NC0034703_Renewal (Application)_20190102

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ROY COOPER NORTH CAROLINA
Gassr nor Environmental Quality
CHAEL S.REGAN
Secreta y
LINDA CULPEPPER
Interim Director
January 02, 2019
Lynn Moody
Rowan-Salisbury Schools
3075 Shue Rd
Salisbury, NC 28147
Subject: Permit Renewal
Application No. NC0034703
Knollwood Elementary School
Rowan County
Dear Applicant:
The Water Quality Permitting Section acknowledges the January 2, 2019 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.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,
J4k,tr4L$�
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-807-6300

12-21-2018
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh,NC 27699-1617
RECEIVED/DENR/DWR
Subject: NPDES Permit Renewal Application JAN 0 2 2018
Permit Number: NC0034703
Water Resources
Knollwood Elementary School Permitting Section
Rowan County
Mr. Thedford,
The NPDES permit for the wastewater treatment facility at Knollwood Elementary School,
located at 3075 Shue Road in Salisbury,North Carolina, is nearing its expiration on June 30,
2019. Thus, it is our desire to renew this permit by means of this NPDES permit renewal
application package. This facility, described in Form D of this package, has not had any
significant upgrades or changes since the renewal of the current permit.
You will find subsequent to this cover letter an NPDES Application: Form D, documentation of
authorization to prepare this renewal package, and a description of the sludge management
program currently in place at this facility. It is our request that this package be processed and
our permit to discharge treated wastewater be renewed following the expiration of the current
permit on June 30, 2019.
Thank you for your time.
Sincerely,
‘0%.: -15*---
Knollwood Elementary School

✓ f y
C/O Rowan-Salisbury Schools
Cc: Michael Myers, Envirolink Inc.
David Strum, Envirolink Inc.
Chris Bitterman, Envirolink Inc.

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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 NC0034703
If you are completing this form in computer use the TAB key or the up—down arrows to moue 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 Rowan Salisbury Schools
Facility Name Knollwood Elementary School WWTP
Mailing Address 1000 North Long Street
RECCDVEDIDENR/DWR
City Salisbury
State / Zip Code NC 28144 JAN U 2 2018
Telephone Number [phone] Water Resources
Permitting Scction
Fax Number ( )
e-mail Address
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 3075 Shue Road
City Salisbury `
State / Zip Code NC 28147
County Rowan
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 Envirolink Inc.
Mailing Address 4700 Homewood Ct., Suite 108
City Raleigh
State / Zip Code NC
Telephone Number [phone]
Fax Number ( )
e-mail Address Cbitterman c@i envirolinkinc.com
1 of 4 Form-D 11/12

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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 ® Number of Students/Staff .C709.1 7 y
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Elementary School
Number of persons served: /o le
5. Type of collection system
® Separate (sanitary sewer only) ❑ 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? ❑ Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Little Creek
8. Frequency of Discharge: ® 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.
This is a 0.011 MGD wastewater treatment facility that is equipped with a grease trap,
bar screen, equalization basin, aeration basin, clarifier, dosing tank, distribution box,
sand filter, chlorine contact chamber, tablet chlorinator, tablet de-chlorinator, and
ultrasonic flow meter.
2 of 4 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 014 Form-D 11112

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NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.011 MGD
Annual Average daily flow 0.0033 MGD (for the previous 3 years)
Maximum daily flow 0.008 MGD (for the previous 3 yeai s)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Piovide data for the parameters listed. Fecal Coliform,Temperature and pH shall be grab
samples,for all other paranreters 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 (SODS) 43 4.515 mg/L
Fecal Coliform 2420 74.208 MPN
Total Suspended Solids 29.5 5.1097 mg/L
Temperature (Summer) 30.1 19.01 ° C
i 'Temperature (Winter) 29.9 15.23 ° C
pH 9.0 7.05 S.U.
1 13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazai dous Waste (RCRA) NESHAPS (CAA)
( UIC(SDWA) Ocean Dumping(MPRSA)
NPDES 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.
b Person
�. . I�1���12 rZ. ���3 w�� i''►� s u er,o 1 sU L
Printed name of I erson Signing Title
.40
Signatur�bf 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.)
4 of 4 Form-D 11/12

Date: g/2bb f
RECEIVED/DENR/DWR
Wastewater Branch
Water Quality Permitting Section JAI 0 2098
Division of Water Resources
1617 Mail Service Center Water Resources
Raleigh,NC 27699-I6I7 Permitting Section
Subject: Delegation of Signature Authority
Facility Name: , ,.y aw 3 £(tom., ' $(J4oa[ wtsinl
NPDES Permit Number: NI CI 01011141710131
To Whom It May Concern;
By notice of this letter,I hereby delegate signatory authority to each of the following individuals for all
permit applications,discharge monitoring reports,and other information relating to the operations at
the subject facility as required by all applicable federal,state,and local environmental agencies
specifically with the requirements for signatory authority as specified in 15A NCAC 28.0506.
Individual#1 Individual#2
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if you have any questions regarding this letter,please feel free to contact me at either the phone
number or email address below.
Sincerely,
Authorized Signing Official's Signature
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DWR
Submitter Change Request Form—(Add/upda e users)
1 North Carolina Electra
me Discharge Monitoring Report Sy tem
r 1Mvislao o4 W. e Resources
EDMR registered Owners may use this form to add or update eDMR users to the NCDWR's El Ironic
Discharge Monitoring Report system. If the Organization is not currently registered for eDMR, hen the
Owner or designated Responsible Official will need to complete the required eDMR Registratio Form
(available from the eDMR website)and submit it to the NCDWR eDMR Administrator at the ress
below.
Type of Request(please select):
V/ Add Submitter Permissions: (See Section B) ,
1 _✓ Update Submitter Permissions: (See Section B)
To add or update eDMR user permissions,please provide the following information:
Section A: Owner Information
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A e>•A ganization•Name:
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Section B: Activate New Submitter or Update Existing User •
Please complete the Submitter User Details on page 2 for the individuals who will need Submitter
permissions or to update Submitter details,such as adding additional permits,to an existing user.
Submitter permissions can only be assigned by the NCDWR eDMR Administrator. Note: The Cwner
and Facility Administrator can deactivate or delete eDJlfR user permissions for any individual within
its organization,including Submitter permissions.
The Submitter is equivalent to the individual who signs the certification statement on the back of the
Discharge Monitoring Report. The Submitter must be an individual with delegated signatory authority
for the Owner/Organization. if individuals other than the Responsible Official for the Owner have been
delegated signatory authority,the Division of Water Resources must be notified in writing of such
delegations. A delegation of authority form is available from the eDMR website.
In addition to the User Details,please specify the NPDES permit(s)that each user will be associated with
for eDMR submittal.Should additional space be needed for users and/or permits,please make additional
copies of the Submitter User Details page and complete as needed.
NCDWR eDMR Suhmltter Change Request Form ver.1,0
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NCDWR eDMR Submitter Change Request Porm ver.1.0 Page 2

Responsible Official Authorization
The Responsible Official,as identified in accordance with 40 CFR 122.22 is the appropriate individual
• with the authority to sign reports for the organization.
I,47/Pv Q&/ '# 'n6N—j77a (printed name),have the authority to make this request for
o wM../Sdvis/66 ctrt/ du vs (Owner/Organization Name).
1 request the NCDWR add or update the eDMR Submitter user permission(s)as indicated above on the
Submitter User Details page.
G7,fefi PtQCvO'o2 arG fKrko Ohs /p-/O--ice
Owner/Responsible Official Signature Title Date
Please return the completed form to the NCDWR eDMR Administrator via:
Fax or E-mail: or Mail to:
[phone] eDMRadmin{c ncdenr gov Information Processing Unit
Attn: eDMR Registration
1617 Mail Service Ce.iter
Raleigh,NC 27699-1517 '
NCDWR eDMR Submitter Change Request Form—ver.1.0 Page 3

Sludge Management Plan for Knollwood Elementary
WWTP
The Knollwood Elementary wastewater treatment plant is a WW-2 facility that serves the faculty
and students of Knollwood Elementary School. Due to its small size and inactivity during
summer months, sludge and solids removal happens on an as-needed basis. This typically occurs
three to four times annually. When solids accumulate,they are pumped by a local septic tank
company and disposed of accordingly.
CK0-1S Si II-0l^14,4/ neA "4 J fFGert.
Name(Print) Title
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Signature Date