WQ0004972_Regional Office Historical File Pre 2016

✓ELL ABANDONMENT RECORD For Internal Use ONLY:
This form eon he used for single or multiple wells
I.Well Contractor Information: WELL ABANDONMENT DETAILS
Glenn Price 7a.Number of wells being abandoned: 1
Well Contractor Name tor well owner personally abandoning well on his/her progeny) For multiple uyection or non-water .supply nellc ONLY with the .soon
crttclrnctiar abandonment.pm am srrbma one flow
NA 7b.Approximate volume of water remaining in well(s): Dry (gal.)
NC Wel!Contractor Certification Modica.
Research and Analytical Laboratories FOR WATER SUPPLY WELLS ONLY:
Company Name 7c.Type of disinfectant used:
2.Well Construction Permit#: Unknown
Lint di appllcahle w dl(AVMs(t.e.('ormty,State, 1'arirmce,lnjectron,etc.)Outwit 7d.Amount of disinfectant used:
3.Well use(check well use):
Water Supply Well: 7e.Sealing materials used(check all that apply):
❑Agricultural ❑Municipal/Public 0 Neat Cement Grout ❑ t3entonite Chips or Pellets
❑Geothermal(tlealing/Cooling Supply) OResidential Water Supply(single) ❑ Sand Cement Grout 0 Dry Clay
❑Industrial/Commercial OResidential Water Supply(shared) 0 Concrete Grout 0 Drill Cuttings
❑Irrigation 0 Specialty Grout 0 Gravel
Non-Water Supply Well: 0 Bentonite Slurry 0 Other(explain under 7e)
Monitoring ❑Recovery
Injection Well: 7f.For each material selected above,provide amount of materials used:
DAquiler Recharge ❑Groundwater Remediation 1- 50# bag
DAquiti r Storage and Recovery ❑Salinity Barrier
❑Aquifer Test ❑Stortnwater Drainage
❑Experimental Technology ❑Subsidence Control 7g.Provide a brief description of the abandonment procedure:
❑Geothermal(Closed Loop) ❑Toaster Well casing was removed to~3" below ground level.
❑Geothermal(Heating/Cooling Return) ❑Other(explain under 7g)
Cement grout was mixed and slowly fed into remaining
4.Date well(s)abandoned: 12/17/2015 casing and down well shaft. Cement added until entire
5a.Well location: well shaft and casing completely filled and leveled.
Forest Lake Preserve WQ0004972
Facility/Owner Name Facility iDS(if applicable) g.Certification:
192 Thousand Trails Dr, Advance, NC 27006 12/17/2015
Physical Address.City,and Zip Signature of Certifier!Well Contractor or Well Owner Date
Davie By signing this form, 1 hereby certifi.that the well(s)was(were) abandoned in
County Parcel Identification No.(PIN) accordance with ISANCACO2C.0100or2C.02(10 Well Construction Suitrelards
and that a copy of this record has been provided to the well owner.
5b.Latitude and longitude in degrees/minutes/seconds or decimal degrees:
dif well field,one Int/long is sufficient) 9.Site diagram or additional well details:
35* 51'52.49" N 80* 23'53.39" �� You may use the back of this page to provide additional well site details or well
abandonment details. You may also attach additional pages if necessary.
CONSTRUCTION DETAILS OF WELL(S)BEING ABANDONED SUBMITTAL INSTRUCTIONS
AssueO well construction retard(%)if available. Fur muhiple injection or tat-water.supply
wells ONLY with the.same construction ahmedonmenr,tau cxm.submit one firms. 10a. For All Wells: Submit this fora/ within 30 days of completion of well
6a.Well ID#: unnamed abandonment to the following:
Division of Water Resources,Information Processing Unit,
6b.Total well depth: 20.2 (n,) 1617 Mail Service Center,Raleigh,NC 27699-1617
10b.For Infection Wells: In addition to sending the form to the address in 10a
6c.Borehole diameter 2 above, also submit one copy of this form within 30 days of completion of well
(in.) abandonment to the following:
6d.Water level below ground surface: 20.2 (Dry) (rt.) Division of Water Resources,Underground Injection Control Program,
1636 Mail Service Center,Raleigh,NC 27699-1636
6e.Outer casing length(if known): Unknown (ft.) 10c. For Water Snnnly& Injection Wells: In addition to sending the form to
the addresses) above, also submit one copy of this form within 30 days of
completion of well abandonment in the county health department of the county
Unknown where abandoned.
6f.inner easing/tubing length(if known): (ft.)
6g.Screen length(if known): Unknown (ft.)
Form G1V-30 North Carolina Department of Environment and Natural Resources—Division of Water Resources Revised August LID I3

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ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald van der Vaart
Governor Secretary
August 3, 2015
Ms. Karen Doiron
MHC TT, Inc.
5100 West Lemon Street, Suite 109
Tampa, Florida 33609
Subject: Compliance Evaluation Inspection
Forest Lake Preserve—Wastewater Surface Irrigation
Permit No. WQ0004972
Davie County
Dear Ms. Doiron:
On June 24, 2015 staff of the North Carolina Division of Water Resources (DWR), Winston-Salem
Regional Office (WSRO) performed a compliance evaluation inspection of the subject facility. This
inspection was conducted by DWR staff personnel Patrick Mitchell and Jim Gonsiewski. The
compliance inspection report for this inspection is enclosed for your review. A separate DWR
office file review of self-monitoring data for the period of June 2013 through April 2015 was also
conducted.
While the majority of the inspection reflects compliance with the permit, GW-59 reports indicate
exceedances of some NC Groundwater Quality Standards found in 15A NCAC 02L .0202(g). The
following monitoring well groundwater parameter was reported in excess of NC Groundwater
Quality Standards:
Fecal coliform was reported at or above the 02 L limit of 1 for MW-3 in the July 2013, March
2014, July 2014, and the November 2014 GW-59 reports. Groundwater sampling should be
monitored closely and care taken in using proper sampling techniques to ensure a representative
sample.
Additionally, the following items were noted in which permit conditions were not met:
1. Laboratory analytical reports were not attached to all reviewed GW-59 reports as required
in Permit Condition IV.11. In the future, please ensure that all laboratory data sheets and
chains of custody are included with the GW-59 reports.
2. The review of the NDMR reports indicate that the permitted influent flow of 24,400 gpd
was exceeded a number of times. Additionally, the monthly average flows for July 2013
(28,647 gpd), August 2013 (33,360 gpd), June 2014 (30,904 gpd), July 2014 (53,755 gpd),
450 W.Hanes Mill Road,Suite 300.Winston-Salem,North Carolina 27105
Phone:[phone] FAX:[phone]\Customer Service 1-877-623-6748
Internet:www.ncdenr.gov-www.ncwater.org
An Equal Opportunity 1 Affirmative Action Employer

r, f
August 2014 (42,870 gpd), September 2014 (30,856 gpd), and October 2014 (24,810 gpd)
exceed the permit level of 24,400 gpd. These dates correlate with the summer season at the
Preserve in which the highest occupancy rate normally occurs. Mr. Price stated that they
have recently switched the flow meter calibration provider. This office recommends that
the influent flow rates continue to be closely monitored. If an extended period of elevated
flow rates occurs under the new calibration procedures, this office recommends that you
consider applying for a permit modification.
3. Permit Condition12.d. states that the Permittee is required to notify the WSRO within 24
hours any time self-monitoring indicates the facility has gone out of compliance with its
permit limitations. No notifications were received for either the excess flow or the fecal
coliform exceedances. Any future exceedances should be reported to the WSRO within 24
hours of discovery.
As discussed with Mr. Price, there is a monitoring well that is no longer used to collect groundwater
samples. This office recommends that the well be abandoned under the guidelines in 15A NCAC
02C. 0113. After this well has been abandoned, a notice of well abandonment (GW-30) should be
completed and forwarded to Raleigh and this office.
Our office appreciates your prompt attention to the above listed items of concern. Please refer to the
enclosed compliance inspection report for additional observations and continents. If you or your
staff have any questions concerning this letter, please contact me or Jim Gonsiewski at (336) 776-
9800 or via email at [e-mail].
Sincerely,
4 LLA..ram: Y u(�y.J ��jl
Sherri V. Knight, P. E. r/�)
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources,NCDENR- WSRO
enc.: Compliance Inspection Report
cc: Glen Price - ORC—R&A Laboratories— 106 Short Street, Kernersville, NC 27284
Davie County Environmental Health
Central Office - Permit File WQ0004972

Compliance Inspection Report
Permit: WO0004972 Effective: 09/11/09 Expiration: 10/31/15 Owner: Mhc Tt Inc
SOC: Effective: Expiration: Facility: Forest Lake Preserve
192 Thousand Trails Dr
County: Davie
Region: Winston-Salem
Advance NC 27006
Contact Person: - ei- Ko,r&r) 1 c' it,oth Title: Phone: [phone]
Directions to Facility:
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Left. Enterance to campground
is approx.0.5 mile west of the Yadkin River on N.side of US 64
System Classifications: SI, WW2,
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 06/24/2015 Entry Time: 10:30AM Exit Time: 12:30PM
Primary Inspector: Jim J Gonsiewski Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Wastewater Irrigation
Facility Status: ❑ Compliant El Not Compliant
Question Areas:
• Treatment Flow Measurement-Effluent • Treatment Flow Measurement-Influent III Miscellaneous Questions
• Treatment Flow Measurement-Water • Treatment III Treatment Barscreen
Use Records
III Record Keeping II Treatment Lagoons Treatment Activated Sludge
1. Treatment Sludge Storage/Treatment • End Use-Irrigation II Treatment Influent Pump Station
II Treatment Clarifiers • Treatment Disinfection El Treatment Flow Measurement
▪ Storage Standby Power II Wells
(See attachment summary)
Page: 1

Permit: WQ0004972 Owner-Facility:Mhc Tt Inc
Inspection Date: 06/24/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
On June 24, 2015 staff of the North Carolina Division of Water Resources(DWR),Winston-Salem Regional Office(WSRO)
performed a compliance evaluation inspection of the subject facility. This inspection was conducted by DWR staff personnel
Patrick Mitchell and Jim Gonsiewski.A separate DWR office file review of self-monitoring data for the period of June 2013
through April 2015 was also conducted.
While the majority of the inspection reflects compliance with the permit, GW-59 reports indicate exceedances of some NC
Groundwater Quality Standards found in 15A NCAC 02L.0202(g). The following monitoring well groundwater parameter was
reported in excess of NC Groundwater Quality Standards:
Fecal coliform was reported at or above the 02 L limit of 1 for MW-3 in the July 2013, March 2014,July 2014, and the
November 2014 GW-59 reports.
Additionally, the following items were noted in which permit conditions were not met:
1.Laboratory analytical reports were not attached to all reviewed GW-59 reports as required in Permit Condition IV.11.
2.The review of the NDMR reports indicate that the permitted influent flow of 24,400 gpd was exceeded a number of times.
Additionally, the monthly average flows for July 2013(28,647 gpd),August 2013(33,360 gpd), June 2014(30,904 gpd),July
2014(53,755 gpd),August 2014(42,870 gpd), September 2014(30,856 gpd), and October 2014(24,810 gpd)exceed the
permit level of 24,400 gpd. These dates correlate with the summer season at the Preserve in which the highest occupancy
rate normally occurs. The ORC, Glen Price stated that they have recently switched the flow meter calibration provider.
This office recommended that the influent flow rates continue to be closely monitored. If an extended period of elevated
flow rates occurs under the new calibration procedures,this office recommended consideration be given to applying for a
permit modification or expanding the treatment capacity of the system.
3.Permit Condition12.d. states that the Permittee is required to notify the WSRO within 24 hours any time self-monitoring
indicates the facility has gone out of compliance with its permit limitations. No notifications were received for either the
excess flow or the fecal coliform exceedances. Any future exceedances should be reported to the WSRO within 24 hours
of discovery.
As discussed with Mr. Price, there is a monitoring well that is no longer used to collect groundwater samples. This office
recommended that the well be abandoned under the guidelines in 15A NCAC 02C. 0113. After this well has been•
abandoned, a notice of well abandonment(GW-30)should be completed and forwarded to Raleigh and this office.
Page: 2

Permit: WO0004972 Owner-Facility:Mhc Tt Inc
Inspection Date: 06/24/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Type Yes No NA NE
Reuse(Quality) El
Infiltration System ❑
Single Family Spray,LR ❑
Activated Sludge Spray, HR ❑
Activated Sludge Drip, LR ❑
Single Family Drip ❑
Recycle/Reuse ❑
Lagoon Spray,LR •
Activated Sludge Spray,LR
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? • 0 ❑ 0
Do all treatment units appear to be operational?(if no,note below.) ❑ ❑ ❑
Comment:
Treatment Influent Pump Station Yes No NA NE
Is the pump station free of bypass lines or structures? 0 ❑ 0
Is the general housekeeping acceptable? • ❑ ❑ 0
Are all pumps present? • El ❑ ❑
Are all pumps operable? U ❑ El ❑
Are floats/controls operable? • ❑ El El
Are audio and visual alarms available? • ❑ El El
Are audio and visual alarms operational? • ❑ 0 ❑
#Are SCADA/Telemetry alarms required? ❑ 0 ❑ •
Are SCADA/Telemetry available? ❑ ❑ • ❑
Are SCADA/Telemetry operational? ❑ 0 II ❑
Comment:
Treatment Flow Measurement-Influent
Yes No NA NE
Is flowmeter calibrated annually? • ❑ ❑ ❑
Is flowmeter operating properly? • ❑ El ❑
Does flowmeter monitor continuously? • 0 ❑ ❑
Does flowmeter record flow? ❑ ❑ El
Does flowmeter appear to monitor accurately? • ❑ El ❑
Comment:
Treatment Flow Measurement-Water Use Records
Yes No NA NE
Page: 3

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Permit: WQ0004972 Owner-Facility:Mhc Tt Inc
Inspection Date: 06/24/2015 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Are GW monitoring wells properly constructed,including screened interval? • ❑ ❑ ❑
Are monitoring wells damaged? ❑ El
Comment: See comments
Page: 7

ATTACHMENT C—GROUNDWATER MONITORING AND LIMITATIONS Permit Number: WQ0004972 Version: 2.1
Monitoring wells: MW-1,MW-2,MW-3,and MW-4:
GROUNDWATER CHARACTERISTICS GROUNDWATER STANDARDS MONITORING REQUIREMENTS
Parameter Description-Parameter Code Daily Maximum Frequency Measurement Sample Type Footnotes
Water level,distance from measuring point - 82546 •
3 X Year Calculated 1,2,3
Coliform,Fecal MF, M-FC Broth.44.5C - 31616 3 X Year Grab 1,2
pH - 00400 3 X Year Grab 1
Chloride(as CI) - 00940 250 mg/1 3 X Year Grab 1
•
Nitrogen,Nitrate Total(as N) - 00620 10 mg/1 3 X Year Grab I
Carbon.Tot Organic(TOC) - 00680 3 X Year Grab 1,6
Volatile Compounds.(GC/MS) - 78732 3 X Year Grab 1,4,5
I. 3 x Year monitoring shall be conducted in March,July&November;Annual monitoring shall be conducted every November.
2. The measurement of water levels shall be made prior to purging the wells. The depth to water in each well shall be measured from the surveyed point on the top of the casing. The measurement
of pH shall be made after purging and prior to sampling for the remaining parameters.
3. The measuring points(top of well casing)of all monitoring wells shall be surveyed to provide the relative elevation of the measuring point for each monitoring well. The measuring points(top
of casing)of all monitoring wells shall be surveyed relative to a common datum.
4. Volatile Organic Compounds(VOC)-In November only,analyze by one of the following methods:
a. Standard Method 6230D.PQL at 0.5 µg/L or less
b. Standard Method 62I0D.PQL at 0.5 µg/L or less
c. EPA Method 8021.Low Concentration,PQL at 0.5 µg/L or less
d. EPA Method 8260, Low Concentration,PQL at 0.5 µg/L or less
e. Another method with prior approval by the Aquifer Protection Section Chief
Any method used must meet the following qualifications:
a. A laboratory must he DWQ certified to run any method used.
b. The method used must,at a minimum, include all the constituents listed in Table VIII of Standard Method 6230D.
c. The method used must provide a PQL of 0.5 µg/L or less that must be supported by laboratory proficiency studies as required by the DWQ Laboratory Certification Unit. Any constituents
detected above the MDL but below the PQL of 0.5 µg/L must he qualified(estimated)and reported.
5. If any volatile organic compounds(VOC)are detected as a result of monitoring as provided in Attachment C, then the Winston Salem Regional Office Aquifer Protection Supervisor,telephone
number(336)771-5000,must be contacted immediately for further instructions regarding any additional follow-up analyses required.
•
6. • n gnducted to ide�nh,•f, .f � t t stituents
co r and •
g
7. Monitoring wells shall be reported consistent with the nomenclature and location information provided in this attachment.
WQ0004972 Version 2.1 Attachment C Page 1 of I

3 3
E 6 E E .
_C- (JU s j ' — c� 9�
II I1 (it. * w ; nUJ
F k s'
,._,... a L u j ..::: — 11 __LT,:
/eA A ---c- w - L �© L

NDMR REVIEW SHEET
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE: Spray Irrigation REVIEW PERIOD:)& r t to (\&uj aO 1 S'
Parameter Freq. Limit G or t/` 7/N •7 jy 5/' t(/i b1/dt/ //� ,SJs/ ts-//S
Flow X Co tinu- 2 4O C �i ) 3 �� V ,
pH X 3xyr G '�( `7 6 ,Sr
TRC
BOD5 X 3xyr G to 3 9, .s,'
NH3-N X 3 x yr G Ism 3Mob) Co `1R
TSS X 3xyr G Cps S' i0,3
Fecal X 3xyr O' 3s-z) 6,0D CI
DO
TDS
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3 X 3 x yr G <P; Is 3 ,g,`
NO3
TN Ifs',° o ' 37,)
TKN X 3xyr G (S ,q /3- Vt-C
TP X 3 x yr G 14,9 1,.{,-J 7;tl
Chloride
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg _
Ni
K
Na
Zn
Comments:
tp Ptvcro 43l0w 3a1O`1-05 I3D( rAo,g0lcw)1
(p,--) (el iy,,,,6•Proa)
(r ft v���<<SQ o� v.. a g`"1 D c —t Co )1. vv.,syc PI(
Ike PrV w 36R<`�6( 7 OS 1 mixPig _
LL)0
J ra) c�`eg ( D ( 3 gID ••-.c)_x 0

NDAR REVIEW SHEET
PERMIT NUMBER: WO0004972 FACILITY NAME:Forest Lake Preserve
COUNTY:Davie TYPE:Spray Irrigation REVIEW PERIOD:111,6O14 tanct101'c
Storage Freeboard(>2 feet)Y or N 1414/1 V " 1✓ I4✓ t k V
Field Acres
Cover HourlyRate Yearly
1� /�y "lt Vitt c� fi
Fescue 46.8" v ✓ ✓ V ki1
✓���
Comments:

Monitoring Well Data Review Sheet
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE:Spray Irrigation REVIEW PERIOD: Tat Q't yto rvo.r ant.3
10,0,4 • --J' c') ao D.49
Parameter Standard MW MW MW MW MW MW MW MW MW MW MW MW
(mg/L) 1 2 3 4 1 2 3 4 1 2 3 4
Water level X (oa- 3'v) I O'a AT,S & '(,'f' 3A,Y I I'1 I toy 3q tv", 3
COD
Col. Fecal X 1/100m1 C I G t A G( c I . . C I R < 1 c.( C(
Col. Total
TDS
pH X 6.5-8.5 56(H7 G• ( (,c 9.(o O,'S—
TOC X 10 ( � q.a.q 141c, (, `f,(o S (1 7.`l%' </ /.7(,
Chloride X 250 .049 S'', J .X&.' (,q _C„),.a. _� 1.6 1,9 A 1.1-A.1(
DO
As 0.010
O&G
Phenols 0.30
Sulfate 250.0 _
Specific Cond.
NH3
TKN as N
NO2 1 C ,0-S'd,l\ `(.3 0 tic
NO3 X 10 0,(c l9.YAW( C.,V] ` '�i � `�-'�"�r��'
TP
Orthophospate
Al
Ba 2.0
Ca
Cd 0.005
Cr,Total 0.05
Cu 1.0
Fe 0.3
Hg 0.0011
K
Mg
Mn 0.05
Na
Ni 0.1
Pb 0.015
Zn 2.1
NH3 as N
Xylenes
Volatile Compounds:one of the methods below
VOC 6230 0.5 ug/L
VOC 6210 0.5 ug/L
EPA 8021 0.5 ug/L
EPA 8260 X 0.5 ug/L
VOC EPA 602 0.53 mg/L

NDMR REVIEW SHEET
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE: Spray Irrigation REVIEW PERIOD:Sun 13 tofrlc1,,j
Parameter Freq. Limit C or �37/3g//3��3 iy (/3 /1..LD/ �r jy 7I Y 41 �Y
Flow X Continu- 24,4do C t/Q .V , / /✓ V 4 ) V l
OUS 9P Y ���/ �/
pH X 3xyr G (At, ry t I tc,14
TRC
BOD5 X 3xyr G 3,(40
NH3-N X 3 x yr G 3-a t5 t �"�
TSS X 3 x yr G ,� 3 S 1.9
Fecal X 3xyr G la� </ C I
DO
TDS
Conductivity
Temp.
COD
TOC
Phenols
O&G
NO2&NO3 X 3xyr G 61,3 tA-1,7
NO3
TN X K ` as,I go is— 1 gici
TKN X 3xyr G 5,347 /6 4. y ,
TP X 3xyr G l/ /- , rct
Chloride 1a•43
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
Zn
Comments:
Avz rmSe_ -How as 'MC me x (Da 10a,

NDAR REVIEW SHEET
PERMIT NUMBER: WQ0004972 FACILITY NAME:Forest Lake Preserve
COUNTY:Davie TYPE:Spray Irrigation REVIEW PERIOD &r\ to mo...j.1
Storage Freeboard( .2 feet)Y or N Y "J > \/ N `l N V kf✓ t V
Cover Hourly 1 Yearlyr ')/
Field Acres crop Rate Rate 3 �13 /13 �3 /)3 )3 3 l'`I �( jc'� 'I'� 3y
Fescue 46.8" V V Vv t� Y�'c� ✓)i/
1
Comments: � I
F r e Q b R)a rrA e-1(e e ot,.,.r 5 d o l I_ C J / t 3 � I a/1qL
.ck tke 4-O I\Qcn.v ( l n - n - D+� I V\eo,v rcek t•�
yrI CAAe 5' r1 D e v ®v\ NO U e ,n, �acQ G,tom 4 1 A-,
eSe' c� 6 0. I '�- 7"f\c,V\ n1
1

r *'
Monitoring Well Data Review Sheet
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE:Spray Irrigation R VIEW PERIOD:„I 0\3to M a r ao IL(
V'0l1 2pt3- n° OudO( --t MGrana.o 1 --.1
Parameter Standard MW MW MW MW MW MW MW MW MW MW MW MW
1 2 3 4 1 2 3 4 1 2 3 4
Water level X 6Qt,2'3k m, ( act:1 S',S t 3h,t, Or c aaa
COD
Col. Fecal X 1/100m1 C' I Nix < c C/ < </ C I
Col. Total
TDS
pH X 6.5-8.5 (Q,ST Co ,7(.,7 63 LI
TOC X 10 t(, ( < 4 S.(01 I.`{> 1n 1 \ (C 3 .[/
DO Chloride X 250 '-(,(e 6 �{ R.L 4 •1 1.°1 �. sigisd 4.a7
As 0.010
O&G
Phenols 0.30
Sulfate 250.0
Specific Cond.
NH3
TKN as N
NO2 1 05 (�ra�
NO3 X 10 G C�1�.38 1 ,3 (T;1,� ,b9 1J -o,5'Q C,OS-o,174 0, e. �S
TP
Orthophospate
Al
Ba 2.0
Ca
Cd 0.005
Cr,Total 0.05
Cu 1.0
Fe 0.3
Hg 0.0011
K
Mg
Mn 0.05
Na
Ni 0.1
Pb 0.015
Zn 2.1
NH3 as N
Xylenes
Volatile Compounds:one of the methods below
VOC 6230 0.5 ug/L
VOC 6210 0.5 ug/L
EPA 8021 0.5 ug/L _
EPA 8260 X 0.5 ug/L
VOC EPA 602 0.53 mg/L
1

State of North Carolina
' Department of Environment and Natural Resources
r - ' Division of Water Resources
Division of Water Resources
Water Quality Programs
Regional Staff Report
July 15, 2015
To: Central Office—Non-Discharge Permitting Unit Application No.: WQ0004972
Attn: Alice Wessner, Water Quality Permitting Section Permittee: MCH TT,Inc.
From: Patrick Mitchell Winston-Salem Regional Office Davie County
I. GENERAL SITE VISIT INFORMATION
1. Was a site visit conducted? ® Yes or❑No
a. Date of site visit: June 24,2015
b. Site visit conducted by: P. Mitchell& J. Gonsiewski
c. Inspection report attached? ❑ Yes or®No
d. Person contacted: Glenn Price(R&A Labs)and their contact information: (336)408 - 7924 ext.
e. Driving directions: See file.
H. FACILITY AND APPLICATION INFORMATION
1. Are there appropriately certified Operators in Charge (ORCs) for the facility? ❑ Yes ®No ❑N/A
ORC: Certificate#: Backup ORC: Certificate#:
2. Are the design,maintenance and operation of the treatment facilities adequate for the type of waste and disposal
system? ® Yes ❑ No ❑N/A-If no,please explain below in Section IV. Review Items
3. Are the site conditions (e.g., soils,topography, depth to water table, etc)maintained appropriately and adequately
assimilating the waste? ® Yes or❑No - If no, please explain below in Section IV. Review Items
4. Has the site changed in any way that may affect the permit(e.g., drainage added, new wells inside the compliance
boundary, new development, etc.)? ❑ Yes or® No -If yes, please explain below in Section IV. Review Items
5. Is the residuals management plan adequate? ® Yes or ❑No - If no, please explain below in Section IV. Review
Items
6. Are the existing application rates(e.g.,hydraulic,nutrient) still acceptable? ® Yes or❑No- If no, please
explain below in Section IV. Review Items
7. Is the existing groundwater monitoring program adequate? ® Yes ❑ No ❑N/A
If no, explain and recommend any changes to the groundwater monitoring program below in Section IV. Review
Items
8. Are there any setback conflicts for existing treatment, storage and disposal sites? ❑ Yes or®No
If yes, provide comments below attach a map showing conflict areas.
9. Is the description of the facilities as written in the existing permit correct? ® Yes or❑No- If no, please
explain below in Section IV. Review Items
10. Were monitoring wells properly constructed and located? ® Yes ❑No ❑N/A If no, please explain below in
Section W. Review Items.
11. Are the monitoring well coordinates correct in BIMS? ❑ Yes ❑No ®NE
12. Has a review of all self-monitoring data been conducted(e.g.,NDMR,NDAR, GW)? ❑ Yes or®No
Please summarize any findings resulting from this review below in Section IV. Review Items.
FORM: APSRSR 04-10 aliagigaragapips Page 1 of 2

13. Are there any permit changes needed in order to address ongoing BIMS violations? ® Yes or❑No
If yes,please explain below in Section IV. Review Items.
14. Check all that apply:
®No compliance issues ❑ Current enforcement action(s) ❑ Currently under JOC
❑Notice(s)of violation ❑ Currently under SOC ❑ Currently under moratorium
Please explain and attach any documents that may help clarify answer/comments(i.e.,NOV,NOD, etc.)
15. Have all compliance dates/conditions in the existing permit been satisfied? ® Yes n No ❑N/A
If no, please explain below in Section IV. Review Items.
16. Are there any issues related to compliance/enforcement that should be resolved before issuing this permit?
❑Yes ®No ❑N/A
If yes, please explain below in Section IV. Review Items.
M.REGIONAL OFFICE RECOMMENDATIONS
1. Do you foresee any problems with issuance/renewal of this permit? ❑ Yes or®No
If yes, please explain:
2. List any items that you would like APS Central Office to obtain through an additional information request:
•
3. List specific permit conditions recommended to be removed from the permit when issued:
•
4. List specific special conditions or compliance schedules recommended to be included in the permit when issued:
•
5. Recommendation: ❑ Hold,pending receipt and review of additional information by regional office
n Hold, pending review of draft permit by regional office
❑ Issue upon receipt of needed additional information
® Issue
❑ Deny(Please state reasons: )
6. Signature of report preparers
Signature of regional supervisor: L' (�L' tCt y . I a-s A / /J �Y
Date: July 15, 2015
IV. ADDITIONAL REGIONAL STAFF REVIEW ITEMS
• Item II. 1.: The designated ORC and Back-up ORC has changed and need to be desginated as such. WSRO
staff member Jim G. is including this in his compliance letter.
• Item II. 12.: Jim G. is in progress of reviewing groundwater monitoring data for this facility.The facility may
request a reduction in VOC sampling.
• Item II. 13.: The facility exceeded daily flow limit during summer months in 2014. If this trend continues it
may warrant a system and permit modification at some point. The flow meters are being evaluated also for
accuracy.
• There is a typo in existing permit condition II. g.; it says Wilmington Regional Office.
• From comments on NDARR form; It is ok to combine the two PPIs in the new Attachment A.
FORM: APSRSR 04-10 Page 2 of 2

North Carolina Department of Environment and Natural Resources
• Division of Water Resources
Water Quality Section
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
WASTEWATER IRRIGATION
General Information JJ
Facility Name: T res t L f Ice eft P.0 Ise County: Dav:e
Permit No.: W000 01972 Issuance Date: 1 f II/Zaa 7
Owner: Mc 64 'Tr/ Inc, Expiration Date: to/3 t/2o lc'
ORC Name: "' G(. s.ii Pr;',..e Telephone No.:N-736-4/6?-71 z4 60 99/-z8 I/
Backup ORC: Telephone No.: , - ) q R/3—�(3 5 -
Other Contact: d c. I'Rik. Telephone/No.:L �336,- 22S`--00 it 7
Location(address,gps or directions): ti,`7 61 i ../ N/L M�l-a tar e9t r¢ o-Y ik Pa,,,i4; . w'kt, t1w y go I
Reason for Inspection
❑ ROUTINE ❑ FOLLOW-UP ❑ COMPLAINT `ii PERMITTING ❑ Other:
Comments (attach additional pages as necessary)
' PS c fi y o Kt � c 7ts,., ? 2... [its sLjs: 'Quen . C f t,, -c,R-C
> G I . fo x - g c('G
— IV(.24 ml,,,l coon 7 + M1,4 1 -(S) _ ` `� e� CL '4` Qom! UJ F,
Awe {L)
RtAIZ'r,,,� L ' i .Lf, s.g L5.5- Ls 6 LS.1
/ ,
JI.A, l n-t w{1� tit 6.14, pepot der4.„J , MA s �s ii.p- .
4E- r
--------J- ,,, / '547 0 0-,--j- -, .
//4,f ciz/ N;011—/--, VI 5 -1, , _,i-i-i.,,,i____,,,u,„,1- ,
69t. df .5(iNpu. (.1\:ei mAp.
. 1)e-01- 6L (PKc V 0L _ 0-e et-- Pk`7 tt4 k
jajAk
Is a follow-up inspection necessary ❑ Yes ❑ No
Primary Inspector: I • M:f lam. , Secondary Inspector: 7. ‘"o.1„)10445 ki
Date of Inspection: 4J2-4/2-ol 5 Entry Time: 9.3046. Exit Time: • .!/` :.I

Non-Discharge Compliance Inspection Report
Record • •ping and Reporting Information Y N N• NE
Is current p; it available upon request? ❑ ❑ E ❑
Has the facil % been free of public complaints for the last 12 months? ❑ ❑ • ❑
Are maintena e and inspection logs present(date&time of inspections, visual observations,
any maintenance p djustments, cleanings, equip changes) or repairs taken)? ❑ ❑ ❑ ❑
Are weekly freeb.and records present? ❑ II ❑ ❑
Are irrigation track' g records present(date, weather, volume, length time,field#,
Hydraulic loading, nut 'ent loading, other)? ❑ ❑ ❑ ❑
Has irrigation equipm- it been calibrated(once/permit cycle)&records present? ■ ❑ ❑ ❑
Are records present for -siduals removal (date, volume, Residual Hauler Name,
Name/permit of the receivin_ party or letter from Municipality)? • ❑ ❑ ❑
Is an Operation&Mainten. ce Plan, and Spill Plan present? ❑ ❑ ❑ ❑
Effluent Monitoring:
Were effluent monitoring repo . present?❑NDMR ❑NDAR ❑NDML r ❑ ❑ ❑ ❑
Are flow rates less than permitte• flow? Permitted Flow: ❑ ❑ ❑ ❑
Are application rates adhered to? Permitted Rate: ❑ ❑ ❑ ❑
Are lab sheets available for review a,d support monitoring reports? ❑ ❑ ❑ ❑
Are samples analyzed for the require. •arameters(See permit)? ❑ ❑ ❑ ❑
Effluent concentrations do NOT excee. L GW standards? ❑ ❑ ❑ ❑
If required, are PAN records present and •omplete? ❑ ❑ ❑ ❑
Groundwater Monitoring:
Is groundwater monitoring required? ❑ ❑
Were GW-59's and lab results present? ❑ ❑ ❑ ❑
Were samples analyzed for the required paramet= s(See per •)? ❑ ❑ ❑ ❑
Observed records indicate no 2L GW quality viola.'ons? ❑ ❑ ❑ ❑
Soil Analysis:
Were annual soil analyses results present for each irri:.tion field? ❑ ❑ ❑ ❑
If lime was called for on the Agronomist report,wa im, applied? ❑ ❑ ❑ ❑
Copper and Zinc indices: ❑ <2,000 /I 2,001 3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3 ? ❑ ❑ ❑ ❑
Was Exchangeable Sodium Percentage(ESP ess than 15% . ❑ ❑ ❑ ❑
Influent Pump Station(s) ❑Check,ix ijcomponent is listed in per • description. Y N NA NE
All pumps present, operational ❑ ❑ ❑ ❑
Floats/Controls operable ❑ ❑ ❑ ❑
Audio&Visual Alarms Operatio .1 ❑ ❑ ❑ ❑
Free of bypass lines or structur-. ❑ ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑ ❑
Back-up power available, •utinely tested& fueled? ❑ ❑ ❑ ❑
Treatment Barscree ❑Check box if component is listed in permit description. Y/ N NA NE
Are bars spaced pr erly&free of excess debris? /�pJ� El El El
Are screenings 'sposed of properly? ❑ ❑ ❑
Is unit in goo condition(excess corrosion)? 2 ❑ ❑ ❑
Eq ualiz 'on Basin ❑Check box if component is listed in permit description. N NA NE
Is aerat' n present? ❑ ❑ ❑ ❑
Are p ps present and operational? ❑ • ❑ ❑
Is un' in good general condition? ❑ la ❑ ❑
Page 2 of 4

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
RALEIGH
WASTEWATER IRRIGATION SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143,General Statutes of North Carolina as
amended,and other applicable Laws,Rules and Regulations
PERMISSION IS HEREBY GRANTED TO RECEIVEDIDENRIDWR
MHC TT, Inc. MAY 0 4 2015
Davie County
WaterQuality
FOR THE Per ne§Section
/ 2(�0?' ✓
continydd operation of a collection,system serving 283 camp sites and eighteen(18)cabins, consisting of:
seven (7) grinder pump stations with associated collection piping; 430 linear feet (If) of 3-inch force
main,455 If of 4-inch force main;and 935 If of 6-inch force main; and
continu operation of a 24,400 gallon per day (GPD) wastewater irrigation facility consisting of: an
exte ed aeration wastewater treatment facility with a trea nt capacity of 45,000 GPD which includes
one (1) 14,800-gallon aerated surge tank with influent ba creen served by dual (2) 74 gallon per minute
(GPM)submersible pumps and a high water alarm.;,de 1)45,000-gallon aeration tank servedual(2)
285 cubic feet per O i1iute(CFM)blowers; one (1)4,500-gallon slid holding tank; one (1) 7 0-gallon
clarifier; one (1) 40-gallon baffled chlorine contac tank with a ypochlorinator; one (1) 408 million
gallon (MG)synthetically lined effluent storage on; two(2) 42 GPM effluent dosing pumps;a spray
irrigation area of 9.0 acres and eighteen (18) sprinkler heads to serve Forest Lake Preserve, with no
discharge of wastes to surface waters, pursuant to the application received August 10, 2009, and in
conformity with the project plans, specifications, and other supporting data subsequently filed and
approved by the Department of Environment and Natural Resources and considered a part of this permit.
This permit shall be effective from the date of issuance until October 31, 2011, shall void Permit No.
WQ0004972 issued November 17, 2006 and shall be subject to the following specified conditions and
limitations:
WQ0004972 Version 2.1 Shell Version 090806 Page 1 of 8

State of North Carolina
PIKURDepartment of Environment and Natural Resources
Division of Water Resources
WATER QUALITY REGIONAL OPERATIONS SECTION
Division of Water Resources NON-DISCHARGE APPLICATION REVIEW REQUEST FORM
May 4,2015
RECEIVED
To: 10.11'L3RfWQROS: Corey Basinger/Sherri Knight N.C. Dept of E'
From: Alice Wessner, Water Quality Permitting Section-Non-Discharge Permitting Unit
P MAY 1 2 2015
!: WINSTON-SALE
E' REGIONAL OFFIC
Permit Number: WQ0004972 Permit Type: Wastewater Irrigation
Applicant: MCH TT, Inc. Project Type: Renewal
Owner Type: Organization Owner in BIMS?Yes
Facility Name: Forest Lake Preserve Facility in BIMS?Yes
Fee Category: None Fee Amount: $0
Comments/Other Information: jDw 4
Attached, you will find all information submitted in support of the above-referenced application for your review,
comment, and/or action. Within 45 calendar days, please take the following actions:
® Return this form completed. ® Return a completed staff report.
❑ Attach an Attachment B for Certification. ❑ Issue an Attachment B Certification.
When you receive this request form, please write your name and dates in the spaces below, make a copy of this sheet, and
return it to the appropriate Central Office Water Quality Permitting Section contact person listed above.
RO-WQROS Reviewer: T c k k K.-kJ,L 1 I Date:
(ill?OWL. 6S C,?, 2w ( 1/l i 15)
C1z , Cn1OYic1A— 1\11'—iY e,n , ► ,
Lit 1')-(---, ck ' Valk KY1-1-- fY\NYV\AT)31)1S.
L)Kb cpmtrukt, PP1 s arm coy> yi-e,d ? a1,'
Y/o/i) ® !i.,/:,- , ` /Aft- _ 1' if r Pr) < t^eu E" 'in re /A•t 4- ,c, e i.tl kt. lift.., +A fl-
' . S: 61 r , r,,,. .t J„ a r< rfv fd, I, '• J',�t fe\.`tL.i , f t z
3a G4„
FORM: WQROSNDARR 01-15 ^~ �t;• ¢` ' Page 1 of7
C ' w°�k r r �"`7 d�� �' 1 1

AVA
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
May 4, 2015 r RECEIVED
N.C. Dept. o`
DAVID KOZY—SENIOR VICE PRESIDENT
MAY 1 z 2
MHC TT,INC.
2 NORTH RIVERSIDE PLAZA-SUITE 800 WINSTON-Sk
CHICAGO,ILLINOIS 60606 REGIONAL OFF
Subject: Acknowledgement of
Application No. WQ0004972
Forest Lake Preserve
Wastewater Irrigation System
Davie County
Dear Mr. Kozy:
The Water Quality Permitting Section acknowledges receipt of your permit application and
supporting documentation received on May 4, 2015. Your application package has been assigned the
number listed above, and the primary reviewer is Alice Wessner.
Central and Regional Office staff will perform a detailed review of the provided application, and
may contact you with a request for additional information. To ensure maximum efficiency in processing
permit applications, the Division of Water Resources requests your assistance in providing a timely and
complete response to any additional information requests.
Please note that processing standard review permit applications may take as long as 60 to 90 days
after receipt of a complete application. If you have any questions, please contact
Alice Wessner at(919) 807-6425 or [e-mail].
Sincerely,
Jon Risgaard, Branch Manager
Division of Water Resources
cc: Winston-Salem Regional Office, Water Quality Regional Operations Section
Permit File WQ0004972
•
Non-Discharge Permitting Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Phone:[phone] Internet htto:llportal.ncdenr.oro/webiwq
An Equal Opportunity 1 Affirmative Action Employer—Made in part with recycled paper

r
State of North Carolina
D' '/R Department of Environment and Natural Resources
Division of Water Resources
NON-DISCHARGE SYSTEM RENEWAL
Division of Water Resources FORM:NDSR 11-13
I. PERMITTEE INFORMATION:
1. Pennittee's name:MHC TT,Inc dba Forest Lake Preserve
2. Signature authority's name:David Kozy per 15A NCAC 02T.0106(b) Title:Senior Vice President
3. Permittee's mailing address:2 North Riverside Plaza,Suite 800
City:Chicago State:IL Zip:60606-
4. Permittee's contact information: Phone number:[phone] Email Address:
permits licenses(aequitylifestyle.com
II. FACILITY INFORMATION: RECEIVEDIDENRIDWf
1. Facility name:MHC TT,Inc dba Forest Lake Preserve MAY 0 4 2015
2. Facility's physical address: 192 Thousand Trails Drive
City:Advance State:NC Zip:27006-_ County:Davie Water Quality
Permitting Section
III. PERMIT INFORMATION:
1. Existing permit number:WQ004972 and most recent issuance date:September 11,2009
2. Existing permit type:Select
3. Has the facility been constructed? ®Yes or[]No
4. Demonstration of historical consideration for permit approval—15A NCAC 02T.0120:
Has the Applicant or any parent,subsidiary or other affiliate exhibited the following?
a. Has been convicted of environmental crimes under Federal law or G.S. 143-215.6B?❑Yes or®No
b. Has previously abandoned a wastewater treatment facility without properly closing that facility?❑Yes or®No
c. Has unpaid civil penalty where all appeals have been abandoned or exhausted?['Yes or®No
d. Is non-compliant with an existing non-discharge permit,settlement agreement or order?❑Yes or®No
e. Has unpaid annual fees in accordance with 15A NCAC 02T.0105(e)(2)?❑Yes or®No
Applicant's Certification per 15A NCAC 02T.0106(b):
I, �/! 0�0 /_z attest that this application for
(Signaturehority's name&title om Application Item I.2.)
/PI#C., T'i - 4,1 t? 2JIr A-
(Facility name from Application Item IL 1.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that any discharge of wastewater
from this non-discharge system to surface waters or the land will result in an immediate enforcement action that may include civil
penalties, injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed and that
if all required supporting information and attachments are not included,this application package will be returned to me as incomplete.
I further certify that the Applicant or any affiliate has not been convicted of an environmental crime,has not abandoned a wastewater
facility without proper closure, does not have an outstanding civil penalty where all appeals have been exhausted or abandoned,are
compliant with any active compliance schedule,and do not have any overdue annual fees per 15A NCAC 02T.0105(e).
NOTE—In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation,or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed$10,000 as well as civil penalties up to$25,000 per violation. j
` (/ it)/,jJ
FORM:NDSR 11-13 ! Page I of 1

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State of North Carolina
DWR Department of Environment and Natural Resources
Division of Water Resources
NON-DISCHARGE SYSTEM RENEWAL
Division of Water Resources INSTRUCTIONS FOR FORM:NDSR 11-13&SUPPORTING DOCUMENTATION
This form is for renewal without modification for all non-discharge system permits,except Residuals Management permits.
For more information,visit the Water Quality Permitting Section's Non-Discharge Permitting Unit website at:
http://portal.ncdenr.or.Aveb/wq/aps/lau
A. Non-Discharge System Renewal(FORM:NDSR 11-13)Application (All Application Packages):
® Submit one original and one copy of the completed and appropriately executed Non-Discharge System Renewal (FORM:
NDSR 11-13)application.
® The Applicant's Certification shall be signed in accordance with 15A NCAC 02T.0106(b). Per 15A NCAC 02T.0106(c),an
alternate person may be designated as the signing official if a delegation letter is provided from a person who meets the
criteria in 15A NCAC 02T.0I06(b).
13. Existing Permit(All Application Packages):
El Submit two copies of the most recently issued permit.
C. Certificate of Public Convenience and Necessity(All Application Packages for Privately-Owned Public Utilities):
❑ Per 15A NCAC 02T.0115(a)(1),provide two copies of the Certificate of Public Convenience and Necessity from the North
Carolina Utilities Commission demonstrating the Applicant is authorized to hold the utility franchise for the area to be served
by the non-discharge system.
D. Operation and Maintenance Agreement(All Application Packages for Single-Family Residences):
❑ Submit one original and one copy of the signed Operation and Maintenance Agreement(FORM:SFRWWIS O&M).
E. Operational Agreements(All Application Packages for Home/Property Owners'Associations and Developers of lots to be sold):
> Home/Property Owners'Associations
❑ Per 15A NCAC 02T.0115(c),submit an original and one copy of the properly executed Operational Agreement(FORM:
BOA).
❑ Per 15A NCAC 02T .0115(c), submit an original and one copy of the proposed or approved Articles of Incorporation,
Declarations and By-laws.
> Developers of lots to be sold
❑ Per 15A NCAC 02T.0115(b),submit an original and one copy of the properly executed Operational Agreement(FORM:
DEV).
F. Site Map(All Application Packages for permits originally issued or modified after September 1,2006):
El Submit two copies of an updated site map in accordance with 15A NCAC 02T.0105(d).
THE COMPLETED APPLICATION AND SUPPORTING DOCUMENTATION SHALL BE SUBMITTED TO:
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
NON-DISCHARGE PERMITTING UNIT
By U.S.Postal Service: By Courier/Special Delivery:
1617 MAIL SERVICE CENTER 512 N.SALISBURY ST.
RALEIGH,NORTH CAROLINA 27699-1617 RALEIGH,NORTH CAROLINA 27604
TELEPHONE NUMBER: [phone] FAX NUMBER: [phone]
RECEIVEDIDENRIDWR
MAY 042015
Water Quality
Permitting Section
INSTRUCTIONS FOR FORM:NDSR 11-13&SUPPORTING DOCUMENTATION Page 1 of 1

RECEIVED
N.C. Dept.of ENR
NOV 1 3 2014
Winston-Salem
Re ional Office
4141( Equity Lifestyle Properties
5100 W. Lemon Street, Suite 109
Tampa, FL. 33609
[phone]
• [phone] - Fax
October 30, 2014
North Carolina Department of Environment and Natural Resources
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, NC 27107-2241
To Whom It May Concern:
Under the North Carolina Public Records Law, G.S. §132-1., I am requesting an
opportunity to inspect or obtain copies of public records that pertain to the renewal of
the wastewater permit, WQ0004972, issued on 11 September 2006 for MHC TT,
Inc. dba as Forest Lake Preserve.
If there are any fees for searching or copying these records, please inform me if the cost
will exceed $100.00. This information is not being sought for commercial purposes.
The law requires that you respond to and fulfill this request "as promptly as possible." If
you expect a significant delay in responding to and fulfilling this request, please contact
me with information about when I might expect copies or the ability to inspect the
requested records.
If you deny any, or all, of this request, please cite each specific exemption you feel
justifies the refusal to release the information and notify me of the appeal procedures
available to me under the law.
Thank you for considering my request. Please feel free to contact me with any
questions or comments you may have. I can be reached on my cell phone at 813-283-
8527 or email at [e-mail].
EQUITY LIFESTYLE PROPERTIES, INC.
•
By: agk,2r.,.J P. 06 1)7.4P t—,
Karen J. Doiron
National Regulatory Compliance Manager
5100 W. Lemon St., Suite 109
Tampa, FL 33609

Berry, Stephen
From: Karen Doiron <[e-mail]>
Sent: Saturday, July 27, 20_13 6:51 AM
To: Berry, Stephen
Cc: Brad Nelson; Jeff Fannon; Marc Elmer; Forest Lake Manager; Scott Brown; Kenneth Kroot;
Cynthia Dibble
Subject: Forest Lake Preserve WQ0004972 Response to NOD-2013-PC-0251
Attachments: Forest Lake CEI 6-13-13 response 7-27-2013.pdf
Dear Mr. Berry:
On behalf of Forest Lake Preserve, this responds to your June 26, 2013 letter regarding the Compliance
Evaluation Inspection of the subject facility conducted on June 13, 2013. You will also receive this in the US
Mail.
Please note that there is an address change on any correspondence sent via US Mail to me. The suite number in
the Tampa office is now 109, from 308.
Thank you
Karen Doiron
ELS National Regulatory Compliance Manager
5100 W. Lemon Street, Suite 109
Tampa, FL 33609
cell [phone]
efax [phone]
office [phone]
karen doiron c equitylifestvle.com
i

1111111( Equity Lifestyle Properties
5100 W. Lemon Street,Suite 109
Tampa, FL. 33609
[phone]
[phone]-Fax RECEIVED
N.C.Dept of r-•�
July 27, 2013 AUG 0 2 2013
Winston-;,.,;,,1
VIA EMAIL AND U.S. MAIL Re Tonal Office
Mr. Stephen Berry
North Carolina Department of Environment and Natural Resources
Division of Water Quality-Aquifer Protection Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
[e-mail]
Subject: Notice of Deficiency - NOD-2013-PC-0251
Forest Lake Preserve -Wastewater Spray Irrigation System
Permit No. WQ0004972
Davie County
Dear Mr. Berry:
On behalf of Forest Lake Preserve, this responds to your June 26, 2013 letter
regarding the Compliance Evaluation Inspection of the subject facility conducted on June
13, 2013. Each of your comments requiring response is set forth below in bold followed
by our response.
Please note that there is an address change on any correspondence sent via US
Mail to me. The suite number in the Tampa office is now 109, from 308.
1) Permit Condition III. 3. Vegetative cover impedes even distribution of effluent;
Action Required: Please lower the height of established herbaceous weeds
within a 30 to 40 foot radius of (and to a height below that of the) irrigation
spray heads. It is recommended that a healthy herbaceous understory be
established within the spray area (e.g., sedges and grasses). Please consult
your local Soil & Water Conservation District to learn what species are
appropriate for your stand of loblolly pines.
Response: I spoke with Mr. Frankie Singleton (Davie County Soil & Water Conservation
District). He suggested over planting with fescue for the cooler months and bermuda
grass for the warmer weather. The Forest Lake Preserve Manager reports that
maintenance staff will be removing all dead trees, branches, etc from the spray field to
prepare for the bush hogging. Upon completion of this, they will bush hog the spray
field. We anticipate this to be completed by the end of August.

Forest Lake Preserve WQ0004972 July 27, 2013
Response June 26, 2013 Inspection Letter Page 2 of 4
2) Permit Condition III 13. Trees, shrubs and other woody vegetation shall not be
allowed to grow on embankments: Numerous large diameter trees are
established on the embankment of the wastewater storage lagoon and pose a
risk to embankment stability.
Action Required: Please remove all woody vegetation with a diameter less
than six (6) inches. Once woody vegetation is removed, please seed
embankment with both cool and warm season grasses, accordingly. Larger
diameter vegetation should be removed if damaged and embankment repaired
when necessary. Please take corrective action within one year of this letter's
issuance.
Response: The Forest Lake Preserve Manager reports that the maintenance staff is
working on removing the trees and shrubs at the pond as requested.
3a) Permit Condition II 3. Well Construction Standards (15A NCAC 02C) require
monitoring wells (MWs) to be properly maintained, including identification
plates (02C.0108 (0)) and permanent abandonment of wells, by completely
filling with a bentonite or cement -type grout (2C .0113(d)(2)).
Action Required: DWQ, Winston-Salem Regional Office has no record of well
construction (i.e. GW-1 forms) for on-site monitoring wells. The initial
application lists Law Engineering Testing Company, Raleigh, NC as
completing the wells sometime in 1985-86. Please work with your contracted
ORC, Glenn Price of R&A Laboratories to determine what information is
known and can be affixed to the wells. Once completed, please notify this
office in writing.
Response: We have identified local well drilling companies and are in the process of
contacting them to determine if they can assist us in having new aluminum identification
plates made for attachment to each of the permitted monitoring wells.
3b) During the inspection, an improperly maintained well was cited in close
proximity to MW-1. This well is not included in the permit monitoring
requirements and may act as a conduit for groundwater contamination.
Previous inspections, as well as the facility's 1991 permit, have stipulated
well abandonment. At a minimum, temporary abandonment is required per
2C rules. If there is no beneficial use for this well, please permanently
abandon well. It is strongly recommended that a certified well driller perform
the abandonment given the numerous unknowns (e.g., casing depth, depth
of well, etc.). Otherwise, the owner of the well may abandon the well per 2C
requirements. Please notify this office in writing of your intentions.
Response: We have identified local well drilling companies and are in the process of
contacting them to determine if they can assist us in permanent closure of this
monitoring well.

Forest Lake Preserve WQ0004972 July 27, 2013
Response June 26, 2013 Inspection Letter Page 3 of 4
3c) It should be noted that historical groundwater monitoring data may be used
to justify a reduction or removal of some or all groundwater monitoring
requirements. That is, you may request a modification of your permit by
submitting documentation (e.g., line graph of parameter analyzed for each
well) that demonstrates your wastewater irrigation system has not degraded
(and will not degrade) groundwater. Please contact Mr. Berry with questions.
Response: We are evaluating the possibility of a permit modification.
4a) Permit Condition III. 1. Facility shall be properly maintained: Permit lists two
effluent dosing pumps; at the time of inspection, only one pump was in
operation.
Action Required: Install second effluent dosing pump and please provide
documentation to this office that illustrates pump installation
Response: We are waiting for an updated proposal for the pump from Glenn Price of
R&A Laboratories. Mr. Price is still working with his supplier on this. His supplier has not
been cooperative, so he is looking for another source.
4b) Permit Condition III. 1. Facility shall be properly maintained: Additionally, the
Number 12 diffuser in aeration tank needs replacing.
Action Required: please provide documentation to this office that illustrates
diffuser replacement.
Response: The Forest Lake Preserve Manager reports that Mr. Price has confirmed that
the No. 12 Diffuser has been replaced.
Please feel free to contact me with any questions or comments you may have on
these responses. I welcome the opportunity to discuss these matters further with you. I
can be reached on my cell phone at 813-283-8527 or email at
[e-mail].
Sincerely,
EQUITY LIFESTYLE PROPERTIES, INC.
•
By:
Karen J. Doiron
National Regulatory Compliance Manager

Forest Lake Preserve WO0004972 July 27, 2013
Response June 26, 2013 Inspection Letter Page 4 of 4
cc: Kellie Godfrey
Marc Elmer
Jeff Fannon
Brad Nelson
Scott Brown
Kenneth Kroot

•,
Arz,
witpr
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John Skvarla
Governor Acting Director Secretary
June 26, 2013
CERTIFIED MAIL # 7008 3230 0003 2547 0589
RETURN RECEIPT REQUESTED
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800
Chicago, Illinois 60606
Subject: Notice of Deficiency (NOD-2013-PC-0251)
Forest Lake Preserve —Wastewater Irrigation System
Permit No. WQ0004972
Davie County
Dear Ms. Choi:
On June 13, 2013, Stephen Berry and Patrick Mitchell of the North Carolina Division of
Water Quality's Winston-Salem Regional Office (DWQ) performed a compliance
evaluation inspection of the subject wastewater spray irrigation system. Accompanying
DWQ on the inspection of the irrigation system was your employee, Lee Hedrick, and
Glenn Price of R&A Laboratories: Kellie Godfrey was briefed at the conclusion of the
inspection. Prior to the facility inspection, Mr. Berry reviewed the recently submitted
2012 and 2013 Non-Discharge Monitoring and Application Reports.
The primary purpose of this inspection was to determine whether the wastewater spray
irrigation system was compliant with permit conditions. While Permit Condition II. 4.
stipulates collection system requirements and numerous issues with your collection
system were documented, it is my understanding that colleagues in the Surface Water
Protection Section of DWQ have provided some initial guidance and will be conducting
a complete inspection of your collection system in the coming months. Therefore, no
collection system deficiencies are cited in this letter.
585 Waughtown Street,Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone]
Internet:www.ncwaternualitv.orq
One
An Equal Opportunity\Affirmative Action Employer NorthCarolina
1?aturaI4i

Forest Lake Preserve
June 26,2013
Page 2 of 3
Forest Lake Preserve is deficient in the following permit conditions:
1)Permit Condition III. 3. Vegetative cover impedes even distribution of effluent;
Action Required: Please lower the height of established herbaceous weeds within a 30
to 40 foot radius of(and to a height below that of the) irrigation spray heads. It is
recommended that a healthy herbaceous understory be established within the spray
area (e.g., sedges and grasses). Please consult your local Soil &Water Conservation
District to learn what species are appropriate for your stand of loblolly pines.
2) Permit Condition III 13. Trees, shrubs and other woody vegetation shall not be
allowed to grow on embankments: Numerous large diameter trees are established on
the embankment of the wastewater storage lagoon and pose a risk to embankment
stability.
Action Required: Please remove all woody vegetation with a diameter less than six (6)
inches. Once woody vegetation is removed, please seed embankment with both cool
and warm season grasses, accordingly. Larger diameter vegetation should be removed
if damaged and embankment repaired when necessary. Please take corrective action
within one year of this letter's issuance.
3) Permit Condition II 3. Well Construction Standards (15A NCAC 02C) require
monitoring wells (MW's) to be properly maintained, including identification plates
(02C.0108 (o)) and permanent abandonment of wells, by completely filling with a
bentonite or cement - type grout (2C .0113(d)(2)).
Action Required: DWQ, Winston-Salem Regional Office has no record of well
construction (i.e. GW-1 forms) for on-site monitoring wells. The initial application lists
Law Engineering Testing Company, Raleigh, NC as completing the wells sometime in
1985-86. Please work with your contracted ORC, Glenn Price of R&A Laboratories to
determine what information is known and can be affixed to the wells. Once completed,
please notify this office in writing.
During the inspection, an improperly maintained well was cited in close proximity to
MW-1. This well is not included in the permit monitoring requirements and may act as a
conduit for groundwater contamination. Previous inspections, as well as the facility's
1991 permit, have stipulated well abandonment. At a minimum, temporary
abandonment is required per 2C rules. if there is no beneficial use for this well, please
permanently abandon well. It is strongly recommended that a certified well driller
perform the abandonment given the numerous unknowns (e.g., casing depth, depth of

Forest Lake Preserve
June 26,2013
Page 3 of 3
well, etc.). Otherwise, the owner of the well may abandon the well per 2C requirements.
Please notify this office in writing of your intentions.
It should be noted that historical groundwater monitoring data may be used to justify a
reduction or removal of some or all groundwater monitoring requirements. That is, you
may request a modification of your permit by submitting documentation (e.g., line graph
of parameter analyzed for each well) that demonstrates your wastewater irrigation
system has not degraded (and will not degrade) groundwater. Please contact Mr. Berry
with questions.
4) Permit Condition III. 1. Facility shall be properly maintained: Permit lists two effluent
dosing pumps; at the time of inspection, only one pump was in operation. Additionally,
the Number 12 diffuser in aeration tank needs replacing.
Action Required: Install second effluent dosing pump and please provide
documentation to this office that illustrates pump installation and diffuser replacement.
You are required to take any necessary action to correct the above deficiencies
and to provide a written response to this Notice within 30 days of receipt. Please
include in your response all corrective actions already taken and a schedule for
completion of any corrective actions not addressed.
Thank you in advance for your attention to these matters. If you or your staff have any
questions concerning this Notice, you may contact Stephen Berry at [phone] or
by email at [e-mail].
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor, Aquifer Protection Section
Cc: Karen Doiron,Equity Lifestyle Properties—5100 W. Lemon St., Ste 308, Tampa, FL 33609 997.10i
Kellie Godfrey,Forest Lake Preserve,General Mgr—192 Thousand Trails Dr.,Advance, NC 27006
Lee Hedrick,Forest Lake Preserve,Maintenance Dept.
James Cheshire,R&A Laboratories,Inc.—P.O. Box 473, Kernersville, NC 27285 }
Glenn Price,ORC—R&A Laboratories,Inc.
Davie County Health Department,ATTN:Tracie Lakey
APS Central Office—Permit File WQ0004972
wP ws2o s

Compliance Inspection Report
Permit: WO0004972 Effective: 09/11/09 Expiration: 10/31/15 Owner: Mhc Tt Inc
SOC: Effective: Expiration: Facility: Forest Lake Preserve
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Laura Choi Title: Phone: [phone]
Directions to Facility:
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Left. Enterance to campground is
Sprox.0.5 mile west of the Yadkin River on N.side of US 64
ystem Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: (� I;113 Entry Time: j O A Exit Time: 22•5/0{)
Primary Inspector: Stephen Berry I FT Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Complaint
Permit Inspection Type: Wastewater Irrigation
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
I.Treatment Flow ■Treatment Flow In Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
*Treatment .Record Keeping II End Use-Irrigation In Treatment Influent Pump
Station
Treatment Disinfection ■Treatment Flow .Storage El Standby Power
Measurement
II Wells
(See attachment summary)
Page: 1

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Permit: WO0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: Inspection Type: Complaint Reason for Visit: Routine
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Permit: WQ0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: Inspection Type: Complaint Reason for Visit: Routine
Type Yes No NA NE
Reuse(Quality) ❑
Infiltration System ❑
Single Family Spray, LR n
Lagoon Spray, LR ❑
Activated Sludge Drip, LR ❑
Recycle/Reuse ❑
Activated Sludge Spray, HR ❑
Single Family Drip ❑
Activated Sludge Spray, LR ■
Treatment Yes NoNA NE
+�f
Are Treatment facilities consistent with those outlined in the current permit? ❑ 0 0
Do all treatment units appear to be operational?(if no, note below.) O n ❑ ❑
Comment:
Treatment Influent Pump Station Yes No NA NE
Is the pump station free of bypass lines or structures? W❑✓❑ 0
Is the general housekeeping acceptable? F27/(❑ ❑
Are all pumps present? ry 15 0 0
Are all pumps operable? ❑ t ❑ 0
Are floats/controls operable? 0 B" ❑ 0
Are audio and visual alarms available? d❑ ❑ 0
Are audio and visual alarms operational? 0 CJ 0 0
#Are SCADA/Telemetry alarms required? 0 0 i❑
Are SCADA/Telemetry available? ❑ ❑ ■ ❑
Are SCADA/Telemetry operational? ❑ 0 ■ ❑
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? it*0 B"❑
Is flowmeter operating properly? 0 63 0
Does flowmeter monitor continuously? Vi❑ L/0
Page: 3

Permit: WQ0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: Inspection Type: Complaint Reason for Visit: Routine
Does flowmeter record flow? I) ❑ L.. ❑
Does flowmeter appear to monitor accurately? id 0 L ❑
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? 0 0 0
Are the daily average values properly calculated? ❑ ❑ ❑ d7
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ❑ 0 0
Is flowmeter operating properly? ❑ 0 0
Does flowmeter monitor continuously? 0 ❑ 0
Does flowmeter record flow? ❑ 0 0
Does flowmeter appear to monitor accurately? -❑ ❑ ❑
Comment:
Standby Power Yes No NA NE
Is automatically activated standby power available? 0 0 a 0
Is generator tested weekly by interrupting primary power source? ❑ ❑ d ❑
Is generator operable? 0 0 d
io
Does generator have adequate fuel? 0 ❑ 0
Comment:
Treatment Disinfection Yes No NA NE
Is the system working? d ❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection? 0 0 0
Is there adequate detention time(>=30 minutes)? /❑ ❑ ❑
+�Is the system properly maintained? ❑ ❑ ❑
If gas,does the cylinder storage appear safe? ❑ ❑ l( ❑
Is the fan in the chlorine feed room and storage area operable? 0 0 d❑
Is the chlorinator accessible? a/❑ 0 0
If tablets,are tablets present? ❑ ❑ ❑
Are the tablets the proper size and type? F71 ❑ ❑ ❑
Page: 4

Permit: WQ0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: Inspection Type: Complaint Reason for Visit: Routine
Is contact chamber free of sludge,solids, and growth? ❑ ❑ 0
If UV,are extra UV bulbs available? 0 0 0
If UV, is the UV intensity adequate? 0 0 L 0
#Is it a dual feed system? 0 0 E/❑
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? ❑ ❑ M ❑
If yes,then is there a Risk Management Plan on site? ❑ ❑ ❑ w(
If yes,then what is the EPA twelve digit ID Number?(1000- - )
If yes,then when was the RMP last updated?
Comment:
Record Keeping Yes,(No NA NE
Is a copy of current permit available? ry/0 0 ❑
Are monitoring reports present: NDMR? I"t 0 0 0
NDAR? ❑ ❑ ❑
Are flow rates less than of permitted flow? 21 ❑ 0 0
Are flow rates less than of permitted flow? ri ❑ ❑ ❑
Are application rates adhered to? ❑ ❑ ❑ ❑
Is GW monitoring being conducted, if required(GW-59s submitted)? ❑ 0 0
Are all samples analyzed for all required parameters? 0 0 0
Are there any 2L GW quality violations? ❑ a(❑ 0
Is GW-59A certification form completed for facility? 0 0 0
Is effluent sampled for same parameters as GW? ❑ 0 Er 0
Do effluent concentrations exceed GW standards? ❑ d❑ 0
•
Are annual soil reports available? 10 0
#Are PAN records required? 0 0 M ❑
#Did last soil report indicate a need for lime? ❑ P(❑ 0
If so,has it been applied? 0 0 B70
Are operational logs present? ,d ❑ ❑ ❑
Are lab sheets available for review? M,/❑ 0 0
Do lab sheets support data reported on NDMR? ^V ❑ 0 0
Do lab sheets support data reported on GW-59s? 9/0 0 0
Page: 5

Permit: WQ0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: Inspection Type: Complaint Reason for Visit: Routine
Are Operational and Maintenance records present? ❑ ❑ ❑ d
Were Operational and Maintenance records complete? 0 0 0 d
Has permittee been free of public complaints in last 12 months? 0 110 0
Is a copy of the SOC readily available? 0/0 Q"❑
No treatment units bypassed since last inspection? d000
Comment:
End Use-Irrigation Yes No NA NE
Are buffers adequate? , /
p-,fn n n
Is the cover crop type specified in permit? "—^ ❑ 0 0
Is the crop cover acceptable? d❑ ❑ ❑
Is the site condition adequate? 0 1Y❑ 0
Is the site free of runoff/ponding? 11n 0 0
Is the acreage specified in the permit being utilized? R/n 0 0
Is the application equipment present? d❑ 0 0
Is the application equipment operational? tin n n
Is the disposal field free of limiting slopes? 13/0 0 0
Is access restricted and/or signs posted during active site use? g(n 0 0
Are any supply wells within the CB? 0 113/0
Are any supply wells within 250' of the CB? 0 0 E(❑
How close is the closest water supply well? 0 0 0 E(
Is municipal water available in the area? Lt ❑ 0 0
#Info only: Does the permit call for monitoring wells? d❑ ❑ ❑
Are GW monitoring wells located properly w/respect to RB and CB? d❑ 0 0
Are GW monitoring wells properly constructed, including screened interval? 0 010 Ii
Are monitoring wells damaged? ❑ lei ❑ 0
Comment:
Page: 6

RECEIVED
January 29, 2013
vt.of ENR
FL' s 4 2013 r
1-Salem
Point Source Branch F -al office
Surface Water Protection Section
Division of Water Quality
1617 Mail Service Center
Raleigh,NC 27699-1617
Subject: Delegation of Signature Authority
MHC TT,Inc. dba Forest Lake
WQ0004972
To Whom It May Concern:
By notice of this letter, I hereby delegate signatory authority to each of the following
individuals for all permit applications, discharge monitoring reports, and other
information relating to the operations at MHC TT, Inc. dba Forest Lake as required by
all applicable federal, state, and local environmental agencies specifically with the
requirements for signatory authority as specified in 15A NCAC 2B.0506.
Research&Analytical Laboratories Operations and Maintenance
Services Provider
If you have any questions regarding this letter, please feel free to contact me at 813-282- -
5921.
Sincerely,
ra:: PresidenIII
t
cc: Winston-Salem Regional Office, Surface Water Protection Section
Technical Assistance and Certification Unit

A,
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
January 3, 2013
CERTIFIED MAIL#7010 0290 0001 4977 4463
RETURN RECEIPT REQUESTED
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800
Chicago, Illinois 60606
Subject: NOTICE OF DEFICIENCY
Forest Lake Preserve—Wastewater Irrigation System
Permit No. WQ0004972
Davie County
Dear Ms. Choi:
This Notice of Deficiency is being sent to you for the following deficiencies discovered during a
recent file review of self-monitoring data for the period of October 2011 through September 2012 for
the subject facility:
1. Failure to conduct groundwater sampling and submit groundwater monitoring data on compliance
monitoring form GW-59 for the March 2012 and July 2012 groundwater sample events as
required in Permit Conditions IV 10. and IV. 11.
2. Failure to measure and report the following effluent parameters for the March 2012 and July 2012
effluent sample events: pH,Nitrate, Total Kjeldahl Nitrogen, and Total Phosphorus, as required in
Permit Condition IV. 4.
As of this date, our records indicate that the above listed items have not been submitted for the
subject facility. The Division of Water Quality requests that you submit any or all of this missing data
to this office. It should also be noted that reporting forms NDMR and NDAR for October 2012 were
missing from our files. Please submit these missing reports and ensure that all reporting forms are
submitted to the Division on or before the last day of the following month as required by permit
WQ0004972.
The Division of Water Quality requests that a response in writing to this office be made within
thirty days (30) of receipt of this Notice. The response should provide an explanation for the
Winston-Salem Regional Office On
585 Waughtown Street,Winston-Salem,North Carolina 27107
„Aga
Phone:[phone] FAX:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org
An Equal Opportunity I Affirmative Action Employer

MHC TT,Inc.—Forest Lake Preserve
Permit No.WQ0004972 January 3,
missing data along with the actions taken to prevent these deficiencies from occurring in the future.
Please be advised that these deficiencies, and any future violations, may result in the issuance of a
Notice of Violation and are subject to a civil penalty assessment.
Our office appreciates your attention to the above listed deficiencies. If you or your staff have any
questions concerning this notice,please contact Mr. Patrick Mitchell or me at(336) 771-5000.
Sincerely,
Sherri V. Knight, PE
Regional Supervisor, Aquifer Protection Section
cc: Karen Doiron,Equity Lifestyle Properties—5100 W. Lemon St., Ste 308, Tampa, FL 33609
Robert Rowe,Preserve General Manager—192 Thousand Trails Dr.,Advance, NC 27006
James Cheshire,R&A Laboratories,Inc.—P.O. Box 473, Kernersville, NC 27285
Glenn Price,ORC—P.O. Box 473, Kernersville, NC 27285
Davie County Health Department
APS Central Office—Permit File WQ0004972
MPS WSRO Files
•
Page 2 of 2
Off'
U ��

Compliance Inspection Report
Permit: WO0004972 Effective: 09/11/09 Expiration: 10/31/15 Owner: Mhc Tt Inc
SOC: Effective: Expiration: Facility: Forest Lake Preserve
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Laura Choi Title: Phone: [phone]
Directions to Facility:
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Left. Enterance to campground is
approx. 0.5 mile weft of the Yadi Ri j N.side of US 64
System Classifications:
Primary ORC: Glenn Fredrick Price Certification: 987931 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Related Permits:
Inspection Date: 12/31/2012 Entry Time: 08:00 AM Exit Time: 05:00 PM
Primary Inspector: Patrick Mitchell Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type: Reconnaissance
Permit Inspection Type: Wastewater Irrigation Facility Status: 0 Compliant III v Not Compliant OOD— z�l3 - 1 G -_ 0069
Question Areas:
Miscellaneous Questions II Record Keeping
(See attachment summary)
Page: 1

Permit: WQ0004972 Owner-Facility: Mhc Tt Inc
inspection Date: 12/31/2012 Inspection Type: Reconnaissance Reason for Visit: Routine
Inspection Summary:
The following violations were discovered during a December 31, 2012 file review for the period of October 2011 through
November 2012:
1. Failure to conduct groundwater sampling and submit groundwater monitoring data on compliance monitoring form
GW-59 for the March 2012 and July 2012 groundwater sample events as required in Permit Condition IV. 10. & 11.
2. Failure to measure effluent parameters and report the effluent monitoring data on compliance monitoring form NDMR
for the March 2012 and July 2012 effluent sample events as required in Permit Condition IV. 4. &7.
Page: 2

NDMR REVIEW SHEET
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE: Surface Irrigation EVIEVVERIOD:/o/zofl to
62,Cpey1.1( 2zu —G, _-� 70,z. --- ,
Parameter Freq. Limit CorG Jo fl / - ��i p - 03 GV pi 06 07 Og O l /O II
Flow X,,ont. 24,40024d Rec. ✓ t,/ v ✓ ✓ � ✓ ✓ ✓ ✓ ;k-
pH X 3x Yr
TRC
BOD5 X 3x Yr G i/ ,/ ✓
NH3-N X 3x Yr G i/ ►% �/
TSS X 3x Yr G ,/ ;/ ✓
Fecal X 3x Yr G 1 K 5-3 y'O
DO
TDS
Conductivity
Temp.
COD
TOC
Phenols
O&G
NOZ&NO3
NO3 X 3x Yr X,
TN
TKN X 3x Yr
TP X 3x Yr G ;/ >C _ X
Chloride
Sulfide
SAR
As
B
Cd
Ca
Cr
Cu
Pb
Mg
Hg
Ni
K
Na
Zn
om ents• per, II_ �(,�, /
- p� Zig- V3 S )" �/ 6'h4 �/ i ti 'lf(z'u NC)
X= 74r�nr/r A04- leerkl,
"too - 2©13 - -Pc _000 1

NDAR REVIEW SHEET
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE: Surface Irrigation REVIEW PERIOD: to
I V /
2'e. Z -- ,
Storage Freeboard>2.O feet vl � / � v� V V
Cover Hourly Yearly
Field Acres crop Rate Rate ID II IL di DZ 03 0� a�06 D d8 0`� I Q
1 9.0 Pine 0.11 46.8 1/ ✓ ✓ ✓ / v _ jc ✓
Forest i/ V V
Comments:
, 7412- ,1 �vn, �. 1./W f, LG" �-1� - Wt.

Monitoring Well Data Review Sheet
•
PERMIT NUMBER: WQ0004972 FACILITY NAME: Forest Lake Preserve
COUNTY: Davie TYPE: Surface Irrigation REVIEW PERIOD: to
f-'— 11/2011 —1 \--c3/2O - c'7/Zolz--'I
Parameter Standard(mg/L) Nit" AS-2- 0014-3 MW Mw I A1N-Z M4 _3 pia 01N-1
Water level X 40 39 ,r 3I
COD
Col. Fecal X (2D S 2'tC t/
Col. Total 1/100m1
TDS 500
pH X 6.5-8.5 I 6,4 S,3 0,0
TOC X 10 5,4 V V V/
Chloride X 250 I/ t/ V V
DO
As 0.010
O&G
Phenols 0.30
Sulfate 250.0
Specific Cond.
NH3
TKN as N
NO2 1
NO3 X 10 1/ V ./
TP
Orthophospate
Al
Ba 2.0
Ca
Cd 0.005
Cr,Total 0.05
Cu 1.0
Fe 0.3
Hg 0.0011
K
Mg
Mn 0.05
Ni 0.1
Pb 0.015
Zn 2.1
NH3 as N
Xylenes
Volatile Compounds:one of the methods below I X I
VOC 6230 0.5 ug/L
VOC 6210 0.5 ug/L
EPA 8021 0.5 ug/L
EPA 8261 0.5 ug/L
VOC EPA 602 0.53 mg/L
qz(o 13 <
hart 1n Ze 1 Z `�- L4 1 h 2012 qr-t- kt uov) 'tom w 4JnR0 =H k gills S L1 4J u fv lA4f>a,64o;n5),
t G I!'fir,., ► - Mt.&! t� 2 7 -�r Nav es 2-c ( evee�.

•
RESEARCh & ANALYTICAL
LABORATORIES, INC.
Analytical/Process Consultations
22 January 2013
Ms Sherri Knight
NC Division of Water Quality
Aquifer Protection Section
Winston-Salem Regional Office
Re: Forest Lake Preserve- Notice of Deficiency
Ms Knight,
Please find below our responses to the Notice of Deficiency for Forest Lake Preserve dated 3 January 2013:
Failure to conduct groundwater sampling and submit data on GW-59 forms for compliance
Groundwater monitoring was conducted at all site monitoring wells on 21 March 2012,
30 July 2012, and 9 November 2012. The subsequent data was submitted on GW-59 forms to the site
manager at Forest Lake for signing and submittal. The site manager was not aware of the need to sign
and submit the forms, and simply filed the forms for future reference. As of 1 January 2013, Research
and Analytical Laboratories has been granted signature authority for Forest Lake Preserve, and will
begin signing and submitting the required monitoring forms and data for Forest Lake immediately. All
GW-59 forms for the March,July, and November 2012 sampling events have been signed and submitted
as required.
Failure to measure and report effluent parameters for March 2012 and July 2012 sampling events.
Effluent sampling for pH,Nitrate,Total Kjeldahl Nitrogen, and Total Phosphorous was conducted on 20
March 2012,30 July 2012, and 8 November 2012. This data was accidentally omitted from the NDMR
forms for those months due to a clerical error. That error has been corrected and the missing data has
been re-submitted on amended NDMR's for those months.
If you should have any further questions or concerns, please feel free to contact me at the numbers below.
Sincerely,
Glenn Price
Research and Analytical Laboratories
Operator in Responsible Charge(Forest lakes Preserve)
336.996.2841 (office)
336.408.7924 (cell)
PO. Box 473• 106 Short Street•Kernersville, North Carolina 27284•336-996-2841 •Fax [phone]
www.randalabs.com

iitchell, Patrick
From: Knight, Sherri
Sent: Friday, February 01, 2013 1:29 PM
To: Mitchell, Patrick
Subject: FW: Forest Lakes Preserve Notice of Deficiency Response
Attachments: Forest Lakes.pdf
Sherri Knight, PE
NC DENR Winston-Salem Regional Office
Division of Water Quality,Aquifer Protection Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: [phone]
FAX: [phone]
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
• randalabs outlook.com mailto:r labs outlook.com] On Behalf Of Research and Analytical Laboratories
To: nig , ern
Subject: Forest Lakes Preserve Notice of Deficiency Response
Sherri,
Please find attached my response for the NOD for Forest Lakes issued January 3rd, 2013. If you should have
any questions or need any additional information please so advise.
Best Regards,
Glenn Price
Research & Analytical Laboratories, Inc.
i

1
%o at6010 P90g00
RESEARCh Ai ANA .yTICAt le..c.01A
gyp,.`®®o
off? LAbORATORIES, INC, • io NC NU ilfst a'�
d�- ? Analytical/Process Consultations m •°• a
0
November 26, 2012
Forest Lake Preserve
192 Thousand Trails Drive
Advance, NC 27006
Attention: Barbara Stanze
Chemical Analysis for the Semi-annual Groundwater Monitoring Wells Identified as Forest Lake ELS
1• Project Number: N/A
Miscellaneous MW-3 MW-4 MW-1 Dates
Parameters Results Results Results Analyzed
Nitrate-Nitrogen(mg/L) ' 0.230 <0.050 <0.050 11/09/12
Fecal Coliform(col\100 mis) • 12 <1 <1 11/09/12
Chloride(mg/L) • 21.5 3.5 4.5 11/21/12
TOC (mg/L) • <1.0 <1.0 14.4 11/15/12
Conductivity(µmhos) • 103 424 196 11/14/12
Sample Number 744522 744523 744524
Sample Date 11/09/12 11/09/12 11/09/12
Sample Time 0815 0821 0755
Analyst: SK, KL, AA&DW
nig/L = milligrams per Liter=parts per million(PPM) col-ml = Colonies per milliliter

...till
J . ,'Op7 uY90 Y yp,',aANAL F• c
• cyoo
LAbORfTfORI Sic. ii,4(t...- •'.a NCd34 = I.
Analytical/Process Consultations -y, 9�z1. cpP by,.$
.,,,iED,nNPe,,
Chemical Analysis for Selected Parameter for Samples Identified as Forest Lake ELS
(A Forest Lake ELS Project. collected 09 Noyemher 2012)
I. Volatile Organics Quantitation MW-3 MW-4 MW-I
EPA Method 8260 B Limit
Parameter (ppbl (me./Ll (me/L) (mp/L)
Acetone 25 BQL BQL BQL
Acrolein 100 SQL BQL SQL
Acrylonitrile 100 BQL BQL BQL
Benzene 0.5 BQL BQL BQL
Bromobenzene 0.5 SQL BQL BQL
Bromochloromethane 0 5 BQL BQL BQL
Bromodichloromethane 0 5 BQL BQL SQL
Bromofonn I 0 BQL, BQL BQL
Bromomethane 1 0 BQL BQL BQL
2-Butanone 25 BQL BQL BQL
Carbon Disulfide 5.0 BQL BQL BQL
Carbon Tetrachloride 0 5 SQL BQI. BQL
Chlorobenzene 0.5 BQL BQL BQL
Chloroethane L0 BQL BQL BQL
2-Chloroethyl vinyl ether 5.0 BQL BQL BQL
Chloroform 0 5 SQL BQL BQL
Chlorotnethane I 0 BQL BQL BQL
2 Chlorotoluene 05 BQL BQL BQL
4-Chlorotoluene 0 5 BQL BQL BQL
Cis-1.2-Dichloroethene i)5 BQL BQL BQI.
Cis-t,3-Dichloropropene .. - SQL BQL BQI.
12-Dibromo-3-Chloropropane.(DPCP) 5 0 BQL BQL SQL
1,2-Dibromoethane(EDB) 0 5 BQL BQL BQL
Dibromochloromethaue 0 5 BQL BQL BQL
Dibromomethane 0 5 SQL SQL SQL
12-Dichlorobenzene 0 5 BQL BQL BQL
I,3-Dichlorobenzene 0 5 BQL. BQL SQL
1.4Dichlorobenzene 0 5 BQL BQL BQL
1,I-Dichloroethane 0 5 BQL BQL SQL
12-Dichloroethane 0 5 BQL BQL SQL
1,l-Dichloroethene 0.5 BQL BQL SQL
Dichloroflouromethane 0.5 SQL BQL SQL
1,2-Dichloropropane 0 5 BQI. SQL SQL
1,3-Dichloropropane 0 5 BQL BQL SQL
2,2-Dichloropropane 0 5 SQL BQL BQL
I,l-Dichloropropene i)5 BQL BQL BQL
Ethyl Benzene 0 5 BQL BQL BQL
2-Hexanone 5 0 BQL BQI, BQL
IPE 0.5 BQL BQL BQL
I-Propylbenzene 0 5 BQL BQL BQL
4-Methyl-2-Pentanone 5 0 SQL BQL BQL
Methyl Iodide 1.0 BQL BQL BQL
Methylene Chloride 5.0 BQL BQL BQL
MTBE 05 BQL BQL BQL
Naphthalene 0 5 BQI. BQL BQL
N-Butylbenzene 0 5 SQL BQL BQL
N-Propytbenzene 0 5 BQL BQL BQL
p-lsopropyltoluene 0 5 BQL BQL SQL
Sec-Butylbenzene 0 5 BQL BQL BQL
Styrene 0 5 BQL BQL BQL
Ten-Butylbenzene 0 5 SQL BQL BQL
1,1.1,2-Tetrachloroethane 0 5 BQL BQL BQL
1,I,2,2-Tetrachloroethane 0 5 BQL BQL BQL
Tetrachloroethene 0 5 BQL BQL BQL
Toluene 0 5 BQL BQL BQL
Trans-I,2-Dichloroethene 0 5 BQL BQL BQL
Trans-1,3-Dichloropropene 0 5 BQL BQL BQL
Trans-I,4-Dichloro-2-butene 5 0 BQL BQL BQL
12,3-Trichlorobenzene 0 5 BQL BQL BQL
12 4-Trichlorobenzene 0 5 BQL BQL BQL
1.I,I-Trichloroethane 0 5 BQL BQL BQL
1,1,2-Trichloroethane 0 5 BQL BQL BQL
Trichloroethene 0 5 BQL BQL BQL
Trichlorofluoromethane 0 5 BQL BQL BQL
12,3-Trichloropropane 0 5 SQL BQL SQL
124-Trimethylbenzene 0 5 BQL BQL BQL
1.3.5-Trimethylbenzene 0 5 BQL BQI. BQL
Vinyl Acetate I 0 BQL SQL SQL
Vinyl Chloride 0 5 SQL BQL BQL
Total Xylenes 1 0 BQL BQL SQL
Dilution Factor 1 1 1
Sample Number 744522 744523 744524
Sample Date I1/09/12 11/09/12 11/09/12
Sample Time(hrsl 0815 0821 0755
BQL - Urloa @lilxi rztl:;n L:nls pph=pair per billion •

papOLG4cppo
00 GGG OOP��}�((���c}� mikve� 0
'.r RE SLARC ��`R in Al
4A�Cy �CCA� p°"�% u.cr y`° '�
j `, - o . .4
{LA bO ltA�1ORDES i C. a o ct� ��
„)-77.=--. , Analytical/Process Consultations
Forest Lake Date Sample Collected : 11/09/12
192 Thousand Trails Drive Date Sample Received . 11/09/12
Advance, NC 27C06 Date Sample Analyzed : 11/09/12
Attn: Barbara Stanze Date of Report : 11/26/12
Analyses Performed by : SA -YJ -AP -SK -DE -MS
Lab Sample Number
744525
Parameter Storet 4 Results
BOD-5 00310) 4 . 94 mg/1
TSS ;00530) 10 . 0 mgil
NH-3-N 1 0 0 6 1 0) 34 .5 mg /1
Fec Coli-MF ;31616) <1 cc1/100m1
TOT N (00600) 52 . 9 mg/1
TKN (00625) 41. 7 mg l
NO2+NG3 .00630) 11 .2 mg/1
Phos, Tot (00665) 1 . 46 mg/1
Clients Sample Source EFFLUENT
Number
Time Collected ,Hrs) 0806
PO Box 473 0 106 Short Street 0 Kernersville, North Carolina 27284 0 336-996-2841 0 Fax [phone]
www randalabs corn

OROUN it-WATER MONITORING FIELD LOG AL
Personnel Present: COMMENTS:
•
Facility Forest Lake ELS Glenn Price
11/08& 11/09/12
Weather Clear-59°F Date
Monitoring Well No.. MW-2 MW-3 MW-4 MW-1 Effluent
Total Depth(FT.) 46.00 19.10 39.00 90 00
Surface Depth(FT.) 44.45 10.04 31.14 66.86
Water Depth(FT.) 1.55 9.06 7.86 23.14
Diameter (IN.) 2" 7" 2" 2"
Conversion Factor 0.16 0.16 0.16 0.16
Well Volume(GAL.) 0.25 1.45 1.26 3.70
Volume(GAL.) X 3 4.35 3.77 11.11
Well Dry
#Bails(L)x 4 18 16 45
Purge Date 11/08/12 11/08/12 11/08/12 11/08/12
Purge Time(hrs.) 1248 1240 1225
Purge Method Bailer Bailer Bailer Bailer
Volume Removed(GAL.) 2.00-Dry 1.25-Dry 6.00-Dry
Sampling Date 11/09/12 11/09/12 11/09/12 11/09/12 11/09/12
Sampling Time(hrs.) 0815 0821 0755 0806
Sampling Method Bailer Bailer Bailer Bailer Grab
pH(Standard Units) 6.53 6.57 6.68 6.82
Temperature(EC) 13.0 13.2 12.9 12.1
Conductivity(pmhos/cm) C12 0.84 mg/1
Dissolved Oxygen(mg/L)
Clear Clear Clear Clear
Observations\Sampling

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original "EPARTMENT OF ENVIRONMENT 8 NATURAL RESOURCES
ad 1 copy to n
.'IVISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Pont Clearly or Type PERMIT Number: WQ0004972 Expiration Date: October 31,2011
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze Telephone#. ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other.
from Permit) - -........,
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-1 Date sample collected: 11/9/2012 FIELD ANALYSES: WAS
Well Depth: 90 ft. Well Diameter: 2 in. pH ooa0o 6.68 units Temp. 000to 12.9 °C DRY at
time of
Dept to Water Level 82546 66.86 ft. below measuring point Screened Interval: ft to ft Spec. Cond. 00094 196 EMhos sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085. check
Volume of water pumped/bailed before sampling: 6.00 dry gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 11/09-11/21/12 Laboratory Name. Research &Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb- Lead om051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N o0620 <0.050 mg/L Zn- Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al-Aluminum 011os mg/L
pH(Lab)00403 6.68 units Ba- Barium 01007 ug/L
TOC 00680 14.4 mg/L Ca-Calcium 00916 mg/L
Chloride o0940 4.5 mg/L Cd - Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils o0552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe- Iron o10as ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate o0945 mg/L Hg -Mercury 71900 ug/L Lab Report Attached? X Yes(1) ❑ No(0)
Specific Conductance 00095 196 µMhos K- Potassium 00937 mg/L VOC 78732: , method# 8260
Total Ammonia o0610 mg/L Mg- Magnesium o0927 mg/L , method#
(Ammonia Nitrogen;NH3as N:Ammonia Nitrogen,Total) Mn -Manganese oioss ug/L , method#
TKN as N 00625 mg/L Ni -Nickel 01067 ug/L , method#
n
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I cer if\
DViO-ccrtr u
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
and 1 Mail
original
DEPARTMENT OF ENVIRONMENT IL NATUR
AL -
GROUNDWATER QUALITY MONITORING: SIGN OF WATER QUALITY•IINFORMATIoN PROCESSING UNIT
COMPLIANCE REPORT FORM 1617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0004972 Expiration Date: October 31, 2011
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑ Remediaiion: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze Telephone#, ❑ Rotary Distributor ❑Land Application of Sludge
Well Location/Site Name: • No. of wells to be sampled. 4 ❑ Water Source Heat Pump ❑ Other:
from Permit; a
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-2 Date sample collected: FIELD ANALYSES: WAS
Well Depth: 46.00 ft. Well Diameter: 2 in. pH oo40u units Temp.000to °C DRY at
Dept to Water Level 82546 44.45 ft. below measuring point Screened Interval: ft. to ft Spec. Cond. 00094 µMhos time of
sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: Well Dry gallons Appearance here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: Laboratory Name: Research&Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE: Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oos15 mg/L Pb- Lead 01051 ug/L
Coliform: MF Fecal 31616 /100mL Nitrate(NO3)as N 00620 mg/L Zn-Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Note Use MPN method for hlgNy turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
Dissolved Solids:Total 70300 mg/L Al -Aluminum 01 105 mg/L
pH(Lab)00403 units Ba- Barium 01007 ug/L
TOC 00680 mg/L Ca -Calcium uo916 mg/L
Chloride 00940 mg/L Cd-Cadmium 0i027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe- Iron oio45 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg- Mercury 71900 ug/L Lab Report Attached? ❑ Yes(1) ❑ No(0)
Specific Conductance 00095 µMhos K- Potassium 00937 mg/L VOC 78732 , method#
Total Ammonia oos10 mg/L Mg - Magnesium o0927 mg/L , method#
(Ammonia Nitrogen,NH,as N,Ammonia Nitrogen,Total) Mn- Manganese oio55 ug/L , method# i
TKN as N 00625 mg/L Ni -Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
cen,,„
DWQ-cort.iic,: , j
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Dale)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original'•"EPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to. ,,•
SION°OF WATER QUALITY-INFORMATION•PROCESSING UNIT
COMPLIANCE REPORT FORM .617 MAIL SERVICE CENTER,RALEIGH;NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: W00004972 Expiration Date: October 31, 2011
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): NPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation.
Contact Person: Barbara Stanze Telephone#: ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No. of wells to be sampled: 4 ❑ Water Source Heat Pump ❑ Other:
(horn Permit)
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-3 Date sample collected: 11/9/2012 FIELD ANALYSES: WAS
Well Depth: 19.10 ft. Well Diameter. 2 in pH 00400 6.53 units Temp. 00010• 13 °C DRY at
Mhos time of
Dept to Water Level 82546 10.04 ft. below measuring point Screened Interval: ft to ft. Spec Cond. 00094 103 µ sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085: check
Volume of water pumped/bailed before sampling: 2.00-Dry gallons Appearance _ here:
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑NO
LABORATORY INFORMATION
Date sample analyzed: 11/09-11/21/12 Laboratory Name. Research&Analytical Laboratories, Inc Certification No. 34
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N oo61s mg/L Pb- Lead°lost ug/L
Conform.. MF Fecal 31616 12 /100mL Nitrate(NO3)as N 00620 0.230 mg/L Zn -Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(Ni°e use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units).
Dissolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 6.53 units Ba- Barium 01007 ug/L
TOC 00680 <1.0 mg/L Ca- Calcium 00916 mg/L
Chloride 00940 21.5 mg/L Cd- Cadmium 01027 ug/L
Arsenic o1002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu-Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe- Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate 00945 mg/L Hg - Mercury 71900 ug/L Lab Report Attached? © Yes(1) ❑ No(0)
Specific Conductance 00095 103 µMhos K- Potassium 00937 mg/L VOC 78732 , method# 8260
Total Ammonia o0610 mg/L Mg- Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NH,as N,Ammonia Nitrogen,Total) Mn- Manganese 01055 ug/L , method#
TKN as N 00625 mg/L Ni- Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
I certif. ., i. . .
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

SUBMIT FORM ON YELLOW PAPER ONLY
GROUNDWATER QUALITY MONITORING: Mail original DEPARTMENT OF ENVIRONMENT&NATURAL RESOURCES
and 1 copy to .(VISION OF WATER QUALITY-INFORMATION PROCESSING UNIT
COMPLIANCE REPORT FORM 617 MAIL SERVICE CENTER,RALEIGH,NC 27699-1617 Phone:[phone]
FACILITY INFORMATION Please Print Clearly or Type PERMIT Number: WQ0004972 Expiration Date: October 31, 2011
Facility Name: Forest Lake ELS Non-Discharge UIC
Permit Name(if different): INPDES Other
Facility Address: 192 Thousand Trails Drive TYPE OF PERMITTED OPERATION BEING MONITORED
Advance NC 27006 County Davie ❑ Lagoon ❑ Remediation: Infiltration Gallery
© Spray Field ❑ Remediation:
Contact Person: Barbara Stanze Telephone#. ❑ Rotary Distributor ❑ Land Application of Sludge
Well Location/Site Name: No of wells to be sampled. 4 ❑ Water Source Heat Pump ❑ Other:
(from Permit) 1
SAMPLING INFORMATION If WELL
WELL ID NUMBER(from Permit): MW-4 Date sample collected. 11/9/2012 FIELD ANALYSES: WAS
Well Depth: 39.00 ft. Well Diameter: 2 in. pH 00400 6.57 units Temp. 00010 13.2 °C DRY at
Mhos time of
Dept to Water Level 82546 31.14 ft. below measuring point Screened Interval: ft. to ft. Spec. Cond. 00094. 424 µ sampling,
Measuring Point is ft. above land surface Relative M.P. Elevation: ft. Odor 00085 check
Volume of water pumped/bailed before sampling: 1.25-Dry gallons Appearance here
Samples for metals were collected unfiltered: ❑YES ❑ NO and field acidified: ❑YES ❑ NO
LABORATORY INFORMATION
Date sample analyzed: 07/30-08/07/12 Laboratory Name: Research&Analytical Laboratories, Inc - Certification No. 34
PARAMETERS NOTE:Values should reflect dissolved and colloidal concentrations.
COD 00335 mg/L Nitrite(NO2)as N 00615 mg/L Pb- Lead 01051 ug/L
Coliform: MF Fecal 31616 <1 /100mL Nitrate(NO3)as N oos2o <0.050 mg/L Zn- Zinc 01092 mg/L
Coliform: MF Total 31504 /100mL Phosphorus: Total as P 00665 mg/L
(N„te. Use MPN method for highly turbid samples) Orthophosphate 70507 mg/L Other(Specify Compounds and Concentration Units):
.Dissolved Solids:Total 70300 mg/L Al-Aluminum 01105 mg/L
pH(Lab)00403 6.57 units Ba-Barium o1o07 ug/L
TOC 00680 <1.0 mg/L Ca-Calcium 00916 mg/L
Chloride o09ao 3.5 mg/L Cd-Cadmium 01027 ug/L
Arsenic 01002 ug/L Chromium: Total 01034 ug/L
Grease and Oils 00552 mg/L Cu- Copper 01042 mg/L ORGANICS: (by GC, GC/MS, HPLC)
Phenol 32730 ug/L Fe- Iron 01045 ug/L (Specify test and method#.ATTACH LAB REPORT.)
Sulfate o0945 mg/L Hg-Mercury 71900 ug/L Lab Report Attached? © Yes(1) E No(0)
•pecific Conductance o0o95 424 µMhos K- Potassium 00937 mg/L VOC 78732 , method # 8260
Total Ammonia 00610 mg/L Mg- Magnesium 00927 mg/L , method#
(Ammonia Nitrogen;NHnas N,Ammonia Nitrogen,Total) Mn-Manganese 01055 ug/L method#
TKN as N 00625 mg/L Ni- Nickel 01067 ug/L , method#
For Remediation Systems Only(Attach Lab Reports): Influent Total VOCs: mg/L Effluent Total VOCs: mg/L VOC Removal%
DWa-certir,Q,..
Permittee(or Authorized Agent)Name and Title-Please print or type Signature of Permittee(or Authorized Agent) (Date)
GW-59 Rev.2/2010

kESEARC ANcL CUSTODY
LAbo ' °�1[ORIESo N.Co
Analytical / Process Consultations
2.G r ,.. ...]u."J Phone [phone]
WATER!WASTEWATER MIS
COMPANYs� JOB NO — /) ////// / ��it:re 6_6,,.../ag... /
STREET ADDRESS PROJECT � �co p�
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PHONE SAMPLER SIGNATURE o = 0 `p �ppr,00 `p �� UP p
` v CJ Q Q O 07 O Q /
SAMPLE NUMBER CHLORINE SAMPLE
�' o of F F Q: O Q' Q' Q' e /
DATE TIME COMP GRAB TEMP RES REMOVED MATRIX SAMPLE LOCATION f LD. tiv a o �o / ANALYSIS.(LAB USE ONLY) C CI rorti) ISc+w, ti �- ti ` i REQUESTED
-7L1Licb' L Y og, d46-J-IC VI 1 H 9 i f moo° Q�J coo fo�;-„,;
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RELINQUISHED BY DATE/TIME RECEIVED BY �.' �- L
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1 SAMPLE TEMPERATURE AT RECEIPT • ) " °C

GROUNDWATER MONITORING FIELD LOG .. _
Personnel Present: COMMENTS:
k---
Facility 7-V7 -:$4-- Le--le. . ,.
il
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Weather LI i-eo-r- •."7`r-71- Date
Monitoring Well No.. firiN ;2' fil lif'; ...3 (riti. .L-1 ,o-;, , ( .
''C''' _ 1-7". r•'
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Total Depth(FT.) (.3.'3 ‘k 0 31,7,..'";', (y6 r.,-.P.,')'.
- _
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Surface Depth(FT.)
Water Depth(FT.)
/),',-6''. .3 i Pt
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Diameter (IN.) 7'' z",
4.,..,...
Conversion Factor .) k'Lp 0, It, (,,! ,1t,9 (::, i Ly
Well Volume(GAL.) -2 (pc I ._,.2 b• S. 96,
Volume(GAL.) X 3 p_A L • 3c' 31'7 11/ 11
ki Bails
Purge Date it 14 f...7,
„ —
Purge Time(hrs.) izy '0. I...-3 L-( I U.C:'
;., . .
Purge Method
Volume Removed(GAL.) ' ./)?)dy 1.7C JP/
., /i .7. j ik _•. •Sampling Date i'-'1 ( .4 — /;? / -1
, . . .,...-
Sampling Time(hrs.) OC 1c r6 2 ( orIcc- 0 SOp
Sampling Method r, I .,
....:--.11)
pH(Standard Units) le -5 le•SI 0.1p .:: (0 1 2_
Temperature('C) t ' ° /3.a
Conductivity(gmhos/cm) Aklit.-
__
Dissolved Oxygen(mg/L.)
. - .
ObservationskSampling C,Y Cr C/ICO-r cAels,( c e.,/,

ATA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 4, 2011
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800
Chicago, Illinois 60606
Subject: Follow-up Compliance Evaluation Inspection
Forest Lake Preserve—Thousand Trails
Non-discharge - Wastewater Spray Irrigation System
Davie County
Permit No. WQ0004972
Dear Ms. Choi:
On November 1, 2011 staff of the North Carolina Division of Water Quality's Winston-Salem
Regional Office (DWQ) performed a follow-up compliance evaluation inspection of the Forest Lake
Preserve - Thousand Trails non-discharge wastewater spray irrigation system. This inspection was
conducted by DWQ staff person Mr. Patrick Mitchell. The purpose of this inspection was to
follow-up on repairs to the spray irrigation system required in NOD-2011-PC-0567 dated October 20,
2011. Also reviewed during this inspection was the operation of the spray heads and a review of the
monitoring wells.
DWQ was notified by phone on October 23, 2011 by Mr. Rex Walser of Thousand Trails that the two
areas requiring repair noted in NOD-2011-PC-0567 had been repaired. Both of these areas were
reviewed by DWQ during this inspection and were found to be successfully repaired. The spray heads
were pressurized and operating properly with no observed signs of wastewater surfacing in the
repaired areas.
The four monitoring wells were located and reviewed. One monitoring well did not have any
identification number located on it. This well is believed to be MW-3. The other three monitoring
wells were field labeled with identification numbers that did not match the identification numbers
recorded on reporting forms. These monitoring wells are labeled 5, 6, and 7 in the field. The
monitoring wells should be labeled in the field to match the identification numbers used on the
reporting forms. Please label the monitoring wells using the following: MW-1 = former #5;
MW-2 = former #6; MW-4 = former #7; and MW-3 is the unlabeled monitoring well that was
originally mapped as GW-3. It should also be noted that the grout surrounding each of the well
casings was cracked, but it did not appear that surface water was entering. This should be monitored
closely to determine if repair is needed.
Winston-Salem Regional Office One
585 Waughtown Street,Winston-Salem,North Carolina 27107 NorthCarolina
Phone:[phone] FAX:[phone] Customer Service:1-877-623-6748 Internet www.ncwaterquality,org Naturally
l n//y
An Equal Opportunity\Affirmative Action Employer

MIIC TT,Inc.—Forest Lake Preserve,Thousand Trails Permit No.W00004972.
Follow-up Compliance Evaluation Inspection November 4,2011
It was indicated during the inspection that a new ORC had not been designated for the system at the
time of the inspection, and that Mr. Quentin Campbell was remaining as ORC until a new ORC is
named. The Permittee must notify DWQ of this change once it has taken place.
Our office appreciates your diligence in correcting the previously noted deficiencies, as well as your
continued attention to the above listed items. Please refer to the enclosed compliance inspection
report for additional observations and comments. If you or your staff have any questions concerning
this letter,please contact Mr. Patrick Mitchell or myself at [phone].
Sincerely,
)1441.4.4
Sherri V. Knight, PE
Regional Supervisor, Aquifer Protection Section
enc.: Compliance Inspection Report
cc: Karen Doiron,Equity Lifestyle Properties,5100 W.Lemon St., Ste 308,Tampa,FL 33609
Robert Rowe,Preserve General Manager— 192 Thousand Trails Dr.,Advance,NC 27006
Quentin Campbell,ORC—3830 N. Main St.,High Point,NC 27265
Davie County Health Department
APS Central Office—Permit File WQ0004972
Page 2 of 2

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Aquifer Protection Section
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
SURFACE IRRIGATION
General Information
Owner: MHC TT, Inc. County: Davie
Permit No.: WQ0004972 Issuance Date: September 11,2009
Facility Name:Forest Lake Preserve-Thousand Trails Expiration Date:October 31,2015
ORC Name:Quentin L.Campbell Telephone No.:c: [phone] o/h: [phone]
Backup ORC: Randy Lohr Telephone No.: [phone]
Other Contact:Rex Walser,Facility Supervisor Telephone No.: [phone]
Location(address,gps or directions):Hwv 64, 1/2 mile east of intersection with Hwy 801.
Reason for Inspection
❑ ROUTINE ❑ COMPLAINT ® FOLLOW-UP ❑ Other:
Ins 8 ection Summa : additional comments ma be included on attached ,a!es
Re-inspection of the surface irrigation field was conducted on November 1, 2011. Accompanying DWQ on
the inspection was Mr. Rex Walser(Facility Supervisor). The purpose of this inspection was to follow-up on
repairs made to the piping associated with the spray irrigation field, observe the operation of the spray heads,
and locate/review the monitoring wells. This inspection was limited to review of the spray irrigation field and
monitoring wells only. The inspection revealed the following:
• The two areas where the wastewater irrigation piping was damaged appeared to be repaired. Both areas
noted in NOD-2011-PC-0567 were reviewed with no observations made of surfacing wastewater.
• The spray heads were pressurized and operating properly.
• The four monitoring wells (MW)were located. One MW did not have any identification number located on
it. This well is believed to be MW-3. The other MW identification numbers located on the MW's did not
match the identification numbers recorded on reporting forms. The MW's are labeled 5, 6, and 7 in the field.
The grout surrounding each of the well casings was cracked, but it did not appear that surface water was
entering.
NOTES:
- Once a new ORC is named for the system, the Permittee should notify DWQ of this change.
Is a follow-up inspection necessary ❑Yes ®No
Primary Inspector: Patrick Mitchell Secondary Inspector:
Telephone: (336)771 —5000 Fax: [phone]
Date of Inspection: November 1,2011 Entry Time: 10:00 am Exit Time: 11:00 am

t
Non-Discharge Compliance Inspection Report -•
Type
❑ Reuse (i.e., golf courses)
®Activated Sludge Spray, low rate
❑Recycle-Reuse
❑Activated Sludge Spray, high rate
❑ Lagoon Drip, Low Rate
❑Activated Sludge Drip, low rate
❑ Infiltration System
❑ Other
Influent Pump Station Y N NA NE
All pumps present, operational ❑ ❑ ❑
Floats/Controls operable ❑ ❑ ❑
Audio&Visual Alarms Operational ❑ ❑ ❑
Free of bypass lines or structures ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑
Back-up power available,routinely tested& fueled? ❑ ❑ ❑
Comments:
Treatment Barscreen Y N NA NE
Are bars spaced properly& free of excess debris? ❑ ❑ ❑
Are screenings disposed of properly? ❑ ❑ ❑
Is unit in good condition(excess corrosion)? ❑ ❑ ❑
Comments:
Equalization Basin Y N NA NE
Is aeration present? ❑ ❑ Z ❑
Are pumps present and operational? ❑ ❑ ❑
Is unit in good general condition? ❑ ❑ ❑ El
Comments:
Treatment Activated Sludge Y N NA NE
Aeration mechanism operable& accessible? ❑ ❑ ❑
Aeration basin thoroughly mixed? ❑ ❑ ❑
Settleometer& dissolved oxygen results acceptable? ❑ ❑ ® ❑
Is sludge an acceptable color? ❑ ❑ ❑
Comments:
Page 2 of 6

. Non-Discharge Compliance Inspection Report
Residual Storage/Treatment Y N NA NE
El Lagoon ® Basin
Is aeration pattern even? ❑ El ® ❑
❑ Septic Tank(s) Capacity (gallons):
Is sanitary T or filter present? El ❑ ® ❑
How often are residuals pumped?As needed.
Are pumping receipts available? ❑ ❑ ❑
What is the receiving WWTP?
comment:Contract with pumping company for cleanouts as needed.
Treatment Filter(s) Y N NA NE
Is the filter media present, correct size &type? ❑ El ® El
Is mud well free of excess solids and filter media? ❑ ❑ ® El
If sand filter, is unit subsurface? El ❑ ® ❑
Is media free of ponding, algae or excess vegetation? ❑ El ® ❑
Is air scour operational and acceptable? El El ® ❑
Is clear well free of excess solids? El ❑ ® ❑
Does backwashing frequency appear adequate? El ❑ ® El
Comment:
Treatment Clarifiers Y N NA NE
Weirs level, free of excessive solids & algae? ❑ El El El
Scum removal system operational and accessible? El El El
Sludge blanket at acceptable level? El El El El
Clarifier effluent free of excessive solids? El ❑ El El
Comments:
Treatment Disinfection Y N NA NE
Type: ® Tablets El Gas ❑ Liquid El UV
Is the system properly maintained and working? El El El El
Fecal coliform results indicate proper disinfection? El El El El
Adequate detention time(> 30 minutes)? El El ❑ El
If tablets, proper size? El El El El
Present in Cylinder(s)? El El El
If gas/liquid, does cylinder/tank storage appear safe? ❑ El ® ❑
If UV bulbs, are replacement bulbs on hand? ❑ ❑ ® ❑
Is contact chamber free of sludge, solids and growth? El ❑ ❑ El
Comments:
Page 3 of 6

Non-Discharge Compliance Inspection Report --
Flow Measurement Y N NA NE
Flowmeter location: ❑ Influent ®Effluent
Is flowmeter calibrated annually(design flow>10,000 gpd)? ❑ ❑ ❑ El
Is flowmeter operating properly? ❑ ❑ ❑ El
Does flowmeter operate continuously? ❑ ❑ ❑ El
Does flowmeter record flow? ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ❑ ❑ ❑
If no flowmeter(design flow 1,000-<10,000 gpd), are water-use records available(water meter)?❑ ❑ ® ❑
Are the daily average values properly calculated? ❑ ❑ ❑ El
Comments:
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? ❑ ❑ ❑ El
Do all treatment units appear to be operational? If no, note below. ❑ ❑ ❑ El
Comments(list any action items necessary for each unit):
Effluent Storage
®Lagoon(s): ❑ Aerated or ❑ Mixed Spill control plan on site? ❑Yes ENO ❑NA ®NE
❑ Above ground tank(s): ❑ Aerated or ❑ Mixed
❑ Underground tank(s): ❑ Aerated or ❑ Mixed
❑ Drying beds ❑ Concrete storage pads ['Other:
Amount of Storage(days, months, gallons, etc.):
Comments:
Effluent Storage Lagoon(s) Y N NA NE
® Primary ❑ Secondary
Influent structure(s)free of obstructions? ❑ ❑ ❑ El
Banks/berms (are there signs of seepage, overtopping, down cutting or erosion) ❑ ❑ ❑ El
Vegetation(is there excessive vegetation on the lagoon bank) ❑ ❑ ❑ El
Liner(if visible, is it intact) ❑ ❑ ❑
Baffles/curtains (in need of repair) ❑ ❑ ® ❑
Freeboard (>2 feet from overtopping) ❑ ❑ ❑ El
Measurement at time of inspection
Staff gauge(clearly marked) ❑ ❑ ❑
Evidence of overflow(vegetation discolored or laying down/broken) ❑ ❑ ❑
Unusual color(very black,textile colors) ❑ ❑ ❑
Page 4 of 6

Non-Discharge Compliance Inspection Report
Effluent Storage Lagoon(s) continued Y N NA NE
Foam (are antifoam agents used) ❑ ❑ ❑
Floating mats (sludge,plants, inorganics) ❑ ❑ ❑ Z
Excessive solids buildup (from bottom) ❑ ❑ ❑
Aerators/mixers operational (if present) ❑ ❑ ® ❑
Effluent structure (free of obstructions, easily accessible) ❑ ❑ ❑ Z
Comments:.
Pump station(s) Y N NA NE
All pumps present, operational ❑ ❑ ❑ El
Floats/Controls operable ❑ ❑ ❑ Z
Audio& Visual Alarms Operational ❑ ❑ ® ❑
Free of bypass lines or structures ❑ ❑ ❑
General housekeeping good ❑ ❑ ❑
Back-up power ❑ ❑ ❑ El
Comments:
End Use-Irrigation Number of Fields:1-18 heads Y N NA NE
Are buffers adequate? ® ❑ ❑ ❑
Are cover crops the type specified in permit and in good condition? ® ❑ ❑ ❑
Are there signs of runoff,ponding, or drift? ❑ ® ❑ ❑
Is the acreage specified in the permit being utilized? ® ❑ ❑ ❑
Is the application equipment present, operational, and in good condition? ® ❑ ❑ ❑
Are there any limiting slopes in disposal fields? ❑ ® ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? ® ❑ ❑ ❑
Are any supply wells within the CB? ❑ ® ❑ ❑
Are any supply wells within 250' of the CB? ❑ ® ❑ ❑
Spray heads calibrated this past year? ❑ ® ❑ ❑
Is permit being followed? ❑ ® ❑ ❑
Comments:Busted pipes repaired,•sprayheads working properly.
Groundwater Monitoring Wells Y N NA NE
Does the permit require monitoring wells?If so, answer the following. ® ❑ ❑ ❑
Are the monitoring wells properly installed according to the permit? ® ❑ ❑ ❑
Are the monitoring wells located properly w/respect to RB & CB? ❑ ❑ ❑
Are the wells properly identified& free of damage? ❑ ® ❑ ❑
comments:MW's are not properly labeled; Grout is cracked around each casing.
Page 5 of 6

Non-Discharge Compliance Inspection Report
Recordkeeping Y N NA NE
Is current permit available upon request? ❑ ❑ ❑ El
Has the facility been free of public complaints for the last 12 months? ® ❑ ❑ ❑
Are operational logs and maintenance records present and complete? ❑ ❑ ❑ El
Effluent Monitoring:
Are monitoring reports present? ❑NDMR ❑NDAR ❑ ❑ ❑ El
Are flow rates less than permitted flow? ❑ ❑ ❑ El
Are application rates adhered to? ❑ ❑ ❑
Are lab sheets available for review and support NDMR or NDAR? ❑ ❑ ❑ EZ
Are all samples analyzed for the required parameters? ❑ ❑ ❑ El
Are PAN records required, if so, are they present and complete? LI ❑ ® ❑
Is field parameter certification required? ❑ ❑ ® ❑
Do effluent concentrations exceed 2L GW standards? ❑ ❑ ❑ El
Groundwater Monitoring:
Were GW-59's submitted? ❑ ❑ ❑ El
Has GW-59A certification been completed for facility? ❑ ❑ ❑ El
Are all samples analyzed for the required parameters? ❑ ❑ ❑
Are there any 2L GW quality violations? ❑ ❑ ❑
Soil Analysis:
Were annual soil analysis conducted for each irrigation field? ❑ ❑ ® ❑
Was lime called for on the Agronomist report? ❑ ❑ ® ❑
If required, was lime applied? ❑ ❑ ® ❑
Copper and Zinc indices: ❑ <2,000 ❑ 2,000—3,000 ❑>3,000
Was Sodium less than 0.5 meq/100 cm' ? ❑ ❑ ® ❑
Was Exchangeable Sodium Percentage (ESP) less than 15% ? ❑ ❑ ® ❑
Comments:
Page 6 of 6

Compliance Inspection Report Permit:W00004972 Owner-Feeney: Mhc Tt Inc
Permit: W00004972 Effective:09/11/09 Expiration: 10/31/15 Owner:Mhc Tt Inc Inspection Date: 11/01/2011 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
SOC: Effective: Expiration: Facility:Forest Lake Preserve Inspection Summary:
County:Davie 192 Thousand Trails Dr Re-inspection of the surface irrigation field was conducted on November 1,2011.Accompanying DWQ on the inspection
Region:winstonSalem was Mr.Rex Walser(Facility Supervisor).The purpose of this inspection was to follow-up on repairs made to the piping
Advance NC 27006 associated with the spray irrigation field,observe the operation of the spray heads,and locate/review the monitoring wells.
This inspection was limited to review or the spray irrigation field and monitoring wells only.The inspection revealed the
Contact Person: Laura Choi Title: Phone:[phone] following:
Directions to Facility: •The two areas where the wastewater Irrigation piping was damaged(noted In NOV-2011-PC-0567)were reviewed and
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Lek. Enterance to campground is found to be repaired.
approx.0. mil w t of the Yad' Ri N.side of US 64
system C assifica�t ons: 2.
•The spray heads were pressurized and operating properly.
Primary ORC: Quentin Lee Campbell Certification:15588 Phone:[phone]
Secondary ORC(s): •The four monitoring wells(MW)were located.One MW did not have any identification number located on it.This well is
believed to be MW-3.The other MW identification numbers located on the MW's did not match the identification numbers
recorded on reporting forms. The MW's are labeled 5,6,and 7 in the field.
On-Rite Representative(s): •The grout surrounding each of the well casings was cracked,but it did not appear that surface water was entering.
NOTES:
Related Permits: -Once a new ORC is named for the system,the Permittee should notify DWQ of this change.
Inspection Date: 11/01/2011 Entry Time: 10:00 AM Exit Time: 11:00 AM
Primary Inspector: Patrick Mitchell Phone:[phone]
Secondary Inspector(s):
Reason for Inspection: Follow-up Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant ■Not Compliant
Question Areas:
1.Miscellaneous Questions 1111 End Use-Irrigation •Wells
(See attachment summary)
Page:1 Page:2

Permit:W00004972 Owner-Facility: Mhc Tt Inc Permit:W00004972 Owner-Facility: Mho Tt Inc
Inspection Date: 11/012011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Oat.: 11/012011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up
Type Yes No NA NE Comment: Broken piping associated with NOD sent to Permittee has been repaired.
Reuse(Quality) 0 Spray heads operating properly.
Grout around the MW casings is cracked on each MW.
Lagoon Spray,LR 0 MWs are not properly labeled in the field.
Single Family Spray,LR 0
CONV001720
Infiltration System 0 Location Yes No NA NE
Activated Sludge Spray,HR 0 Distance from septic tank 8 drainfield (feet)
Recycle/Reuse 0 Distance from other waste dis
posal/collection (feet)
Activated Sludge Drip,LR 0 Comment
Single Family Drip 0
Distance from other pollution source (feet)
Activated Sludge Spray,LR
End Use-irrigation Yu No NA NE Comment
Are buffers adequate? U ❑ ❑ ❑ Is well location subject to flooding? ❑ ❑ ❑ ❑
Is the cover crop type specified in permit? U ❑ ❑ ❑ Minimum distance to property boundary(ft)
Is the crop cover acceptable? U ❑ ❑ ❑ Comment:
Is the site condition adequate? ■ ❑ ❑ ❑ Casing Yes No_NA NE
Is the site free of runoff/ponding? ■ ❑ ❑ ❑ Type
Is the acreage specified in the permit being utilized? . 000
Is the application equipment present? ■ ❑ ❑ ❑ Depth(ft b.l.$) (Decimal range,e.g.15.5 to 25.5 ft)
Is the application equipment operational? . 000 Weight/thickness
Is the disposal field free of limiting slopes? ■ ❑ ❑ ❑ Height(A.L.S)
Is access restricted and/or signs posted during active site use? 11000 Comment:
Are any supply wells within the CB? ❑ ■ ❑ ❑ Grout Yes No NA NE
Are any supply wells within 250'of the CB? ❑ ■ ❑ ❑ Type
How close is the closest water supply well? 0 0 0 • Thickness
Is municipal water available in the area? 0 ■ 0 0 Depth (Decimal range,e.g.15.5 to 25.5 ft)
#Info only-.Does the permit call for monitoring wells? ■ ❑ ❑ ❑
Are GW monitoring wets located properly w/respect to RB and CB? 0 0 0 • Comment:
Are GW monitoring wets properly constructed,including screened interval? 0 0 0 • Screens Yes No NA NE
Are monitoring wells damaged? . ❑ ❑ ❑ Screened or Open Borehole Completion?
Screened/open borehole interval(ft b.l.$)
Page:3 Page:4

Permit:W00004972 Owner-Facility: Mhc Tt Inc Permit:W00004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up
Comment: Type
ID Plate Yes No NA NE
Comment:
ID Plate present&properly completed? 0 • 0 0
Development Yes No NA NE
Well Contractor indicated on ID Plate? 0 ■ 0 0
Turbidity
Comment: No labels on any MWs.
Wellhead Completion Yee No NA NE Comment:
Access port present? ❑ 0 ❑ ❑ Abandonment Yes No NA NE
Spigot present? ❑ ❑ ❑ ❑ Temporary abandonment completed such that well cannot be accessed without use of tools? ❑ ❑ ❑ ❑
Permanently abandonment completed in accordance with applicable rules?
Comment:
Suction Line meets standards? ❑ ❑ ❑ ❑ Well abandonment comments
Tee(jet)meets standards? ❑ ❑ ❑ ❑ Comment:
If naturally flowing well,is flow valved? ❑ ❑ ❑ ❑ GW-1/30 Construction Record Yes No NA NE
Vent meets standards? ❑ ❑ ❑ ❑ Well construction/abandonment record submitted? ❑ ❑ ❑ ❑
Watertight pipe entry meets standards? ❑ ❑ ❑ ❑ Comment:
Well Entry meets standards? ❑ ❑ ❑ ❑ Sampling Yes No NA NE
Pitiess adaptor(if used)meets standards? ❑ ❑ ❑ ❑ INFLUENT(water source)lab sample ID#
Well enclosure meets standards? ❑ ❑ ❑ ❑ EFFLUENT(injected fluid)lab sample ID#
Infuent(water source)sampling port present and labeled? ❑ ❑ ❑ ❑
Effluent(injected fluid)sampling port present and labeled? ❑ ❑ ❑ ❑ Comment:
Pump Installation Yes No NA NE CONV002053
Pump Contractor ID plate present? ❑ ❑ ❑ ❑ Location Yes No NA NE
Date pump installed Distance from septic tank&drainfleld (feet)
Pump installation violations,if any Distance from other waste disposal/collection (feet)
Comment
Comment:
Disinfection Yes No NA NE Distance from other pollution source (feet)
Disinfection in compliance with standards? ❑ ❑ ❑ ❑ Comment
Describe disinfection if observed Is well location subject to flooding? ❑ ❑ ❑ ❑
Comment: Minimum distance to property boundary(ft)
Fluids/Additives Yes No NA NE Comment:
Casing Yes No NA NE
Page:5 Page:6

Permit:W00004972 Owner-Facility: Mhc Tt Inc Permit:W00004972 Owmr-Facility: Mhc Tt Inc
Inspection Data: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up
Type Well Entry meets standards? ❑ ❑ ❑ ❑
Depth(ft b.l.$) (Decimal range,e.g.15.5 to 25.5 ft) Pitless adaptor(if used)meets standards? ❑ ❑ ❑ ❑
Well enclosure meets standards? ❑ ❑ ❑ ❑
Weight/thickness Infuent(water source)sampling port present and labeled? ❑ ❑ ❑ ❑
Height(A.L.S) Effluent(injected fluid)sampling port present and labeled? ❑ ❑ ❑ ❑
Comment: Pump Installation Yes No NA NE
Grout Yes No NA NE Pump Contractor ID plate present? ❑ ❑ ❑ ❑
Type Date pump installed
Thickness Pump installation violations,if any
Depth (Decimal range,e.g.15.5 to 25.5 ft)
Comment:
Disinfection Yes No NA NE
Comment: Grount cracked.
Disinfection in compliance with standards? ❑ ❑ ❑ ❑
Screens Yes No NA NE
Describe disinfection if observed
Screened or Open Borehole Completion?
Screened/open borehole interval(ft b.l.$) Comment:
Fluids/Additives Vas No NA NE
Type
Comment:
ID Plate Yes o A NE Comment:
ID Plate present&properly completed? ❑ ❑ 0 Development Yes No NA NE
Well Contractor indicated on ID Plate? 0 9(❑ 0 Turbidity
Comment: / \
Comment:
Wellhead Completion Yes N o NA NE
Abandonment Vas No NA NE
Access port present? ❑ ❑ ❑ ❑
Temporary abandonment completed such that well cannot be accessed without use of tools? ❑ ❑ ❑ ❑
Spigot present? ❑ ❑ ❑ ❑
Permanently abandonment completed in accordance with applicable rules?
Comment: Well abandonment comments
Suction Line meets standards? ❑ ❑ ❑ ❑
Tee(jet)meets standards? ❑ ❑ ❑ ❑ Comment:
If naturally flowing well,is flow valved? j] ❑ ❑ ❑ GW-1/30 Construction Record Yes No NA NE
0000
Well construction/abandonment record submitted? 0000
Vent meets standards?
Watertight pipe entry meets standards? ❑ ❑ ❑ ❑ Comment:
Sampling Yes No NA NE
Page:7 Page:8

Permit:WO0004972 Owner-Facility: Mhc Tt Inc Pernik:WO0004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up
INFLUENT(water source)lab sample ID#
Comment:
EFFLUENT(injected fluid)lab sample ID#
ID Plate Yes o NE
Comment: ID Plate present&properly completed? ❑ 0 0
CONVOO24O2 Well Contractor indicated on ID Plate? 0 0 0
Location Yes No NA NE
Comment:
Distance from septic tank&drainfield (feet) Wellhead Completion Yea No NA_NE
Distance from other waste disposal/collection (feet) Access port present? 0 ❑ 0 ❑
Comment Spigot present? ❑ ❑ 0 ❑
Comment:
Distance from other pollution source (feet)
Comment Suction Line meets standards? 0 ❑ ❑ ❑
Tee(jet)meets standards? ❑ ❑ ❑ ❑
Is well location subject to flooding? ❑ ❑ ❑ ❑
If naturally flowing well,is flow valved? 0 0 ❑ ❑
Minimum distance to property boundary(ft)
Vent meets standards? 0 ❑ ❑ ❑
Comment: Watertight pipe entry meets standards? ❑ ❑ ❑ ❑
Casing Yes No NA NE
Well Entry meets standards? ❑ ❑ 0 0
Type
Pitless adaptor(if used)meets standards? ❑ ❑ ❑ 0
Depth(ft b.l.$) (Decimal range,e.g.15.5 to 25.5 ft) Well enclosure meets standards? ❑ ❑ ❑ ❑
Infuent(water source)sampling port present and labeled? ❑ 0 ❑ ❑
Weight/Ihickness
Effluent(injected fluid)sampling port present and labeled? 0 ❑ ❑ ❑
Height(A.L.S)
Pump Installation Yes No NA NE
Comment: Pump Contractor ID plate present? ❑ ❑ ❑ ❑
Grout Yes No NA NE
�--- Date pump installed
Type
Pump Installation violations,if any
Thickness
Comment:
Depth (Decimal range,e.g.15.5 to 25.5 ft) Disinfection Yea No NA NE
Comment: Grout cracked. Disinfection in compliance with standards? 0 ❑ ❑ ❑
Ye No NA NE Describe disinfection if observed
s
Screens _ _
Screened or Open Borehole Completion?
Comment:
Screened/open borehole interval(ft b.l.$) Fluids/Additives Yea No NA NE
Page:9 Page:10

Permit:W00004972 Owner-Facility: Mhc Tt Inc Permit:W00004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up
Type Type
Depth(ft b.l.$) (Decimal range,e.g.15.5 to 25.5 ft)
Comment:
Development Yes No NA NE
Turbidity Weight/thickness
Height(A.L.S)
Comment:
Comment:
Abandonment Yes No_NA NE
Grout Yes No NA N_E__
Temporary abandonment completed such that well cannot be accessed without use of tools? ❑ ❑ ❑ ❑
Type
Permanently abandonment completed in accordance with applicable rules?
Thickness
Well abandonment comments Depth (Decimal range,e.g.15.5 to 25.5 ft)
Comment:
GW-1/30 Construction Record Yes No NA NE Comment: Grout cracked.
Well construction/abandonment record submitted? ❑ ❑ ❑ ❑ Screens Yes No NA NE
Comment: Screened or Open Borehole Completion?
Yes No NA NE
Sampling - Screened/open borehole interval(ft b.l.$)
INFLUENT(water source)lab sample ID#
EFFLUENT(injected fluid)lab sample ID# Comment:
ID Plate Yea No N NE
Comment: ID Plate present&properly completed? 0 ❑ 0
CONV002766 Well Contractor indicated on ID Plate? 0 0 0
Location Yes No NA NE
Comment:
Distance from septic tank&drainfleld (feet) Yes No NA NE
Wellhead Completion
Distance from other waste disposal/collection (feet) Access pod present? ❑ ❑ ❑ ❑
Comment Spigot present? ❑ ❑ ❑ ❑
Distance from other pollution source (feet) Comment:
Comment Suction Line meets standards? 0000
Tee(jet)meets standards? ❑ ❑ ❑ ❑
Is well location subject to flooding? ❑ ❑ ❑ ❑
If naturally flowing well,is flow valved? ❑ ❑ ❑ ❑
Minimum distance to property boundary(ft)
Vent meets standards? ❑ ❑ ❑ ❑
Comment:
Watertight pipe entry meets standards? ❑ ❑ ❑ ❑
Casing Yes No NA NE
Page:11 Page:12

Permit:W00004972 Owner-Facility: Mhc Tt Inc Permit:W00004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 11/01/2011 Inspection Type:Compliance Evaluation Reason for Visit: Follow-up Inspection Date: 11/01/2011 Inspection Type: Compliance Evaluation Reason for Visit: Follow-up
Well Entry meets standards? ❑ ❑ ❑ ❑ INFLUENT(water source)lab sample ID#
Pitless adaptor(if used)meets standards? ❑ ❑ ❑ ❑ EFFLUENT(injected fluid)lab sample ID#
Well enclosure meets standards? ❑ ❑ ❑ ❑
Infuent(water source)sampling port present and labeled? ❑ ❑ ❑ ❑ Comment:
Effluent(injected fluid)sampling port present and labeled? ❑ ❑ ❑ ❑
Pump Installation Yes No NA NE
Pump Contractor ID plate present? ❑ ❑ ❑ ❑
Date pump installed
Pump installation violations,if any
Comment:
Disinfection Yes No NA NE
Disinfection in compliance with standards? ❑ ❑ ❑ ❑
Describe disinfection if observed
Comment:
Fluids/Additives Yes No NA NE
Type
Comment:
Development Yes No NA NE
Turbidity
Comment:
Abandonment Yes No NA NE
Temporary abandonment completed such that well cannot be accessed without use of tools? ❑ ❑ ❑ ❑
Permanently abandonment completed in accordance with applicable rules?
Well abandonment comments
Comment:
GW-1/30 Construction Record Yes No NA NE
Well construction/abandonment record submitted? ❑ ❑ ❑ ❑
Comment:
Sampling Yes No NA NE
Page:13 Page:14

AT& s. •
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins , Dee Freeman
Governor Director Secretary
•
October 20,2011
CERTIFIED MAIL# 7008 1300 0001 1938 6700
RETURN RECEIPT REQUESTED
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800
Chicago, Illinois 60606
Subject: Notice of Deficiency—NOD-2011-PC-0567
Compliance Evaluation Inspection
Forest Lake Preserve—Thousand Trails
Non-discharge - Wastewater Spray Irrigation System
Davie County
Permit No. WQ0004972
Dear Ms. Choi:
On October 17, 2011 staff of the North Carolina Division of Water Quality's Winston-Salem
Regional Office (DWQ) performed a compliance evaluation inspection of the Forest Lake Preserve -
Thousand Trails non-discharge wastewater spray irrigation system. This inspection was conducted by
DWQ staff person Mr. Patrick Mitchell. Enclosed is the compliance inspection report for this
inspection. A separate DWQ office file review of the monitoring reporting records was also
conducted.
The facility was found to be non-compliant with DWQ permit WQ0004.972. While the majority of
the items of concern noted in the last inspection were found to be corrected, the following
deficiencies warrant your immediate attention and action:
I. There are two areas located in the wastewater spray irrigation field where the piping has been
damaged, allowing wastewater to freely flow downslope.
• The first area is located on the southwest corner on the perimeter of the irrigation field,
adjacent to the gravel access path.
• The second area is located on the north side on the perimeter of the irrigation field,
adjacent to MW-3 and a path around the field.
It should be noted that at the time of the inspection, it appeared that the wastewater had not
reached any surface waters of the State. The associated piping should be repaired or replaced
Winston-Salem Regional Office One
585 Waughtown Street Winston-Salem,North Carolina 27107 NorthCarolina
Phone:[phone] FAX:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org Naturally
An Equal Opportunity\Affirmative Action Employer K Ki K"

MIICa TT,Piss.—Forest Lake Preserve,Thousand Trails Permit No.WQ000
NOD-2011-PC-0567—Compliance Evaluation Inspection October 20,2
immediately to eliminate potential discharge of wastewater to any surface waters of the State.
Mr. Rex Walser of Thousand Trails, Inc. was present and made aware of these locations.
II. The groundwater monitoring samples from monitoring wells 2 and 3 continue to test positive
for the presence of Fecal coliform bacteria. MW-3 tested positive on the November 2010 and
July 2011 sample results. MW-2 tested positive on the July 2011 sample results. This is a
violation of the North Carolina groundwater quality standards found in the regulation 02L.
Please be sure to use proper sampling techniques and care when collecting these samples to
ensure that the samples are representative of the groundwater found at the site. Please be aware
that further action under regulation 15A NCAC 02L .106(d)(2), Notice of Violation, and
enforcement for this violation may be taken in the future should this problem persist.
The Division of Water Quality requests that a response in writing to this office be made within
ten days (10) of receipt of this Notice. The response should outline the actions taken to remedy the
damaged piping in the irrigation field. Please be advised that these deficiencies, and any future
violations, are subject to a civil penalty assessment of up to $25,000 per day, per violation.
Our office appreciates your diligence in correcting previously noted items of concern, as well as
your continued attention to the above listed compliance deficiencies. Please refer to the enclosed
compliance inspection report for additional observations and comments. If you or your staff have
any questions concerning this letter, please contact Mr. Patrick Mitchell or myself at
[phone].
Sincerely,
t. t.- ABM
Sherri V. Knight, PE
Regional Supervisor, Aquifer Protection Section
enc.: Compliance Inspection Report
cc: Karen Doiron,Equity Lifestyle Properties,5100 W.Lemon St.,Ste 308,Tampa,FL 33609
Robert Rowe,Preserve General Manager—192 Thousand Trails Dr.,Advance,NC 27006
Quentin Campbell,ORC—3830 N.Main St.,High Point,NC 27265
Davie County Health Department
APS Central Office—Permit File WQ0004972
Page 2 of 2

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Aquifer Protection Section
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
SURFACE IRRIGATION
General Information
Owner:MHC TT, Inc. County: Davie
Permit No.: W00004972 Issuance Date: September 11, 2009
Facility Name:Forest Lake Preserve-Thousand Trails Expiration Date:October 31,2015
ORC Name:Quentin L. Campbell Telephone No.:c: [phone] o/h: [phone]
Backup ORC: Randy Lohr Telephone No.: [phone]
Other Contact:Rex Walser,Facility Supervisor Telephone No.: [phone]
Location(address,gps or directions):Hwy 64, 1/2 mile east of intersection with Hwy 801.
Reason for Inspection
® ROUTINE ❑ COMPLAINT ® FOLLOW-UP ❑ Other:
Ins•ection Summa : additional comments ma be included on attached 'a!es
Inspection of the wastewater treatment facilities and the surface irrigation field were conducted on October
17, 2011. Accompanying DWQ on the inspection of the wastewater treatment facilities portion only was Mr.
Quentin Campbell(ORC). Accompanying DWQ on the inspection of the surface irrigation field portion only
was Mr. Rex Walser(Facility Supervisor). It should be noted that the majority of the items of concern found
in the last inspection were corrected. However,the facility was found to be non-compliant with DWQ permit
WQ0004972. The following deficiencies were found:
• The piping to the irrigation field has been damaged allowing wastewater to freely surface and flow down
slope. It should be noted that this wastewater did not appear to have reached surface waters of the State at
the time of the inspection This damaged piping is located in the southwest corner of the irrigation field on the
perimeter, adjacent to the gravel access path.
• The piping on one spray head has been damaged allowing wastewater to freely flow downslope. It should
be noted that this wastewater did not appear to have reached surface waters ofthe State at the time of the
inspection. This damaged piping is located in the north side of the irrigation field on the perimeter, adjacent to
MW-3 and the path.
• The following monitoring wells had Fecal coliform results in violation of the NC groundwater quality
standards:MW-3 (November 2010), and MW-2 &MW-3 (July 2011).
A follow-up inspection must be made to ensure that the above mentioned damaged piping is repaired.
NOTES:
- It was indicated that Mr. Quentin Campbell plans to end his responsibilities as the ORC for this system on
October 31, 2011.
- Lift station"C"is the main station or final leg.
- The spray heads need to be inspected at the follow-up inspection; due to the leaks they were unable to be
operated during this inspection.
Is a follow-up inspection necessary ® Yes ❑ No
Primary Inspector: Patrick Mitchell Secondary Inspector:
Telephone: (336) 771 —5000 Fax: [phone]
Date of Inspection: October 17,2011 Entry Time: 9:00 am Exit Time: 11:00 am

Non-Discharge Compliance Inspection Report
Type
❑Reuse (i.e., golf courses)
®Activated Sludge Spray, low rate
❑ Recycle-Reuse
❑Activated Sludge Spray, high rate
❑ Lagoon Drip, Low Rate
❑Activated Sludge Drip, low rate
❑ Infiltration System
❑ Other
Influent Pump Station Y N NA NE
All pumps present, operational ® ❑ ❑ ❑
Floats/Controls operable ® ❑ ❑ ❑
Audio &Visual Alarms Operational ® ❑ ❑ ❑
Free of bypass lines or structures ® ❑ ❑ ❑
General housekeeping good ® ❑ ❑ ❑
Back-up power available, routinely tested&fueled? ❑ ❑ ❑
Comments:Station A-new alarm & (2) new pumps;B-new alarm; C(main l0)-new pump
Treatment Barscreen Y N NA NE
Are bars spaced properly& free of excess debris? ® ❑ ❑ ❑
Are screenings disposed of properly? ❑ ❑ ❑
Is unit in good condition(excess corrosion)? ® ❑ ❑ ❑
Comments:
Equalization Basin Y N NA NE
Is aeration present? ❑ ❑ ® ❑
Are pumps present and operational? ® ❑ ❑ ❑
Is unit in good general condition? ® ❑ ❑ ❑
Comments:
Treatment Activated Sludge Y N NA NE
Aeration mechanism operable&accessible? ® ❑ ❑ ❑
Aeration basin thoroughly mixed? ® ❑ ❑ ❑
Settleometer& dissolved oxygen results acceptable? ❑ ❑ ® Cl
Is sludge an acceptable color? ® ❑ ❑ ❑
Comments:
Page 2 of 6

Non-Discharge Compliance Inspection Report
idual Storage/Treatment Y N NA NE
Lagoon ® Basin
Is aeration pattern even? ❑ ❑ ® ❑
❑ Septic Tank(s) Capacity (gallons):
Is sanitary T or filter present? ❑ ❑ ® ❑
How often are residuals pumped?As needed.
Are pumping receipts available? ❑ ❑ ❑ El
What is the receiving WWTP?
comment:Contract with pumping company for cleanouts as needed.
Treatment Filter(s) Y N NA NE
Is the filter media present, correct size &type? ❑ ❑ ® ❑
Is mud well free of excess solids and filter media? ❑ ❑ ® ❑
If sand filter, is unit subsurface? ❑ ❑ ® ❑
Is media free of ponding, algae or excess vegetation? ❑ ❑ ® ❑
Is air scour operational and acceptable? ❑ ❑ ® ❑
Is clear well free of excess solids? ❑ ❑ ® ❑
Does backwashing frequency appear adequate? ❑ ❑ ® ❑
Comment:
Treatment Clarifiers Y N NA NE
Weirs level, free of excessive solids & algae? ® ❑ ❑ ❑
Scum removal system operational and accessible? ® ❑ ❑ ❑
Sludge blanket at acceptable level? ® ❑ ❑ ❑
Clarifier effluent free of excessive solids? ® ❑ ❑ ❑
Comments:
Treatment Disinfection Y N NA NE
Type: ® Tablets ❑ Gas ❑ Liquid ❑ UV
Is the system properly maintained and working? ® ❑ ❑ ❑
Fecal coliform results indicate proper disinfection? ❑ ® ❑ ❑
Adequate detention time (> 30 minutes)? ❑ ❑ ❑
If tablets, proper size? ® ❑ ❑ ❑
Present in Cylinder(s)? ® ❑ ❑ ❑
If gas/liquid, does cylinder/tank storage appear safe? ❑ ❑ ® ❑
If UV bulbs, are replacement bulbs on hand? ❑ ❑ ® ❑
Is contact chamber free of sludge, solids and growth? ® ❑ ❑ ❑
comments:Fecal coliform results in MW's.
Page 3 of 6

Non-Discharge Compliance Inspection Report
Flow Measurement Y N NA NE
Flowmeter location: ❑ Influent ® Effluent
Is flowmeter calibrated annually(design flow>10,000 gpd)? ® ❑ ❑ ❑
Is flowmeter operating properly? ® ❑ ❑ ❑
Does flowmeter operate continuously? ® ❑ ❑ ❑
Does flowmeter record flow? ® ❑ ❑ ❑
Does flowmeter appear to monitor accurately? ® ❑ ❑ ❑
If no flowmeter(design flow 1,000-<10,000 gpd), are water-use records available(water meter)?❑ ❑ ® ❑
Are the daily average values properly calculated? ❑ ❑ ❑
comments:Flowmeter replaced Summer 2011. Last calibrated 9/09/2011.
Treatment Y N NA NE
Are treatment facilities consistent with those outlined in permit? ® ❑ ❑ ❑
Do all treatment units appear to be operational? If no, note below. ® ❑ ❑ ❑
Comments(list any action items necessary for each unit):
Effluent Storage
®Lagoon(s): ❑ Aerated or ❑ Mixed Spill control plan on site? ❑Yes ❑No DNA ®NE
❑Above ground tank(s): ❑ Aerated or ❑ Mixed
❑ Underground tank(s): ❑Aerated or ❑ Mixed
❑ Drying beds ❑ Concrete storage pads ❑Other:
Amount of Storage (days, months, gallons, etc.):
Comments:
Effluent Storage Lagoon(s) Y N NA NE
® Primary ❑ Secondary
Influent structure(s) free of obstructions? ® ❑ ❑ ❑
Banks/berms (are there signs of seepage, overtopping, down cutting or erosion) ® ❑ ❑ ❑
Vegetation(is there excessive vegetation on the lagoon bank) ❑ ® ❑ ❑
Liner(if visible, is it intact) ❑ ❑ ❑
Baffles/curtains (in need of repair) ❑ ❑ ® ❑
Freeboard (>2 feet from overtopping) ® ❑ ❑ ❑
Measurement at time of inspection 2.7 ft.
Staff gauge (clearly marked) ® ❑ ❑ ❑
Evidence of overflow(vegetation discolored or laying down/broken) ❑ ® ❑ ❑
Unusual color(very black, textile colors) ❑ ® ❑ ❑
Page 4 of 6

Non-Discharge Compliance Inspection Report
went Stora a La oon s continued Y N NA NE
oam(are antifoam agents used) ❑ ® ❑ ❑
Floating mats (sludge, plants, inorganics) ® ❑ ❑ ❑
Excessive solids buildup(from bottom) ❑ ® ❑ ❑
Aerators/mixers operational (if present) ❑ ❑ ® ❑
Effluent structure (free of obstructions, easily accessible) ® ❑ ❑ ❑
comments:Duck weed layer present. Synthetic liner not visible, unable to review.
Pump station(s) Y N NA NE
All pumps present, operational ® ❑ ❑ ❑
Floats/Controls operable ® ❑ ❑ ❑
Audio & Visual Alarms Operational ❑ ❑ ® ❑
Free of bypass lines or structures ® ❑ ❑ ❑
General housekeeping good ® ❑ ❑ ❑
Back-up power ❑ ❑ ❑ El
Comments:
End Use-Irrigation Number of Fields:1-18 heads Y N NA NE
Are buffers adequate? ® ❑ ❑ ❑
Are cover crops the type specified in permit and in good condition? ® ❑ ❑ ❑
Are there signs of runoff,ponding, or drift? ® ❑ ❑ ❑
Is the acreage specified in the permit being utilized? ❑ ® ❑ LI
Is the application equipment present, operational, and in good condition? ❑ ® ❑ ❑
Are there any limiting slopes in disposal fields? ❑ ® ❑ ❑
Is site access restricted and/or signs posted in accordance with permit? ® ❑ ❑ ❑
Are any supply wells within the CB? ❑ ® ❑ ❑
Are any supply wells within 250' of the CB? ❑ ❑ ❑
Spray heads calibrated this past year? ❑ ® ❑ ❑
Is permit being followed? ❑ Z ❑ ❑
comments:Unable to inspect spray heads, due to two busted pipes.
Groundwater Monitoring Wells Y N NA NE
Does the permit require monitoring wells?If so, answer the following. ® ❑ ❑ ❑
Are the monitoring wells properly installed according to the permit? ❑ ❑ ❑
IZI
Are the monitoring wells located properly w/respect to RB & CB? ❑ ❑ ❑
El
Are the wells properly identified & free of damage? ❑ ❑ ❑
comments:Only able to locate MW 2 & 3; others to be located&reviewed during follow-up inspection.
Page 5 of 6

Non-Discharge Compliance Inspection Report
Recordkeeping Y N NA NE
Is current permit available upon request? ❑ ❑ ❑
Has the facility been free of public complaints for the last 12 months? ® ❑ ❑ ❑
Are operational logs and maintenance records present and complete? ❑ ❑ ❑
Effluent Monitoring:
Are monitoring reports present? ❑NDMR ❑NDAR ❑ ❑ ❑
Are flow rates less than permitted flow? ❑ ❑ ❑
Are application rates adhered to? ❑ ❑ ❑
Are lab sheets available for review and support NDMR or NDAR? ❑ ❑ ❑
Are all samples analyzed for the required parameters? ❑ ❑ ❑
Are PAN records required, if so, are they present and complete? ❑ ❑ ® ❑
Is field parameter certification required? ❑ ❑ ® ❑
Do effluent concentrations exceed 2L GW standards? ® ❑ ❑ ❑
Groundwater Monitoring:
Were GW-59's submitted? ® ❑ ❑ ❑
Has GW-59A certification been completed for facility? ® ❑ ❑ ❑
Are all samples analyzed for the required parameters? ® ❑ ❑ ❑
Are there any 2L GW quality violations? ® ❑ ❑ ❑
Soil Analysis:
Were annual soil analysis conducted for each irrigation field? ❑ ❑ ® ❑
Was lime called for on the Agronomist report? ❑ ❑ ® ❑
If required, was lime applied? ❑ ❑ ® ❑
Copper and Zinc indices: ❑ <2,000 ❑ 2,000—3,000 ❑ >3,000
Was Sodium less than 0.5 meq/100 cm3 ? ❑ ❑ ® ❑
Was Exchangeable Sodium Percentage (ESP) less than 15% ? ❑ ❑ ® ❑
comments:Fecal coliform violations indicated in reults for MW's 2&3.
Page 6 of 6

Compliance Inspection Report Permit W00004972 Owner-Facility: Mho Ttlnc
permit:W00004972 Effective:09/11/09 Expiration:10/31/15 Owner:Mhc Tt Inc Inspection Dab: tOH72011 Inspection Typo:Compliance Evaluation Reason tor Visit: Routine
SOC: Effective: Expiration: Facility:Forest Lake Preserve Inspection Summary:
County:Davie 192 Thousand Trails Dr Inspection of the wastewater treatment facilities and the surface irrigation field were conducted on October 17,2011.
Region:Winston-SalemAccompanying DWQ on the inspection of the wastewater treatment facilities portion only was Mr.Quentin Campbell
Advance NC 27006 (ORC). Accompanying DWQ on the inspection of the surface irrigation field portion only was Mr.Rex Walser(Facility
Supervisor).It should be noted that the majority of the items of concern found in the last inspection were corrected.
Contact Person: Laura Choi Tale: Phone:[phone] However,the facility was found to be non-compliant with DWQ permit W00004972.The following deficiencies were found:
Directions to Facility: •The piping to the irrigation field has been damaged allowing wastewater to freely surface and flow down slope.It should
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to Intersection with US 64 and turn Left. Enterance to campground is be noted that this wastewater did not appear to have reached surface waters of the State at the time of the inspection.
x.0 g mle1 t d the Yadi ,Rt N.side of US 64 This damaged piping is located in the southwest corner of the irrigation field on the perimeter,adjacent to the gravel
m Class eatlors:
access path.
Primary ORC: Quentin Lee Campbell Certification:15588 Phone:[phone]
•The piping on one spray head has been damaged allowing wastewater to freely flow downslope.It should be noted that
Secondary ORC(s): this wastewater did not appear to have reached surface waters of the State at the time of the inspection.This damaged
piping is located in the north side of the irrigation field on the perimeter,adjacent to MW-3 and the path.
On-Site Representative(s): •The following monitoring wells had Fecal coliform results in violation of the NC groundwater quality standards:MW-3
(November 2010),and MW-2&MW-3(July 2011).
Related Permits: An NOD is to be sent to Permittee.A follow-up inspection must be made to ensure that the above mentioned damaged
piping is repaired.
NOTES: -It was indicated that Mr.Quentin Campbell plans
Inspection Date: 10/17/2011 Entry Time: 09:00 AM Exit Time: 11:00 AM to end his responsibilities as the ORC for this system on October 31,2011.
-Lift station'C'is the main station or final leg. -The spray heads need to be inspected at
Primary Inspector. Patrick Mitchell Phone:[phone] the follow-up inspection;due to the leaks they were unable to be operated during this inspection.
Secondary Inspectw(s). -NDMR,NDAR,&MW reports were reviewed up to July 2011.
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant ■Not Compliant
Question Areas:
-Measurement-Effluent Treatment
■Miscellaneous Questions Measurement-Water Treatmskrement Water Use
Records
.Treatment .Record Keeping .Treatment Activated Sludge.End Use-Irrigation
I.T-Sreatment Measurement
ent Influent Pump .Treatment Clarifiers .Treatment Disinfection Treatmentt rrearent F
.Treatment Retun pumps I.Storage .Wells
(See attachment summary)
Page:1 Page:2

Penns:W00004972 Owner-Facility: Mhc Tt Inc Penns:W00004972 Owner-Facility: Mhc TI Inc
Inspection Deb: 10/172011 Inspection Type:Compliance Evaluation Reason for Visa: Routine Inspection Dab: 10/17/2011 Inspection Type:Compliance Evaluation Reason for Visa: Routine
Type Yes No NA NE Does flowmeter record flow? ■ ❑ ❑❑
Infiltration System O Does flowmeter appear to monitor accurately? ■ ❑ ❑❑
Reuse(Quality) 0 Comment:
Lagoon Spray,LR 0 Treatment Flow Measurement-Water Use Records Yes No NA NE
Single Family Spray,LR 0 Is water use metered? ■ ❑ ❑❑
Activated Sludge Spray.HR 0 Are the daily average values properly calculated? ❑ ❑ ■O
Recycle/Reuse 0 Comment:
Activated Sludge Drip,LR 0 Treatment Flow Measurement-Effluent Yes No NA NE
Single Family Drip
0 Is flowmeter calibrated annually? ■ ❑ ❑❑
Activated Sludge Spray,LR ■ Is flowmeter operating properly? ■ ❑ ❑O
Treatment Yes No NA NE Does flownneter monitor continuously? ■ ❑ ❑❑
Are Treatment facilities consistent with those outlined In the current permit? ■ O O ❑ Does flowmeter record flown ■ O O O
Do all treatment units appear to be operational?(If no,note below.) ■ ❑ ❑ ❑ Does flowmeter appear to monitor accurately? ■ ❑ ❑ ❑
Comment: Comment: Flowmeter replaced Summer 2011.Last calibrated 9/09/2011.
Treatment Influent Pump Station Yee No NA NE Treatment Activated Sludge Yes No NA NE
Is the pump station free of bypass lines or structures? ■ O❑ ❑ Is the aeration mechanism operable? ■ O ❑ O
Is the general housekeeping acceptable? ■ ❑ ❑❑ Is the aeration basin thoroughly mixed? ■ ❑ ❑ ❑
Are aN pumps present? ■ ❑ ❑ ❑ Is the aeration equipment easily accessed? ■ ❑ ❑ ❑
Are all pumps operable? ■ ❑ ❑ ❑ Is Dissolved Oxygen adequate? 0 0 0 ■
Are floats/controls operable? ■ ❑ ❑ O Are Settleometer results acceptable? 0 0 ■ ❑
Are audio and visual alarms available? ■ O ❑ ❑ Is activated sludge an acceptable color? ■ ❑ ❑ ❑
Are audio and visual alarms operational? ■ O❑ O Comment:
it Are SCADA/Telemetry alarms required? 0 0 ■0 Treatment Clarlflers Yes No NA NE
Are SCADNTelemetny available? 0 0 ■ 0 Are the weirs level? ■ O ❑ ❑
Are SCADAfTelemetry operational? 0 0 ■ 0 Are the weirs free of solids and algae? ■ ❑ ❑ O
Comment: Station A-a new alarm&2 new pumps installed;Station B-new alarm Is the scum removal system operational? ■ O O O
installed;Station C-new pump installed. Is the scum removal system accessible? ■ O O O
Treatment Flow Measurement-Influent Yes No NA NE
Is the sludge blanket at an acceptable level? ■ ❑ ❑ ❑
Is flowmeter calibrated annually? ■ O ❑ ❑ Is the effluent from the clarifier free of excessive solids? ■ ❑ ❑ ❑
Is flowmeter operating properly? ■❑ ❑ ❑ Comment:
Does flowmeter monitor continuously? ■ ❑❑ ❑ Treatment Return pumps Yee No NA NE
Page:3 Page:4

Permit:W00004972 Owns,-Facility: Mhc Tt Inc Permit:W00004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 10/1r/2011 Inspection Type:Compliance Evaluation Reason foci/Wit: Routine Inspection Date: 10/17/2011 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Are they In place? ■ O O ❑ Are all samples analyzed for all required parameters? • ❑ O ❑
Are they operational? ■ ❑ ❑ ❑ Are there any 2L GW quality violations? ■ ❑ ❑ ❑
Comment: Is GW-59A certification form completed for facility? ■ ❑ ❑ O
Treatment Disinfection ya No NA NE Is effluent sampled for same parameters as GW? • ❑ ❑ ❑
Is the system worfdrg? •❑ ❑ ❑ Do effluent concentrations exceed GW standards? • ❑ ❑ ❑
Do the fecal cottons results indicate proper disinfection? 0 ■ 0 0 Are annual soil reports available? ❑ 0 ■ 0
Is there adequate detention time(x30 minutes)? 00011 ly Are PAN records required? ❑ ❑ ■ 0
Is the system properly maintained? • ❑ ❑ ❑ #Did last soil report Indicate a need for lime? 0 0 • 0
litres,does the cylinder storage appear safe? 0 0 • 0 If so,has it been applied? ❑ 0 • 0
Is the fan in the chlorine feed room and storage area operable? 0 0 ■ 0 Are operational logs present? 0 0 0 ■
Is the chlorinator accessible? • ❑❑❑ Are lab sheets available for review? ❑ ❑ ❑ ■
I tablets,are tablets present? • ❑ ❑ ❑ Do lab sheets support data reported on NDMR? 0 0 O ■
Are the tablets the proper size and type? • ❑ ❑ ❑ Do lab sheets support data reported on GW-59s? 0 0 O •
Is contact chamber free of sludge,solids,and growth? ■ O ❑ ❑ Are Operational and Maintenance records present? 0 0 ❑ ■
If UV,are extra UV bulbs available? 0 0 • 0 Were Operational and Maintenance records complete? 0 0 0 •
N UV,is the IN intensity adequate? 0 0 ■ 0 Has permittee been free of public complaints in last 12 months? ■ ❑ ❑ ❑
8 Is it a dual feed system? 0 ❑ ■ 0 Is a copy of the SOC readily available? ❑ ❑ ■ ❑
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No.7762-50-5)? 0 0 ■ 0 No treatment units bypassed since last inspection? ■ ❑ ❑ ❑
N yes,men is there a Risk Management Plan on site? 00 . 0 Comment: Mw-2&MW-3 have Fecal coliform present in samples 11/2010&07/2011.
If yes,then what is the EPA twelve digit ID Number?(1000 ) End Use-Irrigation Yes No NA NE
if yes,then when was the RMP last updated? Are buffers adequate? • ❑ ❑ ❑
Comment: Fecal coliform results. Is the cover crop type specified In permit? ■ ❑ ❑ ❑
Record Keeping Yes No NA NE Is the crop cover acceptable? ■ ❑ ❑ ❑
Is a copy of current permit available? •❑ ❑ ❑ Is the site condition adequate? • ❑ ❑ ❑
Is the site free of runoff/ponding? 0 . 00
Are monitoring reports present NDMR? •
NDAR? • 0 O:❑ Is the acreage specified in the permit being utilized? ❑ ■ 0 0
Are flow rates less then of permitted flow? ■ ❑ ❑ ❑ Is the application equipment present? ■ O ❑ ❑
Are flow rates less than of permitted flow? • ❑ ❑ ❑ Is the application equipment operational? O • O O
Are application rates adhered to? • ❑ ❑ ❑ Is the disposal field free of Nmiti g slopes? ■ ❑ ❑ O
Is GW monitoring being conducted,if required(GWs9s submitted)? ■ ❑ ❑ ❑ Is access restricted and/or signs posted during active site use? ■ ❑ ❑ ❑
Page.5 Page:6

Permit:W00004972 Owner-Facility: Mhc Tt Inc
Inspection Date: 10/172011 Inspection Type:Compliance Evaluation Reason for Visit Routine
Are any supply wells within the CB? 0 ■ 0 0
Are any supply wells within 250'of the CB? ■ 0 0 ❑
How dose is the closest water supply well? 0 0 ■ 0
Is municipal water available in the area? 0 • 0 0
#Info only:Does the permit call for monitoring wells? ■ 0 0 0
Are GW monitoring wells located properly w/respect to RB and CB? 0 0 0 ■
Are GW monitoring wells properly constructed.including screened interval? 0 0 O ■
Are monitoring wells damaged? 0 0 0 ■
Comment: Busted piping on spray system.To be repaired then re-inspected,wells to
be evaluated at the time of re-inspection.
Page:7

iv4;7A
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
MEMORANDUM
DATE: October 28, 2011
TO: WSRO file WQ0004972
FROM: Patrick Mitchell, LSS —Environmental Specialist ,!' l
SUBJECT: Notification of repairs to surface irrigation system
Forest Lake Preserve—Thousand Trails
Wastewater Spray Irrigation System
Permit No. WQ0004972
On Sunday October 23, 2011 Mr. Rex Walser, Facility Supervisor with Thousand Trails left a voice message
for Mr. Patrick Mitchell of DWQ stating that"the busted piping associated with the spray irrigation system had
been repaired."This repair work was required in NOD-2011-PC-0567 dated October 20, 2011. Mr. Mitchell
then contacted Mr. Walser to discuss the repair details and to schedule a site visit to inspect the repair work and
conduct a follow-up inspection of the spray irrigation field. This follow-up inspection is scheduled for Tuesday
November 1, 2011.
585 Waughtown Street,Winston-Salem,North Carolina 27107
Phone:[phone] FAX:[phone] 1�TOne
Internet:www.ncwateroualitv.orq No Carolina
An Equal Opportunity\Affirmative Action Employer atura ll#

r4it Equity Lifestyle Properties
5100 W. Lemon Street, Suite 308
Tampa, FL. 33609
[phone]
® [phone]-Fax
RECEIVED
November 3, 2011 NC.Dept.of ENR
NOV 072011
VIA EMAIL AND U.S. MAIL Winston-seism
Mr. Patrick Mitchell Regional Office
North Carolina Department of Environment and Natural Resources
Division of Water Quality - Aquifer Protection Section
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, North Carolina 27107
Subject: Notice of Deficiency - NOD-2011-PC-0S67
Compliance Evaluation Inspection
Forest Lake Preserve - Thousand Trails
Non-discharge - Wastewater Spray Irrigation System
Davie County
Permit No. WQ0004972
Dear Mr. Mitchell:
On behalf of Forest Lake Preserve, this responds to your October 20,
2011 letter regarding the Compliance Evaluation Inspection of the subject facility
conducted on October 17, 2011. Each of your comments requiring response is set forth
below in bold followed by our response.
I There are two areas located in the wastewater spray irrigation field where
the piping has been damaged, allowing wastewater to freely flow
downslope.
• The first area is located on the southwest comer on the perimeter of
the irrigation field, adjacent to the gravel access path.
• The second area is located on the north side on the perimeter of the
mitigation field, adjacent to MW -3 and a path around the field.
It should be noted that at the time of the inspection, it appeared that the
wastewater had not reached any surface waters of the State. The associated
piping should be repaired or replaced immediately to eliminate potential
discharge of wastewater to any surface waters of the State. Mr. Rex Walser of
Thousand Trails, Inc. was present and made aware of these locations
Response: The two areas located in the wastewater spray irrigation field where the
piping was damaged, allowing wastewater to free flow down-slope have been repaired.

Forest Lake Preserve WQ0004972 November 3, 2011
Response October 17, 2011 Inspection Letter Page 2 of 2
II. The groundwater monitoring samples from monitoring wells 2 and 3
continue to test positive for the presence of Fecal coliform bacteria. MW-3
tested positive on the November 2010 and July 2011 sample results. MW-2
tested positive on the July 2011 sample results. This is a violation of the
North Carolina groundwater quality standards found in the regulation 02L.
Please be sure to use proper sampling techniques and care when
collecting these samples to ensure that the samples are representative of
the groundwater found at the site. Please be aware that further action
under regulation 15A NCAC 02L .106(d)(2), Notice of Violation, and
enforcement for this violation may be taken in the future should this
problem persist.
Response: Future ground water sampling will be done using proper sampling
techniques and care to ensure that the samples are representative of the groundwater
found at the site. Until recently, facility maintenance personnel were collecting the
samples and providing them to the operator to submit to the laboratory. Starting in
November, the new operator will be solely responsible for the sampling tasks.
Please feel free to contact me with any questions or comments you may have on
these responses. I welcome the opportunity to discuss these matters further with you. I
can be reached on my cell phone at 813-283-8527 or email at
[e-mail].
Sincerely,
EQUITY LIFESTYLE PROPERTIES, INC.
By: i74n _,,aAridy)
Karen J. oiron
National Regulatory Compliance Manager
cc: Barbara Stanze
Marc Elmer
Brad Nelson
Scott Brown
Kenneth Kroot

SEP-14-2010(TUE) 23:40 THOUSAND TRAILS (FAX)3369982271 P. 001/005
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SEP-14-2010(TUE) 23:40 THOUSAND TRAILS (FAX)3369982271 P. 003/005
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Thousand Trails Forest Lake Date Sample Collected : 09/09/10
192 Thousand Trails Drive Date Sample Received : 09/09/10
Advance, NC 27006 Date Sample Analyzed : 09/09/10
Attn: Robert Rowe Date of Report : 09/10/10
Analyses Performed by : SG
Lab Sample Number
682819
Parameter Storet # Results
Fec Coli-MF (31616) <1 col/100 ml
•
Clients Sample Source WELL 112
Number •
Time Collected (Firs) 0740
P.0. Box 473.106 Short Street•Kernersville, North Carolina 27284•335.996.2841 •Fax [phone]
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SEP-14-2010(TUE) 23:41 THOUSAND TRAILS (FAX)3369982271 P. 004/005
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192 Thousand Trails Drive Date Sample Received : 09/09/10
Advance, NC 27006 Date Sample Analyzed : 09/09/10
Attn: Robert Rowe Date of Report : 09/10/10
• Analyses Performed by : SG
Lab Sample Number
682820
Parameter Storet ik Results
Fec Coli-MF (31616) <1 col/100 ml
Clients Sample Source WELL #3
Number .
Time Collected (Mrs) 0800
P.Q.Box 473. 106 Short Street•Kernersville,North Carolina 27284•336-996-2841 •Fax [phone]
www.randalabs.com

SEP-14-2010(TUE) 23:41 THOUSAND TRAILS (FAX)3369982271 P. 005/005
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Thousand Trails Forest Lake Date Sample Collected : 09/09/10
192 Thousand Trails Drive Date Sample Received : 09/09/10
Advance, NC 27006 Date Sample Analyzed : 09/09/10
Attn: Robert Rowe Date of Report : 09/10/10
Analyses Performed by : BG
Lab Sample Number
682821
Parameter Storet # Results
Fec Coli-MF (31616) <1 Co1/100 ml
Clients Sample Source WELL #4
Number _•
Time Collected (Hrs) 0750
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 27, 2010
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800
Chicago, Illinois 60606
SUBJECT: Compliance Evaluation Inspection
Forest Lake Preserve—Thousand Trails
Non-discharge Spray Irrigation
Davie County, NC
Permit No: WQ0004972
Dear Ms. Choi:
On August 19, 2010 staff of the North Carolina Division of Water Quality's Winston-Salem
Regional Office (DWQ) performed a compliance inspection of the Forest Lake Preserve —
Thousand Trails non-discharge spray irrigation system. Enclosed is the compliance
inspection report for this inspection. The facility was found to be compliant with DWQ
permit WQ0004972. While the facility was found to be in compliance with the permit, the
following items of concern warrant your immediate attention.
A. Visual alarm at "Pump Station B" was not working at the time of inspection. Check all
pump station visual and audible alarms and repair/replace them as needed.
B. One pump at "Pump Station A" is not working properly (pump trips the breaker). Pump
needs to be replaced.
C. Effluent flowmeter not working at time of inspection. Flowmeter needs to be replaced.
D. Irrigation spray head clogged. Check all spray heads for clogs and proper operation.
E. Mow/trim tall weeds and brush surrounding spray heads that are impeding proper
spray dispersal.
F. Groundwater samples from monitoring wells 2, 3, & 4 indicate a Fecal coliform
bacteria concentrations in violation of NC Groundwater Quality 02L regulations.
These monitoring wells should be re-sampled and the sample results should be
forwarded to the Winston-Salem Regional Office as well as the Raleigh Central Office. A
follow-up inspection will be conducted within 180 days to ensure that these items are
properly addressed.
'linstonSa em Regional Office One
585 Waughtov n Street Wins on.Sa em North Catoikna 27107 NorthCarolina
Phone:33b 1 5 FAX: 3 _t Customer Se,-0r e 1-877-32 -5-48 WVAV nmateraua'ity ore Naturally

6t Lake Preserve—Thousand Trails Permit No.WQ0004972
.HC TT,Inc. Non-discharge Compliance Inspection
Please refer to the enclosed compliance inspection report for additional observations,
comments, and details. If you or your staff should have any questions, please contact
Patrick Mitchell at [phone].
Sincerely,
Sherri V. Knight, P.E.
Regional Supervisor, Aquifer Protection Section
enc.: Compliance Inspection Report
cc: Quentin Campbell, ORC
Robert Rowe, Preserve General Manager
Davie County Health Department
APS Central Office—Permit File WO0004972
Page 2 of 2

•
toujand'1ai 8
America's Finest Family Camping
State of North Carolina Rex Walser [phone] Ext.227
Department of Environment FacililyS°�ervisor
Forest Lake Preserve
and Natural Resources
192 Thousand Trails Dr. • Advance,NC 27006
Division of Water Quality Aim Fax[phone] • [e-mail]
www.thousandtrails.com
Beverly Eaves Purdue, Governor
Dee Freeman, Secretary
Coleen H. Sullins, Director
NON-DISCHARGE COMPLIANCE INSPECTION REPORT
SURFACE IRRIGATION
GENERAL INFORMATION
Owner: MHC TT, Inc. County: Davie
Permit #: WQ0004972 Facility Name: Forest Lake Preserve
Issuance Date: 09/11/2009 Expiration Date: 10/31/2014
Permittee Contact: Laura Choi Telephone No.: [phone]
ORC Name: Quentin Lee Campbell Cert#:15588 Telephone No: [phone]
Backup ORC Name: Randy Lohr cert#:14894 Telephone No: [phone] p 1-Gt11
334-212.-9020
Reason for Inspection
X ROUTINE COMPLAINT FOLLOW-UP Facility Start-up
Inspection Summary: (additional comments may be included on attached pages)
Inspection of the wastewater treatment facilities and the surface irrigation field were
conducted on August 19, 2010. Accompanying DWQ on the inspection was Mr. Quentin
Campbell (ORC) and Mr. Rex Walser(Facility Supervisor). The facility was found to be
compliant with DWQ permit WQ0004972. While the facility was found to be in compliance with
the permit, the following items of concern warrant your immediate attention:
A. Visual alarm at pump "Station B" was not working at time of inspection.
B. One pump at pump "Station A"is not working properly (pump trips the breaker).
C. Effluent flowmeter not working at time of inspection.
D. Irrigation spray head clogged.
E. Tall weeds and brush surrounding spray heads impeding proper spray dispersal.
F. Monitoring wells 2, 3, & 4— water samples indicating Fecal coliform concentrations in
violation of NC Groundwater Quality 02L regulations.
Monitoring wells should be re-sampled and sample results should be forwarded to the Winston-
Salem Regional Office as well as the Raleigh Central Office. A follow-up inspection will be
conducted within 180 days to ensure that these items are properly addressed.
Is a follow-up inspection necessary X Yes — No
Inspector Name: Patrick Mitchell
Telephone: [phone] Fax: [phone]
Date of Inspection: August 19, 2010 Entry Time: 10:35 am Exit Time: 12:00 pm

Forest Lake Preserve Permit No WQ0004972
MHC TT, Inc. 08/19/2010
Type
X Activated Sludge Spray, low rate
X Lagoon Spray, Low Rate
Other
Treatment [Y, N, NA, OR NE]
Y Are treatment facilities consistent with those outlined in the current permit?
Y Do all treatment units appear to be operational? If no, note below.
Comments(list any action items necessary for each unit):
Treatment Influent pump station(s) [Y, N,NA, OR NE]
Y All pumps present, operational Y Free of bypass lines or structures
N Audio & Visual Alarms Operational Y General housekeeping good
N Back-up power Y Floats/Controls operable
Comments:
"Station B"— visual alarm not working. Check others and repair as needed.
"Station A"— one pump not working properly (trips breaker). To be replaced.
Treatment Flow Measurement—Water-Use Records [Y,N, NA, OR NE]
N Is water use metered?
NA Are the daily average values properly calculated?
Comments:
Treatment Flow Measurement— Effluent [Y,N,NA, OR NE]
Y Is the flowmeter calibrated annually?
N Is the flowmeter operating properly?
N Does the flowmeter monitor continuously?
N Does the flowmeter appear to monitor accurately?
Comments:
The effluent flowmeter was not working at the time of inspection. To be replaced.
Treatment Barscreen [Y,N,NA, OR NE]
Y Free of excessive debris Y Disposal of screenings Compliant
Y Bars spaced properly Y Unit in good condition (Excess corrosion)
Comments:
Treatment Activated Sludge [Y, N, NA, OR NE]
Y Aeration mechanism operable & accessible Y Aeration basin thoroughly mixed
NE Dissolved Oxygen adequate Y Is sludge an acceptable color
NE Settleometer results acceptable
Comments:
Treatment Clarifiers [Y, N, NA, OR NE]
Y Weirs level Y Weirs free of solids & algae
Y Scum removal system operational Y Scum removal system accessible
NE Sludge blanket at acceptable level Y Clarifier effluent free of excessive solids
Comments:
Page 2 of 4

Forest Lake Preserve Permit No WQ0004972
MHC TT, Inc. 08/19/2010
Treatment Return Pumps [Y, N,NA, OR NE]
Y Pumps in place & operational
Sludge Storage/Treatment [Y, N, NA, OR NE]
Y Aeration pattern even NA If required, Sanitary Ts present in tankage
Treatment Disinfection [Y, N,NA, OR NE]
Y Is the system working? Y Is the system properly maintained?
NE Fecal coliform results indicate proper disinfection NE Adequate detention time(>30 minutes)
X Tablets Gas Liquid UV
Y If tablets, proper size? Y Present in Cylinder(s)?
Y Is contact chamber free of sludge, solids and growth?
Comments:
Effluent Storage
X LAGOON(s)
OTHER:
Number of months storage NE Spill control plan onsite NE
Comments:
Storage Lagoon [Y,N,NA, OR NE]
PRIMARY (Check any/all that apply)
Y Influent structure (free of obstructions)
N Banks/berms (are there signs of seepage, overtopping, down cutting or erosion)
N Vegetation (is there excessive or woody vegetation on the lagoon bank)
NE Liner (if visible, is it intact) Liner is not visible due to rock cover
NA Baffles/curtains (in need of repair)
Y Freeboard (>2 feet from overtopping) 2' 8" Measurement at time of inspection
Y Staff gauge (clearly marked)
N Evidence of overflow (vegetation discolored or laying down/broken)
N Unusual color (very black, textile colors)
NE Foam (are antifoam agents used)
N Floating mats (sludge, plants, inorganics)
N Excessive solids buildup (from bottom)
NA Aerators/mixers operational (if present)
Y Effluent structure (free of obstructions, easily accessible)
Comments:
End Use-Irrigation [Y, N, NA, OR NE]
Y Are buffers adequate?
Y Are cover crops the type specified in permit?
N Is cover crop in need of improvement?
N Signs of runoff? N Signs of ponding? N Signs of drift?
Y Is the acreage specified in the permit being utilized?
Y Is the application equipment present and operational?
Y Is application equipment in need repair?
Y Are there any limiting slopes in disposal fields?
Page 3 of 4

Forest Lake Preserve Permit No WQ0004972
MHC TT, Inc. 08/19/2010
End Use-Irrigation [Y, N, NA, OR NE] Continued
Y Is site access restricted and/or signs posted in accordance with permit?
N Are any supply wells within the CB?
N Are any supply wells within 250' of the CB?
N Spray heads calibrated this past year?
Y Is permit being followed?
Comments:
Spray head clogged and tall weeds/brush around spray heads. Check spray heads for clogs
and remove tall weeds/brush around spray heads.
Recordkeeping [Y, N, NA, OR NE]
Y Is current permit available upon request?
NE Are flow rates less than permitted flow?
NE Are monitoring reports present: NDMR NDAR
Y Are operational logs present? Complete? Y
Y Are lab sheets available for review?
NE Do lab sheets support data represented on NDMR or NDAR?
NE Are all samples analyzed for the required parameters?
NE Is field parameter certification required?
Y Are there any 2L GW quality violations?
NA Are annual soil reports available? Lime called for? NA
NE Is the operation and maintenance manual present? Complete?
N Has DWQ received any complaints regarding the facility in the last 12 months?
Comments:
Monitoring wells 2, 3, and 4: samples reflect fecal coliform concentrations in violation of
the North Carolina Groundwater Quality Standards [15A NCAC 02L .0202 (g)(38)].
Page 4 of 4

• A
Ale
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 23, 2009
Mr. Quentin Lee Campbell.
Thousand Trails L P
3830 N Main St
High Point NC 27265
SUBJECT: February 16,2009 Compliance Evaluation Inspection
Thousand Trails L P
Thousand Trails-Forest Lake
Permit No: WQ0004972
Davie County
Dear Mr. Campbell:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted on February 16,
2009. The Compliance Evaluation Inspection was conducted by Derek Denard of the Winston-Salem Regional Office.
The facility was found to be in Compliance with permit WQ0004972.
• No freeboard marker was available for the lagoon. Permit Condition III.5. gives the following requirements: A
waste-level gauge, to monitor waste levels in the lagoon shall be provided.This gauge shall have readily visible
permanent markings indicating the maximum liquid level at the top of the temporary liquid storage volume,
minimum liquid level at the bottom of the temporary liquid storage volume, and the lowest point on top of the
dam elevations. Caution must be taken not to damage the integrity of the liner when installing the gauge.
• Indication that the VOC analysis was performed needs to be marked on the GW-59 forms.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions, please call Derek Denard at 336-771-5286.
Sincerely,
Wtik
Sherri V. Knight, P.E.
Regional Supervisor,Aquifer Protection Section
cc: Davie County Health Department
APS Central Files
Winston-Salem Regional Office
585 Waughtown Street,Winston-Salem,North Carolina 27107 One
Phone:[phone]\FAX:[phone] Customer Service:1-877-623-6748 NorthCarolina
Internet:www.ncwaterquality.org Naturally
An Equal Opportunity`,Affirmative Action Employer �/ ►� "

Compliance Inspection Report
Permit: WQ0004972 Effective: 11/17/06 Expiration: 10/31/11 Owner: Thousand Trails L P
SOC: Effective: Expiration: Facility: Thousand Trails-Forest Lake
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Quentin Lee Campbell Title: Phone: [phone]
Directions to Facility:
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Left. Enterance to campground is
approx. 0.15 mile west of the Yadkin River on N. side of US 64
System C assifications:
Primary ORC: Quentin Lee Campbell Certification: 15588 Phone:[phone]
Secondary ORC(s):
Kenneth Richard Cupp Certification:25017 Phone:[phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 02/16/2009 Entry Time: 10:00 AM Exit Time: 11:30 AM
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s):
Reason for Inspection: Routine Inspection Type:Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow ■Miscellaneous Questions ■Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
Treatment II Treatment Barscreen Record Keeping Treatment Lagoons
111 Treatment Activated Sludges Treatment Sludge End Use-Irrigation Treatment Clarifiers
Storage/Treatment
Treatment Disinfection ■Treatment Flow IS Treatment Return pumps
Measurement
(See attachment summary)
Page: 1

Permit:WQ0004972 Owner-Facility:Thousand Trails L P
Inspection Date: 02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Inspection Summary:
Aeration Basin: Sludge was dark with dark foam indicating old sludge. Sludge needs to be wasted. However, flow is low
due the campgrounds being closed for winter. The water level will be lowered to allow one side of the basin to be
re-surfaced because of corrosion.
Digester: Needed to be pumped.
Flow meter: calibrated on 4/15/08 by Jenkins Waste Management.
Lagoon: No freeboard marker was available for the lagoon. Permit Condition 111.5. gives the following requirements:A
waste-level gauge,to monitor waste levels in the lagoon shall be provided. This gauge shall have readily visible
permanent markings indicating the maximum liquid level at the top of the temporary liquid storage volume, minimum liquid
level at the bottom of the temporary liquid storage volume, and the lowest point on top of the dam elevations. Caution
must be taken not to damage the integrity of the liner when installing the gauge.
Review of Self-monitoring for November 2006 to November 2008 found the following: •
-Fecal Coliform was 2/100mL for MW-1 on 11/06/08.
-The VOC analysis needs to be marked on the GW-59 forms.
Page: 2

Permit:WQ0004972 Owner-Facility:Thousand Trails L P
Inspection Date: 02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Type Yes No NA NE
Reuse(Quality) 0
Infiltration System 0
Single Family Spray, LR 0
Activated Sludge Spray, HR 0
Activated Sludge Drip, LR 0
Recycle/Reuse 0
Single Family Drip 0
Lagoon Spray, LR •
Activated Sludge Spray, LR •
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? U 0 0 0
Do all treatment units appear to be operational?(if no,note below.) M 0 0 0
Comment: See summary for comments.
Treatment Flow Measurement-Influent _ Yes No NA NE
Is flowmeter calibrated annually? 0 0 • 0
Is flowmeter operating properly? 0 0 • 0
Does flowmeter monitor continuously? 0 0 • 0
Does flowmeter record flow? 0 0 s 0
Does flowmeter appear to monitor accurately? 0 0 • 0
Comment: See summary for comments.
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? 0 0 • 0
Are the daily average values properly calculated? 0 0 ■ 0
Comment: See summary for comments.
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ■ 0 0 0
Is flowmeter operating properly? ■ 0 0 0
Does flowmeter monitor continuously? ■ 0 0 0
Does flowmeter record flow? 111000
Does flowmeter appear to monitor accurately? ■ 0 0 0
Page: 3

Permit:WQ0004972 Owner-Facility:Thousand Trails L P
Inspection Date:02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Comment: See summary for comments.
Treatment Barscreen Yes No NA NE
Is it free of excessive debris? ■ ❑ ❑ ❑
Is disposal of screenings in compliance? ■ ❑ ❑ ❑
Are the bars spaced properly? ■ ❑ ❑ ❑
Is the unit in good condition? ■ ❑ ❑ ❑
Comment: See summary for comments.
Treatment Activated Sludge Yes No NA NE
Is the aeration mechanism operable? • ❑ ❑ ❑
Is the aeration basin thoroughly mixed? ■ ❑ ❑ ❑
Is the aeration equipment easily accessed? ■ ❑ ❑ ❑
Is Dissolved Oxygen adequate? 0 0 • 0
Are Settleometer results acceptable? 0 0 • 0
Is activated sludge an acceptable color? 0 ■ 0 0
Comment: Sludge was darker indicating older sludge. There was every little flow due
to it not being camping season.
Treatment Clarifiers Yes No NA NE
Are the weirs level? U ❑ ❑ ❑
Are the weirs free of solids and algae? U ❑ ❑ ❑
Is the scum removal system operational? ■ ❑ ❑ ❑
Is the scum removal system accessible? ■ ❑ ❑ ❑
Is the sludge blanket at an acceptable level? U ❑ ❑ ❑
Is the effluent from the clarifier free of excessive solids? U ❑ ❑ ❑
Comment: See summary for comments.See summary for comments.
Treatment Return pumps Yes No NA NE
Are they in place? U ❑ ❑ ❑
Are they operational? U ❑ ❑ ❑
Comment: See summary for comments.
Treatment Sludge Storage/Treatment Yes No NA NE
Is the aeration operational? U ❑ ❑ ❑
Is the aeration pattern even? ■ ❑ ❑ ❑
Page: 4

Permit:W00004972 Owner-Facility:Thousand Trails L P
Inspection Date: 02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
If required, are Sanitary"Ts"present in tankage? 0 0 • 0
Comment: See summary for comments.
Treatment Disinfection Yes No NA NE
Is the system working? • ❑ ❑ ❑
Do the fecal coliform results indicate proper disinfection? • ❑ ❑ ❑
Is there adequate detention time(>=30 minutes)? ■ ❑ ❑ ❑
Is the system properly maintained? ■ ❑ ❑ ❑
If gas,does the cylinder storage appear safe? 0 0 • 0
Is the fan in the chlorine feed room and storage area operable? 0 0 • 0
Is the chlorinator accessible? ■ ❑ ❑ ❑
If tablets, are tablets present? . 000
Are the tablets the proper size and type? U ❑ ❑ ❑
Is contact chamber free of sludge, solids, and growth? U ❑ ❑ ❑
If UV, are extra UV bulbs available? ❑ ❑ E ❑
If-UV, is the UV intensity adequate? - 0 0 • 0
#Is it a dual feed system? 0 • 0 0
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? 0 U ❑ ❑
If yes,then is there a Risk Management Plan on site? 0 0 • 0
If yes,then what is the EPA twelve digit ID Number?(1000- _)
If yes, then when was the RMP last updated?
Comment: See summary for comments.
Record Keeping Yes No NA NE
Is a copy of current permit available? U ❑ ❑ ❑
Are monitoring reports present: NDMR? • ❑ ❑ ❑
NDAR? • 000
Are flow rates less than of permitted flow? U ❑ ❑ ❑
Are flow rates less than of permitted flow? U ❑ ❑ ❑
Are application rates adhered to? • ❑ ❑ ❑
Is GW monitoring being conducted, if required(GW-59s submitted)? 11000
Are all samples analyzed for all required parameters? MI ❑ ❑ ❑
Page: 5

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rn

Permit:W00004972 Owner-Facility:Thousand Trails L P
Inspection Date: 02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Are any supply wells within 250' of the CB? 0 • 0 0
How close is the closest water supply well? ■ ❑ ❑ ❑
Is municipal water available in the area? 0 • 0 0
#Info only: Does the permit call for monitoring wells? • ❑ ❑ ❑
Are GW monitoring wells located properly w/respect to RB and CB? • ❑ ❑ ❑
Are GW monitoring wells properly constructed,including screened interval? ❑ ❑ ❑ ■
Are monitoring wells damaged? 0 • 0 0
Comment: See summary for comments.
001 -
Treatment Lagoons Yes No NA NE
Lagoon Type None
Primary/Secondary Secondary
Influent structure • ❑ ❑ ❑
Comment:
Banks/berms(seepage and erosion) - • ❑ ❑ ❑
Comment: No seepage and erosion.
Vegetation(excessive vegetation on banks/berms) ■ ❑ ❑ ❑
Comment: Good grass cover.
Liner 111000
Comment: Permit says PVC liner.
Liner Type Full,synthetic
Baffles/curtains ❑ ❑ E ❑
Comment:
Freeboard Marker ❑ 1 ❑ ❑
Comment: No freeboard marker.
Required freeboard
Actual freeboard
Are increments clearly marked on gauge at adequate intervals? 0 0 ■ 0
Page: 7

Permit:WO0004972 Owner•Facility:Thousand Trails L P
Inspection Date: 02/16/2009 Inspection Type:Compliance Evaluation Reason for Visit:Routine
Comment: No freeboard marker.
Has the water level gauge been surveyed w/respect to lowest point on dike?wall? 0 0 ■ 0
Comment: No freeboard marker.
No Evidence of overflow U ❑ ❑ ❑
Comment:
Acceptable color ■ ❑ ❑ ❑
Comment:
Floating mats ■ ❑ ❑ ❑
Comment: No mats. YES = positive answer.
Excessive solids buildup U ❑ ❑ 0
Comment: No excessive solids. YES = positive answer.
Aerators/mixers 0 0 • 0
Comment:
Effluent structure anon
Comment:
Lagoon cover 0 0 • 0
Comment:
Page: 8

RECEIVED
N.C.Dent.of ENR
JAN 3 1 2008
Winston-Saler
Regional Office
Performance Annual Reportn"J:=
I. General Information
Facility/System Name: TJi coda UJ A !I'a I Is, L• P.
Responsible Entity: Ridnevf Ri)a)p )
Person in Charge/Contact: /`CQ he pi Ro•LZ1 t✓ -
J4 v
Applicable Permit(s): Gl) Q OcO4/1 &1 f X O y,7 2008
Description of Collection System or Treatment Process:
Po \ __ rin N+ Uri it , putrip o4-140AS hG Iloft kcor1
*-Pre fr 6101iC V\ 1;e jrL l..ifL pihe_t1-tvp S
II. Performance
Text Summary of System Performance for Calendar Year atC07
%Ire_ 6[1t Opera' . G?]F �P�aiL L� ;eiPv�r°t irt, 2e0C)
List (by month)any violations of permit conditions or other environmental regulations. Monthly
lists should include discussion of any environmental impacts and corrective measures taken to
address violations.
N0 0(9da_4-ict\ S t� oZOD�

Jlv UI wni L(\ kw VI�1 i 1 v
•
Etc.
III. Notification
State how this report has been made available to users or customers of the system and how those
users have been notified of its availability.
A nod; ;cakpv1/4._ to P°Sfe. L oik bulled'- &are ictJi't j —Mat-emirs repe)r$ is
a� Rob �2ot.eJe's al6i� w- CCM_ &e Steen 6ct Pve)per ev IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge. I further certify that this report has been made available to the users or customers of
the named system and that those users have been notified of its availability.
- ,2 6 -og
Responsible Person Date
Title
Entity

W)(ftW A7z. Michael F.Easley,Governor
�� 1William G.Ross Jr.,Secretary
1 ` North Carolina Department of Environment and Natural Resources
G .-_ ur • "� Coleen H.Sullins,Director
Division of Water Quality
--
June 20,2007 RECEIVED
N.C.Dept of ENR
Mr.Robert Rowe JUN 2 8 2007
Thousand Trails L P
192 Thousand Trails Dr Winston-Sale.'.Regional rw
Advance,NC 27006 -
SUBJECT: Operator Designation
Thousand Trails L P
Thousand Trails-Forest Lake
Permit No: WQ0004972
Davie County
Dear Mr.Rowe:
Enclosed please fmd a copy of the Water Pollution Control System Designation Form. It was noted in our
database that the Back-up ORC designated for the Spray Irrigation Classification of the facility has an
invalid status. Permit Condition II. 2. requires that the Permittee employ a certified Back-up ORC of the
appropriate type and grade to comply with the conditions of 15A NCAC 8G .0201. Also noted was that the
designations for Spray Irrigation ORC,Wastewater Grade II ORC and Wastewater Grade II Back-up ORC
were in good standing. Please complete and submit the designation form to the address indicated on the
form.
•
If you or your staff have any questions, please call me at 336-771-5286. The Technical Assistance and
Certification Unit can be reached at 919-733-0026.
Sincerely,
in�er�
Derek C.Denard
Environmental Specialist
cc: `6W'i,e ,Campbell,ORC.
Technical Assistance and Certification Unit %-
APS Central Files i
APS Winston-Salem Files
o
��
N'' tthCarolin
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: http://w w.ncwaterquality ore
An Equal Opportunity/Affirmative Action Employer—50%Recycled110%Post Consumer Paper

Water-Pollution Control System Designation Form
• WPCSOCC
NCAC 15A:08G .0201
General Information: II
Permittee Owner/Officer Name: 11 pp 0 ke.14 POW e-
Mailing Address: FOfeSl- 1a6_-- cfaThot-csaM 77,arIc Zr. - Y'tc1izavlee,.` V� ,C-' a000(�
City: RAI)a Vl eP State: is ,Q• Zip: n2')OO(v -
Telephone Number( 33b ) ct c(8 -'-13S Fax Number( )
Signature:
Date: / — Z y" D '7
Facility Information:
Facility Name: I ilea,a 11 d Tku 11 S L P
Permit Number: W Q QPO 4- 1'a_ County: - a U 1 e_
_ ! SUBMIT A SEPARATE FORM FOR EACH TYPE OF SYSTEM !
Mark(X)Type of Facility Grade Mark (X)Type of Facility
Wastewater Plant X a Spray Irrigation
Physical/Chemical Land Application
Collection System
Operator in Responsible Charge:
Print Name: UP as vL earn p bet 1 Social Security# : y-Io- 5$ -10(00 b
Certificate Type and Grade: Li) U T P JL Certificate#: '1 O o2l0
Work Telephone: (3__3_(2) 3 b') S3 q 8! Signature: �� 'Ca
Back-Up Operator in Responsible Charge:
Print Name: -VrMn+ite) wq d Le II Social Security #: 2 ` 5- (7" 315 7
9 �'a 6 qy
s .
Certificate Type and Grade: W W 3 Certificate#: 21 S g I
Work Telephone: (334 ) tOb.(o 3 S 0 Signature: -.4.A.t.-#74,44-410/-/--_
Mail or Fax to: WPCSOCC
1618 Mail Service Center
Raleigh,N.C.27699-1618 Fax: [phone]

Permit Number: Page 2
r ,
Back-Up Operator in Responsible Charge:
Print Name: GI t.' k;t)P Social Security# : A (43— 5.2 — If la it
Certificate Type and Grade: tk UJT P I Certificate#: b a D 3
---(-7194
Work Telephone: (33 6) b a 9 - Li 3') I Signature: ) Xr...-&-e-2:et-
Back-Up Operator in Responsible Charge:
Print Name: Social Security#:
Certificate Type and Grade: Certificate#:
Work Telephone: ( ) Signature:
II I
Back-Up Operator in Responsible Charge:
Print Name: Social Security# :
Certificate Type and Grade: Certificate#:
Work Telephone: ( ) Signature:
Back-Up Operator in Responsible Charge:
Print Name: Social Security#: -
Certificate Type and Grade: Certificate#: -
Work Telephone: ( ) Signature: -
Back-Up Operator in Responsible Charge:
Print Name: Social Security #:
Certificate Type and Grade: Certificate#: _
Work Telephone: ( ) Signature:

00
0 W A7- Michael F.Easley,Governor
William G.Ross Jr.,Secretary
North Carolina Department of Environment and Natural Resources
I Alan W.Klimek,P.E.Director
. + Division of Water Quality
•
—f
January 16, 2007
Mr. Robert Rowe
Thousand Trails L P
192 Thousand Trails Dr
Advance NC 27006
SUBJECT: September 15,2006 Compliance Evaluation Inspection
Thousand Trails L P
Thousand Trails-Forest Lake
Permit No: WQ0004972
Davie County
Dear Mr. Rowe:
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on September 15,2006. The Compliance Evaluation Inspection was conducted by Derek Denard of the
Winston-Salem Regional Office. Present for the inspection was Quentin Campbell, ORC. Also present for
the inspection was Perry Wyatt,Division of Soil and Water Conservation. The facility was found to be in
Compliance with permit WQ0004972.
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff
have any questions,please call Derek Denard at 336-771-5286.
Sincerely,
tla
Sherri V.Knight, P.E
Regional Aquifer Protection Supervisor
cc: Quentin Lee Campbell,ORC
Davie County Health Department
APS Central Files
No rne thCarolin
A7aturah/b
Division of Water Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: http:,; v‘‘N.nc ore
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

Compliance Inspection Report
Permit: WO0004972 Effective: 09/22/00 Expiration: 08/31/05 Owner: Thousand Trails L P
SOC: Effective: Expiration: Facility: Thousand Trails-F orest Lake
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Robert Rowe Phone: [phone]
Directions to Facility:
From Winston travel 1-40 West to HWY 801 South.Travel 801 S to intersection with US 64 and turn Left. Enteiance to campground is
approx. 0.5 mile west of the Yadkin River on N. side of US 64
Primary ORC: Quentin Lee Campbell Certification: 15588 Phone: [phone]
Secondary ORC(s):
Randy Lohr Certification: i4894 Phone: [phone]
On-Site Representative(s):
Related Permits:
Inspection Date: 09/15/2006 Entry Time: 09:45 AM Exit Time: 11:50 AM
Primary Inspector: Derek Denard Phone:[phone]
Secondary Inspector(s):
Perry Wyatt Phone:
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: ■ Compliant 0 Not Compliant
Question Areas:
■Treatment Flow ■Treatment Flow II Miscellaneous Questions .Treatment Flow
Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
Treatment II Treatment Barscreen II Record Keeping III Treatment Activated Sludge
■Treatment Sludge ■End Use-Irrigation I.Treatment Influent Pump .Treatment Clarifiers
Storage/Treatment Station
.Treatment Disinfection I.Treatment Flow .Treatment Return pumps II Storage
Measurement
(See attachment summary)
Page: 1

Permit:WQ0004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Inspection Summary:
PERMIT
Non-discharge Permit No. WQ0004972 is for the continued operation of a collection system serving 283 camp sites and
18 cabins consisting of seven grinder pump stations with associated collection piping, 430 linear feet of three-inch force
main; and the continued operation of a 24,400-gallon per day spray irrigation system consisting of a 45,000-gallon per day
extended aeration wastewater treatment facility with effluent storage lagoon and spray irrigation disposal facility consisting
of a 14,800 gallon capacity aerated surge tank with influent bar screen, dual 74 GPM submersible pumps, and high water
alarms, a 45,000 gallon capacity aeration tank, twin 285-CFM blowers, a 4,500 gallon sludge holding tank, a 7,500-gallon
clarifier, a 940-gallon baffled chlorine contact tank with hypochlorinator, a 0.408-million gallon capacity lagoon with PVC
liner for storage of treated effluent, and dual 142-gallon per minute effluent dosing pumps discharging to a 6-7 acre spray
irrigation field with eighteen (18) sprinkler heads to serve Thousand Trails, Inc., with no discharge of wastes to the surface
waters.
RECORD KEEPING AND SELF-MONITORING
Review of self-monitoring (GW-59's, NDMR's, NDAR's)for the review period of January 2005 to October 2006 found the
following:
-GW59A's were not received or 3-2005 and 11-2005. There was not copy of the GW-59A for 3-2006 for review with the
regional office files, but it was noted in the BIMS database that this form was received.
-Fecal Coliform results from GW-59's: 7 /100mL on 7/14/06 MW-2, 2 /100mL on 7/14/05 MW-1, 2/ 100mL on 7/14/05
MW-2.
-Fecal Coliform results from NDMR's: 8/100mL on 3/21/05, 3,600/100mL on 6/14/05, >12000/100mL on 11/03/05,
9,800/100mL on 7/14/06.
-The 2L standard for Total Coliform is 1 /100mL.
FACILITY SITE REVIEW
-Trees and woody vegetation was present on slope (at the toe) of the berm. The root systems of trees and woody
vegetation may have the potential for causing failure of the berm structure. The berm should be monitored periodically for
any failures. It is recommended that woody vegetation with a diameter less than four(4) inches be removed if possible.
Woody vegetation greater than 4 inches in diameter should remain due to their larger root systems.
-The lagoon was covered with duckweed.
-At the corners of the fence around the lagoon there were gaps big enough to be entered through.
FLOW MEASUREMENT
Calibrated on 9/07/06 by Jenkins Waste Management.
COMPLIANCE SCHEDULES
N/A
LABORATORY
The contract lab used by this facility is Research &Analytical Laboratories Inc.
SLUDGE UTILIZATION/DISPOSAL
Needs to pump and haul solids. Sludge is pumped and hauled as needed.
•
Page: 2

Permit:W00004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type: Compliance Evaluation Reason for Visit: Routine
OTHER
The last inspection of this facility was conducted by Derek Denard of this office on April 27, 2005.
ADDITIONAL INSPECTION QUESTIONS
Soil Tests
Was a standard Soil Fertility Analysis conducted for each application field? Not evaluated
Were the soil pH's 6.0 or greater for each application field? Not evaluated
Were the copper and zinc indexes in the soil less than 3000 for each application field? Not evaluated.
Page: 3

Permit:WO0004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Type
Yes No NA NE
Reuse(Quality) n
Infiltration System n
Single Family Spray, LR n
Activated Sludge Spray, HR ❑
Activated Sludge Drip, LR n
Recycle/Reuse n
Single Family Drip
Lagoon Spray, LR ■
Activated Sludge Spray, LR ■
Treatment Yes No NA NE
Are Treatment facilities consistent with those outlined in the current permit? • n n n
Do all treatment units appear to be operational?(if no, note below.) ■ n n n
Comment:
Treatment Influent Pump Station Yes No NA NE
Is the pump station free of bypass lines or structures? n n n •
Is the general housekeeping acceptable? n n n ■
Are all pumps present? n n n ■
Are all pumps operable? n n n ■
Are floats/controls operable? n n n ■
Are audio and visual alarms available? n n n ■
Are audio and visual alarms operational? n ❑ ❑ •
#Are SCADA/Telemetry alarms required? n n ■ ❑
Are SCADA/Telemetry available? n n ■ n
Are SCADA/Telemetry operational? n ❑ • n
Comment:
Treatment Flow Measurement-Influent Yes No NA NE
Is flowmeter calibrated annually? n n ■ n
Is flowmeter operating properly? n n ■ n
Does flowmeter monitor continuously? ❑ ❑ ■ n
Page: 4

Permit:WQ0004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type:Co.ipliance Evaluation Reason for Visit: Routine
Does flowmeter record flow? ❑ ❑ • ❑
Does flowmeter appear to monitor accurately? n 11 • n
Comment:
Treatment Flow Measurement-Water Use Records Yes No NA NE
Is water use metered? Li n
Are the daily average values properly calculated? n n ■ n
Comment:
Treatment Flow Measurement-Effluent Yes No NA NE
Is flowmeter calibrated annually? ■ n n
Is flowmeter operating properly? ■ n ❑ n
Does flowmeter monitor continuously? ■ n n n
Does flowmeter record flow? ■ n ❑ n
Does flowmeter appear to monitor accurately? ■ n ❑ n
Comment: Calibrated on 9/07/06 by Jenkins Waste Management.
Treatment Barscreen Yes No NA NE
Is it free of excessive debris? • n ❑ n
Is disposal of screenings in compliance? ■ n ❑ ❑
Are the bars spaced properly? ■ n n n
Is the unit in good condition? i® n n n
Comment:
Treatment Activated Sludge Yes No NA NE
Is the aeration mechanism operable? ■ n n ❑
Is the aeration basin thoroughly mixed? ■ ❑ Q ❑
Is the aeration equipment easily accessed? ■ ❑ ❑ n
Is Dissolved Oxygen adequate? ❑ n n ■
Are Settleometer results acceptable? n n n ■
Is activated sludge an acceptable color? ■ n n ❑
Comment:
Treatment Clarifiers Yes No NA NE
Are the weirs level? ■ n n n
Are the weirs free of solids and algae? ■ n n n
Page: 5

Permit:WO0004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type:Compliance Evaluation Reason for Visit: Routine
Is the scum removal system operational? • El El El
Is the scum removal system accessible? ■ El n n
Is the sludge blanket at an acceptable le/el? Finn .
Is the effluent from the clarifier free of excessive solids? ■ n n n
Comment:
Treatment Return pumps Yes No NA NE
Are they in place? ■ n n n
Are they operational? ■ El El n
Comment:
Treatment Sludge Storage/Treatment Yes No NA NE
Is the aeration operational? ■ n n n
Is the aeration pattern even? ® El El El
If required, are Sanitary"Ts"present in tankage? ❑ ❑ •
El
Comment: Needs to pump and haul solids.
Treatment Disinfection Yes No NA NE
Is the system working? ■ n El El
Do the fecal coliform results indicate proper disinfection? n ■ n n
Is there adequate detention time(>=30 minutes)? ■ n n n
Is the system properly maintained? ■ n n n
If gas,does the cylinder storage appear safe? n n ■ n
Is the fan in the chlorine feed room and storage area operable? n n ■ n
Is the chlorinator accessible? ■ n n n
If tablets,are tablets present? ■ El El El
Are the tablets the proper size and type? ■ n El 1=1
Is contact chamber free of sludge, solids, and growth? ■ n n El
If UV,are extra UV bulbs available? ❑ n ■ n
If UV, is the UV intensity adequate? n n • 11
#Is it a dual feed system? El ■ n n
Does the Stationary Source have more than 2500 lbs of Chlorine(CAS No. 7782-50-5)? n n ■ n
If yes,then is there a Risk Management Plan on site? ❑ ❑ ■ n
Page: 6

Permit:W00004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type: Compliance Evaluation Reason for Visit:Routine
If yes,then what is the EPA twelve digit ID Number? (1000 __)
If yes,then when was the RMP last updated?
Comment: Fecal results: 8 /100mL on 3/21/05, 3,600 /100mL on 6/14/05, >12000
/100mL on 11/03/05, 9,800 /100mL on 7/14/06
Record Keeping Yes No NA NE
Is a copy of current permit available? n ❑ ❑ ■
Are monitoring reports present: NDMR? 11 ❑ n ■
NDAR?
nnn ■
Are flow rates less than of permitted flow? ■ n n n
Are flow rates less than of permitted flow? ■ I i n n
Are application rates adhered to? ■ n n n
Is GW monitoring being conducted, if required(GW-59s submitted)? ■ n n n
Are all samples analyzed for all required parameters? • Finn
Are there any 2L GW quality violations? ■ n n [i
Is GW-59A certification form completed for facility? n ■ n n
Is effluent sampled for same parameters as GW? n ■ n n
Do effluent concentrations exceed GW standards? ■ n n n
Are annual soil reports available? ❑ ❑ • 0
#Are PAN records required? • ❑ ❑ n
#Did last soil report indicate a need for lime? ❑ ❑ ■ ❑
If so, has it been applied? ❑ ❑ ■ ❑
Are operational logs present? 0 ❑ ❑ ■
Are lab sheets available for review? ■ ❑ [1.1 ❑
Do lab sheets support data reported on NDMR? ■ ❑ ❑ ❑
Do lab sheets support data reported on GW-59s? ■ ❑ ❑ ❑
Are Operational and Maintenance records present? n ❑ n ■
Were Operational and Maintenance records complete? n n ❑ ■
Has permittee been free of public complaints in last 12 months? IN ❑ ❑ ❑
Is a copy of the SOC readily available? ❑ ❑ ■ ❑
No treatment units bypassed since last inspection? ■ n ❑ n
Comment: See summary for details.
Page: 7

Permit:WQ0004972 Owner-Facility:Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type: Compliance Evaluation Reason for Visit: Routine
End Use-Irrigation Yes No NA NE
Are buffers adequate? ■ n n n
Is the cover crop type specified in permit? n ■ n n
Is the crop cover acceptable'? ■ n
nn
Is the site condition adequate? ■ n n n
Is the site free of runoff/ponding? ■ n n n
Is the acreage specified in the permit being utilized? ■ n n n
Is the application equipment present? ■ n n n
Is the application equipment operational? ■ n n n
Is the disposal field free of limiting slopes? ■ n n n
Is access restricted and/or signs posted during active site use? ■ n n n
Are any supply wells within the CB? n ■ n n
Are any supply wells within 250' of the CB? norm
How close is the closest water supply well? n ■ n n
Is municipal water available in the area? ■ n n n
#Info only: Does the permit call for monitoring wells? ■ n n n
Are GW monitoring wells located properly w/respect to RB and CB? n n n N
Are GW monitoring wells properly constructed, including screened interval? n n n •
Are monitoring wells damaged? n n n •
Comment: Non-potable water supply well is approximately 300 yards from the facility.
The area is on the county water system.
STORAGE
Storage Yes No NA NE
Storage Type? Lagoon
Storage amount? 0.408
Million Gallons Per 6
Months
#At what point is side-stream wastewater returned to treatment'? pump station to
irrigation field
Is there a Spill Control Plan? n n n ■
Aerated or Mixed? NONE
If aeration is present, is it adequate? ❑ n ■ n
Page: 8

Permit:WO0004972 Owner-Facility: Thousand Trails L P
Inspection Date: 09/15/2006 Inspection Type: Compliance Evaluation Reason for Visit: Routine
If present, are diffusers cleaned regularly? n ❑ • ❑
Is influent structure acceptable? • n n IT
Are banks/berms free of seepage and erosion? ■ ❑ ❑ n
Are banks/berms free of excessive vegetation? MOOD
Is pond lined? [ ❑ ❑ n
Liner Type Full,synthetic
Is liner acceptable? ■ n n ❑
Are baffles/curtains acceptable? ❑ ❑ • ❑
Does the pond have a freeboard marker'? n ® n U
Required freeboard'? 1
Feet
Actual freeboard? 1.5
Feet
Is there suitable grassed vegetation? ■ n n
Is the vegetation maintained? n n n
Is the area free of excessive weeds and/or woody species'? [1 • ❑ ❑
Is the area free from signs of overflow? ■ n n ❑
Is color acceptable? s n n n
Are floating mats acceptable? U ❑ n n
No excessive buildup of solids'? ■ ❑ n n
Are aerators/mixers acceptable'? n n U n
Is effluent structure acceptable? • ❑ ❑ n
If present, is pond cover acceptable? ❑ 1 11 ■
11
Comment: -Trees and woody vegetation was present on slope (at the toe) of the
berm. The root systems of trees and woody vegetation may have the potential for
causing failure of the berm structure. The berm should be monitored periodically for any
failures. It is
recommended that woody vegetation with a diameter less than four (4) inches be
removed if possible. Woody vegetation greater than 4 inches in diameter should remain
due to their larger root systems.
-The lagoon was covered with duckweed.
-At the corners of the fence around the lagoon there were gaps big enough to be
entered through.
Page: 9

W9QWATMichael F.Easley,Governor
William G.Ross Jr.,Secretary
tm
North Carolina Deparent of Environment and Natural Resources
> -C Alan W.Klimek,P.E.Director
Division of Water Quality
•
•
May 12,2005
Mr.Robert Rowe
Thousand Trails
192 Thousand Trails Dr
Advance NC 27006
SUBJECT: April 27,2005 Compliance Inspection
Thousand Trails-Forest Lake
Permit No: WQ0004972
Davie County
Dear Mr.Rowe:
•
Enclosed please find a copy of the Compliance Inspection form from the inspection conducted on April 27,2005. The
Compliance Inspection was conducted by Derek Denard of the Winston-Salem Regional Office. Present for the
inspection was Quentin Campbell,ORC,and Rex Walser,Facility Supervisor. The facility was found to be in
Compliance with permit WQ0004972.
Upon review of NDMRs,NDARs,GW-59s for the period January 2004 to December 2004 the following was noted:
• The effluent Fecal Coliform was above the 2L standard(total coliform organisms: 1 /100 mL)on 7/22/04 with
>12000/100mL and 11/9/04 with 7000/100mL.
• The GW-59A form was not submitted with the GW-59 form for November 2004. The GW-59A was submitted for
March 2004 and July 2004.
• Fecal Coliform was 108/100mL for monitoring well#3 on 7/22/04.
• All four(4)wells had low pH for lab results on 3/18/04 and 7/22/04. However,the field results for pH were within
the expectable ranger of 6.5 to 8.5 for groundwater.
A facility site review noted the following observation(s):
• Trees and woody vegetation was present on slope(at the toe)of the berm. The root systems of trees and woody
vegetation may have the potential for causing failure of the berm structure. The berm should be monitored
periodically for any failures. It is recommended that woody vegetation with a diameter less than four(4) inches be
removed if possible. Woody vegetation greater than 4 inches in diameter should remain due to their larger root
systems.
N,pr,,�thhCarolina
,Naturally
Division of Wager Quality/Aquifer Protection Section Customer Service
585 Waughtown Street,Winston-Salem NC 27107 1-877-623-6748
Phone: [phone] Fax: [phone] Internet: huo:/iuw.ehnr.state.nc.us
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper

Mr.'Rowe
May 12,2005
Page 2 of 2
Please refer to the enclosed inspection report for additional observations and comments. If you or your staff have any
questions,please call Derek Denard or me at 336-771-4600.
Sincerely,
A4/14.- y ,Y..ii---
si Sherri V. Knight,P.E.
Regional Aquifer Protection Supervisor
a�
cc: Quentin Lee Campbell, ORC
: Davie County Health Department
•
3. DWQ-APS-Land Application Permitting and Compliance Unit
i-
}
.i

•
Compliance Inspection Report
Permit: WQ0004972 Effective: 09/22/00 Expiration: 08/31/05 Owner: Thousand Trails
SOC: Effective: Expiration: Facility: Thousand Trails-Forest Lake
{ County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Robert Rowe Phone: [phone] Ext.
Directions to Facility:
Primary ORC: Quentin Lee Campbell Certification: 15588 Phone: [phone]
Secondary ORC(s):
Randy Lohr Certification: 14894 Phone: [phone]
On-Site Representative(s):
Related Permits:
•
Inspection Date: 04/27/2005 Entry Time: 11:30 AM Exit Time: 02:00 PM
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s) Ext.382
Phone:
Phone:
• Reason for Inspection: Routine Inspection Type: Compliance Inspection
Permit Inspection Type: Surface Irrigation
Facility Status: • Compliant D Not Compliant
• Question Areas:
■Treatment Flow ■Treatment Flow ■Miscellaneous Questions Treatment Flow
• Measurement-Effluent Measurement-Influent Measurement-Water Use
Records
III Treatment Treatment Barscreen •Record Keeping III Treatment Activated Sludge
■Treatment Sludge ■End Use-Irrigation ■Treatment Influent Pump ■Treatment Clarifiers
Storage/Treatment Station
II Treatment Disinfection ■Treatment Flow ■Treatment Return pumps Storage
Measurement
Inspection Summary:
PERMIT
Non-discharge Permit No.WQ0004972 is for the continued operation of a collection system serving 283 camp sites and 18 cabins
consisting of seven grinder pump stations with associated collection piping,430 linear feet of three-inch force main;and the continued
operation of a 24,400-gallon per day spray irrigation system consisting of a 45,000-gallon per day extended aeration wastewater
treatment facility with effluent storage lagoon and spray irrigation disposal facility consisting of a 14,800 gallon capacity aerated
surge tank with influent bar screen,dual 74 GPM submersible pumps,and high water alarms,a 45,000 gallon capacity aeration tank,
twin 285-CFM blowers,a 4,500 gallon sludge holding tank,a 7,500-gallon clarifier,a 940-gallon baffled chlorine contact tank with
hypochlorinator,a 0.408-million gallon capacity lagoon with PVC liner for storage of treated effluent,and dual 142-gallon per minute
effluent dosing pumps discharging to a 6-7 acre spray irrigation field with eighteen(18)sprinkler heads to serve Thousand Trails, Inc.,
with no discharge of wastes to the surface waters.
Page: 1

Permit: WQ0004972 Owner-Facility: Thousand Trails
1'
Inspection Date: 04/27/2005 Inspection Type: Compliance Inspection
Reason for Visit: Routine
•
RECORD KEEPING AND SELF-MONITORING
Upon review of NDMRs, NDARs,GW-59s for the period January 2004 to December 2004 the following was noted:
tl -The effluent Fecal Coliform was above the 2L standard(total coliform organisms: 1 /100 mL)on 7/22/04 with>12000/100mL and
11/9/04 with 7000/100mL.
-The GW-59A form was not submitted with the GW-59 form for November 2004. The GW-59A was submitted for March 2004 and
i July 2004.
F -Fecal Coliform was 108/100mL for monitoring well#3 on 7/22/04.
-All four(4)wells had low pH for lab results on 3/18/04 and 7/22/04. However,the field results for pH were within the expectable
ranger of 6.5 to 8.5 for groundwater.
FACILITY SITE REVIEW
-Trees and woody vegetation was present on slope(at the toe)of the berm. The root systems of trees and woody vegetation may
have the potential for causing failure of the berm structure. The berm should be monitored periodically for any failures. It is
recommended that woody vegetation with a diameter less than four(4)inches be removed if possible. Woody vegetation greater than
4 inches in diameter should remain due to their larger root systems.
FLOW MEASUREMENT
Effluent flow meter was calibrated on 3/24/05 by Richard Jenkins.
COMPLIANCE SCHEDULES
N/A
LABORATORY
The contract lab used by this facility is Research&Analytical Laboratories Inc.
OPERATIONS AND MAINTENANCE
The operation and maintenance for this facility was satisfactory.
SLUDGE UTILIZATION/DISPOSAL
Sludge is pumped and hauled as needed.
OTHER
The last inspection of this facility was conducted by Jenifer Carter of the Winston-Salem Regional Office on June 16,2004.
Page: 2

• Permit: WO0004972 Owner-Facility: Thousand Trails
Inspection Date: 04/27/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Type
Activated Sludge Spray,LR
Treatment Yes Nn NA NF
Are Treatment facilities consistent with those outlined in the current permit?
❑ ❑ ❑
Do all treatment units appear to be operational?(if no,note below.) • 0 0 0
Comment:
Treatment Influent Pump Station YPs Nn NA NF
Is the pump station free of bypass lines or structures? U ❑ ❑ ❑
Is the general housekeeping acceptable? • ❑ 0 0
Are all pumps present? . 000
Are all pumps operable? U ❑ 0 0
Are floats/controls operable? U 0 0 0
Are audio and visual alarms available? • ❑ ❑ ❑
Are audio and visual alarms operational? U ❑ ❑ ❑
Are SCADA/Telemetry alarms required? 0 0 • 0
Are SCADA/Telemetry available? 0 0 • 0
Are SCADA/Telemetry operational? 0 0 • 0
j, Comment:All
Treatment Flow Measurement-Influent Yes No NA NF
• Is flowmeter calibrated annually? 0 0 • 0
Is flowmeter operating properly? 0 0 • 0
Does flowmeter monitor continuously? 0 0 • 0
Does flowmeter record flow? 0 0 • 0
Does flowmeter appear to monitor accurately? 00110
Comment:
Treatment Flow Measurement-Water Use Records Yes Nn NA NF
Is water use metered? 0 0 • 0
Are the daily average values properly calculated? 00110
Comment:
Treatment Flow Measurement-Effluent Yes No NA NF
Is flowmeter calibrated annually? U ❑ ❑ ❑
Is flowmeter operating properly? U ❑ ❑ ❑
Does flowmeter monitor continuously? U ❑ ❑ ❑
Does flowmeter record flow? • 0 0 0
Does flowmeter appear to monitor accurately? U ❑ ❑ ❑
Comment:Effluent flow meter was calibrated on 3/24/05 by Richard Jenkins.
Treatment Barscreen Yes No NA NF
Is it free of excessive debris? 11000
Is disposal of screenings in compliance? N ❑ ❑ ❑
Are the bars spaced properly? U ❑ ❑ ❑
Is the unit in good condition? • 0 0 0
Page: 3

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Permit: WO0004972 Owner-Facility: Thousand Trails
Inspection Date: 04/27/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
,$tnragP Yes Nn NA NF
Storage
Storage Type? Lagoon
Storage amount? 0.408
Million Gallons
At what point is side-stream wastewater returned to treatment? pump station to
irrigation field
Is there a Spill Control Plan? DOOM
Aerated or Mixed? NONE
If aeration is present,is it adequate? ❑ ❑ M ❑
If present,are diffusers cleaned regularly? 00 . 0
Is influent structure acceptable? MOOD
Are banks/berms free of seepage and erosion? • ❑ ❑ ❑
Are banks/berms free of excessive vegetation? U ❑ ❑ ❑
Is pond lined? U ❑ ❑ ❑
Liner Type Full,synthetic
Is liner acceptable? • ❑ ❑ ❑
Are baffles/curtains acceptable? ❑ 0 • 0
Does the pond have a freeboard marker? 0 • ❑ 0
Required freeboard? 1
Feet
Actual freeboard? 1.5
Feet
Is there suitable grassed vegetation? U ❑ ❑ ❑
Is the vegetation maintained? • ❑ ❑ ❑
Is the area free of excessive weeds and/or woody species? 0 • 0 0
Is the area free from signs of overflow? • ❑ ❑ ❑
Is color acceptable? ❑ ❑ ❑
Are floating mats acceptable? • ❑ ❑ ❑
No excessive buildup of solids? U ❑ ❑ ❑
Are aerators/mixers acceptable? 0 0 • 0
Is effluent structure acceptable? U ❑ ❑ ❑
If present,is pond cover acceptable? 0 0 • 0
Comment:-Trees and woody vegetation was present on slope(at the toe)of the berm. The root systems of trees and
woody vegetation may have the potential for causing failure of the berm structure. The berm should be monitored
periodically for any failures. It is recommended that woody vegetation with a diameter less than four(4)inches be
removed if possible. Woody vegetation greater than 4 inches in diameter should remain due to their larger root systems.
Record Keeoina Yes Nn NA NF
Is a copy of current permit available? U ❑ ❑ ❑
Are monitoring reports present: NDMR? • ❑ ❑ ❑
NDAR? • ❑ ❑ ❑
Are flow rates less than of permitted flow? U ❑ ❑ ❑
Are flow rates less than of permitted flow? 111000
Page: 5

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Permit: WO0004972 Owner-Facility: Thousand Trails
Inspection Date: 04/27/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Are GW monitoring wells located properly w/respect to RB and CB? R ❑ ❑ ❑
Are GW monitoring wells properly constructed,including screened interval? 0 0 0 •
Are monitoring wells damaged? 0 . 00
Comment:Non-potable water supply well is approximately 300 yards from the facility.
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Page: 7

Compliance Inspection Report
Permit: WQ0004972 Effective: 09/22/00 Expiration: 08/31/05 Owner: Thousand Trails
SOC: Effective: Expiration: Facility: Thousand Trails-Forest Lake
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem
Advance NC 27006
Contact Person: Robert Rowe Phone: [phone] Ext.
Directions to Facility:
Primary ORC: Quentin Lee Campbell Certification: 15588 Phone: [phone]
Secondary ORC(s): eget. (1 Y�e' 4 i �Vo tf �P C �z C K t S,y1J' /l(t cry , J O-
On-Site Representative(s): e/� °I SLY / -c‘,t f)/' S rt,���� o 'Cr
1.„.„
Related Permits:
Inspection Date: Entry Time: Exit Time:
Primary Inspector: Derek Denard Phone: [phone]
Secondary Inspector(s) Ext.382
F hone:
Phone:
Reason for Inspection: Routine Inspection Type: Compliance Inspection
Permit Inspection Type: Surface Irrigation
Facility Status: 0 Compliant 0 Not Compliant
Question Areas:
▪Miscellaneous Questions Ill Treatment II Treatment Barscreen III Record Keeping
▪Treatment Activated Sludge Treatment Sludge IMEnd Use-Irrigation le Treatment Clarifiers
Storage/Treatment
Treatment Disinfection 111 Treatment Return pumps II Storage
Inspection Summary:
Page: 1

•
Permit: WQ0004972 Owner-Facility: Thousand Trails
Inspection Date: Inspection Type: Compliance Inspection Reason for Visit: Routine
Treatment
Are Treatment facilities consistent with those outlined in the current permit? Q' ❑ ❑
Do all treatment units appear to be operational?(if no,note below.) VO 0 0
Comment:
Treatment Barscreen Yes No NA NF
Is it free of excessive debris? ❑ ❑ ❑ ❑
Is disposal of screenings in compliance? ttV Z r y/rty 0 ❑ ❑ ❑
Are the bars spaced properly? ` i
/ ❑ ❑ ❑ ❑
Is the unit in good condition?
I- s4 / ❑ ❑ ❑ ❑
Comment:
�,
Treatment Activated Sludge Yes No NA NF
Is the aeration mechanism operable? ❑ ❑ ❑ ❑
Is the aeration basin thoroughly mixed? ❑ ❑ ❑ ❑
Is the aeration equipment easily accessed? ❑ ❑ ❑ ❑
Is Dissolved Oxygen adequate? ❑ ❑ ❑ ❑
Are Settleometer results acceptable? ❑ ❑ ❑ ❑
Is activated sludge an acceptable color? ❑ ❑ ❑ ❑
Comment:
Treatment Clarifiers Yes No NA NF
Are the weirs level? gy6/// ❑ ❑
Are the weirs free of solids and algae? L �l 0 0
Is the scum removal system operational? P12 0 0
Is the scum removal system accessible? grY6 0 0
Is the sludge blanket at an acceptable level? ❑ ❑
Is the effluent from the clarifier free of excessive solids? ❑ 0
Comment:
Treatment Return pumps
Are they in place? ,�❑ 0 0
Are they operational? h� U 0 0
Comment:
Treatment Sludge Storage/Treatment Yes No NA NF
Is the aeration operational? 09 0 0
Is the aeration pattern even? dor❑ 0
If required,are Sanitary"Ts"present in tankage? 0 0 re.R ❑
Comment:
Treatment Disinfection
Is the system working? ❑ q ❑
Do the fecal coliform results indicate proper disinfection? 0 p ❑ 0
Is there adequate detention time(>=30 minutes)? 0 0
Is the system properly maintained? '+' 6 ❑0
If gas,does the cylinder storage appear safe? 0 0
Page: 2

Permit: WQ0004972 Owner-Facility: Thousand Trails
Inspection Date: Inspection Type: Compliance Inspection Reason for Visit: Routine
Is the fan in the chlorine feed room and storage area operable? 0 0 V'in
Is the chlorinator accessible? L- 0 0
If tablets,are tablets present? 0 0
V
Are the tablets the proper size and type? '/' ❑ 0
Is contact chamber free of sludge,solids,and growth? E . ❑ 0
If UV,are extra UV bulbs available? ' 0 0 n •
If UV,is the UV intensity adequate? ❑ ❑ r' ❑
Is it a dual feed system? 0 "°T ❑
Comment:
Storage Yes Nn NA NF
Storage
Storage Type? Lagoon
Storage amount? 0.408
Million Gallons
At what point is side-stream wastewater returned to treatment?
Is there a Spill Control Plan? ❑ ❑ ❑ ❑
Aerated or Mixed? _
If aeration is present,is it adequate? DODO
If present,are diffusers cleaned regularly? / , , 0 0 0 0
Is influent structure acceptable? ❑ ❑ ❑ ❑
/
Are banks/berms free of seepage and erosion? �✓% C "f�J ❑ ❑ ❑ ❑
Are banks/berms free of excessive vegetation? ❑ ❑ ❑ ❑
Is pond lined? ❑ ❑ ❑ ❑
Liner Type
Is liner acceptable? ❑ ❑ ❑ ❑
Are baffles/curtains acceptable? 0000
Does the pond have a freeboard marker? y~ ��� z ❑ ❑ ❑ ❑
Required freeboard?
Actual freeboard? ( ` f i
Is there suitable grassed vegetation? ❑ ❑ ❑ ❑
Is the vegetation maintained? ❑ ❑ ❑ ❑
Woody species or excessive weeds are not a problem? ❑ j' i 0
No evidence of overflow? ❑ ❑ ❑ ❑
Is color acceptable? ❑ ❑ ❑ ❑
Are floating mats acceptable? ❑ ❑ ❑ ❑
No excessive buildup of solids? ❑ ❑ ❑ ❑
Are aerators/mixers acceptable? ❑ ❑ ❑ ❑
Is effluent structure acceptable? ❑ ❑ ❑ ❑
If present,is pond cover acceptable? ❑ ❑ ❑ ❑
Page: 3

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•
Permit: WO0004972 Owner-Facility: Thousand Trails
Inspection Date: Inspection Type: Compliance Inspection Reason for Visit: Routine
How close is the closest water supply well? 0 ❑ 0 ❑
Is municipal water available in the area? DODO
Info only:Does the permit call for monitoring wells? DODO
Are GW monitoring wells located properly WI respect to RB and CB? ❑ ❑ ❑ ❑
Are GW monitoring wells properly constructed,including screened interval? ❑ ❑ ❑ ❑
Are monitoring wells damaged? DODO
Comment:
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Page: 5

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Michael F.Easley,Governor
o William G.Ross Jr.,Secretary
G North Carolina Department of Environment and Natural Resources
rAlan W.Klimek,P.E.Director
>_ Division of Water Quality
C
June 16, 2004
Robert Rowe
Thousand Trails
192 Thousand Trails Dr
Advance NC 27006
SUBJECT: June 16,2004 Compliance Evaluation Inspection
Thousand Trails
Thousand Trails-Forest Lake
Permit No: WQ0004972
Davie County
Dear Mr. Rowe,
Enclosed please find a copy of the Compliance Evaluation Inspection form from the inspection conducted
on June 16,2004. The Compliance Evaluation Inspection was conducted by Jenifer Carter of the Winston-
Salem Regional Office. The Reserve Manager,Robert Rowe, was also present for the inspection. The
facility was found to be in Compliance with permit WQ0004972.
Specifically, the following improvements were noted since the last inspection:
• Lab data from Research and Analytical were available for inspection.
• Access to spray field is no longer accessible to the general public, as the gates are locked at all times at
both entrances.
The Division greatly appreciates your efforts to maintain compliance. Please refer to the enclosed
inspection report for additional observations and comments. If you or your staff has any questions,please
call Jenifer Carter or me at 336-771-4600.
Sincerely,
r �2
Steve W.Tedder
�Cr Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
cc: Quentin L Campbell, ORC
Central Files
AtTa
OEM
1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service 1 800 623-7748

Compliance Inspection Report
Permit: WQ0004972 Effective: 09/22/00 Expiration: 08/31/05 Owner: Thousand Trails
SOC: Effective: Expiration: Facility: Thousand Trails-Forest Lake
County: Davie 192 Thousand Trails Dr
Region: Winston-Salem Advance NC 27006
Contact Person: Robert Rowe Phone: [phone] Ext.
Directions to Facility: L4S5-o2 500-fh - 03(1t(.t/J' 657, ti 0 01;les iNes t On 694 • l IOuser'ol (YcA s t e
l!5 on The rtAr. Ct c n c.i cite
Primary ORC: Quentin L Campbell Certification: 15588 Phone: [phone]
Secondary ORC(s):
On-Site Representative(s):
Phone:
Related Permits:
Inspection Date: 06/16/2004 Entry Time: 10:00 AM Exit Time: 11:45 AM
Primary Inspector: Jenifer Carter Phone: [phone] Ext.
Secondary Inspector(s)
Reason for Inspection: Routine Inspection Type: Compliance Evaluation
Permit Inspection Type: Surface Irrigation
Facility Status: • Compliant 0 Not Compliant
Inspection Summary:
The facility has been well-maintained. There are two improvements that should be acknowledged:
1.)Lab data from R&A was available for inspection.
2.)Access to spray field is no longer accessible to the general public,as the gates are locked at all times at both entrances.
The 2003 Performance Annual Report was available for inspection
The groundwater Monitoring Well sampling results were available for inspection
SEE THE FOLLOWING PAGES FOR MORE INFORMATION AND COMMENTS REGARDING THIS INSPECTION
Page: 1

Permit: WQ0004972 Owner-Facility: Thousand Trails-Thousand Trails-Forest Lake
Inspection Date: 06/16/04 Inspection Type: Compliance Evaluation
Type
Activated Sludge Spray,LR
Treatment Yes No NA NF
Are Treatment facilities consistent with those outlined in the current permit? • ❑ ❑ ❑
Do all treatment units appear to be operational?(if no,note below.) • 0 0 ❑
Comment:
Treatment Barscreen Yes No NA NF
Is it free of excessive debris? U ❑ ❑ ❑
Is disposal of screenings in compliance? U ❑ ❑ ❑
Are the bars spaced properly? • ❑ ❑ ❑
Is the unit in good condition? • ❑ ❑ ❑
Comment:
Treatment Activated Sludge Yes No NA NF
Is the aeration mechanism operable? • ❑ ❑ ❑
Is the aeration basin thoroughly mixed? 0 0 0 •
Is the aeration equipment easily accessed? • ❑ ❑ ❑
Is Dissolved Oxygen adequate? 0 0 0 •
Are Settleometer results acceptable? 0 0 0 •
Is activated sludge an acceptable color? U ❑ ❑ ❑
Comment:1.)Blowers not on at the time of visit.
2.)The system is underfed,so dog food is added to feed the organisms. The treatment facilities are oversized and the
flow is intermittent/variable
Treatment Clarifiers Yes No NA NF
Are the weirs level? • ❑ ❑ ❑
Are the weirs free of solids and algae? • ❑ ❑ ❑
Is the scum removal system operational? U ❑ ❑ ❑
Is the scum removal system accessible? • ❑ ❑ ❑
Is the sludge blanket at an acceptable level? U ❑ ❑ ❑
Is the effluent from the clarifier free of excessive solids? • ❑ ❑ ❑
Comment:
Treatment Return pumps Yes No NA NF
Are they in place? U ❑ ❑ ❑
Are they operational? • ❑ ❑ ❑
Comment:
Treatment Sludge Storage/Treatment Yes No NA NF
Is the aeration operational? U ❑ ❑ ❑
Is the aeration pattern even? 0 0 0 •
If required,are Sanitary"Ts"present in tankage? 0 0 • 0
Comment:
Treatment Disinfection YPs No NA NF
Is the system working? 11000
Do the fecal coliform results indicate proper disinfection? 0 0 • 0
Is there adequate detention time(>=30 minutes)? • ❑ ❑ ❑
Page: 2

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RECEIVED
•C.Dept. of ENR
Robert Rowe, Property Manager '%r'`�� I 2001
Thousand Trails Forest Lake Preserve
192 Thousand Trails Drive
Advance,NC 27006
Telephone [phone] EXT 234
TO: Abner S. Braddy November 6, 2001
Environmental Specialist II
Division of Water Quality
585 Waughton Street
Winston-Salem,NC 27107
RE: Notice of Compliance with Notice of Violation, dated Oct. 9, 2000
Thank you for working with me to identify and bring into compliance the
Waste Management System at property above.
This is to confirm that compliance with all repair orders of your Oct. 9, 2000
notice of violations were completed. These upgrades and restoration have
functioned well through the high use traffic of this summer season.
Specific Improvements include:
1. WWTP- Refurbished incl. hot tank,catwalks, and entire exterior.
2. Spray Field Irrigation- area description and flow rates were adjusted to
reflect current operating data.
3. Lift Stations- New alarms, pumps restored to two working units per
station, by-pass plumbing and daily monitoring logs.
Reduced cycling time for the lift at"C-restroom" decreased odor.
In addition, the WWTP/Spray Field Irrigation facility was inspected
by your department last month and rated acceptable. One adjustment there
is that Quentin Campbell is now locking access gates to eliminate any
camper/hiker traffic near the spray field during discharge.
Thank you once again for your assistance and advice in these matters,
Robert Rowe, Property Manager

Thousand Trails Forest Lake Preserve
192 Thousand Trails Drive
Advance,NC 27006 ( -2--/ C
Telephone [phone] EXT 234
Abner S.Braddy
Environmental Specialist II
Division of Water Quality
585 Waughton Street
Winston-Salem,NC 27107
As per discussion today,the property is continues to progress toward compliance with the Oct.9 notice of
violations and subsequent repairs as follows:
What When
Completed:
1. Strip and Recoat of existing WWTP Package facility(Exp. $12,700)
2.Daily monitoring of all lift station,including log records. August 1'(after your visit 7/20/00)
3. Lift station 3:Rebuilt and install of second pump,plumbing,electrical,holddowns ($2,600) 5/99
4.Paid assessment of lift station repairs needed to comply($550) 8/00
5.Lift station 4:Installed emergency bypass,two new pumps,alarm 11/00
6. Ray Sloan,contracted estimate of expense($28,300 total upgrade) assessment cost: $550 8/00
7. Installed alarms and emergency bypass on all lift stations($2,600) 1/01
Pending:
Install of working second pump and electrical control panel repairs on units 6 and 5.
Thank you for your advise on the increased cycling at the unit#4.No further problem has been detected.
Our contractors will be scheduled soon and I will forward notice of compliance when all is complete.
Thank you for approving our progress thus far.

°A
9O Michael F.Easley
Governor
William G.Ross Jr.,Secretary
Department of Environment and Natural Resources
Kerr T.Stevens
Division of Water Quality
July 31, 2001
Mr. Robert Rowe
Thousand Trails, Inc./Forest Lake Preserve
192 Thousand Trails Drive
Advance, NC 27006 •
Subject: Compliance Evaluation Inspection, Thousand Trails Campground WWTP,
Non-Discharge Permit No. W00004972, Davie County
Dear Mr. Rowe:
Sue White of this office performed a Compliance Evaluation Inspection on the
wastewater treatment system serving Thousand Trails Campground on July 26th, 2001.
Quentin Campbell was present for this inspection. This inspection consisted of two parts: an in-
office review of facility files and self-monitoring data, and an on-site inspection of the facility and
spray fields.
A review of the self monitoring forms submitted for the period of June 2000 through May
2001 showed that all of the required data was recorded and submitted per the frequencies
specified in the permit.
The plant and spray field inspections showed no violations and looked well kept overall.
Currently there are six pump stations operating to supply flow to the plant. The current size of
the spray field is approx. 8 acres with 18 spray heads. While it was noted that there was a
piece of barbed wire to keep people out of the spray field, there needs to be more, obvious
signage instructing people on the use of the field and that it is a restricted area for health
reasons.
Should you have any questions concerning this report, please contact Sue White or me
at [phone].
Sincerely,
Larry D. Coble
Regional Supervisor
Jnv t
Cc: 141666stva County Health Dept.
Central Files
1111111111/
•
°yl3��al
Customer Service Division of Water Quality / Water Quality Section
1 800 858-036E 585 Waughtown Street Winston-Salem,NC 27107
Phone: [phone] Fax: [phone] Internet: http://wq.ehnr.state.nc.us

of North Carolina •
apartment of Environment
and Natural Resources 21111F
Division of Water Quality
.V.1
Michael F. Easley, Governor
William G. Ross, Jr., Secretary NCDENR
Kerr T. Stevens, Director
NORTH Co_NA DEfARTNENT OF
FNvI n 'rnR ANC NAT.I?AL Rt-r•eI IDc r
•
Non-Discharge Compliance Inspection
WQ Permit Number W00004972 County Davie
Permittee Thousand Trails-Forest Lake Npdes Number(s)
Issuance Date 9/22/2000
Expiration Date 8/31/2005
Soc Issuance Date Soc ExpirationDate
Permittee Contact Robert Rowe Phone Permittee Contact 336-998-4135
ORC Certification# S! 15588 WW 7026
ORC Name Quentin Campbell Phone ORC 336-357-5398
24hr Contact Name Questin Campbell Phone 24hr 336-357-5398
Reason For Inspection (Select One) QQ Routine O Complaint 0 Follow-Up 0 Other...
Type Of Inspection (Select One) 0 Collection System O Spray Irrigation 0 Residual
Inspection Summary Qxerall.the.plant.Tooke.d..gQQd....F1uw..meter.c ibrated..8-29-QQ.
Inspector's Name Sue White Inspector's Title Environmental Engineer I
Phone Inspector 336-771-4608 ext 273 Fax Inspector 336-771-4630
Inspection Date 7-26-2001
page 1

Non Discharc compliance Spray Irrir"ion Inspection
Permittee Thousand Trails-Forest Lake
Permit Number IW00004972
Inspection Date I7-26-2001
Type
0 REUSE (Golf Courses) 0 ACTIVATED SLUDGE SPRAY, HR 0 INFILTRATION SYSTEM
0 RECYCLE/REUSE 0 ACTIVATED SLUDGE DRIP, LR
0 LAGOON SPRAY, LR 0 SINGLE FAMILY SPRAY, LR
OO ACTIVATED SLUDGE SPRAY, LR 0 SINGLE FAMILY DRIP •
Treatment
Were Treatment facilities consistent with those outlined in the current permit? DO Yes 0 No 0 N/A
Did all treatment units appear to be operational, if no note below? DQ Yes 0 No 0 N/A
List any action items necessary per unit.
Lagoons
Primary(check any unit present)
❑Influent structure, (free of obstructions)
❑Banks/berms (are there signs of seepage or erosion)
❑Vegetation, (is there excessive vegetation on the lagoon bank that makes Inspection difficult)
❑Liner(If visible is it tact)
❑Baffles/curtains, (in need of repair)
❑Freeboard, (>2 feet from overtopping)
❑Evidence of overflow, (vegetation discolored or laying down/broken)
❑Unusual color, (very black,textile colors)
❑Foam,(are antifoam agents used)
❑Floating mats (sludge, plants)
❑Excessive solids buildup (from bottom)
❑If present are aerators/mixers operational
❑Effluent Structure (free of obstructions. easily accessible) •
Secondary (check any unit present)
❑Influent structure, (free of obstructions)
Banks/berms (are there signs of seepage or erosion)
Vegetation, (is there excessive vegetation on the lagoon bank that makes Inspection difficult)
❑Liner(If visible is it tact)
❑Baffles/curtains, (in need of repair)
Freeboard, (>2 feet from overtopping)
Evidence of overflow, (vegetation discolored or laying down/broken)
❑Unusual color, (very black, textile colors)
❑Foam,(are antifoam agents used)
Floating mats (sludge, plants)
❑Excessive solids buildup (from bottom)
❑If present are aerators/mixers operational
❑Effluent Structure (free of obstructions. easily accessible)
Influent pump station
Are all pumps present? cs Yes 0 No J N/A
Was the lift station free of bypass lines or structures? C Yes ®No 7 N/A
page 2

Non Discharc compliance Spray Irric f ion Inspection
Permittee Thousand Trails-Forest Lake
Permit Number IW00004972
Inspection Date 7-26-2001
Barscreen
Was it maintained? C)Yes 0 No 0 N/A
Was it free of excessive debris? O� Yes 0 No 0 N/A
Were the bars evenly spaced? C)Yes 0 No 0 N/A
Were the bars free of excessive corrosion? E Yes 0 No 0 N/A
Aeration Basin
Was the aeration pattern even across surface of unit? C)Yes 0 No 0 N/A
Was it easily accessed? DO Yes 0 No 0 N/A
Clarifiers
Were the weirs level? O� Yes 0 No 0 N/A
Was the scum rack operational? 0 Yes 0 No 0 N/A
Was it easily accessed? O� Yes 0 No 0 N/A
Return Pumps
Were they in place? @ Yes 0 No 0 N/A
Were they operational? DQ Yes 0 No 0 N/A
Filters
Was the filter media present? 0 Yes 0 No 0 N/A
Was the air scour operational? 0 Yes 0 No 0 N/A
Was the clear well free of excessive solids? 0 Yes 0 No 0 N/A
Sludge Storage/Treatment
Was the aeration operational? *Yes 0 No 0 N/A
Was the aeration pattern even? 0 Yes 0 No 0 N/A
If required are Sanitary'Ts" present in tankage? 0 Yes 0 No 0 N/A
Disinfection
If gas, was cylinder storage safe? 0 Yes 0 No 0 N/A
Is it a dual feed system? 0 Yes 0 No 0 N/A
Was the system working? 0 Yes 0 No 0 N/A
If tablets:
Were tablets present? *Yes 0 No 0 N/A
Storage
®Lagoon ❑AST ❑UST ❑Septic Tank ❑Drying Beds ❑Concrete Storage Pads
How many months storage? 4 months @ avg
Was spill control plan on site? 0 Yes 0 No 0 N/A
If Applicable:
Is lagoon lined? 0 Yes 0 No 0 N/A
Above Ground Tank ;❑Aerated —I Mixed Aerated Hp: Mixed Hp:
Under Ground Tank '_I Aerated _I Mixed Aerated Hp: Mixed Hp:
page 3

Non Discharc Compliance Spray Irri! ion Inspection
Permittee Thousand Trails-Forest Lake
Permit Number IW00004972
Inspection Date I7-26-2001
Record Keeping
Was a copy of current permit available? 0 Yes 0 No 0 N/A
Were monitoring reports present: NDMR OO Yes 0 No 0 N/A
NDAR ®Yes 0 No 0 N/A
Were operational logs present? OO Yes 0 No N/A
Were lab sheets availiable for review? p Yes DQ No 0 N/A
Did lab sheets support data represented on NDMR or NDAR? 0 Yes 0 No 0 N/A
Were annual soil reports available? 0 Yes 0 No 0 N/A
Were Operation and Manintance records present? @ Yes 0 No 0 N/A
Were Operation and Manintance records Complete? ®Yes 0 No 0 N/A
Has permittee received any public compliants in the last 12 months? 0 Yes @ No 0 N/A
Disposal
Were buffers adequate? O� Yes 0 No 0 N/A
Is the cover crop type specified in permit? DO Yes 0 No 0 N/A
Was the site condition adequate (improvement)? ®Yes 0 No 0 N/A
Was the sight free of runoff/ponding? 0 Yes 0 No 0 N/A
Was the acerage specified in the permit being utilized? 0 Yes 0 No 0 N/A
Was application equipment present and operational? DO Yes 0 No 0 N/A
Were there any limiting slopes on disposal field? Yes 0 No 0 N/A
Are monitoring wells called for in permit? 0 Yes 0 No 0 N/A
Was there access restrictions and/or signage? DO Yes 0 No 0 N/A
page 4

DIVISION OF WATER QUALITY
GROUNDWATER SECTION
August 18, 2000
MEMORANDUM '�' G A • 0
To: Kim Colson AUG 2 2 2000
. :,_sat
ew
Through: Ted Bus ry 1,
ee
From: Salam Murtada ism
Subject: Renewal of Permit
Thousand Trails, Inc.—Forest lake
Spray Irrigation
Davie County
WQ0004972/GW00116
The Groundwater Section has reviewed the permit renewal application for the continued
operation of a 45,000 GPD spray irrigation system serving 283 camp sites and 18 cabins
(see figures 1 & 2). According to the existing permit, the system consists of a 45,000 GPD
extended aeration treatment, 14,800 gallon aerated surge tank, 74 GPM submersible
pumps with high water alarms, 45,000 gallon aeration tank, dual 285 CFM blowers, 4,500
sludge holding tank, 7,500 gallon clarifier, 940 baffled chlorine contact tank, 0.408 MG
capacity lagoon with PVC liner, 142 GPM effluent dosing pumps and 9 acres of spray-field
with 30 sprinkler heads. The system was first permitted on June 9, 1986 (Permit Number
13241) and renewed on June 27, 1991 and February 6, 1996.
According to the regional comments, the demand capacity of the system ranged from 4,000
GPD to 8,000 GPD (weekends) indicating that the system was unnecessarily oversized. As a
result, the permittee reduced the total spray-field from 9 acres to 6-7 acres and increased
the design loading from the originally permitted 0.015 ft/day to 0.023 ft/day- 0.0197 ft/day.
As a result of this change, the demand loading rate would increase from 0.0014 - 0.0027 ft
per day to 0.002 - 0.004 ft per day,which still meets the reduced design capacity of the
system. Please note that the spray-fields were further reduced beyond the eight (8) acres
documented by GWS-WsRO, according to the review engineer at WQS-CO.
According to Condition IV (Groundwater Requirements) of the existing permit,the
permittee is required to sample four(4) monitoring wells tri-annually for Chloride, pH,
Fecal Coliform, TOC,NO3, Water Levels and annually for VOC. The permittee has been -
complying with the frequency of the reporting requirement with very few misses. Table
One summarizes noted exceedances for sampling results submitted after March of 1996.
Table One: Exceedances Noted Since March of 1996.
Parameter MW-1 MW-2 MW-3 MW-4
Nitrates 3/96, None None None
Chloride None None None None
Fecal Coliform 7/96, 11/96 7/96 None None
VOC None None None None
Page 1 of 4
*Denotes Language Different from Shell Document. C:\Review\GWOOL l6.doc

• '• The Groundwater Section recommends the renewal of this permit with the following
conditions:
*1. Existing monitor wells MW-1, MW-2, MW-3 and MW-4 shall be sampled every
March, July and November for the following parameters:
Chloride pH
Fecal Coliform TOC
NO3 Water Levels
Volatile Organic Compounds—In November only by one of the methods below.
(A) Standard Method 6230D, PQL at 0.5 ug/L or less
(B) Standard Method 6210, PQL at 0.5 ug/L or less
(C) EPA Method 8021, Low Concentration, PQL at 0.5 ug/L or less
(D) EPA Method 8260, Low Concentration, PQL at 0.5 ug/L or less
(E) Another method with prior approval by the Groundwater Section Chief
Any method used must meet the following qualifications:
(1) A laboratory must have DWQ certified to run any method used.
(2) The method used must, at a minimum, included all the constituents listed in
Table VIII of Standard Method 6230D.
(3) The method used must provide a PQL of 0.5 ug/L or less, which must be
supported by laboratory proficiency studies as required by the DWQ
Laboratory Certification Unit. Any constituents detected above the MDL but
below the PQL of 0.5 ug/L must be qualified(estimated) and reported.
If TOC concentrations greater than 10 mg/1 are detected in any down-gradient
monitoring well, additional sampling and analysis must be conducted to identify the
individual constituents comprising this TOC concentration. If the TOC
concentration as measured in the background monitor well exceeds 10 mg/1, this
concentration will be taken to represent the naturally occurring TOC concentration.
Any exceedances of this naturally occurring TOC concentration in the down-
gradient wells shall be subject to the additional sampling and analysis as described
above.
The measurement of water levels must be made prior to sampling for the remaining
parameters. The depth to water in each well shall be measured from the surveyed
point on the top of the casing. The measuring points (top of well casing) of all
monitoring wells shall be surveyed to provide the relative elevation of the measuring
point for each monitoring well. -
The results of the sampling and analysis must be received on Form GW-59
(Groundwater Quality Monitoring: Compliance Report Form) by the Groundwater
Section, Permits and Compliance Unit, 1636 Mail Service Center, Raleigh, N.C.
27699-1636 on or before the last working day of the month following the sampling
month.
*2. Within sixty (60) days of issuance of permit, the permittee shall submit two original
copies of a scaled topographic map (scale no greater than 1":100') signed and sealed
Page 2 of 4
*Denotes Language Different from Shell Document. C:\Review\GW00116.doc

by a professional engineer or a state licensed land surveyor that indicates all of the
following information:
a. Final spray-field area after delineation of existing portions.
b. The location and identity of each monitoring well,
c. The location of all components of the waste disposal system,
d. The location of all property boundaries,
e. The latitude and longitude of the established horizontal control monument,
f. The relative elevation of the top of the well casing (which shall be known as
the "measuring point"), and
g. The depth of water below the measuring point at the time the measuring
point isestablished.
This survey shall be conducted using approved practices outlined in North Carolina
General Statutes Chapter 89C and the North Carolina Administrative Code Title
21, Chapter 56. The surveyor shall establish a horizontal control monument on the
property of the waste disposal system and determine the latitude and longitude of
this horizontal control monument to a horizontal positional accuracy of +/-10 feet.
All other features listed in a. through e. above shall be surveyed relative to this
horizontal control monument. The positional accuracy of features listed in a.
through e. above shall have a ratio of precision not to exceed an error of closure of 1
foot per 10,000 feet of perimeter of the survey. Any features located by the radial
method will be located from a minimum of two points. Horizontal control
monuments shall be installed in such a manner and made of such materials that the
monument will not be destroyed due to activities that may take place on the
property. The map shall also be surveyed using the North American Datum of 1983
coordinate system and shall indicate the datum on the map. All bearings or
azimuths shall be based on either the true or NAD 83 grid meridian. If a Global
Positioning System (GPS) is used to determine the latitude and longitude of the
horizontal control monument, a GPS receiver that has the capability to perform
differential GPS shall be used and all data collected by the GPS receiver will be
differentially corrected.
The maps and any supporting documentation shall be sent to the Groundwater
Section, NC Division of Water Quality, 1636 Mail Service Center, Raleigh, NC,
27699-1636.
3. Any additional groundwater quality monitoring, as deemed necessary by the
Division, shall be provided.
4. The COMPLIANCE BOUNDARY for the disposal system is specified by
regulations in 15A NCAC 2L, Groundwater Classifications and Standards. The
Compliance Boundary for the disposal system individually permitted after
December 31, 1983 is established at either (1) 250 feet from the waste disposal area,
or (2) 50 feet within the property boundary, whichever is closest to the waste
disposal area. An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to immediate remediation action in addition to the
penalty provisions applicable under General Statute 143-215.6A(a)(1).
Page 3 of 4
*Denotes Language Different from Shell Document. C:\Review\GW00116.doc

In accordance with 15A NCAC 2L, a REVIEW BOUNDARY is established around
the disposal systems midway between the Compliance Boundary and the perimeter
of the waste disposal area. Any exceedance of standards at the Review Boundary
shall require remediation action on the part of the permittee.
If you have any questions, please call me (919-715-6180).
cc: MOOMISMI
Permit Files
•
Page 4 of 4
*Denotes Language Different from Shell Document. C:\Review\GW00116.doc

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Memorandum
August 11, 2000
To: Salam Murtada, Permits and Compliance Unit, Groundwater Section, Central
Office, Raleigh ) � /
Through: Sherri Knight, Supervisor, Groundwater Section, Winston Salem Regional Office lJ" /v
From: Christoph Greene, L.S.S., Hydrogeological Technician, GW Section, WSRO
Subject: Thousand Trails, Inc. -Forest Lake, Spray irrigation, permit #GW 00116/WQ
0004972, Davie Co.
On July 24, 2000 C. Greene and Abner Braddy, Water Quality Section, WSRO, discussed
Mr. Braddy's findings form his belated investigation, and overview of the site based upon
previous inspections.
Mr. Braddy indicated the following:
1. The facility is a 45,000 gallon/day design capacity package plant. The
average load imposed upon the system is 4,000/8,000 gallons/day, with the
upper limit cited on weekends. Mr. Braddy commented that this package
plant is "oversized".
2. A holding pond of 0.5 million gallon capacity meets the demands of the
system.
3. The spray irrigation acreage consists of 8 acres of primarily pine forest
vegetation.
An occurrence of fecal coliform in an upgradient well within the past three years has been
reported at the subject facility. Future reports will be scrutinized for this parameter.
Discussion of the site with Sherri Knight,who is knowledgeable of the site from personal
experience, indicated that the ground cover is favorable for wastewater assimilation.
Based upon the above factors, WSRO GW Section supports renewal of the subject
permit.

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RECEIVED
Thousand Trails-Forest Lake Preserve Telephone [phone] N.C. Dept. of E H N F
192 Thousand Trails Drive FAX [phone]
Advance,NC 27006 NOV 0 9 2000
Winsto- Clem
Regional Office
TO:ABNER S.BRADDY Telephone [phone]
ENVIRONMENTAL SPECIALIST II FAX [phone]
DIVISION OF WATER QUALITY
585 WAUGHTON STREET
WINSTON-SALEM,NC 27107
RE:NOTICE OF VIOLATIONS-October 9,2000
Permit WQ0004972
November 7,2000
Dear Mr.Braddy,
I thank you and Mr.Hare for taking the time to inspect and recommend positive adjustments for our
campground's WWTP five-year permit renewal. I also appreciate you're verbal approval to extend the
response due date from October 27 to November 9.
Thousand Trails intends to make any and all necessary repairs and adjustments to bring this system to
full compliance as determined by your Department.
As we are a seasonal business with some of the property currently shut down,it is a good time for us to
pursue whatever work is possible before our next high use summer camping season begins.
The team of Thousand Trails Corporate Support,who will assist with any facility improvements,are:
Mike Nichols,Vice-President,Thousand Trails Properties East (my immediate supervisor)
Brad Nelson,Vice-President-Operations,Dallas Office
Mark Dominguez,Construction&Engineering,Dallas Office
These gentlemen may all be reached through our Dallas office at(800)328-6226
You may contact me through the campground security at 336-998-4135
Or Voice Mail 24/7 at 800-328-6226 Ext.4032
Or at home(Lexington)336-956-5828 Generally,I work Tue.through Saturday
Thank you for your assistance,/2"'
Robert Rowe,Preserve Manager
Thousand Trails-Forest Lake Preserve

Division of Water Quality, WWTP Permit
11/8/00 Braddy-Rowe
Page Two
Here is a summary of corrections made and/or plans to make corrections:
ADMINISTRATIVE:
1. Daily Lift Station Inspections:
We began a daily log documenting the proper working order of each of the six lift stations by
visual inspection (Mon.-Fri. for 2000, seven days for 7/1/2001 and after). The new law required the
documentation begin on July 1st, but as you mentioned,we were unaware of the law until July 20.
2. Spray Field Acreage-page one item
(1) The perimeter of the (reduced)spray field was remeasured. It is now adjusted to show the loss of
area when the number of heads was reduced to 18. The acreage for calculating purposes is now 8.
(2) The twelve month total for applications will no longer be tracked on a calendar basis, Quentin
Campbell, responsible operator, is now calculating on a"previous twelve" basis.
(3) December's monitoring form showing a loading rate of.14 inches has been adjusted to show the
dates on which the applications occurred.
SEWER COLLECTION SYSTEM:
Thousand Trails corporate offices sent a a private consultant to survey our six pump stations' current
status & needs. The recommendation was that Thousand Trails install a lift station system that
recently replaced the old pump stations at one of our Virginia campgrounds.
The system allows new pumps with more simple electrical controls to greatly increase dependability. A
pre-installed bypass system also allows the operator to immediately prevent overflow without having to
contract and wait for a pumping truck.
I am going to ask you to give me about 45 days to allow corporate Thousand Trails'
Maintenance/Engineering people to discuss with our Financial Controllers the possibility of spending the
appropriate funds to allow me to replace the aging equipment with this new system. Under this plan the
pump stations with noted problems(i.e. second pump under repair, electrical and/or alarm malfunctions)
would be upgraded first. If you would allow Thousand Trails to submit a repair schedule plan before
December 31, 2000 on these pump stations I would be able to make more permanent and efficient
upgrades. Thank you for your consideration of this.

• • NORTH _..ROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
�'�. . DIVISION OF WATER QUALITY
`' WINSTON-SALEM REGIONAL OFFICE
y t . October 9, 2000
` r CERTIFIED MAIL NO. 7099 3220 0006 8502 6247
1.,:. T JR
R R RETURN RECEIPT REQUESTED
' q.
•. Mr. Robert Rowe, Preserve General Manager
rzi
�LL HOLN1AN Thousand Trails, Inc./Forest Lake Preserve
EGRETARY 192 Thousand Trails Drive
ttk-
Advance,N.C. 27006
•
SUBJECT: Notice of Violations
. t Compliance Evaluation Inspection
• '`• Thousand Trails WWTP
•
r x Non-Discharge Permit No. WQ0004972
Davie County
` f2;=:„341 Mr. Rowe:
I�: >r � � � Attached is the subject inspection report, with the inspection itself having been
• performed by Wes Hare and Abner Braddy of this office on July 20, 2000. This type of
.� ��
� � inspection consists of two basic parts: an in-office review of facility files and self-
41
• ;•'4 monitoring data; and an on-site inspection of the facility. Mr. Quentin Campbell,
NI Operator in Responsible Charge for both the biological treatment and spray irrigation
4 portions of the facility, was present during the inspection, as were you.
k
This facility consists of six pump stations and associated gravity collection lines
(Note: previous permits listed nine pump stations)and grinder pumps;430' of three inch
- force main, 455' of four inch force main, 935' of six inch force main; an extended
aeration package treatment plant consisting of a bar screen, 14,800 gallon aerated
" equalization basin with twin 285 CFM blowers, 7500 galion clarifier, 4,500 gallon
� • � sludge holding tank with aeration, a 940 gallon chlorine contact tank, 0.408 million
, � . gallon PVC lined storage lagoon, twin 142 g.p.m. effluent pumps, conveying treated
-'v'` effluent to a 6-7 acre spray field with 18 functional rotating spray heads (Note: previous
permits listed the spray field as 9 acres with 30 spray heads. The field size was reduced
- as a result of buffer issues with respect to a private road adjacent to the field).
•
With respect to the administrative aspects of the facility self-monitoring
program,the following should be corrected:
(1) As previously noted,the 9 acres of spray field covered by the Permit are
Jam }
>,M,,I„`;; not being used in their entirety. Thus, the figures given for the hourly
�.
< and daily loading rates are incorrect. For example, 17,000 g.p.d. sprayed
over 7 acres would yield a loading rate of approximately 0.09 inches per
day, while the same volume over 9 acres would yield a rate •
,'„"r+ rigsr
r,2 inches per day.
• `} 585 WAUGHTOWN STREET, WINSTON-SALEM, NORTH CAROLINA 27107 __
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST-CONSUMER PAPER ,^57
`7s:7;',12h N

Mr. Robert Rowe
October 9, 2000
Page#2
You should have the field surveyed to determine the true amount of
acreage in use, and adjust your calculations accordingly. It should be
noted that even using 7 acres rather than 9,the loading rates are still well
below the permitted limits.
(2) The 12 month total for applications is being tracked on a calendar basis.
The monitoring form requires tracking the total on a floating twelve
month basis. For example, the figure given for October 2000 should
cover the period November 1999 - October 2000; the figure for
November 2000 should cover the period December 1999 - November
2000, and so on.
(3) The monitoring form for the month of December 1999 shows a monthly
loading rate of 0.14 inches,yet does not show the day(s)upon which the
application(s) occurred.
With respect to the sewer collection system, the following observations were
made:
(1) There are currently 6 pump stations in use, rather than 8. Pump station
#7 was by-passed when pump station#6 was installed. Pump station#8
was originally used as a receiving station for septage from RVs, and is
no longer in use.
(2) The high water visual alarm light at pump station#6 was not functional.
Additionally,the Permittee indicated that this station failed on June 21,
2000, but no sewage reached surface waters.
(3) The high water audible alarm at pump station#1 initially could not be
heard,but after tapping on its housing, was audible. The buzzers must
be kept free of insect nests and other material. Additionally, one of the
pumps had been pulled from the wet well and had not been replaced at
the time of inspection.
(4) The floats on pump station#3 cannot be readily accessed for testing.
(5) Pump station#5 is sealed, and could not be accessed for testing.
(6) Pump station#4 has,according to the permittee,been the subject of odor
complaints from campground patrons. We would suggest adjusting
the floats such that 2-8 pumping cycles per hour are achieved at average
flow. Prolonged detention times increase the iikelihood that the stations
will generate odors.

Mr. Robert Rowe
October 9, 2000
Page 3
As was discussed with you on the date of inspection,the North Carolina Clean
Water Act of 1999 mandated that the Environmental Management Commission develop
and implement a systemwide permitting program for municipal and domestic
wastewater collection systems. Collection systems such as yours, which have a design
flow and convey an actual flow less than 200,000 gallons per day shall be deemed to be
permitted, and it shall not be necessary for the Division of Water Quality to issue
individual permits for those systems,provided that the following criteria are met:
(1) The sewer system is effectively maintained and operated at all times to prevent
discharge to land or surface waters, and any contravention of the groundwater
standards in 15A NCAC 2L .0200 or the surface water standards in 15A NCAC
2B .0200;
(2) A map of the sewer system has been developed prior to January 1, 2004 and is
actively maintained;
(3) An operation and maintenance plan has been developed and implemented;
(4) Pump stations that are not connected to a telemetry system are inspected at least
three times per week until July 1, 2000; thereafter, pump stations are inspected
at least daily, as defined in 15A NCAC 2B .0503(5), until July 1, 2001; and
thereafter, pump stations are inspected every day. Pump stations that are
connected to a telemetry system are inspected at least once per week;
(5) High-priority sewer lines are inspected at least once per every six-month period
of time;
(6) A general observation of the entire sewer system is conducted at least once per
year;
(7) Inspection and maintenance records are maintained for a period of at least three
years; and
(8) Overflows and bypasses are reported to the appropriate Division regional office
in accordance with 15A NCAC 2B .0506(a), and public notice is provided as
required by G.S. 143-215.1C.
•
Failure to abide by any of these conditions will result in a determination to require that
an individual permit be obtained for continued operation of the system.
With respect to the operation and maintenance of the biological treatment unit
(package plant), it was observed that one of the drop diffusers in the aeration basin did
not appear to have the same output as did the others. This diffuser was located
approximately midway through the basin. It was also noted that the package plant had
recently been painted, a need that was noted in the prior two inspections.

Mr. Robert Rowe
October 9, 2000
Page#4
With respect to the operation and maintenance of the spray field, as previously
noted, the size of the field needs to be surveyed and application calculations adjusted
accordingly. You should also cut back any large vegetation in the immediate radius of
the spray heads which could possibly interfere with the spray patterns.
You should take note that the Division of Water Quality has recently been
charged to increase our efforts with respect to Non-Discharge Compliance/
Enforcement. You can expect to receive more information on these efforts in the near
future, but it appears at present that the initiative will be similar to that currently
governing NPDES (Discharge) facilities. That program currently subjects violators to
systematic, predictable penalties for various types and degrees of violations. The
penalties escalate for repeat violations.
Because the facility has been determined to be noncompliant with terms and
conditions contained in Permit No. WQ0004972,you are required to respond in writing
to the Winston-Salem Regional Office, stating y our intentions to resolve any issues of
noncompliance. In particular,the response should address those deficiencies noted with
respect to the collection system, as well as plans to provide an accurate figure for the
size of the spray field. The response must be received in this Office by October 27,
2000. Until full compliance is achieved,you remain subject to appropriate enforcement
actions contained in North Carolina General Statute 143-215 .6A (a) et. al., including
the possible imposition of civil penalties in an amount up to $25,000.00 der day per
violation.
Should you have questions on this inspection or other matters, contact Abner
Braddy at(336) 771-4600.
Sincerely,
Larry D. Coble
Water Quality Supervisor
cc: Quentin Campbell, ORC
Non Discharge Compliance Enforcement
Central ' s

orth Carolina
rtment of Environment
A ,4166,
nd Natural Resources •
Division of Water Quality
Lig
wit"
James B. Hunt, Jr., Governor
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director
NORTH CA-10_NA DEMRTNENT OF
ENvignnteCKT Awn NAT.MaL R rtrAMerl%
Non-Discharge Compliance Inspection
WQ Permit Number W00004972 County DAVIE
Permittee THOUSAND TRAILS-FOREST Npdes Number(s)
LAKE
Issuance Date 2\6\96
Expiration Date 12\31\2000
Soc Issuance Date Soc ExpirationDate
Permittee Contact ROBERT ROWE Phone Permittee Contact 336-998-5398
ORC Certification # SI 15588 WW 7026
ORC Name Quentin Campbell Phone ORC 336-357-5398
24hr Contact Name Quentin Campbell Phone 24hr 336-357-5398
Reason For Inspection (Select One) (;) Routine 0 Complaint 0 Follow-Up 0 Other...
Type Of Inspection (Select One) 0 Collection System O� Spray Irrigation 0 Residual
Inspection Summary Bee.ixtspection.r.pQuileter..tQr..co.naplete.detsils.
Inspector's Name Abner Braddy\Wes Hare Inspector's Title
Phone Inspector 336-771-4600 Fax Inspector
Inspection Date 7\20\00
page 1

Non Discharram Compliance Spray lair-Ion Inspection
Permittee 1THOUSAND TRAILS-FOREST
Permit Number 'W00004972
Inspection Date IT20\00
Type
O REUSE(Golf Courses) 0 ACTIVATED SLUDGE SPRAY, HR 0 INFILTRATION SYSTEM
•0 RECYCLE/REUSE 0 ACTIVATED SLUDGE DRIP, LR
O LAGOON SPRAY, LR 0 SINGLE FAMILY SPRAY, LR
O� ACTIVATED SLUDGE SPRAY, LR 0 SINGLE FAMILY DRIP
Treatment
Are Treatment facilities consistent with those outlined in the current permit? OO Yes 0 No
Do all treatment units appear to be operational, if no note below? OO Yes 0 No
List any action items necessary per unit.
Lagoons
Primary(check any unit present)
❑Influent structure, (free of obstructions)
❑Banks/berms (are there signs of seepage or erosion)
❑Vegetation, (is there excessive vegetation on the lagoon bank that makes Inspection difficult)
❑Liner(If visible is it tact)
❑Baffles/curtains, (in need of repair)
❑Freeboard, (>2 feet from overtopping)
❑Evidence of overflow, (vegetation discolored or laying down/broken)
❑Unusual color, (very black,textile colors)
❑Foam,(are antifoam agents used)
❑Floating mats (sludge, plants)
❑Excessive solids buildup (from bottom)
❑If present are aerators/mixers operational
❑Effluent Structure (free of obstructions. easily accessible)
Secondary(check any unit present)
❑Influent structure, (free of obstructions)
❑Banks/berms (are there signs of seepage or erosion)
❑Vegetation, (is there excessive vegetation on the lagoon bank that makes Inspection difficult)
❑Liner(If visible is it tact)
❑Baffles/curtains, (in need of repair)
❑Freeboard, (>2 feet from overtopping)
❑Evidence of overflow, (vegetation discolored or laying down/broken)
❑Unusual color, (very black,textile colors)
❑Foam,(are antifoam agents used)
❑Floating mats (sludge, plants)
❑Excessive solids buildup (from bottom)
❑If present are aerators/mixers operational
❑Effluent Structure (free of obstructions. easily accessible)
Influent pump station
Are all pumps present? 0 Yes 0 No
Bypass line or structure present 0 Yes ®No
page 2

Non Dischar— Compliance Spray Irric "ion Inspection
Permittee THOUSAND TRAILS-FOREST
. Permit Number IW00004972
Inspection Date I7\20\00
Barscreen
maintained
0• Yes 0 No
0
Free of excessive debris 0 Yes No
Bars evenly spaced •�Yes 0 No
Bars excessively corroded 0 Yes 0 No
Aeration Basin
aeration pattern even across surface of unit 0 Yes O• No
Easily accessed O• Yes 0 No
Clarifiers
Yes 0 No
weirs level 0
Scum rack operational 0 Yes 0 No
• 0
Easily accessed �Yes No
Return Pumps
in place O• Yes 0 No
Operational •�Yes 0 No
Filters
media present 0 Yes 0 No
Air scour operational 0 Yes 0 No
Clear well free of excessive solids 0 Yes 0 No
Sludge Storage/Treatment
•
Aeration operational O Yes 0 No
Good pattern 0 Yes 0 No
If required are Sanitary"T's" present in tankage? 0 Yes 0 No
Disinfection
If gas is storage safe 0 Yes 0 No
Is dual feed system 0 Yes 0 No
How do you know it is working 0 Yes 0 No
If tablets:
Are tablets present? O• Yes 0 No
Storage
®Lagoon ❑AST ❑UST ❑Septic Tank ❑Drying Beds ❑Concrete Storage Pads
Number of months storage? 4mos.@ avg flowl
Spill control plan on site? 0 Yes 0 No
If Applicable:
Is lagoon lined? ®Yes 0 No
Above Ground Tank ❑Aerated ❑Mixed Aerated Hp: Mixed Hp:
Under Ground Tank ❑Aerated ❑Mixed Aerated Hp: Mixed Hp:
page 3

Non Discharr" Compliance Spray Irrir-`ion Inspection
Permittee THOUSAND TRAILS-FOREST
Permit Number IWO0004972
Inspection Date 17\20\00
Record Keeping
Copy of current permit available? O• Yes 0 No
Are monitoring reports present: NDMR •�Yes 0 No
NDAR O• Yes 0 No
Are operational logs present? 0• Yes 0 No
Are lab sheets availiable for review? 0 Yes O• No
Do lab sheets support data represented on NDMR or NDAR? 0 Yes 0 No
Are annual soil reports available? 0 Yes 0 No
Are Operation and Manintance records present? O• Yes 0 No
Are Operation and Manintance records Complete? 0 Yes 0 No
Has permittee received any public compliants in the last 12 months? 0• Yes 0 No
Disposal
•
Buffers Adequate? 0 Yes 0 No
Cover Crop Type Specified in Permit? O• Yes 0 No
Site Condition adequate (improvement)? O• Yes 0 No
Signs of runoff/ponding? 0 Yes O• No
Is the acerage specified in the permit being utilized? 0 Yes ®No
Is application equipment present and operational? 0• Yes 0 No
Are there any limiting slopes on disposal field? 0• Yes 0 No
Are monitoring wells called for in permit? 0• Yes 0 No
Access restrictions and/or signage? 0• Yes 0 No
•
•
page 4

cc: Permits and Engineering
County Health Dept.
Central Files
SOC PRIORITY PROJECT: Yes_ No N
If Yes, SOC No.
To: Permits and Engineering Unit
Water Quality Section
Attention: (Kristin Miquez)
July 28, 2000
NON DISCHARGE STAFF REPORT AND RECOMMENDATION
County: Davie
Permit No. WQ0004972
PART I - GENERAL INFORMATION
1. Facility and Address: Thousand Trails, Inc., Forest Lake Campground
192 Thousand Trails Drive
Advance, N.C. 27006
2. Date of Investigation: July 20, 2000
3. Report Prepared by: Abner Braddy
4. Persons Contacted and Telephone Number:
Mr. Robert Rowe, Preserve General Manager, [phone]
Mr. Quentin Campbell, ORC, [phone]
5. Directions to Site: From Winston-Salem, travel I-40 west to N.C. Hwy. 801; travel 801
south to its intersection with U.S. Hwy. 64 and turn left; the entrance to the campground
is located approximately 0.5 west of the Yadkin River, on the north side of U.S. Hwy. 64.
6. Size (land available for expansion and upgrading): The total property consists of
approximately 305 acres; though originally designed for 9 acres, portions of the spray
field have been taken out of service since the facility was initially permitted. Of the
original design of 30 sprayheads, 18 are in use at this time. The other 12 sprayheads were
removed from service (apparently at the request of the permitting authority) due to

proximity to a non-access controlled road. The actual acreage actively being sprayed is
now estimated at 6-7 acres.
7. Topography (relationship to 100 year flood plain included): Portions of the property are
within the 100 year flood plain, though neither the treatment works nor spray field are. The
portion of the spray field actively being used slopes toward the Yadkin (west —► east) at
approximately 3-5%.
Attach a U.S.G.S. map extract and indicate facility site.
U.S.G.S. Quad No. D17SW U.S.G.S. Quad Name Churchland
Latitude: 35° 51' 56" Longitude: 80° 23' 53"
8. Any buffer conflicts with location of nearest dwelling and water supply well? Yes_ No X
If Yes, explain:
9. Watershed Stream Basin Information: Yadkin River
a. Watershed Classification: WS-IV
b. River Basin and Subbasin No.: 03-07-04
c. Distance to surface water from disposal system: Greater than 100'
Part II - DESCRIPTION OF WASTES AND TREATMENT WORKS
1. a. Volume: ILL MGD (Design Capacity)
Residuals: _tons per year Unknown; the ORC stated that solids are removed
approximately twice per year by septage hauler
b. Types and quantities of industrial wastewater: None
c. Pretreatment Program (POTWs only): N.A.
in development_ approved_
should be required_ not needed
2. Treatment Facilities:
a. What is the current permitted capacity of the facility?
.045 MGD
b. What is the actual treatment capacity of the current facility (design volume)?
.045 MGD
c . Please provide a description of existing or substantially constructed wastewater
treatment facilities: Seven pump stations, with associated gravity collection lines
(Note: previous permits listed nine pump stations) and grinder pumps; 430' of

three inch force main, 455' of four inch force main, 935' of six inch force main; an
extended aeration package plant consisting of a bar screen, a 14,800 gallon
aerated equalization basin with twin 285 CFM blowers, 7500 gallon clarifier,
4500 gallon sludge holding tank with aeration, a 940 gallon chlorine contact tank,
a 0.408 MG PVC lined storage lagoon, twin 142 g.p.m. effluent pumps,
conveying treated effluent to a 6-7 acre spray field with 18 functional rotating
spray heads.
d. Please provide a description of proposed wastewater treatment facilities. None
3. Residuals handling and utilization/disposal scheme: Periodically pumped by septage
hauler.
a. If residuals are being land applied, please specify DWQ Permit No.
Residuals Contractor
Telephone No.
b. Residuals stabilization: PSRP_ PFRP
Other
c. Landfill:
d. Other disposal/utilization scheme (Specify):
3. Treatment plant classification(attach completed rating sheet). WW2-SI
4. SIC Code(s): 7033
Primary 13 Secondary
Main Treatment Unit Code: 0 6 0_7
PART III - OTHER PERTINENT INFORMATION
1. • Is this facility being constructed with Construction Grant Funds (municipals only)? N.A.
2. Special monitoring requests: Due to the nature of this facility, the vast majority of flow is
received on Thursday through Sunday. The Region believes it would be appropriate to
require visitation by an ORC on the weekend.
Non-Discharge Permit Staff Report
Version 10/92
Page 3

3. Important SOC, JOC or Compliance Schedule dates: (Please indicate) N.A.
Date
Submission of Plans and Specifications
Begin Construction
Complete Construction
4. Other Special Items:
PART IV - EVALUATION AND RECOMMENDATIONS
No problems were noted with respect to the biological treatment unit (package plant). As noted
previously, the collection system now has 7 pump stations rather than 9. Additionally, the size of
the spray field has been reduced from the original 9 acres to approximately 6-7 acres. The
number of spray heads (functional) is now 18 rather than 30.
With respect to the spray field, no problems were noted, though a recommendation was made to
cut back some areas of heavy vegetation in the immediate area of the spray heads.
The Region recommends the Permit be reissued.
Signature of re ort preparer
jjk
�R Water Quality Regional Sup isor
Date
•
Non-Discharge Permit Staff Report
Version 10/92
Page 4

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7

WATER POLLUTION CONTROL SYSTEM OPERATORS
CERTIFICATION COMMISSION
CLASSIFICATION
RATING SHEET FOR WATER POLLUTION CONTROL SYSTEMS
FACILITY INFORMATION:
NAME OF FACILITY: / D144e',t" 6 4,6«�yr
MAILING ADDRESS: /12 7�� "`7.i7�� 4 1�
COUNTY: / /?
CONTACT PERSON: v�/1k/Ca�C TELEPHONE: { f '. W/
PERMIT NO: ,2179d17?- Check One: NC WQ L/ HEALTH DP
ORC: (�lf/�'7/? (" ,'X / TELEPHONE: (.7?'
RATING INFORMATION: (Before completing this section,please refer to pages 2-4)
PERMITTED FLOW: s &`7 MGD BNR? YES NO 2(
CHECK CLASSIFICATION: WASTEWATER: 1 2 v 3 4
COLLECTION: 1 2 3 4
SPRAY IRRIGATION v SUBSURFACE LAND APPLICATION
PHYSICAL/CHEMICAL GRADE I GRADE II
RATED BY,A6//YV 7 �� / REGION:��' O DATE: �� �y
REGIONAL OFFICE TELEPHONE NUMBER:TIA 7 7~EXT: ���

State of North Carol...
Department of Environment AlMci
• •
and Natural Resources f
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary y
Kerr T. Stevens, Director NORTH CAROLINA DEPARTM
ENVIRONMENT AND NRfi�,' . 11 ES
May 25, 2000 N.G. Dept. of R
ROBERT ROWE J U N - 9 2000
THOUSANDS TRAILS, INC.
192 THOSAND TRAILS DRIVE
ADVANCE, NORTH CAROLINA 27006 Winston-Salem
g r a 'ti Mice
Subject: Acknowled eme o
WQ0004972 - n
Name Change 4 �A-CA
Spray Irrigation
Davie County
Dear Mr. Rowe:
The Non-Discharge Permitting Unit of the Division of Water Quality acknowledges receipt of your
permit application and supporting materials on May 23, 2000.
Your application package has been assigned to Kristin Miguez for a detailed review. The reviewer will
contact you with a request for additional information if there are any questions concerning your
submittal.
If you have any questions,please contact Kristin Miguez at 919-733-5083 extension 524. If the
reviewer is unavailable,you may leave a message on their voice mail, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES
ON THIS PROJECT.
Sincerely,
I Cdlitc4'/
Kim H.Colson,P.E.
Supervisor,Non-Discharge Permitting Unit
Cc: Winston Salem Regional Office,Water Quality Section
Permit Application File WQ0004972
T /447 .7/
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50%recycled/10%post-consumer paper

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paifie County enitlj epartment
nub um Xea1th t encg
P. O. BOX 665
cfllurl:stille, North (llarolina 27028
OFFICE OF THE DIRECTOR TELEPHONE
July 5, 1964 17041 634.5085
Thousand Trails, Inc.
P.O. Box 499
Advance, N.C. 27006
Attention: Tom Liborio
Project Manager
Re: Sewage Treatment and Disposal System
Dump Station
The on-site sewage treatment and disposal system installed
at the above mentioned location, is of such design that an Operation
Permit is required from this office. This Operation Permit is issued
instead of a Certificate of Completion. As of January, 1, 1984 G.S.
[130A-337(b)] requires an Operation Permit for any system that has
the following:
Pumps and/or grease traps, any alternative
system, systems with a flow rate greater than
480 GPD, and systems serving mobile home parks.
This Operation Permit is valid as long as the sewage treatment
and disposal system is in compliance with Article 11 of G.S. Chapter
130 A, and all conditions imposed by the Operation Permit.
This letter shall serve as the Operation Permit for the
sewage treatment and disposal system at the above mentioned
location.
Date of Issuance ?-���T By
Title g,, Ht LG

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!a iie County iileattli epurtment
anb rime pealtlj $enrg
P. O. BOX 665
�iforksbille, arth QIarnlina 27028
OFFICE OF THE DIRECTOR TELEPHONE
November 12, 1985 I7041 634.5995
Mr. Jerry Jones
Thousand Trails, Inc.
Rt. 2, Box 39S-A
Advance, NC 27006
Re: Sewage Disposal System For
Newly Constructed Cabins
Mr. Jones:
Concerning the afore mentioned subject, this office will
agree to a temporary connection of the cabins onto the existing
sewage disposal system now serving an area of campsites. , In
agreeing to this connection the following conditions must be met.
1. This connection will be allowed only until the beginning
of your heavy Spring/Summer camping season. At that time,. if the
Central Sewage System, which is being permitted by DNER, is not
in operation then either the cabins or the campsites will be re-
quired to be disconnected from the existing system.
2. During the time period that both the cabins and camp-
sites are connected to the same system, should there be any
problem, then either the cabins or the campsites must be dis-
connected.
3. This office must be kept informed concerning the time-
table for the installation of the Central Sewage System and its
projected operational date.
Please advise should you have any questions concerning this
matter.
Sincerely,
oe Mando, R. S.
irector, Environmental Health
JM/sg

Subdivision Name — Lot No. Sec. or : oc �o. _________________
Lot Size _— House — Mobile Home — — Business Speculation
No. Bedrooms —_ No. Baths — — No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply ---___—
*This permit Void if sewage system described below is not installed within 36 months from date of issue,„.„,,,,,,z
ty 4° i'
,� am+ , .s ; _.:: ..
.— x. .. _ . ,, . , ., re�.�r� _
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion —__— ._. Date _
"The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.

— _ Lot No. ___ Sec. or Block No.
Lot Size —__ House — Mobile Home ___ Business _ Speculation __-___ j
No. Bedrooms —__— No. Baths _ —_ No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO L❑
Auto Wash Machine YES n NO ❑
Type Water Supply ..— _____
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Ea
_ Improvements permit by -- —_—
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
G 9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by PAD•:� L'"^��- e..
e_.-> ,4i-z-3 ,,.<
e.3) S=iD,Fy
d./.L , I
t COX
k t •?vtv...p ,s1M4-a--
1 R.alcatzti.c-i
,
i
Certificate of Completion Date _
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
>` the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
i

| Subdivision Name _—' _--___ Lot No. Sec. or Block No.
-
Lot Size __ House -______- Mobi|a Home Business _ Speculation
No. Bedrooms No. Baths _— __ No. in Fami|y_—'_-__
Garbage Disposal YES [] NO [] Specifications /o/ System:
� Auto Dish Washer YES [] NO
Auto Wash Machine YES [] NO []
Typo Water Supply
*This permit Void if sewage system described below is not installed within 30 months from dote of issue.
'
/
/
� --�
�,y,�'
'
. �
4-
Improvements permit hy ____ ^
'
^Contacta representative cd the Davie County Health Department for final inspection of this system between 830-
8:30 A.M. or 1:00'1:30 P.M. on day of completion. Telephone Number: 7O4'034-59Db.
Final Installation Diagram: System Installed by
in
Certificate of Completion Date
signing of this certificatecompliance
t e standards set forth �n — above regulation, but shall` �
'. N0 way be taken aaaguanane that the system will function �
^ satisfactorily for any given period cftime.
�

Subdivision Name Lot No. Sec. or Block No.
Lot Size __— House Mobile Home _ _ Business __--__— Speculation
No. Bedrooms ---- No. Baths -- — No. in Family _
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑ i j -
Auto Wash Machine YES ❑ NO ❑ f { t oir
Type Water Supply _______..._ LI 17 0 i- 4
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
..e .., L r✓ f
f
\\ ..
+1 rlejan
° if f
Improvements permit by -- ---- jVL `•
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by • - �. °
.5i, t
i
a(i
.4,#to -...
t/t „' ,'� #� ,,
f
7
Y y � 1'. ...
I} I
Certificate of Completion Date __
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.

- of No. _ Sec. or Block No.
Lot Size _______ House — Mobile Home _ Business ____ _ Speculation
No. Bedrooms —_ No. Baths — No. in Family
Garbage Disposal YES ❑ NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES n NO
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion _____ _ Date
"The signing of this certificate shall indicate that the system described above has been installed in compliance with ,
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
saU tonl for.an •tven s

Subdivision Name _ o o.
Lot Size _ House __ _ Mobile Home _ ___ Business --_ Speculation -
No. Bedrooms _—_ _ No. Baths — — No. in Family
Garbage Disposal YES U NO ❑ Specifications for System
Auto Dish Washer YES [] NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
kL.r r rx'a",r
Improvements permit by -- --_
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1.00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion Date
'The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.

_--- - - • '•. _-_-- ec. or : oc 1o.
Lot Size _ House — Mobile Home Business Speculation
No. Bedrooms _ No. Baths No. in Family
Garbage Disposal YES Li NO ❑ Specifications for System:
Auto Dish Washer YES ❑ NO ❑
Auto Wash Machine YES ❑ NO ❑
Type Water Supply — --___—
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by —_
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1.00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram: System Installed by
Certificate of Completion _ _ Date
The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function ti
satisfactorily for any given period of time.
II

-- i
SENDER: COMPLETE THIS SECTION COMPLETE THIS SEL;T,ON ON DELIVERY
• Complete items 1,2,and 3.Also complete
item 4 if Restricted Delivery is desired. ❑Agent
• Print your name and address on the reverse 0 Addressee
so that we can return the card to you. w by �rinted Name) C Date of Delivery
• Attach this card to the back of the mailpiece, /C�/Y 1
or on the front if space permits. 1 A v C l
D. Is delivery.ddress different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ No
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800 s. sice Type
Chicago, IL 60606 00 Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑C.O.D.
4. Restricted Delivery?(Extra Fee) ❑Yes
7010 0290 0001 4977 4463
PS Form 3811, February 2004 Domestic Return Receipt 1 i .- 13 102595-02-M-1540

UNITED STATES POSTAL SERVICE 111111
First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
�. M
Aquifer Protection Section
N.C. Dept. of Environment and Natural Resources
585 Waughtown Street
Winston-Salem,NC 27107-2241

U.S. Postal Service
CERTIFIED MAIL RECEIPT
m (Domestic Mail Only;No Insurance Coverage Provided)
.� For delivery lnformn'ton vi-.i'nur.vohG:, _ -rww.usps.com
� r- I C� " .• - USE
Postage $ . (1_,
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Return Receipt Fee Here
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Restricted Delivery Fee
(Endorsement Required)
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0 Sentr Ms. Laura Choi
ostreet, MHC TT. Inc.
r- or PO 2 N. Riverside Plaza, Suite 800
crry,s Chicago, IL 60606

•
Jifitp ies:
• mail.
• unL,. your mailpiece
• rec, k„pt by the Postal Service for two years
t. irr. •
L 3Aific FLY be combined with First-Class Mao or Priority Maile.
• artif•.; Bailable for any class of international mail.
a. Oil AVERAGE IS PROVIDED with Certified Mail, For
Juat sider Insured or Registered Mail.
r Eur,. a Return Receipt may be requested to provide proof of
�Iivel im Receipt service,please complete and attach a Return
ece, 1)to the article and add applicable postage to cover the
e.El .3"Return Receipt Requested".To receive a fee waiver for
duE.' ;aipt,a USPS0 postmark on your Certified Mail receipt is
guir,
)r a ee, delivery may be restricted to the addressee or
dre. ed aggent.Advise the clerk or mark the mailpiece with the
ido ctedDelivery".
r a pi Certified Mail receipt is desired,please present the arti-
le al e for postmarking. If a postmark on the Certified Mail
!Miff, J,detach and affix label with postage and mail.
P. 'ORT is receipt and present it when making an inquiry.
•E orrn i 3(Reverse)PSN 7530-02-000-9047

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired. X ❑Agent
• Print your name and address on the reverse ❑Addressee
so that we can return the card to you. B. Received by(Printed Name) C. Date of Delivery
• Attach this card to the back of the mailpiece, `�f
or on the front if space permits. '"/��'�� 5 �m�
D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑ Ne,
Ms. Laura Choi
MHC TT, Inc. -
2 North Riverside Plaza, Suite E.00
3. Service Type
Chicago, IL 60606 Meertified Mail ❑Express Mail
❑ Registered ❑ Return Receipt for Merchandise
IDInsured Mail ❑C.O.D.
h
-I 0 13-D/I -/1 SI 4. Restricted Delivery?(Extra Fee) ❑Yes
2 7008 3230 0003 2547 0589 QC NQr
PS Form 3811.February 2004 Domestic Return Receipt 7 //''/J 102595-02-M-1540

UNITED STATES POSTAL SERVICE First-Class Mail
Postage&Fees Paid
LISPS
Permit No.G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NCDENR-Division of Water Quality
— s ,�
585 WaLthtown Street
Winston-Salem, NC 27107

U.S. Postal Service
CERTIFIED MAIL,. RECEIPT
Q" (Domestic Mail Only:No Insurance Coverage Provided)
m
-17 For delivery information visit our website at www.usps.com®
Lrl Postage L♦ ` ae nice
ru 4)
Certified Fee INIM
m Postmark
D Return Receipt Fee Here
O (Endorsement Required) .
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Restricted Delivery Fee
0 (Endorsement Required)
m �, a06-Pe.-
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Im
Sent Ms. Laura Choi
jED
1=1 -'s`frea MHC TT, Inc.
or Pi 2 North Riverside Plaza, Suite 800 I
City,
Chicago, IL 60606 I
Cla -tructions

Certified Mail Provides:.
■ A mailing receipt
■ A unique identifier for your mailpiece
in A record of delivery kept by the Postal Service for two years
Important Reminders:
■ Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
• Certified Mail is not available for any class of international mail.
• NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
■ For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece°Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
• For an additional fee, delivery may be restricted to the addressee or '
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
■ If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3.Also complete • -
item 4 if Restricted Delivery is desired. .e"nttjent
■ Print your name and address on the reverse l r ' 0 Addressee
so that we can return the card to you. t. -e eived by(P nte. •ame) C. Date of Delivery
• Attach this card to the back of the mailpiece, ` C� _ c �,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Yes
1. Article Addressed to:
If YES,enter delivery address below: 0 No
Ms. Laura Choi
MHC TT, Inc.
2 N. Riverside Plaza, Suite 800 3. siceType
Chicago. IL 60606 '!Certified Mail 0 Express Mail
❑ Registered 0 Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery?(Extra Fee) 0 Yes
7008 1300 0001 1938 6700
PS Form 3811,February 2004 Domestic Return Receipt _ a2—// 102595-02-M-1540

UNITED STATES POSTAL SERVICE Fir5r-Cia' M II
II CHIC AGO vO .;.�_ a , -•r,. .•r est gti-&,4,?Lr ai
':e' : i :F`. .• 6 ,✓•�M'+. « . a,+ ,. �...,y
• Sender: Please print your name, address;and ZlPi4fnrffiis box
I I
Aquifer Protection Section
N.C. Dept; of Environment and Natural Resources
585 Waughtown Street
Winston-Salem, NC 27107-2241