Nc0055255_Renewal (Application)_20160304

Crown MHP
WWTP Operations
NPDES NC0055255
PO Box 1000
Pittsboro, NC
Mr Charles Weaver
Division of Water Resources
RECEIVED/NCDEQ/DWR
1617Mail Service Center
MAR - 4 2O16
Raleigh, NC Water Quality
Permitting Section
27699-1617
March 1, 2016
Permit Renewal
This letter is a request to renew the permit for Crown Mobile Home Park. Since the last permit was
issued a new WWTP has been installed in Crown with the approval of and guidance from the Winston
Salem and Raleigh offices of the NPDES.
The Sludge is hauled to another facility by Jenkins Waste. They haul on an as needed basis which is
usually about 2 loads every second or third month.
-041----
Robert Hahn
Crown MHP

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 [NC00 SUSS' 1
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 Parkins LLC
FacilityName Crown MHP ; ,� ':, R
RECElVEDI��C►��-
Mailing Address PO Box 1000 MAR - 4 %n Ih
City Pittsboro
Water Quality
State / Zip Code NC 27312 Permitting Section
Telephone Number [phone]
Fax Number (888)5245011
e-mail Address rp.hahnyahoo.com
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 6201 Jonquil RD
City Greensboro
State / Zip Code NC 27407
County Guilford
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 KAB Const
Mailing Address PO Box 1000
City Pittsboro
State / Zip Code NC 27312
Telephone Number 919)545-0635
Fax Number (888)524501 1
e-mail Address rp.hahnci:yahoo.com
1 of 4 Form-D 11/12

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 x Number of Homes 140
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
Number of persons served: 361
5. Type of collection system
❑ Separate (sanitary sewer only) x 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 diffuser? ❑ Yes x No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Unnamed tributary to Hickory Creek
8. Frequency of Discharge: x 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.
Bar Screen
Aerated equializer basins
Aeration tanks in parallel (2)
Clarifiers 1 each for aeration tank
UV with tablet chlorinator and contact chamber as backup
Reaeration tank with diffuser
Flow recording device
2 of 4 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 of 4 Form-D 11112

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .050 MGD
Annual Average daily flow .017 MGD (for the previous 3 years)
Maximum daily flow .047 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes x No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. 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 currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD;) 61.2 4.05 Mg/1
Fecal Coliform >640 9.2 #/100m1
Total Suspended Solids 43 5.5 Mg/1
Temperature (Summer) 28 22.7 Degrees C
Temperature (Winter) 24 12.6 Degrees C
pH -- - —^8,5 — - — � 7.2
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 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 my �-knowledge and belief such information is true, complete,� and accurate.
�-0bi l p j' `� /At /114r PA igvfi L1-'
Printed name of erson Signing Title r KV% , 146 t,8-4 P
3'► 11
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.)
4 of 4 Form-D 11/12

PAT MCCRORY
ir 070,1'
DONALD R. VAN DER VAART
C..t',„
•%,c YItlf'1
Water Resources S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY
March 11, 2016
Robert Hahn
Parkins, LLC
PO Box 1000
Pittsboro,NC 27312
Subject: Acknowledgement of Permit Renewal
Application No.NC0055255
Crown MHP
Guilford County
Dear Permittee:
The Water Quality Permitting Section has received your permit renewal application on March 4,
2016. A member of the NPDES Unit will review your application. They will contact you if additional
information is required to complete your permit renewal. Per G.S. 150B-3 your current permit does not
expire until permit decision on the application is made. Continuation of the current permit is contingent on
timely and sufficient application for renewal of the current permit. Please respond in a timely manner to
requests for additional information necessary to complete the permit application.
If you have any additional questions concerning renewal of the subject permit, please contact Charles
Weaver at 919-807-6391 or [e-mail].
Sincerely,
W Pe vv T(71-e-Ot42aYOL
Wren Thedford
Wastewater Branch
cc: Central Files
NPDES
Winston-Salem Regional Office
State of North Carolina Environmental Quality J Water Resources
1617 Mail Service Center Raleigh,North Carolina 27699-1617
919-807-6300