NC0055271_Regional Office Historical File Pre 2016

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
July 13, 2015
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF DEFICIENCY (Case # NOD-2015-LV-0059)
Shields Mobile Home Park WWTP
NPDES Permit No. NC0055271
Alamance County
Dear Mr. Shields:
A review of the Discharge Monitoring Report (DMR) for the month of April 2015 revealed the following
violation of permit limits:
Parameter
Date
Limit Value
Reported Value
Violation Type
_Dissolved Oxygen
April 16, 2015
> 6 mg/I
5.7 mg/I
Daily Miniumum
Not Reached
Please take corrective actions to ensure that this deficiency does not occur again. Unresolved or
repeated deficiencies may lead to the issuance of a Notice of Violation and/or assessments of civil
penalties. If you have any questions or require any additional information, please contact Jenny Graznak
or me at [phone].
Cc: WSRO
Central Files
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] Intemet: www,ncwater.org
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

11
EFFLUENT
NPDES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH April YEAR 2015
FACILITY NAME Shields M-H-P
CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC)
James M. Carson GRADE 2 SHONE [phone]
CERTIFIED LABORATORIES (1) Meritech, Inc # 165 (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED
PERSON(S) COLLECTING SAMPLES James M. Carson Th.-A-�
IV
Mail ORIGINAL and ONE COPY to:?";% .,
1 p�
! O � 0 4
ATTN: CENTRAL FILES
S 2
15
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DIV. OF WATER QUALITY MAY
^. � rd
DEHNR ��)� RA (;/:
IGNAT R F OPERAT R IN ESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER DVVR ACT)
I
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ENTER PARAMETER CODE ABOVE
RALEIGH. NC 27699-1617/
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
NAME AND UNITS BELOW
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DEM Form MR-1 (12193) Forms Dy CSemSW(/07)8840845;p/n11158;v5.24;1/1/2000;s/n111583152

NPDESNO
FACILITY NAME
STREAM
NC 0055271 DISCHARGE NO 001 MONTH Apr-15
Shields H-M-P COUNTY Alamance
Travis creek STREAM Travis creek
LOCATION Bridge 87 N Elon LOCATION 100 feet below discharge
Upstream
Downstream
DEM Form MR-3 (12/93) Farts by Ctwu0W( QM64-0845;pM11158;v5.24;lllrA 0;s/nl 1 l583152

DMR Review Record
k
PCity: 1 �is Permit No.: 55�2� ( Pipe No.: MonthNear: �S
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit Action
Weekiv/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
Other Violations/Staff Remarks:
supervisor Remarks:
KI)--1166-bl-Oo5(1
Completed by:� �� lam' lU�-►�
U
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign f
Off: - '/�j.��p I 1��'t-
Date: -71-�, a d 5
Date:
Date: cj L �j I

pppppp, ��A
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 26, 2015
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, NC 27244
Subject: Compliance Evaluation Inspection
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
Donald R. van der Vaart
Secretary
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Shields Mobile Home
Park WWTP in Alamance County on June 25, 2015. Mike Carson, Operator in Responsible Charge (ORC),
was present for the inspection. This type of inspection consists of two basic parts: an in -office review of
facility files and self -monitoring data and an on -site inspection of the facility. This particular inspection
evaluated nine (9) areas, and observations from each area are addressed below:
1 Permit
The permit became effective June 1, 2011 and expires May 31, 2016. A copy of the current permit was
available for review during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from January 2014 through March 2015 showed no
limit violations. All monitoring appears to have been performed per the frequencies specified in the
permit.
3. Laboratory
Mr. Carson visits the plant weekly and tests the following field parameters: pH, dissolved oxygen, and
temperature. Mr. Carson's field parameter certification number is 5195. Calibration records for Mr.
Carson's meters are maintained with records and reports. According to records, you are performing the
second temperature reading of the week. Meritech, Inc. analyzes all other parameters for the facility:
BOD, Total Suspended Solids, Ammonia, Fecal Coliform, Total Nitrogen, and Total Phosphorus.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the
meter on the mobile home park's well (incoming water).
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncwater.org
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

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5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service removes sludge from the septic tanks approximately every 6 months.
Records of this service were available for review during the inspection. The last pump -outs occurred in
October 2014 and June 2015.
6. Operations and Maintenance
No problems were noted with respect to operation and maintenance at the facility. A resident in the
mobile home park blows leaves, pulls weeds, and rakes the sand bed once per week. A portable
generator is available to operate all three pumps at the plant in case of power failure. Back -Up ORC is
Richard Ray, Grade I.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent
goes back to head of the plant, while the other half is sent to the UV system then to discharge. The UV
system appears to be working properly. Chlorine tablets are maintained on site in the event that the UV
system fails.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit. DMRs
include all permit parameters. Copies of the monitoring reports and corresponding lab data were
available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving stream
is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable solids.
Please refer to the attached report for specific details from the inspection. If you have any questions
concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
Sherri V. Knight, P.E.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: WSRO
Central Files

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 IN 1 2 15 I 3 I NCO055271 I11 12 15/06/25 17 18L,.j 19I G j 20I I
21111111 111111111111111111 1111111 11111111111 r6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 131 QA -----------Reserved --- --------
67 70IJ 71 I I 72 I N I 73I 1 I 174 751 I I I I I I I80
LJ I
Section 6: 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)
12:15PM 15/06/25
11/06/01
Shields Mobile Home Park
1355 NC Hwy 87 N
Exit Time/Date
Permit Expiration Date
Elon College NC 27244
01:OOPM 15/06/25
16/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
James M. Carson/ORC/336-578-3264/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244//336-584-6209/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit E Flow Measurement 0 Operations & Maintenance Records/Reports
Self -Monitoring Program N Sludge Handling Disposal 0 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
Jennifer F Graznak p WSRO WQH336-771-5000/ r i
Vr 5
Y
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#

NPDES yr/mo/day Inspection Type (Cont.) 1
31 NCO055271 I11 12 15/06/25 17 18 I C
Section D: Summary of Finding/Comments (Attach additionalsheetsof narrative and checklists as necessary)
1. Permit
The permit became effective June 1, 2011 and expires May 31, 2016. A copy of the current permit was
available for review during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from January 2014 through March 2015 showed no limit
violations. All monitoring appears to have been performed per the frequencies specified in the permit.
3. Laboratory
Mr. Carson visits the plant weekly and tests the following field parameters: pH, dissolved oxygen, and
temperature. Mr. Carson's field parameter certification number is 5195. Calibration records for Mr.
Carson's meters are maintained with records and reports. According to records, you are performing
the second temperature reading of the week. Meritech, Inc. analyzes all other parameters for the
facility: BOD, Total Suspended Solids, Ammonia, Fecal Coliform, Total Nitrogen, and Total
Phosphorus.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the
meter on the mobile home park's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service removes sludge from the septic tanks approximately every 6 months.
Records of this service were available for review during the inspection. The last pump -outs occurred
in October 2014 and June 2015.
6. Operations and Maintenance
No problems were noted with respect to operation and maintenance at the facility. A resident in the
mobile home park blows leaves, pulls weeds, and rakes the sand bed once per week. A portable
generator is available to operate all three pumps at the plant in case of power failure. Back -Up ORC is
Richard Ray, Grade I.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent
goes back to head of the plant, while the other half is sent to the UV system then to discharge. The UV
system appears to be working properly. Chlorine tablets are maintained on site in the event that the UV
system fails.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab data
were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving stream
is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable solids.
Page#

PP-ppppp-
Permit: NCO055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 06/25/2015 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? N ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
❑
M
❑
❑
Is access to the plant site restricted to the general public?
M
❑
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
Comment: The permit became effective June 1, 2011 and expires May 31, 2016.
Record Keepinq
Yes No NA NE
Are records kept and maintained as required by the permit?
N
❑
❑
❑
Is all required information readily available, complete and current?
N
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
E
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
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?
E
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
N
❑
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
0
❑
on each shift?
Is the ORC visitation log available and current?
E
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
0
❑
❑
❑
Page# 3

Permit: NCO055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 06/25/2015 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ❑ ❑ 0 ❑
Comment:
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ 0 ❑
Comment:
Disinfection - UV
Yes No NA NE
Are extra UV bulbs available on site?
0
❑
❑
❑
Are UV bulbs clean?
0
❑
❑
❑
Is UV intensity adequate?
0
❑
❑
❑
Is transmittance at or above designed level?
0
❑
❑
❑
Is there a backup system on site?
0
❑
❑
❑
Is effluent clear and free of solids?
0
❑
❑
❑
Comment:
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
0
❑
❑
❑
Is the distribution box level and watertight?
N
❑
❑
❑
Is sand filter free of ponding?
0
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
N
❑
❑
❑
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
0
❑
❑
❑
Comment:
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑ 0
❑
Is sample collected below all treatment units?
0
❑ ❑
❑
Is proper volume collected?
N
❑ ❑
❑
Is the tubing clean?
❑
❑ E
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
0
❑ ❑
❑
Celsius)?
Page#
4

PWT-10JS.,. Permit No.; Nc0o55c)"71 Pipe No.:
Monthly Average Violations
Parameter Permit Limit DMR Value
MonthlYear: �O 1S1
% Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations/Staff Remarks:
I h Oas-J 1 --) w5
N oD -R,- 4fvi l ao1 s — 404�
Supervisor Remarks:
Completed by: Date: �� S
Assistant Regional r` Y' ++
Supervisor Sign Off: Date: 1 a S
Regional Supervisor Sign
Off: Date:
Action
Action
Action

11 EFFLUENT
NPDES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH April YEAR 2015
FACILITY NAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 SHONE [phone]
CERTIFIED LABORATORIES (1) Meritech, Inc # 165 (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson li hA S
�4
Mail ORIGINAL and ONE COPY to i C." ;�. V
ATTN: CENTRAL FILES
DIV. OF WATER QUALITYMAY 8 2 15
DEHNR CEO i RAi Fe1//'
ES/ (81GNAT R F OPERAT R IN'RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
I�V}aR j��T� ENTER AND S BELOW
RUN UNITS
RAI_FIGH NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE NAME
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DEM Font MR-1 (12/93) Forms by ChemSW(707)864-0845;p/n11158;v5.24;1/1I2DOO;s/n111583152

7--
EFFLUENT I
NPDES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH May YEAR 2015
FACILITY NAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 SHONE [phone]
CERTIFIED LABORATORIES (1) Meritech, Inc # 165 (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson Zntl
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES fv-G� / -`
DIV. OF WATER QUALITY N `f � C
DEHNR i� 11 ' ( NA URE OF OPERATOR rq RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER
L/BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ENTER PARAMETER CODE ABOVE
RALEIGH, NC 27699-1617
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
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DEM Form MR-1 (12/93) Fortes by CheM8W(707)884-0845;p/n11158;v5.24;1/112000;s/n111583152

NCDENR
xth Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Pat McCrory Thomas A. Reeder John E. Skvada, III
Governor Director Secretary
March 21, 2014
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, NC 27244
Subject: Compliance Evaluation Inspection
NPDES Permit No. NC0055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Shields
Mobile Home Park VVWTP in Alamance County on March 13, 2014. Mike Carson, Operator in
Responsible Charge (ORC), was present for the inspection. This type of inspection consists of two
basic parts: an in -office review of facility files and self -monitoring data and an on -site inspection of
the facility. This particular inspection evaluated nine (9) areas, and observations from each area are
addressed below:
1. Permit
The permit became effective June 1, 2011 and expires May 31, 2016. A copy of the current permit
was available for review during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from November 2012 through November 2013
showed no limit violations. All monitoring appears to have been performed per the frequencies
specified in the permit; however, flow was inadvertently left off the monitoring report once in August
and once in October.
3. Laboratory
Mr. Carson visits the plant weekly and samples for the following field parameters: pH, dissolved
oxygen, and temperature. Mr. Carson's field parameter certification number is 5195. Calibration
records for Mr. Carson's meters are maintained with records and reports. You perform the second
temperature reading of the week. Meritech, Inc. analyzes all other parameters for the facility: BOD,
Total Suspended Solids, Ammonia, Fecal Coliform, Total Nitrogen, and Total Phosphorus.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the
meter on the mobile home park's well (incoming water).
North Carolina Division of Water Resources, 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.ncwater.org �/ �'Jahmal/b
An Equal Opportunity 1 Affirmative Action Employer K`

5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service removes sludge from the septic tanks approxima
months. Records of this service were available for review during the inspection. The last pump -out
occurred on February 10, 2014. .
6. Operations and Maintenance
The sand bed appeared green and discolored on the day of the inspection, much different than how
it has looked in the past at this facility. A resident of the mobile home park blows leaves, pulls
weeds, and rakes the sand bed. Please make sure the sand bed is raked regularly to avoid algae
and excessive vegetation on the surface.
A portable generator is available to operate the pumps at the plant in case of power failure. Back -Up
ORC is Richard Ray, Grade I.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent
goes back to head of the plant, while the other half is sent to the UV system then to discharge. The
UV system appears to be working properly. Chlorine tablets are maintained on site in the event that
the UV system fails.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab data
were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable
solids.
Please refer to the attached report for specific details from the inspection. If you have any
questions concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
�w r. k�bI
Sherri V. Knight, P.E.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: WSRO
Central Files

United States Environmental Protection Agency
Form Approved.
WA 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 NI 2 I3 I NC0055271 111 12I 14/03/13 117 181 C I 19I S I 20I II
Remarks
21111111111111IIII IIII IIIIIIII IIIIIIII IIIIIIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
67 I 169 70131 71 U 72 I N I 73 W 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)
Shields Mobile Home Park
02:45 PM 14/03/13
11/06/01
Exit Time/Date
Permit Expiration Date
1355 NC Hwy 87 N
Elon College NC 27244
03:30 PM 14/03/13
16/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
James M. Carson/ORC/336-578-3264/
Richard Leroy Ray/ORC/336-578-3264/
Name, Address of Responsible Officialf'Fitle/Phone and Fax Number
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244//336-584-6209/ Contacted
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 Find in/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
Jennifer F Graznak WSRO WQ//336-771-5000/
I JJEA
3/a
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 Inspection Type
3I NC0055271 I11 12, 14/03/13 I17 18UC
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists ...... ,.,.,,,
1. Permit
The permit became effective June 1, 2011 and expires May 31, 2016. A copy of the current permit was
available for review during the inspection.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from November 2012 through November 2013 showed no
limit violations. All monitoring appears to have been performed per the frequencies specified in the permit;
however, flow was inadvertently left off the monitoring report once in August and once in October.
3. Laboratory
Mr. Carson visits the plant weekly and samples for the following field parameters: pH, dissolved oxygen,
and temperature. Mr. Carson's field parameter certification number is 5195. Calibration records for Mr.
Carson's meters are maintained with records and reports. You perform the second temperature reading of
the week. Meritech, Inc. analyzes all other parameters for the facility: BOD, Total Suspended Solids,
Ammonia, Fecal Coliform, Total Nitrogen, and Total Phosphorus.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the meter on
the mobile home park's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service removes sludge from the septic tanks approximately every 6 months.
Records of this service were available for review during the inspection. The last pump -out occurred on
February 10, 2014. .
6. Operations and Maintenance
The sand bed appeared green and discolored on the day of the inspection, much different than how it has
looked in the past at this facility. A resident of the mobile home park blows leaves, pulls weeds, and rakes
the sand bed. Please make sure the sand bed is raked regularly to avoid algae and excessive vegetation on
the surface.
A portable generator is available to operate the pumps at the plant in case of power failure. Back -Up ORC is
Richard Ray, Grade I.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent goes
back to head of the plant, while the other half is sent to the UV system then to discharge. The UV system
appears to be working properly. Chlorine tablets are maintained on site in the event that the UV system
fails.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit. DMRs
Page # 2

NC0055271
Date: 03/13/2014
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
include all permit parameters. Copies of the monitoring reports and corresponding lab data were available
for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving stream is
Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable solids.
Page # 3

Permit: NCO055271
Inspection Date: 03/13/2014
Owner - Facility: Shields Mobile Home Paris
Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
Q
Q
Q
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ❑
Q
■
Q
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
n
■
Q
Is the facility as described in the permit?
■
Q
❑
Q
# Are there any special conditions for the permit?
Q
■
Q
O
Is access to the plant site restricted to the general public?
■
n
n
n
Is the inspector granted access to all areas for inspection?
Comment: The permit became effective June 1, 2011 and expires May 31, 2016.
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?
Yes No NA NE
■❑00
■D00
■000
■000
■nnn
■
Page # 4

F&rmit: NC0055271
Date: 03/13/2014
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Record Keeping
Facility has copy of previous year's Annual Report on file for review?
Comment:
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:
Flow Measurement - Effluent
# 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: The permit requires weekly instantaneous flow measurement. Effluent flow
is estimated using the meter on the mobile home park's well (incoming water).
Disinfection - UV
Are extra UV bulbs available on site?
Are UV bulbs clean?
Is UV intensity adequate?
Is transmittance at or above designed level?
Is there a backup system on site?
Is effluent clear and free of solids?
Comment: Chlorine tablets are available on site.
Standby Power I
Is automatically activated standby power available?
Is the generator tested by interrupting primary power source?
Is the generator tested under load?
Was generator tested & operational during the inspection?
Do the generator(s) have adequate capacity to operate the entire wastewater site?
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
Is the generator fuel level monitored?
Yes No NA NE
Yes No NA NE
0000
■ ❑ ❑ ❑
❑ ❑ ■ ❑
Yes No NA NE
n■nn
❑ ❑ ■ ❑
nn■o
0 0 E 0
Yes No NA NE
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
n■nn
n■nn
■ ❑ ❑ ❑
❑ ■ ❑ ❑
■nnn
Page # 5

Permit: NC0055271
Inspection Date: 03/13/2014
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Standby Power Yes No NA NE
Comment: A small generator is maintained on site in the event of power outage.
However, it was noted that without electricity to operate the well, little to no wastewater
would be generated.
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free of ponding?
Is the sand filter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
Comment: The sand bed appeared green and discolored on the day of the inspection,
much different than how it has looked in the past at this facility.
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)?
Yes No NA NE
■npp
■❑D0
■nnn
■nnn
p■np
■000
Yes No NA NE
nn■n
■nnn
■000
0 0 N 0
■nnn
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ Q U
Comment: Samples are placed on ice in cooler after collection.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ D
Comment:
Page # 6

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 02/21/14 Page: 1 of 1
PERMIT: NCO055271 FACILITY: Jerry L Shields - Shields Mobile Home Park COUNTY: Alamance REGION: Winston-Salem
Monitoring Violation
MONITORING OUTFALL / VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE % OVER LIMIT VIOLATION TYPE VIOLATION ACTION
08 -2013 001 Effluent Flow, in conduit or thru 08/03/13 Weekly mgd Frequency Violation No Action, Facility
treatment plant Reporting Error
10 -2013 001 Effluent Flow, in conduit or thru 10/05/13 Weekly mgd Frequency Violation No Action, Facility
treatment plant Reporting Error

NCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Pat McCrory Charles Wakild. P. E.
Governor Director
5195
Mr. James M. Carson
Carson's
1356 St. Regis Dr.
Burlington, NC 27217-
Resources
John E. Skvarla. III
Secretary
RECEIVED
February 5, 2013 N.C. Dept. of ENR
FEB 0 8 2013
Subject: Inspection Report Corrective Action
Dear Mr. Carson:
Winston-Salem
Regional Office
Your correspondence, received January 8 and February 1, 2013, concerning corrective actions
taken in response to the laboratory inspection performed on October 24, 2012 has been
reviewed. The quality control measures, taken in reference to the Findings cited in the
November 5, 2012 inspection report are acceptable. Please continue to follow all approved
methods, rules and regulations.
Thank you again for your cooperation during the inspection. Contact us at 919-733-3908 Ext.
249 if you have any questions or need additional information regarding our requirements.
Sincerely,
,r1J�o,
Jeffrey R. Adams
Certification Auditor
Laboratory Section
cc: Gary Francies
Winston Salem Regional Office
DENR DVVO Laboratory Sectior NC Wastewater.!Groundwater Laboratory Certifwatior &arch
1623 Mail Service Center Raleigh North Carolina 27699-1623
Location 4405 Reedy Creek Road. Raleigh. North Carolina 27607-6445
Phone: [phone]! FAX [phone]
Internet www.dwglab mg
One
NorthCarolina
6/1'ahlrally

PV �Ey
NCDEENR
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
January 18, 2013
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: Compliance Evaluation Inspection
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
Jenny Graznak and Aana Taylor -Smith of this office performed a Compliance Evaluation
Inspection at the Shields Mobile Home Park WWTP in Alamance County on January 16, 2013. Mike
Carson, Operator in Responsible Charge (ORC), was present for the inspection. This type of
inspection consists of two basic parts: an in -office review of facility files and self -monitoring data and
an on -site inspection of the facility. This particular inspection evaluated nine (9) areas, and
observations from each area are addressed below:
1. Permit
The new permit became effective June 1, 2011 and expires May 31, 2016.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from November 2011 through October 2012 showed
no limit violations. All monitoring was performed per the frequencies specified in the permit except
that Temperature was missing from the Discharge Monitoring Report on the week of October 27 —
November 6, 2012. This deficiency was addressed in previous correspondence from this office.
3. Laboratory
Mr. Carson visits the plant once per week and performs the following field parameters: pH, dissolved
oxygen, and temperature. Mr. Carson's field parameter certification number is 5195. The dissolved
oxygen and pH meters are routinely calibrated, and the calibration records are maintained with the
facility files. Meritech, Inc. analyzes all other parameters for the facility: BOD, Total Suspended
Solids, Ammonia, Fecal Coliform, Total Nitrogen, and Total Phosphorus. Mr. Shields visits the plant
on a weekly basis to perform the second temperature reading of the week.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the
meter on the mobile home park's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides sludge disposal for the facility. The facility's septic tanks
are emptied approximately every 6 months. Records of this service (copies of invoices) were
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 Naturally
An Equal Opportunity 1 Affirmative Action Employer

available for review during the inspection. The last pump -outs occurred on March 19 and November
19, 2012.
6. Operations and Maintenance
No problems were noted with respect to operation and maintenance at the facility. A resident in the
mobile home park blows leaves, pulls weeds, and rakes the sand bed twice per week. A portable
generator is available to operate all three pumps at the plant in case of power failure.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent
goes back to head of the plant, while the other half is sent to the chlorinator, then to discharge. The
UV system appears to be working properly. Chlorine tablets are maintained on site in case the UV
system fails for some reason.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab data
were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable
solids.
The facility was found to be in compliance with NPDES Permit No. NC0055271. Please refer
to the attached report for specific details from the inspection. If you have any questions concerning
this report, please contact Ms. Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Surface Water Protection Section
Regional Supervisor
cc: SWP — WSRO
SWP — Central Files

P V
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 I N I 2 1 5 I 3 I NCO055271 111 12I 13/01/16 117 181 C I 19I c I 201!J I
!J LJ J U
Remarks
211111111111111111111111111111111111111111JIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------ ------------------- Reserved ------- --- -----
67I 169 70 U 3 71 Ij 72 LI 73 LU 74 75I 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)
02:30 PM 13/01/16
11/06/01
Shields Mobile Home Park
Exit Time/Date
Permit Expiration Date
1355 NC Hwy 87 N
Elon College NC 27244
03:30 PM 13/01/16
16/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
///
James M. Carson/ORC/336-578-3264/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244//336-584-6209/ 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
Jennifer F Graznak WSRO WQ//336-771-5000/
?.14 4�
Signatur2&f Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
41'a
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO055271
Inspection Date: 01/16/2013
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH; DO, Sludge ❑ ❑ ■ ❑
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA NE
(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: The new permit became effective June 1, 2011 and expires May 31, 2016.
Record Keeping
Yes
No
NA NE
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?
■
❑
❑ ❑
Page # 4

PPermit: NCO055271
pInspoectionDate: 01/16/2015
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Record Keeping
Facility has copy of previous year's Annual Report on file for review?
Comment: Please note that annual report requirements were recently amended to
only require annual reports for systems with an annual average flow greater than
200,000 gpd.
Effluent Pipe
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:
Disinfection - UV
Are extra UV bulbs available on site?
Are UV bulbs clean?
Is UV intensity adequate?
Is transmittance at or above designed level?
Is there a backup system on site?
Is effluent clear and free of solids?
Comment: Chlorine tablets are maintained on site in case the UV system fails.
Septic Tank
(If pumps are used) Is an audible and visual alarm operational?
Is septic tank pumped on a schedule?
Are pumps or syphons operating properly?
Are high and low water alarms operating properly?
Comment: Pee-Wee's Septic Tank Service provides sludge disposal approximately
every 6 months.
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free of ponding?
Is the sand filter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
Yes No NA NE
■ ❑ ❑ ❑
Yes No NA NE
Yes No NA NE
Yes No NA NE
Yes No NA NE
■ ❑ ❑ ❑
■❑❑❑
■❑❑❑
■❑❑❑
■ ❑ ❑ ❑
Page # 5

Permit: NCO055271
Inspection Date: 01/16/2013
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Sand Filters (Low rate) Yes No NA NE
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1) ■ 0 ❑ Q
Comment: A resident in the mobile home park blows leaves, pulls weeds, and rakes
the sand bed twice per week.
Effluent Sampling
Yes
No NA
NE
Is composite sampling flow proportional?
❑
❑ ■
Q
Is sample collected below all treatment units?
■
fl ❑
Is proper volume collected?
■
0 Q
Q
Is the tubing clean?
❑
Q ■
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Q
Q ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■
Comment:
Upstream / Downstream Sampling
Yes
No NA
NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ❑ 0 O Q
Comment:
Page # 6

PPPPP'P_
4
NWENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
March 15, 2012
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF DEFICIENCY — NOVEMBER 2011
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the November 2011 Discharge Monitoring Report (DMR) revealed a violation of the
following parameter(s):
Parameter
Date
Reported Value
Reporting Requirement
Temperature
EOct. 27 — Nov. 6
One
2 x Week
Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this violation is
due to a transcription error, and certifiable data are available to rectify the noncompliance, we ask
that you please submit an amended DMR(s) to the Division of Water Quality by April 1, 2012. Send
copies of the amended report to:
Central Files and Winston-Salem Regional Office
Division of Water Quality Division of Water Quality
1617 Mail Service Center 585 Waughtown Street
Raleigh, NC 27699-1617 Winston-Salem, NC 27107
Unresolved violations may lead to the issuance of a Notice of Violation and/or assessments of civil
penalties. Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each
violation. Any efforts undertaken to bring the facility back into compliance are not an admission of
culpability. Your above -mentioned response to this correspondence, the degree and extent of harm
to the environment, and the duration and gravity of the violation(s) will be considered in any future
actions undertaken. Should you have any questions, please contact Jenny Graznak or me at (336)
771-5000.
Sincerely,
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 1 Affirmative Action Employer
W. Corey Basinger
Surface Water Protection Regional Supervisor
None
rthCarolina
NaAmallry

cc: Central Files — SWP
WSRO — SWP

PPPPPFP,
Cover Sheet from
Staff Member to
Regional Supervisor
DTNIR Review Record
rcrnutfPi e No.: Mfs5 a� Montlh/Year
Facility:C d l 2C�
Monthly Average Violations
Parameter
Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter
Permit L'unit�I vDe DMR value °10 Over Limit -------------
Monitoring Frequency Violations
Date Parameter Permit Freauencv Values Re orted # of Violations-101 1 --a��
Other ViolatiOns
Date:
Completed by:
Regional Water Quality Date: $ �Z
�cl
Super�'isor Signoff:
Ivy

NCOOSS271
Monitoring Violation
Shields Mobile Home Park
onitor orator
Report Report£nvironmentat Environmental Limit Calculated Percent
�Volation Type �Year Month #tnterest Name Interest Number Parameter Desc Violation Date Pre uenc (Unit of Me Value Value Over
Degrees
Violation r rr D-• Centigrade -
Alleghany

NCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild, P.E.
Governor Director
January 24, 2012
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Resources
Dee Freeman
Secretary
Subject: Compliance Evaluation Inspection — NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP — Alamance County
Dear Mr. Shields:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Shields
Mobile Home Park WWTP in Alamance County on January 18, 2012. Mike Carson, Operator in
Responsible Charge (ORC), was present for the inspection. This type of inspection consists of
two basic parts: an in -office review of facility files and self -monitoring data and an on -site
inspection of the facility. This particular inspection evaluated nine (9) areas, and observations
from each area are addressed below:
1. Permit
The new permit became effective June 1, 2011 and expires May 31, 2016. This new permit
does not include any significant changes from the previous permit.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from November 2010 through October 2011
showed no limit violations. All monitoring was performed per the frequencies specified in the
permit except that Flow was missing from the Discharge Monitoring Report on the week of
February 25 through March 6, 2011.
3. Laboratory
Mr. Carson visits the plant once per week and performs the following field parameters: pH,
dissolved oxygen, and temperature. Mr. Carson's field parameter certification number is 5195.
The dissolved oxygen and pH meters are routinely calibrated, and the calibration records are
maintained with the facility files. Temperature is recorded with the dissolved oxygen meter, and
proof of annual verification was provided during the inspection. The thermometer was last
verified on June 22, 2011. Tritest, Inc. analyzes all other parameters for the facility: BOD, Total
Suspended Solids, Ammonia, Fecal Coliform, Total Nitrogen, and Total Phosphorus. Mr.
Shields visits the plant on a weekly basis to perform the second temperature reading of the
week.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using
the meter on the mobile home park's well (incoming water).
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 Awmally
An Equal Opportunity 1 Affirmative Action Employer

5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides sludge disposal for the facility. The facility's septic
tanks are emptied approximately every 6 months. Records of this service (copies of invoices)
were available for review during the inspection. The last pump -out occurred on August 11, 2011
when 6,000 gallons were removed.
6. Operations and Maintenance
No problems were noted with respect to operation and maintenance at the facility. A resident in
the mobile home park blows leaves, pulls weeds, and rakes the sand bed twice per week. A
portable generator is available to operate all three pumps for the plant in case of power failure.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of
effluent goes back to headworks of the plant, while the other half is sent to the chlorinator, then
to discharge. The UV system appears to be working properly. Chlorine tablets are maintained
on site in case the UV system fails for some reason. Since the operator is not adding chlorine
to the system, Total Residual Chlorine is not being sampled.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab
data were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no
traceable solids.
The facility was found to be in compliance with NPDES Permit No. NC0055271. Please
refer to the attached report for specific details from the inspection. If you have any questions
concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Surface Water Protection Section
Regional Supervisor
cc: SWP — WSRO
SWP — Central Files

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 I N I 2 151 31 NCO055271 111 121 12/01/18 117 18I C I 19I S I 20I I
Remarks
211 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 1 1 1 1 1 1 1 I]-]"
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ------------------ --
67I 169 70131 71 I I 721 NJ 73 L1J 74 711 I I I I I Li
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)
12:00 PM 12/01/18
11/06/01
Shields Mobile Home Park
Exit Time/Date
Permit Expiration Date
1355 NC Hwy 87 N
Elon College NC 27244
01:00 PM 12/01/18
16/05/31
Name(s) of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s)
Other Facility Data
James M. Carson/ORC/336-578-3264/
Jerry L Shields//910-584-6209 /
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244H336-584-6209/
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
Jennifer F Graznak WSRO WQ//336-771-5000/
?4A,q
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
kcDfi�1L- Q, A ode,. 7�•L
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 01/18/2012 Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
■ ❑
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:
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n n ■ n
Is the facility as described in the permit?
■ n n n
# Are there any special conditions for the permit?
n ■ n O
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: The new permit became effective June 1, 2011 and expires May 31, 2016.
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 Q
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 Cl 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 n ■ n
Is the ORC visitation log available and current?
■ n n Cl
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 n
Is a copy of the current NPDES permit available on site?
■ n n n
Page # 4

ppppppp-
Permit: NC0055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 01/18/2012 Inspection Type: Compliance Evaluation
Record Keeping
Yes No
NA
Nt
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment:
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
n
n
If effluent (diffuser pipes are required) are they operating properly?
n
In
■
n
Comment:
Flow Measurement - Effluent
Yes No
NA
NE
# Is flow meter used for reporting?
o
■
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: Effluent flow is estimated using the meter on the mobile home park's well
(incoming water).
Disinfection - UV
Yes No
NA
NE
Are extra UV bulbs available on site?
■
n
n
n
Are UV bulbs clean?
■
n
n
n
Is UV intensity adequate?
■
n
n
❑
Is transmittance at or above designed level?
■
n
n
n
Is there a backup system on site?
■
n
n
n
Is effluent clear and free of solids?
■
n
n
n
Comment:
Standby Power
Yes
No
NA
NE
Is automatically activated standby power available?
n
■
n
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
n
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
n
■
n
n
Is the generator fuel level monitored?
■
n
Cl
n
Page # 5

Permit: NCO055271 Owner -Facility: Shields Mobile Home Park
Inspection Date: 01/18/2012 Inspection Type: Compliance Evaluation
Standby Power
Yes No
NA
NE
Comment: A portable generator is available to operate all three pumps for the plant in
case of power failure.
Septic Tank
Yes No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?
■
n
0
n
Is septic tank pumped on a schedule?
■
n
n
n
Are pumps or syphons operating properly?
■
n
n
n
Are high and low water alarms operating properly?
■
n
n
n
Comment: The last pump -out occurred on August 11, 2011 when 6,000 gallons were
removed.
Laboratory
Yes No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
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: ORC visits the plant once per week and performs the following field
parameters: pH, dissolved oxygen, and temperature.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
Q
n
■
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
Q
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 0 n
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:
Page # 6

pry
AR
Am
jph��.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
June 14, 2011
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: Notice of Violation —Monitoring Violations (MARCH 2O11)
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the self -monitoring report for the month of March 2011 revealed the following violation of
permit monitoring requirements:
Parameter
Required Monitoring
Frequency
Actual Monitoring Frequency
Flow
Weekly
None from Feb 25 — Mar 6
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 subject you to enforcement
action by this Division with the possible assessment of civil penalties of up to $25,000 per day per
violation. Should you have any questions, please contact Jenny Graznak or me at [phone].
Sincerely,
E
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
WSRO — SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: 336-771A6301 Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
Nne
orthCarohna
Aatura!!ff
An Equal Opportunity 1 Affirmative Action Employer

PV
Cover Sheet from
Staff Member to
Regional Supervisor
D IR Review
Record
cj I
Facility: J�ietAs M
Permit/Pipe No.:
)- 7
MontWYear
Parameter
Date Parameter
Monthly Average Violations
Permit Limit DMR Value Over Limit
Weekly/Daily Violations
Permit LimitTrype DNIR Value % Over Limit
Monitoring Frequency Violations
D to Parameter Permit Frequency Values Reported # of Violations
Other Violations
t 2.cAALL)r-e (MVI - a" 2 X wet_
Completed by: c,�y��r �1(�Z-NO�i _ Date: 3
Regional Water Quality
Supervisor Signoff: Date:
Mj

EFFLUENT
PS PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH March YEAR 2011
LITY NAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 -HONE [phone]
CERTIFIED LABORATORIES (1) Tirtest (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV. OF WATER QUALITY
DEHNR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
IGNA URE OF OPERAT RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
DATE
. •
•
•
•
•
•
• •
•• •:•
NAMA-W UNq4,13ELOW
•
1 1 1.
DEM Form MR-1 (12193) Fo-sby ChemSW(707)864-0845.p/n11158:v5.24:1/1/2000:s/n111583152

7D0Z- ZZl/-0 nova �� / "/ 7s4j/p jj
j
EFFLUENT
ES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH February YEAR 2011
FACILITY NAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 'HONE [phone]
CERTIFIED LABORATORIES (1) Tirtest (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES �
DIV OF WATER QUALITY MAR � !I ZOij
DEHNR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
($rGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
, BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
i,
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE I11 -
®ENTER
•
PARAMETER
NAME AND UNITS BELOW •:•
DEM Form MR-1 (12/93) Fortes by ChemSW(707)884-0845,p1n11158;v5.24;1/12000;s1n111583152

A iA
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Jerry L. Shields, owner
1341 NC Hwy 87 N
Elon NC 27244
Subject: NOTICE OF VIOLATION
NOV-2011-MV-0088
Permit No. NCO055271
Shields Mobile Home Park
Alamance County
Dear Mr Shields:
Division of Water Quality
Coleen H. Sullins
Director
May 2, 2011
Dee Freeman
Secretary
A review of Shields Mobile Home Park's monitoring report for January 2011 showed the following violations:
Parameter
Date
Measuring Frequency
Violation
Temperature, Water Deg. Centigrade
01/08/11
2 X/week
Failure to Monitor 2X
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that these violations of your NPDES permit, and any additional violation of State law, could
result in enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Jenifer Carter 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: mnn+w.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarofina
NatumlIff
Ao Equai Opportunity 1, Afrirmaiive .action Empicyer

NOV /;,oil 4v- 000
DNIR Review Record
Cover Sheet from
Staff Member to
Regional Supervisor
Facility: Zi Q 05 Permit/Pipe No.: (D5�27/ Month/Year J o?D
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Urnit/Tvpe DMR Value % Over Limit
Monitoring Frequency Violations
Dat Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: �Q�` Date:
Regional Water Quality
Zoo
Supervisor Signoff: Date: ��L
t� V
i

pppppp�
A,rJ1;A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
October 29, 2010
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: Compliance Evaluation Inspection — NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP — Alamance County
Dear Mr. Shields:
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Shields
Mobile Home Park WWTP in Alamance County on October 27, 2010. Mike Carson, Operator in
Responsible Charge (ORC), was present for the inspection. This type of inspection consists of
two basic parts: an in -office review of facility files and self -monitoring data and an on -site
inspection of the facility. This particular inspection evaluated nine (9) areas, and observations
from each area are addressed below:
1. Permit
The new permit became effective June 1, 2006 and expires May 31, 2011. If you haven't
already, you should be receiving information regarding permit renewal soon.
2. Self -Monitoring Program
A review of the self -monitoring data submitted for the period August 2009 through July 2010 showed
that all parameters were sampled and analyzed per the requirements of the permit. In regards to
compliance with effluent limits, there was one violation of the monthly Ammonia limit in January 2010
and one violation of the daily minimum requirement for Dissolved Oxygen in June 2010. These
violations were addressed in a previous correspondence from this office.
3. Laboratory
Operators perform the following field parameters at the plant: pH, dissolved oxygen, and
temperature. The dissolved oxygen and pH meters are routinely calibrated, and the calibration
records are maintained with the facility files. Temperature is recorded with the dissolved oxygen
meter, and proof of annual verification was provided during the inspection. The thermometer
was last verified on June 25, 2010. Mr. Carson's field parameter certification number is 5195.
Tritest, Inc. analyzes all other parameters for the facility.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using
the meter on the mobile home park's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides
tanks are emptied approximately every 6
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
An Equal Opportunity 1 Affirmative Action Employer
sludge disposal for the facility. The facility's septic
months. Records of this service (copies of invoices)
NorthCarolina
Naturally

were available for review during the inspection. The last pump -outs occurred on March 10,
2010 and October 14, 2010.
6. Operations and Maintenance
No major problems were noted with respect to operation and maintenance at the facility. Mike
Lindley, a resident in the mobile home park, has been hired to rake the sand beds on a weekly
basis. A portable generator is available to operator all three pumps for the plant in cases of
power failure.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of
effluent goes back to headworks of the plant, while the other half is sent to the chlorinator, then
to discharge. The UV system, which was installed in May 2008, appears to be working properly.
Chlorine tablets are maintained on site in case the UV system was to fail. Since the operator is
not adding chlorine to the system, Total Residual Chlorine is not being sampled.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab
data were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no
traceable solids.
The facility was found to be in compliance with NPDES Permit No. NC0055271. Please
refer to the attached report for specific details from the inspection. If you have any questions
concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Surface Water Protection Section
Regional Supervisor
cc: SWP — WSRO
SWP — Central Files
Mike Carson, 1356 St. Regis Street, Burlington, NC 27217

ppppppp-
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 I NI 2 15I 31 N00055271 Ill 121 10/10/27 117 18I CI 19I SI 20I II
Remarks
211111111(1111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---------- ------------- — Reserved ----------- ---------
67 I 169 701 31 711 I 721 NJ 73IW I' 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)
11:00 AM 10/10/27
06/06/01
Shields Mobile Home Park
Exit Time/Date
Permit Expiration Date
1355 NC Hwy 87 N
Elon College NC 27244
12:00 PM 10/10/27
11/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
James M. Carson/ORC/336-578-3264/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244//910-584-6209/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
Jennifer F Graznak WSRO WQ//336-771-5000/ rD % Q Ito
4• i I
Signature of Managem t Q A Reviewer Agency/Office/Phone and Fax Numbers Date
If
r.� 1`�l AO
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO055271
Inspection Date: 10/27/2010
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge n n ■ ❑
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
n
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:
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
Cl
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
In
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 3

ppppppp-
Permit: NC0055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 10/27/2010 Inspection Type: Compliance Evaluation
Record Keeping
Yes No
NA
NE
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment:
Effluent Pipe
Yes No
NA
NE
Is right of way to the outfall properly maintained?
■
n
00
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment:
Disinfection - UV
Yes No
NA
NE
Are extra UV bulbs available on site?
■
n
n
n
Are UV bulbs clean?
■
n
n
n
Is UV intensity adequate?
■
n
n
n
Is transmittance at or above designed level?
■
n
n
n
Is there a backup system on site?
■
n
n
n
Is effluent clear and free of solids?
■
n
In
n
Comment: Chlorine tablets are maintained on site in case the UV system was to fail.
Standby Power
Yes
No
NA
NE
Is automatically activated standby power available?
n
■
o
o
Is the generator tested by interrupting primary power source?
n
■
o
o
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
n
Is there an emergency agreement with a fuel vendor for extended run on back-up power?
n
■
n
n
Is the generator fuel level monitored?
■
n
n
n
Comment: A portable generator is available to operator all three pumps for the plant in
cases of power failure.
Sand Filters (Low rate)
Yes
No
NA NE
(if pumps are used) Is an audible and visible alarm Present and operational?
■
n
n
❑
Is the distribution box level and watertight?
■
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
Page # 4

Permit: NCO055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 10/27/2010 Inspection Type: Compliance Evaluation
Sand Filters (Low rate) Yes No NA NE
# 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 n n
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
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: Operators perform the following field parameters at the plant: pH, dissolved
oxygen, and temperature. Tritest, Inc. analyzes all other parameters for the facility.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
❑
❑
■
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
n
n
■
a
# 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:
Page # 5

To: W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
From: James M. Carson
ORC /Shields Mobile Home Park
Permit # NCO055271
Reference: NOV- Monitoring Violations received on February 23, 2011
RECEIVEC
N.C. Dein �,<" -
MAR 0 1 2011
Wins!:
Regis- a'
Dear Mr. Basinger, On January 31, 2007 1 requested a permit modification on Daily Temperature
from five days a week on Effluent to reduce it to two times a week (enclosed is copy of email to Jenny
Freeman at that time).
On March the 7, 2007 1 was granted the permit modification on Daily Temperature to Frequency of two
times a week ( enclosed is a copy of the permit modification) I request to have the NOV descended on
this violation, that we are operating within our given permit.
If you have any questions, please contact me at 336.209.0945 also so Jenny Graznak knows of the
permit modification.
Thank you for your time on this matter,
James M Carson
ORC/ Shields MHP
Permit# NCO055271
C.0 Jenny Graznak DWQ
2/27/11

' 7 RECEIVED'
N.C. Deot
,rc.
MAR 0 1 2011
North Carolina Department of Environment and Natural Resources Winst,
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 23, 2011
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF VIOLATION — Monitoring Violations
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the self -monitoring report for the month of November 2010 revealed the following
violations of permit monitoring requirements:
Parameter
Date
Required Monitoring
Actual Monitoring
Frequency
Frequency
Temperature
November
5 x Week
2 x Week
(Effluent)
2010
As you can see from the above information as well as the attachments to this Notice, you are
required to monitor effluent temperature on a daily basis (i.e. 5 times per week), except for
holidays. However, you are only monitoring effluent temperature 2 times per week.
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 subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone]_
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
WSRO — SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: 336-771A630 l Customer Service: 1-877-623-6748
Internet www.ncwaterquality.org
Nor thCarolina
,.I aturally
An Equal Opportunity t Affirmative Action Employer

i µ %, L VL i
Mike Carson
From: Mike Carson [[e-mail]]
Sent: Wednesday, January 31, 2007 7:57 AM
To: 'Jenny Freeman'; [e-mail]
Subject: request for permit modification
RECEIVED
.. _... Nn no.,t psi___ ----
MAR 0 1 2011
Good morning Jenny, I would like to request a permit modification for Temperature daily requirement to 2/week.
The reason is the plant has been in complaint for the last few years with no problems. Mr. Shields runs the CL2
and Temperature daily and I as ORC visit the plant once a week as required by permit. Mr. Shields has had some
health problems and as he gets older making it harder to visit the plant everyday as you can see by our DMR we
sample more than the state request to ensure the plant is running proper. I also feel that the Temperature really
don't change that much in a week. Also we are looking into changing from CL2 to UV after studies are complete
if we change over to UV we would not have to sample CL2 which will leave Temperature daily.
Thank you for your time on this matter.
Mike Carson
r
1.OL&.
W ,,
off" (sse) 57"2"
&E (ON) 51 &74W
A 1 /2 1 /7nn-7

/ RECEIVED Michael F. Easley, Governor
�OF W ATF9 N.G. Dent
7 William G. Ross Jr., Secretary
,o OG MAR 0 12011 North Carolina Department of Environment and Natural Resources
r
laua
Alan W. Klimek, P.E- Director
Division of Water Quality
o --
March 7, 2007
Mr- J erry L. Shields
1341 N. Hwy 87 North
Elon, NC 27224
Subject: Permit Modification of NPDES Permit
NCO055271
Shields Mobile Home Park
Alamance County
Dear Mr. Shields:
Division personnel have reviewed and approved your application for a permit modification received on
February 5, 2007. Your operator in responsible charge (ORC), requested a change of temperature monitoring
frequency from daily to 2/week- Accordingly, we are forwarding the attached NPDES discharge permit effluent
page with the requested change. You should replace your existing effluent page from your current permit
with this modified effluent page• This
s ofAgreement between North Carolina and the U.S.t is issued pursuant to the requirements of Environmental
rth General
Statute 143-215.1 and the Memorandum
Protection Agency dated May 9, 1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in Oda
ys are
wing ep abl
to you, you have the right to an adjudicatory hearing upon written request within thirty ( ) y
reipt
of this letter. This request must be in the form of a written petition, conforming to C Mail r 150Bce Cent of the Servir north h,
Carolina General Statutes, and filed with the Office of Administrative Hearings
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements
to obtain other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, the Coastal Area Management Actorany otherFederal orntact Loc Fal rances Ca dearia a pest
that may be required. If you have any questions ov
concerning p please
telephone number [phone], extension 520.
Sincerely,
�v W. Klimek, P.E.
cc: Central Files -
Wmston Salem Regional Office/Surface water Protection
NPDES Unit
Raleigh, NC North Carolina Division of Water Quality 1617 Mail Service
St�� Raleigh, NC 276041617 Phone [phone]Customer
t 7-6 r23-6748e
Internet 00.enrstate-state512 N. Salisbury
An Equal OpportunRYlAffimu" Action EmPbYer— 50% Rwlded110% Post Consumer Paper

Permit NCO055271
_. Re,i:
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration,
the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited
and monitored by the Permittee as specified below:
LIMITS
MONITORING REQUIREMENTS
EFFLUENT
CHARACTERISTICS
Monthly
Average
0.006 MGD
Weekly
Average
Daily
Maximum
Measurement
Frequency
Weekly
Sample Type
Instantaneous
Sample Location,
Influent or Effluent
Flow
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
BOD, 5-day (20°C)
Total Suspended Residue
30.0 ma/L
45.0 mg/L
2/Month
Grab
Effluent
NHs as N
2.0 mglL
10.0 mgll
Z/Month
Grab
Effluent
(April 1 — October 31
NH3 as N
4.0 mg/L
20.0 mgll
2/Month
Grab
Effluent
November 1 — March 31
Dissolved Oxygen2
Weekly
Grab
Effluent,
Upstream &
Downstream
Fecal Coliform (geometric mean)
200I100 ml
400/100 ml
2/Month
Grab
Effluent
17 ug/I
2i*eek
Grab
Effluent
Total Residual Chlorine4
Temperature (°C)
Weekly
Grab
Upstream &
Downstream
Temperature (°C)
21 Week
Grab
Effluent
Quarterly
Grab
Effluent
Total Nitrogen
NO2+NO3+TKN
Total Phosphorus
Quarterly
Grab
Effluent
pHs
=�Grab
Effluent
Footnotes:
1. Upstream = 75 feet above discharge location; Downstream = at NCSR 1529.
2. The daily et beolveless than 6.0 standard unit oxygen concentration snornot
less
greater 9.0 standard
3. The pH shall hall nno
units.
4. The TRC limit will become effective 18 months after the effective date of the
final permit.
There shall be no discharge of floating solids or visible foam in other than trace amounts

Graznak, Jenny
From: Weaver, Charles
Sent: Tuesday, March 01, 2011 10:08 AM
To: Graznak, Jenny
Subject: RE: Shields MHP - NC0055271
It's fixed now. Thanks for catching that one.
CHW
From: Graznak, Jenny
Sent: Monday, February 28, 2011 9:01 AM
To: Weaver, Charles
Subject: Shields MHP - NC0055271
Need another BIMS change:
Shields Mobile Home Park (NC0055271) — Permit modification was granted in 2007 that switched temperature
monitoring frequency from daily to 2/week, but BIMS does not reflect this change.
THANK YOU!
Jenny Graznak
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [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.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 28, 2011
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: RETRACTION of Notice of Violation — Monitoring Violations
NPDES Permit No. NC0055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
This letter is being sent to retract the NOTICE OF VIOLATION that was sent to you by our
office on February 23, 2011. The Notice of Violation is hereby retracted, and we
apologize for the error. Our computer database had not been updated to reflect the permit
modification in 2007 allowing temperature monitoring twice per week instead of five times per
week at the subject facility. Please be assured that we will immediately address this
inconsistency in our records. Should you have any questions, please contact Jenny Graznak or
me at [phone].
Sincerely,
N
JCawfZ44-'4L-`�
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
WSRO — SWP
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
Nne
orthCarolina
Naturali'm
An Equal Opportunity 1 Affirmative Action Employer

rpv
LTIFAA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
February 23, 2011
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF VIOLATION — Monitoring Violations
NPDES Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the self -monitoring report for the month of November 2010 revealed the following
violations of permit monitoring requirements:
Parameter
Date
Required Monitoring
Actual Monitoring
Frequency
Frequency
Temperature
November
5 x Week
2 x Week
(Effluent)
2010
As you can see from the above information as well as the attachments to this Notice, you are
required to monitor effluent temperature on a daily basis (i.e. 5 times per week), except for
holidays. However, you are only monitoring effluent temperature 2 times per week.
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 subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: Central Files — SW P
WSRO — SWP
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
Nne
orthCarofina
Naturallrf
An Equal Opportunity 1 Affirmative Action Employer

EFFLUENT
NPDES PERMIT N_ O. NCO055271 DISCHARGE NO. 001 MONTH November YEAR 2010
FACILITYNAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 'HONE [phone]
CERTIFIED LABORATORIES (1) Tirtest (2) Carson's Field Lab #5195
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. arson
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
! i
DIV. OF WATER QUALITY
DEHNR (S(GNATURE F OPERATOR PONSIBLE CHARGE)
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
t% —7— le
(( DATE
•
•
E_--
1 1 • .
MM
DEM Form MR-1 (12193)
Forms by ChemSW(707)864-0l 43 of?15d 52jt1/1-79 `111583152
Information Processing Unit
DWQIBOG

EEEFPPPPP_ Performance Annual Report
eral Information
Facility name:
Shields Mobile Home Park
Responsible Person: James M. Carson OCR/ Jerry Shields Owner
Mailing Address: 1341 NC Hwy 87 North Elon, NC 27224
Phone Number: Mr Carson [phone] / Mr. Shields [phone]
RECEIVED
N.C. Dect
!ARlt^0 rs..-
Permit Number # NCO055271
Description of treatment
Six septic tanks with sand filter, UV system and Chlorination chamber sa back up
System or Process and pumps
11. Performance
Summary of System Performance: (list all violations, corrective actions, improvements etc.):
Plant was in Noncompliant in Feb 2010 on Monthly Ammonia limit. And did meet all state and fed regs.
See Attachment:
Plant was cleaned out 2 times in the
111. Notification - -`
State how customers/users have been provided access to this report(mailing, posted, etc.):
Attached to contact, hand given and posted at mailbox
IV. Certification
Mail original and two copies to:
Sign and date to certify that the report is accurate and complete: system Performance Annual Report
- �­N3v
Signature of permittee
NC Division of Water Quality
1617 Mail Service Center
1/15/2011 Raleigh, NC 27699-1617
Date (attach additional sheets if necessary)

PPPPPFP
SkielJs Wo6ile?fome mark
Annual'Waste Water 2'erfmmance Report
Tear 2010
General
The sfuelds W o6di Zome oarkWaste Water treatment f fant is located at 135S X
3fwy 87 Efon, WC 2724. The owner of the parkas 9Kr. 4 9Krx Jerry Shields of 1341 X
Elon, 9VC 2724 Phone 9Vwnber [phone] qfiu 4fant opwator/OiT /T*fdLa6
is James A Carson. Phone Number [phone]at 1356 St. fgis Or (Bwfington,
9VG 4 fant is a grade 1 wastewater pfiw that treats the wastewaterfrom the park;
State 9WW dWmd * 9VCOO 5271.E fm plant can treat a ffm up to but more than
.006 MI R= gallons a day of raw sewage the system is a Lam,. The scu age f Vows into a
hoffiung vault once st frQs it is pumpedurto the lmdof the pkxt where a vault uwfcc
as a septic tank f vn there it enters a manYW ofpeprs wherr it is sproyied over a sand
6ed thmugFi holes in the pipes 2fse sand 6ed is 3 fnot deep witfi oyster shill as part of
the treatment to red= xarogen to the wastewater: after having the sandfilter it
flows into a van& once it is f&d'the pump sends 213 of the wastewater back to the
headof the plant the other 1/3 flows in a V V system forAspifut ton, fsom there to
&kfiarge in Travis Creek
spry of 'Paformance
?lee plant a cleaned out every 6 months and Inspected 6y the state of JVC once a.)wr
with a monthly report to the state. 9Kr. Carson's fwW fa6 is also inspectedonce a)wr
6y the state andhas met allstate rrqutrrmernts
Shields No"Yfome Bark U as to 9Vbnwni pCrant to 97e6 2010 on the Wonthly
Ammonia but meet aQ'other state rrquirrments five the year of 2010.
On mquest you wiff6egiven a copy of the annualreport Tou can r mar this copy
from Wr Jerry SfneUs OrJames 91L Carson.
Sincerely,
James JK Carson
ORC

Ppp -
P
To: DWQ PPPP
From: James M Carson
2/18/10
Shield Mobile Home Part
Permit # NC0055271
Dear Sir,
On Jan 7, 2010 we had a hit on Ammonia Monthly limit, as you can see by the data we have
never had a problem of AMMONIA at Shields. On the sample of on 2-7-10 we had 9.0 mg/I where the
limit is 4 mg/I. I'm not real sure what happened, due to the month of Dec 09 our average of Ammonia
was <.02 mg/I on both sampling events and with a yearly average of .155 mg/I. On Jan 20th, 2010
sampling event Ammonia was 2.14 mg/l and the first sampling on Feb 3, 2010 the Ammonia was even
lower at 1.37 mg/I. I feel something Toxic came into the plant. I know a few of the mobile homes are
now rented and maybe someone was using a strong cleaner. I have asked Mrs. Shields to put out a
Memo about what you can and cannot flush out into the system. I spoke with our lab Tritest Labs and all
QC was followed and test was true.
Thank you for your time on this matter,
/ James M. Carson
ORC

To: PDWPCQI
Ppp-
From: James M Carson
2/18/10
Shield Mobile Home Part
Permit # NC00SS271
Dear Sir,
On Jan 7, 2010 we had a hit on Ammonia Monthly limit, as you can see by the data we have
never had a problem of AMMONIA at Shields. On the sample of on 2-7-10 we had 9.0 mg/I where the
limit is 4 mg/I. I'm not real sure what happened, due to the month of Dec 09 our average of Ammonia
was <.02 mg/I on both sampling events and with a yearly average of .155 mg/l. On Jan 20th, 2010
sampling event Ammonia was 2.14 mg/I and the first sampling on Feb 3, 2010 the Ammonia was even
lower at 1.37 mg/I. I feel something Toxic came into the plant. I know a few of the mobile homes are
now rented and maybe someone was using a strong cleaner. I have asked Mrs. Shields to put out a
Memo about what you can and cannot flush out into the system. I spoke with our lab Tritest Labs and all
QC was followed and test was true.
Thank you for your time on this matter,
.-1
/ James M. Carson
ORC

AV*ARMEIVED
NCQENR N.C. Deot. of ENR
North Carolina Department of Environment and Natural Resourc NOV 0 8 2W
Division of Water Quality `'
Beverly Eaves Perdue Coleen H. Sullins — Dee Freeman
Governor Director Secretary
November 3, 2010
JERRY L SHIELDS
OWNER
SHIELDS MOBILE HOME PARK
1341 N HWY 87 NORTH
ELON NC 27224
Subject: Receipt of permit renewal application
NPDES Permit NCO055271
Shields Mobile Home Park
Alamance County
Dear Mr. Shields:
The NPDES Unit received your permit renewal application on October 25, 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,
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: [phone] Customer Service: 1-877-623-6748 North Carolina
Internet: www.ncwaterquality.org �► �}�����`j//�
An Equal Opportunity \ Affirmative Action Employer J �!

To whom it may concern:
Date: 10/15/10
From: Shields Mobile Home Park
Ref: Requesting permit renewal for permit number# NC0055271.
Our permit will expire on May 312011
Changes made to the system: On May 16, 2008 installed a UV system and keep the tablet chlorinator as
back up, this is the only changes made.
�\\ 1W
Jerry L. Shields

EPPPPPP'
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 0000552?1
If you are completing this form in computer use the TAB key or the up - down arrows to moue from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Mr. Jerry L. Shields
Facility Name
Shields Mobile Home Park
Mailing Address
1341 N HWY 87 North
City
Elon
State / Zip Code
NC 27224
Telephone Number
[phone]
Fax Number
N/A
e-mail Address
N/A
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 1355 NC HWY 87 North
City Elon
State / Zip Code NC 27224
County Alamance
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 James M Carson
Mailing Address 1356 St. Regis Dr
City Burlington
State / Zip Code NC
Telephone Number [phone]
UU
Fax Number Same ACT 2 5 2010
(Note that this is not
1 of 4 Form-D 05108

PP
NPDES APPLICATION - FORM D
pFoprprlvately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that applyf
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
X
Number of Homes
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Population served: 14
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? x Yes ❑ No
7. Name of receiving stream(s) (Provide a map shouring the exact location of each outfall):
Travis Creek
8. Frequency of Discharge: X 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.
Operate an existing .006 MGD Waste Water System with the following components:
Six septic tanks
Recirculation surface sand filter
Recirculation tank
W system with back up Chlorination
Contact Chamber
Pumps and Re -aeration
2 of 4 Form-D 05/08

Facility Information
MIC 3(f W 3r sub-Bmi= 03-06-02
ptud� W294r
I team= lAw flw ington
w CI,BW. C-NSW
imshemn TmmCrwk
it •
Facility
Location
��Mo5527`��`
North
NOD055271
A►amavxa County

NPDES APPLICATION - FORM D
FPPPor privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 of 4 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 .006 MGD
Annual Average daily flow .0015 MGD (for the previous 3 years)
Maximum daily flow .00773 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X 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 (BODs)
15
10
Mg/l
Fecal Coliform
400/ 100ml
200/ 100m1
GM/ml
Total Suspended Solids
45
30
Mg/1
Temperature (Summer)
N/A
N/A
Temperature (Winter)
N/A
N/A
pH
6-9
6-9
SU
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO055271
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.
Jerry L. Shields Owner
Printed name of Person Signing Title
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
4 of 4 Form-D 05/08

Shields Mobile Home Park
Permit # NC 0055271
Sludge Management: Contracts with Pee Wee Septic Tank Cleaning and have the
system pumped out two times a year and more if needed due to problems in
operations, Pee Wee off loads at the City of Burlington Wastewater Plant.
Pee Wee's Septic Tank cleaning
1830 Almond Ln
Dixon Rd
Graham, NC
Jerry L. Shi � O 1- \
elds Date• \

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 10/08/10 Page: 1 of 4
Permit: nc0055271 MRs Between: 8-2009 and 7 2010 Region: % Violation Category: % Program Category: %
Facility Name: % Param Name: % County: % Subbasin: % Violation Action: %
Major Minor: %
PERMIT: NCO055271 FACILITY: Shields Mobile Home Park - Shields Mobile Home Park COUNTY: Alamance REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
06 -2010
001
Effluent
DO, Oxygen, Dissolved
06/23/10
Weekly
mg/l
6
5.1
15
Daily Minimum Not Reached
Proceed to NOV
07 -2010
001
Effluent
DO, Oxygen, Dissolved
07/01/10
Weekly
mg/l
6
5.6
6.67
Daily Minimum Not Reached
None
07 -2010
001
Effluent
DO, Oxygen, Dissolved
07/06/10
Weekly
mg/l
6
5.9
1.67
Daily Minimum Not Reached
None
07 -2010
001
Effluent
DO, Oxygen, Dissolved
07/15/10
Weekly
mg/l
6
5.9
1.67
Daily Minimum Not Reached
None
01 -2010
001
Effluent
Nitrogen, Ammonia Total (as
01/31/10
2 X month
mg/l
4
5.57
39.25
Monthly Average Exceeded
Proceed to NOV
N) - Concentration
02 -2010
001
Effluent
pH
02/22/10
2 X month
su
9
69
666.67
Daily Maximum Exceeded
No Action, Facility
Reporting Error
03 -2010
001
Effluent
pH
03/27/10
2 X month
su
9
13.2
46.67
Daily Maximum Exceeded
No Action, Facility
Reporting Error
Monitoring Violation
MONITORING
OUTFALL /
REPORT
PPI
LOCATION
PARAMETER
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
08 -2009
001
Effluent
Chlorine, Total Residual
09 -2009
001
Effluent
Chlorine, Total Residual
09 -2009
001
Effluent
Chlorine, Total Residual
09 -2009
001
Effluent
Chlorine, Total Residual
VIOLATION
UNIT OF
DATE
FREQUENCY
MEASURE
08/01/09
2 X week
ugh
08/08/09
2 X week
ug/I
08/15/09
2 X week
ug/I
08/22/09
2 X week
ug/I
08/29/09
2 X week
ug/I
09/05/09
2 X week
ug/I
09/12/09
2 X week
ug/I
09/19/09
2 X week
ug/1
CALCULATED
LIMIT VALUE %OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None
Frequency Violation
None

0� Pw O z �,
'n r
o`iiio�ownwilw 1<
December 8, 2008
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, NC 27244
Subject: Compliance Evaluation Inspection
NPDES General Permit No. NCO055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Jenny Graznak of this office performed a Compliance Evaluation Inspection at the Shields
Mobile Home Park WWTP in Alamance County on December 3, 2008. Mike Carson, Operator
in Responsible Charge (ORC), was present for the inspection. This type of inspection consists
of two basic parts: an in -office review of facility files and self -monitoring data and an on -site
inspection of the facility. This particular inspection evaluated nine (9) areas, and observations
from each area are addressed below:
1. Permit
The new permit became effective June 1, 2006 and expires May 31, 2011.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2007 through September 2008
showed 8 violations of the new Total Residual Chlorine (TRC) limit in April 2008. The
compliance deadline for the new TRC limit was March 31, 2008. The UV system was not
installed until May 16, 2008. A civil penalty was assessed for these violations. All monitoring is
performed per the frequencies specified in the permit.
3. Laboratory
Operators perform the following field parameters at the plant: pH, dissolved oxygen, and
temperature. The dissolved oxygen and pH meters are routinely calibrated, and the dates of
calibration are placed on the meters. Temperature is recorded with the dissolved oxygen meter,
and proof of annual verification was provided during the inspection. Mr. Carson's field
parameter certification number is 5195. Tritest, Inc. analyzes all other parameters for the
facility.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using
the meter on the facility's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides sludge disposal for the facility. The facility's septic
tanks are emptied approximately every 6 months. Records of this service (copies of invoices)
were available for review during the inspection. The last pump -out of 4000 gallons occurred in
June 19, 2008.
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone]
Internet: www.ncwaterquality.org Winston Salem, NC 27107 FAX [phone]
Customer Service NorthCarolina
1-877-623-6748 Alaturally
An Equal Opportunity/Affirmative Action Employer— 50% Recycledl10% Post Consumer Paper

Mr. Jerry Shields
Page 2
December 8, 2008
6. Operations and Maintenance
According to the operator, mobile home park staff performs regular maintenance of the sand
beds. The sand beds appeared to be much better maintained this year than at the last year's
inspection. Regular raking inhibits the growth of algae and other small plants.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of
effluent goes back to headworks of the plant, while the other half is sent to the chlorinator, then
to discharge. The UV system, which was installed in May 2008, appears to be working properly.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab
data were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no
traceable solids.
The facility was found to be in compliance with NPDES Permit No. NC0055271. Please
refer to the attached report for specific details from the inspection. If you have any questions
concerning this report, please contact Ms. Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Surface Water Protection Section
Regional Supervisor
cc: SWP - WSRO
SWP - Central Files
Mike Carson, 1356 St. Regis Street, Burlington, NC 27217

PPPPPPP'
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 I NI 2 15I 31 NCO055271 111 121 08/12/03 117 18I CI 19I SI 20I I
Remarks
211IIIIIIIIIII IIIIIIIIIIIIIIII IIIIIIIIIIII IIIIIII6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ------------ ----- -----Reserved----------------------
67I 169 701 31 711 I 721 NJ 73 LU 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)
02:30 PM 08/12/03
06/06/01
Shields Mobile Home Park
Exit Time/Date
Permit Expiration Date
1355 NC Hwy 87 N
Elon College NC 27244
03:30 PM 08/12/03
11/05/31
Name(s) of Onsite Representative(s)lTitles(s)/Phone and Fax Number(s)
Other Facility Data
James M. Carson//336-578-3264 /
James M. Carson/ORC/336-578-3264/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Jerry L Shields,1341 NC Hwy 87 N Elon College NC 27244//910-584-6209 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
Jennifer F Graznak 1 WSRO WQ//336-771-5000/
Signature of Man ment Q A Review Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NC0055271 111 121 08/12/03 117 18ICI
(cont.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. Permit
The new permit became effective June 1, 2006 and expires May 31, 2011.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2007 through September 2008 showed 8
violations of the new Total Residual Chlorine (TRC) limit in April 2008. The compliance deadline for the new
TRC limit was March 31, 2008. The UV system was not installed until May 16, 2008. A civil penalty was
assessed for these violations. All monitoring is performed per the frequencies specified in the permit.
3. Laboratory
Operators perform the following field parameters at the plant: pH, dissolved oxygen, and temperature. The
dissolved oxygen and pH meters are routinely calibrated, and the dates of calibration are placed on the
meters. Temperature is recorded with the dissolved oxygen meter, and proof of annual verification was
provided during the inspection. Mr. Carson's field parameter certification number is 5195. Tritest, Inc.
analyzes all other parameters for the facility.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using the meter on
the facility's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides sludge disposal for the facility. The facility's septic tanks are
emptied approximately every 6 months. Records of this service (copies of invoices) were available for
review during the inspection. The last pump -out of 4000 gallons occurred in June 19, 2008.
6. Operations and Maintenance
According to the operator, mobile home park staff performs regular maintenance of the sand beds. The
sand beds appeared to be much better maintained this year than at the last year's inspection. Regular
raking inhibits the growth of algae and other small plants.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of effluent goes
back to headworks of the plant, while the other half is sent to the chlorinator, then to discharge. The UV
system, which was installed in May 2008, appears to be working properly.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit. DMRs
include all permit parameters. Copies of the monitoring reports and corresponding lab data were available
for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving stream is
Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no traceable solids.
Page # 2

PPPPPPP'
Permit: NCO055271
Inspection Date: 12/03/2008
Owner - Facility: Shields Mobile Home Park
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ 0 n 0
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:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee.submitted a new application?
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
Comment:
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
Are all records maintained for 3 years (lab. reg. required 5 years)?
MOOD
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
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
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
n
Is a copy of the current NPDES permit available on site?
■
n
n
n
Page # 3

Permit: NC0055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 12/03/2008 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Facility has copy of previous year's Annual Report on file for review? ■ ❑ ❑ ❑
Comment: Annual report is made available to residents.
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 n ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ ■ ❑
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
n
■
00
Is flow meter calibrated annually?
❑
❑
■
❑
Is the flow meter operational?
❑
❑
■
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
■
❑
Comment: The permit requires weekly instantaneous flow measurement.
Effluent flow
is estimated using the meter on the facility's well (incoming water).
Disinfection - UV
Yes
No
NA
NE
Are extra UV bulbs available on site?
■
❑
❑
❑
Are UV bulbs clean?
■
❑
❑
❑
Is UV intensity adequate?
■
n
n
n
Is transmittance at or above designed level?
■
n
n
n
Is there a backup system on site?
■
n
n
❑
Is effluent clear and free of solids?
■
n
n
n
Comment: Backup chlorine tablets are available if needed.
Standby Power
Yes No
NA
NE
Is automatically activated standby power available?
❑ ■
❑
❑
Is the generator tested by interrupting primary power source?
❑ ■
n
n
Is the generator tested under load?
❑ ■
n
n
Was generator tested & operational during the inspection? n ■ ❑ ❑
Do the generator(s) have adequate capacity to operate the entire wastewater site? ■ n n ❑
Is there an emergency agreement with a fuel vendor for extended run on back-up power? n ■ ❑ ❑
Is the generator fuel level monitored? ■ n n n
Page # 4

ppppppp,
Permit: NC0055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 12/03/2008 Inspection Type: Compliance Evaluation
Standby Power
Yes
No
NA
NE
Comment: A generator is available for the facility if necessary.
Septic Tank
Yes
No
NA
NE
(If pumps are used) Is an audible and visual alarm operational?
■
n
n
n
Is septic tank pumped on a schedule?
■
n
n
n
Are pumps or syphons operating properly?
■
n
n
Are high and low water alarms operating properly?
■
n
n
n
Comment: Pee-Wee's Septic Tank Service provides regular sludge disposal for the
facility.
Sand Filters (Low rate)
Yes
No
NA
NE
(If pumps are used) Is an audible and visible alarm Present and operational?
■
n
n
n
Is the distribution box level and watertight?
■
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
n
Comment:
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
❑
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■
In
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
■
Comment: Tritest, Inc. is the contract lab for the facility.
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
■
o
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
n
n
n
Page # 5

Permit: NC0055271 Owner - Facility: Shields Mobile Home Park
Inspection Date: 12/03/2008 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? 0000
Comment:
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ Q ❑
Comment:
Page # 6

Cover Sheet from
Staff Member to
Regional Supervisor
II DNIR Review Record
Facility: P c1S Permit/Pipe No.: LT . 7_I Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Week] Oail iolations
Date Parameter Permit Limit/Tvpe DMR Value
-7 > �.� _
Date
Monitoring Frequency Violations
Over Limit
-b
e/
Parameter Permit Frequency Values Reported # of Violations
Violations
2ab-
M
1A C_ twl� 1n­t mc�✓"CA C;. (o.geiz . --h Co . U.
Completed by: Date: it O
Regional Water Quality
Supervisor Signoff: Date:

FFV
;A
NCDENR
North Carolina Department of Environment and Natural ResourceE
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 15, 2010
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF VIOLATION —Effluent Limitations
NPDES Permit No. NC0055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the self -monitoring report for the month of June 2010 revealed the following
violations of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Dissolved Oxygen
6/23/10
> 6 mg/L
5.1 mg/L
Daily Minimum
Not Reached
Please note that your self -monitoring report for the month of June 2010 was checked as
"compliant', meaning that you attested that all monitoring data and sampling
frequencies met the permit requirements. In future, please carefully review the data
before checking "compliant."
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 subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Cyt <o&�
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
WSRO — SWP
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
NorthCarohna
;VaturallY
An Equal Opportunity 1 Affirmative Action Employer

PPV
Cover Sheet from
Staff Member to
Regional Supervisor
I I DMR Review Record
Facility: �Skle_ WS M" Permit/Pipe No.: W05'�-7Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Date
Date
Weekly/0-
Parameter Permit Limit/7vpe DMR Value % Over Limit
Monitoring Frequency Violations
Parameter Permit Frequency_ Values Reported # of Violations
Completed by: Date: a v
Regional Water Quality
Supervisor Signoff: Date:
tidy/ 0/ A. �,09— � C44 (-vmk� lak.

ppppppp-
APWAA
NCDENR
North Carolina Department of Environment and Natural ResourceE
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 16, 2010
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon, North Carolina 27244
Subject: NOTICE OF VIOLATION — Effluent Limitations
NPDES Permit No. NC 0055271
Shields Mobile Home Park WWTP
Alamance County
Dear Mr. Shields:
A review of the self -monitoring report for the month of January 2010 revealed the following
violations of permit limits:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
(as N) — Concentration
1/2010
4 mg/I
5.57 mg/I
Monthly
Average
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 subject
you to enforcement action by this Division with the possible assessment of civil penalties of up
to $25,000 per day per violation. Should you have any questions, please contact Jenny
Graznak or me at [phone].
Sincerely,
Steve W. Tedder
Regional Supervisor
Surface Water Protection Section
cc: Central Files — SWP
WSRO — SWP
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 1 Affirmative Action Employer
NorthCarolina
NaturallrY

ppppppp-
Cover Sheet from
Staff Member to
Regional Supervisor
�-p I ��pDMR Review Record
Facility: 7�'l+Z NS MII 1 Permit/Pipe No.: NCiX)552-71 Month/Year d8N CIO
Monthly Average Violations
Parameter Permit Limit DNS Value % Over Limit
NA
Weekly/Daily Violations
Date Parameter Permit Limit/Tvpe DMR Value Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by:
Regional Water Quality
Supervisor Signoff: Vat, t
1101
Date:
Date:

pp"I(tZelJ
- EFFL NT
NPDES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH January YEAR 2010
FACILITY NAME Shields M-H-P CLASS 1 COUNTY Alamance
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Carson GRADE 2 -HONE (336M(L-_9371
CERTIFIED LABORATORIES (1) Tirtest (2) Carson's Field Lab #5195 -
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV OF WATER QUALITY
DEHNR
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
IS4GNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
6 THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
J t�
DATE
•
ENTER PARAMETER CODE ABqy
NAME AND UNIT&BEL01w
IIT�
MINIMUM
DEM Form MR-1 (12/93) Forms by CbemSW(707)804-0845Vn11158;y5.24;1112000;sW 11583152

/31aAUO(� i_�<4-_(Vi
doe '7$8.7 ( 91 53
/7�
Shields Wobife Yfome Park
Annual Waste Water Performance 1 qon
Year 2009
General
'ECEIVED
-t of ENR
LB 0 4 2010
6 ?), son -Salem
Re,onal O'fce
The Shields W obile 9fome TarkWaste Water treatment Plant is rotated at 1355 X.
9fwy 87 Elon, NC 2724. The owner of the parkis 9Kr. QT, W rs. ,ferry Shields of 13419V
Eton, NC 2724 (Phone Number(336)584-6209. 0Ke Plant operator/OPC/TierdLab
is games 9K. Carson (Phone Number [phone]at 1356 St. fgis Dr Burlington,
NC. Plant is a grade 1 wastewater plant that treats the wastewaterfrom the park.
State X DS Permit # NCOO55271.The plant can treat a flow up to but more than
.006 W hTwn gadons a day of raw sewage the system is a LPZ. The sewage flows into a
homing vault once it fibs it is pumped into the head of the plant where a vault works
as a septic tank from there it enters a manifold of pipes where it is sprayed over a sand
bed through holes in the pipe. glie sand 6ed is 3 foot deep with oyster shellas part of
the treatment to reduce nitrogen in the wastewater After leaving the sandfdter it
flows into a vault once it is fired the pump sends 2/3 of the wastewater back to the
head of the plant the other 1/3 f lows in a V V system for disinfect ion, from there to
discharge in Travis Creek.
Summary of (Performance
The plant is cleaned out every 6 months aril inspected 6y the state of NC once a year
with a monthly report to the state. W r. Carson's field lab is also inspected once a year
by the state andhas met allstate requirements.
Shields W obile 9fome Parkwas in compliant with ad state requirements for the year of
2009.
On request you will be given a copy of the annual report. Tou can receive this copy
from W r. ,ferry Shields OrIames W. Carson.
Sincerely,
Jamesfit. Carson
OPIC
FED 22010
DI
RE Aquifer
EIVED Protection DENSI DINQ
Aq
JAN29Z010

ENWjrn77
Facility name:
Responsible Person
Mailing Address
Phone Number:
Permit Number
Description of treatment
System or Process
II. Performance
Shields Mobile Home Park
James M. Carson OCR/ Jerry Shields Owner
1341 NC Hwy 87 North Elon, NC 27224
Mr Carson [phone] / Mr. Shields [phone]
4 K1t'MVr771
Six septic tanks with sand filter, UV system and Chlorination chamber sa back up
and pumps
Summary of System Performance: (list all violations, corrective actions, improvements etc.):
Plant was in compliant with all state requirements for the year of 2009
Plant was cleaned out 2 times in the year
III. Notification
State how customers/users have been provided access to this report(mailing, posted, etc.):
Attached to contact, hand given and posted at mailbox
IV. Certification
Mail original and two copies to:
Sign and date to certify that the report is accurate and complete: system Performance Annual Report
NC Division of Water Quality
1617 Mail Service Center
1/12/2010 Rakeigh, NC 27699-1617
Date (attach additional sheets if necessary)
Slgna%�e of pe ittee
RECEIVED / DENR / DVVO
Aquifer PrntPrtion Section
JAN 2 9 2010

NCDENR
North Carolina Department of Environment and
Beverly Eaves Perdue
Governor
Jerry L. Shields
Shields Mobile Home Park
1341 NC Hwy 87 N
Elon College, North Carolina 27244
Dear Mr. Shields:
Division of Water Quality
Coleen H. Sullins
Director
September 25, 2009
RECEIVED
N.C. Dept of ENR
"IO2IM
Winston-Salem
Natural Resources Regional Office
Dee Freeman
Secretary
Subject: Notification of Jordan Lake Nutrient Requirements
NPDES Permit NCO055271
Shields Mobile Home Park
Alamance County
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:
NC0055271
Delivered Allocation
(lb/yr)
Transport
Factor (%)
Discharge Allocation
(lb/yr)
Total Nitrogen
140
64
219
Total Phosphorus
21
58
37
2001 Permitted Flow: 0.006 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 'J�'���N� //�
An Equal Opportunity 1 Affirmative Action Employer � V ail "

Jerry L. Shields
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].
cc: Winston-Salem Regional Office
NDPES Files
Central Files
Sincerely,
)d
\ &
_Coleen H. Sullins
2

rmation
lity name:
IV
Shields Mobile Home Park
Responsible Person
Mailing Address
Phone Number:
Permit Number
Description of treatment
System or Process
II. Performance
James M. Carson OCR/ Jerry Shields Owner
1341 NC Hwy 87 North Elon, NC 27224
RECEIVED
Mr Carson [phone] / Mr. Shields [phone] -.DoaLof P,
JAN 2 7 20U
# NCO055271 5mnA-1 m
�ional Offira
Six septic tanks with sand filter, UV system and Chlorination chamber sa back up
and pumps
Summary of System Performance: (list all violations, corrective actions, improvements etc.):
Notice of violation due to failed to to meet new permit low CL2 rule for the month of April due to state did not give ok to install UV
system until April 28,2008
Information is not complete at this time.
had plant cleaned out two times in 2008
III. Notification
State how customers/users have been provided access to this report(mailing, posted, etc.):
Attached to contact, hand given and posted at mailbox
IV. Certification
Sign and date to certify that the report is accurate and complete
ignature of permittee
Mail original and two copies to:
System Performance Annual Report
NC Division of Water Quality
1617 Mail Service Center
1 /11 /2009 Rakeigh, NC 27699-1617
Date (attach additional sheets if necessary)

PPFr
Skields9Vto6ile?tome Park
AnnuaCWaste Water�Pe►formance import
Tear 2008
General
Ellie Shields W o6ile ?tome rParkWaste Water treatment Arnt er G.atc cat .z '55 9Y
9lwy 87 Elon, 9VC 2724. ?lie owner of 4
v J J
Elon, Ali 2724 Nore Vurn6er(336) 584--6209. The Plant operator/ORC/T'ieldLa6
_:,f .,r�Q_OQASat 1356St:"is OrOw ng
NC Plant is a grade 1 wastewater plant that treats tree wastewater .,,. the rd.4,,
State NMS Temit # X00055MI.2Tae plait na-
. 006 W il!"wn gaQons a day of raw sewage the system is a L(PZ. ?Tie sewage flows into a
vault _once it ftQ_c it is pumped into the head of the plant where a vault wor:6
as a septic tank from theme it enters a manifold of pipes where it is sprayed overa sand
6ed through holes in the pipe. ?Tie sand bed is 3 foot deep with oyster sheffas part of
the treatment to reduce nitrogen m the wastewater. After leaving the sand filter it
flows into a vault once it uJiQid the pump sends 2/3 of the wastewater 6ackto the
head of the plant the other 1/3 flows in a vvsystenfor disinfect ion, fmm there to
discharge in Travis Creep
Summary of ft!fornzance
The plant is cleaned out every 6 months and inspected 6y the state of 9VC once a year
with a monthly report to the state. 9Kr Carson's fuld lab is also inspected once a year
6y the state and has not all state requirements
Shields Mohk ?tome Tarkwas m Non-compCant. Due to failed to meet the new
permit of CL2 low tracefor the month of Aprd 08 due to the state did not give okto
instals V V system m place of CL2 untilApril28, 2008 V V system was instaQed and
running Way 15,2008.
On request you will6e given a copy of the annual report, 7ou can receive this copy
from 9Kr. Terry Shields oriames 9K. Carson.
sincereey,
games 91t. arson
09C

Michael F. Easley, Governor
William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
_H Coleen H. Sullins, Director
`C
Division of Water Quality
December 19, 2008
5195
Mr. James M. Carson
Carson's
1356 St. Regis Dr.
Burlington, NC 27217-
SUBJECT: Wastewater/Groundwater Laboratory Certification Renewal
FIELD PARAMETERS ONLY
Dear: Mr. Carson
RECE— 0 -
N.C, Dent. of ENR
JAN p 6 2W9
Winston-Salem
Regional office
The Department of Environment and Natural Resources, in accordance with the provisions of NC GS 143-215-
.3 (a) (10), 15 NCAC 2H .0800, is pleased to renew certification for your laboratory to perform specified
environmental analyses required by EMC monitoring and reporting regulations 15 NCAC 26 .0500, 2H .0900 and
2L .0100, .0200, .0300, and 2N .0100 through .0800.
Enclosed for your use is a certificate describing the requirements and limits of your certification. Please review
this certificate to insure that your laboratory is certified for all parameters required to properly meet your
certification needs.
Please contact us at 919-733-3908 if you have questions or need additional information.
Sincerely,
Pat Donnelly
Certification Branch Manager
Laboratory Section
Enclosure
cc: Ramon L. Cook
Dana Satterwhite /
Winston-Salem Regional Office!/
N0Nao 'Carolina
turally
Laboratory Section 1623 Mail Service Center; Raleigh, NC 27699-1623 Phone [phone]
Location: 4405 Reedy Creek Road; Raleigh, NC 27607 FAX [phone]
Internet: www.dwolab.org Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Certificate No. 5195
STATE OF NORTH CAROLINA DEPARTMENT OF THE
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
LABORATORY CERTIFICATION PROGRAM
In accordance with the provisions ofN.C.G.S. 143-215.3 (a) (1), 143-215.3 (a)(10) and NCAC 2H.0800:
Field Parameter Only
CARSON'S
Is hereby certified to perform environmental analysis as listed on Attachment I and report monitoring data to DWQ for
compliance with NPDES effluent, surface water, groundwater, and pretreatment regulations.
By reference 15A NCAC 2H . 0800 is made a part of this certificate.
This certificate does not guarantee validity of data generated, but indicates the methodology, equipment, quality control procedures,
records, and proficiency of the laboratory have been examined and found to be acceptable.
This certificate shall be valid until December 31, 2009
V
Pat Donnelly

Regis Dr.
Burlington, NC 27217-
Attachment
North Carolina Wastewater/Groundwater Laboratory Certification
Certified Parameters Listing
FIELD PARAMETERS ONLY
Certificate Number:
Effective Date:
Expiration Date:
Date of Last Amendment:
5195
01/01/2009
12/31/2009
The above named laboratory, having duly met the requirements of 15A NCAC 21-1.0800, is hereby certified for the measurement of the parameters listed below.
CERTIFIED PARAMETERS
INORGANICS
RESIDUAL CHLORINE
Std Method 4500 Cl G
DISSOLVED OXYGEN
Std Method 4500 O C
pH
Std Method 4500 H B
TEMPERATURE
Std Method 2550E
This certification requires maintance of an acceptable quality assurance program, use of approved methodology, and satisfactory performance on evaluation samples. Laboratories are
subject to civil penalties and/or decertification for infractions as set forth in 15A NCAC 21-1.0807.

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 12/03/08
Page: 1 of 3
Permit: nc0055271
MRs Between: 10 2007
and 9-2008 Region: %
Violation Category: %
Program Category: %
Facility Name: %
Param Name: %
County: %
Subbasin: °I°
Violation Action: %
Major Minor:
PERMIT: NCO055271
FACILITY: Shields Mobile Home Park - Shields Mobile Home Park
COUNTY: Alamance
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
02 -2008 001
Effluent
Chlorine, Total Residual
02/04/08
2 X week
ug/I
17
1,810
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/06/08
2 X week
ug/I
17
240
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/11/08
2 X week
ug/I
17
1,340
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/12/08
2 X week
ug/I
17
940
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/18/08
2 X week
ug/I
17
1,940
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/20/08
2 X week
ug/I
17
1,800
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/25/08
2 X week
ug/I
17
1,600
Daily Maximum Exceeded
No Action, BPJ
02 -2008 001
Effluent
Chlorine, Total Residual
02/27/08
2 X week
ug/I
17
1,350
Daily Maximum Exceeded
No Action, BPJ
03 -2008 001
Effluent
Chlorine, Total Residual
03/03/08
2 X week
ug/I
17
1,300
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/05/08
2 X week
ug/I
17
560
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/10/08
2 X week
ug/I
17
720
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/12/08
2 X week
ug/I
17
1,790
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/17/08
2 X week
ug/I
17
1,450
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/19/08
2 X week
ug/I
17
1,370
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/24/08
2 X week
ug/I
17
1,050
Daily Maximum Exceeded
No Action, Invalid
Permit

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 12/03/08
Page: 2 of 3
Permit: nc0055271
MRs Between: 10 2007
and 9 2008 Region: %
Violation Category: %
Program Category: %
Facility Name: %
Param Name: %
County: %
Subbasin: %
Violation Action: %
Major Minor:
PERMIT: NCO055271
FACILITY: Shields Mobile Home Park - Shields Mobile Home Park
COUNTY: Alamance
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
03 -2008 001
Effluent
Chlorine, Total Residual
03/26/08
2 X week
ug/I
17
690
Daily Maximum Exceeded
No Action, Invalid
Permit
03 -2008 001
Effluent
Chlorine, Total Residual
03/31/08
2 X week
ug/I
17
1,300
Daily Maximum Exceeded
No Action, Invalid
Permit
04 -2008 001
Effluent
Chlorine, Total Residual
04/02/08
2 X week
ug/I
17
690
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/07/08
2 X week
ug/I
17
630
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/12/08
2 X week
ug/I
17
1,980
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/14/08
2 X week
ug/I
17
1,470
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/15/08
2 X week
ug/I
17
2,000
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/21/08
2 X week
ug/I
17
1,650
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/23/08
2 X week
ug/I
17
1,290
Daily Maximum Exceeded
Proceed to
Enforcement Case
04 -2008 001
Effluent
Chlorine, Total Residual
04/28/08
2 X week
ug/I
17
890
Daily Maximum Exceeded
Proceed to
Enforcement Case
Monitoring Violation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
VIOLATION TYPE
VIOLATION ACTION
04 -2008 001
Effluent
Chlorine, Total Residual
04/12/08
2 X week
ug/I
Frequency Violation
No Action, BPJ
07 -2008 001
Effluent
Chlorine, Total Residual
07/05/08
2 X week
ug/I
Frequency Violation
None
07 -2008 001
Effluent
Chlorine, Total Residual
07/12/08
2 X week
ug/I
Frequency Violation
None

6 1*
MONITORING REPORT(MR) VIOLATIONS for: Report Date: 12/03/08 Page: 3 of 3
Permit: nc0055271 MRs Between: 10-2007 and 9-2008 Region: % Violation Category: % Program Category: %
Facility Name: % Param Name: % County: % Subbasin: % Violation Action: %
Major Minor:
PERMIT: NCO055271 FACILITY: Shields Mobile Home Park - Shields Mobile Home Park COUNTY: Alamance REGION: Winston-Salem
Monitoring Violation
MONITORING
OUTFALL /
REPORT
PPI
LOCATION
07 -2008
001
Effluent
07 -2008
001
Effluent
08 -2008
001
Effluent
08 -2008
001
Effluent
08 -2008
001
Effluent
08 -2008
001
Effluent
08 -2008
001
Effluent
04 -2008
001
Effluent
Reporting Violation
MONITORING OUTFALL/
REPORT PPI LOCATION
09 -2008 001 Effluent
09 -2008 001 Effluent
PARAMETER
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Temperature, Water Deg
Centigrade
PARAMETER
BOD, 5-Day (20 Deg. C)
Chlorine. Total Residual
VIOLATION
DATE
FREQUENCY
07/19/08
2 X week
07/26/08
2 X week
08/02/08
2 X week
08/09/08
2 X week
08/16/08
2 X week
08/23/08
2 X week
08/30/08
2 X week
04/12/08
2 X week
VIOLATION
DATE FREQUENCY
09/30/08 2 X month
09/30/08 2 X week
UNIT OF
MEASURE
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
deg c
UNIT OF
MEASURE
mg/I
ug/I
CALCULATED
LIMIT VALUE
CALCULATED
LIMIT VALUE
VIOLATION TYPE
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
VIOLATION TYPE
Parameter Missing
Parameter Missing
VIOLATION ACTION
None
None
None
None
None
None
None
No Action, BPJ
VIOLATION ACTION
None
None

November 30, 2007
Mr. Jerry Shields
Shields Mobile Home Park
1341 NC Highway 87
Elon, NC 27244
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Subject: Compliance Evaluation Inspection — NPDES General Permit No. NCO055271
Shields Mobile Home Park WWTP, Alamance County
Dear Mr. Shields:
Jenny Freeman of this office performed a Compliance Evaluation Inspection at the
Shields Mobile Home Park WWTP in Alamance County on November 28, 2007. Mike Carson,
Operator in Responsible Charge (ORC), was present for the inspection. This type of inspection
consists of two basic parts: an in -office review of facility files and self -monitoring data and an
on -site inspection of the facility. This particular inspection evaluated nine (9) areas, and
observations from each area are addressed below:
1. Permit
The new permit became effective June 1, 2006 and expires May 31, 2011. A permit
modification was issued on November 5, 2007 to extend the Total Residual Chlorine compliance
deadline from December 1, 2007 to March 21, 2008. It is our understanding that this extension
was requested to enable the installation of a UV disinfection system.
2. Self -Monitoring Proqram
A review of the monthly self -monitoring reports from October 2006 through September 2007
showed no limit violations. All monitoring is performed per the frequencies specified in the
permit.
3. Laboratory
Operators perform the following field parameters at the plant: pH, TRC, dissolved oxygen, and
temperature. The dissolved oxygen and pH meters are routinely calibrated, and the dates of
calibration are placed on the meters. Temperature is recorded with the dissolved oxygen meter,
and proof of annual verification was provided during the inspection. The last calibration was
performed on August 7, 2007. Mr. Carson's field parameter certification number is 5195.
Tritest, Inc. analyzes all other parameters for the facility.
4. Flow Measurement
The permit requires weekly instantaneous flow measurement. Effluent flow is estimated using
the meter on the facility's well (incoming water).
5. Sludge Handling Disposal
Pee-Wee's Septic Tank Service provides sludge disposal for the facility. The facility's septic
tanks are emptied approximately every 6 months. Records of this service (copies of invoices)
were available for review during the inspection. The last pump -out of 6500 gallons occurred in
August 2007.
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service No',rthCarolina
Internet: www.ncwaterquality.org Winston Salem, NC 27107 FAX [phone] atura"Ilf
An Equal Opportunity/Affirmative Action Employer — 50% Recycledl10% Post Consumer Paper

Mr. Jerry Shields
Page 2
November 30, 2007
6. Operations and Maintenance
According to the operator, mobile home park staff performs regular maintenance of the sand
beds. There was a significant amount of vegetative growth on the beds at the time of the
inspection. Regular raking will inhibit the growth of algae and other small plants.
7. Facility Site Review
The treatment system is a recirculating surface sand filter. Following initial treatment, half of
effluent goes back to headworks of the plant, while the other half is sent to the chlorinator, then
to discharge.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit.
DMRs include all permit parameters. Copies of the monitoring reports and corresponding lab
data were available for review during the inspection.
9. Effluent/Receiving Waters
The effluent pipe is located at the bottom of the hill below the sand filter system. The receiving
stream is Travis Creek in the Cape Fear River Basin. The effluent appeared clear with no
traceable solids.
Sincerely,
Steve W. Tedder
Surface Water Protection Section
Regional Supervisor
cc: SWP — WSRO
SWP — Central Files

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 I NI 2 151 31 NCO045292 111 121 07/11/28 117 181CI 191 CI 201 1
Remarks
211 1 1 1 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I 161
Inspection Work Days Facility Self -Monitoring Evaluation Rating 31 QA --------------------------- Reserved ----------------------
67 I 169 70131 711 I 72 I N I 73 C 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)
01:00 PM 07/11/28
07/03/01
Graham / Mebane WTP
Exit Time/Date
Permit Expiration Date
1824 US Hwy 70
Mebane NC 27302
02:00 PM 07/11/28
11/05/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
James M. Carson/ORC/336-578-3264/
Victor Ray Quick//336-570-6700 /3365135502
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Victor Ray Quick,PO Drawer 357 Graham NC 27253//336-570-6700/3365135502
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 Find in /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
i
Jennifer M. Freeman WSRO WQ//336-771-5000/ I'� 3Ct10-7
Signature of Management Review Agency/Office/Phone and Fax Numbers Date
;�' �4—T —G7
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
NCO045292 I11 121
07/11/28 117 18I c I
(cant.) 1
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
1. Permit
The new permit became effective March 1, 2007 and expired May 31, 2011. The limit for aluminum has
been removed and the monitoring frequency changed to monthly, and the monitoring requirement for
ammonia -nitrogen has been removed from the permit. This permit includes a Total Residual Chlorine limit
of 17 ug/L that will take effect on September 1, 2008.
2. Self -Monitoring Program
A review of the monthly self -monitoring reports from October 2006 through September 2007 showed no limit
violations. All monitoring is performed per the frequencies specified in the permit.
3. Laboratory
Mike Champion is the Laboratory Coordinator for the facility's on -site laboratory. WTP staff analyzes the
following samples: Settleable Solids, Total Residual Chlorine, pH, Turbidity and Temperature. Meritech,
Inc. analyzes Aluminum, Total Fluoride, Total Nitrogen, Total Phosphorus, and Total Suspended Solids
samples. Iron monitoring is not required since iron is not used in the treatment process.
4. Flow Measurement
Plant staff estimates the effluent flow from the wastewater lagoons on a weekly basis by the volume of
backwash, taking into consideration the volume that is used for re -wash.
5. Sludge Handling Disposal
Sludge disposal is handled by Synagro, Inc. Alum residuals are surface land applied on City of Graham
property under permit number WQ0003824. Synagro last removed 1.157 million gallons from the lagoons
#1 and #2 on June 20, 2007. Receipts from this service were available for review during the inspection.
6. Operations & Maintenance
No major problems were noted with respect to facility operation and maintenance. The daily operations and
maintenance logbook is very well organized. Maintenance activities include the addition of lime, sludge
removal from lagoons, and mowing.
7. Facility Site Review
The plant discharges filter backwash water. Backwashing occurs on an as -needed basis. The treatment
process consists of three settling lagoons, arranged in series. Effluent is discharged from Lagoon #3, after
it passes through Lagoons #1 and #2.
8. Records/Reports
The Discharge Monitoring Reports (DMRs) and lab data are maintained according to the permit. DMRs
include all permit parameters. A copy of this lab data was available for review during the inspection.
9. Effluent/Receiving Waters
The effluent is discharged into Back Creek in the Cape Fear River Basin. At the time of the inspection, the
effluent appeared clear with no traceable solids.
Page # 2

Permit: NCO045292
Inspection Date: 11/28/2007
Owner - Facility: Graham / Mebane WTP
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ El n n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n In n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(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?
■
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: The new permit became effective March 1, 2007 and expired May 31,
2011.
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
In
In
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
In
Is the chain -of -custody complete?
■
n
In
In
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
In
In
Has the facility submitted its annual compliance report to users and DWQ?
■
n
n
In
(If the facility is = or > 5 MGD permitted flow) Do they operate 2417 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
n
Page # 3

Permit: NC0045292 Owner - Facility: Graham / Mebane V TP
Inspection Date: 11/28/2007 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Is a copy of the current NPDES permit available on site?
■
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
■
n
n
n
Comment:
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
Is
n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
■
n
n
n
If effluent (diffuser pipes are required) are they operating properly?
❑
❑
■
❑
Comment:
Flow Measurement - Effluent
Yes
No
NA
NE
# Is flow meter used for reporting?
n
■
n
n
Is flow meter calibrated annually?
❑
n
Is
❑
Is the flow meter operational?
❑
❑
■
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
■
❑
Comment: Plant staff estimates the effluent flow from the wastewater lagoons on a
weekly basis by the volume of backwash, taking into consideration the volume that is
used for re -wash.
Lagoon
Yes
No
NA
NE
Type of lagoons?
# Number of lagoons in operation at time of visit?
3
Are lagoons operated in?
Series
# Is a re -circulation line present?
❑
❑
■
n
Is lagoon free of excessive floating materials?
Is
n
n
n
# Are baffles between ponds or effluent baffles adjustable?
n
n
■
❑
Are dike slopes clear of woody vegetation?
■
n
n
n
Are weeds controlled around the edge of the lagoon?
■
n
n
n
Are dikes free of seepage?
■
❑
❑
❑
Are dikes free of erosion? ■ ❑ n n
Are dikes free of burrowing animals? Is n n n
# Has the sludge blanket in the lagoon (s) been measured periodically in multiple locations? Is n n n
# If excessive algae is present, has barley straw been used to help control the growth? n n ■ n
Page # 4

Permit: NCO045292
Inspection Date: 11/28/2007
Lagoons
Is the lagoon surface free of weeds?
Is the lagoon free of short circuiting?
Comment:
Owner - Facility: Graham / Mebane WTP
Inspection Type: Compliance Evaluation
Laboratory
Are field parameters performed by certified personnel or laboratory?
Are all other parameters(excluding field parameters) performed by a certified lab?
# Is the facility using a contract lab?
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
Comment: Mike Champion is the Laboratory Coordinator for the facility's on -site
laboratory. All other samples are analyzed by Meritech.
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 1.0 to 4.4 degrees Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
Comment: All samples are grab.
■ ❑ ❑ ❑
■nnn
■nnn
■nnn
■❑nn
n n n ■
nn■o
nn■o
nn■o
■ n n n
nnn■
nn■n
nnn■
■nnn
Page # 5

From:
SEWER OVERFLOWS - TELEPHONE MESSAGE
(NAME)
Date of Overflow Time of Overflow:
Location LA v �
I
Date/Time Call Received: Ids
& 6
Arrived:
(FACILITY)
� Q�VYI
Completed:
Cause' Grease Repair/Remediation:
Roots
Other
Amount of Overflow:
�Y]S Amount reaching, stream: 16S
�l
Receiving Stream: ��

Shields Mobile Home Park
A To C No. 055271 A01
Issued April 28, 2008
Engineer's Certification
as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Shields Mobile Home Park
WWTP, located on NC Hwy 87 N in Alamance County for Shields Mobile Home Park, hereby
state that, to the best of my abilities, due care and diligence was used in the observation of the
following construction:
Installation of an inline UV disinfection system in an insulated enclosure, with
audible and visual alarms, spare lamps to be kept on site, the chlorination and
dechlorination systems shall remain as backup disinfection in the event of the UV
disinfection system's failure, in conformity with the project plans, specifications,
and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
� Signature � 11,&L"eRegistration No.
Date 1' 2,S' 09
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633
nofk
�j "19016�
1ul;1JUIlill...1... -
RFCFlVFn
N.C. Dept. of ENR
SEP 16 20W
Winston-Salem
j, Regional office

NORTH CAROLINA DEPARTMENT OF
�T •`� ENVIRONMENT AND NATURAL RESOURCES
NCDENRDIVISION OF WATER QUALITY
CONSTRUCTION GRANTS 91 LOANS SECTION
1633 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1633
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/IOq POST -CONSUMER PAPER
RECEIVE I
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V,
Mr. James M. Carson
Shields MHP
1356 Saint Regis Drive
Burlington, North Carolina 27217
Dear Mr. Carson:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
Apri128, 20 RECEIVED
UCtiOK GRWS &
SUBJECT: Authorization to Construct
A to C No. 055271AOI
Shields MHP
Shields MHP WWTP
Alamance County
A letter of request for Authorization to Construct was received February 15, 2008, by the
Division, and final plans and specifications for the subject project have been reviewed and found
to be satisfactory. Authorization is hereby granted for the construction of modifications to the
existing 0.006 MGD Wastewater Treatment Plant, with discharge of treated wastewater into
Travis Creek in the Cape Fear River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of an inline UV disinfection system in an insulated enclosure, with
audible and visual alarms, spare lamps to be kept on site, the chlorination and
dechlorination systems shall remain as backup disinfection in the event of the UV
disinfection system's failure, in conformity with the project plans, specifications,
and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO055271 issued March 7, 2007, and shall be subject to revocation unless
the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0055271.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the North Carolina Division of Water Quality.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as m Carolina
tura!!y
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet www.ncwaterauality.ora 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper

Mr. James M.
April 28, 2008
Page 2
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston Salem Regional Office, telephone number [phone], shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class 11, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of TI 5A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division of Water Quality in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.

Mr. James M.
April 28, 200
Page 3
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Ken Pohlig, P.E. at telephone
number [phone].
Sincerely,
/4a - /M-If-111— �:� .
Coleen H. Sullins
MM:kp
cc: Charles R. Underwood, Inc., Sanford - Russell Underwood, P.E.
Alamance County Health Department
DWQ Winston Salem Regional Office, Surface Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Daniel Blaisdell, P.E.
Ken Pohlig, P.E.
Michelle McKay, E.I.
ATC File

July 29, LUU8
PPP1_ SHIELDS MOBILE HOME PARK
1341-N, nc87
Elon, NC 27244
Director of Water Quality
Point Source Branch
ENFORCEMENT DEPT.
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NC DEHNR/DWQ/NPDES NCO055271
CASE NO. #LV-2008-0231
Sir:
We are in total dis-belief that we received a civil
penalty on monitoring the add -on equipment to the Waste
Water System. Mr. James M. Carson, ORC did the work
and correspondence to find a system that we could afford
and the State would accept. We did not receive final
approval from the State to construct this system until
April 28, 2008, letter from Mr. Ken Pohlig, P.E.(attached).
According to correspondence from Mr. Matt Mathews on May
1, 2008, some systems are still having problems finding
equipment to read as low as the EPA rules requires.
When we received the notice from DWQ to install additional
equipment, cost and installation, it presented us with just
another financial crisis. We only rent lot spaces, have
14 and only 10 are rented. Our first reaction was to close
the park. After serious thought and cond•sideration for our
tenants, we could not justify that decision. We know our
tenants could not afford to re -locate, move their mobile
home without creating financial problems for them.
My husband and I both retired and in our early 70's. I
have had to go back to a part-time job to help with my
husbands' medical expenses. He has Mascular Degenerative
Diseasein both eyes, being treated at Duke Eye Center
trying to save sight in his left eye, since he has lost the
sight in his right eye.
A civil penalty of this would
to maintain the ultra -violet
and salary of the ORC.
cont" to page 2
severly hamper our operation
system for safe drinking water

pppppp�
Page #2
We respectfully request a remission of this civil penalty
due to above stated explantation.
Sincerely,
Jerr L. Shields, Owner
irley Shields Mgr.
CC. file
enclosures
Mr. Ken Pohlig, PE
Mr. Steve Tedder -Winston Salem
Mr. James M. Carson, ORC

RECEIVED
To: DWQ
From: James M. Carson "'
ORC/ Shields M-H-P
Permit #NC0055271 �-
IDAN 9E'CtiQR
Date: 7/13/08
Ref: April Notice of Violation
Dear DWQ
When our new permit came out April 2006 with the new TRC. At that time I met
with the owner (Shields) and informed them of the changes and new requirements. At
that time I started looking for field equipment that would read low enough to meet the
new permit I started to research Thomas, Fisher, Hach and others. At that time everyone
was working to come up with something that would work. The only equipment they had
was a bench top for a Lab and being a field lab we would have no place for this
equipment and the cost was $3000.00 to $5000.00. At that cost there was no way Shields
M-H-P could afford this. I was being told from the equipment supplier that the new field
unit was on its way and hope to have it ready for sale soon. So we waited and it took
longer than they thought once it came out it this was very costly for the Shields as well.
Mr. & Mrs. Shields are retired. The Mobile Home Park is a grade 1 plant with a sand
filter. The park has 14 units in it and only 10 occupied with an average flow of .002
MGD. The cost of operation of the park is always on the line or going into the red when
any added cost has a large impact on the Shields. .
I met with the Shields and informed them of the cost of the equipment for TRC and other
choices we had. We needed to decide on whether to go with UV or the equipment needed
to meet the TRC. UV was the cheapest way to go, so after researching this, found UV
would be the best way to go. I met again with Mr. & Mrs. Shields, got their ok for the UV
and I called the state to get a request to construct and what was needed to do this. The AC
required a stamp from an Engineer. I contacted many Engineer firms trying to find one
who was within our price range. There were firms who would not give me a price due to
the size of the project, I contacted, Black & Veatch, AWCK, Hayward. I called friends I
know who are engineers, but because of their firms they could not help. I had prices from
$9000.00 to $15000.00, which was totally out of range for the Shields. It took many
phones call but I found Russell Underwood who is a PE, would help us on this matter. By
the time I found the engineer, and ordered the equipment, I knew we were going to be out
of time to meet the new permit so I requested a permit Modification in Nov 07 for
extending the permit to be able to meet the start of new permit. I was given 120 days on
the permit, which said we would have to have the UV in place and running by March 31
2008. Now we have the Engineer permit modification I submitted the AC on 1/13/08,
which gave us 4 months to get the system in and in operation.

On February 28, 2008 received a letter from DWQ Grant and Loans section stating they
are reviewing the AC. From there it was back and forth with them on many questions and
requests they had for our Engineers. We would complete their request and they would
come back with more. April 28, 2008 received the letter giving us the ok to construct. I
called our DWQ inspection and informed her we had the AC, and the UV system would
be installed within the next 2 week, on May 16, 2008 the UV system was in operation.
We could not start the installation until we had the AC, which was not completed, in the
DWQ office until April 28, 2008.
We request a remission of this violation due to:
1: In the last 8 years the Shields have not had any civil penalties.
2: We feel we did all we could do and were at the mercy of the state to meet the time line.
3: Within 2 weeks of the completed AC, the system was in operation.
4: Finding an Engineer that could work within our price range. Finding an engineer that
could take on such a small job.
5:1, James Carson stayed in touch with DWQ office (Jenny Graznak) and the office of
G&L responding to all requests into helping the project on the way and until it was
completed.
6: Mr. Shields has been in bad health with high medical cost and at times had to postpone
meeting with him due to his health. (In hospital or surgeries)
To a large city a civil penalty of $450.00 is just a drop in the hat but to a small Mobile
Home Park like the Shields could have a huge impact on their operation cost.
So in summary having to wait to find equipment that had to be designed for the field to
read TRC, having to find an Engineer Firm who we could afford or even talk to us due to
small project, waiting for the Grants and Loans section with DWQ to complete the AC.
Please review the following attachments:
Si cerely,
G�G2c
James M. Carson
ORC

PV
JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV42008-0231 County: Alamance
Assessed Party: Shields Mobile Home Park
Permit No. (If applicable): NCO055271 Amount Assessed: $450.00
Please use this form when requesting remission of this civil penalty. You must also complete the
`Reauest For Remission. Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
to request remission of this civil penalty. You should attach any documents that you believe support
your request and are necessary for the Director,to consider In evaluating your request for remission.
Please be aware that a request for remission is limited to consideration of the five factors listed below
as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy
of any of the factual statements contained in the civil penalty assessment document. Pursuant to
N.C.G.S. § 143B-282.1(c), remission of a civil penalty may be granted only when one or more of the
following five factors applies. Please check each factor that you believe applies to your case and
provide a detailed explanation, including copies of supporting documents, as to why the factor applies
(attach additional pages as needed).
(a) one or more of the.civil penalty assessment factors in N.C.G.S. 14313-282.1 N were
wrongfully apolied to the detriment of the petitioner (the assessment factors are listed
in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future
occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i. e., explain how payment of the civil penalty will prevent you from performing
the activities necessary to achieve compliance).
EXPLANATION:

JUSTIFICATION FOR REMISSION REQUEST
DWQ Case Number: LV-2008-0231 County: Alamance
Assessed Party: Shields Mobile Home Park
Permit No. (If applicable): NCO055271 Amount Assessed: $450.00
Please use this form when requesting remission of this civil penalty. You must also complete the
'Reauest For Remission. Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form
to request remission of this civil penalty. You should attach any documents that you believe support
your request and are necessary for the Director.to consider In evaluating your request for remission.
Please be aware that a request for remission is limited to consideration of the five factors listed below
as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy
of any of the factual statements contained in the civil penalty assessment document. Pursuant to
N.C.G.S. § 1438-282.1(c), remission of a civil penalty may be granted only when one or more of the
following five factors applies. Please check each factor that you believe applies to your case and
provide a detailed explanation, including copies of supporting documents, as to why the factor applies
(attach additional pages as needed).
C� (a) one or more of the civil penalty assessment factors in N.C.G.S. 14313-282.1(b) were
wrongfully applied to the detriment of the petitioner (the assessment factors are listed
in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the
violation (i.e., explain the steps that you took to correct the violation and prevent future
occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) Payment of the civil penalty will prevent payment for the remaining necessary remedial
actions (i.e., explain how payment of the civil penalty will prevent you from performing
the activities necessary to achieve compliance).
EXPLANATION:

April 28, 2008
Mr. James M. Carson
Shields MHP
1356 Saint Regis Drive
Burlington, North Carolina 27217
SUBJECT:
Dear Mr. Carson:
V`7
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
RECEIVED
N " Dept. of ENR
APR 3 0 20M
Is
ton-Salem
Reyional woe
Authorization to Construct
A to C No. 055271AOI
Shields MHP
Shields MHP WWTP
Alamance County
Coleen H. Sullins, Director
Division of Water Quality
A letter of request for Authorization to Construct was received February 15, 2008, by the
Division, and final plans and specifications for the subject project have been reviewed and found
to be satisfactory. Authorization is hereby granted for the construction of modifications to the
existing 0.006 MGD Wastewater Treatment Plant, with discharge of treated wastewater into
Travis Creek in the Cape Fear River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Installation of an inline UV disinfection system in an insulated enclosure, with
audible and visual alarms, spare lamps to be kept on site, the chlorination and
dechlorination systems shall remain as backup disinfection in the event of the UV
disinfection system's failure, in conformity with the project plans, specifications,
and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO055271 issued March 7, 2007, and shall be subject to revocation unless
the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0055271.
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the North Carolina Division of Water Quality.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as hCarolina
n 29tundlY
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterquality.orq 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Mr. James M. Carson
April 28, 2008
Page 2
be required by this Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston Salem Regional Office, telephone number [phone], shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T 15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division of Water Quality in accordance
with North Carolina General Statute 143-215.6A to 143-215.6C.

Mr. James M. Carson
April 28, 2008
Page 3
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Ken Pohlig, P.E. at telephone
number [phone].
Sincerely,
lsa��" /M -
Coleen H. Sullins
It-10—
MM:kp
cc: Charles R. Underwood, Inc., Sanford - Russell Underwood, P.E.
Alamance County Health Department
DWQ Winston Salem Regional Office, Surface Water Protection
Technical Assistance and Certification Unit
Point Source Branch, NPDES Program
Daniel Blaisdell, P.E.
Ken Pohlig, P.E.
Michelle McKay, E.I.
ATC File

Shields Mobile Home Park
A To C No. 055271AOI
Issued April 28, 2008
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Shields Mobile Home Park
WWTP, located on NC Hwy 87 N in Alamance County for Shields Mobile Home Park, hereby
state that, to the best of my abilities, due care and diligence was used in the observation of the
following construction:
Installation of an inline UV disinfection system in an insulated enclosure, with
audible and visual alarms, spare lamps to be kept on site, the chlorination and
dechlorination systems shall remain as backup disinfection in the event of the UV
disinfection system's failure, in conformity with the project plans, specifications,
and other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633

April 28, 2008
Mr. James M. Carson
Shields MHP
1356 Saint Regis Drive
Burlington, North Carolina 27217
SUBJECT: Shields MHP
Michael F. sleE1 y, dvernor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
RECEIVId
MAY 0 8 2008
Regional Office
A to C No. 055271AOI
Transmittal of Approved Plans and Specifications
Dear Mr. Carson:
Enclosed is a copy of the plans and specifications, which were approved on
April 28, 2008. The subject documents have been stamped "approved" for your records. A copy
is also being forwarded to your engineer and to the Winston Salem Regional Office. The
Permittee should retain these documents for the life of the facility.
Should you have questions regarding this matter, call me at [phone].
Sincerely,
IKen Pohlig, P.E., Acting Supervisor
le
Design Management Unit
MM: kp
Enclosures
cc: Charles R. Underwood, Inc., Sanford - Russell Underwood, P.E.
DWQ Winston Salem Regional Office
Daniel Blaisdell, P.E.
Ken Pohlig, P.E.
Michelle McKay, E.I.
ATC File
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633 One
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Natuilally

INFLUENT
FLOW BY —
GRAVITY OR
SUMP PUMP
LAMP CLEANING SCHEDULE
UV LAMP AND QUARTZ SHALL BE
CLEANED ONCE MONTHLY DURING
AVERAGE FLOWS, AND ONCE
EVERY TWO WEEKS DURING
HEAVY FLOWS
115 VOLT- -
UV CONTROL
PANELS
WATERPROOF
SHELTER
UV TREATMENT CHAMBER
TOP VIEW
TO OUTFLOW
2" NPT INLET
AND OUTLET
��/l/lliilllll��
FINAL DRAWING -
FOR REVIEW PURPOSES
ONLY
.t
u
O N
O
� o�
A f
02
tA
Go W
s .
V cu

SHIELDS MOBILE HOME PARKL
UV INSTALLATION
Alamance County, North Carolina
FINAL DRAWING -
FOR REVIEW PURPOSES
ONLY
Charles R. Underwood, Inc.
Sanford, NC
April, 2008

Shields Mobile Home Park — UV Disinfection System Installation
TECHNICAL SPECIFICATIONS
General
All state regulations and requirements of the Division of Water Quality (DWQ) apply to all contractors and
subcontractors. The project is to install a UV disinfection system in line with plant finished water outflow to
accommodate state maximum de -chlorination concentrations for treated waste water discharge. This system should
take the place of the existing chlorination and de -chlorination contact basins. These contact basins, however, are to
remain in service by way of a bypass valve in the event of a UV disinfection system failure.
UV Disinfection System
A. General
The UV disinfection system shall be of the in -line chamber type and shall consist of a UV lamp installed inside of a
quartz sleeve to maintain optimum disinfection. The UV lamps and quartz sleeves shall be removable for periodic
cleaning and replacement. The UV The unit shall be factory pressure tested to a minimum of 100 psig. The unit
shall be appropriately sized to accommodate peak plant flows. The unit shall be able to be mounted in the vertical or
horizontal position.
B. Spare Module
In accordance with the Division of Water Quality's UV Disinfection Systems Reliability Guidelines, A spare UV
lamp must be kept on -site at all times to minimize downtime in the event of a UV lamp failure. This spare lamp
shall be kept in a designated location known by the owner and plant ORC.
Pining
Influent and effluent piping shall be of PVC schedule 40, or equal, in a gravity flow situation and of sch. 80 PVC, or
equal, in a pressurized outflow system. Piping shall be appropriately sized to accommodate peak plant flows. A
bypass isolation valve shall be installed along with associated piping to keep the existing chlorination and de -
chlorination basins operational in the event of a UV disinfection system failure. Piping will not be painted.
Electrical
A. General
It shall be confirmed before construction that the additional power requirements for operation of the UV system can
be met by the existing power supply at the WWTP. All electrical wiring, conduit, and terminations shall be in
conformance with the latest edition of the NEC 2005 North Carolina Electrical Code or latest adopted update and all
local codes and ordinances.
B. Electrical Service
The UV disinfection shall require a 110 / 220 VAC power supply.
C. Controls
The UV disinfection unit shall have a control panel with appropriately sized fuses and / or circuit breakers and off
and on switches to operate the unit or connected into a GFCI outlet for constant operation. A UV output monitoring
system shall be provided with the UV disinfection system. This monitoring system shall be factory calibrated with a
UV output dosage meter, graduated in percentages or micro -watts.

Shields Mobile Home Park- UV Disinfection System Installation
The UV disinfection system shall be capable of alerting the owner and/or ORC of any potential failure of the unit
These alarms shall include a visual, audible, and in the case that plant location prevents audible and visual alarms
from being effective, an auto -dialer capable of contacting the owner and ORC.
Enclosures
An insulated enclosure shall be placed over the UV disinfection unit and control panel to prevent water intrusion and
freezing. A space heater shall be installed if needed to accommodate freezing temperatures.

o�0� wATF9p�
r
Mr. James M. Carson
Shields MHP
1356 Saint Regis Drive
Burlington, North Carolina 27217
Dear Mr. Carson:
Michael F. Eas eyl Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
March 26, 2008 N. RECEF
Deo of EDNR
MAR 2 8 2008
Winston-SaieT
Regional 0'f ce
SUBJECT: Request for Additional Information
Shields MHP
Shields MHP WWTP
UV Installation
ATC No. 055271AOI
Alamance County
A review of the plans and specifications in support of the request for Authorization to
Construct has been completed by the Construction Grants and Loans Section (CG&L). The
comments resulting from this review are being transmitted directly to your engineer for
clarification and resolution; a copy is attached for your reference. Our goal is to issue the
Authorization to Construct as soon as possible. If a complete response is not received within 30
days, the application and supporting information will be returned.
Upon receipt of satisfactory responses from your engineer to our comments, the review of
the plan documents will be completed. If you have any questions concerning this matter, please
do not hesitate to contact Michelle McKay, E.I., State Project Review Engineer, at
[phone].
Sincere1 ,
Ken Pohlig, Ph.D., P.E., Acting Supervisor
Construction Grants and Loans Section
Design Management Unit
1851VAI4
Attachment to all
cc: Charles R. Underwood, Inc., Sanford - Russell Underwood, P.E.
DWQ Winston-Salem Regional Office
Daniel Blaisdell, P.E.
Ken Pohlig, Ph.D., P.E.
Michelle McKay, E.I.
ATC Files
Construction Grants and Loans Section one
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net NorthCarolina
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/101/a Post Consumer Paper Natitrally

Construction Grants & Loans Section
Design Management Unit
Shields MHP
Shields MHP WWTP
UV Installation
ATC No. 055271A01
Request for Additional Information
General Comments
1. Please verify that the additional power requirements for operation of the UV system can be
met by the existing power supply at the WWTP.
2. The UV system should have the ability to notify the ORC of lamp/unit failures.
3. It is noted that the appropriate number of spare lamps is being kept on site in accordance with
the Division of Water Quality's Ultraviolet Disinfection Systems Reliability Guidelines. This
guidance also requires that a spare module be kept on site. A copy of the guidelines is attached.
4. Provide three (3) sets of final plans and specifications to this office, labeled: "Final. Not
Released for Construction".
Review of Plans
1. We suggest including a recommended lamp -cleaning schedule on the plans for the operator to
follow.

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: e J S H*f Permit/Pipe No.: N(-Cp j5-"T7 I Month/Year Te-J-> bS
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Weekly aily Violations
Date
Parameter Permit Limi v e
DMR Value
% Over Limit
Tulnn�tntin,s-l+rr+n+,�wr �I;�tor;.,,,o
olations
�r
JEW
as
�:EP=C
t
Yt& 3 /31
Completed by: Date: l bS
Regional Water Quality
Supervisor SiQnoff: Date:

.-- - EF ENT
NPDES PERMIT NO. NCO055271 DISCHARGE NO. 001 MONTH February YEAR 2008
FACILITY NAME Shields Mobile Park CLASS 2 COUNTY Alamance KN
OPERATOR IN RESPONSIBLE CHARGE (ORC) James M. Cgjeo, GRADE 2 'HONE [phone]
CERTIFIED LABORATORIES (1) Tritest (2) Carson's Field Lab # 5195 APB
CHECK BOX IF ORC HAS CHANGED PERSON(S) COLLECTING SAMPLES James M. Carson
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIV OF WATER QUALITY
DEHNR c1 NATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER PQ� N BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE
ABOVEENTER PARAMETER
NAME AND UNITS BELOW
DEM Form MR-1 (12/93)
RECEIVED
A.C. Dent. of ENP
'APR 23 A00
2i+l:is�i.^r+-Salary.
Regional OfFicc
Forms by CYiemSW(707)864-4)845:FJn11158y5.24;1/12WPsIn111583152

Re: Shields NIHP, UV Installation
Subject: Re: Shields MHP, UVIstallation
From: Michelle McKay <[e-mail]>
Date: Tue, 04 Mar 2008 11:02:42 -0500
To: Jenny Graznak <[e-mail]>
Thank you.
Jenny Graznak wrote:
Michelle,
I received your memo regarding Shields Mobile Home Park (NC0055271) in Alamance
County. WSRO has no concerns regarding the inclusion of UV installation in the
Authorization to Construct at the above mentioned facility. Please let me know
if you need further information from us. Thank you.
Jenny Graznak
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
1 of 1 3/4/2008 1 1:05 AM

February 28, 2008
Mr. James M. Carson
Shields MHP
1356 Saint Regis Drive
Burlington, North Carolina 27217
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
RECEIVED
MAR 0 3 2008
Reg,onal office
SUBJECT: Acknowledgement of Request for an
Authorization to Construct
Shields MHP
UV Installation
NPDES Permit No. NCO055271
Dear Mr. Carson:
The Construction Grants and Loans Section received your request for an Authorization to
Construct and the supporting documentation on February 15, 2008. We will notify you and your
engineer upon completion of our review. Your project has been assigned to Michelle McKay, E.I.
She can be reached at [phone].
If you have any questions concerning this matter, please contact me at [phone].
Sinceply,
Ken Pohlig, P.E., Acting Supervisor
Construction Grants and Loans Section
Design Management Unit
cc: Russell Underwood, P.E. — Charles R. Underwood, Inc, Sanford
DWQ Winston-Salem Regional Office
WQ Central Files
Michelle McKay, E.I.
Anita Reed, P.E.
ATC Files
Construction Grants and Loans Section
1633 Mail Service Center Raleigh NC 27699-1633
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
An Fnual 0000rtunity/Affirmative Action Fmolover — 50% Recvcled/10% Post Consumer Paoer
NorthCarolina
Natural&

OW AT �RPG
r
` � _ i � i
o Nib �
February 28, 2008
MEMORANDUM
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
TO: Steve Tedder, Regional Water Quality Supervisor
Winston-Salem Regional Office, Division of Water Quality
FROM: 4—michelle McKay, E.I., Project Review Engineer RECEIVED
Design Management Unit r �, �tiR
SUBJECT: Request for an Authorization to Construct MAR 0 3 2008
Shields MHP, UV Installation ,.
Regional Gf#r�a
NPDES Permit No. NCO055271
Plans, specifications and supporting documents have been received for the subject
project. It is requested that comments and recommendations, including the items listed below, be
received by March 28, 2008 from the Regional Office Staff:
Procedure No. 4 Comments
Schedule for Issuance of the NPDES Permit
SOC, or Other Schedules Which Must be Met
Status of Stormwater Permit, if applicable
Confirm if the Proposed Method and Sequence for Construction of
Additions/New Facilities is Acceptable.
Groundwater Comments
Standby Power Needs
Compliance With N. C. Well Construction Standards
CAMA
X Recommendations for inclusion in the Authorization to Construct
For your reference, review and comments on the above items, plan documents are submitted as follows:
X Plans and Specifications
Subsurface/Soils Report
Power Outage Information
Other
If you have any questions, please contact Michelle McKay, E.I. at [phone].
Attachment
AR
cc: Michelle McKay, E.I.
Anita E. Reed, P.E. / ATC Files
Construction Grants and Loans Section One
1633 Mail Service Center Raleigh NC 27699-1633 NorthCarolina
Phone: [phone] / FAX: [phone] / Internet: www.nccgl.net
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Natmally

Charles R. Underwood, Inc.
2189 Everett Dowdy Rd. Pump Sales & Service Ph: 919-775-2463
Sanford, NC 27330 Fax: [phone]
January 29, 2008
Mr. Ken Pohlig
North Carolina Division of Water Quality
Constriction Grants and Loans Section
1633 Mail Service Center
Raleigh, NC 27699-1633
RE: Shields Mobile Home Park W WTP: De -chlorination Requirements — Hydraulic Analysis
Dear Mr. Pohlig,
Attached are flow analysis documents with hydraulic calculations for the installation of a UV treatment
system at Shields Mobile Home Park waste water treatment facility in Elon, NC. This system is intended
to bring this treatment plant into conformance with state de -chlorination requirements for treated waste
water outflow. This report is to fulfill Item #8 on the "Authorization to Construct (ATC) Application
Form."
Please let me know if we are lacking any information that would prevent these reports from meeting your
approval. We appreciate all of your help and input on this project.
Sincerely,
Charles R. Underwood
gad 44;)
Russell Underwood, PE
President
Enclosure: Shields Mobile Home Park WWTP — Hydraulic calculations and flow analysis.
Enchlor Inc. — UV Water Disinfection System flow capacities.
.2)0
irnnnunu

January 28, 2008
A'TC Form - Item #•8: Hydraulic Calculations
Plant Name: Shields Mobile Home Park
Locations: Elon, NC
Max Capacity: 6,000 Gallons / Day
Avg. Actual Flows: 2,000 Gallons / Day
The maximum flow allowable through the proposed Model GUS-30 UV Water Disinfection system by
Enchlor, Inc. is 10 gallons per minute to maintain required disinfection capabilities. A maximum plant
capacity of 6,000 gallons per day translates to 4.167 gallons per minute. Hydraulic calculations were
considered under the following scenarios:
Maximum Plant Outflow Conditions
Calculation: 6,000 gallons per day / 1440 minutes per 24 hour day = 4.167 GPM.
Equipment Max Flow: 10 GPM
Safety Factor. 58.33%
Average Plant Outflow Conditions
Calculation: 2,000 gallons per day / 1440 minutes per 24 hour day =1.389 GPM.
Equipment Max. Flow: 10 GPM
Safety Factor: 86.11 %
Conclusion
As displayed above the proposed UV Disinfection system will provide ample capacity to meet average
and maximum plant outflow conditions.
2

PPPPK3:11P FROM:
u;
MODEL
GUS-7
GUS-10
GUS-30
GUS-50
MODEL
GUS-7
GUS-io
GUS-30
I'vastcVV ter
Flow rate
Flow rate
oral
Influent
Drinking eater
Marc Flow
7 gpm
10 qpm
30 qpm
50 Qnm
Fran F:o.
•1.5 gpm
3 gpm
10 qpm
15 Qom
nimum)
t @ 254 nm
Jed solids TSS
,gen demand
100 MI
AVAILABLE OPTIONS PER SYSTEM
Manual cleaning/wiper system:
UV Intensity Monitor:
Lamp out, I.ow Intensity Audible Alarm
Spare tamp:
Spare quartz sleeve:
Connections
3/4" NPT
n /Ili i Ih1T
1-� a' NPT
2" NPT
Connections
3/4" NPT
3/4" NPT
1-1/2" NPT
2" NPT
TO:19197087232
Dimensions
22"x9"x9"
43"x7 6"x14"
43"x16"xl 4"
Dimensions
22"x9"x9f1
3911x9"x9"
43"x 16"x14's
43"xl 6"x1411
Uirl?T"ScInts
�F
FC/1 oo mi
P:2/15
# of Laml
1-17"
1-361f
2-36"
2-3611-HO
Of Lawn
1-17"
1-36"
2-36i1
2-36"-HO

pppppp�
Charles R. Underwood, Inc.
2189 Everett Dowdy Rd. Pump Sales & Service Ph: 919-775-2463
Sanford, NC 27330 Fax: [phone]
Shields Mobile Home Park WWTP
UV Disinfection System
Installation Drawings

INFLUENT
FLOW BY —
GRAVITY OR
SUMP PUMP
115 VOLT- -
UV CONTROL
PANELS
UV -
SENS❑R
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n
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all
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AND OUTLET

INFLUENT
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TOP VIEW
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AND OUTLET
OC
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INFLUENT
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WATERPROOF
SHELTER
UV —
SENSOR
UV TREATMENT CHAMBER
TOP VIEW
W w T
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.-4
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pppppp-
Charles R. Underwood, Inc.
2189 Everett Dowdy Rd. Pump Sales & Service Ph: 919-775-2463
Sanford, NC 27330 Fax [phone]
Shields Mobile Home Park WWTP
ITV Disinfection System
Hydraulic Calculations and Analysis

pppppp�
Charles R. Underwood, Inc
2189 Everett Dowdy Rd. Pump Sales & Service Ph: 919-775-2463
Sanford, NC 27330 Fax [phone]
January 29, 2008
Mr. Ken Pohlig
North Carolina Division of Water Quality
Construction Grants and Loans Section
1633 Mail Service Center
Raleigh, NC 27699-1633
RE: Shields Mobile Home Park W WTP: De -chlorination Requirements — Hydraulic Analysis
Dear Mr. Pohlig,
Attached are flow analysis documents with hydraulic calculations for the installation of a UV treatment
system at Shields Mobile Home Park waste water treatment facility in Elon, NC. This system is intended
to bring this treatment plant into conformance with state de -chlorination requirements for treated waste
water outflow. This report is to fialfill Item #8 on the "Authorization to Construct (ATC) Application
Form"
Please let me know if we are lacking any information that would prevent these reports from meeting your
approval. We appreciate all of your help and input on this project.
Sincerely,
Charles R- 000
Russell Underwood, PE
President
Enclosure: Shields Mobile Home Park WWTP — Hydraulic calculations and flow analysis.
Enchlor Inc. — UV Water Disinfection System flow capacities.
H
19016
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Plant Name:
Locations:
Max Capacity:
Avg Actual Flows:
ATC Form - Item #8: Hydraulic Calculations
Shields Mobile Home Park
Elon, NC
6,000 Gallons / Day
2,000 Gallons / Day
January28, 2008
The maximum flow allowable through the proposed Model GUS-30 UV Water Disinfection system by
Enchlor, Inc. is 10 gallons per minute to maintain required disinfection capabilities. A maximum plant
capacity of 6,000 gallons per day translates to 4.167 gallons per minute. Hydraulic calculations were
considered under the following scenarios:
Maximum Plant Outflow Conditions
Calculation: 6,000 gallons per day / 1440 minutes per 24 hour day = 4.167 GPM.
Equipment Max Flow: 10 GPM
Safety Factor: 58.33%
Average Plant Outflow Conditions
Calculation: 2,000 gallons per day / 1440 minutes per 24 hour day =1.389 GPM.
Equipment Max. Flow: 10 GPM
Safety Factor: 86.11 %
Conclusion
As displayed above the proposed UV Disinfection system will provide ample capacity to meet average
and maximum plant outflow conditions.
K

T0:19197087232 P:2/15
Drinking Water
MODEL Max Flow
Connections
Dimensions
# of Lam
GUS-7 % ppm
3/4" NPT
22"x9"x9"
1-1711
GUS-10 10 gjprn
3/4" NPT
391Ix91mx9"
1-36"
t
US,30 ODM
1-11it
NPT
43"x16x14"
2-36"
GUS-50 50 gpm
2" NPT
437x16"x14"
2-36"-HO
MODEL ` ra%; FIs; v-'.
Connections
Dimensions
of La
GUS-7 -1.5 m
3/4" NPT
22"x9"x9"
1-17"
GUS-10 3 m
3/4" NPT
39"x9"x9"
1-36"
GUS-30 10 m
1-1/2" NPT
43"x16"x14"
2-36"
GUS-50 15 m
2" NPT
43"xl6"x14"
2-36"-HO
Wastewater
Pr, I
Flow rate (peak)
3, 10, 15 m
MFl
ow rate averse
TBD
Flow rate minimum
T1
TBD
Transmission @ 254 nm
Total suspended solids TSS
EE
G30 m
/titer
Biolo ical oxygen demand
<30 m
/liter
Tem rature
40/90 F
Influent r 100 ml sample)
TBD
Discharge Permit
1>200 FC/100 ml
AVAILABLE OPTIONS PER SYSTEM
Manual cleaning/wiper system:
ITV Intensity Monitor
Lamp out, I.ow Intensity Audible Alarm
Spare Tamp:
Spare quartz sleeve:

F=AC,H R Inc
ULTRAVIOLET WATER DISINFECTION SYSTEM
OPERATION & MAINTENANCE MANUAL
Enchlor Inc.
PO Box130, W Main Street, Silverdale, PA 18962
Phone:[phone] Fax:[phone]
www.enchlor.com

Call your installer for lamp replacement
Use this chart to record lamp replacement
dates
Lamp Change Date
INSTALL DATE:

You should have received the following:
A. A disinfection chamber
B. UV lamp(s)
C. Quartz sleeve(s)
D. Compression nut(s)
E. Lamp cap(s)
F. Lamp socket(s)
G. 0-ring(s) (stainless washer for JTD system)
H. Power supply
I. Warranty (at end of this manual)
1. Your Disinfection Unit— Pre -Installation
Your Ultraviolet (UV) water disinfection system has been tested at Enchlor's manufacturing facility. The unit has been
hydrostatically pressure -tested to 100 psi. In some cases, a small amount of water may remain in the vessel. In order to
insure that the unit works at optimum performance, please follow the instructions outlined in this manual.
1.1. Warning
UV light is harmful to your eyes and skin. Do not look directly into the light. Always unplug (disconnect power) your
unit before installing or removing a lamp. Your unit may have a green LED light that indicates that the lamp is
operating (in some products like the SBH Series, an audible alarm will sound in the event of lamp failure). If the LED
goes out, contact your dealer for service. If your unit has an audible alarm and it goes off, contact your dealer.
Since the unit is run by electricity, please remember to disconnect all power before servicing the equipment. Failure to
do so may result in serious injury or death.
When handling lamps and quartz, use gloves to prevent them from becoming dirty. If they do, wipe them with alcohol.
1.2. Your Water Supply
Enchlor recommends that trained professionals test and maintain your water supply. In addition to testing the water to
see if UV is appropriate, we recommend pre -filtering systems (softeners, carbon or reverse osmosis) to help remove
tastes, odors, minerals and cysts.
1.3. UV Effectiveness
Your disinfection unit needs to be maintained. Change your lamp on a yearly basis and insure that the quartz sleeve is
cleaned on a regular basis.
Failure to do periodic maintenance will impact your units effectiveness.
1.4. Flow Rate
Your unit has been designed to accommodate a certain flow rate. In order to work effectively, you may need to install a
flow control device. This device attaches to the inlet and controls the water that enters the system. Note: your system
may have come with a flow controller.
Failure to use a flow control (available at most plumbing supply stores) may reduce the effectiveness of your
disinfection unit.

1.5. Types of Units
There are two basic types of units:
Close -ended units: where the quartz sleeve looks like a test tube and rests inside the unit.
Open-ended units: where the quartz sleeve extends through both sides of the unit.
Follow the instructions for your type of unit.
1.6. Inspection
Insure that lamps and quartz have not been broken. We recommend that you use gloves when handling lamps and
quartz sleeves to prevent them from becoming dirty. Dirt and skin oils will impact the UV output.
A warranty card has been included. Please fill out the warranty and send back to manufacturer or dealer. This
warrantees the chamber for 5-years and electrical components for 1-year.
1.7. Electrical Requirements
The electronics have been designed to work with standard power supplies. Since the unit is susceptible to power
fluctuations, we recommend that the system be kept off any lines where there are surges. This includes pumps or
motors. If there are fluctuations, please use a surge suppressor. Systems will come with plugs, which require no "hard
wiring". Please look at the outside of the electrical "box" for Voltage, Cycle and AMP draw.
1.8. Location of Unit
UV disinfection works best when it is installed closest to point of use. When installing, remember that you will need to
be able to remove lamps and quartz as part of a maintenance schedule. Allow yourself enough room to accomplish
these tasks. Unit can be mounted vertically or horizontally. Inlet and outlet can face up or down.
2. Your Disinfection Unit— Installation
If you are attempting to install the unit by yourself and you have questions, please call your water quality or plumbing
professional. Improper installation can cause potential water damage to your property and can also reduce the effectiveness of
the UV disinfection system.
2.1. Recommended Supplies
Before getting started, you will need the following:
• Screws to bolt the unit into place
• Teflon tape to insure quality sealing
• Shutoff values for both the inlet and outlet
• Unions before and after the unit
• Flow control (from dealer or plumbing supply house) Note: many units come with this as a standard
accessory. It looks like a brass disk with a rubber insert. This will be press fit into the inlet and outlet.
2.2. Plumbing
Your unit may be installed under the sink or where the water enters the building. In either case, we recommend that
shutoff valves be installed before the inlet and after the outlet. This allows for easier yearly servicing and allows you to
shut off the water supply if you have a problem with the unit.
A damaged quartz sleeve can cause a potential leaking problem. An unchecked leak can lead to severe flooding.

2.3. Quartz for Close -ended Units
2.4.
A sealed unit has one opening for the lamp and quartz to go into. The quartz has a dome on one end like a test tube.
Once the unit has been secured and the piping connections have been made, it is time to install the quartz sleeve.
The unit will have come with a compression nut that is in place and holds an O-ring. Remove the nut and the O-ring.
Note that the nut for some units have two pieces — the actual nut and a cap that goes over the nut and holds the lamp
in place.
Insert the dome end of the quartz into the unit. Guide the quartz through the unit until it rests at the end in a spring.
Once in the spring, you can screw in the compression nut (make sure that the O-ring is properly positioned in the nut).
Create a tight seal, but not too tight as you may crack the quartz sleeve.
Now that it is in place, you can test the unit to see if it is watertight. Slowly pressurize the unit by allowing water to run
through the unit for five minutes. As this is happening, check to see if the seal is dry. If it is not, you will need to redo
the seal. If it is dry, you are prepared to install the lamp.
2.4.1. Installing the Lamp
Carefully slide the lamp into the quartz (dropping the lamp can break the quartz). Once it is in place, connect the lamp
to the socket. When you have done that, tighten the cap to the nut and then plug in the unit.
2.5. Quartz for Open-ended Units
An open system has openings on each end of the unit.
The quartz will also have openings on both ends.
H

The unit will have come with compression nuts that are in place and hold O-rings. Remove the nut and the O-ring.
Note that the nut for some units have two pieces — the actual nut and a cap that goes over the nut and holds the lamp
in place.
Insert the quartz into the unit. Use your fingers on both sides to guide it into place. Move the quartz so it comes out of
the unit at equal lengths on both sides.
Making sure that the O-ring is sitting properly in the compression nut, loosely hand tighten each nut into place. Before
tightening, re -check to insure that the quartz is extending equally out of each side. You can do this by inserting your
fingers on both sides and judging the appropriate distance. Once done, tighten until you have a secure fit. Create a
tight seal, but not too tight as you may crack the quartz sleeve.
Now that it is in place, you can test the unit to see if it is watertight. Slowly pressurize the unit by allowing water to run
through the unit for five minutes. As this is happening, check to see if the seal is dry. If it is not, you will need to redo
the seal. If it is dry, you are prepared for lamp installation.
2.5.1. Installing the Lamp
Carefully slide the lamp into the quartz (dropping the lamp can break the quartz). Once it is in
place, connect the lamp to the socket. When you have done that, tighten the cap to the nut and
then plug in the unit.
2.6. Quartz Installation Instructions for the EJTD-7 System
Note: The inlet is at the bottom and outlet is at the top side:
OUTLET
I! INLET
To install the quartz, take an O-ring and put it on - over the open end of the quartz (about 1 /2 —1 inch).
Start with the side where the lamp connects. Now, insert the domed end of the quartz into the unit. You will need to
guide the quartz straight through until it rests in the bottom of the unit.
At this point, the O-ring will be seated in the machined head. You may need to push the O-ring in or out (small
amount). Once adjusted, place the stainless steel washer over the oring and screw -in the compression nut and test as
per the instructions above.

3. Maintenance
As noted in this manual, your lamp needs to be replaced on a yearly basis the quartz cleaned on a more frequent basis.
The quartz may have "build up" on it. If it does, clean it with soap and water. If the quartz is stained, use a product like
CLR or LimeAway (both available at the grocery store).
When you remove the quartz, please follow the same instructions as above.
Track you maintenance record on the front page of this manual.
4. Operation Status and Alarms - Basic
The unit will have come with an audible and or visual lamp status alarm.. In the event of a lamp out, the audible alarm will
sound. If the unit has a visual alarm (Green light aka LED indicates lamp is on), the LED will go off when the lamp goes off.
If this is the case, have your water professional check to see if the lamp needs to be replaced. When alarming, the water
may not be safe to drink.
If the lamp is working, suspect that the alarm board has been damaged and is in need of repair.
5. Recommendations
• Use a licensed plumber or qualified water professional to do the installation.
• Check the unit on a regular basis to see if the lamp is on (the green LED indicator will tell you if the lamp is working).
• When first installing the unit, you will need to make insure that all plumbing after the unit has been sanitized. This will
make sure that all microorganisms have been destroyed. Plumbers often fill the UV chamber with disinfectant and
flush out the pipes. They do this by opening all spigots and allowing the disinfectant to run its course through the
pipes. Professionals should do this because many disinfectants can be harmful or fatal if swallowed.
• Install carbon filters, softeners and reverse osmosis systems BEFORE the UV system. These types of filters can breed
microorganisms.
• Use a flow control device that is rated for your unit's GPM flow rate.

6. Options
Your system may have come with optional equipment. If it did, instructions for these options are attached.
6.1. Quartz Cleaning System
Your system may have come with an optional manual quartz cleaning system. This device will allow you to clean the
quartz sleeve without having to disassemble the disinfection chamber.
I WARNING ! The plunger may be forced out when water pressure builds up. When installing the unit, make sure that
you stand clear of the plunger when pressurizing the system.
In order for the system to work at optimum performance, you must clean the quartz on a periodic basis. To clean
quartz, pull the plunger toward you and then push it in again. Do this a few times a month.
You may need to change the o-rings on the wiper on a periodic basis. Please open the system once a year to inspect
the quartz and the wiper rings.
6.2. Automatic Shut-off Valve aka Normally Closed Solenoid
Your system may have come with an optional automatic solenoid valve.
This device will stop the water flow if the UV lamp goes out or if the UV intensity falls. It is considered a "normally
closed" valve. This means that when there is no power to it, it closes. This will occur during a power outage or lamp
failure.
The solenoid will work off of a signal from_ the ballast, which indicates lamp out. If lamp fails, then the solenoid will shut
off the water supply.
The solenoid will also work off of a signal from the UV monitor, when the UV intensity has fallen to an unsafe level. In
the event of water stoppage, you will need to correct the problems.
Reasons for stoppage include: Power failure, Lamp is out, Ballast is out, UV lamp is failing, Solenoid is damaged
There is a manual override on some of the valves. Call your water professional in case of an emergency. The manual
valve is a white toggle switch. In order to open the valve, it must have power. This is generally provided by the UV
system, but in emergencies, power can be brought directly to the valve.
The main power box control will have leads for attaching the solenoid. These leads will need to be connected to the
leads on the actual solenoid valve. The solenoid will have come with connectors.
The solenoid valve will have an arrow on it indicating flow direction. Please install it the solenoid so that
the path of the water goes with the arrow.

6.3 UV MONITORING
Parts:
UV Monitoring System
EMSR002
Sensor Glass
ESG0001
•
Sensor O-ring
EOR1015
UV Sensor
EMSR010
Meter Face Plate
EMSR015
Meter Electronic Board
Black Retainer Cap
EMSR020
ECN0015
Compression Nut O-ring
EOR1005
•
The UV monitoring system has been factory calibrated and should not need to be re -calibrated for many years. If you
experience a problem, use the following procedures to re -install or re -calibrate the system. You will need to keep the
sensor and quartz sleeves clean to get better and more accurate readings. If at all possible, let your water quality
professional do the maintenance.
The sensor head is retained by a black plastic cap on the side of the chamber. The sensor head is plugged into a
matting receptacle on the meter control assembly. Note: any calibration should be made with new UV lamps and clean
quartz sleeves.
Installation and Calibration
• Locate the sensor port on the side of the chamber.
• Insert the O-ring into the port.
• Insert the glass into the port over the O-ring.
• Insert the sensor head and loosely tighten the black retainer cap over the sensor head.
• Connect the sensor to the UV monitor with the plastic clip connectors.
• The meter electronics and face plate will be contained in the control box.
• There are a few styles of meter face plates.
• One incorporates the dose in microwatts and shows: Red, Yellow and Green (representing waming, caution and
good)
• One incorporates a reading from 1 to 100%.
• When working on the electronics remember that 120 VAC is present.
• On the back of the meter face plate is a printed circuit board. On one end of the circuit board there are two thumb
wheels to adjust the meter span and trip point. The thumb wheel in the center of the board is for meter span. The
thumb wheel located near the edge of the board sets the relay trip point.
• To insure that the meter is functioning, turn power on (make sure no water or water pressure is present).
• Watch the meter face and slowly withdraw the sensor away from the holder.
• At the meter reading where the trip point has been factory set, you should hear the relay actuate.
• If the relay does not actuate, you will need to make an adjustment. The adjustment can be made by adjusting the
edge thumb wheel with a precision screwdriver.
• This trip point is where a solenoid or other warning device like an audible alarm will be triggered.
• To lower the meter reading, slowly withdraw the sensor head from the chamber assembly while observing the
meter and listening for the relay click. By inserting and removing the sensor head a little at a time, the meter will
move over the trip point area. Adjust the thumb wheel to the desired setting
• Now, tighten the sensor probe to the chamber.
• The meter reading should be near or above full-scale reading. It may take one to two minutes for the meter to
read full scale.
TRIP POINT ■ METER SPAN
f

UV MONITORING SYSTEM OVERVIEW
After 100-hour bum -in, the UV display is procedurally set to Full -Scale (100%). This is done during nominal operating
and water quality conditions. This UV reading is not NIST calibrated to absolute mW/cm2 intensity. It can not be used
directly in calculating dosages. It is simply a relative % of its nominal specified operating performance. Initial setup is
obviously 100 % of nominal performance, since everything is brand new. Subsequently, any decline in UV Relative %
Intensity is likely any combination of:
• fouling quartz sleeves
• fouling UV probe face
• lamp aging
• water quality (% UV Transmission)
• UV detector aging
• eroding electrical connections.
A low UV Relative % Intensity Threshold setting may optionally" be used to activate a Common Alarm.
The UV monitor provides a normally open and a normally closed contact. For instance, the normally closed contact will
keep a normally closed valve open. Upon alarm, it will cut power and close the valve. At the same time, the normally
open could trigger a remote alarm.
Normally
Open
Normally METER SPAN
Closed
Common
!• : -
ca �
220 Volt
MIa ,
110 Volt
TRIP POINT

6.3.1 UV MONITORING TROUBLE SHOOTING AND RECOMMENDATIONS
The UV monitoring system will require maintenance. The following are some common trouble shooting instructions:
UV meter is reading is low with new system or new lamps
• Check to see if the if the METER SPAN DIAL is rotated clockwise.
• Check to see if the water quality is poor
• If equipped with a wiper, clean the quartz
• Check to see if the sensor is securely connected to the wire coming from the meter box
• Check to see if sensor, sensor glass or oring has been damaged. To do this, you must de -pressurize and
drain the system. When draining, insure that the sensor glass and oring do not get lost or broken. Inspect
each item. The sensor glass should be free from chips, the oring should have no nicks and the sensor should
be dry. Once inspected, thoroughly dry the sensor port on the vessel as well as the quartz window, oring and
sensor. In the event that you damage the window, insert a dime over the oring and then insert the sensor and
tighten.
Once drained, insert the sensor into the port on the vessel and aim at the lamp (wear protective clothing and
eyetface protection). This should allow you to trouble shoot to get some type of reading.
UV meter is reading is low and the system has been operational
• If equipped with a quartz wiper, use it
• If it has been a while since lamp installation, try a new lamp
• Suspect that the sensor window has become fouled. Remove and clean. Insure that everything including
the port has been thoroughly dried.
7. REPLACEMENT PARTS LIST
MODEL Lamp # Quartz # Ballast # Orings Compression
(Yellow refers to lamp base (GUS-H gets raw ballast, Fittings
color) all others get packs)
GUS-7
ELP4105
EQZ0235 - 1
EBP6125
EOR1005-1
ECN0020 - 1
GUS-10
ELP4425
EQZ0235 — 1
EPRP020
EOR1005 - 1
ECN0020 - 1
GUS -15
ELP4050
EQZ0285 — 1
EBP6040
EOR1005 - 2
ECN0020 - 2
GUS -20
ELP4420 or Yellow ELP4435
EQZ0285 — 1
EBP6100
EOR1005 - 2
ECN0020 - 2
GUS -30
Yellow ELP4395 - 2
EQZ0285 — 2
EBP6045
EOR1005 - 4
ECN0020 - 4
GUS -40
Yellow ELP4775
EQZ0285 — 1
EPRP070
EOR1005 - 2
ECN0020 - 2
GUS -50
Yellow ELP4435 -2
EQZ0285 — 2
EBP6050
EOR1005 - 4
ECN0020 - 4
GUS-H-7
ELP4165
EQZ0115 — 1
EBP6010
EOR1005 - 2
ECN0010 — 2
GUS-H-10
ELP4425
EQZ0115 —1
EBP6150
EOR1005 - 2
ECN0010 — 2
GUS-H-15
ELP4050
EQZ0205 —1
Call
EOR1005 - 2
ECN0010 — 2
GUS-H-20
ELP4420
EQZ0205 —1
Call
EOR1005 - 2
ECN0010 — 2
ESLD-8
ELP4105
EQZ0235 —1
EBP6125
EOR1005-1
ECN0020- 1
ESLD-12
I ELP4305
EQZ0280 —1
EBP6125
EOR1005-1
ECN0020- 1
EJTD-7
ELP4105
EQZ0165 —1
EBP6125
EOR1000 —1
ECN0035 -1
with ESS1000
— 1 washer
Any -W or -DOH system will have wiper rings. When ordering use part # EWPR001.
"-" followed by a number indicates the qty per system.

WATER STORAGE
PRESSURE TANK OR
(CITY WATERSUPPLY)
UL:TRAVIOLET POWER SUPPLY --/
e
a
V
GFCI PROTECTED CIRCUIT
UNIT CAN BE MOUNTED HORIZONTALLY, VERTICALLY,
UP SIDE DOWN, INLET AND OUTLET ARE INTERCHANGABLE
ALLOW SPACE TO "'
REPLACE LAMP & QUARTZ
5 MICRON PRE FILTER
BALL VALVE
UNION
ULTRAVIOLET PURIFIER
UNION —/
BALL VALVE J
WATER SUPPLY
HOT WATER
TANK
HOT WATER SUPPLY

EnCH R Inc
WARRANTY REGISTRATION
MODEL NUMBER/TYPE:
DEALER NAME:
PURCHASE DATE:
NAME:
ADDRESS:
CITY: STATE: POSTAL CODE:
COUNTRY:
PHONE: EMAIL:
Please fill out the above information and forward it to your dealer or to Enchlor This will provide you with a 5-year
warranty on the stainless steel chamber and a 1-year warranty on the electrical components. UV lamps are
warranted for 30 days. After the initial 30 days of operation, replacement or refund will be pro -rated based on the
expected lamp life of 9,000 hours.
In addition, this will allow your dealer to remind you when it is time to replace your lamp and quartz.
This warranty applies to equipment that has been installed and maintained according to the instructions in this
manual. Enchlor is not responsible for damage due to improper use, operation or installation.
This warranty needs to be received by Enchlor within 20 days of initial operation. The warranty applies to replacing
defective equipment.
Enchlor shall have no liability hereunder, either direct or contingent, for any consequential damages. Enchlor
recommends that you use pre -filters, flow -control devices and inspect the lamp to insure that it is functioning.

o�OF W ATF19PG RECEIVED Michael F. Easley
�' >cnt. of ENR Governor
co Un7 William G. Ross, Jr., Secretary
--i MAR 0 2 2006 North Carolina Department of Environment and Natural Resources
O `C Alan W. Klimek, P.E., Director
Winston-Salem Division of Water Quality
Regional Office
February 28, 2006
CERTIFIED MAIL 7003-1010-0000-4621-4300
RETURN RECEIPT REQUESTED
Mr. Jerry L. Shields
Shields Mobile Home Park
1341 NC Hwy. 87 North
Elon College, North Carolina 27244
Subject: NOTICE OF VIOLATION
Shields Mobile Home Park
NPDES Permit NCO055271 ^
Alamance County
NOV-2006-LR-0021
Dear Mr. Shields:
This is to inform you that the Division of Water Quality has not received your monthly
monitoring report for December 2005. 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 thirtieth (30`h) day following the reporting period. Failure to submit reports as required
will subject the violator to the assessment of a civil penalty of up to $25,000 per violation. You will be
considered noncompliant with the self -monitoring requirements of your NPDES permit until the report
has been submitted.
To prevent further action, please submit said report to Maureen Crawford at the address shown
below, within fifteen (15) days of receipt of this notice.
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
Maureen Crawford at 919-733-5083, extension 538.
Sincerely,
�C
Maureen Crawford
cc: Maureen Crawford, NPDES Unit
DWQ Winston-Salem Regional Office Supervisor
Central Files
No ehCarolina
aturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet: www.ncwaterqualiV.org 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer- 50% Recycled(10% Post Consumer Paper

Michael F. Easley, Governor
William G. Ross Jr., Secretary
C/} r North Carolina Department of Environment and Natural Resources
-i
Q "'C Alan W. Klimek, P. E. Director
Division of Water Quality
Date: December 6, 2005
Jerry L Shields
1341 NC Hwy 87 North DEC o 8 Zrwj
Elon College, NC 27244 i
Winston-Salem
Regional Office
Subject: Notice of Incomplete Discharge Monitoring Report NCO055271
Dear Permittee:
The purpose of this letter is to call your attention to problems with the recent submittal of the Discharge
Monitoring Report (DMR) from your facility. As you may know, the data recorded on your DMR is keyed
into the Division's database. Our data entry staff has informed me of problems with your recent DMR
submittal. Until these problems have been corrected, your DMR will be considered incomplete. Please
see the attached form along with a copy of the problem DMR for details regarding the DMR's deficiency.
Incomplete or illegible DMRs affect our staff s ability to provide a timely and effective evaluation of DMR
submittals. Please be aware that until the Division receives a corrected DMR, you may be considered
noncompliant with your NPDES permit and 15A NCAC 02B .0506, and you may be subject to further
enforcement action. Please take the necessary steps to correct the problems and submit two copies of the
amended DMR within fifteen (15) days of the date of this letter to the following address:
Attention: Michele Phillips
Division of Water Quality
Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Future DMR submittals with the same or similar problems will be unacceptable. If you have any questions
about the proper completion of DMRs, please contact Michele Phillips at 919-733-5083 Ext. 534. Thank
you for your assistance in this matter.
Sincerely,
Michele Phillips
cc: Winston Salem Regional Office
Central Files
NorthCarolina
Naturally
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 Phone: [phone] Customer Service
Internet: httpJ/h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 Fax: [phone]
An Equal Opportunity/Affirmative Action Employer

�fy\ Notice of Incomplete Discharge Monitoring Report
Permit Number.
Facility:
County.
DMR Month and Year. X�
The Division of Water Quality deems the aforementioned DMR as incomplete due to the
following reason(s): (Please see the highlighted areas on the attached DMR for details.)
❑ The written values are illegible.
❑ The Averaoe, Maximum, and/or the Minimum data points have been omitted.
❑ The Units of Measure have been omitted or are incorrect.
❑ The DMR Parameter Codes have been omitte&
U( Other:
6 i f\c0
TU-

North Carolina Department
November 10, 2003
Mr. Jerry Shields, Owner
Shields Mobile Home Park
1341 NC Highway 87
Elon College, NC 27244
SUBJECT: Modification to Upstream Sample Location
Shields Mobile Home Park
NPDES Permit No. NCO055271
Alamance County
Dear Mr. Shields:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
ironment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
At the Compliance Evaluation Inspection of Shields Mobile Home Park on October 22,
2003, Mike Carson, ORC, requested to move the upstream sample location downstream
approximately 25 feet. Currently, the permit specifies in Part I, Section A that the upstream
sample location for Shields Mobile Home Park wastewater treatment facility is 100 feet above
discharge location, which falls at the Travis Creek Bridge on Highway 87. In order to avoid the
potentially dangerous traffic conditions at the current sample location, Mr. Carson would prefer the
sample location to be moved to 75 feet above discharge location, which is a safer sampling point.
This office agrees that this is an appropriate request. Therefore, Mr. Carson is granted
permission to change sampling locations.
If you have any questions concerning this report, please contact Jenny Freeman or me at
[phone].
Sincerely,
reZ,��'
Steve Tedder
Water Quality Supervisor
cc: Mike Carson
1356 St. Regis Street
Burlington, NC 27217
NPDES Unit
Central Files
WSRO
N.C. Division of Water Quality 585 Waughtown Street Winston-Salem, NC 27107 [phone] Customer Service
1(800)623-7748