NC0022098_Permit Issuance_20160818

PAT MCCRORY
(„.r,'rum
Water Resources
ENVIRONMENTAL QUAIJI Y
DONALD R. VAN DER VAART
S. JAY ZIMMERMAN
August 18, 2016
Mr. James Radford III
NC Land Lease, LLC
P.O. Box 2533
Christiansburg, VA 24068-2533
Subject: Issuance of NPDES Permit NC0022098
Cranbrook Village WWTP
Guilford County
Class WW-2
Dear Mr. Radford:
0114 for
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 the following changes from the draft permit sent to you on
June 29, 2016:
➢ The list of facility components has been corrected.
➢ Sampling for TKN and NO2 + NO3 has been changed to Grab.
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 any other Federal, State, or Local governmental permit that may be required. If you
have any questions concerning this permit, please contact Charles H. Weaver at telephone number (919)
807-6391.
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
cc: Central Files
Winston-Salem Regional Office
NPDES Unit
State of North Carolina ( Environmental Quality I Water Resources
1617 Mail Service Center 1 Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq. nc. gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Permit NC0022098
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 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,
NC LAND LEASE, LLC
is hereby authorized to discharge wastewater from a facility located at the
Cranbrook Village WWTP
4309 Old Liberty Place
Guilford County
to receiving waters designated as Little Alamance Creek in subbasin 03-06-03 of the
Cape Fear River Basin in accordance with effluent limits, monitoring requirements,
and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective October 1, 2016.
This permit and authorization to discharge shall expire at midnight on June 30, 2021.
Signed this day August 18, 2016
ay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
• Page 1 of 6

Permit NC0022098
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.
NC LAND LEASE, LLC IS HEREBY AUTHORIZED TO:
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components:
• Influent pump station
• Aerated digester / sludge holding tank (underground)
• Bar screen
♦ Aeration basin
♦ Clarifier
• Effluent chlorination with chlorine contact basin
• Tablet dechlorination
This facility is located southeast of Greensboro at the Cranbrook Village WWTP in
Guilford County.
2. Discharge from said treatment works at the location specified on the attached
map into Little Alamance Creek, classified WS-IV NSW waters in the Cape Fear
River Basin.
Page 2 of 6

Permit NC0022098
A. (1) : EFFLUENT LIMITS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
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:
EFFLUENT CHARACTERISTICS
Parameter Description ,PCS Code`. 1 .
EFFLUENT LIMITS -
MONITORING REQUIREMENTS A'
- MonthlyDail
,-. -Average ,:
.,:'Maxi um'
- Unit of
,Measure
Measurement
Frequency '-
Sample Type
,' Sample
;Location
Flow - .50650..
0.01
MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-Day (20 Deg. C) - 00310
30.0
45.0
mg/L
Weekly
Grab
Effluent
Total Suspended Solids - 00530
30.0
45.0
mg/L
Weekly
Grab
Effluent
Ammonia Nitrogen (as N) - 00610
(November 1 = March 31)
24.0
35.0
mg/L
Weekly
Grab i
Effluent
Ammonia Nitrogen (as N) - 00610
(April 140ctober 31)
3.8
19.0
mg/L
Weekly
Grab
Effluent
Fecal Coliform(geometric mean) - 31616
200
400
#/100 ml
Weekly
Grab
Effluent
pH - 00400
> 6.0 and < 9.0 standard units
s.0
Weekly
Grab
Effluent
Total Residual Chlorine (TRC)2 - 50060
28
pg/L
2 / week
Grab
Effluent
Temperature, °Centigrade - 00010
deg. C
Daily --
weekdays
Grab
Effluent
Total Phosphorus (as P) - 00665
mg/L
Quarterly
Grab
Effluent
Total Nitrogen (as N)3 - 00600
mg/L
Quarterly
, Grab
Effluent
Total Kjeldahl Nitrogen (as N) - 00625
mg/L
Quarterly
Grab
Effluent
Nitrite plus Nitrate Total (as N) - 00630
mg/L
Quarterly
Grab
Effluent
Footnotes:
1. No later, than December 21, 2016, the permittee shall begin submitting discharge
monitoring reports electronically using the Division's eDMR system [see A. (3)].
2. The facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values < 50 µg/L will be treated as Zero for
compliance purposes.
3. TN = TKN + NO3-N + NO2-N, where TN is Total Nitrogen, TKN is Total Kjeldahl Nitrogen,
and NO3-N and NO2-N are Nitrate and Nitrite Nitrogen, respectively
There shall be no discharge of floating solids or visible foam in other than trace
amounts.
Page 3 of 6

Permit NC0022098
A. (2) NUTRIENT REOPENER CONDITION
[NCGS 143-215.1]
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 II 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.
A. (3) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program reports and specify that, if a state does not establish a system to receive such
submittals, then permittees must submit monitoring data and reports electronically to the
Environmental Protection Agency (EPA) . 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
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)l
Effective December 21, 2016, 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 summarizedfor each
month and submitted electronically using eDMR. The eDMR system allows permitted
facilities to enter monitoring data and submit DMRs electronically using the internet.
Until such time that the state's eDMR application is compliant with EPA's Cross -Media
Electronic Reporting Regulation (CROMERR), permittees will be required to submit all
discharge monitoring data to the state electronically using eDMR and will be required to
complete the eDMR submission by printing, signing, and submitting one signed original
and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Page 4 of 6

Permit NC0022098
If a=perniittee 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 mailing address above. See
"How to Request a Waiver from Electronic Reporting" section below.
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; 2020, 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.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. 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:
http: / /www2.epa.gov/ compliance / final-national-pollutant-discharge-elimination-
system-npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. 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
wayers:must be submitted in writing to the Division for written approval at least, sixty
(60); flays prior to the date the facility would be required under this permit to. begin
Page 5 of 6

Permit NC0022098
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
4. Signatory Requirements (Supplements Section B. (11.) (b) and Supersedes Section
B.(11.)(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:
"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 fines and
imprisonment for knowing violations."
5. 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

Latitude: 36000'10"
Longitude: 79045'08" Chi
USGS Quad: Greensboro, N.C.
Stream Class: WS-IV NSW
Subbasin: 03-06-03
Receiving Stream: Little Alamance Creek

Weaver, Charles
From:
Sent:
To:
Subject:
Weaver, Charles
Friday, July 01, 2016 11:16 AM
Mickey, Mike
RE: DRAFT permit renewal for NC0022098 / Cranbrook Village WWTP
Mike — the Supplement and Effluent pages have been corrected. Thanks for catching those errors.
CHW
From: Mickey, Mike
Sent: Friday, July 01, 2016 11:04 AM
To: Weaver, Charles <[e-mail]>
Subject: RE: DRAFT permit renewal for NC0022098 / Cranbrook Village WWTP
Charles - Comments on the supplement page and the limits page. See below:
• Do you list the dechlor unit in the system description? If so, can you add "Tablet Dechlorination" after Effluent
Chlorination. Also, Vandalia has been absorbed by Greensboro and doesn't exist anymore. Just say SE of
Greensboro.
1. Continue to operate an existing 0.01 MGD wastewater treatment facility with the
following components:
• Influent pump station
• Aerated digester / sludge holding tank (underground)
• Bar screen
• Aeration basin
• Clarifier
• Effluent chlorination with chlorine contact basin
This facility is located southeast of Varsialia off Liberty Road at the Cranbrook
Village WWTP in Guilford County.
• TRC is listed twice on the effluent limits page. Can you delete the one without the limit?
Ammonia Nitrogen (as N) - 00610
(April 1 - October 31)
3-8
19.0
mg/L
Weekly
Grab
Effluent
Fecal Coliform (geometric mean) - 31616
200
400
#i10D ml
Weekly
Grab
Effluent
pH - 00400
> 6.0 and < 9.0 standard units
s.0
Weekly
Grab
Effluent
2
Yf nets
Arel9
GfM'' r
T -
t-40-
Total Residual Chlorine (TRC)2 - 50060
28
pg/L
2 t week
Grab
Effluent
Temperature: °Centigrade - 00010
deg. C
Daily --
weekdays
Grab
Effluent
[e-mail]
NC DEQ Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
1

From: Weaver, Charles
Sent: Tuesday, June 28, 2016 10:41 AM
To: Kinney, Maureen <[e-mail]>; Hudson, Eric <eric.hudsonPncdenr.Rov>; Mickey, Mike
<m i ke. m ickey@ n cd e n r.Rov>
Cc: [e-mail] •
Subject: DRAFT permit renewal for NC0022098 / Cranbrook Village WWTP
Importance: High
This si a class WW-2 facility in Guilford County.
Please send me any comments by July 29tn
As always, thanks for your help.
Charles H. Weaver
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919-807-6391
charles.weaverncdenr.gov
(physical address) 512 North Salisbury Street, Raleigh, NC 27604
(mailing address) 1617 Mail Service Center, Raleigh, NC 27699-1617
- 2 Nothing Compares
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed
to third parties.
2

Weaver, Charles
From: Weaver, Charles
Sent: Friday, July 01, 2016 9:10 AM
To: '[e-mail]'
Subject: RE: DRAFT permit renewal for NC0022098 / Cranbrook Village WWTP
Paul — thanks for catching that. The TKN and NO2+NO3 samples will be changed to Grab in the final permit.
CHW
From: [e-mail] [mailto:[e-mail]]
Sent: Thursday, June 30, 2016 1:16 AM
To: Weaver, Charles <[e-mail]>
Cc: Derek Hinds <[e-mail]>
Subject: Re: DRAFT permit renewal for NC0022098 / Cranbrook Village WWTP
Importance: High
Mr Weaver,
The TKN and Nitrite & Nitrate samples are listed as a composite samples and the Total Nitrogen is listed as a grab sample.
Why are those samples composite samples instead of being grab samples.
Paul Smith
On Jun 28, 2016, at 10:41 AM, Weaver, Charles <[e-mail]> wrote:
1

\tS
1✓
COI DRIER-TRIBI INE
Affidavit of Publication
State of North Carolina,
Randolph County
To Whom It May Concern:
This is to certify the
advertisement attached
hereto has been published in
The Courier Tribune
on the following dates:
Sworn to on th•is , day
of , 2016
Courier -Tribune Representative
Sworn to and Sub cribed
Before me this r6 day
of , 2016
ary Public
JOSEPHINE VIERA COOPER
Notary Public, North Carolina
Randolph County
My Comnasion Expires
-- ��----
PUBLIC NOTICE
North Carolina Environmental Management Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental Management Commission proposes to issue a
NPDES wastewater discharge permit to the person(s) listed below. Written
comments regarding the proposed permit will be accepted until 30 days after the
publish date of this notice. The Director of the NC Division of Water Resources
(DWR) may hold a public hearing should there be a significant degree of public
interest. Please mail comments and/or information requests to DWR at the above
address. Interested persons may visit the DWR at 512 N. Salisbury Street, Raleigh,
NC to review information on file. Additional information on NPDES permits and
this notice may be found on our website: http://deq.nc.gov/about/divisions/water-
resources/water-resources-permits/wastewater-branch/npdes-wastewater/public-
notices,or by calling [phone].
NC Land Lease, LLC requested renewal of NPDES permit NC0022098/Cranbrook
Village WWTP/Guilford County. Facility discharges to Little Alamance
Creek/Cape Fear River Basin. Currently, ammonia nitrogen, fecal coliform, and
total residual chlorine are water quality limited.
Yes AF Utilities EXP, LLC requested renewal of NPDES permit
NC0022691/Autumn Forest WWTP/Guilford County. Facility discharges to an
unnamed tributary to Reedy Fork/Cape Fear River Basin. Currently BOD,
ammonia nitrogen, dissolved oxygen, fecal coliform, total phosphorus, and total
residual chlorine are water quality limited.
Quarterstone Farms HOA requested renewal of permit NC0066966/Quarterstone
Farm WWTP/Guilford County. Facility discharges treated wastewater to Buffalo
Creek/Cape Fear River Basin. Currently ammonia nitrogen, fecal coliform, total
nitrogen, and total phosphorus are water quality limited.
lt-7/1/2016

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 6/28/2016
Permit Number
NC0022098
Facility Name
Cranbrook Village WWTP
Basin Name/Sub-basin number
Cape Fear/03-06-03
Receiving Stream
Little Alamance Creek
Stream Classification in Permit
WS-IV NSW
Does permit need Daily Max NH3 limits?
No — already present
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Cape Fear nutrient reopener
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)? For
what parameter?
No
Any obvious compliance concerns?
None. No enforcements since 2009; no
violations since 2012.
Any permit mods since last permit?
Name & Ownership change in 2013
New expiration date
_ 06/30/2021
Comments on Draft Permit?
Added eDMR requirements
Added regulatory citations
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream
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 permitted effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".
• TRC language for Compliance Level for Cover Letters/Effluent Sheet Footnote:
"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."

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
INC0022098
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
NC Land Lease, LLC
Cranbrook Village
PO BOX 2533
Christiansburg
VA / 24068
[phone]
[phone]
[e-mail]
RECEIVED/NCDEQ/DWR
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 4309 Old Liberty Place
City
State / Zip Code
County
FEB 052016
Water Quality
Permitting Section
Greensboro
NC / 27406
Guilford County
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 Paul Smith
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
PO BOX 269
Reidsville
NC / 27323
[phone]
( )
[e-mail]
1 of 3 Form-D 11/12

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 X Number of Homes
School ❑ Number of Students/Staff
Other E Explain:
75
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile home park
Number of persons served: 150
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? 11 Yes X No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Little Alamance Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 24
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.
Influent pump station, sludge holding tank, bar screen, aeration basin, clarifier, effluent
chlorine disinfection and contact basin, tablet dechlorination and 22.5 degree V notch
weir
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .010 MGD
Annual Average daily flow .007 MGD (for the previous 3 years)
Maximum daily flow .010 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes X No
12. Effluent Data
NEW APPLICANTS: 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.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the past 36 months for parameters currentlq in our permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
20
4
Mg/1
Fecal Coliform
50
10
200/ 100 ml
Total Suspended Solids
24
10
mg/1
Temperature (Summer)
28
25
C
Temperature (Winter)
7
18
16
C
pH
7.3
N/A
SU
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NC002098
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
James Radford III
Managing Member
Printed name of Person Signing Title
Q-2-16
Sim ature 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 11/12

N.C. Land Lease, LLC
Cranbrook Village Mobile Home Community
^w
2/2/2016
James Radford I11
N.C. Land Lease, LLC
Cranbrook Village Mobile Home Community
PO BOX 2533
Christiansburg, VA 24068
Ms. Wren Thedford
NC DEQ/ DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Sludge Management Plan:
The sludge is removed as needed from a holding tank. The removal is done by a pumping
company. We are currently using Carolina Septic Inc.
Thank you,
James Radford III
Managing Member

N.C. Land Lease, LLC
Cranbrook Village Mobile Home Community
*
2/2/2016
James Radford III
N.C. Land Lease, LLC
Cranbrook Village Mobile Home Community
PO BOX 2533
Christiansburg, VA 24068
Ms. Wren Thedford
NC DEQ/ DWR / NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Greetings,
NC Land Lease, LLC is requesting renewal of the permit for the Cranbrook Village Mobile Home
Community. Which is a mobile home park located at 4309 Old Liberty Place, Greensboro, NC
27406. There have been no changes to the facility since the issuance of the last permit.
Thank you,
es Radford III
Managing Member