NC0030783_Renewal (Application)_20241024

ROY COOPER t;
Corcrnor
MARY PENNY KELLEY ,a
Sect Pt�ry.
Ott „mos
RICHARD E. ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
October 24, 2024
Caldwell County Schools
Attn: Andy Puhl, Assistant Superintendent
1914 Hickory Blvd Sw
Lenoir, NC 28645
Subject: Permit Renewal
Application No. NC0030783
Baton Elementary School
Caldwell County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 24, 2024, 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. 150B-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://www.deq.nc.gov/permits-rules/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.
Sincerely,
Wren hed ord
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE Qom. NAshevilorth Carolina
le nal DepanmOffice ent2090 of EnvironmeUS.Hntal Quality
S Iwannanoa.No Division of WaterrthCaro Resourclina`►/�Jrt/ Regioighway 287es
78
^ M�^'u+•�++�� 828.296.4500

NPDES Permit Number Lac,Name Modifed Application Form 2A
Ale o 3 p 7 g 3 EI ,yI SG/ Z 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 Instructions.Failure to follow
NPDES the Instructions : result in denial of the ap+ficatian.
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
,1'y;i 1.1 Facility name
�:F .
{';r�V Mailing address(street or P.O.box)
ii'V.u:•`-Z 1400 Baton School Rd
p$',...'' City or town State ZIP code
Rpy, Granite Falls NC 28630
. " Contact name(first and last) Title Phone number Email address
Andy Puhl Assistant Superintendent 828 728-8407 [e-mail]
Location address(street,route number,or other specific identifier) ❑X Same as mailing address
City or town State ZIP code
1.2 Is this application for a facility that has yet to commence discharge?
• ❑ Yes 4 See instructions on data submission K No
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes. $l No-4 SKIP to Item 1.4.
Applicant name
Applicant address(street or P.O.box)
0
72.
City or town State ZIP code
c•
c
rt Contact name(first and last) Title Phone number Email address
Q. t 1
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.)
El 0 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
ti`": '''. number for each.)
'' . Existing Environmental Permits
XNPDES(discharges to surface El RCRA(hazardous waste) El UIC(underground injection
water) control)
:,Sj El PSD(air emissions) ❑ Nonattainment program (CM) El NESHAPs(CAA)
❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
404)
Page 1

NPDES Permit Number itg7 kiddy Name Modified Application Form 2A
Modified March 2021
/VC 0 6 SO 7 .5 3 . --1.rc/f/c-A/TAIszy„c----,,,,,Li.
,--7-14 " 1.7 Provide the collection system information requested below for the treatment works.
iviri...k.:,.,
i4:• rAV.-- ':iliiii-kil°04WZ.f 114,00Iiiiibii :':':'''t61100146*404iftifki" ,;1!:::,;Rr:7111/11:111.1aef.:):1:C::.!'
r.:„‹,..,ii...v.:,•- Aleiik-lic, .,..itii4ii 06dooliJ6koiftiey,:,:.:::,...-.--,:i:,-,, ;J:, ...-,iy.-.45!!!!!!!!!4,-,7TP/:!:::::
%separate sanitary sewer 0 Own 0 Maintain
_ %combined storm and sanitary sewer 0 Own El Maintain
El Unknown 0 Own 0 Maintain
%separate sanitary sewer 0 Own El Maintain
Zzlk.:;!.';' ?•-•-•:,
i
Own m and sanitary sewer El
parate sanitary sewer C3:I ONwiril Opi M ri MMaaaiiinnntttalaaiinnn
_0_ %seUnknown
:ti,>4 .•,,, Nj / M
%combined stor
%combined storm and sanitary sewer 0 Own El Maintain
V;:;•.--...4 ..•;-..
0 Unknown EJ Own CI Maintain
k-...:4 ••••,'•
i'....• ;,'!. :',.. %separate sanitary sewer Ci Own El Maintain
-.,..... -.-.1- %combined storm and sanitary sewer 0 Own 0 Maintain
:i•.:;;.f..t.....,•, 0 Unknown 0 Own 0 Maintain
'TAW-:::. -•
on
1k00,40-
:-,/...:',,;-..,::..-
SePtikteiganitrYlikellYfilterti
Total percentage of each type of
% %
sewer line(in miles)
• 1.8 Is the treatment works located in Indian Country?
.0 I:1 Yes 14 No
••'-=;-, 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
• [3 Yes ANo •
1.10 Provide design and actual flow rates in the designated spaces. ;': :;:-...;. Clirtilitlibilaik%,",7: "....?;'‘,;:i.t..
mgd
- --
' .K I • ,-; „!. '.: .•:,•••••,-1.,..,..:::,-,•,,,:...i,v;'•..)'•'e..,•-•7 .. - eiro. 0 _ ctilili—÷,4,...,
;,:d.7,-.--..A.,:-15.,;-f4;,-.;:k'fi:•-tii.:,,,-,-, . p c' !:%:.;:,3:r4,etril:i, "v er,vr:,...--.i...=•.''.,:lts:7
'...:,-.: ,-,4::,..,!..4,A..7,;-4!,-zty.f+,-;:rwilygr.:.4:-....:.........'4....,t:-. i,..:.;, • :,,Impf 0 ..'.4k4....,'4..V.:,..z.-1
O. ol.)//e mgd 0 . en> // o mgd 0. 92)/0 ? mgd
,. '•••••••••••ii,7!•1;•;;-;--',.:1...s.f.J.,4*-:,g•,.:,,..Y.-.(•-•4"--s ..;.(•:-.;:.41 ‘ ".• ..• - •/ , •
"--' iii041!;t:!-....latik(.4fitt::;C:;:!': .',-._:. .:•--.....ir.`:.:;',.P'..::.f.!:.::::.-''......'.....7'..(i'..,';',.,:-...:.
Lier-
ti:!.•cf.', :',•,4;;;;•,4,arlidt:-"-*?•,;•;7ir.)sis.11,.....E..t.,;:is..,:,tc•;,-r. •,. : it,Ii-,1.- ' 4,r-i, ;'• ' • '---ryi.uVihmo' -'-.''''',,••:':-.4.•--',
',;:::•;.fi.F:'.;6',...i.J.W,g1.-7-„mtogp--,•,„; -,y,.t;:::,--4 .,,-,:,-,•!`:;'.131,,,,,yr.7.,;-e..-&•.,•,z,,,, ,Nei.m,q;,•,,,,...„i. .•,:..;;;;;4:,,:,•,,: , : .:,....,...rt Tv..T...,-,.....-.....•••••:.,
mgd O. 6-1) / - / mgd (;I . OD ri 9 Ingd
1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type. ..
t ''‘:7,,..-::-:,;(7.111.;'::;1'. .,!...-11;M:1:'''.'•....':: Total kiiiiilit0-0**DisOirgo Points by 1.Y1/6
A',-;-1•?1-,!::;6.0.-:1104•.',7..1,0•:710:;--;;A,:.,f,..efi,-. .....kU.:.-.en.,..'T;.-e••a:.:t:-:,c7: E"::..• Lent• . c,'o0,,,..W67.t.rfii 7.af:•,4•P•.,.:ri:i".•.f.e-r Byp.os,s:es .- ., CE_oi rnii-i i7ik,„iipii,ci it4*ef d:,,. ..: ...: •..'.: ',. • . -.,.. ..9Veff.10WC:-1... .
/
Pape 2

NPDES Permit Number 24.Ta ility Name Modified Application Form 2A
4/C DO 3 07 83 ,-L !i<,.. ,eY scffz,15- Modified March 2021
,, r (ui#alla Otiiiiefhan to rs,of '
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+SKIP to Item 1.14,
`' - 1.13 Provide the location of each surface impoundment and associated discha a information in the table below.
a t vitilrli : S.,
I1•VgIUme _ continu trsorIntermittent
tt{ n; ,i kri Ld tr ' l0ai` f-r►SU�r ,, ti,<,1,-(check one)
❑ Continuous
P',. gpd ❑ Intermittent
. 0 Continuous
gpd 0 Intermittent
..
' 0 Continuous
1..?� ; gpd 0 Intermittent
''"1' 1.14 Is wastewater applied to land?
❑ Yes X No+ SKIP to Item 1.16.
;• , 1.15 Provide the land application site and discharge data requested below.
_ Land Appticatioq: tMiltidOlsrahturpeDrtht
n': contint agit'4r
`o . AverpUe'Dal YWYMe
Location Size IntiRtelit
APPI (checlt one}
acres AnA ❑ Continuous
! ❑ Intermittent
'` 0 Continuous
'` acres gpd ❑ Intermittent
acres d 0 Continuous
gP ❑ Intermittent
1.16 Is effluent transported to another facility for treatment p or to discharge?
O Yes No-3, 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?
❑ Yes 0 No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
*i `por6Dr Fit'. .. . .
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

NPDES Permit Number 9,+ res FF�lity Name Modified ApplicaduoMa aForm 2A
Modierch 2O1
M.0034 783 Firc07 Y WA',Z
_•,!_. 1.20 In the table below,indicate the name,address,contact information,NPDES number,and average daily flow rate of the
- receiving facility.
9'',O , r.M WF.s i 7 P .Recieivinl Faci l Data ,...r4P-4"!i it: -;.:44k
s Facility name Mailing address(street or P.O.box)
` City or town State ZIP code
.40, Contact name(first and last) Title
ity
Phone number Email address
}Y`ti : NPDES number of receiving facility(if any) ❑None
`,� ` Average daily flow rate mgd
:10.. ' 1.21 is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
>ws, not have outlets to waters of the State of North Carolina(e.g.,undergroundpercolation,underground injection)?
.,r 9 9
1 ❑ Yes X No SKIP to Item 1.23.
o. 1.22 Provide information in the table below on these other disposal methods
b InfOrnisgal op Other Disposal Mlethdds
Disposal Ahnual meta e
011 df $i of Daily Discharge." Continuous of Intermittent
.; ; Nhet116d � .,
Rife Site Dllpo�l Site (check one)
Description ...•:.:.. :. a:.... Volume
" ❑ Continuous
acres gpd ❑ Intermittent
,O`; ❑ Continuous
acres gPd ❑ Intermittent
❑ Continuous
gpd
acres ❑ 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?
0 Yes X No-)SKIP to Section 2.
1.25 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 Contractor2 Corltnet0r3.
o Contractor name
.,:..'�' (company name)
':'_ .. Mailing address
(street or P.O.box)
City,state,and ZIP
code
c Contact name(first and
r ; last)
;,• := Phone number
Email address
Operational and
maintenance
responsibilities of
^'''' '- contractor
Page 4

NPDES Pemiit Number Q�„rey Name Modified Application Form 2A
iJ Z. Modified March 2021
SECTION 2.ADDITIONAL INFORdMATION((44(0 CFRg 122.21(j)(1)and(2)1
;.•, ; ;K,� i 8 o WQteri,o`he. V1..... . i r, s :.
,,. , ry, 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
to,~' ❑ Yes �No-1 SKIP to Section 3.
" � ' 2.2 Provide the treatment works'current average daily volume of inflow , A'i iiiiiie;DaiiyVo(ume rit i di l anon;•a_„�
s,g, and Infiltration.
ii.rj
'` '` Indicate the steps the facility is taking to minimize inflow and infiltration.
4;.L r.. p . 9 1,/z
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
:. �* specific requirements.)
1+i El Yes 0 No
"'' 2.4 Have you attached a process flow diagram or schematic to this application that contains an the required information?
,4. (See instructions for specific requirements.)
.�.,
::k_ c 0 Yes ❑ No
,::ri,.; • 2.5 Are improvements to the facility scheduled?
..,y,'Y- ❑ Yes CI No 3 SKIP to Section 3,
_ Briefly list and describe the scheduled improvements.
0
IE .1
'' 2.
3.
'�.`` 4.
R 2.6 Provide scheduled or actual dates of completion for improvements.
• ; Wed, Cup tionfimQatsnts r i t o o
� F I End •� n Patnment o`
00041. r n eg brAd� i
2 lmba l Cte on Constfucton. Discharge ean
E (trdt e� (MK YYY) (MMDOYYYY) (MM/DD/WYY) Mro XiA- t (Ni
S 1.
2.
us
3.
4.
2.7 Have appropriate permits/clearances concerning other federalstate requirements been obtained?Briefly explain your
response.
r - 0 Yes ❑ No ❑ None required or applicable
&i'z Explanation:
Page 5

, .
NPDES Permit Number igniaciiityNamo Modified Application Forin 2A
Modified March 2021
. C ID / 7 Z.6 y a •-/ ' 'Cc, • "
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following Information for each outfall.(Attach additional sheets If you have more than three outfalls.)
1-',1 ".:,,. ...:.-,. -a, ,•;.---.1,..:‘,:,‘.r :r4,-,,,.',.,...•r 2,...i,r•/ Ire;:•17,A4}1`-z.:pf,' ,A;•,,,M:-,,p,,,,,,
ti0i#041". 4."' '' S. 0 ifillAtiitibet $'^"''
0,...,•.::.: .:.-f.:: ....;.: ,-. .-. _. '--. ..‘_--,-:...,,,;-:.,.:-::,..,., .' 1 ;.,..77- '.., - -s.,i,Autkitr5-:',,`,,'.
''''''''''';U7.,.:''.•• State , k_ aftedlt,thq
.. .,
County • 11--
., ,.
,..,,,
City or town EA) 0/0
0/.!.).i .,'••.,..*:
Distance from shore 0 ft. ft. ft,
.,..,
Depth below surface ft. ft. ft.
ItVi'-4,2,. 0
Average daily flow rate
0. 06/ 2 -• mgd mgd mgd
,.., .. ,
Latitude
3 6 tf-k /1)
, „ . , ,, ,
Longitude ./ . . „
...., :.
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
as
. 0 12 Yes l No-, SKIP to Item 3.4.
r 3.3 If so,provide the following information for each applicable outfall.
4:.,.. ..- Outfall Number_ .- cuif.ii.Nimbee ,.-outtiu'Oti _mber
••' , •• :.. ... • •,. ---
,.
Number of times per year
discharge occurs
63•
a., Average duration of each
, .._
o discharge(specify units)
Average flow of each
mgd mgd mgd
discharge
, -
Months in which discharge
-.-...A.:.
Occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
11 Yes N...5)+SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
Outfall Nun ber ClOalliiilliii)047.. ,*:,' ...:00411 Number
: (V
-. •a- -
. . . .
. . ,
.,
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
3'' one or more discharge points?
i
-....'-.
.e.;
-,...: El Yes El No-)SKIP to Section 6.
Page 6

, .
NPDES Permit Number IEZ94. 15tAyName Modified Application Form 2A
Moded March 2921
/t/C 02),7e-7 8"....3 Z.EA1R-AJ7741eY Scsobe-
3.7 Provide the receiving water and related informationilf known)for each outfall.
O;.;,..4,..--lii . .,,.,....4,...61.iiiitii;.4-.Piof NuM6r,.z‘"t. .'. i,P411Mtver
;,.4iSiNin-si.:...::‘..k.:;;.r,..skse,ti. eePiltF.:;:..... •;-,-J..... :- .--..r.--. . •.•-..... ..• -I,,.4c.1;! ...7-..,,....:-,:, . . .....,`.V.-.b...-j.::.'.'A-A.-,•..0.;f5tt.7.4.4-,,,,:.?..:wi
.1,f 1.1.Wi'llj
xf Receiving water name
roTv.k. c-CrifrFoo> CO-6427e
Name of watershed,river,
or stream system
cbriketryg A ve-72-
i14 u.s.Soil Conservation
•''Wl? ..r Service 14-digit watershed
code
Name of state
.thi ..,..1.. management/river basin
4'4,f
,',...,04. f. U.S.Geological Survey
..„ ?,,,.
8-digit hydrologic
.1 : cataloging unit code
3Ai.t0; Critical low flow(acute) cfs cfs cfs
iiAt.g.'t;;;;Il
I Critical low flow(chronic) cfs cfs cfs
•,'.4.:i!l'ils,:li:.4.
;441,t4: Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
..x:'0‘;;t:.:.
3.8 Provide the following information describing.the treatment provided for discharges from each outfall.
otittaii*ober ..00$411 Number - Outtalk Nurnber ____.
Highest Level of El Primary 0 Primary 0 Primary
Treatment(check all that 0 Equivalent to El Equivalent to 0 Equivalent to
• apply per outfall) , secondary secondary secondary
.; , Secondary 0 Secondary 0 Secondary
0 Advanced 0 Advanced 0 Advanced
,' 0 Other(specify) CI Other(specify) 0 Other(specify)
:.,'.r: c;.i •-
A
Design Removal Rates by
Outfall
%
.. . i... BOD5 or CBODs 9 0 %
. t
co
TSS 90 % 0/0
. cv 0/0
'lot applicable 0 Not applicable ID Not applicable
Phosphorus
% % %
yttl..?t applicable El Not applicable 0 Not applicable
Nitrogen
% cy. yo
Other(specify) 0 Not applicable 0 Not applicable 0 Not applicable
% % %
-. -
Page 7

NPDES Permit Number g/1-TJpiity Name Modified Application Form 2A
Modified March 2021
,/G0),307e3`, �`4Er�rradriitYScheaL
"" 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below.If disinfection varies
:.::;; by
3Y
. ..;;. season,describe below.
r,t
,p.
t . rl.'.} '.s5t yt ,..;; /. i r
K Outfail Number Outfall Number putfall Number
`:a' Disinfection type u/77QA V ioL c r
e
e ";:" (cite) D/s/IwFi7%/ 4
f;' Seasons used
y K,,; Dechlorination used? Not applicable Ell Not applicable 0 Not applicable
YJ
Y'., ❑ Yes ❑ Yes ❑ Yes
0 No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
f,j Yes ❑ No
w}tt. 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
1,5 ' discharges or on any receiving water near the discharge points?
y it
❑ Yes yZ No-) SKIP to Item 3.13.
4`"•'"'` ce
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
'} discharges by outfall number or of the receiving water near the discharge points.
t ,. Outfail Number Oulfall Number: Ouffall.Number
n r•
r ti xt Acute Chronic Acute` Chronic Acute Chronic
.; Number of tests of discharge
water
f:,
Number of tests of receiving
.. water
ea
E
W
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
f reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B,including chlorine. No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ili4 ❑ 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 / /l ❑ No additional sampling required by NPDES
I /r permitting authority.
Page 8

NPDES Permit Number f T 4 7FFcp Name Modified Application Form 2A
/VCdb Y-(/8/ 1kz 'EJ7,¢,e '5t � Modified March 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 W T tests in the past 4.5 years?
❑ Yes N�/4 ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No+Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authorit and provide a summary of the results.
r,. Date(s)Submitted Sumrhttry of Reeulta
•
c>!r •
3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
411: toxicity?
❑ Yes ❑ No-)SKIP to Item 3.26.
. 3.23 Describe the cause(s)of the toxicity:
• W
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No+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?
Not applicable because previouslysubmitted
❑ Yes Pp"
❑ information to the NPDES •-rmittin• autho'
Page 9

NPDES Permit Number 4g Name 1 Mod hied Application Form 2A
/C Ud 30 7 8.3 k`4 SeModified March 2021
SECTION 6.CIECKLiST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
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 anyattachments thatyou are enclosing to alert the permittingauthority.Note that not
p Y 9 h'
all applicants are required to provide attachments.
g b { p I p ,
<.:±:t�, .z !tOjUml�;,�I.3' , un .2:....r :.i .. �V�. .:u�:'str.,+. ::.t: .. .... .Q u�1n. _ _` +?.Y.
Section 1:BasicApplicatlon
jize information for All Applicants ❑ w/variance request(s) ❑ wl additional attachments
Section 2:Additional 0 wl topographic map 0 wl process flow diagram
Information 0 w/additional attachments
Section 3:Information on
X w/Table A El w/Table D
w/Table B w/additional
': •_` - Effluent Discharges ❑ attachments
� 0 wl Table C
a. Section 4:Not Applicable
mod'....
i Section 5:Not Applicable
'' Section 6:Checklist and
=r_r Certification Statement 0 wl attachments
6.2 Certification Statement
U /certify under penalty of law that this document and ail 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. lam 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
Andy Puhl Assistant Superintendent
Signature/ Date signed
1 10/18/2024
Page 10

NPDES Permit Number 7:604 -0FAlity Name °tidal'Number Moed Appfication Form 2A
Modified March 2021
1A/110 307 er 3 L----trimE2irde41 S--LAG/ at)/
TABLE A.EFFLUENT PARAMETERS FOR ALL POTINS
'.4•:.dp.i.,-;-46igig--0*,*Urigorta00411401:44*
,,,,, ,.,.... tovig,..*,1 •:!.. ;i, :-.. .,. '• , w. . ,
T.:'.,:: i T7;..,tha,..... ".?;'''' ,',. .-: -'llegiaber :..*$Itiffifolf#,I:-'l',,,:r.Y,),;.;.; .•.,,, r.4i
--71,,,,VZI:, iili:r7.77.M,.';';,:r.-"4'.;- ---', -,;,•'%:441011::::• , - ;%:•:,Ainga . .,,•;in=! l'iy!lEW ; tam, ..,. ...,... ..r,:,,i.,i,zz;;:;,-,;,;,,... .__,,,;,;-i.t.,,,,-,7w7-.....q..,,...;,.: :.;.;...77, .
-.. ‘41':-.. .-;!,-- -•;.f.qt!,,,:,;:i',...,z,.--:..r. :';':::-! !':, ,' ':',' ,."': '-,:,,.:,„7 :
F.,. arnical oxygen demand SW.5-2i 0 ..:
0 ML r.,BOD5 or r=i CBODs
Ai,e• one / t71, (7L MAJIL if/7
Cs-e.rx.:E.41.- _ dripprp. 7w
Fecal coliform 7 7 / ....., iz . a. at, ,__ ,..s---1,, litiANE 0 v•
Design flow rate o.ofs 0. ,. 2, -f of 6-.6 0.di>tr. At 6-40 6_
pH(minimum) C . ° 5 te iS
pH(maximum) ‘'•7 5 a (5
Temperature(winter) I C- '' ,
t .Y C °
ll
Temperature(summer) 2--CP C_ ° 1111111 c __
0 MDL
Total suspended solids(TSS) / V- E1 5-6 11311E1
, 0 leMil 0
I 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 a See instructions and 40 CFR 122.21(e)(3),
Page 11

EPA Identfication Number NPDES Permit Number ce94T 1i Name Outfall Number Modified Application Form 2A
C.) • EcG-7r4-7.lr.fie QTh
Modified March 2021
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
• i :�f �', 'd7 Ft1Un1 II AA `�{ Piga���y�t�� {Lys 'a" r�Jc p Y$, '"' "�r'q "c . .,i -
S fT } - " ^^I - y 1� �1 t . 1� .f� _
�xl ,� 'F rs
`a`;Ss r :h Value Uh 1 c Units �lpmbe� 10 �� 5 e )
r p r.
� Samples.,
Ammonia(as N) 3 A . /3 1�t /� / Nf{3 -
Chlorine
❑ML
(total residual,TRC)2 ❑MDL
Dissolved oxygen ❑Mt
QMDL
Nitrate/nitrite i ❑ML
C1 MDL
IGeldahl nitrogen ❑ML
❑MDI_
Oil and grease ❑
❑MDLML
Phosphorus ❑ML
❑MDL
Total dissolved solids ❑MC
❑MDL
1 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 Facilfies 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

1
Baton-
LADS mc. EFFLUENT-2 EFFLUENT-
2 ENT- INFLUENT STREAMS EXIT EFFLUENT
Date Analysis Result Analysis Result Analysis Result Analysis Result .-Analysis Result
9/15/2021 BOD 5.4 TSS 14.0 NH3 7.83 Fecal <1
Coliform
9/22/2021 NH3 1.41
9/23/2021 NH3 <1.0
9/29/2021 BOD <2.0 TSS 7.5 NH3 <1.0 Fecal <1
Coliform
10/14/2021 BOD 4.6 TSS 6.3 NH3 1.89 Fecal <1
Coliform
10/27/2021 BOD <2.0 TSS <2.5 NH3 1.22 Fecal <1
Coliform
11/15/2021 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal <1
Coliform
11/29/2021 BOD <2.0 TSS 3.6 NH3 1.25 Fecal <1
Coliform
12/15/2021 BOD <2.0 TSS 4.0 NH3 1.87 Fecal <1
Coliform
12/29/2021 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal <1
Coliform
1/11/2022 BOD <2.0 TSS 3.9 NH3 2.88 Fecal <1
Coliform
1/26/2022 BOD <2.0 TSS 5.2 NH3 2.52 Fecal <1
Coliform

�O 1/40 �D �D tp -O to VI P W W N N
4 V ONO J QNi O V, titr`''+ N (7) w VI Lo
Y N
N N N N N N N N N N N N N N O
O 0 0 0 0 0 0 O 0 0 0 0 0 0 N
N N N N N N N N N N N N N N N
N N N N N N N N N N N N N N
A0 0 0 0 0 0 0 0 0 0
N N N A A OO A v.
o�
O O O O C O ~ I tr
(y/2 (%1 H H(/) (/1 (/2 H H C/2 C H C/]
c4 c/a v) U)
N W N N A N N 'ram., N
U, ia.. in u, ii, L., in
g g g g M
to M
to M
to M
u., g g M
to M
A A A — pW -) A ---- N N N W
O O C ti,i, O� as O N .4.Zn v w O0O i0 iD
O g
O g o g o g O g O 0 O 0 0 0 O g O n
G fi r+: o 0 CC) CI
As A A i.-. A A A --A• A

10/18/2022 BOD <2.0 TSS <2.5 NH3 2.36 Fecal <1
Coliform
10/27/2022 BOD <2.0 TSS <2.5 Fecal Coliform <1
11/17/2022 BOD <2.0 TSS <2.5 NH3 3.62 Fecal <1
Coliform
11/29/2022 BOD <2.0 TSS <2.5 NH3 2.05 Fecal <1
Coliform
12/15/2022 BOD <2.0 TSS <2.5 NH3 2.43 Fecal <1
Coliform
12/29/2022 BOD <2.0 TSS <2.5 NH3 2.98 Fecal <1
Coliform
1/12/2023 BOD <2.0 TSS 5.3 NH3 3.15 Fecal <1
Coliform
1/26/2023 BOD <2.0 TSS <2.5 NH3 4.52 Fecal <1
Coliform
2/16/2023 BOD <2.0 TSS 7.2 NH3 3.56 Fecal 21
Coliform
2/23/2023 BOD <2.0 TSS <2.5 NH3 4.08 Fecal
<1
3/16/2023 BOD <2.0 TSS <2.5 NH3 5.87 Fecal <1
Coliform
3/30/2023 BOD 4.1 TSS <2.5 NH3 <1.0 Fecal 41
Coliform
4/17/2023 BOD <2.0 TSS <2.5 NH3 2.89 Fecal 37
Coliform
4/27/2023 BOD <2.0 TSS <2.5 NH3 2.14 Fecal 49
Coliform

5/15/2023 BOD 8.7 TSS 14.0 NH3 2.34 Fecal 56 •
Coliform
5/30/2023 BOD <2.0 TSS <2.5 NH3 <10 Fecal 44
Coliform
9/13/2023 BOD <2.0 TSS <2.5 NH3 1.63 Fecal 64
Coliform
9/27/2023 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal 36
Coliform
10/16/2023 BOD 5.3 TSS 4.5 NH3 3.58
10/17/2023 Fecal 77
Coliform
10/30/2023 BOD <2.0 TSS <2.5 NH3 1.58 Fecal 37
Coliform
11/15/2023 BOD <2.0 TSS <2.5 NH3 2.48 Fecal 59
Coliform
11/29/2023 BOD <2.0 TSS <2.5 NH3 2.29 Fecal 41
Coliform
12/13/2023 BOD <2.0 TSS <2.5 NH3 2.07 Fecal 59
Coliform
12/29/2023 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal <1
Coliform
1/17/2024 BOD <2.0 TSS <2.5 NH3 1.17 Fecal 18
Coliform
2/14/2024 BOD <2.0 TSS <2.5 NH3 3.62 Fecal 14
Coliform
2/23/2024 BOD <2.0 TSS <2.5 NH3 4.92 Fecal <1
Coliform
2/28/2024 BOD <2.0 TSS <2.5 NH3 3.85 Fecal <1
Coliform

3/13/2024 _ BOD <2.0 TSS <2.5 NH3 1.94 Fecal li <1
rm
Fecal
3/27/2024 BOD <2.0 TSS <2.5 NH3 1.87 ColiformFecal
<1
4/10/2024 BOD <2.0 TSS <2.5 NH3 <1.0 Coliform <1
4/24/2024 BOD <2.0 TSS <2.5 NH3 1.42 Fecall <1
iform
5/8/2024 BOD <2.0 TSS <2.5 NH3 2.61 Fecal <1
Coliform
5/22/2024 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal <1
Coliform
9/16/2024 BOD 3.3 TSS <2.5 NH3 4.67 Fecal
15
9/30/2024 BOD <2.0 TSS <2.5 NH3 <1.0 Fecal 15
Coliform