NC0051713_Regional Office Historical File Pre 2016

North Carolina Department of Environmental Quality
Pat McCrory Donald R. van der Vaart
Governor Secretary
November 16, 2015
Lakeview Mobile Home Park, LLC
Attn: Walter B. Craven, Jr., Owner
420 Marion Drive, Unit 31
Wilmington, NC 28412
Subject: Compliance Evaluation Inspection
Permittee: Lakeview Mobile Home Park, LLC
Facility: Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit #: NCO051713
Forsyth County
Dear Mr. Craven:
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a compliance evaluation inspection (CEI) of the Lakeview Mobile Home Park Wastewater
Treatment Plant (WWTP) on November 10, 2015, The assistance and cooperation of Clifford Cain, Operator in
Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
General Information
The mobile home park is located at approximately 5195 Highpoint Road (Hwy 311), at coordinates
36.0216841 °N, 80.0675824°W. The WWTP is located just off of Highpoint Road, on the north side of'the park
and just adjacent to the park office. Although in Forsyth County, the park/plant are actu#'consists
y located at a.Highpoint
address. The permit authorizes the owner to operate this 0.015 MGD WWTP, whic of auk- eration
basin with diffused aeration, a clarifier, return activated sludge with constant recirculation airlift pumps,
chlorination, dechlorination, post aeration, and an aerobic sludge digester. The permit authorizes the owner to
discharge the treated effluent from the WWTP into an unnamed tributary (UT) to Cuddybum Branch via outfall
001. Cuddybum Branch is currently classified as WS-III waters and is located in the Yadkin Pee -Dee River
basin.
Site Review
Mr. Cain has done a good job operating and maintaining the plant. The plant itself was in good condition
and the mixed liquor, clarifier overflow, and plant discharge all looked good. The only thing Mr. Boone noted was
that at least one section of the fence is falling down, making it easy for unauthorized personnel to enter the plant
grounds. The rest of the fence around the plant looks as though it could also use some maintenance and repair
work. Please repair all sections of fencing to maximize security of the plant.
Documentation Review
450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity1 Affirmative Acton Employer— Made in part by recycled paper

All documentation was reviewed and no discrepancies were found. Mr. Cain has done a good job of
documenting the operation and maintenance of the plant as required by the permit. This includes operations and
visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains of custody, etc.
Please continue to work with Mr. Cain to keep the plant in optimum working order and reduce shock
loads as much as possible in order to avoid plant upsets. Please be aware that, in accordance with NC General
Statute 143-215.6A, the Director of the Division of Water Resources may assess civil penalties not to exceed
$25,000 per day, per violation, for violations of the NC0051713 NPDES permit or the NC rules and regulations
that implement it.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336)
776-9800. Thank you for your cooperation in this matter.
Sincerely,
."4 44s'm�. V114,0
Sherri V. Knight
Asst. Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
BIMS Inspection Report
CC: WRI - WF
Central Files
NPDES Unit
R&A Laboratories
Attn: Cliff Cain
106 Short Street
P.O. Box 473
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires B-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 I NC0051713 I11 12 15/11/10 17 18 [ S j 19 � G � 201
211E_11 1 1u1 1 1 1 1 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 j I I I I I I I I I I I I f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CIA -----------------Reserved-----------
67 70IJ 71 I I '72 L� � �, � 73I I 174 751 I I I I I I I80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:OOAM 15/11/10
14/07/01
Lakeview Mobile Home Park
5186 High Point Rd
Exit Time/Date
Permit Expiration Date
High Point NC 27265
12:OOPM 15/11/10
19/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Clifford Curtis Cain/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Walter B Craven,420 Marion Dr#31 Wilmington NC 284121/910-777-1998/9103958265
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-776-9690/
3 t t ks
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
0"441-�Y—= 4 r se 14 I ( �r
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
3 NCO051713 I11 12I 15/11/10 117 18 ici.
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary level.
Page#

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 11/10/2015 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
❑
application?
Is the facility as described in the permit?
❑
❑
❑
# Are there any special conditions for the permit?
❑
M
❑
❑
Is access to the plant site restricted to the general public?
M'
❑
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑ .
❑
❑
Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
0
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(If the facility is = or> 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
V
❑
❑
on each shift?
Is the ORC visitation log available and current?
0
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
0
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
M
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
M
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑
Are all other parameters(excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 11/10/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
A❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?.
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
❑
Comment: None
Aeration Basins
Yes No NA NE
Mode of operation
Ext. Air -
Type of aeration system
Diffused
Is the basin free of dead spots?
0 ❑
❑
❑
Are surface aerators and mixers operational?
❑ ❑
0
❑
Are the diffusers operational?
0 ❑
❑
❑
Is the foam the proper color for the treatment process?
❑
❑
❑ `
Does the foam cover less than 25% of the basin's surface?
0 ❑
❑
❑
Is the DO level acceptable?
❑ ❑
❑
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑ ❑
❑
Comment: None
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
S
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
0
❑
❑
❑
Is the tubing clean? -
❑
❑
S
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
N
❑
❑
❑
representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and ❑ ❑ ❑
sampling location)?
Comment: None
Page# 4

Permit: NCO051713
Inspection Date: 11/10/2015
Groner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the site free of excessive buildup of solids in center well of circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
Is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately %< of the sidewall depth)
Comment: None
Pumps-RAS-WAS
Are pumps in place?
Are pumps operational?,
Are there adequate spare parts and supplies on site?
Comment: None
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Are the tablets the proper size and type?
Comment: None
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment: None
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
Yes No NA NE
■ ❑ ❑ ❑
❑ ❑ ■ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ E ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
•
❑
❑
❑
•
❑
❑
❑
E
❑
❑
11
Yes No NA NE
Tablet
■
❑
❑
❑
■
❑
❑
❑
■
❑
❑
El
■
❑
❑
❑
❑ ❑ ❑
1
Yes No NA NE
❑ ❑ ❑
❑ ❑ ❑
Page# 5

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 11/10/2015 Inspection Type: Compliance Evaluation
Effluent Pipe Yes No NA NE
If effluent (diffuser pipes are required) are they operating properly? ❑ 0 ❑ ❑
Comment: None
Aerobic Digester
Yes No NA NE
Is the capacity adequate?
E
❑
❑
❑
Is the mixing adequate?
E
❑
❑
❑
Is the site free of excessive foaming in the tank?
0
❑
❑
❑
# Is the odor acceptable?
E
❑
❑
❑
# Is tankage available for properly waste sludge?
❑
❑
❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 6

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ReVaed 05-2Q15

Water Resources
ENVIRONMENTAL QUALITY
December 11, 2015
Walter B Craven„ Jr.
Lakeview MHP LLC
420 Marion Dr #31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0785
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
PAT MCCRORY
Governor
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Director
A review of Lakeview Mobile Home Park's monitoring report for September 2015 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
9/11/2015
400.000
#/100m1
800.000 #/100ml
I
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action
by the Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact me or Ron Boone at (336) 776-
9800.
Sincerely,
Sherri V. Knight, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DEQ
cc: DWR - Central Files
V1/SR — .
State of North Carolina I Environmental Quality I Water Resources
450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
336 776 9800

AMR Review Record
Facility:
f
�.Gc IG G �//�� j� ANP
Permit: No.: 51713 Pipe No.:
CAD MonthlYear: %' S
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit Action
Weekly/Daily Violations
Date
Parameter
Permit Limit Limit: Tempe DMR Value
% Over Limit Action
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
# of Violations Action
er Violations/Staff Remarks:
>upervisor Remarks:
Completed by: ,Uba,e-
Assistant Regional
Supervisor Sign Off.
Regional Supervisor Sign -
Off. ---- �C/
Date:
Date:
Date: ID JS

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Clifford Curtis Cain
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 11237
eDMR PERIOD: 09-2015 (September 2015) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
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Weekly
Weekly
Weekly
Weekly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP-C
PH
CHLORINE
BOD-Cone
NH3-N-Cone
TSS - Cone
FECCOLI
DO
2400
Hrs
2400
Hrs
Y/B/N
mgd
deg c
so
ug/l
mg/l
mg/l
mg/l
4/100ml
mg/l
1
1420
0.15
B
0.0044
2
1750
0.5
B
0.0044
3.16
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10
<1
3
1420
0.5
B
0.0108
17
6.8
4
1435
0.5
B
0.0108
5
0.0108
6
0.0108
7
No Visitation - Holiday
8
1230
1.0
B
0.0108
9
1245
0.5
B
0.0108
25
6.9
14
10
1215
0.5
B
10.0108
-
11
1220
0.25
B
0.0108
< 10
4.38
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14
:800
7
12
0.0108
13
0.0108
14
11010
10.5
B
0.0108
20
7.1
113
15
1500
0.25
B
0.0108
16
1300
0.25
B
0.0108
< 10
3.93
< 0.1
12.4
< I
7.1
17
1400
0.5
B
0.0108
18
1000
0.1
B
0.0072
19
0.0072
20
0.0072
21
1 1345
0.75
B
0.0072
22
1420
0.5
B
0.0072
20
7.3
19
23
1320
0.5
B
0.0072
24
1310
0.5
B
0.0108
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3.3
<0.1
19
<1
6.7
25
1320
0.1
B
0.0108
26
0.0108
27
0.0108
28
1120 10.5
B
0.0108
29
1330
0.75
B
0.0108
20
7.2 .<
10
30
1515
1.5 1
B
0.0108
< 10
7.7
Monthly Average Limit:
0.015
17
2
30
200
Monthly Average:
0.009614
21.25
7.125
7
3.6925
0
13.85
5.318296
7.06
Daily Maximum:
0.0108
25
7.3
19
4.38
0
19
800
7.7
Daily Minimum:
0.0044
20
6.9
0
3.16
0
10
0
6.7
Monthly Avg % Removal (85 % ):
P,ECEIVEG
N.0-Deot. of EEI
K10V 12 2615
Winston-Salem
I
Regional Office
'RECEIVE'
NOV 0 3 2015
CENTRAL FILES
C1.NR SECTION

NPDES PERMIT NO.: NCO051713
` FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Clifford Curtis Cain
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 11237
eDMR PERIOD: 09-2015 (September 2015) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
A
B2
V
E
E
o
F
E
a
e
O
t%
e
O
m
e
V
O
c
o
0.ua'
Z
C0600
C0665
Quarterly
Quarterly
Grab
Grab
TOTAL N- Conc
TOTAL P- Conc
2400
Firs
12400
Hrs
Y/B/N
mg/l
mg/I
1
1420
0.15
B
2
1750
0.5
B
3
1420
0.5
B
4
1435
0.5
B
5
6
7
No Visitation - Holiday
8
1230
1.0
B
9
1245
0.5
B
10
1215
0.5
B
11
1220
0.25
B
12
13
14
1010
0.5
B
15
11500
10.25
B
16
1300
0.25
B
17
1400
0.5
B
18
1000
0.1
B
19
20
21
1345
0.75
B
22
1420
0.5
B
23
1320
0.5
B
24
1310
0.5
B
25
1320
0.1
B
26
27
28
1120
0.5
B
29
1330
0.75
B
30
1515
1.5
B
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum•
Monthly Avg % Removal (85 %):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Clifford Curtis Cain
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 11237
eDMR PERIOD: 09-2015 (September 2015) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
N
E
E
v
E
o
E
F
G
a
y
�
`e
1F
e
O
y
e
V
O
e
u
ed
o
a
Zo
00010
00300
Weekly
Weekly
Grab
Grab
TEMP-C
DO
2400
Hrs
2400
Hrs
Y/B/N
deg c
mg/1
1
2
3
1455
0.5
B
25
4.1
4
5
6
7
8
9
10
11
1250
0.25
B
24
3.8
12
13
14
15
16
1315
0.25
B
23
3.6
17
18
19
20
21
22
23
24
1335
0.5
B
22
3.4
25
26
27
28
29
30
1545
1.5 113
1
21
3.5
Monthly Average Limit:
Monthly Average:
23
3.68
Daily Maximum:
25
4.1
Daily Minimum:
21
3.4
Monthly Avg % Removal (85 % ):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 09-2015 (September 2015)
COMPLIANCE: Non -Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Clifford Curtis Cain
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 11237
STATUS: Processed
SUBMISSION DATE: 10/26/2015
c� 10/24/2015
ORC/Certifier ignature: Clifford Cain E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
COMMENTS: There was a high Fecal result for the sample collected 9/11/15. Therefore the contact chamber was pumped out and I increased the chlorine feed rate. The system
has been back in compliance since. * Please note, The Colilert 18 method was used for the Fecal Coliform sample collected 9/24/15 and was reported in MPN/100ml. All other
Fecal Coliform results were c plete by the SM 9222 D-19,97 rpethod and reported in col/100ml.*
10/26/2015
Permittee/Submitt r Si nature:*** J es M Cheshire E-Mail:[e-mail] Phone #:[phone] Date
Permittee Address: 518 Point Rd High oint NC 27265 Permit Expiration Date: 04/30/2019
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
LAB NAME: Research & Analytical Labortories, Inc
CERTIFIED LAB #: 34
PERSON(s) COLLECTING SAMPLES: Joseph Taylor Baskin
CERTIFIED LABORATORIES
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NC0051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 09-2015 (September 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Clifford Curtis Cain
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 11237
STATUS: Processed

NCDENR
North Carolina Department of Environment and Natural Resources
Patl McCrory Donald R. van der Vaart
Governor Secretary
September 11, 2015
Walter B Craven, Jr.
Lakeview MHP LLC
420 Marion Dr #31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0587
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr Craven, Jr:
A review of Lakeview Mobile Home Park's monitoring report for June 2015 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
6/4/2015
400.000
#/loom[
2,000.000
#/loom[
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: &DWR
Central iles
�v :flees
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
450 W. Hanes Mill Rd, Suite 300; Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

22W ROVLOW ReC(Dr 1
Facility: v!`Gt✓ Permit No.: 51713 Pipe No.: 6Z71 MonthNear:
Monthly Average Violations
Parameter
Date
Date
Parameter
Parameter
Permit Limit DMR Value % Over Limit Action
Weekly/Daily Violations
Permit Limit Limit Type DMR Value % Over Limit Action
U
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations Action
Other Violations/Staff Remarks: �+ C'
..—.,p
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' ®—A ,' E'1,5/1 cF — AJ113 _
f / // �l/f 3 — /�n�/a d — z�3�• s //SX I' —AAV,' %
Supervisor Remarks:
Completed by: 1y_
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign/✓�a'
Off:'
Date: g `/ /
Date:
Date: -,74 G S_

f
NPDES PERMIT NO.: NCO051713 PERMIT VERSION: 4.0 PERMIT STATUS: Active
RECEI\/ED
FACILITY NAME: Lakeview Mobile Home Park CLASS: WW-2 COUNTY: Forsyth N.C.Dep,, nt F %R
OWNER NAME: Lakeview MHP LLC ORC: Morgan Lee Turner ORC CERT NUMBER: }2198 p p� q 9�
GRADE: WW-3. ORC HAS CHANGED: No lJ E
WinSIU fl
eDMR PERIOD: 06-2015 (June 2015) VERSION: 1.0 STATUS: Processed Regional Office
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
v
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=
c
e
U
E
F
>
.`
Q
m
O
F
O
rn
e
U
O
C
f
C
Z
50050
00010
00400
50060
C0310
C0610
C0530
31616
00300
Weekly
Weekly
Weekly
2Xweek
Weekly
Weekly
Weekly
Weekly
Weekly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP
PH
CHLORINE
HOD -Cone
NH3-N -Cone
TSS - Cone
FEC COLI
DO
2400
Hrs
2400
Firs
Y/B/N
mgd
deg c
so
ug/l
mg/l
mg/1
mg/1
#/100m1
mg/l
1500
0.75
B
29
6.7
17
2
1440
1.0
B
0.0072
3
r51
1450
0.25
B
4
1400
1.00
B
12
11.6
0.325
12.4 Ir20001AU
�, ..3
1655
0.25
B
6
7
8
1745
1.00
B
26
6.9
< 10
9
1455
1.00
B
0.0054
10
11515
10.5
B
< 10
17
0.108
17.2
1<1
11
1215
0.5
B
12
1710
0.25
B
7.1
13
14
15
1 1700
10.75
B
26
17.3
< 10
16
1500
0.5
B
0.0072
17
1230
0.5
B
5.57
0.127
6.8
< 1
18
1415
0.5
B
< 10
19
1300
0.25
IB
1
16.7
20
21
22
1505
0.25
B
23
1345
0.5
B
0.0054
25
6.9
< 10
24
1440
0.5
B
3.48
0.384
8
124
25
1445
0.5
H
17
26
1
1
11315
0.5
IB
< 10
27
28
29
1220
0.5
B
30
1420
0.25
B
Monthly Average Limit:
0.015
17
2
130
200
Monthly Average:
0.0063
26.5
6.925
3.625
9.4125
0.236
11.1
22.315824
7.025
Daily Maximum:
0.0072
29
7.3
17 .
17
0.384
17.2
2000
7.3
Daily Minimum:
0.0054
125
6.7
0
3.48
0.108
6.8
0
6.7
Monthly Avg % Removal (85 % ):
PIR6. I V E
Ur-
AUG 0 4 2015
CENTRAL FILES
DWR SECTION

NPDES PERMIT NO.: NCO051713 PERMIT VERSION: 4.0 PERMIT STATUS: Active
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
COUNTY: Forsyth
ORC CERT NUMBER: 992198
eDMR PERIOD: 06-2015 (June 2015) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO (Continue)
G
E
a
E
U
E
[
U
F
E
F
>
O
y
�
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O
V
O
c
a
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Z
C0600
C0665
Quarterly
Quarterly
Grab
Grab
TOTAL N-Cone
TOTALP - Cone
2400
Hrs
2400
Hrs
YB/N
mg/l
mg/l
1
1500
0.75
B
2
1440
1.0
B
3
1450
0.25
B
4
1400
1.00
B
5
1655
0.25
B
6
7
8
1745
1.00
B
9
1455
1.00
B
10
1515
0.5
B
11
1215
0.5
B
12
1710
0.25
B
13
14
15
1700
0.75
B
16
1500
0.5
B
17
1230
0.5
B
18
1415
0.5
B
19
1300
0.25
B
20
21
22
1505
0.25
B
23
1345
0.5
B
24
1440
0.5
B
25
1445
0.5
B
26
1315
0.5
B
27
28
29
1220
0.5
B
30
1420
0.25 1
B
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
Monthly Avg % Removal (85 % ):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 06-2015 (June 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
e
U
E
F
F
d
O
p
H
O
iii
O
�
f
Z
00010
00300
Weekly
Weekly
Grab
Grab
TEMP-C
DO
2400
Hrs
2400
Hrs
Y/B/N
deg a
mg/1
1
No Flow
2
No Flow
3
No Flow
4
No Flow
5
No Flow
6
No Flow
7
No Flow
8
No Flow
9
No Flow
10
No Flow
11
No Flow
12
No Flow
13
No Flow
14
No Flow
15
No Flow
16
No Flow
17
No Flow
18
No Flow
19
No Flow
No Flow
21
No Flow
r2420
22
No Flow
23
No Flow
No Flow
25
No Flow
26
No Flow
27
No Flow
28
No Flow
29
No Flow
30
No Flow
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
Monthly Avg % Removal(85%):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 06-2015 (June 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Tumer
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
C
e
U
E
F
9
O
h
O
O
o
Z
00010
00300
Weekly
Weekly
Grab
Grab
TEMP-C
DO
2400
Hrs
2400
Hrs
YB/N
deg c
mg/l
1
2
3
4
1515
0.5
B
20
4
5
6
7
8
9
10
11
12
1
1730
0.25
B
21
3.8
13
14
15
16
17
18
19
1320
0.25
B
21
3.9
20
21
22
23
24
25
1515
0.5
B
25
3.8
26
27
28
29
30
+47
6— 4
Monthly Average Limit:
Monthly Average:
21 75
3.875
Daily Maximum:
25
4
Daily Minimum:
20
3.8
Monthly Avg % Removal (85 %):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview M 4P LLC
GRADE: WW-3.
eDMR PERIOD: 06-2015 (June 2015)
COMPLIANCE: Non -Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SUBMISSION DATE: 07/24/2015
07/24/2015
ORC/Certifier ignature: Clifford Cain E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
COMMENTS: Pumped out the chlorine contact tank. lac[�ased chlorine feed. /j
07/24/2015
Permittee/Submitter Signature:*** Jame Mt ie�hire E-Mail: [e-mail] Phone #:[phone] Date
Permittee Address: 5186 High Point Rd High oin C 27265 / Permit Expiration Date: 04/30/2019
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Research & Analytical Laboratories, Inc
CERTIFIED LAB #: 34
PERSON(s) COLLECTING SAMPLES: Joseph Taylor Baskin
PARAMETER CODES
Parameter Code assistance may be obtained by calling the NPDES Unit [phone] or by visiting http://portal.ncdenr.org/web/wq/swp/ps/npdes/forms.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).
r

'A
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 16, 2015
Lakeview Mobile Home Park, LLC
Attn: Walter B. Craven, Jr., Owner
420 Marion Drive #31
Wilmington, NC 28412
Subject: NOTICE OF DEFICIENCY
NOD-2015-MV-0097
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
Donald R. van der Vaart
Secretary
A review of Lakeview Mobile Home Park's monitoring report for April, 2015, showed the following
deficiencies:
Parameter
Period )Ending
Required Frequency
Violation
�rnrnonia Nitrogen
4/11/2015
eekly
ailure to Monitor
Failure to provide timely and accurate DMRs is a violation of your NPDES permit. If this deficiency is due
to a transcription error, and certifiable data are available to rectify the noncompliance, we ask that you
please submit an amended DMR(s) to the Division of Water Resources. Send a copy of the amended report
to:
Central Files and Winston Salem Regional Office
Division of Water Resources Division Water Resources — WQ Regional Operations
1617 Mail Service Center 450 West Hanes Mill Road, Suite #300
Raleigh, NC 27699-1617 Winston-Salem, NC 27105
Unresolved deficiencies may lead to the issuance of a Notice of Violation and/or assessments of civil
penalties. Violations are subject to a civil penalty assessment of up to $25,000.00 per day for each
violation. Any efforts undertaken to bring the facility back into compliance are not an admission of
culpability. Your above -mentioned corrective actions, the degree and extent of harm to the environment,
and the duration and gravity of the deficiency(ies) will be considered in any future actions undertaken.
450 West Hanes Mill Road, Suite #300, Winston-Salem, NC 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

If you have any questions or require any additional information, please contact Ron Boone or me at (336)
771-5000.
Sincerely,
IVA,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: SCR* ; rF °'i'es
SWP Central Files

�LN-)f0MKGWGw Record
Facility:
�`"'� ¢ '�� �y�
Permit filo.: 5l7 / 3 Pipe No,:
.o a MonthNear:
.
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Action
WeekIWDaily Violations
Date
Parameter
Permit Limit Limit Type DMR Value
% Over Limit
Action
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
# of Violations
Action
Other Violations/Staff Remarks:
>upervisor Remarks:
6�
0&
Completed by:
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
�6I) 26 Is - ov--nZA7
Date:
7 ICY* .
Date:
Date: t6 J 7. l

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
s
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Tumer
ORC HAS CHANGED: No
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
eDMR PERIOD: 04-2015 (April 2015) VERSION: 1.0 STATUS: Processed
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001 NO DISCHARGE*: NO
A
a
y
e
U
e
V
�
F
e
m
E
O
m
O
e
O
d
0
O
0
Z
50050
00010
00400
50060
C0310
C0610
C0530
31616
00300
Weekly
Weekly
Weekly
2Xweek
Weekly
Weekly
Weekly
Weekly
Weekly
Instantaneous
Grab
Grab
Grab
Grab
Grab
Grab
Grab
Grab
FLOW
TEMP-C
PH
CHLORINE
BOD-Cone
NH3-N-Cone
TSS - Cone
FECCOLI
DO
2400
Hrs
2400
Hrs
Y/B/N
mgd
deg c
Su
ug/1
mg/I
m9/1
mg/1
#/100m1
mg/1
1
1225
0.45
Y
6.72
0.17
< 5
< I
2
14I0
0.90
Y
3
1415
0.40
Y
< 10
4
5
6
1255
0.55
Y
0.0072
21
7.2
< 10
7
11320
10.20
Y
19.33
6.8
< I
8
1143
0.5
Y
< 10
g_
9.9
9
0945
0.75
B
C. C)
c
t. Of E?vl
10
1335
0.20
Y
`r`
11
12
VWNSTO
_.
13
0940
0.50
B
0.0054
17
6.4
<10
!
OFF;t
8,9
14
0915
0.25
B
7.3
<0.1
10.6
1<1
15
1430
LO
B
16
< 10
16
1300
0.25
B
17
1200
0.25
B
18
19
20
1253
0.60
Y
19
< 10
21
1503
10.5
Y
10.0072
19
6.17
0.12
8.6
< 1 19.1
22
1336
0.75
Y
1
7.8
23
1522
0.5
Y
22
24
1212
0.5
Y
< 10
25
26
27
1245
0.75
Y
18
7
< 10
28
1
1420
0.50
Y
0.0072
29
1
1400
0.5
Y
30
1330
1.0
Y
Monthly Average Limit:
0.015
17
2
30
200
Monthly Average:
0.0068
18.8571
7.1
0
7.38
0.1
6.5
1
9.3
DailyMaxlmum:
0.0072
22
7.8
0
9.33
0.17
10.6
0
9.9
Daily Minimum:
0.0054
16
16.4
0
6.17
0
0
0
8.9
Monthly Avg % Removal (85 % ):
E N El
MAY � 9 Z015

NPDES PERMIT NO.: NCO051713 PERMIT VERSION: 4.0
PERMIT STATUS: Active
FACILITY NAME: Lakeview Mobile Home Park CLASS: W W-2
a
OWNER NAME: Lakeview MHP LLC ORC: Morgan Lee Turner
GRADE: WW-3. ORC HAS CHANGED: No
eDMR PERIOD: 04-2015 (April 2015) VERSION: 1.0
SAMPLING LOCATION: EFFLUENT DISCHARGE NO.: 001
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
NO DISCHARGE*: NO (Continue)
0
U
fi
E
F
fi
O
F
O
y
0
O
ai
Z
C0600
C0665
Quarterly
Quarterly
Grab
Grab
TOTAL N- Cone
TOTAL P- Cone
2400
Hrs
2400
Mrs
Y/B/N
mg/1
mg/1
1
1225
0.45
Y
23.2
4.76
2
1410
0.90
Y
3
1415
0.40
Y
4
5
6
1255
0.55
Y
7
1320
0.20
Y
18.8
5.58
8
1143
0.5
Y
9
0945
0.75
B
10
1335
0.20
Y
11
12
13
0940
0.50
B
14
0915
0.25
B
36.9
5.61
15
1430
1.0
B
'
16
1300
0.25
B
17
1200
0.25
B
18
19
20
1253
0.60
Y
21
1503
0.5
Y
36.9
5.61
22
1336
0.75
Y
23
1522
0.5
Y
24
1
11212
0.5 ly
25
26
27
1245
0.75
Y
28
1420
0.50
Y
29
1400
0.5
Y
30
1330
1.0 1
Y
Monthly Average Limit:
Monthly Average:
28.95
5.39
Daffy Maximum:
36.9
5.61
Daily Minimum:
18.8
4.76
Monthly Avg % Removal (85 %):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
a
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 04-2015 (April 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SAMPLING LOCATION: UPSTREAM DISCHARGE NO.: 001
A
e
E
Ue
E
F°
E
F
O
y
°
O
e
U
1 O
w
Z
00010
00300
Weekly
Weekly
Grab
Grab
TEMP-C
DO
2400
1 Hrs
12400
Firs
Y/R/N
deg c
mg/l
1
No Flow
2
No Flow
3
No Flow
4
No Flow
5
No Flow
6
No Flow
7
No Flow
8
No Flow
9
No Flow
10
No Flow
11
No Flow
12
No Flow
13
No Flow
14
No Flow
15
No Flow
16
No Flow
17
No Flow
18
No Flow
19
No Flow
20
No Flow
21
No Flow
22
No Flow
23
No Flow
24
No Flow
25
No Flow
26
No Flow
27
No Flow
28
No Flow
29
No Flow
30
No Flow
Monthly Average Limit:
Monthly Average:
Daily Maximum:
Daily Minimum:
Monthly Avg % Removal (85 %):

NPDES PERMIT NO.: NCO051713
FACILITY NAME: Lakeview Mobile Home Park
•
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 04-2015 (April 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SAMPLING LOCATION: DOWNSTREAM DISCHARGE NO.: 001
O
S
EGrab
I U
E
g
E
o
F
6
a
�
.`
d
e
O
O
E+
e
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o
O
o
a
z
00010
00300
Weekly
Weekly
Grab
TEMP-C
DO
2400
Hrs
2400
Hrs
Y/B/N
deg a
mg/l
I
2
3
4
5
6
7
8
11143
0.5
Y
20
9.1
9
10
11
12
13
14
15
16
1250
0.25
Y
15
10.4
17
18
19
20
21
1503
0.5
Y
20
4.5
22
23
24
25
26
27
1330
1.0
Y
19
5.3
28
29
30
Monthly Average Limit:
Monthly Average:
18.5
7.325
Daily Maximum:
20
10.4
Daily Minimum:
15
4.5
Monthly Avg % Removal (85 % ):

NPDES PERMIT NO.: NCO051713
'FACILITY NAME: Lakeview Mobile Home Park
a
OWNER NAME: Lakeview MHP LLC
GRADE: WW-3.
eDMR PERIOD: 04-2015 (April 2015)
COMPLIANCE: Non -Compliant
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
CONTACT PHONE #: [phone]
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed
SUBMISSION DATE: 05/26/2015
U'1,6,\ 05/26/2015
ORC/Certifier Signature: Clifford Cain E-Mail: [e-mail] Phone #:[phone] Date
By this signature, I certify that this report is accurate and complete to the best of my knowledge.
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public health or the environment.
Any information shall be provided orally within 24 hours from the time the permittee became aware of the circumstances. A written submission shall also be
provided within 5 days of the time the permittee becomes aware of the circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be made as required by part II.E.6 of
the NPDES permit.
COMMENTS: ORC inadvertently failed to collect an Ammonia sample on the 7th on April, not realizing the permit requirements. Taylor Baskin, new back up ORC
inadvertently collected effluent samples in "technically" incorrect location on the 30th of April, therefore RAL have no effluent results for the 30th of April.
e
05/26/2015
Permi(/ee/Subm , er Signatuv:*** James M Cheshire E-Mail: [e-mail] Phone #:[phone] Date
Permittee Address: 5186 High Point Rd High Point NC 27265 Permit Expiration Date: 04/30/2019
I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed
to assure that qualified personnel properly gather and evaluate the information submitted. Based on my inquiry of the person or persons who managed the
system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true,
accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for
knowing violations.
CERTIFIED LABORATORIES
LAB NAME: Research & Analytical Laboratories, Inc
CERTIFIED LAB #: 34
PERSON(s) COLLECTING SAMPLES: Morgan Turner, Neal McDuffie & Joseph Taylor Baskin
PARAMETER CODES
Parameter Codes assistance may be obtained by calling the NPDES Unit [phone] or by visiting the Surface Water Protection Section's web site at
http://portal.ncdenr.org/web/wq/swp and linking to the unit's information pages.
FOOTNOTES
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow/Discharge From Site: Check this box if no discharge occurs and, as a result, there are no data to be entered for all of the parameters on the DMR
for entire monitoring period.
** ORC on Site?: ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then delegation of the signatory authority must be on file with the state per 15A NCAC 2B
.0506(b)(2)(D).

NPDES PERMIT NO.: NCO051713
'FACILITY NAME: Lakeview Mobile Home Park
OWNER NAME: Lakeview MHP LLC
GRADE: W W-3.
eDMR PERIOD: 04-2015 (April 2015)
PERMIT VERSION: 4.0
CLASS: WW-2
ORC: Morgan Lee Turner
ORC HAS CHANGED: No
VERSION: 1.0
PERMIT STATUS: Active
COUNTY: Forsyth
ORC CERT NUMBER: 992198
STATUS: Processed

`a �r
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 20, 2015
Lakeview Mobile Home Park, LLC
Attn: Walter B. Craven, Jr., Owner
420 Marion Drive, Unit 31
Wilmington, NC 28412
Subject: Compliance Evaluation Inspection
Permittee: Lakeview Mobile Home Park, LLC
Facility: Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit #: NCO051713
Forsyth County
Dear Mr. Craven:
Donald R. van der Vaart
Secretary
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a, compliance evaluation inspection (CEI) of the Lakeview Mobile Home Park Wastewater
Treatment Plant (WWTP) on .April 9, 2015. The assistance and cooperation of Glen Price, Operator in
Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
General Information
The mobile home park is located at approximately 5195 Highpoint Road (Hwy 311), at coordinates
36.0216841 °N, 80.0675824°W. The WWTP is located just off of Highpoint Road, on the north side of the park
and just adjacent to the park office. Although in Forsyth County, the park/plant,.are actually looted at a
Highpoint address. The permit authorizes the owner to operate this 0.015 MGD WWTP, which consists of an
aeration basin with diffused aeration, a clarifier, return activated sludge with constant recirculation airlift
pumps, chlorination, dechlorination, post aeration, and an aerobic sludge digester. The permit authorizes the
owner to discharge the treated effluent from the WWTP into an unnamed tributary (UT) to Cuddybum Branch
via outfall 001. Cuddybum Branch is currently classified as WS-III waters and is located in the Yadkin Pee -
Dee River basin.
Site Review
Mr. Price has done a good job operating and maintaining the plant. The plant itself was in good
condition and the mixed liquor, clarifier overflow, and plant discharge all looked good. Mr. Boone found no
discrepancies or violations.
It is also noted that there is still only a one tube chlorinator and dechlorinator on site, but it appears to
be working fine.
450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

Documentation Review
All documentation was reviewed and no discrepancies were found. Mr. Price has done a good job of
documenting the operation and maintenance of the plant as required by the permit. This includes operations
and visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains of custody,
etc.
Please continue to work with Mr. Price to keep the plant in optimum working order and reduce shock
loads as much as possible in order to avoid plant upsets. Please be aware that, in accordance with NC
General Statute 143-215.6A, the Director of the Division of Water Quality may assess civil penalties not to
exceed $25,000 per day, per violation, for violations of the NC0051713 NPDES permit.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336)
776-9800. Thank you for your cooperation in this matter.
Attachments:
Sincerely,
hp
MR
�3� e
3#
f
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
1. BIMS Inspection Report
CC: ONE - SWIG
Central Files
NPDES Unit
R&A Laboratories
Attn: Glenn Price
106 Short Street
P.O. Box 473
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN I 2 15 I 3 I NCO051713 I11 12 15/04/09 17 18 I C J 19 I S I 201 I
—1
211 I I 1 I I I I I 1 11 I I I I I I I I I I I I I I I I I I I I I I I 11 1 I 1 1 166
Inspection
Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------Reserved -------------
671
70 � I 71 IitJI. 72 � �, � 73 L I J 74 751 III 1 1 I80
LJ LJ I I I
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
10:00AM 15/04/09
14/07/01
Lakeview Mobile Home Park
5186 High Point Rd
Exit Time/Date
Permit Expiration Date
High Point NC 27265
11:00AM 15/04/09
19/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Walter B Craven,420 Marion Dr #31 Wilmington NC 28412//910-777-1998/9103958265
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-771-4967/ J
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
a a _ a°: d a
eP'
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NC0051713 I11 12I 15/04/09 117 18 I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page#

I
Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
N
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
❑
0
❑
❑
Is access to the plant site restricted to the general public?
0
❑
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: None
Record Keeping
Yes No NA NE
Are records kept and maintained as required by the permit?
0
❑
❑
❑
Is all required information readily available, complete and current?
0
❑
❑
❑
Are all records maintained for 3 years (lab. reg. required 5 years)?
0
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
0
❑
❑
❑
Is the chain -of -custody complete?
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
N
❑
❑
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑
0
❑
(if the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator
❑
❑
0
❑
on each shift?
Is the ORC visitation log available and current?
0
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
E
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
0
❑
❑
❑
Is a copy of the current NPDES permit available on site?
E
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
S
❑
Comment: None
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? 0 ❑ ❑ ❑
Are all other parameters (excluding field parameters) performed by a certified lab? 0 ❑ ❑ ❑
Page# 3

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type: Compliance Evaluation
Laboratory
Yes No NA NE
# Is the facility using a contract lab?
0
❑
❑
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
E
❑
Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
❑
❑
❑
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
❑
❑
❑
E
Comment: None
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
0
❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
S
❑
❑
❑
Is the tubing clean?
❑
❑
N
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
0
❑
❑
❑
representative)?
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and E ❑ ❑ ❑
sampling location)?
Comment: None
Flow Measurement - Influent
Yes No NA NE
# Is flow meter used for reporting?
0
❑
❑
❑
Is flow meter calibrated annually?
❑
❑
❑
E
Is the flow meter operational?
0
❑
❑
❑
(If units are separated) Does the chart recorder match the flow meter?
❑
❑
E
❑
Comment: Use city water meter.
Aeration Basins Yes No NA NE
Mode of operation Ext. Air
Type of aeration system Diffused
Is the basin free of dead spots? 0 ❑ ❑ ❑
Page# 4

0
Permit: NCO051713
Inspection Date: 04/09/2015
Owner -Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Aeration Basins
Yes No NA NE
Are surface aerators and mixers operational?
0
❑
❑
❑
Are the diffusers operational?
N
❑
❑
❑
Is the foam the proper color for the treatment process?
0
❑
❑
❑
Does the foam cover less than 25% of the basin's surface?
■
❑
❑
❑
Is the DO level acceptable?
❑
❑
❑
N
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑
❑
❑
Comment: None
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
■
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
0
❑
Are weirs level?
M
❑
❑
❑
Is the site free of weir blockage?
0
❑
❑
❑
Is the site free of evidence of short-circuiting?
®
❑
❑
❑
Is scum removal adequate?
N
❑
❑
❑
Is the site free of excessive floating sludge?
N
❑
❑
❑
Is the drive unit operational?
❑
❑
S
❑
Is the return rate acceptable (low turbulence)?
0
❑
❑
❑
Is the overflow clear of excessive solids/pin floc?
■
❑
❑
❑
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
❑
❑
❑.
N
Comment: None
Pumps-RAS-WAS
Yes No NA NE
Are pumps in place?
❑
❑
❑
Are pumps operational?
0
❑
❑
❑
Are there adequate spare parts and supplies on site?
0
❑
❑
❑
Comment: None
Disinfection -Tablet
Yes No NA NE
Are tablet chlorinators operational?
0
❑
❑
❑
Are the tablets the proper size and type?
0
❑
❑
❑
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
❑
❑
❑
Page# 5

1
Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type: Compliance Evaluation
Disinfection -Tablet Yes No NA NE
Is the contact chamber free of growth, or sludge buildup? N ❑ ❑ ❑
Is there chlorine residual prior to de -chlorination? ❑ ❑ ❑
Comment: None
De -chlorination
Yes No NA NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
❑
❑
❑
Is storage appropriate for cylinders?
❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
0
❑
❑
❑
Are the tablets the proper size and type?
E
❑
❑
❑
Comment: None
Are tablet de -chlorinators operational? N ❑ ❑ ❑
Number of tubes in use? 1
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? 0 ❑ ❑ ❑
Are the receiving water free of foam other than trace amounts and other debris? 0 ❑ ❑ ❑
If effluent (diffuser pipes are required) are they operating properly? ❑ ❑ E ❑
Comment: None
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable E ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: None
Page# 6

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
May 11, 2015
r.Av
Walter B Craven, Jr.
Lakeview MHP LLC
420 Marion Dr #31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2015-LV-0309
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr Craven, Jr:
Donald R. van der Vaart
Secretary
A review of Lakeview Mobile Home Park's monitoring report for February 2015 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Daily
BOD, 5-Day (20 Deg. C) -
2/11/2015
25.500 mg/l
29.800 mg/l
Maximum
Concentration
Exceeded
Daily
Coliform, Fecal MF M-FC
2/19/2015
400.000
600.000
Maximum
Broth,44.5C�
#/100ml
#/100m1
Exceeded
Monthly
BOD, 5-Day (20 Deg. C) —
2/28/2015
17.000 mg/1
20.100 mg/1
Average
Concentration
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
450 West Hanes Mill Road, Suite #300, Winston-Salem, NC 27105
Phone: [phone] Internet: www,ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: DWR — Central Files
WSR Ml

UMFR Review Record
Facility:
[ cA k e v i e w y P
Permit No.: 5/ 7/ 3 Pipe No.:
B d i Month[Year: o /
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit Action
Weekly/Daily Violations
Date
Parameter
Permit Limit Limit Type DMR Value
% Over Limit Action
® 21il
3 6 )i Y
. 5" 1
l 6, - i
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
# of Violations Action .
Other Violations/Staff Remarks: , t fP4"%
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I B e J ii"i I v /Q % �G )";/c, Z/%, //
iz—r `j" - 5,c k f "fie. AL3 Vi J f d"
Supervisor Remarks:
WV AM V 02 6 L V -. 0.3 J�
Completed by: dh 1k5?s� el
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date:
Date:
Date: v°
t
i

EFFLUENT APR 10 2015
r
0
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH FebruarYEAR y 15
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE * 0
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER _ _
RALEIGH, NC 27699-1617 Ut.; 18
34y/(s-
(SIGNATUR1i'OPERATOR IN RE9`P O�TSIt$L1�{1 p DATE
BY THIS SIGNATURE, I CERTIFY THAT'1vr1ISQf6O f'Fh0q _
ACCURATE AND COMPLETE TO 6E BA?711 %OWLEI?( E.
WINSTON-SALEM
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Copy DWQ Fonn MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compli t
All monitoring data and sampling frequencies do NOT meet permit requirements Fj
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
ire (Authori
6 -/.S-
of Permiee' ** Date
d unless s bmi ed electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/19
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.ne.us/wqs and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC213.0506 (b) (2) (D).
�1

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: February YEAR: 2015
FACkITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM: UT to Cuddyburn
LOCATION: None
A--
upstream
•
Enter Parameter Code above
Name and Units Below
MINN.=
LOCATION: 500' ft. Below Discharge
Downstream
frueam
00010
00300
00400
003101
00340
00995
1 1 1
3
C)
>
4
U
_31616
u
Enter Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
'C
mg/1
SU
mg/1
mg/1
100ml
urnhos/cm
qk
ONO
im
"A
8.0
9.4'.,
N.,
1356
9.0
8.9
flirt,Se
1446
6.0
10.6
M�
NeT'
412
K91,
18.019.8
90
0
Al
Copy DEM Form MR-3 (11/84)

°° RESEARCh & ANALyTICA1
LAbORATWES, INC.
Analytical/Process Consultations
Re: Lakeview Mobile Home Park- February 2015 — Fecal Daily- 2/19/15
I had a Fecal Coliform result of 6,000. I'm not sure why. I had a good residual. I pumped
out tank and re -chlorinated tank. The following samples were in compliance.
- Morgan Turner, ORC
R 0, Box 473 • 106 Short Street • Kernersville, North Carolina 272B4 • 336-996-2841 • Fax [phone]
www.randalabs.com

Water Pollution Control System Operator Designation Form
WPCSOCC
NCAC 15A 8G .0201
Permittee Owner/Officer Name: Lai 4y �w M 9 U-t I w a I �� C r& ` c n
MailingAddress:
" M (o fVj
City: i� ; 9ff/1 �" D �1't State: IQ C
Email add
Signature:
Facility N
Zip. 2121v 5-
Phone #: (q 10) 'M -1998
Permit #: tll Dos 11 13
SUBMIT A SEPARATE FORM FOR EACH TYPE SYSTEM!
Facility Type/Grade:
Biological WWTP Surface Irrigation
Physical/Chemical Land Application
Collection System
Operator in Responsible Charge (ORC)
A e ..�-
Print Full Name: / V16rC(n 4-&1 /P_ l�
Certificate Type / Grade / vumber: %1�,�✓ gj �92 Work Phone #: (? �0� % I Z3
Signature: CODate: ld b ill
"I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15A NCAC 08G .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name: (it, *-F n P a
Certificate Type / Grade / Number: W J 11 Work Phone #: MtO L
Signature:idan�r Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Mail, fax or email the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone]
original to: ttiail::ceNtailiiii()a ncder:eou
Mail or fax a copy to the Asheville
Fayetteville
appropriate Regional Office: 2090 US Hwy 70
225 Green St
Swannanoa 28778
Suite 714
Fax: [phone]
Fayetteville 28301-5043
Phone:[phone]
Fax:[phone]
Phone: [phone]
Washington
Wilmington
943 Washington Sq Mall
127 Cardinal Dr
Washington 27889
Wilmington 28405-2845
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Mooresville
610 E Center Ave
Suite 301
Mooresville 28115
Fax: [phone]
Phone: [phone]
Winston-Salem
585 Waughtown St
Winston-Salem 27107
Fax: [phone]
Phone: [phone]
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax: [phone]
Phone:[phone]
Revised 03-2014

.=
Facility Name:
I_a�tx�tu) rnO
Back -Up Operator in Responsible Charge
Print Full Name: /oq/ro�I�/l .//1 r C,e—
Permit #: NG 00 5 1 -� 13
Certificate Type / Grade / Number: NW I ZZZa 7 Z r Work Phone #: (33G)
Signature: _ Date:�d�5/
"1 certify that 1 agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number:
Signature:
Work Phone #:
Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number:
Work Phone #: ( )
Signature: Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
................................................................................................................................................
Back -Up Operator in Responsible Charge (BU ORC)
Print Full Name:
Certificate Type / Grade / Number:
Signature:
Work Phone #: ( )
Date:
"I certify that I agree to my designation as a Back-up Operator in Responsible Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities of the BU ORC as set forth in 15A NCAC 08G .0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
....................................................................................................................................................................... .
Revised 03-2014

--
,1
:N�C_DEN
North Carolina Department -of Envitonnient and Natural Resources
Pat McCrory John-E. Skvarla, III
Governor Secretary
`
December3, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7013-1710-0002-1865-5269
Lakeview MHP LLC
Walter B. Craven, Jr.
420 Marion Drive, #31
Wilmington, NC 28412
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2014-LV-0512
Permit No. NCO051713
Lakeview MHP Wastewater Treatment Plant
Forsyth County .
Dear Mr. Craven:
A review of Lakeview MHP's.monitoring report for August, 2014, showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
8/8/2014
10.0
17.2
Daily Maximum
Nitrogen, Ammonia Total
8/30/2014
2.0
4.3
Monthly Average
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for
the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No.
NC0051713. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars
($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms,
conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide
additional information regarding the noted violation(s), request technical assistance, or discuss overall
compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of
your response will be considered along with any information provided on the Lakeview MHP's, 08/2014,
Discharge Monitoring Report. You will then be notified of any civil penalties that may be assessed
regarding the violation(s). If no response is received in this Office within the 10-day period, a civil
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 450 West Hanes Mill Road, Suite #300, Winston-Salem, North Carolina 27105
Phone: [phone] l FAX: [phone] \ Customer Service;1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opportunity \ Affirmative Action Employer

penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The
Division of Water Resources may pursue enforcement actions for this and any additional violation(s). If the
violation(s) are of a continuing nature, not related to operation and/or maintenance problems, or you
anticipate remedial construction activities, then you may wish to consider applying for a Special Order by
Consent.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Point Source Branch
SAP — Ce La Files
"MIN
R&A Labs
106 Short Street. PO Box 473
Kernersville, NC 27284

DMR ReAw Record
Facility: ��c d �W Permit No.: n 7 1 Pipe No.: �D % MonthNear:
Monthly Average Violations
Parameter Permit Limit DINR Value % Over Limit Action
.3 11 S l
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
Cher ViolationslStaff R marks: (� 1 `�
_a ab'Y'% /2,5 4d U
supervisoAr Remarks:
Completed by: -1-tr•,,c_
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
AMd-IML4 -L.v -OS(Z
Date: f 2s !
Date:
Date:/ �6z 2-,o la--

u
�'- L "V N� 'q
EFFLUENT SE
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH August YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE x 0
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER wA
RALEIGH, NC 27699-1617Sp
x 4 - - 4! l
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOT
1M.U. HR% of ENR
OCT 15 2014
ENFRGIOAL OF
Q
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21Week
Weekly
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Weekly
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HRS
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m /I
m /I
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6.52
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3.80
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Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compl'ant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Jam s M. heshire (Authorized Awnt
Ped,.itteePlease pri e
Si at e of Permie ** Date
quired unless bmi ed electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/19
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: August YEAR: 2014
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: N
LOCATION: None
Upstream
III 11
1 I I
1 1 I I
I I I
I I • I�
1 1"
-----
Enter Parameter Code above
_i
Name and Units Belom
A
,
F
®===WMp
ff�ArM
AMWM
EIMMEMIPf"AWIMMEEVAF
m---F
And---z
20MMOM
®®
/
===ww
Id
nm
�mmw
�
®-------_®----'l
STREAM: UT to Cuddybum
LOCATION: 500' ft. Below Discharge
Downstream
00010
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00400
00310
00340
31616
00995
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p
N
cu
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U
L
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01
0
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Enter Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
eC
mg/1
SU
mg/1
mg/1
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ambos/cm
's�2�����it�E ��
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Copy DEM Form MR-3 (11/84)

Re: Lakeview Mobile Home Park- August 2014 — Ammonia Nitrogen 8/08/14
Upon further investigation, I realized, the week prior to this sample, there was a dead dog
that had clogged the crossover pipe from the aeration basin to the clarifier. This caused an
upset at the plant, along with the decaying dog, is what I believed shot the NH3N up. I
waited until the end of the week to see if NH3N would return to normal, but I had to
sample anyway. The next week and subsequent weeks after NH3N was in compliance. I
also notified Ron Boone of incident.
-Morgan Turner, ORC

11/24/2014 15:53 336-9960326 , R & A LABORATORIES PAGE 02/02
� Arwe�d
EFFLUENT
NPDES FERMTT NO. NC QQ51.713 _ DISCHARGE NO, MONTH Jul
y— YEAR 2014
FACTLITYNAME akcview Mpbile Home Park CLASS .H COUNTY Forsyth
OERTIFIFD LABORATORIES &RA& A Laborat ries Inc.
CF.RTIFICATTQN NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESFQNSII3LE CHARGE (ORC) -Morgan Turner _ GRADE IN CERTIFTCATION NO. 992�8
PERSON(S) COLLECTING SAMPLES 0
Derators ORC PHONE 36-99&2841 _
CHECK BOX 11F ORC HAS CHANGED d NO FLOW / biSCHARGE FROM SITE * 0
Mail ORIGINAL and ONE COPY to: !1ATTN: CENTRAL FILES xYZ�� '/ z i 2—Q [
DIVISION OF WATER QUALITY (SIGNATURE OC OPERA70R IN RESFONSMIX CHARGE) DATE
I617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT T.I.#IS REPORT IS
RAIARIG7I, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Copy DWQ Form MR-1 (01/00)

Boone, Ron
From: Basinger, Corey
Sent: Wednesday,. December 10, 2014 8:52 AM
To: Boone, Ron
Subject: FW: Response to Lakeview NOV-2014-LV-0512
Attachments: Explanation.pdf
please review and let's discuss on Friday.
Thanks.
CB
From: [e-mail] [[e-mail]] on behalf of Research and Analytical Laboratories
[[e-mail]]
Sent: Tuesday, December 09, 2014 4:35 PM
To: Basinger, Corey; Walter Craven
Subject:, Response to Lakeview NOV-2014-LV-0512
Dear Mr. Basinger:
In response to the Notice of Violation and Recommendation for Enforcement (NOV-2014-LV-0512) dated
December 3, 2014 concerning Lakeview Mobile Home Park, included in this email is a response note by the
Operator in Responsible Charge, Morgan Turner, indicating in his own words the cause of the elevated effluent
ammonia nitrogen results in August 2014. It is important to note that compliance was achieved within several
days after the cause was identified.
If you should have any questions, or need any additional information, please so advise.
Best Regards,
James M. Cheshire
President/CEO
Research & Analytical Laboratories, Inc.

Re: Lakeview Mobile Home Park- August 2014 — Ammonia Nitrogen 8/08/14
Upon further investigation, I realized, the week prior to this sample, there was a dead dog
that had clogged the crossover pipe from the aeration basin to the clarifier. This caused an
upset at the plant, along with the decaying dog, is what I believed shot the NH3N up. I
waited until the 'end of the week to see if NH3N would return to normal, but I had to
sample anyway. The next week and subsequent weeks after NH3N was in compliance. I
also notified Ron Boone of incident.
-Morgan Turner, ORC

July 10, 2014
Wastewater Branch
Water Quality Permitting Section
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Lakeview MHP WWTP
NPDES Number NCO051713
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 Lakeview MHP WWTP required by all applicable federal, state, and local
environmental agencies specifically with the requirements for signatory authority as specified in
15A NCAC 2B.0506.
James M. Cheshire
President/CEO
Research & Analytical Laboratories, Inc.
If you have any questions. regarding this letter, please feel free to contact James Cheshire at 336-
996-2841.
Sin erely,
D
Walter B. Craven Jr.
Lakeview MHP/ Shoreline LLC
cc: Winston-Salem Regional Office, Water Quality Permitting Section

mWENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
October 6, 2014
Walter B Craven, Jr.
Lakeview MHP LLC
420 Marion Dr #31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0439
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr Craven, Jr:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for July 2014 showed the following
violations: -
Parameter
Date
Limit Value
Reported Value
Limit Type
Flow, in conduit or thru treatment
7/31/2014
0.015 mgd
0.015 mgd
Monthly
plant
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
��SiR.Q Fitles
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www,ncdenr.gov
An Equal Opportupity 1 Affirmative Action Employer — Made'in part by recycled paper

OMR Review Record
Facility: La ��' V, �w MIY `P Permit No.: S 17 i Pipe No.: Crc5-1 Month/Year: 6-7 zor
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit ,fiction
c�.01.r3 l.9
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit ,fiction
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
Other Violations/Staff fRemarks:
J
Vn. P-Wn 414 T �-/
Aa V d,zviq —LV- 0131
Supervisor Remarks: . 0V
Completed by: �& �`' A c
Assistant Regional
Supervisor Sign Off: &2j
Regional Supervisor Sign
Off:
Date: i43 3 /�
Date:
�� J
Date:

0
EFFLUENT SEP 5 d 2014
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH July YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators OR P�.P� F,�336-996-2841
CHECK BOX IF ORC HAS CHANGED 0 NO FLOrV i'I)I'SG1wGE FROM SITE * 0
Mail ORIGINAL and ONE COPY to: S 0
ATTN• CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
of ENR
SEP 19 2014N
1MNSTON-SALEM -
ra-. l IF-vZ1 NHL UFFIC
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2/Week
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HRS
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MGD
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2
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Holiday------------------------------------------------------------------------------------------- - ------------------------------------
'
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: -6:95 ;.
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7.99
20
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MAXIDIUM M;�s
». ; Q.Q18,1
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MINIMUM
0.0134
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1 =>6<91
1
17.0
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30.0
200.0
=>6.0
Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements E�/
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
James . Ches ire (Authorized Aamt
Per ittee (Ple se t or
Sign ture Permiee*** Date
( e ed unless - - itt 'e electronically)
4405 North Main Street High Point NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on fie with"the'sta e per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: July YEAR: _
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM: UT to Cuddybum
LOCATION: None
Upstream
�
111 t
11 11
11. 11
11 �
11 •1
�
11..
�����
_
•
•
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'Name and Units Below
®===W
%p
ff�ArPw
AMMM
/I
Mir,
7 .20M
0
VA
®
®
MWIMMMMMMEMMIEMM
-------_®-
LOCATION: 500' ft. Below Discharge
Downstream
00010
00300
00400
00310
00340
31616
00995
N
W
c
>
O
c5
U
O
Enter Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
IC
mg/1
SU
mg/1
mg/1
looml
umhos/rm
A"W
1311
24.0
4.4
j,
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m
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r^ ��
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a
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,
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.,
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22.0
4.3
Copy DEM Form MR-3 (11184)

r:
A4
NCDENR.
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 2.5, 201.4
CERTIFIED MAIL
RETURN RECEIPT REQUESTED'
7013.1710.0002.1865.5153
Lakeview Mobile Home Park, LLC
Attn: Walter 8. Craven, Owner
420 Marion Drive, #31
Wilmington, NC 28412
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2014-LV-0400
Permit No. NCO051713
Lakeview Mobile Home Park Wastewater Treatment Plant
Forsyth County
Dear Mr. Craven:
John E, Skvarla, III
Secretary
A review of Lakeview Mobile Home Park Wastewater Treatment Plant's monitoring reports for May
and June, 2014, showed the following violations:
Parameter
Date
Limit Value
Reported Value.
Limit Type
Flow
05/30/2014
0.015 MGD
0.0191 MGD
Monthly Average
Flow
06/30/2014
0.015 MGD
0.0188 MGD
Monthly Average
A Notice of Violation/Notice of Recommendation for Enforcement (NOWNRE) is being issued for
the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No.
NC0051713. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars
($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms,
conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide
additional information regarding the noted violation(s), request technical assistance, or discuss overall
compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of
your response will be considered along with any information provided on the Lakeview Mobile Home Park
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service; 1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opportunity IAffirmative Action Employer

Lakeview Mobile Home Park Wastewater Treatment Plant, Attn: Walter B. Craven
08/25/2014
Page 2 of 2
Wastewater Treatment Plant's, 05/2014 and 06/2014, Discharge Monitoring Reports. You will then be
notified of any civil penalties that may be assessed regarding the violation(s). If no response is received
in this Office within the 10-day period, a civil penalty assessment may be prepared.
Please take special notice that the Lakeview Mobile Home Park Wastewater Treatment Plant
has violated its monthly average flow maximum every month for the past seven months. Remedial
actions, if not already implemented, should be taken to correct any problems. The Division of Water
Resources may pursue enforcement actions for this and any additional violation(s). If the violation(s) are of
a continuing nature, not related to operation and/or maintenance problems, or you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at
[phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Point Source Branch
SWP — Central Files
Wtkb-Filei-.

DMR Review Record
Facility: Le, ke- 04-11 Pq f Permit No.:. SI'713 Pipe No.: 6-01 Month/Year: 5-12a N
,Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit Action
F Jam 6, 01 S* M G -1) -6, 0al 3 F
Date Parameter
Date Parameter
Other Violations/Staff Remarks:
Weekly/Daily Violations
Permit Limit Limit Type DMR Val
Monitoring Frequency Violatiod 3 V i) V
Permit Frequency 1 LI
14 -
a
o V 0 LV 4 Y, Ao&J
d V 140- ,
V I -Y oF -rike- ewatreia- T101.1 L'44('s
V"V( -als)
Supervisor Remarks: CA, Zk 746^�/ ®� /-7 !2- API
eef,A-,,- 7x?-�
,D,ec- :
Completed by: I /L 10 J--n- C
Assistant Regional
Supervisor Sign Off:'
Date:. 1 -7 /-1 7L
Date:
Regional Supervisor Sign
Off: Date:
w 0.

EFFLUENT AUG 0 7 20%
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH June YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED = NO FLOW / DISCHARGE FROM SITE * 0
Mail ORIGINAL and ONE COPY to: onk
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY o
1617 MAIL SERVICE CENTER AUG
RALEIGH, NC 27699-1617
(SIGNATURUIPMPERATOR IN RESPONSIBLE CHARGE) i
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNO`
2-0/Y
'- EIVED
N. ept of ENR
AUG ;19 2014 =T
1MNSTON-SALEM
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00665
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Enter Parameter Code
Above Name And Units
Below
EFF
INF
aH
Q'
_
do
x
o z
Z
z
oc
c
U
Weekly
Weekly
Weekly
2/Week
Weekly
Weekly
Weekly
Weekl
Weekly
Quarterlyl
Quarterly
Quarterly
I Quarterly
HRS
HRS
Y/B/N
MGD
°C
SU
/1
, m /l
m /l
m /l
H100/mI
m /1
m /l
m /I
m /I
m /l
µmhos/cm
5�'V
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V" ° 6:019 "
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16
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18
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27.8
6.55
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4.24
0.140
8.54
<2
7.8
77
1,7
MINIMUM
0.0184
26.0
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G.,,
Monthly Limit
0.015
=>6<9
17.0
2SAW
30.0
200.0
=>6.0
Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances. .
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
JamesA_Ch"iNshire (Authorized AeCeht
Perm' ee P e ' t
Te,40,
DateS'gnaof Penmitee**
(Red unless sub6nitted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: June YEAR: 2014
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM: UT to Cuddybum
LOCATION: None LOCATION: 500' ft. Below Discharge
Upstream Downstream
00010
00300
00400
00310
00340
31616
00995
Uy
9
Enter Parameter Code above
_O
V
� j
M
p'y
Name and Units Below
O
d
O
x
N
Q
g
rj
u
E
w
u_
U
F
F
�
q
w
EWeeklylWeeklyl
HPS,
aC
I mg/1
SU
mg/1
mg/1
100m1
umhos/cm
11301
13271 24.0
EMMEMMME11
Copy DEM Form MR-3 (11/84)

EFFLUENY�
NPDE-S PERMIT NO. NC 0051713 DISCI-lARGE NO. 001 MONTH May YEAR 1014
FACILITY NAME Lakeview Mobile Home Park CLASS 11 COUNTY Forsyth
CERTIFIEDLABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONS19LE C14ARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC'PHONE [phone]
CHECK BOX IF ORC HAS CHANGED = NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 INIAIL SERVICE CENTER
RALEIGH, NC 27699.-1617
(SIGNATUh-s-6-i OPERATOR IN RESPONSIBLE CHARGE)
BY I'l Its SIGNATURE, I CERTIFY THAT THIS REPORT is
ACCURATE AND COMPLETE TO TILE BEST OF MY KNOWLEDGE.
zelel
DATE
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
.00625 1 00630 00095 F
FLOW
Enter parameter Code
E
Above Nome And -Units
EFF M
>
Q
cn
Below
INF
u
T,
0
cE
r 1
7
0
u
weekly
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2AVeek
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Weekly
Weekly
Weekly
Quittleriv
Quarterly
Quirlerly,
Quarlerly
MIS
IIRS
MIN
MGD
0C
Su
14g/l
mg/l
1112/1
Ing/l
H100/n1
Ing,11
Indl
ing./I
mg/l
ing/l
i, hostalf
2
1420
6.60
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0.0198
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Copy DWQ ronn M R- I to 1 /00)

FM-M STATE OF NORTH CAROLINA Total Miles
Plate # 1PL-6234 DEPARTMENT OF ADMINISTRATION Rate Per Mile $ 43
Vehicle# ?assas Mileage Charge
MOTOR FLEET TRAVEL LOG
Vehicle Model :Explorer Minimum Amount 1 $ 451.50
N oil Change Due For Permanently Assigned Vehicles Total Amount
Agency
Division/Section
Com
Fund RCC
Pro
De t./ Off. No.
DENR
Surface Water Protection
2
1602
1690 6901
4300
Individual Responsible for Vehicle
Approval of Agency Head or Supervisor
Vehicle No.
For Month of
Linda West
45909
TRIP TES
OFFICIAL TRAVEL
Pur ose of Tri
Division
Center
Print Name Above line
Pre -Trip
Inspection
Complete
Fuel Type—
Fuel Qt
(gallons)
-MILEAGE
Leave
turn
From
To
Div Code if
different
Sign our name'
Out
In
Miles
1-
IZ
No. of Trips
No. of Trip Days
No. of Local Trips
eter Readings:
Beginning of
Month
End of
Month:
• By signing out a vehicle, the user:
1. Shall ensure that your HR Office h�have
file a rrent, valid, appropriate NCDL, and
2. Attests the above license does not i xcess of 5 points for moving violation in last 3 yrs or drug/alcohol conviction in last 5 yrs.
Failure to provide the above information may result ciplinary action up to and including dismissal.
Non- CDL Pre -trip Inspection Checklist " Purpose of Trip:
Safety / Emergency Equipment available Brakes — good pedal pressure
Hom operational Tires — inflated and with adequate tread
Tail Lights operational Head Lights — High and Low Beam operational
Turn Signals operational Emergency Flashers operational Parking lights operational
Brake lights operational Windshield Wipers operational and washer fluid in reservoir
No visible fluid leak Mirrors — adjusted properly — Fuel Types:
C - Complaint
F- Field trip
M - Meeting/Trai i g
S - Sampling
O - Other (Please specif ip_box)
B5 - BioDiesel, 5%
D — Diesel, regular
E85 - Ethanol, 85%
G89 - Gasoline, unleaded
O - Other (Please specify in box)
E - Enforcement/Legal
I - Inspection/Site Visits
P - Permitting
T - Technical
820 - BioDiesel, 20%
ETO.- Ethanol, 10
G87 - so line, unleaded
G93 - Ga�fine, unleaded
12-28-09
i

1s r.
EFFLUENT T` ' � FI'
': 1
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH May YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED = NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY_
1617 MAIL SERVICE CENTER / L
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) Q
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Q ZO /
DATE
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
00625 00630 00095
W
A•�•
x
c
i U
N
V �
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y
F +.
R C
d O
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a
z
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e
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o
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g
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en
z
c
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c
Enter Parameter Code
Above Name And Units
Below
EFF
INF
%y W
a
A
_
R
.p
R z
m
z
r
o
Weekly
Weekly
Weekly
,2/Week
Week!
Weekly
Weeldv
Weekly
Weekly
Quarterly
Quarterly
Qumrterly
Quarterly
HRS
HRS
Y/B/N
MGD
°C
SU
/'1
ME/1
m /1
mg/1
#100/ml
mg/1
m /I
mg/1
ni /1
m /l
µmhos/cm
1
1300
0.30
. Y,
0.6198- `,
2
1420
0.60
Y
0.0198
17.0
9.7
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i
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4
0.0198
54.:11250,10.50
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6
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6.35
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1140 .
- 0.50
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;' °•
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14
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20.0
8.2
Region
[ Office
23
,1340'
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. Y
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24
0.0194
25
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26
H
H
H
1 0.0194
Holiday ------------------------------------------------------------------------------------------------------------------------------
'`27�
'4235;
',0:50
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° p.0194
• 25.0
"30 .1
,
„.
28
1210
0.40
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0.0194
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29
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w,
" �,"0.0194
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6.90 ,
30
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0.0194
Vet
AVERAGE
0,02F13,
21.4
6.62
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3.56
0.130
2.8
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8.0
N :MAXIMUM _',
"._ .0.0860
'" 25.0"
_. �6:90
,°;438 a
+0.269`
' °4.0
-4
%7�
MINIMUM
0.0186
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6.35
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G"
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...
: G-
G,.; .
C '�
G :, .
G °' ,
G;
G' °
Monthly Limit
0.015
1 =>6<91
17.0
2SAW
30.0
200.0
=>6.0
Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
3
All monitoring data and sampling frequencies meet permit requirements Ei
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances:
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part 1I.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
James N1. Ches ire Authorized
Permitt a (PI as int L7� e,-1_(
0 � - 2 �
Sig atur of Permiee*** Date
( e fired unless sub itted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/wqs and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204. yy
*** Signature of Pennittee: If signed by other than the penuitte, then the delegation of the signatory authority must be on filtwiih t6e'A per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: May YEAR: 2014
FACILITY NAME: Lakeview- Mobile Home Park COUNTY: Forsyth
STREAM: None
LOCATION: None
Upstream
�
l l � I
1 1 1 1
� l• l l
l � �
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Enter Parameter Code above
Name and Units Below
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ff�ArPw
AMW�
m===F
/I
=WP7
20MM
�
"
%/
m==UW:./
I�Mmw
==M
W
'---_-----
STREAM: UT to Cuddybum
LOCATION: 500' ft. Below Discharge
Downstream
00010
00300
00400
00310
00340
31616
00995
Ci
E
7
U
a
yEnter
b0
:
on
onU
A4
u
N
CQ
A
uci
to
Q
@
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cd
V
,d
V
Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
°C
mg/1
SU
mg/1
mg/1
100ml
nmhos/cm
T
a�m;xa�
��
�
5
-�'•t J�u�
�. �C .`(
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�,;
V"
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d�Ii.11,t
1424
19.0
6.3
1300
19.0
6.4
'.
(,���i
i
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1545
20.0
5.9
06
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1227
21.0
4.9
bsl
1218
22.0
4.5
-
- r
...5.6'''"ul
20.2
m.
22 0
6:4m
19.0
4.5
Copy DEM Form MR-3 (11/84)

NCO051713
Lakeview Mobile Home Park
Limit Violation
BOD, 5-Day (20 Deg. C) - Concentration
Chlorine. 'Total Residual
Violation
Violabon
�Unif
-
'Date tActiom
Type
of Measure
Frequency
-
Daily-
- -
-
- --
-
No Action,
Maximum
Micrograms per
2013
6
06-05-2013 BPJ
Exceeded 17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-11-2013
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-26-2013
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-27-2013
BPJ
Exceeded
17
30
76.47059
Liter
2 X week

No Action,
Maximum
3
Micrograms per
2013
10
10-07-2013
BPJ
Exceeded
; 17
40
135.2941
Liter
12 X week
Daily
No Action,
Maximum
Micrograms per
2013
12
12-26-2013
BPJ
Exceeded
17
30
76.47059
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-18-2014
BPJ
Exceeded
17
40
135.2941
Liter
2 X week
.Daily
-
--------
—
No Action,
Maximum
Micrograms per
2014
3
03-26-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
T_
Daily
No Action,
Maximum
Micrograms per
2014
3
03-31-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014E
4
04-30-2014
BPJ
Exceeded
17
40
135.2941
Liter -__
2 X week
Coliform, Fecal MF, M-FC Broth,44.5C
Flow, in conduit or thru treatment plant

Violation Violatioll Violation
Pate Actibn TypeUnit
of Measure
--
- - -
- -- - - Monthly ...... ------
- -
- - - -
Proceed to Average
Million Gallons per
2013
12
12-31-2013 NOV Exceeded 0.015 0.0166 10.96774
Day
Weekly
_
j
Monthly
iProceed to
Average
Million Gallons per
20141
1
01-31-2014
NOV
Exceeded
0.015
0.0151
0.817204
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
20141
2
02-28-2014
NOD
Exceeded
0.015
0.0158
5.023809
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
3
03-31-2014
NOV
Exceeded
0.015
0.0158
5.204301
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
4
04-30-2014
INOV ���
Exceeded
__.
t 0.015
0.0177
17.68889
-
Day
Weekly
Nitrogen, Ammonia Total (as N) - Concentration

Boone, Ron
From: M T <[e-mail]>
Sent: Tuesday, July 29, 2014 8:32 PM
To: Boone, Ron
Subject: Spill @ Lakeview MHP
Ron, I was informed 7/28/2014 @ 13:00 that there was a possible spill at Lakeview MHP. I arrived
approx. 1 hr later to discover that there was a spill out of the aeration basin, and the clarifier was
pumped down below crossover pipe exposing the end of the pipe. There was no water coming out of
the pipe and this blockage is what caused the overflow. I then immediately got Richard Jenkins on the
phone and explained that I had an emergency and needed his assistance in removing whatever was
blocking pipe. Richard arrived approx. 1 hr later and we began to clear the blockage in the crossover
pipe. Upon clearing the line we discovered a small dog was lodged in the line causing blockage.
Once I got the blockage cleared and the level of the water in the plant equalized I then went to assess
the rest of the spill. I walked down to see where the spill went and found that the flow appeared to
stop just short of going to the surface water. If any did go it was very minimal no more than 20 gals or
so. I then spread lime over what I could visibly see to neutralize and deal with any odors that may
arise. I arrived 7/29/2014 @ 15:10 to find the plant was completely back in order and looking very
good, most of the solids remained in plant. What did spill and was on ground was completely dried
up. If you have any other questions regarding this matter please call me and I can answer them for
you. I am also going to put a copy of this email report in the binder onsite as well, thank you, Morgan
Turner

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
July 14, 2014
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr. #31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0311
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for April 2014 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Flow, in conduit or thru treatment
04/30/14
0.015 mgd
0.018 mgd
Monthly
plant
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to.contact Ron Boone at [phone].
cc: DWR — Central Files
I­
NIPTIM, flew
Sincerely,
TW W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity1 Affirmative Action Employer —Made in part by recycled paper

�Dl���Ij
Facility: _k4,Lr- Le,A, HUP Permit No.: S/ °713 Pipe No.: 0 es 1 Month/Year:
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit Action
Weekly/Daily Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
r Violations/Staff Remarks:
�cnIz 10-x�
/VI0Y - ;L6! q - LV - a311
Supervisor Remarks:
wc)v*
Completed by: 4 �ep9l"—
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date: /cj
Date:
Date:
0

NCO051713
Lakeview Mobile Home Park
Limit Violation
BOD, 5-Day (20 Deg. C) - Concentration
Chlorine, Total Residual
' 0 BViolation
Iviolation
M
-ate ''Action
Type iValue
Unit of Measure
—
Daily - —
--_
No Action,
Maximum
Micrograms per
2013 6
06-05-2013 BPJ
Exceeded 17 20
17.64706 Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-11-2013
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-26-2013
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
6
06-27-2013
BPJ
Exceeded
17
30
76.47059
Liter
2 X week

Daily
No Action,
Maximum
Micrograms per
2013
10
10-07-2013
BPJ
Exceeded
17
40
135.2941
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
12
12-26-2013
BPJ
Exceeded
17
30
76.47059
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-18-2014
BPJ
Exceeded
17
40
135.2941
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-26-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-31-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Coliform, Fecal IIAF, M-FC Broth,44.5C
Flow, in conduit or thru treatment plant

Monthly
Proceed to
Average
Million Gallons per
2013
12
12-31-2013
NOV
Exceeded
0.015
0.0166
10.96774
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
1
01-31-2014
NOV
Exceeded
0.015
0.0151
0.817204
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
2
02-28-2014
NOD
Exceeded
0.015
0.0158
5.023809
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
3
03-31-2014
NOV
Exceeded
0.015
0.0158
5.204301
Day
Weekly
Nitrogen, Ammonia Total (as N) - Concentration

NC®ENR
North Carolina Department of Environment and natural Resources
Pat McCrory
Governor
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Drive, #31
Wilmington, NC 28412
John E. Skvarla, III
t Secretary
July 10, 2014
Subject: NOTICE OF VIOLATION: NOV-2014-LV-0273
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
A review of Lakeview Mobile Home Park's monitoring report for March 2014 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
03/14/14
400 #/100m1
540 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
03/14/14
25.5 mg/1
27 mg/l
Daily
Concentration
Maximum
Exceeded
Flow, in conduit or thru treatment
03/31/14
0.015 mgd
0.016 mgd
Monthly
plant
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
WSRO Files
Sincerely,
41 �
&
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer— Made in part by recycled paper

NTIIVIA
��
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 18, 2014
Walter B. Craven, Jr.
Lakeview MHP LLC
P.O. Box 3421
Wilmington NC 28406-3421
Subject: NOTICE OF VIOLATION: NOV-2014-LV-0273
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for March 2014 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
03/14/14
400 #/100ml
540 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
03/14/14
25.5 mg/1
27 mg/l
Daily
Concentration
Maximum
Exceeded
Flow, in conduit or thru treatment
03/31/14
0.015 mgd
0.016 mgd
Monthly
plant
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
WSRO Files
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone]Internet: www,ncdenr.gov
An Equal Opportunity1 Affirmative Action Employer — Made in part by recycled paper

J�4
NCUM
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 18, 2014
Walter B. Craven, Jr.
Lakeview MHP LLC
P.O. Box 3421
Wilmington NC 28406-3421
Subject: NOTICE OF VIOLATION: NOV-2014-LV-0273
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for March 2014 showed the following
violations:
Parameter
Date
Limit Value
Deported Value
Limit Type
Coliform, Fecal MF, M-FC
03/14/14
400 #/100ml
540 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
BOD, 5-Day (20 Deg. C) -
03/14/14
25.5 mg/l
27 mg/1
Daily
Concentration
Maximum
Exceeded
Flow, in conduit or thru treatment
03/31/14
0.015 mgd
0.016 mgd
Monthly
plant
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: DWR — Central Files
WSR0 -;ibes�
Sincerely,
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity t Affirmative Action Employer — Made in part by recycled paper

©MR Review Record
Facility: Permit No.: 5l % !,}� Pipe No.: &0/ MonthNear: 2CS
Monthly Average Violations
Parameter
r1ntj
Permit Limit
D. v/S
DMR Value
ey,J/S�,
Weekly/Daily Violations
% Over Limit Action
Date
Parameter
Permit Limit Limit Type
DMR Value % Over Limit Action
Monitoring Frequency Violations
Date
Parameter
Permit Frequency
Values Reported # of Violations Action
Other Violations/Staff Remarks:
e Q 4-e% 4--A ---, c _jf.
0V2.bj+ - L.Y- N73
supervisor Remarks:
j /
Completed by: Date:
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date:
Date:, (1U

NC0051713
Lakeview Mobile Home Park
Limit Violation
BOD, 5-Day (20 Deg. C) - Concentration
Chlorine; Total Residual

Daily
No Action,
Maximum
j
Micrograms per
2013
10
10-07-2013
BPJ
Exceeded
17
135.2941
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2013
12
12-26-2013
BPJ
Exceeded
17
30
76.47059
a
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-18-2014
BPJ
Exceeded
17
40
135.2941
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
20141
3
03-26-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week
Daily
No Action,
Maximum
Micrograms per
2014
3
03-31-2014
BPJ
Exceeded
17
20
17.64706
Liter
2 X week v
Coliform, Fecal MF, M-FC Broth,44.5C
Flow, in conduit or thru treatment plant

Monthly
Proceed to
Average
Million Gallons per
2013
12
12-31-2013
NOV
Exceeded
0.015
0.0166
10.96774
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
1
01-31-2014
NOV
Exceeded
0.015
0.0151
0.817204
Day
Weekly
Monthly
Proceed to
Average
Million Gallons per
2014
2
02-28-2014
NOD_
Exceeded
0.015
0.0158
5.023809
Day
Weekly
Monthly
Average
Million Gallons per
2014
3
03-31-2014
Exceeded
0.015
0.0158
5.204301
Day
Weekly
Nitrogen, Ammonia Total (as N) - Concentration

NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
May 30, 2014
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr. Unit 31
Wilmington, NC 28412
Subject: NOTICE OF DEFICIENCY
NOD-2014-LV-0044.
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for February 2014 showed the following
deficiencies:
Parameter
Date
Limit Value
Reported Value
Limit Type
Flow, in conduit or thru treatment plant
02/28/14
0.015 mgd
0.016 mgd
Monthly
Average
Exceeded
Remedial actions should be taken to correct the cause(s) of these deficiencies. Unresolved deficiencies may
lead to the issuance of a Notice of Violation and/or assessments of civil penalties by the Division of Water
Resources of up to $25,000.00 per day for each violation. Any efforts undertaken to bring the facility back
into compliance are not an admission of culpability. Your response, the degree and extent of harm to the
environment, and the duration and gravity of the deficiency(ies) will be considered in any future actions
undertaken.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: SWP — Central Files
Sincerely,
a
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NC DENR
585 Waughtown St., Winston-Salem, NC 27107
Phone: 33&771-50001 Internet: www,ncdenr.gov
An Equal Opportunityl Affirmative Action Employer— Made in part by recycled paper

M R RewWw Record
Facility: Lk c Vi c.! �� /'
PermitNo.: S i 7 13 PipeNo.:
661 MonthNear:
6
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Action
Flow
( S /4 5 -1) 0• 6/S 9
Weekly/Daily Violations
Date Parameter
Permit Limit Limit Type DMR Value
% Over Limit
Action
Monitoring Frequency Violations
Date Parameter
Permit Frequency Values Reported
# of Violations
Action
Other Violations/Staff Remarks:
LV 6oV-51
Supervisor Remarks:
�d
Completed by: L DONA 9,
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date: c S
Date:
Date: : A !��

EFFLUENT APR 0 60 20%
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH February YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS 1I COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE x 0
Mail ORIGINAL and ONE (VOPY to: rttctavt Li
ATTN: CENTRAL FILES III N.C.Dept. of ENR X 7 y
DIVISION OF WATER QUALI ilY APR 14 014 (SI(NA OPERATOR IN RESPONSIBLE CHARGE)
1617 MAIL SERVICE CENTER BY HIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 Winstun lem ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Regional O fice APR I 1 20%
W
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50050
00010
00400
50060
00310
00610
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31616
00300
00600
00665
00625 00630 00095
FLOW
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V
v
A
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Cd
is
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aCi
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Enter Parameter Code
Above Name And Units
Below
EFF
INF
A
'� O
CJ CJ
_ n0
d
'C
z
y
u
V
Weekly
Weekly
Weekly
2/Week
Week!L
Weekly
Weekly
Weekly
Weekly
Quarterly
Quarterly
Quarterly
Quarterly
HRS
HRS
Y/a/N
MGD
aC
SU
/1
m /I
m /I
mg/1
#100/ml
m /l
m /I
m /I
m /I
m /l
µmhos/cm
-
2
0.0158
4
1300
0.25
Y
0.0145
8.67
0.196
4.0
<1
5
1200
0,30,
Y.,
0.0145,�•a
v, �t....
�.
`�,
1
'"r/
" _
6
1050
0.40
Y
0.0145
9.0
11.3
7
1240
0,25
Y'
, 0.0145
10.0
10 •
(�'
-
8
0.0145
g
�'°0"045
101
1230
1 0.45
Y
1 0.0145
12.0
6.76
1 10
0130
11
".1300.
T0:0
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�F a�� ,
iS,2 >
: 0:422��
n�.11.2
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12
1245
0.40
Y
0.0189
<10
11.3
13
N
0.0189
Unable to get to plant - Inclement Weather --------- ------------ --------- -------------------------------------------------=-----------------�
14
N
0.0189
Unable to get to plant - Inclement Weather ----------------------------------------------------------------------------------------------------------
15
. ,..
0.0189 °.
16
0.0189
0:50"
'Y :
:n. 0.01$9
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=>6.0
Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances'. 'A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part 11.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Ja srrte� M. Cheshire (Authorized.Ase
Pe ittee (PI as nt af
y g-�
Si ature f Permiee** Date
( eq ' ed unless su itted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No. .
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility, and document visitation of facility as required per 15ANCAC8G.0204.
** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on fife with the stato per
15ANCAC213.0506 (b) (2) (D).
1

NPDES NO:1NC 0051713 DISCHARGE NO: 001 MONTH: February YEAR: 2014
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None
LOCATION: None
Upstream
Name and Units Below
®®®®®
®®®®®
®®®®
®®®
®®®®®
®MMMW%o
ff.Arrw
ANOW
W.
AoaM
®r:'
®®
MMMMF
ArAmor7
.20MMON
®
..Ad®W
oi�MMMM
===WW..i
is
�
fA,�OMMON
®®
®■
®MMMMMMM�Mwmmm
®MMMMM®®®®®®
MMMMMMM
WWMWMENEEMEN11111
�PWIENNNNNNNINNI
STREAM: UT to Cuddybum
LOCATION: 500' ft. Below Discharge
Downstream
Name and Units Below
®®®®®
®®®®®
Copy DEM Form MR-3 (11/84)

WSRO MONTHLY DMR VIOLATIONS REPORT FOR:
Forsyth
NCO051713
#MULTIVALUE
Lakeview Mobile Home Park
• • s .
- - • a • •
•
Name''Violation
Parameter
• • • •
•
- -
- -
- -
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
L-15-2013
Exceeded
2013 2
001 FC Broth,44.5C
Weekly Milliliters 400 2800
600 Proceed to NOV
Daily Maximum
BOD, 5-Day (20 Deg. C)
Milligrams
Exceeded
2013
3
001
Concentration
03-08-2013
Weekly
per Liter
25.5
82.8
224.7059
Proceed to Enforcement Case
Daily Maximum
BOD, 5-Day (20 Deg. C)
Milligrams
Exceeded
20131
3
001
Concentration
03-15-2013
Weekly
per Liter
25.51
41.9
64.31373
Proceed to Enforcement Case
Daily Maximum
BOD, 5-Day (20 Deg. C)
Milligrams
Exceeded
2013
3
001
Concentration
03-21-2013
Weekly
per Liter
25.5
33.4
30.98039
Proceed to Enforcement Case
Daily Maximum
BOD, 5-Day (20 Deg. C)
Milligrams
Exceeded
2013
3
001
Concentration
03-29-2013
Weekly
per Liter
25.5
38.3
50.19608
Proceed to Enforcement Case
Daily Maximum
Solids, Total Suspended
Milligrams
Exceeded
20131
3
001
- Concentration
03-08-2013
Weekly
per Liter
45
140
211.1111
Proceed to Enforcement Case
Daily Maximum
Solids, Total Suspended
Milligrams
Exceeded
2013
3
001
- Concentration
03-15-2013
Weekly
per Liter
45
60
33.33333
Proceed to Enforcement Case
Daily Maximum
Solids, Total Suspended
Milligrams
Exceeded
2013
3
001
- Concentration
03-29-2013
Weekly
per Liter
45
78
73.33333
Proceed to Enforcement Case
Nitrogen, Ammonia
Daily Maximum
Total (as N) -
Milligrams
Exceeded
20131
7
001
Concentration
07-23-2013
Weekly
per Liter
10
11.8
18
Proceed to NOV
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2013
12
001
FC Broth,44.5C
12-04-2013
Weekly
Milliliters
400
840
110
Proceed to NOV
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2014
1
001
FC Broth,44.5C
01-28-2014
Weekly
Milliliters
400
490
22.5
Proceed to NOV
Monthly
Average
BOD, 5-Day (20 Deg. C) •
Milligrams
Exceeded
2013
3
001
Concentration
03-31-2013
Weekly
per Liter
17
49.1
188.8235
Proceed to Enforcement Case
Monthly
Average
Solids, Total Suspended
Milligrams
Exceeded
2013
3
001
- Concentration
03-31-2013
Weekly
per Liter
30
80
166.6667
Proceed to Enforcement Case
Monthly
Nitrogen, Ammonia
Average
Total (as N) -
Milligrams
Exceeded
2013
7
001
Concentration
07-31-2013
Weekly
per Liter
2
2.85
42.5
1 Proceed to NOV

Monthly
Million
Average
Flow, in conduit or thru
Gallons per
Exceeded
2013
12
001
treatment plant
12-31-2013
Weekly
Day
0.015
0.0166
10.96774
Proceed to NOV
Monthly
Million
Average
Flow, in conduit or thru
Gallons per
Exceeded
2014
1
001
treatment plant
01-31-2014
Weekly
Day
0.015
0.0151
0.817204
Proceed to NOV

d
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Pat McCrory Thomas A. Reeder
Governor Director
'MA'r' ch 19; 2014
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr, Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0110
Permit No. NC0051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for December 2013 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
12/04/13
400 #/100m1
840 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Flow, in conduit or thru treatment plant
12/31/13
0.015 mgd
0.017 mgd
Monthly
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance problem.
Please be aware that violations of your NPDES permit could result in enforcement action by the Division of
Water Resources for this and any additional violations of State law.
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwater.org
NorthcCarohna
Natm llb,
An Equal Opportunity 1 Affirmative Action Employer

If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources .
cc: SWP — Central Files
S!� ilex

DMR Review Record
Facility:
Ue Yi mw Permit
ido.: 61*71,3 Pipe No.:
O04 MonthNear:
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit Action
Weekly/Daily Violations
Date
Parameter
Permit Limit Limit Type DMR Value
% Over Limit Action
Monitoring Frequency Violations
Date . Parameter Permit Frequency I Values Reported # of Violations Action .
I Other Violations/Staff Remarks:
No v - za r 4 -m Lvw otto
supervisor Remarks: rr
N6
Completed by: 90h ft}Yl G
Assistant Regional
Supervisor Sign Off:
Date:
Date:
Regional Supervisor Sign
Off: Date:

EFFLUENT
NPDES PERMIT NO. NC 0051713
DISCHARGE NO. 001
MONTH December YEAR 2013
FACILITY NAME Lakeview Mobile Home Park
CLASS I1 COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc.
CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner
GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators
ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0
NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
X -Z2�
D
DIVISION OF WATER QUALITYDA
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DAT
�:C: Dept. -of EN_ R
1617 MAIL SERVICE CENTER
BY THIS SIGNATURE, I CERTIFY
THAT THIS REPORT IS
RALEIGH, NC 27699-1617 FEB 18 20114
ACCURATE AND COMPLETE
((
TO THE BEST OF MY KNOWLEDGE. i° AR 0 4 2014
Winston-Salem
Regional Offi
50050
00010
00400
50060
00310 1
00610
00530
31616
00300
00600 1
00665
00625 1 0063 009F-
FLOW
N
N
Enter Parameter Code
> c
�.
o
e
o
Above Name And Units
EFF
_�
V
o
U
i
.E
-
T
x
on
`o
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INF
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ai
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�
Weekly
Weekly
Weekly
2/Week
Weekly
Weekly
Weekly
Weekly
Weekly
Quarterly
Quarterly
Quarterly
1 Quarterly
HRS
HRS
Y/n/N
MGD
eC
SU
/I
in /I
m /I
m /I
0100/ail
m /I
m /I
MR/1 I
m /I
m /I
pmbos/cm
1
0.0164
2
1515
0.50
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0.0164
14.0
<10
1448 .:
0�5,0
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b:2 : �
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5
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. B
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6
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<1
W
8
0.0124
9
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0.50
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0.0124
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10
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8.5
<I
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V1-1�
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0.0126-
18
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0.35
Y
0.0126
12.0
<10
M
0825"''0."25
Y
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-
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<0.10
"210:
18'":
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,
221
1 0.0126
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Holiday------------------------------------------------------------------------------ --- ---------------------------------
2S
,', H--
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Holiday.:< <-,= - n - .,, - - - - - - -
26
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0.40
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6.45
"Y
0.0126-
11.0
6.89
<10
9.61
: "0,193
4.0
281
1
0.0126
29
%<
,
A­
301
0555
1.00
Y
0.0126
9.0
<10
31
1100
0.25
B
- 0.0136
2.76
0.140
5.0-
<1
AVERAGE
I ffJOLOW166
11.9r'15
88
<10
7.30
0.139
9.0
5
9.1
�`""MAXIMUM.
.1G0
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,.`13:1"°��.0.364
.-200""
840;a,;,
i,
MINIMUM
0.0124
9.0
12
<10
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8.1
Comp.,(C) /.Grab (G)
h p,
G . -G,
G
G
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G -_
- G
G
G
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G
Monthly Limit
0.015
6<9
1 17.0
2S/4Wj
30.0
1 200.0
1 =>6.0
Copy DWQ Fonn MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Co pliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances: A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
James . Chesh're (AUthorized�Aeen
Per ee (Ple e print e
_Z
Signs re ermitee* * Date
( red unless s mittd electronically)
tzi_lr..l
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
ti
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on fillvith the stat& per
15ANCAC213.0506 (b) (2) (D).

lb
A.
NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: December YEAR: 2013
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM:. UT to Cuddybum
LOCATION: None LOCATION: 500' ft. Below Discharge
A--
Upstream
Enter Parameter Code above I
Name and Units Belmv
Downstream
rreeam
=====w==wwwMM
Enter Parameter Code above
NameandUnitsBelow
IMIMMMMMMMMOOMM
=====M=MwwMMM
MMMMMMMMOMMOM
MMMMMMMMMMMOM
=======MMMwwM
=======MMwwwM
IMMMMMMMMOOMMM
=======MMwwMM
=======MwMMMM
MMMMMMMMOMMOM
=======MMwMMM
MMMMMMMMOMMOM
=======MMMMMw
MMM====MwwMMM
====M===wMMMw
=======MMMwwM
=======MMMMMM
MMMMMMMMOMMOM
=======MwMMMw
cMw3M====MMw=Mw
=======MMMMMM
=======MwMMMM
=======MMMMwM
=======MMMw0M
=MM====MwMMMM
MMMMEMENINNIN
MMEMENE,,,..
Copy DEM Form MR-3 (11/84)

Re: Lakeview Mobile Home Park- December 2013 — High Fecal 12/04/13
C12 tabs were lodged in the feed tube causing insufficient chlorine contact with waste
water at time of sample. Problem has been resolved.
-Ryan Smith, Back-up ORC

,&174.A V369
10
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 25, 2014
Lakeview Mobile Home Park, LLC
Attn: Walter B. Craven, Jr., Owner
420 Marion Drive, Unit 31
Wilmington, NC 28412
Subject: Compliance Evaluation Inspection
Permittee: Lakeview Mobile Home Park, LLC
Facility: Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit #: NCO051713
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Resources (DWR or the
Division) conducted a compliance evaluation inspection (CEI) of the Lakeview Mobile Home Park Wastewater
Treatment Plant (WWTP) on April 24, 2014. The assistance and cooperation of Glen Price, Operator in
Responsible Charge (ORC), was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
General Information
The mobile home park is located at approximately 5195 Highpoint Road (Hwy 311), at coordinates
36.0216841 °N, 80.06758240W. The WWTP is located just off of Highpoint Road, on the north side of the park
and just adjacent to the park office. Although in Forsyth County, the park/plant are actually located at a
Highpoint address. The permit authorizes the owner to operate this 0.015 MGD WWTP, which consists of an
aeration basin with diffused aeration, a clarifier, return activated sludge with constant recirculation airlift
pumps, chlorination, dechlorination, post aeration, and an aerobic sludge digester. The permit authorizes the
owner to discharge the treated effluent from the WWTP into an unnamed tributary (UT) to Cuddybum Branch
via outfall 001. Cuddybum Branch is currently classified as WS-III waters and is located in the Yadkin Pee -
Dee River basin.
Site Review
Mr. Price has done an excellent job operating and maintaining the plant. The plant itself was in good
condition and the mixed liquor, clarifier overflow, and plant discharge all looked very good. Mr. Boone found no
discrepancies or violations.
It is also noted that there is still only a one tube chlorinator and dechlorinator on site, but it appears to
be working fine.
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

Documentation Review
All documentation was reviewed and no discrepancies were found. Mr. Price has done an excellent
job of documenting the operation and maintenance of the plant as required by the permit. This includes
operations and visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains
of custody, etc.
Please continue to work with Mr. Price and R&A Labs to keep the plant in optimum working order and
address the shock loads noted above. Please be aware that, in accordance with NC General Statute 143-
215.6A, the Director of the Division of Water Quality may assess civil penalties not to exceed $25,000 per day,
per violation, for violations of the NC0051713 NPDES permit.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336)
771-5000. Thank you for your cooperation in this matter.
Sincerely,
�"W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
Attachments:
1. BIMS Inspection Report
CC: R'o.P
Central Files
NPDES Unit
R&A Laboratories
Attn: Glenn Price
106 Short Street
P.O. Box 473
Kernersville, NC 27284

United States Environmental Protection Agency
Form Approved.
Washington, D.C.20460
EPA
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I N I 2 I S I 31 NCO051713 111 121 14/04/24 117 18I C I 19I S I 20I I
Remarks
211 I I I I I 1 1 1 1 1 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 1 1 1 1 16
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved -------------- -------
67I 169 701 I 711 I 721 N I 73I I 174 751 I I I I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Lakeview Mobile Home Park
09:00 AM 14/04/24
09/09/01
Exit Time/Date
Permit Expiration Date
5186 High Point Rd
High Point NC 27265
10:00 AM. 14/04/24
14/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Numbers)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Walter B Craven,420 Marion Dr Unit 31 Wilmington NC 28412H336-617-7136/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Facility Site Review Effluent/Receiving Waters Laboratory
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-771-49671
��2s1 zQ r �
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
��i i7 11 —SdC� �7f iJ
✓c. 7 3Iz
EPA Form 3560-3 (Rev 9-94) Prev o s editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3I NC0051713 1
11 12, 14/04/24 117 181
d
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

Permit: NCO051713
Inspection Date: 04/24/2014
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Owner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: None
Laboratory
Are field parameters performed by certified personnel or laboratory?
Are all other parameters(excluding field parameters) performed by a certified lab?
# Is the facility using a contract lab?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
Comment: None
Effluent Sampling
■
■ n n n
nn■0
nn®n
■ ❑ n n
■nnn
■ ❑ ❑ ❑
■nnn
nn■0
■nnn
■nnn
■nnn
nn■n
n n n ■
nnn■
Page # 3

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/24/2014 Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is composite sampling flow proportional? ❑ n ■ n
Is sample collected below all treatment units? ■ n n ❑
Is proper volume collected? ■ ❑ n n
Is the tubing clean? ❑ n ■
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)? n n n ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? n n n ■
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n ❑ n
Comment: None
Flow Measurement - Influent Yes No NA NE
# Is flow meter used for reporting?
■
n
n ❑
Is flow meter calibrated annually?
n
■
n
n
Is the clarifier free of black and odorous wastewater?
■
❑
n
n
Is the flow meter operational?
■
❑
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
n
Are weirs level?
■
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
n
n
■
n
Is the site free of weir blockage?
■
Q
f=1
n
Comment: Operators use the city's potable water meter to estimate the flow for the
plant.
Is the site free of evidence of short-circuiting? ■ n 00
Is scum removal adequate? ■ ❑ n
Is the site free of excessive floating sludge? ■ ❑ ❑ n
Is the drive unit operational? ❑ n ■ ❑
Is the return rate acceptable (low turbulence)? ■ n n n
Is the overflow clear of excessive solids/pin floc? ■ ❑ n n
Is the sludge blanket level acceptable? (Approximately'/ of the sidewall depth) n n n ■
Comment: None
Aeration Basins Yes No NA NE
Page # 4

r
Permit: NCO051713 Owner - Facility:
Inspection Date: 04/24/2014 Inspection Type:
Lakeview Mobile Home Park
Compliance Evaluation
Aeration Basins
Yes No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■ n
n
n
Are surface aerators and mixers operational?
❑ ❑
■
Cl
Are the diffusers operational?
■ n
n
n
Is the foam the proper color for the treatment process?
■ n
n
In
Does the foam cover less than 25% of the basin's surface?
■ ❑
❑
❑
Is the DO level acceptable?
❑ ❑
❑
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
❑ ❑
❑
■
Comment: None
De -chlorination
Yes No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■ ❑
❑
❑
Is storage appropriate for cylinders?
■ ❑
❑
❑
# Is de -chlorination substance stored away from chlorine containers?
■ ❑
❑
❑
Are the tablets the proper size and type?
■ Cl
❑
❑
Comment: None
Are tablet de -chlorinators operational?
■ n
n
n
Number of tubes in use?
1
Comment: None
Pumps -RA$ -WAS
Yes No
NA
NE
Are pumps in place?
■ n
n
n
Are pumps operational?
■ ❑
❑
❑
Are there adequate spare parts and supplies on site?
■ n
n
n
Comment: None
Disinfection -Tablet
Yes No
NA
NE
Are tablet chlorinators operational?
■ ❑
❑
❑
Are the tablets the proper size and type?
■ n
n
n
Number of tubes in use?
1
Is the level of chlorine residual acceptable?
■ n
n
n
Page # 5

Permit: NCO051713
Inspection Date: 04/24/2014
Disinfection -Tablet
Owner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
■
n
n
n
Comment: None
Effluent Pipe
Yes
No
NA
NE
Is right of way to the outfall properly maintained?
■
n
n
n
Are the receiving water free of foam other than trace amounts and other debris?
MOO
n
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment: None
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
n
n
n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■
Cl
n
n
Judge, and other that are applicable?
Comment: None
n___:a
(if the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑ n
■
❑
Is the facility as described in the permit?
■ n
n
n
# Are there any special conditions for the permit?
n ■
n
n
Is access to the plant site restricted to the general public?
■ n
n
n
Is the inspector granted access to all areas for inspection?
■ n
n
n
Comment: None
Page # 6

l
NC®ENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 7, 2014
Walter B. Craven, Jr. -
Lakeview MHP LLC
420 Marion Dr. Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2014-LV-0168
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of Lakeview Mobile Home Park's monitoring report for January 2014 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
01/28/14
400 #/100ml
490 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Flow, in conduit or thru treatment plant
01/31/14
0.015 mgd
0.015 mgd
Monthly
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action
by the Division of Water Resources for this and any additional violations of State law.
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportunity 1 Affirmative Action Employer — Made in part by recycled paper

If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: SWP — Central Files
4 MR► iRlesRM

OMR Review Record
Facility: ( a 46 V (0'Lf PW Permit No.: s 1713 Pipe No.: 450/ MonthNear: I l
Monthly Average Violations
Parameter
Permit Limit
DMR Value
% Over Limit Action
Weekly/Daily
Violations
Date . Parameter
TIZ� Fau-' d1�,
Permit Limit Limit Tv
�aa e�k
DMR Value
% Over Limit Action
23
y�fg o
Monitoring Frequency Violations
Date Parameter
Permit Frequency
Values Reported
# of Violations Action . .
Violations/Staff Remarks:
>upervisor Remarks: r
Completed by: Ar w�
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date: V41
Date:
Date: h4
pW 2--,`

EFFLUENT
1.
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH January YEAR 2014
FACILITY NAME Lakeview Mobile Home Park CLASS I1 COUNTY Forsyth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE * 0
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER t�
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) �civr.0
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS ept. of ENR
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDG +. MAR 21 20f®i
Winston-Salem
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Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
i
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Comp iant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time-tabl'e.for iinprovements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Jame . Che hire Authorize e
Pe mittee (Peas print
2-6
Sig atu of Permiee* * Date
(gp<uired unless s mitted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.ne.us/wqs and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for.reporting data.
* No Flow / Discharge From Site: Check this box if no dis"dfiargoccurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on QhYvt4
h h state per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: January YEAR: 2014
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM:. UT to Cuddybum
LOCATION: None
A---
Upstream
Enter Parameter Code above
Name and Units Below
•
====WMp
ff.ArPw
AMMO
MMMMF
ArAmir,
7.20mm
MMMWIAW11WIV.50,
MMMMM
MMMMW
Ar
TA�MMMWW
0:AMM�00M
ONE
El
Non
NOMMONE111111,
LOCATION: 500' ft. Below Discharge
Downstream
frueam
00010
00300
00400
00310
00340
316161
00995
1
0
>
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41
>
Enter Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
OC
mg/1
SU
mg/1
mg/1
100n1
umhos/cm
a.
On "t
T
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Copy DEM Form MR-3 (11/84)

Re: Lakeview Mobile Home Park- January 2014 — High Fecal 1/28/14
Collected F/C on 1/28/14 and result was 490 col/100 ml. I added some more Cl and
recollected on 1/31/14 it was less than 1.
-Morgan Turner, ORC

MmUtIVE17
p P1.C.Dept. of ENR
JAN 3 0 2014
NCDENR Winston-Salem
North Carolina Department of Environment and Natural Resources Regional office
Division of Water Resources
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor ' Director Secretary
Attn: James M. Cheshire
P.O. Box 473
106 Short Street
Kernersville, NC 27284
Dear Mr. Cheshire:
January 17, 2014
Subject: Receipt of permit renewal
Permit NCO051713
Forsyth County
1A k&V i eJ w �-Ir'( /
The NPDES Unit received your permit renewal application on January 15, 2014. A member of the
NPDES Unit will review your application. They will contact you if additional information is required to
complete your permit renewal. You should expect to receive a draft permit approximately 30-45 days
before your existing permit expires.
If you have any additional questions concerning renewal of the subject permit, please contact Bob
Sledge [phone].
Sincerely,
b(� OTC
Wren Thedford
Point Source Branch
cc: Central Files
Winston=Salern Regional Office '
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] Fax: [phone]Customer Service:1-877-623-6748
Internet:: www.ncwater.orq
An Equal OpportunityWfirmative Action Employer

Analytical/Process Consultations
2013
FS @IN ME P
FJ-'-A"-N'-'
fi 5 2014 1
RECEIVED
N.C.Dept. of ENR
JAN 3 0 2014
Addendum: Sludge Management Plan Winston-Salem
Lakeview Mobile Home Park Office
NPDES Permit NCO051713
1) Sludge is generated from Lakeview MHP WWTP through the activated sludge process by
routinely "wasting" activated sludge into an aerobic digestor.
2) Sludge from aerobic digestor is routinely allowed to settle by gravity and supernatant is decanted
from holding tank.
3) Thickened sludge is then removed by septic tank truck and manifest documents are maintained to
verify date of sludge removal, volume pumped, location of approved facility (i.e. municipal
WWTP) receiving sludge, and cost of sludge hauling/disposal.
P.O. Box 473 0 106 Short Street * Kernersville, North Carolina 27284 - 336-996-2841 - Fax [phone]
www.randalabs.com

i
NPDES APPLICATION - FORM gD
For privateRy owned treatment systems treating 100% domestic wastewaters <1.0 MG D
Mail the complete application to.
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INC0051713
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Lakeview MHP LLC
Lakeview Mobile Home Park WWTP
P.O. Box 3421
Wilmington
NC / 28406
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 5186 Hiizh Point Road
City
State / Zip Code
County
High Point
NC / 27265
Forsyth
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Research & Analytical Laboratories, Inc.
Mailing Address 106 Short Street
City Kernersville
State / Zip Code NC / 27284
Telephone Number
Fax Number
[phone]
[phone]
1 of 3 Form-D 05/08

For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater (check all that apply):
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees
Residential
®
Number of Homes 57
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
Population served: Approx. 130 - 150
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
5. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Unnamed Tributary to Cuddybum Branch in the Pee Dee River Basin
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Seven (7) Duration: 24 hours
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.
0.015 MGD Wastewater Facility consisting of the following:
• Septic Tanks at each home
a Extended Aeration Package System
o Bar Screen
® Aeration
m Diffused Air & Clarification
o Sludge Digestor
e Holding Tank
Chlorination
® Dechlorination
2 of 3 Form-D 05108

NPDES APPLICATION a FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information -
Treatment Plant Design flow 0.015 MGD
Annual Average daily flow 0.0123 MGD (for the previous 3 years)
Maximum daily flow 0.0137 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
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.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD,5)
82.8
10.8
MG/L
Fecal Coliform
2,800
2
Col/ 100m1
Total Suspended Solids
140
17.9
MG/L
Temperature (Summer)
29.0
22.6
C
Temperature (Winter)
19.0
10.7
oC
pH
7.35
6.73
SU
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES NCO051713
PSD (CAA)
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
Permit Number
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.
James M. Cheshire Authorized Agent
Printed name of Person Signing Title
WA
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.)
3 of 3 Form-D 05/08

416 4
\ MCDENR
Forth Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory Thomas A. Reeder
Governor Director
January 6, 2014
Mr. Walter Craven, Owner
Lakeview Mobile Home Park WWTP
P.O. Box 3421
Wilmington, NC 28406
SUBJECT: Technical Assistance Consultation
Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit No. NCO051713
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
On January 3, 2014, Gary Hudson of this office met with Morgan Turner, ORC to
perform a Technical Assistance Consultation visit on the Lakeview MHP Wastewater Treatment
Plant. The request was prompted by permit violations that resulted in civil penalty assessments.
During the visit it was observed that the effluent was clear, and the treatment plant appeared to
be operating under normal conditions.
During the visit, Mr. Turner explained that the permit violations that resulted in the two
civil penalty assessments were due to several toxic shock loads entering the plant and
destroying the microbial population, resulting in very poor treatment in the process. Mr. Turner
immediately had seed sludge brought into the plant. A composite sampler was set up to begin
collecting daily samples in order to try and isolate the source of the incoming toxicity. The
results of this battery of testing proved to be inconclusive.
It is my professional opinion that the ORC of this facility is working diligently to reduce
the amount of permit violations. I will offer the following suggestions that might help you
achieve this goal.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone:[phone] l FAX: [phone]
Internet: www.ncwateraualitv.ora
An Equal Opportunity 1 Affirmative Action Employer
One
No th Carolina

Walter Craven
January 6, 2014
Page 2 of 2
1. Install an equalization basin before the aeration basin.
By installing an equalization basin (also called a balancing reservoir) before the
aeration basin, the flow and composition of the wastewater entering the plant
would be averaged and reasonably uniform. This would greatly reduce the
chances of any type of shock load entering the treatment process.
2. Public Information Flvers
The distribution of informational flyers (bi-lingual) that would educate the
residents on the proper disposal of cleaning chemicals could be included with the
bi-annual FOG educational materials.
3. Install new tablet chlorinator and dechlorinator.
At the time of our visit, there was no chlorinator or dechlorinator. There was a
tube leaning against the wall with tablets installed. Installing this equipment
would not keep the toxic upsets from occurring, but it would help keep the plant
in compliance, especially with effluent fecal coliform limits.
Again, it is my opinion that the treatment plant personnel are doing a good job trying to
remediate this problem. If I can be of any further assistance, please do not hesitate to contact
me. My e-mail address is: gary.hudsono_ncdenr..qov. Should you have any questions
concerning this report, you can also contact me at [phone].
Sincerely, %
,�` /
J91
Gary Hudson
Regional Consultant
Water Quality Regional Operations
Division of Water Resources
cc: James Cheshire, R & A Labs, P.O. Box 473, Kernersville, NC 27284
TACU
,a

RESEARCh & ANA1yTICAL
- _
L.A ORATORIES; INC.
Analytical/Process Consultations
Re: Lakeview Mobile Home Park- July 2013 — High NH3N
Lakeview MHP experienced two exceedances for NH3N for the month of July 2013, one
on 7/02/13 and,another on 07/23/13. The plant has been operating exceptionally priorito,
and during the weeks of the NH3N exceedances, with normal flows and normal in -plant
monitoring results. We will continue to monitor for NH3N Problems. Lakeview has
been in full compliance with all subsequent sampling since 07/23/13.
-Glenn Price, ORC
P.O.'Box.473.! 106 Short Street.-.Kernersville, North Carolina 27284 -336-996-2841 -Fax [phone]
www.randalabs.com

`
C
NC®EN
North Carolina Department of Environrrient and Natural Resources
Division of Water Resources
Water Quality Programs
Pat McCrory .
Thomas A. Reeder John E: Skvarla, III
Governor
Director Secretary
October 9, 2013
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7012-2920.0000-3656.2216
Lakeview MHP, LLC
Attn: Walter B. Craven, Jr. .
420 Marion. Dr., Unit 31
Wilmington, NC 28412
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2013-LV-0608
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
A review of Lakeview Mobile Home Park's monitoring report for July 2013 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
07/23/13
10 mg/I
11.8 mg/l
Daily Maximum
(as N) - Concentration
Exceeded
Nitrogen, Ammonia Total
07/31/13
2 mg/I
2.85 mg/I
Monthly Average
. (as N) - Concentration
Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for
the noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES . Permit No:
NC0051713. Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars
($25,000.00) may be assessed against any person who violates or fails to act in accordance with the terms,
conditions, or requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide
additional information regarding the noted violation(s), request technical assistance, .or discuss overall
compliance, please respond in writing within ten (10) days after receipt of this Notice. A review of
North Carolina Division of Water Resources, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service;1-877-623-6748
Internet www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer

Lakeview MHP WWTP
Attn: Walter B. Craven, Jr.
Permit NC0051713, NOV-2013-LV-0608
10/9/13, Page 2 of 2
your response will be considered along with any information provided on Lakeview MHP's, July 2013,
Discharge Monitoring Report. You will then be notified of any civil penalties that may be assessed
regarding the violation(s). If no response is received in this Office within the 10-day period, a civil
penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The
Division of Water Resources may pursue enforcement actions for this and any additional violation(s). If the
violation(s) are of a continuing nature, not related to operation and/or maintenance problems, or you
anticipate remedial construction activities, then you may wish to consider applying for a Special Order by
Consent.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at
[phone].
Sincerely,
j4mf
W. Corey Basinger
Regional Supervisor
Water Quality Section
Division of Water Resources

Facility:
Parameter
NH3
Lakeview MHP
Date
7/23/13
Date
Parameter
NH3
Parameter
DMR Review Record
Permit No.: 51713 Pipe No.:
001 MonthNear:
07/2013
Monthly Average Violations
Permit Limit DMR Value
% Over Limit
Action
2 2.85
42.50
#DIV/0!
#DIV/O!
#DIV/O!
Weekly/Daily Violations
Permit Limit Limit Type DMR Value
% Over Limit
Action
10 Daily Max 11.8
18.00
®O
#DIV/0!
#DIV/O!
#DIV/0!
Monitoring Frequency Violations
Permit Frequency Values Reported
# of Violations
Action
Other Violations/Staff Remarks: Lots of past violations... see attached.
Completed by: Ron Boone
Criteria
Failure to monitor parameter with limit: $50
Failure to monitor parameter without limits: $25
Any facility with just a single daily max violation to receive NOV only.
No civil assessment cases for less than $100, not including cost of investigation. NOV only.
Threshold for flow is 10%; threshold for all other parameters is 20%.
Stipulated demand letters for SOCs..... automatic.
Failure to obtain a permit ..... $4,000.
Date:
10/8/13
Multipliers:
Number of assessments for previous 12 months:
0-2 Multiply base penalty by 1.0
3-5 Multiply base penalty by 1.25
6-8 Multiply base penalty by 1.5
9-12 Multiply base penalty by 2.0
Delgated Fast Track Penalties/Base Penalty Amounts:
DMR Monthly Flow Avg
Monthly Average
Weekly Average
Daily Max
:50.05 MGD---------
$0-500
$0-200
$0-200
>0.05 but <0.1 MGD
$0-1,000
$0-500
$0-200
>_0.1 but <0.5 MGD
$0-1,500
$0-500
$0-500
4.5 but <1.0 MGD
$0-2,000
$0-500
$0-500
>_1.0 but <10.0 MGD
$0-3,000
$0-1,000
$0-500
>_10.0 but <25.0 MGD
$0-4,000
$0-1,000
$0-500
>_25.0 MGD
$0-5,000
$0-1,000
$0-500
Supervisor Remarks:
ullL—Izs s klx- S mac- �-"�' •a" `'0� - e
N0V - aU _t-V- 6647
Regional Water Quality
Supervisor Sign Off: Date:
r d

NCO051713
Lakeview Mobile Home Park
Limit Violation
B®D, 5-Day (20 Deg. C) - Concentration
-••
-••Violation•
en �Violation-• Percent
Date
'Action Type Value Over 'Unit of Measure
Proceed to Daily
Enforcement Maximum
2013
1 01-04-2013
Case Exceeded 25.5 33.7 32.15686 Milligrams per Liter Weekly
Proceed to
Monthly
Enforcement
Average
2013
1
01-31-2013
Case
Exceeded
17
22.75
33.82353
Milligrams per Liter
Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-08-2013
Case
Exceeded
25.5
82.8
224.7059
Milligrams per Liter
Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-15-2013
Case
Exceeded
25.5
41.9
64.31373
Milligrams per Liter
Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-21-2013
Case
Exceeded
25.5
33.4
30.98039
Milligrams per Liter
Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-29-2013
Case
Exceeded
25.5
38.3
50.19608
Milligrams per Liter
Weekly
Proceed to
Monthly
Enforcement
Average
2013
3
03-31-2013
Case
Exceeded
17
49.11
188.8235
Milligrams per Liter
Weekly
Coliform, Fecal MF, M-FC Broth,44.5C

Nitrogen, Ammonia Total (as N) - Concentration
pH

Solids, Total Suspended - Concentration
NViolation
Violation Violation Calculated
NValue
Percent
-IDate
Action Jype
:Over t of Meas.ure Frequency
Proceed to Daily
Enforcement Maximum
2013 3
03-08-2013
Case Exceeded 45 140
211.1111 Milligrams per Liter Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-15-2013
Case
Exceeded
45
60
33.33333
Milligrams per Liter
Weekly
Proceed to
Daily
Enforcement
Maximum
2013
3
03-29-2013
Case
Exceeded
45
78
73.33333
Milligrams per Liter
Weekly
Proceed to
Monthly
Enforcement
Average
2013
3
03-31-2013
Case
Exceeded
30
80
166.6667
Milligrams per Liter
Weekly
Monitoring Violation
B®D; 5-Day (20 Deg. C) - Concentration
Coliform, Fecal MF, M-FC Broth,44.5C

Proceed to
Enforcement
Frequency
Number per 100
2013
3
03-02-2013
Case
Violation
Milliliters
Weekly
Nitrogen, Ammonia Total (as N) - Concentration
Solids, Total Suspended - Concentration

A"A
°o
A 06 E -Hi R
North Carolina Department of Environment and Natural (Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor. Director Secretary .
May 6, 2013
Walter B Craven, Jr.
Lakeview MHP LLC
420 Marion Dr Unit 31
Wilmington, NC 28412
Subject: (NOTICE OF VIOLATION
NOV-2013-LV-0283
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven, Jr:
A review of Lakeview Mobile Home Park's monitoring report for February 2013 showed
the following violations: .
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
02/15/13
400 #/100ml
2,800 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Remedial actions; if not already implemented, should be taken to correct the above
noncompliance problem(s). Please be aware that violations of your NPDES permit could result
in enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at (336)
771-5000.
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
m
9
W. Corey Basinger
Surface Water. Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
One
Nd t Car®lina
Natalraliff
An Equal Opportunity 1 Affirmative Action Employer

Facility:
Parameter
DMR Review Record
Lakeview MHP WWTP Permit No.: 51713 Pipe No.
Monthly Average Violations
Permit Limit DMR Value
Date Parameter
2/15/13 Fecal
Date Parameter
Weekly/Daily Violations
Permit Limit Limit Type DMR Value
400 Daily Max 2800
Monitoring Frequency Violations
Permit Frequency . Values Reported
001 MonthlYear:
02/2013
% Over Limit
Action
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
% Over Limit
Action
600.00
!
#DIV/0!
#DIV/0!
#DIV/0!
# of Violations
Action
Other Violations/Staff Remarks: This is Walter Craven's place; the one with the single tube chlorinator/dechlorinator and frequent shock loads/upsets.This
violation was supposedly also due to an upset (see attachment to DMR). See attachment for other violations.
Completed by:
Ron Boone
t�ntena
Failure to monitor parameter with limit: $50
Failure to monitor parameter without limits: $25
Any facility with just a single daily max violation to receive NOV only.
No civil assessment cases for less than $100, not including cost of investigation. NOV only.
Threshold for flow is 10%; threshold for all other parameters is 20%.
Stipulated demand letters for SOCs..... automatic.
Failure to obtain a permit ..... $4,000.
Date
5/6/13
Multipliers:
Number of assessments for previous 12 months:
0-2 Multiply base penalty by 1.0
3-5 Multiply base penalty by 1.25
6-8 Multiply base penalty by 1.5
9-12 Multiply base penalty by 2.0
Delgated Fast Track Penalties/Base Penalty Amounts:
DMRMonthly Flow Avg
Monthly Average
!Meekly Average
Daily Max
:50.05 MGD---------
$250 ($0-500)
$150 ($0-200)
$100 ($0-200)
>0.05 but <0.1 MGD
$500 ($0-1,000)
$250 ($0-500)
$100 ($0-200)
>0.1 but <0.5 MGD
$750 ($0-1,500)
$300 ($0-500)
$200 ($0-500)
>_0.5 but <1.0 MGD
$1,000 ($0-2,000)
$350 ($0-500)
$200 ($0-500)
2:1.0 but <10.0 MGD
$1,500 ($0-3,000)
$500 ($0-1,000)
$250 ($0-500)
>10.0 but <25.0 MGD
$2,000 ($0-4,000)
$750 ($0-1,000)
$350 ($0-500)
>:25.0 MGD
$2,500 ($0-5,000)
$750 ($0-1,000)
$350 $0-500
ervisor Remarks:
f dzi IJ -- LIJ - 6z2-3,
Regional Water Quality
dCSupervisor Sign Off: 1 ,y �,� __ Date:
J �

WSRO MONTHLY DMR VIOLATIONS REPORT FOR:
Forsyth
NCO051713
Limit Violation
Lakeview Mobile Home Park
MINN
Daily Maximum
Exceeded-
-- ---
j-_2012i
I I
I
2`
7- — --- ----
OO1
I BOD, 5 Day (20 Deg. C)
Concentration _-
102-01-2012
--!--
Weekly --I
Milligrams
per Liter
35.6
39.60784IProceedtoNOV
-- - -
ExCol
ceeded
Exceeded- -
2012
-- -
-- - ---- -
001 - --IFC!Bro
formi, Fecal
h,44.5CMF, M- -
05-30-2012 -
iWeekly-
J
Number
100
Millilite s-
C25.5
400
700
75Ilproceed
to NOV
f~
1 Daily Maximum
Exceeded
-----
I 20121
----
I
6 --_
i - - --
001
Coliform, Fecal MF, M-
FC Broth,44.5C
- ------
I06-05 2012 JWeekly
,Number
per 100
Milliliters _
Number
I 400#
--
- _
j
- 4401
-
-
- 10
---
Proceed to NOV
------ - - --
1
Daily Maximum
Exceeded
20121
i
7!
001
�Coliform,Fecal MF, M-
Iper 100
---- ---
- --
-
-------
FC Broth,44.5C
--- - ------
07-10-2012
Weekly
Milliliters
400�-
100
Proceed to Enforcement Case
Daily Maximum
Exceeded
11 20121
i
7�
001
f Nitrogen, Ammonia Total
I
Milligrams
111
-800�-
-� -
-- --
- - j'(asN))-Concentration
07-18-2012-jWeek_ly
-
i
per Liter
tMilligrams
10
10.2
2
- -
1 Proceed to_Enforcement Case
Daily Maximum
lExceeded
r
! 2012
71 �001
I
Nitrogen, Ammonia Total
(as N) Concentration
�07-24-2012lWeekly
per Liter
Standard
10}
12.9i
1
- 29291
Proceed toEnforcement Case
Daily Maximum
Exceeded
------- ----
_ 2012L--10
�-
j
001
pH
-15-
102012 !Weekly
Units, i.e.,
Ph
�9
9.73
8.111111
Proceed to NOD
Daily Maximum
- --
�
----- -- -
----------.—_..------.�-.-
Coliform, Fecal MF, M-
-----Number
per 100
----�-----
----
---.-
Exceeded
--.._.__..------
2012
-----------
11
-'- - - -
0 01 - -- -
FC Broth,44_5C
11 14-2012-
Weekly
Milliliters
400
1040
160`Proceed
to NOV
Daily Maximum
BOD, 5-Day (20 Deg. C) -
Milligrams
i_
Exceeded 1
2013
1 !
001
Concentration
01-04-2013
Weekly -
per Liter
25.5
33.7
32.156861
Proceed to NOV
---------
Average
Exceeded _ 1
Monthly -
2012,
--
7
- ----�------- -
001- -
- -
Nitrogen, Ammonia Total !
(as N) _Concentration 107-31-2012
—.--
- -- ---
Weekly
�-
Milligrams
per Liter
-------r
2�
- 2
5.37
_--
168 72�Proceed
�- =
to Enforcement Case
---------
Average
Exceeded
2012
r
001
Nitrogen, Ammonia Total
9
N) Concentration
�
Milligrams
i
Monthly -------
_ _ - -�
- --
(as
- ---
08-31-2012 J
I
Weekly -
per Liter-�-
2
2.16
----�-------
9
7 84999�-
Proceed to NOD
- - - —
Average I
Exceeded 1
-- 2013]
- 1
- -.._...I
�BOD, 5-Day (20 Deg.C)
Concentration
01-31-2013
- - -
Weekly
Milligrams
per Liter _
j
17
__ .__I_
22.75�
-_-._--.L-_____l__
33.82353
Proceed to NOV
_
Nb-

t CDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
May 6, 2013
Walter B Craven, Jr.
Lakeview MHP LLC
420 Marion Dr Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0283
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven, Jr:
Resources
John E. Skvarla, III
Secretary .
A review of Lakeview Mobile Home Park's monitoring report for February 2013 showed
the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
02/15/13
400 #/100ml
2,800 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem(s). Please be aware that violations of your NPDES permit could result
in enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at (336)
771-5000.
cc: SWP —Central Files
StR���iFt es
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
Pig
s
04
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NofthCarolgna
An Equal Opportunity 1 Affirmative Action Employer

Facility: Lakeview MHP WWTP
Parameter
Date Parameter
2/15/13 Fecal
Date Parameter
DMR Review Record
Permit No.: 51713 Pipe No.
Monthly Average Violations
Permit Limit DMR Value
Permit Limit
400
Weekly/Daily Violations
Limit Type DMR Value
Daily Max 2800
Monitoring Frequency Violations
Permit Frequency Values Reported
001 MonthNear: 02/2013
% Over Limit Action
#DIV/0!
#DIV/0!
#DIV/O!
#DIV/0!
% Over Limit Action
600.00
#DIV/0!
#DIV/0!
#DIV/0!
# of Violations Action
)ther Violations/Staff Remarks: This is Walter Craven's place; the one with the single tube chlorinator/dechlorinator and frequent shock loads/upsets.This
tiolation was supposedly also due to an upset (see attachment to DMR). See attachment for other violations.
Completed by: Ron Boone Date: 5/6/13
Failure to monitor parameter with limit: $50
Failure to monitor parameter without limits: $25
Any facility with just a single daily max violation to receive NOV only.
No civil assessment cases for less than $100, not including cost of investigation. NOV only.
Threshold for flow is 10%; threshold for all other parameters is 20%.
Stipulated demand letters.for SOCs..... automatic.
Failure to obtain a permit ..... $4,000.
Multipliers:
Number of assessments for previous 12 months:
0-2 Multiply base penalty by 1.0
3-5 Multiply base penalty by 1.25
6-8 Multiply base penalty by 1.5
9-12 Multiply base penalty by 2.0
Delgated Fast Track Penalties/Base Penalty Amounts:
DMR Monthly Flow Avg
Monthly Average
Weekly Average
Daily Max
:50.05 MGD---------
$250 ($0-500)
$150 ($0-200)
$100 ($0-200)
>0.05 but <0.1 MGD
$500 ($0-1,000)
$250 ($0-500)
$100 ($0-200)
>_0.1 but <0.5 MGD
$750 ($0-1,500)
$300 ($0-500)
$200 ($0-500)
4.5 but <1.0 MGD
$1,000 ($0-2,000)
$350 ($0-500)
$200 ($0-500)
>_1.0 but <10.0 MGD
$1,500 ($0-3,000)
$500 ($0-1,000)
$250 ($0-500)
>_10.0 but <25.0 MGD
$2,000 ($0-4,000)
$750 ($0-1,000)
$350 ($0-500)
>_25.0 MGD
$2,500 ($0-5,000)
$750 ($0-1,000)
$350 ($0-500)
Supervisor Remarks: V
Ald V—Z13 — LV — 62-93
Regional Water Quality
Supervisor Sign Off: u ° , t'-��a�g �°° Date:`
t �

WSRO MONTHLY DMR VIOLATIONS REPORT FOR:
Forsyth
NCO051713
Limit Violation
Lakeview Mobile Home Park
arameter Desc WEICORM,
Daily Maximum
[BOD, 5-Day (20 Deg. C) -
Milligrams
Exceeded 2012 2
001 oncentration 02-01-2012 Weekly
per Liter 25.5 35.6 39.60784 Proceed to NOV
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2012
5
001
FC Broth,44.5C
05-30-2012
Weekly
Milliliters
400
700
75
Proceed to NOV
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2012
6
001
FC Broth,44.5C
06-05-2012
Weekly
Milliliters
400
440
10
Proceed to NOV
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2012
7
001
FC Broth,44.5C
07-10-2012
Weekly
Milliliters
400
800
100
Proceed to Enforcement Case
Daily Maximum
Nitrogen, Ammonia Total
Milligrams
Exceeded
2012
7
001
(as N) - Concentration
07-18-2012
Weekly
per Liter
10
10.2
2
Proceed to Enforcement Case
Daily Maximum
Nitrogen, Ammonia Total
Milligrams
Exceeded
2012
7
001
(as N) - Concentration
07-24-2012
Weekly
per Liter
10
12.9
29
Proceed to Enforcement Case
Standard
Daily Maximum
Units, i.e.,
Exceeded
2012
10
001
pH
10-15-2012
Weekly
Ph
99.73
8.111111
Proceed to NOD
Number
Daily Maximum
Coliform, Fecal MF, M-
per 100
Exceeded
2012
11
001
FC Broth,44.5C
11-14-2012
Weekly
Milliliters
400
1040
160
Proceed to NOV
Daily Maximum
BOD, 5-Day (20 Deg. C) -
Milligrams
Exceeded
2013
1
001
Concentration
01-04-2013
Weekly
per Liter
25.5
33.7
32.15686
Proceed to NOV
Monthly
Average
Nitrogen, Ammonia Total
Milligrams
Exceeded
2012
7
001
(as N) - Concentration
07-31-2012
Weekly
per Liter
2
5.37
168.72
Proceed to Enforcement Case
Monthly
Average
Nitrogen, Ammonia Total
Milligrams
Exceeded
2012
8
001
(as N) - Concentration
08-31-2012
Weekly
per Liter
21
2.161
7.849999
Proceed to NOD
Monthly
Average
BOD, 5-Day (20 Deg. C) -
Milligrams
Exceeded
2013
1
001
Concentration
01-31-2013
Weekly
per Liter
17
22.75
33.82353
Proceed to NOV

September 27, 2013 RECEIVED
N.C.Dept. of ENR
Mr. Walter B. Craven, Jr. OCT 0 8 2013
Lakeview MHP, LLC
420 Marion Dr / Unit 31 t^linston-Salem
Wilmington, NC 28412 Regional Office
Subject: Renewal Notice
NPDES Permit NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Permittee:
Your NPDES permit expires on April 30, 2014. Federal (40 CFR 122.41) and
North Carolina (15A NCAC 2H.0105 (e)) regulations state that permit renewal
applications must be filed at least 180 days prior to expiration of the current
permit. If you have already mailed your renewal application, you may disregard this
notice.
Your renewal package must be sent to the Division postmarked no later than
November 1, 2013. If any wastewater discharge will occur after April 30, 2014, the
current permit must be renewed. Failure to submit a renewal application by the
deadline would deny the subject facility the automatic permit extension granted by
NCGS 150B.
If all wastewater discharge has ceased at your facility and you wish to
rescind this permit, contact me at the telephone number or address listed below.
Use the enclosed checklist to complete your renewal package. The checklist
identifies the items you must submit with the permit renewal application. If you
have any questions, please contact me at the telephone number or e-mail address
listed below.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
,��W=iins�torr-5a+lem°R:egona7�Offce.:.�Surface°hWater' P�ot�cti"ons
NPDES File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / [e-mail]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

NPDES Permit NCO051713
Lakeview Mobile Home Park
Forsyth County
The following items are REQUIRED for all renewal packages:
➢ A cover letter requesting renewal of the permit and documenting any
changes at the facility since issuance of the last permit. Submit
one signed original and two copies.
➢ The completed application form (copy attached), signed by the
permittee or an Authorized Representative. Submit one signed
original and two copies.
➢ If an Authorized Representative (such as a consulting engineer or
environmental consultant) prepares the renewal package, written
documentation must be provided showing the authority delegated to
any such Authorized Representative (see Part II.B.11.b of the
existing NPDES permit).
➢ A narrative description
facility. Describe how
wastewater treatment arE
has no such plan (or the
solids), explain this ir.
two copies.
of the sludge management plan for the
sludge (or other solids) generated during
handled and disposed. If your facility
permitted facility does not generate any
writing. Submit one signed original and
The following items must be submitted by any Municipal or
Industrial facilities discharging process wastewater:
Industrial facilities classified as Primary Industries (see Appendices
A-D to Title 40 of the Code of Federal Regulations, Part 122) and ALL
Municipal facilities with a permitted flow >! 1.0 MGD must submit a
Priority Pollutant Analysis (PPA) in accordance with 40 CFR Part
122.21.
The above requirement does NOT apply to privately owned
facilities treating 100% domestic wastewater, or facilities
which discharge non -process wastewater (cooling water,
filter backwash, etc.)
Send the completed renewal package to:
Charles H. Weaver
NC DENR / DWR / NPDES Program
1617 Mail Service Center
Raleigh, NC 27699-1617

..
4oaniS
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E.
Governor Director
January 11, 2013
Walter B. Craven, Jr.
Lakeview Mobile Home Park, LLC
420 Marion Drive, Unit 31
Wilmington, NC 28412
Subject: NOTICE OF DEFICIENCY
NOD-2013-LV-0005
Walter B. Craven, Jr.
Permit No. NCO051713
Lakeview Mobile Home Park, LLC Wastewater Treatment Plant
Forsyth County
Dear Mr. Craven:
John E. Skvarla, III
Secretary
A review of the October, 2012 Discharge Monitoring Report (DMR) for Lakeview Mobile Home Park
Wastewater Treatment Plant revealed a violation of the following parameter(s) at Outfall 001 :
Parameter
Date
Reported Value
Permit Limit
pH
10/15/2012
9.73
Exceeded maximum of
9.0
Remedial actions should be taken to correct the cause(s) of this violation. The violations described above
should be abated immediately and properly resolved.
Thank you for your attention to this matter. This office requires that the violations as described above be
properly resolved. Unresolved violations may lead to the issuance of a Notice of Violation and/or
assessments of civil penalties.
If you have any questions or require any additional information, please contact Ron Boone at (336) 771-
5000 ([e-mail]).
Sincerely,
a
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
DWQ Central Files
R&A Laboratories, Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284
N. C. Division of Water Quality
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, NC 27107
Phone:[phone] FAX:[phone]
Customer Service:1-877-623-6748
Internet: www.ncwaterquallt .org
An Equal Opportunity 1 Affirmative Action Employer
One
No>rthCaxolina
XaWn y

lab -,26/ � L U-ate
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: L/ e ll�a H; P
PermitlPipe No.:
Month/Year le f Z
sr7i.3/av r
Monthly Average Violations
Parameter Permit Limit DMR Value
% Over Limit
Weekly/Daily Violations
Date Parameter
Permit Limitrrvpe DMR Value%Over Limit
ems'
Monitoring Frequency Violations
Date Parameter
Permit Frequencv Values Reported
# of Violations
Other Violations
,113
Completed by:
Date:
i
Regional Water Quality
Ld- JA,
Supervisor SiQnoff: �i/UO
Date:

EFFLUENT �� b ` l
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MON actob. y YEAR 2012
FACILITY NAME Lakeview Mobile Home Park CLASS II 'C�`AFbrsvth w
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Glenn Price GRADE II CERTIFICATION NO. 20771
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE
Mail ORIGINAL and qgCov
F.
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER DEC 4D 6
RALEIGH, NC 27699-1617 •VRFILE.
a4e�►w`lMG
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
/,;9
W
(~
9z
o
U
Q c
O F
F+ +;
iw V]
a
0
K
c•
fY
O
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
00625 1 00630 00095
FLOW
°
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U
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a
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F
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0
fl
"
A
e
e°�n
L
=
z
F0
y
c
o
p•
o
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F
Enter Parameter Code
Above Name And Units
Bclow
EFF
INF
CG
A FG
�+ z
u
y
z
w
O
U
Weekly
Weeklv
Weekl
2/Week
Weeldy
Weekly
Weekly
Weeldy
Weekly
Monthly
Monthlyl
Monthly
Monthly
HRS
HRS
Y/B/N
MGD
eC
SU
/1
m /l
mg/1
m /I
H100/m1
m /l
m /I
mg/1
m /I
m /I
µmhos/cm
A:,,
-,1330,
'°I:00
, B '"
r`°" . 0.0072 ° " -
. 20.0,,-'-
6.9C
10 `
2
1050
0.50
B
0.0071
21.0
<10
4.32
0.134
12.0
1
8.39
r10.25
"
`�
_-
` Qi(107i
-c.1 Q
fit
4
1040
0.25
B
0.0071
22.0
i5,
; 1135
`90.25
Bu
_ ,=0.0071. _
22.0<�
6
0.007.11
7
7.
,
d
a�
"(�
Aimt
�AW
.°
aPy�i.
11i7A,i ^
Ali'%
��
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8
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0.25
B
0.0071
20.0
6.93
<10
7.04
9°
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O:SO_
: ",B".,;"°°.xp40.Op78"
y
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e.o.322
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�-
1,6.5
3.�3:
1 93
4 14.6
10
1400
0.25
B
0.0078
19.0
i1;,I1°100
0?50
« .,
d«. xO.0078 c1
,.r19O
ya�o
12
1130
1.00
B
0.0078
20.0
5
14
0.0078
�F.ECEIVE
U
"-r
0o0
.,
u
:r120
PU
;t
10B
9• '
16
1400
0.50
B
0.0077
20.0
20
3.76
0.110
8.5
<1
7.22
'0,077'-,
1 4
18
1335
0.50
B
0.0077
19.0
\n
ineton-°
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19";0930•'
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°' 0:0077
19 0''
F
S �iGt�3
20
0.0077
6077z
22
1245
0.50
B
0.0077
19.0
6.69
10
"6:0680 , w
"� 1�9.O r
"'<10''`
,="4.57 ":�
,-<0r10".
4:0
<I° `
23a)' "
""4 33-
, `1.25
' . 21:7
24
1235
0.25
Y
0.0080
19.0
25
=.1030
- 0:50
113
0:0080ti72.Q
ti u,r
..: !r
:ti,
8 74
NA a
26
0700
0.25
Y
0.0080
18.0
27
w
0.0080
,
,.
28
0.0080
29
1300
- 0 Say,g
(
r;UTQ080„..1r„
,E
30
1230
0.25
Y
0.0097
15.0
°31,
B",.
., 0.0097n
.-<10,�
,6.3T°�
�.0.�286
AVERAGE
0.0078
19.2
<10
3.80
0.170
-7.9
<1
7.78
19.8
4.13
1.59
18.2
;MAXIMU
L2 0�
a�„ 9�73
a�rz29 „�.
:d:37"
0:322�
, .9 120
1,,:��
_ _ 8°74 i'�
21W
1 4 33
�`1 9 �
MINIMUM
0.0071
15.0
6.69
<10
<2.00
<0.10
4.0
<1
7.04
16.5
3.93
1.25
14.6
Comp: ,(C) L1Grab-(G)�
_x..:.I :: ..
_.:a. G::
s G_ ""-
,Y.°. `GAG
rG`"
G,"
G ��
Gr "-.
"a G::.
G ��:
G
Monthly Limit
0.015
1
=>6<9
1 17.0
12S/4WI
30.0
1 200.0
1 =>6.0
Copy DWQ Form MR -I (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time-table'for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
Jame -M—Cheshire (Authorized Aeent
Pe'rnaittee jPlease pr' t ,
ignat e of Permit e** Date
( quired unles submitted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/wos and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: October YEAR: 2012
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None
LOCATION: None
Upstream
Enter Parameter Code above
Name and Units Below
IMMIMEBEEMINMEMMMMMM
MMMMMMMM_MMMM
MMMMMMMM�MMMM
MMMMMMMM_MMMM
========1=MMM
========_WAMM
XAMMMM
=======W:A
IM011MMM
MMMMMIMp
ff..MrPw
AMMO
IMMMMpa"
AW.'MMWAFAIMMM
MMMMF
landm1w.
Y.�20mw
MEMMMMMMMEMOMMM
MMMMMMMM�OMMM
MMMEMMM_OMMMM
�000000010111
®EEEEE.■.,..,
STREAM: UT to Cuddybum
LOCATION: 500' ft. Below Discharge
Downstream
00010
00300
00400
00310100340
31616
00995
1 1 1
u
'T
eq
5
x
0
u
C4
tn
C
u
u
Enter Parameter Code above
Name and Units Below
Weekly
Weekly
HRS
IC
mg/1
SU'
Mg/1
Mg/1
100ml
umhos/c
lk" LL
1030
20.0.
5.6
-7,
"A
1330
16.0
5.3
9
4�
famf
7,
'10720,
'14.61
47.0,
7 77777777
7
77
77777777
16.0
6.0
L
X 01'
�7.
"A
77
77—:
13.0
5.3
Copy DEM Form MR-3 (11/84)

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 01/03/13 Page: 1 of 3
Permit: nc0fi1 Z l3 MRs Befweeri 1.Q 2011 and 9=2(I t2 t Legion: °lo Viplatiori Cetegary: °�s . 1Program Categdry: °gyp
Facil-V.Name: % - Param Name: % - a," .County: % Sub 6a"siit� %� � � Violation Action: °lo
Major Minor. °fo
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
02 -2012
Q01
E=ffluent
8 -flay (20 ©eg. G) -
g2/.p1J .4
Weekly
mgA
25.5
35f6
39r61
Daily Mazifnu 'tExceeded
- Proceed to NOV'
- --
—
" ncentration
10 -2011
001
Effluent
Chlorine, Total Residual
10/05/11
2 X week
ug/I
17
34
100
Daily Maximum Exceeded
No Action, BPJ
10 -2011
001
Effluent
Chlorine, Total Residual
10/06/11
2 X week
ug/I
17
18
5.88
Daily Maximum Exceeded
No Action, BPJ
10 -2011
001
Effluent
Chlorine, Total Residual
10/13/11
2 X week
ug/I
17
23
35.29
Daily Maximum Exceeded
No Action, BPJ
10 -2011
001
Effluent
Chlorine, Total Residual
10/19/11
2 X week
ug/I
17
35
105.88
Daily Maximum Exceeded
No Action, BPJ
10 -2011
001
Effluent
Chlorine, Total Residual
10/28/11
2 X week
ug/I
17
18
5.88
Daily Maximum Exceeded
No Action, BPJ
11 -2011
001
Effluent
Chlorine, Total Residual
11/14/11
2 X week
ug/I
17
24
41.18
Daily Maximum Exceeded
No Action, BPJ
11 -2011
001
Effluent
Chlorine, Total Residual
11/29/11
2 X week
ug/I
17
25
47.06
Daily Maximum Exceeded
No Action, BPJ
12 -2011
001
Effluent
Chlorine, Total Residual
12/05/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
12 -2011
001
Effluent
Chlorine, Total Residual
12/06/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
12 -2011
001
Effluent
Chlorine, Total Residual
12/14/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
01 -2012
001
Effluent
Chlorine, Total Residual
01/23/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
01 -2012
001
Effluent
Chlorine, Total Residual
01/25/12
2 X week
ug/1
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
02 -2012
001
Effluent
Chlorine, Total Residual
02/15/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
03 -2012
001
Effluent
Chlorine, Total Residual
03/26/12
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
03 -2012
001
Effluent
Chlorine, Total Residual
03/28/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
04 -2012
001
Effluent
Chlorine, Total Residual
04/04/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ

Y
MONITORING REPORT(MR) VIOLATIONS for: Report Date: 01/03/13 Page: 2 of 3
<f?e"mid:nci)t7Wf3. MRs;Between 10-2011 ana . 9-20t2'Reglon: pa - �Yiolation Categ9lY:`°Io `. Program Category: X
Facility Name: °Ia ParariiName: % - County: % Subbasin:1, % Violation Action: %
Major Minor. °lo
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
04 -2012
001
Effluent
Chlorine, Total Residual
04/16/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
04 -2012
001
Effluent
Chlorine, Total Residual
04/30/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
05 -2012
001
Effluent
Chlorine, Total Residual
05/21/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/08/12
2 X week
ugh
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/12/12
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/14/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/20/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/21/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/29/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
.07 -2012
001
Effluent
. Chlorine, Total Residual
07/03/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
07 -2012
001
Effluent
Chlorine, Total Residual
07/06/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
08 -2012
001
Effluent
Chlorine, Total Residual
08/22/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
08 -2012
001
Effluent
Chlorine, Total Residual
08/27112
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/05112
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/06/12
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/10/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/24112
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ

MONITORING REPORT(MR) VIOLATIONS for: ReportDate: 01/03/13 Page: 3 of 3
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth
Limit Violation
REGION: Winston-Salem
MONITORING OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT PPI LOCATION
PARAMETER DATE FREQUENCY MEASURE
LIMIT VALUE % OVER LIMIT VIOLATION TYPE VIOLATION ACTION
iiloE Went
yfm�,FaI IV1F M FC `11 Weekl °-
; #Jt100'ml� ^
{1h, _-,� 50© t ., , 25Y�„,Da yimumE e ed`eci, VPXoceed tip N0�7•;
5 - t112 OD,1 Effiue 1:1CaGform,
- -- _ -
kill - IVIF, M-`Fa D5/3D eekly'
44
r
;; � . IA1i00rhl .' 400t ;;' D4 - ' ` 1 •'r7,5,•e- :. Ala Daily Maximum xce de ;;Prac;ed to N(V -�,.,
-
6 -fflff ni
alifacm; a! llltill , fGl°FG 06/p5/1 Weekly #%1''OOrnJ
4t7D; 4 � ,D Daily-allyExceeded .:_, Pt ceed;to�NE)V
P
_. t
0 f' 0 Ili E aen{
gl,fg9rhrr Fecal; M Z1-FC Q7F Q - Cn%ee ly :_- , t' rn - :^ D F DQ �b aity Maximum. Exce ded� Pro
"t' En
Bra hA4-� Cam'°
� orca"e`murwCcase'..
f
1
"
NeQ
; "i(jNacxeeefioe ioit�rN�fl�li�
s0ht)Cntr
,e
10 •201'1 01 Efflue f '
Nj roger Amis titsl � s 1'D/28 1J 1 ' Wee y k , ," mg/l. ,
* 1.0° �QWB 'W • � 8 l ailry,?I�Ia imum;;Exce deiif�, P or tl to�aNflU ,
-_
NCaoncerrtraio
x i7
-
QOa ritNitrogeAprtialatal`(asy
__ -:-•w, �3`, _i=,. -. e'..�_, -. ;^ -, _ , y15. - i�.c< -'_71i 71—s-�._7' 'i(T,. Ni
1� 10%�1V1/eeklysn 1 m ll,��y# $ 54r •326,:94, ; •..a, Mahl:; uer eEceeded.-, Prc?ceedrto NFU;
t'r'r' �s�
-.ffl
- ��n,
- Go centrati9 :.b. .*�
r _
.-� itrggen, mmoi�'ia T tal�(s =�,f11/3DY1�' XWeekly
3 �.��
A_m /,Ih�
� i �^z , ,7:�:' �,8,7c3'�",a,,�:-� 3•g'f1-t�3�,�;�.;e� .Monf�tly Aver ga � Ex�dedFr6eeed to NOV�,.
�� •
1 - =01" l (7(J� : �� EfFluen
�
_ .!
. N`Cor,cent'�atiom ��•
-'�-,
N �. €�� •s�:� ^�'�.� ,f .�.:, _ . � _.: r:�� �-�,�;s: -
Effiiint NiCry en, Amrripnia To{al� as DT/..1&112'Weekl";t' •���°: ll;!�"10 '�10;.2_r2T=�" 'Dail :MaxlmDm,ExseeTled ,:.Proc�eedFta•�y; , t
eFltt8t1013 " 7 :•c' "�€ y . a yti;..7 ,. „; s•i "Ck n .,: a ' :% �}R t ='' :4�+''rafQEG2iG#fltaS' - - .d- -.c ... - - - -o - S- :'�,� - - - - "�'s5 �y.Y, f -„i, t.' _ __ _ - rs—•----�:-�—Y-"^c„�,- =sc'a^ c'"-^,';=,'�"^?--�`.'�'
a,r--�� 'itrc�en�Ammonr.Tota[I`as '� �` ,;4? �:, �� - .�-_ •�-•�- ,.P.racee-Ito,;;• •P
D7=2C112F. '"OD'1,: i, f ,;�•�',�Effluenty�°a,-• ,,9.V,,� � . , •< � � O.ZJ�4/s1�2 - :We�lCly �g/f?''•�. _ � L 10 y ',1'2�9>•� � �.. • A29 = -, ��a,ly:M�amurn:Exeeeded :..' �.,�
"J Ebncentratiori---�•�:s:_=�• ,�,..r.�.' �?,�.;�..�:-��=- 'Erifio7cement `Case
_ ....,;- �.,�,..:,-.. ��-ea��•'.'�";i`�.;P;�;�;�:a.-.�s.,,.. :c�?. - ,.T--�-,�-��;.: :gin;`-.�`.-.-�;.�-;,..,
••�. � � w, ...:Nitrc�en,aA�m,. amra atal;(as „ '�` t��� , �� .' ";�,;• ,; � � ,i,�,s,..r�.� �;, s,-' *.�°� ��`7-="s:.-"�a 6g �72�':� ".s�'$Nlonfitil` tAv ra ,_,Exaeedecl' �r.�'rac@etl•tot.r�,.��
- -�- es;-�'-�r- �-�-_'�,,; �-�•-�-�-�-+�-�—�-•s--�-r-'r. �.�n-; �-^°�•re;,'•i ;"'�4 •�-�E--per.-,.,,,,,.�,.7..�,,,, �--;4«3-A,.:N- ;^Y,-
� i - - — - -�� -fir. _ -x. �,.-''''rK'.'d"i� 'I•'�';' �? �`�uf' c,� +''.�..'," ,�� "" ' _ :'t"=F',5,' - a.. .-.�'Tt.
. ; . :, � - ;r. , ifro ',ert;. Ammonia To%I>� as F r . - ,....� �� , ��., -,;.•r .
08-2.012� ub0;1 ! � 'Effl enC ,t.� � � `„ m', 4 �'-' . - s,.Z:$5.,;.:::�;:�',.'. `Auer • e,� �'
_ , � u � . �-,�, ,r rFY,� Sf31./,12�- Weekl:•_ mg/l ;, "„;`�,- -, •,2:1��;, ;:� ' �Montl{y ��.. Kceeded_ ., R.,Co�eedto; NOD ''

gR
MCDENR
North Carolina Department of Environment and Natural resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor Director Secretary
February 14, 2013
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr, Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2013-LV-0111
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Craven:
A review of Lakeview Mobile Home Park's monitoring report for November 2012 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
11/14/12
400 #/100m1
1,040 #/106ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: SWP — Central Files
R&A Laboratories, Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] l Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
NatmIrally
One
NofthCarolina
An Equal Opportunity', Affirmative Action Employer

Facility: Lakeview MHP
/ teca
Date
Parameter
Date Parameter
Other Violations
See attached
DMR Review Record
Permit/Pipe No.: 51713/001
Monthly Average Violations
Permit Limit DMR Value
400 1040
Weekly/Daily Violations
Permit Limit/Type DMR Value
Monitoring Frequency Violations
Permit Frequency Values Reported
Cover Sheet from
Staff Member to
Regional Supervisor
Month/Year Nov-12
#DIV/0!
#DIV/0 !
#DIV/0 !
% Over Limit
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
# of Violations
Completed by: Ron Boone Date: 2/14/2013
Regional Water Quality
Supervisor Sign Off: cc:Uh,r— Date:
v

MONITORING REPORT(MR)VIOLATIONS for:
Report Date: 02/14/13 Page: 1 of 3
� m PERMIT: NCO851713 FACILITY: Lakeview D8HpLLC~Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
Mow/roR/mG uurFALL/ v/ouATmw UNIT OF CALCULATED
neponr pp/ uooArmw PARAMETER oArs rnsuuewo' msAaunE LIMIT VALUE mOVER LIMIT VIOLATION TYPE VIOLATION ACTION
001 Q:O�w�)
11'2011 001 Effluent Chlorine, Total Residual 11/14/11 2Xwook ug/| 17 24 4118 Daily Maximum Exceeded NoAction, oPJ
11'2011 001 Bffluoru Chlorine, Total Residual 11/2811 2Xweek u01 17 25 47.00 Daily Maximum Exceeded NoAction, BPJ
12 uU11 001 Effluent Chlorine, Total Residual 12/05/11 2Xweek ugh 17 20 17.05 Daily Maximum Exceeded NnAction, oPJ
12'2011 001 Effluent Chlorine, Total Residual 12/00/11 uXweek ug/| 17 20 17.65 Daily Maximum Exceeded NnAction, BPJ
12'2011 001 Effluent Chlorine, Total Residual 12/14/11 2Xweek ug/| 17 20 17.05 Daily Maximum Exceeded NoAction, oPJ
01'2012 001 Effluent Chlorine, Total Residual 01/23/12 uXweek ug/| 17 20 17.65 Daily Maximum Exceeded NoAction, BPJ
01 2012 001 Effluent Chlorine, Total Residual 01/25M2 rXweek ug0 17 40 135.29 Daily Maximum Exceeded NoAction, BPJ
02 o010 001 Effluent Chlorine, Total Residual 02/15/12 oXweek ug8 17 20 17.65 Daily Maximum Exceeded NoAction, BPJ
03 cO12 001 Effluent Chlorine, Total Residual 03/26/12 uXweek ug/| 17 30 76.47 Daily Maximum Exceeded NoAction, oPJ
03'2012 001 Effluent Chlorine, Total Residual 03/28/12 uXweek ug8 17 40 135.28 Daily Maximum Exceeded NuAction, Bpu
04 oO12 001 Effluent Chlorine, Total Residual 04/04/12 cXweek ug/| 17 20 17.05 Daily Maximum Exceeded NoAction, BPJ
04'2012 001 Effluent Chlorine, Total Residual 04V16/12 2Xweek ug/| 17 40 135.28 Daily Maximum Exceeded NnAction, 8PJ
04'2012 001 Effluent Chlorine, Total Residual 04J30/12 2Xweek ug/| 17 20 17.05 Daily Maximum Exceeded NoAction, BPJ
05 cn12 001 Effluent Chlorine, Total Residual 05/21/12 uXweek ug/| 17 28 17.05 Daily Maximum Exceeded NoAction, oPJ
OO 2U12 001 Effluent Chlorine, Total Residual 00/08/12 2xwoek ug/| 17 30 70.47 Daily Maximum Exceeded NoAction, BPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 02/14/13 Page: 2 of 3
,tea
R. Pe un. ini# .n 341 13,� " x
k;>" VR tw, #e arY tsBe . e/
gyrarl
M
PaciliyrName: „ T n Param Name % fi, , ;;t;aun#y0 5ubbasiri;;°t,t Vwolatlan lac#�vn,"i
N1lat6r Mahon° X.
s
u
1
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
06 -2012
001
Effluent
Chlorine, Total Residual
06/14/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/20/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/21/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
06 -2012
001
Effluent
Chlorine, Total Residual
06/29/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
07 -2012
001
Effluent
Chlorine, Total Residual
07/03/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
07 -2012
001
Effluent
Chlorine, Total Residual
07/06/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
08 -2012
001
Effluent
Chlorine, Total Residual
08/22/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
08 -2012
001
Effluent
Chlorine, Total Residual
08/27/12
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/05/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/06/12
2 X week
ug/I
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/10/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
09 -2012
001
Effluent
Chlorine, Total Residual
09/24/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
10 -2012
001
Effluent
Chlorine, Total Residual
10/16/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
;12 -2011.
�001
Een
Caiiforrri, Fecal MF, M=FCC
_ _ . w ,_ w.
Cjy20/11
eekly#/100"m
i400
50Q
25'
Daii Maximum"exceeded'
Proceed ta,NOV+
w��..._.
Q5„„-2012
o#;_i
rj uene
i 606 R,-NF a1 MP, M-FC>
05/30l12
f..�,,,..®
Weel yi
%900m1;
�'400;
'67075Daily,;Maximuin.Exceeded
Proceed aNO
tiB(otlt",44:5
t1fi 2012
W
#Eff(uer
�C a h g4 5CI l M x,,,�I FCC
(ft/1 5/�
WWee tly/
WNW
400
"=4400
10`
C aiy Maximum EXceede
Proceed tbgNOV
07=2012
00 ,,
[Etfluent3
afo—j orm, Fecal-MF, M—FG
Cg7I90/121
(1Neekiy)
Wfflm1
4Q0
C800
OOj
Daily Maximum Exceededi`
Proceed„to`
lBrath,4�4;5G—
-
_Emfore�menf
Case

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:. 02/14/13 Page: 3 of 3
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
REPORT
PPI
LOCATION
PARAMETER
DATE FREQUENCY
MEASURE
Ku;..
001
Eftivatiti
$Nttr n, Ammonia ro ar° as
$�i)� hcentraUora,
i l34 fif We ki'jr
66
7;.
0
VgQa
Njr Coricen r ton "jai iw�a
f,47%18/i� {1NE kivs
m" ("I
2U 2
r
Miff
Nitrogen;,4himonjaT��i°�s�
Concentratio���
f "`"241i2 IV�'W
071 _
rii��
?ry b1
COON]Efl,.
in,3?C
101Y
igA
CN) ,Gt?C1C8_..i�k83�_aJii
.._e
6�°��512'�
�`"'�`'
�t?fi�f`�
��uea
nitrogen Ammonia�Tota1°{�
t78�3?%� e
�)
N� Gonceniratiorti;
��4-2D12
�f?Q
Efffii�fi�
ip�
I"'i�%�51� �Ws�ki
�
CALCULATED
LIMIT
VALUE
% OVER LIMIT
ArM
ff1MOD
{
(Z
f, M6 . 723
�Ml LYIM)
VIOLATION TYPE VIOLATION ACTION
(Vlorti#ity �ver�ge�Ex�e�tlecl P c�ceed #o wNt}�
aiiy llila�cimu iG! Exceed i P4W— to) . .
ifnforcert66 Gase3
ailv'Makirrttttn
nfo�cement,Case
EnfarCement Case
{ t,,r Kfy-A;vera to=l:x ee e (E?roseed"ta'i gV
rp4aerirrtoNOt%

f
AF4 z. wohv? � R,
V, PIP
CDEMR .
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E. John E. Skvarla, III
Governor Director Secretary
May 1, 2013 .
Lakeview Mobile Home Park, LLC
Attn: Walter B. Craven, Jr., Owner
420 Marion Drive, Unit 31
Wilmington, NC 28412
Subject: Compliance Evaluation Inspection
Permittee: Lakeview Mobile Home Park, LLC
Facility: Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit #: NCO051713
Forsyth County
Dear Mr. Craven:
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water Quality (DWQ or the
Division) conducted' a compliance evaluation inspection (CEI) of the Lakeview Mobile Home Park Wastewater
Treatment Plant (WWTP) on April 24; 2013. The assistance and cooperation of Glen Price, Operator in Responsible
Charge (ORC), was, greatly appreciated. An inspection checklist is attached for your records and inspection findings
are summarized below.
General Information
The mobile home park is located at approximately 5195 Highpoint Road (Hwy 311), at coordinates
36.0216841 °N, 80.0675824°W. The WWTP is located just off of Highpoint Road, on the north side of the park and
just adjacent to the park office. Although in Forsyth County, the ' park/plant are actually located at a Highpoint
address. The permit authorizes the owner to operate this 0.015 MGD WWTP, which consists of an aeration basin
with diffused aeration, a clarifier, return activated sludge with constant recirculation airlift. pumps, chlorination,
dechlorination, post aeration, and an aerobic sludge digester. It is again noted that the plant description in the permit
is not correct. The permit authorizes the owner to discharge the treated effluent from the WWTP into an unnamed
tributary (UT) to Cuddybum Branch via outfall 001. Cuddybum Branch is currently classified as WS-III waters and is
located in the Yadkin Pee -Dee River basin.
Site Review
Mr. Price has done an excellent job operating and maintaining the plant. Issues noted during the inspection
are listed below: .
1. According to Mr. Price, the plant has experienced shock loads. These shock loads kill off the . bacterial
population in the plant, which- has resulted in effluent limit violations. Efforts should be made to eliminate or
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service; 1-877-623-6748
Internet: www.ncwaterquality.org }�TOne
An Equal Opportunity 1 Affirmative Action Employer N ® (Cohna

Lakeview MHP Wastewater Treatment Plant
Attn: WalterB. Craven, Owner
NCO051713 Compliance Evaluation Inspection
May 1, 2013, Page 2 of 2
reduce the occurrence of shock loads. There are also septic tanks within the park, which could also be
contributing to the occurrence of the shock loads if they're not properly maintained.
The plant currently has only a single tube chlorinator and dechlorinator. This application is not ideal. There
is a four tube chlorinator sitting on the ground next to the chlorine contact chamber, so it appears that this
chlorinator was installed at some point and then removed and replaced with the single tube. This has
resulted in inadequate chlorination and a Fecal limit violation on at least one occasion. Consideration should
be given to proper installation of proper chlorination and dechlorination units. Doing so would avail better,
more consistent chlorination and dechlorination and reduce Fecal limit violations.
The outfall is still in the same condition as was noted in the previous inspection letter from January, 2011,
but the operators are apparently still able to access it.
4. Plant flow is estimated based on the park's potable water supply meter owned by the city.
Both blowers are now operational.
Sludge is regularly removed by Jenkins Septic Service.
Documentation Review
. All documentation was reviewed. No discrepancies were found. Mr. Price has done an excellent job of
documenting the operation and maintenance of the plant as required by the permit. This includes operations and
visitation logs, discharge monitoring reports and laboratory and field laboratory records, chains of custody, etc.
Please continue to work with Mr. Price and R&A Labs to keep the plant in optimum working order and
address the shock loads noted above. Please be aware that, in accordance with NC General Statute 143-215.6A, the
Director of the Division of Water Quality may assess civil penalties not to exceed $25,000 per day, per violation, for
violations of the NC0051713 NPDES permit.
If you have any questions regarding the inspection or this letter, please call Mr. Boone or me at (336) 771-
5000. Thank you for your cooperation in this matter.
Sincerely,
W. Corey Basinger
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
Attachments:
BIMS Inspection Report
CC: mKR®= SaW,7
Central Files
NPDES Unit

United States Environmental Protection Agency
Form Approved.
r P� Washington, D.C. 2oa6o
CWater
OMB No. 2040-0057
Complianre nn Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS),
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type.
1 INI 2 15 I 31 NCO051713 111 121 13/04/24 117 181 Cl 19I S I 20I—I
Remarks
2111111111IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII11116
Inspection Work Days Facility Self -Monitoring Evaluation Rating, B1. QA --------- ----------------Reserved---------------------
671 169 70 I I 711 I 72 I N I 73' I W 174 751 I I I I I I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
Lakeview Mobile Home Park
09:00 AM 13/04/24
09/09/01
Exit Time/Date
Permit Expiration Date
Old Hwy 311
High Point NC 27260
10:30 AM 13/04/24
14/04/30
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Glenn Fredrick Price/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Walter B Craven,420 Marion Dr Unit 31 Wilmington NC 28412//336-617-7136/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessa
(See attachment summary)
Name(s) and Signature f Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//336-771-4967/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
9
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCO051713 I11 1. 1 13/04/24 I " '$ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Please refer to the attached inspection summary letter.
Page # 2

Permit: NCO051713 ' Owner - Facility: Lakeview Mobile Home Pack
Inspection Date: 04/24/2013" Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
®❑
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3.years (lab. reg. required 5 years)?.
■
n
n
n
Are analyticalresults consistent with data reported on DMRs?
©
n
n
n
Is the chain -of -custody complete?
®
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
■
Name of person performing analyses
■
Transported'COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
n
❑
❑
' ■
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
❑
E
Cl
n
Is the ORC visitation log available and current?
■
n
n
n
Is the ORC certified at grade equal to or higher than the facility classification?
■
n
n
n
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
n
n
Is a copy of the current NPDES permit available on site?
■
n
0
n
Facility has copy of previous year's Annual Report on file for review?
n
❑
❑
■
Comment: Please refer to the attached inspection summary letter.
Permit
Yes 'No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑
n
■
n
Is the facility as described in the permit?
❑
■
n
n
# Are there any special conditions for the permit?
n
■
. o
o
Is access to the plant site restricted to the general public?
!
n
n
n
Is the inspector granted access to all areas for inspection?'
■
❑
n
n
Comment: Please refer to the attached inspection summary letter.
Laboratory Yes No NA NE
Are field parameters performed by certified personnel or laboratory? ■ n-n n
Page # 3

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/24/2013 Inspection Type: Compliance Evaluation
Laboratory
Yes
No
NA
NE
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
®
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?,
n
n
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/- 1.0 degrees?
n
n
n
Comment: Please refer to the attached inspection summary letter.
Flow Measurement - Influent
Yes
No
NA
NE
# Is flow meter used for reporting?
■
n
n
n
Is flow meter calibrated annually?
n
n
n
Is the flow meter operational?
n
n
n
(If units are separated) Does the chart recorder match the flow meter?
n
n
■
n .
Comment: Please refer to the attached inspection summary letter.
Aeration Basins
Yes No
NA
NE
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
■
n
n
n
Are surface aerators and mixers operational?
n
n
n
Are the diffusers operational?
®
000
Is the foam the proper color for the treatment process?
■
rl
n
n
Does the foam cover less than 25% of the basin's surface?
■
n
n
n
Is the DO level acceptable?
0
n
n
■
Is the DO level acceptable?(1.0 to 3.0 mg/1)
n
n
n
■
Comment: Please refer to the attached inspection summary letter.
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
0000
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
®
n
Are weirs level?
■
❑
n
n
Is the site free of weir blockage?
■
n
00
Is the site free of evidence of short-circuiting?
®
n
n
n
Is scum removal adequate?
®
n
n
n
Page # 4

i
Permit: NC0051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/24/2013 Inspection Type: Compliance Evaluation
Secondary Clarifier Yes No NA NE
Is the site free of excessive floating sludge? AN-0 n n
Is the drive unit operational? n n a n
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin floc?
Is the sludge blanket level acceptable? (Approximately'/ of the sidewall depth)
Comment: Please refer to the attached inspection summary letter.
Pumps-RAS-WAS
Are pumps in place?
Are pumps operational?
Are there adequate spare parts and supplies on site?
Comment: Please refer to the attached inspection summary letter.
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment: Please refer to the attached inspection summary letter.
De -chlorination
Type of system ?
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Are the tablets the proper size and type?
Comment: Please refer to the attached inspection summary letter.
Are tablet de -chlorinators operational?
Number of tubes in use?
Comment: Please refer to the attached inspection summary letter.
Yes No NA NE
®nnn
® n n n
nnn0
Yes No NA NE
Yes No NA NE
Tablet
nnn■
nn®n
® n n n
■nn.0
Yes No NA NE
Page # 5

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 04/24/2013 Inspection Type: Compliance Evaluation
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: Please refer to the attached inspection summary letter.
Effluent Sampling
Is composite sampling flow proportional?
Is sample collected below all treatment units?
Is proper volume collected?
Is the tubing clean?
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
Yes No NA NE
®nnn
®nnn
0 0 M 0
Yes No NA NE
0 0 M 0
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■ n n n
Comment: Please refer to the attached inspection summary letter.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? No n n
Comment: Please refer to the attached inspection summary letter.
Aerobic Digester
Is the capacity adequate?
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
Yes No NA NE
■nnn
®nnn
■nnn
®nnn
# Is tankage available for properly waste sludge? S n n n
Comment: Please refer to the attached inspection summary letter.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 n ❑ n
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n n 0
Judge, and other that are applicable?
Comment: Please refer to the attached inspection summary letter.
Page # 6

Boone, Ron
From: Walter Craven [[e-mail]]
Sent: Friday, May 03, 2013 2:13 PM
To: Boone, Ron
Subject: Compliance Evaluation Inspection
Ron, Per item #2 we are in the process of getting R&A and engineer Creed to work us up a
proposal/dwgs/estimates on a UV lite system. This will hopefully fix this issue. Please forward to Corey
Basinger. I keep you updated on our progress.
Thanks,
Walter
Mobile [phone]

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review
Record
Facility: � � o pit-0PemZit/Pipe No.:
.� ��
Month/Year ,� 11,2
0 ® y
Parameter
®� ber
Monthly Average Violations
Permit Limit DMR Value
% Over Limit
r I'' P, 3.6 �
Week]y/Daily Violations
Date Parameter Permit LimitlTv e DNSValue %Over Limit , r
IV
Monitoring Frequency Violations
Date Parameter Permit Frequencv Values Reported # of Violations
�_L _ _ 1 Z: —1 —.; -- In
Completed by:
Regional Water Quality . �.
Supervisor Sienoff:
s
Date:
Date:

A'jp
NC®ENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Chuck lNakiid, P.E.
Governor Director
March 8, 2012
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr., Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0151
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for December 2011 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
12/20/11
400 #/100ml
500 #/100m1
Daily
Broth,44.5C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
S' �_ - =��
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
North Carolina Division of Water Quality, Winston-Salem Regional Office One
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107 NorthCarolina
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wvvw.ncwaterquality.org Naturally
An Equal Opportunity 1 Affirmative Action Employer

MEMORY TRANSMISSION REPORT
TIME :03-09-'12 08:46
FAX NO.1 :336-771-4632
NAME -.DENR WSRO
FILE NO.
619
DATE
03.09 08:44
TO
8 99960326
DOCUMENT PAGES
4
START TIME
03.09 08:45
END TIME
03.09 08:46
PAGES SENT
4
STATUS
OK
*** SUCCESSFUL TX NOTICE - ***
North Carolina Department of Environment and Natural Resources
Beverly Caves Perdue, Governor Dee Freeman, Secl'claz'Y
FAX -rtm;,,^NSrvll-r-rAA- SHaf-=-r
TO- I . v-, �, M: ,j Q '1'1�,�"� �) C
FROM: (D
(J S PAGES: (Including cover sheet)
FAX NUMBER: GATE
RE:
.Urgent o For Review c) Information c3 Please: Reply 0 Per 'Y'c:>ur Request
cc:)MNAE:"-rs:
One
585'Waughtown Street, Winston-Salem, North Carolina 27107-2241 North Carolina
Phone: [phone] \FAX: [phone] \ Internet; www.em-.stalE,.nc.usjENR/
AEq... OP11--1 / All" --live AcAi— E—pl.y.r - 5. -/. R01�1-11d \ 11) -/- P— —I"

1�
KUM
North Carolina. Department of Environment and Natural Resources
Beverly Eaves Perdue, Governor Dee Freeman, Secretary
FAX TRANSMITTAL SHEET
TO:: ; ✓� �l/1�,5�i re FROM: oV1 3a00l
COMPANY: G, � f PAGES: (Including cover sheet)
FAX NUMBER: 3�(,, 9qC 032C DATE: 31yb 7-
RE:
[Urgent ❑ For Review ❑ Information ❑ Please Reply ❑ Per Your Request
COMMENTS:
585 Waughtown Street, Winston-Salem, North Carolina 27107-2241
Phone: [phone] FAX: [phone] Internet: www.enr.state.nc.uS1ENR/
An Equal opportunity 1 Affirmative Action Employer -.50 % Recycled ! 10 % Post Consumer Paper
NorthCarolina
;Vaturallbl

Boone, Ron
From:
Boone, Ron
Sent:
Monday, March 26, 2012.8:40 AM
To:
Walter Craven; James Cheshire
Cc:
Basinger, Corey
Subject:
Recommendation for Enforcement
Mr. Craven/Mr. Cheshire,
After reviewing the responses you provided to the_NOV/RE that we issued on 03/08/2012 (NOV-2012-LV-0150) for a
violation of the monthly average limit of ammonia nitrogen at Lakeview Mobile Home Park Wastewater Treatment
Plant, we have decided NOT to take any further action at this time. We will NOT be issuing a civil penalty for this
violation. However, although we fully understand the difficulties involved with operating the plant and controlling what,
enters it, we sincerely hope you take appropriate action and document what actions you do take, to best avert violations
of this nature in the future. If you have any questions or need to discuss, please don't hesitate to contact me.
Best Regards, .
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585.Waughtown Street
Winston-Salem, NC 27107
Email: [e-mail]
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.
1

Re: Lakeview Mobile Home Park- High NH3N- November
The monthly average for NH3N is above 4.0 mg/l. The last NH3N sample I collected was
1.27 mg/land all were less than daily max, but were over for monthly average. I believe
an peat at , lant caused elevated NH3N results and by the end of the month, started to
reduce back closer to normal.
Morgan Turner, ORC
W

file:/HC:/Documents and Settings/RBoone/My Documents/My Stuff/Co...
From:
Basinger, Corey
Sent:
Friday, March 16, 2012 10:24 AM
To:
Boone, Ron
Subject:
FW: Lakeview MHP NOV Response
Attachments:
lakeview nov.pdf
fyi
W. Corey Basinger
Regional Supervisor
Surface Water Protection Section
Winston-Salem Regional Office
Division of Water Quality
Email: [e-mail]
Phone: [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.
From: RALabs [mailto:[e-mail]]
Sent: Friday, March 16, 2012 10:22 AM
To: Basinger, Corey
Cc: 'James Cheshire'
Subject: Lakeview MHP NOV Response
Dear Mr. Basinger:
In response to your NOV and recommendations for enforcement (NOV-2012-LV 0150) for Lakeview
NUIP the ammonia -nitrogen exceedance on 11/30/11 appears to be ;ease= an increase in organic
rule pro es tr �a�� ere + ce� �� g Mc 7,5 of 2� 417 The status of the aste reatment Plant going
forwar m o ecember 2011, January & February 2012 indicates that the ammonia levels are back
within NPDES Permit limits. There does appear to be, however, either a laboratory error for the first
week in February 2012 (BOD = >39 mg/1) or an undetermined elevation of raw wastewater organic load
to the WWTP. Although this is not directly related to the violation in December 2011 it is however
information that ultimately may be connected to these intermittent occurrences of potentially high
organic influent loading to the WWTP. Our recommendation will be to send a notice to each of the
homeowners informing them of the importance of how to effectively minimize their waste input to the
existing wastewater collection system and that failure to minimize this accepted wastewater load in the
form of high oil & grease, solid waste, etc. may result in enforcement action and penalties by DENR. It
is important to note that the percentage of non-compliance with NPDES parameters for this facility over
any given 12 month period, when taken into account all of the compliance data, seems to indicate that
non-compliance occurs less than 1% of the time. Lakeview NIBP, however, does take every
non-compliance exceedance seriously and we will do everything we can to minimize that problem. Also
included in this email is a copy of the ORC's response as it occurred in December of 2011. If you have
any questions, please feel free to contact me at any time and we certainly thank you for your
consideration in not exercising a penalty assessment.
1 of 2 3/23/2012 9:34 AM

file:///C:/Documents and Settings/RBoone/My Documents/My Stuff/Co...
Sincerely,
James M. Cheshire
President/CEO
Research & Analytical Laboratories, Inc.
2 of 2 3/23/2012 9:34 AM

-AG'Aw � f =- /Z
NC®ENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7010-2780-0001-4221-6399
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr., Unit 31
Wilmington, NC 28412
Division of Water Quality
Chuck Wakild, P.E.
Director
March 8, 2012
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2012-LV-0150
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
I
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for November 2011 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N) -
11/30/11
4 mg/1
8.73 mg/l
Monthly
Concentration
Average
Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation(s) of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0051713.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms, conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the November, 2011, Discharge Monitoring Report. You will then be
notified of any civil penalties that may be assessed regarding the violations. If no response is received in this
Office within the 1-0-day period, a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wAvv.ncwaterquality.org
Nnc
orthCarohna
An Equal Opportunity 1 A;fir native Action Employer

Lakeview MHP W WTP, NTC0051713
Attn: Walter B. Craven, Jr.
Notice of Violation with Recommendation to Enforce
NOV-2012-LV-0150
March 8, 2012, Page 2 of 2
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at (336)
771-5000.
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: Point Source Branch
SWP — Central Files
WS�1�(+� Filles

Atq ,,,
M 0
o
MCDEMR
North Carolina Department of Environment and vatura
Beverly Eaves Perdue
Governor
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr., Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0240
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
Division of Wafer Quality
Chuck Wakild, P.E.
Director
May 7, 2012
Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for February 2012 showed the following
violations:
Parameter
Date
Limit Value
deported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
Concentration
02/01/12
25.5 mg/1
35.6 mg/l
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: SWP — Central Files
V-50 1l_es
R&A Laboratories
Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877 623-6748
Internet: wvvw.nmaterquality.org
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
One
NofthCarolina
NatmIrpylly
An Equal Opportunity', Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: LA-k4v;ew NIJPw-J'TP PermitlPipe No.: S"�1-3 I Month/Year D- 12
Montl-4 Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
•� r� lJ �5 ASS, (� D ' 536, L 3g, 6
Monitorinj Frequency Violations
Date Parameter Permit Freauencv Values Reported # of Violations
Other Violations
I2/>7
Completed by: %� ° �bz'�'� Date: S /7 2
Regional Water Quality AA���
:L*Atf 74`1L
Supervisor SiQnoff: Date: 77 ���V``
No✓

I
MONITORING REPORT(MR) VIOLATIONS for: Report Date: 05/07/12 Page: 1 of 3
f Permit: nc0051713 MRs Between: 2-2011 and 1 2012�Re ion: % Violation Category:_ o/o f o
g Program Category: /o
Facility Name: % Param Name: % County: % Subbasin: % Violation Action: %
i Major Minor: %
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
REPORT
PPI
LOCATION
PARAMETER
04 -2011
001
Effluent
: BOD, 5-Day (20_ Deg: C)_ ,
Concentration
08 -2011
001
Effluent
13-OD; 5-Day-(20,Deg.- C)''
Concentration— �
02 -2011
001
Effluent
Chlorine, Total Residual
02 -2011-
001
Effluent
Chlorine, Total Residual
03 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
04 -2011
001
Effluent
Chlorine, Total Residual
05 -2011
001
Effluent
Chlorine, Total Residual
05 -2011
001
Effluent
Chlorine, Total Residual
05 -2011
001
Effluent
Chlorine, Total Residual
05 -2011
001
Effluent
Chlorine, Total Residual
05 -2011
001.
Effluent
Chlorine, Total Residual
05 -2011
001
Effluent
Chlorine, Total Residual
VIOLATION
UNIT OF
CALCULATED
DATE
FREQUENCY
MEASURE
LIMIT VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
04/27/11
Weekly
mg/I
25.5- - 30.8 20.78
Daily Maximum Exceeded Proceed to NOV
08/03/11
Weekly
mg/I
25.5 37.8 48.24
Daily Maximum Exceeded Proceed to NOV
02/09/11
2 X week
ug/I
17
21
23.53
Daily Maximum Exceeded
No Action, BPJ
02/28/11
2 X week
ug/I
17
22
29.41
Daily Maximum Exceeded
No Action, BPJ
03/21/11
2 X week
ugh
17
24
41.18
Daily Maximum Exceeded
No Action, BPJ
04/04/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
04/13/11
2 X week
ug/I
17
21
23.53
Daily Maximum Exceeded
-No Action, BPJ
04/15/11
2 X week
ug/I
17
18
5.88
Daily Maximum Exceeded
No Action, BPJ
04/18/11
2 X week
ug/I
17
36
111.76
Daily Maximum Exceeded
No Action, BPJ
04/20/11
2 X week
ug/I
17
26
52.94
Daily Maximum Exceeded
No Action, BPJ
04/27/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
05/03/11
2 X week
ug/I
17
21
23.53
Daily Maximum Exceeded
No Action, BPJ
05/04/11
2 X week
ugh
17
32
88.24
Daily Maximum.Exceeded
No Action, BPJ
05/09/11
2 X week
ug/I
17
26
52.94
Daily Maximum Exceeded
No Action, BPJ
05/20/11
2 X week
ug/I
17
18
5.88
Daily Maximum Exceeded
No Action, BPJ
05/25/11
2 X week
ug/I
17
31
82.35
Daily Maximum Exceeded
No Action, BPJ
05/31/11
2 X week
ug/I
17
32
88.24
Daily Maximum Exceeded
No Action, BPJ

,
�
MONITORING REPORT<K8FqVIOLATIONS for:
Report Date: 05/07/12
pows oofx
r------
/ ponnu
--------'-
no0051713
- -- -
Mnaaehween: 2e011
--
and
--'
1-2012
--- '--
nonwn: %
-
— ---- - --
Violation Category: %
-- - -- -- -- - - - --
Program Category: % '
:Facility Name:
%
PoramName: %
County: %
avuhaxm: %
Violation Action: %
( Major Minor:
� ~�
%
�
PERMIT: NCO051713
FACILITY: Lakeview 08HPLLC'Lakeview Mobile Home Park
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING
ourrAu/
woLAT/ow
UNIT OF
CALCULATED
xspoxr
pp/ Loc*T/ow
pwnAmsren
o^Ts
FRsuuswo/ wsAauns
uw/r
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
06'2011
001
Effluent
Chlorine, Total Residual
0003/11
cxweek
uo/|
17
na
94.12
Daily Maximum Exceeded
wnAction, BpJ
06'2011
001
Effluent
Chlorine, Total Residual
060011
uXweek
uu0
17
or
117.65
Daily Maximum Exceeded
woAction, oPJ
0e'2011
001
Effluent
Chlorine, Total Residual
06/13/11
uxweek
uo0
17
uo
17o5
Daily Maximum Exceeded
wuAction, oPJ
07'2011
001
emvont
Chlorine, Total Residual
07/18/11
zXweek
uo8
17
uo
17.e5
Daily Maximum Exceeded
woAction, oPJ
07'2011
001
Effluent
Chlorine, Total Residual
07/2011
uxweek
ug/|
17
uo
17a5
Daily Maximum Exceeded
woAction, apJ
07'2011
001
Effluent
Chlorine, Total Residual
07/25/11
cxweek
un/|
17
oo
17.65
Daily Maximum Exceeded
woAction, apJ
08'2011
001
Effluent
Chlorine, Total Residual
0017Y11
uxweek
un/|
17
ur
*oao
Daily Maximum Exceeded
woAction, oPx
08'2011
001
Effluent
Chlorine, Total Residual
08/29/11
uxweek
uox
17
40
135.29
Daily Maximum Exceeded
woAction, oPJ
08'2011
001
Effluent
Chlorine, Total Residual
0881/11
uXweek
uo0
17
29
70.59
Daily Maximum Exceeded
wnAction, aPJ
10'2011
001
smmom
Chlorine, Total Residual
10w5/11
uxweek
vo0
17
34
100
Daily Maximum Exceeded
woAction, oru
10'2011
001
Effluent
Chlorine, Total Residual
1006/11
uxweek
ug/|
17
18
5.88
Daily Maximum Exceeded
wnAction, opx
10'2011
001
Effluent
Chlorine, Total Residual
10/13/11
cXweek
uu/|
17
uo
35.29
Daily Maximum Exceeded
woAction, aPJ
10'2011
001
Effluent
Chlorine, Total Residual
10/19/11
oxweek
uo/|
17
oo
105.88
Daily Maximum Exceeded
woAction, oPx
10oo11
001
Effluent
Chlorine, Total Residual
1028n1
uxweek-
_ uo8
- 17
___18_'
5.88
Daily Maximum Exceeded
woAction, opo -
11'2011
001
emuonu
Chlorine, Total Residual
11/14/11
uxweek'
un0
17
24
41.18
Daily Maximum Exceeded
mnAction, apu
11'2011
001
Effluent
Chlorine, Total Residual
11C/9/11
uxweek
vo/|
17
25
47.06
Daily Maximum Exceeded
woAction, aPJ
12'2011
001
Effluent
Chlorine, Total Residual
12/05/11
oxweek
vo8
17
uo
17.65
Daily Maximum Exceeded
wuAction, oPJ

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 05/07/12 Page: 3 of 3
Permit: nc0051713 MRs Between: 2-2011 ' andW F 1-2012 Region: % _ Violation Category: o__._.r
g 9 ry� /o Program Category: /o
Facility Name: % Param Name: % County: % Subbasin: % Violation Action: '% 1
Major Minor: % J
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
12 -2011
001
Effluent Chlorine, Total Residual
12/14/11
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
01 -2012
001
Effluent Chlorine, Total Residual
01/23/12
2 X week
ug/I
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
01 -2012
001
Effluent Chlorine, Total Residual
01/25/12
2 X week
ug/I
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
07 -2011
001
Effluent Cali o Fecal MF�M_FC '
'" ""
07/12/11
Weekly
#/loom[
400
440
10
Daily Maximum Exceeded
Proceed to NOV
Broth,4.4._5C� =
12-2011
001
Effluent C-oliform; Fecal>MF N1 FC �r
12/20/11
Weekly
#/loom[
400
500
25
Daily Maximum Exceeded
Proceed to NOV
10 -2011
001
Effluent Nitrogenmmogia_Total_(as
,N)_Conceniretion==`'
10/19/11
Weekly
mg/I
10
11.2
12
Daily Maximum Exceeded
Proceed to NOV
10 -2011
001
,�---:--:n N.�..��
Effluent Nitrogen; Ammonia T6taF(as
10/28/11
Weekly
mg/I
10
20.8
108
Daily Maximum Exceeded
Proceed to NOV
- N)= Concentrat[on—
10 -2011
001
Effluent ' Nifr..ogen,_Ammonia.-Total-(as A
a N) - Concentration:
10/31/11
Weekly
mg/I
2
8.54
326.94
Monthly Average Exceeded
Proceed to NOV
11 -2011
001
Effluent -, Nitragen,.Amm`onia;T_o`tal(as
N):5Conce`ntraf[gn_
11/30/11
Weekly
mg/I
4
8.73
118.35
Monthly Average Exceeded
Proceed to NOV

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild, P.E. Dee Freeman
Governor Director Secretary
August 27, 2012
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr., Unit 31
Wilmington, NC 28412
Subj ect: NOTICE OF VIOLATION
NOV-2012-LV-0442
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr.Craven:
A review of Lakeview Mobile Home Park's monitoring report for May 2012 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
05/30/12
400 #/100ml
700 #/100ml
Daily
Broth,44.5C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SAP — Central Files
CWSRQFileg
R&A Labs, Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284
North Carolina Division of Water Quality, ''Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: wvm/mcwaterquality.org
One
NofthcCar®lina,
)�r�MIZINK1119
An Equal Opportunity ',Affirmative Action Employer

ov,ao�2-
a
Cover Sheet from
Staff Member to
Regional Supervisor
MIR Review Record
Facility. L&viev A1W Permit/Pipe No.: Month/Year
Monthly Avera-e Violations
Parameter Permit Limit DMR Value
Weekly/Daily Violations
Date Parameter Permit Limit/Tvpe
DMR Value
70�
Monitoring Frequency Violations
Over Limit
Over Limit
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
C -
1� NH,3 — i , z v
NHS - ? �,5 , -Nov
Completed by:
Date:
Com
p
Regional Water Quality
Supervisor Signoff: Date:
-7 zj�� -,fie- ¢�o, v -#6v,
Ir6 v

North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Chuck vvakild, P.E.
Governor Director
September 20, 2012
Walter B. Craven, Jr.
Lakeview MHP LLC
420 Marion Dr. Unit 31
Wilmington, NC 28412
Subject: NOTICE OF VIOLATION
NOV-2012-LV-0468
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Mr. Craven:
Natural Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for June 2012 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
Broth,44.5C
06/05/12
400 #/100ml
440 #/100ml
Daily Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely, _ A-
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
Wz_S`IRO-_3Files
R&A Laboratories, Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] i FAX: [phone] Customer Service: 1-877--623-6748
Internet: www.ncwatergLiality.org
One
NofthCarolina
A�� g"Mily
An Equal Opportunity l Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: J4�UtQV%26.1 9 A PerrrdtlPipe No.: S/7I3 oaf Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date
Parameter
Permit Lurnit[Tv e
DMR Value % Over Limit
66166
FC
&
a
Monitoring Frequency Violations
Date
Parameter
Permit Frequency
Values Reported # of Violations
Other Violations
llobbMb - Nay.'
D2�/2 ,86� - s
39. G - Nov,
Completed b font, n Date: � ��
: �l2
P Y
Regional Water Quality
Supervisor Signoff: `'y Date:.

4 00
NCDENR
North Carolina Department of Environment and natural Resources
Beverly Eaves Perdue
Governor
Walter B. Craven, Jr.
Lakeview Mobile Home Park, LLC
420 Marion Drive, Unit 31
Wilmington, NC 28412
Division of Water Quality
Charles Wakild, P.E.
Director
November 16, 2012
Subject: NOTICE OF DEFICIENCY
NOD-2012-LV-0121
Walter B. Craven, Jr.
Permit No. NCO051713
Lakeview Mobile Home Park, LLC Wastewater Treatment Plant
Forsyth County
Dear Mr. Craven:
Dee Freeman
Secretary
A review of the August, 2012 Discharge Monitoring Report (DMR) revealed a violation of the
following parameter(s) at Outfall 001:
Parameter
Date
Reported Value
Permit Limit
Ammonia Nitrogen
8/31/2012
2.16
2.0
Remedial actions should be taken to correct the cause(s) of this violation. The violations
described above should be abated immediately and properly resolved.
Thank you for your attention to this matter. This office requires that the violations as described
above be properly'resolved. Unresolved violations may lead to the issuance of a Notice of
Violation and/or assessments of civil penalties.
N. C. Division of Water Quality
Winston Salem Regional Office
585 Waughtown Stree, Winston Salem, NC 27107
Phone: [phone] FAX: [phone]
Customer Service:1-877-623-6748
Internet: www.ncvvaterquality.org
One
NoxthCarohna
An Equal Opportunity 1 Affirmative Action Employer

Page 2 of 2
Walter B. Craven, Jr.
Forsyth County
If you have any questions or require any additional information, please contact Ron Boone at
[phone] or [e-mail].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: L SHR MIMMor'►v
DWQ Central Files
R&A Laboratories, Attn: Jim Cheshire
106 Short Street
Kernersville, NC 27284

Cover Sheet from
Staff Member to
Regional Supervisor
DNiR Review Record
Facility: na,j PermitlPipe No.: 5/ 7, 3 1661 Month/Year _OL
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
2. 16;
Weekly/Daily Violations
Date - Parameter Permit Limit/Tvp-e DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequencv Values Reported # of Violations
Other Violations
N4V7� �z — �r�3— :�/��., — v� �' �/ K11A2 —niH3—��/�2,11 �siIUL�
AC —4-5 ) —NOV ,
1 ,e
r 7 255 iS: �ViStr !/ fG' Y f%7a1:�,= ,7I41V fl%3[*/®f—AAfir�3
h/sly / i1 9`°aAl l r 9At��i' !C1/L�i — A//!!, 5' / i r3
Completed by: Date:
Regional Water Quality
Supervisor Signoff: Date:

RECEIVED
N.C.Dept. of ENR
EFFLUENT
OCT 2 0 7n17N V 0 2 2012
Winston-Salem
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH A usg t YE R 20122eginnal nffirP
FACILITY NAME Lakeview Mobile Home Park CLASS II COUNTY uFgrsutti:-7_ "
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED 0 NO FLOW / DISCHARGE FROM SITE x
_ r, -
Mail ORIGINAL and -ONE COPY_"to:
ATTN: CENTRAL FILES `
DIVISION OF WATER QUAL17� ® 2012
1617 MAIL SERVICE CENTE
RALEIGH, NC 27699-1617
(SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE)
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
Q
A
x
o
U
N
EJ
y
E* d
cl C
O
k
c•
O
U
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
00625 1 00630 1 00095
FLOW
_
°'
O
F
x
e
c
U
ai
U
N
A
i
,O
Q
9
o
c
d
F
-
€
v
u
x
'O
O
A
en
c
o
O
a.l
F
Enter Parameter Code
Above Name And Units
Below
EFF
INF
>y
t p'
C
'z'
F
z
•U
U
Weekly
Weekly
Weekly
2/Week
Weekly
Weekly
Weekly
Weekl
Weeldy
Monthly
Monthly
Monthly
Monthly
HRS
HRS
YIB/N
MGD
°C
SU
/I
mg/1
m /l
mg/1
H100/ml
m /I
m /l
mg/1
m /I
Mg/1
µmhos/cm
1
1655�
0,25
B
0,0069 ,°; e
27.0
_<10'
2
1300
0.50
B
0.0069
27.0
6.80
<10
6.41
3�Fg'
-
14"QO,.
O.SO'°°
,E:,"aP 10, ...Mimi ::i'nm•.
.� 0.069
27 0
G:70�ui
..
�INni a,, 9
p,w"
4
0.0069
5.
0.0069 ,
6
1200
0.50
B
0.0069
27.0
6.50
<10
6.62
7
0910
0.25.
B
0.0068
26.0
<1,0
8
1230
0.50
B
0.0068
26.0
�if�
.ti26 0`-
10
0610
0.25
B
0.0068
26.0
uo68
12
0.0068
13
1200
0.50
B°
0.0068'".: M'
•26.0
6.60
<10,6.81
14
1145
1.00
B
0.0072
26.0
<10
5.02
8.34
12.0
<4
�„•.
(
tl�
ern..
���
r
��t 'r,��
16
1130
0.50
B
0.0072
25.0
17
0945
,:5.00,,
.'B
.° 0.0071,
25.0
"
18
0.0072
19
0.0072
20
1215
0.50
B 1
0.0072
25.0
6.70
<10
6.97
�21
13101
15
R:..
x.,B
P -
0 75 sip�210..
R.R. G ,I�
�.. ,��
t
"+ .,m,
���:,;
221
1415
0.50
B
0.0075
24.0
1 20
4.08
0.122
5.0
1
23'
` 1250'
" 0,50°
B -
�°0:0075
�: 24.0 -
24
1110
0.15
B
0.0075
24.0
25
0.0075° -`
26
0.0075
e
�24
281
1200
0.50
B
0.0071
24.0
<10
3.13
<0.10
4.0
3
291
1236
' 0:50
eB:0.0071
n
°24A:
30
1200
0.25
B
0.0071
23.0
311130
: 0.15•
'B
0.0071
25.0
AVERAGE
0.0071
25.2
WAM
<10
4.53
IM
1 9.4
5
6.70
a,M�1XT11EIM
"� ro
�270
680'
°U-83°
'
. JM
.1
m000i7S
,:9",
�`(1
A
MINIMUM
0.0068
23.0
6.50
<10
3.13
<010
4.0
<4
6.62
Comp. (C�,%Gi Bb. �G)
G `
G
G°G�
�G,°n
:G
G-':'
G.,.
G r.M
G., °
G
G
Monthly Limit 1
0.015 1
1
=>6<91
17.0
2SAW
30.0
200.0
=>6.0
Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part II.E.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
James . Che ire (Authorize&Aeen
Permi ee Pl ase rint e ,
_-2 7-/z
Si atur of Permiee* * Date
( e fired unless su mitted electronically)
4405 North Main Street High Point, NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site? : ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
*** Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC213.0506 (b) (2) (D).

NPDES NO: NC 0051713 DISCHARGE NO: 001 MONTH: August YEAR:
FACILITY NAME: Lakeview Mobile Home Park COUNTY: Forsyth
STREAM: None STREAM: UT to Cuddybum
LOCATION: None
Upstream
"
•
-Name
—
and Units Below
=1M0=m==
"
=MMMMM
©=======MMMMMM
MMMMMMMM
MMMM®
©®®®®®®
►
®®M®
m======W
J .I
fMMM!
®MMMM
E
AIA�Pw
F
AMMM
MMMM9
,®.M®IWi►
IMMM
m===1
/I=�7
iWMMMM
®®
W
®s®®®
===MW..
�:J
r
fA'�Mmmmm
m===I
:A==�Mmmmm
===W
-M
MM®MMMM�'
LOCATION: 500' ft. Below Discharge
Downstream
_
—
Name and Units Below
®®®®®®®®®®®®®
®®®®®®
®®®
®
Copy DEM Form MR-3 (11/84)

Cover Sheet from
Staff Member to
Regional Supervisor
DAM Review Record
// --.c�APermit/Pipe No.: 171 It Qua Month/Year
Facility: L�YI4Rk� p�j0
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
rim
Weekly/Daily Violations
Date Parameter Permit Limit/Tvi)&� DMR Value % Over Limit ,
O V a-L v
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by: Date: ��
Regional Water Quality
Supervisor Signoff:
Date:yt� -1.9 b Z.
NOV;
-Nfav

Boone, Ron
From: Boone, Ron
Sent: Tuesday, February 21, 2012 8:18 AM
To: '[e-mail]; Walter Craven
Cc: Basinger, Corey
Subject: RE: Lakeview MHP NOV
Mr. Craven/Mr. Cheshire,
After receiving and reviewing Mr. Cheshire's email below and reviewing all applicable documents, NC DWQ
has decided NOT to pursue further enforcement actions at this time in regards to this case. We do note that you
had another exceedence of the monthly average for NH3 in November, but it appears that December and
January data show no exceedences of NH3. We will be monitoring this situation closely over the next few
months. If you need to discuss further or have any questions, please don't hesitate to contact us.
Best Regards,
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
585 Waughtown Street
Winston-Salem, NC 27107
Email: [e-mail]
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.
From: RALabs [mailto:[e-mail]]
Sent: Friday, February 17, 2012 3:25 PM
To: Boone, Ron
Cc: [e-mail]; [e-mail]
Subject: Lakeview MHP NOV
Dear Mr. Boone,
In response to the Notice of Violation letter concerning Lakeview MHP's ammonia nitrogen violation in
October 2011, attached is a copy of the explanation given by the ORC of the WWTP. In review of the
subsequent data in December 2011 & January 2012 (this DMR has not yet been officially submitted to DENR)
it appears that the WWTP is now back in consistent compliance with the NPDES Permit requirements.
Historical data typically shows that this WWTP routinely maintains consistent NPDES Permit compliance. We
would appreciate any consideration that you could make that would waive any recommended administrative
penalties for this facility.
Sincerely,
James M. Cheshire
President/CEO
Research & Analytical Labs

Y sm'
WDENK
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
7010-2780-0001-4221-6375
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Division of Water Quality
Chuck Wakild, P.E.
Director
January 27, 2012
Subject: Notice of Violation and Recommendation for Enforcement
NOV-2012-LV-0077
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for October 2011 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total (as N) -
10/28/11
10 mg/l
20.8 mg/l
Daily
Concentration
Maximum
Exceeded
Nitrogen, Ammonia Total (as N) -
10/19/11
10 mg/1
11.2 mg/l
Daily
Concentration
Maximum
Exceeded
Nitrogen, Ammonia Total (as N) -
10/31/11
2 mg/l
8.54 mg/l
Monthly
Concentration
Average
Exceeded
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the
noted violation of North Carolina General Statute (G.S.) 143-215.1 and NPDES Permit No. NC0051713.
Pursuant to G.S. 143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) may be
assessed against any person who violates or fails to act in accordance with the terms; conditions, or
requirements of any permit issued pursuant to G.S. 143-215.1. If you wish to provide additional information
regarding the noted violation, request technical assistance, or discuss overall compliance please respond in
North Carolina.Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www rtuaterquality.org
One
No thCarolina
An Equal Opportunity 1 Affirmative Action Employer

writing within ten (10) days after receipt of this Notice. A review of your response will be considered along
with any information provided on the October, 2011 Discharge Monitoring Report. You will then be notified of
any civil penalties that may be assessed regarding the violations. If no response is received in this Office
within the 10-day period, a civil penalty assessment may be prepared.
Remedial actions, if not already implemented, should be taken to correct any problems. The Division of
Water Quality may pursue enforcement actions for this and any additional violations. If the violations are of a
continuing nature, not related to operation and/or maintenance problems, and you anticipate remedial
construction activities, then you may wish to consider applying for a Special Order by Consent.
If you have questions concerning this matter, please do not hesitate to contact Ron Boone or me at (336)
771-5000.
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
CC
1. Point Source Branch
2. SWP — Central Files
3. Q&R@Ci1les
4. R& abora ories
Attn: Jim Cheshire & Morgan Turner
106 Short Street
Kernersville, NC 27284

IQ V-- ,2 of I - LV- 6C77
Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: ✓I�l1 ��� Permit/Pipe No.: -5/7/3 col Month/Year
Monthly Avera;e Violations
Parameter Permit Limit DMR Value % Over Limit �y
Weekly/Daily Violations
Date Parameter Permit L' 't/IV e DMR Value % Over Limit
[�
/j 113 !Id 6 420 - 9
Monitoring Frequency Violations
Date Parameter Permit Fre�uencv Values Reported # of Violations
Other Violations
Wtv- A ,d-.idV
o I - i=C yDU;
r
12 3G G . �(— b —/ $U' / ®Ib % — ����t✓ riY'1% 7 52 �A/D�'
66 is 6v —NI) !d 3r -kW3 —2 ,2.31 —yt�
Completed by:
` Date: 12
Regional Water Quality.�� Date:
Supervisor Sianoff:
i

EFFLUENT
NPDES PERMIT NO. NC 0051713 DISCHARGE NO. 001 MONTH October YEAR 2011
" FACILITY NAME Lakeview Mobile Home Park CLASS Il COUNTY Forsvth
CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
(List additional laboratories on the backside%pagge 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
CHECK BOX lI1~ ORC HAS CHANGED 0 NO FLOW % DISCHARGE FROM SITE 0
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
X
EI/%i/cLGiz,
(SIGNA�' O'rOPEP,%TOR IN RESPONSIBLE CHARGE) r DATE
BY THIS SIGNATURE, I .CERTIFY THAT THIS REPORT IS
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Copy DWQ Form MR-1 (01/00)

Facility Status: (Please check one of the following) /
All monitoring data and sampling frequencies meet permit requirements
(including weekly averages, if applicable) Comp 'ant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially threatens public
health or the environment. Any information shall be provided orally within 24 hours from the time the permitte became aware of the
circumstances. A written submission shall also be provided within 5 days of the time the permittee becomes aware of the
circumstances.
If the facility is noncompliant, please attach a list of corrective actions being taken and a time -table for improvements to be
made as required by Part ILE.6 of the NPDES permit.
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance
with a system designed to assure that a qualified personnel properly gather and evaluate the information submitted. Based on my
inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the
information submitted is, to the best of my knowledge and belief true, accurate, and complete. 1 am aware that there are significant
penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations."
James . Ches ire _(Authorized Aaent
Permi ee (PI a in
/l ao3
Signore/if Perm'itee** Date
(R red unless s ' ed electronically)
4405 North Main Street High Point. NC 336-869-2492 04/30/14
Permittee Address Phone Number Permit Exp. Date
Certified Laboratory (2)
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
ADDITIONAL CERTIFIED LABORATORIES
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be obtained by calling the NPDES Unit at at [phone], or by visiting the Surface Water Protection Section's
web site at h2o.enrstate.nc.us/was and linking to the Unit's information pages.
Use only units of measurement designated in the reporting facility's NPDES permit for reporting data.
* No Flow / Discharge From Site: Check this box if no discharge occurrs and, as a result, there are no data to be entered for all of the
parameters on the DMR for the entire monitoring period.
** ORC On Site?: ORC must visit facility and document visitation of facility as required per 15ANCAC8G.0204.
** * Signature of Permittee: If signed by other than the permitte, then the delegation of the signatory authority must be on file with the state per
15ANCAC2B.0506 (b) (2) (D).

NCDENR
North Carolina Department of Environment and
Division of Water Quality.
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 21St, 2011
Lakeview Mobile
Attn: Pamela S.
P.O. Box 3421
Home Park, LLC
Craven, Owner
Wilmington, NC 28406-3421
Natural Resources
Subject: Compliance Evaluation Inspection
Permittee: Lakeview Mobile Home Park, LLC
Facility: Lakeview Mobile Home Park Wastewater Treatment Plant
NPDES Permit #: NCO051713
Forsyth County
Dear Ms. Craven:
Dee Freeman
Secretary
Mr. Ron Boone of the Winston-Salem Regional Office of the NC Division of Water
Quality (DWQ or the Division) conducted a compliance evaluation inspection (CEI� of the
Lakeview Mobile Home Park Wastewater Treatment Plant-(WWTP) on January 19t , 2011.
The assistance and cooperation of Mr. Morgan Turner, Operator in Responsible Charge
(ORC), was greatly appreciated. An inspection checklist is attached for your records and
inspection findings are summarized below.
General Information
The mobile home park is located at approximately 5195 Highpoint Road (Hwy 311), at
coordinates 36.0216841 N, 80.0675824W. The WWTP is located just off of Highpoint Road, on
the north side of the park and just adjacent to the park office. Although in Forsyth County, the
park/plant are actually located at a Highpoint address. The permit authorizes the owner to
operate this 0.015 MGD WWTP, which consists of an extended aeration activated sludge
package system with diffused aeration, a clarifier, chlorination, dechlorination and an aerobic
sludge digester. The permit authorizes the owner to discharge the treated effluent from the
WWTP into an unnamed tributary (UT) to Cuddybum Branch via outfall 001. Cuddybum
Branch is currently classified as WS-III waters and is located in the Yadkin Pee Dee River
basin.
The plant description in the permit indicates that there is a septic tank at every mobile
home (MH) in the park. However, Mr. Turner stated that he was under the impression that
there are only three or so septic tanks. The number of septic tanks in the park should be
positively identified so you can be sure all such tanks are properly maintained, i.e. pumped out
on a regular basis. Furthermore, because these tanks are outside the plant boundary, it would
probably make more sense to have the ' operators of the wastewater collection system
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Intemet: www.ncwaterquality.org
Nne
orthCarolina
An Equal Opportunity l Affirmative Action Employer

Lakeview Mobile Home Park, LLC
Attn: Pamela S. Craven, Owner
Compliance Evaluation Inspection
NC0051713,Lakeview MHP WWTP
Page 2 of 3, January 2151, 2011
(WWCS) operate and maintain all such tanks. We could then remove the tanks from the plant
description. Other discrepancies noted with the plant description include: 1.) There is no bar
screen at the plant and it should be removed from the plant description, and 2.) Mr. Turner
stated that he believes the holding tank referred to in the plant description is the in -ground tank
located just after the dechlorinator, and that this tank has aerators in it. If this is true, this is
considered to be post aeration and should be added to the plant description as such.
Site Review
Mr. Turner has done an excellent job of operating and maintaining the plant using the
resources that are available to him. However, there are some issues as noted below:
The security fence surrounding the plant has several loose boards and sections of the
fence that are in disrepair and falling down. The fence should be fully repaired to best
deter unauthorized entry into the plant.
2. There is a void in the wall between the wall and the inlet pipe for the chlorinator, where
the inlet pipe penetrates the wall from the clarifier effluent trough to the chlorine contact
chamber. Unless there is a significant flow event, this void allows all wastewater to
bypass the chlorinator. This needs to be repaired as soon as possible. In the interim,
Mr. Turner has actually developed a workaround to ensure the effluent is still sufficiently
chlorinated before dechlorination.
3. The outfall pipe discharges into the. head of the stream (natural spring), which is
basically a large hole in the ground with earthen, rip rap and concrete block side walls,
and which has a large (approx. 24" culvert) that takes the flow from the spring and the
effluent under High Point Road, to the stream across the street. The rip rap and
concrete block around the hole has started eroding and caving in, making sample
collection for the operator somewhat hazardous. Continued erosion may eventually
make the walls cave in completely, possibly occluding and/or plugging the plant's outfall
pipe and possibly the culvert that takes it under the road. The rip rap, concrete block
and erosion should be repaired. If and when this is accomplished, care must be taken to
not disturb the flow of the natural spring. This office should be consulted.
4. The plant is quite old and could use a bit more cleaning, maintenance and attention to
safety issues. Although everything operates sufficiently, some components are in
various states of disrepair. Also, there are several open pits with no fall protection
around them, presenting a considerable safety hazard.
5. The plant currently has only one operational blower. The second blower is still
inoperable as it was during the last inspection conducted in February, 2010. This
should be fixed immediately to ensure there is no loss of aeration when the one blower
fails.
.L,

Lakeview Mobile Home Park, LLC
Attn: Pamela S. Craven, Owner
Compliance Evaluation Inspection
NC0051713,Lakeview MHP WWTP
Page 3 of 3, January 215`, 2011
Documentation Review
All documentation was reviewed. No discrepancies were found. Mr. Turner has done
an excellent job of documenting the operation and maintenance of the plant as required by the
permit. This includes his operations and visitation logs, his discharge monitoring reports and
laboratory and field laboratory records, chains of custody, etc.
Please continue to work with Mr. Morgan and R&A Labs to repair the problems noted
above and keep the plant in optimum working order. Also, please be aware that, in
accordance with NC General Statute 143-215.6A, the Director of the Division of Water Quality
may assess civil penalties not to exceed $25,000 per day, per violation, for violations of the
NCO051713 NPDES permit. If you have any questions regarding the inspection or this letter,
please call Mr. Boone or me at [phone]. Thank you for your cooperation in this matter.
Sincerely,
W. Corey Basinger .
Interim Regional Supervisor
Surface Water Protection Section
Attachments:
1. BIMS Inspection Report
CC: XLSRO = SWP
Central Files
NPDES Unit

lj'
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 151 31 N00051713 111 121 11/01/19 117 181C1 191S1 201
Remarks
2111111111111111111111111111111111111111111111111
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA -- -----------Reserved---------- -
67 I 169 701 I 711 I 721 N I 73I I 174 751 I I I I I I 180
W
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:30 AM 11/01/19
09/09/01
Lakeview Mobile Home Park
Exit Time/Date
Permit Expiration Date
Old Hwy 311
High Point NC 27260
09.30 AM 11/01/19
14/04/30
i
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Morgan Lee Turner/ORC/336-996-2841/
Name, Address of Responsible Official/Title/Phone and Fax Number
Pamela S Craven, PO Box 3421 Wilmington NC Contacted
284063421//910-395-2363/9103958294 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Flow Measurement Operations & Maintenance ® Records/Reports
Self -Monitoring Program Sludge Handling Disposal Facility Site Review ® Effluent/Receiving Waters
Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Ron Boone WSRO WQ//704-663-1699 Ext.2202/
l l
oi)/ 2
Signat e Tf Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page 9 1

NPDES yr/mo/day Inspection Type
3I NCO051713 I11 12I 11/01/19 117 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Morgan Turner has done an excellent job operating the plant. He should review the 08G rules and become
intimately familiar with documentation requirements with regards to maintenance and repair issues for the
plant and communicating those items to the owner. A copy of the 08G rules will be sent to him via email and
included with this inspection report.
Page # 2

i,
Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 01/19/2011 Inspection Type: Compliance Evaluation
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
❑ ❑ ■ ❑
Is the facility as described in the permit?
n ■ n n
# Are there any special conditions for the, permit?
n ■ n n
Is access to the plant site restricted to the general public?
■ n n n
Is the inspector granted access to all areas for inspection?
® n n n
Comment: There is no bar screen at this plant. The operator, Morgan Turner, was not
sure but thinks the holding tank is the last thing flow goes through before going to the
outfall. He also stated that he believes the effluent flow is again aerated inside the
holding tank. So the bar screen needs to be removed from the plant description and
post aeration should be added. The security fence needs to be repaired.
Laboratory
Yes
No
NA
NE
Are field parameters performed by certified personnel or laboratory?
■
n
n
n
Are all other parameters(excluding field parameters) performed by a certified lab?
■
n
n
n
# Is the facility using a contract lab?
■
n
n
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
■
❑
n
❑
Incubator (Fecal Coliform) set to 44.5 degrees Celsius+/- 0.2 degrees?
n
n
n
■
Incubator (BOD) set to 20.0 degrees Celsius +/-1.0 degrees?
n
n
n
■
Comment: R&A Labs does both lab and field lab testing. The operator, Morgan
Turner, also works for R&A and is a contract operator.
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
❑
n
■
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
n
n
n
Is the tubing clean?
n
n
■
n
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees Celsius)?
n
❑
■
❑
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
®
n
n
n
Comment: None
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ ❑ n n
Comment: No upstream sample point. Outfall is at head of stream which comes from
a natural spring.
Record Keeping Yes No NA NE
Page # 3

Permit: NCO051713
Inspection Date: 01/19/2011
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Owner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Has the facility submitted its annual compliance report to users and,DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: None
Flow Measurement - Influent
# Is flow meter used for reporting?
Is Flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment: Flow is measured/reported using city/county potable water meter.
Owner/operator should inquire as to the meter's age and accuracy.
Aeration Basins
Mode of operation
Type of aeration system
Yes No NA NE
■ ❑ ❑ ❑
■nnn
■nnn
■nnn
® n n n
Yes No NA NE
Ext. Air
Diffused
Page # 4

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 01/19/2011 Inspection Type: Compliance Evaluation
Aeration Basins
Yes No
NA
NE
Is the basin free of dead spots?
■
Cl
n
n
Are surface aerators and mixers operational?
n
n
■
n
Are the diffusers operational?
■
n
n
n
Is the foam the proper color for the treatment process?
■
n
n
n
Does the foam cover less than 25% of the basin's surface?
®.
n
n
n
Is the DO level acceptable?
■
n
n
n
Is the DO level acceptable?(1.0 to 3.0 mg/1)
■
In
n
❑
Comment: D.O. 8.6 mg/I.
Secondary Clarifier
Yes
No
NA
NE
Is the clarifier free of black and odorous wastewater?
■
n
n
n
Is the site free of excessive buildup of solids in center well of circular clarifier?
n
n
■
o
Are weirs level?
■
n
n
n
Is the site free of weir blockage?
■
n
n
n
Is the site free of evidence of short-circuiting?
■
n
n
n
Is scum removal adequate?
■
❑
In
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
n
n
®
n
Is the return rate acceptable (low turbulence)?
■
n
n
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
■
n
n
n
Comment: Sludge blanket about 1.5 to 2 feet. Recirc is constant with airlift pumps.
Pumps-RAS-WAS
Yes
No
NA
NE
Are pumps in place?
■
❑
n
❑
Are pumps operational?
■
n
n
n
Are there adequate spare parts and supplies on site?
n
n
n
■
Comment: None
Aerobic Digester
Yes
No
NA NE
Is the capacity adequate?
■
n
n
n
Is the mixing adequate?
■
n
n
n
Is the site free of excessive foaming in the tank?
■
n
n
n
Page # 5

Permit: NC0051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 01/19/2011 Inspection Type: Compliance Evaluation
Aerobic Digester
Yes
No
NA
NE
# Is the odor acceptable?
■
❑
❑
n
# Is tankage available for properly waste sludge?
n
n
■
n
Comment: Sludge is wasted via Richard Jenkin's Waste Management out of Brown's
Summit approximately every 2 to 6 months, depending.
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
n
®
n
n
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
3
Is the level of chlorine residual acceptable? ■ n n n
Is the contact chamber free of growth, or sludge buildup? ■ n n n
Is there chlorine residual prior to de -chlorination? n In n ■
Comment: There is a void in the wall between the wall and where the influent pipe to
the chlorinator penetrates the wall, thus allowing the flow to escape thru the void and
bypass the chlorinator. This needs to be repaired ASAP. Mr. Turner has developed a
workaround to ensure the effluent is in fact disinfected prior to dechlorination and
discharge.
De -chlorination
Yes
No
NA
NE
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
■
❑
❑
Is storage appropriate for cylinders?
❑
❑
■
n
# Is de -chlorination substance stored away from chlorine containers?
■
n
n
n
Are the tablets the proper size and type?
■
n
n
n
Comment: None
Are tablet de -chlorinators operational?
■
n
❑
❑
Number of tubes in use?
1
Comment: None
Effluent Pipe Yes No NA NE
Is right of way to the outfall properly maintained? ■ n n n
Are the receiving water free of foam other than trace amounts and other debris? ■ n n n
If effluent (diffuser pipes are required) are they operating properly? ❑ n n ■
Page # 6

Permit: NCO051713
Inspection Date: 01/19/2011
Owner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Effluent Pipe
Comment: The outfall pipe discharges into the head of the stream (natural spring),
which is basically a large hole in the ground with rip rap and concrete block, and which
has a large (approx. 24" culvert) that takes the flow from the spring and the effluent
under High Point Road, to the stream across the street. The rip rap and concrete block
around the hole has started caving in, making sample collection for the operator
somewhat hazardous. Continued erosion will eventually make the walls cave in
completely, possibly occluding and/or plugging the plant's outfall pipe and possibly the
culvert that takes it under the road. The rip rap, concrete block and erosion should be
repaired. When accomplished, care must be taken to not disturb the flow of the natural
spring.
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
v_.. I.1.. .1 A AIC
V-- III- CIA AIC
®nnn
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ ❑ n n
Judge, and other that are applicable?
Comment: D.O., pH, NH3, settleability.
Page # 7

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 18, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0136
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
A review of Lakeview Mobile Home Park's monitoring report for January 2011 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
01/04/11
400 #/100ml
1,400 #/100m1
Daily
Broth,44.5 C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP ,E al Files
SRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarohna
An Equal Opportunity `, Affirmative Action Employer

Nod-ab((— ��-D►3(�
Cover Sheet from
Staff Member to
Regional Supervisor
/I. `` DAIR Review Record
Facility: G�k �V16tJ R0 p Month/Year
Permit/Pi e No.:
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit LimitlI vie DMMR Value % Over Limit
ai_ A �o o25`c�ly
Date . Parameter
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
Other Violations
(%qr/ / Ax �&0 ( 2,P 4)D 11 19 LI6) ,C qr�� i�X �o �'�{d /2 3a/j0
�� 3 /�In � ,. �/ • 3! low T S ��.. l� /�%� WL5—hk ��
Completed by: (� Date: 1/
Regional Water Quality
Supervisor SiQnoff: `� �., � Date:
I— �Vl

NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 19, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2009-LV70112
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven,
Natural Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for October 2010 showed the
following violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Nitrogen, Ammonia Total
10/31/10
2 mg/1
2.31 mg/1
Monthly
(as N) - Concentration
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any other violations of State
law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: SWP — Central Files
ME it es
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwatergLiality.org
Nne
orthCarolina
An Equal Opporf inity l Affirmative Action Employer

�5
Cover Sheet from
I " Staff Member to
Regional Supervisor
DMR Review Record
tY Liorai Facili : mp Permit/PiP e No.: 517J31061 Month/Year
�--
��f
Parameter
Date
Date
Parameter
Monthly Average Violations
Permit Limit
,:?.D
DMR Value
.2. 31
% Over Limit
/�5.56ZIS
Weekly/Daily Violations
Permit Limit/Tvpe DMR Value % Over Limit
Monitoring Frequency Violations
Parameter Permit Frequency Values Reported # of Violations
Other Violati
Completed by:
Regional Water Quality
l� /
Supervisor Signoff: V44 // ate: &'�J
j

A����
NCDENR
North Carolina Department of Environment and Natura
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 14, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION.
N OV-2011-LV-0058
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for November 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
11/19/10
400 #/100ml
12,000 #/100ml
Daily Maximum
Broth,44.5C
Exceeded
BOD, 5-Day (20 Deg. C) -
11/30/10
17 mg/I a
17.52 mg/I
Monthly
Concentration
Average
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality.
If you should have any questions, please do not hesitate to contact Ron Boone at (336)771-
4967.
cc: SWP — Central Files
WSRO Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: wmvv.ncwaterquality.org
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
NorthCarolina
;Vatura!!rf
An Equal Opportunity %Affirmative Action Employer

WASTEWATER SYSTEMz.Dept. of ENR
PERFORMANCE ANNUAL R EI�(�RTJ , 2- :1- 2012
®R Winston-Salem
�e Gen1eraR ffnf®II'F7r afioIIfl
n __ .,. €`.F
Facility Name:
Lakeview Mobile Home Park E IVI 1\ _. U;
Responsible Entity:
x
Coastal Investments, Inc.r1�_;rt
Contact Person:
Walter Craven
Applicable Permit (s):
NPDES Permit No'NC_00-5-1713_
Description of collection system or process:
The system consists of a 0.015
million gallon per day (MGD) wastewater treatment plant
Septic tanks at each home, aeration basin, secondary clarifier, aerobic digestor, one chlorine
contact basin with tablet chlorination, tablet dechlorination, and aerated effluent holding tank.
If�o Performance
Summary of system performance for calendar year 2011:
January 2011
Exceeded permit limit for fecal coliform daily max
February 2011
Compliant with effluent limits
March 2011
Compliant with effluent limits
April 2011
Exceeded permit limit for BOD daily max
May 2011
Compliant with effluent limits
June 2011
Compliant with effluent limits
July 2011
Exceeded permit limit for fecal coliform daily max
August 2011
Exceeded permit limit for BOD daily max
September 2011
Compliant with effluent limits
October 2011
Exceeded permit limit for BOD daily max
Exceeded permit limit for NH-3-N monthly average & daily max
November 2011
Exceeded permit limit for NH-3-N monthly average
December 2011
Exceeded permit limit for fecal coliform daily max

r
REL NotlllfIltea ll®n
Annual notice is posted in mobile home park office.
RV. ( erfillIlcatl on
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge.
Clifford Cain
Responsible Person
Field Services Manager
Tide
Research & Analytical Laboratories, Inc.
Entity
January 24, 2012
)[Date

Boone, Ron
From: Walter Craven [[e-mail]]
Sent: Saturday, December 03, 2011 2:24 PM
To: Boone, Ron
Subject: RE: Lakeview "notice of violation"
Yes you have my permission.
Thanks,
Walter
Mobile [phone]
--- On Fri,12/2/11, Boone, Ron <ron.booneAncdenr.Pov> wrote:
From: Boone, Ron <ron.boone@,,ncdenr. oovv>
Subject: RE: Lakeview "notice of violation"
To: "Walter Craven" <[e-mail]>
Date: Friday, December 2, 2011, 10:40 AM
Walter,
With your written permission, I have been instructed to go ahead and copy R&A on NOVs and such that we send to you.
Please reply with your permission to do so and I will start copying them immediately.
Thanks,
Ron
Ron Boone
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
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.
From: Walter Craven [mailto:[e-mail]]
Sent: Tuesday, November 29, 2011 9:10 AM
To: Boone, Ron
Subject: RE: Lakeview "notice of violation"
Ron,
1.Per our conversation R&A Labs knows about any violation before anyone else and should notify me w/in 5
days.
2.You were going to ask your boss if you could copy R&A Labs on the "Notice of Violations" that I get. Please
advise.
Thanks,
Walter
Mobile [phone]
--- On Mon, 11/28/11, Boone, lion <ron.boone(ancdenr.ffov> wrote:
From: Boone, Ron <ron.booneQncdenr.gov>
Subject: RE: Lakeview "notice of violation"
To: "Walter Craven" <wbcravenjrQyghoo.com>
Date: Monday, November 28, 2011, 10:19 AM
Not unless I send them a copy, usually at their request. It normally only goes to the permittee.
NC DENR Winston-Salem Regional Office
Division of Water Quality, Surface Water Protection
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.
From: Walter Craven [mailto:[e-mail]]
Sent: Monday, November 28, 2011 10:17 AM
To: Boone, Ron
Subject: Lakeview "notice of violation"
Ron,
R&A labs manages my system as you know. Do they also get a copy of these violations?
Thanks,
Walter
Mobile [phone]

fiJpA
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
November 22, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP, LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0572
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Dee Freernan
Secretary
A review of Lakeview Mobile Home Park's monitoring report for August 2011 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
08/03/11
25.5 mg/1
37.8 mg/l
Daily Maximum
Concentration
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: www,nowatergLlality.org
Nne
orthCarolina
An Equal Opportunity l A.Yrmative Action Employer

Cover Sheet from
�c�1 Staff Member to
N'�'V`, " �b < ( " 1-v Regional Supervisor
DMR Review Record
Facility: Permit/Pipe No.: 7/ 3 aC} / Month/Year U /
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/I'v e DMR Value % Over Limit
66 /' >37 9 a.IV o1,
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
i1il �F �ao���o->Nr)y; a��i� 4 J) 2r.5136-& -� V 6 V /w > /6V,
T
121io > r'c �a/s o >.N6V o > Bviy i7 7, sa - N0V I/>o > F - 0/o2,060>N6�
/yllo > NffS ---A 2 /,2 3 I > Aioy; 6Zh0 > ;5' > 'js/76 � Ny�`
Completed by:
Regional Water Quality
Supervisor Signoff:
Date:
Date: '14 /L*,/ so l (

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 11/16/11 Page: 1 of 3
r.
Permit. .3. Violation.Ca e o
1ylR§Betvi n.:8; C�. 1, and 8: 011•,:_': glom. €tstrrrt- alsttr';;: '. _:.,. t.:,9. �Y Limi io tic�n;;: -;°.°.:::ProgramGategory`. i DE :y
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Ma
PERMIT: NCO059218 FACILITY: Captain Stevens Seafood Restaurant - Captain Stevens COUNTY: Davidson REGION: Winston-Salem
Seafood Restaurant
Limit Violation
MONITORING
OUTFALL /
REPORT
PPI LOCATION
PARAMETER
08 -2011
001 Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
08 -2011
001 Effluent
BOD, 5-Day (20 Deg. C) -
Concentration
VIOLATION
UNIT OF
DATE FREQUENCY
MEASURE
LIMIT
`q/18/11 2 X month
mg/I
45
08/31/11 2X,month �� mg/I 30
VALUE / OVER LIMIT
50.6 12.44
46.4 54.67
VIOLATION TYPE VIOLATION ACTION
Daily Maximum Exceeded None
Monthly Average Exceeded None
PERMIT: NCO059536
FACILITY: Hilltop Living Center -Hill of p Living Cente`-�
COUNTY: Davidson
REGION: Winston-Salem
Limit Violation
\
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULLAA
REPORT PPI
LOCATION PARAM R DATE FREQUENCY
MEASURE
LIMIT VALUE o ER LIMIT
VIOLATION TYPE
VIOLATION ACTION
08 -2011 001
Effluent jNitrogen, Ammonia Total (as 08/19/11 2 X month
- Concentration
mg/I
10 11.9 19
Daily Maximum Exceeded
None
08 -2011 001
Effl ent Nitrogen, Ammonia Total (as 08/31/11 2 X month
mg/I
2 6.68 233.83
Monthly Average Exceeded
None
N) - Concentration
PERMIT: NCO051713
FACILITY: Lakeview MHP LLC - Lgkevier okiiT"e.�H'tme Park
COUNTY: f--o. hT
REGION: Winston-Salem
Lli�iltt�liofation
MONITORING OUTFALL /
VIOLATION
UNIT OF
CALCULATED
REPORT PPI
LOCATION PARAMETER DATE FREQUENCY
MEASURE
LIMIT VALUE / OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
08 -2011 001
Effluent BOD, 5-Day (20 Deg. C) - 08/03/11 Weekly
mg/I
25.5 37.8 48.24
Daily Maximum Exceeded
None
Concentration

NCDENR
North Carolina Depcartmera of Environ -flent and Natura
Division of Water Quality
Beverly paves Perdue Coleen H. Sullins
Governor Director
October 14, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2011-LV-0503
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Resources
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for July 2011 showed the
following violation:
Parameter
Date
Limit Value
Deported Value
Limit Type
Coliform, Fecal MF, M-FC
07/12/11
400 #/100ml
440 #/100ml
Daily
Broth,44.5 C
Maximum
Exceeded
Remedial actions, if not already implemented, snouia ne taxen to corrccL U1G auuvo
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
c�TtS+R® Fishes
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 \Naughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] \ FAX: [phone] \ Customer Service: 1-877-623-6748
Internet: wwar.ncwaierquality.org
Nne
o thCarohna
Natural
An Equal ^pponunity 1 Affirmative ACtion Employer

1- U - C6;--)-P
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: ����'���� Permit/PipeNo.: 3 Uv/ Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date
Parameter
PermitLimit Ty e
DMR Value
% Over Limit
Date • Parameter.
Violations
7//-1/ZI - I--
Monitoring Frequency. Violations
Permit Frequency Values Reported # of Violations
Completed by: �. �✓ �'�"
Regional Water Quality
Supervisor Signoff:
Date:
Date: lLt G�
S;

,A&LZ
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
July 21, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2011-LV-00266
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
A review of Lakeview Mobile Home Park's monitoring report for April 2011 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD, 5-Day (20 Deg. C) -
04/27/11
25.5 mg/1
30.8 mg/1
Daily
Concentration
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely, ,
"q& tctl��,
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
WSRO Files ,
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-87 7-623-6748
Internet: wv,,w.ncwaterquality.org
None
rthCarolina
Awwrall'y
An Equal Opportunity l Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
MIR Review Record
Facility: Permit/Pipe No.: 5)7/3 LJ61Month/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date - Parameter - Permit Limit,7v e DMR Value % Over Limit
2'7 6D DS S, 5 DatIAAA SO. $If
Date
Parameter
Other Violations A/vV_
611h -. Faced (61;. 4
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
7-e,< AtJehl . All) 9 Ole/Io TA C , 17 56 /14V,
S
�v r
Completed by:
Reaional Water Quality `
Supervisor Sianoff:
K2-&
Date: - 7 -1 t /'t
Date: At
�NN
�17. Sa ow d

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves perdue
Governor
Division of Water Quality
Coleen H. Sullins
Director
April 19, 2011
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subj ect: NOTICE OF VIOLATION
NOV-2011-LV-0140
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Dee Freeman
Secretary
A review of Lakeview Mobile Home Park's monitoring report for December 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Coliform, Fecal MF, M-FC
12/30/10
400 #/100m1
440 #/100m1
Daily.
Broth,44.5C
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the, above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
J641111441j�--
W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
CWSRO Files.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St, Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623 6748
Internet: wmwv.ncvuaterquality.org
Nne
orthCarolina
An Equal Opportunity 1, Affirmative Action Employer

AL )>
Cover Sheet from
Staff Member to
Regional Supervisor
Facili LA�e vi l-w AW Permit/Pipe No.: -/ 7/3 00/ Month/Year l�
Monthly Avera;e Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Tvpe DMR Value % Over Limit
Monitorin- Frequency Violations
Date Parameter Permit Frequencv Values Reported # of Violations
�i,� '4U .
ComP leted by:`
Regional Water Quality
Supervisor Sianoff:
a�
Date: % r
Date: % `� / kz4,c,- tv i4
,x

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: W4,t vie w Af4P AwrP Permit/Pipe No.: 6"17 / 3 o-a / Month/Year 11 /
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
1�a-D5 rl
Weekly/Daily Violations
n Date Parameter Permit Limit/Type DMR Value % Over Limit
�C li l 1 C b ``L �6bb 2ac18b
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violation
r
Completed by: Date: a� a
Regional Water Quality1��4ti1
Supervisor Signoff: �l� Date:
d� NbU- �0I - LV - 00s�6

4T_9_VV4
MCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Ms. Pamela S. Craven
Lakeview MHP, LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Division of Water Quality
Coleen H. Sullins
Director
February 23, 2010
SUBJECT: Compliance Evaluation Inspection
Lakeview Mobile Home Park WWTP
NPDES Permit No. NCO051713
Forsyth County
Dear Ms. Craven:
Dee Freeman
Secretary
On February 22, 2010, Mike Mickey of this office met with Morgan Turner to perform a
Compliance Evaluation Inspection on the wastewater treatment system serving Lakeview Mobile Home
Park. This type of inspection consists primarily of two parts: an in -office file review and an on -site
inspection of the treatment facility. The attached EPA inspection form notes the eight (8) areas that were
evaluated. The findings and observations are outlined below:
I. Permit
The NPDES permit was reissued effective July 22, 2009. The only change involved a reduction of the
monitoring frequency for total nitrogen and total phosphorus from monthly to quarterly.
II. Self -Monitoring Program
The monthly self -monitoring reports (DMRs) were reviewed for the months of January 2009 through
November 2009. The facility had four effluent limit violations in this time period (see data summary
attached). These violations have already been addressed by correspondence from this office. In regards
to the permit monitoring requirements, it was noted that all sampling was performed per the frequencies
specified in the permit.
III. Flow Measurement
The permit requires that weekly instantaneous flows be reported on the DMR. These flow measurements
are obtained from reading the totalizer on the potable water meter.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterqual4.org
One
NorthCarohna
;Vaturallbl
An Equal Opportunity 1 Affirmative Action Employer

0
Ms. Pamela Craven
February 23, 2010
Page 2
IV. Sludge Handling and Disposal
Solids were removed last from the aerated sludge holding tank in November 2009.
V. Operations and Maintenance
The facility appeared to be competently operated and maintained. The only concern involved the
inoperable blower that needs to be repaired.
VI. Facility Site Review
The 0.015 MGD system consists of the following: septic tanks at each residence, aeration basin, clarifier,
sludge holding, tablet chlorinator, tablet dechlorinator and post air tank.
VII. Records/Reports
The ORC records were thorough and complete.
VIII. Effluent/Receiving Waters
The system discharges into an unnamed tributary to Cuddybum Creek, Class "WS-III" waters of the
Yadkin Pee -Dee River Basin.
Sincerely,
Steve W. Tedder
Water Quality Regional Supervisor
cc: Jim Cheshire (R&A Labs, 106 Short Street, Kernersville, NC 27284)
Central Files
WSROT

Lakeview Mobile Home Park WWTP
NPDES Permit No. NCO051713
Self Monitoring Data Summary
January 2009 — December 2009
Parameters
Monthly Avg.
Permit Limit
Monthly Avg. Limit
Violations per DMR
Daily Maximum
Permit Limit
Daily Max. Limit
Violations per DMR
Flow (MGD)
0.015
None
-
NA
BOD (mg/1)
17.0
None
25.5
None
TSS (mg/1)
30.0
None
45.0
None
NF13-N (mg/1)
(2.0 / 4.0)*
None
(10.0 / 20.0)
None
T. Chlorine (ug/1)
-
NA
17**
None
D. O. (mg/1)
-
NA
6.0***
5.5 mg/1 on 5/8
Fecal (#/100 ml)
200
None
400
580 on 5/27, 580 on 8/25,
and 760 on 9/9
*summer/winter limits
**note: any value below 50 ug/1 is considered to be compliant
***daily minimum limit

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National D;3ta System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 15I 31 NCO051713 111 121 10/02/22 117 181 CI 191 SI 201
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA --------------------------- Reserved ----------------------
67 I 169 701 31 711 I 721 NJ 73 u� I I 174 751 I I I I I Li
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
08:00 AM 10/02/22
09/09/01
Lakeview Mobile Horne Park
Exit Time/Date
Permit Expiration Date
Old Hwy 311
High Point NC 27260
08:30 AM 10/02/22
14/04/30
Name(s) of Onsite Representative (s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Morgan Lee Turner/ORC/336-996-2841/
Name, Address of Responsible Officiai(Title/Phone and Fax Number
Contacted
Charles Lowery, //910-261-0974/ No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ® Flow Measurement Operations & Maintenance Records/Reports
Self -Monitoring Program ® Sludge Handling Disposal Facility Site Review ® Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Michael M Mickey WSRO WQ//336-771-5000/
Signature of Management 91A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO051713
Inspection Date: 02/22/2010
Owner • Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ■ Q n Cl
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge ■ n fl
Judge, and other that are applicable?
Comment: The WWTP appeared to be competently operated and maintained. The
only concern noted was that only one of the two blowers was operational. Settleability
tests are performed routinely.
VPc Nn NA NF
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ ❑ ■
Is the facility as described in the permit? ■ n ❑ n
# Are there any special conditions for the permit? n ■ n n
Is access to the plant site restricted to the general public? ■ n 171 n
Is the inspector granted access to all areas for inspection? ■ n n n
Comment: The NPDES permit was reissued effective 7-22-09. R&A Labs did not
have the most recent copy of the permit. One was faxed on 2/22/10. The only change
in the new permit involved a reduction in total nitrogen and total phosphours monitoring
from monthly to quarterly.
Record Keeping
Tes
NO
NA
ru
Are records kept and maintained as required by the permit?
■
n
n
n
Is all required information readily available, complete and current?
■
n
n
n
Are all records maintained for 3 years (lab. reg. required 5 years)?
■
n
n
n
Are analytical results consistent with data reported on DMRs?
■
n
n
n
Is the chain -of -custody complete?
■
n
n
n
Dates, times and location of sampling
■
Name of individual performing the sampling
■
Results of analysis and calibration
■
Dates of analysis
Name of person performing analyses
■
Transported COCs
■
Are DMRs complete: do they include all permit parameters?
■
n
n
n
Has the facility submitted its annual compliance report to users and DWQ?
■
1100
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
n
n
■
n
Is the ORC visitation log available and current?
■
n
n
n
Page # 3

Permit: NCO051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 02/22/2010 Inspection Type: Compliance Evaluation
Yes No NA NE
Record Keeping
Is the ORC certified at grade equal to or higher than the facility classification? ■ ❑
Is the backup operator certified at one grade. less or greater than the facility classification? ■ n 0 Q
Is a copy of the current NPDES permit available on site? ❑ ■
Facility has copy of previous year's Annual Report on file for review?
■nnn
Comment: The operators records were reviewed and found to be thorough and
complete (flow readings, meter calibrations, laboratory analysis/chain of custody and
septage pumping).
Yes No NA NE
Flow Measurement - Influent
# Is flow meter used for reporting?
Is flow meter calibrated annually?
Is the flow meter operational?
(If units are separated) Does the chart recorder match the flow meter?
Comment: The permit requires weekly instantaneous flow measurement. These
readings are obtained from the county water meter.
Aeration Basins
Ext. Air
Mode of operation
Diffused
Type of aeration system .
■ ❑
❑
Cl
Is the basin free of dead spots?
n 0
■
fl
Are surface aerators and mixers operational?
■00Cl
Are the diffusers operational?
Is the foam the proper color for the treatment process?
■ ❑
Cl
Cl
Does the foam cover less than 25% of the basin's surface?
N El
0
■nnn
Is the DO level acceptable?
■
Is the DO level acceptable?(1.0 to 3.0 mg/1) '
Comment: The facility has a single rectangular aeration basin. Only one blower was
opeational. The blowers run continuously.
Yes No
NA NE
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
■ ❑
Cl
0
Is the site free of excessive buildup of solids in center well of circular clarifier?
n n
■
p
■nnp
Are weirs level?
■ ❑
Cl
Is the site free of weir blockage?
Page # 4

Permit: NC0051713 Owner - Facility: Lakeview Mobile Home Park
Inspection Date: 02/22/2010 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Is the site free of evidence of short-circuiting?
■
❑
❑
❑
Is scum removal adequate?
■
n
n
n
Is the site free of excessive floating sludge?
■
n
n
n
Is the drive unit operational?
n
n
■
o
Is the return rate acceptable (low turbulence)?
■
❑
❑
n
Is the overflow clear of excessive solids/pin floc?
■
n
n
n
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
■
n
n
n
Comment: The facility has a single square concrete clarifier.
Disinfection -Tablet
Yes
No
NA
NE
Are tablet chlorinators operational?
■
n
n
n
Are the tablets the proper size and type?
■
n
n
n
Number of tubes in use?
3
Is the level of chlorine residual acceptable?
■
❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
■
n
n
n
Is there chlorine residual prior to de -chlorination?
■
n
n
n
Comment: Tablets are placed in 3 of the 4 tubes.
Type of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
■
n
Is storage appropriate for cylinders?
❑
❑
■
n
# Is de -chlorination substance stored away from chlorine containers?
❑
❑
■
❑
Comment:
Are the tablets the proper size and type?
■
n
n
n
Are tablet de -chlorinators operational?
■
n
n
n
Number of tubes in use?
1
Comment: A single tube is used for dechlorination.
Aerobic Digester
Yes
No
NA
NE
Is the capacity adequate?
■
n
n
n
Is the mixing adequate?
■
0011
Is the site free of excessive foaming in the tank?
■
n
n
n
Page # 5

Permit: NCO051713
Inspection Date: 02/22/2010
Aerobic Digester
# Is the odor acceptable?
Owner - Facility: Lakeview Mobile Home Park
Inspection Type: Compliance Evaluation
# Is tankage available for properly waste sludge?
Comment: Solids are concentrated in the single aerobic digester. The air is turned off
prior to pumping so the clear liquid can be pum ped off.
Effluent Pipe
Is right of way to the outfall properly maintained?
Are the receiving water free of foam other than trace amounts and other debris?
If effluent (diffuser pipes are required) are they operating properly?
Comment: The system discharges into an ope n ditch adjacent to the WWTP. The
effluent then flows under High Point Road and eventually reaches Cuddy bum Creek,
Class "WS-III" waters in the Yadkin Pee -Dee River Basin.
■ ❑ ❑ ❑
■ ❑ n ❑
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ®❑ ❑ ❑
Comment: Downstream samples are collected approxim ately 100 yards below the
outfall. Upstream samples are not collected since the system discharges into a dry
ditch.
Page # 6

Mickey, Mike
From: Walter Craven [[e-mail]]
Sent: Wednesday, April 21, 2010 9:54 AM
To: Mickey, Mike
Subject: RE: Lakeview Mobile Home Park
Attachments: image001. png
Yes
Thanks,
Walter
--- On Wed, 4/21/10, Mickey, Mike <mike.mickeynarncdenr.gov> wrote:
From: Mickey, Mike <mike.mickey�,ncdenr. ov>
Subject: RE: Lakeview Mobile Home Park
To: "Walter Craven" <[e-mail]>
Date: Wednesday, April 21, 2010, 9:49 AM
Walter - Charles Lowery is no longer associated with this permit. Our records. (see below) list Pamela Craven as th
correspondence from DENR will be routed to her. I have added you as the contact person. Will that work? Mike.

5
4
Related Permits r NII Publish r. Outfall C' Wells r Sites Comments ' History ` Inspections ` Incidents Enforcement!
Details 1 r Details 2 Billing r Class.IDesig. Events r Reg. Activities r Structures Affiliation:
Permit: NCO051713 Version: 3.0 Status: ctive
Entity
*Affiliation Type
Name
Title
Phone Number
Owner
Owner
Craven, Pamela S.
[phone]
Permit
Billing
Craven, Pamela S.
[phone]
Permit
Contact Person
Craven, Falter B. Jr
[phone] I
3 Affiliations
Mike Mickey
Mike.MickeY(&_NCDENR.gov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Back hde:a Finish Cancel
Ready
2

M
Phone: [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.
From: Walter Craven [mailto:[e-mail]]
Sent: Tuesday, April 20, 2010 10:49 AM
To: Mickey, Mike
Subject: RE: Lakeview Mobile Home Park
Yes. I am the owner. Did you get Charles name off your records?
Thanks,
Walter
--- On Mon, 4/19/10, Mickey, Mike <mike.mickeynancdenr.,-ov> wrote:
From: Mickey, Mike <mike.mickeykncdenr.gov>
Subject: RE: Lakeview Mobile Home Park
To: "Walter Craven" <wbcravenjrgyahoo.com>
Date: Monday, April 19, 2010, 3:49 PM
Is it correct that you are with Lakeview, MHP, LLC, with a mailing address of PO Box 3421?
Mike Mickey
Mike.MickeyCcD_NCDENR.gov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Phone: [phone]
3

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.
From: Walter Craven [mailto:[e-mail]]
Sent: Monday, April 19, 2010 3:29 PM
To: Mickey, Mike
Subject: Lakeview Mobile Home Park
Mike,
On our inspection report you have Charles Lowery as "Responsible Offical". He is no longer with the park. That nar
changed to me Walter Craven Tele 910-617-7136. Please let me know you have made this change.
Thanks,
Walter

4 `4
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
May 6, 2010
Ms. Pamela S. Craven
Lakeview MHP, LLC
P.O. Box 3421
Wilmington, NC 284063421
Subject: NOTICE OF VIOLATION
NPDES Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
Dee Freeman
Secretary
A review of the Lakeview Mobile Home Park monitoring report for February 2010 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
Total Residual Chlorine
02/16/10
17 ug/1
56 ug/1
Daily Maximum Exceeded
Remedial actions, if not already implemented, should be taken to correct the above noncompliance
problem. Please be aware that violations of your NPDES permit could result in enforcement action by the
Division of Water Quality for this and any additional violations of State law.
If you should have any questions, please do not hesitate to contact Mike Mickey at [phone].
z
y,
Steve W. Tedder
Water Quality Regional Supervisor
Winston-Salem Region
Division of Water Quality
cc: Central Files - SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] l Customer Service:1-877-623-6748
Internet: www.ncwaterqualiV.org
An Equal Opportunity 1 Affirmative Action Employer
One
Noft Carohna.
Naturally

Cover Sheet from
Staff Member to
Regional Supervisor
44 DMR Review Record
Facility: VAi Permit/Pipe No.: ���1\ Mond- Year
onthly Average Violations
Parameter Permit Li DMR Value % Over Limit
W� q�ly aily iolations
Date Parameter Permit Limit/Type DMR Value % Over Limit
Moniton Q Frequency Violations
Date Parameter Permit re uencv Values Reported # of Violations
Other Violations ��``
Completed by:
Regional Water
Supervisor SIM
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Date:

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• ,;: RISES -PERMIT NO NC-005=11'13 DISCHARGE NO. 001 M.O-I XV Rdbruary= WEAR-2'.Oi .0
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i 3 FACILITY NAME LakeViAT- obil'eeH'ome Park CLASS II COUNTY Forsyth
y;r !CERTIFIED LABORATORIES R & A Laboratories, Inc. CERTIFICATION NO. 34
;(List additional laboratories on the backside/page 2 of this form)
QPERATOR IN RESPONSIBLE CHARGE (ORC) Morgan Turner GRADE III CERTIFICATION NO. 992198
7�3 PERSON(S) COLLECTING SAMPLES Operators ORC PHONE [phone]
;rci<CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FROM SITE
p RECEIept ED
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Mail ORIGINAL and ONE CFPY
:N.C. Sept f eraR
ATTN: CENTRAL FILES X ' O
a DIVISION OF WATER QUALITY! 4 PR 1 , 2010 (SIGNATUEEOPOVERATOR IN RESPONSIBLE CHARGE) T
t-y ; 1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
LEIGH, NC 27699-1617 Regional Fice ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
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NNCDENR
North Carolina Department of Environment and natural Resources
Division of �Nater Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
September 14, 2010
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION, NOV-2010-LV-0325
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
A review of Lakeview Mobile Home Park's monitoring report for June 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Chlorine, Total Residual
06/04/10
17 ug/l
50 ug/1
Daily
Maximum
Exceeded
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problem. Please be aware that violations of your NPDES permit could result in
enforcement action by the Division of Water Quality for this and any additional violations of
State law.
If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
cc: SWP — Central Files
�WSRO Tiles
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem: North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet vww.ncwaterquality.org
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
Nne
orthCarolina
(rallff
An Equal OPariunity'l, Af irmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: <=�` �'1e r�1 /I'%//i�
Permit/Pipe No.: Month/Year �2/d
/WJ' -/
Monthly Average Violations
Parameter
Permit Limit DMR Value
% Over Limit
Weekly/Daily Violations
Date Parameter
Permit LunitlTv e DMR Value
17 61I�t
% Over Limit
Monitorinj Frequency Violations
Date Parameter
Permit Frequencv Values Reported
# of Violations
�✓
Other Violations
��
i1
w
Completed by: f(- -
Regional Water Quality
Supervisor Sianoff:
flb V —,IPI6 -- L V --D 3 Is'
,( 0-
mwj�!!�
Date: 9113 2 c)10
(-X CJlbL` rt.�
Date:
/c jJ4
tf-
CxAr, 044 AFt tz 440

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 09/10/10 Page: 5 of 9
Permit-. , %
• MRs Between:- 6 2010
and 6 2010 Region: Winston-Salem
Violation. Category: Limit Violation Program'Category: NPDES WW
�.,
Facility Name: % .-
°
.... _.. . Param Name: /°
.° .
County, . /°
Subbasini��_ , .
Violation Action: None .
Major Minor %
-
PERMIT: NCO061713
FACILITY: Lakeview MHP LLC L�-ake_uiew-Mobile4i6hie-Par
COUNTY: 9m, tth,�
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION UNIT OF
CALCULATED
REPORT PPI
LOCATION PARAMETER
DATE FREQUENCY MEASURE
LIMIT
VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
06 -2010 001
Effluent Chlorine, Total Residual
06/04/10 2 X week ug/I
17
50 194.12
Daily Maximum Exceeded. None
PERMIT: NCO055255
FACILITY: Robert P Hahn - Crown Mobile Home Park
COUNTY: Guilford
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/
REPORT PPI
LOCATION PARAMETER
VIOLATION UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
06 -2010 001
Effluent Nitrogen, Ammonia Total (as
06/30/10 Weekly mg/I
2
2.5 25
Monthly Average Exceeded None
N) - Concentration
PERMIT: NCO056191
FACILITY: Aqua North Carolina Inc - Penman Heights WWTP
COUNTY: Randolph
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL /
VIOLATION UNIT OF
CALCULATED
REPORT PPI
LOCATION PARAMETER
DATE FREQUENCY MEASURE
LIMIT
VALUE % OVER LIMIT
VIOLATION TYPE VIOLATION ACTION
06 -2010 001
Effluent Nitrogen, Ammonia Total (as
06/30/10 2 X month mg/I
5
6.48 29.52
Monthly Average Exceeded None
N) - Concentration

RECEIVED
N.C. Dept. of ENR
WASTEWATER SYSTEM
FE8 2 4 201g
PERFORMANCE ANNUAL REPORT �
Winstcn•Sslem I
2010 Regional ofce
I
I. General Information E ,�
Facility Name:
Lakeview Mobile Home Park
FEB 2' 2010
Responsible Entity:
Coastal Investments, Inc.
Contact Person:
D`-r,j—t--yVt-#jR R Cat.dA� 0iY
POWT SouRCL s l�jCH
Applicable Permit (s):
NPDES Permit No.g,;00'5� 1�7E1 ;
Description of collection
system or process:
The system consists of a 0.015 million gallon per day (MGD) wastewater treatment plant
Septic tanks at each home, aeration basin, secondary clarifier, aerobic digestor, one chlorine
contact basin with tablet chlorination, tablet dechlorination, and aerated effluent holding tank.
II. Performance
Summary of system performance for calendar year 2010:
January 2010
Compliant with effluent limits
February 2010
Compliant with effluent limits
March 2010
Compliant with effluent limits
April 2010
Compliant with effluent limits
May 2010
Exceeded permit limit for daily maximum for fecal coliform
June 2010
Compliant with effluent limits.
July 2010
Compliant with effluent limits
August 2010
Exceeded permit limit for daily maximum for fecal coliform
September 2010
Exceeded permit limit for daily maximum for fecal coliform
October 2010
Compliant with effluent limits
November 2010
Compliant with effluent limits
December 2010 Compliant with effluent limits

III. Notification
Annual notice is posted in mobile home park office..
IV. Certification
I certify under penalty of law that this report is complete and accurate to the best of my
knowledge.
Clifford Cain February 18, 2010
Responsible Person Date
Field Services Manager
Title
Research & Analytical Laboratories, Inc.
Entity

r
..Fvt ✓ .
WDENR
North Carolina Department of Environment and Natural Resources
Division of `dater Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
November 24, 2010
Pamela S. Craven, Accounts Manager
Lakeview MHP LLC
P.O. Box 3421
Wilmington, NC 28406-3421
Subject: NOTICE OF VIOLATION
NOV-2010-LV-0424
Permit No. NCO051713
Lakeview Mobile Home Park
Forsyth County
Dear Ms. Craven:
A review of Lakeview Mobile Home Park's monitoring report for August 2010 showed the
following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Solids, Total Suspended -
08/18/10
45 mg/l
76 mg/1
Daily
Concentration
Maximum
Exceeded
Chlorine, Total Residual
08/02/10
17 ug/1
50 ug/1
Daily
Maximum
Exceeded
Additionally, we want to remind you and your plant operator of the approved methods for testing
for Total Residual Chlorine as specified in the attached letter. The values reported on your
discharge monitoring reports indicate that an unapproved method to measure the effluent's TRC
value may be being used. Please review these requirements with your plant operator and report
back to this office with your findings within 30 days of your receipt of this letter. This matter
will be examined in further detail in your next upcoming compliance evaluation inspection for
the plant.
Remedial actions, if not already implemented, should be taken to correct the above
noncompliance problems. Please be aware that violations of your NPDES permit could result in
enforcement actions by the Division of Water Quality for this and any additional violations of
State law.
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 kNauahtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: [phone] Customer Service: 1-877-623 6748
Internet: wvxi.ncwaterquality.org
Nne
o hCarolina
t-'l`
Sn Equal Opportunity t Affirmative action Employer

If you should have any questions, please do not hesitate to contact Ron Boone at [phone].
Sincerely,
Steve W. Tedder
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Quality
cc: SWP — Central Files
&EMMMIL&S,

r
-
k
xLs�
Dear NPDES Permittee:
Michael F. Easley
Governor
William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
August 14, 2001
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
This letter serves as notification to facilities with effluent permit limits for Total Residual Chlorine (TRC)
that effective July 1, 2002, the Division of Water Quality expects these facilities to utilize an instrument
or method that will detect and measure TRC concentrations to levels that are below the permit discharge
requirements. Please note that if a facility has no effluent limit for TRC (just a monitoring requirement),
then use of a hand-held meter, sometimes described as a pocket colorimeter, and the reporting of <100
ug/L as a TRC value is acceptable. The Environmental Protection Agency (EPA) and the State have
determined that in the interest of overall program equity, to ensure water quality protection, and to
comply with 15A NCAC 2B .0505(e)(4), the Division will require all facilities with TRC limits to utilize
instruments or methods that will produce detection and reporting levels that are below the permit
discharge requirements for TRC.
North Carolina has hundreds of NPDES permitted facilities that are required to limit the amount of TRC
that is discharged from their effluent to the receiving waters of the State. Typically these limits are set at
either 17 or 28 micrograms per liter (ug/L) of wastewater discharged. The EPA has approved two
methods for low-level TRC analyses: the Amperometric Titration Method and the DPD Colorimetric
Method. The Amperometric Titration Method is a classic chemistry analysis performed in a laboratory
setting. Larger facilities with on -site laboratories frequently use this method and achieve reliable, low-
level results of their testing. Many permitted facilities with TRC limits are small and/or have no on -site
laboratory. Because TRC must be analyzed within 15 minutes of sample collection due to its volatile
nature, these facilities are not able to send these samples out for analysis to a commercial lab. They must
rely on a field technique, which will typically utilize the low-level DPD Colorimetric Method. There are
portable instruments available that have the capability of analyzing TRC in the range of 10-15 ug/L.
The Division realizes that changing the method of TRC measurement will not be without difficulty on the
part of the permittees. The permittees will have to evaluate and purchase or otherwise obtain access to
instruments and become both educated and proficient in their use. Please be advised while these
instruments are advertised as portable, permittees may have to prepare special on -site facilities to ensure
their most reliable operation. For these reasons, pennittees will not be required to use the more sensitive
instruments until July 1, 2002.
If you have questions about the contents of this letter, please contact Vanessa Manuel at [phone],
extension 532. The Division of Water Quality thanks you for your cooperation and understanding in this
matter.
Sincerely,
E. Shannon Langley, Supervisor
Point Source Compliance/Enforcement Unit
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone]
w' 1DENR
Customer Service
1 800 623-7748

�6d-2 oio - Lv -0424
Facility
Parameter
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Permit/Pipe No.: 5/7/3 f04) f Month/Year
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Limit/Type Xo Over Limit
Q Y i11 %5S�
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
Completed by:�'''->� Date:
r /
Regional Water Quality
Supervisor SiQnoff: Date:

Permit NCO0517I
tj-t�� �"
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of the permit and lasting until expiration, the
Permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be
limited and monitored by the Permittee as specified below:
L.,u.EF L E
-.-��.. :.. _..:..._-LIMITS
H TERISTI
�....,_.
_ ..�:.... - -
z
.. ...
=>MONITORING REQUIREMENTS°°'�=
-
R
.x.
- - •,.
Average;:::._
_::.Maximum'::::>,:Locatron:1
- asurement:::-
-
�:..
-.t
- Sam' le;;::;
P..
ui.::f-
Flow
0.015 MGD
Weekly
Instantaneous
I or E
BOD, 5-day, 200C
17.0 mg/I
25:5 mg/I
Weekly
Grab
E
Total Suspended Residue
30.0 mg/I
45.0 mgll
Weekly
Grab
E
NH3-N
(April. 1-October 31
2.0 mg/I
10.0 mg/L
Weekly
Grab
E
NH3-N
November 1- March 31
4.0 mg/I
20.0 mg/L
Weekly
Grab
E
Total Residual Chlorine2
17 ugll
2/Week
Grab
E
Fecal Coliform
Geometric mean
2001100 ml
400/100 ml
Weekly
Grab
E
Temperature
Weekly
Grab
E, U, D
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
E
Dissolved Oxygen3
Weekly
Grab
E, U, D
Total Nitrogen
Quarterly
Grab
E
NO2 +NO3 + TKN
Total Phosphorous
Quarterly
Grab
E
Footnotes:
1. Sample Location: I — Influent; E — Effluent; U — Upstream above outfall; D — Downstream 0.1
miles below outfall.
2. The Division shall consider all effluent TRC values reported below 50 µg/1 to be in compliance
with the permit. However, the Permittee shall continue to record and submit all values reported by
a North Carolina certified laboratory (including field certified), even if these values fall below 50
µg/1.
3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

�
.�'
MONITORING REPOmT(NR)VIOLATIONS for:
n°portoate: 1112en0
Page: Imo
Limit
Violation"-
PE0N|T:NoVua1713
FACILITY: Lakeview K8HPLLC'Lakeview Mobile Home Park
COUNTY: Forsyth
REGION: Winston-Salem
Limit Violation
MONITORING
ouTFAu/
vmuATmw
UNIT OF
CALCULATED
nEponr
pp/
Looxrmw
pAn*msrsR
o»rc
pnsuuswu,
MsAn»ns
um/r
«*L»s
wOVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
nu'znon
001
effluent
Chlorine, Total Residual
08/13m9
zxweek
uo0
17
21
z000
Daily Maximum Exceeded
woAction, apJ
no'cooy '-001
' '
Effluent
Chlorine, Total Residual
08/17m9
zxweek
un/|
17
e4
41.18
Daily Maximum Exceeded
wvAction, apJ
' 08'2009
001
Effluent
Chlorine, Total Residual
08/18/09
xXweek
ug/1
17
18
oau
Daily Maximum Exceeded
wvAction, aPJ
os'uony
001
emuom
Chlorine, Total Residual
09m1m9
zxweek
unx
17
24
41.18
Daily Maximum Exceeded
wvAction, opv
oo'znne
001
emuom
Chlorine, Total Residual
09/24/09
2xweek
ugN
17
24
41.18
Daily Maximum Exceeded
moAction, Bpu
10'2009
001
smuom
Chlorine, Total Residual
10m8m9
xxweek
ugN
17
co
17.65
Daily Maximum Exceeded
woAction, apo
10'e009
001
Effluent
Chlorine, Total Residual
10/22m9
cxweek
ug/|
17
18
5.88
Daily Maximum Exceeded
woAction, opJ
11'2009
001
effluent
Chlorine, Total Residual
11m5/09
oxweek
ug/|
17
ox
2e.41
Daily Maximum Exceeded
woAction, opJ
11'2009
001
Effluent
Chlorine, Total Residual
11/06/0e
cxweek
uO/|
17
19
11.76
Daily Maximum Exceeded
wvAction, ePJ
11'2009
001
s0vom
Chlorine, Total Residual
11o009
zXweek
unx
17
m
5.88
Daily Maximum Exceeded
moAction, apo
12'2009
001
Effluent
Chlorine, Total Residual
1202109
exweek
ug8
17
19
11.76
Daily Maximum Exceeded
wvAction, spo
01'2010
001
smuom
Chlorine, Total Residual
01m0110
uxweek
uux
17
19
11.7e
Daily Maximum Exceeded
moAction, apJ
02'2010
001
Effluent
Chlorine, Total Residual
02/16n0
cxweek
ug/l
17
ms
229.41
Daily Maximum Exceeded
Proceed mNOV
02'2010
001
smuom
Chlorine, Total Residual
02125/10
x:week
ugN
17
on
17.65
Daily Maximum Exceeded
moAction, opJ
03'2010
001
effluom
Chlorine, Total Residual
03/05/10
xXweek
ug0
17
nn
76.47
Daily Maximum Exceeded
NoAction, oPJ
03'2010
001
Effluent
Chlorine, Total Residual
03n3/10
xXweek
unx
17
19
11.76
Daily Maximum Exceeded
NoAction, BPJ
0*'2010
001
s0uom
Chlorine, Total Residual
04/09/10
zXweek
ugN
17
40
135.29
Daily Maximum Exceeded
woAction, opu
04'2810
001
Effluent
Chlorine, Total Residual
04/1*n0
2xwoox
ugN
17
20
17s5
Daily Maximum Exceeded
mvAction, apu

MONITORING REPORT(MR) VIOLATIONS for: ReportDate: 11/22/10 Page: 2 of 3
—
Rermit, nc0051713 h. y. MRs Between:.. 8-20Q9 and 7 2010 Regioh:^°I° v Violation Category Lirnit�Violation ' Pr"ogram CategoryFacility Name: % ,Param Name: % "Goun}y: % Subbasin: % olation Action:
Major Minor:
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING
OUTFALL/
VIOLATION
UNIT OF
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
04 -2010
001
Effluent
Chlorine, Total Residual
04/19/10
2 X week
ug/I
05 -2010
001
Effluent
Chlorine, Total Residual
05/04/10
2 X week
ug/I
05 -2010
001
Effluent
Chlorine, Total Residual
05/05/10
2 X week
ug/I
05 -2010
001
Effluent
Chlorine, Total Residual
05/10/10
2 X week
ug/I
05 -2010
001
Effluent
Chlorine, Total Residual
05/26/10
2 X week
ug/I
05 -2010
001
Effluent
Chlorine, Total Residual
05/28/10
2 X week
ug/I
06 -2010
001
Effluent
Chlorine, Total Residual
06/03/10
2 X week
ug/I
06 -2010
001
Effluent
Chlorine, Total Residual
06/04/10
2 X week
ug/I
06 -2010
001
Effluent
Chlorine, Total Residual
06/08/10
2 X week
ug/I
06 -2010
001
Effluent
Chlorine, Total Residual
06/18/10
2 X week
ug/I
06 -2010
001
Effluent
Chlorine, Total Residual
06/28/10
2 X week
ug/I
07 -2010
001
Effluent
Chlorine, Total Residual
07/08/10
2 X week
ug/I
07 -2010
001
Effluent
Chlorine, Total Residual
07/15/10
2 X week
ug/I
07 -2010
001
Effluent
Chlorine, Total Residual
07/19/10
2 X week
ug/I
07 -2010
001
Effluent
Chlorine, Total Residual
07/22/10
2 X week
ug/I
07 -2010
001
Effluent
Chlorine, Total Residual
07/26/10
2 X week
ug/I
08-2009
001
Effluent
Coliform, Fecal MF, M-FC
08/25/09
Weekly
#/100ml
Broth,44.5C
CALCULATED
LIMIT
VALUE
% OVER LIMIT
VIOLATION TYPE
VIOLATION ACTION
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
17
50
194.12
Daily Maximum Exceeded
Proceed to NOV
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
17
30
76.47
Daily Maximum Exceeded
No Action, BPJ
17
50
194.12
Daily Maximum Exceeded
No Action, BPJ
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
17
20
17.65
Daily Maximum Exceeded
No Action, BPJ
17
40
135.29
Daily Maximum Exceeded
No Action, BPJ
400
580
45
Daily Maximum Exceeded
Proceed to NOV

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 11/22/10 Page: 3 of 3
'
i17­
Category: Violation
FRe1on:
Violation
ojraqaegoy:-%,g
.
County; ,Faicility Namet',%-' oun
Subb�asin:,% Violation Adom".0"
44 V
",!Majo
21:
PERMIT: NCO051713 FACILITY: Lakeview MHP LLC - Lakeview Mobile Home Park COUNTY: Forsyth REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL/ VIOLATION UNIT OF CALCULATED
REPORT PPI LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE % OVER LIMIT VIOLATION TYPE VIOLATION ACTION
09-2009 001 Effluent Coliform, Fecal MF, M-FC 09/09/09 Weekly #/I 00m] 400 760 90 Daily Maximum Exceeded Proceed to NOV
Broth,44.5C

Permit Enforcement History by Permit
Permit: NC0051713
Region: Winston-Salem
Penalty
Assessment
Case Number Approved
Penalty
Amount
Facility: Lakeview Mobile Home Park
County: Forsyth
Remission Enforcement
Enforcement Request Conference
Costs Damages Received Held
owner: Lakeview MHP LLC
Collection
EMC Memo Sent
Hearing Held to AGO Total Paid Balance Due
Has
Payment
Plan
Case Closed
LM-1999-0037
05/25/99
$1,300.00
$60.00
$.00
$1,360.00
.00
No
11/17/99
LM-1999-0048
07/02/99
$300.00
$60.00
$.00
$360.00
.00
No
11/17/99
LM-2000-0011
04/03/00
$300.00
$76.00
$.00
$376.00
.00
No
02/06/01
LM-2000-0013
04/26/00
$1,050.00
$76.00
$.00
$1,126.00
.00
No
04/09/01
LV-2002-0332
08/19/02
$250.00
$121.00
04/05/06
371.00
No
LV-2002-0430
09/17/02
$250.00
$121.00
04/05/06
371.00
No
LV-2002-0570
11/19/02
$250.00
$105.50
$355.50
.00
No
12/11/02
LV-2003-0391
05/28/03
$450.00
$90.00
04/05/06
540.00
No
LV-2003-0442
06/24/03
$650.00
$90.00
04/05/06
740.00
No
LV-2006-0271
07/31/06
$300.00
$88.00
01/05/07
$388.00
.00
No
02/21/07
LV-2006-0407
10/23/06
$550.00
$96.00
04/23/07
646.00
No
LV-2008-0115
04/01/08
$200.00
$102.49
07/10/08
302.49
No
LV-2009-0046
02/18/09
$100.00
$102.49
202.49
No
Total Cases: 13
Total Penalties:
$5,950.09
$1,188.48
$7,138.48
3,965.50
Total Penalties after remission(s):
$3,172.98
$7,138.48

UNITED STATES POSTAL SERVICE ga
First -Class Mail
Postage & Fees Paid
USPS
16. CICT � 013 Pffl S, T I IRI
0 Sender: Please print your narnE
NCDENR - Division
)ox 0
RECEIVED
N.C.Dept. of ENR
OCT 17 2013
1 Water Resource
Winston-Salem
Regional Office
r�i� e.
585 WaUghtown Street
Winston-Salem, NC 27107
I Iq III III I! fill fill i I !]N]

• Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
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Article Addressed to:
Mr. Walter B. Craven,Jr.
Lakevie-.j Mobile Home Park, LLC
420 Mai -ion Drive, Unit 31
Wilmington, NC 28412
A. Sqlqnature
XM:�Ngent
1:1 Addressee
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UNITED STATES POSTAL SERVICE Fjnt-Ckb.Mail
• Sender: Please print your name, address; r'and 2lP+4..ih ffils'box "
NCDENR - Division of Water Quality
k '-Soct�
585 Waughtown Street
Winston-Salem, NC 27107
111111 IIII)h I IIII I i I If III I h ?III hilt ;!I

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1. Article Addressed to:
I Mr. Walter B. Craven, Jr.
Lakeview Mobile Home Park, LLC
A. Signature
El Agent
11 Addressee
B. ed by (Pfinted Name) C. Date of Delivery
5 t D, cu, te—,
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If YES, enter delivery address below: 11 No
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Wilmington, NC 28412 [91tertified Mail 0 Express Mail
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