NC0057720_Owner (Name Change)_20211008

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
ROY COOPER V„g",71
Governor ��..
ELIZABETH S. BISER . 1%
Secretary J �"► -
S. DANIEL SMITH
Director vt 4 orifi
tarciers.
NORTH CAROLINA
Environmental Quality
10/8/2021
Kellen Buss,Director of Site Infrastructure
Jones Estates Hidden Lakes LLC
2310 S.Miami Blvd.,#238
Durham,NC 27703
Subject: Modification to NPDES Permit NC0057720
Hidden Lakes Village MHP WWTP
Stokes County
Grade II Biological WPCS
Dear Permittee:
The Division has received and approved your request to transfer ownership of the subject permit. This
permit modification 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).
If any parts,measurement frequencies or sampling requirements contained in this modification 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 fmal
and binding.
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 any other Federal,State,or Local governmental regulation. If you have any
questions concerning these changes,please contact Emily Phillips via e-mail [[e-mail]].
Sincerely,
DocuSigned by:
8328B44CE9EB4A1...
for S.Daniel Smith,Director
Division of Water Resources
I *—/\95
North Carolina Department of Environmental Quality Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-707-3600

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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,
Jones Estates Hidden Lakes LLC
is hereby authorized to discharge wastewater from a facility located at the
Hidden Lakes Village Mobile Home Park WWTP
NCSR 1966
Stokes County
to receiving waters designated as an unnamed tributary to Timmons Creek in subbasin 03-02-01 of the Roanoke
River Basin in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I,II,III and IV hereof.
This permit shall become effective November 1, 2021
This permit and authorization to discharge shall expire at midnight on 2/28/2022.
Signed this day October 8, 2021
DocuSigned by:
'—8328B44CE9EB4A1...
S.Daniel Smith
Director,Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

DocuSign Envelope ID.27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
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.
Jones Estates Hidden Lakes LLC
is hereby authorized to:
1. Continue to operate an existing 0.07 MGD wastewater treatment system that includes the following
components:
• Bar screen[aluminum]
• Extended aeration tank
• Two blowers for basin air,return sludge, and sludge wasting
• Dual final clarifiers
• Sludge holding tank
• Tablet chlorine disinfection(2 sets)
• Tablet dechlorination(2 sets)
• Stevens flow meter
The facility is located at the Hidden Lakes Village Mobile Home Park(NCSR 1966) in Stokes
County.
•
2. Discharge from said treatment works via outfall 001,at the location specified on the attached map,
into an unnamed tributary to Timmons Creek[Stream Index 22-25-2] which is currently classified C
waters in subbasin 03-02-01 [HUC: 0301010302] of the Roanoke River Basin.
Page 2 of 6

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS 1
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G .0302] 1
Beginning with 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:
EFFLUENT LIMITATIONS MONITORING REQUIREMENTS
PARAMETER
Parameter Code Monthly Daily Measurement Sample Sample
Average Maximum Frequency Type Location
Flow 50050 0.02 MGD Continuous Recording Influent or
Effluent
BOD,5-day,(20°C) C0310 22.0 mg/L 33.0 mg/L Weekly Grab Effluent
Total Suspended Solids C0530 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
NH3 as N—Summer* C0610 2.0 mg/L 10.0 mg/L Weekly Grab Effluent
NH3 as N—Winter* C0610 6.4 mg/L 32.0 mg/L Weekly Grab Effluent
Dissolved Oxygen 00300 Daily average>6.0 mg/L Weekly Grab Effluent
Dissolved Oxygen 00300 Monitor&Report Weekly Grab Upstream&2
Downstream
Fecal Coliform 31616 200/100 ml 400/100 ml Weekly Grab Effluent
(geometric mean)
Total Residual Chlorine(TRC) 50060 28 pg/L 2/Week Grab Effluent
3
Temperature(°C) 00010 Monitor&Report Daily Grab Effluent
Temperature(°C) 00010 Monitor&Report Weekly Grab Upstream&2
Downstream
>6.0 and<9.0 standard
pH 00400 — units Weekly Grab Effluent
*Summer: April 1 —October 31
*Winter: November 1 —March 31
Footnotes:
1. The Permittee shall submit discharge monitoring reports electronically using the Division's eDMR application system
[see A. (2)].
2. Upstream=at least 100 feet upstream from the outfall. Downstream=0.2 miles downstream from the outfall.
3. The Division shall consider all effluent TRC values reported below 50 µg/1 to be compliant 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/1.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.
Page 3 of 6

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
A. (2.) ELECTRONIC REPORTING-DISCHARGE MONITORING REPORTS
[G.S. 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports(DMRs)and program reports.
The final NPDES Electronic Reporting Rule was adopted and became effective on December 21,2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this permit
(Standard Conditions for NPDES Permits):
Section B.(11.) Signatory Requirements
Section D.(2.) Reporting
Section D. (6.) Records Retention
Section E.(5.) Monitoring Reports
Reporting Requirements[Supersedes Section D. (2.)and Section E. (5.)(all
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report(eDMR)internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit
DMRs electronically using the internet. The eDMR system may be accessed at:
https://deq.nc.gov/about/divisions/water-resources/edmr.
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring
data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the following address:
NC DEQ/Division of Water Resources/Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
See"How to Request a Waiver from Electronic Reporting"section below.
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported via
the eDMR system no later than the last calendar day of the month following the completed reporting period.
Regardless of the submission method,the first DMR is due on the last day of the month following the issuance of
the permit or in the case of a new facility, on the last day of the month following the commencement of
discharge.
Starting on December 21, 2025, the permittee must electronically report the following compliance monitoring
data and reports,when applicable:
Sewer Overflow/Bypass Event Reports;
Pretreatment Program Annual Reports;and
Clean Water Act(CWA) Section 316(b)Annual Reports.
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DocuSign Envelope ID 27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
The permittee may seek an electronic reporting waiver from the Division(see "How to Request a Waiver from
Electronic Reporting"section below).
Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the time of each
electronic submission. The permittee should use the EPA's website resources to identify the initial recipient for
the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity(EPA or the
state authorized by EPA to implement the NPDES program)that is the designated entity for receiving electronic
NPDES data[see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each type of
electronic submission and for each state. Instructions on how to access and use the appropriate electronic
reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting Rule is found at:
https://www.federalregister.gov/documents/2015/10/22/2015-24954/national-pollutant-discharge-elimination-
system-npdes-electronic-reporting-rule
Electronic submissions must start by the dates listed in the"Reporting Requirements"section above.
How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic
reporting waiver, a permittee must first submit an electronic reporting waiver request to the Division. Requests
for temporary electronic reporting waivers must be submitted in writing to the Division for written approval at
least sixty (60) days prior to the date the facility would be required under this permit to begin submitting
monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and shall thereupon
expire. At such time, monitoring data and reports shall be submitted electronically to the Division unless the
permittee re-applies for and is granted a new temporary electronic reporting waiver by the Division. Approved
electronic reporting waivers are not transferrable. Only permittees with an approved reporting waiver request
may submit monitoring data and reports on paper to the Division for the period that the approved reporting
waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the following
web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Signatory Requirements [Supplements Section B.(11.)(b)and Supersedes Section B. (11.1(d)]
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section B.
(11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (11.)(b). A
person,and not a position,must be delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user account and
login credentials to access the eDMR system. For more information on North Carolina's eDMR system,
registering for eDMR and obtaining an eDMR user account,please visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make the
following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION WILL BE
ACCEPTED:
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DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
Permit NC0057720
"I certi6,, 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.lam aware that there are significant penalties for submitting
false information, including the possibility of fines and imprisonment for knowing violations."
1. Records Retention'Supplements Section D.(6.)1
The permittee shall retain records of all Discharge Monitoring Reports,including eDMR submissions. These
records or copies shall be maintained for a period of at least 3 years from the date of the report. This period
may be extended by request of the Director at any time[40 CFR 122.41].
Page 6 of 6

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
BK 0729 PG 0833 FILED ELECTRONICALLY
Approved by Stokes County Tax Administration STOKES COUNTY NC
BRANDON HOOKER
NCGS 161-31(A) and NCGS 105-303(a2) REGISTER OF DEEDS
KA Date 01/25/2021
FILED Jan 25, 2021
AT 11:40 AM
BOOK 00729
START PAGE 0833
This instrument prepared by Midtown Property Law, END PAGE 0835
INSTRUMENT # 00371
a licensed North Carolina attorney. EXCISE TAX $0.00
Delinquent taxes, if any,to be paid by the
closing attorney to the Tax Collector
upon disbursement of closing proceedings per NCGS 160-30(a1)
Excise Tax $0.00
REID: 14608
Mail after recording to: Grantee
This instrument was prepared by: Midtown Property Law(without title search or opinion)
Brief description for the index: 0 Off Slate Road
NORTH CAROLINA QUITCLAIM DEED
THIS DEED made this 8th day of January,2021,by and between
GRANTOR GRANTEE
JONES ESTATES LLC JONES ESTATES HIDDEN LAKES LLC
a North Carolina limited liability company a North Carolina limited liability company
mailing address: mailing address:
2310 S. Miami Blvd, Suite 238 2310 S.Miami Blvd,Suite 238
Durham,NC 27703 Durham,NC 27703
The designation Grantor and Grantee as used herein shall include said parties,their heirs,successors,and assigns,
and shall include singular,plural,masculine,feminine neuter as required by context.
WITNESSETH, that Grantor, for a valuable consideration paid by the Grantee, the receipt of which is hereby
acknowledged,has remised and released and does hereby remise,release and forever quitclaim unto the Grantee,
all those certain lots or parcels of land situated in Stokes County,North Carolina and more particularly described
as follows:
See attached Exhibit A,incorporated herein by reference.
For chain of title see deed recorded in Book 728,Page 1570, Stokes County Registry.
TO HAVE AND TO HOLD the aforesaid lots or parcels of land and all privileges and appurtenances thereto
belonging to the Grantee in fee simple.
Grantor makes no warranty,express or implied,as to title to the property hereinabove described.
1
Submitted electronically by "midtown Property Law"
in compliance with North Carolina statutes governing recordable documents
and the terms of the submitter agreement with the Stokes county Register of Deeds.

DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
BK 0729 PG 0834
IN WITNESS WHEREOF,the Grantor has duly executed the foregoing as of the day and year first above written.
GRANTOR:
JONES ESTATES LLC,
a North Carolina limited liability company
By: DANIELS HOLDINGS LLC, its Manager
By: (SEAL)
Name: Pr_ �1'SOn
Title: Q
NORTH CAROLINA, ^ 1 ,/4.0-M COUNTY
I,the uqersigned Notary Public of the County and State aforesaid,certify that V G,T\O n ff Sek
the f\ of Daniels Holdings LLC, the Manager of Jones Estktes LL personally
came before me this day and acknowledged the due execution of the foregoing instrument in the capacity
indicated.
t1r
Witness my hand and Notarial stamp or seal this day o rvat____ ,2021.
SEAL—STAMP
Notary ublic
My commission expires: 3 36'zOZ-S
MELISSA S.OLOMON'
Notary Public, North Carolina
Wake County
My Commission Expires
March30,2025
2

H
DocuSign Envelope ID:27CFB772-495E-49E9-8982-BC9130862948
BK 0729 PG 0835
EXHIBIT A
Legal Description
BEGINNING at a placed railroad spike in the center of State Road#1966 (Slate Road) in the corner
of Jimmy D. Welborn's line (see Deed Book 229,page 416 of the Stokes County Registry) and runs
South 27 degs. 58 min. 39 sec. West 454.22 feet to a placed railroad spike 4 feet East of the center of
State Road #1966 (Slate Road); thence South 10 degs. 34 min. 30 sec. West 34.06 feet to an iron
placed 16 feet East of the center line of State Road#1966(Slate Road);thence North 72 degs.36 min.
42 sec. West 629.50 feet (passing over a 3/4" iron found at 50 feet)to a placed iron; thence South 10
degs. 13 min. 47 sec. West 126.65 feet to a 20 inch marked oak tree; thence North 82 degs. 39 min.
49 sec. West 1,486.25 feet to an axle found at a stone; thence North 8 degs. 40 min. 22 sec. East
1,369.81 feet to a found stone 6 feet East of a marked oak tree;thence South 82 degs. 34 min.27 sec.
East 99.89 feet to a found iron stake; thence South 82 degs. 32 min. 58 sec. East 1,380.07 feet to a
found iron stake;thence South 5 degs.36 min. 13 sec.West 485.72 feet to an 18 inch marked oak tree;
thence South 80 degs. 09 min.22 sec. East 893.96 feet(passing over a rebar found at 858.64 feet)to
the BEGINNING and containing 60.902 acres.
This description taken from the survey plat established by C. Ray Cates bearing the date of October
13th, 1982, See Deed Book 259 at Page 286, Stokes County Registry.
SAVE AND EXCEPT: BEGINNING at a point in the West right of line of State Road #1966 (Slate
Road),said point being South 27 degs. 30 min.57 sec.West 270 feet from the Jimmy D.Welborn line
(see Deed Book 229 at Page 416 of the Stokes County Registry) and runs thence South 27 degs. 30
min. 57 sec. West 173.24 feet; thence (continuing with the right of way) South 28 degs. 29 min. 53
sec.West 116.76 feet;thence with the North right of way of the proposed road North 72 degs.04 min.
57 sec.West on a chord 62.73 feet to a point in the North right of way of proposed road;thence North
82 degs. 39 min.49 sec.West 122 feet to a point;thence North 11 degs. 18 min.28 sec.East 340 feet
to a point;thence South 65 degs. 50 min.08 sec.East 273.38 feet to the BEGINNING and containing
1.61 acres. This description taken from the survey plat of C. Ray Cates established on March 18th,
1983.
SAVE AND EXCEPT the following lots:
(1) Lot#1 in the Twin Lakes Subdivision asper deed recorded in Book 290,page 670.
pg
(2) Lot#2 in the Twin Lakes Subdivision as per deed recorded in Book 290,page 674.
(3) Lot#3 in the Twin Lakes Subdivision as per deed recorded in Book 289,page 770.
(4) Lot#4 in the Twin Lakes Subdivision as per deed recorded in Book 298,page 887.
REID: 14608
Address: 0 Slate Road,King,NC 27021
3