NC0066664_Renewal (Application)_20150528

I.
•
TREVCO
ENVIRONMENTAL * MAINTENANCE * CONSTRUCTION
2020 Howard Gap Road
Hendersonville,N.C.28792
Phone[phone]
Fax[phone]
5/12/15
RECEIVEDIDENRIDWR
Permit Renewal Request SAY 2 8 2015
Water Quality
Permitting Section
Wren Thedford
Please find enclosed a permit renewal package for Rugby Middle School
(NPDES permit# NC0066664). There have been no changes or
modifications to this facility since the issuance of the last permit. We
respectfully request this permit to be renewed. We also hope that you find
this package in order.
If we may be of further assistance please do not hesitate to call or
correspond.
Sincerely,
C,
Trevor C. McMinn

<Date> Z fir—
Point Source Branch
Surface Water Protection Section
Division of Water Quality
1617 Mail Service Center
Raleigh,NC 27699-1617 RECEIVED/DENR/DWR
Subject: Delegation of Signature Authority
MAY 282015
Rugby Middle School Water Quality
NPDES No.NC0066664 Permitting Section
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following
individuals for all permit applications,discharge monitoring reports,and other
information relating to the operations at Rugby Middle School as required by all
applicable federal, state, and local environmental agencies specifically with the
requirements for signatory authority as specified in 15A NCAC 2B.0506.
Name Title
Trevor C McMinn Operator in Responsible charge
If you have any questions regarding this letter,please feel free to contact me at 828-697-
4733.
Sincerely,
Martin Ballard
Facilities Director
cc: <Wilmington>Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit

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 Resources / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit 1NC0066664
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 Henderson County Public Schools
Facility Name Rugby Middle Schools
Mailing Address 414 4th Ave West RECEIVED/DENR/DWR
City Hendersonville
2State / Zip Code NC / 28739 MAY8 2 5
Telephone Number [phone] Water Query
Permitting Section
Fax Number [phone]
e-mail Address fle ba Pei re/a h e p5c t n/9
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 3555 Haywood Rd
City Hendersonville
State / Zip Code NC 28739
County Henderson
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 Henderson County Public Schools / Mr. Martin Ballard
Mailing Address 414 4th Ave West
City Hendersonville
State / Zip Code NC 28739
Telephone Number [phone]
Fax Number [phone]
e-mail Address ,(,( (d/ q'5 hG-

•
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 0 Number of Employees
Commercial 0 Number of Employees
Residential ❑ Number of Homes
School ® Number of Students/Staff 893
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
School
Number of persons served: 893
5. Type of collection system
Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1 only
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfalls
Mill Pond Creek
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
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.
See attached sheet:

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.015 MGD
Annual Average daily flow 0.009 MGD (for the previous 3 years)
Maximum daily flow 0.01 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
JVEW APPLICANTS: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.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "N/A'.
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BODS) 24 11.8 Mg/1
Fecal Coliform 600 360 Col./100m1
Total Suspended Solids 38 24.7 Mg/1
Temperature (Summer) 22 22 Degrees C
Temperature (Winter) 25 22.5 Degrees C
pH 8.0 N/A S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES Dredge or fill(Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
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.
Martin Ballard Facilities Director
Printed name of Person Signing Title
VW.w.r74-‘,05a,,dxel 5--22-/5
Signature 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.)

A*,,A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 28,2015
Martin Ballard,
Henderson County Public Schools
414 4th Ave West
Hendersonville,NC 28739
Subject: Acknowledgement of Permit Renewal
Permit NC0066664
Henderson County
Dear Permittee:
The NPDES Unit received your permit renewal application on May 28, 2015. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit,please contact Maureen
Kinney at(919)807-6388.
Sincerely,
WreAn,T1tie o(,farol'
Wren Thedford
Wastewater Branch
cc: Central Files
Asheville Regional Office
NPDES Unit
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.ncwater oro
An Equal OpportunitylAffirmative Action Employer