NC0071862_Renewal Application_20200519

May 19, 2020
Dear Ms. Thedford,
Thank you for your attention to this permit #NC0071862.
Enclosed you will find the necessary paperwork for the request of renewal of our permit.
There have been no changes to the facility from the date of the last permit.
If you have any questions regarding the permit renewal please contact us at [phone] or email us
at [e-mail].
Again, thank you for handling the renewal request.
Sincerely,
Henry K. Odom
Magnolia Place MHP
1 Ariel Loop
Hendersonville, NC 28792
[phone]

Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit #CO071862
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Henry Keith Odom
Facility Name
Magnolia Place Mobile Home Park
Mailing Address
1 Ariel Loop
City
Hendersonville
State / Zip Code
NC 28792
Telephone Number
828-685-9520
Fax Number
828-685-9520
e-mail Address
MAGNOLIAPLACERETIREMENTPARKCGMAIL.COM
2. Location of facility producing discharge:
Check here if same
address as above ❑
Street Address or State Road 1 Ariel Loop
City
Hendersonville
State / Zip Code
NC/28792
County
Henderson
3. Operator Information:
Name of the firm,
public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name
Henry Keith Odom
Mailing Address
1 Ariel Loop
City
Hendersonville
State / Zip Code
NC/28792
Telephone Number
[phone]
Fax Number
[phone]
e-mail Address
MAGNOLIAPLACERETIREMENTPARIC(&- AIL.COM
1 of 4 Form-D 11/12

4. Description of wastewater:
Facility Generating Wastewater(check all that apply
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
X
Number of Homes 91
School
❑
Number of Students/Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Number of persons served: 140
5. Type of collection system
X Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes X No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfallr
Clear Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Dual 0.015 extended aeration plants, each consisting of the following components:
-Bar screens
-Aeration basin
-Clarifier
-Sludge holding tank
-Tablet chlorination and tablet de -chlorination
-Chlorine contact chamber
-Effluent pump station
0 s n Fnrm-r) 11/12

10. Flow Information:
Treatment Plant Design flow 0.030 MGD
Annual Average daily flow 0.0037 MGD (for the previous 3 years)
Maximum daily flow 0.0039 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes Fx] No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
fb,iv f QA mnnflhc inr nnrnmotorc rrirronflii in iimir nPrmit Mark nthpr nnra'lne_te_rs "NIA".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
200
10
MG/L
Fecal Coliform
650
28.9
CFU/ 100ML
Total Suspended Solids
120
8
MG/L
Temperature (Summer)
24.1
20.0
C
Temperature (Winter)
20.0
12.5
C
pH
7.5
6.9
Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) N/A NESHAPS (CAA)
UIC (SDWA)
NPDES
01-45-172
NCO071862
PSD (CAA) N/A
Non -attainment program (CAA) N/A
Permit Number
N/A
Ocean Dumping (MPRSA) N/A
Dredge or fill (Section 404 or CWA) N/A
Other
N/A
3 of 4 Form-D 11/12

14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Henry Keith Odom Owner
Printed na of Person Signing Title
ture of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
e „t A Fnrm_r) 11 /17

May 19, 2020
Sludge Management Plan
Magnolia Place MHP
Permit #NC0071862
When sludge accumulates at the wastewater plant, a septic pumping
company is called and they remove sludge with the proper equipment
and truck.
The current company I am using is "Mike's Septic". Once sludge is
removed it is transported to Brevard City Facility and properly treated
there.
Sincerely,
Henry K. Odom

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Facility Information Facility
Latitude: 35022'06" Sub -Basin: 04-03-02 Location
Longitude: 82°25' 15"
Ouad Name: Hendersonville
Stream Class: C Henry Keith Odom -Magnolia Place Mobile Home Park
Receiving Stream: Clear Creek A % � . � In NCO071862