NC0046019_Regional Office Historical File Pre 2016

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
April 15, 2014
Erin Lawrence, Engineering Supervisor
NC DENR / Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION (NOV-2014-LV-0175)
NPDES Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
A review of The Summit at Haw River State Park WWTP's monitoring report for November 2013
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
11/15/13
400 #/100m1
600 #/100ml
Daily Maximum
Broth,44.5C
Exceeded
Solids, Total Suspended -
11/19/13
45 mg/1
49 mg/1
Daily Maximum
Concentration
Exceeded
Coliform, Fecal MF, M-FC
11/30/13
200 #/100m1
212.13 #/100m1
Monthly
Broth,44.5C
Geometric Mean
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action
by the Division of Water Resources for this and any additional violations of State law.
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www.ncdenr,gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

If you should have any questions, please do not hesitate to contact Lon Snider at [phone].
cc: Central Files - SWP
WSRO
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
S. Jay Zimmerman, P.G. , Chief
Water Quality Regional Operations Section

DMR Review Record
Facility: �,,,ti,. �� ��� Permit No.: f\(e LCVicj Pipe No.: Gn i
Months Average Violations
MonthNear: 1 11 r�o 13
Parameter
Permit Limit
DMR Value
% Over Limit Action
Weekly/Daily
Violations
Date Parameter
Permit Limit Limit Tvpe
DMR Value
% Over Limit Action
Li -Az�
7 G-,
l�'
13 TSS
Li0,
PSG
Monitorinq Frequency Violations
Date Parameter
Permit Frequency
Values Reported
# of Violations Action
Violations/Staff Remarks: L L
>upervisor Remarks:
N () V
Completed by: � Date:��
Assistant Regional )1 2 S
Supervisor Sign Off: JL1,1V Date:
Regional Supervisor Sign
Off: Date:

S
EFFLUENT FEB 0 �014i
'4
NPDES PERMIT NO. C,t�c3' ` i C-F DISCHARGE NO. CFCs l MONTH � v YEAR DOvs
FACILITY NAME —% k ( 4; 0 v" n t V fkl- Nfiy.) CLAS S_---)- COUNTY
CERTIFIED LABORATORY Et�h�tl�ck-Z:X.j CERTIFICATION NO. L(e5
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) OROZ, 1,J e f3ftO GRADE ',�- CERTIFICATION NO.9 G -6
PERSON(S) COLLECTING SAMPLES MPR-c., W ► IJ UC-V ORC PHONE 33. G - '2;4 (-
CHECK BOX iF ORC HAS CHANGED „ NO FLAW / DISCHARGE. FROM SITE
Mai].ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
x
F]
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
I'a-'--:� )�5
DWQForm MR-1 (11104) I �C� t�L , �jC� ClAtDPI J�)(� \ VEr r

PIMA
iATO 0 ��
NCDENR
North Carolina Department of Environment and Natural
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director
October 28, 2013
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger,
RECFIVED�
n! � nP�.t
OCT 3 1 2013
Vvrns cn-o,:�, ;n
Re9ionalOffice
Resources
John E. Skvarla, III, Secretary
According to the Notice of Violation I received from your office, the waste water treatment plant was out of compliance on July 10, 2013
due to exceeding the daily maximum for Fecal. I spoke with our technician we have on contract from Meritech to determine the cause. He
said that he had to add some additional tablets to the chlorinator, which he did so.
In addition, I contacted the primary engineer, Robert Graham, on the subsurface drainfield project to determine a good estimate as to when
the project will be complete and when we will be taking the current system off line. He said that the contractor only has the last +/- 300 fee
of force main to lay to have all the pipe work done. The drainfields are all complete and the pumps are all in place in the pump tank. The
other remaining work is:
1. Installation of the meter manhole between the tanks
2. Installation of the control panel and electrical hookup of the pumps and meter
3. Testing of the system with the County and State environmental health people.
With these items done, we can put the system in service and shut down the old treatment plant. The remaining work to demolish the plant
and the other items inside the fence will come after the new system is up and running. Given the scheduling coordination with the County
and State, he's hoping we could have the new system operating in 4-6 weeks. He added that if there is any way to make it sooner, we will.
If you have any questions or concerns for me, please don't hesitate to contact me at the park office at 336-342-6163.
Sincerely,
IA44
Kelley King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
KK/
cc: Erin Lawrence
NORTH CAROUNA
STATE PAR
1615 Mail Service Center, Raleigh, North Carolina 27699-1615 �
Phone: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled 1 10 % Post Consumer Paper

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director John E. Skvarla, III, Secretary
October 28, 2013
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger,
According to the Notice of Violation I received from your office, the waste water treatment plant was out of compliance on July 10, 2013
due to exceeding the daily maximum for Fecal. I spoke with our technician we have on contract from Meritech to determine the cause. He
said that he had to add some additional tablets to the chlorinator, which he did so.
In addition, I contacted the primary engineer, Robert Graham, on the subsurface drainfield project to determine a good estimate as to when
the project will be complete and when we will be taking the current system off line. He said that the contractor only has the last +/- 300 fee
of force main to lay to have all the pipe work done. The drainfields are all complete and the pumps are all in place in the pump tank. The
other remaining work is:
1. Installation of the meter manhole between the tanks
2. Installation of the control panel and electrical hookup of the pumps and meter
3. Testing of the system with the County and State environmental health people.
With these items done, we can put the system in service and shut down the old treatment plant. The remaining work to demolish the plant
and the other items inside the fence will come after the new system is up and running. Given the scheduling coordination with the County
and State, he's hoping we could have the new system operating in 4-6 weeks. He added that if there is any way to make it sooner, we will.
If you have any questions or concerns for me, please don't hesitate to contact me at the park office at 336-342-6163.
Sincerely,
Kelley King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
KK/
cc: Erin Lawrence
NORTH CAROLINA
STAB PARS
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled • 10 % Post Consumer Paper

AUDI R
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A, Reeder
Governor Director
October 14, 2013
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Center
Raleigh, North Carolina 27699-1615
Subject: NOTICE OF DEFICIENCY
NOD-2013-LV-0125
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
John E, Skvarla, III
Secretary
A review of Haw River State Park WWTP's monitoring report for July 2013 showed the following deficiencies:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal
07/10/13
400 #/100ml
410 #/100ml
Daily
Thank you for your attention to this matter. Remedial actions should be taken to correct the cause(s) of these
deficiencies. Unresolved deficiencies may lead to the issuance of a Notice of Violation and/or assessments of
civil penalties by the Division of Water Resources.
If you should have any questions, please do not hesitate to contact Lon Snider at [phone].
cc: S WP — Central Files
WSRO Files
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Regional Supervisor
Winston-Salem Regional Office
Division of Water Resources
NorthCarolina
Natura!!tf
An Equal Opportunity', Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
�h��,,r,,� DMR Review Record
Facility.: Ak� S001 Permit/Pipe No.: 4W V�j Month[Year ZtX3
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit9vpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
N)- -apt3-1,V-0(+ -C
Completed by: ►fin' Dater lctPzk�
Regional Water Quality '
Supervisor Signoff: Date:

EFFLUENT 'Tms
SEP 2 43;-
NPDES PERMIT NO.�R—�
C. DISCHARGE NO. 00 l MONTH��✓ L`/ YEAR ��
FACILITY NAME � , K • CLASS_ COUNTY_ t't 113Gr (1—
CERTIFIED LABORATORY (I)_ fyjCz .h �C�c� �1.1C�a CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) SRC, W/ IjF}�l PERSON(S)GRgDE `� CERTIFICATION N0.9%��
COLLECTING SAMPLES MAec, W ORC PHONE 3T •
Lt
CHECK BOX IF ORC HAS CHANGED
FLOW / DISCHARGE FROM SITE
Mail. ORIGINAL and ONE OPY �fP0 RECEIVE
ATTN: CENTRAL FILES Ni6P
•Dept. of R �3V _ ��
DIVISION OF WATER QUALI , ,� SIGNAT OF OPERATOR IN RESPONSIBLECHGEIV1617 MAIL SERVICE CENTFR
—.,, Ua , i %-M 11r Y THAT THIS REPORT IS
URATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DWQ Form MR-1 (1 1104)

A=4f,fA
�
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 27699-1615
Division of Water Quality
Thomas A. Reeder
Acting Director
12 June 2013
Subject: NOTICE OF VIOLATION
NOV # NOV-2013-LV-0355
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
John E. Skvarla, III
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for March 2013 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD
03/31/13
10 mg/L
11.6 mg/L
Monthly Average Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by
the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Aana Taylor -Smith or me at (336)
771-5000.
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
An Equal Opportunity %Affirmative Action Employer

NOV- 20t3 L\J-d355
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Kuffiwrtj9� Natimver Perrnit/Pipe No.: HC,np q I_n m °f Month/Year W1ar, Zo �3
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Soy> In YVO I_L It ffLo -
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Amend Ttw I oY- Srh i-1, Date: . tj 117, 1 IS
Regional Water Quality - 0
Supervisor Sianoff:
�' Date:�]

e�a
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director John E. Skvarla, III, Secretary
May 21, 2013
Mr. W. Corey Basinger g ®�
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger,
According to the Notice of Violation I received from your office, the waste water treatment plant was out
of compliance on February 13, 2013 due to exceeding the daily maximum for BOD. I spoke with our
technician we have on contract from Meritech to determine the cause. He looked back in his weekly log
and noted that the blower had gone down that week and it was fixed as soon as he discovered the
malfunction. He has requested a new filter and belts to have on hand in case this occurs again.
Maintenance Mechanic Robert Byrd has purchased these and will pass them along to the technician.
I was glad to see all was in order with the worksite audit on our new subsurface field. I'm sorry I wasn't
onsite to meet with Ms. Taylor -Smith personally, but pleased to know the contractor and engineer are
adhering to all measures put in place in the permit. Hopefully the rain will finally pass and the contractor
can begin the actual construction phase.
If you have any questions or concerns for me, please don't hesitate to contact me at the park office at 336-
342-6163.
Sincerely,
1 r%
K'
Kelley King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
KK/
cc: Erin Lawrence
NORTH CAROLINA
STATE PARKS
1615 Mail Service Center, Raleigh, North Carolina 27699-1615�%
Phone: [phone] - Internet: www.ncParks.gov ■�"_�„
An Equal Opportunity , Affirmative Action Employer - 50 % Recycled • 10 % Post Consumer Paper �,�;

�yMS
pp
Q EFFLUENT . 01
MAY 2u13 �;a��,
NPDES PERMIT NO. GW4 (a O Iq DISCHARGE NO. 00 t MONTH I FWC N YEAR
FACILITY NAME r E-t 40cvPn t r' RAW ! i�K• CLASS,_ COUNTY A& -A 1J(rE{A'-1
CERTIFIED LABORATORY (1) a^ C-Q% Ci✓Cck T:NK j CERTIFICATION NO.. L NS
(Iist additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPO W i GRADE vt CERTIFICATION NO.9 (0-�
PERSON(S) COLLECTAr1AN14t�1'� ORC PHONE
CHECK BOX IF ORC HAS CHANGED NO FL W / D HARGE FROM SITE . I-J
Mail -ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES t,ENTRAL Fib X (�
D6IVISSIIOON OF WATER QUALSERVICE CENTER OWQ/B(G (SIGNATURE 0 OPERATOR IN RESPONS LE CHARGE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
N.C. 060. Of ENR
DWQ Form MR-1 (11104) JUN o �5 2013.
Winston-Salem
Regional office

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet perr4it-requirements
EZr
Compliant
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens'public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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
fines and imprisonment for knowing violations.".
_ Permittee (Please print or type)
1i z� w
Signature of Permittee t * Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
ADDITIONAL CERTIFIED LABORATORIES
Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4)
Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at (919).733-5083 or by visiting the Surface
Water Protection Section's web site at h2o.ennstate.nc.us/was and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per I SA NCAC 2B .0506(b)(2)(D).
Page 2

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FACILTY NAME The Summit COUNT' Rockingham
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LOCATION Above the outfall LOCATION
Upstream
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AaTjaLPIWA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director John E. Skvarla, III, Secretary
May 21, 2013
RECEIVED
Mr. W. Corey Basinger N.C.Dept. of ENR
NCDENR Winston-Salem Regional Office MAY 3 0 2013
Division of Water Quality, Surface Water Protection
585 Waughton Street Winston-Salem
Winston-Salem, NC 27107 Regional office
Dear Mr. Basinger,
According to the Notice of Violation I received from your office, the waste water treatment plant was out
of compliance on February 13, 2013 due to exceeding the daily maximum for BOD. I spoke with our
technician we have on contract from Meritech to determine the cause. He looked back in his weekly log
and noted that the blower had gone down that week and it was fixed as soon as he discovered the
malfunction. He has requested a new filter and belts to have on hand in case this occurs again.
Maintenance Mechanic Robert Byrd has purchased these and will pass them along to the technician.
I was glad to see all was in order with the worksite audit on our new subsurface field. I'm sorry I wasn't
onsite to meet with Ms. Taylor -Smith personally, but pleased to know the contractor and engineer are
adhering to all measures put in place in the permit. Hopefully the rain will finally pass and the contractor
can begin the actual construction phase.
If you have any questions or concerns for me, please don't hesitate to contact me at the park office at 336-
342-6163.
Sincerely,
IA4��
Kelley King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
KK/
NORTH CAROLINA
STATE PARS
1615 Mail Service Center, Raleigh, North Carolina 27699-1615 .
Phone: [phone] • Internet: www.nci)arks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled 1 10 % Post Consumer Paper

ppppppr,
cc: Erin Lawrence

P PP_
PTor-Smith, Aana
From:
Sent:
To:
Subject:
Attachments
FYI and for the file.
Basinger, Corey
Thursday, May 30, 2013 1:06 PM
Taylor -Smith, Aana
FW: notice of violation
notice of violation May 2013.doc
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Email: [e-mail]
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: King, Kelley
Sent: Thursday, May 23, 2013 12:11 PM
To: Basinger, Corey
Subject: RE: notice of violation
Hi Corey
Please forgive me. Here's the amended form.
Kelley
From: Basinger, Corey
Sent: Thursday, May 23, 2013 8:35 AM
To: King, Kelley
Subject: RE: notice of violation
Kelley,
Thanks for the email.
The first paragraph, last sentence only says, "He had requested".
Please complete the sentence so we will have a complete record of the information.
Thanks.
Corey
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section

pppppp-
Ps
ton-Salem Regional Office
vson of Water Quality
Email: [e-mail]
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: King, Kelley
Sent: Tuesday, May 21, 2013 3:27 PM
To: Basinger, Corey
Cc: Lawrence, Erin
Subject: notice of violation
Hi Corey
I'm attaching my response to the notice of violation. I am sending you the original in the mail. I am looking forward to
the very near future when we take the old waste water treatment plant out of the ground.
If you have any questions or concerns, please don't hesitate to contact me.
Many thanks
Kelley
I
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
www.ncparks.gov
Please note new email address: Kelley. [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

ppppppp
WDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John E. Skvarla, III
Governor Director Secretary
15 May 2013
NC Division of Parks and Recreation
Attn: Erin Lawrence, Engineering Supervisor
1615 Mail Service Center
Raleigh, NC 27699-1615
Subject: Compliance Evaluation Inspection
Construction Stormwater Permit - NCG010000
Site Number — WT001264
Haw River State Park Wastewater System Improvement Project
Rockingham County.
Dear Ms. Lawrence:
Aana Taylor -Smith of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ)
conducted a site inspection of the wastewater system improvement project site located at Haw River
State Park near Spearman Road in Rockingham County, North Carolina, on 15 May 2013. The assistance
and cooperation of Robert Graham, PE were greatly appreciated. Inspection findings are summarized
below and a checklist is attached for your records.
Observations
The project site was very clean and well -maintained. Due to adverse weather, the project had been set
back from the intended schedule, with construction activities starting up on 6 May 2013. Sedimentation
and erosion control measures were being put in place at the time of inspection and appeared adequate.
Stockpiles were kept well away from streams and other surface waters. No water quality issues were
noted at the time of inspection.
The approved Erosion and Sediment Control Plan was kept on site with the contractor. Park staff
members have been accurately tracking and recording rainfall amounts with the on -site rain gauge.
Because sedimentation and erosion control measures had not yet been completed, there were no
records of inspection of control measures. Mr. Graham was reminded of the importance of keeping
those records once measures have been put in place as required by the permit. Please continue these
efforts until the project is completed and released by the North Carolina Division of Land Resources.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Intemet: www.ncwaterquality.org
One
NorthCarolina
An Equal Opportunity 1 Affirmative Action Employer

Haw River State Park Wastewater System Improvement Project
05/15/2013
Page 2 of 2
We appreciate your efforts to effectively maintain this site. No additional response to this letter is
required. If you have any questions regarding the inspection or this letter, please do not hesitate to
contact Ms. Taylor -Smith or me at [phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Attachments:
1. BIMS Inspection Checklist
CC: Nonpoint Source Assistance and Compliance Oversight Unit w/ attachments
Division of Land Quality — WSRO w/ attachments
'�W��SR4 3h►1 at#�c.�rrtentsE

pp-ppppp-
Site Inspection Report
Site Number: WT001264
Site Name: Haw River State Park Wastewater System Improvement
Site Address: Spearman Rd
County: Rockingham
Directions: Visitor Center located at 339 Conference Road.
Latitude:
Site Owner Name: NC DENR Division of Parks and Recreation
Inspection Date: 05/15/13
Reason for Inspection: Routine
Inspection Type: Site Inspection (non -DOT)
Inspection Contact Person:
On -Site Representative(s):
Robert Graham
Primary Inspector: Aana Taylor -Smith
Secondary Inspector(s):
Facility compliance Status: M Compliant
Program Area: Construction SW (NCG010000)
Question Areas:
NCG010000 Permit
Inspection Summary:
Please refer to attached inspection letter.
Region: Winston-Salem
Longitude:
0 Not Compliant
Phone:
Phone:
Phone: [phone]
Page: 1

Site Number: INT001264 Owner: NC DENR Division of Parks and Recreation
Inspection Date: 05/15/13 Inspection Type: Site Inspection (non -DOT) Reason for Visit. Routine
NCG010000 Permit
# Is this inspection related to a DLR/delegated program inspection?
If Yes, what was the DLR/delegated program inspection date?
Is the site following its E&SC Plan as per DLR or delegated program?
Is the site maintaining their E&SC measures as per DLR or delegated program?
Is a copy of the approved E&SC plan on site?
Is a rain gauge present on -site or is MPE in use for the site?
Is rain gauge data or MPE data recorded?
Are inspection records complete?
Is the site compliant with other conditions of the NCG010000 permit?
Comment: Construction started 6 May 2013. Rain records available and complete.
Erosion controls not completely installed yet; will be installed this week. Monitoring and
record -keeping will be performed as required.
V.. ni.. nee nic
Page: 2

AIMA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 27699-1615
Division of Water Quality
Charles Wakild, P.E.
Director
6 May 2013
Subject: NOTICE OF VIOLATION
NOV # NOV-2013-LV-0285
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
John E, Skvarla, III
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for February 2013 showed
the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD
02/13/13
15 mg/I
19 mg/I
Daily Maximum Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by
the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Aana Taylor -Smith or me at (336)
771-5000.
cc: SWP —Central Files
WSRO Files
North Carolina Division of Water Quality; Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
I
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
Nahma!!ff
An Equal Opportunity 1 Affirmative Action Employer

1-1 pV — ZO13 - t_U -- 02$1D-
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: aAmmi ±JA►J Pem-it/Pipe No.: NGtt-)4Ur) °I Month/Year ffAj--1.D13
f?(w Stun;AArY—
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly4:E)Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
2 13 BOb IF; mai l t_ lq Zto • l0`1 9-p
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
La!,+ V I M&A ie1n VWAS l a 4xt p A" Qt _t • 20l'Z.
Completed by: -A6 Uw Date: ._s 1 to f 13
Regional Water Quality r
Supervisor Signoff: Date: Zr r -14 3
nj

EFFLUENT
An A
N.C, BW, of E N R
MAY 9:1 2011
WIn Salem
NPDES PERMITNO. G t� O� DISCHARGE NO. OU l MONTH "' 7 e. I Office
moo,
'� , .:jYEAR
FACILITY NAME Ttt L :1 thM ♦ t RAW CLASS _ COUNTY 90LC Kt / J(-,RAr'7
CERTIFIED LABORATORY (1) CERTIFICATION NO. [ GS
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) nf}�G� GRADE CERTIFICATION NO. g%S�
PERSON(S) COLLECTING SAMPLES MAeC, W * N UC' _ ORC PHONE--36 - 7;41—'8 7 1
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to: / / �V&C�
!:�ATTN: CENTRAL FILES z � k- —7 j �J
DIVISION OF WATER QUALITY (SIGNATURE(OF OPERATOR IN RqSPONS119LE CHARGE) E
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS rs 1
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 7 C>
DWQ Form MR-1 (11104)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements F
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens'public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
pemuttee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part ILE.6 of the NPDES permit.
"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 managed 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
fines and imprisonment for knowing violations.".
Permittee•.(Please.print type)
. t.
ignature of Perritte *** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
Certified Laboratory (2)
ADDITIONAL CERTIFIED LABORATORIES
Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by'visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wos and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permvttee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

PPPP—
PP.
NPOES NO. MC0049019 DISCHARGE NO. 001 MONTH YEAR
FACILT YNAME The Summit - --COUNT Rockingham
STREAM Ummimed tribdM to Haw Www STREAM Unnamed tributary to Haw River
LOCATION Above the outfall LOCATION It. dwmrftem
Upstream Downstream
ODDID W400 =50 OD300 31616 DD665
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ppppppp-
Taylor-Smith, Aana
From:
Howerton, Jerry
Sent:
Tuesday, April 09, 2013 3:12 PM
To:
Taylor -Smith, Aana
Cc:
Robert Graham
Subject:
RE: WW Systems Improvement - Haw River State Park
Anna,
We just had our pre -construction meeting for this project and the actual land disturbance is planned for the first week of
May. You can contact the designer, Robert Graham, GF/BA at 919-833-1212 or at [e-mail] to verify the actual
startday. The start date may vary depending on the weather.
Thanks,
Jerry
PLEASE NOTE New EMAIL ADDRESS:
Jerry. [e-mail]
Jerry Howerton
NC State Parks
Chief of Maintenance
919-707-9361Office
919-368-5977 Cell
From: Taylor -Smith, Aana
Sent: Wednesday, February 27, 2013 3:10 PM
To: Howerton, Jerry
Subject: RE: WW Systems Improvement - Haw River State Park
Jerry,
Sounds great. Thank you so much for your help! Have a wonderful evening.
Aana Taylor -Smith
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

ppppppp—
From: Howerton, Jerry
Sent: Wednesday, February 27, 2013 10:26 AM
To: Taylor -Smith, Aana
Cc: Robert Graham
Subject: RE: WW Systems Improvement - Haw River State Park
Aana,
We just opened bids last week and I would expect that the contract award will come within the next 30 days. Once we
have an awarded contract, DPR will have an onsite pre -construction meeting to determine the actual construction start
date. Once we have that date, I will have the designer, Robert Graham, GF/BA send you that information. Look forward
to getting this project underway.
Jerry
PLEASE NOTE New EMAIL ADDRESS:
[e-mail]
Jerry Howerton
NC State Parks
Chief of Maintenance
919-707-9361 Office
919-368-5977 Cell
- VlKllt r"1M111 I\h
From: Taylor -Smith, Aana
Sent: Wednesday, February 27, 2013 8:44 AM
To: Howerton, Jerry
Subject: WW Systems Improvement - Haw River State Park
Hi Jerry,
I am currently setting up construction stormwater compliance inspections in Rockingham County and I was wondering if
you could tell me whether work had begun on the Haw River State Park site. If so, is there a date and time that would be
best for a routine inspection in the next few weeks?
Thank you so much for your help!
Aana Taylor -Smith
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Phone: [phone]
Fax [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.

Ayl!�pwr
00 RECEIVED
N.C. Dept. of ENR
NCDENR FEB 19 201
Winston-Salem
North Carolina Department of Environment and Natural Resources Reqional Office
Division of Parks and Recreation
Pat McCrory, Governor Lewis R. Ledford, Director John E. Skvarla, III, Secretary
February 4, 2013
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 W aughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger
According to the Notice of Violation I received from your office, the waste water treatment plant was out
of compliance on October 24, 2012 due to exceeding the daily maximum for Coliform, Fecal MF, M-FC
Broth, 44.5 C. Earlier that week the Meritech operator realized the plant wasn't processing the suspended
solids well and asked for us to okay the pumping of the treatment plant. According to our records,
Jenkins Waste Management came and pumped out the entire catch basin of the treatment plant on October
24, 2012.
On a side note: we are finally moving forward with the installation of the new subsurface field. We have
a pre -bid meeting set up tomorrow with contractors to show them the current system and where the new
field will be installed. Once awarded next Friday the 15th, they will have 90 days to complete the project.
So hopefully we will be completely out of the Haw River by the end of May. I am so sorry this project
has taken so long to push through.
If you have any questions or concerns for me, please don't hesitate to contact me at the park office at 336-
342-6163.
Sincerely,
Kelley King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
NORTH CAROLINA
STATE PARKS�
1615 Mal Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] - Internet www.rKParks.9ov
An Equal oppdtt * - Affonatire Aclron EffoWer - 50 % Recycled -10 % Post Cwwner Paper

NCD-EE R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
January 14, 2013
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 27699-1615
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0035
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
John E. Skvarla, III
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for October 2012
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
10/24/12
400 #/100m1
600 #/100ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action for this by the Division of Water Quality for this and any additional
violations of State law.
If you should have any questions, please do not hesitate to contact Aana Taylor -Smith or me at
[phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
Nahmally
An Equal Opportunity', Affirmative Action Employer

1W20e)-L-v - c035
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: ,5tAmmit at- Naj,i Permit/Pipe No.: hjr, DDyloDig Month/Year
r.iVa'slait F;A* -
Monthly Average Violations
Parameter Permit Limit DMR Value
Weekly/Daily Violations
Date Parameter Permit Limitfl'vpe DMR Value
1p.�2T2 � r�tl ,�lilmrrr► '-too CeC��
Date Parameter
Other Violations
% Over Limit
SCOLD
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
Completedby: Aaypa_T/4aator-SWii Date: .T1\ IIS
Regional Water Quality
Supers isor Sianoff: Date: 1 *"J,1 At2.0 (3

1:
EFFLUENT%l01
����' �' j1 ° Winston-Salem
NPDES PERMIT NO. CsIY C�fQ`I ` ' P. DISCHARGE NO. l MONTH her Offer 4ARy (%
FACILITY NAME t R ,4,0Mr%1a'-!'t" N6AW �OU?— CLASS -a, A&IF'lN(rN, M
CERTIFIED LABORATORY (1)_ a^1EQ`t'CCck -ZNK j CERTIFICATION NO. I GS
(I ist additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) tea,� }QX k GRADE �;L_ CERTIFICATION NO.9 (0 S
PERSONS) COLLECTING SAMPLES MACL, W N 40C-V ORC PHONE ;3 - - 7 4I
CHECK BOX IF ORC HAS CHANGED NO FLOW I DISCHARGE FROM SITE ED
vj
Mail.ORIGINAL and O
ATTN: CENTRAL FILES '" x
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATORUN RESP NSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS �•
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DWQ Form MR-1 (11104)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) E�
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens'public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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
fines and imprisonment for knowing violations.".
Permittee Address
Certified Laboratory (2)
Permittee (Please print or type)
Signature of Permittee***' Date
(Required unless submitted electronically)
Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4)
Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wos and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the pemuttee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
No
K 0i X-
Page 2

NC00MIS DISCHARGE NOa 001 MONTH C `C YEAR V I�
FACILTY NAME The Summit COUNT' Roddngham
STREAM Unnamed tributary to Haw Rim STREAM Unnamed tributary to Hain Rimer
LOCATION Above the outfall LOCATION 200 fL downstream
Upstream Downstream

Via , n- [rA
pppppp,
North Carolina Department of Environment and Natural Resources
Division of Energy, Mineral and Land Resources
Land Quality Section
Tracy E. Davis, PE, CPM Beverly Eaves Perdue, Governor
Director
Dee Freeman, Secretary
December 18, 2012
LETTER OF APPROVAL WITH MODIFICATIONS
NC Division of Parks and Recreation
Attn: Jerry Howerton, Chief of Maintenance
1615 Mail Service Center
Raleigh, NC 27699-1615
RE: Project Name: WW Systems Imp. - Haw River State Park
Project ID: Rocki-2013-005 Acres Approved: 5.00
County: Rockingham, Spearman Road, Simpsonville
River Basin: Roanoke Stream Classification: Other
Submitted By: Robert Graham, George Finch 1 Boney and Associates, P.A.
Date Received by LQS: November 19, 2012
Plan Type: New
Dear Mr. Howerton:
This office has reviewed the subject erosion and sedimentation control plan. We find the plan to be
acceptable with modifications and hereby issue this letter of Approval with Modifications. The
Modifications Required for Approval are listed on the attached page. This plan approval shall expire
three (3) years following the date of approval, if no land -disturbing activity has been undertaken, as
is required by Title 15A NCAC 4B .0129.
Please be aware that your project will be covered by the enclosed NPDES Construction Stormwater
General Permit NCGO 10000. Please become familiar with all the requirements and conditions of
this permit in order to achieve compliance.
Please be advised that Title 15A NCAC 4B .0118(a) requires that a copy of the approved erosion
control plan be on file at the job site. Also, you should consider this letter to give the Notice
required by G.S. I I3A-61.1(a) of our right of periodic inspection to insure compliance with the
approved plan.
North Carolina's Sedimentation Pollution Control Program is performance -oriented, requiring
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, North Carolina 27107 Phone: [phone] Fax: [phone]

Letter of Approval With Modifications
Project: WW Systems Imp. - Haw River State Park
December 18, 2012
Page 2 of 3
protection of existing natural resources and adjoining properties. If, following the commencement
of this project, it is determined that the erosion and sedimentation control plan is inadequate to meet
the requirements of the Sedimentation Pollution Control Act of 1973 (North Carolina General
Statute 113A-51 through 66), this office may require revisions to the plan and implementation of the
revisions to insure compliance with the Act.
Acceptance and approval of this plan is conditioned upon your compliance with Federal and State
water quality laws, regulations, and rules. In addition, local city or county ordinances or rules may
also apply to this land -disturbing activity. This approval does not supersede any other permit or
approval.
Please note that this approval is based in part on the accuracy of the information provided in the
Financial Responsibility Form, which you have provided. You are requested to file an amended
form if there is any change in the information included on the form. In addition, it would be helpful
if you notify this office of the proposed starting date for this project. Please notify us if you plan to
have a preconstruction conference.
Your cooperation is appreciated.
Sincerely,
4k*4- X+-10
Shannon Leonard
Assistant Regional Engineer
Land Quality Section
Enclosures: Certificate of Approval
Modifications Required for Approval
NPDES Permit
cc: Robert Graham, George Finch 1 Boney and Associates, P.A.
DWQ Regional Supervisor
WSRO File

pppp,r,
Letter of Approval With Modifications
Project: WW Systems Imp. - Haw River State Park
December 18, 2012
Page 3 of 3
MODIFICATIONS REQUIRED FOR APPROVAL
Project Name: WW Systems Imp. - Haw River State Park
Project ID: Rocki-2013-005
County: Rockingham
A temporary rock check dam shall be installed in the stream channel at the edge of the
downstream disturbance after the water flow has been diverted. Upon completion of line
installation, the stream crossing shall be stabilized per the City of Greensboro Std. No. 214.
The riprap shall be extended to the top of the stream banks.
2. A minimum 8" diameter straw wattle shall be installed on the low side of disturbance within
the emergency spillway in lieu of the proposed silt fence. Do not install silt fence within the
emergency spillway.
3. Silt fence shall be installed on the south side of the line disturbance from STA 4+25 to STA
7+50. Also, silt fence shall be installed on the north side of line disturbance from STA 8+00
to STA 10+50. In addition, stone outlets shall be installed in all low-lying areas.
4. The proposed "Rolling Dip" shall be installed diagonally across the slope. The crossing angle
should provide a positive grade not to exceed 2%.
5. The use of weeping love grass is not permitted.
6. Ensure the contractor receives updated plans showing these modifications.

!
r• OF
STREAM
!Tog
� 4
•
NATIAL
.! /
CROSSIAV
TYPICAL
PIPE
SYM7hF,rlC FILTER
FABRIC
PLAN
I' OF
On SMLL SMAN
I
_#ATER.
v;•
Vptep v °t°
'psrou�
oc
p°
° °c°oa°l,i
L
FABRIC E.
CREEK
i
CROSSING PIPE V
19. CLASS
RII"R4P
SECTION A A
NOTES.'
11 PEWANENT CROSSIM FOR VEHICLE MAINTENANCE EQUIPMENT.
2) CLASS B RIP -RAP TO BE LAID MIN. 19 INCHES THICK OVER ENTIRE AReA OF DISTlA4BANCE
(AS DIRECTED BY EMIAEER) .
31 CLASS II RIP -RAP USED IN LARGER STREAMS (AS OIRECTED BY ENGINEER).
4) AS PRMECT IS STASILIIED PLACE SYNTMETIC FILTER FABRIC 6 SPREAD A" EXISTIAfS
EROSION STONE INTO PERMANENT LINER AS ShONW. ADO STONE AS NEEXD.
5) ANY RE'DUTAED AAVORIAV ABOVE MORML H16H WATER MARK SHALL CONSIST OF
MATTING OR APPROVED VEGETATIVE COVER.
CITY OF G REENSBORO
SUMAW PEWAAMT MEK STABILIZATION STD. AV REV.
01 9f 06-05
MrTH MA MM MACE COMM ,c� �4 ©�-9�

CERTIFICATE OF PLAN APPROVAL
The posting of this certificate certifies that an erosion and sedimentation control plan has been
approved for this project by the North Carolina Department of Environment and Natural Resources
in accordance with North Carolina General Statute 113A — 57 (4) and 113A — 54 (d) (4) and
North Carolina Administrative Code, Title 15A, Chapter 4B.0107 (c). This certificate must be
posted at the primary entrance of the job site before construction begins and until establishment of
permanent groundcover as required by North Carolina Administrative Code, Title 15A, Chapter
4B.0127 (b).
W143 .�rcm
Date of lain Approval
« lw C4040,5
0 ~ ; 4 S- + e
Project Name and Location
NCDENR
Aire 64 AA & "n
,tier. Regional Engineer

Ar
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P. E. Dee Freeman
Governor Director Secretary
20 June 2012
Ms. Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Dr.
Brown Summit, NC 27214
Subject: Compliance Evaluation Inspection
NPDES Permit NCO046019
The Summit Haw River State Park Wastewater Treatment Plant
Rockingham County
Dear Ms. Thompson:
Mr. Mike Thomas of the Winston-Salem Regional Office of the North Carolina Division of Water
Quality conducted a compliance evaluation inspection of the The Summit at Haw River State Park
Wastewater Treatment Plant on 14 June 2012. The State Park and plant are located at 339 Conference
Center Dr., Brown Summit, in Rockingham County, North Carolina. The cooperation of the Operator in
Responsible Charge, Mr. Marc Nault was greatly appreciated.
The facility discharges into an unnamed tributary of the Haw River, which is currently classified as WS-
V - NSW (water supply and nutrient sensitive) waters in the Cape Fear River basin. A bar screen,
equalization chamber, activated sludge unit, surge tank, clarifier, sand filter, sludge holding tank, and
chlorine disinfection comprise the system.
Site Review
The components of the plant all appeared operational at the time of inspection. Major components of the
treatment system are suffering from various degrees of rust. This office is aware of Haw River State Park's
ongoing work to eliminate this system entirely in the near future, however, the level of rust on the
components should be monitored and addressed before critical elements fail. The facility was very clean
and well secured. The bar screen was clear and appropriate disposal containers were located nearby within
the security fence. The effluent flow meter had been calibrated within the last year and the effluent
discharge pipe was readily accessible and well maintained. No adverse signs of environmental impact were
observed in the vicinity of the outfall pipe.
Documentation Review
Mr. Thomas evaluated laboratory data during the inspection. Comparison of available lab reports and
field monitoring data with discharge monitoring reports (DMR) showed no concerns or errors. Chain of
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org
�aturq �
An Equal Opportunity 1 Affirmative Action Employer

Ms. Kelley Thompson
20 June 2012
Page 2 of 2
custody records were available and complete. Mr. Nault provided calibration forms for his monitoring
equipment which were accurate and complete. Visitation and maintenance logs were also provided by Mr.
Nault.
We appreciate your and Mr. Nault's efforts to effectively operate and maintain this treatment system. If
you have questions regarding the inspection or this letter, please do not hesitate to contact Mr. Thomas or
me at (336) 771-500
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Attachments:
1. BIMS Inspection Report
Cc: WSRO — SWP w/ atch
Central Files w/ atch
NPDES West Unit

F
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1! N I 2 1 5 I 3 I NCO046019 111 12I 12/06/14 117 18I C I 19 L S I 20I
-!
Remarks
21111111111111 111111111111 1111111111111111 11111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA ---- ---------- —---------- Reserved --------------- ------
67 ( 169 70III 711 I 72 NI 73 1_ij 74 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:35 AM 12/06/14
11/05/01
The Summit at Haw River State Park WWTP
Exit Time/Date
Permit Expiration Date
339 Conference Center Dr
Browns Summit NC 27214
12:30 PM 12/06/14
16/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Sue McBean,339 Conference Center Dr Browns Summit NC 27214//336-342-6163/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael S Thomas WSRO WQ///
Zo ZO/Z
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
9-DOylt-wod1--V'sr� J't-4 to
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES
yr/mo/day
31 NCO046019 111 121 12/06/14 117
Inspection Type
18l Cl
III
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

FF
Permit: NCO046019
Inspection Date: 06/14/2012
Owner -Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment:
Influent Sampling
# Is composite sampling flow proportional?
Yes No NA NE
Yes No NA NE
Yes No NA NE
Page # 3

Permit: NC0046019
Inspection Date: 06/14/2012
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Influent Sampling
Is sample collected above side streams?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is sampling performed according to the permit?
Comment:
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment:
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment:
Equalization Basins
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Yes No NA NE
Yes No NA NE
Yes No NA NE
Yes No NA NE
■nnn
■nnn
■nnn
■
n
n
n
■
n
n
n
■nnn
Page # 4

FF
Permit: NCO046019
Inspection Date: 06/14/2012
Equalization Basins
Are audible and visual alarms operable?
# Is basin size/volume adequate?
Comment:
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25% of the basin's surface?
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Is the DO level acceptable?
Is the DO level acceptable?(1.0 to 3.0 mg/1)
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately Y. of the sidewall depth)
Comment:
Filtration (High Rate Tertiary)
Type of operation:
Is the filter media present?
Yes No NA NE
■ ❑ ❑ ❑
❑❑❑■
Yes No NA NE
Ext. Air
Diffused
Yes No NA NE
Yes No NA NE
Down flow
❑ ❑ ■ ❑
Page # 5

Permit: NC0046019
Inspection Date: 06/14/2012
Filtration (High Rate Tertiary)
Is the filter surface free of clogging?
Is the filter free of growth?
Is the air scour operational?
Is the scouring acceptable?
Is the clear well free of excessive solids and filter media?
Comment:
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment:
De -chlorination
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Flow Measurement - Influent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment:
Yes No NA NE
Yes No NA NE
■nnn
■nnn
2
Yes No NA NE
Tablet
n n n ■
nn■n
■nnn
Yes No NA NE
Page # 6

FF
Permit: NCO046019
Inspection Date: 06/14/2012
Pump Station - Effluent
Is the pump wet well free of bypass lines or structures?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Is SCADA telemetry available and operational?
Is audible and visual alarm available and operational?
Comment:
=981--& n:__
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment:
Pumps-RAS-WAS
Are pumps in place?
Are pumps operational?
Are there adequate spare parts and supplies on site?
Comment:
Anaerobic Digester
Type of operation:
Is the capacity adequate?
# Is gas stored on site?
Is the digester(s) free of tilting covers?
Is the gas burner operational?
Is the digester heated?
Is the temperature maintained constantly?
Is tankage available for properly waste sludge?
Comment: Not applicale at facility. Added to inspection report by mistake.
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Yes No NA NE
Yes No NA NE
Yes No NA NE
Yes No NA NE
Yes No NA NE
Page # 7

Permit: NCO046019
Inspection Date: 06/14/2012
Operations $ Maintenance
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Yes No NA NE
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge Q ❑ M 0
Judge, and other that are applicable?
Comment:
Page # 8

United States Environmental Protection Agency
Form Approved.
EPAWashington, D C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 I5I 31 NCO046019 Ill 121 09/12/15 117 18ICI 19ISI 201
Remarks
2,IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------- —------------------ Reserved --- —------------ ----
67 I 169 701 I 711 I 72 I N I 73' —L—� I 174 751 I I I I I I 180
�
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
06/05/01
08:30 AM 09/12/15
The Summit at Haw River State Park WWTP
Exit Time/Date
Permit Expiration Date
339 Conference Center Dr
Browns Summit NC 27214
12:30 PM 09/12/15
11/04/30
Name(s) of Onsite Representative(s)lTitles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Sue McBean,339 Conference Center Dr Browns Summit NC
No
27214//336-342-6163/
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement ® Operations & Maintenance ® Records/Reports
Self -Monitoring Program ® Sludge Handling Disposal ® Facility Site Review ® Effluent/Receiving Waters
Laboratory
Section D: Summa of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone j WSRO WQ//704-663-1699 Ext.2202/
U I /6
Signature of Management Q_A Reviewer Agency/Office/Phone and Fax Numbers Date
"tom -' 6VVi iV 1f4TXL.
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO046019 I11 12I 09/12/15 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
/13S
Ale,Ld Sys 5
v
y s� yzj SG�igr�e
- OQG LD ;.xja-i
Page # 2
1

Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park WWfP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Permit
Yes No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
❑
■
n
Is the facility as described in the permit?
n
■
n
n
# Are there any special conditions for the permit?
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
❑
n
n
Is the chain -of -custody complete?
®❑
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
❑
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to.or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
❑
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Laboratory
Yes
No
NA NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
Page # 3

Permit: NCO046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park VVVVTP
Inspection Type: Compliance Evaluation
Laboratory
Yes
NO
NA
Nt
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
n
■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Influent Sampling
Yes
No
NA
NE
# Is composite sampling flow proportional?
n
n
■
n
Is sample collected above side streams?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
n
n
■
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Is sampling performed according to the permit?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
n
■
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
In
n
Is the tubing clean?
n
n
■
n
# is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Cl__ o_____ Yes No NA NE
Type of bar screen
a. Manuai
b. Mechanical
Are the bars adequately screening debris?
■
n
■nnn
Page # 4

Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park VVVVTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Bar Screens
Yes
No
NA
NE
Is the screen free of excessive debris?
®❑
Q
O
Is disposal of screening in compliance?
■
n
n
n
Is the unit in good condition?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Equalization Basins
Yes
No
NA
NE
Is the basin aerated?
■
n
❑
n
Is the basin free of bypass lines or structures to the natural environment?
■
n
n
n
Is the basin free of excessive grease?
■
n
n
n
Are all pumps present?
■
n
n
n
Are all pumps operable?
■
n
n
n
Are float controls operable?
■
n
n
n
Are audible and visual alarms operable?
■
n
n
n
# Is basin size/volume adequate?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Aeration Basins
Yes
No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
n
n
n
Are surface aerators and mixers operational?
❑
❑
■
❑
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
n
■
n
n
Is the DO level acceptable?
n
n
n
■
Is the DO level acceptable?(1.0 to 3.0 mg/I)
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
■
n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
n
Are weirs level?
■
n
n
n
Is the site free of weir blockage?
■
n
n
n
Page # 5

Permit: NC0046019 Owner - Facility: The Summit at Haw River State Park VWVTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes No NA NE
Is the site free of evidence of short-circuiting?
■ n n n
Is scum removal adequate?
■ n n n
Is the site free of excessive floating sludge?
■ n n n
n n ■ n
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
■ n n n
Is the overflow clear of excessive solids/pin Floc?
■ n n n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
n n n ■
Comment: Please refer to the attached inspection summary letter.
Filtration (High Rate Tertiary)
Yes No NA NE
Down flow
Type of operation:
n n ■ ❑
Is the filter media present?
n n ■ n
In ?
Is the filter surface free of clogging?
n n ■ n
Is the filter free of growth?
Is the air scour operational?
n n ■ o
In ■ n
Is the scouring acceptable?
Is the clear well free of excessive solids and filter media?
n n ■ n
Comment: Filter has been removed from service. Please refer to the attached
inspection summary letter.
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
■ n n n
Are the tablets the proper size and type?
■ n n n
Number of tubes in use?
2
n n n ■
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
■ n n n
Is there chlorine residual prior to de -chlorination?
n n n ■
Comment: Please refer to the attached inspection summary letter.
Yes No NA NE
De -chlorination
Tablet
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
00 n ■
n n ■ n
Is storage appropriate for cylinders?
Page # 6

Permit: NCO046019 Owner -Facility: The Summit at Haw River State Park VAVTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
De -chlorination
Yes
No
NA
NE
# Is de -chlorination substance stored away from chlorine containers?
®
O
n
n
Are the tablets the proper size and type?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
2
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
n
n
■
o
Is the flow meter operational?
■
❑
n
(if units are separated) Does the chart recorder match the flow meter?
❑
❑
■
n
Comment: ORC uses flow gauge mounted on outlet of chlorinator to measure
instantaneous (GPM) flow.
Pump Station - Effluent
Yes
No
NA
NE
Is the pump wet well free of bypass lines or structures?
❑
❑
■
❑
Are all pumps present?
n
n
■
o
Are all pumps operable?
n
❑
■
n
Are float controls operable?
n
o
■
n
Is SCADA telemetry available and operational?
n
❑
■
❑
Is audible and visual alarm available and operational?
In
n
■
n
Comment: Plant has pumpstation that is no longer in service. It was formerly used to
pump wastewater through the filter that has been removed from service. Now the
wastewater simply flows through the pumpstation's wetwell to the dechlorinating unit.
Please refer to the attached inspection summary letter.
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
®❑
❑
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
00
If effluent (diffuser pipes are required) are they operating properly?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Yes
No
NA NE
Are pumps in place?
■
n
❑
n
Page # 7

Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Pumps-RAS-WAS
Yes
No
NA
NE
Are pumps operational?
■
n
n
n
Are there adequate spare parts and supplies on site?
nn■n
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
nnn■
Is the mixing adequate?
n
■
n
n
Is the site free of excessive foaming in the tank?
n
n
■
n
■nnn
# Is the odor acceptable? — — —
# Is tankage available for properly waste sludge? n n n ■
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ n n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n n
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 8

Dept
N,C,DDept of ENR
SAY_ JUN 2 V 2012
PA3DMR Winton -Salem
North Carolina Department of Environment and Natural Res Regional Office
Beverly Eaves Perdue
Govemor
June 15, 2012
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger
Dee Freeman
Secretary
On June 4, 2012, Haw River State Park received a Notice of Violation from your office. The
notice was in regards to exceeding the maximum limit of BOD on February 21, 2012. I spoke
with our waste water operator from Meritech in regards to this notice to see what was happening
with our plant at the time. According to his log, he called me that week requesting authorization
for a pumper truck to come in and remove sludge due to suspended solids.
Our current sop for funding requests requires us to send up the request up for approval, which
typically takes a week. His log showed that the plant was pumped out on March 6, 2012.
On a side note: we have completed the permitting and testing stage for our sub -surface drain
field and hope to have bids going out for the project in late September. The projection is to have
the project start in late October and completed before our season picks back up in late winter.
If you have any questions or concerns for me, please don't hesitate to contact me at the park
office at 336-342-6163.
Sincerely,
Kelley Thompson King
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KK/
1601 Mal sake Center, ' Nardi C=kw 276WI601 NOIL�1CaCOlina
Phone: 919-707-M I Internet www.ncderr.gw
An Equal Oppftm y 1 Afkmdm Ackm Empiclim — W% RacycM 110% PW Om=w Paper )W A(MAY

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Charles Wakild, P.E.
Director
June 4, 2012
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for February 2012
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
02/21/12
15 mg/1
22 mg/1
Daily
Concentration
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action for this by the Division of Water Quality for this and any additional
violations of State law.
If you should have any questions, please do not hesitate to contact Mike Thomas at (336) 771-
5000.
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarohna
Aaturall#
An Equal Opportunity 1 Affirmative Action Employer

mov _ zotz "� az-W-1
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: The !!�OAA4 f Permit/Pipe No.: At0X;,4(PQLJ Month/Year Z iZ
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/7vpe DMR Value % Over Limit
tt �D 1 L 2z L y!�•Gl2_
Monitoring, Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Of
Completed by. ZDate: S✓ ?.D
Regional Water Quality
Supervisor Signoff. Date: L96v
— /Vo ✓

EFQOU
ow MO 0 2 2012
NPDES PERMIT NO. CWLJ(o 0 DISCHARGE NO. 601 MONTI
0 CLASS
FACILITY NAME —rK 12� 1; &A_�_Or RAW INE9 j"
CERTIFIED LABORATORY (1) MCrQ­MtX*_ CERTIFICATION
(list additional laboratories on the backside/page 2 of this form)
RECEIVED
N.C.Dept. of ENR -
2 9 2012
Winston-Salem
OPERATOR IN RESPONSIBLE CHARGE (OR GRADE CERTIFICATION NO. 9 (a 9 E)
PERSON(S) COLLECTING SAMPLES PlAer, jlf ORC PHONEI.33(0 -"441 - S17
CHECK BOX IF ORC HAS CHANGED � " - 0 I N
OW / DISCHARGE FROM srr7-
Mail ORIGINAL and ONE -COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 276WI617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF my KNOWLEDGE.
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DWQ Form MR-1 (11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) E�
Compliant
All monitoring data and sampling frequencies do NOT meet perpait requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens'public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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
fines and imprisonment for knowing violations.".
IF
G ;11,k kEwy i rho Svr )
Permittee (Please'print or type)
� �Tzi_33
Signatui% of Permittee*** ' Date
(Required unless submitted electronically)
Pem-duee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Cerlficaation No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.ne.us/wgs and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 80.0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

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NCDENR
North Carolina Department of Environment and Natural
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director
October 3, 2011
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger,
RECEIVED
N.C.Dept. of ENR
j OCT 12 2011
Winston-Salem
Resources Regional Office
Dee Freeman, Secretary
It was a pleasure to meet you last week at the public hearing. Thank you for taking time to talk with me about
the issues we are having with our waste water treatment plant and our violation from June 2011. I've talked
with our maintenance mechanic, Robert Byrd and Pat Merrit, the technician from Meritech about the issue and
what may have caused this.
As far as I can determine, the timeline for the event is that at the end of April, Pat informed us that the sludge
had been sitting too long without much feeding it, and all the bacteria had died and we needed to pump it out
and start fresh. We did this, removing most of what was in the plant. During this time, we had taken the
roundhouse offline in order to get it renovated. This is one of our main meeting spaces which means our
numbers were down more than usual for early spring through the summer. By the beginning of June, are
numbers were back up, but the plant wasn't set to handle the influx and it became imbalanced once again.
As I mentioned when we spoke last Thursday, we have finally received word that the sites we have chosen for
the sub -surface system have both been approved. The Division of Environmental Health is waiting for a report
from our designer as to how much daily flow the park has to determine which site will work best for the system.
Once that is determined, the designer will be able to move forward with creating the system.
In the meantime, both Robert and I are looking into how to prevent further issues. We both realize that this
isn't a good situation and wish to remedy as best we can on our end. We are more than open to any suggestions
or ideas you may have from your end.
Sincerely,
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] - FAX: [phone] • Internet: www.ncparks.cLov 1W
An Equal Opportunity 0 Affirmative Action Employer . 50 % Recycled • 10 % Post Consumer Paper

RCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director Dee Freeman, Secretary
October 3, 2011
Mr. W. Corey Basinger
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Basinger,
It was a pleasure to meet you last week at the public hearing. Thank you for taking time to talk with me about
the issues we are having with our waste water treatment plant and our violation from June 2011. I've talked
with our maintenance mechanic, Robert Byrd and Pat Merrit, the technician from Meritech about the issue and
what may have caused this.
As far as I can determine, the timeline for the event is that at the end of April, Pat informed us that the sludge
had been sitting too long without much feeding it, and all the bacteria had died and we needed to pump it out
and start fresh. We did this, removing most of what was in the plant. During this time, we had taken the
roundhouse offline in order to get it renovated. This is one of our main meeting spaces which means our
numbers were down more than usual for early spring through the summer. By the beginning of June, are
numbers were back up, but the plant wasn't set to handle the influx and it became imbalanced once again.
As I mentioned when we spoke last Thursday, we have finally received word that the sites we have chosen for
the sub -surface system have both been approved. The Division of Environmental Health is waiting for a report
from our designer as to how much daily flow the park has to determine which site will work best for the system.
Once that is determined, the designer will be able to move forward with creating the system.
In the meantime, both Robert and I are looking into how to prevent further issues. We both realize that this
isn't a good situation and wish to remedy as best we can on our end. We are more than open to any suggestions
or ideas you may have from your end.
Sincerely,
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled • 10 % Post Consumer Paper

i�KWVTA'r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 15, 2011
CERTIFIED MAIL #7009 2250 0004 1083 6104
RETURN RECEIPT REQUESTED
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2011-LV-0443
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for June 2011 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N) -
06/08/11
10 mg/1
11.7 mg/1
Daily Minimum
Concentration
Exceeded
Nitrogen, Ammonia Total (as N) -
06/30/11
2 mg/l
2.9 mg/l
Monthly
Concentration
Average
Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0046019.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the June Discharge Monitoring Report. You will then be notified of any civil
penalties that may be assessed regarding the violations. If no response is received in this Office within the
10-day period, a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www,ncwaterquality.org
NorthCarolina
;Vatumlly
An Equal Opportunity'•. Affirmative Action Employer

continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
If you have questions concerning this matter, please do not hesitate to contact Mike Thomas or me at
[phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Point Source Branch
SWP — Central Files
WSRO Files

�vJ _ Z, V-o4uS
Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility � "S�nn ; k- -- Permit[Pipe No.: )Jr- V t(eot4 Month/Year l
: .�
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/D_ oily Violations
Date Parameter Permit Limitfl'vpe DMR Value % Over Li t � 6
zz-
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
)ther Violations
Completed by: - Date: 9 - /�
Regional Water Quality `% Date: &W- f
Supervisor Signoff:tb��—

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CERTIFIED LABORATORY (1) CERTIFICATION NO. I
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) f''' OZ, W j GRADE CERTIFICATION NO.9 (0 0
PERSON(S) COLLECTING SAMPLES t"IA&c, 1a`%+ t,)L)C\— ORC PHON$ —18g71
CHECK BOX IF ORC HAS CHANGED NO LOW / DISCHARGE FROM SITE * LJ
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES x
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATOR —IN-RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE s
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DWQ Form MR-1 (11/04)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable)
All monitoring data and sampling frequencies do NOT meet permit requirements
Compliant
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part II.E.6 of the NPDES permit.
"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 managed 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
fines and imprisonment for knowing violations."
— \�Cw Rijor % pr"L
Permittee (Please print or type)
Signature o ttee*** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3) Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wos and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be
entered for all of the parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the pemrittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

1=I
�.�

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
July 21, 2011
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Ms. Lawrence, Engineering Supervisor:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for April 2011
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
04/14/11
7.5 mg/1
8.8 mg/1
Daily
Concentration
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action for this by the Division of Water Quality for this and any additional
violations of State law.
If you should have any questions, please do not hesitate to contact Mike Thomas at (336) 771-
5000.
Sincerely,
jftkp�
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity i Affirmative ,action Employer
NorthCarolina
Amurally

Cover Sheet from
Staff Member to
Regional Supervisor
MIR Review Record
Facility: T� S`'"^ ^^: Permit/Pipe No.: ACC `lam 9 Month/Year
H..�.4 —'i : ver
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekl /Daily Violations
Date Parameter Permit LM J I v e DMR Value %Over Limit
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
Other Violations
_ rI?n/�i, 7/ /O .•
1i e
Completed by: Date:
Regional Water Quality
Date:
Supervisor Signoff:

Al C AFC
pppppp, f t Of
`�
EFFL ENT R
NPDES PERMIT NO. NC 0 0 4 6 01 9 DISCHARGE NO. 01 MONTH_ �' YEAR ' �ll
FACILITY NAME The Summit CLASS II COUNTY Rockingham
�'o;�am
OPERATOR IN RESPONSIBLE CHARGE (O C Za-trick Merritt GRADE II PHONE[phone] P
CERTIMEDLABORATORIES(1) Merited Inc. (2) �✓
CHECK BOX IF ORC HAS CHAN 1 \/ ON(S) C LLE TING SAMPLES Patrick Merritt
Mail ORIGINAL and ONE COPY to: !� ;la-i I
AM: CENTRAL FILES J U N 2 c 011 x
DIVISION OF WATER QUALITY (SIGNATURE OF ERATOMN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER CENTR Y THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 BWeBOQE CCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
00010
00400
50060
00310
0061(
FLOW
W
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r. ::
a y
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.. W
EFF 19
INF❑
a O
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G
q
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C
OU6wU
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HRc
HRs
v/R/N
MGD
C
UNITS
UG/LI
MG/L 1
MG/L
Win —HE
)0530
31616 1
00300
00600
00665
ENTER PARAMETER CODE ABOVE
W W
�" y
W Z
W
NAME AND UNITS BELOW
WAUw
pU
C7
FO
Fx
rA
OEF
�m
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$
w0-1
,�
MG/L 1
#/100ML
MG/Lr
MG/L
yyMG/L^^
ma/1mcq 1 mcr/1 1 00mL
DWQ Form MR-1(01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
-"qqq
1-7]
Compliant
F-1
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 fines and imprisonment for knowing violations."
T Summit
Perm tee Please rint or t Le
Signa e mittee** Date
(Required)
P.O. Box 660 Brown Summit, NC 27214 [phone]
Permittee Address Phone Number Permit Exp. Date
00010
Temperature
00076
Turbidity
00080
Color (Pt -Co)
00082
Color (ADMI)
00095
Conductivity
00300
Dissolved Oxygen
00310
BOD5
00340
COD
00400
pH
00530
Total Suspended
Residue
00545
Settleable Matter
PARAMETER CODES
00556
Oil & Grease
00951
Total Fluoride
00600
Total Nitrogen
01002
Total Arsenic
00610
Ammonia Nitrogen
00625
Total Kjeldhal
01027
Cadmium
Nitrogen
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
00665 Total Phosphorous
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
50060 Total
Residual
Chlorine
01147 Total Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00745
Total Sulfide
01042
Copper
34481
Toluene
00927
Total Magnesium
01045
Iron
38260
MBAS
00929
Total Sodium
01051
Lead
39516
PCBs
00940
Total Chloride
01062
Molybdenum
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

wo
I? Y
Im_
t. E

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
May 17, 2011
Erin Lawrence, Engineering Supervisor
NC Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Lawrence, Engineering Supervisor:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for February 2011
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
02/28/11
4 mg/l
4.18 mg/1
Monthly
(as N) - Concentration
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action for this by the Division of Water Quality for this and any additional
violations of State law.
If you should have any questions, please do not hesitate to contact Mike Thomas at (336) 771-
5000.
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1.877-623-6748
Internet: www,ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NorthCarolina
;Vatumllbl
An Equal Opportunity i Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: Perrrmit/Pipe No.: Ald oD 1L.0 l_9 MonthNear
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
&'Al, / /N, /L zi 38
Date
Date
Weekly/Daily Violations
Parameter Permit Lirtiitfl'vpe DMR Value % Over Limit
Monitoring Frequency Violations
Parameter Permit Frequencv Values Reported # of Violations
Other Violations
C�w�7sS�Gd _moo✓
AL
Date:
Completed by:
4V
Regional Water Quality 16 �L9 A t/
Supervisor Signoff:� Date: T
Psi

L
EFFL ENT _
NPDES PERMIT NO. NC 0 0 4 6 01 9 DISCHARGE NO.0 01 MONTH t YEAR
FACILITY NAME The Summit CLASS II COUNTY Rockingham
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Merritt GRADE II PHONE [phone]
CERTIFIED LABORATORIES(1) Meritech Inc. _(2) i rz--- ,-
CHECK BOX IF ORC HAS C GE F�SON(S) C �L TING SAMPLES Patrick Merritti.c Dept
%J ! I I�,
Mail ORIGINAL and ONE tOPA��lto: ((��
11
ATTN: CENTRAL FILES M A k J 1 2011
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) ,IgTE
1617 MAIL SERVICE CENr1JF 7 $f0t i RP
OC IS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ssin,� L
RALEIGH, NC 27699-1617 G ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
„
d
U�7HV
FLOW
Fa
v'
a�
a~
0
h
A
GgNF
z
zv
�z
A'
aAaao
�zA�O�
F ..
O�aO
vOi
v
V
U�
A
>w
.40
AO
z
a�
�
F O
O
F
zl
EFF a
INF❑
❑ MG/L
"I
CL0
ENTER PARAMETER CODE AB,
NAME AND UNITS BELOW
P�IEa1n:i
I ` �
mg/1mg/lmg/1 100mL
DWQ Form MR-1 (01i00) �{ :

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements F�
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 fines and imprisonment for knowing violations."
The -Summit
Permittee ease print or type)
3�ab n
Signatulle of ttee** Date
(Required)
P.O.Box 660 Brown Summit, NC 272_14 [phone]
Permittee Address Phone Number Permit Exp. Date
PARAMETER CODES
00010 Temperature
00556 OR & Grease
00951
Total Fluoride
01067
Nickel
00076 Turbidity
00600 Total Nitrogen
01002
Total Arsenic
01077
Silver
00080 Color (Pt -Co)
00610 Ammonia Nitrogen
01092
Zinc
00082 Color (ADMI)
00625 Total Kjeldhal
01027
Cadmium
01105
Aluminum
Nitrogen
00095 Conductivity
00630 Nitrates/Nitrites
01032
Hexavalent Chromium
01147
Total Selenium
00300 Dissolved Oxygen
01034
Chromium
31616
Fecal Coliform
00310 BODS
00665 Total Phosphorous
32730
Total Phenolics
00340 COD
00720 Cyanide
01037
Total Cobalt
34235
Benzene
00400 pH
00745 Total Sulfide
01042
Copper
34481
Toluene
00530 Total Suspended
00927 Total Magnesium
01045
Iron
38260
MBAS
Residue
00929 Total Sodium
01051
Lead
39516
PCBs
00545 Settleable Matter
00940 Total Chloride
01062
Molybdenum
50050
Flow
50060 Total
Residual
Chlorine
71880 Formaldehyde
71900 Mercury
81551 Xylene
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

NPOES NO. HOD049019 DISCHARGE NO. 001 MONTH �,t6 __YES I
FACLTY NAME The Summit COLINT' Rockingham
STREAM Umamed bft tarll to Haw River STREAM Unnamed tributary to Haw River
LOCATION Above the outfatt LOCATION 200 ft. downst mam
Upstream Downstream

��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 20, 2011
Lewis Ledford, Director
NC DENR Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr Ledford, Director:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for October 2010 showed
the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended -
Concentration
10/21/10
45 mg/1
57 mg/1
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action for this
by the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Mike Thomas at [phone].
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 W'aughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www.nowaterquality.org
Sincerely,
W. Corey Basinger
Acting Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarohna
;Vatura!!rf
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
ricrx0Llc00► I
Facility: c-� Permit/Pipe No.: CW� Month/Year o
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit L_imitlType DMR Value % Over Limit
101 2t 10 TS S IL
Monitoring, Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
l50�17 .4" Vra/o
Completed by: ~�T' - Date:
Regional Water Quality , -
Date: ��
SupervisorLaw
Signoff: '`-
,/
/J 6

EFFL ENT
PPNPDESPE ITNO. NC 0 0 4 6 01 9 DISCHARGE NO.O 01 MONTH r- i` YEAR 02 % 0
FACILITY NAME _The Summit CLASS II COUNTY Rockingham
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick Merritt GRADE II PHONE(33 :)342_4748
CERTIFIED LABORATORIES (1) Meritech Inc. (2)
CHECK BOX IFORC HAS CHANGED 0 PERSON(S) COLLECTING SAMPLES Patrick Merritt
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES X
DIVISION OF WATER QUALITY (SIGNATURE OF OPERAT-(JR IN RESPONSIBLE CHARGE) D- ATE .
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. f
III I
II�11
II�1
II I
11� 1
11 I
�
II II
II�11
11��
____
®
UNITS
BELOWNAME
AND
P
9
i�
I�l6ti�l
mq/1mq/1 mcI/1 100ML
DWQ Form MR-1 (01/00)

• t
Facility Status: (Please cle`tk one of the following)
,r
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements P
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 fines and imprisonment for knowing violations."
The S mit
Permitte (Ple se print or [ e)
Signature of Permittee** Date
(Required)
P.O. Box 660 Brown Summit, NC 27214 [phone]
Permittee Address Phone Number . Permit Exp. Date
00010 Temperature 00556
00076
Turbidity
00600
00080
Color (Pt -Co)
00610
00082
Color (ADMI)
00625
00095
Conductivity
00630
00300
Dissolved Oxygen
00310
BOD5
00665
00340 COD
00720
00400 pH
00745
00530 Total Suspended
00927
Residue
00929
00545 Settleable Matter
00940
Oil & Grease
Total Nitrogen
Ammonia Nitrogen
Total Kjeldhal
Nitrogen
Nitrates/Nitrites
Total Phosphorous
Cyanide
Total Sulfide
Total Magnesium
Total Sodium
Total Chloride
PARAMETER CODES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
50060 Total
Residual
Chlorine
01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde
01034 Chromium 31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
01037
Total Cobalt
34235
Benzene
01042
Copper
34481
Toluene
01045
Iron
38260
MBAS
01051
Lead
39516
PCBs
01062
Molybdenum
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

MC0048019 DISCHARGE NO. 001 MONTH
PF=AFCILTYMONAME The Summit COUNT RockkVhwn
STREAM Umamed ftft]tWY to How River STREAM
LOCATION Above the outfWI LOCATION
Upstream
eam
ODKO
5010W
a
31M
Dom
0
2
x
C3.
cw
P,
d
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CL
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3
711
n
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0
2
17
77
7
39
21
fill
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25
27
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2W ft. downstream
Downstream
0=0
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,qq4N
DEC - 6 ?010

Thomas, Mike
From: Thompson, Kelley
Sent: Friday, December 03, 2010 9:15 AM
To: Thomas, Mike
Cc: Lambert, Mike; Nygard, Erik; Howerton, Jerry
Subject: August violation notice
Attachments: image002.gif-, july violations letter to dwq.doc; image001.jpg
Hi Mike
Thanks for getting back with me this morning regarding our August violation. I've attached a copy of the
letter I sent for the July violation as a reference. Please know that in talking with Pat Merrit, our contractor
with Meritech, he explained that the system would take a while to come back after our power outage in
mid -July. I'm not sure how well we were doing in September, but I will check with Pat to see what his
records show.
Just an FYI, we are still working on a subsurface system, but not sure the timeline on it.
Please call if you have any questions.
Many thanks
Kelley
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Browns Summit, NC 27214
336-342-6163
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.

AA T
RECEIVED
N.C. Deot. of ENR
�aj'- [___ — -
NOV 2 4 2010
NCDENR Winston-Salem
RLaicnal ^Off) ce
North Carolina Department of Environment and Natural Resources -
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director Dee Freeman, Secretary
November 21, 2010
Mr. Steve Tedder
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Tedder,
I received notice on November 10 that Haw River State Park received several violations with our Waste Water
Treatment Plant during the month of July. I've attached a letter I sent to you in the middle of July explaining how
our system went down due to a long power outage and how the system had remained offline until the following
week. When the contractual technician informed me of the situation, we both realized that we would be out of
compliance which is the reason for my previous letter.
Since that time, we have made it policy for the maintenance and ranger staff to check the plant in the evening
before we go home and first thing in the morning to ensure that it is operating. For a few more weeks in July we
had power failure issues, but those were resolved.
I'm truly sorry this has happened and we are doing everything we can to make sure it doesn't occur again. Please
know we are still pursuing an underground system that will get us completely out of the Haw River. At this time
we are in the process of testing the soils to determine the suitability for a new system.
Please contact me at the number listed below if you have any further questions regarding this matter.
Sincerely,
Ad�
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncparks.Aov
An Equal Opportunity • Affirmative Acton Employer - 50 % Recycled • 10 % Post Consumer Paper

NCDENR
PIMA
REC;E,'yEU
N.C. Ueo.. c: ENi
NOV 24 2010
Winston -Sale,
Regional off,
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Beverly Eaves Perdue, Govemor Lewis R. Ledford, Director Dee Freeman, Secretary
July 12, 2010
Mr. Steve Tedder
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Tedder,
On Friday, July 9, 2010 Haw River State Park experienced several power outages throughout the late afternoon,
into early evening. The outages were due to a truck accident on Highway 150, resulting in Duke Power having to
cut power in order to repair the damaged lines. The outages lasted anywhere from30 minutes to three hours, not
being fully restored till late Friday evening.
During this time, the waste water treatment plant went offline, and unbeknownst to the weekend staff, it never came
back on. I was notified this afternoon, Monday, July 12, at approximately 2 p.m. by Patrick Merrit, our certified
inspector with Meritech that the plant had not been running since the power outage. He turned the plant back on,
but at this point, he isn't sure what the status of the plant will be until he runs his samples over the next couple of
days. He told me that last Thursday he brought a truck in to pump out a load of sludge.
Per our permit parameters listed in Section E — Reporting Requirements, I notified your office and left a message
on your phone reporting the incident Monday at approximately 4 p.m. I am writing this letter to further explain the
incident and what we will be doing from now on to make sure this doesn't occur again. I learned from Mr. Merrit
that we have had power issues in the past, so much so that the park brought in an electrician to fix the problem. I
am a recent hire to Haw River and am not sure when that correction took place. From now on the staff will do a
daily check of the treatment plant in the mornings, seven days a week, with extra checks if there is a power outage.
I understand that you will be attending the meeting on July 20 with Robert Graham, the engineer for our Waste
Water Treatment Plant refurbishment. I look forward to meeting you at that time.
Sincerely,
(GZ��
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled • 10 % Post Consumer Paper

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
November 17, 2010
Lewis Ledford, Director
NC DENR Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr Ledford, Director:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for August 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N)
08/06/10
10 mg/1
12.7 mg/1
Daily Maximum
- Concentration
Exceeded
BOD, 5-Day (20 Deg. C) -
08/06/10
7.5 mg/1
21.6 mg/l
Daily Maximum
Concentration
Exceeded
Nitrogen, Ammonia Total (as N)
08/31/10
2 mg/l
2.98 mg/1
Monthly Average
- Concentration
Exceeded
BOD, 5-Day (20 Deg. C) -
08/31/10
5 mg/l
7.62 mg/1
Monthly Average
Concentration
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action for this
by the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Jenifer Carter at [phone].
Sincerely,
c,1 Steve W. Tedder
UU Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
M/SRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 V4aughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] \ FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
One
No hCarofina
Naturally
An Equal Opportunity Affirmative,Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: L fin • o- Permit/Pipe No.: ��-�41oC714 Month/Year Zo/O
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Z L 2 QBg f, /
Weekly/Daily Violations
Date Parameter Permit LimiVTvpe DMR Value % Over Limit
L
Ala., o L Z9
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
t
Completed by: Date:
Regional Water Quality
Supervisor Signoff: Date:
riod
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EFFLUENT
NPTIFC PERMIT hTfl N �' (l p d Fj Q 1 Q
tl1 cru n A (1> ht/l 0 01 h T(1N P u_
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VR A A —
FACILITYNAME Summit7l
CLASS II COUNTY Rockingham
(Thee
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OPERATOR IN RE3PONo'iBLE CIIARGE (VRC}
Patrick Merr-itt c'nADL I I -llO-.E (3 3 6) 3 42- 4 / 48
CERTIFIED LABORATORIES(1) Meritech,
Inc. (?)
CHECK BOX IFORCHAS CIIANGED
PERSON(S)CO' ECTIPIGr'A LESPatrick Merrit
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
x
(SIGNATURE OV-OPE TON RESPONSIBLE CHARGE)
LT­
MAIL SERVICE CENTER
BY THIS SIGNATURE, I CE TI THAT THIS REPORT 1S
I
RALEIGH,1617
NC 27699-1617
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
All monitoring data and sampling frequencies do NOT meet permit requirements
u
Compliant
17
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
` d s Uj el 7 c,, 0 ,1(0 • t t f j
"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 fines and imprisonment for knowing violations."
The Summit
Per ittee (Please print or type)
Signature of Permittee** Date
(Required)
P.O. Box 660 Brown Summit, NC 27214 (.336)342-6163
Permittee Address Phone Number Permit Exp. Date
00010
Temperature
00076
T'arbidity
00080
Color (Pt -Co)
00082
Color (ADMI)
00095
Conductivity
00300
Dissolved Oxygen
00310
BOD5
00340
COD
00400
pH
00530
Total Suspended
Residue
00545
Settleable Matter
PARAMETER CODES
00556
Oil & Grease
00951
Total Fluoride
00600
Total Nitrogen
01002
Total Arsenic
00610
Ammonia Nitrogen
00625
Total Kjeldhal
01027
Cadmium
.
Nitrogen
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
00665 Total Phosphorous
01067
Nickel"
01077
Silver
01092
Zinc
01105
Aluminum
50060 Total
Residual
Chlorine
01147 Total Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00745
Total Sulfide
01042
Copper
34481
Toluene
00927
Total Magnesium
01045
Iron
38260
MBAS
00929
Total Sodium
01051
Lead
39516
PCBs
00940
Total Chloride
01062
Molybdenum
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit -facility ana document visitation of facility as required per 15A NCAC 8G .0204. 01 G 2 d-]S
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B_ .0506 (b)
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A=*A,
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
KELLEY THOMPSON
PARK SUPERINTENDENT
NC PARKS AND RECREATION
339 CONFERENCE CENTER DRIVE
BROWNS SUMMIT NC 27214
Dear Ms. Thompson:
Division of Water Quality
Coleen H. Sullins
Director
November 8, 2010
R— ECEtVED
N._ Deot. of ENR
140V 0 9 2010
Ylinston-salem
Regional Office
/4,4-'
Dee Freeman
Secretary
Subject: Receipt of permit renewal application
NPDES Permit NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
The NPDES Unit received your permit renewal application on November 1, 2010. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to complete
your permit renewal. You should expect to receive a draft permit approximately 30-45 days before your existing
permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact Jeff Poupart at
[phone].
Sincerely,
�E�
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: 91M07-6492 \ Customer Service: 1-877-623-6748 North Carolina
Internet: www.ncwaterquality.org �rtturnll�
An Equal Opportunity \ Affirmative Action Employer

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 NCO046019
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 NC Parks and Recreation
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
The Summit Environmental Education Center at Haw River State
Park
339 Conference Center Dr.
Browns Summit
NC 27214
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility
referring to the Operator in Responsible Charge or ORC)
Name Meritech
Mailing Address PO Box 27
City Reidsville
State / Zip Code NC 27320
Telephone Number [phone]
Fax Number [phone] Fr: x
(Note that this is not
1. 2010
L?t14LV V"Y
—RECEIVED
N.C. Dect. of FNR
NOV 0 9 2010
Winston-Salem
Regional ice
1 of 3 Form-D 05/08

NPDES APPLICATION - 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
❑
Number of Students/ Staff
®
OveOther
Explain: conference conference ctr
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
We are an overnight conference center with a cafeteria. We have four motels with 12 rooms each and
10 cabins that sleep 9 each.
Population served: If at capacity, there are 200 guests on site. All ages and demographics.
S. Type of collection system
® Separate (sanitary sewer only)
6. Outfall Information:
❑ Combined (storm sewer and sanitary sewer)
Number of separate discharge points 1
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (Provide a map shouting the exact location of each outfallr
Unnamed tributary to the Haw River
S. 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.
Extended -aeration wastewater treatment facility with the following components:
Bar Screen Equalization chamber
Activated sludge unit
Clarifier
Sludge holding tank
Surge tank
Sand Filter
Effluent chloration
2 of 3 Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .015 MGD
Annual Average daily flow .004 MGD (for the previous 3 years)
Maximum daily flow .005 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
19.0
3.4
Mg/L
Fecal Coliform
610
1
col/ 100ml
Total Suspended Solids
28
7
Mg/L
Temperature (Summer)
27
22
Celsius
Temperature (Winter)
15
11
Celsius
pH
7.2
6.8
Stcncl� rd lire
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO046019
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.
Kelley Thompson Park Superintendent
Printed name of Person Signing Title
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 05/08

fA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director
November 1, 2010
Mrs. Dina Sprinkle
NC DENR — DWQ
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Mrs. Sprinkle,
Dee Freeman, Secretary
The waste water treatment plant at Haw River State Park can handle up to 15,000 gallons a day. We have a
contract with a Certified Grade II Operator checking the system daily. Our current contract is with Meritech. Part
of this contract manages the periodic removal of sludge from the treatment plant. Meritech is responsible for
contracting with a certified contract sludge hauler to remove and dispose of this sludge in accordance with all State
and Federal regulations.
Sincerely,
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
NlaR1Ti CAKl:H.IiYA '
STA"r'E PARKS
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled , 10 % Post Consumer Paper

��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 8, 2010
Lewis Ledford, Director
NC DENR Division of Parks and Recreation
1615 Mail Service Ctr
Raleigh NC 276991615
Subject: NOTICE OF VIOLATION
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr. Ledford, Director:
A review of The Summit at Haw River State Park WWTP's monitoring report for July 2010
showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
07/30/10
7.5 mg/l
24.7 mg/1
Daily
Concentration
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
07/23/10
7.5 mg/1
22 mg/1
Daily
Concentration
Maximum
Exceeded
Nitrogen, Ammonia Total
07/23/10
10 mg/1
11.8 mg/1
Daily
(as N) - Concentration
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
07/16/10
7.5 mg/l
20 mg/1
Daily
Concentration
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
07/31/10
5 mg/1
13.34 mg/1
Monthly
Concentration
Average
Exceeded
Nitrogen, Ammonia Total
07/31/10
2 mg/1
5.22 mg/l
Monthly
(as N) - Concentration
Average
Exceeded
North Carolina Division of Water Quality, VMnston-Salem Regional Office
Location: 585 4Naughtown St. Winston-Salem. North Carolina 27107
Phone: [phone] `. FAX [phone] Customer Service. 1-877-623-6748
!nternet "rin,nowaterqua!ity.org
Nne
orthCarolina
;Vaturallry
An Equal Opportunity � Affirmatice Action Employer

Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action for this by the Division of Water Quality for this and any additional
violations of State law.
If you should have any questions, please do not hesitate to contact Mike Thomas at (336) 771-
4957.
Sincerely,
"w�"Oe-
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
WSRO File

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 23, 2010
CERTIFIED MAIL RETURN 7009-1680-0002-2464-7811 RECEIVED
RECEIPT REQUESTED N.C. Deot, of F•:=
Mr. Lewis Ledford SEP 2 7 2010
NC Department of Environment and Natural Resources Winston-S�. .
Division of Parks & Recreation Reglcn� i c o
1615 Mail Service Center
Raleigh, North Carolina 27699-1615
Subject: NOTICE OF VIOLATION
The Summit at Haw River State Park
NPDES Permit NCO046019
Rockingham County
NOV-2010-LR-0059
Dear Mr. Ledford:
This is to inform you that the Division of Water Quality did not received your monthly monitoring report
for June 2010 until August 26: Also, the July 2010 report was not received until September 20, 2010.
This is in violation of Part II, condition D(2) of the NPDES permit, as well as 15A NCAC 2B .506(a),
which requires the submittal of Discharge Monitoring Reports no later than the last calendar day
followingthe he reportingperiod. Failure to submit reports as required will subject the violator to the
assessment of a civil penalty of up to $25,000 per violation.
Additionally, this letter provides notice that this office will recommend the assessment of civil penalties if
future reports are not received within the required time frame during the next twelve (12) reporting
months. The Division must take these steps because timely submittal of discharge monitoring reports is
essential to the efficient operation of our water quality programs. We appreciate your assistance in this
matter. If you have any questions about this letter or discharge monitoring reports, please contact me at
919-807-6388.
Sincerely,
Maureen Scardina
cc: Maureen Scardina, NPDES Unit
DWQ Winston-Salem Regional Office Supervisor, Surface Water Protection
Central Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: http:l/portal.ncdenr.org/web/wgmome
An Equal Opportunity 1 Affirmative Action Employer
AAmallY
onehCarolina

A
6;rA
NCDWR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
July 19, 2010
Mr. Chuck Wakild, Deputy Director
1621 Division of Water Quality
Mail Service Center
Raleigh, NC. 27699-1621
.
Dear Mr. dU]d:
Thank you for bringing recent DWQ compliance issues to my attention. Mike Lambert, the Division of
Parks and Recreation's chief of operations, has been coordinating with the parks to address the
performance issues. He has prepared the attached summary of actions and improvement plans for your
information. Rest assured the division takes issues associated with our regulatory responsibilities quite
seriously. I have stressed the importance of becoming compliant with our wastewater treatment and
disposal facilities. I appreciate the opportunity to shareourimprovement efforts with you.
'lease contact me if you have any questions, advice or need additional information.
U
R. Ledford
Coleen Sullins, Director, DWQ
Mike Lambert, Chief of Operations, DPR

ATTACHMENT A
Falls Lake State Recreation Area
Summary and Plan of Action
July 1 S, 2010
• In September 2009, staff at Jordan Lake and Falls Lake scheduled meetings with Matt Fleahman
of DWQ's Raleigh Regional Office to standardize our permits in order to streamline testing
requirements and reduce reporting errors. Matt was very helpful in working with our staff.
• It was also determined that additional training would *be necessary to update our maintenance
staff on current permit requirements. Steve Reid from DWQ came to the Summit at Haw River
State Park Oct. 20, 2009 and provided valuable training to our maintenance staff at our annual
wastewater and c- well training.
• The trainings and meetings greatly improved our operations at Jordan Lake State Recreation
Area. Staff took advantage of the opportunity to meet with Mr. Fleahman and became compliant
by updating permits. ORC operator Craig Autry did a good job in maintaining a professional
working relationship with DWQ staff. This has paid great dividends for Jordan Lake, resulting in
no violations.
• At Falls Lake, we have continued to have reporting issues which resulted in violations. In 2009,
we had performance issues and personnel -related problems with the Operator in Charge. In
March the ORC resigned. Another staff member at Falls Lake was promoted into the wastewater
treatment area operator position effective June 1.
• The actions DPR is taking to become compliant include sending staff to Subsurface Wastewater
System Operator Training in September. At Falls Lake, we will be sending the district
maintenance mechanic and new wastewater treatment area operator and a maintenance mechanic
to this training. This will ensure that an adequate number of backup staff and oversight are
available for the monitoring process. Unfortunately, the number of staff responsible for c-well
and wastewater operations at Falls Lake has remained unchanged since the park opened in the
late 1980s. The ORC is responsible for nine wastewater systems and 13 c-well permits. Until
Falls Lake staff is trained the south district maintenance mechanic will serve as ORC.
• Other measures to maintain compliance include staff development of a monitoring and reporting
calendar to be updated on a monthly basis. This will allow a visual reminder of the monitoring
and testing requirements. The new wastewater treatment area operator will work to establish and
maintain a positive relationship with DWQ. Staff will be proactive in reporting any issues or
violations to DWQ. The facility maintenance supervisor will review all reports submitted prior to
ORC approval. This responsibility will be added to the work plan.
• These important steps should eliminate notices of violation and resulting civil penalties associated
with our wastewater systems at Falls Lake. In the future, the division will evaluate the need for
an additional wastewater system operator will be needed due to the size and complexity of the
wastewater systems at Falls Lake and Jordan Lake.

ATTACHMENT B
Haw River State Park
Summary and Plan of Action
July 15, 2010
• At Haw River State Park, the division contracts the wastewater component of the operation.
However, the maintenance mechanic assigned to the park will be attending Subsurface training
along with other DPR staff in September.
• In July of 2009, DPR retained a designer, George Finch Boney and Associates, to install an
influent meter and repair the chamber wall on the wastewater system at the Summit at Haw River
a State Park.
• After our meeting with DWQ last August, DPR decided to pursue a total repair and renovation of
the waste plant due to recent violations and the age of the system. The designer completed
research of the system throughout the following months and, at one point, had the manufacturer
of the system from Idaho visit the site and offer suggestions.
• I In November 2009, the designer informed Steve Tedder of the WSRO of our plans to renovate
the system. In December 2009, park staff met with Ron Boone with DWQ along with our
contract ORC and our designer.
• Earlier this year, a design amendment was approved by the State Construction Office and DENR
purchase and services to renovate the plant. Staff met on -site in June to determine other solutions
for the renovation and to explore discharge options and request a special order by consent.
• Our staff will continue to make repairs to the system where feasible and see that the contract
operator is meeting obligations as outlined in the contract. It should be noted that staff have been
making repairs to the system and seeking ways to deal with the facility's sporadic use. Between
November 2009 and January of this year, the plant was fed low fat horse food in an attempt to
keep the plant functioning during the periods of low use. At one point, a load of sludge was
brought in to prime the plant before the change of use brought on by increased visitation at the
Summit Environmental Education Center.
• We have a meeting scheduled later this month with Mr. Tedder to discuss the design proposal and
scope of work for the project. Preliminary renovation cost estimates for the system are $100,000.

Pr
RECEIVED
N.C. C-ot. of ENR
AIF
AUG 0 2 2010 IJ �. f✓� r;
NCDEN Winston-3 a 'Y
Regional Office � � � r'.��•tj�
North Carolina Department of Environment and natural Resources
Beverly Eaves Perdue, Governor
July 19, 2010
Mr. Chuck Wakild, Deputy Director
1621 Division of Water Quality
Mail Service Center
Raleigh, NC 27699-1621
Dear Mr>�ld:
Division of Parks and Recreation
Lewis R. Ledford, Director
Dee Freeman, Secretary
Thank you for bringing recent DWQ compliance issues to my attention. Mike Lambert, the Division of
Parks and Recreation's chief of operations, has been coordinating with the parks to address the
performance issues. He has prepared the attached summary of actions and improvement plans for your
information. Rest assured the division takes issues associated with our regulatory responsibilities quite
seriously. I have stressed the importance of becoming compliant with our wastewater treatment and
disposal facilities. I appreciate the opportunity to share our improvement efforts with you.
Please contact me if you have any questions, advice or need additional information.
Sincere ,
wis R. Ledford
Attachments
cc: Coleen Sullins, Director, DWQ
Mike Lambert, Chief of Operations, DPR
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncoarks.gov
An Equal Opportunity • Affirmative Action Employer - 50 % Recycled • 10 % Post Consumer Paper
D
2 5 2010
DIV. OF WATER OUALI T Y
DIRECTOR'S OFFICE

F'
7TTACHMENTA
Falls Lake State Recreation Area
Summary and Plan of Action
July 15, 2010
• In September 2009, staff at Jordan Lake and Falls Lake scheduled meetings with Matt Fleahman
of DWQ's Raleigh Regional Office to standardize our permits in order to streamline testing
requirements and reduce reporting errors. Matt was very helpful in working with our staff.
It was also determined that additional training would'be necessary to update our maintenance
staff on current permit requirements. Steve Reid from DWQ came to the Summit at Haw River
State Park Oct. 20, 2009 and provided valuable training to our maintenance staff at our annual
wastewater and c- well training.
The trainings and meetings greatly improved our operations at Jordan Lake State Recreation
Area. Staff took advantage of the opportunity to meet with Mr. Fleahman and became compliant
by updating permits. ORC operator Craig Autry did a good job in maintaining a professional
working relationship with DWQ staff. This has paid great dividends for Jordan Lake, resulting in
no violations.
• At Falls Lake, we have continued to have reporting issues which resulted in violations. In 2009,
we had performance issues and personnel -related problems with the Operator in Charge. In
March the ORC resigned. Another staff member at Falls Lake was promoted into the wastewater
treatment area operator position effective June 1.
The actions DPR is taking to become compliant include sending staff to Subsurface Wastewater
System Operator Training in September. At Falls Lake, we will be sending the district
maintenance mechanic and new wastewater treatment area operator and a maintenance mechanic
to this training. This will ensure that an adequate number of backup staff and oversight are
available for the monitoring process. Unfortunately, the number of staff responsible for c-well
and wastewater operations at Falls Lake has remained unchanged since the park opened in the
late 1980s. The ORC is responsible for nine wastewater systems and 13 c-well permits. Until
Falls Lake staff is trained the south district maintenance mechanic will serve as ORC.
Other measures to maintain compliance include staff development of a monitoring and reporting
calendar to be updated on a monthly basis. This will allow a visual reminder of the monitoring
and testing requirements. The new wastewater treatment area operator will work to establish and
maintain a positive relationship with DWQ. Staff will be proactive in reporting any issues or
violations to DWQ. The facility maintenance supervisor will review all reports submitted prior to
ORC approval. This responsibility will be added to the work plan.
These important steps should eliminate notices of violation and resulting civil penalties associated
with our wastewater systems at Falls Lake. In the future, the division will evaluate the need for
an additional wastewater system operator will be needed due to the size and complexity of the
wastewater systems at Falls Lake and Jordan Lake.

ATTACHMENT B
Haw River State Park
Summary and Plan of Action
July 15, 2010
• At Haw River State Park, the division contracts the wastewater component of the operation.
However, the maintenance mechanic assigned to the park will be attending Subsurface training
along with other DPR staff in September.
• In July of 2009, DPR retained a designer, George Finch Boney and Associates, to install an
influent meter and repair the chamber wall on the wastewater system at the Summit at Haw River
State Park.
• After our meeting with DWQ last August, DPR decided to pursue a total repair and renovation of
the waste plant due to recent violations and the age of the system. The designer completed
research of the system throughout the following months and, at one point, had the manufacturer
of the system from Idaho visit the site and offer suggestions.
• In November 2009, the designer informed Steve Tedder of the WSRO of our plans to renovate
the system. In December 2009, park staff met with Ron Boone with DWQ along with our
contract ORC and our designer.
• Earlier this year, a design amendment was approved by the State Construction Office and DENR
purchase and services to renovate the plant. Staff met on -site in June to determine other solutions
for the renovation and to explore discharge options and request a special order by consent.
• Our staff will continue to make repairs to the system where feasible and see that the contract
operator is meeting obligations as outlined in the contract. It should be noted that staff have been
making repairs to the system and seeking ways to deal with the facility's sporadic use. Between
November 2009 and January of this year, the plant was fed low fat horse food in an attempt to
keep the plant functioning during the periods of low use. At one point, a load of sludge was
brought in to prime the plant before the change of use brought on by increased visitation at the
Summit Environmental Education Center.
We have a meeting scheduled later this month with Mr. Tedder to discuss the design proposal and
scope of work for the project. Preliminary renovation cost estimates for the system are $100,000.

A��
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director
July 12, 2010
Mr. Steve Tedder
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Tedder,
7�."�CPN 0f E R
JUL 16 2010
Winston-Salerr,
_Regional 01fice
Dee Freeman, Secretary
On Friday, July 9, 2010 Haw River State Park experienced several power outages throughout the late afternoon,
into early evening. The outages were due to a truck accident on Highway 150, resulting in Duke Power having to
cut power in order to repair the damaged lines. The outages lasted anywhere from30 minutes to three hours, not
being fully restored till late Friday evening.
During this time, the waste water treatment plant went offline, and unbeknownst to the weekend staff, it never came
back on. I was notified this afternoon, Monday, July 12, at approximately 2 p.m. by Patrick Merrit, our certified
inspector with Meritech that the plant had not been running since the power outage. He turned the plant back on,
but at this point, he isn't sure what the status of the plant will be until he runs his samples over the next couple of
days. He told me that last Thursday he brought a truck in to pump out a load of sludge.
Per our permit parameters listed in Section E — Reporting Requirements, I notified your office and left a message
on your phone reporting the incident Monday at approximately 4 p.m. I am writing this letter to further explain the
incident and what we will be doing from now on to make sure this doesn't occur again. I learned from Mr. Merrit
that we have had power issues in the past, so much so that the park brought in an electrician to fix the problem. I
am a recent hire to Haw River and am not sure when that correction took place. From now on the staff will do a
daily check of the treatment plant in the mornings, seven days a week, with extra checks if there is a power outage.
I understand that you will be attending the meeting on July 20 with Robert Graham, the engineer for our Waste
Water Treatment Plant refurbishment. I look forward to meeting you at that time.
Sincerely,
/&I&I yv�__
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] • FAX: [phone] • Internet: www.ncoarks,aov
An Equal Opportunity, Affirmative Acton Employer - 50 % Recycled , 10 % Post Consumer Paper

A t;✓
Cc- 4,L—
4 : ^ RECEIVED
N.C. Deot of ENR
��- JUL 1 6 201
NCDENR °
Y1ins!cn•Salem
jonal
North Carolina Department of Environment and Natural Resources Rom--- Office
Division of Parks and Recreation
Beverly Eaves Perdue, Governor Lewis R. Ledford, Director Dee Freeman, Secretary
July 12, 2010
Mr. Steve Tedder
NCDENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughton Street
Winston-Salem, NC 27107
Dear Mr. Tedder,
On Friday, July 9, 2010 Haw River State Park experienced several power outages throughout the late afternoon,
into early evening. The outages were due to a truck accident on Highway 150, resulting in Duke Power having to
cut power in order to repair the damaged lines. The outages lasted anywhere from30 minutes to three hours, not
being fully restored till late Friday evening.
During this time, the waste water treatment plant went offline, and unbeknownst to the weekend staff, it never came
back on. I was notified this afternoon, Monday, July 12, at approximately 2 p.m. by Patrick Merrit, our certified
inspector with Meritech that the plant had not been running since the power outage. He turned the plant back on,
but at this point, he isn't sure what the status of the plant will be until he runs his samples over the next couple of
days. He told me that last Thursday he brought a truck in to pump out a load of sludge.
Per our permit parameters listed in Section E — Reporting Requirements, I notified your office and left a message
on your phone reporting the incident Monday at approximately 4 p.m. I am writing this letter to further explain the
incident and what we will be doing from now on to make sure this doesn't occur again. I learned from Mr. Merrit
that we have had power issues in the past, so much so that the park brought in an electrician to fix the problem. I
am a recent hire to Haw River and am not sure when that correction took place. From now on the staff will do a
daily check of the treatment plant in the mornings, seven days a week, with extra checks if there is a power outage.
I understand that you will be attending the meeting on July 20 with Robert Graham, the engineer for our Waste
Water Treatment Plant refurbishment. I look forward to meeting you at that time.
Sincerely,
Kelley Thompson
Park Superintendent
Haw River State Park
339 Conference Center Drive
Brown Summit, NC 27214
KT/ r:
1615 Mail Service Center, Raleigh, North Carolina 27699-1615
Phone: [phone] - FAX: [phone] • Internet: www.ncparks.gov
An Equal Opportunity • Affirmative Acton Employer - 50 % Recycled • 10 % Post Consumer Paper

� A
DWO Point Source Fax:[phone] Jan 'U [uiu 0:zj r.uc
State. of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management ;
512 North Salisbury Street • Raleigh, North Carolina 27604
James G, Martin, Governor
William W. Cobey, Jr., Secretary
April 3, 1992
Mr. John C. Koch, Executive Director
The Camp and Conference Center of the Episcopal Dioeese of North Carolina
P.O. Box 660
Browns Summit; North Carolina 27214
Dear W. Koch,
George T. Everett. PhD.
Director
This is to inform you of our preliuuinary findings in the proposed relocation of the discharge for the
Episcopal Camp & Conference Centex permitted by NPDES Permit #NC0046019. The Ha.Odver has limited
assimilative capacity in the area of the proposed discharge as a result of.swampy, slow -moving characteristics.
Previous analyses in this area indicate that this portion of the river may not be. able to assimilate addidonal oxygen -
consuming waste. Without further field verification and data collection, DEM would be hesitant to permit new
discharges in this area. Even if permitted, limits would refim advanced tertiary treatment. M light of these facts,
relocation of the discharge to the Haw River is not recommended by DEM.
As part of the engineering alternatives study, a cost analysis should be completed to determine the expense
of modifying the wastewater treatment facilites to meet limits of 5 mg/l (BODS),1 mg/l (NH3), and a residual
chlorine limit of 17 µgA. Non -&charge alternatives should also be considered.
If you have questions about the contents of this letter, please call Mve..Goodrich or me at [phone]
Respectfully,
vt'bu- C' awa�
Ruth C. Swanek, Supervisor
Instream Assessment Unit
cc: Steve Mauney
Vernon Harris
c/o Colonial Engineering
P.O. Box 97005
Raleigh, North Carolina 27624
Regional Offices
Asheville Fayetteville Mooresville Raleigh Washington Vril wn�
704/251-6208 919/486-1541 704/663-1699 9191733-2314 919/946-6481 919/395-3900
WjWtenSalem
919896-7007
,Pollution ,Prevention ,Pays
P.O. Box 29535, Raleigh, North. Carolina 2762.6-0535 Telephone [phone]
An Equal opoominity Af rrnazive Action Employer

uwu roini Source r3x:ylyUU/b4yb Jan ZU 'LUIU U:Z/
e
North, Carolina Division of Environmental Management.
Water Quality Section/NPDES Group
February 22, 1994
MEMORANDUM
TO: Ron Linville
FROM: Dave Goodricp
P. U1
Pye9
S;e sj j Zl2 Z/9t�
SUBJECT: Relocation of the Episcopal Diocese Discharge to the Haw lliver
NCO046019
Rockingham County
After speaking with Betsy Johnson of the Instreatn Assessment Unit; it is still our
contention that relocating this discharge to the Haw River would not serve to further
protect water quality in this sub -basin. As stated in the April 3, 1992 letter from Ruth .
Swanek to Mr. John C. Koch (Executive Director of the conference centre), the Haw River
has limited assimilative -capacity and the Instream Assessment Unit would only permit a
direct discharge to the Haw River in this area with advanced tertiary limits -- if at all.
It should be noted that there would seem to be little impetus for the facility to relocate
the outfall as well, since limits at the current discharge site would be identical to limits
given at any nearby proposed relocation to the Haw River. Please note that the attached
letter (mentioned above) outlines the situation from a modeling/permitting standpoint. If
you need any additional information, please call.
cc: Betsy Johnson (WLA File 030601)
v_

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility:
r�� Sli �� C �'� Permit/Pipe No.: y�Go1 `j eit', MondvYear / A 6 Y
/ � ark tut�TA
Parameter
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limits/ vpe DMR Value % Over Limit
7 5 ^, 7 %
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
V
Completed by: Date:
Regional Water Quality
Supervisor Signoff: Date:
�l

PV
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
4 January 2010
NC DENR, Division of Parks and Recreation
Attn: Lewis Ledford, Director
1615 Mail Service Ctr
Raleigh, NC 27699-1615
Subject: Compliance Evaluation Inspections
The Summit at Haw River State Park
Wastewater Treatment Plant, NPDES Permit NC0046019, &
Wastewater Collection System, Permit "VQCSD0225
North Carolina DENR, Division of Parks and Recreation
Rockingham County
Dear Mr. Ledford:
Ron Boone, of the Winston-Salem Regional Office (WSRO) of the NC Division of Water Quality (DWQ
or the Division), conducted compliance evaluation inspections (CEI) of the wastewater treatment plant
(WWTP) and wastewater collection system (WWCS) at The Summit at Haw River State Park, on 15
December 2009. NC DENR Division of Parks and Recreation (DPR) is authorized to operate the
WWTP under NPDES permit NCO046019 and the WWCS under deemed permit number WQCSD0225.
During the inspections Mr. Boone met with several of your staff and contractors as listed below:
- Patrick Merritt (of Meritech, Inc.), Operator in Responsible Charge (ORC) of the WWTP
- G. Robert Graham, PE, of George FinchlBoney and Associates, P.A.
- Jerry Howerton, DENR/DPR, Chief of Maintenance
- Robert Byrd, Maintenance for the Summit & Operator of the Summit's WWCS
The assistance and cooperation of these personnel in facilitating and organizing the inspections was
greatly appreciated. Although the CEIs were routine, they were also prompted in part by limit violations
that have been occurring quite regularly at the WWTP. DPR has been working with Mr. Merritt and Mr.
Graham to determine and correct the cause(s) of the numerous violations. Subsequently, Mr. Graham
requested the Division's assistance in the effort, which then prompted the inspections which were
originally scheduled for sometime in late 2010. The results of the inspections are summarized below
and checklists for each inspection are attached for your information. Mr. Merritt, Mr. Graham and Mr.
Howerton have also been sent copies of these documents.
PART I WASTEWATER TREATMENT PLANT NPDES PERMIT NCO046019
2. As you are aware, the WWTP has had some difficulty meeting its effluent permit limits over the past
several months. Numerous exceedences of permit effluent limits for ammonia, biochemical oxygen
demand, and fecal Coliform dating back to January 2007 have resulted in the Division issuing three
enforcements that total approximately $2,072, as well as four additional notices of violation. Details of
each exceedence and the Division's responses are outlined in the table below:
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarofina
Internet: www.ncwaterquality.org Naturally
J� "
atuNa l y
An Equal Opportunity 1 Affirmative Action Employer �/ `

NC DENR, Department of Parks and Recreation
Attn: Mr. Lewis Ledford, Director
Compliance Evaluation Inspections
The Summit at Haw River State Park
WWTP - NCO046091 & WWCS - WQCSD0225
4 January 2010
Page 2 of 8
DISCHARGE
DWQ
PARAMETER &
REPORTED
PERCENT
AMOUNT
REPORT
ACTION
LIMIT TYPE
LIMIT
VALUE
OVER
ASSESSED
MONTH/YEAR
LIMIT
Issued
Ammonia, Monthly
2.0 mg/I
3.5 mg/I
75
$300
07/2009
Enforcement
Average
Fecal Coliform,
LV-2009-0362
Daily Maximum
400/100ml
610/100ml
53
$200
Ammonia, Monthly
2.0 mg/I
4.66 mg/I
133
$250
Issued
Average
BOD5, Monthly
5 mg/I
6.51 mg/I
30
$250
04/2009
Enforcement
LV-2009-0230
Average
BOD5, Daily
7.5 m /I
18.4 m /I
145
$100
7.5 m /I
11.0 m /1
47
$100
Maximum
Issued Notice
03/2009
of Violation
BOD5, Daily
15.0 mg/I
19.0 mg/I
27
$0
NOV-2009-
Maximum
LV-0264
12/2008
No Action
BOD5, Daily
15.0 mg/I
15.5 mg/I
3
$0
Maximum
Fecal Coliform,
400/100ml
600/100ml
50
$100
Daily Maximum
10/2008
Issued
Enforcement
BOD5, Monthly
5.0 mg/I
7.74 mg/I
55
$250
LV-2009-0032
Average
BOD5, Daily
7.5 m /I
18.2 m /I
143
$100
7.5 m /I
13.1 m /I
75
$100
Maximum
Issued Notice
04/2008
of Violation
Ammonia, Monthly
2.0 mg/I
2.72 mg/I
36
$0
NOV-2008-
Average
LV-0329
Issued Notice
06/2007
of Violation
BOD5, Daily
7.5 mg/I
8.5 mg/I
13
$0
NOV-2007-
Maximum
LV-0437
Issued Notice
03/2007
of Violation
Ammonia, Monthly
4.0 mg/I
6.08 mg/I
52
$0
NOV-2007-
Average
LV-0540
TOTAL ASSESSMENTS (Does not include enforcement costs):
F$1,750
In addition, the Division's review of the October 2009 discharge monitoring report, which we just
recently received, revealed yet another exceedence of its BOD5 daily maximum limit. However, the
Division has not yet addressed this violation.
3. The NC0046019 permit became effective 1 May 2006 and expires on 30 April 2011. The permit
authorizes NC DENR/DPR to discharge from the Summit's WWTP through Outfall 001 to an unnamed
tributary of the Haw River, this section of which is currently classified as WS-V (water supply), NSW

R, Department of Parks and Recreation
Mr. Lewis Ledford, Director
ompliance Evaluation Inspections
Phe Summit at Haw River State Park
WTP - NCO046091 & WWCS - WQCSD0225
4 January 2010
Page 3 of 8
(nutrient sensitive) waters in the Cape Fear river basin. The plant employs an extended aeration
activated sludge process with tertiary filtration and is described in the permit as follows:
- Bar screen;
- Equalization chamber;
- Activated sludge unit;
- Surge tank;
- Clarifier;
- Sand filter;
- Sludge holding tank; and
- Effluent chlorination.
Over the years, several changes have been made to the plant, which are not reflected in the above
description. Most notably was the removal from service of the sand filter, which was reportedly done in
2006, though there were no records available during the inspection that reflect the exact date the filter
was taken out of service. A dechlorinating unit has also been added, as well as a splitter box, which
sits atop the equalization and aeration basins and contains a second bar screen. There may have
been other additions/deletions to/from the plant (i.e. surge tank) that should be reflected in the plant
description in the permit. Please be sure to update the plant description during the next permit renewal
cycle. Summit DPR personnel, as well as the Operator in Responsible Charge (ORC) of the plant,
should be aware that the permit does include certain requirements for the permittee to notify the
Division in advance of any such changes to the plant/treatment process. Failure to do so is considered
a permit violation.
WWTP SITE EVALUATION
4. Some areas/components of the plant are in need of significant repair/maintenance. Some of the
things Mr. Boone noted during the inspection, or which were brought to his attention, follow:
- According to Mr. Merritt and Mr. Graham, the bulkhead that separates the EQ basin and the aerobic
digester has developed a leak, allowing liquids on both sides of the bulkhead to equalize. Thus,
materials in the digester seep over into the EQ basin, and vice versa;
- According to Mr. Merritt, the southern sludge return line constantly clogs;
- The inside of the primary plant structure is heavily corroded, especially in the chlorine contact
chamber (probably due to a combination of both chemical and galvanic corrosion);
- The condition of the cathodic protection system attached to the plant is unknown and needs to be
verified and repaired as appropriate;
- The sand filter has been removed from service;
- There are leaks in the air lines;
- According to Mr. Merritt and Mr. Graham, the clarifier skimmer is too small and ineffective;
- Air diffusion in the aeration basin does not appear to be optimal;
- Aeration of the EQ basin contents should be improved/increased;
- The grating that covers the plant is in poor condition and should be replaced.
All of these problems must be corrected as part of the project that DPR currently has ongoing to
determine and correct the cause of the frequent permit limit violations. The Division believes all the
problems listed above, as well as some others, which are discussed later in this letter, contribute, at
least in part, to the violations. The primary items that DPR should concentrate on to best ensure the
plant is brought back into compliance are:

NC DENR, Department of Parks and Recreation
Attn: Mr. Lewis Ledford, Director
Compliance Evaluation Inspections
The Summit at Haw River State Park
WWTP - NC0046091 & WWCS - WQCSD0225
4 January 2010
Page 4 of 8
- Repair all air leaks and faulty valves and ensure a sufficient quantity and diffusion of air throughout
the entire aeration basin contents; ensure levelness of all aeration lines;
- Consider installing a dissolved oxygen (DO) meter that constantly measures the DO content of the
aeration basin and controls the aeration system to keep the DO at its optimal level;
- Ensure EQ basin contents are sufficiently stirred and aerated to help keep it fresh and prevent
solids from settling and the development of septic conditions;
- Ensure sludge is properly managed (i.e. returned, wasted and disposed) through the proper
application of the proper facilities, equipment, knowledge, experience, process control and funding;
- Repair corrosion throughout the entire plant structure and do everything necessary to prevent its
recurrence — includes properly sealing off different chambers of the plant at the bulkhead walls;
- Repair the cathodic protection system and properly maintain it in the future;
- Place the filter back in service (Mr. Graham has suggested converting the existing filter from a
downflow filter to an upflow filter with a constant wash system);
- Repair the southern sludge return line to prevent its constant clogging — Mr. Merritt has suggested
the replacement of the existing pumping system with Geyser brand pumps which he believes,
through his experience, to be more dependable;
- Redesign/upsize the clarifier skimmer;
- Repair the EQ basin aeration system;
- Repair all faulty plant grating.
WWTP DOCUMENTATION REVIEW
5. Mr. Boone reviewed plant records with Mr. Merritt during the inspection. Mr. Merritt had copies of
Discharge Monitoring Reports (DMR) that he has submitted for the plant, along with laboratory reports,
chains of custody and field parameter records. Review of the records revealed no mistakes or
transcription errors. Mr. Merritt also has a daily operational log that doubles as his plant visitation log.
It is noted, however, that increasing process control activities, and their recordation, may actually help
to improve overall plant performance, as well as assist in identifying and correcting the causes of
numerous exceedences of permit limitations. Both DPR and Mr. Merritt are strongly reminded of their
individual responsibilities with regard to the operation of the plant, in an efficient manner, in an attempt
to make it compliant with the discharge permit.
OTHER CONSIDERATIONS
6. DPR may also wish to consider the following items:
Improving/increasing process control activities and their recordation, in an effort to better manage
the plant overall, especially with regards to returning, wasting and disposing of sludge;
Performing a mass analysis of the plant; i.e. analyzing the influent to ensure that the existing plant
is properly designed to best treat the incoming flow;
Sporadic flow — The Division recognizes that due to both seasonal and demand changes
throughout the year, the plant experiences severe swings in both hydraulic and organic loading.
Therefore, as it was discussed during the inspection, DPR may wish to consider an alternative
supplementary organic feed system of some type, to aid in maintaining a viable biological
population capable of handling peak loading. Mr. Graham actually suggested a specific horse feed
that is low in fat. The disadvantage of doing this is that it is quite unscientific and the best results
are usually only obtained through experience of the operator.
We understand that DPR is already investing in a new flow meter/recorder. This will provide more
accurate flow measurement and help give DPR a better idea of the true year-round hydraulic and
organic loading at the plant.

rSpummit
artment of Parks and Recreation
Ledford, Director
oaluation Inspections
ThHaw River State Park
W46091 & WWCS - WQCSD0225
4 January 2010
Page 5 of 8
Consider grit removal; Mr. Merritt stated that the materials he removes from the clogged sludge
return line are often gritty in nature. DPR may need to consider different methods of controlling grit
coming into the plant and/or removing it from the plant once it gets there. Grit can adversely impact
aeration and sludge digestion, as well as clog pipes and damage plant equipment. If grit truly is, in
part, clogging the sludge return line, it may also be the result of a design flaw in the plant, as the
clarifier has a double hopper bottom and the southern hopper runs parallel to the influent channel of
the clarifier; it therefore naturally receives the majority of solids, both organic and inorganic, making
that hopper's return line more susceptible to clogging.
PART II, WASTEWATER COLLECTION SYSTEM, DEEMED PERMIT # WQCSD0225
7. As you are aware, owners of deemed permitted collection systems must comply with all rules listed
under NC Administrative Code 15A NCAC 02T .0400, et seq. Your compliance status with each of
these rules is summarized below:
a. 15A NCAC 02T .0403(a)(1): Requires that the system be effectively maintained and operated at all
times to prevent discharge to land or surface waters and any contravention of ground or surface
water standards.
Observations: No overflows or bypasses from the system have been reported to date and you
were otherwise found to be substantially compliant with this requirement. However, the
discrepancies noted below should be corrected as soon as possible.
Compliance Status: Compliant
b. 15A NCAC 02T .0403(a)(2): Requires that a map of the wastewater collection system be
developed and actively maintained.
Observations: Mr. Byrd has a system map that includes the necessary information. He did state
during the inspection that there is one aerial high priority line within the system that is not currently
on the map. He was informed that he should update the map to show its location. Also, attached is
a pre -inspection checklist for deemed permitted collection systems which includes more information
on the types of information that must and should be found on the collection system map.
Compliance Status: Compliant
15A NCAC 02T .0403(a)(3): Requires that an operation and maintenance (O&M) plan be
developed and implemented, which includes pump station inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response.
Observations: Mr. Byrd did not have a written O&M plan for the collection system, but had several
tools that would be considered an integral part of a good O&M plan. Mr. Byrd should add to the
plan a brief narrative about the Summit's O&M plan for its WWCS, the grease education program
and the spill program. Although on the right track, this plan should be better developed to include
the following, at a minimum:
1. Operation/maintenance/inspection schedules for lines, manholes, cleanouts, right-of-ways, high
priority sewers, pump stations, septic holding tanks, grease traps, etc., as applicable.

NC DENR, Department of Parks and Recreation
Attn: Mr. Lewis Ledford, Director
Compliance Evaluation Inspections
The Summit at Haw River State Park
WWTP - NCO046091 & WWCS - WQCSD0225
4 January 2010
Page 6 of 8
2. Spare parts inventory, if one is maintained. If no spare parts are maintained, a source of spare
parts should be identified and specified within the plan.
3. Overflow response plan that better defines points of contact with phone numbers (including
responsible parties, spill teams, contractors and reporting agencies), spill thresholds, and
response, containment, cleanup and reporting procedures.
4. It is also highly recommended that you develop and implement a system -cleaning program that
endeavors to achieve hydraulic or mechanical cleaning of the entire system at least once every
ten years.
The O&M plan must be better developed and implemented.
Compliance Status: Noncompliant
d. 15A NCAC 02T .0403(a)(4): Requires that the permittee or its representative inspect pump
stations that are not connected to a telemetry system (i.e., remote alarm system) every day (i.e.,
365 days per year) and pump stations that are connected to a telemetry system at least once per
week.
Observations: This condition does not apply because there are currently no pump stations within
the system.
Compliance Status: Not Applicable
e. 15A NCAC 02T .0403(a)(5): Requires that the permittee or its representative inspect high -priority
sewers (HIPS — as defined in 15A NCAC 02T .0402(2)) at least once every six -months and
document the inspections.
Observations: Mr. Byrd wasn't stated that the system has one aerial high priority sewer that he
knows of. The aerial is frequently viewed but not actually inspected and the viewings are not
recorded. He was informed that he should add the aerial to the system map and the O&M plan to
ensure it is inspected every six months and that the inspections must be recorded.
Compliance Status: Noncompliant
f. 15A NCAC 02T .0403(a)(6): Requires that the permittee or its representative conduct a general
observation of the entire wastewater collection system at least once per year.
Observations: Mr. Byrd stated that he believes the entire system is definitely inspected throughout
the course of the year and that all parts of the system are within common areas that are frequented
by both park employees and guests. Under these circumstances, specific records of the annual
observation would not be required, however you are reminded that parts of the system that are
remote and not normally frequented should be inspected at least annually and those inspections
should be recorded.
Compliance Status: Compliant

R, Department of Parks and Recreation
Mr. Lewis Ledford, Director
Compliance Evaluation Inspections
The Summit at Haw River State Park
WWTP - NCO046091 & WWCS - WQCSD0225
4 January 2010
Page 7 of 8
g. 15A NCAC 02T .0403(a)(7): Requires that overflows and bypasses from the system be reported to
the Division's Winston-Salem regional office in accordance with 15A NCAC 02B .0506(a), and that
public notice must be provided as required by G.S. 143-215.1 C.
Observations: There have been no spills or bypasses of the system reported to date.
Compliance Status: Compliant
h. 15A NCAC 02T .0403(a)(8)(A&C or B&Q: Requires that a grease control program be developed
and implemented as follows:
For publicly owned collection systems the grease control program shall include at least bi-
annual distribution of grease education materials for both commercial and residential users and
the legal means to require grease interceptors for new construction and, if necessary, retrofit of
grease interceptors at existing establishments. The plan shall also include legal means for
inspections of the grease interceptors, enforcement for violators and to control grease entering
the system from other public and private satellite sewer systems.
2. Grease education materials shall be distributed more often than required above if necessary to
prevent grease -related sanitary sewer overflows.
Observations: Mr. Byrd stated that there is currently one exterior grease trap that serves the
kitchen, which is pumped out about once per quarter. All park guests are transient and therefore no
training is provided to them. However, park employees are trained on proper grease disposal when
they are hired and grease flyers/posters are posted at the kitchen sinks and at the dishwasher. No
obvious problems with grease were noted during the inspections and the program appears to be
effective. The Summit must document the training of its employees on proper grease
disposal.
Compliance Status: Compliant
i. 15A NCAC 02T .0403(a)(9): Requires that right-of-ways (ROW) and easements be maintained in
the full easement width for personnel and equipment accessibility.
Observations: Mr. Byrd stated that all sewer lines are within the common areas of the park which
are already maintained on a regular basis through regular park maintenance. Mr. Boone identified
no ROWS in need of maintenance during the inspection.
Compliance Status: Compliant
j. 15A NCAC 02T .0403(a)(10): Requires that documentation be kept for all activities you undertake
to comply with the requirements of 15A NCAC 02T .0403, subparagraphs (a)(1) through (a)(9), for a
minimum of three years, with the exception of the map, which shall be maintained for the life of the
system.
Observations: Please note those paragraphs above which state that better documentation is
required.
Compliance Status: Noncompliant

NC DENR, Department of Parks and Recreation
Attn: Mr. Lewis Ledford, Director
Compliance Evaluation Inspections
The Summit at Haw River State Park
WWTP - NCO046091 & WWCS - WQCSD0225
4 January 2010
Page 8 of 8
8. INC DENR/DPR must continue to strive for compliance with both the WWTP and WWCS permits and
DWQ is happy to assist at any time. Please keep us updated on your progress with the WWTP and
with development of the WWCS O&M program. If you have any questions or concerns regarding the
inspections or this letter, please contact me or Mr. Boone at 336-771-5000.
Sincerely,
4Y Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
1. WWTP Inspection Checklist
2. WWCS Inspection Checklist
3. Pre -inspection Checklist for Deemed Permitted Collection Systems
4. Example Spill Response Plan
5. Example Inspection Log Sheets for Multiple System Components
Cc: WSRO/SWP
NPDES West Unit
Central Files
NC DENR/State Parks and Recreation
Attn: Jerry Howerton, Chief of Maintenance
1615 MSC
Raleigh, NC 27699-1615
NC DENR/State Parks and Recreation
Attn: Robert Byrd, Summit at Haw River State Park Maintenance
P.O. Box 660
Browns Summit, NC 27214
Meritech, Inc.
Attn: Pat Merritt, ORC Summit at Haw River State Park WWTP
642 Tamco Road
Reidsville, NC 27320
George FinchlBoney and Associates, P.A.
Attn: G. Robert Graham, P.E.
P.O. Box 10472
Raleigh, NC 27605

United States Environmental Protection Agency
EPAWashington, D C 20460
Water Compliance Inspection Report
Section A. National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type
1 I NI 2 151 31 N00046019 111 121 09/12/15 117 181 Cl
Remarks
2
Form Approved.
OMB No. 2040-0057
Approval expires 8-31-98
Inspector Fac Type
191 SI 201
Inspection Work Days Facility Self -Monitoring Evaluation Rating 31 QA --------------------------- meserveu--- ------------------
67 I 169 701 I 711 I 721 N I 73 L Lj 74 75I I I I I i l l 80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include Entry Time/Date Permit Effective Date
POTW name and NPDES permit Number)
06:30 AM 09/12/15 06/05/01
The Summit at Haw River State Park WWTP
Exit Time/Date Permit Expiration Date
339 Conference Center Dr'
Browns Summit NC 27214 12:30 PM 09/12/15 11/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Sue McBean,339 Conference Center Dr Browns Summit NC
27214//336-342-6163/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program ® Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s)
Ron Boone('
' r
i
Signqure of Management Q-A Reviewer
,- -4- 57ey-1e
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Agency/Office/Phone and Fax Numbers
WSRO WQ//704-663-1699 Ex.t.2202/
Agency/Office/Phone and Fax Numbers
Date
Date
Page # 1

102111x.9
3I NCO046019 I11 12
yr/mo/day Inspection Type
09/12/15 I17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

PPV
Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
■
El
Is the facility as described in the permit?
n
■
n
n
# Are there any special conditions for the permit>
n
■
n
n
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
n
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
❑
■
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
Is a copy of the current NPDES permit available on site?
■
n
n
n
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment: Please refer to the attached inspection summary letter.
Laboratory
Yes
No
NA NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
Page # 3

Permit: NC0046019
Inspection Date: 12/15/2009
44 Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Laboratory
Yes No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
n
■
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Influent Sampling
Yes
No
NA
NE
# Is composite sampling flow proportional?
n
n
■
n
Is sample collected above side streams?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
n
n
■
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Is sampling performed according to the permit?
■
❑
❑
n
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
n
n
■
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
n
n
■
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
n
■
n
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ ❑ n n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n n
Comment: Please refer to the attached inspection summary letter.
Bar Screens Yes No NA NE
Type of bar screen
a. Manual
b. Mechanical
Are the bars adequately screening debris?
■
n
Page # 4

Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Bar Screens Yes No NA NE
Is the screen free of excessive debris? ■ n Q
Is disposal of screening in compliance? ■ n n n
Is the unit in good condition? ■ In In n
Comment. Please refer to the attached inspection summary letter.
Equalization Basins Yes No NA NE
Is the basin aerated? ■ n n n
Is the basin free of bypass lines or structures to the natural environment? ■ In n In
Is the basin free of excessive grease? ■ n n n
Are all pumps present? ■ n n n
Are all pumps operable? ■ n n n
Are float controls operable? ■ n n n
Are audible and visual alarms operable? ■ n n n
# Is basin size/volume adequate? n n n ■
Comment: Please refer to the attached inspection summary letter.
Aeration Basins Yes No NA NE
Mode of operation Ext. Air
Type of aeration system Diffused
Is the basin free of dead spots? ■ n n n
Are surface aerators and mixers operational? ❑ Q ■
Are the diffusers operational? ■ n n n
Is the foam the proper color for the treatment process? ■ n f=1 ❑
Does the foam cover less than 25% of the basin's surface? n ■ n n
Is the DO level acceptable? n n n ■
Is the DO level acceptable?(1.0 to 3.0 mg/1) n n n ■
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? ■ n 00
Is the site free of excessive buildup of solids in center well of circular clarifier? ❑ n ■ ❑
Are weirs level? ■ n 00
Is the site free of weir blockage? ■ n n n
Page # 5

Permit: NC0046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park VWVTP
4
Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes No NA NE
Is the site free of evidence of short-circuiting?
■ n O
Is scum removal adequate?
■ n n n
Is the site free of excessive floating sludge?
■ n n n
n n ■ n
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
■ n n n
Is the overflow clear of excessive solids/pin floc?
■ n n n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
n n n ■
Comment: Please refer to the attached inspection summary letter.
Filtration (High Rate Tertiary)
Yes No NA NE
Down flow
Type of operation:
Is the filter media present?
n n ■ n
n n ■ o
Is the filter surface free of clogging?
n n ■ ❑
Is the filter free of growth?
Is the air scour operational?
n n ■
Is the scouring acceptable?
n o ■ n
Is the clear well free of excessive solids and filter media?
n n ■ n
Comment: Filter has been removed from service. Please refer to the attached
inspection summary letter.
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
■ n n n
Are the tablets the proper size and type?
■ n n n
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
n n n ■
Is the contact chamber free of growth, or sludge buildup?
■ n n n
Is there chlorine residual prior to de -chlorination?
n n n ■
Comment: Please refer to the attached inspection summary letter.
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
00 n ■
00 ■ n
Is storage appropriate for cylinders?
Page # 6

Permit: NCO046019 Owner - Facility: The Summit at Haw River State ParkVAA/TP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
De -chlorination
Yes No NA
NE
# Is de -chlorination substance stored away from chlorine containers?
® n n n
Are the tablets the proper size and type?
■ n n n
Comment: Please refer to the attached inspection summary letter.
Are tablet de -chlorinators operational?
■ n n
n
Number of tubes in use?
2
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Effluent
Yes No NA
NE
# Is flow meter used for reporting?
■ n n
n
Is flow meter calibrated annually?
n n ■
n
Is the flow meter operational?
■ n n
n
(If units are separated) Does the chart recorder match the flow meter?
n n ■
n
Comment: ORC uses flow gauge mounted on outlet of chlorinator to measure
instantaneous (GPM) flow.
Pump Station - Effluent
Yes No NA
NE
Is the pump wet well free of bypass lines or structures?
n n ■
n
Are all pumps present?
n n ■
n
Are all pumps operable?
n n ■
n
Are float controls operable?
n n ■
n
Is SCADA telemetry available and operational?
n ❑ ■
n
Is audible and visual alarm available and operational?
n n ■
n
Comment: Plant has pumpstation that is no longer in service. It was formerly used to
pump wastewater through the filter that has been removed from service. Now the
wastewater simply flows through the pumpstation's wetwell to the dechlorinating unit.
Please refer to the attached inspection summary letter.
Effluent Pipe
Yes No NA NE
Is right of way to the outfall properly maintained?
■ n n
n
Are the receiving water free of foam other than trace amounts and other debris?
■ n 00
If effluent (diffuser pipes are required) are they operating properly?
■ n n
n
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
■ n 00
Page # 7

Permit: NCO046019
Inspection Date: 12/15/2009
qlqOwner -Facility: The Summit at Haw River State Park VWVTP
Inspection Type: Compliance Evaluation
Pumps-RAS-WAS
Yes
No
NA
NE
Are pumps operational?
■
o
o
Cl
Are there adequate spare parts and supplies on site?
n
n
■
n
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
nnn■
Is the mixing adequate?
n
■
n
n
Is the site free of excessive foaming in the tank?
n
n
■
n
# Is the odor acceptable?
■
n
n
n
# Is tankage available for properly waste sludge?
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
n
00
Does the facility analyze process control parameters, for ex MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
n
n
n
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 8

PV
Permit: WQCSD0225
SOC:
County: Rockingham
Region: Winston-Salem
Compliance Inspection Report
Effective: 03/01/00 Expiration: Owner: NC DENR Division of Parks and Recreation
Effective: Expiration: Facility: The Summit Center Collection System.
Contact Person: Lewis Ledford
Directions to Facility:
System Classifications:
Primary ORC:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Title: Director
Certification:
Phone: [phone]
Phone:
Inspection Date: 1211512009 try Time: 08 30 AM Exit Time: 12 30 PM
Primary Inspector: Ron Boone fi Phone: [phone]
Secondary Inspectors):1 �� I �C l Ext.2202
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: ❑ Compliant ■ Not Compliant
Question Areas:
Miscellaneous Questions 0 Performance Standards Operation & Maint Reqmts ® Records
® Inspections
(See attachment summary)
Page:1

Permit: WQCSD0225 Owner - Facility: NC DENR Division of Parks and Recreation
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Inspection Summary:
Please see attached inspection summary letter.
Reason for Visit: Routine
Page:2

rry
Permit: VVQCSD0225 Owner - Facility: NC DENR Division of Parks and Recreation
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Performance Standards Yes No NA NE
1 P bt Ed tioroa o P r m f r rease established and documented? MOOD
s u is uca n g g
What educational tools are used?
Flyers/posters.
Please see attached inspection summary letter.
Is Sewer Use Ordinance/Legal Authority available?
n
n
■
o
Does it appear that the Sewer Use Ordinance is enforced?
n
n
■
n
Is Grease Trap Ordinance available?
n
n
■
n
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
n
n
■
n
List enforcement actions by permittee, if any, in the last 12 months
N/A
Has an acceptable Capital Improvement Plan (CIP) been implemented?
n
n
■
n
Does CIP address short term needs and long term \"master plant/ concepts?
n
n
■
n
Does CIP cover three to five year period?
n
n
■
n
Does CIP include Goal Statement?
n
n
■
n
Does CIP include description of project area?
n
n
'■
n
Does CIP include description of existing facilities?
n
n
■
n
Does CIP include known deficiencies?
n
n
■
n
Does CIP include forecasted future needs?
n
n
■
n
Is CIP designated only for wastewater collection and treatment?
n
n
■
n
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
N/A
Is system free of known points of bypass?
■
n
n
n
If no, describe type of bypass and location
NONE
Is a 24-hour notification sign posted at ALL pump stations?
n
n
■
n
# Does the sign include:
Instructions for notification? n n ■ n
Pump station identifier? n n ■ n
24-hour contact numbers n n ■ n
If no, list deficient pump stations
N/A
Page:3

Permit: WQCSD0225 Owner - Facility: NC DENR Division of Parks and Recreation
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA? n n In n
Number of pump stations
Number of pump stations that have SCADA
Number of pump stations that have simple telemetry
Number of pump stations that have only audible and visual alarms
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program? n ■ n n
# If yes, date implemented?
Describe:
N/A
Comment: Please see attached inspection summary letter.
Inspections
Yes
No
NA
NE
Are maintenance records for sewer lines available?
■
n
n
n
Are records available that document pump station inspections?
n
n
■
n
Are SCADA or telemetry equipped pump stations inspected at least once a week?
n
In
■
n
Are non-SCADA/telemetry equipped pump stations inspected every day?
n
n
■
n
Are records available that document citizen complaints?
n
❑
■
n
# Do you have a system to conduct an annual observation of entire system?
■
n
n
n
# Has there been an observation of remote areas in the last year?
n
n
■
n
Are records available that document inspections of high -priority lines?
n
■
n
n
Has there been visual inspections of high -priority lines in last six months?
■
n
n
n
Comment: Please see attached inspection summary letter.
Operation & Maintenance Requirements
Yes
No
NA
NE
Are all log books available?
■
n
n
n
Does supervisor review all log books on a regular basis?
■
n
n
n
Does the supervisor have plans to address documented short-term problem areas?
n
n
■
n
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
As needed.
Are maintenance records for equipment available?
■
n
n
n
Is a schedule maintained for testing emergency/standby equipment?
Cl
n
■
n
What is the schedule for testing emergency/standby equipment?
Page:4

Permit: VVQCSD0225 owner - Facility: NC DENR Division of Parks and Recreation
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do pump station logs include:
Inside and outside cleaning and debris removal? n n ■ n
Inspecting and exercising all valves? n n ■ n
Inspecting and lubricating pumps and other equipment? n n ■ n
Inspecting alarms, telemetry and auxiliary equipment? n n ■ n
Is there at least one spare pump for each pump station w/o pump reliability? n n ■ n
Are maintenance records for right-of-ways available? ■ 0 n n
Are right-of-ways currently accessible in the event of an emergency? ■ n n n
Are system cleaning records available? n n ■ n
Has at least 10% of system been cleaned annually? n n ■ n
What areas are scheduled for cleaning in the next 12 months?
Please see attached inspection summary letter.
Is a Spill Response Action Plan available? ■ n n n
Does the plan include:
24-hour contact numbers ®n In n
Response time n ■ n n
Equipment list and spare parts inventory n ■ n n
Access to cleaning equipment n ■ n n
Access to construction crews, contractors, and/or engineers ■ n n
Source of emergency funds n ■ n n
Site sanitation and cleanup materials n ■ ❑ n
Post-overflow/spill assessment ❑ ■ n n
Is a Spill Response Action Plan available for all personnel? n n n n
Is the spare parts inventory adequate? ■ n n n
Comment: Please see attached inspection summary letter.
Records Yes No NA NE
Are adequate records of all SSOs, spills and complaints available? n n ■ n
Are records of SSOs that are under the reportable threshold available? n n ■ n
Do spill records indicate repeated overflows (2 or more in 12 months) at same location? n n ■ n
If yes, is there a corrective action plan? n n ■ n
Is a map of the system available? ■ n n n
Page 5

Permit: WQCSD0225 Owner - Facility: NC DENR Division of Parks and Recreation
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
Please see attached inspection summary letter.
# Does the permittee have a copy of their permit?
Comment: System is deemed permitted. Please see attached inspection summary
letter.
n ■ n n
n■nn
■ n n n
■ n n n
n■nn
n■nn
nn■n
n n ■ n
Page:6

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The Summit, 15 Dec 2009
Met with:
1. Pat Merritt, ORC
2. G. Robert Graham, Consultant with George Finch/Roney and Associates, P.A.
3. Jerry Howerton, Chief of Maintenance for The Summit
4. Robert Byrd, Maintenance Man for The Summit
5. Dwayne Parker, Maintenance Manager for The Summit
Issues at Plant:
1. ' EQ basin recirc system
2. 'Leaks in bulkheads between plant chambers (EQ and aerobic digester)
3. 'Constant clogging of southern sludge return line
4. "Extreme corrosion of inner tank surface especially in vicinity of chlorinator
5. Filter offline — is filter simply required?
6. Sporadic flows (feast or famine — seasonal, as well as other variation)
7. Leak(s) in air line headers
8. General old age and resulting poor condition
9. Small skimmer on secondary
10. Insufficient air diffusion in aeration basin.
11. Insufficient aeration of EQ basin contents
12. 6"
Check:
1. Settleability
2. M LSS
3. Is filter required for 2/5 plant?
4. BOD vs NH3 relationship
VO' ilyt,( 2�Lf _ r� I�/�iN
{! .. � 0 4 �.o.• i:etA�tA•Gi- r:3�rr+�I�'.'��+ ���� 1 .
AST I ✓ Vio',2,0

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r
%j Q c � D �_ ).5-
15A NC C 02T .0403 PERMITTING BY REGULATION
(a) Collection systems having an actual, permitted or Division approved average daily flow less than 200,000
gallons per day are deemed permitted pursuant to Rule .0113 of this Subchapter provided the system meets
the criteria in Rule .0113 of this Subchapter and all specific criteria required in this Rule:
(1) The sewer system is effectively maintained and operated at all times to prevent discharge to
land or surface waters, and to prevent any contravention of groundwater standards or surface
water standards.
(2) A map of the sewer system has been developed and is actively maintained_
(3) An operation and maintenance plan including pump-statisn-inspection frequency, preventative
maintenance schedule, spare parts inventory and overflow response has been developed and
implemented.
(4) Pump stations that are not connected to a telemetry system (i.e., remote alarm system) are
inspected by the permittee or its representative every day (i.e., 365 days per year). Pump stations
that are connected to a telemetry system are inspected at least once per week.
(5) High -priority sewers are inspected by the permittee or its representative at least once every si>
months and inspections are documented.
(6) A general observation by the permittee or its representative of the entire sewer system is
conducted at least once per year.
(7) Overflows and bypasses are reported to the appropriate Division regional office in accordance
with 15A NCAC 02B .0506(a), and public notice is provided as required by G.S. 143-215.1 C.
(8) A Grease Control Program is in place as follows:
(A) For publicly owned collection systems, the Grease Control Program shall
include at least bi-annual distribution of educational materials for both commercial
and residential users and the legal means to require grease interceptors for new
-�,.���y construction and retrofit, if necessary, of grease interceptors at existing
i r�� �� establishments. The plan shall also include legal means for inspections of the
grease interceptors, enforcement for violators and the legal means to control
grease entering the system from other public and private satellite sewer systems.
(B) For privately owned collection systems, the Grease Control Program shall
1�..Jinclude at least bi-annual distribution of grease education materials to users of the
collection system by the permittee or its representative.
(C) Grease education materials shall be distributed more often than required in
�v'✓� Parts (A) and (B) of this Subparagraph if necessary to prevent grease -related
C"' sanitary sewer overflows.
e034,,p (9) Right-of-ways and easements are maintained in the full easement width for personnel and
jequipment accessibility.
j_c,J (10) Documentation shall be kept for Subparagraphs (a)(1) through (a)(9) of this Rule for a
,,,j b;,kL minimum of three years with exception of the map, which shall be maintained for the life of the
cti� i system.
(b) Private collection systems on a single property serving an industrial facility where the domestic wastewater
contribution is less than 200,000 gallons per day shall be deemed permitted.
(c) The Director may determine that a collection system should not be deemed to be permitted in accordance
with this Rule and Rule .0113 of this Subchapter. This determination shall be made in accordance with Rule
.0113(e) of this Subchapter.
History Note: Authority G.S. 143-215.1(a); 143-215.3(a); 143-215.913;
Eff. September 1, 2006.
n �
yam.
Sc � G> 4o' - i ' _ c �-, c, ,' - zL�t �C I/ l 5`l '- k 'f °"t-�4 / ✓ C9a� q , k v - 0,7 �j

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 I5I 31 NCO046019 I11 121 09/12/15 117 18ICI 19ISI 201
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA ------ ------------Reserved ----- ---------
67 I 169 701 I 711 I 721 NJ 73 I I 174 751 I I I I I 11 80
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:30 AM 09/12/15
06/05/01
The Summit at Haw River State Park WWTP
Exit Time/Date
Permit Expiration Date
339 Conference Center Dr
Browns Summit NC 27214
12:30 PM 09/12/15
11/04/30
Name(s) of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Sue McBean,339 Conference Center Dr Browns Summit NC Contacted
27214//336-342-6163/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES
yr/mo/day
31 NCO046019 I11 121 09/12/15 1
17
Inspection Type
18I �I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Fr
Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park VWVfP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? 00 n
Is the facility as described in the permit?,� �� r r h ap 2(0 n n
# Are there any special conditions for the permit? n n n
Is access to the plant site restricted to the general public? — n n n
Is the inspector granted access to all areas for inspection? n n n
Comment:
Record Keeping Yes No NA NE
Are records kept and maintained as required by the permit? n n n n
Is all required information readily available, complete and current? n n n n
Are all records maintained for 3 years (lab. reg. required 5 years)? n n n n
Are analytical results consistent with data reported on DMRs? n n n n
Is the chain -of -custody complete? n n n n
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration n
Dates of analysis n
Name of person performing analyses n
Transported CM
Are DMRs complete: do they include all permit parameters? n n n n
Has the facility submitted its annual compliance report to users and DWQ? 171 n n n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift? n n n n
Is the ORC visitation log available and current? WVn
n n
Is the ORC certified at grade equal to or higher than the facility classification?
9 4 9 tY �,{
Is the backup operator certified at one grade less or greater than the facility classification? CJ n n n
Is a copy of the current NPDES permit available on site? E( n n
Facility f previous 7n n n
acl ty has copy o p ev ous year's Annual Report on file for review? — —
Comment:
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? n n ❑
Page # 3

Permit: NCO046019 Owner - Facility: The Summit at Haw River State Park VWVTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Laboratory Yes No NA NE
Are all other parameters(excluding field parameters) performed by a certified lab? Mn n n
# Is the facility using a contract lab? r �QC (' l 1 /❑ o ❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
❑ EKn
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
❑ ❑ EK
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n n ram
Comment:
Influent Sampling
Yes
No NA NE
n
n I/❑
# Is composite sampling flow proportional?
❑
of/o
Is sample collected above side streams?
n
Is proper volume collected?
n
n ff/0
bin
Is the tubing clean?
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
❑ I/n
n 0 ❑
Is sampling performed according to the permit?
n
Comment:
Effluent Sampling
Yes
No NA NE
Is composite sampling flow proportional?
n
n _ n
n n ClIs
Is sample collected below all treatment units?
❑/
proper volume collected?
ICI
❑ ❑
Is the tubing clean?
n
n F�
V0
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
❑
❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
00
00
Comment:
Upstream / Downstream Sampling
Yes
No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? —
n n ❑
Comment:
Pump Station - Influent
Yes No NA E
Is the pump wet well free of bypass lines or structures?
n
n Wn
Is the wet well free of excessive grease?
n
n n
Are all pumps present?
n
n 00
Are all pumps operable?
n
n _ n
Page #
4
11

PF
Permit: NC0046019 Owner - Facility: The Summit at Haw River State Park WVVrP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Pump Station - Influent Yes No NA NE
Are float controls operable? n ❑
Is SCADA telemetry available and operational? In n n
Is audible and visual alarm available and operational? n n In
Comment:
Flow Measurement - Influent Yes No NA NE
# Is flow meter used for reporting? n n loin
Is flow meter calibrated annually? In n n
Is the flow meter operational? n n _ n
(If units are separated) Does the chart recorder match the flow meter? n In n In
Comment:
Type of bar screen T—� g Q� V 9-V�
a. a ual ��- � In
b. Mechanical / n
Are the bars adequately screening debris? rr'n n n
Is the screen free of excessive debris? n Cl
Is disposal of screening in compliance? — n n
Is the unit in good condition? n n n
Comment:
Type of grit removal
a.Manual S �- i t �, n
b. Mechanical ( e L � �` (j ,5 n
l� � bk,Y-1
Is the grit free of excessive organic matter9 f n n n n
Is the grit free of excessive odor? (j n n n n
# Is disposal of grit in compliance? In In n n
Comment:
Grease Removal Yes No NA NE
# Is automatic grease removal present? Jy� Q- n n n n
Is grease removal operating properly? n In n In
Page # 5

Permit: NCO046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Grease Removal Yes No NA NE
Comment:
Equalization Basins Yes No NA NE
Is the basin aerated? n'n n n
Is the basin free of bypass lines or structures to the natural environment? @( ❑ n n
Is the basin free of excessive grease? � • I y C) n n
Are all pumps present? r �` M�yS I r ` n
Are all pumps operable?
rn n n
Are float controls operable? le' n n n
Are audible and visual alarms operable?
E�nnn
# Is basin size/volume adequate?
nnnz/
Comment:
Aeration Basins Yes No NA NE
Mode of operation r-no,,
Type of aeration system
Is the basin free of dead spots? L 5 ?� �a Lpf n 00
Are surface aerators and mixers operational? 00
e� 0
Are the diffusers operational? (3"0 n n
Is the foam the proper color for the treatment process? fJ n n n
Does the foam cover less than 25% of the basin's surface? 060 n
Is the DO level acceptable? n n n Y
Is the DO level acceptable?(1.0 to 3.0 mg/I) l"n n n
Comment:
Secondary Clarifier Yes No NA NE
Is the clarifier free of black and odorous wastewater? � n ❑ n
Is the site free of excessive buildup of solids in center well of circular clarifier? n n 8,n
Are weirs level? d n n n
Is the site free of weir blockage? f�( n ❑ n
Is the site free of evidence of short-circuiting? [� n 00
Is scum removal adequate? n n' n n
Is the site free of excessive floating sludge? ff n n n
Page # 6
III

Permit: NCO046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park VVVVTP
Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA Nt
Is the drive unit operational?
00
d n
Is the return rate acceptable (low turbulence)?
ll;,l n
n n
Is the overflow clear of excessive solids/pin floc?
F f
n
n n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
r,i n
n n
Comment:
Sand Filters (Low rate)
Yes
No
NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
n
n
o/n
�
Is the distribution box level and watertight?
\ J�
n
n
n
Is sand filter free of ponding? °
n
n
n
Is the sand filter effluent re -circulated at a valid ratio?
n
n
n
# Is the sand filter surface free of algae or excessive vegetation?
n
n
n
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
n
In
_ n
Comment:
Disinfection -Gas
Yes
No
NA ;NE
Are cylinders secured adequately?
n
n
_ n
Are cylinders protected from direct sunlight?
n
n
_ n
Is there adequate reserve supply of disinfectant?
n
n
_ n
Is the level of chlorine residual acceptable?
n
n
In
Is the contact chamber free of growth, or sludge buildup?
n
n
n
Is there chlorine residual prior to de -chlorination?
n
n
n
Does the Stationary Source have more than 2500 Ibs of Chlorine (CAS No. 7782-50-5)?
n
n
n
If yes, then is there a Risk Management Plan on site?
n
n
n
If yes, then what is the EPA twelve digit ID Number? (1000- -___)
If yes, then when was the RMP last updated?
Comment:
Disinfection -Liquid
Yes
No
NA NE
Is there adequate reserve supply of disinfectant?
n
n
mAn
(Sodium Hypochlorite) Is pump feed system operational?
n
n
n
Is bulk storage tank containment area adequate? (free of leaks/open drains)
n
n
n
Is the level of chlorine residual acceptable?
n
n
_ n
Page # 7

Permit: NC0046019 Owner - Facility: The Summit at Haw River State Park VVWTP
Inspection Date: 12/15/2009 Inspection Type: Compliance Evaluation
Disinfection -Liquid
Yes No NA NE
Is the contact chamber free of growth, or sludge buildup?
n ❑ ❑
Is there chlorine residual prior to de -chlorination?
n n n
Comment:
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
m n n n
Are the tablets the proper size and type?
rf n n n
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
n ❑ n
0'/n n n
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
n n n M/
Comment:
De -chlorination
Yes No NA NE
`�9
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
M n n n
Is storage appropriate for cylinders?
n n r/n
Izin n ❑
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
E� n n n
ln� n n n
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment:
Flow Measurement - Effluent r
Yes No NA NE
# Is flow meter used for reporting?
a(6
ri n n nnn
Is flow meter calibrated annually? I ���
n In — n
c�
0/ n Do
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
n n gr/n
Comment:
Pump Station - Effluent
Yes No NA NE
ri/ n
Is the pump wet well free of bypass lines or structures?
n n
il n
Are all pumps present?
n n
Page # 8

Permit: NC0046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park VWVfP
Inspection Type: Compliance Evaluation
Pump Station - Effluent
Yes No NA NE
Are all pumps operable?
n
n
n
Are float controls operable?
n
n
n
Is SCADA telemetry available and operational?
n
n
n
Is audible and visual alarm available and operational?
n
n
Q n
Comment:
Effluent Pipe
Yes No
NA NE
Is right of way to the outfall properly maintained?
P✓ nn
n n
Are the receiving water free of foam other than trace amounts and other debris?
�70
n n
If effluent (diffuser pipes are required) are they operating properly? %�
l
l�' n
n n
1
Comment:
Pumps-RAS-WAS
Yes No
NA NE
Are pumps in place? A1,�
t
r_� n
n n
Are pumps operational?
rv( n
n n
l�n
Are there adequate spare parts and supplies on site?
n n
Comment:
Aerobic Digester
Yes No
NA NE
Is the capacity adequate? S I /l� W-' i? J V"
r�
n n
n r�l'
Is the mixing adequate? / a
�1 f �1 !vCcv1 C Lo` G� ID�"L2j %
n n
P(n
Is the site free of excessive foaming in the tank? q / / s , n �1 �J�
n n
n n
# Is the odor acceptable?
# Is tankage available for properly waste sludge?
rr/n
n n
Comment:
Standby Power
Yes No
NA NE
Is automatically activated standby power available?
n n
vr/n
Is the generator tested by interrupting primary power source?
n n
n
Is the generator tested under load?
n n
n
Was generator tested & operational during the inspection?
n n
n
Do the generator(s) have adequate capacity to operate the entire wastewater site?
n n
r i n
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
In n
r i n
Is the generator fuel level monitored?
n n
0 n
# 9

Permit: NCO046019
Inspection Date: 12/15/2009
Owner - Facility: The Summit at Haw River State Park WWTP
Inspection Type: Compliance Evaluation
Standby Power Yes No NA NE
Comment:
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ion ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Seettleable Sol al-1, DO, Sludge
Judge, and other that are applicable?
Comment:
Page # 10

Regional Office
K�
RECEIVED !
N.C. Deot of ENR I
OCT 0 2 2009
Winston-Salem
�
INIFAA
NCDENR
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins Dee Freeman
Governor Director Secretary
September 25, 2009
Lewis Ledford, Director
NCDENR Division of Parks & Recreation
1615 Mail Service Center
Raleigh, North Carolina 27699-1615
Subject: Notification of Jordan Lake Nutrient Requirements
NPDES Permit NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr. Ledford:
Governor Bev Perdue recently signed legislation to complete passage of rules for the Jordan Lake
Nutrient Management Strategy. The Strategy includes a Wastewater Discharge rule (T15A NCAC 02B
.0270) that applies to your wastewater treatment facility. Pursuant to Sub -Item (6)(d) of the rule, I am
writing to notify you of the nutrient allocations assigned to your facility.
This letter addresses only certain provisions of the Jordan Lake Wastewater Discharge rule. I encourage
you *to familiarize yourself with the remainder of this rule.
Nutrient Allocations. The Wastewater Discharge rule establishes the maximum loads of nitrogen and
phosphorus that can be released from wastewater treatment facilities into the Jordan Lake watershed.
The rule provides that these wasteload allocations are to be divided among the existing facilities in
proportion to (with specific exceptions) their 2001 permitted flows. It also provides that facilities
permitted to discharge 100,000 gpd or more are to receive nitrogen and phosphorus limits equivalent to
their individual allocations.
Your facility has been assigned nitrogen and phosphorus allocations. The allocations are expressed as
annual mass loadings delivered to the lake. Due to foreseeable losses between the discharge point and
the lake, they are also expressed as the equivalent discharge loads at the point of discharge. The
delivered and the corresponding discharge allocations assigned to your facility are as follows:
NCO046019 Delivered Allocation Transport Discharge Allocation
(lb/yr) Factor (%) (lb/yr)
Total Nitrogen 252 46 548
Total Phosphorus 37 41 91
2001 Permitted Flow: 0.015 MGD
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org �aturallt�
An Equal Opportunity 1 Affirmative Action Employer
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org �aturallt�
An Equal Opportunity 1 Affirmative Action Employer

Lewis Ledford, Director
Notification of Jordan Lake Nutrient Requirements
September 25, 2009
Nutrient Limits. Your facility will not receive new nutrient limits at this time. However, any nutrient
limits already in your NPDES permit will remain in effect.
If the facilities permitted for less than 100,000 gpd, as a group, approach their allocations for nitrogen
or phosphorus, the Division will consider whether nutrient limits are necessary to protect water quality
at that time. In the event that nutrient limits become necessary, the limits would equal your facility's
discharge allocations.
Nutrient Trading. The rule provides that, when one utility connects to another, the allocations held by
the closing facility are transferred to the remaining facility. The rule also provides for the trading of
allocations among dischargers within each of the major Jordan subwatersheds. Be sure to consult with
the Division's NPDES staff before you consider selling allocation: transactions can have profound
implications for your facility and its permit.
If you have any questions regarding these allocations, please contact me at [phone] or at
mike. [e-mail].
Sincerely,
A�&
Coleen H. Sullins
J
cc: Jonathan M. Frederick - 339 Conference Center Dr, Browns Summit, NC 27214
Winston-Salem Regional Office
NDPES Files
Central Files
2

AG��L)
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
NCDENR Division of Parks & Recreation
Attn: Lewis Ledford, Director
The Summit at Haw River State Park
1615 Mail Service Ctr
Raleigh, NC 27699-1615
Division of Water Quality
Coleen H. Sullins
Director
June 16, 2009
Subject: NOTICE OF VIOLATION, NOV-2009-LV-0264
Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr. Ledford:
Dee Freeman
Secretary
A review of The Summit at Haw River State Park WWTP's monitoring report for March 2009 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Biochemical Oxygen Demand
03/10/2009
15 mg/1
19 mg/1
Daily Max
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: S WP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterqual4.org
Nne
orthCarolina
;aturallY
An Equal opportunity l Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: /11a IJUTP Permit/Pipe No.: -,160/ vD Month/Year o3 o
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit LimJffvpe DMR Value % Over Limit
a�..7%
Monitoring, Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Ir n _ I.,
Completed by.
Regional Water Quality
Supervisor Signoff:
i,-,�
N1✓
/tzc%C 1,1-
Date: 6 Z1,5
Date: 4- 1 G— d f

1 iJ.0 !)eot. of Eye;
�( 2 S 209
Winston-Salem
Regional Office
EFFLUENT
loop)
NPDES PERMIT NO. N C- Uy `t by 1 -A DISCHARGE NO. '" Oj MONTH r VAK YEAR .2 W" i
FACILITY NAME L A42e An w we Giak rcrlC CLASS D. COUNTY lZec Kl�
CERTIFIED LABORATORY (1) i" I Zr i } t t, t CERTIFICATION NO. b 5
(list additional laboratories on the backside/page 2 of tjiis form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) M`'k �At cri N GRADE a CERTIFICATION NO.
PERSON(S) COLLECTING SAMPLES_ ORC PHONE 3310 3 ?'i-14e
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to: DwM�
ATTN: CENTRAL FILES x g a d O C-1 �� A O
DIVISION OF WATER QUALITY (SIGNATU OF OY TOR IN RESPONSIBLE CHARGE) (DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS MAY 14
e0E0•,9,`,
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO TILE BEST OF MY KNOWLEDGE. ��iN
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
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ENTER PARAMETER CODE ABOVE
NAME AND UNITS BF,LOR'
EFF ,0
IN ❑
q
❑uv
duinfcrtion
[IRS
[IRS
F/WN
MGD
O C
UNITS
UG/L
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MG/L
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#/IOOML
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MG/L
1
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14.0 1
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Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements F
(including weekly averages, if applicable)
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements 571
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially
threatens public health or the environment. Any information shall be provided orally within 24 hours from the time the
permittee became aware of the circumstances. A written submission shall also be provided within 5 days of the time the
permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for
improvements to be made as required by Part ILE.6 of the NPDES permit.
"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 managed the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belies; true, accurate, and
complete. I am aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations_"
Permittee Address
uA►v R%okr Sjk Nc
Permittee (Please print or type)
Signature o ermitte * Date
(Required unless submitted eleconiwlly)
Phone Number e-mail address
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3)
Certification No.
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No.
PARAMETER CODES
Permit Expiration Date
Parameter Code assistance may be obtained by calling the NPDES Unit at [phone] or by visiting the Surface
Water Protection Section's web site at h2o.enr.state.nc.us/wos and linking to the unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge c '��and, as a: there are no data to be
entered for all of the parameters on the DMR for the entireM Mtor�g `
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC SG .0204.
*"Signature of Perm ittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
Pilo- with tho- ctato- no-r 1 SA VrAr 7R n5M(hV'7VM

Permit Enforcement History by Owner
06/15/09
1
Owner: NCDENR Division of Parks & Recreation
Facility: The Summit at Haw River State Park VWVfP
Permit: NCO046019
Region: Winston-Salem County: Rockingham
Penalty Remission Enf EMC EMC OAH Collection Has
Assessment Penalty Enforcemen Request Enf Conf Remission Hearing Remission Remission Memo Sent Pmt Case
Case Number MR Approved Amount t Costs Damages Received Held Amount Held Amount Amount to AGO Total Paid Balance Due Plan Closed
LR-1990-0165
03/21/90
$150.00
$.00 $.00 04/10/90 06/06/90 $.00 $.00
$150.00
$.00
No
07/05/90
LR-1996-0018
01/01/96
No
01/14/97
LV-2002-0619
8-2002
11/25/02
$500.00
$99.00
$599.00
$.00
No
03/08/05
LV-2004-0448
6-2004
09/13/04
$100.00
$97.00
$197.00
$.00
No
10/06/04
LV-2004-0501
7-2004
10/08/04
$250.00
$97.00
$347.00
$.00
No
10/28/04
LV-2006-0323
6-2006
08/28/06
$450.00
$104.00 09/27/06 12/29/06 $450.00
$104.00
$.00
No
01/12/07
LV-2006-0374
7-2006
10/03/06
$600.00
$104.00 11/03/06 12/29/06 $600.00
$104.00
$.00
No
01/12/07
LV-2009-0032
,10-2008
02/04/09
$550.00
$106.80
$656.80
$.00
No
03/17/09
Total Cases: 8
$2,600.00
$607.80
$2,157.80
$.00
Total Penalties: $3,207.80 Total Penalties after remission(s): $2,157.80

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 06/15/09
Page I of 1
Permit: nr,904+6019
MRs Between: 3-2008
and 2-2009
Region: Winston-Salem
Violation Category: I_iniit
Violation Program Category: NPDES %�10/
Facility Name: °/,
Param Name: %
County: Rockingham
Subbasin`. %
Violation Action:
Major Minor:
PERMIT: NCO046019
FACILITY: NCDENR Division of Parks & Recreation - The Summit at
COUNTY: Rockingham REGION: Winston-Salem
Haw River State Park WWTP
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT VALUE
VIOLATION TYPE
VIOLATION ACTION
+ 10 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
10/09/08
Weekly
mg/I
7.5 13.1
Daily Maximum Exceeded
Proceed to
Enforcement Case
[phone]
Effluent
BOD, 5-Day (20 Deg. C)
10/30/08
Weekly
mg/I
7.5 18.2
Daily Maximum Exceeded
Proceed to
Enforcement Case
4�10 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
10/31/08
Weekly
mg/I
5 7.74
Monthly Average Exceeded
Proceed to
Enforcement Case
12 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
12/11/08
Weekly
mg/I
15 15.5
Daily Maximum Exceeded
No Action, BPJ
[phone]
Effluent
Coliform, Fecal MF, M-FC
10/30/08
Weekly
#/100ml
400 600
Daily Maximum Exceeded
Proceed to
Broth,44.5C
Enforcement Case
04 -2008 001
Effluent
Nitrogen, Ammonia Total (as
04/30/08
Weekly
mg/I
2 2.72
Monthly Average Exceeded
Proceed to NOV

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
July 11, 2008
Lewis Ledford, Director
NCDENR Division of Parks & Recreation
1615 Mail Service Ctr
Raleigh, NC 27699-1615
Subject: NOTICE OF VIOLATION
NOV-2008-LV-0329
NPDES Permit No. NCO046019
The Summit at Haw River State Park WWTP
Rockingham County
Dear Mr. Ledford:
Coleen H. Sullins, Director
Division of Water Quality
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7008-015 0-0002- 8342-1962
A review of The Summit at Haw River State Park WWTP's monitoring report for April 2008 showed
the following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
04/30/08
2 mg/l
2.72 mg/1
Monthly
(as N)
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action
by the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Mr. Ron Boone at [phone].
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Cc: Central Files - SWP
WSRO
N.C. Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 [phone]
NNaoe Carolina
turally
Customer Service
1(800) 623-7748
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Cover Sheet from
_ Staff Member to
0 3�4egional Supervisor
DAIR Review Record
Facility: 'Au lwPermit/PipeNo.: AICI"fLQ S Month/YYear
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
2 .?. `7 �), 31- 21
Weekly/Daily Violations
Date Parameter Permit Limit/I'vpe DNIR Value % Over Limit
Monitoring Frequency Violations
Date Parameter . Permit Frequency - Values Reported # of Violations
Other Violations /I n
5'¢ a
Completed by: iC . 'k, Z-A—
Regional Water Quality
Supervisor Signoff:
Date: 0Z1,,9Lai
Date: —2 /l /0 O

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 07/09/08 Page 1 of 1
Permit: nc0046019
MRs Between: 4 2007 and 3-2008
Region: Winston-Salem
Violation Category: Limit Violation Program Category: NPDES VWV
Facility Name: %
Param Name: %
County: Rockingham
Subbasin: % Violation Action: %
Major Minor: %
PERMIT: NCO046019
FACILITY: NCDENR Division of Parks & Recreation - The Summit at
COUNTY: Rockingham REGION: Winston-Salem
Haw River State Park WWTP
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER DATE FREQUENCY
MEASURE
LIMIT VALUE VIOLATION TYPE VIOLATION ACTION
06 -2007 001 Effluent
BOD, 5-Day (20 Deg. C) 06/19/07 Weekly
mg/I
7.5 8.5 Daily Maximum Exceeded Proceed to NOV

pppppp- OA
E ENT NN rr
NPDES PERMIT NO. NC 0 0 4 6 01 9 DISCHARGE NO. 001 J U4W00 { YEAR ?0()G
FACILITY NAMEThp Summit 1 CLASS TT COUN
OPERATOR IN RESPONSIBLE CHARGE (ORC) Patrick e r r i t GRADE II PHONE _(3 3) 3 4 2- 4 7 4 8
CERTIFIED LABORATORIES (1) (2)
CHECK BOX IF ORC HAS C7Regio
N( COLL C G SAMPLES Patrick Merritt
eot. of ENR
Mail ORIGINAL and ONE nn 51� 6��ATTN: CENTRAL FILES3 ZOO lDIVISION OF WATER QUALITSIGN URE OF OP ATO RESPONSIBLE CHARGE] NO
TE
1617 MAIL SERVICE CENTER n•Salem By THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 al`G"fice TE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
50050
F00010
00400
50060
00310
00610
L22f2O
L31616
00300
00600
00665
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ENTER PAI
NAME
EFF.JR
INFO
.aH
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❑ MG/L
B/N
MGD
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UNITS
UG/L
MG/L
MG/L
MG/L
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MG/L
MG/L
MG/L
I:BSEite�t�>�EISd.R1ESarxY•-•,•�l�ftb���.:dllFsl
t
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DWQ Form MR-1 (01/00)

Cover Sheet from
Member to
LU —03 2-'IRegionaal Supervisor
DNIR Review Record
Facility: `Au /�14Permit/Pipe No.: ICE fb 61 5 Month/Year a�
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
AIW-3 a �?. _7 ;X 34.'U
Weekly/Daily Violations
Date Parameter Permit Limitfl'vpe DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter . Permit Freguency Values Reported # of Violations
Other Violations
Completed by: j . "--
Regional Water Quality
Supervisor Signoff:
Date:
Date:

MERITECH, INC. �
ENVIRONMENTAL LABOR
A Division of Water Technology and
Riz%,&,'E:: IVE D
M AY 12 2009
Annual Performance RQ[WN R , WATER QUALITY
Haw RiverDecember
ParkP4SOURCE BRANCHYear January 1, — ecember
b � yeet. of ENR
MAY 15 2M
I. General Information Ronion.l Office
Facility/System Name: Haw River State Park WWTP
Responsible Entity: Sue McBean 339 Conference Center Dr., Brown
Summit, N.C. 27214
Person in Charge/Contact: Sue McBean
Applicable Permit(s): WWTP NCO046019
Description of Collection System or Treatment Process:
A Grade II Wastewater treatment plant consisting of an activated sludge basin and a
clarifier treats waste that is collected throughout the facility by a collection system.
II. Performance
Text Summary of System Performance for Year 2008:
The systems both operated with no bypasses or system overflows.
There was one permit limit violation for the year:
April, monthly NH3 violation.
Oct, daily BOD violation.
Dec. daily BOD violation.

III. Notification
A copy of this report will be made available to all system users.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the
best of my knowledge. I further certify that this report has been made
available to the users or customers of the named system and that those users
have been notified of its availability.
Responsible Person:
itle:
Date:

Cover Sheet from
Staff Member to
Regional Supervisor
II 'r DMR Review Record
Facility: io�r�t �al�f Permit/Pipe No.: Month/Year b�
Monthly Average Violations
Parameter Permit Limit DMR Value
Weekly/Daily Violations
% Over Limit
Date Parameter Permit L t/Tv e DMR Value % Over Limit
t7), i )i N�Ax
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Violations
fl I
Completed by: ��zf' Date:
Regional Water Quality ? C
Supervisor SiQnoff: Date: > d 7

EFFLUENT
NPDES PERMIT NO._ NC 0 4 6 01 FACILITY NAME�'he St,mm; {- DISCHARGE NO. -_QQ1-- MONTH e YEAR r�
OPERATOR IN RESPONSIBLE CHARTY
GE (ORC) Patrick Me rr i t SSGRADE TN
CERTIFIED LABORATO PHONE_ (3 3 - 4 7 4 8
-
CHECK BOX IF ORC HAS HANGWA, D_ NR P ,R (2)
ei)(S) CO TING SAMPLES_ Patric,:
Mail ORIGINAL and O COP ((��(�QQ p t1
ATTN. CENTRAL FILES FEB 2 2WOEB 0 2Oaq�
DIVISION OF WATER UAL (SIG ATURE OF O ERATOR'I RESPONSIBLE CHARGE) DATE
Q Y Winston- alem
1617 MAIL SERVICE CENTE Regional ice
IS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY rcNnwr Fnr_>.
DWQ Form MR-1 (01/00) 1 U ML

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements F-1
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 fines and imprisonment for knowing violations."
Thleumrnit
Permits a (Piese print or e)
� slag
Signaturel
(Required)
P.O. Box 660 Brown Summit, NC 27214 [phone]
Permittee Address Phone Number Permit Exp. Date
00010 Temperature 00556
00076
Turbidity
00600
00080
Color (Pt -Co)
0061,0
00082
Color (ADMI)
00625
00095
Conductivity
00630
00300
Dissolved Oxygen
00310
BOD5
00665
00340
COD
00720
00400
pH
00745
00530
Total Suspended
OQ927
Residue
00929
00545
Settleable Matter
00940
PARAMETER CODES
Oil & Grease
00951
Total Fluoride
Total Nitrogen
01002
Total Arsenic
Ammonia Nitrogen
Total Kjeldhal
01027
Cadmium
Nitrogen
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
Total Phosphorous
Cyanide
Total Sulfide
Total Magnesium
Total Sodium
Total Chloride
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
50060 Total
Residual
Chlorine
01147 Total Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
01037
Total Cobalt
34235 Benzene
01042
Copper
34481 Toluene
01045
Iron
38260 MBAS
01051
Lead
39516 PCBs
01062
Molybdenum
50050 Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
** If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

Permit Enforcement History by Owner
03/12/09
1
Owner: NCDENR Division of Parks & Recreation
Facility: The Summit at Haw River State Park WVVfP
Permit: NCO046019
Region: Winston-Salem County: Rockingham
Penalty
Remission
Enf EMC
EMC OAH Collection
Has
Assessment Penalty Enforcemen
Request
Enf Conf
Remission Hearing
Remission Remission Memo Sent
Pmt
Case
Case Number MR Approved Amount t Costs Damages
Received
Held
Amount Held
Amount Amount to AGO Total Paid
Balance Due
Plan
Closed
LR-1990-0165 03/21/90 $150.00 $.00 $.00
04/10/90
06/06/90
$.00
$.00 $150.00
$.00
No
07/05/90
LR-1996-0018 01/01/96
No
01/14/97
LV-2002-0619 8-2002 11/25/02 $500.00 $99.00
$599.00
$.00
No
03/08/05
LV-2004-0448 6-2004 09/13/04 $100.00 $97.00
$197.00
$.00
No
10/06/04
LV-2004-0501 7-2004 10/08/04 $250.00 $97.00
$347.00
$.00
No
10/28/04
LV-2006-0323 6-2006 08/28/06 $450.00 $104.00
09/27/06
12/29/06
$450.00
$104.00
$.00
No
01/12/07
LV-2006-0374 7-2006 10/03/06 $600.00 $104.00
11/03/06
12/29/06
$600.00
$104.00
$.00
No
01/12/07
LV-2009-0032 10-2008 02/04/09 $550.00 $106.80
$656.80
No
Total Cases: 8 $2,600.00 $607.80
$1,501.00
$656.80
Total Penalties: $3,207.80
Total Penalties after remission(s):
$2,157.80

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 03/12/09
Page 1 of 1
Permit:
MRs Between: -
and -
Region: Winston-Salen!
Violation Category: yo
Program Category:
Facility Name:
Param Name:
County: %
Subbasin: ,/o
Violation Action:
Major Minor:
PERMIT: NCO046019
FACILITY: NCDENR Division of Parks & Recreation - The Summit at
COUNTY: Rockingham REGION: Winston-Salem
Haw River State Park WWTP
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT VALUE
VIOLATION TYPE
VIOLATION ACTION
10 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
10/09/08
Weekly
mg/I
7.5 13.1
Daily Maximum Exceeded
Proceed to
Enforcement Case
10 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
10/30/08
Weekly
mg/I
7.5 18.2
Daily Maximum Exceeded
Proceed to
Enforcement Case
10 -2008 001
Effluent
BOD, 5-Day (20 Deg. C)
10/31/08
Weekly
mg/I
5 7.74
Monthly Average Exceeded
Proceed to
Enforcement Case
10 -2008 001
Effluent
Coliform, Fecal MF, M-FC
10/30/08
Weekly
#/100ml
400 600
Daily Maximum Exceeded
Proceed to
Broth,44.5C
Enforcement Case
04 -2008 001
Effluent
Nitrogen, Ammonia Total (as
04/30/08
Weekly
mg/I
2 2.72
Monthly Average Exceeded
Proceed to NOV

PPFV
RECEIVED f
N.C. Deot. of ENR
MAY 0 6 2008
RZ
MERITECH
INC.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
Annual Performance Report
Haw River State Park
Year January 1, — December 31, 2007 MAY 5 200$�
I
I. General Information
Facility/System Name: Haw River State Park WW17P
Responsible Entity: Sue McBean 339 Conference Center Dr., Brown
Summit, N.C. 27214
Person in Charge/Contact. Sue McBean
Applicable Permit(s): WWTP NCO046019
Description of Collection System or Treatment Process:
A Grade II Wastewater treatment plant consisting of an activated sludge basin and a
clarifier treats waste that is collected throughout the facility by a collection system.
II. Performance
Text Summary of System Performance for Year 2007:
The systems both operated with no bypasses or system overflows.
There was one permit timit violation for the year:
March, monthly NH3 violation (6.0 mg/1)

FFV
III. Notification
A copy of this report will be made available to all system users.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the
best of my knowledge. I further certify that this report has been made
available to the users or customers of the named system and that those users
have been notified of its availability.
Responsible Person:
Title:
Date:

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Ms. Erin Lawrence, Engineering Supv
NC Division of Parks & Recreation
1615 Mail Service Center
Raleigh, NC 27699-1615
A. Signature
X
B.
Is delivery address different from ite?tf
If YES, enter delivery address below:
SEP 2011
❑ Agent
❑ Addressef
ate of Del'v r)
Yes
El N
3. Service TyV64
11'V'�
U-6rtified Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7009 2250 0004 1083 6104 llS Nnu-it
:IS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154

UNITED STATES POSTAL SERVICE
First -Class Mail
Postage & Fees Paid
USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NCDENR - Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Lewis Ledford, Director
NCDENR-Parks & Recreation
1615 Mail Service Center
Raleigh, NC 27699-1615
k`C dO ,1b/ f
A. SignatureQ v �+D v E�VE A
Agent X ` �ddresse
B. fived by (Printed Name) C. Date o elivei
I if -1 " '
D. Is delivery address et re i m 1? ❑ Yes
f YES, enter delivery address below: ❑ No
SERVICE CE
3.���Ssss,,,ervice Type
Wl Certified Mail ❑ Express Mail
�` Registered 19 Return Receipt for Merchandis
ElInsured Mail C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
7008 0150 0002 8342 1962 "TO A)OV-FL
PS Form 3811, February 2004 Domestic Return Receipt '%- /O A Q ,4Zi 102595-02-M-15,

UNITED STATES POSTAL SERVICE
First-Class.Mail
Postage & Fees Paid
USPS
Permit No, G-10
• Sender: Please print your name, address, and ZIP+4 in this box'
NCDENR- Water Quality Section
Wl>-X- &01.)U
S8S Waughtown Street
Winston-Salem, NC 27107
1„1111111Ilia lI II,I,II III,II,If IIIIII,II IIIIIIIIIIIIIIIJI I III