2
°C
6/2/10
SMATHIS
BOD, 5-Day in liquid
2
�4
_:.�
mg/L
APHA5210B
6/4/10
MOVERMAN
Coliform�F Fecal in liquid
1
•A- 0,,_5
CFU/100ml
APHA9222D-20th
6/2/10
CGREEN
Res'due'lSuspended in liquid
6.2
6.2 lI
mg/L
APHA2540D-20th
6/2/10
CGREEN
W.
5 y6u n.+S.axuv9mn°rn.+K.u� 'ty4:_r;'.}n..:sr•., ,
V
z:
t� JUN 2 5 2010
WATER QUALITY SECTION
s ASHEVILLE REGIONAL OFFICE
awry:.,
Laboratory Section>> 1623 Mail Service Center, Raleigh, NC 27699-1623 [phone]
For a detailed description of the qualifier codes refer to h+lnUlncrtal ncdenr o*c,:\vehHra.9ab+slatfinfoAechassist#Data Qualifier Codes <htlolimrtal, ncdenr.om W etztvg: �aW'staR:nfoitechassist>
Page 1 of 1

E' ARbY6N_;',j WATER QUALITY
em Labordtory Report Water Quality
i SAMPLE TYPE
COUNTY
Plu
9
RTVERBASIN:
r MBIE
��
'
QA '
STREAM .EFFLUENT
N
JO
&1A
REPORT TO
Asheville . O Ice
r7 CHAIN OF CUSTODY
LAKE INFLUENT
Other
COLLECTOR(S)
�•
ri i WATE EME GENCY
Wanda Fr '' R QUALITY
VISITID
f
❑ ESTUARY
:
- SECTION
0
Estimated BOD Range:LLE
REGIONAL OFFICE
Station Location:
�h �� �i d0 iV W i�
Seed:
,��y.' .. � �
Chlonnated:"��✓�ad�
Remarks:
Station tN/Loration Code
Date egin ccr1'��mm/dd)
/��Ob/e z
Date Eggd� (yy/� dd)
IO/a6/e 2
Time Begin
/:.35
Tlme End
Depth -DM, DB, DBM
Valve Type - A, H, L
OD 310 mg/L
COD High 340 mg/L
COD Low 335 mg/L
w000
Coliform: MF Fecal31616 /10om1
Coliform: MF Total 31504 /I00ml
Coliform: tube Fecal 31615 /100m1
Coliform: Fecal Strep 31673 /1001311
Residue: Total 500 mg/L
Volatile 505 mg/L
Fixed 510 mg/L
Residue:. Suspended 530 mg/L
Volatile 535 mg/L
Fixed 540 mg(L
pH 403 units
Acidity to pH 4.5 436 mg/L
Acidity to pH 83 435 mg/L
Alkalinity to pH 83 415 mg1L
Alkalinity to pH 4-5 410 mg/L
TOC 680 mg/L
Turbidity 76 NTU
Coliform Total Tube /100 ml
COMMENTS:
Chloride 940 mg/L
Chlorophyll a EPA 445.0 modified option ug/L
Color: True 80 e.u.
Color: (pH) 83 pH- C.U.
Color: pH 7.6 82 C.U.
Cyanide720 m
Fluoride 951 mg1L
Forma1dehyde71880 mg/L
Grease and Oils 556 mg/L
Hardness Total900 mg/L
Specific Cond. 95 umbos/cm
MBAS 3SZ60 mg/L
Phenols 32730 ug/L
Sulfate 945 mg/L
Sulfide 745 mg/L
Boron
Tannin & Lignin ug/L
Hexavalent Chromium ug1L
Bicarbonate mg/L
Carbonate mg/L
Total Dissolved Solids mg/L
NH3 as N 610 mg/L
TKN an N 625 mg/L
NO2 plus NO3 as N 630 mg/L
P: Total as P 665 mg/L
PO4 as P 70507 mg/L
P: Dissolved as P 666 mg/L
K-Potassium mg/L
Cd- Cadmium 1027 ug/L
Cr-Chromium:Tota11034 ug/L
Cu- Copper 1042 ug/L
N' .Nickel 1067 ug/L
Pb- Lead 1051 ug(L
Zu- Zinc 1092 ug/L
V-Vanadium ug/L
Ag- Silver 1077' ug/L
Al -Aluminum 1105 ug/L
Be- Beryllium 1012 ug/L
Ca- Calcium 916 mg/L
Co- Cobalt 1037 ug/L
Fe- Iron 1045 ug/L
Mo-Molybdenum ug/L
Sb-Antimony ug/L
Su -Tin . ug/L
TI-Thallium ug/L
Ti-Titanium ug/L
Hg-1631 ng/L
Lab Number •� /"
Date Received
Time Received:
Received By : /vV
Data Released
Date Reported
Composite-T, S,B Sample Type
Go- all t .�
c_f
Li -Lithium 1132 ug/L
Mg -Magnesium 927 mg/L
Mu -Manganese 1055 ug/L
Na- Sodium 929 mg/L
Arsenic:Tota13002 ug/L
Se- Selenium I147 ug/L
Hg- Mercury 71900 ug/L
Ba-Barium ug/L
Organochlorine Pesticides
Organophosphorus Pesticides
Organonitrogen Pesticides
Acid Herbicides
Base/NentraMAcid Extract Organics
TPH Diesel Range
Purgeable Organics (VOA bottle req'd)
TPH Gasoline Range
TPH/BTEX Gasoline Range
Phytoplankton
X.
Temperature on arrival (°C): 7

✓f9` if E
i�
i -
1
Clearwater services JUL — 6 2010
2225-E.-Hwy 108
Columbus, N.C. 28722 I WATER QUALITY SECTION
Deborah Bradley
ASHEVILLE REGIONAL OFFICE
� ; .. ...._
828-817-9516 s—:,�{�k.rY"g:.
... .:.. ".... ,..:.Aa
`�i3'��x.�'Yw3.E`�vT«�..�.....K*'.;.-se•:!.:5� n:i'�r.:.
Roger Edwards, Regional Supervisor
Surface -Water-Protection Section
Asheville Regional Office
2090-U.S. Highway 70
Swannanoa, NC 28778
Subject: Notice Notice of Violation
-N00O2010-PC-0682
Compliance Sampling Inspection
Polk Central School WWTP
-Permit No. NCO033553
Polk County
Dear Mr. Edwards:
In response to the Notice of Violation dated June 14, 2010 to prevent the recurrence of similar
situations we will pump the chlorine contact chamber to remove any solids and increase chlorine
contact -to -improve -disinfection. We will also pump out the -grease trap and septic -tank just -before
school starts back in August, as recommended.
If you have questions, please contact me at 828-859-5626.
Sincerely,
Deborah Bradley, ORC
Polk -Central -Elementary School
cc. William J. Miller
-Superintendent of -Schools

LE COPY
Ao�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
SURFACE WATER PROTECTION SECTION
June 14, 2010
Mr. William J. Miller,
Superintendent of Schools
Polk County Board of Education
PO Box 638
Columbus, NC 28722-0638
Subject: NOTICE OF VIOLATION
NOV-2010-PC-0682
Compliance Sampling Inspection
Polk Central School WWTP
Permit No. NCO033553
Polk County
Dear Mr. Miller:
Enclosed please find a copy of the Inspection Report from the inspection conducted on June
2, 2010. The treatment facility was found to be in violation of Permit NCO033553 for fecal coliform:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
6-2-10
400 col/100 ml
>2000 col/100 ml
Daily Maximum
Please refer to the enclosed Inspection Report for any additional observations and
comments.
To prevent further action, carefully review these violations and deficiencies and respond in
writing to this office within fifteen (15) working days of receipt of this letter. You should address the
causes of noncompliance and all actions taken to prevent the recurrence of similar situations.
SURFACE WATER PROTECTION — ASHEVILLE REGIONAL OFFICE One
Location: 2090 U.S. Highway 70, Swannanoa, NC 28778 NorthCarolina
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623-6748 Naturally
Internet: www.ncwaterguality.org <Zk^

If you should have any questions, please do not hesitate to contact Wanda Frazier at
828-296-4662. -
Sincerely,
cij
V�L /V � a�
f,4Roger C. Edwards, Regional Supervisor
Surface Water Protection Section
Attachment
cc: Debra Bradley; Clearwater Services;
21 Catherine Drive; Columbus, NC 28722 - w/ attachment
Central Files w/ attachment
AROrFiles w/-attachment=
Enforcement wi—atachment�
S:\SWP\Polk\Wastewater\Minors\Polk Central School 33553\NOV-2010-PC-0682 CS1.6-2-10.doc

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 2046o
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 NCO033553 111 121 10/06/02 117 18I SI 19I SI 20IU
Remarks
2111111111 1111 1111 111111111111 11111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ---Reserved
Reserved
671 _ 1.0 169 70131 71 I I 721 NJ 73 I I 174 751 I I I I I I 180
W
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)
Polk Central School
01:35PM 10/06/02
08/08/01
Exit Time/Date
Permit Expiration Date
576 NC Hwy 9 S
Mill Spring NC 28756
02.05 PM 10/06/02
13/07/31
Name(s) of Onsite Representative(s)fTitles(s)/Phone and Fax Number(s)
Other Facility Data
Deborah M Bradley/ORC/828-859-5626/
Name, Address of Responsible Official/Title/Phone and Fax Number
William Miller,PO Box 638 Columbus NC Contacted
287220638//828-894-3051/8288943153 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Operations & Maintenance 0 Records/Reports Facility Site Review
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Wanda P Frazier ARO WQ//828-296-4500 Ext.4662/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type (cont.) 1
3I NC0033553 I11 1?I 10/06/02 117 18I^'
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
FACILITY DESCRIPTION:
The Polk Central School WWTP is classified as a class I facility and rated as a 0.010 MGD system
consisting of:
3000 gallon grease interceptor adjacent to the cafeteria with a 3000 gpd effluent filter;
11,000 gallon septic tank;
3000 gallon dosing tank with duplex alternating siphons;
1500 gallon tank with a 5000 gallon/day effluent filter;
40 ft x 80 ft (3200 sq ft) surface sand filter with
low pressure distribution to 4-inch pvc manifold with
1.5-inch pvc predrilled laterals sleeved in 4-inch perforated corrugated PE drain pipe and
4-inch cover of washed stone;
tablet chlorinator;
1600 gallon chlorine contact chamber; and
tablet dechlorinator.
PERMIT / INSPECTION / LOG:
A review of the files indicates that the last compliance evaluation inspection was conducted on
12-13-2006 by Wanda Frazier.
The permit expires on 7-31-2013. Please request a permit renewal 6 months prior to expiration.
A renewal notice will be mailed as a reminder.
The daily operator log was present on -site and had good notation of daily events and field
testing data.
TREATMENT UNITS / PROCESS CONTROL TESTING DATA:
The sand filters were free of vegetation. The laterals are level and straight.
EFFLUENT:
The effluent data was as follows:
pH = 6.2 units
Temperature = 24.0 degrees Celsius
Chlorine = 39 ug/I
FLOW MEASUREMENT:
The effluent flow is measured instantaneously at the V-notch weir of the tablet chlorinator.
Page # 2

Permit: NCO033553 Owner - Facility: Polk Central School
Inspection Date: 06/02/2010 Inspection Type: Compliance Sampling
OPERATIONS AND MAINTENANCE / EFFLUENT / SUMMARY:
Ms. Debra Bradley, ORC, assisted in the inspection and appears to be operating and maintaining
the facility very well.
Effluent samples were taken on the day of the inspection. The results were as follows:
BOD = 14 mg/I
TSS = < 6.2 mg/I
Fecal Coliform = > 2,000 colonies/100 ml --- Non -compliant
Note: The permit limits for fecal coliform are:
400 col/100 ml daily maximum and 200 col/100 ml monthly geometric mean.
Recommend pumping the chlorine contact chamber to remove any accumulated solids and increase
chlorine contact time to improve disinfection.
Also recommend pumping the grease trap and septic tank, if they haven't already been pumped this
school year. Be careful NOT to remove the 25% seed in the septic tank. This can wait until
just before school begins again in August. ,
Page # 3

Permit: NCO033553
Inspection Date: 06/02/2010
Owner - Facility: Polk Central School
Inspection Type: Compliance Sampling
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
n
Is the facility as described in the permit?
■
n
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment:
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
n
n
■
Judge, and other that are applicable?
Comment:
Septic Tank
Yes
No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?
Cl
❑
■
n
Is septic tank pumped on a schedule?
■
n
n
n
Are pumps or syphons operating properly?
■
n
n
n
Are high and low water alarms operating properly?
❑
n
■
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
Is the sand filter effluent re -circulated at a valid ratio?
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)
❑
❑
■
❑
Comment:
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
■ n n n
Page # 4

Cf
Permit: NC0033553 Owner - Facility: Polk Central School
Inspection Date: 06/02/2010 Inspection Type: Compliance Sampling
Disinfection -Tablet . Yes No NA NE
Is the contact chamber free of growth, or sludge buildup? ❑ ■ n n
Is there chlorine residual prior to de -chlorination? ■ n n
Comment: Fecal Coliform results were non -compliant with daily maximum permit
limits.
Recommend pumping this tank.
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is, storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Yac Nn NO' NF .
Tablet
Page # 5

Polk Central Elementary School
Wastewater Treatment Plant
2008
Annual Performance Report
House Bill1160, Clean Water Act 1999
DENR - WATER QUALITY
POINT.SOURCE BRANCH
r,
FEB 3 2009
\A'ATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

POLK CENTRAL ELEMENTARY SCHOOL
WASTEWATER TREATMENT FACILITY
2008OVEIV"'D
ANNUAL PERFORMANCE REPORT
JAN 0
1. General Information
Facility System Name: Polk Central Elementary School
Responsible Entity: Polk County Schools DENR - WATER QUALITY
Person In Charge: Dean Pace, Maintenance SupervisO�NT SOURCE BRANCH
Bradley, ORC
Applicable Permits: NPDES Permit No. NCO033553 Y
Description of treatment process: Polk Central's Wastewater Treatment is a Class I
Facility with the capacity of treating 0.01 MGD with the following components:
• Grease Trap
• Aero-Flo Aerobic Digestion Treatment System
• Sand Filter
• Chlorine contact Tank
• Dechlorinator
Effluent'is discharged from said treatment works into the South Branch Little White Oak Creek in
subbasin 03-08-02 of the Broad River Basin in accordance with effluent limitations, and monitoring
requirements.
The Facility is located at the Polk Central Elementary School's WWTP, east of Mill Spring off NC
Highway 9 in Polk County.
II. Plant Performance
Permit Limit Violations: None
Monitoring Violations: None
Reporting Violations: None
To the best of my knowledge there were no environmental impacts due to plant operations or operator
error.
Ill. Notification
This report has been made available to the, taxpayers of Polk County and the sewer users at Polk Central
Elementary School by advertising in the two area papers. Copies of this report will be available at Polk
County Board of Education and Polk Central Elementary School.
IV., Certification
I certify under the penalty of law that.this report is complete and accurate to the best of my knowledge.
I further certify that this report has been made available'to the users of Polk Central Elementary School
and those-users.have been notified of its availability.

ac-e
Dean Pace, Maintenance Supervisor
Polk County Schools .
Deborah Bradley, ORC J
Polk Central Elementary WWTP
Date
Date

©F5A
NCDENR
North Carolina Department of Environment and N
Pat McCrory
Governor
Dr. William J. Miller
Polk County Schools
P.O. Box 638
Columbus, N.C. 28722-0638
Dear Dr. Miller:
Division of Water Resources
Thomas A. Reeder
Director
September 10, 2013
RECEIVE®
SEP 2 4 2013
ra eater Protection section
Asheville Regional Office
John E. Skvarla III
Secretary
Subject: Issuance of NPDES Permit NCO033553
Polk Central Elementary School WWTP
Polk County
Class WW-2
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly,
we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency dated October 15, 2007 (or as subsequently amended).
This final permit includes the following major changes from the draft permit sent to your
authorized representative (Deborah Bradley of Clearwater Services) on July 1, 2013:
➢ The system description has been updated to show all installed components
➢ The Total Residual Chlorine (TRC) limit has been changed to 28 µg/L. Your facility discharges to a class C
stream, and therefore does not require the lower TRC limit (17 µg/L) required for C-Trout,streams.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this
letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North
Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please -note -that this-vernnt is -not transferable -except after -notice -to -the Division.—T-he-Division-mav-require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may be required.
If you have. any questions concerning this permit, please contact C4a eaver at telephone number [phone].-
Thomas A. Reeder
cc: Central Files - --
�Ashevi - Regional-Office/S.urface Water rotection-
NPDES Unite`
Deborah Bradley / Clearwater Services (2253 NC Hwy.108 E, Columbus, NC 28722)
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] FAX [phone] / hfp://portal.ncdenr.org/web/wq
An Equal Opportunity/Affirmative Action Employer- 50% Recycled110% Post Consumer Paper

Permit NCO033553
e:i3°i:.pi'„�,-•.aan. �' -.aaD ,.- STATE OF NORTH CAROLINA
`DEPARTMENT-OE ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
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
Polk County Schools
are hereby. authorized to discharge wastewater from a facility located at the
Polk Central Elementary School WWTP
2141 South NC Highway 9, east of Mill Spring
Polk County
to receiving waters designated as South Branch Little Whiteoak Creek in subbasin 03-08-
02 of the Broad 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 October 1, 2013.
This permit and authorization to discharge shall expire at midnight on July 31, 2018.
ber 10, 2013
TXgifaas A. Reeder, Director
ivision of Water Resources
By Authority of the Environmental Management Commission
Iof3

� D_
Permit NCO033553
Part I
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.
MONITORINGG.REQU,IREMENTS
[PCS Code]
Monthly
Daily
Measurement
Samp)eType
T Sample Location
;Maximum ...
_F , requency ..
Flow
[50050]
0.01 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
30.0 mg/L'
45.0 mg/L
2/Month
Grab
Effluent
[00310]
Total Suspended Solids
30.0 mg/L
45.0 mg/L
21Month
Grab
Effluent
[00530]
NH3 as N
Monthly
Grab
Effluent
[006101
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
[31616]
Total Residual Chlorine (TRC)l
28 pg/L
Weekly
Grab
Effluent
[50060]
Temperature (°C)
Weekly
Grab
Effluent -
[00010]
pH
t6.0 and < 9.0 standard units
—
2/Month
Grab
Effluen[004001
Notes:
1: The Permittee. shall report all effluent TRC values reported by a NC certified laboratory
[including field -certified]. However, TRC values < 50 µg/L will be treated as zero for
compliance purposes.
T-here-shall=be-no-disc ial f, e offloating solids=or risible foam -in other -than- raEe amounts. -- —
3of3

Permit NCO033553
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 Polk County Schools are hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility -
with the following components:
♦ 3000-gallon grease interceptor adjacent to the cafeteria with a 3000
GPD effluent filter
11,000-gallon septic tank
♦ 3000-gallon dosing tank with duplex alternating siphons (3000 gallons
per dose)
♦ 1500-gallon tank with a 5000 GPD effluent filter
♦ 3200-ft2 surface sand filter with low pressure distribution
♦ Tablet chlorinator
♦ 5000-gallon chlorine contact chamber
Tablet dechlorinator
The facility is located at the Polk Central Elementary School WWTP, east
2. Discharge from said treatment works at the location specified on the
attached map into South Branch Little Whiteoak Creek, currently a
C stream in subbasin 03-08-02 of the Broad River Basin.
2of3

.t 108 f
1P1 Mp �gC�IO r t 6
F , ' Outfall 001 '
s r,5 t 5hif7H 1'YtYL!}i1t1f�
4 x:
�l 1
c�
S
f'` 1 tic
g ,
W17{tR� r
74
NCO033553 - PoLk Central Elementary School
Latitude:35°17'20" Longitude:82°07'52"
Stream Class: C Subbasin: 03-08-02
USGS Quad: Mill Spring, N.C.
Receiving Stream: South Branch Little Whiteoak Creek

4PDES Permit Standard Conditions
Page 1 of 18
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
Section A. Definitions
2/Month
Samples are collected twice per month with at least ten calendar days between sampling events. These samples shall be
representative of the wastewater discharged during the sample period.
3/Week
Samples are collected three times per week on three separate calendar days. These samples shall be representative of
the wastewater discharged during the sample period.
Act or "the.Act"
The Federal Water Pollution Control Act, also known as the Clean Water Act (CWA), as amended, 33 USC 1251, et.
seq.
Annual Average
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar year. In the case of fecal
coliform, the geometric mean of such discharges.
Arithmetic Mean
The summation of the individual values divided by the number of individual values.
Bypass
The known diversion of waste streams from any portion of a treatment facility including the collection system, which is
not a designed or established. or operating mode for the facility.
Calendar Day
The period from midnight of one'day until midnight of the next day. However, for purposes of this permit, any
consecutive 24-hour period that reasonably represents the calendar. day may be used for sampling.
Calendar Week
The period from Sunday through the following Saturday.
Calendar Quarter
One of the following distinct periods: January through March, April through June, July through September, and
October through December.
Composite Sample
A sample collected over a 24-hour period by continuous sampling or combining grab samples of at least 100 mL in
such a manner as to result in a total sample representative of the wastewater discharge during the sample period. The
Director may designate the most appropriate method (specific number and size of aliquots necessary, the time interval
between grab samples, etc.) on a case -by -case basis. Samples may be collected manually or automatically. Composite
samples may be obtained by the following methods:
(1) Continuous: a single, continuous sample collected over a 24-hour period proportional to the rate of flow.
(2) Constant time/variable volume: a series of grab samples collected at equal time intervals over a 24 hour period
of discharge and combined proportional to the rate of flow measured at the time of individual sample
collection, or
(3) Variable time/constant volume: a series of grab samples of equal volume collected over a 24 hour period with
the time intervals between samples determined by a preset number of gallons passing the sampling point. Flow
measurement between sample intervals shall be determined by use of a flow recorder and totalizer, and the
preset gallon interval between sample collection fixed at no greater than 1/24 of the expected total daily flow at
the treatment system, or
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'?DES Permit Standard Conditions
Page 2 of 18
(4) Constant time/constant volume: a series of grab samples of equal volume collected over a 24-hour period at a
constant time interval. Use of this method requires prior approval by the Director. This method may only be
used in situations where effluent flow rates vary less than 15 percent. The following restrictions also apply:
➢ Influent and effluent grab samples shall be of equal size and of no less than 100 milliliters
➢ Influent samples shall not be collected more than once per hour.
➢ Permittees with wastewater treatment systems whose detention time < 24 hours shall collect effluent grab
samples at intervals of no greater than 20 minutes apart during any 24-hour period.
➢ Permittees with wastewater treatment systems whose detention time exceeds 24 hours shall collect effluent
grab samples at least every six hours; there must be a minimum of four samples during a 24-hour sampling
period.
Continuous flow measurement
Flow monitoring that occurs without interruption throughout the operating hours of the facility. Flow shall be
monitored continually except for the infrequent times when there may be no flow or for infrequent maintenance
activities on the flow device.
Daily Discharge
The discharge of a pollutant measured during a calendar day or any 24-hour period that reasonably represents the
calendar day for purposes of sampling. For pollutants measured in units of mass, the "daily discharge" is calculated as
the total mass of the pollutant discharged over the day. For pollutants expressed in other units of measurement, the
"daily discharge" is calculated as the average measurement of the pollutant over the day. (40 CFR 122.2; see also
"Composite Sample," above.)
Daily Maximum
The highest "daily discharge" during the calendar month.
Daily Sampling
Parameters requiring daily sampling shall be sampled 5 out of every 7 days per week unless otherwise specified in the
permit. Sampling shall be conducted on weekdays except where holidays or other disruptions of normal operations
prevent weekday sampling. If sampling is required for all seven days of the week for any permit parameter(s), that
requirement will be so noted on the Effluent Limitations and Monitoring Page(s).
DWO or "the Division"
The Division of Water Quality, Department of Environment and Natural Resources.
Effluent
Wastewater discharged following all treatment processes from a water pollution control facility or other point source
whether treated or untreated.
EMC
The North Carolina Environmental Management Commission
EPA
The United States Environmental Protection Agency
Facility Closure
Cessation of all activities that require coverage under this NPDES permit. Completion of facility closure will allow this
permit to be rescinded.
Geometric Mean
The Nth root of the product of the individual values where N = the number of individual values. For purposes of
calculating the geometric mean, values of "0" (or "< [detection level]") shall be considered = 1.
Grab Sample
Individual samples of at least 100 mL collected over a period of time not exceeding 15 minutes. Grab samples can be
collected manually. Grab samples must be representative of the discharge (or the receiving stream, for instream
samples).
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RDES Permit Standard Conditions
Page 3 of 18
Hazardous Substance
Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the CWA.
Instantaneous flow measurement
The flow measured during the minimum time required for the flow measuring device or method to produce a result in
that instance. To the extent practical, instantaneous flow measurements coincide with the collection of any grab
samples required for the same sampling period so that together the samples and flow are representative of the discharge
during that sampling period.
Monthly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar month. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Permit Issuing Authority'
The Director of the Division of Water Quality.
(Quarterly Average (concentration limit)
The arithmetic mean of all samples taken over a calendar quarter.
Severe property damage
Substantial physical damage to property, damage to the treatment facilities which causes them to become inoperable, or
substantial and permanent loss of natural resources which can reasonably be expected to occur in the absence of a
bypass. Severe property damage excludes economic loss caused by delays in production.
Toxic Pollutant:
Any pollutant listed as toxic under Section 307(a)(1) of the CWA.
Upset
An incident beyond the reasonable control of the Permittee causing unintentional and temporary noncompliance with
S permit effluent limitations and/or monitoring requirements. An upset does not include noncompliance caused by
operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of preventive
maintenance, or careless or improper operation.
Weekly Average (concentration limit)
The arithmetic mean of all "daily discharges" of a pollutant measured during the calendar week. In the case of fecal
coliform or other bacterial parameters or indicators, the geometric mean of such discharges.
Section B. General Conditions
1. Duty to Comply_
The Permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a violation of
the CWA and is grounds for enforcement action; for permit termination, revocation and reissuance, or
modification; or denial of a permit renewal application [40 CFR 122.411.
a. The Permittee shall comply with effluent standards or prohibitions established under section 307(a) of the
CWA for toxic pollutants and with standards for sewage sludge use or disposal established under section
405(d) of the CWA within the time provided in the regulations that establish these standards or prohibitions or
standards for sewage sludge use or disposal, even if the permit has not yet been modified to incorporate the
requirement.
b. The CWA provides that any person who violates section[s] 301, 302, 306, 307, 308, 318 or 405 of the Act, or
any permit condition or limitation implementing any such sections in a permit issued under section 402, or any
requirement imposed in a pretreatment program approved under sections 402(a)(3) or 402(b)(8) of the Act, is
subject to a civil penalty not to exceed $37,500 per day for each violation. [33 USC 1319(d) and 40 CFR
122.41(a)(2)]
c. The CWA provides that any person who negligently violates sections 301, 302, 306, 307, 308, 318, or 405 of
the Act, or any condition or limitation implementing any of such sections in a permit issued under section 402
of -the Act, or any requirement imposed in a pretreatment program approved under section 402(a)(3) or
402(b)(8) of the Act, is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
Version 1110912011

"DES Permit Standard Conditions
— ` \—'' Page 4 of 18
imprisonment of not more than 1 year, or both. In the case of a second or subsequent conviction for a negligent
violation, a person shall be subject to criminal penalties of not more than $50,000 per day of violation, or by
imprisonment of not more than 2 years, or both. [33 USC 1319(c)(1) and 40 CFR 122.41(a)(2)]
d. Any person who knowingly violates such sections, or such conditions or limitations is subject to criminal
penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than 3 years, or both. In the
case of a second or subsequent conviction for a knowing violation, a person shall be subject to criminal
penalties of not more than $100,000 per day of violation, or imprisonment of not more than 6 years, or both.
[33 USC 1319(c)(2) and 40 CFR 122.41(a)(2)]
e. Any person who knowingly violates section 301, 302, 303, 306, 307, 308, 318 or 405 of the Act, or any permit
condition or limitation implementing any of such sections in a permit issued under section 402 of the Act, and
who knows at that time that he thereby places another person in imminent danger of death or serious bodily
injury, shall, upon conviction, be subject to a fine of not more than $250,000 or imprisonment of not more than
15 years, or both. In the case of a second or subsequent conviction for a knowing endangerment violation, a
person shall be subject to a fine of not more than $500,000 or by imprisonment of not more than 30 years, or
both. An organization, as defined in section 309(c)(3)(B)(iii) of the CWA, shall, upon conviction of violating
the imminent danger provision, be subject to a fine of not more than $1,000,000 and can be fined up to
$2,000,000 for second or subsequent convictions. [40 CFR 122.41(a)(2)]
f. Under state law, a civil penalty of not more than $25,000 per violation may be assessed against any person
who violates or fails to act in accordance with the terms, conditions, or requirements of a permit. [North
Carolina General Statutes § 143-215.6A]
g. Any person may be assessed an administrative penalty by the Administrator for violating section 301, 302,
306, 307, 308, 318 or 405 of this Act, or any permit condition or limitation implementing any of such sections
in a permit issued under section 402 of this Act: Administrative penalties for Class I violations are not to
exceed $16,000 per violation, with the maximum amount of any Class I penalty assessed not to exceed
$37,500. Penalties for Class H violations are not to exceed $16,000 per day for each day during which the
violation continues, with the maximum amount of any Class R penalty not to exceed $177,500. [33 USC
1319(g)(2) and 40 CFR 122.41(a)(3)]
2. Duty to Mitigate
The Permittee shall take all reasonable steps to minimize or prevent any discharge or sludge use or disposal in
violation of this permit with a reasonable likelihood of adversely affecting human health or the environment [40
CFR 122.41(d)].
3. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part H.C.4), "Upsets" (Part II.C.5) and "Power Failures"
(Part H.C.7), nothing in this permit shall be construed to relieve the Permittee from any responsibilities, liabilities,
or penalties for noncompliance pursuant to NCGS 143-215.3, 143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the Permittee is responsible for consequential damages, such as fish kills, even though the
responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the Permittee
from any responsibilities, liabilities, or penalties to which the Permittee is or may be subject to under NCGS 143-
215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the Permittee is responsible for
consequential damages, such as fish kills, even though the responsibility for effective compliance may be
temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any exclusive
privileges, nor does it authorize any injury to private property or any invasion of personal rights, nor any
infringement of Federal, State or local laws or regulations [40 CFR 122.41(g)].
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
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`NI DES Permit Standard Conditions
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7. Severability
The provisions of this permit are severable. If any provision of this permit, or the application of any provision of
this permit to any circumstances, is held invalid, the application of such provision to other circumstances, and the
remainder of this permit, shall not be affected thereby [NCGS 150B-23].
8. Duty to Provide Information
The Permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any information which the
Permit Issuing Authority may request to determine whether cause exists for modifying, revoking and reissuing, or
terminating this permit or to determine compliance with this permit. The Permittee shall also furnish to the Permit
Issuing Authority upon request, copies of records required by this permit [40 CFR 122.41(h)].
9. Duty to Reapply
If the Permittee wishes to continue an activity regulated by this permit after the expiration date of this permit, the
Permittee must apply for and obtain a new permit [40 CFR 122.41(b)].
10. Expiration of Permit
The Permittee is not authorized to discharge after the expiration date. In order to receive automatic authorization to
discharge beyond the expiration date, the Permittee shall submit such information, forms, and fees as are required
by the agency authorized to issue permits no later than 180 days prior to the expiration date unless permission for a
later date has been granted by the Director: (The Director shall not grant permission for applications to be
submitted later than the expiration date of the existing permit.) [40 CFR 122.21(d)] Any Permittee that has not
requested renewal at least 180 days prior to expiration, or any Permittee that does not have a permit after the
expiration and has not requested renewal at least 180 days prior to expiration, will subject the Permittee to
enforcement procedures as provided in NCGS 143-215.6 and 33 USC 1251 et. seq.
11. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and certified [40
CFR 122.41(k)].
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in charge
of a principal business function, or any other person who performs similar policy or decision making
functions for the corporation, or (b) the manager of one or more manufacturing, production, or operating
facilities, provided, the manager is authorized to make management decisions which govern the operation
of the regulated facility including having the explicit or implicit duty of making major capital investment
recommendations, and initiating and directing other comprehensive measures to assure long term
environmental compliance with environmenfal'laws and regulations; the manager can ensure that the
necessary systems are established or actions taken to gather complete and accurate information for permit
application requirements; and where authority to sign documents has been assigned or delegated to the
manager in accordance with corporate procedures .
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official [40 CFR 122.22].
b. All reports required by the permit and other information requested by the: Permit Issuing Authority shall be
signed by a person described in paragraph a. above or by a duly authorized representative of that person. A
person is a duly authorized representative only if-
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the overall operation
of the regulated facility or activity, such as the position of plant manager, operator of a well or well field,
superintendent, a position of equivalent responsibility, or an individual or position having overall
responsibility for environmental matters for the company. (A duly authorized representative may thus be
either a named individual or any individual occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority [40 CFR 122.22]
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c. Changes to authorization: If an authorization under paragraph (b) of this section is no longer accurate because
a different individual or position has responsibility for the overall operation of the facility, a new authorization
satisfying the requirements of paragraph (b) of this section must be submitted to the Director prior to or
together with any reports, information, or applications to be signed by an authorized representative [40 CFR
122.221
d. Certification. Any person signing a document under paragraphs a. or b. of this section shall make the following
certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE ACCEPTED:
7 certify, under penalty of law, that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualfied personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of my
knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility offines and imprisonment for knowing violations. "
12. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
Permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned changes
or anticipated noncompliance does not stay any permit condition [40 CFR 122.41(f)].
13. Permit Modification, Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying the permit,
revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and regulations
contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North Carolina
Administrative Code, Subchapter 0211.0100; and North Carolina General Statute 143.215.1 et. al.
14. Annual Administering and Compliance Monitoring Fee Requirements
The Permittee must pay the annual administering and compliance monitoring fee within thirty days after being
billed by the Division. Failure to pay the fee in a timely manner in accordance with 15A NCAC 02H .0105(b)(2)
may cause this Division to initiate action to revoke the permit.
Section C. Operation and Maintenance of Pollution Controls
1. Certified Operator
Owners of classified water pollution control systems must designate operators, certified by the Water Pollution
Control System Operators Certification Commission (WPCSOCC), of the appropriate type and grade for the
system, and, for each classification must [T15A NCAC 08G .0201]:
a. designate one Operator In Responsible Charge (ORC) who possesses a valid certificate of the type and grade at
least equivalent to the type and grade of the system;
b. designate one or more Back-up Operator(s) in Responsible Charge (Back-up ORCs) who possesses a valid
certificate of the type of the system and no more than one grade less than the grade of the system, with the
exception of no backup operator in responsible charge is required for systems whose minimum visitation
requirements are twice per year; and
c. submit a signed completed "Water Pollution Control System Operator Designation Form" to the Commission
(or to the local health department for owners of subsurface systems) countersigned by the designated certified
operators, designating the Operator in Responsible Charge (ORC) and the Back-up Operator in Responsible
Charge (Back-up ORC):
(1) 60 calendar days prior to wastewater or residuals being introduced into a new system; or
(2) within 120 calendar days following:
➢ receiving notification of a change in the classification of the system requiring the designation of a new
Operator in Responsible Charge (ORC) and Back-up Operator in Responsible Charge (Back-up ORC)
of the proper type and grade; or
➢ a vacancy in the position of Operator in Responsible Charge (ORC) or Back-up Operator in
Responsible Charge (Back-up ORC).
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(3) within seven calendar days of vacancies in both ORC and Back-up ORC positions replacing or designating
at least one of the responsibilities.
The ORC of each Class I facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least weekly
➢ Comply with all other conditions of 15A NCAC 08G .0204.
The ORC of each Class H, III and IV facility (or the Back-up ORC, when acting as surrogate for the ORC) must:
➢ Visit the facility as often as is necessary to insure proper operation of the treatment system; the treatment
facility must be visited at least five days per week, excluding holidays
➢ Properly manage and document daily operation and maintenance of the facility
➢ Comply with all other conditions of 15A NCAC 08G .0204.
2. Proper Operation and Maintenance
The Permittee shall at all times properly operate and maintain all facilities and systems of treatment and control
(and related appurtenances) which are installed or used by the Permittee to achieve compliance with the conditions
of this permit. Proper operation and maintenance also includes adequate laboratory controls and appropriate quality
assurance procedures. This provision requires the Permittee to install and operate backup or auxiliary facilities only
when necessary to achieve compliance with the conditions of the permit [40 CFR 122.41(e)].
NOTE: Properly and officially designated operators are fully responsible for all proper operation and•maintenance
of the facility, and all documentation required thereof, whether acting as a contract operator [subcontractor] or a
member of the Permittee's staff.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a Permittee in an enforcement action that it would have been necessary to halt or
reduce the permitted activity in order to maintain compliance with the condition of this permit [40 CFR 122.41(c)].
4: Bypassing of Treatment Facilities
a. Bypass not exceeding limitations [40 CFR 122.41(m)(2)]
The Permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded, but
only if it also is for essential maintenance to assure efficient operation. These bypasses are not subject to the
provisions of Paragraphs b. and c. of this section.
b. Notice [40 CFR 122.41(m)(3)]
(1) Anticipated bypass. If the Permittee knows in advance of the need for a bypass, it shall submit prior notice,
if possible at least ten days before the date of the bypass; including an evaluation of the anticipated quality
and effect of the bypass.
(2) Unanticipated bypass. The Permittee shall submit notice of an unanticipated bypass as required in Part
II.E.6. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass from the treatment facility is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for bypass, unless:
(A) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(B) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment facilities,
retention of untreated wastes or maintenance during normal periods of equipment downtime. This
condition is not satisfied if adequate backup equipment should have been installed in the exercise of
reasonable engineering judgment to prevent a bypass which occurred during normal periods of
equipment downtime or preventive maintenance; and
(C) The Permittee submitted notices as required under Paragraph b. of this section.
(2) Bypass from the collection system is prohibited and the Permit Issuing Authority may take enforcement
action against a Permittee for a bypass as provided in any current or future system -wide collection system
permit associated with the treatment facility.
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i
(3) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse effects, if
the Permit Issuing Authority determines that it will meet the three conditions listed above in Paragraph c.
(1) of this section.
5. Upsets
a. Effect of an upset [40 CFR 122.41(n)(2)]: An upset constitutes an affirmative defense to an action brought for
noncompliance with such technology based permit effluent limitations if the requirements of paragraph b. of
this condition are met. No determination made during administrative review of claims that noncompliance was
caused by upset, and before an action for noncompliance, is final administrative action subject to judicial
review.
b. Conditions necessary for a demonstration of upset: Any Permittee who wishes to establish the affirmative
defense of upset shall demonstrate, through properly signed, contemporaneous operating logs, or other relevant
evidence that:
(1) An upset occurred and that the Permittee can identify the cause(s) of the upset;
(2) The Permittee facility was at the time being properly operated; and
(3) The Permittee submitted notice of the upset as required in Part II.E.6.(b) of this permit.
(4) The Permittee complied with any remedial measures required under Part II.B.2. of this permit.
c. Burden of proof [40 CFR 122.41(n)(4)]: The Permittee seeking to establish the occurrence of an upset has
the burden of proof in any enforcement proceeding.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of wastewaters
shall be utilized/disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any pollutant
from such materials from entering waters of the State or navigable waters of the United States except as permitted
by the Commission. The Permittee shall comply with all applicable state and Federal regulations' governing the
disposal of sewage sludge, including 40 CFR 503, Standards for the Use and Disposal of Sewage Sludge; 40 CFR
Part 258, Criteria For Municipal Solid Waste Landfills; and 15A NCAC Subchapter 2T, Waste Not Discharged To
Surface Waters. The Permittee shall notify the Permit Issuing Authority of any significant change in its sludge use
or disposal practices.
7. Power Failures
The Permittee is responsible for maintaining adequate safeguards (as required by 15A NCAC 02H .0124) to
prevent the discharge of untreated or inadequately treated wastes during electrical power failures either by means
of alternate power sources, standby generators or retention of inadequately treated effluent.
Section D. Monitoring and Records
Representative Sampling
Samples collected and measurements taken, as required herein, shall be representative of the permitted discharge.
Samples collected at a frequency less than daily shall be taken on a day and time that is representative of the
discharge for the period the sample represents. All samples shall be taken at the monitoring points specified in this
permit and, unless otherwise specified, before the effluent joins or is diluted by any other wastestream, body of
water, or substance. Monitoring points shall not be changed without notification to and the approval of the Permit
Issuing Authority [40 CFR 122.410)].
2. Reporting
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported on a
monthly Discharge Monitoring Report (DMR) Form (MR 1, 1. 1, 2, 3) or alternative forms approved by the
Director, postmarked no later than the last calendar day of the month following the completed reporting period.
The first DMR is due on the last day of the month following the issuance of the permit or in the case of a new
facility, on the last day of the month following the commencement of discharge. Duplicate signed copies of these,
and all other reports required herein, shall be submitted to the following address:
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NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be selected
and used to ensure the accuracy and reliability of measurements of the volume of monitored discharges. The
devices shall be installed, calibrated and maintained to ensure that the accuracy of the measurements is consistent
with the accepted capability of that type of device. Devices selected shall be capable of measuring flows with a
maximum deviation of less than 10% from the true discharge rates throughout the range of expected discharge
volumes. Flow measurement devices shall be accurately calibrated at a minimum of once per year and maintained
to ensure that the accuracy of the measurements is consistent with the accepted capability of that type of device.
The Director shall approve the flow measurement device and monitoring location prior to installation.
Once -through condenser cooling water flow monitored by pump logs, or pump hour meters as specified in Part I of
this permit and based on the manufacturer's pump curves shall not be subject to this requirement.
4. Test Procedures
Laboratories used for sample analysis must be certified by the Division. Permittees should contact the Division's
Laboratory Certification Section (919 733-3908 or http://portal.ncdenr.org/web/wq/lab/cert) for information
regarding laboratory certifications.
Facilities whose personnel are conducting testing of field -certified parameters only must hold the appropriate field
parameter laboratory certifications.
Test procedures for the analysis of pollutants shall conform to the EMC regulations (published pursuant to NCGS
143-215.63 et. seq.), the Water and Air Quality Reporting Acts, and'to regulations published pursuant to Section
304(g), 33 USC 1314, of the CWA (as amended), and 40 CFR 136; or in the case of sludge use or disposal,
M_ approved under 40 CFR 136, unless otherwise specified in 40 CFR 503, unless other test procedures have been
specified in this permit [40 CFR 122.41].
To meet the intent of the monitoring required by this permit, all test procedures must produce minimum detection
and reporting levels that are below the permit discharge requirements and all data generated must be reported down
to the minimum detection or lower reporting level of the procedure. If no approved methods are determined
capable of achieving minimum detection and reporting levels below permit discharge requirements, then the most
sensitive (method with the lowest possible detection and reporting level) approved method must be used.
Penalties for Tampering
The CWA provides that any person who falsifies, tampers with, or knowingly renders inaccurate, any monitoring
device or method required to be maintained under this permit shall, upon conviction, be punished by a fine of not
more than $10,000 per violation, or by imprisonment for not more than two years per violation, or by both. If a
conviction of a person is for a violation committed after a first conviction of such person under this paragraph,
punishment is a fine of not more than $20,000 per day of violation, or by imprisonment of not more than 4 years,
or both [40'CFR 122.41].
6. Records Retention
Except for records of monitoring information required by this permit related to the Permittee's sewage sludge use
and disposal activities, which shall be retained for a period of at least five years (or longer as required by 40 CFR
503), the Permittee shall retain records of all monitoring information, including:
➢ all calibration and maintenance records
➢ all original strip chart recordings for continuous monitoring instrumentation
➢ copies of all reports required by this permit
➢ copies of all data used to complete the application for this permit
These records or copies shall be maintained for a period of at least 3 years from the date of the sample,
measurement, report or application. This period may be extended by request of the Director at any time [40 CFR
122.41].
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7. Recording Results
For each measurement or sample taken pursuant to the requirements of this permit, the Permittee shall record the
following information [40 CFR 122.411:
a. The date, exact place, and time of sampling or measurements;
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
8. Inspection and Entry
The Permittee shall allow the Director, or an authorized representative (including an authorized contractor acting as
a representative of the Director), upon the presentation of credentials and other documents as may be required by
law, to;
a. Enter, at reasonable times, upon the Permittee's premises where a regulated facility or activity is located or
conducted, or where records must be kept under the conditions of this permit;
b.. Have access to and copy, at reasonable times, any records that must be kept under the conditions of this permit;
c. Inspect at reasonable times any facilities, equipment -(including monitoring and control equipment), practices,
or operations regulated or required under this permit; and
d. Sample or monitor at reasonable times, for the purposes of assuring permit compliance or as otherwise
authorized by the CWA, any substances or parameters at any location [40 CFR 122.41(i)].
Section E Reporting Requirements
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The discharge of
any pollutant identified in this permit more frequently than or at a level in excess of that authorized shall constitute
a violation of the permit.
2. Planned Changes
The Permittee shall give notice to the Director as soon as possible of any planned physical alterations or additions
to the permitted facility [40 CFR 122.41(1)]. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for new sources at 40 CFR
122.29(b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants subject neither to effluent limitations in the permit, nor to
notification requirements under 40 CFR 122.42(a)(1); or
c. The alteration or addition results in a significant change in the Permittee's sludge use or disposal practices, and
such alteration, addition or change may justify the application of permit conditions that are different from or
absent in the existing permit, including notification of additional use or disposal sites not reported during the
permit application process or not reported pursuant to an approved land application plan.
3. Anticipated Noncompliance
The Permittee shall give advance notice to the Director of any planned changes to the permitted facility or other
activities that might result in noncompliance with the permit [40 CFR 122.41(1)(2)].
4. Transfers
This permit is not transferable to any person without prior written notice to and approval from the Director in
accordance with 40 CFR 122.61. The Director may condition approval in accordance with NCGS 143-215.1, in
particular NCGS 143-215.1(b)(4)b.2., and may require modification or revocation and reissuance of the permit, or
a minor modification, to identify the new permittee and incorporate such other requirements as may be necessary
under the CWA [40 CFR 122.41(1)(3), 122.61] or state statute.
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5. Monitoring Reports
Monitoring results shall be reported at the intervals specified elsewhere in this permit [40 CFR 122.41(1)(4)].
a. Monitoring results must be reported on a Discharge Monitoring Report (DMR) (See Part II.D.2) or forms
provided by the Director for reporting results of monitoring of sludge use or disposal practices.
b. If the Permittee monitors any pollutant more frequently than required by. this permit using test procedures
approved under 40 CFR Part 136 and at a sampling location specified in this permit or other appropriate
instrument governing the discharge, the results of such monitoring shall be included in the calculation and
reporting of the data submitted on the DMR.
6. Twenty-four Hour Reporting
a. The Permittee shall report to the Director or the appropriate Regional Office any noncompliance that
potentially threatens public health or the environment. Any information shall be provided orally within 24
hours from the time the Permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the Permittee becomes aware of the circumstances. The written submission
shall contain a description of the noncompliance, and its cause; the period of noncompliance, including exact
dates and times, and if the noncompliance has not been corrected, the anticipated time it is expected to
continue; and steps taken or planned to reduce, eliminate, and prevent reopcurrence of the noncompliance [40
CFR 122.41(1)(6)].
b. The Director may waive the written report on a case -by -case basis for reports under this section if the oral
report has been received within 24 hours.
c. Occurrences outside normal business hours may also be reported to the Division's Emergency Response
personnel at [phone], [phone] or [phone].
7. Other Noncompliance
The Permittee shall report all instances of noncompliance not reported under Part II.E.5 and 6. of this permit at the
time monitoring reports are submitted. The reports shall contain the information listed in Part II.E.6. of this permit
[40 CFR 122.41(1)(7)].
`8. Other Information
Where the Permittee becomes aware that it failed to submit any relevant facts in a permit application, or submitted
incorrect information in a permit application or in any report to the Director, it shall promptly submit such facts or
information [40 CFR 122.41(1)(8)].
9. Noncompliance Notification
The Permittee shall report by telephone to either the central office or the appropriate regional office of the Division
as soon as possible, but in no case more than 24 hours or on the next working day following the occurrence or first
knowledge of the occurrence of any of the following: "
a. Any occurrence at the water pollution control facility which results in the discharge of significant amounts of
wastes which are abnormal in quantity or characteristic, such as the dumping of the contents of a sludge
digester; the known passage of a slug of hazardous substance through the facility; or any other unusual
circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of adequate
wastewater treatment such as mechanical or electrical failures of pumps, aerators, compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass without treatment of all
or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report within 5 days following first
knowledge of the occurrence. Also see reporting requirements for municipalities in Part IV.C.2.c. of this permit.
10. Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3 (a)(2) or Section 308 of the Federal Act, 33
USC 1318, all reports prepared in accordance with the terms shall be available for public inspection at the offices
of the Division. As required by the Act, effluent data shall not be considered confidential. Knowingly making any
false statement on any such report may result in the imposition of criminal penalties as provided for in NCGS 143-
215.1(b)(2) or in Section 309 of the Federal Act.
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11. Penalties for Falsification of Reports
The CWA provides that any person who knowingly makes any false statement, representation, or certification in
any record or other document submitted or required to be maintained under this permit, including monitoring
reports or reports of compliance or noncompliance shall, upon conviction, be punished by a fine of not more than
$25,000 per violation, or by imprisonment for not more than two years per violation, or by both [40 CFR 122.41].
12. Annual Performance Reports
Permittees who own or operate facilities that collect or treat municipal or domestic waste shall provide an annual
report to the Permit Issuing Authority and to the users/customers served by the Permittee (NCGS 143-215.1C). The
report shall summarize the performance of the collection or treatment system, as well as the extent to which the
facility was compliant with applicable Federal or State laws, regulations and rules pertaining to water quality. The
report shall be provided no later than sixty days after the end of the calendar or fiscal year, depending upon which
annual period is used for evaluation.
The report shall be sent to:
NC DENR / Division of Water Quality / Surface Water Protection Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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PART III
OTHER REQUIREMENTS.
Section A. Construction
a. The Permittee shall not commence construction of wastewater treatment facilities, nor add to the planVs treatment
capacity, nor change the treatment process(es) utilized at the treatment plant unless (1) the Division has issued an
Authorization to Construct (AtC) permit or (2) the Permittee is exempted from such AtC permit requirements
under Item b. of this Section.
b. In accordance with NCGS 143-215. 1 (a5) [SL 2011-394], no permit shall be required to enter into a contract for the
construction, installation, or alteration of. any treatment work or disposal system or to construct, install, or alter any
treatment works or disposal system within the State when the system's or work's principle function is to conduct,
treat, equalize, neutralize, stabilize, recycle, or dispose of industrial waste or sewage from an industrial facility and
the discharge of the industrial waste or sewage is authorized under a permit issued for the discharge of the
industrial waste or sewage into the waters of the State. Notwithstanding the above, the permit issued for the
discharge may be modified if required by federal regulation.
c. Issuance of an AtC will not occur until Final Plans and Specifications for the proposed construction have been
submitted by'the Permittee and approved by the Division.
Section B. Groundwater Monitoring
The Permittee shall, upon written notice from the Director, conduct groundwater monitoring as may be required to
determine the compliance of this NPDES permitted facility with the current groundwater standards.
Section C. Changes in Discharges of Toxic Substances
The Permittee shall notify the Permit Issuing Authority as soon as it knows or has reason to believe (40 CFR 122.42):
a. That any activity has occurred or will occur which would result in the discharge, on a routine or frequent basis, of
any toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the following
"notification levels";
(1) One hundred micrograms per liter (100 µg/L);
(2) Two hundred micrograms per liter (200 µg/L) for acrolein and acrylonitrile; five hundred micrograms per liter
(500 µg/L) for 2,4-dinitrophenol and for 2-methyl-4,6-dinitrophenol; and one milligram per liter (1 mg/L) for
antimony;
(3) Five times the maximum concentration value reported for that pollutant in the permit application.
b. That any activity has occurred or will occur which would result in any discharge, on a non -routine or infrequent
basis, of a toxic pollutant which is not limited in the permit, if that discharge will exceed the highest of the
following "notification levels';
(1) Five hundred micrograms per liter (500 µg/L);
(2) One milligram per liter (1 mg/L) for antimony;
(3) Ten times the maximum concentration value reported for"that pollutant in the permit application.
Section D. Facility Closure Requirements
The Permittee must notify the Division at least 90 days prior to the closure of any wastewater treatment system covered
by this permit.: The Division may require specific measures during deactivation of the system to prevent adverse
impacts to waters of the State. This permit cannot be rescinded while any activities requiring this permit continue at the
permitted facility.
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PART IV
SPECIAL CONDITIONS FOR MUNICIPAL FACILITIES
Section A. Definitions
In addition to the definitions in Part II of this permit, the following definitions apply to municipal facilities:
Indirect Discharge or Industrial User
Any non -domestic source that discharges wastewater containing pollutants into a POTW regulated under section
307(b), (c) or (d) of the CWA. [40 CFR 403.3 (i) and 0) and 15A NCAC 02H .0903(b)(11)]
Interference
Inhibition or disruption of the POTW treatment processes; operations; or its sludge process, use, or disposal which
causes or contributes to a violation of any requirement of the Permittee's (or any satellite-POTW's if different from the
Permittee) NPDES, collection system, or non -discharge permit or prevents sewage sludge use or disposal in
compliance with specified applicable State and Federal statutes,'regulations, or permits. [15A NCAC 02H
.0903(b)(14)]
Pass Through
A discharge which exits the POTW into waters of the State in quantities or concentrations which, alone or with
discharges from other sources, causes a violation, including an increase in the magnitude or duration of a violation, of
the Permittee's (or any satellite POTW's, if different from the Permittee) NPDES, collection system, or non -discharge
permit. [15A NCAC 02H .0903(b)(23)]
Publicly Owned Treatment Works (POTW)
A treatment works as defined by Section 212 of the CWA, which is owned by a State or local government organization.
This definition includes any devices and systems used in the storage, treatment, recycling and reclamation of municipal
sewage or industrial wastes of a liquid nature. It also includes the collection system, as defined in 15A NCAC 2T
.0402, only if it conveys wastewater to a POTW treatment plant. The term also means the local government
organization, or municipality, as defined in section 502(4) of the CWA, which has jurisdiction over indirect discharges
to and the discharges from such a treatment works. In this context, the organization may be the owner of the POTW
treatment plant or the owner of the collection system into which an indirect discharger discharges. This second type of
POTW may be referred to as a "satellite POTW organization." [15A NCAC 02H .0903(b)(26)]
"Significant Industrial User" or "SIU"
An Industrial User that discharges wastewater into a publicly owned treatment works and that [15A NCAC 02H
.0903(b)(33)]:
1. Discharges an average of 25,000 gallons per day or more of process wastewater to the POTW (excluding sanitary,
noncontact cooling and boiler blowdown wastewaters); or
2. Contributes process wastewater which makes up five percent or more of the NPDES or non -discharge permitted
flow limit or organic capacity of the POTW treatment plant. In this context, organic capacity refers to BOD, TSS
and ammonia; or
3. Is subject to categorical standards under 40 CFR Part 403.6 and 40 CFR Parts 405-471; or
4. Is designated as such by the Permittee on the basis that the Industrial User has a reasonable potential for adversely
affecting the POTW's operation or for violating any pretreatment standard or requirement, or the POTW's effluent
limitations and conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options;
5. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraphs 1 or 2 of this definition above has no reasonable potential for adversely affecting the
POTW's operation or for violating any pretreatment standard or requirement, the POTW's effluent limitations and
conditions in its NPDES or non -discharge permit, or to limit the POTW's sludge disposal options, and thus is not a
Significant Industrial User (SIU); or
6. Subject to approval under 15A NCAC 02H .0907(b), the Permittee may determine that an Industrial User meeting
the criteria in paragraph 3 of this definition above meets the requirements of 40 CFR Part 403.3(v)(2) and thus is a
non -significant categorical Industrial User.
Section B. Publicly Owned Treatment Works (POTWs)
Version 1110912011

r'~
e
)gPDES Permit Standard Conditions
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All POTWs must provide adequate notice to the Director of the following [40 CFR 122.42(b)]:
1. Any new introduction of pollutants into the POTW from an indirect discharger, regardless of the means of
transport, which would be subject to section 301 or 306 of CWA if it were directly discharging those pollutants;
and
2. Any substantial change in the volume or character of pollutants being introduced by an indirect discharger as
influent to that POTW at the time of issuance of the permit.
3. For purposes of this paragraph, adequate notice shall include information on (1) the quality and quantity of effluent
introduced into the POTW, and (2) any anticipated impact that may result from the change of the quantity or
quality of effluent to be discharged from the POTW.
Section C. Municipal Control of Pollutants from Industrial Users.
Effluent limitations are listed in Part I of this permit. Other pollutants attributable to inputs from Industrial Users
discharging to the POTW may be present in the Permittee's discharge. At such time as sufficient information
becomes available to establish limitations for such pollutants, this permit may be revised to specify effluent
limitations for any or all of such other pollutants in accordance with best practicable technology or water quality
standards.
Prohibited Discharges
a. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibition against the
introduction of pollutants or discharges into the waste treatment system or waste collection system which
cause or contribute to Pass Through or Interference as defined in 15A NCAC 02H .0900 and 40 CFR 403. [40
CFR 403.5(a)(1)]
b. The Permittee shall develop and enforce their Pretreatment Program to implement the prohibitions against the
introduction of the following wastes in the waste treatment or waste collection system [40 CFR 403.5(b)]:
(1) Pollutants which create a fire or explosion hazard in the POTW, including, but not limited to,
wastestreams with a closed cup flashpoint, of less than 140 degrees Fahrenheit or 60 degrees Centigrade
using the test methods specified in 40 CFR 261.21;
(2) Pollutants which cause corrosive structural damage to the POTW, but in no case discharges with pH lower
than 5:0, unless the works is specifically designed to accommodate such discharges;
(3) Solid or viscous pollutants in amounts which cause obstruction to the flow in the POTW resulting in
Interference;
(4) Any pollutant, including oxygen demanding pollutants (BOD, etc.) released in a Discharge at a flow rate
and/or pollutant concentration which will cause,Interference with the POTW;
(5) Heat in amounts which will inhibit biological activity in the POTW resulting in Interference, but in no
case heat in such quantities that the temperature at the POTW Treatment Plant exceeds 40°C (104°F)
unless the Division, upon request of the POTW, approves alternate temperature limits;
(6) Petroleum oil, non -biodegradable cutting oil, or products of mineral oil origin in amounts that will cause
Interference or Pass Through;
(7) Pollutants which result in the presence of toxic gases, vapors, or fumes within the POTW in a quantity that
may cause acute worker health and safety problems; or
(8) Any trucked or hauled pollutants, except at discharge points designated by the POTW.
c. The Permittee shall investigate the source of all discharges into the POTW, including slug loads and other
unusual discharges, which have the potential to adversely impact the Permittee's Pretreatment Program and/or
the operation of the POTW.
The Permittee shall report such discharges into the POTW to the Director or the appropriate Regional Office.
Any information shall be provided orally within 24 hours from the time the Permittee became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the Permittee becomes
aware of the circumstances. The written submission shall contain a description of the discharge; the
investigation into possible sources; the period of the discharge, including exact dates and times; if the
discharge has not ceased, the anticipated time it is expected to continue; and steps taken or planned to reduce,
eliminate, and prevent reoccurrence of the noncompliance,
Version I1/0912011

DES Permit Standard Conditions
Page 16 of 18
3. With regard to the effluent requirements listed in Part I of this permit, it may be necessary for the Permittee to
supplement the requirements of the Federal Pretreatment Standards (40 CFR, Part 403) to ensure compliance by
the Permittee with all applicable effluent limitations. Such actions by the Permittee may be necessary regarding
some or all of the industries discharging to the municipal system.
4. The Permittee shall require any Industrial User (IU) discharging to the POTW to meet Federal Pretreatment
Standards developed under Section 307(b) of the Act as amended (which includes categorical standards and
specific local limits, best management practices and narrative requirements). Prior to accepting wastewater from
any Significant Industrial User (SIU), the Permittee shall either develop and submit to the Division a new
Pretreatment Program or, as necessary, a modification of an existing Pretreatment Program, for approval as
required under section D below as well as 15A NCAC 02H .0907(a) and (b). [40 CFR 122.440)(2)]
5. This permit shall be modified, or alternatively, revoked and reissued, to incorporate or modify an approved POTW
Pretreatment Program or to include a compliance schedule for the development of a POTW Pretreatment Program
as required under Section 402 (b)(8) of the CWA and implementing regulations or by the requirements of the
approved State pretreatment program, as appropriate.
Section D. Pretreatment Programs
Under authority of sections 307 (b) and (c) and 402(b)(8) of the CWA and implementing regulations 40 CFR 403,
North Carolina General Statute 143-215.3(14) and implementing regulations 15A NCAC 02H .0900, and in accordance
with the approved pretreatment program, all provisions and regulations contained and referenced in the pretreatment
program submittal are an enforceable part of this permit. [40 CFR 122.440)(2)]
The Permittee shall operate its approved pretreatment program in accordance with Section 402(b)(8) of the CWA, 40
CFR 403, 15A NCAC 02H .0900, and the legal authorities, policies, procedures, and financial provisions contained in
its pretreatment program submission and Division approved modifications thereof. Such operation shall include but is
not limited to the implementation of the following conditions and requirements. Terms not defined in Part lI or Part IV
of this permit are as defined in 15A NCAC 02H .0903 and 40 CFR 403.3.
1. Sewer Use Ordinance (SUO)
The Permittee shall maintain adequate legal authority to implement its approved pretreatment program. [15A
NCAC 02H .0903(b)(32), .0905 and .0906(b)(1); 40 CFR 403.8(f)(1) and 403.9(b)(1) and (2)]
2. Industrial Waste Survey (IWS)
The Permittee shall implement an IWS consisting of the survey of users of the POTW collection system or
treatment plant, as required by 40 CFR 403.8(f)(2)(i-iii) and 15A NCAC 02H .0905 [also 40 CFR 122.440)(1)],
including identification of all Industrial Users that may have an impact on the POTW and the character and amount
of pollutants contributed to the POTW by these Industrial Users and identification of those Industrial Users
meeting the definition of SIU. Where the Permittee accepts wastewater from one or more satellite POTWs, the
IWS for the Permittee shall address all satellite POTW services areas, unless the pretreatment program in those
satellite service areas is administered by a separate Permittee with an approved Pretreatment Program. The
Permittee shall submit a summary of its IWS activities to the Division at least once every five years; and as
required by the Division. The IWS submission shall include a summary of any investigations conducted under
paragraph C.2.c. of this Part. [15A NCAC 02H .0903(b)(13), .0905 and .0906(b)(2); 40 CFR 403.8(f)(2) and 403.9]
3. Monitoring Plan
The Permittee shall implement a Division -approved Monitoring Plan for the collection of facility specific data to
be used in a wastewater treatment plant Headworks Analysis (HWA) for the development of specific pretreatment
local limits. Effluent data from the Plan shall be reported on the DMRs (as required by Parts II.D and II.E.5.). [15A
NCAC 02H .0903(b)(16), .0906(b)(3) and .0905]
4. Headworks Analysis (HWA) and Local Limits
The Permittee shall obtain Division approval of a HWA at least once every five years, and as required by the
Division. Within 180 days of the effective date of this permit (or any subsequent permit modification) the
Permittee shall submit to the Division a written technical evaluation of the need to revise local limits (i.e., an
updated HWA or documentation of why one is not needed) [40 CFR 122.44]. The Permittee shall develop, in
accordance with 40 CFR 403.5(c) and 15A NCAC 0211.0909, specific Local Limits to implement the prohibitions
listed in 40 CFR 403.5(a) and (b) and 15A NCAC 02H .0909. Pursuant to 40 CFR 403.5, local limits are
Version 1110912011

1PDES Permit Standard Conditions
' - Page 17 of 18
enforceable Pretreatment Standards as defined by 40 CFR 403.3(1). [15A NCAC 02H .0903(b)(10), .0905, and
.0906(b)(4)]
Industrial User Pretreatment Permits (IUP) & Allocation Tables
In accordance with NCGS 143-215.1, the Permittee shall issue to all Significant Industrial Users, permits for
operation of pretreatment equipment and discharge to the Permittee's collection system or treatment works. 'These
permits shall contain limitations, sampling protocols, reporting requirements, appropriate standard and special
conditions, and compliance schedules as necessary for the installation of treatment and control technologies to
assure that their wastewater discharge will, meet all applicable pretreatment standards and requirements. The
Permittee shall maintain a,current Allocation Table (AT) which summarizes the results of the HWA and the limits
from all 1UPs. Permitted IUP loadings for each parameter cannot exceed the treatment capacity of the POTW as
determined by the HWA [15A NCAC 02H .0906(b)(6), .0909, .091.6, and .0917 40 CFR 403.5, 403.8(f)(1)(iii);
NCGS 143-215.67(a)]
6. Authorization to Construct. (AtQ
The Permittee shall ensure that an Authorization to Construct permit (AtQ is issued to all applicable Industrial
Users for the construction or modification of any pretreatment facility. Prior to the issuance of an AtC, the
proposed pretreatment facility and treatment process must be evaluated for its capacity to comply with all
Industrial User Pretreatment Permit (IUP) limitations. [15A NCAC 02H .0906(b)(7) and .0905; NCGS 143-
215.1(a)(8)]
POTW Inspection & Monitoring of their lUs
The Permittee shall conduct inspection, surveillance, and monitoring activities as described in its Division
approved pretreatment program in order to determine, independent of information supplied by Industrial Users,
compliance with applicable pretreatment standards. [15A NCAC 02H .0908(e); 40 CFR 403.8(f)(2)(v)] The
Permittee must:
a. Inspect all .Significant Industrial Users (SIUs) at least once per calendar year;
b. Sample all Significant Industrial Users (SIUs) at least once per calendar year for all SIU permit -limited
parameters, including flow except as allowed under 15A NCAC .0908(e) and
a. At least once per year, document an evaluation of any non -significant categorical Industrial User for
compliance with the requirements in 40 CFR 403.3(v)(2), and either continue or revoke the designation as non-
significant.
IU Self Monitoring and Reporting
The Permittee shall require all Industrial Users to comply with the applicable monitoring and reporting
requirements outlined in the Division -approved pretreatment program, the industry's pretreatment permit, or in 15A
NCAC 02H .0908. [15A NCAC 02H .0906(b)(5) and .0905; 40 CFR 403.8(f)(1)(v) and (2)(iii); 40 CFR
122.440)(2) and 40 CFR 403.12]
9. Enforcement Response Plan (ERP).
The Permittee shall enforce and obtain appropriate remedies for violations of all pretreatment standards
promulgated pursuant to section 307(b) and (c) of the CWA (40 CFR 405 et. seq.), prohibitive discharge standards
as set forth in 40 CFR 403.5 and 15A NCAC 02H .0909, specific local limitations, and other pretreatment
requirements. All remedies, enforcement actions and other, shall be consistent with the Enforcement Response
Plan (ERP) approved by the Division. [15A NCAC 02H .0903(b)(7), .0906(b)(8) and .0905; 40 CFR 403.8(f)(5)]
10. Pretreatment Annual Reports (PAR)
The Permittee shall report to the Division in accordance with 15A NCAC 02H .0908. In lieu of submitting annual
reports, Modified Pretreatment Programs developed under 15A NCAC 02H .0904 (b) may be required to submit -a
partial annual report or to meet with Division personnel periodically to discuss enforcement of pretreatment
requirements and other pretreatment implementation issues.
For all other active pretreatment programs, the Permittee shall submit two copies of a Pretreatment Annual Report
(PAR) describing its pretreatment activities over the previous calendar year to the Division at the following
address:
Version 1.110912011

?DES Permit Standard Conditions
Page 18 of 18
NC DENR / Division of Water Quality / Surface Water Protection Section
Pretreatment, Emergency Response, and Collection Systems (PERCS) Unit
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
These reports shall be submitted by March 1 of each year and shall contain the following:
a. Narrative
A narrative summary detailing actions taken, or proposed, by the Permittee to correct significant non-
compliance and to ensure compliance with pretreatment requirements;
b. Pretreatment Program Summary (PPS)
A pretreatment program summary (PPS) on forms or in a format provided by the _Division;
c. Significant Non -Compliance Report (SNCR)
A list of Industrial Users (IUs) in significant noncompliance (SNC) with pretreatment requirements; and the
nature of the violations on forms or in a format provided by the Division;
d. Industrial Data Summary Forms IDSF)
Monitoring data from samples collected by both the POTW and the Significant Industrial Users (SIUs). These
analytical results must be reported on Industrial Data Summary Forms (IDSF) or on other forms or in a format
provided by the Division;
e. Other Information
Copies of the POTW's allocation table, new or modified enforcement compliance schedules, public notice of
IUs in SNC, a summary of data or other information related to significant noncompliance determinations for
IUs that are not considered S1Us, and any other information, upon request; which in the opinion of the Director
is needed to determine compliance with the pretreatment implementation requirements of this permit;
11. Public Notice.
The Permittee shall publish annually a list of Industrial Users (IUs) that were in significant noncompliance (SNC)
as defined in the Permittee's Division -approved Sewer Use Ordinance -with applicable pretreatment requirements
and standards during the previous twelve month period. This list shall be published within four months of the
applicable twelve-month period. [15A NCAC 02H .0903(b)(34), .0908(b)(5) and .0905 and 40 CFR
403.8(f)(2)(viii)]
12. Record Keeping
The Permittee shall retain for a minimum of three years records of monitoring activities and results, along with
support information including general records, water quality records, and records of industrial impact on the
POTW and shall retain all other Pretreatment Program records as required by 15A NCAC 02H .0908(f). [15A
NCAC 02H .0908(f); 40 CFR 403.12(o)]
13. ,Pretreatment Program Resources
The Permittee shall maintain adequate funding and qualified personnel to accomplish the objectives of its approved
pretreatment program. and retain a written, description of those current levels of inspection. [15A NCAC 02H
.0906(b)(9) and (10) and .,0905; 40 CFR 403.8(f)(3), 403.9(b)(3)]
1.4. Modification to Pretreatment Programs
Modifications to the approved pretreatment program including but not limited to local'limits modifications, POTW
monitoring of their Significant Industrial Users (SIUs), and Monitoring Plan modifications, shall be considered a
permit modification and shall be governed by 40 CFR 403.18, 15 NCAC 02H .0114 and 15A NCAC 02H .0907.
Version 1110912011

Frazier, Wanda
1
From:
Weaver, Charles
Sent:
Monday, September 09, 2013 1:34 PM
To:
Frazier, Wanda
Subject:
RE: Polk Central Elem Sch NCO033553 DRAFT permit renewal
Attachments:
33553box 2013.doc
Wanda — sorry it took me so long to respond. I'm buried these days.
I updated the facility description to match what you supplied, minus some fine detail regarding the gravel, etc.
I changed the TRC limit to 28 µg/L. As a non -trout stream, 28 is the correct limit.
No�need to send me a formal staff report. Your e-mailed comments were all I needed.
Thanks,
CHW
From: Frazier, Wanda
Sent: Tuesday, July 16, 2013 11:23 AM
To: Weaver, Charles
Subject: FW: Polk Central Elem Sch NCO033553 DRAFT permit renewal
Importance: High
Hi Charles,
Attached -is the facility cover page (2013) for the subject facility.
Here are some draft comments and questions for you before sending you an official staff
report. -
The 2013 fact sheet incorrectly classified this facility as a Class II facility.
It is only a Class I facility, since it is a septic tank, intermittent surface
sand
filter with low pressure distribution.
• The description should be as follows:
0.010 MGD system consisting of:
3000 gallon grease interceptor adjacent to the cafeteria with a 3000 gpd
effluent filter;
11,000 gallon septic tank;
3000 gallon dosing tank with duplex alternating siphons (3000 gallons per
dose);
1500 gallon tank with a 5000 gallon/day effluent filter;
40 ft x 80 ft (3200 sq ft) surface sand filter with low pressure distribution to

inch
4-inch pvc manifold with 1.5-inch pvc predrilled laterals sleeved in 4-
perforated. corrugated PE drain pipe (sand specifications: 0.35 — 0.50
mm
effective size; uniformity coefficient <3; dust content < 0.5%);
4 inches of pea -sized washed gravel/stone covering the sand filter;
tablet chlorinator;
5000 gallon chlorine contact chamber; and
tablet dechlorinator.
• The 2008 permit is in the name of the ORC, Deborah Bradley.
The 2013 permit should be put in the name of:
William J. Miller, Superintendent of Schools.
Mailing address: PO Box 638; Columbus, NC 28722-0638
• The 2013 fact sheet listed the stream classification as Class C.
The chlorine limit is: 17 ug/I in 2008 permit and the 2013 draft permit,
indicating a C-Trout stream. (The IWC is 1.59%.)
Can you check on this?
What are your thoughts?
Let me know what you think & I'll send my final staff report comments to you.
Thanks!
Hope you had a great vacation!
Wanda
Wanda Frazier
Email: Wanda.FrazierCZDncdenr.izov
1 North Carolina Department of
Environment and Natural Resources
Asheville Regional Office
Division of Water Quality
Surface Water Protection Section
2090 US 70 Highway
Swannanoa, NC 28778
Switchboard: 828-296-4500 x 4662
Direct line: 828-296-4662

Frazier, Wanda
From: Frazier, Wanda
Sent: Wednesday, July 24, 2013 11:16 AM
To: Weaver, Charles
Cc: Wiggs, Linda; Cranford, Chuck
Subject: FW: Polk Central Elem Sch NC0033553 DRAFT permit renewal
Attachments: 33553 draft.doc; 33553 Expedited Fact Sheet.doc; 33553box 2013.doc; 33553map.ppt;
Polk Central 33553 a cover page 2013.doc; Polk Central School draft permit SR
7-24-13.pdf
Importance: High
Hi Charles,
Attached is the Polk Central School draft permit staff report.
Thanks,
Wanda
Wanda Frazier
Email: [e-mail]
North Carolina Department of
Environment and Natural Resources
Asheville Regional Office
Division of Water Quality
Surface Water Protection Section
2090 US 70 Highway
Swannanoa, NC 28778
Switchboard: 828-296-4500 x 4662
Direct line: 828-296-4662
Fax: [phone]
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Frazier, Wanda
Sent: Wednesday, July 24, 2013 10:24 AM
To: Wiggs, Linda
Subject: Polk Central Elem Sch NC0033553 DRAFT permit renewal
Importance: High
Linda,
Please review the draft permit staff report.
1

Thanks,
Wanda
From: Weaver, Charles
Sent: Wednesday, June 26, 2013 11:13 AM
To: Wiggs, Linda
Subject: DRAFT permit renewal for NCO033553 / Polk Central Elementary School
Importance: High
This is a class WW-2 permit in Polk County.
Please send me any comments by July 26tn
Thanks,
CHW

/ NPDES Permit Renewal C
Regional Office Comments
Permit numb&:'
NCO033553
Region:
Asheville
Date:
July 24, 2013
Facility name:'
Polk Central School
Linda Wiggs
�:'...Coun '°
tY
Polk
Staff.-
Wanda Fraziev�
:.Reviewer:.
Charles Weaver
RO ,S,upervisor,:
Chuck Cranford
Requested;:
❑ Issue permit according to Draft
Actton:�
Q Make changes as noted below
The 2008 permit is in the name of the ORC, Deborah Bradley.
The 2013 permit should be put in the name of:
William J. Miller, Superintendent of Schools.
Mailing address: PO Box 638; Columbus, NC 28722-0638
The facility description should be as follows:
0.010 MGD system consisting of:
3000 gallon grease interceptor with a 3000 gpd effluent filter;
11,000 gallon septic tank;
3000 gallon dosing tank with duplex alternating siphons;
1500 gallon tank with a 5000 gallon/day effluent filter;'
40 ft x 80 ft (3200 sq ft) surface sand filter with low pressure
distribution to manifold and laterals
(sand specifications: 0.35 — 0.50 mm effective size; uniformity.
Comments: °
coefficient <3; dust content < 0.5%);
washed gravel covering the sand filter;
tablet chlorinator;
5000 gallon chlorine contact chamber; and
tablet dechlorinator.
The 2013 fact sheet incorrectly classified this facility as a Class 11
facility. It is only a Class I facility, since it is a septic tank,
intermittent surface sand filter with low pressure distribution.
The 2013 fact sheet listed the stream classification as Class C.
The chlorine limit is: 17 ug/I in 2008 permit and the 2013 draft
w
permit, indicating a C-Trout stream. (The IWC is 1.59%:)
The rest of the draft permit looks good.
I
S:\MM-Templates&FormsTermit Review\NPDESPermitReview ROComments.Feb2012.docx

Frazier, Wanda
From: Frazier, Wanda
Sent: Tuesday, July 16, 2013 11:24 AM
To: Weaver, Charles
Subject: FW: Polk Central Elem Sch NCO033553 DRAFT permit renewal
Attachments: 33553 draft.doc; 33553 Expedited Fact Sheet.doc; 33553box 2013.doc; 33553map.ppt;
Polk Central 33553 a cover page 2013.doc
Importance: High
Hi Charles,
Attached is the facility cover page (2013) for the subject facility.
Here are some draft comments and questions for you before sending you an official staff
report.
• The 2013 fact sheet incorrectly classified this facility as a Class II facility.
It is only a Class I facility, since it is a septic tank, intermittent surface
sand
filter with low pressure distribution.
• The description should be as follows:
0.010 MGD system consisting of:
3000 gallon grease interceptor adjacent to the cafeteria with a 3000 gpd
effluent filter;
11,000 gallon septic tank;
3000 gallon dosing tank with duplex alternating siphons (3000 gallons per
dose);
1500 gallon tank with a 5000 gallon/day effluent filter;
40 ft x 80 ft (3200 sq ft) surface sand filter with low pressure distribution to
4-inch pvc manifold with 1.5-inch pvc predrilled laterals sleeved in 4-
inch
perforated corrugated PE drain pipe (sand specifications: 0.35 — 0.50
effective size; uniformity coefficient <3; dust content < 0.5%);
4 inches of pea -sized washed gravel/stone covering the sand filter;
tablet. chlorinator;
5000 gallon chlorine contact chamber; and
tablet dechlorinator.
1

• The 2008 permit is in the name of the ORC, Deborah Bradley.
The 2013 permit should be put in the name of:
William J. Miller, Superintendent of Schools.
Mailing address: PO Box 638; Columbus, NC 28722-0638
• The 2013 fact sheet listed the stream classification as Class C.
The chlorine limit is: 17 ug/I in 2008 permit and the 2013 draft permit,
indicating a C-Trout stream. (The IWC is 1.59%.)
Can you check on this?
What are your thoughts?
Let me know what you think & I'll send my final staff report comments to you.
Thanks!
Hope you had a great vacation!
Wanda
i Wanda Frazier
' Email: [e-mail]
North Carolina Department of
Environment and Natural Resources
Asheville Regional Office
Division of Water Quality
Surface Water Protection Section
2090 US 70 Highway
Swannanoa, NC 28778
Switchboard: 828-296-4500 x 4662
Direct line: 828-296-4662
Fax: [phone]
6410 ��vlvew
I-evd a.5
7 -,�) zl J
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
i
From: Frazier, Wanda
Sent: Thursday, June 27, 2013 10:55 AM
To: Frazier, Wanda
2 �.

Subject: DRAFT permit renewal for'v�6a33553 / Polk Central Elementary SchooP"--�'
Importance: High
This is a class WW-2 permit in Polk County.
Please send me any comments by July 26tn
Thanks,
CHW

!Subject: Polk Central Elem Sch NC0033553 DRAFT permit renewal
;Importance: High
Due: July 261h
! Wanda Frazier
Email: [e-mail]
North Carolina Department of
Environment and Natural Resources
Asheville Regional Office
Division of Water Quality
Surface Water Protection Section
2090 US 70 Highway
Swannanoa, NC 28778
Switchboard: 828-296-4500 x 4662
Direct line: 828-296-4662
Fax: [phone]
t
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Wiggs, Linda
Sent: Wednesday, June 26, 2013 5:43 PM
To: Frazier, Wanda
Subject: FW: DRAFT permit renewal for NC0033553 / Polk Central Elementary School
Importance: High
Here you go.
Linda Wiggs - [e-mail]
North Carolina Dept. of Environment and Natural Resources
Asheville Regional Office
Division of Water Quality - Water Quality Section
2090 U.S. 70 Highway
Swannanoa, NC 28778
Tel: [phone]
Fax: [phone]
Link to Division of Water Quality Home Page
http://Portal.ncdenr.org/web/wq
Notice: E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and
therefore may be disclosed to third parties.
From: Weaver, Charles
Sent: Wednesday, June 26, 2013 11:13 AM
To: Wiggs, Linda
l �r

FACT SHL ' FOR EXPEDITED PERMIT .�,NEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools; mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals 9-10/ S
Permit Writer/Date
Charles H. Weaver 6/26/2013
Permit Number
NC0033553
Facility Name
Polk Central Elementary School WWTP
Basin Name/Sub-basin number
03-08-02
Receiving Stream
South Branch Little Whiteoak Creek
Stream Classification in Permit
_ C
Does permit need Daily Max NH3 limits?
N/A
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
None
Any permit modifications since lastpermit?
None.
New expiration date
7/31/2018
Comments on Draft Permit
Added parameter codes.
No other changes from 2008 renewal.
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/1 will be treated as zero for
compliance purposes."

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvada III
Governor Acting Director Secretary
Pe r /Y)./ _'0d
July 3, 2013
CT
tV`sDrah-Bradley _o
Clearwater Services
22i5$_NC-Hwy w8�E-�
Columbus, N;C 28722
Subject: Draft NPDES Permit NC0033553
Polk Central Elementary School WWTP
Class�?UW
Polk County
Dear Ms. Bradley:
The Division has reviewed your request to renew the subject permit on behalf of the Permittee. Please
review this draft carefully to ensure your thorough understanding of the information, conditions, and
requirements it contains.
The draft permit includes the following significant changes from the existing permit:
➢ Parameter codes have been added to section A. (1) to simplify data entry on DMR forms.
With this notification, the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Polk County area, per EPA requirements. Please provide
your comments, if any, to me no later than 30 days after receiving this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft, please contact
me at the telephone number or e-mail address listed at the bottom of this page.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: NPDES Unit
William J. Miller / Polk County Schools [P.O. Box 638, Columbus, NC 28722-0638]
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org
[e-mail]
An Equal Opportunity/Affirmative Action Employer - 50% Recycledl10% Post Consumer Paper

Permit NCO033553
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
Polk County Schools
are hereby authorized: to discharge wastewater from a facility located at the
Polk Central Elementary School WWTP
2141 South NC Highway 9, east of Mill Spring
Polk County
to receiving waters designated as South Branch Little Whiteoak Creek in subbasin. 03-08-02 of the Broad
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 July 31, 2018.
Signed this day
Thomas A. Reeder, Acting Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO033553
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 Polk County Schools are hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components:
♦ Grease trap /V19
♦�Aero-Flo Ae ob_1caDigestion-treatment�system c'lf-p h l�
♦ Sand filter
♦ Chlorine contact tank
Dechlorinator
The facility is located at the Polk Central Elementary School WWTP, east of Mill Spring
off NC Highway 9 in Polk County.
2. Discharge from said treatment works at the location specified on the attached map into
South Branch Little Whiteoak Creek, currently a-class-s-tream in subbasin 03-08-02 of
the Broad River Basin.

Permit NCO033553
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 w'
L'IMITSz .:.:
°, ° MONITORING REQUIREMENTS
,
_..
[PCS'Codej
Monthly °,
Daily
Measurement
`Sample Type'
- Sample Location
Average
Maximum
Frequency
Flow
0.01 MGD
Weekly
Instantaneous
Influent or Effluent
50050
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
00310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
00530
NH3 as
Monthly
Grab
Effluent
00610
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
31616
Total Residual Chlorine (TRC)l
7_�g(L
Weekly
Grab
Effluent
50060
Temperature (°C)
Weekly
Grab
Effluent
LpH
> 6.0 and < 9.0 standard units
— —
2/Month
Grab
Effluent
Notes:
1: The Permittee shall report all effluent TRC values reported by a NC certified laboratory [including field -certified].
However, TRC values < 50 µg/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

NCO033553 - Polk Central Elementary School
Latitude: 35°L7_200"" Longitude:82°07'52"
Stream_Class:-G Subbasin: 03-08-02
USGS Quad: Mill Spring, N.C.
Receiving Stream: South Branch Little Whiteoak Creek
Facility
Location
Polk County
./V�L Map not to scale

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
December 10, 2012
Polk Central Elementary School WWTP
P.O. Box 638
Columbus, NC 28722
Subject: Receipt of permit renewal application
NPDES Permit NC00033553
Polk County
Dear Deborah Bradley,
Dee Freeman
Secretary
5 C
D EC 12 2012 " !
WATER QUALITY SECTION
AS. i�VILLE REGIONAL OFFICE
The NPDES Unit received your permit renewal application on December 2, 2012. This permit renewal has
been assigned Charles Weaver ( 919-807-6391 ) who will contact you if any additional information is required
to complete your permit renewal. Due to current backlog, you should continue to operate under terms of your
current permit, until a new permit is issued. If you have any questions, please contact the assigned permit
writer.
Sincerely,
Lisa M. Palmer
Point Source Branch
Cc: Central Files
Ashville Regional Office
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] NorthCarolina
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

7
Clearwater Services
2253 E. NC 108 Hwy.
Columbus, N.C. 28722
Deborah Bradley
828-817-9516
November 30, 2012
Charles Weaver, Specialist
Division of Water Quality
Surface. Water Protection Section/NPDES
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Subject: NPDES Permit NC0033553 Renewal
Polk Central Elementary School
Mill Spring, N.C. 28756
Polk County
Dear Mr. Weaver:
Please find enclosed one original and two copies of NPDES Permit Renewal Application -Form D
for Polk Central Elementary School's Wastewater Treatment Facility. The permit expires on
July31, 2013.
If you have questions, please call me at 828-817-9516.
Sincerely,
keborah Bradley, ORC
Polk Central Elementary School
Enclosures

,_1zNPDES APPLICATION - FORN-_.,1`
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit XC0033553
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 Polk County Schools
Facility Name Polk Central Elementary School WWTP—_- - -
�_�
Mailing Address P.O. Box 638
City Columbus
State / Zip Code NC 28722
Telephone Number [phone]
Fax Number (828-)894-3154
e-mail Address
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 2141 South NC Highway 9
City Mill Spring
State / Zip Code NC 28756
County Polk
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 Clearwater Services
Mailing Address 2253 E. NC 108 Hwy
City Columbus
State / Zip Code NC 28722
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 11/12

JPDES APPLICATION - FORM'':: '
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply%
Industrial ❑ Number. of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
��o D
School x Number of Students/Staff 403/67 J
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served:
5. Type of collection system
x 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 x No
7. Name of receiving streams) (NEW applicants: Provide a map showing the exact location of each
outfallj.
8. Frequency of Discharge: ❑ Continuous x Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration: 6 to 8 hrs/daily
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.
2 of 3 Form-D 11/12

_�'--4PDES APPLICATION - FORM' .-""
' For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.010 MGD
Annual Average daily flow 0.0063 MGD (for the previous 3 years) (S 300 F pit )
Maximum daily flow 0.00882 MGD (for the previous 3 years) \\\
11. Is this facility located on Indian country?
❑ Yes x 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
thepast 36 months for parameters currentl in our ermit. Mark, other parameters 'NIA".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
16
8
MG/L
Fecal Coliform
88
37
100 mL
Total Suspended Solids
11
8
MG/L
Temperature (Summer)
26
25
°C
Temperature (Winter)
17
15
°C
pH
6.7
6.4
S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO033553
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Printed name of Person
Title
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 11112

Mae-
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
June 19, 2008
Deborah -Bradley
�CClearwa_te Service
21 Catherine Drives
Coolumbus, NC - 28722
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
Subject: Issuance of NPDES Permit NCO033553
Polk Central School WWTP
Polk County
Dear Ms. Bradley:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to
the requirements of North Carolina General Statute 143-215.1 and'the Memorandum of Agreement between
North Carolina and the U.S. Environmental Protection Agency dated October 15, 2007 (or as subsequently
amended).
This final permit includes one major changes from the draft permit sent to you on April
23, 2008:
➢ A new Total Residual Chlorine compliance level (50 µg/L) has taken effect for all NPDES permits. A
footnote noting the new compliance level has been added to the Effluent Limitations Sheet
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty (30)
days following receipt of this letter. This request must be in the form of a written petition, conforming to
Chapter 150B of the North Carolina General Statutes, and filed with the Office of Administrative Hearings
(6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such demand is made, this
decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or Local
governmental permit that may be required. If you have any questions concerning this permit, please
contact Charles Weaver at telephone number [phone], extension 511.
Sincerely, "
RI
Cole en H. Sullin J(1N 2 ] 2008 ' -1
cc: C ntralFiles
levalle_eonal:Office/Surface Water.Protection L
ATER QUALITY SECTION
NPDES Unit `�I�LE REGIONAL OFFICE
William J. Miller / Polk County Schools [P.O. Box 638, Columbus, NC 28722-0 3381 L
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 1 1
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarohna
Phone: [phone] /FAX [phone] / Internet: www.ncwaterquality.org Ammally
An Equal Opportunity/Affirmative ActionEmployer—.50% Recycled/10% Post Consumer Paper

Permit NCO033553
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
Polk County Schools
are hereby authorized to discharge wastewater from a facility located at the
Polk Central School WWTP
NC Highway 9 east of Mill Spring
Polk County
to receiving waters designated as South Branch-Uttle Whiteoak Creek in subbasin 03-08-02 of the Broad
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 August 1, 2008.
This permit and authorization to discharge shall expire at midnight on July 31, 2013.
Signed this day June 19, 2008.
1
J� oleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO033553
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 Polk County Schools are hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components: _
♦ aGrease tra
♦er--16Aer=-
stem treatment -sy-
♦ Sand filter
♦ Chlorine contact tank
♦ Dechlorinator
The facility is located at the Polk Central School WWTP, east of Mill Spring off NC
Highway 9. in Polk County.
2. Discharge from said treatment works at the location specified on the attached map into
South Branch Little Whiteoak Creek, currendTa-cl sa s C-stream;in subbasin 03-08-02 of
the Broad River Basin.

J,
I.
AlA
Q_ �, °' / ; / /
1907
. 9
C1322 4Th <
AIA
-..ME S Rag
rfy V_
s-aut
Cent P IJ `06
V
04
17'30"
vj
letic ` Fl
-Ath
PolkIp-
m.LSd� e
V Ir
t
90
`N�880
000 <
ge
A
3905
-7
_j
1
lqe
J
It
_/000
j
Bm
1028
1531 1526 Oa
o
r
00
A j
`D4
.4
BM
0
1519 06b
N
1342
-03 Sir'
16M V�
r
Quad: Mill Springy, N.C. NCO033553 Facility
Subbasin: 30802 Location
Latitude: 35'17'20"
Polk County Schools
Longitude: 82('07'52" Polk Central School WWTP
Stream_Class:_
SCALE 1:2000
Receiving Stream: South Branch Little \Vhiteoak Creek North 411 1
II

Permit NCO033553
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Duringthe period be ' . on the effective date of this permit and lasting -until expiration, the Petmittee is
P gnnning : p , g _
authorized to discharge from butfall 001;' Such discharges -shall be limited and monitored by the Permittee as
PARAMETER :,..
LIMITS
MONITORING REQUIREMENTS.
Monthly '
Average
Daily
Maximum ,
Measurement
Frequency';
Sample Type
Sample Location
Flow
0.01 MGD
Weekly
Instantaneous
Influent or Effluent
-601), 5-day (20°C)
'30.0 mg/L
45.0 mg/L .J
2/Month
Grab
Effluent
.Total Suspended Solids
00.0 mg/L
• 45.0 mg/L
2/Month
Grab
Effluent
NH3as N
Monthly'
Grab
Effluent
Fecal Collform `
(geometric mean _
200/100 ml .
400/100 nil - _
2/Month
Grab
Effluent
Total Residual Chlorine (TRC)1 '
(' 7 17Ng/1--]
Weekly
Grab
Effluent
Temperature (°C)
Weekly
Grab .
Effluent
pH
> 6.0 and.< 9.0 standard units.
., . 2/Month:
Grab
Effluent

Loo
W ATF9Q Michael F. Easley, Gov or
William G. Ross Jr., Secretary
�jj r North Carolina Department of Environment and Natural Resources
O � Coleen H. Sullins, Director
Division of Water Quality
November 5, 2007 NOV - 8 2007
DEBORAH BRADLEY WATE
R QUALITY SECTION
LASHEVILLE
REGIONAL OFFICE
ORC
CLEARWATER SERVICES -
2253 E NC 108 HWY
COLUMBUS NC 28722
Subject Receipt of permit renewal application
NPDES Permit NCO033553
Polk Central School WWI?
Polk County
Dear Ms Bradley: .
The NPDES Unit received your permit renewal application on. November 5, 2007; however, on initial
review, we note that a Sludge Management Plan was not included in the submitted paperwork. Please submit
to this unit a Sludge Management Plan or a statement indicating that a Sludge Management Plan is not
required. Upon receipt, a member of the NPDES Unit will further review your application and will contact
you if.additional information is requited 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 conceming renewal of the subject permit, please contact Susan
Wilson at [phone], extension 510..
Sincerely,
Dina Spti&le
NPDES Unit
cc: CENTRAL FILES
Asheville o Office/Surface Water Protection
NPDES Unit
Oa llnNQCaa0l�ar
North Carolina Division of Water Quality . 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet-. -,vww.ncwaterquality.ora _ Location: 512N. Salisbury St. Raleigh, NC 27604 Fax [phone]
An Equal Opporftmi lAnira a n Acffon Employer— 50% Recyded110% Post Consumer paper

Yh
yy
Clearwater Services ----
2253 E NC 108 Hwy
Columbus, N.C. 28722 I�11
October 17, 2007
NOV - 5 2007
DENR - WATER QUALITY -
POINT WkCE BRfiN,CN
Mrs. Frances Candelaria'.
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, N.C..27699-1617
Re: Polk Central School WWTP Renewal -
NPDES Permit NC0033553 r
Dear Mrs. Candelaria:
Please find enclosed one original and two copies of NPDES Permit.Applicatiion — Form D for the renewal
of the Discharge Permit for Polk Central School Wastewater Plant. The existing discharge permit expires
on July 31,'3008.
If you should have any question or require additional information, please contact meat (828)85975626.
Sincerely, .
borah Bradley, ORC ;
Tryon WWTP.

IDES APPLICATION - FORM 10 =
For privately owned treatment systems treating 100% domestic wastewaters <1.Q MGD
Mail the..complete application'to
N. C., Department of Environment and Natural Res
.Division of Water Quality. NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1
i
NPDES Permit C0033553 . -NOV 7 5 J r
?(1n7 -
in computer use the. TAB key or the up -down move from ne ¢
If you are completing this , form p �8 lZse�lAJp
field to the next., To check the boxes, click your mouse on top. of the box Otierurise, POirYT SOL CE SRAf�C�i�
1. Contact Information:
Owner Name Polk County Schools
Facility Name Polk Central School WWTP
Mailing Address P.O. Box 638
City Columbus
State / Zip Code NC 28722
Telephone Number [phone]
Fax Number' [phone] =
e-mail Address'
2. Location of facility producing discharge:
Check here if same address as above []
Street Address or State Road 2141 South NC #9 Hwy :.
City Mill Spring
State / Zip Code NC 28756
County Polk
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 ORQ
Name Clearwater Services
Mailing Address 2253 East NC # 108 Hwy.
City Columbus
State / Zip Code NC 28722
Telephone Number [phone]
Fax Number' [phone]
1 of 4 Fo►M-D 1/06

NPDES,APPLICATION - FORM 6 _
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that applyr
Y Industrial ❑ Number, of Employees
Commercial ❑ Number of Employees
Residential ❑ Number of Homes
School ® Number of Students/Staff 448/78
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
.restaurants, etc.):
Population served: 526
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points - 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes_ ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfal1-
South Branch Little Whiteoak Creek in the Broad River Basin
S. , Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration: 6 to 8 hrs daily
9. Describe the treatment system
List all installed components, including capacity, provide design removal for B.OD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
0.01 MGD Flow
igesti rea iaeat,Syste 71p S e�
Sand Filter 7a6 e4- Ctilor`�a�m r
Chlorine Chamber Zab/eft Gi�oc�`��6�
Dechlorination Chamber
�eHsh�aai� h o .
2 of 4 Form-D 1/06

NPDES APPLICATION" - FORM?�.
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD.
10..Flow Information: .
Treatment Plant Design flow 0.010 MGD_
" Annual Average daily flow 0.043 MGD (for the previous 3 years)
" Maximum daily flow, 0.063 MGD (for the previous 3 years)
11. Is'this facility located on Indian country?
❑ Yes No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shrill be grab samples, for all other
parameters 24-hour composite sampling shall be used. Effluent testing data must be based on at least three samples
and must be no more than four and one half years old.
Temperature (Winter)
15
13. List all permits, construction approvals and/or applications:
Type Permit{ Number Type Permit Wumber
Hazardous Waste (RCRA) NESHAPS (CAA) .
UIC (SDWA) . Ocean Dumping (MPRSA)
N.PDES , NCO033553 Dredge or fill,(Section 404 or CWA)
PSD (CAA) Special Order of Consent (SOC)
Non.attainment program (CAA) Other
14. APPLICANT CERTIFICATION ,
I certify that I am familiar with the information' contained is the application and that to the
best of my knowledge and belief suck, information is true, complete','and-accurate.
h�l a l ORC
Printed name of Person igning Title .
3 of 4 Form-D 1/06

L 1-
Clearwater Services
21 Catherine Drive
Columbus, N.. C. 28722
November 7, 2006
Roger C. Edwards, Regional Supervisor
Surface Water Protection
Asheville Regional Office
2090 U.S. Highway 70
Swannanoa; N.C. - 28778 -
Re: Polk Central School
NPDES Permit NCO033553
Dear Mr. Edwards:
Please find below for the Polk Central School Monthly DMR Permit No. NCO033553 a
signatory list for the Permittee:
Dean Pace, Maintenance Supervisor
If you have questions please call me at 828-859-5626.
Sincerely,
kebo Bradley, ORC
Polk Central School
- 'NOV - 9 2006
i' WATER QUALITY' SECTION
ASHEVILLE REGIONAL OFFICE

Water Pollution Control System Designation Form
WPCSOCC
NCAC 15A: 08G .0201
General Information: ))
Permittee Owner/Officer Name:
Mailing Address: P. �OX Cr 3 S
City: Co Ild-WAt'o State: A-)L Zip: JS) Za z -
Telephone Number: 5
Signature: a �- A? o Date:
■ a a ■ ■ ■ ■ 9 a a ■ ■ ■ a ■ ■ ■ ■ a ■ ■ ■ a ■ ■ ■ ■ ■ a ■ ■ a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ a a ■ a a ■ a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ 0 a a ■ a ■ ■ ■ ■ ■ ■ a ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ a ■ ■
Facility Information:
Facility: PO I k- l . rU►�t c S�� �"o L
Permit Number: J1�G Od.-�3 3 County:
! SUBMIT A SEPARATE FORM FOR EACH TYPE OF SYSTEM!
Mark (X) Type of Facility Class (1 — 4)
Wastewater Plant X .L
Physical/Chemical
Collection System
Class
Spray Irrigation N/A
Land Application N/A
Subsurface N/A
MEN MEN ME a am noun ME a ANNE MEN am ME on ass a USES a ass NON a an a. NON ONE non■ MR ME MR ONES non MEN MEN a am ME a ME a a l
Operator in Responsible Charge:
Print Name -
Certificate Type and Grade:
Social Security # : t435Aq— 6/cy9
Work Telephone: (�a�) g�%`5444 Signature
Certificate #: J661.S7o
0■■■00■9■0000■■■■3■■■■00■0■■■0■00aa0a00a0aa0k-■a0aaa0AaaaAaa■
(Date)
a a a a a a a a a a a a a a a a a a a a a a a a a aai
Back -Up Operator in Responsible Charge:
Print Name: J aY ( 72ct/-c/-c _ Social Security # :
Certificate Type and Grade: 4 W Certificate #:
Work Telephone: (SCSI) gSof- S�"� C Signature: L {vt2' J
(Date)
Mail or Fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
October 12, 2004 H
E C Q E
Mr. Cecil Dean Pace 0
OCT 1 5 2004
Polk Central School
Post Office Box 638
Columbus North Carolina 28722 WATER QUALITY SECTION
, � ARHFvu t G ocn1l,1 1.I ..__._
SUBJECT: Polk Central School
WWTP upgrades
Transmittal of Approved Plans and Specifications
Project Number: 033553AOI
Dear Mr. Pace:
Enclosed is a copy of the plans and specifications which were approved on October 6, 2004. The
subject documents have been stamped "approved" for your records. A copy is also being forwarded to
your engineer and to the Ashville Regional Office. These documents should be retained by the owner
for the life of the facility.
Should you have questions regarding this matter, call me at [phone].
Sincerely,
Cecil G. Madden, Jr., P.E.
Supervisor
Design Management Unit
CGM:ID
cc: NC State Dept. of Public Instruction (Dallas Brickhouse, Jr., P.E.)
Daniel Blaisdell, P.E.
11she1,�u�is �Re"�R�egonal,�Office,dS:u�face at_- , ,
Cecil G. Madden, Jr. P.E.
Ishwar C. Devkota, P.E.
A to C Files
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
Nne
orthCarolina
Natmally
An Eaual Opportunity/Affirmative Action Emplover — 50% Recvcled/1 Q% Post Consumer Paper

�OF W A
o -c
Mr. C. Dean Pace, Maintenance Director
Polk County Schools
Post Office Box 638
Columbus, North Carolina 28722
Dear Mr. Pace:
r-
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
October 6, 2004
Alan W. Klimek, P.E. Director
Division of Water Quality
p ECEC VE
OCT 1 2 2004 DD
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE
SUBJECT: Authorization to Construct
A to C No. 033553AOI
Polk County Schools
Polk County Central School WWTP
Polk County
A letter of request for Authorization to Construct was received on August 3, 2004, by the
Division, and final plans and specifications for the subject project have been reviewed and found
to be satisfactory. Authorization is hereby granted for the construction of modifications to the
existing 0.010 MGD Polk County Central School Wastewater Treatment Plant, with discharge of
treated wastewater into the South Branch of Little White Oak Creek in the Broad River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of a new 3000 gallon grease trap with effluent filter/; cleaning and
rebuilding dosing siphons; new piping for low pressure distribution on sand
filters; replacing 3 to 6 inches of sand with new state certified sand and covering
it with 4 inches of pea -sized washed gravel/stone in the sand filters; new 1,600
gallon chlorine contact tank; and new dechlorinator, pursuant to the application
received on August 3, 2004, and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO033553 issued September 29, 2003, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0033553.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the North Carolina Division of Water Quality.
Noe Carolina
)Vaturallb(
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Mr. C. Dean Pace, Maintenance Director
October 6, 2004
Page 2
- In "the_'event th'at`the 'facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Ashevilte''Regional Office, telephone number [phone], shall be notified at
least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to Cecil G. Madden, Jr., P.E.,
Construction Grants & Loans, DWQ / DENR, 1633 Mail Service Center, Raleigh, NC 27699-
1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the, wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and, when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division of Water Quality in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.

Mr. C. Dean Pace, Maintenance Director
October 6, 2004
Page 3
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Cecil G. Madden, Jr., P.E. at
telephone number [phone].
Sincerely,
Alan W. Klime , P.E.
ID: cgm
cc: Dallas Brickhouse Jr. - NC Dept. of Education, Plant Operation Section
Buncombe County Health Department
sh ev .1reE e ,1V M10 ', � rf ee-Vat7ction
Technical Assistance and Certification Unit
Daniel Blaisdell, P.E.
Point Source Branch, NPDES Program
Cecil G. Madden, Jr., P.E.
Ishwar Devkota, P.E.
A to C File

Polk County Schools
A to C No. 033553A0I
Issued October 6, 2004
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Polk County Central School
WWTP, located on NC Highway 9, in Polk County, hereby state that, to the best of my abilities,
due care and diligence was used in the observation of the following construction:
Installation of a new 3000 gallon. grease trap with effluent filters; cleaning and
rebuilding dosing siphons; new piping for low pressure distribution on sand
filters; replacing 3 to 6 inches of sand with new state certified sand and covering
it with 4 inches of pea -sized washed gravel/stone in the sand filters; new 1,600
gallon chlorine contact tank; and new dechlorinator, pursuant to the application
received on August 3, 2004, and in conformity with the project plan,
specifications, and other supporting data subsequently filed and approved by the
Department of Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633

H
DESIGN SPECIFICATIONS
POLK CENTRAL SCHOOL WASTEWATER TREATMENT PLANT
INTERMITTENT SAND FILTER (ISF) WITH LPD
POLK COUNTY
GENERAL DESIGN:
Design Population:
Design Flow Rate:
Design Flow:
Actual Flow:
Permitted Flow:
PRELIMINARY TREATMENT (EXISTING)
A. Septic Tank
B. Dosing Tank
C. Sand Filter (40' X 80' )
D. Tablet chlorine disinfection
NOTE: Dosing is by duplex siphon
PROPOSED UPGRADE:
REBUILDING EXISTING SYSTEM
I ��16 ,. la_.,
41-1
CX11©-A
DISTRIBUTION (APR/LC. '03)
fi
f' 3 2004
f -
—500 Students LOAKMECTION
12 GPC/d
6,000 GPD
3,500-5,000.GPD
7,000 GPD
—11,000 gallons
�3,000 gallons
3,200 sq. ft.
3,000 gal/dose
A. Remove existing D. Boxes (2) and 3-6" of existing certified sand and dispose.
B. Remove existing distribution system and install an LPD system per plans.
r C. Install a 1,500 gallon tank with a 5,000 GPD effluent filter per plans. b4t-« das;�9�^Kw Sf'�Fr'
D. Remove existing effluent inspection port and replace with a 1,500 gallon
chlorination/dechlorination system
E. Install a new 3,000 gallon grease trap with effluent filter adjacent to cafeteria
exterior walllset influent invert at depth of existing waste line.
F. Replace state certified sand to original elevation and finish with 4" of smooth
pea stone. (NOTE: Do not cover ball valves on laterals.)
G. State Certified Sand Specifications:
Effecti\ize (E )
U 'Ymity Coefficient( C )
`o content
co M
0.35-0.50 mm
<3
<0.5 %
Fp f C�E� VE
OCT 1 5 2004- 01
WATER QUALITY SECTION
ASHEVILLE REGIONAL OFFICE

•
TECHNICAL SPECIFICATIONS
WASTEWATER TREATMENT IMPROVEMENTS
FILTER TANK, GREASE TRAP, CHLORINATION AND
DECHLORINATION SYSTEM INSTALLATION AND SAND
FILTER MODIFICATIONS
POLK CENTRAL SCHOOL
POLK COUNTY BOARD OF EDUCATION
SCOPE OF WORK: Work consists of installing a new 1500
gallon effluent filter tank with effluent filter, 3000
gallon grease trap with an effluent filter, a
chlorination/dechlorination system, and upgrade of the
existing sand filter per plans and specifications provided.
The work shall include excavating and/or providing and
installing the following:
1. Remove the existing effluent port and install a new
-1,500 gallon chlorination/dechlorination system per
plans in the same location with the influent invert set
at the existing effluent line elevation.
2. Install a new 1500 gallon tank to house a 5,000 GPD
Effluent Filter between the septic tank and dosing
chamber. Filter opening shall be covered with a 6"
riser to house a 30' x 42' locking aluminum access
cover and other end uses a standard concrete cover per
plans and specifications. Connections to the septic
and dosing tanks shall be accomplished by core drilling
each with diameter holes to accommodate 4" PVC.
3. Install a new 3000 gallon grease trap to include a
3,000 GPD Effluent Filter and 24" x 24" locking
aluminum access cover and standard cast iron ring with
cover (24") in risers to 6" above grade. Influent and
effluent line will have -to be adapted to the existing
waste line and tank installed at appropriate depth per
plans and specifications (H-20 Bridge Loading).
4. Rebuild the existing sand filter (-40' x 80')-to
include the following per plans and specifications:
a. Remove the existing masonry distribution
boxes (2), distribution system, and dosing
tank piping. Dispose of materials.
b. Remove -6 inches of surface sand to remove
any sludge contaminated media and dispose.

C. Replace the Q inches of sand with new State
Certified Sand and install level (-+1/2").
d. Replace the existing DIP pipe from the dosing
chamber to sand filter with PVC pipe and
fittings per plans and specifications.
e. Install 4" PVC manifold with 11-�" PVC
predrilled laterals sleeved in 4" perforated,
corrugated PE drain pipe. Each predrilled
lateral will begin and terminate with a 1 1,�"
PVC Ball Valve per plans and specifications
and installed level (+-1/2").
f. Remove, clean, and repair both dosing bells
and return to'service as alternating siphons.
5.. Finish sand filter surface with--4" of washed smooth
pea stone to cover the sleeved portion of the PVC
laterals. The Ball Valves shall be,open for use and
not covered with stone. All holes in the low-pressure
distribution (LPD) shall be pre -drilled per plans and
specifications.
6. All disturbed areas of trenching, excavation, and/or
other, shall be graded uniformly, fertilized, and
seeded in accordance with county extension service's
specification by the contractor.
7. All tank "leak testing" by the contractor shall be
observed and approved by the owner/engineer.
Notification should,be within 72 hours but shall be no
later than 48 hours. Leak testing shall be performed
with the tanks .(three total) filled to a minimum of 6
inches into the riser(s) with potable water. The
tanks shall be conditioned for 12-24 hours with the
water prior to measuring leakage. The water elevation
should drop no more than 3z" in a 24 hour period.

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REINFORCEMENT: 6" x 6" x 10/10 WWM In Wails
Baffle, Top And Floor, Lap 6"
All Joints
CONCRETE: 4000 PSI @ 28 DAYS
Sta 11 -1 Q/C�%7t Pho P.O. Box 58659
Raleigh, NC 27658
ne [phone]
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CONCRETE: 4000 PSI © 28 DAYS
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1600 Gallon Pump Tank
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6"
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t.muent Filter- •
lie OSI Effluent Filter dramatically
iproves the quality of effluent dis-
larged from a septic tank by pre-
3nting'large solids from leaving the
nk. The filter is easy to install and
aintain. Hosing off the screen is
!cessary only as often as the tank
!eds pumping.
Simple Concept
luent from the relatively clear
3e of the septic tank, between the
im and the sludge layers, enters
Effluent Filter through its influent
es. Effluent then enters the
3ular-space between the housing
I the screen, utilizing the entire V
een surface for filtering.
ticles larger than 1/8•' are
31ned in the annular space,
are continued decomposition of
3nic material occurs.
e it has been filtered through
screen, effluent flows through
the modulating orifices at the outlet
of the filter.
If inflow becomes temporarily
excessive, the fluid level in the tank
will rise as the modulating orifices
slow the flow through the tank,
agowing maximum settling of solids.
Transport lines as small as 1" may
be used. With minimal solids in the
effluent, cleanouts or pigging ports
are unnecessary.
Features and Benefits
• Improves effluent quality.
Average Total Suspended Solids
(TSS) is less than 30 PPM, nearly
2-1/2 times lower than a non -
screened system!
• Superior patented design.
Extends drainfield life. Reliable,
corrosion -proof constructioh.
• Easy i lotion.
Instal m inutes in new or
exi In2 tan
• Simple, hassle -free
maintenance.
Cleaning is necessary only as
often as the tank needs pumping.
• Allows for smaller diameter
drainfield pipe.
Lowers drainfield material costs.
• Ideal for variable -grade sewers.
Allows reduction of the transport
line size and associated costs.
• Available alarm.
Indicates when maintenance
is needed.
• Custom sizes.
Call for.availabiliry.
'000, �_
0
OR
Orenco systernsa
Incorporated
814 AIRWAY AVENUE
SUTHERLIN,OREGON
97479-9olz
TELEPHONE.
(5031459.4449
FACSIMILE
(5031 459.18E
192.Urenca S. ste.s. I.0
Covered by U 5 McMad
of Use P:tent No 4-:39313

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For individual septic tanks to protect drainfields from solids carryover. Allows reduction of transport lines to
1-1/4" diameter and eliminates the need for distribution piping within the drainfield, where allowed. For sep-
tic tanks preceding dosing tanks with pumps or siphons, as in sand filter and mound systems. For septic
tanks in variable -grade sewer collection systems. For large septic tanks serving small communities, RV
parks, schools, etc. Constructed of fiberglass, PVC and 1/8' mesh polyethylene screen.
Note: When using a pump, use a Screened Pump Vault instead (see page 5)
All Effluent Filter outlets fit pipe O.D. of 4Y. Adapters available upon requev�
New Fr Series Biotube® Filters
U.S. Patent Nos. 4439323 and 5430561
Model
Filter Area (ft')
Dimensions
Unit Price
FF0444-36
5.3
4" dia. x 441" high, 36" cartridge
S60.00
The model FT �4-36 effluent finer is pac.Faged 4 units to t;,e cssa.
Discounts are only allowed on
purchases of Casa quantities as ,`,-,'Iv::s:
2-4 cases
(IO'�,a discount)
5-7 cases
(LG°'o discount)
c54.00
6-2�� cases
(25 o discount)
S-'.�.00
S'5.00
25- cases
`c discount)
,
2.00
Madel
filter Area (ft.)
Dimensions
Price
FT0S4" -� 36
16.8
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C'ia. x 4-4' hICh, ccc 7 -ic
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16.8
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You're aiways 9101 -with
1Y 11" N ERED_
i c, iAccess Doors -
When you step up to a Bilco Pit Access Door and open it, you
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OF W ATFR
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
MEMORANDUM
August 10, 2004
Alan W. Klimek, P.E. Director
Division of Water Quality
TO: Forrest Westall, Regional Water Quality Supervisor ® �p
Asheville Regional Office, Division of Water Quality U
al'
FROM: Mark Hubbard E.I. Project Review Engineer AUG 12 2004
Design Management Unit
WATER QUALITY SECTION
SUBJECT: Request for an Authorization to Construct ASHEVILLE REGIONAL OFFICE
Polk County Central School WWTP Improvements
NPDES No. NCO033553
Plans, specifications and supporting documents have been received for the subject project. It is
requested that comments and recommendations, including the items listed below, be received by
September 10, 2004 from the Regional Office Staff:
Procedure No. 4 Comments
Schedule for Issuance of the NPDES Permit
X SOC, or Other Schedules Which Must be Met
Status of Stormwater Permit
X Confirm if the Proposed Method and Sequence for Construction of
Additions/New Facilities is Acceptable.
Groundwater Comments
X Standby Power Needs
Compliance With N. C. Well Construction Standards
CAMA
X Recommendations for inclusion in the Authorization to Construct
For your reference, review and comments on the above items, plan documents are submitted as follows:
X Plans and Specifications
Subsurface/Soils Report
Power Outage Information
Other
If you have any questions, please contact Ishwar Devkota at [phone].
Attachment
cc: ATC Files
Mark Hubbard
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633 One
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net NNaturally
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An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

To: Mark Hubbard, E.I. Project Review Engineer
Division of Water Quality
Construction Grants and Loan Section
Design Management Unit
Attention: Ishwar Devkota
From: Wanda Frazier, Asheville Regional Office
Subject: NPDES STAFF REPORT AND RECOMMENDATION
For Authorization To Construct
Date: August 31, 2004
County: Polk
NPDES permit number: NCO033553
PART I - GENERAL INFORMATION
1. Facility:
Polk County Board of Education
Polk Central School
Address:
Susan S. McHugh, Superintendent
PO Box 638
Columbus, NC 28722
2. Contact:
Dean Pace, Maintenance Supervisor
Telephone:
828-817-0801 cell . ,
3.
0
5.
6.
7.
8.
Directions to Site: From the intersection of NC Hwys 9 & 108, travel SE on
NC Hwy 9 approx. 3 miles to the facility on the left.
Discharge Point(s): Existing discharge point
Latitude: 350 17' 20" Longitude: 820 07' 52"
(Attached is a USGS map extract, indicating the treatment
facility site and discharge point on map.)
USGS Quad No.: F10SW USGS Quad Name: Mill Spring
Site size and expansion area consistent with application?
x Yes No If No, explain:
Topography (relationship to flood plain included):
Slightly sloping to flat, outside of the flood plain
Location of nearest dwelling: >100 feet
Receiving stream or affected surface waters:
Existing outfall (after relocation): South Branch Little Whiteoak Creek
Page 1

a. Classification: Class C
b. River Basin and Subbasin No.: Broad River 03-08-02
C. Describe receiving stream features and pertinent downstream uses:
Provides habitat for the propagation & maintenance of wildlife; provides
water supply for agricultural purposes.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
a. Volume of wastewater permitted: 0.010 MGD (Ultimate Design Capacity)
b. - Current permitted capacity of Wastewater Treatment facility: 0.010 MGD
C. Actual treatment capacity of the current facility (current design capacity:
0.010 MGD
d. Date(s) and construction activities allowed by previous A to C issued in
the previous two years: n/a
e. Description of existing wastewater treatment facilities:
10,000 gallon septic tank; 3,000 gallon tank with dosing bell siphons;
3,000 sq. ft. surface sand filter and tablet chlorination
Description of proposed wastewater treatment facilities:
Installation of a new 3,000 gallon grease trap with'effluent filter (adjacent
to cafeteria);
Existing 10,000 septic tank;
Existing 3,000 gallon dosing tank with cleaned and rebuilt dosing bell
siphons for new low pressure pipe distribution system;
Installation of new laterals for low pressure pipe distribution of
wastewater flow across the sand filter beds;
Removal of —3-6 inches of existing sand and replace with new state
certified sand and finish with 4 inches of pea -sized, washed
gravel/stone in the sand filter beds;
Existing tablet chlorinator;
Installation of a new 1,600 gallon chlorine contact tank with new effluent
filter;
Installation of a new dechlorinator
g. Possible toxic impacts to surface waters: not known
h. Pretreatment Program (POTWs only): n/a
Page 2

2. Residuals handling and utilization/disposal scheme: Contract septage hauler
Are residuals land applied? no
3. Treatment plant classification: Class I (by definition)
4. SIC Codes(s): 8211
Primary:03 Secondary:
Main Treatment Unit Code: 442-7
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grant Funds or are any public
monies involved. (municipals only)? n/a
2. Special monitoring or limitations (including toxicity) requests: none
3. Important SOC, JOC, or Compliance schedules or dates which must be met:
none
4. Alternative Analysis Evaluation:
Has the facility evaluated all of the non -discharge options available? yes
Spray Irrigation: land is not available
Connection to Regional Sewer System: sewer is not available
Subsurface: land is not available
Other disposal options: n/a
5. Other Special Items: n/a
6. Stand-by power needed: no
PART IV - EVALUATION AND RECOMMENDATIONS
The Asheville Regional Office recommends issuance of the authorization to construct
for the proposed upgrade and confirms that the proposed method and sequence for r
construction of additions are acceptable. There are no.recommendations for inclusion
in the A to C by the ARO.
Signature of Report Preparer
Water Quality Regional Supervisor
21
Date
Page 3

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION
for DE CHL ORINA TION FACILITIES A UTHORIZATION TO
CONSTRUCT
THIS FORM MAY BE PHOTOCOPIED FOR USE ASA N ORIGINAL
INSTRUCTIONS: Indicate that you have included the following list of required application package items by
signing your initials in the space provided next to each item. Failure to submit all required items will lead to return
of the permit application.
X A. Application Form - Submit one original and one copy of the completed and appropriately
executed application form. Any changes to this form will result in the application being returned.
The Division of Water Quality (the Division) will only accept application packages that have been
fully completed with all applicable items addressed. You DO NOT need to submit detailed plans
and specifications at this time. Plans and specifications shall be maintained on -site.
X B. Certification Form - Submit the completed engineers certification form signed and sealed by a
professional engineer registered in the state of North Carolina.
N/A C. Designated Representative - If the application is being filed by a party other than the owner, a
letter from the owner designating the applicant as his/her authorized representative must be
included.
X D. Read, understood, and followed the Dechlorination System Minimum Design Criteria
(adopted 4/18/03 and as.subsequently amended).
THE COMPLETED APPLICATION PACKAGE SHOULD BE SENT TO THE FOLLOWING
ADDRESS:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
NPDES PERMITTING UNIT
By U.S. Postal Service: By Courier/Special Deliverv:
1617 Mail Service Center 512 N. Salisbury St., Suite 925
Raleigh, North Carolina 27699-1617 Raleigh, North Carolina 27604
Telephone Number: [phone]
Facsimile Number: [phone]
For more information, visit our web site at http.11712o.eur.state.nc.usINPDESI
FORM: DCL 4/2003

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
FAST -TRACK APPLICATION FORM
for DE CHL ORINA TION FACILITIES A UTHORIZATION TO
CONSTRUCT
THIS FORM MAYBE PHOTOCOPIED FOR USE AS AN ORIGINAL
1. Facility Name:
Polk County Central School WWTP
2. Facility Permit Number:
NPDES No. NC003353-
3. Facility Address:
2141 South NC9
Mill Spring, NC 28756
4. Contact Person:
Mr. C. Dean Pa
5. Contact Telephone: [phone]/FAX [phone]
6. Project Description:
Install Chlorination/Dechlorination System at the existing wastewater treatment plant, install effluent filter,
replace Grease Trap, and rebuild the Sand Filter
FORM: DCLb 4/2003

Certification
Fast -Track Authorization to Construct for Dechlorination Facilities
Professional Engineer's Certification:
I, G. Dallas Brickhouse, Jr., PE , attest that this application for Polk County
Central School NPDES No. NC0033�3--3 3.55�3
has been reviewed by me and is accurate, complete and consistent with the
information in the engineering plans, calculations, and all other supporting documentation. I further attest that the
proposed design has been prepared in accordance with all applicable regulations and Minimum Design Criteria for
Dechlorination Facilities, adopted April 18, 2003. Although certain portions of this submittal package may have
been prepared by other professionals, inclusion of these materials under my signature and seal signifies that I have
reviewed this material and have judged it to be consistent with the proposed design.
NOTE: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes
any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation. Furthermore,
failure to design the above referenced facilities in accordance with Minimum Design Criteria for Dechlorination
Facilities and good engineering practice could subject you to disciplinary action by the North Carolina Board for
Professional Engineers and Land Surveyors.
North Carolina Professional Engineer's seal, signature, and date:
Applicant's Certification:
I, C. Dean Pace , attest that this application for Polk County Central School
WWTP NPDES No. NC0633_5 3,35_53 -
has been reviewed by me and is accurate and complete to the best of my knowledge. By
signing this certification I, certify that facilities have been designed in accordance with the Division's Dechlorination
System Minimum Design Criteria, and commit to insure construction proceeds in accordance with said criteria.
NOTE: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any, person who knowingly makes
any false statement, representation, or certification in any application shall be guilty of a Class 2 misdemeanor
which may include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature: Date:
FORM: DCLC 4/2003

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"State of North Caroline,
`;Department of Environment;
#health and Natural Resources
'Division of; Environmental Management
,-James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
September 15, 1995
Mr. Arthur E. Covil
Polk County Board of Education
P.O. Box 638
Columbus, North Carolina 28722
i
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Subject: Permit No. NCO033553
Authorization to Construct
Polk Central School WWTP
Polk County
Dear Mr. Covil:
A letter of request for an Authorization to Construct was received April 18, 1995 (with additional
information received July 14, 1995) by the Division and final,plans and specifications for the subject
r project have been reviewed and found to be satisfactory. Authorization is hereby granted for the relocation
-' outfall line to South Branch Little Whiteoak Creek. All additions and improvements shall be as indicated
in the approved plans and specifications including all- the associated valves, piping, and appurtenances
with discharge of treated wastewater to South Branch Little Whiteoak Creek in the Broad River Basin.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of NPDES
Permit No. NCO033553 issued January 14, 1994, and shall be subject to revocation unless the wastewater
treatment facilities are constructed in accordance with the conditions and limitations specified in Permit No.
NC0033553.
The sludge generated from these treatment facilities must be disposed of in accordance with G.S.
143-215.1 and in a manner approved by -the North Carolina Division of Environmental Management.
In the event that. the, facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee.shall take immediate corrective action, including those as may be required by this
Division, such as the construction of additional or replacement wastewater treatment or disposal facilities.
The Asheville Regional Office, telephone number (704) 251 - 6208, shall be notified at least fort -
ours- - a vance of operaticn of the installed facilities so that an in -place inspection can be
mace. ,)ucn nouncation to trie regional supervisor shall be made
a.m. until 5:00 p.m. on Monday through Friday, excluding State
Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer certifying that the permitted facility has been installed in
accordance with the NPDES Permit, this Authorization to Construct and the approved plans and
_specifications. Mail the Certification to the Permits and Engineering Unit, P.O. Box 29535, Raleigh, NC
27626-0535.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
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Permit No. NC003355'''
Authorization to Constri,.:
Polk.Central School WWTP �-
Page 2
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the
life of the facility.
Failure to abide by the requirements contained in this Authorization to Construct may subject the
Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C.
Th:, issuance of this Authorization to Construct does not preclude the Permittee from complying
with any and all statutes, rules, regulations, or ordinances which may be imposed by other government
agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have any
questions or need additional information, please contact Susan A. Wilson, telephone number 919/733-
5083.
Sincerely,
Presto Ho ard, Jr., P.E.
cc; Asheville _Region=0ffice;_Wa_ter Q`uality_�y
Central Files
Polk County Health Department
OF-�-,rator Training and Certification Unit
Gary Tweed, William G. Lapsley & Associates

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