NC0061204_Permit (Issuance)_20090603

WDES DOCUWENT SCANNING COVER SHEET
NPDES Permit: NC0061204
Scarlett Acres MHP WWTP
Document Type: Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Staff Report
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: June 3, 2009
Thies document its printed oa reuse paper'-more say
content oa the re�eree aside

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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 3, 2009
Mr. Thomas M. Alphin
Scarlett Acres Mobile Home Park
P. O. Box 5
Walkertown,NC 27051
Subject: Issuance of NPDES Permit NCO061204
Scarlett Acres Mobile Home Park W WTP
Forsyth County
Dear Mr. Alphin:
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly,
we are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of
North Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the
U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no changes from the draft permit sent to you on April 8, 2009.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you,
you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this
letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina
General Statutes, and filed with the Office of Administrative Hearings(6714 Mail Service Center, Raleigh, 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 Act or any other Federal or Local governmental permit that
may be required.
If you have any questions concerning this permit, please contact Bob Sledge at telephone number(919) 807-
6398.
Sincerely,
Coleen H. Sullins
cc: Central Files i
Winston-Salem Regional Office/Surface Water Protection Section
NPDES Unit i
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Onel.,
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 Nol ffi Carolina
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748 /,
Internet:w .nmaterquality.org J1�at- rally
An Equal Opponunily\Aftirmative Action Empfoyer

Permit NC0061204.
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Thomas M. Alphin
is hereby authorized to discharge wastewater from a facility located at
Scarlet Acres Mobile Home Park
5528 Sherene Lane
Walkertown
Forsyth County
to receiving waters designated as an unnamed tributary to Mill Creek in the Yadkin-Pee Dee River
Basin in accordance with effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III, and IV hereof.
The permit shall become effective July 1, 2009.
This permit and the authorization to discharge shall expire at midnight on June 30, 2014.
Signed this day June 3, 2009.
�di% ' Coleen H. Sullins,Director
/ Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO061204
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked, and as of this issuance,any previously issued permit bearing this number is no longer effective.
Therefore, the exclusive authority to operate and discharge from this facility arises under the permit
conditions, requirements, terms, and provisions included herein.
Thomas M. Alphin is hereby authorized to:
1. Continue to operate an existing 0.024 MGD wastewater treatment facility that includes the
following components:
• a bar screen
• flow equalization with influent pumps
• two package plants wit aeration, clarifiers, disinfection units, fixed media and post aeration
• dechlorination equipment
This facility is located at the Scarlet Acres Mobile Home Subdivision, 5528 Sherene Lane, in
Walkertown, in Forsyth County, and;
2. Discharge treated wastewater (via Outfall 001) from said facility into an unnamed tributary to Mill
Creek, a Class C water in the Yadkin-Pee Dee River Basin, at the location specified on the attached
map.

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.r ��� ' r .. io 5 - J--�Ce •�;., too �; a
h\IG I6
Latitude: 360 10'03' e Thomas Alphin
Longitude: 800 11'06" !V ® Scarlett Acres MHP
USGS Quad 4:_ C18NW
River Basin n: 03-07-04 NCO061204 .
Receiving Stream:UT Mill Creek Forsyth County
Stream Class: C

Permit NCO061204
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until permit expiration, the Permittee is
authorized to discharge from Outfall 001. Such discharges shall be limited and monitored by the
Permittee as specified below:
EFFLUENTLIMITATIONS7,F a` i MONITORING REQUIREMENTS
PARAMETERat „ �yt
r , r Monthly
i•a Daily Measurement Sample Sample ±:
r .•,..- _ z:Ave a Maximum: :Freuenc �.T er` Locatton'...u:
Flow 0.02 MGD Continuous RecordingInfluent or
Effluent
BODS(April 1 —October 31) 16.0 mg/L 24.0 mg/L Weekly Grab Effluent
(November 1 —March 31) 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
(Nov
Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
NH3-N(April 1 —October 31) 12.0 mg/L 35.0 mg/L Weekly Grab. Effluent
NH3-N
(November 1 —March 31) Weekly Grab Effluent
Dissolved Oxygen Daily average> 6.0 mg/L Weekly Grab Effluent
Dissolved Oxygen Weekly Grab U& D
Fecal Coli 200/100 ml 400/100 ml Weekly Grab Effluent
Geometretricc Mean M
Total Residual Chlorine2 17Ng/L 2/Week Grab Effluent
Temperature Daily Grab Effluent
Temperature Weekly Grab U, D
Chronic Toxicity, Quarterly Grab Effluent
Total Nitrogen
(TKN + NO2+ NO3) Quarterly Grab Effluent
Total Phosphorus Quarterly Grab Effluent
pH > 6.0 and <9.0 Standard Units Weekly Grab Effluent
Notes:
1. U.Upstream approximately 100 feet above the outfall. D: Downstream from the outfall at NCSR
2219.
2. The Division shall consider all effluent TRC values reported below 50 µg/L to be in compliance with
the permit: However, the Permittee shall continue to record and submit all values reported by a North
Carolina certified laboratory (including field certified),even if these values fall below 50 µg/L.
3. Chronic Toxicity (Ceriodaphnia P/F at 90%, February,May, August, and November) [see A. (2.)].
There shall be no discharge of floating solids or visible foam in other than trace amounts.

Permit NCO061204
A. (2.) CHRONIC TOXICITY PERMIT LIMIT (Quarterly)
The effluent discharge shall at no time exhibit observable inhibition of reproduction or significant mortality to Ceriodaphnia
dubia at an effluent concentration of 9001o.
The permit holder shall perform at a minimum,auarterty monitoring using test procedures outlined in the"North Carolina
Ceriodaphnia Chronic Effluent Bioassay Procedure,"Revised February 1998,or subsequent versions or"North Carolina
Phase II Chronic Whole Effluent Toxicity Test Procedure"(Revised-February 1998) or subsequent versions.The tests will be
performed during the months of February,May,August,and November. Effluent sampling for this testing shall be
performed at the NPDES permitted final effluent discharge below all treatment processes.
If the test procedure performed as the first test of any single quarter results in a failure or ChV below the permit
limit,then multiple-concentration testing shall be performed at a minimum,in each of the two following months as
described in"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure' (Revised-February 1998)or
subsequent versions.
The chronic value for multiple concentration tests will be determined using the geometric mean of the highest concentration
having no detectable impairment of reproduction or survival and the lowest concentration that does have a detectable
impairment of reproduction or survival. The definition of"detectable impairment,"collection methods,exposure regimes,
and further statistical methods are specified in the"North Carolina Phase II Chronic Whole Effluent Toxicity Test Procedure'
(Revised-February 1998)or subsequent versions.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge Monitoring Form
(MR-1) for the months in which tests were performed. If reporting pass/fail results using the parameter code TGP313, DWQ
Form AT-1 (original) is sent to the below address. If reporting Chronic Value results using the parameter code THP3B,
DWQ Form AT-3 (original) is to be sent to the following address:
Attention:NC DENR/DWQ/Environmental Sciences Section
1621 Mail Service Center
Raleigh, North Carolina 27699-1621
Completed Aquatic Toxicity Test Forms shall be filed with the Environmental Sciences Section no later than 30.days after the
end of the reporting period for which the report is made.
Test data shall be complete, accurate,include all supporting chemical/physical measurements and all concentration/response
data,and be certified by laboratory supervisor and ORC or approved designate signature. Total residual chlorine of the
effluent toxicity sample must be measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required, the permittee
will complete the information located at the top of the aquatic toxicity(AT) test form indicating the facility name,permit
number,pipe number,county,and the month/year of the report with the notation of"No Flow" in the comment area of the
form. The report shall be submitted to the Environmental Sciences Section at the address cited above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required, monitoring will be required
during the following month.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water Quality
indicate potential impacts to the receiving stream, this permit may be re-opened and modified to include alternate monitoring
requirements or limits.
If the Permittee monitors any pollutant more frequently then required by this permit, the results of such monitoring shall be
included in the calculation &reporting of the data submitted on the DMR&all AT Forms submitted.
NOTE: Failure to achieve test conditions as specified in the cited document,such as minimum control organism survival,
minimum control organism reproduction,and appropriate environmental controls, shall constitute an invalid test and will
require immediate follow-up testing to be completed no later than the last day of the month following the month of the initial
monitoring.

Winston-Salem Journal
Advertising Affidavit Account Number
3425332
Winston-Salem Journal
P.O Box 3159 `• C E
Winston-Salem, NC 27102 D 1 Dos
APR 1 5
QUALITY
NCDENR/DWQ/SURFACE WATER PROTECTION "
ATTN:JOVONAH D.WEEDEN -
1617 MAIL SERVICE CENTER SURFACE WATER PROTECTION Ci 4 SECTION
RALEIGH,NC 27699-1617
Date Category Description Ad Size Total Cost
04/10/2009 Legal Notices PUBLIC NOTICE North Carolina Environment 2 x 101 L 676.23
PUBLIC NOTICE Media General Operations, Inc.
egenteta. Pcisasa pem Gm nf .ail unp
.617 Mal..Me.Center C 2]699-161] Publisher of the
palNph.R
NOtice of Intent to Issue a
'"ES Wastewater Permit _
Th. North Carolina
Environments ........ t - Winston-Salem Journal
commisiondischarge permit to the pessonts)1 stied belowOES ewa[er
p Forsyth County
Writtewill benacccepted until 30 days after the pubtllisM1etlaiie
of this notice
To. DI
rector of the NC Division of
wooer ll Lowe)
ro 5 e) may holed a ree opubluc hbutearmy
est. Pleaee`a I lmnl comments t d J/or Information tr r
pgaa5 to to the OW`Q° tine abo`v.address. ation e- Before the undersigned,a Notary Public of Forsyth County,North Carolina,duly
SLoeCsRaley n, NC T.er.e°v i°,fo�mAinn`olsp",a commissioned,qualified,and authorized by law to administer oaths,personally appeared
noticteonalyinbeo found n on n our
RDES webate!wwrantw.nncwa[e�r
'uahty may be or by uauldg eslsi eo]-630a. D.H.Stanfield,who by being duly sworn deposes and says:that he is Controller of the
Kurz Transfer Products asted renewal of per- Winston-Salem Journal,engaged in the publishing of a newspaper known as Winston-Salem
mit NCO07 637 for the art Transfer Products -
y y. permitted ma- Journal,published,issued and entered as second class mail in the City of Winston-Salem,in
Yharc.-Fee PIs Dee River Batewater to Reedy Creek. p - „
Aqua North on Rim r Inc.has requested renewal of said County and State:that he is authorized to make this affidavit and sworn statement:that
Permit Nc0oe3941 for¢s wTP In Davidmo county"
This dlscharpe Is treated domestic wastewater to the notice or other legal advertisement,a true copy of which is attached ereto,was
Fryes Creek,n the Yadkin-Pee Dee River Basin.
Hllon u.mq center r quested renewal f p It published in the Winston-Salem Journal on the following dates:
NC0059536 for the Hilltop Livl nO center WW mTPin
Davidson County:this permitted discharge Is treat-
ed YadkinRveHfer to n Yadkin-Pee unnamed
River Ba,ni to the
p 04/10/2009
annPren Stevensl of Permit NCO059218`for ItsSWNTPsIn
Davidson County;this permitted discharge is treat- _
etl domestic wastewater to Reedy Creek, Yadkin
Pee-Dee River Basin. and that the said newspaper in which such notice,paper document,or legal advertisement
Del t`wal°or°ue°ram i i:cooifi"stfi�io ine u�ltea°cn�:gin was published was,at the time of each and every such publication,a newspaper meeting all
Retlrement Home WWTP In ...each County: this Permitted discharge is treated tewaer to an the requirements and qualifications of Section 1-597 of the General Statutes of North
Pee Dee River
Bali to POYneer Fork Creek. Yadkin- q q -
Davidson coup[ Schools quested renewal of Carolina and was a qualified newspaper within the meaning of Section 1-597 of the General
gdrhool wwry inn]Dfor dso°n co.'o`y'a this Elementary Statutes of North Carolina.
discharge is treated w u
wastewater to n nnam d
tributary to South Potts Creek.Yadkin-Pee Dee Rlv-
er Basin.
The env of r Podia re ceI renewal of permit This loth day of April,2009
th s0 permitted`aiscnaryVe Is I i Davidsonedd, Cnldpel
wastewater to Rich Fork C reek.Yadkin Rive Basin.
mqua North Carolina. Incc.requested r n al of per-
c untv°:oimsBn]eomliiceF cre Bridge Is torte rU Fwufr� (signature ofpe son) aki g affidavit)
water to a unnamed tributary to Muddy Creek.
Vadkln-P¢e Dee River Basin.
Scarlet Acres Mobile Home Subdivision requested
renewal of permit NCM61204 for the Searle -
MCblle MOT.Subdivision WWTP In Forsyth County;
this Permitted f discharge sto treated131 - te—YadD.b Sworn to and subscribed before me,this IOth day of April,2009
an Dee River Basin.
Auman's Mobile Home Park.LLC sted renewal
f permit NCO055212 for the A man 5`Mobile Home
Park WWTP In Forsyth County: this permitted
YIscherBe I Dee River wastewater to Rich Fork Creek.
Shoreline.` LLe ted renewal of permit KINIALEY JOHNSON
WWTP in Ffor the
Couuab Vahiss Mobile ted eischParkr Is treated wastewater to n Y d o-mutery°to - - NOTARY PUBLIC
cutleYbum Creek,Yadkin-Pe¢De¢River Basin. -
High Point Healthcers, Inc. Ruestee renewal of LQ, Zp(p FORSYTH COUNTY
WWTis o,aIP In Forsyth CeunlY this Permitted"disIcharge My Commission expires STATE OF NORTH CAR L A
Rich Fork Yadkin-Pee Dee River Basin.d tributary t0 - �(r/Q
wastewater to MY COMMISSION EXPIRES
WSJ:word le.2009
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Thomas M. Alphin
DBA/ Scarlet Acres Mobile Home Subdivision
P.O. Box 5
Walkertown,NC 27051
[phone]
November 4, 2008
RE: NPDES Permit#NCO061204 RENEWAL
Mr. Charles H. Weaver, JR.
NCDENR/DWQ/NPDES UNIT
1617 Mail Service Center
Raleigh,NC 27626-0535
Dear Mr. Weaver,
This letter is requesting the renewal of NPDES Permit #NC0061204, which expires on
May 31, 2009.
As of this date there have been no changes at this facility since the last permit.
Should you have any questions concerning this matter, feel free to contact me by
telephone at 336-749-1551 or by writing to me at:
Thomas M. Alphin
P. O. Box 5
Walkertown, NC 27051.
Thanking you in advance for your assistance in this matter.
Respectfully yours, /71
Thomas M. Alphin
3 i.� Nov - 5 2008

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 COOZ 0
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 x' 1 Fl.
0 c�5 :.. .
_t �
L I 1
Facility Name SG(irI 6LPGI mo6iVe Nome SUIJ ; ViSi011
Mailing Address
city
State / Zip Code
11 • I7OS i� �lll ' Nrn/ -0 2008 I
Telephone Number (336 1 4q- Is-5-1 j
_ t
Fax Number ( ) n A Fax r
e-mail Address M Z F)O f t 0' aY)q ® 'Y 0. o CO m
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road �' ZZ23
City Wa\ ke ctowh
State / Zip Code 21 nS l
County I'0 S�I�"� . .
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Qe�l (1�Cet eir\Sne
Mailing Address Q,O , p`J� 1
City. . - 1
State / Zip Code /.0 2/`l D J'2
Telephone Number
Fax Number ( ) n
1 of 3 Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees '
Commercial ❑ Number of Employees '
Residential Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s)of wastewater (example:subdivision -riioliile Biome park;'shopping centers,
restaurants, etc.):,:
M06; lf- r3rv.e park
r. r,..
Population served: �a
5. Type of collection system
TN Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) CO CA
Is the outfall equipped with a;diffuser?;.❑ Yes ® No•' ,
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
LXA0 r,%e4 +4ri 6w aa +o M,II *Creek `•aea .aYUtej a-S sw��ar�n 30'10
►n J�YCj n - #� CR Raver Q041 V'\"
8. Frequency of Discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system ..
List all installed components, including capacities,provide design remorial for•BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheetof appXg�. Ja _ J S' � PQcV-aG� p�aNT O ,b ap
�X��NOI iY�Q AC 1Y -uLr`J
MCZ D �� R SCEn� FLpt ) KC Lk&L' Z all �n ElF LUF, r.1
t 0M Pk& i C�� Iwo ?acxaC��'4�U)�
CLa' � &Rs , "D �s�u ��e�lt'oly Ltvi� �s ; • f$^S `` P `t,
A .
2 of 3 Form-D 05/08

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0 .2 0 MGD
Annual Average daily flow bl MGD (for the previous 3 years)
Maximum daily flow MGD (for the previous 3_years).
11. Is this facility located on Indian country?
❑ Yes [� No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples,for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5)
Fecal Coliform
Total Suspended Solids e G
Temperature (Summer)
Temperature (Winter)
pH
13. List all permits, construction approvals and/or applications:
Type Permit Number Type . Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES (1 ('-() %2 QN Dredge or fill (Section 404 or A)---�-.-`
PSD (CAA) Other Jill I
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION (� )i {yr��
_�_.__. - 5 2008 I
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.,,,?0U451?Y
` 6thc"S Morris hWilm 0wnec
Printed name of Person Signing Title /
y 2 on8
Signature of Applicant ` Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed$25,000,or by imprisonment not to exceed six months,or by both. (18 U.S.C.Section 1001
provides a punishment by a fine of not more than$25,000 or imprisonment not more than 5 years,or both,for a similar offense.)
3 of 3 Form-D 05/08

Permit NCO061204
Part I. Section A
1. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until permit expiration, the Permittee is authorized to
discharge from Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT LIMITATIONS MONITORING REQUIREMENTS
PARAMETER Monthly Weekly Daily. Measurement Sample Sample
Averse Averse Maximum . Frequency Type Location'
Flow (MGD) 0.02 Continuous Recording I or E
BODS
16.0 mg/L 24.0 mg/L Weekly Grab E
(April I —October 31)
BODS
30.0 mg/L 45.0 mg/L Weekly Grab E
(November I — March 31)
Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Grab E
NH3-N
- 12.0 mg/I. 35.0 mg/L Weekly Grab E
(April I —October 31). _
NH3-N
Monitor & Report Weekly Grab E
(November 1 —March 31)
Dissolved Oxygen See Footnote 2 Weekly Grab E, U, D
- .Fecal Coliform
200/100 ml 400/100 ml Weekly Grub E
(Geometric Mean)
Total Residual Chlorine 17 ug/L 2/Week Grab E
Temperature Monitor& Report Daily Grab E
Temperature Monitor & Report Weekly Grab U, D
Chronic Toxicity See Footnote 4 Quarterly Grab E
Total Nitrogen
Monitor& Report Quarterly Grab E
(TKN + NOz + NO3) _
Total Phosphorus Monitor& Report Quarterly Grab E
PH Between 6.0 and 9.0 Standard Units Weekly Grab E
Notes:
1 E - Effluent, I — Influent, U — Upstream approximately 100 feet above the discharge point, D — Downstream
from the discharge point at NCSR 2219.
2 The daily average dissolved oxygen concentration shall not be less than 6.0 mg/L.
3 The limit for total residual chlorine will take effect 18 months after the effective date of the final permit.
4 Chronic Toxicity (Ceriodaphnia P/F at 90%, February, May, August, and November). See Special Condition
A(2) on the Supplement to Effluent Limitations and Monitoring Requirements page.
THERE SIIALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER T)]AN TRACE AMOUNTS.

Thomas M. Alphin
DBA/ Scarlet Acres Mobile Home Subdivision
PO Box 5
Walkertown, N. C. 27051
336 499-6924
336 749-1551 (cell)
November 4, 2008
RE: Sludge Management Plan
Mr. Charles H. Weaver, JR.
NCDENR/DWQ/NPDES UNIT
1617 Mail Service Center
Raleigh, NC 27626-0535
Dear Mr. Weaver,
Concerning the sludge management plan for the facility known as Scarlet Acres Mobile
Home Subdivision Waste Water Treatment Plant. This facility produces sludge, which
is stored in a digester on site. The sludge is then hauled from Scarlet Acres Waste Water
Treatment Plant in Walkertown, NC, and is then disposed at the Archie Elledge Sewer
Treatment Plant in Winston-Salem, NC, by Carolina Septic Inc., located at 5709 Old
Valley School Kemersville, NC 27284. telephone number (336-595-3470).
Should you have any questions concerning this matter feel free to contact me, Thomas
Alphin at 336-749-1551 or at PO Box 5, Walkertown, N. C. 27051.
Thanking you in advance for you assistance in this matter.
Respectfu y urs�
Thomas M. Alphin
+L1! 008
�
7 �L�YN }FtCR , ��tilY

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date P '4MoF
Permit Number GOO 1
Facility Name e- W W
Basin Name/Sub-basin number w U 3 U o
Receiving Stream U I I
Stream Classification in Permit
Does permit need NE3 limits?
Does permit need TRC limits? Q
Does permit have toxicity testing?
Does permit have Special Conditions?
Does permit have instream monitoring?
Is the stream impaired on 303(d) list)? o
Any obvious compliance concerns?
Any permit mods since lastpermit? O
Existing expiration date 0
New expiration date
New permit effective date
Miscellaneous Comments
4e o A a-
_ t
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC,NH3,
/ name/ownership changes). Include conventional WTPs in this group.
YES, / This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case-by-case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility(municipal/industrial)
• Minor Municipals with pretreatment program
• . Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow>0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)