NC0086983_Issuance of Permit_20120703

AVA
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
July 3, 2012
Jerry A. Hatchett,Maintenance Director
Caswell County BOE
P.O. Box 160
Yanceyville,North Carolina 27379
Subject: Issuance of NPDES Permit NC0086983
South Elementary School WTP—Class 1
8925 NC Hwy 86 South
Caswell County
Dear Mr. Hatchett:
The Division of Water Quality(the Division or DWQ)hereby issues the attached NPDES permit for
the subject facility. We issue this permit 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.
The Division understands that you have made no significant alterations to your potable-water waste-
treatment plant (WTP) facilities during the previous permit cycle except to add dechlorination(ATC
May 4, 2009). For renewal we updated your permit [see permit Section A. (1.)] by applying the latest
statewide permitting strategy for WTPs specific to green-sand filter treatment technology(adopted
September 2009). This strategy includes a revised list of monitoring requirements,permit limits, and
effluent parameters of concern.
If any parts,measurement frequencies, or sampling requirements contained in this permit are
unacceptable, you have the right to an adjudicatory hearing,upon written request submitted within
thirty(30) days after receiving this letter. Your request must take the form of a written petition
conforming to Chapter 150B of the North Carolina General Statutes, and you must file it 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.
This permit is not transferable except after notifying the Division of Water Quality. The Division may
require permit modification, or revocation and re-issuance. Please note that this permit does not affect
your legal obligation to obtain other permits required by the Division of Water Quality,the Division of
Land Resources, the Coastal Area Management Act, or other federal or local governments.
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St Raleigh,North Carolina 27604 One
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet vrww.ncwaterquality.org �
An Equal Opportunity\Affirmative Action Employer Natural

1 ..
If you have questions,or if we can assist you further,please contact Joe R. Corporon,L.G. at •
[joe.corporon@,ncdenr.gov] or call [phone].
R-:.- ly,
liarles.Wakild P.E.
Enclosure:NPDES Permit NC0086983 (Issuance FINAL)
hc: Central Files
Winston-Salem Regional Office/Surface Water Protection Section,Cory Basinger
NPDES Program Files
ec: Toxicology Unit,Susan Meadows
•
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St Raleigh,North Carolina 27604e
Phone:[phone] FAX [phone] Customer Service:1-877-623-6748 ortthCarol na
Internet www.newaterquality.org Naturally An Equal Opportunity l Affirmative Action Employer

Permit NC0086983
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
. TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMNATION SYSTEM
(NPDES)
In compliance with the provisions 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,
Caswell County Schools — Board of Education (BOE)
is hereby authorized to discharge wastewater from a facility located at the
South Elementary School Water Treatment Plant (WTP)
8925 NC Hwy 86 South, Mebane.
Caswell County
to receiving waters designated as an unnamed tributary of Hyco Creek within 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 on August 1, 2012.
This permit and the authorization to discharge shall expire at midnight on March 31, 2017.
Signed this day July 3, 2012.
eic
C akild,P.E.,Director P
D'A ion of Water Quality
By Authority of the Environmental Management Commission

Permit NC0086983
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility,whether for operation or discharge are hereby
revoked, and as of this 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 described herein.
Caswell County Schools — Board of Education (BOE)
is hereby authorized to:
1. continue to treat filter-backwash wastewater generated during the production of potable water from a well
utilizing green-sand filter water-treatment technology,from facilities including
• caustic soda tank
• potassium permanganate tank
• chlorine-contact chamber/chlorinator
• green-sand filter
• dechlorinator
• holding basin for filter back-wash
• drain line to outfall
located at the South Elementary School Water Treatment Plant, 8925 NC Hwy 86 South,Mebane,
Caswell County and,
2. discharge from said treatment works, at the location specified on the attached map,to an unnamed
tributary to Hyco Creek [stream segment 22-58-1],a waterbody currently classified C within
Subbasin 03-02-05 of the Roanoke River Basin.

A
L
• '� `� T '
Approximate j'�(,-_-�;�`1�?E
Property Boundary //
Outfall 001
(flows southeast)
AIP
UT to Hyco Creek
(flows southeast) Y 4'
NCH 119 R' i,,'-�
NC HWY 86 Southrliz,
` ate, �`1, , + ��'�!� ":•. ,� ? a�i, �Y�' �/ � `V p_
{y\^jam/�J , f' � �•. i ,% \ �+ 1 `�
Hyco Creek
(flows northeast
fir497
Jet
Caswell County Board of Education
South Elementary School WTP
USGS Ouad/State Grid: Ridgeville, B22SW Stream Class: C
Latitude: N 360 19' 37" Sub -Basin: 03-02-05
Longitude: W 790 14' 25" HUC: 03010104
Drainage Basin: Roanoke River Basin
Receiving Stream: UT to Hyco Creek [stream segment 22-58-11
Facility
Location
not to scale
NorthNPDES Permit NCO086983
Caswell County

Permit NC0086983
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning with the Permit effective date and lasting until expiration,the Permittee is
authorized to discharge filter backwash from Outfall 001. Such discharges shall be limited and monitored by the
Permittee,as specified below:
LIMITS MONITORING REQUIREMENTS
PARAMETER
[Parameter Codes] Monthly Daily Measurement Sample Sample
Average Maximum Frequency Type Location 1 •
Flow 2/Month Instantaneous
[50050] or estimate 2
pH Not<6.0 nor>9.0 2/Month Grab E
[00400] Standard Units
Turbidity 3 2/Month Grab E
[00076]
Total Residual Chlorine 4 17µg/L 2/Month Grab E
[50060]
Total Suspended Solids 30.0 mg/L 45.0 mg/L 2/Month Grab E
[C0530]
Total Fluoride 5 Quarterly Grab E
[00951]
Total Iron Quarterly Grab E
[01045]
Total Manganese Quarterly Grab E
[01055]
Footnotes:
1. E=Effluent;U=Upstream(at least 100 feet upstream from the outfall).D=Downstream
(at least 100 feet downstream from the outfall).
2. In addition to total flow,the Permittee shall record and reportflow rate and flow duration on
monthly Discharge Monitoring Reports(DMRs).
3. Discharge shall not cause receiving-stream turbidity to exceed 50 NTU.If the natural
background turbidity exceeds 50 NTU,this discharge may not cause receiving-stream
turbidity to increase.
4. Total Residual Chlorine(TRC)-The Division shall consider all TRC values reported
below 50µg/L to be compliant with this permit.However,the Permittee shall continue to
record and submit all results reported by North Carolina-certified test methods(including
field certified),even if these results fall below 5014/L. •
5. Total Fluoride to be monitored only if filters are back washed with fluoridated finish water.
Conditions:
1. All samples shall be collected during the backwash cycle.
2. The Permittee shall discharge no floating solids or foam.

• Public Notice
North Carolina
Environmental
Management
Commission/NPDES Unit
1617 Mail Service
AFFIDAVIT OF INSERTION OF ADVERTISMENTenr
Raleigh.NC 1617
The Times-News Publishing Company Notice of Intent o Issue
a NPDES Wasteewater
Permit
The North Carolina Envi-
ronmental Management
Commission proposes to
issue a NPDES waste-
Burlington NC water discharge permit to
the person(s)listed below.
Alamance County
Written comments regard-
ing the proposed permit
will be accepted until 30
days after the publish date
I, Debbie Shue, Legal Advertising Manager of the Times-News Publishing Co., of this notice.The Director
of the NC Division of Water
do certify that the advertisement of entitled Quality(DWQ)may hold a
public hearing should there
be a significant degree of
Public Notice North Carolina Environment Management Commission public interest.Please mail
comments and/or rnforma-
non requests to DWQ at
Measuring 56 LINES appeared in The Times-News, a newspaper published in the above address. Inter-
Alamance County, Burlington,NC, in issues of theed DWQ personst512 may alis-
at N.Salis-
bury Street,Raleigh,NC to
review information on file.
Additional information on
Mav 11, 2012 NPDES permits and this
notice may be found on
our website:
htto://oortal.ncdenr.org/
web/wa/swo/os/nodes/
Order# 22600162 /22604816 calendar
or by calling
[phone].
Caswell County Board of
Education (PO Box 160,
Yanceyville)has applied to
/ 110.. renew permit NC0086983
Legal AdvertisingManager for theolSouth Elementary
g School WTP, discharging
to a UT to Hyco Creek,Ro-
anoke River Basin.
May 11,2012
Sworn to and suuiffjSl�before me this_L'� day of 11111 , 2012
````` Pose Cltr/e e�':
0
Q 2.o�ry•`
Z_ Angelis Ross Little
Poor•
� A
,',„'"int"�� / ot. r Public
My commission expires: January 20, 2015

FACT SHEET
EXPEDITED - PERMIT RENEWAL
NPDES NC0086983
Basic Information for Expedited Permit Renewals (
Permit Writer/Date Joe R.Corporon L.G. /25Apr2012
Permit Number—County-Region NC0086983—Caswell County- •
Facility Name Caswell Co BOE — Soy E •mentary School WTP
Basin Name/Sub-basin number Roanoke/03-02-05
Receiving Stream UT to Hyco Creek[se-. nt -58-1]
Stream Classification in Permit C
Does permit need Daily Max NH3 limits? No
Does permit need TRC limits/language? Limit=No; language=Yes
Does permit have toxicity testing? No TOX—Green sand filter exempt
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? Yes-added dechlor;ATC May 4,2009
Request for Renewal September 13,2011
Current expiration date March 31,2012
New expiration date March 31,2017
Comments: Chlor/dechlor;soda ash[Na2CO3];green sand filter
Correspondence with the Permittee—the Application for renewal indicates no changes to wastewater treatment
facilities since last renewal other than adding dechlor.
Proposed Renewal-Changes from Previous Permit—the Division will revised the permit and update the
effluent page to reflect the Water Treatment Plant(WTP)Permitting procedures 2009
Total Iron,Total Zinc,and Total Manganese data are available for Reasonable Potential Analyses(RPA)—all
three show reasonable potential to exceed respective water-quality standards(see attached RPA).Total
Manganese monitoring is required for greensand technology,but it remains as"monitoring only,no limit."
Although Total Manganese past data do show RP to exceed the Human Health standard of 2001.1g/L(MAX
predicted=4,032.tg/L),this standard applies to Class WS waters only.There are no other parameters of
concern.
Toxicity-Green sand filter systems do not require Whole Effluent Toxicity(WET)testing.
Compliance-This facility has an excellent compliance record(see attached).

Caswell Co DOE - South Elem School WWASONABLE POTENTIAL ANALYSIS Outfall 001
NC0086983 Flow=MAX reported Oct2007-Mar2012 Qw = 0.005 MGD •
Qw(MGD)= 0.005 WWTP/WTP Class: 2
1Q1OS(cfs)= 0.00 IWC @ 1QIOS = 100.00%
7Q1OS(cfs)= 0.00 IWC @ 7Q10S= 100.00%
7Q1OW(cfs)= 0.00 IWC @ 7Q1OW= 100.00%
30Q2(cfs)= 0.00 IWC @ 30Q2= 100.00%
Avg.Stream Flow,QA(cfs)= 0.00 IWC @ QA= 100.00%
Receiving Stream: UT to Hyco Creek Stream Class: C CHRONIC TEST CONCENTRATION=DEFAULT%
=90%
PARAMETER TYPE STANDARDS&CRITERIA(2) J F REASONABLE POTENTIAL RESULTS RECOMMENDED ACTION
(1) NC WQS/ Applied %z FAV/ g
Chronic Standard Acute 3 Ti #Det. Max W ed Allowable Cw
Acute: 67 RP=Yes
Zinc(AL) NC 50 FW(7Q10s) 67 ug/L 43 43 129
Chronic: 50 RP=Yes
I value(s)>Allowable Cw
Acute: NO WQS
Iron NC 1 FW(7Q10s) mg/L 50 50 6
Chronic:
1 RP=Yes
2 value(s)>Allowable Cw
Acute: NO WQS
Manganese NC 200 FW(7Q10s) ug/L 43 43 4,032
Chronic: 200 RP=Yes
29 value(s)>Allowable Cw
86983 RPA-Caswell Schools WTP 2012,rpa
Page 1 of 1 4/25/2012

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6c7-,••66 ----hA-L9zrz. eLez AA Ai-164)
CPigw p cam-cO- `f 0
PERMIT FACILITY PARAMETER 'IOLATION DATr OF MEAS LIMIT ;ULATED VA OVER LIMI VIOLATION TYPE VIOLATION ACTION .5e..435/
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 08/04/11 ugh 17. 27. 58.82 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 07/11/11 ugh 17. 27.1 59.41 Daily Maximum Exceeded No Action,BPJ (Ai*
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 04/07/11 ugh 17. 32. 88.24 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Solids,Total Suspended-Concentrati 09/30/10 mgA 30. 31.9 6.33 Monthly Average Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Solids,Total Suspended-Concentrati 09/03/10 mg/I 45. 63.8 41.78 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 02/04/10 ugh 17. 57. 235.29 Daily Maximum Exceeded Proceed to NOV
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 01/07/10 ugh 17. 51. 200. Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 12/14/09 ugh 17. 34. 100. Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 12/01/09 ugh 17. 22. 29.41 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 11/02/09 ugh 17. 19. 11.76 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 08/03/09 ug/I 17. 24. 41.18 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 06/22/09 ugh 17. 22. 29.41 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 05/18/09 ugA 17. 19. 11.76 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 04/27/09 ugh 17. 23.2 36.47 Daily Maximum Exceeded No Action,BPJ
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 10/31/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 07/31/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 05/31/08 mg/I Parameter Missing None
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 04/30/08 mg/I Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 04/30/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 03/31/08 mgA Frequency Violation None
NC0086 Caswell County Schools-South Ele Iron,Total(as Fe) 03/31/08 ugA Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 03/31/08 ugA Frequency Violation None
NC0086 Caswell County Schools-South Ele Solids,Total Suspended 03/31/08 mgA Frequency Violation None
NC0086 Caswell County Schools-South Ele pH 03/31/08 su Frequency Violation None
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 02/29/08 mgA Frequency Violation None
NC0086 Caswell County Schools-South Ele Iron,Total(as Fe) 02/29/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 02/29/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Solids,Total Suspended 02/29/08 mg/I Frequency Violation None
NC0086 Caswell County Schools-South Ele pH 02/29/08 su Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 01/31/08 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele pH 01/31/08 su Frequency Violation None
NC0086 Caswell County Schools-South Ele Chlorine,Total Residual 12/31/07 mgA Frequency Violation None
NC0086 Caswell County Schools-South Ele Iron,Total(as Fe) 12/31/07 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Manganese,Total(as Mn) 12/31/07 ugh Frequency Violation None
NC0086 Caswell County Schools-South Ele Solids,Total Suspended 12/31/07 mg/I Frequency Violation None
NC0086 Caswell County Schools-South Ele pH 12/31/07 su Frequency Violation None

Freshwater RPA
REQUIRED DATA ENTRY
Table 1. Project Information Table 2. Parameters of Concern
❑CHECK if HQW or ORW only Name Type Chronic Modifier Acute PQL Units
Facility Name Caswell Co DOE-South Elem School WTP Parol
WWTP/WTP Class 2 Paroz z:
NPDES Permit NC0086983Parol
Outfall 001 Par04
Flow,Qw(MGD) 0.005 ParO5
Receiving Stream UT to Hyco Creek Par06
Stream Class C Par07 -
7Q10s(cfs) 0.00 Cr` Parol
7Q1Ow(cfs) 0.00 C Par09
30Q2(cfs) 0.00 C Par10 ,
QA(cfs) 0.00 C Par11
1 Q10s(cfs) .00 '„ Par12
Data Source(s) Par13
❑CHECK for MODEL Par14
:c Par15
Par16
Par17
Par18 Zinc 1„ ' .< NC 50 RN 67 ug/L
Follow directions'for data entry. In some cases a Par19 Iron NC 1 RN mg/L
comment menu list the available choices ora Par20 Manganese NC 200 FW ug/L
dropdown menu will provide a list you may select
from. Error message occur if data entry does not, ` Par21
meet input criteria. — Par22
•
I ac ;• . a a�a � 6.�)' ar r .. ehxa4 T. a 6�.FB3a,a. a 7:oaa 9ar iaa e:E• r . ..,v x: r e x:;a.is.a: ,: a(� •
... ,i.. ril �ina : a ,s .aaar�
86983 RPA-Caswell Schools WTP 2012,input
4/25/2012

REASONABLE POTENTIAL ANALYSIS
/1e. -z.-- s-.(0qv--
Zinc(AL) SPECIAL- Iron SPECIAL-
Values"WITH Values"WITH
Date Data BDL=1/2DL Results "COPY" Date Data BDL=1/2DL Results "COPY"
1 10 10 Std Dev. 13.6 1 2007 0.49 0.49 Std Dev. 0.4
2 36 36 Mean 20.4 2 2007 0.39 0.39 Mean 0.2
3 10 10 C.V. 0.7 3 2007 0.075 0.075 C.V. 1.6
4 10 10 n 43 4 2008 0.05 0.05 n 50
5 28 28 5 2008 0.05 0.05
6 • 10 10 MuIt Factor= 1.90 6 2008 0.12 0.12 Mult Factor= 2.99
7 10 10 Max.Value 68.0 ug/L 7 2008: 1.9 1.9 Max.Value 1.9 mg/L
8 10 10 Max.Pred Cw 129.2 ug/L 8 2008 0.14 0.14 Max.Pred Cw 5.7 mg/L
9 10 10 9 2008 0.05 0.05
10 tk 10 10 10 2008:. 0.088 0.088
11 ' 10 10 11 2008',4 0.05 0.05
1211 11 12 2008 , 1. 1
13 10 10 13 2008 0.05 0.05
14 1 10 10 14 2009',10.39: 0.39
15 10 10 15 2009,$ 0.18 0.18
16 1 16 16 16 2009 0.066 0.066
17 10 10 17 2009 . 0.05 0.05
18 10 10 18 2009 1 0.05 0.05
19 14 14 19 2009 0.11 0.11
20 17 17 20 2009'_ "l• 0.05 0.05
21 10 10 21 2009 '4,1 0.05 0.05
22 16 16 22 2009 w' 0.14 0.14
23 10 10 23 2009' 0.18 0.18
24 10 10 24 2009;=t's 0.083 0.083
25 47 47 25 2009 0.065 0.065
26 36 36 26 2010 yf. 0.26 0.26
27 68 68 27 2010.4 0.24 0.24
28 10 10 28 2010:x_ 0.091 0.091
29 29 29 29 2010 a 0.072 0.072
30 41 41 30 2010', 0.079 0.079
tit
31 43 43 31 2010 0.33 0.33
32 13 13 32 2010f. 0.22 0.22
33 41 41 33 2010 0.28 0.28
34 22 22 34 2010 ", 0.097 0.097
35 27 27 35 2010' 0.055 0.055
36 13 13 36 2010 0.46 0.46
37 35 35 37 2011 0.041 0.041
38 12 12 38 2011 0.05 0.05
39 25 25 39 2011 '' 0.094 0.094
40 26 26 40 2011 , 0.17 0.17
41 24 24 41 2011 I' 0.36 0.36
42 34 34 42 2011 '' 0.15 0.15
43 24 24 43 2011 0.15 0.15
44 44 2011 ;,;' 1.5 1.5
45 45 2011 0.106 0.106
46 46 2011 0.11 0.11
4747 2011 0.04 0.04
46 t 48 2011 0.037 0.037
49 49 2012 0.079 0.079
50 wl 50 2012 0.029 0.029
51 51
52 52
53 53
54 54
55 55
56 56
57 57
58 58
59 59
60 60
61 61
62 62
63 ;; 63
64 '' 64
65 tt 65
66 ' 66
6767
69 �` 69 i
70 111 70
86983 RPA-Caswell Schools WTP 2012,data
-4- 4/25/2012

REASONABLE POTENTIAL ANALYSIS
Manganese SPECIAL-
Values"WITH
Data BDL=112DL Results "COPY"
1 100 100 Std Dev. 342.5
2 670 670 Mean 383.5
3 18 18 C.V. 0.9
4 110 110 n 43
5 1100 1100
6 36 36 Mult Factor= 2.24
7 550 550 Max.Value 1800 ug/L
8 270 270 Max.Pred Cw 4032 ug/L
9 120 120
10 40 40
11 53 53
12 17 17
13 72 72
14 20 20
15 290 290
16 360 360
17 570 570
18 180 180
19 600 600
20 380 380
21 430 430
22 440 440
23 110 110
24 178 178 units corrected
25 420 420
26 290 290
27 550 550
28 55 55
29 1100 1100
30 320 320
31 380 380
32 600 600
33 560 560
34 680 680
35 380 380
36 310 310
37 1800 1800
38 522 522
39 620 620
40 403 403
41 208 208
42 299 299
43 280 280
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65 •
66
67 :t s
68 •
69
70
86983 RPA-Caswell Schools WTP 2012,data
-7- 4/25/2012

To: Mrs. Dina Sprinkle
NC DENR/DWQ/Point Source Branch
I am submitting this application on behalf of Caswell County
Schools for Permit Number NC0086983 South Elementary for a a
renewal of permit. Since the last application we have installed
Dechlorinator into our system and was approved by NCDENR in
2009. There has not been any other changes to our system since.
Any questions please feel free to contact me. Thanks
Je Hatchette '�a
well County Schools
Maintenance Director
September 8, 2011
ip, gow2B
SEP 13 2011
DENR-WATER QUALITY
POINT SOURCE BRANCH

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application tos
N. C. Department of En'vironmeat and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center,Raleigh,NC 27699-1617
NPDES Permit Number NCOO$&'?3
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 redIAZ i1Oo .Sx& o &J aJwil)
C
Facility Name ,sputa EdP_wifnd c4 �G`id0 I
Mailing Address 11 &MC (iD
City qaieik, .
N
State / Zip Code grr Cart lin,. _ 077371
Telephone Number (3X0 ) (4" - Ll/lb
Fax Number (3X9 ) 444 - Sag7
e-mail Address horicie# r.A'5t11 • /diel.f l L• "S
2. Location of facility producing discharge:
Check here if same as above 0
Street Address or State Road ggas South
City ifieeifre
State / Zip Code JVOrrµ Carah�.�. 7374?
County
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to the
Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number (
4. Ownership Status:

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Federal ❑ State Private 0 Public 0
5. Type of treatment plant:
0 Conventional(Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
00 Green Sand Filter(No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener 0
6. Description of source water(s) (i.e. ground ter, surface water)
,41,02 Cr wed
7. Describe the treatment process(es)for the raw waters
CA/or 4,001 Sock Asti G ea af) . Wilk&
8. Describe the wastewater and the treatment processes)for wastewater generated by the
Low Prc.�su►�
iL TanK 40 411e- Sa ,�
p,, Sct ck -L____
9. Number of separate discharge points: a
Outfall Identification numbers) 001
10. Frequency of discharge: Continuous$J Intermittent 0
If intermittents
Days per week discharge occurs: Duration:
11. Plant design potable fiowrate.O050 MOD
Backwash or reject flow .0005 MOD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
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•
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments,that have the potential to be discharged.
ChWWire, Ste, Ache t, Po siw i Pe wijwta
14. Is this facility located on Indian country? (check one)
Yes ❑ No An
16. Additional Informations
> Provide a schematic of flow through the facility, include flow volumes at all points in
the treatment process, and point of addition of chemicals.. 6E (Oke
> solids Handling Plan
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16. NEW Applicants -MVO) c, rm, COPIPPM yd . '' ,uc�
Information needed in addition to ite 1-15: coordinator��%��,itlE the 1r 0 t R Customer
> New applicants must contact a permit
Service Center.
Was the Customer Service Center contacted? 0 Yes 0 No
> Analyses of source water collected
> Engineering Alternative Analysis
> Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. 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.
TF - A.
• ' e of Pe : Signing Title
/Tin
ture o L'pplicant Date
North Carolina General Statute 143-215.6 (b)(2) provides that: 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

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Sludge Management Plan
Caswell County Schools
Po Box 160
Yanceyville, NC 27379
The sludge is removed by a domestic waste removal
business and is disposed of in a proper manner complying
with State laws.
Jerry Hatchett
Maintenanc!F._
irector A
Signature: _ _ .►n�.f_.--
Date:
I: ,r-- --
D
I /` SEP 13 2011
ET4R-IA'ATi"R QUALITY
POINT SOURCE/RANCH