Loading...
HomeMy WebLinkAboutNC0038709_Permit Issuance_20040423ot0� W AT � �F r DENR 1 � Y Mr. Ken Barfield Wilkes County Schools 201 West Main Street Wilkesboro, North Carolina 28697 Dear Mr. Barfield: Michael F. Easley Governor William G. Ross, Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P.E., Director Division of Water Quality April 23, 2004 Subject: Issuance of NPDES, Permit NCO038709 Roaring River Elementary School WWTP Wilkes County 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 May 9, 1994 (or as subsequently amended). This permit includes no significant changes from the draft permit sent to you on October 22, 2003. 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 (919) 733-5083, extension 511. Sincerely, ORIGINAL SIGNED BY SUSAN A. )MLSON Alan W. Klimek, P.E. cc: Central Files Winston-Salem Regional Office/Water Quality Section NPDES Unit N. C. Division of Water Quality / NPDES Unit Phone: (919) 733-5083, extension 511 1617 Mail Service Center, Raleigh, NC 27699-1617 Fax: (919) 733-0719 Internet: h2o.enr. state. nc. us e-mail: charles.weaver@ncmail.net Permit NCO038709 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 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, the Wilkes County Board of Education is hereby authorized to discharge wastewater from a facility located at the Roaring River Elementary School WWTP 283 White Plains Road Roaring River Wilkes County to receiving waters designated as the Yadkin River in the Yadkin -Pee Dee River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts I, 11, III and IV hereof. This permit shall become effective June 1, 2004. This permit and authorization to discharge shall expire at midnight on September 30, 2008. Signed this day April 23, 2004. ORIGINAL SIGNED BY SUSAN A. WILSON Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission Permit NCO038709 ' 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 included herein. The Wilkes County Board of Education is hereby authorized to: 1. Continue to operate an existing 0.0045 MGD wastewater treatment facility with the following components: • Septic tank • Dosing tank • Dual surface sandfilters • Effluent pump station and force main The facility is located at the Roaring River Elementary School WWTP off White Plains Road, south of Roaring River in Wilkes County. 2. Discharge from said treatment works at the location specified on the attached map into the Yadkin River, currently classified WS-V waters in the Yadkin -Pee Dee River Basin. 000 3. � 1 ! _� fff � �.� o i ;.(�'1 lr ) I`~ s; 1 ��<:� `T/� �� - •.rf55. Ix Jp 1 _ -Mt /— --/i!. ,/� — �� _ tian•on sot ' \\ `C'. //: •^J Lam• ��.-. __ _ �4 em 7C m� •\;�,� 1--�.j :' - _�i �'% �, -' _ — _ �� ,`� tit., :- Y_.0 )° \�`�.% / ,ti\•�/ _.� Jam.' na. -�a- _ 940 934 v7V t.r' _ -- — _RIVE —.kk Quad: Roaring River, N.C. Subbasin: 30701 Latitude: 36°12'03" Longitude: 81 °00'21 " Receiving Stream: Yadkin River Stream Class: WS-V NCO038709 Wilkes County Board of Education Roaring River Elementary School Facility Location` \ =t r North I F SCALE 1:24000 Permit NCO038709 ' A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS During the period beginning on June 1, 2004 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 LIMITS MONITORING REQUIREMENTS Monthly Daily -Measurement Sample... Sample Average Maximum Frequency Type Location' Flow 0.0045 MGD Weekly Instantaneous Influent or Effluent BOD, 5 day, 200C 30.0 mg/I 45.0 mg/I 2 / Month Grab Effluent Total Suspended Solids 30.0 mg/I 45.0 mg/I 2 / Month Grab Effluent NH3 as N Monthly Grab Effluent Temperature Weekly Grab Effluent pH >6 and <9 standard units 2 / Month Grab Effluent Total Nitrogen (NO2 + NO3 + TKN) Quarterly Grab Effluent Total Phosphorus Quarterly Grab Effluent There shall be no discharge of floating solids or visible foam in other than trace amounts. State of North Carolina Department of Environment and Natural Resources Division of Water Quality Michael F. Easley, Governor William G. Ross, Jr., Secretary Alan W. Klimek, P.E., Director October 22, 2003 MEMORANDUM To: Lee Spencer NC DENR / DEH / Regional Engineer Winston-Salem Regional Office From: Valery Stephens NPDES Unit Subject: Review of Draft NPDES Permit NCO038709 Wilkes County ILFTWA NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES RECEIVED N.C. Dept. of EHNR OCT 2 8 2003 Winston --Salem Regional office Please indicate below your agency's position or viewpoint on the draft permit and return this form by November 21, 2003. If you have any questions on the draft permit, please contact me at the telephone number or e-mail address listed at the bottom of this page. RESPONSE: (Check one) oncur with the issuance of this permit provided the facility is operated and maintained properly, the Eq-_ stated effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality standards. F-1 Concurs with issuance of the above permit, provided the following conditions are met: F-1 Opposes the issuance of the above permit, based on reasons stated below, or attached: Signec 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 919 733-5083, extension 520 (fax) 919 733-0719 VISIT US ON THE INTERNET @ http://h2o.enr.state.nc.us/NPDES Valery.Stephens@ ncmail.net -�a T Publisher's Affidavit --- State of North Carolina, Wilkes County. NOV - 4 2003 " Personally appeared before me the Undersigned JULIUS C. HUBBARD, JR. DENR-WATER OUAUTY POINT SOURCE BRANCH and/or JOHN W. HUBBARD Co- Publishers of WILKES JOURNAL- PATRIOT, a public newspaper of general circulation, printed and published in North Wilkesboro, in the county aforesaid who, being duly swom, upon his oath, sayeth that the notice of which the attached is a true copy, was duly published in said paper for insertions successively. the first of which publication was on the day of 20Q�_ and the last on the day of — 20 Publication Fee 1 / �../�QICd-Publiah ,rfof Wilkes Joeumal-Patriot Subscribed and sworn to bef4,me a�{.i' �T�, �l- j 20 is u� 0 U V Notary Public My Commission expires / My Commission E)OreS 7-21-2007 S:6-,«£E mQ t°'m�cmL m£��Q� Hcm m m`o min m a _m mZmSmE`° DNww °im5 mwd2 "o ccvv$a E'5 S5=="mL$•-m w-mac mU m w"£'nLm�_coo-'m w `�-�°.=-mom noEO^c pOoOmm Z"5 `oo m-m'mocUmm= ¢ a5f am-ia` cm eiy o m.oa'o0-3�o °oc mmo °per mQmo x 9- 3-`m-m2"o mc£mo�m`m2n- 2'me3vin`m`m._r o�._Eo¢c �a"£ coc mE �vgSm` picrnn Los? � � $�Z Szs EA«o �rE¢ �Q?`o333 mwu_ j o c £o2�= om< m o _££ U mZL=JOgE�$Z$q ¢g'mm ��i^o3iV and r€E_�z>Qiz cE�2 'mmem Etc m�'m'mmam'o€c�,`n �m` Zoc ,men€mc�mmtic1`Y �onmm m iL mvr;c�yo3L$�3o ma m�o 3�nma t��3EOEom3cz�'a�� O1m3:gL TE =�[°$�CmG -Lw.. 3>g�emi �u�i dO o�.QE�m cu�LLe m� �mo 'mac` 3mmmym m;o o m r�Enmc€2Dg of is'�m3� �=�oE E3v om amc m`u `m�mpum'nZms �v om rn£c6�� s�¢oti=�gi5 i'oE $mL $'mc«nO m=$ get °'°$38Z �.m ° `oE wazie�mco Www=O-«u«i m`m_mm`w��m gm£Qvma°,PEm mmco$yEo,°mmE ��: 'o `o£.-Hou— o c mLc oc`nmm$c vno.. �° =Emmmo £ tea- «E mcpOo°ii3QOZmE' 000N U�Em'; mg omHoioy� o�oig _ € o.�n m t3'mL°m E;°3>U `Q=map m-tL% m mt m^ m�'v>= o t=e EU,e m�O 2Eoia 3- m,.caaQ ��i m aD m 3u+u °`m i^m m�mg E3 dmm �m ��m cL` i�Laa�L m'wc `�`n-Q mc, °"°'� 2om�mmm¢ > 3_3m 2�a �•-mNmv mo «U mrc jUU mr:m z_m�cco3oE 22fi�'£S mo oZ "S moaZm mmm3mmQ mgtc �¢ �mm oomo?oaE� c mZm j Em-p��mE mwW nw E3nmv °C �. m.:m '-°° mmm�m°NEE 'oQU�r-.- `min m. S �._ m m m $'�=S o"Ucmmmm<m._ °U i0 omm�o�m go3�am aZm 'a ma y�'`''-om'' E. mmm£om EE£�ygi£c£mmayE Wino Umz .;°'Z3 oU$zmLL m> o Cgm?uIr 2'mmg2£ o �2nm coE3ti£$ E£`c mEto;E mo-ammo Si^ g ya= amt] a mcm y mmc- mc��mm3ammon?oo.rmnmEa"&f_-£mg mO E 1£5N an�ui m€=BaS`�m m Ui_m€w E2 �m 0m -1C 9`m Zgma c Et"m ON JUUpN'jCC SEET �°gSc aEE mo$o�'2,Omdt� ¢3a.Em�mmL no e£U9E a3 mmy mtY E� N=Ci_Oga 3m£-- m amp Umm nU an €E_E- €c=m my c9c E` g mmm �`�om�o2,ma me Wmt �a mao� €�= i % m `m m' g «e2« m_mZ EZv>i am5 g�a `m$♦`«ES'o m nm pmmmom $2'°m$E £1-oL `m v,-` av2 mm m._mEmc.yv -i ci �' >.. nE>2aa�5 3h «>d gib£ c.LL L) c.2c °u w3u c£°' Em=. 2 NORTH CAROLINA FORSYTH COUNTY AFFIDAVIT OF PUBLICATION Before the undersigned, a Notary Public of said County and State, duly commissioned, qualified, and authorized by law to administer oaths, personally appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is 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 he 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 Winston-Salem Journal on the following dates: October 25, 2003 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 Statues of North Carolina and was a qualified newspaper within the meaning of Section 1-597 of the general statues of North Carolina. (,{/y���� `A Q/(� PUBL'C NOTICE This 28th day of October, 2003 • STATE OF NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSIOWNPDES UNIT (signature of person ing affidavit) 1617 MAIL SERVICE CENTER RALEIGH. NO 27699.1617 Sworn to and subscribed before me, this 28th da of Octo , 2003 Notary)P tic My Commission expires: September 28, 2005 OFFICIAL SEAL tfi Notary Public, North Carolina COUNTY OF FOFSYTH ``— KIMALEY OH SON My Commission Expires_ 'NOV NOV - 4 2003 DENR-WATER QUALITY POINT SOURCE BRANCH NOTIFICATION OF INTENT TO ISSUE A NPDES WASTEWATER PERMIT On the basis of thorough staff review and application of NC General Stat- ute 143.21, Public law 92"5m and other lawlu4 standards and regula- tions, the North Carolina EnOrortrnw.al Managemern Commission pro- poses to issue a Nalicnal Po't,nant Discharge Elimination System (NPDES) watewater dacharee permit to the parsonls) listed below at - fact 45 days from the pudlish daze ?I this notice. Wrihen comments regarding the proposed permit wit be acca pri e vec 30 days afterd�e pub sh dale of this notice. All comments recil prat [o that date are considered lo the final delerminatans regardirw the pro- posetl permit. The DirecNr of the NC DNision of Water Oualiit may de- cede Po M d a public meeting fa rite Proposed permit should the Division re;�eive a sigrificarn degree of public irriarest. Copies of tte drag permit and other suplwdlrg infonnatlon oin Na used to„determine conditions present intM drag permh are availablee upon re- quest and payment of the costs of reproduction. Mail commthe a requests for intonnatbn to the NC Division of Water OualRy at the above address or call Ms Valery Stephens at (919) 733-5003. extension 520. Please inGude the NPDES permk numtxr (adacned) in any commurya- fioh� Irtaested persons may afro visit the Division of Water Oualirs at 512 N. Salishury Street. Raleigtti NC 276041148 hehveen the hours of ep0 a.m. and S:CD p.m. tc review ir>formation on file. The Wilkes County Board of Edupdon, has applied for renewal of its discharge permit NCW76066 for the North Wilkes High SchoWVVTP (2986 Traphi0 Rnad). This facility dis arges ueated wastewaer to Woof Creek in the Ya14:irvPee Dee River Basin. G.rrenty Ammoniaa eas N4ro- aeh,, and total resdual charine era wafer quakty limited Tits discharge may affect fuure aYoaforis in this Pon of the over basal the Wilkes County Board of Educetida, has applied for renewal of its discharge permit NC0075515 for Boomer-Fergg'son Elementary School WWTP (556 Roomer Ferguson School Roadl This facility discharges treated wastewater to an unnamed tnbutery to Warrior Creek in the Yad- kin -Pee Dee River Basin Currently Ammonia as Nitrogen, and total re 6idual chlorine are water quality limited. This discharge may affect future alloq tars in this portion of the river basin The Wilkes Courtty Board of Education, has applied for renewal of its ddscharge p rh it NC0o51047 for Wright Elementary School WWTP (200 p,C.Wngh,SchcolRoad) Thsfac��tydlscharggestreated wastewaterto an unnamed tributary to Little Cub Creek in rite Yadkin -Poe Dee River Basin. Currently Ammonia as Nitrogen, and total residual chlorine are water quality limited. This discharge may affect future allocations in this portion of the river basin. The Wilkes Canty Board of Education, has applied for renewal of hs discharge permit NCOP46426 for Traphdll Elementary School WWrP (On NCSR 1002). This facility discharges treated wastewater to Little Sandy Creek in the Yadkin -Pee Dee River Basin. Currently rlo parameters are water q.ality limited. This discharge may impact tenure allocation of this resource The Wilkes County Board of Education, has applied for renewal o+ ms discharge pemiit NCOD46388 for the East Wilkes High School WWTP (13315 Elkin Hp -ay 268), TMs fadli y dischwges treated wastewater tc Hughes Branch (OuUall 001) and an unnamed tributary to Hughes rtail Branch (Cu002) in ee the Yadkir,PDoe River Basin. Currently Am monia as Nitrogen is water quality limited. This discharge may affect f, lure allocatcns inihls portion of the river basin. The Wilkes county Board of Educator, has applied for renewal of its discharge permit N00038709 for Roaring River Elementary School WWTP (283 While Plaire Read). This facik}t discharges treated waste water to the Yadkin-Pae Dee RNer in the Yadkin-Pse Dee River Basin. Currently no parameters are water quality limited. This discharge may impact tenure allocation of this resource. Residual Chlorine and Ammonia Toxicity Assess ent Residual Chlorine Ammonia as NH3 (summer) s7Q10 (CFS) 276 s7Q10 (CFS) 276 DESIGN FLOW (MGD) 0.0045 DESIGN FLOW (MGD) 0.0045 DESIGN FLOW (CFS) 0.006975 DESIGN FLOW (CFS) 0.006975 STREAM STD (UG/L) 17.0 STREAM STD (MG/L) 1.0 UPS BACKGROUND LEVEL (l 0 UPS BACKGROUND LEVEL 1 0.22 IWC (%) 0.00 IWC (%) 0.00 Allowable Concentration (ug/ 672705.17 Allowable Concentration (m! 30865.52 Ammonia as NH3 (winter) w7Q10 (CFS) 375 Fecal Limit Not Required DESIGN FLOW (MGD) 0.0045 Ratio of 39569.9 :1 DESIGN FLOW (CFS) 0.006975 STREAM STD (MG/L) 1.8 UPS BACKGROUND LEVEL 1 0.22 IWC (%) 0.00 Allowable Concentration (mi 84948.04 10/6/2003 CRJ NC0063932 r 'WILKES COUNTY SCHOOLS Phil J. Couch -Executive Director of Facilities 201 W�-st `lain Street %Vilkesboro, NC 2569 7 March 24,2003 Mrs Valery Stephens NC DENR Water Quality Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Telephone 336-667-2021 ext.n25 Fax 336-667-9688 couchp(awilkes112.no.us MAR 3 1 2003 Subject: Delegation of authority for preparing renewal packages for NC NPDES permits. Dear Mrs. Stephens, This letter is to delegate authority to process the NC NPDES permits for the below listed facilities. NC NPDES PERMIT NUMBERS NAME OF FACILITY NC 0075515 Boomer Ferguson Elem. NC 0051047 C.C. Wright Elem. NC 0038709 Roaring River Elem. NC 0046388 East Wilkes High NC 0046426 Traphill Elem. NC 0076066 North Wilkes High NC 0046418 Mountain View Elem. Ken Barfield will process these renewals and related matters of the Wilkes County Board of Education. Ken is a Grade II Certified wastewater operator and ORC for the School System. Should you have any questions, plese contact our office. Sincerely, Phil j.0 uch Director of Building Facilities WILKES COUNTY SCHOOLS Phil J. Couch -Executive Director of Facilities 201 West NJ= Street Wilkesboro, NC 23697 March 24, 2003 Mrs. Valery Stephens NC DENR Water Quality Point Source Branch 1617 Mail Service Center Raleigh, NC 27699-1617 Telephone 336-667-2021 ext.#25 Fax 336-667-9688 couchpuw1lkes.k12.nc.us 38709 Subject: Renewal of NC NPDES Permit NC 00------------- Dear Mrs. Stephens: With this letter the Wilkes County Board of Education is requesting renewal of the above referenced NPDES Permit. Enclosed is the renewal application, delegation of authority letter, sludge management control plan letter. If you should need further informatioin plese contact me at (336) 667-2021 ext. 30. Sincerely l - - Ken Barfield ORC of Water Facilities NPDES PERAUT APPLICATION - SHORT FORM D To be filed only by dischargers of 100% domestic wastewater (<1 MGD flow) N. C. Department of Environment and Natural Resources Division of Water guality / NPDES Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 North Carolina NPDES Permit Number I NC00 9 (if known) Please print or type 1.. Mailing address of applicant/permittee: Facility Name Owner Name Street Address City State ZIP Code Telephone Number Fax Number e-mail Address Roaring River Elementary School Wilkes County Board of Education 201 West Min St Wilkesboro North Carolina 28697 ( 336 ) 667-201 Ext. 30 2. Location of facility producing discharge: Name (If different from above) Facility Contact Person Street Address or State Road. . City / Zip Code County Telephone Number 3. Reason for application: Same K en Barfield 283 White Plains Rd. Roaring River, NC 28669 Wilkes (336 ) 696-4628 Expansion/Modification ' Existing Unpermitted Discharge Renewal XXX New Facility * Please provide a description of the expansion/modification: 4. Description of the existing treatment facilities (list all installed components with capacities): Septic Tank with dual Bell siphon,Sand filter bed. Water enters lift Station from sand bed and is pumped up be forced main to the Effluent_ Page 1 of 2 Version 1112000 NPDES PERMIT APPLICATION - SHORT FORM D To be filed only by dischargers of 100% domestic wastewater (<1 rvlGD flow) 5. Description of wastewater (check all that apply): Type of Facility Generatinj4 Wastewater Industrial Commercial Residential School X X X Other Number of Employees Number of Employees Number of Homes Number of Students/Staff 258 Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.): School (domestic) 6. Number of separate wastewater discharge pipes (wastewater outfalls): Site 7. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each outfall: NA 8. Name of receiving stream(s) (Provide a map showing the exact location of each outfall): Yadkin River 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. Ken Parfield Printed Name of Person Signing 0 R C of Water Faca7ities, Wilkes County Schools Tittle/ Signature of Applicant Date North Carolina General Statute 143-215.68 (i) 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 Environmental Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $10,000, 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 $10,000 or imprisonment not more than 5 years, or both for a similar offense.) Page 2 of 2 Version 1112000 WILKES COUNTY SCHOOLS Phil J. Couch -Executive Director of Facilities 201 West Main Street Wilkesboro, NC 28697 March 24, 2003 Mrs. Valery Stephens NC NENR Water Quality Point Source Brance 1617 Mail Service Center Raleigh, NC 27699-1617 Subject: Sludge Management Plan Dear Mrs. Stephens, Telephone 336-667-2021 ext.#26 Fax 336-667-9688 couchpCwilkes.k 12.nc.us The following information is provided as -requested -for all NC NPDES Permit renewal packages: The sludge genarated from the below listed NC NPDES facilities are removed annually by our staff. It is transported to the Town of North Wilkesboro Wastewater treatment plant for treatment and ulitimate disposal. NC 0075515 Boomer Ferguson-Elem. NC 0051047 C.C. Wright Elem. NC 0038709 Roaring River Elem., NC 0046388 East Wilkes High NC 0046426 Traphill Elem. NC 0076066 North Wilkes High NC 0046418 Mountain View Elem. See attached authorization form signed by Jimmy Martin, facility operator Town of North Wilkesboro, Wastewater treatment plant dated March 18, 2003. If you need further information please contact me at (336) 667-2021 ext. 30. Sincerely, Ken Barfield ORC of Water Facilities Wilkes County Schools AUTHORIZATION TO DISCHARGE SEPTAGE TO A WASTEWATER TREATMENT FACILITY North Carolina Department of Environment and Natural Resources Division of Waste Management - Solid Waste Section 401 Oberlin Rd., Ste. 150, Raleigh, N.C. 27605 Fee assessments and waste determinations will be required at the discretion of the wastewater treatment facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming wastewater stream. (Plant Operator and Name of Plant) �• n• �oX r4C 1%SUt0o—rtL��,.rr�r�.� S�c�ee� ISLJ, roc a�Ls9 (Address) 336- 83 S-5001 do hereby authorize Ke Y-N &-C' �- �2 \0 (Phone Number) `` (Owner/Operator of Septage Management Firm) of W;1Kf� CAn. (Septage Management Firm Name) to dispose of: domestic septage , portable toilet waste grease septage (grease trap pumpings) commercial/industrial septage , from U)I\Kes CC)Scj,()p15 (County or other Geographic Area) at the above named wastewater treatment facility. Septage shall be discharged at: (Location) between the hours of "Aa vtI — S . O CC. ;, rVn ptoY-t �� This authorization shale valid until beC Sign (Facility Operator) Date / f 0 3 Sworn to and subscribed before me this ��h day of _m Cl rG k 20 G 3 emfu wQj Fk � My Commission expires: (Notary Public) (OFFICIAL SEAL) C°r '6WARy .9 Note: Falsification of this document by the septage management firm shall lead to permit revocation. h:cla/septage/forms/authoriz/wwtp auth-2001 �a�FS COUt