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NC0032565_fact sheet_20230717DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 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 Charles Weaver — 7/17/2023 Permit Number NCO032565 Facility Name North Lenoir High School WWTP Basin Name/Sub-basin number Neuse / 03-04-07 Receiving Stream UT Wheat Swam Stream Classification in Permit C-Swamp NSW Does permit need Daily Max NH3 limits? NH3 limits are at BAT to protect against instream toxicity Does permit need TRC limits/language? No — already resent Does permit have toxicity testing? No Does permit have Special Conditions? Neuse nutrient conditions Does permit have instream monitoring? Temperature & Dissolved Oxygen Is the stream impaired (on 303(d) list)? No For whatparameter? Any obvious compliance concerns? Sixteen enforcements during this permit cycle, along with twenty-three NOVs and one NOD. An examination of flow violations has determined the facility was reporting incorrectly, which led to the appearance of flow exceedances. An inspection of the facility was conducted on January 31, 2023. The inspection revealed that the WWTP requires significant maintenance/repair/upgrade or replacement if permit limits are to be met on a consistent basis. However, even in its current state, it appeared possible that the existing system could perform in compliance but for the state of the influent it receives. The influent was unusually clear and did not bring enough food source to the system to promote good biological activity in the activated sludge process. Under these circumstances, it will be very difficult for the facility to meet ammonia nitrogen effluent limits. It appeared that the operator of the WWTP coaxed its best performance from the existing system, but DocuSign Envelope ID: 87A34OE9-61 CO-4BFF-A179-714631 FD6EFO it was obvious that the permittee must invest more into system maintenance. Positive developments occurred just prior to and following the inspection. The school system has significant funding devoted to the future of wastewater treatment. The school system has been in continuing discussions with a reputable engineering firm that has guided them in an examination of possible solutions and the recommendation of one in particular. They are going to recommend construction of a pump station and sewer force main to connect the school to the City of Kinston collection system. They further recommend entry into the SOC to cover the school during the time period of construction. Any permit modifications since the last None. permit? New expiration date 5/31/2028 Changes in Draft Permit Updated eDMR text. Added Neuse modeling reo ener Changes in final permit None Most Commonly Used Expedited Language: • 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream is listed as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing impaired waters is a high priority with the Division, and instream data will continue to be evaluated. If there is noncompliance with permitted effluent limits and stream impairment can be attributed to your facility, then mitigative measures may be required". • TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote: "The facility shall report all effluent TRC values reported by an NC certified laboratory including field certified. However, effluent values < 50 µg/1 will be treated as zero for compliance purposes." DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 AFFP Public Notice Public Notice North Carolina North Carolina Environmental Management Commission]NP- Affidavit of Publication DES Unit 1617 Mail Service Center Raleigh, NC 27699-1617 Notice of Intent to Issue a NPDES STATE OF NC I Ss Wastewater Permit NCO032565 COUNTY OF WAYNE North Lenoir High School WWTP The North Carolina Environment - al Managernent Commission pro- Christy Williamson, being duly sworn, says: poses to issue a NPDES wastewa- That she is Christy Williamson, Advertising Director of the ter discharge permit to the Goldsboro News-Argus, a daily newspaper of general person(s) listed below. Written circulation, printed and published in Goldsboro, Wayne comments regarding the proposed County, NC: that the publication, a copy of which is permit will be accepted until 30 attached hereto, was published in the said newspaper on days after the publish date of this June 03, 2023 notice. The Director of the NC Di- vision of Water Resources (DWR) may hold a public hearing should there be a significant degree of public interest. Please mail com- ments and/or information requests That said newspaper was regularly issued and circulated to DWR at the above address. In - on those dates. terested persons may visit the SIGNED- DWR at 512 N. Salisbury Street, Raleigh, NC 27604 to review the information on file. Additional in - Christy Williamson, Advertising Director formation on NPDES permits and Subscribed to and sworn to me this 3rd day of June 2023. this notice may be found on our website: https:Hde!q.nc.gov/public- notices-heariqg�s,or by calling (919) 707-3601. The Lenoir County Public Schools requested ✓ renewal of NPDES permit Elizabeth 600dwin Howell, , Wayne County, NC NC,0032565 for its North Lenoir High School WWTP (24M Insfi- My commission expires: July 13, 202a0"Ijj to GOOD;P/ tote Rd, La Orange, NC). This fa- cility discharges to an Unnamed Qj :4 xAOTARy Tributary to Wheat Swamp/Neuse River 70095697 70687444 Basin. Currently, BOD5, arnmo- 13 20 Wren Thedford (138 News-Argus nia-nitrogen, fecal coliform, dis- solved oxygenand DEQ-Division of Water Resources , 1617 Mail Service Center total residual chlorine are water Raleigh, NC 27699-1617 quality limited. This discharge may affect future allocations in this portion of the re- ceiving stream. June 3 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 Weaver, Charles From: Bullock, Robert Sent: Tuesday, May 23, 2023 1:32 PM To: Weaver, Charles Subject: RE: DRAFT permit renewal for NC0032565 I looked at the draft permit and I did not see any changes from the previous permit. Therefore, I do not have any comments. Thanks, Robbie Robbie Bullock Environmental Program Consultant Division of Water Resources Water Quality Regional Operations 252-948-3843 Office 252-402-5832 Cell Robert.e.bullock(a)deg.nc.gov Email 943 Washington Square Mall Washington NC 27889 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Weaver, Charles <charles.weaver@deq.nc.gov> Sent: Tuesday, May 23, 2023 11:20 AM To: Bullock, Robert <robert.e.bullock@deq.nc.gov>; Kinney, Maureen <Maureen.Kinney@deq.nc.gov> Subject: DRAFT permit renewal for NCO032565 This one will go to Notice next week. Send me any comments as time permits. Charles H. Weaver Environmental Specialist II Division of Water Resources 919-707-3616 charles.weaverCccDdeg. nc. gov (mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617 Email correspondence to and from this address is subyed to the North Caro�ona Pvblrc Records Law and may be drsabsed to thrrd parties, DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 Weaver, Charles From: Sledge, Bob Sent: Wednesday, May 17, 2023 7:45 AM To: Weaver, Charles Subject: North Lenoir High School WWTP Attachments: NC0032565 Inspection Rpt 01312023.pdf Hi Charles, Sorry for being tardy in sending this to you. Here is the text of information I sent to Region 4 as we briefed them on facilities on the FY22Q4 Priority List: NC0032565 North Lenoir High School WWTP Violations have persisted through the submittal of the facility's last DMR (October 2022). An examination of flow violations has determined the facility was reporting incorrectly, which led to the appearance of flow exceedances. The facility has been assessed $7,500.00 for limit violations occurring during 2022; additional penalties are likely to be assessed. An inspection of the facility was conducted by the staff of the Washington Regional Office on January 31, 2023. The inspection revealed that the WWTP is in need of significant maintenance/repair/upgrade or replacement if NPDEs permit limits are to be met on a consistent basis. However, even in its current state, it appeared possible that the existing system could perform in compliance but for the state of the influent it receives. The influent was unusually clear and did not bring enough food source to the system to promote good biological activity in the activated sludge process. Under these circumstances, it will be very difficult for the facility to meet ammonia nitrogen effluent limits. It appeared that the operator of the WWTP coaxed its best performance from the existing system, but it was obvious that the school system needed to invest more into system maintenance. Positive developments occurred just prior to and following the inspection. The school system has significant funding devoted to the future of wastewater treatment at this school. They have contracted with an engineering firm to investigate the most practical and cost-effective options for wastewater treatment, including replacement of the existing system and connection to municipal sewer. The school system is amenable to entering into a Special Order by Consent that would guide the system through whatever construction phase and lead it to consistent compliance. This was an update to the information noted above: NC0032565 North Lenoir High School WWTP The school system has been in continuing discussions with a reputable engineering firm that has guided them in an examination of possible solutions and the recommendation of one in particular. They are going to recommend construction of a pump station and sewer force main to connect the school to the City of Kinston collection system. They further recommend entry into the SOC to cover the school during the time period of construction. They will bring the recommendations to the county commissioners' meeting on April 3 for their concurrence. I've attached a copy of the inspection report from BIMS for the January 31 inspection. I hope this helps. :.. DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 Bob Sledge Environmental Specialist II Division of Water Resources — Water Quality Permitting Section North Carolina Department of Environmental Quality DEQ is updating its email addresses to @deq.nc.gov in phases from May 1s'to June grn Employee email addresses may look different, but email performance will not be impacted. 919-707-3602 bob.sledge(a)-deg.nc.gov (note new email address) 512 N. Salisbury Street 1617 Mail Service Center Raleigh, NC 27699-1617 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. Email correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties by an authorized state official. DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 North Carolina Department of Environmental Quality Division of Water Resources Modified Application Form 2A Revised March 2021 Modified Application Form 2A Minor Sewage Facilities < 0.1 MGD and No Pretreatment Program NPDES Permitting Program Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works. DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A North Lenoir High School Modified March 2021 NCO032565 W WTP Form NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow NPDES the instructions may result in denial of the application.) SECTION•N INFORMATION FOR i 1.1 Facility name North Lenoir High School WWTP Mailing address (street or P.O. box) 500 Abbot St. City or town State ZIP code o Kinston INC 28504 r EContact name (first and last) Title Phone number Email address c Cecil Outlaw Maintenance Director 527-1407 coutlaw@lenoir.kl2.nc.us Location address (street, route number, or other specific identifier) ❑ Same as mailing address R LL- 2400 Insitute Rd City or town State ZIP code La Grange INC 28551 1.2 Is this application for a facility that has yet to commence discharge? ❑ Yes -* See instructions on data submission ❑ No requirements for new dischargers. 1.3 Is applicant different from entity listed under Item 1.1 above? ❑ Yes ❑ No SKIP to Item 1.4. Applicant name Applicant address (street or P.O. box) 0 o City or town State ZIP code w r Contact name (first and last) Title Phone number Email address .Q a 1.4 Is the applicant the facility's owner, operator, or both? (Check only one response.) ❑✓ Owner ❑ Operator ❑ Both 1.5 To which entity should the NPDES permitting authority send correspondence? (Check only one response.) Facility and applicant ❑✓ Facility ❑ Applicant ElFacility are one and the same) 1.6 Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit number for each. Existing Environmental Permits a ✓❑ NPDES (discharges to surface ❑ RCRA (hazardous waste) ❑ UIC (underground injection R water) control) E c NCO03565 ❑ PSD (air emissions) ❑ Nonattainment program (CAA) ❑ NESHAPs (CAA) w a� y ❑ Ocean dumping (MPRSA) ❑ Dredge or fill (CWA Section ❑ Other (specify) w 404) Page 1 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 1.7 Provide the collections stem information requested below for the treatment works. Municipality Population Collection System Type Ownership Status Served Served indicate percentage) North Lenoir 1000 100 % separate sanitary sewer 0 Own ❑ Maintain d % combined storm and sanitary sewer ❑ Own ❑ Maintain High school ❑ Unknown ❑ Own ❑ Maintain c% separate sanitary sewer El Own ❑ Maintain R % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain a % separate sanitary sewer ElOwn ElMaintain % combined storm and sanitary sewer ❑ Own ❑ Maintain ❑ Unknown ❑ Own ❑ Maintain 2 % separate sanitary sewer ❑ Own ❑ Maintain N% combined storm and sanitary sewer ❑ Own ❑ Maintain c ❑ Unknown ❑ Own ❑ Maintain Total loon Population � Served Separate Sanitary Sewer System Combined Storm and Sanitary Sewer Total percentage of each type of sewer line in miles)100 o /o 0 /o 1.8 Is the treatment works located in Indian Country? ' 0 U ElYes ElNo 1.9 Does the facility discharge to a receiving water that flows through Indian Country? c ❑ Yes ❑ No 1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate 0.018 mgd = N Annual Average Flow Rates Actual Two Years Ago Last Year This Year c 0 0.029 mgd 0.0194 mgd 0.034 mgd Maximum Daily Flow Rates Actual Two Years Ago Last Year This Year 0.24 mgd 0.051 mgd 0.12 mgd 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type. oTotal Number of Effluent Discharge Points b T pe a Q- a' Combined Sewer Constructed Treated Effluent Untreated Effluent Overflows Bypasses Emergency Overflows M 1 Page 2 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 Outfalls Other Than to Waters of the State of North Carolina 1.12 Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets for discharge to waters of the State of North Carolina? ❑ Yes ❑ No 4 SKIP to Item 1.14. 1.13 Provide the location of each surface impoundment and associated discharge information in the table below. Surface Im oundment Location and Discharge Data Average Daily Volume Continuous or Intermittent Location Discharged to Surface (check one) Impoundment ❑ Continuous gpd ❑ Intermittent ElContinuous gpd ❑ Intermittent gpd ElContinuous ❑ Intermittent Z 1.14 Is wastewater applied to land? ❑ Yes ❑ No 4 SKIP to Item 1.16. 0 1.15 Provide the land application site and discharge data requested below. C Land Application Site and Discharge Data o 0 Average Daily Volume Continuous or a, Location Size Applied Intermittent check one Hacres d gpd ❑ Continuous o ❑ Intermittent acres d gpd El Continuous o ElIntermittent acres d gpd El Continuous ❑ Intermittent R 1.16 Is effluent transported to another facility for treatment prior to discharge? o ElYes ElNo -* SKIP to Item 1.21. 1.17 Describe the means by which the effluent is transported (e.g., tank truck, pipe). 1.18 Is the effluent transported by a party other than the applicant? ❑ Yes ❑ No 4 SKIP to Item 1.20. 1.19 Provide information on the transporter below. Transporter Data Entity name Mailing address (street or P.O. box) City or town State ZIP code Contact name (first and last) Title Phone number Email address Page 3 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 1.20 In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the receiving facility. Receiving F cility Data -a Facility name Mailing address (street or P.O. box) d City or town State ZIP code 0 U Contact name (first and last) Title 0 d Phone number Email address c NPDES number of receiving facility (if any) ❑ None Average daily flow rate mgd 0. 0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do 0 not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)? Er ❑ Yes ❑ No 4 SKIP to Item 1.23. 0 1.22 Provide information in the table below on these other disposal methods. Information on Other Disposal Methods o Disposal Location of Size of Annual Average Continuous or Intermittent Method Disposal Site Disposal Site Daily Discharge (check one) Description Volume .� acres gpd El ❑ Intermittent acres gpd ElContinuous ❑ Intermittent acres gpd ❑ Continuous ❑ Intermittent 1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply. ti Consult with your NPDES permitting authority to determine what information needs to be submitted and when.) El El into marine waters (CWA ElWater quality related effluent limitation (CWA Section Section 301(h)) 302(b)(2)) ✓❑ Not applicable 1.24 Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works the responsibility of a contractor? ✓❑ Yes ❑ No 4SKIP to Section 2. 1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational and maintenance responsibilities. Contractor Information Contractor 1 Contractor 2 Contractor 3 0 Contractor name (companyname Joshua Move Mailing address street or P.O. box 4481 Norbert Hill Rd. r City, state, and ZIP code Lagrange NC, 28551 L Contact name (first and U last) Joshua Moye Phone number 939-2197 Email address jsmoye88@gmail.com Operational and maintenance Operator is responsible for responsibilities of operation and testing of contractor facility Page 4 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 SECTION11 • •' • 1 o Outfalls to Waters of the State of North Carolina a 2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd? T c ❑ Yes ❑ No 4 SKIP to Section 3. c 2.2 Provide the treatment works' current average daily volume of inflow Average Daily Volume of Inflow and Infiltration ;� w and infiltration. gpd = Indicate the steps the facility is taking to minimize inflow and infiltration. 3 0 2.3 Have you attached a topographic map to this application that contains all the required information? (See instructions for g specific requirements.) a� C 0 0 El Yes ❑ No H E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information? c M (See instructions for specific requirements.) o ❑ Yes ❑ No 2.5 Are improvements to the facility scheduled? ❑ Yes ❑ No 4 SKIP to Section 3. Briefly list and describe the scheduled improvements. 0 w d E d CL 2. E 0 0 y 3. d 4. Cn R 2.6 Provide scheduled or actual dates of completion for improvements. Scheduled or Actual Dates of Completion for Improvements E a) Scheduled Affected Begin End Begin Attainment of > o Improvement Outfalls Construction Construction Discharge Operational CL E (from above) (list o number) (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level MMIDDIYYYY 1. a� 2. 3. 4. 2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your response. ❑ Yes ❑ No ❑ None required or applicable Explanation: Page 5 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 SECTION•' • ON DISCHARGES 3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.) Outfall Number 1 Outfall Number Outfall Number State North Carolina County Lenoir w r 0 w City or town La Grange 0 c rs Distance from shore NA ft. ft. ft. n 'i Depth below surface NA ft. c Average daily flow rate mgd mgd mgd Latitude 35° 20' 55" N Longitude 77' 40' 44" W " 3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges? R o ❑ Yes ❑ No 4 SKIP to Item 3.4. a� 3.3 If so, provide the following information for each applicable outfall. y Outfall Number Outfall Number Outfall Number 0 Number of times per year L discharge occurs a Average duration of each o discharge (specify units Average flow of each mgd mgd mgd 0 discharge R in Months in which discharge occurs 3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser? ❑ Yes ❑ No 4 SKIP to Item 3.6. 3.5 Briefly describe the diffuser t pe at each applicable outfall. CL Outfall Number Outfall Number Outfall Number d w 0 vi 3 6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from 12 one or more discharge points? 3:: ❑✓ Yes ❑ No 4SKIP to Section 6. Page 6 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 3.7 Provide the receiving water and related information if known for each outfall. Outfall Number Outfall Number Outfall Number Receiving water name UT to Wheat Swamp Name of watershed, river, 0 or stream system Contentnea •L U.S. Soil Conservation N Service 14-digit watershed o code L Name of state a� management/river basin Neuse River U.S. Geological Survey 8-digit hydrologic cataloging unit code 03020203 Critical low flow (acute) N/A cfs cfs cfs Critical low flow (chronic) N/A cfs cfs cfs Total hardness at critical mg/L of mg/L of mg/L of low flow N/A CaCO3 CaCO3 CaCO3 3.8 Provide the following information describing the treatment pr vided for discharges from each outfall. Outfall Number Outfall Number Outfall Number Highest Level of ❑ Primary ❑ Primary ❑ Primary Treatment (check all that ❑ Equivalent to ❑ Equivalent to ❑ Equivalent to apply per outfall) secondary secondary secondary 0 Secondary ❑ Secondary ❑ Secondary ❑ Advanced ❑ Advanced ❑ Advanced ❑ Other (specify) ❑ Other (specify) ❑ Other (specify) 0 Q Design Removal Rates by Outfall d c BODS or CBODs 85 % % % d E cc TSS 85 % % % 0 Not applicable ❑ Not applicable ❑ Not applicable Phosphorus % % % 0 Not applicable ❑ Not applicable ❑ Not applicable Nitrogen % % % Other (specify) ❑ Not applicable ❑ Not applicable ❑ Not applicable Page 7 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 3.9 Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by season, describe below. >3 d 0 Outfall Number 1 Outfall Number Outfall Number 0CL r Disinfection type Chlorine Tablets tp N G Seasons used N/A E r Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable ❑ Yes ❑ Yes ❑ Yes ❑ No ❑ No ❑ No 3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package? ✓❑ Yes ❑ No 3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's discharges or on any receiving water near the discharge points? ❑ Yes ❑ No 4 SKIP to Item 3.13. 3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's discharges by outfall number or of the receiving water near the discharge points. Outfall Number Outfall Number Outfall Number Acute Chronic Acute Chronic Acute Chronic R Number of tests of discharge a, water Number of tests of receiving water d w LU w 3.14 Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have reasonable potential to discharge chlorine in its effluent? ❑✓ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine. 3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application package? ❑✓ Yes ❑ No Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and 3.18 attached the results to this application package? No additional sampling required by NPDES ❑✓ Yes El permittingauthority. Page 8 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 3.19 Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application or (2) at least four annual WET tests in the past 4.5 years? ❑ Yes 0 No + Complete tests and Table E and SKIP to Item 3.26. 3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority? ❑ Yes ❑ No 4 Provide results in Table E and SKIP to Item 3.26. 3.21 Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results. Date(s) Submitted Summary of Results MM/DD/YYYY >3 m c 0 W 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in o toxicity? ❑ Yes ❑ No 4 SKIP to Item 3.26. 3.23 Describe the cause(s) of the toxicity: d w L w 3.24 Has the treatment works conducted a toxicity reduction evaluation? ❑ Yes ❑ No 4 SKIP to Item 3.26. 3.25 Provide details of any toxicity reduction evaluations conducted. 3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package? ❑ Yes 0 Not applicable because previously submitted information to the NPDES permitting authority. Page 9 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Modified Application Form 2A NCO032565 North Lenoir High School Modified March 2021 SECTION. CHECKLIST AND CERTIFICATION STATEMENT (40 6.1 In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not all applicants are required to provide attachments. Column 1 Column 2 Section 1: Basic Application w/ variance requestEl wl additional attachments ElInformation for All A licants Section 2: Additional s❑ w/ topographic map ❑ wl process flow diagram Information ❑ w/ additional attachments ❑✓ w/ Table A ❑✓ wl Table D Section 3: Information on ✓❑ w/ Table B ❑ wl additional attachments Effluent Discharges E ❑ w/ Table C d ca w. `o Section 4: Not Applicable c 0 Section 5: Not Applicable d U Section 6: Checklist and ❑ ❑ wl attachments w Certification Statement Y 6.2 Certification Statement I certify under penalty of law that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fine and imprisonment for knowing violations. Name (print or type first and last name) Official title Brent Williams Superintendent Signature Date signed Page 10 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Outfall Number NCO032565 North Lenoir High School 001 Modified Application Form 2A Modified March 2021 Maximum Daily Discharge Average Daily Discharge Pollutant Analytical ML or MDL Number Value Units Value Units Methods (include units) Sampless Biochemical oxygen demand o BOD5 or ❑ CBOD5 13.0 mg/L 2.33 mg/L 52 5210E-11 El ML 2.0 mg/L 171 MDL (report one Fecal coliform 570 cfu/100ml 17.7 cfu/100ml 52 9222D-06 lcfu/100n 171 MDL Design flow rate 0.018 MGD 0.034 MGD 52 pH (minimum) 6.0 su pH (maximum) 7.6 su Temperature (winter) 10.7 deg. C 14.8 deg. C 26 Temperature (summer) 26.2 deg. C 25 deg. C 26 Total suspended solids (TSS) 29 mg/L 2.3 mg/L 52 2540D-11 2.5 mg/L El ML O MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). Page 11 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number NCO032565 North Lenoir High School 001 Modified Application Form 2A Modified March 2021 •' • ' • • • •' I 1 Maximum Daily Discharge Average Daily Discharge Pollutant Analytical ML or MDL Number of Value Units Value Units Methods Include units ( ) SamplesEl Ammonia (as N) 22.2 mg/L 8.3 mg/L 52 350.1 R2-93 ML 0.1 mg/L 2 MDL Chlorine 2 total residual, TRC 48 ug/L 11.9 ug/L 104 SM 4500 CI-G-11 10 ug/L ❑ ML o MDL Dissolved oxygen 6.9 mg/L 6.3 mg/L 52 4500-0 G-2016 0 ML 0.1 mg/L 2 MDL Nitrate/nitrite 23.1 mg/L 10.3 mg/L 12 300.1 R1-97 0.1 mg/L El ML 2 MDL Kjeldahl nitrogen 19.3 mg/L 10.4 mg/L 12 350.1 R2-93 El ML 0.1 mg/L I7 MDL Oil and grease N/A N/A N/A N/A N/A ❑ ML ❑ MDL Phosphorus 3.95 mg/L 2.4 mg/L 12 365.4-74 0.3 mg/L El ML 0 MDL Total dissolved solids N/A N/A N/A N/A N/A ❑ ML ❑ MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). 2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not required to report data for chlorine. EPA Form 3510-2A (Revised 3-19) Page 12 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Metals, Cyanide, and Total Phenols Hardness (as CaCO3) ❑ ML ❑ MDL Antimony, total recoverable ❑ ML ❑ MDL Arsenic, total recoverable ❑ ML ❑ MDL Beryllium, total recoverable ❑ ML ❑ MDL Cadmium, total recoverable ❑ ML ❑ MDL Chromium, total recoverable ❑ ML ❑ MDL Copper, total recoverable ❑ ML ❑ MDL Lead, total recoverable ❑ ML ❑ MDL Mercury, total recoverable ❑ ML ❑ MDL Nickel, total recoverable ❑ ML ❑ MDL Selenium, total recoverable ❑ ML ❑ MDL Silver, total recoverable ❑ ML ❑ MDL Thallium, total recoverable ❑ ML ❑ MDL Zinc, total recoverable ❑ ML ❑ MDL Cyanide ❑ ML ❑ MDL Total phenolic compounds ❑ ML ❑ MDL Volatile Organic Compounds Acrolein ❑ ML ❑ MDL Acrylonitrile ❑ ML ❑ MDL Benzene ❑ ML ❑ MDL Bromoform ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 13 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Carbon tetrachloride ❑ ML ❑ MDL Chlorobenzene ❑ ML ❑ MDL Chlorodibromomethane ❑ ML ❑ MDL Chloroethane ❑ ML ❑ MDL 2-chloroethylvinyl ether ❑ ML ❑ MDL Chloroform ❑ ML ❑ MDL Dichlorobromomethane ❑ ML ❑ MDL 1,1-dichloroethane ❑ ML ❑ MDL 1,2-dichloroethane ❑ ML ❑ MDL trans- 1,2-dichloroethylene ❑ ML ❑ MDL 1,1-dichloroethylene ❑ ML ❑ MDL 1,2-dichloropropane ❑ ML ❑ MDL 1,3-dichloropropylene ❑ ML ❑ MDL Ethylbenzene ❑ ML ❑ MDL Methyl bromide ❑ ML ❑ MDL Methyl chloride ❑ ML ❑ MDL Methylene chloride ❑ ML ❑ MDL 1,1,2,2-tetrachloroethane ❑ ML ❑ MDL Tetrachloroethylene ❑ ML ❑ MDL Toluene ❑ ML ❑ MDL 1,1,1-trichloroethane ❑ ML ❑ MDL 1,1,2-trichloroethane ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 14 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Trichloroethylene ❑ ML ❑ MDL Vinyl chloride ❑ ML ❑ MDL Acid -Extractable Compounds p-chloro-m-cresol ❑ ML ❑ MDL 2-chlorophenol ❑ ML ❑ MDL 2,4-dichlorophenol ❑ ML ❑ MDL 2,4-dimethyl phenol ❑ ML ❑ MDL 4,6-dinitro-o-cresol ❑ ML ❑ MDL 2,4-dinitrophenol ❑ ML ❑ MDL 2-nitrophenol ❑ ML ❑ MDL 4-nitrophenol ❑ ML ❑ MDL Pentachlorophenol ❑ ML ❑ MDL Phenol ❑ ML ❑ MDL 2,4,6-trichlorophenol ❑ ML ❑ MDL Base -Neutral Compounds Acenaphthene ❑ ML ❑ MDL Acenaphthylene ❑ ML ❑ MDL Anthracene ❑ ML ❑ MDL Benzidine ❑ ML ❑ MDL Benzo(a)anthracene ❑ ML ❑ MDL Benzo(a)pyrene ❑ ML ❑ MDL 3,4-benzofluoranthene El ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 15 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples Benzo(ghi)perylene ❑ ML ❑ MDL Benzo(k)fluoranthene ❑ ML ❑ MDL Bis (2-chloroethoxy) methane ❑ ML ❑ MDL Bis (2-chloroethyl) ether ❑ ML ❑ MDL Bis (2-chloroisopropyl) ether ❑ ML ❑ MDL Bis (2-ethylhexyl) phthalate ❑ ML ❑ MDL 4-bromophenyl phenyl ether ❑ ML ❑ MDL Butyl benzyl phthalate ❑ ML ❑ MDL 2-chloronaphthalene ❑ ML ❑ MDL 4-chlorophenyl phenyl ether ❑ ML ❑ MDL Chrysene ❑ ML ❑ MDL di-n-butyl phthalate ❑ ML ❑ MDL di-n-octyl phthalate ❑ ML ❑ MDL Dibenzo(a,h)anthracene ❑ ML ❑ MDL 1,2-dichlorobenzene ❑ ML ❑ MDL 1,3-dichlorobenzene ❑ ML ❑ MDL 1,4-dichlorobenzene ❑ ML ❑ MDL 3,3-dichlorobenzidine ❑ ML ❑ MDL Diethyl phthalate ❑ ML ❑ MDL Dimethyl phthalate ❑ ML ❑ MDL 2,4-dinitrotoluene ❑ ML ❑ MDL 2,6-dinitrotoluene ❑ ML ❑ MDL EPA Form 3510-2A (Revised 3-19) Page 16 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL Pollutant Number of Method' (include units) Value Units Value Units Samples 1,2-diphenylhydrazine ❑ ML ❑ MDL Fluoranthene ❑ ML ❑ MDL Fluorene ❑ ML ❑ MDL Hexachlorobenzene ❑ ML ❑ MDL Hexachlorobutadiene ❑ ML ❑ MDL Hexachlorocyclo-pentadiene ❑ ML ❑ MDL Hexachloroethane ❑ ML ❑ MDL Indeno(1,2,3-cd)pyrene ❑ ML ❑ MDL Isophorone ❑ ML ❑ MDL Naphthalene ❑ ML ❑ MDL Nitrobenzene ❑ ML ❑ MDL N-nitrosodi-n-propylamine ❑ ML ❑ MDL N-nitrosodimethylamine ❑ ML ❑ MDL N-nitrosodiphenylamine ❑ ML ❑ MDL Phenanthrene ❑ ML ❑ MDL Pyrene ❑ ML ❑ MDL 1,2,4-trichlorobenzene ❑ ML ❑ MDL 1 Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR Chapter I, Subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). EPA Form 3510-2A (Revised 3-19) Page 17 DocuSign Envelope ID: 87A340E9-61C0-4BFF-A179-714631FD6EF0 NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A NC0032565 North Lenoir High School Modified March 2021 �� • • • • Maximum Dail Discharge Average Dail Discharge Pollutant Analytical ML or MDL Number of list Value Units Value Units Method (include units) Samples ❑ No additional sampling is required by NPDES permitting authority. Total Nitrogen 34.2 mg/L 20.7 mg/L 12 Calculated N/A El ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL ❑ ML ❑ MDL Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3). Page 18