NC0086983_Permit Issuance_20120703

• r
a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
July 3, 2012
Jerry A. Hatchett, Maintenance Director
Caswell County BOE
P.O. Box 160
Yanceyville, North Carolina 27379
Dee Freeman
Secretary
Subject: Issuance of NPDES Permit NCO086983
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
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet www.wNaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
No Caroiitia
Ara!!r�

If you have questions, or if we can assist you further, please contact Joe R. Corporon, L.G. at
rioe.corporon(ao,ncdenr.govl or call [phone].
R ly,
harles Wakild, P.E.
Enclosure: NPDES Permit NCO086983 (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 27604 OIle
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 No : Carol111a
Internet: www.ncwaterauality.org
An Equal opportunity l Affirmative Action Employer 6 "

Permit NCO086983
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
DES
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.
Ch e akild, P.E., Director
D&bllon of Water Quality
By Authority of the Environmental Management Commission

r
Permit NCO086983
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.

Approximate (� l y
1
v ' Property Boundary J�,!�
V,Outfall 001
uF�3gW
(flows southeast)
`s UT to Hyco Creek
(flows southeast)
NC Hwy 119 Mill
1 —J 1�k\ �r :3� and ~11
if'4 1
NC HWY 86 South ) e112
�.INV,7-4
J i
J
4/NI
.
)y,1 1 ! N� 1
Hyco Creek r� t ;�.% J
(flows northeastBM
,
Caswell County Board of Education Facility
South Elementary School WTP Location
USGS Ouad/State Grid: Ridgeville, B22SW Stream Class: C not to scale
Latitude: N 36119' 37" Sub -Basin: 03-02-05
Loneitude: W 79' 14' 25" RUC: 03010104
Drainaee Basin: Roanoke River Basin North NPDES Permit NC0086983
Receivinestrcam: UT to Hyco Creek [stream segment 22-58-11 Caswell County

Permit NCO086983
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:
ARAM
[Parametez�Cod�s�
Monthly
_
_ wily
a
Measurement ,,
Samples
� `Sa�nple,y'
Average ,
tVlaaa um
e�uency
hype
Location 1:
Flow
Instantaneous
[50050]
2/Month
or estimate 2
E
pH
[00400]
Not < 6.0 nor > 9.0
Standard Units
2/Month
Grab
E
Turbidity 3
2/Month
Grab
E
[00076]
Total Residual Chlorine 4
17 µg/L
2/1V4onth
Grab
E
[50060]
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
E
CO530
Total Fluoride 5
Quarterly
Grab
E
00951
Total Iron
01045
Quarterly
Grab
E
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 50µg/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.

AFFIDAVIT OF INSERTION OF ADVERTISMENT
The Times -News Publishing Company
Burlington, NC
Alamance County
I, Debbie Shoe, Legal Advertising Manager of the Times -News Publishing Co.,
do certify that the advertisement of entitled
Public Notice North Carolina Environment Management Commission
Measuring 56 LINES appeared in The Times -News, a newspaper published in
Alamance County, Burlington, NC, in issues of
May 11, 2012
Order 4 22600162 / 22604816
oaa
Legal Advertising Manager
Sworn to and sul before me this2 day of , 2012
\*liq
Poss
o, v ry
a
Z' Angelia Ross Little
RAO
Pulo C
(�
ance��``���•
of Public
My commission expires: January 20, 2015
Public Notice
North Carolina
Environmental
Management
Commission/NPDES Unit
1617 Mail Service
Center
Raleigh, INC 27699-1617
Notice of Intent to Issue
a NPDES Wastewater
Permit
North Carolina Envi-
nental Management
rmission proposes to
e a NPDES waste-
er discharge permit to
personlsf listed below.
Written comments regard-
ing the proposed permit
will be accepted until 30
days after the publish date
of this notice. The Director
of the INC Division of Water
Duality IDWQI may hold a
public hearing should there
be a significant degree of
public interest. Please mail
comments and/or informa.
tion requests to DWQ at
the above address. Inter-
ested persons may visit
the DWQ at 512 N. Salis-
bury Street, Raleigh, INC to
review information on file.
Additional information on
NPDES permits and this
notice may be found on
our website:
him //oortal ncdenr oro/
web/wo/swp/os/nodes/
calendar
or by calling -
J9191807-6304,
Caswell County Board of
Education IPO Box 160,
Yanceyvillel has applied to
renew permit NC0086983
for the South Elementary
School WTP, discharging
to a UT to Tyco Creek, Ro-
anoke River Basin.
11,2012

FACT SHEET
EXPEDITED - PERMIT RENEWAL
NPDES NCO086983
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Joe R. Corporon L.G. / 25A r2012
Permit Number— County - Region
NCO086983 — Caswell County -
Facility Name
Caswell Co BOE — SotOEVmentaU School WTP
Basin Name/Sub-basin number
Roanoke / 03-02-05
Receiving Stream
UT to H co Creek se ent -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 lastpermit?
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 [Na2C031; green sand filter
Correspondence with the Permitee — 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 200µg/L (MAX
predicted = 4,032µg/L), this standard applies to Class WS waters only. There are no other parameters of
concern.
Toxici - 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 WREASONABLE POTENTIAL ANALYSIS
NCO086983 Flow = MAX reported Oct2007 - Mar2012
Qw (MGD) = 0.005
WWTP/WTP Class: 2
IQ 1 OS (cfs) = 0.00
IWC @ I Q I OS = 100.00%
7Q1OS (cfs) = 0.00
IWC @ 7QIOS = 100.00%
7QIOW (cfs) = 0.00
IWC @ 7Q10W = 100.00%
30Q2 (cfs) = 0.00
IWC @ 30Q2 = 100.00%
Avg. Stream Flow, QA (cfs) = 0.00
1WC Qa QA = 100.00%
Receiving Stream: UT to Hyco Creek
Stream Class: C
Outfall 001
Qw = 0.005 MGD
CHRONIC TEST CONCENTRATION = DEFAULT %
90 %
PARAMETER
STANDARDS & CRITERIA (2)
REASONABLE POTENTIAL RESULTS
RECOMMENDED ACTION
TYPE
(1)
J
a
Z
NC WQS / Applied % FAV /
n # Det. Max Pred Allowable Cw
Chronic Standard Acute
Cw
Acute: 67
RP Yes,
Zinc (AL)
NC
50 FW(7Q I Os) 67
ug/L
43 43
129
RP
Chronic: 50
1 values > Allowable Cw
Acute: NO WQS
Iron
NC
1 FW(7Q10s)
mg/L
50 50
6
_ _________ __
-1
__ -_ - _______ -
Chronic:
7- -
RP.," Yos
2 values > Allowable Cw
Acute: NO WQS
Manganese
NC
200 FW(7Q I Os)
ug/L
43 43
4,032
_ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _
Chronic: 200
RP -=Yes -
29 values > Allowable Cw
86983 RPA - Caswell Schools WTP 2012, rpa
Page 1 of 1 4/25/2012

6c r�-6b5t
PERMIT FACILITY PARAMETER nOLATION DATr OF MEAS LIMIT ;ULATED VA OVER LIMI VIOLATION TYPE VIOLATION ACTION
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 08/04/11 ugA 17. 27. 58.82 Daily Maximum Exceeded No Action, BPJ (((
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 07/11/11 ugA 17. 27.1 59.41 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 04/07/11 ugA 17. 32. 88.24 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Solids, Total Suspended - Concentrati 09/30/10 mgA 30. 31.9 6.33 Monthly Average Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Solids, Total Suspended - Concentrali 09/03/10 mgA 45. 63.8 41.78 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 02/04/10 ug/I 17. 57. 235.29 Daily Maximum Exceeded Proceed to NOV
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 01/07/10 ug/I 17. 51. 200. Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 12/14/09 ugA 17. 34. 100. Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 12/01/09 ug/I 17. 22. 29.41 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 11/02/09 ug/I 17. 19. 11.76 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 08/03/09 ug/I 17. 24. 41.18 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 06/22/09 ugA 17. 22. 29.41 Daily Maximum Exceeded No Action, BPJ
NC0086 Caswell County Schools - South Ele Chlorine, Total Residual 05/18/09 u9/I 17. 19. 11.76 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 04/27/09 ug/I 17. 23.2 36.47 Daily Maximum Exceeded No Action, BPJ
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 10/31/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 07/31/08 ugA Frequency Violation None
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 05/31/08 mg/I Parameter Missing None
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 04/30/08 mgA Frequency Violation None
NCO086 Caswell County Schools - South Eta Manganese, Total (as Min) 04/30/08 ugA Frequency Violation None
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 03/31/08 mgA Frequency Violation None
NCO086 Caswell County Schools - South Ele Iron, Total (as Fe) 03/31/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 03/31/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Solids, Total Suspended 03/31/08 mgA Frequency Violation None
NCO086 Caswell County Schools - South Ele pH 03/31/08 su Frequency Violation None
NCO086 Caswell County Schools - South Eta Chlorine, Total Residual 02/29/08 mgA Frequency Violation None
NCO086 Caswell County Schools - South Eta Iron, Total (as Fe) 02/29/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 02/29/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Solids, Total Suspended 02/29/08 mg/I Frequency Violation None
NCO086 Caswell County Schools - South Ele pH 02/29/08 su Frequency Violation None
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 01/31/08 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele pH 01/31/08 su Frequency Violation None
NCO086 Caswell County Schools - South Ele Chlorine, Total Residual 12/31/07 mg/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Iron, Total (as Fe) 12/31/07 ugA Frequency Violation None
NCO086 Caswell County Schools - South Ele Manganese, Total (as Mn) 12/31/07 ug/I Frequency Violation None
NCO086 Caswell County Schools - South Ele Solids, Total Suspended 12/31/07 mg/I Frequency Violation None
NCO086 Caswell County Schools - South Ele pH 12/31/07 su Frequency Violation None

Freshwater RPA
11 REQUIRED DATA ENTRY
Table 1. Project Information
❑ CHECK If HQW or ORW Doty
Facility Name
Caswell Co DOE - South Elem School WTP
W WTP/WTP Class
2
NPDES Permit
NC0086983
Outfall
001
Flow, Ow (MGD)
0.005
Receiving Stream
UT to Hyco Creek
Stream Class
C
70110s (cfs)
COC
7Q10w(cfs)
0.00
3042 (cfs)
0.00 - ----
QA (cfs)
0.00
1010s (cfs)
0,00 , --
Data Source(s)
CHECK for MODEL
Follow directions for data entry. In some cases a
comment menu list the available choices or a
dropdown menu will provide a list you may select
from. Error message occur if data entry does not
meet input criteria.
Par01
Par02
Par03
Par04
Par06
Par96
Par07
Par09
Par09
Par10
Par11
Parl2
Par13
Par14
Par16
Parts
Par17
Parts
Paris
Par20
Par21
Par22
Table 2. Parameters of Concern
Name Type Chronic Ycdrer Acute PQL Units
Zinc (AL)
NC
50
FW
67
ug/L
Iron
NC
1
FW
mg/L
Manganese
NC
200
FW
ug/L.
86983 RPA - Caswell Schools WTP 2012, input
4/25/2012

REASONABLE POTENTIAL ANALYSIS
Zinc (AL)
Iron
Date Data
BDL=1/2DL
Results
• •
Date Data
BDL=112DL
Results
1
10
10
Sid Dev.
13.6
1
2007
0.49
0.49
Sld 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
Mult 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. Fred Cw
129.2 ug/L
8
2008
0.14
0.14
Max. Fred Cw
5.7 mg/L
9
10
10
9
2008
0.05
0.05
10
10
10
10
2008
0.088
0.088
11
10
10
11
2008
0.05
0.05
12
11
11
12
2008
1.
1
13
10
10
13
2008
0.05
0.05
14
10
10
14
2009=
0.39
0.39
15
10
10
15
2009
0.18
0.18
18
16
16
16
2009
0.066
0.066
17
10
10
17
2009
0.05
0.05
18
10
10
18
2009
0.05
0.05
19
14
14
19
2009
0.11
0.11
20
17
17
20
2009
0.05
0.05
21
10
10
21
2009
0.05
0.05
22
16
16
22
2009
0.14
0.14
23
10
10
23
2009
0.18
0.18
24
10
10
24
2009
0.083
0.083
25
47
47
25
2009
0.065
0.065
26
36
36
26
2010
0.26
0.26
27
68
68
27
2010
0.24
0.24
28
10
10
28
2010
0.091
0.091
29
29
29
29
2010
0.072
0.072
30
-. 41
41
30
2010;,;;
0.079
0.079
31
'.' 43
43
31
2010
0.33
0.33
32
13
13
32
2010
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
DD41
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
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 -]i'
0.106
0.106
46
46
2011 r"i`
0.11
D.11
47
47
2011"
0.04
D.04
48
48
2011
0.037
0.037
49
49
2012 '
0.079
0.079
50
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
65
66
66
67
67
68
68
69
69
70
70
86983 RPA - Caswell Schools WTP 2012, data
-4- 4/25/2012

REASONABLE POTENTIAL ANALYSIS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
18
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
Manganese
BDL=112DL
Results
MEN
100
100
Std Dev.
342.5
670
670
Mean
383.5
18
18
C.V.
0.9
110
110
n
43
1100
1100
36
36
Mult Factor =
2.24
550
650
Max. Value
1800 ug/L
270
270
Max. Pred Cw
4032 ugll-
120
120
40
40
53
53
17
17
72
72
20
20
290
290
360
360
570
570
180
180
600
600
380
380
430
430
440
440
110
110
178
178
units Corrected
420
420
290
290
550
550
55
55
1100
1100
320
320
380
380
600
600
560
560
680
680
380
380
310
310
1800
1800
522
522
620
620
403
403
208
208
299
299
280
280
_7_
86983 RPA - Caswell Schools WTP 2012, data
4/25/2012

To: Mrs. Dina Sprinkle
NC DENR/DWQ/1'oint Source Branch
I am
submitting
this application on behalf of Caswell County
Schools for
Permit Number NCO086983 South Elementary for a
permit. Since the last application we have installed a
renewal of p m
Dechlorinator into our system and was approved by NCDENR
2009. There has not been any other changes to our system since.
Any q please lease feel free to contact me. Thanks
jermHatchett
well County Schools
Maintenance Director
September 8, 2011
S E P 13 2011
DE'�R-!WATER QUALITY

NPDE8 PERMIT APPLICATION - SHORT FORMC - WTP
For discharges associated with water treatzn plants
Mail the complete application to:
N. C. Department of Rnvh+onment and Natural Resources
Division of Water Quality / NPDZS Unit
1617 Mall Service Center, Rai+ q NC 276"-1617
NPDES Permit NuMber NC00 (p qp
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, dick your mouse on top of the box. Otherwise, please print or type.
1. Contact information:
Owner Name
Facility Name h 0
Mailing Address (0-V
City �
State / Zip Code _ /Vo OmitPiGt� a737q
Telephone Number ()�
Fax Number ^ (3 0) (p�t� - Sag!
e-maU Address CD ef",V i • A/off • iC_. V.S
2. Location of facility producing discharges
Check here if same as above Cl
Street Address or State Road
City
State / Zip Code
County
SAaS NC,
.��nQ
3. Operator I:tforsnation:
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 ORQ
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 19 Private ❑ Public ❑
S. Type of treatment plants
❑ Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
0 gees Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltrationj
Check here if the treatment process also uses a water softener ❑
6. Description of source water(s) (Le. ground ater, surface water)
G LOAMe C � w 611
7. Describe the treatment process(esI for the rear eater:
�s�-Crren;L�^--� �1�
Ch joraw,.koju I ..Sock. �
8. Describe the wastewater and the treatment processes) for wastewater generated by the
4o 4-ke-facflity:
Low locz&e—
pP Y
9. Number of separate discharge points:
OntWl Identification ana�be�sf Ste!
10. Frequency of discharges Continuous Intermittent ❑
If intermittent:
Days per week Duration:
11. Plant design potable ftwrateMS MaD
Backwash or reject flow • 0040 MGD
12. Name of receiving strewn(:) (Provide a map showing the exact location of each outfall including
latitude and longitude): •
CO �r�� �Pa►q noK� ���. %�C%tfliV

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
bmitments, that have the potential to be discharged.
14. in this facility located on Indian country? (check one)
yes ❑ No N
16. ,AdditioaalInformation:
Provide a schematic of Sow through the facility, include flow volumes at all, into is
the t process, and point of addition of chemicals. S� �e
Solids Handling Plea r _ 41 G
A licants -TAt#4 Chun Carey
16. NEW pp / Gah� /UC..S�TGx�
Information needed in addition to iWn%h 1-I5. 6A2NCDBNR
f
New applicants crust contact a permit coordinator Customer
Service Center.
Was the Customer Service Center contacted? ❑yes [I No
> Analyses of source water collected
Rngiaoering Alternative Analysis
Discharges from Ion Exchange and Reveres Osmosis pleats shall be evaluated using a
water quality model.
17. Applicant CertiBcatioa
I certify that I am familiar' with the information contained is the application and that to the
best of my knowledge and belief such iaformation is true, complete, and accurate.
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 ireclt
Signature:
Date: 2 - V � >/
nn .T`I
i SEP 13 2011
D R-AIA T ER QUALITY
POINT SOURCE BRA?tr-N