NC0041483_Renewal (Application)_20210723

North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
Form
NPDES
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
MINOR SEWAGE FACILITIES (Before completing this form, please read the instructions. Failure to follow
the instructions may result in denial of the al I lication.
SECTION
1. BASIC
APPLICATION INFORMATION FOR ALL APPLICANTS
(40 CFR 122.21(j)(1) and (9))
Facility Information
1.1
Facility name
Sunrise MHP
Mailing address (street or P.O. box)
P.O. Box 2153
City or town
Asheboro
State
NC
ZIP code
27204
Contact name (first and last)
Steve Davis
Title
Owner
Phone number
[phone]
Email address
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
5625 Newman davis Rd.
City or town
Greensboro
State
NC
ZIP code
27406
1.2
Is this application for a facility that has yet to commence
❑ Yes --) See instructions on data submission
requirements for new dischargers.
discharge?
✓ No
Applicant Information
1.3
Is applicant different from entity listed under Item
❑ Yes
1.1 above?
Item 1,4.
✓ No 4 SKIP to
Applicant name
Applicant address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
1.4
Is the applicant
the facility's owner, operator, or both? (Check only one response.)
❑ Operator ❑ Both
✓ Owner
1.5
To which entity
should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Applicant ❑ Facility and applicant
(they are one and the same)
✓ Facility
Existing Environmental Permits
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
(discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
control)
✓ NPDES
water)
❑ PSD (air emissions)
❑ Nonattainment program (CM)
❑ NESHAPs (CM)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
Ownership Status
10o % separate sanitary sewer
0 Own 0 Maintain
MHP
20
% combined storm and sanitary sewer
0 Own ❑ Maintain
❑ Unknown
❑ Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
Total
Population
Served
20
0 Unknown
0 Own 0 Maintain
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
100 %
%
Indian Country
1.8
Is the treatment works located in Indian
❑ Yes
Country?
✓
No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through
✓
Indian Country?
No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
0.003 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.001 mgd
0.001 mgd
0.001 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
0.001 mgd
0.001 mgd
0.001 mgd
Discharge Points
by Type
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge Points by Type
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
1
Page 2

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds,
for discharge to waters of the State of North Carolina?
❑ Yes ✓
or other surface impoundments that do not have outlets
No -4 SKIP to Item 1,14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
0 Intermittent
gpd
❑ Continuous
0 Intermittent
gpd
❑ Continuous
0 Intermittent
1.14
Is wastewater applied to land?
❑ Yes ✓
No 4 SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gpd
❑ Continuous
0 Intermittent
acres
d
grin'
DI Continuous
❑ Intermittent
acres
gp d
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment
❑ Yes
!4
prior to discharge?
No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
Septic Hauling Company (Sunrise MHP Steve Davis calls which ever septic hauling company that is available)
1.18
Is the
✓
effluent transported by a party other than the applicant?
Yes ❑ No -3 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March2021
Outfalls and Other Discharge or Disposal Methods Continued
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving Facility Data
Facility name
Sunrise MHP
Mailing address (street or P.O. box)
P.O. Box 2153
City or town
Asheboro
State
NC
ZIP code
Contact name (first and last)
Steve Davis
Title
Owner
Phone number
[phone]
Email address
stevedavis@triad,rr.com
NPDES number of receiving facility (if any) 0 None
Average daily flow rate o.001 mgd
1.21
Is the wastewater disposed of in a manner other than
not have outlets to waters of the State of North Carolina
❑ Yes ✓
those a
(e.g.,
No
ready mentioned in Items 1.14 through 1.21 that do
underground percolation, underground injection)?
4 SKIP to Item 1.23.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Disposal Site
Size of
Disposal Site
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
(check one)
acres
gpd
El Continuous
0 Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
❑ Continuous
gpd❑ Intermittent
Variance
Requests
1.23
Do
Consult
❑
I
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
with your NPDES permitting authority to determine what information needs to be submitted and when.)
Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
Section 301(h)) 302(b)(2))
Not applicable
Contractor Information
1.24
Are any operational or maintenance aspects (related to
the responsibility of a contractor?
❑ Yes I
wastewater treatment and effluent quality) of the treatment works
No +SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
Contractor name
(company name)
Mailing address
(street or P.O. box)
City, state, and ZIP
code
Contact name (first and
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

SECTION 2. ADDITIONAL INFORMATION
NPDES Permit Number
NC0041483
(40 CFR 122.21(j)(1) and
Sunrise
(2))
Facility Name
MHP WWTP
Modified Application Form 2A
Modified March 2021
o
c
rn
d
0
Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design
❑ Yes
flow greater
than or equal to 0.1 mgd?
No 4 SKIP to Section 3.
I
Inflow and Infiltration
2.2
Provide the treatment works' current average daily volume of inflow
and infiltration.
Average Daily Volume of Inflow and Infiltration
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
Topographic
Map
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
❑ Yes ❑ No
Flow
Diagram
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
❑ Yes ❑ No
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1.
2.
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)
Affected
Outfalls
(list outfall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
1.
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
SECTION 3. INFORMATION
ON EFFLUENT DISCHARGES (40 CFR 122.21(j)(3) to (5))
Description of Outfalls
3.1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number ool
Outfall Number
Outfall Number
State
NC
County
Guilford
City or town
Asheboro
Distance from shore
ft.
ft.
ft.
Depth below surface
ft.
ft.
ft.
Average daily flow rate
mgd
mgd
mgd
Latitude
° "
°
Longitude
' "'
° ' "
""
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasonal or
periodic
✓
discharges?
No 4 SKIP to Item 3.4.
3.3
If so, provide the following information
for each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Number of times per year
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes
✓
No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser type at each applicable outfall.
Outfall Number
Outfall Number
Outfall Number
Waters of
the U.S.
3.6
Does the treatment works discharge or plan to discharge wastewater
one or more discharge points?
❑ Yes
/
to waters of the State of North Carolina from
No 4SKIP to Section 6.
Page 6

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
3.7
Receiving Water Description
Provide the receiving water and related information (if known) for each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Receiving water name
Name of watershed, river,
or stream system
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
CaCO3
mg/L of
CaCO3
mg/L of
CaCO3
3.8
Treatment Description
Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number oo1
Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
❑ Primary
❑ Equivalent to
secondary
❑ Secondary
❑ Advanced
❑ Other (specify)
O Primary
O Equivalent to
secondary
O Secondary
O Advanced
❑ Other (specify)
❑ Primary
❑ Equivalent to
secondary
❑ Secondary
O Advanced
❑ Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
TSS
0 Not applicable
Phosphorus
❑ Not applicable
0 Not applicable
0 Not applicable
Nitrogen
0 Not applicable
0 Not applicable
Other (specify)
0 Not applicable
0 Not applicable
0 Not applicable
Page 7

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
Treatment Description Continued
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Outfall Number
Outfall Number
Outfall Number
Disinfection type
Seasons used
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
Effluent Testing Data
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
Number of tests of receiving
water
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent?
❑ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ❑ No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No + Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No + Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
(MWDDNYYY)
Summary of Results
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26,
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES .ermittin. authorit .
Page 9

NPDES Permit Number
NC0041483
Facility Name
Sunrise MHP WWTP
Modified Application Form 2A
Modified March 2021
SECTION 6. CI-ECKLIST
AND CERTIFICATION STATEMENT
(40 CFR 122.22(a) and (d))
of Form 2A that you have completed and are submitting with your application. For
attachments that you are enclosing to alert the permitting authority. Note that not
Checklist and Certification Statement
6.1
In Column 1 below, mark the sections
each section, specify in Column 2 any
all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Basic Application
❑ w/ variance request(s) ❑ w/ additional attachments
Information for All Applicants
Section 2: Additional
❑ w/ topographic map ❑ w/ process flow diagram
❑ w/ additional attachments
Information
❑ Section 3: Information on
Effluent Discharges
❑ wl Table A ❑ wl Table D
❑ wl Table B ❑ wi additional attachments
❑ w/ Table C
Section 4: Not Applicable
Section 5: Not Applicable
Section 6: Checklist
❑ w/ attachments
and
Certification Statement
6.2
Certification Statement
i certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. i am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Jessica Mize (Signature Authority)
Official title
Project Manager 1
l
Date si ned
/ 23 2 j
Signature,„---
i
Page 10

Outfall Number
NPDES Permit Number
NC0041483
ML or MDL
(include units)
J
J CI
0 0
❑ ML
❑ MDL
Ui 1:}
a- `tS } ' A'�i ,tea`. Yri
_i
J O
❑ ❑
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Analytical
Methods
varies
varies
Average Daily Discharge
Number of
Samples
N
IN
N
n
µ
u
sly
.ti ,.j(¢
N
N
Units
E
col/100m1
')
V
u
E
Value
N
V
O
N
V
0.0008
10.8
a)
61
%i
Ul
V
RS FOR ALL POTWS
Maximum Daily Discharge
Value Units
J
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E
0
0
O
mgd
Z
Std. Units
u
P
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E
m
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NI Cr
N
0.0014
Q
Z
n
lD
oo
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m
N
co
m
m
IBiochemical oxygen demand
0 BOD5 or ❑ CBOD5
(report one)
II Fecal coliform
Design flow rate
pH (minimum)
pH (maximum)
Temperature (winter)
Temperature (summer)
Total suspended solids (TSB)
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Q.
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)

Modified Application Form 2A
Modified March 2021
ML or MDL
(include units)
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J
❑❑
❑ ML
0 MDL
J
❑❑
J
❑❑
Analytical
Method1
Facility Name Outfall Number
Sunrise MHP WWTP
Number of
Samples
Average Daily Discharc
Units
Value
Maximum Daily Discharge
Units
NPDES Permit Number
NC0041483
W
Value
Pollutant
Ammonia (as N)
Chlorine
(total residual, TRC)2
Dissolved oxygen
Nitrate/nitrite
Kjeldahl nitrogen
Oil and grease
Phosphorus
Total dissolved solids
EPA Identification Number
W
M
g
Q
0
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Z
W
J
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EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Method1 (include units)
Metals, Cyanide, and Total Phenols
❑ ML
❑ MDL
0 ML
❑ MDL
0 ML
0 MDL
❑ ML
❑ MDL
J p
❑❑
❑ ML
0 MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
0 ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
0 MDL
J
J O
❑❑
❑ ML
❑ MDL
❑ ML
❑ MDL
Total phenolic compounds0 ML
❑ MDL
Volatile Organic Compounds
Acrolein ❑ ML
❑ MDL
0 ML
Acrylonitrile ❑ MDL
Benzene 0 ML
❑ MDL
Bromoform ❑ ML
❑ MDL
NPDES Permit Number Facility Name Outfall Number
NC0041483 Sunrise MHP WWTP
' S FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge
Value I Units Value Units Number of
Samples
Hardness (as CaCO3)
Antimony, total recoverable
Arsenic, total recoverable
Beryllium, total recoverable
Cadmium, total recoverable
Chromium, total recoverable
Copper, total recoverable
Lead, total recoverable
Mercury, total recoverable
Nickel, total recoverable
Selenium, total recoverable
Silver, total recoverable
Thallium, total recoverable
Zinc, total recoverable
Cyanide
EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Method1 (include units)
J
J Cl
❑ ❑
❑ ML I
❑ MDL
❑ ML
0 MDL
0 ML
❑ MDL
❑ ML
0 MDL
❑ ML
0 MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J
J O
❑ ❑
❑ML I❑MDL
J
J 0
00000000
J
J 0
J
J O
J
J 0
1 El ML I
0 MDL
❑ ML
❑ MDL
J
J 0
0000
-
J O
❑ ML I
0 MDL
❑ ML
0 MDL
J
J 0
❑ ❑
❑ ML I
❑ MDL
Maximum Daily Discharge
Carbon tetrachloride I
Chlorobenzene
IChlorodibromomethane I
IChloroethane
2-chloroethylvinyl ether
Chloroform
Dichlorobromomethane
N
C
co
L
O
'D
<-
O
c
co
-C
O
ONO
'7)
CV
4)
a)C(6
9,
L
N
O
O
a
co'O
2
b
a)
C
N
.0
O
.-
1-
C
co
O
C.
O
O
N
a)_c
C
O
?
0
O.
O
'O
CO
N
j,
t
w
N
O
E
_c
N
U)
'6
`UO
O
L
O
L
N
O
"O
0
c
_c
N
2
a)C
a)
a)
O
-
O
N
N
c
a).•
.0
O
O
N
4]
H
NUU
=
O
I--
a)
C
(a
t
Q)
O
O
•
N
C
(6
L
a)
O
O
•
CV
Cl
EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Method.' (include units)
❑ ML
❑ MDL
❑ ML
0 MDL
Acid -Extractable Compounds
❑ ML
❑ MDL
❑ ML
0 MDL
❑ ML
❑ MDL
❑ ML
0 MDL
4,6-dinitro-o-cresol ❑ ML
❑ MDL
0 ML
2,4-dinitrophenol ❑ MDL
0 ML
2-nitrophenol ❑ MDL
0 ML
4-nitrophenol ❑ MDL
❑ ML
Pentachlorophenol ❑ MDL
❑ ML
Phenol ❑ MDL
❑ ML
2,4,6-trichlorophenol ❑ MDL
Base -Neutral Compounds
❑ ML
Acenaphthene ❑ MDL
❑ ML
Acenaphthylene ❑ MDL
❑ ML
Anthracene ❑ MDL
0 ML
Benzidine ❑ MDL
❑ ML
Benzo(a)anthracene ❑ MDL
❑ ML
Benzo(a)pyrene ❑ MDL
❑ ML
3,4-benzofluoranthene 0 MDL
Maximum Daily Discharge
111 p-chloro-m-cresol
2-chlorophenol
2,4-dichlorophenol
Trichloroethylene
Vinyl chloride
0
o
L0
L_
Q)
E
d'
I
cu
RS
a
EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Method+ (include units)
❑ ML
❑ MDL
❑ ML
0 MDL
❑ ML
0 MDL
❑ ML
0 MDL
J D
❑ ❑
❑ ML I
❑ MDL
❑ ML
❑ MDL
J 0
❑ ❑
❑ ML I
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J 0
0000
J 0
❑ ML I
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J
J C
❑ ❑I
❑ML I❑ MDL
J
J C
❑ ❑
❑ ML I
❑ MDL
❑ ML
❑ MDL
❑ ML
0 MDL
EPA Identification Number NPDES Permit Number
NC0041483 S
TABLE C. EFFLUENT PARAMETERS FOR SELECTED POTWS
Benzo(ghi)perylene
Benzo(k)fluoranthene
Bis (2-chloroethoxy) methane
Bis (2-chloroethyl) ether
Bis (2-chloroisopropyl) ether
Bis (2-ethylhexyl) phthalate
U)
-C
a)
C
U)
,
>+
_C
0
.n
03
IC
LTr5
L
y,
N
N
'nO
=
CO
U)
L>
0-
(6
C
2
O
CV
0
L
a)
C
U
d
C
N
L
1
0
O
O
V
U)
UC
(A
L
0
U
O
L
-CL
fl'
-5,N)UUCI-
_a
'O
)
(O
L
i-
U
O
Lip
U)
C
()
9
-=
(O
N
C
.0
Cl,-
U)
C
N
U)
L
O
CV
U)
C
U)
LO
O
_
fM
c-
U)
N
L
O
_
O
05.,L.Cg
LE,
'-
x-
C
"a
N
L)
O
O
_
M
M
U)
(U
C
_O
C
U
CU
U
_C
a
E
C=Qb
U)
77L
O
OOQ-
V
CA
OU)
U
C
CO
CV
EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Method, (include units)
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J D
❑ ❑
❑ ML
❑ MDL
❑ ML
❑ MDL
J O
❑ ❑
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
J
J O
❑ ❑
Maximum Daily Discharge
1,2-diphenylhydrazine
Fluoranthene
Fluorene
Hexachlorobenzene
Hexachlorobutadiene
Hexachlorocyclo-pentadiene
a)
C
m
L
a)
2
O
L
O
co
X
a)
2
■
Indeno(1,2,3-cd)pyrene
Isophorone
Naphthalene
Nitrobenzene
N-nitrosodi-n-propylamine
N-nitrosodimethylamine
N-nitrosodiphenylamine
Phenanthrene
Pyrene
• 1,2,4-trichlorobenzene
0
U)
a)
a)
E
Ca
Ca
0
C
Ca
O
d
Cn
C
Ca
0
0
0
U)
.U)
T
Ca
C
Ca
a)
L
O
Co
C+�
CL
U
-0
-0C
a)
O
0
0
Ca
C7
N v
0 v
L N-
N
E N_
w
LL
N U
o
0 C
CO
n
O
U
a)
• •C
C a)
m (1)
07 CO
>
0
(1) O
O
Z
co co a) a)
O Ca O_
„-.
C3) L
C O
-O
O V)
U =
Ca
'p .0-.
a) Ca
U Ca
C L
U
C G
O LL
a) 0
-fl O
Ca
L a)
C
C =
Q alj
as • C
CO Cr
EPA Form 3510-2A (Revised 3-19)

Modified Application Form 2A
Modified March 2021
Analytical ML or MDL
Methods (include units)
D No additional sampling is required by NPDES permitting authority.
❑ ML
❑ MDL
❑ ML
0 MDL
❑ ML
❑ MDL
J
❑ ❑
0 ML
0 MDL
0 ML
❑ MDL
J
❑ ❑
0 ML
0 MDL
❑ ML
0 MDL
0 ML
0 MDL
J
❑ ❑
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
0 ML
0 MDL
❑ ML
0 MDL
J
❑ ❑
NPDES Permit Number Facility Name Outfall Number
NC0041483 Sunrise MHP WWTP
NTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Maximum Daily Discharge Average Daily Discharge
-1:2$
a)
Cr
a)
O
Cn
a)
a)
E
Ca
co
C
co
O
O-
O
Cn
co
O
O
rn
>
is
a)
L
c0
C)
CC
LL
U
CD
a`)
c
a)
O
0 Ca
m
Co
0
0
L
a)
coE
)
Cn
N
N—
U
O LL
a
� o
a) `r
0 c
> co
V) 0
0
cn U
-2
c c
a)
•U_
a)
Cn
to
O
CT O
z
N
U 0_
co co
L
U
o
U U)
Cn
C
0
U r�
O f2
'fl L
Tcs
L U.
to U.
m O
c p
Q"t'
E
U) c
O

Sunrise Park WWTP
Sludge Management Plan
NPDES Permit # NC0041483
Sludge generated from the Sunrise Park wastewater treatment plant is disposed of in the
following manner:
- Sludge generated within the Sunrise Park WWTP septic tanks is removed periodically.
- Sludge level within the septic tanks is measured semi-annually using a Sludge Judge.
- When removal is necessary, Steve Davis with Sunrise and Son's, LLC is contacted. He
arranges for sludge pumping/removal at the septic tanks via septic hauling
company.

Latitude: 35°68'22"
Longitude: 79°50'19"
Stream Class: WS-IV*
Subbasin: 03-06-08
USGS Quad: Pleasant Garden
Hydrologic Unit: 03030003
Receiving Stream: UT Hickory Creek