NC0046043_Permit Issuance_20160524

Water Resources
ENVIRONMENTAL QUALITY
May 24, 2016
Mr. John Haynes
Oak Ridge Military Academy
P.O. Box 498
Oak Ridge, NC 27310-0498
PAT MCCRORY
Gow mar
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
D,=Ior
Subject: Issuance of NPDES Permit NCO046043
Oak Ridge Military Academy W WTP
Guilford County
Class WW-2
Dear Mr. Haynes:
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 no major changes from the draft permit sent to you on March 9,
2016.
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 any other Federal, State, or Local governmental permit that may be required. If you
have any questions concerning this permit, please contact Charles H. Weaver at telephone number (919)
807-6391.
in rely,
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
cc: Central Files
Winston-Salem Regional Office
NPDES Unit
James M. Cheshire / Research & Analytical Laboratories, Inc. [106 Short St, Kernersville, NC 27284]
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https:lldeq.nc.gov/aboutldivisions/water-resourceslwater-resources-permits/wastewater-branchlnpdes-wastewater-permits

Permit NCO046043
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER 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
Oak Ridge Military Academy
is hereby authorized to discharge wastewater from a facility located at the
Oak Ridge Military Academy WWTP
2317 Oak Ridge Road
Oak Ridge
Guilford County
to receiving waters designated as an unnamed tributary to the Haw River in subbasin
03-06-01 of the Cape Fear 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 July 1, 2016.
This permit and authorization to discharge shall expire at midnight on April 30, 2021.
Signed this day May 24, 2016
4 /.,A � L
S.,oray Zimmerman, P.G., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NCO046043
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.
Oak Ridge Military Academy is hereby authorized to:
1. Continue to operate an existing 0.04 MGD extended aeration wastewater
treatment facility with the following components:
♦ Bar screen
♦ Sludge digester
♦ Aeration basin with diffused air
♦ Secondary clarifier
♦ Sludge return
♦ Chlorine contact chamber with tablet chlorination
♦ Tablet dechlorination
♦ Post aeration
This facility is located off Oak Ridge Road at the Oak Ridge Military Academy
WWTP in Guilford County.
2. Discharge from said treatment works at the location specified on the attached ma
into an unnamed tributary to the Haw River, currently classified WS-V . NSW P
waters in hydrologic unit 03030002 of the Cape Fear River Basin.
Page 2 of 6

Permit NCO046043
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
During the period beginning on the effective date of the 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 .
MONITORING REQUIREMENTS
[PCs Code]
Monthly_
Daily
Measurement
Sample
Sample
Average
Maximum
Freauancy
:Type
Location2
Flow
0.04 MGD
Continuous
Recording
Influent or
Effluent
50050
BOD, 5-day (20°C) (April 1- October 31)
9.0 mg/L
13.0 mg/L
Weekly
Composite
Effluent
C0310
BOD, 5-day (20°C) (November 1- March 31)
18.0 mg/L
27.0 mg/L
Weekly
Composite
Effluent
C0310 :.
Total Suspended Solids CO530
30.0 m /L
45.0 m /L
Weekly
Composite
Effluent
NH3 as N :(April 1- October 31)
2.0 mg/L
10.0 mg/L
Weekly
Composite
Effluent
CO610
NH3 as N (November 1- March 31)
5.0 mg/L
25.0 mg/L
Weekly
Composite
Effluent
C0610
Dissolved: Oxygen 00300
Daily average > 6.0 m /L
Weekly
Grab
Effluent
Dissolved Oxygen [003001
Weekly
Grab
U & D
Fecal Coliform (geometric mean)
200 ! 100 ml
400 / 100 ml
Weekly
Grab
Effluent
31616
Fecal Coliform (geometric mean)
Weekly
Grab
U & D
31616
Total Residual Chlorine (TRC)3
28 Ng/L
2/Week
Grab
Effluent
50060
Temperature °C 00010
Daily
Grab
Effluent
Temperature °C) [000101
Weekly
Grab
U & D
Total Kjeldahl Nitrogen (TKN)
Quarterly
Composite
Effluent
00625
NO2 as * NO3 as N
Quarterly
Composite
Effluent
00630
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
00600
Total Phosphorus
Quarterly
Composite
Effluent
00665
pH
> 6.0 and < 9.0 standard units
Weekly
Grab
Effluent
00400
- -
Footnotes:
1. No later than December 21, 2016, the permittee shall begin submitting discharge monitoring
reports electronically using the Division's eDMR system [see A. (3)].
2. U: upstream below the NC Highway 68 bridge. D: downstream at NCSR 2111.
3. The Permittee shall report all effluent TRC values reported by a NC -certified laboratory [including
field -;certified]. Effluent values below 50 µg/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 6

Permit NCO046043
A. (2) NUTRIENT REOPENER CONDITION
[NCGS 143-215.1 (b)]
Pursuant to N.C. General Statutes Section' 143-215.1 and the implementing rules found in
the North Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a). and
Part II sections B-12 and B-13 of this permit, the Director may reopen this permit to require
supplemental nutrient monitoring of the discharge. The purpose of the additional monitoring
will be to support water quality modeling efforts within the Cape Fear River Basin and shall
be consistent with a monitoring plan developed jointly by the Division and affected
stakeholders. In addition, the results of water quality modeling may require that limits for
total nitrogen and total phosphorus be imposed in this permit upon renewal.
A (3) ELECTRONIC REPORTING OF MONITORING DATA
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program. The final NPDES Electronic Reporting Rule was adopted and became effective
on December 21, 2015.
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. Reporting Requirements Su ersedes Section D. 2. and Section E. 15.1 fall
Effective December 21, 2016, the permittee shall report 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 b printing, signing, Y p g� fining, and submitting one signed original
and a copy of the computer printed eDMR to the following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 4 of 6

Permit NC0046043
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. See "How to
Request a Waiver from Electronic Reporting" section below.
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.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/ Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below) .
2. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers must be submitted in writing to the Division for written approval at least sixty
(60) days prior to the date the facility would be required under this permit to begin
submitting monitoring data and reports. The duration of a temporary waiver shall not
exceed 5 years and shall thereupon expire. At such time, monitoring data and reports
shall be submitted electronically to the Division unless the permittee re -applies for and is
granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting
waiver request may submit monitoring data and reports on paper to the Division for the
period that the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http • / / deg nc gov about / divisions / water -resources / edmr
3. Sinatory 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.
Page 5 of 6

Permit NCO046043
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:
htt de .nc. ov about divisions water -resources edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system
shall make the following certification [40 CPR 122.221. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I 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 that there are significant
penalties for submitting false information, including the possibility of fines and
imprisonment for knowing violations. "
4. Records Retention [Supplements Section D. (6.1
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 6 of 6

Latitude: 36°10'45"
Longitude: 79°59' 13"
Stream Class: WS-V NSW
Subbasin: 03-06-01
Receiving Stream: UT Haw River
River Basin: Cape Fear
Hydrologic Unit: 03030002
NCO046043
Oak Ridge Military
Academy
Facility,►
Location
Guilford County
.IV4xtRc -Map not to scale

PAT MCCRORY
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
March 8, 2016
MEMORANDUM
IV Eric Hudson
NC DEQ / DWR / Public Water Supph
Winston-Salem Regional Office
From: Charles H. Weaver, Jr.
NPDES Unit
Subject: Review of Draft NPDES Permit NCO046043
Oak Ridge Military Academy WWTP
Guilford County
Please indicate bclo\c Your agency's position or viewpoint on the draft permit and return this
form by April 11, 2016. If you have any questions on the draft permit, please contact me at
919-807-6391 or via e-mail (charles.weaver ))ncdenr.gov].
§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
3 / y az)ii
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh. NC 27699-1611
919 807 6300 919-807-6389 FAX
https:Ndeq. ne.gmatibout'divisionshvater-resourceshvater-resources-permits'wastewater-liranchhipdcs-wastewater-permits

News & Record
Published by
News & Record, Inc.
Greensboro, North Carolina
North Carolina, Guilford 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 Tamara Broadwell who being first duly sworn,
deposes and says:
1. That she is the Publishers Representative of the Greensboro News
& Record, Inc. a corporation, engaged in the publication of
newspapers known as "News & Record", published, issued and
entered as second class mail in the City of Greensboro in said
County and State;
2. That she 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 the News & Record on the
following dates: March 28, 2016 for Public Notice and placed
through NCDENR-Division of Water Resources
3. That the said newspaper (or newspapers) 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 of
the requirements and qualifications of Section 1-597 of the General
Statutes of North Carolina and was a qualified newspaper within the
meaning of Section 1-597 of the General Statutes of North Carolina.
This 31 day of March, 2016
Publishers Representative
Sworn to and subscribed before me, this 31 day of March, 2016
Notary Public
My commission expires: June 15, 2019
LEA ANNE LAMB
No
PUBLIC
STATE OF NORTH CAROLINA
GUILFORD COUNTY
MY COMMISSION EXPIRES Q6 15 19

Public Notice
North Carolina Environmental
Management Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a NPDES
Wastewater Permit
The North Carolina Environmental
Management Commission proposes
to Issue a NPDES wastewater dis-
charge permit to the person(s) listed
below. Written comments regarding
the proposed permit will be accept-
ed until 30 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 significant degree
of public interest Please mail com-
ments and/or information requests
to DWR at the above address. Inter-
ested persons may visit the DWR at
512 N. Salisbury Street, Raleigh, NC
to review information on file. Addi-
tional information on NPDES permits
and this notice may be found on our
website: http://deq.nc.gov/about/di
visions/water-resouroes/water-
resouroes-permits/wastewater-
branch/npdes-wastewater/public-
nodces,or by calling [phone].
Western NC Conference Center has
requested renewal of NPDES permit
NC0046809, Cornerstone Conference
and Resource Center
WWTP/Guilford County. Facilitydis-
charges to an unnamed tributary to
Benaja Creek/Cape Fear River Basin.
Currently fecal coliform and total re-
sidual chlorine are water quality lim-
ited.
Oak Ridge Military Academy re-
quested renewal of permit
NC0046043/Guilford County. Facili-
ty discharges to an unnamed tributa-
ry to the Haw River/Cape Fear River
Basin. Currently BOD, ammonia ni-
trogen, dissolved oxygen, fecal
coliform, and total residual chlorine
are water quality limited.

Weaver, Charles
From:
Mickey, Mike
Sent:
Tuesday, March 08, 2016 12:22 PM
To:
Weaver, Charles
Subject:
RE: DRAFT permit renewal for NCO046043 / Oak Ridge Military Academy
Charles— Below are my only comments on draft permit for Oak Ridge Military Academy. Thanks for sending. Mike.
• No comminutor anymore. They now have a bar screen.
1. Continue to operate an existing 0.041UGD extended aeration wastewater treatment
facility- with the following components:
♦ Evm�3ntvt—
♦ Sludge digester
♦ Aeration basin with diffused air
♦ Secondary clarifier
♦ Sludge return
• Chlorine contact chamber with tablet chlorination
• Tablet dechlorination
• Post aeration
This facility- is located off Oak Ridge Road at the Oak Ridge Military Academy NVVJTP
in Guilfbd County.
[e-mail]
NC DEQ Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
E-mail correspondence to and from this address may be subject to the North
Carolina Public Records Law and may be disclosedto third parties.
From: Weaver, Charles
Sent: Tuesday, March 08, 2016 10:54 AM
To: Mickey, Mike <[e-mail]>; Kinney, Maureen <[e-mail]>; Hudson, Eric
<eric. h udson @ n cdenr.gov>
Subject: DRAFT permit renewal for NCO046043 / Oak Ridge Military Academy
Importance: High
This is a class WW-2 facility in Guilford County. Please send me any comments by April 111n
As always, thanks for your help.
Charles H. Weaver
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality

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 — 3/8/2016
Permit Number
N00046043
Facility Name
Oak Ridge Military Academy WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-01
Receiving Stream
An unnamed tributary to the Haw River
Stream Classification in Permit
W S-V NSW
Does permit need Daily Maximum NH3 limits?
No — already present
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Dissolved Oxygen and Temperature
Is the stream impaired (on 303(d) list)?
Yes. Added to 303 (d) list in 2000 for poor
Benthos rating.
Any obvious compliance concerns?
None. No enforcements during this permit
cycle. Five NOVs and 2 NODs for minor
effluent violations.
Any permit mods since lastpermit?
No
New expiration date
4/30/2021
Changes to Draft Permit?
Added regulatory citations
Added eDMR requirements
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek 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 this permit's effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language 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 below 50 µg/l will be treated as zero
for compliance purposes."

?014 AU Number: I IAU Name:
AU Description:
16-30-(0.5)a Collins Creek
From source to a point 0.6 miles downstream of SR 1006
Cape Fear River Basin
AU Length Area: AU Units: Classification:
3.2 FW Miles WS-V;NSW
IRCategory:
ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
5
EC
Benthos Poor (Nar, AL, FW)
2012
2014
16-30-(1.5) Collins Creek 3.7 FW Miles
From a point 0.8 miles downstream of Orange County SR 1005 to Haw River
WS-IV;NSW
,Category: ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
EC
Benthos Fair (Nar, AL, FW)
2009
2012
16-34-(0.7) Dry Creek 10.1 FW Miles
From a point 0.3 miles downstream of Chatham County SR 1506 to Haw River
WSAV;NSW
IRCategory:
ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
5
EC
Benthos Fair (Nar, AL, FW)
2009
2006
16-20-(4)
Haw Creek
From N.C. Hwy. 54 to Haw River
IRCategory:
ACS: Parameter Of Interest:
5 _ _____EC_-__Benthosfair
(Nar
AL
16-(1)a
HAW RIVER
From source
to SR 2109
ACS: Parameter Of Interest:
rtegory:
EC Benthos Fair (Nar, AL, FW)
SR 2426 to Troublesome Creek at US29
3.8 FW Miles WS-V;NSW
Collection Year: 303(d) yr:
7.8 FW Miles WS-V;NSW
Collection Year: 303(d) yr:
1998 2000
7.3 FW Miles WS=V;NSW
IRCategory:
ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
Se
EC
Copper (7 µg/I, AL, FW)
2008
2008
16-(37.5)b Haw River (B. Everett Jordan Lake below normal p 47.0 FW Acres WS-IV,B;NSW,CA
Robeson Creek Arm of Jordan Reservoir
IRCategory:
ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
5
EC
Turbidity (25 NTU, AL, FW acres & SW)
2012
2006
16-11-5-(0.5)a Horsepen Creek 1.8 FW Miles WS-III;NSW
From source to Ballinger Road
IRCategory:
ACS:
Parameter Of Interest:
Collection Year:
303(d) yr:
5
EC
Benthos Fair (Nar, AL, FW)
2011
1998
2014 INC 303(d) List -Category 5 Final December 19, 2014 Page 11 of 149

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 000046043
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 Oak Ridge Military Academy
Facility Name Oak Ridge Military Academy W WTP
Mailing Address 2317 Oak Ridge Road
city
State / Zip Code
Telephone Number
Fax Number
Oak Ridge ❑EGEW nlnl.ZWDWR
NC / 27310
16
[phone]
[phone]
e-mail Address [e-mail]
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 ORC)
Name
Research & Analytical Laboratories, Inc.
Mailing Address
106 Short Street
City
Kernersville
State / Zip Code
NC / 27284
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
infor&randalabs.com
1 of 3 Form-D I W 2

M
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MOD
4. Description of wastewater.
Facility Generating Wast water(check all that applyj:
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
❑
Number of Homes
School
®
Number of Students/Staff 130
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
School
Number of persons served: M
S. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (W apgUc� Provide a map showing the exact location of each
outfaliP:
Unnamed tributary to the Haw River
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 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.
*0.04 MG1D extended aeration wastewater treatment facility
*Comminutor
*Sludge digester
*Aeration basin with diffused air
*Secondary Clarifier
*Sludge Return
*Chlorine contact chamber with tablet chlorination
*Tablet Dechlorination
*Post aeration
2ai3
Fam-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 0.04 ,-•—MGD
Annual Average daily flow 0.005 MGD (for the previous 3 years)
Maximum daily flow 4.022 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APP CANTS: 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.
RENEID APP,GTC&M: Provide the highest single reading (Daily Maximum) and Monthly Average over
fhp- nn-Qf AA mnnfiLa for nwz meters currently in your hermit~ Mark other parameters "NIA'.
Parameter -- - - - -
Daily
Maximum
Monthly
Avera a
Units of
Measurement
Biochemical Oxygen Demand (BODs)
18.8
<2
Mg/1
Fecal Coliform
> 12,000
1.5
Col/ 100 nil
Total Suspended Solids
28.6
3.69
Mg/1
Temperature (Summer)
25
22.9
°C
Temperature (Winter)
18
12.2
°C
pH
9.0
16.69
Std. Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO046043
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or GU (Section 404 or CWA)
Other
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.
Printed name of Person Signing
•1.
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.)
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