NC0061204_Renewal Application_20190304

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MICHAEL S.REGAN
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LINDA CULPEPPER NORTH CAROLINA
Director Environmental Quality
March 04, 2019
Randally K. Bell
Thomas M Alphin
PO Box 5
Walkertown, NC 27051-0005 '
Subject: Permit Renewal
Application No. NC0061204
Scarlett Acres MHP WWTP
Forsyth County
Dear Applicant: ,
The Water Quality Permitting Section acknowledges the March 4, 2019 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. 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.The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
SS/ii�nc��erely,
„Mon
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
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Subject: NPDES Permit #NC0061204
SCARLETT ACRES MHP WWTP
Forsyth County
Sludge Management Plan
Sludge produced at this WWTP is wasted to an aerated digester. Supernatant
from the digester is gravity fed back to the influent end of the aeration basins.
All thickened sludge contents are pumped out by a septic hauler on an as needed
basis and hauled to the City of Winston-Salem, Archie Elledge Wastewater
treatment Facility for final disposal.
Randall K. Bell
I 1 /_3 (-'
ORC, Scarlett Acres MHP WWTP
RECEIVED!DFNRJDWR
MAR 0 4 2019
Water Resources
Permitting Section

Randy Bell
ORC REC J
Scarlett Acres MHP tt)/ N R/
(� D
P.O. Box 1291 FEB wR
�
Clemmons, NC 27012 p 2019
Water
2/20/19 Por maim ,�,+ rces
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Wren Thedford
NC DENR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Wren Thedford:
I would like to request renewal of the NPDES# NC0061204 for Scarlett Acres MHP which expires
6/30/2019. There has been no new additions or expansion since the last permit cycle.
Sincerely,
Randy Bell
ORC
Scarlett Acres MHP
Enclosure

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC0061204
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 Riene Alphin
Facility Name Scarlett Acres
Mailing Address P.O. Box 5
City Walkertown
State / Zip Code NC, 27051
Telephone Number [phone]
Fax Number N/A
e-mail Address
2. Location of facility producing discharge:
Check here if same address as above El
Street Address or State Road 5528 Sherene Lane
City Walkertown
State / Zip Code NC, 27051
County Forsyth
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 to Responsible Charge or ORC)
Name Randall K. Bell
Mailing Address P.O. Box 1291
City Clemmons
State / Zip Code NC, 27012
Telephone Number [phone]
Fax Number NA
e-mail Address [e-mail]
1 of 4 Form-D 6/2017

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 77
School El 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: 385
5. Type of collection system
X 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 diffuser? ❑ Yes X No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
Tributary to Mill 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
Flow Equalization with influent pumps
Two 12,000-gallon package plants with aeration, clarification, chlorine disinfection,
Fixed media and post aeration.
Dechlorination equipment
Sludge Digester
2 of 4 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
3 of 4 Form-D 6/2017

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .024 MGD
Annual Average daily flow MGD (for the previous 3 years)
Maximum daily flow .102 (due to faulty meter) .037 corrected highest flow 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 Conform, 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 (BODS) 31 8 Mg/1
Fecal Coliform 6000 413 MPN/100m1
Total Suspended Solids 34 11.3 Mg/1
Temperature (Summer) 26 17 Celsius
Temperature (Winter) 17 14 Celsius
pH 7.1 6.9 su
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 NC0061204 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.
Randall K. Bell ORC
Printed name of Person Signing Title
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 6/2017