NC0038709_Renewal Application_20180403

ROY COOPER
2 Governor
MICHAEL S.REGAN
Secretary
Water Resources LINDA CULPEPPER
ENVERONMENTAL QUALM Interim Director
April 3, 2018
Bergie Speaks
Wilkes County Schools
613 Cherry St
North Wilkesboro, NC 28659
Subject: Permit Renewal
Application No. NC0038709
Roaring River Elementary School
Wilkes County
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 3, 2018 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:
httos://deq.nc.gov/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 A• pplication Tracker.
Sincerely,
- AclUgAVI°-
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application(WSRO)
•
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

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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 NC0038709
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 Wilkes County Schools
Facility Name Roaring River Elementary School
Mailing Address 613 Cherry Street
City North Wilkesboro
State / Zip Code NC 28659
Telephone Number [phone] RECEIVED/UITNNIDWR
Fax Number [phone] APR - 3 2018
e-mail Address [e-mail] Water Resources
Permitting Section
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 283 White Plains Road
City Roaring River
State / Zip Code NC, 28669
County Wilkes
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 Wilkes County Schools
Mailing Address 613 Cherry Street
City North Wilkesboro
State / Zip Code North Carolina / 28659
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 3 Form-D 11/12

ci
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 ❑ Number of Homes
School X Number of Students/Staff 330
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Elementary School (Domestic)
Number of persons served: 330
5. Type of collection system
X Separate (sanitary sewer only) El Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? El Yes X No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Yadkin River
8. Frequency of Discharge: ❑ Continuous X Intermittent
If intermittent:
Days per week discharge occurs: 10 Duration: 10 mins
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.
Septic tank with bell siphon, sand filter bed. Water enters lift station and is pumped by
force to main effluent. This sand filter has pea gravel.
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .0045 MGD
Annual Average daily flow .0037 MGD (for the previous 3 years)
Maximum daily flow .0043 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
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 Measurement
Biochemical Oxygen Demand (BODS) 25.8 16 mg/L
Fecal Coliform 310 61 N/A
Total Suspended Solids 80 14 mg/L
Temperature (Summer) 25 19 C*
Temperature (Winter) 16 11 C*
pH 7 6.6 S.U.
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 NC 0038709 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 know--dge and belief such information is true, complete, and accurate.
1Lii� y,
Printed name of Person Sign'erg Title
c5? �� -(
lf'C
�! V^�,L-- 46
ignature 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.)
3 of 3 Form-D 11/12