NC0066397_Permit Issuance_20131029

Ai';A'v
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Steve Boheler
Cleveland County Schools
866 Poplar Springs Church Rd
Shelby, N.C. 28152
Dear Mr. Boheler:
Division of Water Resources
Thomas A. Reeder
Director
October 29, 2013
John E. Skvarla III
Secretary
Subject: Issuance of NPDES Permit NC0066397
Casar Elementary School WWTP
Shelby 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 October 15, 2007 (or as subsequently
amended).
This final permit includes the following major change from the draft permit sent to you
on September 11, 2013.
➢ Section A. (2) has been added to require electronic submission of effluent data. Proposed Federal
regulations require electronic submittal of all discharge monitoring reports (DMRs). The
proposed regulations specify that if a state does not establish a system to receive such
submittals permittees must submit DMRs electronically to the Environmental Protection
Agency (EPA). NC DENR has established an electronic data -submission system. Permittees
must begin using the system no later than 90 days following the issuance of permit renewals. In
your case, that deadline is March 1, 2014.
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 required by Federal, state or local governments. If you have any
questions concerning this permit, please contact Charles Weaver at telephone number [phone].
Since ely,
4
Thomas A. Reeder
cc: Central Files Mooresville 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://podal.ncdenr.o4weblwq
An Equal Opportunity/AffinnaliveAction Employer -50% Recycled/10°h Post Consumer Paper

Permit NCO066397
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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
Cleveland County Board of Education
is hereby authorized to discharge wastewater from a facility located at the
Casar Elementary School WWTP
436 School House Road
Casar
Cleveland County
to receiving waters designated as an unnamed tributary to Crooked Run Creek in
subbasin 03-08-04 of the Broad 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 December 1, 2013.
This permit and authorization to discharge shall expire at midnight on August 31, 2018.
Signed this day October 29,
A. Reeder, Director °
of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 5

Permit NCO066397
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 Cleveland County Board of Education is hereby authorized to:
1. Continue to operate an existing 0.0066 MGD wastewater treatment facility
with the following components:
♦ 7500-gallon septic tank
♦ Two 2000-gallon septic tanks with filters [in series]
♦ 2000-gallon pump tank
♦ 4460-ft2 sand filter
♦ 10, 000-gallon holding tank
♦ Recirculating piping / pumps allowing up to 60% recirculation to head of
2000-gallon septic tanks
♦ UV disinfection system
♦ Effluent flow meter
The facility is located off School House Road in Casar at the Casar
Elementary School WWTP in Cleveland County.
2. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Crooked Run Creek, a class C
stream in hydrologic unit 0305010506 of the Broad River Basin.
Page 2* of 5

Permit NCO066397
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this 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
LIMITS
MONITORINGREQUIREMENTS
[PCS Code]
Monthly Average -.
Daily: Maximum_ ,
Measurement
Sample Type
Sample
Fre q*uency
Locationz
Flow
50050
0.0066 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (20°C) [00310]
5.0 mg/L
7.5 mg/L
2/Month
Grab
Effluent
(April 1- October 31
BOD, 5-day (20°C) [00310]
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
November 1— March 31
Total Suspended Solids
30.0 mg/L
45.0 mg1L
2/Month
Grab
Effluent
00530
NH3 as N [00610]
2.0 mg/L
10.0 mg1L
Monthly .
Grab
Effluent
(April 1- October 31
NH3 as N [00610]
4.0 mg1L
20.0 mg/L
Monthly
Grab
Effluent
November 1— March 31
Dissolved Oxygen
Daily average > 6.0 mg1L
Weekly
Grab
Effluent
00300
Dissolved Oxygen
Weekly
Grab
U & D
00300
Fecal Coliform [31616]
200/100 ml
4001100 ml
2/Month
Grab
Effluent
(geometric mean
Total Residual Chlorine (TRC)3
17 Ng/L
Weekly
Grab
Effluent
50060
Temperature (°C)
Weekly
Grab
Effluent,
[000101
U & D
pH
00400
> 6.0 and < 9.0 standard units
— —
2/Month
Grab
Effluent
Footnotes:
1. No later than March 1, 2014, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR application system [see A. (2)].
2. U: at least 50 feet upstream from the outfall. D: 0.1 miles downstream from the outfall.
3. TRC limit and monitoring requirements apply only if chlorine is used for disinfection in place
of the existing UV system. The Division shall consider all effluent TRC values reported < 50
µg/L to be in compliance with the permit. However, the Permittee shall record and submit all
values reported by a North Carolina certified laboratory (including field certified), even if these
values fall below 50 µg/L.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 5

Permit NCO066397
A. (2) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports
(DMRs) and specify that, if a state does not establish a system to receive such submittals, then
permittees must submit DMRs electronically to the Environmental Protection Agency (EPA). The
Division anticipates that these regulations will be adopted and is beginning implementation in
late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of
this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reportinea [Supersedes Section D. (2.) and Section E. (5.) (a)]
Beginning no later than March 1, 2014, the permittee shall begin reporting discharge
monitoring data electronically using the NC DWR's Electronic Discharge Monitoring Report
(eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month
and submitted electronically using eDMR. The eDMR system allows permitted facilities to
enter monitoring data and submit DMRs electronically using the internet. Until such time
that the state's eDMR application is compliant with EPA's Cross -Media Electronic Reporting
Regulation (CROMERR), permittees will be required to submit all discharge monitoring data
to the state electronically using eDMR and will be required to complete the eDMR submission
by printing, signing, and submitting one signed original and a copy of the computer printed
eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, NC 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1,
1. 1, 2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be
submitted to the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval no later .than February 1, 2014
(sixty (60) days prior to the date the facility would be required under this permit to begin using
eDMR). Temporary waivers shall be valid for twelve (12) months and shall thereupon expire.
At such time, DMRs shall be submitted electronically to the Division unless the permittee re-
applies for and is granted a new temporary waiver by the Division.
Page 4 of 5

Permit NCO066397
Information on eDMR and application for a temporary waiver from the NPDES electronic
reporting requirements is found on the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the
month following the commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B.
11, d
All eDMRs submitted to the permit issuing authority shall be signed by a person described in
Part II, Section B. (11.)(a) or by a duly authorized representative of that person as described in
Part II, Section B. (11.)(b). A person, and not a position, must be delegated signatory authority
for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR
user account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please
visit the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/iou/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"7 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 thaf there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
3. Records Retention [Supplements Section D. (6.)l
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from
the date of the report. This period may be extended by request of the Director at any time [40
CFR 122.41].
Page 5 of 5

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Produced by the United States Geological Survey
North American Datum of 1983 (tIAD83)
World Geodetic System of 1984 (WG58.1). Projection and IAN
1 000-meter grid: Universal Transverse Mercator, Zone 17S 7' S•
10 000-foot ticks: north Carolina Coordinate System of 1983 126 MILS
0' 20
6 MILS
Imagery ..................NAIP, June 2012 UTMGRID AND 2013 MAGNETIC NORTH
g ry............_................_.. Roads ......................... ..................... 02006-2012 TomTom DECLINATION ATCENTEROFSHEET
flames..........................................................GIIIS. 2013 _
Quad: Casar, N.C. N C 0 0 6 6 3 9 7
Subbasin: 03-08-04
Casar
Latitude: 35°30'22" Elementary School
Longitude: 81°37' 12" WWTP
Stream Class: C
Receiving Stream: UT Crooked Run Creek
Facility
Location
N"& Cleveland County
Map not to scale

Weaver, Charles
From: Allocco, Marcia
Sent: Monday, October 28, 2013 11:01 AM
To: Weaver, Charles
Subject: RE: DRAFT permit renewal for NC0066397
Hi Charles,
No worries on getting back to me as I know staff is just trying to get the most done with our reduced numbers. I wasn't
sure whether the difference in parameters codes would matter; I guess it also does not matter if the permittee foes to
electronic reporting? Well that is not your problem since you're just following directions.
Keep your chin up.
M
From: Weaver, Charles
Sent: Monday, October 28, 2013 10:28 AM
To: Allocco, Marcia
Subject: RE: DRAFT permit renewal for NC0066397
Sorry it's taken me so long to respond, Marcia. Things are bad here.
Regarding the two items you mentioned:
1 have a conversion chart for our sub -basins to the 8-digit HUC codes but not for the 12-digit ones. I'll use the
12-digit code you provided.
• The CO prefixes are for BIMS only. I was using those in other renewals but was advised by Vanessa and IT to use
the numeric codes only for easier transition to PCS/ICIS.
I'm going to issue the final with those changes. Thanks again for commenting, and I'm sorry I was so late in getting back
to you.
CH W
From: Allocco, Marcia
Sent: Monday, September 09, 2013 2:00 PM
To: Weaver, Charles
Subject: RE: DRAFT permit renewal for NC0066397
Hi Charles,
If I don't jump on things right away lately I have had troubles. The draft looks great but offer the following minor
comments/questions.
• 1 see you switched over to using the USGS hydro units but was wondering if the number should be 0305010506
since this corresponds to the hydrologic unit numbering systems used in the Broad River Basin plan online?
• 1 was wondering if the parameter codes should match those for ICIS — e.g. the CO prefix should be used with
BOD, TSS, and ammonia instead of the leading two zeros (00); 1 wasn't sure when you were going to roll out the
new codes since Vanessa had mentioned late last year we were holding back on the switch over.

PUBLIC NOTICE AFFIDAVIT OF INSERTION OF ADVERTISMENT
North Carolina The Star
Environmental
Management
Commission/
NPDES Unit
1617 Mail Service
Shelby, N.G.
Center
Cleveland County
Raleigh, NC
27699-1617
Notice of Intent to
issue a NPDES
The Star does certify that the advertisement for:
Wastewater Permit
The North Carolina Envi-
NOTICE OF INTENT TO ISSUE WASTEWATER PERMIT: NPDES permit
ronmental Management
Commission proposes to
NCOOo"o397/CElementary School WWTP
asar y
issue a NPDES waste-
water discharge permit to
the persons) listed below.
written comments regard-
Measuring 7.22 inches appeared in The Star, a newspaper published in Cleveland
ing the proposed permit
will be accepted until 30
County, Shelby, N.C., in issue(s):
days after the publish date
of this notice. The Director
of the NC Division of
Water Resources (DWR)
may hold a public hearing
should there be a signit.
09/12/2013.
cant degree of public inter-
est. Please mail comments
and/or information re-
quests to DWR at the
above address, interested
persons may Nal ttie DWR
at 512 N. Salisbury Street,
Raleigh, NC to review in-
formatcn on file. Additional
information on NPDES
permits and this WtCe
may be found on our
w e b s i t e
hl¢t/IporIa.ncdencogWeWv
g(,0shipdaycalendar, or
by calling (919)
807-6390. Cleveland
Name of Account: NCDENR/DWQ/NPDES
county schools requested
Order Number: 54538727
renewal of NPDES Permit
NC0066397/Casar Be-
Ad Number: 54615075
mentary School WWrP.
Facility discharges to an
unnamed hibtary to
crooked Run Creek/smad
River sass. currently
Sworn to, and subscribed before me this 12 th day of September, 2013.
eOD, ammonia nitrogen,
dissolved oxygen, fecal
ooldorn, and total residual
chlorine are water quality
September 12, 2013. ttc. / \ l
Into: text G$538727 10
i n
56654 ��� G / 01/�`�v )
Carla Norris Potter, Notary Public
My Commission Expires Sept.14, 2013

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
Charles H. Weaver 9/9/2013
Permit Number
NCO066397
Facility Name
Casar Elementary School WWTP
Basin Name/Sub-basin number
03-08-04
Receiving Stream
UT Crooked Run Creek
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No — already resent
Does permit need TRC limits/language?
No — already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
None. Plant upgrade in 2010. No
enforcements since 2011.
Any permit modifications since lastpermit?
None.
New expiration date
8/31/2018
Comments on Draft Permit
Added parameter codes.
Updated system description to show new
components.
MRO staff report recommends renewal.
Most Commonly Used Expedited Language:
• 303(d) language for DraftlFinal Cover Letters: "Please note that the receiving stream
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 permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
TRC laneuaee for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/1 will be treated as zero for
compliance purposes."

To: NPDES Unit
Water Quality Section
Attention: John Hennessy
SOC Priority Project: No
Date: August 19, 2013
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cleveland
NPDES Permit No.: NCO066397
PART I - GENERAL INFORMATION
1. Facility: Casar Elementary School
Mailing address: Cleveland County Board of Education
866 Poplar Springs Church Road
Shelby, North Carolina 28152
Physical address: 436 Schoolhouse Road
Casar, North Carolina 28020
2. Date of investigation: August 15, 2013
3. Report prepared by: Marcia Allocco, Senior Environmental Specialist
4. Person contacted/telephone number: Timothy Lancaster, ORC
Office: [phone] Cell: [phone]
5. Directions to site: From MRO take Hwy 150 West to Boger City/Iron Station. Make a right
on Hwy 27 and follow through Lincolnton until it ends at Hwy 10 in Cleveland County (-33
miles). Make a left on Hwy 10 and proceed — 8 miles to Casar, NC. Once you pass the
Casar post office (at intersection with Casar-Lawndale Road on right-hand side),
Schoolhouse road is second left. School will be on left and WWTP is last entrance on left
next to gymnasium.
6. Discharge point(s): Outfall 001
Latitude: 350 30' 22"
Longitude: -810 3712"
No USGS Map was included with the renewal application; disch ocation noted in
current permit is correct.lnl
USGS Quad No.: E12NE (Casar, NC).
AUG 2 B P013

NCO066397 — Casar Elementary School
Staff Report — 2013 Renewal
Page 2
7. Receiving Stream: Unnamed tributary to Crooked Run Creek
a. Classification: C, (Crooked Run Creek)
b. River basin (subbasin): Broad (03-08-04)
C. Describe receiving stream features and pertinent downstream uses: The receiving
stream is essentially a dry ditch, and effluent infiltrates into the soil before reaching
the unnamed tributary to Crooked Run Creek. The unnamed tributary is Class C at
this point but just downstream (0.3 miles) of Schoolhouse road intersection (SR
1518) the classification changes to WS-IV. The Cleveland County Sanitary District
has a water supply intake on the First Broad River several miles downstream of
inflow from Crooked Run Creek.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Volume/description of wastewater discharge (Outfall 001):
Outfall 001 consists of 0.0066 MGD (ultimate design) discharge from septic tank/sand filter
WWTP. The existing treatment consists of a 7,500-gallon septic tank, two 2,000-gallon
septic tanks (with filters) in series, a 2,000-gallon pump tank, a 4,460 square foot sand
filter bed, a 10,000-gallon holding tank, new recirculating piping/pumps (allows 60%
recirculation to head of 2,000-gallon septic tanks), UV disinfection, and an effluent flow
meter.
Bold text notes new/reworked treatment facilities installed since last permit renewal under
AtoC 066397A01.
2. Possible toxic impacts to surface waters:
The permittee is not required to perform toxicity testing on the WWTP effluent.
PART III - OTHER PERTINENT INFORMATION
Sludge is removed as needed by Wesson Septic Service. Weston Septic is permitted under Division
of Solid Waste permit NCS00574 to haul and dispose of sludge.
PART IV - EVALUATION AND RECOMMENDATIONS
The permittee (Cleveland County Schools) has requested permit renewal for the WWTP serving the
Casar Elementary School. A spring 2010 inspection by regional office personnel noted ponding of
wastewater and non-compliance with permit limits for collected samples. Non-compliance (as
reported on monthly DMRs) continued until the WWTP was rehabbed in 2011 (last CPA was issued
for June 2011 DMR). Compliance history since upgrade has greatly improved with only sporadic
violations (two in 2012; dissolved oxygen daily minimum and BOD daily maximum). The WWTP
appeared well operated and maintained during site visit; effluent was clear with no floating solids or
foam. ORC noted that daily maximum fecal coliform violation had occurred in July 2013, which
may indicate need to replace UV lamps.

MC0066397 — Casar Elementary School
Staff Report — 2013 Renewal
Page 3
Pending receipt and approval of the draft permit, it is recommended that the subject permit be
renewed as requested.
y
Signature of Report Preparer/ Date
"03
Quality

Cleveland
Countv
SCH00Ls of
Plant Operations Div I
866 Poplar Springs Church Road
Shelby, NC 28152
704-487-9087 phone
704-487-8943 fax
June 13, 2013
The Cleveland County Board of Education is requesting renewal for the
following permit: Permit N00066397 for the discharge of wastewater at
Casar Elementary School. Improvements were made in the summer of 2010.
These improvements include the additions of: 3 - 2000 gallon holding tanks
with filters, new piping throughout the system and a new sand filter bed.
Sincerely,
Steve Boheler
Maintenance Director/Plant Operations

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 Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit 00006639?
If you are completing this form in computer use the TAB key or the up - doon 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
Cleveland County Board of Education
Facility Name
Casar Elementary School WWTP
Mailing Address
436 School House Rd.
City
Casar
State / Zip Code
N.C. 28020
Telephone Number
704-538-9982
Fax Number
704-538-5601
e-mail Address
2. Location of facility producing discharge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County
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 ORQ
Name Cleveland County Board of Education
Mailing Address 400 West Marion Street
City Shelby, NC
State / Zip Code 28150
Telephone Number 704-476-8000
Fax Number 704-476-8305
e-mail Address
1 of 5 Form-D 11/12

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
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
Number of Students/Staff 300 / 65
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Casar Elementary School
Number of persons served: 365
S. Type of collection system
4 Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
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
outfallp.
UT to Crooked Run Creek
S. Frequency of Discharge: ❑ Continuous Intermittent
If intermittent:
Days per week discharge occurs: 5 Duration: 9 months
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.
Our waste treatment system was re -designed in the summer of 2010. Waste Treatment
begins with a 7500 gallon septic tank and from there it flows into 3 separate holding
tanks, 2 of which have filters. It is then pumped from the 3rd tank down to a 4,460 square
foot sand filter. This filter bed was also re -designed at this time. From there the water
flows into a 10,000 gallon holding tank. After that, 60% of the waste water is then
pumped back into the lot of the 3 holding tanks, to flow through again. The other 40%
goes through the UV lights and is then discharged out.
2 of 3 Form-D 11112

• NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.0066 MGD
Annual Average daily flow 0.0036 MGD (for the previous 3 years)
Maximum daily flow 0.0063 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes 4 No
12. Effluent Data
NEW 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 na[ra�meters '7�I A"
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
17.8
2.70
mg/1
Fecal Coliform
8900
(start up 2010)
201 / 0.964
# Col./ 100 ml
Total Suspended Solids
36.7
2.28
mg/1
Temperature (Summer)
27
23
degrees Celsius
Temperature (Winter)
19
12
degrees Celsius
PH
7.7
6.85
su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO066397
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and
best of mylknowled a and belief such information is true, complete, and accurate.
S/c1�,- k4lev.-
Printed name of Person Signing Title
I�A
to 141-�3
Signature of Applicant
Date
that to the
O0'r
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
4 of 5 Form-D 11/12

June 13, 2013
Cleveland
Coun
AC444*40>-SCHOOL S of
Plant Operations Div I
866 Poplar Springs Church Road
Shelby, NC 28152
704-487-9087 phone
704-487-8943 fax
Sludge Management Plan
Sludge and other solids during wastewater treatment are collected in the
septic tank and other holding tanks. These tanks are pumped out once a year
by Wesson Septic Tank Service at the end of each school year.