NC0034207_Renewal (Application)_20150330

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
April 10,2015
Randy Joseph
Madison County Schools
Laurel Elem. School
4100 Highway 212
Marshall,NC 28753
Subject: Acknowledgement of Permit Renewal
Permit NC0034207
Madison County
Dear Permittee:
The NPDES Unit received your permit renewal application on April 06, 2015. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit,please contact Maureen
Kinney(919) 807-6388.
Sincerely,
W re w Tln-eot f o-rek
Wren Thedford
Wastewater Branch
cc: Central Files
Asheville Regional Office
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St.Raleigh,North Carolina 27604
Phone:[phone] Fax:[phone]/Customer Service:1-877-623-6748
Internet::www.ncwater.orq
An Equal OpportunitylAffirmative Action Employer

Madison County Schools
5738 US Hwy. 25/70
Marshall, NC, 28753-9006
RECEIVEDIDENRIDWR
March 30, 2015 APR - 6 201`
Water Quality
Permitting Sector
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC, 27699-1617
Dear Mr. Thedford:
The Madison County Schools is requesting renewal of their
permit for Madison Middle School and Laurel Elementary
School. There have been no changes since the permit was
issued in 2010.
If we can be of further assistance, please contact Dr. Ron
Wilcox, Madison Co. Schools Superintendent or Joe Davis,
Madison Co. Schools Maintenance Director.
Respectfully Submitted,

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 Resources / NPDES Program
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit [NCOO 3 l/2. C 7
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 ACtatson COi ScIoos
Facility Name L w r ` en oo
Mailing Address /4 (00 ,�(e00 a2,1 RECEIVED/DENR/DWR
City
t4Cal APR - 6 7015
rs
State / Zip Code 0/8 t"+ 58 .
Telephone Number ($ ) (p51( - aci.3 Perrnitin S r
Fax Number (g)g) �Q 5C0 -02308
kik e-mail Address lCbK Mad ad SO h k k. net c rr ce@ maj,sar, K.l a•net
2. Location of facility producing discharge:
Check here if same address as above Er
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 OR C)
Name oly �oS'ej' i,
Mailing Address L2 9 / Tq-i S e e_ S fc
City //of
State / Zip Code t1 C 7q 3
Telephone Number (0.2$ ) 5 "r3 7�o
Fax Number (Off) 5� / 2 3O
e-mail Address 0710 . I o Cc VY1
•
1 of 3 Form-D 9/2013

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential El Number of Homes
School Number of Students/Staff 'IO
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): Ili f, -f a G k ov 1
Number of persons served: 16
5. Type of collection system
cel Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points C)/4
Outfall Identification number(s) OnI
Is the outfall equipped with a diffuser? ❑ Yes ArNo
7. Name of receiving stream(s) (NEW lican s:Provide a map showin the exact location of each
outfall 5HeH h L.0 Li` i Vt 071cy
8. Frequency of Discharge: 0 Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 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 C. Lon.? te 5
-V TO YY) Tsfr ' Ts
2 of 3 Form-D 9/2013

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0,00'7 MGD
Annual Average daily flow C, PO l MGD (for the previous 3 years)
Maximum daily flow e r(20.1 MGD (for the previous 3 years) RECEIVEDIDENRIDWR
APR - 6 2015
11. Is this facility located on Indian country?
❑ Yes Ni No Water Quality
Permitting Sectior
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used.If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average
over the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average S Measurement
Biochemical Oxygen Demand (BODS) `(p, 8,U 414
Fecal Coliform �! A 1`11 N A
Total Suspended Solids c , S e, S m-79 9 /c,,L/
Temperature (Summer) 2 S Q , 5 0 L
Temperature (Winter) -7, Cj. /Q , 5-
pH
pH 7, 2 CD , 7 5/-4/4.0/-)P.17
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES /./GOD 3£/.Z0 7 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
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 Verson Signing I Title
0-e--a-‘-# . ., ?j -27- /.jSignature oc- Date
North Carolina Ga • 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.)
3 of 3 Form-D 9/2013

Madison County Schools
5738 US Hwy. 25/70
Marshall, NC, 28753-9006
March 30, 2015
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC, 27699-1617
Dear Mr. Thedford:
The Madison County Schools is requesting renewal of their
permit for Madison Middle School and Laurel Elementary
School. There have been no changes since the permit was
issued in 2010.
If we can be of further assistance, please contact Dr. Ron
Wilcox, Madison Co. Schools Superintendent or Joe Davis,
Madison Co. Schools Maintenance Director.
Respectfully Submitted,

Madison County Schools
5738 US Hwy. 25/70
Marshall, NC, 28753 — 9006
March, 30, 2015
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC, 27699 — 1617
Dear Mr. Thedford:
In regards to the Sludge Mgt. Plan, The Madison County Schools
disposes of the sludge from Madison Middle School & Laurel
Elementary School on an "As Needed Basis".
We are currently using Mike's Septic Tank Service, PO Box 968,
Leicester, NC, 28748.
If we can be of further assistance on this matter, please
contact, Ron Wilcox, Madison County Schools Superintendent
or Joe Davis, Madison County Schools Maintenance Director.
Res ectfully Submitted,