NC0055271_Permit Issuance_20060424

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
April 24, 2006
Mr. Jerry L. Shields
1341 N. Hwy 87 North
Elon, NC 27224
Subject: Issuance of NPDES Permit NCO055271
Shields Mobile Home Park
Alamance County
Dear Mr. Shields:
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 May 9, 1994 (or as subsequently amended).
This final permit includes changes from the draft permit sent to you on March 1, 2006.
This permit includes a TRC limit that will take effect on December 1. 2007. If you wish to install
dechlorination equipment, the Division has promulgated a simplified approval process for such projects. Guidance
for approval of dechlorination projects is attached.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt
of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh,
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal requirements
to obtain other permits which may be required by the Division of Water Quality or permits required by the
Division of Land Resources, the Coastal Area Management Act or any other Federal or Local governmental permit
that may be required. If you have any questions concerning this permit, please contact Frances Candelaria at
telephone number [phone], extension 520.
Sincerely,
zi'E'l ,/ -
Alan W. Klimek, P.E.
cc: Central Files
Winston Salem Regional Office/Surface Water Protection
bRYM Unit i
Noe Caroling
turag
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Internet h2o.enr.state.nc.us 512 N. Salisbury St. Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Permit NCO055271
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES'
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the 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,
Mr. Jerry L. Shields
is hereby authorized to discharge wastewater from a facility located at the
Shields Mobile Home Park
1355 NC Highway 87 North.
Elon
Alamance County
to receiving waters designated as Travis Creek in the Cape Fear 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 June 1, 2006
This permit and authorization to discharge shall expire at midnight on May 31, 2011.
Signed this day April 24, 2006
.Cvr . Alan W. Klimek, P.E., D' ector
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0055271
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.
Mr. Jerry L. Shields is hereby authorized to:
1. Continue to operate an existing 0.006 MGD wastewater treatment system with
the following components:
♦ Six septic tanks
♦ Recirculating surface sand filter . .
♦ Recirculation tank
♦ Tablet chlorination
Contact chamber
e Pumps and reaeration
The facility is located near Elon College.at Shields Mobile Home Park at 1355 NC
Highway 87 North in Alamance County.
2. Discharge from said treatment works at the location specified on the attached
map into Travis Creek, classified C-NSW waters in the. Cape Fear River Basin.

Permit NCO055271
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the. period beginning on the effective date of this permit and lasting until expiration,
the Permittee is authorized to discharge from outfall 001. Such discharges shall be limited
and monitored by the Permittee -as specified below:
EFFLUENT K ~t.: �'£`„€
" �w, , �,f �;
: , ,1,LIMITS ,. YA }k
MO ITORING REQU
�\
EMES r
N,Tr;E
.s5 i�,�. r, rr�. �in'6.F S`rv92
14. -� � K IRJ��� 1 � '2 i.,sa, :i�Yµ�'=Jh
t Y'}: 1:.*.
�txs'�.. �
�. �S�kL•¢�'rh'ti jE�.
CHARACTERISTICSrt
a \ a >�'r+t 1t
mt TF a T� erg ct'aHz. i a
ry'^s�
`= t sDail`i`
Monthly „ Weekly �, Y
Measurement 'Sam 1eT es
P fin!
f'�.(,
Sample Location`?
n
'?,!.`^2 UNr `;,t a'r•'q xli`iz..3 It yh J'�'.
`�Y r�i'*�.. i45';:: �r� l�.a'..'G PFC i ��n: i�d� {'.4^£�..�F�t.., �".:y
�1. �.e.; 3N1 tiii'k� �tryfL4.4]�Miy�l��'-�
Frequency
74r...�G"-�3^�hA�':{���
..4r:Average
=Averageu ,(Maximum'}
,1,.. �.., ....., . _
..._
Flow
0.006 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20°C)
10.0 mg/L
15.0 mg1L
21Month
Grab
Effluent
Total Suspended Solids
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
NH3 as N
2.0 mg/L
10.0 mg/L
211VIonth
Grab
Effluent
(April 1— October 31
NH3 as N
4.0 mg/L
20.0 mg/L
2/Month
Grab
Effluent
November 1—March 31
Dissolved 0xygen2
Weekly
Grab
Effluent,
Upstream &
Downstream
Fecal Coliform (geometric mean)
2001100 ml
400/100 ml
2/Month
Grab
Effluent
Total Residual Chlorine4
17 µg/l
Meek
Grab
Effluent
Temperature (°C)
Weekly
Grab
Upstream &
Downstream
Temperature (°C)
Daily
Grab
Effluent
Total Nitrogen
Quarterly
Grab
Effluent
NO2+NO3+TKN
Total Phosphorus
Quarterly
Grab
Effluent
pH3
2/Month
Grab
Effluent
Footnotes:
1. Upstream = 75 feet above discharge location; Downstream = 100 feet downstream of
discharge.
2. The daily average dissolved oxygen concentration shall not be less than 6.0 mg/L.
3. 'The pH shall not be less than 6.0 standard units nor greater than 9.0 standard
units.
4. The TRC limit will become effective 18 months after the effective date
(December 1, 2007) of the final permit.
There shall be no discharge of floating solids or visible foam in other than trace amounts

Shields M BP downstream sample point
Subject: Shields MHP downstream sample point
From: Jenny Freeman <[e-mail]>
Date: Mon, 10 Apr 2006 11:35:15 -0400
To: Charles Weaver <[e-mail]>
After talking to Mike Carson (ORC at Shields Mobile Home Park in Alamance Co.) and looking at maps,
we established that the new sample point for the downstream sample will be "100 feet downstream of
discharge." That's as far away as we can get and still be safe. Please let me know if any questions.
Thanks.
Jenny Freeman
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
1 of 1 4/10/2006 2:47 PM

Public
Notice
State of North
Carolina Environmental
Management
AFFIDAVIT OF INSERTION OF
rubl1C
Notice
State of North
Carolina
ADVERTISMEN' Environmental
Management
The Times -News Publishing Company Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notification of Intent to
Burlington, NC
Alamance County
Issue a NPDES "
Wastewater Permit
On the basis of thorough
staff review and application
of NC General Statute
143.21, Public law:92-500
and other lawful standards
and regulations, the ' North
Carolina Environmental
1, LINDA GIBSON Legal Advertising Manager of The, Times -News Publishing
Management Commission
proposes to issue aNation-
Do certify that the advertisement of Division of Water Quality
al Pollutant. Discharge'
Elimination ' . System
Entitled
(NPDES) wastewater dis-
charge permit to the `per-
son(s) listed, below effec-
tive 45 days from the pub-
lish date of this notice.
Written comments regard
ing the proposed permit will
be `accepted 'until 30 days
after the publish date of this
notice. Al. comments re-
ceived prior to that,date are
considered in the final de-
terminations regarding :the
proposed permit.. The Di-
' ' rector of the NC Division of
Measuring 152 lines appeared in the Times -News, a newspaper published in Water Quality :may decide,
to hold a public meeting for
Alamance County, Burlington, NC, in issues of March 3, 2006 i the proposed permit should
the'Division receive:a'sig-
nificant degree ,of public in-
teresY
,?
Copies of the draft ,permit;
Legal Advertising Manager
and other supporting infor-
mation on file used to de'-
termine conditions. present
in the draft permit are avail-
able upon request and pay-
ment of the costs'of repro-
" duction.: Mail•: comments
and/or 'requests ,for infor-
mation to the NC Division.
of Water; Quality. -at the
Sworn to and subscribed before me this day of , 20( 11abovii address' or call the
Point Source Branch at 919
Rat ILU � 40"c'-k
Notary Public
My commission expires C�-L
73M083, extension520 or
363. : Please• include the
NPDES permit. number
(attached) in any communi-
cation. Interested persons i may also visit the"Division
of Water Quality at 512 N.
Salisbury Street, Raleigh,
NC 27604-1148 between
the hours of 8;00a.m. and
5:00 :p mto;'review infor-
mation on fifer- `
Almance-Burlington School
System (1712 Vaughn Rd.;
Burlington, NC 27217) has
applied for renewal of
NPDES •permit NCO031607
,,for the NI s em Alamance
Middle School in Alamance
ounty.<; :This permitted fa -
I cility"discharges 0.0075
MGF of treated wastewater
to Haw River in the. Cape
1 Fear: River Basin. Some
parameters may be water
quality limited, which may,
�'"affect future allocations in
lthis portion of the Cape.
Fear River Basin.

[Rwd: request]
Subject: [Fwd: request]
From: Jenny Freeman <[e-mail]>
Date: Fri, 20 Jan 2006 08:51:34 -0500
To: Frances Candelaria<[e-mail]>, Charles Weaver
<Charles. Weaver @ ncmail.net>
Please read below email from Mike Carson, ORC at Shields Mobile Home Park in Alamance Co. Is
there anything we can do to help out Mr. Carson? I talked to him on the phone yesterday, he is hoping
to change the downstream sample location due to safety concerns.
------- Original Message--------
Subject:request
Date:Thu, 19 Jan 2006 18:52:15 -0500
From:Mike Carson <[e-mail]>
To:<Jenny.Freeman @ncmail.net>
Hello Jenny,
hope you and your family is well, being the state is working on our renewal permit for Shields M-H-P #
NCO055271 I would like to request to relocate the down stream sample point now that our permit is in
review now. I have to collect a sample from the bride state Rd 1529 there has been more than once
when I was in immediate danger due to traffic, in the winter with ICE and Snow it is extremely dangerous
in fear of slipping and falling into traffic. Durham St. EXT is one of the main roads leading to Western
High School and even when school is out it is still a very busy road, due to the hold times on Fecal Sample
I have to run the plant/samples first thing in the morning between 6am-7am. If you could please look into
changing the sample point to 50 feet below the discharge. You may reply to this email or my city email.
Thank you,
James M. Carson
ORC/Shields M-H-P
# NCO055271
Jenny Freeman
NC DENR Winston-Salem Regional Office
Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone] ext 294
FAX: [phone]
1 of 1 1/20/2006 9:02 AM

November 4,2005
NC DEPT OF ENV & NAT RESOURCES
DIV OF WATER QUALITY/NPDES Unit
1617 MAIL SERVICE CENTER
RALEIGHM NC 27699-1617
SUBJECT: NPDES PERMIT: NC0055271
Sirs:
Mr. Garland Williams pumps the septic tanks twice (2)
a year. His business name is "PEE WEE'S SEPTIC TANK
CLEANING located in Graham, NC.
He hauls it to the dumping station in the County that
is designated to handle WASTE WATER.
Sorry this information was left off the report.
Sincerely,
r
"/
J
Yery� Shields
SHIELDS MOBILE HOME PARK
1341-N, NC 87
ELON NC 27244
Tel: [phone]
JLS/ss
cc: file
James M. Carson

r
- ��/(8i0pi
Z r. 7010zi '1Fl o-.doo3- 7q-44-ff 93
NPDES APPLICATION PERMIT RENEWAL - FORM D
For privately owned treatment systems treating 1009/a domestic wastewaters <0.1 MGD
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit 000055271
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
Mr. Jerry L. Shields
Facility Name
Shields Mobile Home Park
Mailing Address
1341 N HWY 87 North
City
Elon
State / Zip Code
NC / 27244
Telephone Number
[phone]
Fax Number
N/A
e-mail Address
N./A
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road - 1355 NC HWY 87 North
city Elon
State / Zip Code NC / 27244
County Alamance
3. Operator Information:.
Name of the farm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name James M. Carson
Mailing Address
city
State / Zip Code
Telephone Number
Fax Number
1 of 1
1356 St. Regis Dr
Burlington
NC / 27217
[phone]--
[phone] ,� f (r-` [' il� r�

NPDES APPLICATION FOR PERMIT RENEWAL - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <0.1 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
®
Number of Homes 14
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, .
restaurants, etc.):
`Mobile Home park
Population served: 24
5. Type of -collection system
® 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 dif aer? ❑ Yes ® No
?. Name of receiving stream(s) (Provide a map shouring the exact location of each outfallP.
Travis Creek
S. 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. 1
Components as follows:
Six septic tanks, Recirculating surface sand filter, Recirculation tank, Tablet
Chlorination, Contact chamber, Pumps * Reaeration.
See attachment for capacities
2 of 2 Form-D 4/05
I,

NPDES APPLICATION FOR PERMIT RENEWAL FORM D
For privately owned treatment systems treating 100% domestic wastewaters <0.1 MGD
10. Flow Information:
Treatment Plant Design flow .006 MGD
Annual Average daily flow .0018 ______MGD (for the previous 3 years)
Maximum daily flow .0021 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes No
12. Effluent Data
Provide data for the parameters listed. Fecal Caftform, 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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
4.0
2.18
Mg/l
Fecal Coliform
1.0
1.0
#/ 100 (GM)
Total Suspended Solids
2.0
1.1.1
Mg/l
Temperature (Summer)
19.9
21.8
° C
Temperature (Winter)
16.1
7.8
° C
pg
17.5
17.04
Units
13..List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NC0055271 Dredge or fill ,(Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of any knowledge and belief such information is true,, complete, and accurate.
Je L. •Shields Owner
Printed name of Person Signing Title
3 of 3' Form-D 4105

NPDES APPLICATION FOR PERMIT RENEWAL - FORM D
For ra
l
owned treatment systems treating 100% domestic wastewaters <0.1 MGD
Si ' -atur1 f 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 knowly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21or 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.)
4of4
Form-D 4/05

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�LAMANCE COUNTY— MORTON TOWNSHIP _ �` + = rotrewHcu REVISIONS taJ•_

FACT SHEET FOR EXPEDITED RCNEHAL
Permit Number
A/C oo SS 27
Facility Name
-S A or boa M yl'
Reviewer
%-o vti 8-e Ivt I C /C
Basin/Sub-basin
�..� 7 b (� tJ Z
Receiving Stream
ra d
Stream Classification in permit
Stream Classification in BIMS
Is the stream impaired (listed on 303(d))?
Is stream monitoring required?
Z111
Does the permit need NH3 limit(s)?
Vf
Does the permit need TRC limit(s)?
-�
Does the permit have toxicity testing?
Are there special conditions?
Any obvious compliance concerns?
Existing Expiration Date
j 3 / 6
New Expiration Date
3
Miscellaneous Comments:
I LW II) 4X 1A/ J 24
/ter ,-' C l -F t ► V
L) 5-0p-e-f rua
9
0 M j ro P-C
If expedited, is this(a simpler permit or a more difficult one?
X4014. leo