NC0073571_Permit issuance_19960305

Pen -nit No. NCO073571
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In comliance 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,
Mervyn R. King
is hereby authorized to discharge wastewater from a facility located at
Countryside Manor
7700 US Hwy 158
Stokesdale
Guilford County
to receiving waters designated as Troublesome 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 April 1, 1996
This permit and authorization to discharge shall expire at midnight on January 31, 2001
Signed this day March 5, 1996
Original Signad GY
David A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

r
• Permit No. NCO073571
SUPPLE-IMUNT TO PERMIT COVER SHEET
Mervyn R. King
is hereby authorized to:
I. Continue to operate an existing 0.015 MGD wastewater treatment facility consisting of a bar
screen, aerated equalization tank, aeration tank, clarifier, sludge holding tank, sludge air lifts, dual
blowers, tablet chlorination with contact basin, alum feeder for phosphorus removal, rock step
reaeration served by a dual feed power located at CountrysideVillage Retirement Center, 7700 US
Hwy I58, Stokesdale, Guilford County (See Part III of this Permit), and
2. After receiving an Authorization to Construct. from the Division of Environmental Management,
construct and_operate a 0.030 MGD wastewater treatment facility
3. Discharge from said treatment works at the location specified on the attached map into
Troublesome Creek which is classified Class WS-III NSW waters in the Cape Fear River Basin.

A. O. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS SUMMER (April I - October 31) Permit. No. NC0073571
During the period beginning on the effective date of the pen -nit and lasting until expansion above O.G 15 MGD, the Permittee is authorized to
discharge Ir01-11 outfall(s) serial number 001. Such discharges shall be limited and nnonitored by 01; pennittee as spcc;ificd below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Dissolved Oxygen*"
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Temperature
Conductivity
Total Phosphorus***
Discharge Limitations
Monthly Avg_
0.015 MGD
30.0 mg/I
30.0 mg/I
5.4 mg/l
200.0 /100 ml
2.0 mg/I
Weeks Avg.
Monitoring
Requirements
Measurement
Sample
*Sample
Daily Max
Frequency
ape
Location
Vieek!y
Instantaneous
I or E
45.0 mg/I
Weekly
Grab
E
45.0 mg/l
Weekly
Grab
E
Weekly
Grab
E
Weekly
Grab
E, U, D
400.0 /100 ml
Meekly
Grab
E,U,D
2/Week
Grab
E
D J i I y
Grab
G
Vleeky
Grab
U, D
Weekly
Grab
U, C
Weekly
Grab
E
Sample locations: E - Effluent, I - Influent, U - Upstream 100 feet, I) - Downstream at NCSR 2I03
*' -rhe daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/l.
�-x Compliance shall be based upon a quarterly average of weekly samples.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be mo�iitored weekly at the effluent by grab
sample.
There shall be no discharge of floating solids or visible foam in ofher than trace amounts.

A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS SUMMER (April 1 - October 31) Permit No. NC0073571
During the period beginning on the effective date of the permit and lasting until expansion above 0.015 MGD. the Pernoitt:ee is authorized to
discharge from outfall(s) serial number 001. (Continued)
Effluent Characters.jticr2
Total Nitrogen (NO2+NO3+TKN)
Discharge Limitations
Units (specify)
Monthly Avg. Weekly Avg.
Monitoring_ Requirements
Mea:.urement Sample
Daily Max Freguencv Type
Quarterly Grab
*Sample
Location
E

A. (). EFFLUENT LIMITATIONS AND MONITORE'4G REQUIREMENTS WINTER (November 1 -1VJ- rch 31) Permit N o. NCO073 571
During the period beginning on the effective date of the permit and lasting until expansion above 0.01.5 MGD, the Perinit:tee is authorized to
discharge from outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 20°C
Total Suspended Residue
NH3 as N
Dissolved Oxygen
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Conductivity
Temperature
Total Phosphorus**
Discharge Limitations
Monthly & .
0.015 MGD
30.0 mg/l
30.0 mg/l
23.5 mg/l
200.0 /100 ml
2.0 mg/l
Weekly Avg_
Monitoring
Requirements
Measurement_
Sample
*Sample
Daily Max
Freauency
Type
Location
Weekly
Instantaneous
I or E
45.0 mg/I
Vleekiy
Grab
E
45.0 mg/l
Weekly
Grab
E
Weekiy
Grab
E
Weekly
Grab
E, U, D
400.0 /100 ml
WE.elc;y
Grab
E, U, D
2i'Afeek
Grab
E
VVJeekly
Grab
U,D
Weekly
Grab
U. D
Daily
Grab
E
Weekly
Grab
E
Sample locations: E - Effluent, I - Influent, U - Upstream 100 feet, D - Downstream at NCSR 2103
-j.:I. Compliance shall be based upon a quarterly average of weekly samples.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored weekly at Lhe effluent by grab
sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS WINTER (November 1 - March 31) Permit No. NCO073571
During the period beginning on the effective date of the permit and lasting until expansion above 0.015 MGD, the Permittee is authorized to
discharge from outfall(s) serial number 001. (Continued)
Effluent Characteristics
Total Nitrogen (NO2+NO3+TKN)
Di cs harge Limitations
Units (specify)
Monthly Avct. Weekly Avg.
Monitoring Requirements
Reasurement Sam -pie
Daily Max Frequency Type
Quarterly Grab
*Sample
Location
E

A. O. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS SUMMER (April 1 - October 31) Permit. No. NCO073571
During the period beginning after expansion above 0.015 MGD and lasting until expiration, the Perinittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the perrnittee as spf-:cified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Dissolved Oxygen"
Fecal Coiiform (geometric mean)
Total Residual Chlorine
Discharge Limitations
Monthly Avg.
0.030 MGD
30.0 mg/I
30.0 mg/I
3.2 mg/l
200.0 /100 ml
Weekly Avg. Daily Max
45.0 mg/I
45.0 mg/1
400.0 /100 ml
28.0 µg/I
Monitoring Requirements
Measurement
Sample
E'er envy
Tvge
Continuous
Recording
Weekly
Composite
Weekly
Composite
Weekly
Composite
V1' lekiy
Grab
VV:-ekly
Grab
2, NeE.,k
Grab
Temperature Weekly
Conductivity Weekly
Temperature Daily
Total Phosphorus— 2.0 mg/I Weekly
* Sample locations: E - Effluent, I - Influent, U - Upstream 100 feet, D - Downstream at NCSR :21.03
** The daily average dissolved oxygen effluent concentration shall not be less than 5.0 mg/I.
*** Compliance shall be based upon a quarterly average of weekly samples.
Grab
Grab
Grab
Composite
*Sample
LoQation
IorE
E
E
E
E,U,D
E,U,D
E
U,D
1 -1, D
E.:
E
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored weekly at the effluent by grab
sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

A. (). EFFLUENT L IMITATIONS AND MONITORING REQUIREMENTS SUMMER (April 1 - October 31) Permit No. NC0073571.
During the period beginning after expansion above 0.015 MGD and lasting until expiration, the Pei Mittee is authorized to discharge from
outfall(s) serial number 001. (Continued)
Effluent Characteristics Dispharge Limitations Monitoring Requirements
Units (specify) measurement Sample *Sample
Monthly Avg. Weekly Avg, Daily Max Frequency Tyl2e Location
Total Nitrogen (NO2+NO3+TI<N) Cl,iarterly Composite E

A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS WINTER (November 1 March 31) Permi i No. NC0073 571
During the period beginning after expansion above 0.015 MGD and lasting until expiration, the Per-nittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be linuted and monitored by the permittee as sp,--cified below:
Effluent Characteristics
Flow
BOD, 5 day, 20°C
Total Suspended Residue
NH3 as N
Dissolved Oxygen
Fecal Coiiform (geometric mean)
Total Residual Chlorine
Temperature
Conductivity
Temperature
Total Phosphorus —
Discharge LimilationA
Monthly Avg:
0.030 MGD
30.0 mg/I
30.0 mg/1
13.0 mg/1
200.0 /100 ml
2.0 mg/I
Weekly Avg.
Monitoring
ReQL1irgment5
Measurement
Sample
*Sample
Daily Max
E'r-q.guency
Type
Location
Continuous
Recording
I or E
45.0 m g/i
Weekly
Composite
E
45.0 m gli
Weekly
Composite
E
Week!y
Composite
E
Vveek'y
Grab
E, U, D
400.0 /100 ml
Vveek�y
Grab
E,U,D
28.0 µg/I
2iWeek
Grab
E
Weekly
Grab
U,D
Weekly
Grab
U, D
D�z-ily
Grab
E
Weekly
Composite
E
* Sample locations: E - Effluent, I - Influent, U - Upstream 100 feet, D - Downstream at NCSR 2103
** Compliance shall be based upon a quarterly average of weekly samples.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units and shall be monitored weekly at the effluent by grah
sample.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

A.(). EFTLUENT LIMITATIONS AND MONITORING REQUIREMENTS WINTER (November -1- TvIarch 31) Permit No. NC0073571
D :-i ti cr the period beginning after expansion above 0.015 MGD and lasting until expiration, the Per. �-n_ittee is authorized to discharge from
outl-all(s) serial number 001. (Continued)
Effluent Characteristics Discharge LiMitatigns rvionitpring ReouirementA
Units (specify} Measurement Sample *Same
Monthly Avg. Weekly Avg. Daily Mgx _rg-quency Tvae L tion
Total Nitrogen (NO2+NO3+TKN) Q.iarlerly Composite E

. ,I a . Part III Pernut No. \,CO073571
E. Nutrient Condition foc Pernuts with Phosphorus Limits
This permit may be modified, or revoked and reissued to change the effluent limitation on nutrients
for this discharge depending upon the following:
1. The findings of a study by the Division of Environmental Management determine nutrient
control is necessary.
2. Local actions do not successfully reduce the nutrient loading on the receiving welters.
3. The onset of problem conditions in the receiving waters.
9

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COUNTRYSIDE MANOR - Allowable Waste Concentrations
SUMMER
Residual Chlorine"
Ammonia as NH3
7Q10 CFS)
0.13 >>7Q10'(CFS)
0.13
DESIGN FLOW (MGD)
0.015 DESIGN, FLOW MGD
0.015
DESIGN FLOW CFS
0.02325 r DESIGN FLOW CFS}
0.02325
STREAM STD UG/L
17.0 STREAM STD (MG/L)
1.0
UPS BACKGROUND LEVEL UG/L
0 :: UPS BACKGROUND LEVEL MG/L
0.22
IWC %
15-171289 IWC %
15.17129
Allowable Concentration (ug/1)
112.0537.6 Allowable Concentration m
5.36129
" . WINTER
Ammonia as NH3
7Q10 (CFS)
0.
DESIGN FLOW (MGD)
0.015
DESIGN FLOW CFS)
0.02325
STREAM STD (MG/L)
1.8
UPS BACKGROUND LEVEL (MG/L)
0.22
IWC %}
6.773489
Allowable Concentration m /1
23.54624
V-1
NC0073571 SAG 9/14/95