NC0055255_Permit (Issuance)_20110826

NPDES DOCUMENT SCANNIN& COVER SHEET
NPDES Permit: NC0055255
Crown MHP WWTP
Document Type: Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Correspondence
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: August 26, 2011
This document is printed oa reuse paper-ignore any
content on the reverse side
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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
August 26, 2011
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, N-C. 27312-1000
Subject: Issuance of NPDES Permit NCO055255
Crown Mobile Home Park W WTP
Guilford County
Dear Mr. Hahn:
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 October 15, 2007 (or as subsequently
amended).
This final permit includes no major changes from the draft permit sent to you on July 6,
2011.
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 Charles Weaver at telephone number [phone].
Sincerel
Gfi`ot.L .
oleen H- Sullins
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection
NPDES Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: [phone] FAX [phone] I hltpa/portal.ncdencorglweb/wq �aturallt�
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Permit NCO055255
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,
Parkins, LLC
is hereby authorized to discharge wastewater from a facility located at the
Crown Mobile Home Park WWTP
Jonquil Road
Greensboro
Guilford County .
to receiving waters designated as an unnamed tributary to Hickory Creek in
subbasin 03-06-08 of the Cape Fear River Basin in accordance with effluent limits,
monitoring requirements, and other conditions set forth in Parts 1, 11, III and IV
hereof.
This permit shall become effective October 1, 2011.
This permit and authorization to discharge shall expire at midnight on August 31, 2016.
Signed this day August 26, 2011
Co n H. Sullins, Director`
tivision of Water Quality
By Authority of the Environmental Management Commission

Permit NC0055255
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit 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.
Parkins, LLC is hereby authorized to:
1. Continue to operate an existing 0.042 MGD wastewater treatment facility with
the following components:
♦ Bar screen
♦ Aerated equalization basin
♦ Aeration tanks in series
♦ Clarifiers in parallel
♦ Tablet chlorination with chlorine contact tank
♦ Tablet dechlorination
♦ Reaeration tank with diffused air
♦ Aerated sludge digester
♦ Flow recording device
This facility is located south of Groometown at the Crown Mobile Home Park
WWTP off Jonquil Drive in Guilford County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Hickory Creek, classified WS-IV" waters in
hydrologic unit 03030003 of the Cape Fear River Basin.

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Permit NCOOSS255
A. (1) EFFLUENT LIMITS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is
authorized to discharge treated wastewater from outfall 001. Such discharges shall be limited and monitored
by the Permittee as specified below:
PARAMETER EFFLUENT_LIMITS MONITORING REQUIREMENTS
n-,
Monthly Daily -Unit of,,, Measurement Sample Sample
PCSCode Average Mazimum.'Measure• ',Frequency). Type; Locations.:
Flow 0.042 MGD Continuous Recorder Influent or
50050 Effluent
BOD,5-Day(20 Deg.C) 16.0 24.0 mg/L Weekly Composite Effluent
C0310
Total Suspended Solids 30.0 45.0 mg/L Weekly Composite Effluent
C0530
Ammonia Nitrogen(as N)(April 1 -October 31) 2.0 10.0 mg/L Weekly Composite Effluent
C0610
Ammonia Nitrogen(as N)(November 1 -March 31) 4.0 20.0 mg/L Weekly Composite Effluent
C0610
Fecal Coiiform(geometric mean) 200 400 #/100m1 Weekly Grab Effluent
31616
Total Residual Chlorine 2 17 pg/L 2/week Grab Effluent
50060
Temperature, Deg.Centigrade deg. C Daily-- Grab Effluent
00010 weekdays
Dissolved Oxygen Daily average>6.0 mg/L Weekly Grab Effluent
00300 —
pH >6.0 and<9.0 standard units. Weekly Grab Effluent
00400 —
Temperature, Deg. Centigrade deg. C Weekly Grab Upstream&
00010 Downstream
Dissolved Oxygen3 mg/L Weekly Grab Upstream&
00300 1 1 Downstream
Footnotes:
1. Upstream: at least 100 feet upstream from the outfall; Downstream: at NCSR 1132.
2. The Permittee shall report all effluent TRC values reported by a NC-certified laboratory [including field-
certified]. Effluent values below 50 Ng/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) PERMIT RE-OPENER: SUPPLEMENTARY MONITORING
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the North
Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part lI sections B-12
and B-13 of this permit, the Director may reopen this permit to require supplemental nutrient
monitoring of the discharge. The purpose of the additional monitoring will be to support water
quality modeling efforts within the Cape Fear River Basin and shall be consistent with a monitoring
plan developed jointly by the Division and affected stakeholders. In addition, the results of water
quality modeling may require that limits for Total Nitrogen and Total Phosphorus be imposed in this
permit upon renewal.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor Coleen H. Sullins, Director Dee Freeman, Secretary
July 1, 2011
MEMORANDUM
To: Lisa Edwards
NC DENR / DEH / Regional Engineer
Winston-Salem Regional Office
From: Charles H. Weaver, Jr.
NPDES Unit
Subject: Review of Draft NPDES Permit NCOOSS255
Crown Mobile Home Park WWTP
Guilford County
Please indicate below your agency's position or viewpoint on the draft permit and return this
form by August 1, 2011. If you have any questions on the draft permit, please contact me
at the telephone number or e-mail address listed at the bottom of this page.
RESPONSE: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained
properly, the stated effluent limits are met prior to discharge, and the discharge does not
contravene the designated water quality standards.
❑ Concurs with issuance of the above permit, provided the following conditions are met:
❑ Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed X;° f a",A , ?C. Date: 8/23/2011
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 919 807-Ml (fax)919 807-5496
VISIT US ON THE INTERNET @ HTTP://PORTAL.NCDENR.ORG/WEB/WQ chades.weaver@ ncdenr.gov
An Equal Opportunity/Affirmative Action Employer—50%Recycled1l0%Post Consumer Paper

Ad .ID 34305415 � Date 07/07/2011 Time 9:31 AM
Pubic Notice
Nonh Camlina Errwonrrertal
Management Con rissonINPDES
Urit
1617 Mail Service Center
Ralegh.NC 27699 1617
Notice of htert to Issue a NPDES '
Wastewater Penrit
The North Carolina EnAmnrental
Managerrent Conrnsson proposes
to issue a NPDESwastewater
discharge pernit to the penor(s)
listed below
Written com nts regaudng the
proposed peanut wil be accepted
until 30 days after the pubfsh date of
this notice.The Dirxton of the NC
Division of Water Quality(WsQ)nay
hold a pubic hearing should there be
a significant degree of Pubic interest -
Peasenaicc renri andbr
infomation requests to DWQ at the
above address Interested persons
trey At the DVsQ at 512 N.Salisbury
Street.Raleigl3 NC to review
information on file.Pddiaonal
information on NPDES pernits and
this notice may be found on our
webste:
stri
strip/!portal.rxdenco ycalli g(919) p
807 63s'olendar,or by tailing(919)
8075304
MactcLan Teminals Holdings,LP of
I OK appleci to renew permit
NG0074578d6chagmg at 115
Chimcyrock Road Greensboro to UT
of long Branco Cape Fear Riser
Basin.
Kinder Morgan Southeast Tenrinals -
(KM"LLC(Alpharetta,GA 30005)
appled to renew NPDES perrnst
NC0042501,KMSTGreembo o
Ternin al 2,6376 Ant Poplar R>ad,
Guilford Court),disdaighg to UT
East Fork Deep Pher,Cape Fear Piver
Basin
Tlnnas L Monroe requested renewal
of NPDES pemit
NC005591.3rMorvoe's Mobile Horne
Park WJVTR'Guifoid County Wry
dscharges treated wartewamrto
Polecat CueelPCape Fear Ricer Basin
Currently BOD,anmonb nitrogen,
dissolsred oxygen,fecal colrform and
total residual chlorine are water
quaity linited
Parlans,LLC requested renewal of
NPDES Permit N005525Wrown
Mobile Home Park V WTP,Guifurd
County. Facilityd'echargestreated
wastewater into an unnenred
trbaaryto Hickory CmeVCape Fear
River Basin Cunene ,BOD,
amrrorfanitrugeR ecalcolrforrrl
dssol ed orrygen,and total residual
chlorre are water qualay linnited.
Ad shown is not actual print size

I
News &Record
Published by
News & Record, Inc.
Greensboro,North Carolina
North Carolina,Guilford County
AFFIDAVIT OF
Before the undersigned, a Notary Public of said County and State,duly commissioned,qualified and authorized by law to
administer oaths,personally appeared the-Publisher's Representative who being first duly sworn,deposed and says:
1. That he/she is the Publisher's Representative of the Greensboro News &Record,Inc.a corporation,engaged in the
publication of newspapers known as"News&Record",published,issued and entered as second class mail in the City of
Greensboro in said County and State.
2. That he/she is authorized to make this affidavit and sworn statement;that the notice or other legal advertisement,
a copy of which is attached hereto,was published in the News&Record on the dates listed below.
3. That the said newspaper(or newspapers)in which such notice,paper,document,or legal advertisement was published
was,at the time of each and every such publication,a newspaper meeting all of the requirements and qualifications of
Section 1-597 of the General Statutes of North Carolina and was a qualified newspaper within the meaning of Section 1-597
th Carolm
0111
of the General Statutes Publisher'srRepresentative \\\w�P Pj INE 10
Sworn to and subscribed bef6' ',this 1 ay of`d�{ 2011 - My Comm. Exp.
6/15/2014
G AUBLIG =U
Notary Public �tCO\fi,,�y\��J
Name Ad# Date Edition Class PO Ad Copv
NCDENR DWO NPDES 34305415 07/08/11 News&Record 400 Monroe's Mob Public NoticeNorth Carolina Environmenta

Weaver, Charles
From: Basinger, Corey
Sent: Friday, July 01, 2011 10:36 AM
To: Weaver, Charies
Subject: RE: DRAFT permit renewal for NC0055255 (Crown MHP)
Have reviewed the draft and it looks ready to go.
Thanks.
CB
W. Corey Basinger
Supervisor, Winston-Salem Regional Office
Surface Water Protection Section
Division of Water Quality
Email:[e-mail]
Phone: [phone]
Fax[phone]
E-moil correspondence to and from this address may be subject to the North Carolina Public Records Law and may be disclosed to
third parties.
From: Weaver, Charles
Sent: Friday,July 01, 2011 10:20 AM
To: Pugh, James L.; Edwards, Lisa; Basinger, Corey
Subject: DRAFT permit renewal for NC0055255 (Crown MHP)
Importance: High
This is a class WW-2 facility in Guilford County.
It will go to Public Notice on July 6"h.
Please send me any comments by August 1s
Thanks,
CHW
Messages to and from this address are subject to the NC Public Records Law.
1

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100%domestics(e.g., schools, mobile
home parks,etc)that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring,compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date Charles H. Weaver— 7/1/201 1
Permit Number NC0055255
Facilitv Name Crown Mobile Home Park WWTP
Basin Name/Sub-basin number Cape Fear/03-06-08
Receiving Stream Unnamed tributary to Hickory Creek
Stream Classification in Permit WS-IV'
Does permit need Daily Maximum NH3 limits? No—already present
Does permit need TRC limits/lan a e'? No—already present
Does permit have toxicity testing'? No
Does permit have Special Conditions? No. This renewal adds the Cape Fear nutrient
reo ener condition.
Does permit have instream monitoring'? Yes
Is the stream impaired(on 303(d)list)? No
Any obvious compliance concerns? No
Any permit mods since last unit? Name and ownership change
New expiration date 8/31/2016
Comments received on Draft Permit?
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division. and instream data will
continue to be evaluated. If there is noncompliance with this permit's effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".

NCDENR - Classification and Standards Unit: Classifications Page 4 of 6
• S4 lcommttdal shNifishingl,
ORw.
Primary nulsety areas IPNAI designated by me Madre n,hefies Commission,and
waters for Mich DWQhas received a petition for reclassification to either WS-1 or WS-H.
Outstanding Resource Waters(ORW)
Au autslan0ing lesource waters are a subset of High Quality Waters.This supplemental classification is intended
to protect unique and special waters having excellent water quality and being of exceptional state or national
ecological or recreational significance.To rurality,waters must be raced Excellent by DWQ and have one of the
following outstanding resource values:
Outstanding fish habitat and fisheries,
• Unusually high level of waterbased recreation or potential for such kind of recreation.
Some special designation such as North Carolina Natural and Scenic River or National Wildlife Refuge.
Important component of state or national park or forest,or
• Special ecdogical or wientific significance(rare or endangered species habitat.research or educational areasl.
For more details,refer to the B_dogicM Assessment Unit homepAe.ihrq:r ,ra—a.an..et.alm,e.m
Nutrient Sensitive Waters(NSW)
Supplemental classification intended for Waters needing additional nutrient management eve to being wbject
4 to excessive growth of microscopic or macroscapic vegetation.
Swamp Waters(Sw)
a
' /• // Supplamantat classification intended to recognhe those waters whim have low velocities and other natural
av� V,1tV characteristics Mich are different from adjacent streams.
Trout Waters(Tr)
supplemental classification intended to protect freshwaters Mich have Conditions which shall sustain and allow
for tram,propagation and SUmval Of slacked trout on a yew round basis.This classification it not me Same as
the HC W idi fe Resources Commission's Designated public M1bunti in Trout Waters designation.
Unique Wetland(UWL)
supplemental classification for wetlands of exceptional state or national ecological significance. These
wetlands may include wetlands mat have been documented to the satisfaction of the Environmental
Management Commission as habitat essential for the conservation of state or federally listed threatened or
endangered species.
SPECIAL DESIGNATION DESCRIPTIONS
Cape Fear River Basin
(A
See rule 15A NCAC 2BAH 1:Development is not subject to rule 15A NCAC 2H.1006,if the governing municipality
has deemed that the development is covered under a 5170 provision'as descnbed In Rule t5A NCAC 28.0215131
Ib)d lE1.
This symbd identifies waters mat are within a designated Cmical supply Watershed and are subject to a
special management strategy specified-n 5A IICAC 215.0248.
Discharges of sewage are prohibited to segments classified SB or SC with a pound sign a¢orcing to the
provisions of 1511CAC 20.0203 and 2H.OJOalai in order to protect adjacent sletuishing waten.
This symbol identifies waters that are subject tD a special management strategy specified in 15A NCAC 211.ORS
the Outstanding Resource Waters IORWI rule.
Catawba River Basin
This symbol identifies waters that am subject to a special management strategy specified in I5A NCAC 2B.ORS
the Outstanding Resmtce Water IORWI rule,in older to protect downstream waters designated as ORW.
http://portal.nedenr.org/web/wq/ps/Csu/dassifications 7/1/2011

Page 1 of 1
15A NCAC 0213 .0248 RANDLEMAN LAKE WATER SUPPLY WATERSHED: NUTRIENT MANAGEMENT
STRATEGY
(a) All waters of the Randleman Lake (Deep River) water supply watershed are classified for water supply uses and
designated by the Environmental Management Commission as a Critical Water Supply Watershed pursuant to G.S. 143-214.5
(b). The following Hiles shall be implemented for the entire drainage area upstream of the Randleman Lake Dam:
-pj(1) Rule .0249 of this Section for Wastewater Discharges,
(2) Rule.0250 of this Section for Protection and Maintenance of Riparian Areas,and
(3) Rule.0251 of this Section for Urban Stormwater ManagemenL
(b) Failure to meet the requirements of the Rules in this Section may result in the imposition of enforcement measures as
authorized by G.S. 143-215.6A (civil penalties), G.S. 143-215.613 (criminal penalties), and G.S. 143-215.6C (injunctive
relief).
History Note: Authority G.S. 143-214.1; 143-214.5; 143-215.3(a)(1); 143-215.6A; 143-215.613; 143-215.6C;
EJj:April 1, 1999;
Amended Eff.May 1, 2010.
http://reports.oalL state.nc.us/near-/title%2015a%20-%20environ-ment%20and%2... 7/1/2011

Page 1 of 1
15A NCAC 02B.0249 RANDLEMAN LAIN WATER SUPPLY WATERSHED: WASTEWATER DISCHARGE
REQUIREMENTS
The following is the National Pollutant Discharge Elimination System(NPDES)wastewater discharge management strategy
for the Randleman Lake watershed. For purposes of this Rule, permitted wastewater discharges means those facilities
permitted to discharge domestic wastewater or wastewaters containing phosphorus:
(1) The City of High Point=s Eastside facility shall meet a total phosphorus concentration predicted to provide
a level of water quality in the Randleman Lake which meets all designated uses of those waters.
(2) There shall be no new or expanding permitted wastewater discharges in the watershed with the exception
that the City of High Point Eastside wastewater treatment plant may be allowed to expand provided that
any new permit contains concentration and mass limits predicted to provide a level of water quality in the
Randleman Lake which meets all designated uses of those waters.
History Note: AuthorityG. S. 143-214.1; 143-214.5; 143-215.3(a)(1);
Ef.April 1, 1999.
�/�o0 55z 55-
http://reports.oah.state.nc.us/ncac/title%2015a%20-%20environment%20and%2... 7/1/2011

CROWN MHP
PO sox 1000
Pittsboro,NC 27312
336-855-5809
June 2; 2011
PARKINS LLC dba Crown MHP is requesting the renewal of the permit
NC0055255. There have been no changes in the existing system.
Respectfully submitted,
Robert P. Hahn
JUN 6 2011
aFN wart?cuAsi Y
PGiN?'SGURCE BP,ANCH

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 coo
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise,please print or type.
1. Contact.Information:Owner Name � )AA\y-(\
Facility Name
Mailing Address 4 0 woo
city Q�
State / Zip Code C l�-
Telephone Number ("I)ot ) s-r4 s!--Ol, 3S
Fax Number 1 c5f - s l(
e-mail Address o ,o�r �a �� ` C� r✓�
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road
city re e �SbafCC]
State / Zip Code
County l/, V \ 1
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 {, S 1.. L.C,
Mailing Address p Q (D-0
city S rvv
State / Zip Coded -
Telephone Number
Fax Number (—�� �) &N_-� b S k ED
6 2011
i- ' EF,tiuRCEQFor lD, A6108
tof3

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 applyf.
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, mobile home park, shopping centers,
restaurants, etc.):
yv� Ct
Population served: 3Sv
S. Type of collection system
0 Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) �Q\
Is the outfall equipped with a diffuser? ❑ Yes No
7. Name of receiving stream(s) (Provide a map shouting the exact location of each outfallf.
-\-0 N ckCIr� Ccep�Z
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 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.
�asAf-
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2of3
Form-D 05/08

..1
NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD.
10. Flow Information:
Treatment Plant Design flow 01 MGD
Annual Average daily flow 000 MGD (for the previous 3 years)
Maximum daily flow t7.A 3 b 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.
Daily Monthly Units of
Parameter Maximum Average Measurement
Biochemical Oxygen Demand (BODs)
Fecal Coliform 0 100
Total Suspended Solids \ L
Temperature (Summer)
Temperature (Winter) \ 1 e
pH -7 , a Sv
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 00 1SS Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
pnb- T Q 4 wow rt-�w JA'"'V
Printed name of Person Signing Title
41i -_ '41lb l
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 Forni 05/08

N.
} MERI TECH, INC.
,
` ENVIRONMENTAL LABORATORIES
s
A Division of Water Technology and Controls, Inc.
Crown MHP Sludge Management Plan
Crown MHP wastes sludge into an aerated digester for storage. Solids are allowed to
settle out of the sludge and the clear liquid is decanted off of the top of the tank. When
the digester becomes full Jenkins Waste Management in Brown Summit NC is called to
dispose of the wasted sludge.
Sin rely,
Patrick Merritt
642 Tamco Road P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

MERiTECH, INC.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
06/2/2011
As Operator In Responsible Charge of Crown MHP W WTP I am authorized to provide
some of the data used in preparing this permit renewal package.
S' ce ly,
Patrick Merritt
642 Tamco Road P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax