NC0040908_Permit (Issuance)_20040607

' NPDES DOCUNENT SCANNING COVER SHEET
NPDES Permit: NC0040908
eTabernacle Elementary School
Document Type: Permit Issuance
Wasteload Allocation
1 Authorization to Construct (AtC)
Permit Modification
Speculative Limits
' Complete File - Historical
H Instream Assessment (67B)
■
Environmental Assessment (EA)
Permit
gHistory
■ Document Date: June 7, 2004
This document is pri:tted oa reuse paper-ignore €Lay
coateat o:a the resrerse side

OF W ATFR Michael F. Easley
QG � 'n Governor
Co
r NCDENR William G. Ross,Jr., Secretary
y North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
June 7, 2004
Nit. Larry Chilton
Randolph County Board of Education
2222-C South hagetteville Street
Asheboro, North Carolina 27205
Subject:Issuance of NPDES Permit NCO040908
Tabernacle Elementary School W\%I TP
Randolph County
Dear b1r. Chilton:
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_Nlemoranduna of Agreement between North
Carolina and the U.S. Environmental protection Agency dated i lay 9, 1994 (or as subsequently amended).
This final permit includes one major changes from the draft permit sent to you on April 14, 2004:
The proposed 'total Residual Chlorine (1 RC) limit and monitoring for TRC have been deleted. This
monitoring is unnecessary,given the presence of UV disinfection at your facility.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, VOL] have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of
this letter. 'Chis request must be in the form of a written perition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative I learings (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. 'Che 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 tManagement 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 (919)
7335083, extension 511.
Sincerely,
ORIGINAL SIGNED BY
SUSAN A. WILSON
Alan W. Klimek, P.E.
cc: Central Files
Winston-Salem Regional Office/Witer Qualm,Section
NPDES Uni[ )
N.C.Division of Water Quality/NPDES Unit Phone:[phone]
1617 Mail Service Center,Raleigh,NC 27699-1617 lax:[phone]
IntemeC h2o.enr.state.nc.us DENR Customer Service Center: 1 800 623-7748

Permit NCO040908
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
Randolph County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Tabernacle Elementary School WV%7TP
4901 Tabernacle School Road, near Asheboro
Randolph County
to receiving waters designated as Caraway Creek in the Yadkin-Pee Dee River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts 1, II, III and IV hereof.
This permit shall become effective July 1, 2004.
This permit and authorization to discharge shall expire at midnight on January 31, 2009.
Signed this day June 7, 2004.
ORIGINAL SIGNED BY
SUSAN A. WILSON
Alan W. Klimek, P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0040908
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDE S Permits issued to this facility, whether for operation or discharge arc 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 Randolph County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components:
♦ 12,000-gallon septic tank
♦ 10,000-gallon distribution tank
♦ Recirculating sand filter
♦ Ultraviolet disinfection
This facility is located near Asheboro on Tabernacle School Road at the
Tabernacle Elementary School WWTP in Randolph County.
2. Discharge from said treatment works at the location specified on the attached
map into Caraway Creek, currently classified C waters in the Yadkin-Pee Dee
River Basin.

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Permit NCO040908
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on July 1, 2004 and lasting until expiration, the Permit-Lee is authorized to
discharge from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
PARAMETER LIMITS MONITORING REQUIREMENTS
Monthly. Daily Measurement ' Sample Type Sample Location
Average Maximum Frequency
Flow 0.01 MGD Weekly Instantaneous Influent or Effluent
BOD,5-day(202C) 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent
Total Suspended Solids 30.0 mg/L 45.0 mg/L 2/Month Grab Effluent
NH3 as N Monthly Grab Effluent
Dissolved Oxygen l Weekly Grab Effluent
Fecal Coliform 200/ 100 ml 400/ 100 ml 2/Month Grab Effluent
(geometric mean
Temperature IT) Weekly Grab Effluent
pH >6 and<9 standard units 2/Month Grab Effluent
Footnotes:
1. 'rhe daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

im:tp:[e-mail]:143/f...
Subject: Affidavits for Furniture Illustrators & Tabernacle 131em.
From: Dave Goodrich <[e-mail]>
Date: Wed, 02 Jun 2004 16:31:31 -0400
To: Charles Weaver <[e-mail]>
Charles -
Shinette Crump from the Legal Advertisement Department of the Courier Tribune confirmed that the
public notice ran for the following two permits:
• NCO084786 Furniture lllustrators
NC00!10908 Tabernacle F_lcnientan-Sehool )
It ran on April 16, 2004, so it's ok to move forward with issuance. (Apparently, the affidavit and invoice
were sent to the wrong address.)
Thanks,
Dare
I of 1 6/,/2004 7:19 AM

imap://charles.weaver%,tOdwy.cicnr.ncmail.net a ctns.ncmaiLnet 14 3/fe...
Subject: Public Notices - Affidavits
From: Dave Goodrich <dave.goodrich @ncrnai1.net>
blav 2004 12:07:58 -0400 Date: Sat, 29
To: "DFNR.NPDPS.DWQ" <D73NR.NPDFS.I)WQ cot ncmail.net>, Bob Sledge
<Bob.Sledge cr ncmail.net>
Folks -
Pveryone who sent a permit or SOC out to public notice on or before h[ay 13th (i.e., this e-mail does not
pertain to last Wednesday's notice) should have a copy of an affidavit in their file or mailbox with the
following exceptions:
• From 4/14 administrative cutoff:
o tNfiddlesex WTP (AIcintire)
o Furniture Illustrators `Veaver
c Tabernacle EletnentaEy Scliooi.(\X{eat,er)__ f
• From 4/28 administrative cutoff:
a NCDOT - 1-77 Rest Area (Yadkin County) (Weaver)
• From 5/13 administrative cutoff:
o Cone Textile Group (Rodriguez)
I have phone calls in to all of the papers associated with these five permits. All other SOCs and permits
were noticed in the appropriate newspapers, so please proceed to issuance for anything noticed
before May l3th. If you don't have a copy of an affidavit, please let me know.
Thanks,
Dave
t of 1 6/2/2004 2:45 PNi

TRC Limit-Calculation
NCO040908
Total Residual-Chlorine
�7Q i0=(CFS} 0e
_ ESF.GU-FLOV.V(iV[GD -
E)ESIGN-FLO-\A[-.(CES?
STAE ;MI-STD-`UG/t -
UPS BACKGROIJ-ND-LEVEL.(pq/L)-- L _0 —�
_I►liowable_Concentration.spg/L) i_. -6T5. 6-- -j
TRG=standard_requires limits of
r
4/7/2004

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number
Facility Name
Reviewer
Basin/Sub-basin a o
27
Receiving Stream Cq,4,,
Is the stream impaired (listed on 303(d))? /VO
Is stream monitoring required? No
Do they need NH3 limit(s)?
0
Do they need TRC limit(s)? l
Do they have whole-effluent toxicity testing? No
Are there special conditions?
Any obvious compliance concerns? /VO
Existing Expiration Date i�o¢
Proposed Expiration Date
Miscellaneous Comments:
d772C ,'f -to.
Circle one: EXPEDIT DO NOT EXPEDITE
If expedited, is this a simpler permit or a more difficult one?

�urwoutiCOURN RANDOLPH COUNTY BOARD OF EDUCATION
. saaoLs 2222-C South Fayetteville Street
Asheboro, North Carolina 27203
IO Telephone: [phone] DR. ROBERT McRAE, Jr.
Fax: [phone] Superintendent
Email: bscherer @ randolph.kl2.nc.su
Facilities and Construction Lt. Col. Bob Scherer
Executive Director
July 21, 2003 D
JUL 2 3 2003
DENR-WATER OUALITY
POINT SOURCE BRANCH
Ms. Valery Stephens
NC DENR/DWQ/Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Dear Ms. Stephens:
We are requesting a renewal ofNPDES permit number NCO040908 for Tabernacle
Elementary School. Enclosed you will find the completed application form, Sludge
Management Plan, and map showing the location of the effluent outfall. Please let us know
if additional information is required for permit renewal.
le ly,
y
Bob Scherer,
Director of Facilities and Construction
Enclosure
-TOLL FREE NUMBERS-
Greensboro-Liberty: 218-4055/Archdale-Trinity Area:819-3055

NPDES'APPLICATION FOR PERMIT RENEWAL-SHORT FORM`D
To be filed only by privately-owned dischargers of 100%domestic wastewater(<1 MGD flow)
N. C.Department of Environment and Natural Resources
Division of Water Quality/NPDES Unit'
1617 Mail Service Center, Raleigh,NC 27699-1617
http://h2O.enr.state.ne.us/NTPDES/
North Carolina NPDES Permit Ndmbei NCO040908
Please print or type
1. Contact Information:
Facility Name Tabernacle Elementary School
Owner Name Randolph County Board of Education
Street Address 2222-C South Fayetteville Street'
City Asheboro
State/Zip Code NC/27205 `.
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
Operator Name Larry Chilton
Street Address 509 NC HWY 22 North
City Ramseur
State/Zip Code NC 127316
County Randolph
Telephone Number, (336).2153835
2. Location of facility producing discharge:'
Check here if same as above
Facility Name (If different from above)
Street Address or State Road 4901 Tabernacle School Road
City Asheboro
State /Zip Code NC 127205
County Randolph,
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal X New Facility
• Please provide a description of the expansion/modification:
Page i of3 - Version 12/02

_ NPDES APPLICATION FOR PERMIT.RENEWAL-i SHORT FORM D;
To be filed only by dischargers of.100%:domestic wastewater('Cl MGD.flow)
4. Description of the existing treatment facilities.. (list all,installed components with
capacities,:
12,000 gallon septic tank, 10,000-gallon distribution tank, recirculating sand filter,
ultraviolet disinfection, with a permited.flow of0.01 MGD_.
5. Description of wastewater (check all that apply):
Tyne of Facility Generating Wastewater ". - -
Industrial Number.of Employees
Commercial Number.-of Employees
Residential Numbers of Homes
School x Number_of Students/Staff 743
Other
Describe the source(s)of wastewater(example: subdivision,mobile home pails etc)
Public Elementary School
6. List all permit, construction approvals and/or application, (check ail that apply)
r
TAM Permit Number _T�=_ Peimiit Number
RCRA Non-Attainment
UIC Ocean Dumping
NPDES NCO040908 Dredg/Fill Permits
PSD Other
NESHAPS
7. Number of separate wastewater discharge pipes (wastewater.outfalls):
One (1) discharge pipe
8. If the faciltiy has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
N/A
Page 2 of 3 version 12/02

.ti
NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100%domestic wastewater(<1 MGD flow)
9. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Caraway Creek, classifed C waters in the Yadkin-PeeDee River Basin (map attached)
10. Is this facility located on Native American lands? (check one)
YES NO �X
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.
Lt. Col. Bob Scherer
Printed Name of Person Signing
Director of Facilities and Construction
itle
7 ar n 3
Signature of Applicant Date igned
North Carolina General Statute 143-215.6(b)(2)provides that Any person who lmoxirlgly 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
Environments]Management Conrimsion implementing the Article,or who falsifies,tampers with,or knomngty renders inaccurate any
recording or monitoring device or method required to be operated or maintained under Article 21 or regulations of the EnNronmental
Managemerd Commission implementing that Article,shall be guilty of a misdemeanor punishable by a fine not to exceed$10,000,or by
imprisonment not to e)ceed six months,or by bath.(18 U.S.C.Section 1001 provides a punishment by a fine of not more than$10,000 or
imprisonment not more than 5 years,or both for a similar offense.)
Page 3 or 3 Version 12/02

SLUDGE MANAGEMENT PLAN
TABERNACLE ELEMENTARY SCHOOL (NC0040908)
Our wastewater operators monitor the wastewater treatment daily and check
the scum blanket and sludge depth. When needed the sludge is pumped by a
local septic tank service; currently Vann Boys Septic Tank Service. The
sludge is then taken to the City of Asheboro's treatment plant for further
decomposition.
Bob Scherer
Executive Director of Facilities and Construction