NC0040908_Renewal Application_20181005

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ROY COOPER NORTH CAROLINA
Governor Environmental Quality
MICHAEL S_REGAN
Secretary
LINDA CULPEPPER
Interim Director
October 05, 2018
Larry T. Chilton
Randolph County Board Of Education
2234-B Enterprise St
Asheboro, NC 27203
Subject: Permit Renewal
Application No. NC0040908
Tabernacle Elementary School
Randolph County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 5, 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:
https://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 Application Tracker.
Sincerely,
iiiiti/4 kOALC/R0
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE CO
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

Operations Division
t t I H Larry Chilton,Facilities and Maintenance Director
2234-B Enterprise Street •
Ctunty Scho•>0 Syste�a
Asheboro,NC 27205
Phone [phone]
Fax [phone]
randolph.kl2.nc.us
RECEIVED/DENS®WR
OCT 052018
Mr.Wren Thedford mater resources
i'ermitting Section
NC DENR/DWQ/NPDES, ,
I am requesting the renewal of the NPDES permit for Tabernacle Elementary School (NC0040908).
There have been no changes to the system and it is operating very well.Our Effluent sampling results
are well within our limits with many having"<" results.We use Cameron Testing Services of Sanford NC
as our contract laboratory. •
Our Sludge and Solids handling procedure is to have the septic tanked pumped during the summer when
school is out and other times on an as needed basis.We use Cheek Environmental for our pumping
needs.Their Permit numbers are NCS-00319 for pumping and SLAS-76-05 for Land Application.
We thank you for reviewing our application. Please don't hesitate to call me if you have any questions.
Thank You!
,Z9-7-1"
Larry T. Chilton
Director of Facilities and Maintenance
Randolph County School System
336-215-3835 mobile

NPDES APPLICATION o FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ/DWR/NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NCOO
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 C'ouNr7 Boict.RD ©.c , uca.-140N
Facility Name AiBERAI a elm•oni P7 a-o
Mailing Address 3 3 "At r a RP R 4 7-
City /45,4 ®r o
State/Zip Code Ni ,r2 ®5--
Telephone
Telephone Number (33(o) a Is _ g
Fax Number (334) 433 --501
e-mail Address I CP); H--0N , ca&ppa/4 , ;Oa . NC-. US
2. Location of facility producing discharge:
Check here if same address as above❑
Street Address or State Road 14 ® I 7aberiVel.c/e 5ci,6 Q4.
City e4SL42-1n®r O
State/Zip Code C 20 5-
County
County RAW DM-0
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) I
Name Rif-rola/pt CouA/Ty 0&rd ®-fi uc4_4d0A/
Mailing Address .12 3 14... I3 kn/4c pr
City
leiS .7r0
State/Zip Code N t: a7 SOS
Telephone Number (336 ) -A14"-383.5-
Fax
$35Fax Number (33A ) d 33-.57n9
e-mail Address I a;Hwy 0 r atndd a/ A . k 04/C. U S
1 of 3 Form-D 6/2017

NPDES APPLICATION o FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MOD
4. Description of wastewater:
•
Facility Generating Wastewater(check all that apply):
Industrial ❑ , Number of Employees
Commercial ❑ Number of Employees
Residential ,❑,/ Number of Homes
School Lid Number of Students/Staff 305 i.53
Other ❑ Explain:
Describe the source(s)of wastewater(example: subdivision, mobile home park, shopping centers, restaurants,
etc.): 'El ery,e u, r y „cc-4®O - Amt.@rArote& +1,e-ou3 h - ¢13,r&c
Number of persons served: 3sZ
5. Type of collection system
0 Separate (sanitary sewer only) 0 Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) CO I
Is the outfall equipped with a diffuser? 0 Yes ['No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each outfall):
Cera-wo.4.1 Cr
8. Frequency of Discharge: ❑ Continuous E4ntermittent
If intermittent:
Days per week discharge occurs: J5* Duration: IS-30".0,,,c Li-67 Ti&s/o(.y
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.
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2 of 3 Form-D 6/2017

NPDES APPLICATION o FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flowQ,01DOO6AIIIGD
Annual Average daily flow0.QO02gtSIVIGD (for the previous 3 years)
Maximum daily flow0,OO4000 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes 5/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) 1 S , b 3, 7g mi A
Fecal Coliform 6 . 3 I CFU`10o n"1
Total Suspended Solids x-,35° L.a ,t,i8/1
Temperature (Summer) a Io .7 17.3 °C
Temperature (Winter) 0210, a /7,14 °C
pH -7, 7 NA S.u,
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste(RCRA) NESHAPS(CM)
UIC(SDWA) Ocean Dumping(MPRSA)
NPDES NC 00 r40q 0 g Dredge or fill(Section 404 or CWA)
PSD(CM) Other
Non-attainment program (CM)
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. ,
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Printed name of Person Signing Title
7-4.o , /0- /- /$ _
Signa e 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.) -
3 of 3 Form-D 6/2017