NC0056201_Permit Issuance_20140205

ZIA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director Secretary
February 5, 2014
Mr. Chris Barry, Operations Officer
ACG Greensboro, LLC
301 Feldspar Way
Cary, NC 27518
Subject: Issuance of NPDES Permit NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Dear Mr. Barry:
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 to its terms from those found in the draft permit sent to
you on October 9, 2013.
• A new condition requiring electronic reporting of data collected pursuant to the terms of this permit
has been added.
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees
must submit DMRs electronically to the Environmental Protection Agency (EPA). The Division
anticipates that these regulations will be adopted and is beginning implementation.
The requirement to begin reporting discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application has been added to your final
NPDES permit. [See Special Condition A. (2.)] For information on eDMR, registering for eDMR
and obtaining an eDMR user account, please visit the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edrnr.
aj
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] I FAX: [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Mr. Chris Barry
NC0056201 Permit Reissuance 2014
p. 2
For information on EPA's proposed NPDES Electronic Reporting Rule, please visit the following
web site:
http://www2.epa.gov/compliance/proposed-npdes-electronic-reporting-rule.
• Footnotes have been modified as a result of the change noted above.
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 Resources or
permits required by the Division of Land Resources, the Coastal Area Management Act or any other
Federal or Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919)
807-6398, or via e-mail at [e-mail].
ely,
Thomas A. Reeder
cc: Central Files
Winston-Salem Regional Office — DWR/Water Quality
NPDES File

Permit NC0056201
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
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,
ACG Greensboro, LLC
is hereby authorized to discharge wastewater from a facility located at
Countryside Mobile Home Park
3571 Roy Farlow Road
South of Glenola
Randolph County
to receiving waters designated as an unnamed tributary to Caraway Creek in the Yadkin Pee -Dee River
Basin
in accordance with effluent limitations, monitoring requirements, and other, conditions set forth in Parts
I, II, III and IV hereof.
This permit shall become effective March 1, 2014.
This permit and authorization to discharge shall expire at midnight on January 31, 2019.
Signed this day February 5, 2014.
Tho ,EK A. Reeder, Director
Difsion of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0056201
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, teiiiis, and provisions included herein.
ACG Greensboro, LLC
is hereby authorized to:
1. Continue operation of an existing 0.015 MGD wastewater treatment system, consisting of the
following components:
➢ Influent pump station
➢ Equalization basin
➢ High water alarm
➢ Standby power
➢ Bar screen
➢ Extended aeration basin
➢ Clarifier
➢ Chlorine contact tank with liquid sodium hypochlorite
➢ Post aeration
➢ Flow meter
➢ Dual tertiary sand filters
➢ Dechlorination with sodium metabisulfite
The facility is located at the Countryside Mobile Home Park WWTP, at 3571 Roy Farlow Road
(S. R. 1534), south of Glenola, in Randolph County.
2. Discharge wastewater from said treatment works at the location specified on the attached map
through outfall 001 into an unnamed tributary to Caraway Creek, which is classified C waters in the
Yadkin -Pee Dee River Basin.
Page 2 of 6

Permit NC0056201
PART I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective date of the permit and lasting until expiration, the
Peiiuittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be
limited and monitored) by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
7'w __.___ tl Parameter Code
,LIMITS
MONITORING' REQUIREMENTS
Monthly.
Average; , _
Daily
Maximum-__
Measurement
.r. Frequency y
Sampler
Type4
'Sample
Location2;
Flow 50050
0.015 MGD
Continuous
Recording
I or E
BOD, 5-day, 20°C C0310
(April 1-October 31)
5.0 mg/I
7.5 mg/I
Weekly
Grab
E
BOD, 5-day, 20°C C0310
(November 1- March 31)
10.0 mg/I
15.0 mg/I
Weekly
Grab.
E
Total Suspended Solids C0530
30.0 mg/I
45.0 mg/I
Weekly
Grab
E
NH3 N C0610
(April 1-October 31)
2.0 mg/I
10.0 mg/L
Weekly
Grab
E
NH3 N C0610
(November 1- March 31)
4.0 mg/I
20.0 mg/L
Weekly
Grab
E
Total Residual Chlorine3 50060
17 ug/I
2/Week
Grab
E
Fecal Coliform (Geometric mean) 31616
200/100 ml
400/100 ml
Weekly
Grab
E
Temperature °C 00010
Monitor & Report
Daily
Grab
E
pH 00400
>_ 6.0 and <_ 9.0 standard units
Weekly
Grab
E
Dissolved Oxygen 00300
Daily Average >_ 6.0 mg/L
Weekly
Grab
E
Dissolved Oxygen 00300
Monitor & Report
Weekly
Grab
U, D
Temperature °C 00010
Monitor & Report
Weekly
Grab.
U, D
Footnotes:
1. No later than 270 days from the effective date of this permit, begin submitting discharge
monitoring reports electronically using NC DWR's eDMR application system. See Condition
A. (2.).
2. Sample Location: I — Influent; E — Effluent; U — Upstream at least 100 feet from outfall 001; D —
Downstream at least 300 feet from outfall 001.
3. The Division shall consider all effluent TRC values reported below 50 ug/1 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/1.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 6

Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)]
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin
reporting 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. 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 / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
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
mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements 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 using eDMR. Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re -applies for and is granted a new temporary
waiver by the Division.
Page 4 of 6

Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
Information on eDMR and application for a temporary waiver from the NPDES electronic reporting
requirements is found on the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
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.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)1
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 webpage:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/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 forgathering 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."
3. 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 [40 CFR 122.41].
Page 5 of 6

Permit NC0056201
USES Quad Name Glenola
ReceivmgStream UT to Caraway Creek
Stream C1ass::C
Si bbas�n. Yadkin- Pee Dee - 030709 . .
tat:: 35°50 32"
Long ; 79°54.48' ,
North
Page 6 of 6

Sledge, Bob
From:
Sent:
To:
Subject:
Graznak, Jenny
Tuesday, October 29, 2013 3:02 PM
Sledge, Bob
RE: Draft Permit - NC0056201
Hi Bob,
Just to reiterate what we discussed via telephone yesterday...
During my inspection at Countryside Mobile Home Park NC0056201 in Randolph County last week, I noted that the
receiving stream, which is a UT to Caraway Creek in the Yadkin Pee Dee, was bone dry. The operator stated that this is
typical of this stream and that he has a difficult time taking the weekly upstream/downstream temperature and DO
readings because of it. He said he sometimes feels compelled to take readings out of puddles since so little water is
present upstream. I encouraged him to report "no flow" on the DMR instead of sampling puddles. Furthermore, he
wondered if it would be possible to eliminate the U/D sampling from the permit while in the renewal process. Just
thought I would throw the question out there. Thanks for your time.
Jenny Graznak
E-mail Address: [e-mail]
NCDENR Division of Water Resources
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
[phone]; fax [phone]
www.ncwaterqualitv.org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
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From: Sledge, Bob
Sent: Wednesday, October 16, 2013 6:25 AM
To: Graznak, Jenny
Subject: Draft Permit - NC0056201
Hi Jenny,
Here's a copy of a permit we've drafted for Countryside MHP. It was sent to public notice last week.
Please call or reply if you have any questions or comments about the permit.
Thank you. Have a fine day.
Bob
Bob Sledge
Environmental Specialist
Compliance & Expedited Permits Unit
NC Division of Water Resources
[e-mail]
[phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
1

C RI `.-
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:
t3
Sworn to on this 22tday
of �� 1`- _, 2014
Courier -Tribune Representative
Sworn to and SubsHibed
Befti�je me this day
of , 2014
Notary Public
My Commission Expires
08/02/2016
AlrtiLs C. Mibe
t otnrVRPUblieandolph NorthCountCarolina
y
MY o " his io Ex rea
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://portal.ncdenr.org/web/wq/swp/ps/npdes/calen-
dar, or by calling [phone]. ACG Greensboro,
LLC requested renewal of permit NC0056201 for the
Countryside Mobile Home Park WWTP in Randolph
County; this permitted discharge is treated domestic
wastewater to an unnamed tributary to Caraway
Creek in the Yadkin -Pee Dee River Basin.
1t-10/11/13

• Sledge, Bob
From: Graznak, Jenny
Sent: Friday, August 23, 2013 4:45 PM
To: Sledge, Bob
Cc: Basinger, Corey
Subject: Countryside Mobile Home Park (NC0056201) - Randolph
Hi Bob,
I see that you are the permit reviewer for Countryside Mobile Home Park (NC0056201) in Randolph County. This is an
aging package plant. I last inspected this facility on October 24, 2012 and noted in my report a few of the maintenance
issues. It is apparently under new management now and hopefully some of these issues will be addressed. It seems the
previous owners may have skipped town. The plant has a history of struggles with NH3 and BOD but nothing severe.
Regardless of these issues, we have no problems at this time with re -issuing the permit.
I know you are also reviewing the Zooland Family Campground (NC0089052) in Randolph County. If possible, we'd like to
see a copy of the permit renewal application. Since its start-up in April 2012, it's had severe compliance issues and we
have some concerns about this facility. Thanks.
Jenny Graznak
E-mail Address: [e-mail]
NCDENR Division of Water Resources
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
[phone]; fax [phone]
www.ncwatoraualitv.org
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
i

Division Of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Permit Renewal
Countryside MHP
NPDES NC0056201
Here is the permit renewal package for Countryside MHP NPDES NC0056201.
Including Sludge Management plant, paint description and sample data. Countryside
currently operates at a third of its design and is 100% domestic wastewater. If you
should have any questions or need additional information please contact Paul Smith
ORC 336-932-9347.
Respectfully
Paul Smith

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
If you are completing this form incomputer 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
A C 4. G r e-erlS h o-D , z 1 G
ri,ede, ./41>A. 1210i;le P�CirI�
3e / F.% d f4r &lay
Cary
1/c 27S r
ql9) `foZV— 5907
(9"R' ) 64/-/S3o
CXra5 LQrri coq C.r
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road
City
State / Zip Code
County
35i / 4y /-Gr%w i L
/VG 73s a •
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
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
1 of3
235 kw., AQr
,YLC_. 27 32o
(33 ) 939. -9 3 L! 7
t )
4,04r-;,•e_e_i3 Ilsoo
Form-D 11/12
DENR-WATER QUALITY
• POINT SOURCE BRANCH

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential Number of Homes /5
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.): nn
Number of persons served: 35
5. Type of collection system
Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 0
Outfall Identification number(s) OU 1
Is the outfall equipped with a diffuser? 13. Yes ❑ No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall): _1
C-)r• o el e . CV r � 10 r _
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.
? � 2t' S°-.4` r"S c�.�ar, `v� cUr*-
Dtc_kor, 5 \ J bG Sf /N
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 , b .5 MGD
Annual Average daily flow 0 .006 MGD (for the previous 3 years)
Maximum daily flow C) , 0 2. MGD (for the previous 3 years)
11. Is this facility located on Indian country?
El Yes No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters Iisted. 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 current1ta in our permit. Mark other parameters 'N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BON
/ i7
1- .0
AA Gil -
Fecal Coliform
50
J
200/An. L.
M,5 /L
Total Suspended Solids
20
S
Temperature (Summer)
2.9
2 3
C-,
Temperature (Winter)
/0
/0
pH
7. 3
N /4
rj . v.
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)
NC- 00 5620
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.
PcKLA oAc,
Printed name of Person Signing, Title
7-2 9-43
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 11/12

Sludge Management Plan For Countryside MHP NPDES NC 0056201
All sludge is hauled away on an as needed basis. All sludge is hauled by a certified NC
septic tank Co. The current company used is Carolina Septic Tank Company .

Division Of Water Quality
NPDES Unit
1617 Mail Service Center
Raleigh NC 27699-1617
Permit Renewal
Countryside MHP
NPDES NC0056201
Here is the permit renewal package for Countryside MHP NPDES NC0056201.
Including Sludge Management plant, paint description and sample data. Countryside
currently operates at a third of its design and is 100% domestic wastewater. If you
should have any questions or need additional information please contact Paul Smith
ORC 336-932-9347.
Respectfully
Paul Smith