HomeMy WebLinkAboutNC0043125_Fact Sheet_20240118DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
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 1/18/2024
Permit Number
NC0043125
Facility Name
The Patterson School WWTP
Basin Name/Sub-basin number
03-07-01
Receiving Stream
Yadkin River
Stream Classification in Permit
C-Trout
Does permit need Daily Max NH3 limits?
N/A due to massive dilution
Does permit need TRC limits/language?
Already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Yes — High Rock reo ener
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any obvious compliance concerns?
No enforcements since 1990. No effluent limit
violations since November 2017.
Any permit modifications since lastpermit?
None
New expiration date
10/31/2028
Changes in Draft Permit
➢ Added monitoring for turbidity to
determine compliance with 15A
NCAC 0213.0211 (21)
➢ Added instream temperature
monitoring to determine compliance
with 15A NCAC 0213.0211 (18)
➢ Added monitoring for dissolved
oxygen to determine compliance with
15A NCAC 0213.0211 (6)
➢ Updated eDMR text
Changes to final permit
➢ None
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
AFFP
Public Notice North Carolina
Affidavit of Publication
STATE OF NC } SS
COUNTY OF )Cold V4
Carolyn Setzer, being duly sworn, says:
That she is Sales of the Lenoir News Topic, a daily
newspaper of general circulation, printed and published in
Lenoir, Count,, NC; that the publication, a copy of which
is attached hereto, was published in the said newspaper
on the following dates:
November 14, 2023
That said newspaper was regularly issued and circulated
on those dates.
SIGNED,
_0
Sales
Subscribed to and sworn to me this 14th day of November
2023.
Michael C. Lambert Sr., NOTARY Burke, County, NC
My commission expires: June 05, 2027
00006166 70823053
(NT) Wren Thedford
NCDEQ-Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699
Public Notice
North Carolina
Environmental Management
Comm ission?NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue NP-
DES Wastewater Permit
NCO043125 Patterson School
The North Carolina Environ-
mental Management Commis-
sion proposes to issue a NP-
DES wastewater discharge per-
mit to the person(s) listed be-
low. Written comments regard-
iog the propused permit will be
accepted 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
comments and/or information
requests to DWR at the above
address. Interested persons
may visit the DWR at 512 N,
Salisbury Street, Raleigh, NC
27604 to review the informa-
tion on file. Additional informa-
tion on NPDES permits and this
notice may be found on our
website: https:,I/deq.nc.gov/pub-
lie-notices-hearings,or by call-
Ing (91, 911 707-3601. The Patter-
son School, Inc. has requested
renewal of NPDES permit
NCO043125 for its WWTP
(4646 Patterson School Drive,
Lenoir) in Caldwell County. This
permitted facility discharges
treated domestic wastewater to
the Yadkin Fiver in the Yadkin -
Pee Dee River Basin. Cur-
rently total residual chlorine is
water quality limited. This dis-
charge may affect future alloca-
tions in this portion of the
Yadkin River.
Nov.14, 2023
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Patterson School Foundation, Inc.
Attn: Dawn Turner, Director of Facilities
PO Box 500
Patterson, NC 28661-0500
Subject: Permit Renewal
Application No. NCO043125
Patterson School
Caldwell County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
October 03, 2023
The Water Quality Permitting Section acknowledges the October 3, 2023, receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https•//deq nc aov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Sincerely,
o��Q4U
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Ash"Ille Regional Office 1 2090 US. Highway 70 1 Swannama. North Carolina 28778
.+o+n� 828.296.4500
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
PATTERSON SCHOOL FOUNDATION
PO BON,00, RVITFRSON, NC 28661
September 27, 2023
Ms. Wren Thedford
NC DEQ — DWR — NPDES
1617 Mail Service Center Jn
Raleigh NC 27699-1617
Dear Ms. Thedford,
On behalf of the Patterson School Foundation, please accept my apologies for our NPDES
Permit NCO043125 Application delay. After the death of our President in late 2021, who was the
former operator of our system, I was left with the undertaking of our water and wastewater
treatment facilities. It has been an ongoing challenge to understand all of the various agencies
and the requirements of each, but I do believe that this was the final hurdle!
Thank you for your patience and understanding. If there are any further questions or items that I
need to follow up with, please do not hesitate to contact me.
Kin Regard
Dawn Turner
Director of Facilities
Patterson School Foundation
business.psf@gmail.com
Paterson School Foundation, Inc. is a ;01(c)(3) organization.
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program RECEIVED
OCT 0 3 2023
NCDEQ/DWR/NPDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Modified Application Form 2A
NCO043125 Patterson School WWTP Modified March 2021
Form
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instnictions. Failure to follow
NPDES
the instructions mgy result in denial of the application.)
INFORMATION •- i
Facility name
1.1
Patterson School Foundation, Inc.
Mailing address (street or P.O. box)
PO Box 500
City or town
State
ZIP code
o
Patterson
NC
28661-0500
E
Contact name (first and last)
Title
Phone number
Email address
0
c
Dawn Turner
Facilities Director
(828) 962-7127
business.psf@gmail.com
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
R
u-
4646 Patterson School Drive
City or town
State
ZIP code
Lenoir
NC
28645
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ✓❑ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
Applicant address (street or P.O. box)
a
E
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
CL
a
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑✓ Owner ❑ Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑✓ Facility ❑ Applicant ❑ Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
Y
number for each.
Existing Environmental Permits
✓❑ NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
L
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
c
w
rn
V;
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Modified Application Form 2A
NCO043125 Patterson School WWTP Modified March2021
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Ownership Status
Served
Served
indicate percentage)
% separate sanitary sewer
wn ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
/
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
0
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ElMaintain
a
0
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
% separate sanitary sewer ❑ Own ❑ Maintain
% combined storm and sanitary sewer ❑ Own ❑ Maintain
❑ Unknown ❑ Own ❑ Maintain
-
Total
d
'
Population
Served •�
Combined Storm and
Separate Sand#ary Sewer System
;.•Sanity Sewer
Total percentage of each type of
sewer line in miles
o
/. a rn, L� / GD �°
0
�°
1.8
Is the treatment works located in Indian Country?
❑ Yes No
`
1.9
noes the facility discharge to a receiving water that flows thr ugh Indian Country?
c
❑ Yes No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate,
mgd
Annual -Average Flow Rates. Actual
Two Years A o
Last Year
This Year.
o�
mgd
D , db / mgd
C7u / mgd
U.
Maximum Daily Flow Rates Actual
Two ,Years Ago,:,
fast Year
This Year
D CJb ! mgd
U1l) J mgd
mgd
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
c
Total Number of Effluent Discharge' Points b T, e.
�-
a
. ,,.
a
Treated Effluent
Untreated,Effluent
` _
Combined Sewer ..
=
overflows
Bypasses'
Constructed .
Emer ency
9
Overffows
H
Page 2
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Faculty Name
Modified Application Form 2A
Nc0043125 Patterson School WW'TP
Modified March2021
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surfacelm o6diment Location and Dischar a Data
Average Daily Volume
Continuous or)ntermittent
Lo�atlon
Discharged to Surface `
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
gpd
ElContinuous
❑ Intermittent
s°,
1.14
Is wastewater applied to land?
❑ Yes No -+ SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
CL
0
Land Application Site and Discharge Data ..
-
Location
Size
Average Daily Volume
Continuous or
Intermittent
p,
Applied
check one
N
acres
gpd
❑ Continuous
❑ Intermittent
res ac
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment rior to discharge?
o
El Yes No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e,g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
El Yes ❑ No -3 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
C
M
0
0
s
U
f/7
5
CD
s
0
N
0
NPDES Permit Number Facility Name 1 Modified Application Foam 2A
N00043125 Patterson School WWTP Modif ed March 2021
1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name
City or town
Contact name (first and last)
Mailing address (street or P.O, box)
State ZIP code
Title
Phone number I Email address
NPDES number of receiving facility (if any) ❑ None
Average daily flaw rate mgd
1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
❑ Yes ` No 4 SKIP to Item 1.23.
1.22 Provide information in the table below on these other disposal methods. _
Information on Other Disposal Methods
Disposal Annual Average
Location of Size of Continuous or Intermittent
Method Daily Discharge
Dino, .1 Site Disposal Site {check one
Description Volume .
❑ Continuous
acres gpd ❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
❑ Continuous
acres gpd ❑ Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
Not applicable
1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
❑ Yes No +SKIP to Section 2,
1.2 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
�— Contractor 1 I Contractor 2 Contractor 3
Contractor name
(company name
Mailing address - - -- - -
street or P.0, box
City, state, and ZIP
code
Contact name (first and
lash
Phone number I
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Modified Application Form 2A
NC0043125 Patterson School WWTP Modified March2021
SECTION 2. ADDITIONAL s• • 40
o Outfalls toRaters of the State of North Caroflna
2.1
Does the treatment works have a design flow greate than or equal to 0.1 mgd?
n '
El No 4 SKIP to Section 3.
0
2.2
Provide the treatment works' current average daily volume of inflow
Avera Daily Volume of Inflow and Infiltration
and Infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration,
>o
r
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
❑ Yes ❑ No
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
c A!
(See instructions for specific requirements.)
o;
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No SKIP to Section 3.
.,
Briefly list and describe the scheduled improvements.
o.,
Q .r
1.
= E:
a
2.
E
o.
d
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.,
Scheduled or Actual Dates of Com letion for Improvements
c
Scheduled •
Affected
Outfalls
Begin
End
Begin
Attainment of
Op®rational
Improvement
(list outfall
Construction
Construction
Discharge
-
Level
(from abrne}
number)(MM/DDIY`(YY}
(MMIDD/YYl'Y)
(MMIDDlYYYY)'
MM/DDIYYYY
d
o
:.
�
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation;
Page 5
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Mod!fled Application Forrn 2A
NCO043125 Patterson School W WTP Modified March 2021
SECTION••
• ON DISCHARGES3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number
Outfall Number
Outfall Number.'
State
County42
�L
0
City or town
0
yDistance
from shore
�-p ft,
fl.
Depth below surface
ft.
o
-
-
Average daily flow rate
(D . O O / mgd
mgd
mgd
Latitude
/�
36, OT 7 2-
Longitude
3.2
Do any of the outfalls described under Item 3.1 have seasonal
or periodic discharges?
o
❑ Yes No 4 SKIP to Item 3.4.
w
3.3
If so, provide the following information for each applicable outfall,
N
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
a
discharge occurs
a I
Average duration of each
o
discharge (specify units
0 1
Average flow of each
mgd
mgd
mgd
CA
discharge
Months in which discharge
occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
I
❑ Yes No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser t pe at each applicable outfall.
CL
Outfall Number
Outfall Number
Outfall NWYfber.
I
o
o
I
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
d
one or more discharge points?
w !
Yes ❑ No 4SKIP to Section 6.
Page 6
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Modified Application Form 2A
NCO043125 Patterson School WWTp Mocified March, 2021
3.7
Provide the receiving water and related information if known for each outfalf,
Outfap Number
Outfall Number
Outfall �fumber .
Receiving water name
Name of watershed, river,
0
or stream system
a-
U,S. Soil Conservation
Service 14-digit watershed
code
m
Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mglL of
low Flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following informa
ion_describing the treatment provided
for discharges from each outfall.
Outfall Number
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5 i1 %
TSS 96
Phosphorus
Nitrogen
Other (specify)
Klot applicable
of applicable
Not applicable
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Not applicable
Page 7
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPOES Pemwt Number Faclllty Name plod fed Application Form 2A
NC001125 Patterson School WWTP Modified March2o21
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
c
Outfall Number
Outfall Number'
Outfall Number
�a
.�
Disinfection type
/
w
J "
0
Seasons used
d
E
Dechlorination used?
Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
Yes ❑ No
3.11
Have you conducted any WET tests during the 4,5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes No 4 SKIP to Item 3.13.
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
3.12
by outfall number or of the receiving water near the dischar a points.
-discharges
Outfall Number
Outfall NuMber `
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
M
a
Number of tests of discharge
rn
water
Number of tests of receiving
water
d
w
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potental to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. No -+ Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
ac e?
Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes No additional sampling required by NPDES
_:_--. :.
permitting authority.
Page 8
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Faality Name Modified Application Form 2A
NC0043125 Patterson School WWTP ModifiiedMarch 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes /� No 4 Complete tests and Table E and SKIP to
"11A ❑
Item 3.26.
3.24
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes `4 ❑ No + Provide results in Table E and SKIP to
Item 3.26.
3.21
indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Datetsl Submitted
Summary of Results
MMJDDlY
C
,o
m ,
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
p
toxicity?
El Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
"LU
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 3 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted,
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ' //A ❑ Not applicable because previously submitted
information to the NPDES permittin authority.
Page 9
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Modified Application Form 2A
NCO043125 Patterson School WW1'P Modified March2021
SECTION 6. CHECKLIST r i
6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column t
Column 2
Section 1: Basic Application
for All A licants
wl variance request(s) ❑ w/ additional attachments
ElInformation
❑ Section 2: Additional
❑ wl topographic map ❑ w/ process flow diagram
Information
❑ wl additional attachments
wl Tab e A ❑ wl Table D
c
Section 3: Information on
Effluent Discharges
w/ Table B ❑ wl additional attachments
E
1 Elwl Table C
d
.r
---
:g
Z6
Section 4: Not Applicable
C
0
Section 5: Not Applicable
,C
-d
rU
Section 6: Checklist and
❑ w! attachments
Certification Statement
H
6.2
Certification Statement
d
1 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
forgathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
tv , PI'��.�
FACILIT'E5�112eGTc>
Signaturb
Date signed
7
Page 10
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Outfall Number
NCO043125 I Patterson School WWTP j
Modified Application Form 2A
Modified March 2021
Maximum t?aily: Drscharge
Average Dall tjl Diseharge
Analytical
ML or MaL
Value ,
Units
Value
Units
Number of
Samples
Pollutant
Method.
Includeunits
{ )
Bio emical oxygen demand
M
a ,�A
OD5 or ElCBODs
re ort one
`� % • 2.
1 L
Q .
YVt-k L.
l�'�"'u
0 MDL
Fecal coliform
A // /)
(" H
Y
D ML
❑ MDL
Design flow rate
pZ s—
pH (minimum)
j
t
46wi
pH (maximum)
, Z
'Is
Temperature (winter)
Temperature (summer)
:5—
o
Z
C
Total suspended solids (TSS)
/L
j j 3
-�
r2its O MDL
s .;amnlinn shall he nnnductPd arnnrdinn
to sufficiently sensitive test nrncedures (i_e_ methodsl annroved under 40 CFR 136
for the analvsis of pollutants or pollutant Darameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identficaton Number NPDES Permit Number �— Faclfty Name Outfall Number
NC0043125 Patterson School WWTP
Modified Application Form ?A
Modified March 2021
•g
•• • •• r e r r• Moor
Maxrmu.1n Dalily Discharge Average Dailyblk arge
Analytical
ML or MDL
Value
Units
Value
Units
Number of
Pollutant
� Metliod
mdude,unifs
{ )
Sam les
Ammonia (as N)
Of -
Z . g Z-
/�
/ O XML
W./, ❑ MDL
_
Chlorine
a ML
(total residual, TRC)2
Q MDL
Dissolved oxygen
ML
U MDL
Nitrate/nitrite
—
-
Q ML
Ll MDL
Kjeldahl nitrogen
❑ ML
❑ MDL
Cil and grease
j
0 ML
❑ MDL
Phosphorus
_
D ML
❑ MDL
Total dissolved solids
❑ ML
LJ MDL
' Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identification Number
NPDES Permft Number Facility Name Outfall Number
NC0043125 Patterson School W WTP
Maximum Daily Discharge Average Daily Discharge
Modfied Application Form 2A
Modred March 2021
Analytical ML or MDL
Method? (indude units)
Pollutant
Value
Units ' Value
Units
Number of
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
13 ML
MDL
Antimony, total recoverable
❑ ML
U MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
El ML
❑ MDL
Cadmium, total recoverable
❑ ML
Cl MDL
Chromium, total recoverable
T
❑ ML
❑MDL
Copper, total recoverable
-_- -
--
❑ ML
O MDL
Lead, total recoverable
i
13 ML
L7 MDL
Mercury, total recoverable
_
Ll MIL
❑ MDL
Nickel, total recoverable
I
❑ ML
[I MDL
Selenium, total recoverable
❑ ML
❑ MDL
-... --
Silver, total recoverable
--- - -
❑ ML
LJ MDL
Thallium, total recoverable
❑ ML
u MDL
Zinc, total recoverable
El ML
U MDL
Cyanide
El ML
Cl MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic: Cortfpounds
ein
-
--- -
—
❑ ML
❑ MDL
onitrile
[Benzene
❑ ML
❑ MDL
❑ ML
❑ MDL
oform
7t
El ML
El MDL
EPA Form 3510-2A (Revised 3-19) Page 13
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC0043125 Patterson School WWTP
Modified March 2021
•U- •- XIM111041
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
. o.: ant Numberof
Method' (Inciudeunits):
Value Units Value, Units Sam les
Carbon tetrachloride
_
❑ ML
❑ MDL
Chlorobenzene
El ML
❑ MDL
Chlorodibro mo methane
❑ ML
❑ MDL
Chloroethane
o ML
❑ MDL
2-chloroethylvinyl ether
OML
MDL
Chloroform
❑ ML
❑ MQL
Dichlorobromomethane
❑ ML
❑ MDL
❑ ML
1,1-dichloroethane
❑ MDL
❑ ML
1,2-dichloroethane
❑ MDL
0 MIL
trans-1,2-dichloroethylene
❑ MDL
❑ ML
1,1-dichloroethylene
----
0 MDL
!
❑ ML
1,2-dichloropropane
LI MDL
-- —
— --
❑ ML
1,3-dichloropropylene
❑ MDL
Ethylbenzene
❑ MDL
❑ ML
Methyl bromide
Lf MDL
❑ ML
Methyl chloride
--
❑ MDL _
❑ ML
Methylene chloride
LI MDL
L] ML
1,1,2,2-tetrachloroethane
❑ MDL
0 ML
Tetrachloroethylene
❑ MDL
—
❑ ML
Toluene
❑ MDL
❑ ML
1,1,1-tdchloroethane
❑ MDL
❑ ML
11,24richloroethane
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 14
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identification Number
NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO043125
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
Analytical ML or MDL
Pollutant
Methods (include units]
Numberof
Value
Units
Value
Units
� .�� .
7richloroLi
ethylene
IVIL
❑ MDL
Vinyl chloride
_
Li ML
❑ MDL
Acid -Extractable WhP, -unds
p-chloro-m-cresol
0 Mr-
❑MDL
2-chlorophenol
_
El ML
❑MDL
2,4-dichlorophenoi
El ML
❑ MDL
2,4-dimethylphenol
13 ML
El MDL
❑ ML
El MDL
4,6-dinitro-o-cresol
2,4-dinitrophenol
El ML
❑ MDL
2-nitrophenol
Ul ML
❑ MDL
4-nitrophenol
El ML
❑ MDL
Pentachlorophenol
0 ML
❑ MDL
Phenol --
- - -
�
❑ ML
❑ MDL
OML
2,4,64richlorophenol
❑ MDL
Base-Neutral.:Co m you n ds
ML
Acenaphthene
_
0 MDL
T
ML
Ou
Acenaphthylene
-
— -
I MDL
-
❑ ML
Anthracene
_. ❑ MDL
--
❑ML
Benzidine
❑ MDL
Benzo(a)anthracene
LJ ML
p MDL
El ML
Benzo(a)pyrene
❑ MDL
❑ ML
3,4-benzofluoranthene
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 15
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identification Number
NPDES Permit Number Facility Name Out(all Number
Modified Application Form 2A
NCOO43125 Patterson School WWTP
ModfiedMarch 2021
�• ••
wdmum DaittKalsoarge Average Daily Discharge
Analytical ML,or MDL
Pollutant
Method' (include units)
Number of
Value
Units
Value
Units .
Samples
Benzo(ghi)perylene
!
❑ MDL
Benzo(k)fluoranthene
-
--
❑ ML
❑ MDL
Bis (2-chlOroethoXy) methane
❑ ML
❑ MDL
Bis (2-chloroethyl) ether_
0 ML
❑ MDL
Bis (2-chloroisopropyl) ether
El ML
❑ MDL
Bis2-eth the I phthalate
( y �) p
❑ ML
[.:I MDL
4-bromophenyl phenyl ether
_
_
T
❑ ML
u MDL
Butyl benzyl phthalate
0ML
MDL
2-chloronaphthalene
OML
❑ MDL
4-chlorophenyl phenyl ether
0 MIL
❑ MDL
El MIL
Chrysene
❑ MDL
El ML
di-n-butyl phthalate
❑ MDL
LI ML
di-n-octyl phthalate
❑ MDL
❑ ML
Dibenzo(a,h)anthracene
❑ MDL
F1 ML
1,2-dichlorobenzene
❑ MDL
-
❑ ML
1,3-dichlorobenzene
❑ MDL
❑ ML
1,44chlorobenzene
_ ❑ MDL
3,3 dichlorobenzidine
❑ MDL
❑ ML
Diethyl phthalate
u MDL
❑ ML
Dimethyl phthalate
❑ MDL
11 ML
2,4-dinitrotoluene
❑ MDL
2,6-dinitrotoluene
U ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 16
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
EPA Identification Number NPDES Permit Number I Facility Naive Outfall Number
Modified Application Form 2A
NC0043125 Patterson School WWTP
Modified March 2021
Maximum Daily Discharge Average Daily Discharge
AnaiyEical ML or MDL
Pollutant Number of
Me"dl (include units)
Value Units Value Units Samples
1,2-diphenylhydrazine
❑ ML
❑ MDL
Fluoranthene
El ML
-- -
--
- -
❑ MDL
❑ ML
FluOrene
-
❑ MDL
Hexachlorobenzene
T
a ML
❑ MDL
Hexachlorobutadiene
❑ ML
❑MDL
❑ ML
❑ MDL
Hexachlorocyclo-pentadiene
HeX8ChI0r0ethane
❑ ML
❑ MDL
❑ ML
❑ MDL
Indeno(1,2,3-cd)pyrene
isophorone
j
❑ MIL
❑ MDL
❑ ML
Naphthalene
❑ MDL
_
❑ ML
Nitrobenzene
-
❑ MDL
N-nitrosodi-n-propylamine
---
O ML
❑ MDL
OML
N-nitrosodimethyl amine
—
❑ MDL
❑ ML
--
N-nitrosodiphenyla mine
-
❑ MDL
—
❑ML
Phenanthrene
p MDL
0 MIL
Pyrene
I
❑ MDL
_
❑ ML
1,2,4-trichlorobenzene
❑ MDL
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
EPA Form 3510-2A (Revised 3-19) Page 17
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NC0043 l25 Patterson School W WTP
Modified March 2021
R Ti NMI
Maximum Daily Discharge". Avers a Dat 'Dlsitha e
Pollutant
Analytical ML or MDL
Number of
(list) Value Units Value Units
Method' (include units)
Samples
❑ No additional sampling is required by NPDES permitting authority.
❑ ML
Q MDL
— -- _ Q ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
i
Q MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
OlML
0 MDL
❑ ML
❑ MDL
0 ML
LJ MDL
❑ ML
❑ MDL
--
-
Q ML
LJ MDL
❑ ML
LJ MDL
❑ ML
❑ MDL
❑ ML
—
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
t Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 4u ut-K isb for the analysis of ponutants or pollutant parameters or requirea
under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 18
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
Jw#VTffR4IwLrCM LRDS
1 /2/2019
1/15/2019
2/5/2019
2/12/2019
3/6/2019
3/15/2019
4/9/2019
4/16/2019
5/8/2019
5/14/2019
6/5/2019
6/ 18/2019
BOD
BOD
BOD
BOD
BOD
BOD
BOD
BOD
BOD
BOD
BOD
BOD
Patterson
EFFLUENT- I EFFLUENT INFLUENT STREAMS EXIT Scftool-
I RC. 2 3 EFFLUENT
9.1 TSS 9.2 NH3 1.70
12.3
TSS
12.0
18.8
TSS
20.0
NH3
31.9
TSS
14.0
3.5
TSS
13.6
NH3
16.7
TSS
5.2
12.2
TSS
26.0
NH3
13.2
TSS
15.0
8.7
TSS
20.5
NH3
11.6
TSS
11.6
16.9
TSS
7.3
NH3
22.1
TSS
4.2
4.23
3.78
<0.2
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
05,1'
Em
9'11
SSZ
t7'17Z
QOR
OZOZ/17/Z
Z'L
SS.L
ti'Zi
QOg
OZOZ/bi/i
5117
£HN
0'8
SSZ
0'LI
QOg
OZOZ/8/i
S't'i
SSZ
i'ZZ
QOS
61OZ/LI/ZI
00'£
£HN
Z'S
SSZ
£'81
QOU
61OZ/£/ZI
0'91
SSZ
O'tIZ
(IOU
61OZ/t,I/II
L9'0
£HM
L'01
SS.L
9'8I
QOg
61OZ/9/I1
O'L
SSZ
9' i Z
QOg
61 OZ/01/0 i
Z'0>
£HN
£'Zi
SSZ
Z'ZI
QOR
610Z/Z/0I
Z'0>
£HM
0'01
SSI
i'OZ
QOg
6IOZ/OI/6
S'LI
SSZ
9*91
QOS
61OZ/£/6
0'9
SSZ
L'ZZ
QOS
61OZ/91/8
89't,
£HN
0'L
SSZ
Z'£
Goa
610Z/9/8
0'OZ
SSZ
0'9
QOg
61OZ/6/L
Z'O>
£HM
017
SSZ
9'LI
QOg
61OZ/Z/L
f
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
2/18/2020
BOD
10.2
TSS
<2.5
3/3/2020
BOD
26.8
TSS
15.0
NH3
3.40
3/10/2020
BOD
17.9
TSS
17.0
4/1/2020
BOD
24.9
TSS
4.1
NH3
2.80
4/ 15/2020
BOD
6.9
TSS
6.0
5/5/2020
SOD
11.3
TSS
3.7
NH3
<0.2
5/13/2020
BOD
16.6
TSS
8.4
6/2/2020
BOD
18.8
TSS
<2.5
NH3
<0.2
6/9/2020
BOD
12.1
TSS
<2.5
7/8/2020
BOD
19.9
TSS
5.0
NH3
0.92
7/15/2020
BOD
39.8
TSS
4.5
8/5/2020
BOD
14.9
TSS
10.7
NH3
4.83
8/12/2020
BOD
23.7
TSS
10.3
9/15/2020
BOD
41.2
TSS
4.1
NH3
9.65
9/23/2020
BOD
29.0
TSS
4.5
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
10/8/2020
BOD
16.2
TSS
15.2
NH3
4.08
10/13/2020
BOD
13.4
TSS
18.5
11/4/2020
BOD
5.2
TSS
4.4
NH3
0.76
11/24/2020
BOD
9.5
TSS
3.7
12/9/2020
BOD
3.4
TSS
6.0
NH3
0.37
12/18/2020
BOD
6.1
TSS
21.0
1/12/2021
BOD
<2.0
TSS
<2.5
NH3
<0.2
1/27/2021
BOD
6.1
TSS
4.1
2/10/2021
BOD
3.9
TSS
<2.5
NH3
1.32
2/17/2021
BOD
7.4
TSS
11.3
3/10/2021
BOD
12.8
TSS
5.5
NH3
7.65
4/8/2021
BOD
7.9
TSS
13.2
NH3
7.89
4/13/2021
BOD
4.8
TSS
10.3
5/5/2021
BOD
15.3
TSS
3.6
NH3
4.51
slope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
5/13/2021
BOD
10.3
TSS
9.2
6/2/2021
BOD
18.9
TSS
11.0
NH3
<1.0
6/10/2021
BOD
12.9
TSS
11.3
7/8/2021
BOD
17.0
TSS
4.7
NH3
<1.0
7/14/2021
BOD
16.0
TSS
4.3
8/4/2021
BOD
16.6
TSS
8.7
NH3
<1.0
8/25/2021
BOD
17.1
TSS
6.0
9/14/2021
BOD
9.6
TSS
5.7
NH3
1.18
9/29/2021
BOD
6.2
TSS
5.5
10/7/2021
BOD
7.5
TSS
6.0
NH3
1.98
10/21/2021
BOD
9.8
TSS
3.6
11/15/2021
BOD
11.5
TSS
5.8
NH3
<1.0
11/29/2021
BOD
5.1
TSS
4.3
12/15/2021
BOD
2.8
TSS
<2.5
NH3
1.22
12/29/2021
BOD
<2.0
TSS
<2.5
8/17/2022 BOD 42 TSS 4.3 NH3 1.26
7 DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
8/30/2022
BOD
5.4
TSS
3.9
9/6/2022
BOD
<2.0
TSS
3.3
NH3
1.25
9/19/2022
BOD
2.4
TSS
5.4
10/3/2022
BOD
<2.0
TSS
<2.5
NH3
1.52
10/17/2022
BOD
<2.0
TSS
<2.5
NH3
<1.0
11/1/2022
BOD
<2.0
TSS
<2.5
NH3
2.04
11/14/2022
BOD
<2.0
TSS
<2.5
NH3
1.42
12/1/2022
BOD
<2.0
TSS
12.5
NH3
1.26
12/12/2022
BOD
<2.0
TSS
<2.5
NH3
1.15
1/3/2023
BOD
<2.0
TSS
<2.5
NH3
1.48
1/17/2023
BOD
<2.0
TSS
<2.5
2/1/2023
BOD
10.4
TSS
<2.5
NH3
4.39
2/13/2023
BOD
2.9
TSS
5.6
3/1/2023
BOD
9.1
TSS
<2.5
NH3
2.56
DocuSign
Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
3/13/2023
BOD
23.1
TSS
11.7
4/3/2023
BOD
2.4
TSS
<2.5
4/17/2023
BOD
8.0
TSS
<2.5
5/1/2023
BOD
6.0
TSS
<2.5
5/15/2023
BOD
7.6
TSS
3.9
6/5/2023
BOD
<2.0
TSS
<2.5
6/19/2023
BOD
5.2
TSS
<2.5
7/5/2023
BOD
8.6
TSS
<2.5
7/17/2023
BOD
8.7
TSS
5.0
8/2/2023
BOD
8.9
TSS
4.3
8/14/2023
BOD
7.9
TSS
<2.5
9/5/2023
BOD
10.4
TSS
9.2
9/18/2023
BOD
9.8
TSS
<2.5
NH3
��
NH3
NH3
NH3
2.15
<1.0
2.54
2.11
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
1/11/2022
BOD
<2.0
TSS
<2.5
NH3
<1.0
1/26/2022
BOD
<2.0
TSS
5.3
2/9/2022
BOD
2.7
TSS
4.4
NH3
<1.0
2/23/2022
BOD
12.9
TSS
6.5
3/15/2022
BOD
3.7
TSS
<2.5
NH3
<1.0
3/30/2022
BOD
4.2
TSS
4.3
4/13/2022
BOD
3.2
TSS
3.3
NH3
1.32
4/27/2022
BOD
<2.0
TSS
<2.5
5/11/2022
BOD
<2.0
TSS
<2.5
NH3
<1.0
5/25/2022
BOD
<2.0
TSS
<2.5
6/15/2022
BOD
<2.0
TSS
3.3
NH3
<1.0
6/29/2022
BOD
<2.0
TSS
3.5
7/14/2022
BOD
<2.0
TSS
3.1
NH3
<1.0
7/28/2022
BOD
<2.0
TSS
5.3
NH3
<1.0
8/17/2022
BOD
4.2
TSS
4.3
NH3
1.26
DocuSign Envelope ID: 7974336C-D573-4A01-BB42-C370F5AD7EFD
ATTACHMENT A
Harnett County
CASE NUMBER: DV-2023-0124
PERMIT NO: WQCS00166 REGION: Fayetteville
FACILITY: Harnett County Collection System COUNTY: Harnett
Other Violations
INCIDENT
NUMBER
VIOLATION
DATE
VIOLATION TYPE
VIOLATION DESCRIPTION
TOTAL VOLUME
(GALLONS)
PENALTY
AMOUNT
202301021
7/9/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
2,000
$750.00
202301022
7/9/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
2,000
$750.00
902301046
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
1,800
$800.00
202301043
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
2,700
$1,000.00
202301047
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
3,000
$1,200.00
202301044
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
3,600
$1,200.00
202301049
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
3,600
$1,200.00
202301045
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
7,200
$1,200.00
202301048
7/14/2023
CSO/SSO(Sewer Overflow)
Discharge without valid permit
21,600
$1,500.00