NC0055271_factsheet_20230628

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
NCDEQ / DWR / NPDES
EXPEDITED FACT SHEET - NPDES PERMIT RENEWAL
NPDES Permit NCO055271
Catherine Shadwell, Compliance & Expedited Permitting Unit / 919-797-3613 May 2023
FACILITY INFORMATION
Applicant/Facility Name
Shields Mobile Home Park WWTP (Mr. Jerry L. Shields)
Applicant Address
580 N. Hwy 87 Burlington NC 27217
Facility Physical
Address/Mailing Address
1355 NC Hwy 87 North Elon NC 27244
Permitted Flow (MGD)
0.006 MGD
Type of Waste
100% Domestic, < 1 MGD
Facility Class
WW-I
County
Alamance
Permit Status
Renewal
Regional Office
I WSRO
STREAM CHARACTERISTICS
Receiving Stream
Travis Creek
Stream
Classification
WS-V; NSW
Stream Segment
16-12
Outfall Lat.
360 08' 32" N
7Q 10 - Summer (cfs)
0
Outfall Long.
790 29' 48" W
7Q 10 - Winter (cfs)
0.14
Drainage basin
Cape Fear
30Q2 (cfs)
0.28
Subbasin
03-06-02
Average Flow (cfs)
13.85
HUC
030300020404
IWC (%)
—
303(d) List
Yes
Facility Summary
• Six septic tanks
Recirculating surface sand filter
Recirculation tank
UV disinfection system
Backup tablet chlorination with chlorine contact chamber
Pumps and reaeration
The facility is located near Elon (1355 NC Highway 87 North) at the Shields Mobile Home
Park WWTP in Alamance County.
Compliance History
3 NOVs in the past 5 years for Nitrogen, Phosphorous, and Coliform.
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."
Fact Sheet for Permit Renewal
May 2023 - NPDES Permit NCO055271 - Page 1

DocuSign Envelope ID: 841F378D-B9DD-4637-8449-E60CCD979A69
AU Name
NORTH CAROLINA 2022 303(D) LIST
Haw Cape Fear River Basin
AU Number Classification AU_LengthArea AU —Units
AU ID Description
Unnamed Tributary at Guilford College 16-11-5-1-(1) WS-III,B;NSW 1.8 FW Miles
F2 From source to dam at Guilford College bathing lake
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5 Exceeding Criteria Fair, Poor or Severe Bioclassification 2016
Unnamed Tributary at Guilford College 1 16 1 5-1-(2) WS-III;NSW 1.3 FW Miles
3825 From dam at Guilford College bathing lake to Horsepen Creek
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING 303D YEAR
Benthos (Nar, AL, FW) 5 Exceeding Criteria Fair, Poor or Severe Bioclassification 2006
Travis Creek
3831 From source to Haw River
PARAMETER IR CATEGORY
Benthos (Nar, AL, FW) 5
Tickle Creek (Trickle Creek)
3832 From source to Travis Creek
PARAMETER IR CATEGORY
Benthos (Nar, AL, FW) 5
16-12
CRITERIA STATUS
Exceeding Criteria
16-12-1
WS-V;NSW
7.3 FW Miles
REASON FOR RATING 303D YEAR
Fair, Poor or Severe Bioclassification 2008
WS-V;NSW
5.0 FW Miles
CRITERIA STATUS REASON FOR RATING 303D YEAR
Exceeding Criteria Fair, Poor or Severe Bioclassification 2008
Stony Creek (Lake Burlington) 16-14-(1)b
WS-II;HQW,NSW
2.7 FW Miles
L
3835 From Benton Branch to backwaters of Lake Burlington
PARAMETER IR CATEGORY CRITERIA STATUS
REASON FOR RATING
303D YEAR
Benthos (Nar, AL, FW) 5 Exceeding Criteria
Fair, Poor or Severe Bioclassification 2016
Jordan Creek I16-14-6-(0.5)
IWS-II;HQW,NSW
10.6 FW Miles
3846 From source to a point 0.7 mile upstream of mouth
PARAMETER IR CATEGORY CRITERIA STATUS
REASON FOR RATING
303D YEAR
Benthos (Nar, AL, FW) 5 Exceeding Criteria
Fair, Poor or Severe Bioclassification 2016
Back Creek (Graham -Mebane Reservoir) 16-18-(1.5)b
WS-II;HQW,NSW,CA
107.2 FW Acres
1 13321 Quaker Creek Arm of Graham -Mebane Reservoir
PARAMETER IR CATEGORY CRITERIA STATUS
REASON FOR RATING
303D YEAR
Turbidity (25 NTU, AL, FW acres & SW) 5 Exceeding Criteria
2008
6/7/2022 NC 2022 303d List- Approved by EPA 4/30/2022 Page 6 of 192

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
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
PROOF OF PUBLICATION
Wren Thedford
Deq-Division Of Water Res
1617 MAIL SERVICE CENTER
Raleigh NC 27699
STATE OF NORTH CAROLINA, COUNTY OF ALAMANCE
The Burlington Times -News, a newspaper printed and published in
the city of Burlington, and of general circulation in the County of
Alamance, State of North Carolina, and personal knowledge of the
facts herein state and that the notice hereto annexed was
Published in said newspapers in the issue dated:
05/21 /2022
and that the fees charged are legal.
Sworn to and subscribed before on 05/21/2022
My comnusion expires
Publication Cost: $172.04
Order No: 7317417
Customer No: 512930
PO #:
"I111S IS NOT AN INVOICE!
Pleare do not use !iris form for payment remittance.
SHELLY HORA
Notary Public
State of Wisconsin
# of Copies:
-1
Public Notice
North Carolina
F nvironmehtal Manoeemenl
Comm isslonlNPDFS Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of InIMt to Issue o
NPDES Was""I" Permit M NCOOSS271 Shields abIle
Home Park WWTP, and
NC00779" Reedy Fork
Mobile Home Park tNWIP
The North Coraiino Environ-
mental Mp%19CmM1
CPmmi.irn, Proposes tp
Issue a NPDLS wmtewater
olschorge permll to The
Porsm(YI Ilsfed below. Writ-
ten corminents regarding the
Proposed Perm" will ba
(cc"d will 30 days offer
the Publistl dole of this
nonce. The Director of the
NC oivison I-
gl '"oh"
Resources (DWR) may hold
o Public he -In , should there
be a significant door ce of
Public interest. P1_ mall
comments a." I-
lion lion requests to DWR at In*
a.— address. Interested
Persons may v;sit the DWR
at Sl2 N. Salisbury Street,
Raleigh. NC 21604 to review
lni—lion on file. Addi
tionot Information on NPDES
permits and this notice mov
be found an our website:
MIP: oWr:r"wrC sJwoi ir-
resourcesMrrnfWwc f -
wat woes-Penniis/waste.
water-0rancNotes -,01 tewatert-
-11 l'apu491") pllces.a by
calling 19 Shiel707 ds
NC
Jerry L. Shleltls 11311 NC
Hwy 8
7 N, Elon, NC al Of
has requested renewal of
NPDES permit NCOM271 for
the Shield& Mobile Home
Pork WWTP in Alomonce
County. This pe/milted tacit.
Ity discharges treated waste
water to Travis Creek In the
Cove Fear River Basin.
BOD, ammonia nfirm-,
dissolved oxygen, fecal
collform and total residual
chlorine Ore water duality
limited, which may affect
future allocations in Ihls
Parfioh a the Co Pe Feor
River Basin. Mr. Tim Horner
003 Beaver Hill Rd,
Burls wton, NC 272151 has
requested renewal of NPDES
permit NC00"Hil Ion the
Reedv Fork Will)e Hame
Park WWIP In Alomance
County. This ""I"ed fac1l-
fly discharges treated waste-
water to Reedy Fork In the
Cape Fear River Basin.
Fecal collform, total ph.
Phorus, and total residual
chlorine are water quality
limited, which may affect
future allocations in this
Portion of the Cone Fear
River Basin.
Page 1 of 1
2 of 2 6/30/2022, 3:53 PM

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
5/16/2022
Shields Mobile Home Park
Attn: Tim Shields
580 N. Hwy 87
Burlington, NC 27217
Subject: Draft NPDES Permit NCO055271
Shields Mobile Home Park
Alamance County
Grade I 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;
fail y P� i(� ips
BBEMB1646U71.
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:Hdeq.nc.gov/aboutldivisions/water-resources/water-resources-permits/wastewater-branchlnpdes-wastewater-permits

DocuSign Envelope ID: 841F378D-B9DD-4637-8449-E60CCD979A69
Permit NCO055271
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards and
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and the
Federal Water Pollution Control Act, as amended,
Mr. Jerry L. Shields
is hereby authorized to discharge wastewater from a facility located at the
Shields Mobile Home Park WWTP
1355 NC Highway 87 North
Elon
Alamance County
to receiving waters designated as Travis 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 April 1, 2017.
This permit and authorization to discharge shall expire at midnight on May 31, 2021.
Signed this day March 15, 2017
Richard E. Rogers, Jr., Director
Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

DocuSign Envelope ID: 841F378D-B9DD-4637-8449-E60CCD979A69
Permit NCO055271
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:
Continue to operate an existing 0.006 MGD wastewater treatment system with the following
components:
♦ Six septic tanks
♦ Recirculating surface sand filter
♦ Recirculation tank
♦ UV disinfection system
♦ Backup tablet chlorination with chlorine contact chamber
♦ Pumps and reaeration
The facility is located near Elon (1355 NC Highway 87 North) at the Shields Mobile Home Park
WWTP in Alamance County.
2. Discharge from said treatment works at the location specified on the attached map into Travis Creek,
classified WS-V NSW waters in hydrologic unit 03030002 of the Cape Fear River Basin.
Page 2 of 6

DocuSign Envelope ID: 841F378D-B9DD-4637-8449-E60CCD979A69
Permit NCO055271
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade I 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
Monthly Average
Daily Maximum
Measurement
Sample Type
Sample
Frequency
Location2
PCS code
Flow
50050
0.006 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5-day (20°C)
10.0 mg/L
15.0 mg/L
2/Month
Grab
Effluent
C0310
Total Suspended Solids (TSS)
30.0 mg/L
45.0 mg/L
2/Month
Grab
Effluent
C0530
NH3 as N (April 1 — October 31)
2.0 mg/L
10.0 mg/I
2/Month
Grab
Effluent
C0610
NH3 as N (November 1 — March
31)
4.0 mg/L
20.0 mg/I
2/Month
Grab
Effluent
C0610
Dissolved Oxygen
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
00300
Dissolved Oxygen
Weekly
Grab
U & D
00300
Fecal Coliform (geometric mean)
200/100 ml
400/100 ml
2/Month
Grab
Effluent
31616
Total Residual Chlorine (TRC)3
17 pg/L
2/Week
Grab
Effluent
50060
Temperature (°C)
Weekly
Grab
Effluent,
00010
U & D
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Grab
Effluent
C0600
Total Phosphorus
Quarterly
Grab
Effluent
C0665
pH
> 6.0 and < 9.0 standard units
2/Month
Grab
Effluent
00400
— —
Footnotes:
1. The Permittee shall submit discharge monitoring reports electronically using the Division's eDMR system [see A. (3)].
2. U: upstream at least 75 feet above the outfall. D: downstream at NCSR 1529.
3. Limit and monitoring requirements apply only if chlorine is used for disinfection. 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.
There shall be no discharge offloating solids or visible foam in other than trace amounts.
Page 3 of 6

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
Permit NCO055271
A. (2.) NUTRIENT REOPENER CONDITION
[NCGS 143-215.66]
Pursuant to N.C. General Statute 143-215 and the implementing rules found in the North Carolina Administrative
Code at 15A NCAC 211.0112 (b) (1) and 211.0114 (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 MONA, RING 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)l
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and submitted
electronically using eDMR. The eDMR system allows permitted facilities to enter monitoring data and submit
DMRs electronically using the internet. The eDMR system may be accessed at:
https://deq.nc.gov/about/divisions/water-resources/edmr.
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility being
physically located in an area where less than 10 percent of the households have broadband access, then a
temporary waiver from the NPDES electronic reporting requirements may be granted and discharge monitoring
data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the following address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
See "How to Request a Waiver from Electronic Reporting" section below.
Monitoring results obtained during the previous month(s) shall be summarized for each month and reported via
the eDMR system no later than the last calendar day of the month following the completed reporting period.
Regardless of the submission method, the first DMR is due on the last day of the month following the issuance of
the permit or in the case of a new facility, on the last day of the month following the commencement of discharge.
Page 4 of 6

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
Permit NC0055271
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(l)(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:
htips://www.federalre ig ster.gov/documents/2015/10/22/2015-24954/national-pollutant-discharge-elimination-
s sty em-npdes-electronic-reporting-rule
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an electronic
reporting waiver, a permittee must first submit an electronic reporting waiver request to the Division. Requests
for temporary electronic reporting waivers must be submitted in writing to the Division for written approval at
least sixty (60) days prior to the date the facility would be required under this permit to begin submitting
monitoring data and reports. The duration of a temporary waiver shall not exceed 5 years and shall thereupon
expire. At such time, monitoring data and reports shall be submitted electronically to the Division unless the
permittee re -applies for and is granted a new temporary electronic reporting waiver by the Division. Approved
electronic reporting waivers are not transferrable. Only permittees with an approved reporting waiver request
may submit monitoring data and reports on paper to the Division for the period that the approved reporting waiver
request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the following
web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Signatory Requirements [Suyylements Section B. (11.) bLd Supersedes Section B. (11.) (4)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part U, Section B.
(11.)(a) or by a duly authorized representative of that person as described in Part H, 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:
Page 5 of 6

DocuSign Envelope ID: 841 F378D-B9DD-4637-8449-E60CCD979A69
Permit NCO055271
hitp://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:
"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. "
1. Records Retention [Supplements Section D. W)l
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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DocuSign Envelope ID: 841F378D-B9DD-4637-8449-E60CCD979A69
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NCO055271— Shields Mobile Home Park WWTP
Facility
Latitude: 36'08'32" Sub -Basin: 03-06-02 Location
Longitude: 79'29'48" River Basin: Cape Fear
Stream Class: WS-V; NSW Receiving Stream: Travis Creek N o rt h
Alamance County