NC0037371_Permit (Issuance)_20090323

NPDES DOCIMENT SCANNING COVER !SHEET
NPDES Permit:
NC0037371
North Iredell High School WWTP
Document Type:
'Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
March 23, 2009
This document is printed on reuse paper - izoz-e any
content on the reverse side

4,
ern
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Govemor Director Secretary
March 23, 2009
Mr. Dennis Gryder
Supervisor Water/Wastewater
Iredell-Statesville Schools
1147 Salisbury Road
Statesville, North Carolina 28625
Subject: Issuance of NPDES Permit No. NC0037371
North Iredell High School
Iredell County
Dear Mr. Gryder:
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 17, 2007 (or as subsequently amended.)
This permit authorizes the Iredell-Statesville Schools to discharge municipal wastewater from the
North Iredell High School facility to Patterson Creek, classified C waters in the Yadkin -Pee Dee River Basin. The
permit includes discharge limitations/or monitoring for flow, BOD5, total suspended solids, ammonia nitrogen,
total residual chlorine, fecal coliform, pH, temperature, total nitrogen and total phosphorus.
This final permit includes no major changes from the draft permit sent to you on January 27, 2009.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to
you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of
this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the office of Administrative Hearings, 6714 Mail Service Center, Raleigh, North
Carolina 27699-6714. Unless such a demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable. The Division may require modification 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, Coastal Area
Management Act, or any other Federal or Local govemmental permits may be required.
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
NOne CaTO11Tla
7VaturaIIij

If you have questions concerning this permit, please contact me by e-mail ([e-mail]) or call me at
[phone].
Enclosure: NPDES Permit NC0037371
Sin erely,
�1 6/Lif
oleen H. ullins
/
cc: Mooresville Regional Office / Surface Water Protection
NPDES Unit Files
Central Files
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 \ Affirmative Action Employer
NorthCarolina
Naturally

Permit NC0037371
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,
Iredell - Statesville Schools
is hereby authorized to discharge wastewater from a facility located at the
North Iredell High School WWTP
156 Raider Road
Olin
Iredell County
to receiving waters designated as Patterson Creek, within the Yadkin -Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective May 1, 2009.
This permit and authorization to discharge shall expire at midnight on March 31, 2014.
Signed this day March 23, 2009.
en H. Sullins, Director
sion of Water Quality
By Authority of the Environmental Management Commission

Permit NC0037371
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.
Iredell - Statesville Schools is hereby authorized to:
1. Continue to operate an existing 0.0125 MGD wastewater treatment system with
the following components:
• Bar screen
• One (1) 8,000 gallon Flow equalization basin
• One (1) 2,500 Gallon Aeration basin with diffused air
• One (1) 1,600 Gallon Final clarifier with return sludge
♦ 6,000 Gallon Tertiary filters
♦ One (1) 2,000 Gallon Aerated sludge holding tank
• One (1) 2,000 Gallon Tablet chlorination and dechlorination
• 10 Gallon Flow meter
2. The facility is at the North Iredell High School located at 156 Raider Road in
Iredell County.
3. Discharge from said treatment works at the location specified on the attached
map into Patterson Creek, classified C waters in the Yadkin -Pee Dee River Basin.

Iredell-Statesville Schools
North Iredell High School WWTP
Latitude: 35° 55' 30" N State Grid: Harmony
Longitude: 80° 52' 00" W Permitted Flow: 0.0125 MGD
Receiving Stream: Patterson Creek Stream Class: C
Drainage Basin: Yadkin -Pee Dee River Basin Sub -Basin: 03-07-06
North
NPDES Permit No. NC0037371
Iredell County

Permit NC003737 1
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:
EFFLUENT;; .w: < }�H. .�
CHARACTERIT C�
rv�
" aaf
, t r
' !7 , - {. LIT3_.r ;
•',
ti t .i, .NIT44 fO; R)K:hN REQU.iRjrE�C. M_E. .. Na: ,fr., •' .
.��-f\� .IR�v.vi£:—..:-.1''.. 1:. ', 'sY r' 2:,1Jyr R.T/ Z '
Monthly
tR iet�Tk sr
i Average.
� Daily-
� � •.
.Maximum
: r-
Measure ���
.. 5-t`�% t �v;L�
; .Frequency..
"Sam Ie T e '
� P YP
�;t
', 'A
Sam le;location
P ��>
r, 7 r �'j.� � �'��{" 'k
; 1 µ
Flow
0.0125 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20.°C)
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
Total Suspended Residue
30.0 mglL
45.0 mglL
Weekly
Grab
Effluent
NH3 as N
Monitor & Report
Weekly
Grab
Effluent
Fecal Coliform
(geometric mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
Effluent
Total Residual Chlorine'
28 pglL
2 / Week
Grab
Effluent .
Temperature (°C)
Monitor & Report
Weekly
Grab
Effluent
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
Total Nitrogen
(NO2+NO3+ TKN)
Monitor & Report
Quarterly
Grab
Effluent
Total Phosphorus
Monitor & Report
Quarterly
Grab
Effluent
Footnotes:
1. The Division shall consider all effluent TRC values reported below 50 ug/I to be in compliance with the
permit. However, the Permittee shall continue to record and submit all values reported by a North Carolina
certified laboratory (including field certified), even if these values fall below 50 ug/I.
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Statesville Record & Landmark
Advertising Affidavit
North Carolina Community Newspapers
PO Box 968
Hickory, NC 28603
NC DENR/DWQ
BUDGET OFFICE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699
•`c)
Account Number
3142720
Date
January 29, 2009
Date Category Dascript;on
Ad Number Ad Size
01/29/2009
Legal Notices
PUBLIC NOTICE
STATE OF NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT
COMMISSION/NPDES UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
NOTIFICATION OF INTENT TO ISSUE A NPDES
WASTEWATER PERMIT
PUBLIC NOTICE STATE OF NORTH CAROLINA EN
On the basis of thorough staff review and applica-
tion of NC General Statute 143.215.1 and 15A NCAC
02H.0109 and other lawful standards and regula-
tions, the North Carolina Environmental Manage-
ment Commission proposes to issue a National
Pollutant Discharge Elimination System (NPDES)
wastewater discharge permit to the person(s) list-
ed below effective 45 days from the publish date
of this notice.
Written comments regarding the proposed permit
will be accepted until 30 days after the publish
date of this notice. All comments received prior to
that date are considered in the final determina-
tions regarding the proposed permit. The Director
of the NC Division of Water Quality may decide to
hold a public meeting for the proposed permit,
should the Division receive a significant degree of
public interest.
Copies of the draft permit and other supporting in-
formation on file used to determine conditions
present in the draft permit are available upon re-
quest and payment of the costs of reproduction.
Mail comments and/or requests for information to
the NC Division of Water Quality at the above ad-
dress or call Dina Sprinkle [phone] at the
Point Source Branch. Please include the NPDES
permit number (below) in any communication. In-
terested persons may also visit the Division of Wa-
ter Quality at 512 N. Salisbury Street. Raleigh, NC
27604-1148 between the hours of 8:00 a.m. and
5:00 p.m. to review information on file.
Iredell-Statesville Schools (1147 Salisbury Road,
Statesville, NC 28625) has applied for renewal of
NPDES permit NC0037371 for the North Iredell
High School WWTP in Iredell County. This permit-
ted facility discharges .0125 MGD of treated
wastewater to Patterson Creek in the Yadkin -Pee
Dee River Basin. Currently BOD, fecal coliform
and total residual chlorine are water quality limit-
ed. This discharge may affect future allocations in
this portion of the Yadkin -Pee Dee River Basin.
PUBLISH: January 29, 2009
Notary P rblic
0001256558
Media General Operations, Inc.
Publisher of
Statesville Record & Landmark
Iredell County
2x56L
Before the undersigned, a Notary Public of Catawba County, North
Carolina, duly commissioned, qualified, and authorized by law to
administer oaths, in said County and State: that he/she is authorized to
make this affidavit and sworn statement: that the notice or other legal
advertisement, a copy of which is attached hereto, was published in the
Statesville Record & Landmark on the following dates:
01/29/2009
and that the said newspaper in which such notice, or legal advertisement
was published, was a newspaper meeting all the requirements and
qualifications of Section 1-597 of the General Statutes of North Carolina.
Assisi• t Bookkeeper
Newspaper reference: 0001256558
Sworn to and subscribed before me, this day of
AMP I Ci f/A
OTA�r
���"'• :.goy ' u B 1 `G v ;
s My Commission expire oZ-4 ory
THIS IS NOTA BILL. PLEASE PAY FROM INVOICE. THANWNQIIIIh►``%

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NC0037371
.
. Facility Information ,.
Facility Name:
North Iredell High School .
Permitted Flow:
0.0125 MGD
County: •
Iredell
Facility Class:
II
: Regional Office:
Mooresville
Type of Waste:
100% Domestic
Facility/Permit Status:
(i.e. New, Modification,
Existing or Renewal)::
Existing
USGS Topo Quad:
D15NE
�. Stream Characteristics
Receiving Stream:
Patterson Creek
Stream Classification:
C
12-108-11-3
30Q2 f(cfs):
9.13
Subbasin:
03-07-06
Average Flow (cfs):
18.26
Drainage Area (mi2)..
•18.36
IWC:(%)
0.47
Summer 7Q10 (as)
4.06
= Permit writer:
Julie Grzyb
Winter 7Q10 (cfs):
7.10
, Date:
1-26-09
Changes Incorporated into Permit Renewal
Proposed. Changes
Parameters Affected
Basis for change(s) ,
TRC Footnote — TRC values
reported below 50 ug/1 will be
in compliance with permit limit.
TRC
Changed per Matt Matthews
memo dated 5/1/08 and Tom
Belnick's dated 7/15/09
Compliance Background
This is a permit renewal for a sanitary wastewater treatment system. The previous permit
included the new TRC limit of 28 ug/1 to take effect on 3/1/2006. The facility violated this
TRC Daily Maximum limit through Dec. 2006 even though dechlorination was installed. An
inspection on 1/26/07 determined that the facility did not purchase a meter capable of analyzing
effluent chlorine at the permit limit level until August 2006 despite the permit monitoring
requirement and notification from the Regional office. No TRC violations occurred in '07 and
`08, occasional weekly violations of BOD5 and Fecal Coliform occurred in Jan. through April
2008. Facility operator retired June '08 and Statesville Analytical was hired to operate the
facility for the school. Regional personnel stated concern about operational issues normally
associated with school systems when operations are suspended and restarted after holiday
breaks. Statesville Analytical contact Deena Myers stated that much of the equipment needed to
be fixed when they took over (blowers, timers) and she believes that following the
specifications listed by the design engineer have made significant improvements to the plant
operation. There have been no violations since Statesville Analytical has taken over.
Recommend that the permit be renewed.
Page 1
Version: January 26, 2009

DENR/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NC0037371
(Continued)
303(d) List Review: Patterson Creek is not listed on North Carolina's 2006
303(d) List.
Review of Basin Plan: Patterson Creek is listed as Aquatic Life supporting with
No Criteria Exceeded in 2004 and 2006 in the July 2008 Yadkin -Pee Dee River
Basin Plan.
Permit Limits: Permit limits remain the same as the previous permit.
Proposed Schedule for Permit Issuance
Draft Permit to Public Notice: 02/03/09
Permit Scheduled to Issue: 05/01/09
State Contact
If you have any questions on any of the above information or on the attached
permit, please contact Julie Grzyb at [phone].
Page 2
Version: January 26, 2009

IWC Calculations
Facility:
NC00xxxxx
Prepared 'By:
Enter Design Flow (MGD):
Enter s7Q10 (cfs):
Enter w7Q10 (cfs):
0.0125
4.06
7.01
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
Upstream Bkgd (ug/l)
IWC (%)
Allowable Conc. (ugll)
Fecal Coliform
Monthly Average Limit:
(If DF >331; Monitor)
(If DF<331; Limit)
'Dilution Factor (DF)
4.06
0.0125
0.019375
17.0
0
0.47
3579
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/I)
w7Q10 (CFS)
2001100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
210.55 Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N)
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals); capped at 35 mg/I
3. Monply Avg limit x 5 = Daily Max limit (Non-Munis); capped at 35 mg/I
4. for Minor Domestics: 2 mg/I (summer) and 4 mg/I (winter)
5. for Major Municipals: 1 mg/I (year-round)
4.06
0.0125
0.01938
1.0
0.22
0.47
164.4
7.01
0.0125
0.01938
1.8
0.22
0.28
573.5
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)
NPDES Server/Current Versions/WLA; TB' 1/16/2009.

SOC PRIORITY PROJECT:
To: Western NPDES Unit
Surface Water Protection Section
Attention: Charles Weaver
Date: November 6, 2008
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Iredell
NPDES Permit No.: NC0037371
PART I - GENERAL INFORMATION
1. Facility and address: North Iredell High School
156 Raider Road
Olin, NC 28660
2. Date of investigation: October 16, 2008
3. Report prepared by: B. Dee Browder, Environmental Engineer
NOV 10
4. Person contacted and telephone number: Dena Myers, Statesville Analytical, Inc.,
(704)4372402
5. Directions to site: From I-77 take the Tomlin Mill Road Exit 59 toward Olin. Turn left
onto Tomlin Mill Road. Travel 0.8 miles. Turn right onto Jennings Road and travel 0.9
miles. Turn left onto Raider Road. The WWTP is located on the left side of Rader Road.
5. From I-77 take exit for Tomlin Mill Road. the jct. of Hwy 21/115 and Old Mountain
Road in Troutman travel north on Hwy 21/115 approximately 2.2 miles and turn left onto
Hill Haven Road. Turn right onto Schafer Hollow Drive. The facility is on the right side
of the drive approximately 250 feet from the entrance in the woods.
6. Discharge point(s): Latitude: 35° 55' 30"
Longitude: 80° 52' 00"
USGS Quad No.: Harmony, NC
7. Receiving stream or affected surface waters: Patterson Creek
a. Classification: C
b. River Basin and Subbasin No.: Yadkin 030706
c. Describe receiving stream features and pertinent downstream uses: Receiving
stream is 30-35 feet wide and 2-3 feet deep at the time of the inspection.

Page Two
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. a. Volume of wastewater: 0.0125 MGD (Design Capacity)
b. What is the current permitted capacity: 0.0125MGD
c. Date(s) and construction activities allowed by previous ATCs issued in the
previous two years: N/A
d. Description of existing or substantially constructed WWT facilities: The existing
WWT facilities consist of a bar screen, flow equalization basin, aeration basin,
clarifier, sand filter, aerated sludge holding tank, effluent flow meter with chart.
e. Description of proposed WWT facilities: N/A
f. Possible toxic impacts to surface waters: There are no toxic impacts expected.
g. Pretreatment Program (POTWs only): Not Needed.
2. Residual handling and utilization/disposal scheme: N/A
a. If residuals are being land applied specify DWQ Permit No. N/A
3. Treatment plant classification: Class (no change from previous rating).
4. Compliance Background: Fair
PART III - OTHER PERTINENT INFORMATION
1. Special monitoring or limitations (including toxicity) requests: None at this time.
2. Important SOC/JOC or Compliance Schedule dates: N/A
3. Alternative analysis evaluation
a. Spray Irrigation: N/A
b. Connect to regional sewer system:N/A
c. Subsurface: N/A
d. Other disposal options: N/A

Page Three
PART IV - EVALUATION AND RECOMMENDATIONS
The facility has had compliance issues but most are related to operational activities. The staff
person associated with the non-compliance time frame has retired. There are operational issues
associated with the start up and holiday schedules normally associated with school only systems.
SOPs for observations and normal procedures associated with evaluating changes in biological
loading associated with facilities that haves Q$ flow conditions should be addressed as permit
conditions. It is recomme9d .that e,pCit be renewed.
Signature of Report Preparer
1► I GI aoa
Date
// /2
Water Quality Regional Supervisor r l Date
h:ldsr\dsr081.dsr

Iredell-Statesville Schools
Maintenance Department
1147 Salisbury Road, Statesville, NC 28625, Phone [phone], Fax: [phone]
SLUDGE MANAGEMENT
•
SEP 5 2008
DENR-VATE,R U!L11Y
Excess solids are measured in the clarifier. When the amount exceeds two feet, it is then
pumped to the sludge holding tank, which is a 3000 gallon concrete tank. There it is
dewatered with the supei"antant, pumped back into the flow equalization tank. When the
tank is approximately % full a certified septic hauler is called.
Lentz Septic Service, Inc. hauls and disposes of the sludge. Their permit number is NC
00147.

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit [NCO() 37371 1
lJ you are completing l as form zn 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: lib)
Owner Name IREDELL-STATESVILLE SCHOOLS
Facility Name NORTH IREDELL HIGH SCHOOL Ili/
1 AUG
2 7 2008
Mailing Address
City
State / Zip Code NC 28625
'f•ATER
L.... �_ FONT vow.," nr dY
Telephone Number
Fax Number
e-mail Address
•
( 704) 873-3755
( 704) .873-5475
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 156 TR1iIDER ROAD
City
State / Zip Code
County
OLIN
NC 29660
IREDELL
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
STATESVILLE ANALYTICAL
Mailing Address P . 0. BOX 228
City
State / Zip Code
Telephone Number
Fax Number.
STATESVILLE
NC 28687
( 704) 872-4697
(704 ) 878-2787
1 of 3
Form-D 05/08

/Gov
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. 'Description. of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Enupluyeeb
Residential 0 Number of Homes
School - [ Number of Students/Staff 1 57 '
Other ❑ Explain:.
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.) :
Population served:
5.. Type of collection system
El Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) 001 •
Is the outfall equipped with a diffuser? ❑ Yes
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
8. Frequency of Discharge: ❑ Continuous
If intermittent:
Days per week discharge occurs: 5
® Intermittent
Duration:
8
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.
•8000 GAL. .FLOW EQUALIZATION BASIN
Git1PIRREabaRI IEi N I g+URNS NE
;000 GAL TERTIAREY.FILTERS
2,000 GAL AREATED SLUDGE TANK
2,000 GAL TABLET CLORINATION/DECHLORINATION
10 GAL FLOW METER
2of3 •
Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
lo. Flow Information:
Treatment Plant Design flow 0.0125 MGD
Annual Average daily flow 0.0058 MGD (for the previous 3 years)
Maximum daily flow 0.0065 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes n No
12. Effluent Data
Provide data for the parameters Iisted. Fecal Conform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
45.0
30.0
MG/ 1
Fecal Coliform
400 / 100
200 / 100
ML
Total Suspended Solids
45.0
. 30.0
MG/L
Temperature (Summer)
Temperature (Winter)
pH
BETWEEN
6 and 9
OS LI
13. List all permits, construction approvals and/or applications:
Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
Permit Number
NC0037371
14. APPLICANT CERTIFICATION
Type
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
SUPERVISOR WATER/WASTERW4T4 (C' to 11 `"""
r=
t ; i't
• i i 1
DENNIS W. GRYDER
Printed name of Perso ,; ignin
J.
Title
• LL,
5'-acog
AUG 2 7 2008
Signature of Applicant Date
DENR W!r-( ,..,. ;
North Carolina General Statute 143-215.6 (bX2) states: Any person who knowingly makes any false statement representation, or certification li 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 -I) 05/08

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
rmation to determine potential for expedited permit renewal
Reviewer/Date
5. VJ i t.,or-1
Permit Number
fq0oo3137(
Facility Name
j'Q u. r wre v I c.Lt, a..touts f N . 342aDert
Basin Name/Sub-basin number
blur
Receiving Stream
Parrs tho.J C2
Stream Classification in Permit
C.
Does permit need NH3 limits?
Does permit need TRC limits?
w.fre, tT
Does permit have toxicity testing?
Po
Does permit have Special Conditions?
,4 .
Does permit have instream monitoring?
(4'9
Is the stream impaired (on 303(d) list)?
Ott
Any obvious compliance concerns?
fl o") G, Now
Any permit mods since last permit?
,. IA
Existing expiration date
_
3/ 3tln`t
New expiration date
3 / 31 / 14'
New f
---...----N_ --
hermit _ ___-
Miscellaneous Comments
YES Z
This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YESThis is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipallindustrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)