NC0075515_Fact Sheet_20190312

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451E
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Emily DelDuco 08/27/2018
Permit Number
NCO075515
Facility Name
Boomer Ferguson Elementary School WWTP
Facility Classification
WW-1
Basin Name/Sub-basin number
03-07-01
Receiving Stream
UT Warrior Creek
Stream Classification in Permit
WS-IV
Does permit need Daily Max NH3 limits?
No - already present
Does permit need TRC limits/language?
No - already resent
Does permit have toxicity testing?
No
Does permit have Special Conditions?
High Rock Lake reopener
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
For whatparameter?
No
Any permit modifications since last permit?
None.
New expiration date
9/30/2023
Comments on Draft Permit
Added regulatory citations
Updated outfall map
Added HUC and Stream Index # to outfall
description (p. 2)
Updated Section A(3) to current language
Recent Compliance History
Limit Violation fecal coliform 2014
Monitoring Violation chlorine 2015
No enforcements since 2010.
eDMR Summary Sent 2014 - Sent 2018
Parameter
Mean
Minimum
Maximum
N
00010 -
Temperature, Water Deg. Centigrade
15.15
4.00
27.00
310
00400 -
pH
6.93
6.00
8.40
268
00625 -
Nitrogen, Kjeldahl, Total (as N)
10.33
1.68
21.80
9
00630 -
Nitrite plus Nitrate Total (as N)
24.22
14.00
35.00
9
31616 -
Coliform, Fecal MF, MFC Broth, 44.5 C
36.43
1.00
320.00
81
50050 -
Flow, in conduit or thru treatment plant
0.00
0.00
0.01
239
50060 -
Chlorine, Total Residual
13.27
0.00
32.00
294
C0310
- BOD, 5-Day (20 Deg. C) - Concentration
18.81
2.00
37.00
81
C0530
- Solids, Total Suspended - Concentration
12.99
4.70
40.00
81
C0600
- Nitrogen, Total - Concentration
32.58
16.68
45.80
17
C0610
- Nitrogen, Ammonia Total (as N) - Concentration
8.36
2.15
13.10
81
C0665
- Phosphorus, Total (as P) - Concentration
7.00
4.92
14.50
17

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451E
Water Resources
ENVIRONMENTAL QUALITY
April 3, 2018
Bergie Speaks
Wilkes County Schools
613 Cherry St
North Wilkesboro, NC 28659
Subject: Permit Renewal
Application No. NCO075515
Boomer Ferguson Elementary School
Wilkes County
Dear Applicant:
ROY COOPER
Ginerm?
MICHAEL S- REGAN
Secrete
LLYDA CULPEPPER
JfWaft D&cdor
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:
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,
J�YVQQ-a
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

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451E
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 INCO075515
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
Boomer Ferguson Elementary School
Mailing Address
613 Cherry Street
City
North Wilkesboro
State / Zip Code
NC 28659
RECEW\/Ef,lrlENW®WR
Telephone Number
[phone]
18
Fax Number
[phone]
e-mail Address
[e-mail] Water esources
Permitting Section
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 556 Boomer Ferguson Road
City
Boomer
State / Zip Code
North Carolina/28606
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
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
613 Cherry Street
North Wilkesboro
North Carolina / 28659
[phone]
[phone]
[e-mail]
1 of 4 Form-D 11/12

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451E
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 215
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Elementary School (Domestic)
Number of persons served: 215
5. Type of collection system
X 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 X No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Unnamed Tributary to Warrior Creek
8. Frequency of Discharge: ❑ Continuous X Intermittent
If intermittent:
Days per week discharge occurs: 15 Duration: 15 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.
This facility has a septic tank, dosing tank, two surface sand filters, chlorinator with
contact tank with tube type chlorination using calcium hypochlorite and tube type
dechlorination using sodium sulfite.
2 of 4 Form-D 11/12

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451E
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .0030 MGD
Annual Average daily flow .0026 MGD (for the previous 3 years)
Maximum daily flow .0045 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
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
37
18
mg/L
Fecal Coliform
290
28
mg/L
Total Suspended Solids
33
14
mg/L
Temperature (Summer)
25
19
C*
Temperature (Winter)
21
11
C*
pH
7.1
6.8
S.U.
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NC 0075515
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
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.
name of
Title
Signature4f Applicant (j 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

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451 E
From:
man, Jeff
To:
DelDuco, Emilv
Cc:
Hudson, Eric; Kaufman, Tammv
Subject:
FW: NCO075515 PWS NPDES comments
Date:
Wednesday, August 29, 2018 1:35:52 PM
Attachments:
NC0075515.Ddf
75515 Expedited Fact Sheet 2018.doc
75515 draft permit 2018.doc
imaae001.pno
imaae004.Dna
Re: Boomer Ferguson Elementary School WWTP NC0075515, Wilkes County
Emily,
We concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
Jeff H. Bryan, P.E.
Assistant Regional Engineer
Public Water Supply Section
Department of Environmental Quality
336 776 9663 office
336 403 1092 mobile
0eff. [e-mail]
Winston Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston Salem, NC 27105
Nothing Compares,,
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: DelDuco, Emily
Sent: Wednesday, August 29, 2018 11:20 AM
To: Bryan, Jeff <[e-mail]>
Subject: NC0075515 PWS comments
Hi Jeff,
Another permit for you:

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451 E
This is a grade WW-1 facility in Wilkes County.
Please send me any comments when you can, I'd like to get this to public notice as soon as possible.
Please note that we're transitioning to paperless communication. As such, NPDES will no longer
send the separate approval memo for PWS comments on this permit draft. The email response from
you (or another PWS contact) will suffice to document the draft permit review by PWS.
Thanks for your help, and let me know if you have any questions.
&n4 J9etJ9u4m
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
emily.delduco(@ncdenr.gov
Nothing Compares y.._
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: 4181978A-874B-4976-BCAC-52438394451 E
Permit: NC0075515 Facility:
Region: Winston-Salem County:
Penalty
Assessment Penalty Enforcement
Case Approved Amount Costs
Permit Enforcement History by Permit
Boomer Ferguson Elementary School
Wilkes
Remission Enforcement EMC
Request Conference Hearing
Damages Received Held Held
Owner:
Collection
Memo Sent
To AGO
Wilkes County Schools
Total Paid Balance Due
Has
Payment
Plan
Case
Closed
LV-2007-0183
04/01/07
$600.00
$107.00
$707.00
$0.00
No
05/31/07
LV-2008-0196
06/03/08
$700.00
$107.00
$807.00
$0.00
No
07/24/08
LV-2009-0011
01/09/09
$1,000.00
$107.00
$1,107.00
$0.00
No
02/03/09
LV-2009-0022
01/23/09
$1,186.00
$107.00
$1,293.00
$0.00
No
02/19/09
LV-2009-0038
02/13/09
$500.00
$107.00
$607.00
$0.00
No
03/04/09
LV-2009-0081
03/09/09
$437.50
$107.00
$544.50
$0.00
No
03/24/09
LV-2009-0151
05/12/09
$338.00
$107.00
$445.00
$0.00
No
06/08/09
LV-2009-0188
06/09/09
$871.00
$107.00
$978.00
$0.00
No
07/21/09
LV-2009-0212
07/08/09
$2,850.00
$107.00
$2,957.00
$0.00
No
07/27/09
LV-2009-0288
08/11/09
$1,500.00
$107.00
$1,607.00
$0.00
No
08/24/09
LV-2009-0326
09/21/09
$975.00
$116.00
10/09/09 11/03/09
$603.50
$0.00
No
11/25/09
LM-2010-0016
04/13/10
$540.00
$115.00
04/28/10 06/04/10
$655.00
$0.00
No
07/07/10
LV-2010-0269
09/13/10
$312.50
$115.00
$427.50
$0.00
No
09/14/10
Total Cases:
Total Penalties:
13
$11,810.00
$1,416.00
$13,226.00
Total Penalties after
$12,738.50
$0.00
$12,738.50

ID: 4181978A-874B-4976-BCAC-52438394451 E
PUBLIC NOTICE
North Carolina Environmen-
tal Management
Commission/NPDES Unit
1617 Mail Service Center
Raleigh, N.C. 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environ-
mental Management Commis-
sion proposes to issue a NPDES
wastewater discharge permit to
the person(s) listed below. Writ-
ten comments regarding the pro-
posed permit will be accepted
until 30 days after the publish
date of this notice. The Director
of the NC Division of Water Re-
sources (DWR) may hold a pub-
lic hearing should there be a
significant degree of public inter-
est. Please mail comments %
and/or information requests to ! 3
DWR at the above address. In-
terested persons may visit the
DWR at 512 N. Salisbury Street,
Raleigh, N.C. to review informa-
tion on file. Additional informa-
tion on NPDES permits and this
notice may be found on our
website:
http:l/deq. nc.gav/about/divi-
■ sions/water-resources/water-re-
sources-permits/wastewater-br
anchlnpdes-wastewater/public-
notices,or
by calling (919) 707-
6301.NC0075515: Wilkes
County Board of Education re-
quested renewal of permit for
Boomer Ferguson Elementary
School WWTP/ Wilkes County.
Facility discharges to an un-
named tributary to Warrior
Publisher's Affidavit
State of North Carolina, Wilkes County
Personally appeared before me, the Undersigned, ELLEN H. ARCHIBALD and/
or CAROLINE H. CZERKAWSKI, Officers of WIL,KES JOURNAL -PATRIOT,
a public newspaper of general circulation, printed and published in North
Wilkesboro, in the county aforesaid who, being duly sworn, upon his oath, sayeth
that the notice of which the attached is a true copy, was duly published in said
paper for insertions successively, the first of which publication
was on the 14) day of �Q-n"l,bl! 20_,�b and the
last on the
day of
CG,t.&e, 14.
Officer of Wilkes Journal -Patriot
za
Subscribed and sworn to before me ' ` 6 rU_a_r�4 20 1 /
Notary Public
My Commission expires My COmmission Expires 10-03-2019