NC0043796_Fact Sheet_20220527

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily Richards - Jan 2022
Permit Number
NC0043796
Facility Name
Acme Delco Elementary WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-17
Receiving Stream
An unnamed tributary to Pretty Creek
Stream Classification in Permit
C-Swamp Stream Index: 18-64-13
Does permit need Daily Max NH3 limits?
No — already present
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Yes: Cape Fear TMDL reopener condition
Does permit have instream monitoring?
Yes, for dissolved oxygen and temperature
Is the stream impaired (on 303(d) list)?
Not on 2020 303d
Any obvious compliance concerns?
No. No enforcements this permit cycle. One
NOD in 2019 and one NOV in 2017.
Any permit mods since last permit?
No
New expiration date
11/30/2026
Changes to 2016 Permit?
No major changes
Changes to Draft Permit?
Compliance History:
No enforcements this permit cycle. Two NOVs in 2019 and NOD in 2020 for monitoring
frequency violations.
A November 2020 inspection by WiRO staff verified that the facility was operating in
compliance with conditions and limitations specified in this permit. No compliance issues were
found during the inspection.
Proposed Changes:
-updated language in Section A.(3.) to be consistent with current federal requirements for
electronic reporting
- no major changes necessary

eDMR Summary (2018-2021):
EFFLUENT eDMR data summary (JAN2018-DEC2021)
Parameter
00010 - Temperature, Water Deg. Centigrade
00300 - Oxygen, Dissolved (DO)
00400 - pH
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C
50050 - Flow, in conduit or thru treatment plant
50060 - Chlorine, Total Residual
C0310 - BOD, 5-Day (20 Deg. C) - Concentration
C0530 - Solids, Total Suspended - Concentration
C0610 - Nitrogen, Ammonia Total (as N) - Concentration
Mean Minimum Maximum N
22.32 9.60 34.60 968
7.44 6.10 10.40 204
6.71 2.00 7.60 208
na 1.00 45.00 95
0.00 0.00 0.00 218
0.25 0.25 0.25 1
2.10 2.00 4.00 96
3.31 2.50 38.20 95
0.31 0.03 3.65 96
DOWNSTREAM eDMR data summary (JAN2018-DEC2021)
Parameter
00010 - Temperature, Water Deg. Centigrade
00300 - Oxygen, Dissolved (DO)
00400 - pH
Mean Minimum Maximum N
15.83 9.60 25.70 28
6.99 6.10 8.40 28
6.36 6.10 6.90 28
UPSTREAM* eDMR data Summary (JAN2018-DEC2021)
Parameter Mean Minimum Maximum N
00010 - Temperature, Water Deg. Centigrade
00300 - Oxygen, Dissolved (DO)
00400 - pH
14.18
7.45
6.53
9.50
7.10
6.20
*Limited upstream sampling due to zero flow stream
Effluent Flow Summary (JAN2018-DEC2021)
Year
2018
2019
2020
2021
N Obs Mean Minimum Maximum N
71 0.0020 0.0001 0.0037 52
87 0.0023 0.0000 0.0036 63
63 0.0012 0.0000 0.0034 53
72 0.0014 0.0001 0.0033 50
22.40 4
7.90 4
6.90 4

Public Notice
North Carolina Environmental
Management Commission/NP-
DES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
NC0043796 Acme Delco El-
ementary School WWTP
The North Carolina Environ-
mental Management Commis-
sion proposes to issue a NPDES
wastewater discharge permit
to the person(s) listed below.
Written comments regarding
the proposed permit will be
accepted until 30 days after the
publish date of this notice. The
OtrittoF•o€ -NC—Division of
Water Resources (DWR) may
hold a public hearing should
there be a significant degree
of public interest. Please mail
comments and/or information
requests to DWR at the above
address. Interested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC
27604 to review information on
file. Additional information on
NPDES permits and this notice
may be found on our website:
http://deq. nc.gov/about/divi-
sions/water-resources/water-
resources-permits/wastewater-
branch/npdes-wastewater/
public-notices,or by calling
[phone]. NPDES Permit
Number NC0043796: The
Columbus County Schools (P.O.
Box 729, Whiteville, NC 28472-
0729) applied for renewal of
the NPDES permit for the
Acme Delco Elementary School
WWTP. This permitted facility
discharges treated wastewater to
an unnamed tributary to Pretty
Creek in the Cape Fear River
Basin. Currently BOD, ammo-
nia nitrogen, dissolved oxygen,
fecal coliform and total residual
:hlorine are water quality lim-
ited, which may affect future
illocations in this portion' of the
:ape Fear River Basin.
Mar 25, 2022
NORTH CAROLINA
COLUMBUS COUNTY:
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned qualified, and thorized by law to administer oaths, personally
�\' m‘
appeared .. !
deposes and says: that he is the •. 'Crl.
who being first duly sworn,
(owner, publisher or employee
authorized to make this affidavit) of Clolumbus Media Company LLC, DBA The
News Reporter, engaged in the publication of a newspaper known as THE NEWS
REPORTER, published, issued and entered as second class mail in the CITY of
Whiteville, in said County and State; that the notice or other legal advertisement, a
true copy of which is attached hereto, w ubl' ed in j�1e Reporter on the
following dates:..............[..r • 1 • �'� 1... y
; and that the said newspaper in which such notice, paper,
document, or legal advertisement was published was, at the time of each and every
such publication, a newspaper meeting all of the requirements and qualifications of
section 1-597 of the General Statutes of North Carolina and was a qualified
newspaper within the meaning of section 1-597 of the General Statutes of North
Carolina.
(Signature Of Person Making Affidavit.)
Swom to and subscribed before me, this dr day of
a(r.'j(.;Cll... , 20 .2
Notary Public
My Commission expires lS • , 20. 2.6.
CAROLLAWLOR
NOTARY PUBLIC
COLUMBUS COUNTY, N
My Commission Expires 6-15-20

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
Columbus County Schools BOE
Attn: Timothy Ward, Maintenance Dir.
PO Box 729
Whiteville, NC 28472-0729
Subject: Permit Renewal
Application No. NC0043796
Acme Delco Elementary School WWTP
Columbus County
NORTH CAROLINA
Environmental Quality
September 07, 2021
Dear Applicant:
The Water Quality Permitting Section acknowledges the September 3, 2021 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
tom' D_E
Defer.. er...M.....;\ /mod
North Carolina Department of Environmental Quality I Division of Water Resources
Wilmington Regional Office 1127 Cardinal Drive Extension Wilmington. North Carolina 28405
910.796.7215

North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
5EP 03 Z021
NCDEQIDWRINPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
Form
NPDES
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
the instructions ma result in denial of the a' a lication.
cn
Facility Information
0
N 1. BASIC
1.1
APPLICATION INFORMATION FOR ALL APPLICANTS (40 CFR 122.21(j)(1) and (9))
Facility name
Acme Delco Elementary School
Mailing address (street or P.O. box)
P. 0. Box 729
City or town
Whiteville
State
NC
ZIP code
28472
Contact name (first and last)
Timothy Ward
Title
Maintenance Director
Phone number
[phone]
Email address
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
16337 Old Lake Road
City or town
Riegelwood
State
NC
ZIP code
28456
1.2
Is this application for a facility that has yet to commence
❑ Yes 4 See instructions on data submission
requirements for new dischargers.
discharge?
p No
Applicant Information
1.3
Is applicant
different from entity listed under Item 1.1 above?
❑ No 4 SKIP to Item 1.4.
r Yes
Applicant name
Columbus County Board of Education
Applicant address (street or P.O. box)
P. O. Box 729
City or town
Whiteville
State
NC
ZIP code
28472
Contact name (first and last)
Timothy Ward
Title
Maintenance Director
Phone number
[phone]
Email address
[e-mail]
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator
Both
v
1.5
To which entity should the NPDES permitting
❑ Facility
authority
send correspondence? (Check
only
one response.)
Facility and applicant
(they are one and the same)
Applicant
•
Existing Environmental Permits
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
(discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
control)
r NPDES
water)
NC0043796
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
% separate sanitary sewer
0 Own 0 Maintain
combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
0 Own ❑ Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
❑ Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
Total
Population
Served
396
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
0/0
/0 u
Indian Country
1.8
Is the treatment works located in Indian
❑ Yes
Country?
v
No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through
v
Indian Country?
No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
.009 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
.004 mgd
.004 mgd
.004 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
.006 mgd
.006 mgd
.006 mgd
Discharge Points
by Type
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge Points by Type
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
1.
Page 2

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modred March 2021
Outfalls and Other Discharge or Disposal Methods
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds,
for discharge to waters of the State of North Carolina?
❑ Yes
or other
surface impoundments that do not have outlets
4 SKIP to Item 1.14.
✓ No
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
❑ Intermittent
1.14
Is wastewater applied to land? •
❑ Yes
4 SKIP to Item 1.16.
v No
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
0 Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment
❑ Yes
prior to discharge?
4 SKIP to Item 1.21.
✓ No
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modred March 2021
Outfalls and Other Discharge or Disposal Methods Continued
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) 0 None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than
not have outlets to waters of the State of North Carolina
❑ Yes
v
those a ready mentioned in Items 1.14 through 1.21 that do
(e.g., underground percolation, underground injection)?
No 4 SKIP to Item 1.23.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Disposal Site
Size of
Disposal Site
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
(check one)
acresgpd
❑ Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
Variance
Requests
1.23
Do
Consult
❑
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
with your NPDES permitting authority to determine what information needs to be submitted and when.)
Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
Not applicable
Contractor Information
1.24
Are any operational or maintenance aspects (related to
the responsibility of a contractor?
❑ Yes v
wastewater treatment and effluent quality) of the treatment works
No 4SKIP to Section 2,
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
Contractor name
(company name)
Mailing address
(street or P.O. box)
City, state, and ZIP
code
Contact name (first and
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modi ed Application Form 2A
Modified March 2021
SECTION
2. ADDITIONAL INFORMATION (40 CFR 122.21(j)(1) and
Outfalls to Waters of the State of North Carolina
(2))
c
LT
_rn
w
0
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑ Yes v No 4 SKIP to Section 3.
Inflow and Infiltration
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Topographic
Map
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
❑ Yes ❑ No
Flow
Diagram
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
❑ Yes ❑ No
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)
Affected
Outfalls
(fist outtall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
1.
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
SECTION 3. INFORMATION ON
EFFLUENT DISCHARGES (40 CFR
122.21(j)(3) to (5))
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number
Outfall Number
Outfall Number
State
CU
County
o
0
City or town
c
Cl
Distance from shore
ft.
ft.
ft.
N
d
Depth below surface
ft.
ft.
ft.
0
Average daily flow rate
mgd
mgd
mgd
Latitude
"
0
Longitude
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasonal or periodic discharges?
❑ No 4 SKIP to Item 3.4.
3.3
If so, provide the following information
for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes
v
No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser t)
pe at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Waters of
the U.S.
3.6
Does
one
the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
or more discharge points?
Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
Receiving Water Description
3.7
Provide the receiving water and related information (if known) for each outfall.
Outfall Number
Outfall Number
Outfall Number
Receiving water name
Pretty Creek
Name of watershed, river,
or stream system
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
CaCO3
mg/L of
CaCO3
mg/L of
CaCO3
Treatment Description
3.8
Provide the following information
describing the treatment provided for discharges from each outfall.
Outfall Number
Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
0 Primary
0 Equivalent to
secondary
❑ Secondary
❑ Advanced
0 Other (specify)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
%
%
%
TSS
Phosphorus
0 Not applicable
0 Not applicable
❑ Not applicable
Nitrogen
0 Not applicable
/o °
0 Not applicable
° /o
0 Not applicable
°
/o
Other (specify)
0 Not applicable
%
0 Not applicable
%
0 Not applicable
%
Page 7

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
Treatment Description Continued
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Dual UV Disinfection System
Outfall Number
Outfall Number
Outfall Number
Disinfection type
Seasons used
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
Effluent Testing Data
3.10
Have you completed monitoring for all Table A parameters and
❑ Yes
attached the results
to the application package?
v No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes
v No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine.
v No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has
or (2)
•
the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
at least four annual WET tests in the past 4.5 years?
Yes • No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
(MM/DD/YYYY)
Summary of Results
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES •ermittin• authori
Page 9

NPDES Permit Number
NC0043796
Facility Name
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT
(40
of Form 2A that
attachments
CFR 122.22(a) and (d))
you have completed and are submitting with your application. For
that you are enclosing to alert the permitting authority. Note that not
E
a>
03
c'
c
0
F.
4)
d
0
c
A
Y
6.1
In Column 1 below, mark the sections
each section, specify in Column 2 any
all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Basic Application
❑ w/ variance request(s) ❑ w/ additional attachments
Information for All Applicants
Section 2: Additional
r w/ topographic
map ❑ w/ process flow diagram
attachments
r
❑ w/ additional
Information
Section 3: Information
r w/ Table
A ❑ w/ Table D
B ❑ w/ additional attachments
C
❑ w/ Table
❑ w/ Table
on r
Effluent Discharges
Section 4: Not Applicable
Section 5: Not Applicable
Section 6: Checklist
❑ w/ attachments
r and
Certification Statement
6.2
Certification Statement
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 fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Signature
Date signed
Page 10

NPDES Permit Number
Facility Name
Outfall Number
NC0043796
Acme Delco Elementary School
Modified Application Form 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daily Discharge
Analytical
Methods
ML or MDL
(include units)
Average Daily Discharge
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
o BOD5 or ❑ CBOD5
(report one)
Summer-7.5 Winter-
MG/L
❑ ML
❑ MDL
Fecal coliform
400
/100ML
❑ ML
❑ MDL
Design flow rate
.009
MGD
pH (minimum)
6
pH (maximum)
9
Temperature (winter)
Temperature (summer)
Total suspended solids (TSS)
45
MG/L
0 ML
❑ MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I. subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11

o
—
,..., ilk • \ ...
',.‘ ' i
__ ._
tin_.......,
:�,
Old Stage Road
°,
° - °^ �
° cc
\-,-)4
C.
i t! ''''-'-' _
.
°
pi „.
Btu.
taro
4,
0.
7. --.
i tits)
`�
.
-.
� �°
.
A
. .,
O utfa 11001
. " `~' -:' ~: r.
•
•
C—r ._
� C1)
�.G -,
w3_0�.
,
1.
1 I7N----:_"?
.-- )
\ \.,
Columbus County Schools
N
Acme Delco Elementary School WWTP
NPDES Permit map
fr.. r
[�n t
�r
Receiving Stream: Pretty Creek Stream Class: C-Swamp
Stream Segment: 18-64-13 Sub -Basin #: 03-06-17
River Basin: New HUC: 0303000504
County: Columbus
SCALE
1:24,000
Facility Location
scale not shown
\---'
34.348333°,-78.253889°
USGS Quad: Freeman

From: Richards, Emily
To: Timothy Ward
Subject: RE: [External] Re: Electronic Delivery of NPDES Permit
Date: Thursday, June 2, 2022 3:26:00 PM
Attachments: NC0043796 Final Permit 2022.pdf
Thank you for your response! Please see the attached issued permit.
From: Timothy Ward <[e-mail]>
Sent: Thursday, June 2, 2022 2:48 PM
To: Richards, Emily <[e-mail]>
Subject: [External] Re: Electronic Delivery of NPDES Permit
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Good Afternoon,
Electronic transitions will be fine. Please send all documents to this email address.
Thanks
Timmy Ward
From: Richards, Emily <emily.richardsPncdenr.gov>
Sent: Thursday, June 2, 2022 2:10 PM
To: afaulkPcolumbus.k12.nc.us <afaulkPcolumbus.k12.nc.us>; Timothy Ward
<[e-mail]>
Subject: Electronic Delivery of NPDES Permit
Greetings,
This message is in regards to the NPDES wastewater permit for Acme Delco Elementary School
WWTP /NC0043796.
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, The Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees and
other partners and will allow us to more effectively process and track documents. We are writing to
ask you for your approval of the transmittal of documents related to your permitting and related
activities with the Division in an electronic format. Documents will be emailed to the appropriate
contact person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you. If you have any questions, please feel free to contact
me.
Thank you,

Emily Richards (she/her)
Environmental Specialist II
Division of Water Resources
Department of Environmental Quality
919-707-9125
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.