NC0077968_Fact Sheet_20230413

DocuSign Envelope ID: B1456DCB-EDEI-4AF6-B481-A26093FE84B9
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
Kate Shadwell — 4/10/2023
Permit Number
NC0077968
Facility Name
Reedy Fork Mobile Home Park WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-02
Receiving Stream
Reedy Fork Creek
Stream Classification in Permit
WS-V NSW
Does permit need Daily Maximum NH3
limits?
N/A
Does permit need TRC limits/language?
No — already present. Facility has replaced
chlorine disinfection with UV.
Does permit have toxicity testing?
No
Does permit have Special Conditions?
Standard nutrient reopener for Cape Fear
facilities
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
Yes. Benthos exceeding criteria; added to list
in 2016.
Any obvious compliance concerns?
No enforcements since 2000. There were 11
fecal coliform limit violations prior to
installation of UV disinfection; only 3
violations since UV was installed.
Any permit mods since lastpermit?
No
New expiration date
3/31/2028
Comments received on Draft Permit?
Updated eDMR requirements
Updated outfall map
Changes to finalpermit?
Updated new owner name
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek 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 this permit's 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 facility shall report all effluent TRC values reported by a NC certified laboratory
including field certified. However, effluent values below 50 µg/l will be treated as zero
for compliance purposes."

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
NORTH CAROLINA 2022 303(D) LIST
Haw Cape Fear River Basin
AU Name AU Number Classification AU_LengthArea AU —Units
AU ID Description
Cape Fear River Basin
HAW RIVER 16-(1)a
3773 From source to SR 2109
PARAMETER IR CATEGORY CRITERIA STATUS
Benthos (Nar, AL, FW) 5 Exceeding Criteria
HAW RIVER 16-(1)c1
13380 From SR 2426 to Troublesome Creek at US29
PARAMETER IR CATEGORY CRITERIA STATUS
Copper (7 µg/I, AL, FW) 5 Exceeding Criteria
Reedy Creek 16-11-(1)a
3784 From source to UT 0.7 miles downstream of SR 2128
PARAMETER IR CATEGORY CRITERIA STATUS
Benthos (Nar, AL, FW) 5 Exceeding Criteria
Fish Community (Nar, AL, FW) 5 Exceeding Criteria
03030002 Haw
WS-V;NSW 7.8 FW Miles
REASON FOR RATING 303D YEAR
Fair, Poor or Severe Bioclassification
WS-V;NSW
REASON FOR RATING
Legacy Category 5 Total Metals
WS-III;NSW
7.3 FW Miles
303D YEAR
FW Miles
REASON FOR RATING 303D YEAR
Fair, Poor or Severe Bioclassification 2016
Fair, Poor or Severe Bioclassification 2012
Reedy Fork 16-11-(1)b WS-III;NSW 4.2 FW Miles
3785 From SR 2128 to a point 0.4 mile downstream of Moores Creek
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Fish Community (Nar, AL, FW) 5 Exceeding Criteria Fair, Poor or Severe Bioclassification
Reedy Fork (Hardys Mill Pond)
16-11-(9)a2
WS-V;NSW 2.2 FW Miles
3789 From UT at SR 2782 to UT at SR 2778
PARAMETER IR CATEGORY
CRITERIA STATUS
REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5
Exceeding Criteria
Fair, Poor or Severe Bioclassification 2016
North Buffalo Creek
16-11-14-1a1 WS-V;NSW 7.5 FW Miles
3800 From source to Philadelphia Lake
PARAMETER IR CATEGORY
CRITERIA STATUS
REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5
Exceeding Criteria
Fair, Poor or Severe Bioclassification
6/7/2022 NC 2022 303d List- Approved by EPA 4/30/2022 Page 3 of 192

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
about:blank
LOCAL'1*0
StarNews I The Dispatch I Times -News PO Box 631245 Cincinnati, OH 45263-1245
Sun Journal I The Daily News I The Star
The Free Press I Gaston Gazette
Public Native
PROOF OF PUBLICATION
North Carolina
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Unit
1617 Mai Service Center
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Raleigh177
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Noflof ntentt to. Issue o
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NPDES Woskwoler Permit
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1617 MAIL SERVICE CENTER
While Home Pork WWI
The North Cara ino Enviran-
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issue a NPDES wastewater
dischorae Permit to the.
Pcrsor(s) listed below, Wril-
STATE OF NORTH CAROLINA, COUNTY OF ALAMANCE
Pr"0PO` dmmMtsrm 9a wll t h.
incepted unlh 30 days anar
the Publish dole of this
The Burlington Times -News, a newspaper printed and published in
notice. The Director of the
NC Division of water
the cityof Burlington, and of general circulation in the Count of
g y
RC ,rc.s (DWR) may hold
Public nearing should there
Alamance, State of North Carolina, and knowled personal a of the
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be ° igniii—ernt deg, -of
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facts herein state and that the notice hereto annexed was
comments endtor Informa
tlon requesis to DWR at the
Published in said newspapers in the issue dated:
above address. Intarested
Persons mop v;sit Ine DWR
at 512 N. Salisbury Street,
05/21/2022
NC 27&04 to
IRntorlrwlion oe file.rAddly
tionol Information on NPDES
Permits and this notice may
and that the fees charged are legal.
be found on our websife:
mro:uaw.nc.gaym wuvdiyis'
Sworn to and subscribed before on 05/21/2022
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watertpubilc-rufi<es.or by
call Ina [phone]. M.
Jorry L. Shields (1341 NC
Hwy 87 N. Elan, NC 77244)
hes requested renewal of
NPDES Permit NCDD53771 far
the Shields Mobile Home
Park WWTP in Alamance
Per County. This mitted focil.
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water to Travis Creek In the
Cane Fear River Basin.
a OD, ammonia rlfrogen,
dissolved oxygen. focal
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limited, wnlcl mov attest
future olbcolions in this
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Mr. Tim Horner
(3073 Beaver Hill Rd,
Burl on, NC 272151 has
requested renewa! Pf NPDES
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Permit 72%e far nr
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Publication Cost: $172.04
ho us, and fotgl res tl
Order No: 7317417
chlorine ore water quality
limited, which fro, affect
1# of Copies:
future allncctlons in lhis
Portion of the Cape F-r
Customer No: 512930 1 River Basin
PO #:
'I-IIIS 1S NOT AN INVOICE!
Please do not use this form for payment remittance
SHELLY HORA
Notary Public
oWsconsin
Page 1 of 1
2 of 2 6/30/2022, 3:53 PM

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
ROY COOPE097 R "�
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Governor 14
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ELIZABETH S. BISER
Secretary ti•'
RICHARD E. ROGERS, JR.v� ,
Director l \r • +* _
NORTH CAROLINA
Environmental Quality
5/16/2022
Mr. Tim Homer, Owner
3073 Beaver Hill Drive
Burlington, NC 27215
Subject: Draft NPDES Permit NCO077968
Reedy Fork MHP
Alamance County
Grade II Biological WPCS
Dear Permittee:
The Division has reviewed your request to renew the subject permit. Please review this draft carefully to ensure
your thorough understanding of the information, conditions, and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
• Section A. (3.) has been updated to require electronic submission of effluent data
reports (DMRs). Federal regulations require electronic submittal of all discharge
monitoring.
• An updated outfall map has been included.
With this notification, the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Alamance County area, per EPA requirements. Please provide your
comments, if any, to me no later than 30 days after receiving this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have any questions concerning this permit, please contact
Emily Phillips at emily,phillipsAncdenngov.
cc: NPDES files
ec: WSRO
Sincerely,
DocuSigned by:
8BE53CB16450471...
Emily Phillips
Compliance and Expedited Permitting Unit
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919-807-6300 919-807-6389 FAX
https:Hde q.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branchlnpdes-wastewater-pernnits

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NCO077968
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
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. Tim Horner
is hereby authorized to discharge wastewater from a facility located at the
Reedy Fork Mobile Home Park
3437 Shepard Road
Ossipee
Alamance County
to receiving waters designated as Reedy Fork Creek in subbasin 03-06-02 of 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
This permit and authorization to discharge shall expire at midnight on May 31, 2026.
Signed this day
Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NCO077968
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. Tim Horner is hereby authorized to:
1. Continue to operate an existing 0.040 MGD wastewater treatment system with the following
components:
♦ Bar screen
♦ Aerated equalization basin
♦ Aeration basin
♦ Clarifier
♦ UV disinfection
♦ Sludge digestion
♦ Flow measurement
The facility is located west of Ossipee (3437 Shepard Road) at the Reedy Fork Mobile Home Park
WWTP in Alamance County.
2. Discharge from said treatment works at the location specified on the attached map into Reedy Fork,
classifiedWS-V; NSW waters in the Cape Fear River Basin.
Page 2 of 6

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NCO077968
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G .0302]
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:
PARAMETER
LIMITS
MONITORING REQUIREMENTS
[PCS code]
Monthly Average
Daily
Measurement
Sample
Sample
Maximum
1 Frequency
Type
Location
Flow
50050
0.040 MGD
Continuous
Recording
Influent or
Effluent
BOD, 5-day (20°C)
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0310
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
C0530
NH3 as N
2/Month
Composite
Effluent
C0610
Total Residual Chlorine (TRC) 2
28 µg/L
2/Weekly
Grab
Effluent
50060
Fecal Coliform (geometric mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
Effluent
31616
Temperature
Weekly
Grab
Effluent
00010
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
C0600
Total Phosphorus3
2.0 mg/L quarterly average
Weekly
Composite
Effluent
C0665
pH
00400
> 6.0 and < 9.0 standard units
— —
Weekly
Grab
Effluent
Footnotes:
1. The Permittee shall submit discharge monitoring reports electronically using the Division's eDMR system [see A. (3)].
2. TRC limit and monitoring requirements apply only if chlorine is added to the treatment system. 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. Compliance shall be based on a quarterly average of weekly samples.
There shall be no discharge offloating solids or visible foam in other than trace amounts.
Page 3 of 6

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NCO077968
A. (2.) NUTRIENT REOPENER CONDITION
[NCGS 143-215.66]
Pursuant to N.C. General Statutes Section 143-215 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 - 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.) (a)1
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.
Page 4 of 6

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NC0077968
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.
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.federalre ister.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
Si ng atory Requirements jSupplements Section B. (11.) (b) and Supersedes Section B. (11.) (E
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part H, Section B.
(11.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (I 1.)(b). A person,
and not a position, must be delegated signatory authority for eDMR reporting purposes.
Page 5 of 6

DocuSign Envelope ID: B1456DCB-EDE1-4AF6-B481-A26093FE84B9
Permit NCO077968
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://deg.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:
V 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 offines and imprisonment for knowing violations. "
1. Records Retention [Supplements Section D. (6.)]
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

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NCO077968 — Reedy Fork MHP WWTP Facility
Latitude: 36'10'30" Sub -Basin: 03-06-02 Location
Longitude: 79'31'12" River Basin: Cape Fear
Stream Class: WS-V; NSW
Receiving Stream: Reedy Fork N o rfhf
Alamance County