NC0044962_Permit Issuance_20120202

NPDES DOCUMENT SCANNING COVER SHEET
NC0044962
North Stokes High School
NPDES Permit:
DocumentType: .
Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Complete File - Historical
Engineering Alternatives (EAA)
Correspondence
Owner Name Change
Staff Report
Instream Assessment (67b)
Speculative Limits
Environmental Assessment (EA)
Document Date:
February 2, 2012
Thins document is printed on reuse paper - ignore any
content on the re rerBe Bide

ATA
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
February 2, 2012
Mr. Ricky D. Goins
Stokes County Schools
P.O. Box 50
Danbury, N.C. 27016-0050
Subject: Issuance of NPDES Permit NC0044962
North Stokes High School
Class WW-1
Stokes County
Dear Mr. Goins:
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 no significant changes from the draft permit sent to you on
December 7, 2011.
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].
harles Wakild, P.E.
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / http:llportal.ncdenr.orglweb/wq
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper
NorthCarolina
Naturally

a.
Permit NC0044962
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
Stokes County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
North Stokes High School
1350 North Stokes School Rd
Danbury
Stokes County
to receiving waters designated as an unnamed tributary to the Dan River in subbasin
03-02-01 of the Roanoke 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 March 1, 2012.
This permit and authorization to discharge shall expire at midnight on February 28, 2017.
Signed this day February 2, .2012
4
Ch ma's Wakild, P.E., Direc
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0044962
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 Stokes County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.0115 MGD wastewater treatment facility with
the following components:
• Septic tank
• Dosing chamber
• Surface sandfilter
• Tablet chlorination
• Chlorine contact tank
• Tablet dechlorination
The facility is located at North Stokes High School on North Stokes School Rd,
near Danbury in Stokes County.
2. Discharge from said treatment works at the location specified on the attached map
into an unnamed tributary to the Dan River, classified C-Trout waters in
hydrologic unit 03010103 of the Roanoke River Basin.

NC0044962 - North Stokes High SchooL
Latitude:
Longitude:
USGS Quad :
Stream Class:
Receiving Stream:
36°27'44"
80°16'49"
Hanging Rock
C-Trout
UT to Dan River
Sub -Basin: 03-02-01
Hydrologic Unit: 03010103
Stokes County
Map not to scale

Permit NC0044962
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the 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
M= LIMI TS.. , '
' ' MONITORING! REQUIREMENTS°'
MontMy Average
: Daily`Maximum,`'
Measurement
:-.'Fretiuency
SampleType
-Sample
lccation.
Flow
[50050]
0.0115 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5 day (20°C)
[00310]
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
Total Suspended Solids
[00530]
30.0 mg/L
45.0 mg/L
21Month
Grab
Effluent
NH3 as N
[00610]
2/Month
Grab
Effluent
Fecal Coliform (geometric mean)
[31616]
200/100 ml
400/100 ml
2/Month
Grab
Effluent
Total Residual Chlorine'
[50060]
17 µg/L
2/Week
Grab
Effluent
Temperature (°C)
[00010]
Weekly
Grab
Effluent
Chronic Toxicity2
[TGP3B]
Quarterly
Grab
Effluent
pH
[00400]
> 6.0 and < 9.0 standard units
— —
2/Month
Grab
Effluent
Footnotes:
1. The Permittee shall report all effluent TRC values reported by a NC -certified laboratory [including
field -certified]. Effluent values below 50 pg/L will be treated as zero for compliance purposes.
2. Chronic Toxicity (Ceriodaphnia) P/F at 23% with testing in February, May, August, and November
(see A. (2)).
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NC0044962
A. (2) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant
mortality to Ceriodaphnia dubia at an effluent concentration of 23%.
The permit holder shall perform at a minimum, quarterly monitoring using test procedures outlined in
the "North Carolina Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised February 1998, or
subsequent versions or "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure"
(Revised -February 1998) or subsequent versions. The tests will be performed during the months of
February, May, August, and November. Effluent sampling for this testing shall be performed at the
NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below
the permit limit, then multiple -concentration testing shall be performed at a minimum, in each of the
two following months as described in "North Carolina Phase II Chronic Whole Effluent Toxicity Test
Procedure" (Revised -February 1998) or subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the
highest concentration having no detectable impairment of reproduction or survival and the lowest
concentration that does have a detectable impairment of reproduction or survival. The definition of
"detectable impairment," collection methods, exposure regimes, and further statistical methods are
specified in the "North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure" (Revised -
February 1998) or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent
Discharge Monitoring Form (MR-1) for the months in which tests were performed. If reporting pass/fail
results using the parameter code TGP3B, DWQ Form AT-1 (original) is sent to the below address. If
reporting Chronic Value results using the parameter code THP3B, DWQ Form AT-3 (original) is to be
sent to the following address:
Attention: NC DENR / DWQ / Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later
than 30 days after the end of the reporting period for which the report is made.
Test data shall be complete, accurate, include all supporting chemical/physical measurements and all
concentration/response data, and be certified by laboratory supervisor and ORC or approved designate
signature. Total residual chlorine of the effluent toxicity sample must be measured and reported if
chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is
required, the permittee will complete the information located at the top of the aquatic toxicity (AT) test
form indicating the facility name, permit number, pipe number, county, and the month/year of the
report with the notation of "No Flow" in the comment area of the form. The report shall be submitted
to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,
monitoring will be required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina
Division of Water Quality indicate potential impacts to the receiving stream, this permit may be re-
opened and modified to include alternate monitoring requirements or limits.
If the Permittee monitors any pollutant more frequently than required by this permit, the results of
such monitoring shall be included in the calculation and reporting of the data submitted on the DMR
and all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control
organism survival, minimum control organism reproduction, and appropriate environmental controls,
shall constitute an invalid test and will require immediate follow-up testing to be completed no later
than the last day of the month following the month of the initial monitoring.

Weaver, Charles
From: Weaver, Charles
Sent: Wednesday, January 04, 2012 9:31 AM
To: 'Hugh Creed Associates, Inc, PA'
Subject: RE: Stokes County Schools - Draft NPDES Permit For North Stokes HS (NPDES Permit No.
NC 0044962), South Stokes HS (NPDES Permit No. NC 0087980)
Darian, in response to your questions:
1. No change in sampling.
2. Your statement is correct
3. The last 4 paragraphs have been updated with slightly revised text. The actual test procedure and sampling schedule has not
changed.
Let me know if you have additional questions.
CHW
From: Hugh Creed Associates, Inc, PA [mailto:[e-mail]]
Sent: Tuesday, January 03, 2012 9:31 AM
To: Weaver, Charles
Cc: Ricky Goins
Subject: Stokes County Schools - Draft NPDES Permit For North Stokes HS (NPDES Permit No. NC 0044962), South
Stokes HS (NPDES Permit No. NC 0087980)
Mr. Weaver,
Ricky Goins, Director of maintenance for Stokes County Schools, has forwarded the draft NPDES permits for
the above referenced sites and requested that our firm, Hugh Creed Associates, Inc., P.A., review these on their
behalf Following our review we have the following comments/questions.
Noted Change #1 "The revised TRC compliance level has been added to section A.( 1)" •
To confirm - This compliance limit actually became effective January 1, 2009. There is no change in sampling.
Noted Change #2 "Parameter codes have been added to section A. (1) to simplify DMR data entry.
To confirm - This change is only to provide Parameter Codes with Effluent Limits and Monitoring
Requirements.
Noted Change #3 "The toxicity testing requirements in section a. (2) have been updated"
Request for information - Please provide additional information as to the actual change from the previous
permit. Stokes County Schools concern is additional monitoring
requirements and the cost involved.
Thanks for your help.
Darian Creed
Cell [phone]
1

Permit NC0023736
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required,
the permittee will complete the information located at the top of the aquatic toxicity (AT) test form indicating the
facility name, permit number, pipe number, county, and the month/year of the report with the notation of "No
Flow" in the comment area of the form. The report shall be submitted to the Environmental Sciences Section at
the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be
required during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of
Water Quality indicate potential impacts to the receiving stream, this permit may be re -opened and modified to
include alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls, shall constitute an
invalid test and will require immediate follow-up testing to be completed no later than the last day of the month
following the month of the initial monitoring

Winston-Salem Journal
Advertising Affidavit
Account Number
Winston-Salem Journal
P.O Box 3159
Winston-Salem, NC 27102
NCDENR/DWQ/POINT SOURCE BRANCH
ATTN: DINA SPRINKLE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
3376309
Date
December 13, 2011
Date
Category
Description
Ad Size
Total Cost
12/13/2011
Legal Notices
PUBLIC NOTICE
North Carolina Environmental
Management Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental Management
Commission proposes to issue a NPDES wastewa-
ter 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 Director of the NC•Division
of Water Quality (DWQ) may hold a public hearing
should there be a significant degree of public in-
terest Please mail comments and/or information
requests to DWQ at the above address. Interested
persons may visit the DWQ at 512 N. Salisbury
Street, Raleigh, NC to review information on file.
Additional information on NPDES permits and this
notice may be found on our website: http://portal
.ncdenr.org/web/wq/swp/ps/npdes/calendar, or
by calling [phone]. '
Stokes County Schools requested renewal of per-
mit • NC0087980/Pine Hall Elementary School
WWTP. Facilitydischarges to Eurins Creek/ Roa-
noke River Basin. Currently, fecal coliform is wa-
ter quality limited.
Stokes County Schools requested renewal of per-
mit NC0044962/North Stokes High School WWTP.
Facility discharges treated wastewater to an un-
named tributary to the Dan River/Roanoke River
Basin. Currently, total residual chlorine and fecal
coliform are water quality limited.
Stokes County Schools requested renewal of
NPDES perrnit NC0044954/South Stokes High
School WWTP. Facility discharges to Little Neat -
man Creek/Roanoke River Basin. Currently, fecal
coliform and total residual chlorine are water
quality limited.
City of Winston-Salem, Forsyth County, has ap-
plied to renew permit NC0086762 for PW Swain
WTP, River Ridge Road, discharging filter -back-
wash to UT Bashavia Creek, Yadkin River Basin.
•
Carolina Water Service, Inc. NC requested renewal
of permit NC0060461 for Abington Subdivision
WWTP in Forsyth County; this permitted discharge
is treated domestic wastewater to Belews Creek,
Roanoke River Basin.
Horizons Residential Care Center applied for re-
newal of NPDES permit NC0056791 for the Hori-
zons Residential Care Center WWTP in Forsyth
County; this permitted discharge is treated do-
mestic wastewater to Buffalo Creek in the Roa-
noke River Basin.
Allegiance Healthcare Investors, LLC requested re-
newal of permit NC0037311/Creekside Manor Rest
Howie/Forsyth County. Facility discharges to an
unnamed tributary to Belews Creek/Roanoke
River Basin. Currently dissolved oxygen, ammonia
nitrogen, fecal 'coliform and total residual chlorine
are water quality limited.
PUBLIC NOTICE North Carolina Environmental Managem
1 x 75 L
543.00
Media General Operations, Inc.
Publisher of the
Winston-Salem Journal
Forsyth County
Before the undersigned, a Notary Public of Forsyth County, North Carolina, duly
commissioned, qualified, and authorized by law to administer oaths, personally appeared S.
A. Braginan, who by being duly sworn deposes and says: that she is the Assistant Controller
of the Winston-Salem Journal, engaged in the publishing of a newspaper known as
Winston-Salem Journal, published, issued and entered as second class mail in the City of
Winston-Salem, in said County and State: that she is authorized to make this affidavit and
sworn statement: that the notice or other legal advertisement, a true copy of which is
attached hereto, was published in the Winston-Salem Journal on the following dates:
12/13/2011
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
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.
This 13th day of December, 2011
(signature of son making affidavit)
Sworn to and subscribed before me, this l3th day of December, 2011
My Commission expires S
ZO i C
KIMALEY JOHNSON
NOTARY PUBLIC
FORSYTH COUNTY
STATE OF NORTH CARQLI A
MY COMMISSION EXPIRED -L- LaI S
THIS IS NOT A BILL.
PLEASE PAY FROM INVOICE.
THANK YOU

Weaver, Charles
From: Thomas, Mike
Sent: Monday, December 19, 2011 2:55 PM
To: Weaver, Charles
Subject: RE: DRAFT permit renewals for 3 schools in Stokes County
These all look good. No issues with any of the three.
Mike S. Thomas
NC DENR Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
[phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Weaver, Charles
Sent: Tuesday, November 29, 2011 1:11 PM
To: Pugh, James L.; Thomas, Mike
Subject: DRAFT permit renewals for 3 schools in Stokes County
Importance: High
These are all Class WW-1 facilities.
The permits will go to Notice on December Th.
Send me any comments by December 30t''
Thanks,
CHW
Messages to and from this address are subject to the NC Public Records Law and may be released to third parties.
i

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 Ex edited Permit Renewals
Permit Writer/Date
Charles H. Weaver— 11/29/2011
Permit Number
NC0044962
Facility Name
North Stokes High School
Basin Name/Sub-basin number
Roanoke / 03-02-01
Receiving Stream
an unnamed tributary to the Dan River
Stream Classification in Permit
C-Trout
Does permit need Daily Maximum NH3 limits?
N/A
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
Yes. All tests passed since 2007.
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since last permit?
None
New expiration date
2/28/2017
Comments received on Draft Permit?
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek 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 this permit's effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".

August 23, 2011
Mr. Charles H. Weaver, Jr.
NPDES Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: Renewal of NPDES Permit No. NC0044962
North Stokes High School WWTP
Stokes County
Dear Mr. Weaver,
Please renew NPDES Permit No.NC0044962 for the wastewater treatment plant at North Stokes
High School. The signed application form in triplicate, a description of the method of sludge
disposal and a map of the location of the discharge are all attached.
Sincerely,
Research & Analytical Labs
/1'17
James M. Cheshire
Authorized Agent
JMC/sl
12--©EIME
AUG 2520111
DENR-WATER QUAI.JT?
POINT SOURCE BRANCH

SLUDGE MANAGEMENT PLAN
NORTH STOKES HIGH SCHOOL WASTEWATER TREAMENT
PLANT
NP ES PERMIT NO. NC0044962
Sludge from the North Stokes wastewater treatment plant is disposed of in the
following way:
Solids are collected in the septic tank and digested
anaerobically. The excess solids are periodically pumped and
hauled by a licensed septic pumper contractor and disposed
of at the City of Winston Salem wastewater treatment plant.

NPDIES AIPPLIICATIION - FORM IL)
For privately ow ed treatme t 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
NC0044962
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Stokes County Schools
North Stokes High School
P.O. Box 50
Danbury,
NC / 27016
[phone]
[phone]
[e-mail]
2. ' Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 1350 North Stokes School Road
City
State / Zip Code
County
Danbury
NC / 27016
Stokes
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 Ricky D. Goins, Maintenance Director
Mailing Address P.O. Box 50
City Danbury
State / Zip Code NC / 27016
Telephone Number [phone]
Fax Number [phone]
) 4 L'1.1W1
AUG 2rZOli
DENT,.'=';It,. i.:•? `''UAL i.t.y
POINT ..'73RAKICH
1 of 4 Form-D 05/08

NPAPIPLLIICATIION - FORM
For privately owned treatment systems treating 100% domestic wastewaters <1.0 1taGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial 0 Number of Employees
Residential ❑ Number of Homes
School ® Number of Students/Staff 703
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Population served: 703
5. Type of collection system
Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
5. Outfall Information:
' Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? 0 Yes ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Unnamed Tributary to Dan River
5. Frequency of Discharge: ❑ Continuous Z Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration: 8 Hrs
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.
0.015 Wastewater Facility consisting of the following:
o Septic Tank
o Dosing Chamber
o Surface Sandfilter
o Tablet Chlorination
o Chlorine Contact Tank
o Tablet Dechlorination
2 of 4 Form-D 05/08

,
NPDES APPLICATION - F' 1 i
ID)
For privately owned treatme ;r t systems treati g 100% domestic wastewaters <1.0 B/IGD
10. Flow Information:
Treatment Plant Design flow 0.0115 IWGD
Annual Average daily flow 0.004 MGD (for the previous 3 years)
Maximum daily flow 0.026 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 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
Maximnum
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
9.74
4.63
MG/L
Fecal Coliform
80
6.66
Col/ 100m1
Total Suspended Solids
5.0
1.54
MG/L
Temperature (Summer)
27
21.1
0C
i
Temperature (Winter)
23
11.6
oC
pH
6.7
6.2
SU
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0044962 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
Permit Number
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Ricky D. Goins, Maintenance Director
Printed name of Person Signing Title
p,.1. �• 8-a-3-I\
Signatu of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
4 of 4 Form-D 05/08