NC0055255_Regional Office Historical File Pre 2016

RECEIVED Crown MHP
N.C. Dept. of ENR WWTP Operations
OCT 2 6 2015 "s NPDES NC0055255
PO Box 1000
Winston-Salem
Regional Office Pittsboro, NC
Sherri V Knight
Division of Water Resources
1601 Mail Service Center
Raleigh, NC
91111
G ME
Re: Violation for Crown MHP in June and July 2015
Sorry to answer your letter beyond the date requested. I have been hiking in Zion and Escalante/Grand
Staircase national parks in Utah for the last two weeks and connections with the outside world have
been spotty at best.
I was aware of this issue before I left and did make certain that corrected reports were sent in before I
left. My operator had taken the data but neglected to include it on the report. We will make a
concerted effort to go online with the reporting by the end of the year so omissions like this are
avoided.
,04 0 /k-�l
Robert Hahn
Crowe MHP
CC Mike Mickey
l,

•
Forth Carolina Department of Environmental Quality
Pat McCrory
Governor
October 7, 2015
CERTIFIED MAIL # 7010 2780 0001 4236 4823
RETURN RECEIPT REQUESTED
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Donald R. van der!laart
Secretary
Subject: Notice of Violation and Recommendation for Enforcement (#NOV-2015-W-0120)
NPDES Permit No. NCO055255
Crown NIBP N WTP -
Guilford Coaiiity
Dear Mr. Hahn:
A review of the Crown MHP monitoring report for July 2015 showed the following
monitoring omissions:
Parameter
Date
Permit Frequency
Values Reported
# of Violations
Dissolved Oxygen
6/29 — 7/3
Weekly
0
1
Dissolved Oxygen
7/6-10
Weekly
0
1
Dissolved Oxygen
7/13 —17
Weekly
0
1
Dissolved Oxygen
7/20 — 24
Weekly
0
1
Dissolved Oxygen
7/27 — 31
Weekly
0
1
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. NC0055255. 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 July 2015 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.
1601 Mail Service Center, Raleigh, North Carolina 27699-1601
Phone: [phone] \ Internet: www.ncdenr.gov
An Equal Opportunity \ Affirmative Action Employer -Made in part by recycled paper

I
Mr. Robert Hahn
October 7, 2015
Page #2
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 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 Mike Mickey
or me at [phone].
Sincerely,
Sherri V. Knight, PE
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: Point Source Branch
Central Files -SWP
"W� %

OMR Revoew Record
� hh
Facility: (- C�� Permit No.:- MIMS a � Pipe No.: Month/Year:
Mothiv Ayera eViolations
Parameter Permit Limit DMR Value % Over Limit Action
ekl /Dail. Violations
Date Parameter Permit Limit Limit T DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations Action
0 her Violations/Staff Remarks:
INK k
Supervisor Remarks: 6V C
6
Completed by:
Assistant Regional Y
Supervisor Sign Off: I
Regional Supervisor Sign
Off:
Date: I "% 5 ti S
Date: 5 Z 1� 1-5
Date: ����-5—

24/08 2015 19:13 FAX [phone] CARLOS
4 OFFICE 1001
EFFLUENT
OA
N12DES PERMIT NO. _ C 09525 t DISCHARWNO._
FACILITY NAMU Q rnMHR,;
' CERTIFIED LABORATORY (1) MAJ.
(list additional laboratories on the b>tuicside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARUE ORC: Mahow Nana®
PERSONS) COLLECTING SAMPLE _
CIIECK BOX 1F ORC HAS CHANCED
Mail ORIGINAL, and ONE, COPY to:
AWN: CENTRAL CILES
DIVISION OF WATER RFCOURCES SIGN
N.C.Dept. of EiiNR
EPA;
Winston-Salem
L'LASS C N Guilrorti
CF,RTIFICATION NO, 34
GRAD: 2 999076
ORC PHONE _ 918.545.OM
i NO FLOW / DISC'HARGE FROM SITE* /
1617 MAIL SERVICE CENTER BYTHIS SIGNATURE, ICERTIFVTHAT THIS KEPCIRTIS
RALEIGII NC 27699.1617 ACCURATE ANn COMPLETE. TQ THE BEST OF MY KNOWLEDOE.
IRE]
•
NAME UNITS BELOW
�,D
man
19
V�+r•
r ��
i
��n
����
�■N■
07,
i
PJ NV-M��0Ll
0�
E3
•
KMMITVIM
Goo
M
192�a
m��rwr�.��ar.��w�c��r�c�c�a����r�■��
101
Iwo
-1f%
NO
a. s3&LEM
F�76
i PA
rv7v-.A�
a.
H
mom'-'y�
�►
ail!
>
^��`��������������
ir
��01
i
DWR Form MR•1 (OIIi05)

* RECEIVED
N.C. Dept of ENR
OCT 262015
1012212015 WINSTON
REGIONAL.
Mr. Charles Weaver
NPDES Compliance Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
Crown MHP
NPDES No. NCO055255
Dear Mr. Weaver:
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 Crown MHP as required by all applicable federal, state, and local environmental
agencies specifically with the requirements for signatory authority as specified in 15A NCAC
213.0506.
Matthew Nance Operator W WTP
If you have any questions regarding this letter, please feel free to contact me at 919-862-3200.
Sincerely,
Robert P Hahn
Owner
cc: WSRO (Attn: Mike Mickey. NCDEQ. 450 West I -lanes Mill Road. Suite 300. Winston-Salem. NC 27105)

Mickey, Mike
From: [e-mail]
Sent: Wednesday, October 07, 2015 11:03 PM
To: Mickey, Mike
Subject: Re: Crown - July 2015 DMR
Thanks Mike
I will respond but have already sent in errected reports for June and July.
Sent from myMail app for Android
Wednesday, 07 October 2015, 11:37AM -06:00 from "Mickey, Mike" <mike.mickey cr,ncdenr.gov>:
Bob — The attached letter is being sent due to the ongoing issue with monitoring omissions at Crown. Please
note that a response is requested. The original will go out in tomorrows mail.
If the data was simply omitted, you will need to follow the following instructions:
If this violation is due to a transcription error, and certifiable data are available to rectify the noncom lip ance,
we ask that you please submit an amended DMR to the Division of Water Resources. Send two copies of the
amended report to:
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Please note that the new eDMR process prompts you if data is missing when the report is being
generated. Although Crown does not have to begin electronic submittal until sometime in 2017, you may
want to consider using it if it will help Matt out. See link below.

N, _
Thanks, Mike.
Mike.MickevgNCDENR,gqy
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Mickey, Mike
Sent: Thursday, April 09, 2015 2:53 PM
To: rp2.hahn2(yahoo.com
Subject: eDMR
Bob — Just FYI.
Below is the link to the Division's eDMR web page that has information on computer system requirements
and the user registration process. Thanks, Mike.
http://portal.ncdenr. or,g/web/wq/admin/bo g/ipLi/edmr
2

Mickey, Mike
From: Mickey, Mike
Sent: Wednesday, October 07, 2015 1:38 PM
To: '[e-mail]'
Subject: Crown - July 2015 DMR
Attachments: Crown - July 2015 DMR.pdf
Bob —The attached letter is being sent due to the ongoing issue with monitoring omissions at Crown. Please note that a
response is requested. The original will go out in tomorrow's mail.
If the data was simply omitted, you will need to follow the following instructions:
If this violation is due to a transcription error, and certifiable data are available to rectify the noncompliance, we ask that
you please submit an amended DMR to the Division of Water Resources. Send two copies of the amended report to:
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Please note that the new eDMR process prompts you if data is missing when the report is being generated. Although
Crown does not have to begin electronic submittal until sometime in 2017, you may want to consider using it if it will help
Matt out. See link below.
Thanks, Mike.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Mickey, Mike
Sent: Thursday, April 09, 2015 2:53 PM
To: [e-mail]
Subject: eDMR
Bob — Just FYI.
Below is the link to the Division's eDMR web page that has information on computer system requirements and the user
registration process. Thanks, Mike.
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr

c.
Mickey, Mike
From: Mickey, Mike
Sent: Monday, October 05, 2015 8:52 AM
To:. '[e-mail]'
Subject: RE: Crown Forms Authorization
Attachments: DMR-Delegation of Signature Authority.doc
Bob - I like the screenshot of your SCADA system. A lot of hard work and very creative.
As for delegating signature authority, please see the attached example letter. Just sent in when you are ready. Thanks,
Mike.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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: [e-mail] [mailto:[e-mail]
Sent: Tuesday, September 29, 2015 12:53 PM
To: Mickey, Mike <[e-mail]>
Subject: Crown Forms Authorization
Hi Mike
I would like to have Matt start signing the forms in my place and have him mail them in directly with a copy to the office. I
know we did that for Mark but cannot remember if there was a form to authorize that or if it just required a letter or e-mail.
can't find anything online. Can you let me know the requirements, thanks.
I have attached a screenshot of the dashboard on our home brew scada system. We can get a quick picture of what is
happening and also have alarms on the high water at pump stations, the UV and if the blowers current gets too low
indicating a problem. This will text and email us if there are problems and when the problem clears. I can zoom in and see
when and for how long each pump runs. ....Sorry don't get to show this off to anyone who cares.
Hope all is well
Bob

<Date>
Mr. Charles Weaver
NPDES Compliance Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
<Facility Name>
NPDES No. NC_______
Dear Mr. Weaver:
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 <Facility Name> as required by all applicable federal, state, and local environmental
agencies specifically with the requirements for signatory authority as specified in 15A NCAC
213.0506.
Name
Title
If you have any questions regarding this letter, please feel free to contact me at <Phone Number>.
Sincerely,
<Facility Officers Name>
<Facility Officers Title>
cc: WSRO (Attn: Mike Mickey, NCDEQ, 450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105)

4"
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 1, 2015
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (#NOV-2015-MV-0113)
Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
Donald van der Vaart
Secretary
A review of the Crown Mobile Home Park monitoring report for June 2015 showed the following
monitoring violations:
Parameter
Date
Permit Frequency
Values Reported
# of Violations
Dissolved Oxygen
6/1-5
Weekly
0
1
Dissolved Oxygen
6/8 —12
Weekly
0
1
Dissolved Oxygen
6/15 —19
Weekly
0
1
Dissolved Oxygen
6/22 — 26
Weekly
0
1
Temperature
6/25
Daily (weekdays)
0
1
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 this violation is due to a transcription error, and certifiable data are available, we ask that you please
submit an amended DMR(s) to the Division of Water Resources. Send two copies of the amended
report to:
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncwateraual!tV.org
An Equal Opportunity\Affirmative Action Employer —Made in part by recycled paper

Mr. Robert P. Hahn
September 1, 2015
Page #2
If you have any questions or require any additional information, please contact Mike Mickey at (336)
776-9697.
Sincerely,
Sherri V. Knight, PE
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: DWQ Central Files
*,-R - . 1r

(� ■Raw;
`�lil I■, C1C ',,, �i:'an f lL
"Facility: C-vwt' V,\\� Permit No.:A\, SS^4-%S Pipe No.: MonthNear:
®� OVS Mohthlv Average Violations
Parameter Permit Limit DMR Value % Over Limit Action
Date Parameter Permit Limit
Date . Parameter
Violations/Staff
Supervisor Remarks: (jam
DMR Value
Monitoring Frequency Violations
1/6 Over Limit Action
Permit Frequency Values Reported # of Violations Action
vs
W eel.\a
bad, \-wee,�-
r
Completed by: Date:
Assistant Regional
Supervisor Sign Off: Date: [ JI's
Regional Supervisor Sign
Off • Date:

,
` EFFLUENT
NPDES PERMIT NO. :_coo_552s - DISCHARGE NO. MONTH�
FACILITY NAME Crown MH n ..__„ y CLASS TY Guilford
CERTIFIED LABORATORY (1) R&AL CERTIFICATION NO. 34 �4)
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Matthe Nance GRAD] 2 99 07,6',"•.,, jy
s
PERSONS COLLECTING SAMPLES
O (p_00ce ORC PHONE [phone]
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE FROM SITE * 0
r,
Mail ORIGINAL and ONE COPY to:
CENTRAL FILES L{
ATTN: x /
DIVISION OF WATER RESOURCES ('SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, 1 CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
d
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
!,
E
�.
FLOW
t 07!''
-1 w
Q z
W
W
z
M
ENTER PARAPAE;
NAM blD;1
ER' DE ABOVE
N�Ij,, EL
EFF ❑
` o
au
°r,
�'tn
~Q2
0
OV
W
J o
azo
-1
JW
J W
a0
_j
INF ❑
F
d
C
o
«°�
0
to Uj
a
_
V
0 c
mN
OC
w
OU)
J�
O�
OI_
a
OO
N
�a
o
O
JW
F-
Q�
0.W
V
w I
EF-
Q Z
LLJ
O
0
uJ
p• ®
z
a
UV
°
Q
7
-
.I�
disinfection
U)
HR4H_R7S
Y/B/N
MGD
O C
UNITS
UG/L
MG/L
MG/L
MG/
#/IOOML
MG/L.
MG/L
MC/L
i
4
/01,
7 �9 E
3 ; p
3
6
O
8
.010z
9
:
S
,,
,..
10
OOKa)
a
a
o.
it
ccY.
13
O!O
14
.0 O
I5
®.10.:
16
18
• S
20
p 3
-- -
zl
77
22
o 13
�
24
,
/010
o2�
�.
(a
Q,
L
J
j
2s
P
6
$
.,5
21
$
o°.2
28
(,
29
30
31
7777
:, >:,
,
AVERAGE
, ���
a •�
Q�7
MAXIMUM "
00
3.
MINIMUM
O�j
p
.
l�
Q,
Comp. (C)
Monthly Limit
v.i . Diep_. or cl\i
DWR Form MR -I (08/05) 1

North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
August 14, 2015
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF DEFICIENCY (NOD-2015-MV-0100)
Crown MHP WWTP
Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Donald van der Vaart
Secretary
N
A review of the April/May 2015 Discharge Monitoring Reports (DMRs) revealed the following monitoring
violations:
Parameter
Date
Permit Frequency
Values Reported
# of Violations
BOD .
4/27 — 5/1
Weekly
0
1
NH3-N
4/27 — 5/1
Weekly
0
1
TSS
4/27 — 5/1
Weekly
0
1
Fecal Coliform
4/27 — 5/1
Weekly
0
1
pH
4/27 — 5/1
Weekly
0
1
Dissolved Oxygen
4/27 — 5/1
Weekly
0
1
If this violation is due to a transcription error, and certifiable data are available to rectify the
noncompliance, we ask that you please submit an amended DMR to the Division , of Water Resources.
Send two copies of the amended report to:
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Thank you for your attention to this matter. Remedial actions should be taken to correct the cause of this
violation. Unresolved violations may lead to the issuance of a Notice of Violation and/or assessments of
civil penalties.
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncwaterpuality.org
An Equal Opportunity \ Affirmative Action Employer —Made in partby recycled paper

•Y
Mr. Robert Hahn
Page #2
If you have any questions or require any additional information, please contact Mike Mickey at (336) 771-
9800.
Sincerely,
'�'�iG•i %r 'L'�
i�
Sherri V. Knight, P.E.
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: Central Files
1W

®f Review Record
-Facility:
Permit No.: c 5�ja 5� Pipe No,:
Month/Year:
a�
onthl Avera a Violations
Parameter
Permit Limit DMR Value
% Over Limit . •-
Action
eekl /Dail. Violations
Date
Parameter
Permit Limit Limit e . DMR Value
% Over Limit
Action
Monitoring Frequency Violations
Date
Parameter
Permit Frequency Values Reported
# of Violations
Action
Other ViolationslStaff Remarks:
jai �0�� — �A\� ���.�0� • ��� ���
supervisor Remarks:
Completed by:
'
Assistant Regional
Supervisor Sign Off:
U.�.
Regional Supervisor Sign
Off.
Date: I. — \a,—\j
Date: 9 —( 3 — Ij
Date:

EFFLUENT
NPDES PERMIT NO. C0055255 DISCHARGE NO.
FACILITY NAME brow MHP
CERTIFIED LABORATORY (1) RBAL
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) Matthew Nance
PERSON(S) COLLECTING SAMPLES
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES X
DIVISION OF WATER RESOURCES SIGNATURE OF OPERA"
MONTH
CLASS COUNT? Guilford
CERTIFICATION NO. 34
GRAD; 2 999076
ORC PHONE [phone]
NO FLOW / DISCHARGE FROM SITE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
II v1
111 I
II 11
I1,1
11 I
I1� I
11 I
II 11
II,11
II „
�__�
r •.•
I
soon
mom
m
/ter®�
� •
�--__�________
'
i•u
+
Mr,"..MW�li9li//�--___________
®!r�0".
®®�WMA
MEN
NAM
DWR Form MR-1 (08/05)

�W.Dept, ofENR .
2 3 -M
C71A
'%/Vinston-SateM i U "4 2 0 15
DISCHARGE NU.-- MONTHregional Office---
NPDES PERMIT NO. ffikq_605�6,2055 FACILITY NAME CLASS COUNTY G0.1d
CERTIFIED LABORATORY (1) R&AL CERTIFICATION NO. 34
(list additional laboratories on the backside/ . page 2 of this form) -'- .. GRAD] 2 N9076:-
L w- Nance OPERATOR IN RESPONSIBLE CHAR 0 Mew
r/2 ORC PHONE [phone]
PERSON(S) COLLECTING SAMPLES- NO FLOW DISCHARGE FROM SITE
CHECK BOX IF O-RC HA&CHANGED
Mail ORIGINAL and ONE COPY to: 6 -Q.�L-
/S-
ATTN: CENTRAL FILES DATE
OF WATER RESOURCES A^46ERNI'QK IN KhSJ`VN,'3WLr, t�rl�tMur-)
IG,ATUR
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
1617 MAIL SERVICE CENTER ACCURATE AND COMPLETE .. TO . THE BEST OF My KNOWLEDGE.
RALEIGH, NC 27699-1617
DWR Form MR-1 (08/05)

S1
Mickey, Mike
From:
Swanson, Beth
Sent:
Monday, July 06, 2015 2:35 PM
To:
Mickey, Mike
Cc:
Francies, Gary
Subject:
RE: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,
I just wanted to let you know that Mr. Hahn at Crown MHP paid his invoice today, so they are officially certified at this
point. There was a little delay due to submitting a proficiency testing sample for the first time, but everything went
smoothly.
Thanks again for sending him our way.
Sincerely,
Beth Swanson
Auditor- Chemist II
NC WW/GW Laboratory Certification
O: [phone] ext. 272
F: [phone]
Certification Website: hU://portal.ncdenr.org/web/wq/lab/cert
From: Mickey, Mike
Sent: Friday, May 08, 2015 2:09 PM
To: Swanson, Beth
Subject: RE: follow-up on Crown MHP NPDES#NC0055255
The last contact was my 4/10 email. I will follow-up and remind him to get it in. Thx. Mike.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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: Swanson, Beth
Sent: Friday, May 08, 2015 1:45 PM
To: Mickey, Mike
Cc: Francies, Gary
Subject: RE: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,
I am checking in because I haven't heard anything from Mr. Hahn or Mr. Nance, and I was wondering if you had been in
contact with them?
Thanks,
1

Beth Swanson
Auditor- Chemist II
NC WW/GW I,aborato.ry Certification
0: [phone] ext. 272
F: [phone]
Certification Website: http://portal.ncdenr.org/web/wq lab/cert
From: Mickey, Mike
Sent: Friday, April 10, 2015 3:07 PM
To: Swanson, Beth
Subject: RE: follow-up on Crown MHP NPDES#NC0055255
That is perfect. I will give him 30 days to get it in.
Thanks for your help. Have a good weekend. Mike.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Swanson, Beth
Sent: Friday, April 10, 2015 2:52 PM
To: Mickey, Mike
Cc: Francies, Gary
Subject: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,
I thought it might be easiest to email so everything is laid out and I don't forget anything. Attached is the application so
it's easy to send on.
The facility would need to be certified and they are considered municipal- so it would eventually be a fee of $100. (They
won't need to submit payment until an invoice is sent).
Let the owner know that he would fill out the application and he can be the contact ( which just means that he is who
would receive mail and other communication) and then Matt Nance would be listed as the supervisor. Since you said
that Mr. Nance is a grade II operator, they won't need to fill out section B 1 &2- just provide the class and license
number.
Once you forward the application to Mr. Hahn, just let him know that I am available to help him through the process,
from filling out the application, to ordering and analyzing PTs, providing him with example benchsheets and procedures
he will need to follow, or whatever else they have questions about.
Are you putting a timeline on the facility by which they need to be certified?
Thank you for bringing this to our attention and have a great weekend!
Beth Swanson
Auditor- Chenust II
NC WW/GW Laboratory Certification
0: [phone] ext. 272

�n
P: [phone]
NC DENR/Division of Water Resources
Water Sciences Section
1623 Mail Sendce Center
Raleigh, NC 27699-1623
http://portal.ncdeiir.org/web/wq/lab/­cor
Have you signed tip to receive automatic email notices of changes to policies, regulations and resources pertaining to the
In
NC Wastewater/Groundwater Laboratory Certification program that could have an impact on your day-to-day operations?
If not, send a blank email to the following address:
DENR.DWQ.LabcCert [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be
disclosed to third parties unless the content is exempt by statute or other regulation.

Vk
ry Mickey, Mike
From:
Mickey, Mike
Sent:
Thursday, June 04, 2015 11:12 AM
To:
'Robert Hahn'
Subject:
March DMR - Crown MPH
Bob — Please relay the following on to Matt:
1) The UV disinfection box needs to be checked.
2) Do not put up and downstream data on the effluent page since it is included on the U&D page.
3) A temperature value was omitted on March 9th. The permit frequency is daily for weekdays.
Let me know if you have any questions. Thanks, Mike.

EFFLUENT
QA
NPDES PERMIT NO, N0000 � � � � � OISCHARCGE NO. NIONITH 1Az/_ ( �
FACILITY NAME offmn MHP CLASS :;. COUNTY G �ferd
CERTIFIED LABORATORY (1) _ � CERTIPICA.TION NO. � 34��
'list additional laboratoees on the backside/page 2 of this -form)
OPERATOR IN RESPONSIBLE CHARGE ' RC) Maath ' Nance GRAD] 2
PERSON(S) COLLECTING SAMPLE ,�_? 4, ORC PkIONE_ a
CHECK BOX 1F ORC WAS CHANGED NO FLOW/ DISCHARGE
A -02
m-
Mail
Check this box since UV
,� x Leave 11 D t
iolVFS10 OF%%, disinfection is now used I NATUR F 114 1 RAW l�
1614MAIL,SE[t sY'rii'sSIGNATURE. 10ERTIFYTEIa#TTRISREPO page since it i
RALEIG INC Z - - - - _-- - __-- - _ ACCURATEAND COMPLETE TO THE 13BS OFhIY E second page
60010 00400 50060 00410 00610 00530 39616 00300 0066 -
m LEFFN
FLOW z ----- --- �, �I �� PE
_
au 2 J �hpP�'r
rn Q � � 5 _J
�R, Q Q 'r r F-
,� a � G3 yam.
lu
Q
OG �i 13 UV
Q {ri9rll�CLr9t7
FfR!§
IR
YI—M
IGD
0 C
UNITS
17G1L
MGJL
RIG/L
MGYL
W1140 1L'
MWL
51GIL
NI L
..I
--_
Ji
-- - to
ark
'i. :i„ •:e:
..,,,
`'.',�ii
a? �.
�a•
{.I,
--�• -"
,,, °f"�
..t.: a
:i'I�. 1=
1.,
.r';';
.ra:f; '{.: •..'
- :d, ?y'>
%;., .��
',}....
:r.:.gr.}; :?
;f�
1�;�i••:.:::f::
•'el1t:>1..: `;
�'fl;:
�:�.!�
,1,
..fr
iAi.. if:^
F'i5`�1'.iiil
.i.l:....=.i
s>:>I>'
,r:�!r���':i:•t
•..{.•..
c•:'
>s,
�..,,.•. }+i:'
"s^..l's
J��:.
x... l,•,:5 {
2
'out
�
1
lu �1
�<,!x
'Y i,vn5 ',t;
ixr•''>�,
"yam `°Iti,�
5,,, vt.; j.; .gip;
sr i5 'i YiSr
��{.._I'� :fi _.Ails
',S
S� ;�i
�,i7i•
r
'ki°'i
ay .1.
r'I.
r•i•;}t:,
:jl:
�:y°''ti'Fi=r
ata is 1ii
:,ir
.L
•,�.
�..I'b.".',
_
, r.
x ,�. .,i•
:.,r: ;I'c�ti!'
4.dJJM
\•�vr
�;t-•-.::
-
—
-
:fi :u=: ;,: 'a:
:
Missing temp value
3'i�'iz".�, ..
i.v,',, _ _ �fv�i�
•,�:..:
>y
^4, yiffr
.,i..;r, i.:•.:
0
1,
. air-
—
,i"
,i�
V
®o•'I�:
rt ,.•
i�Fi ei'a:
�aic,i�
li:�+},ir
xTrr., •:F
:.":ov
,}i.ii�
Zi$' "Y;}?:�`,i;icS.i;
.4.2a;
�}..: S:r
},:'•?I 5•.;•i,�l
!.
�•�.i'% �a 8
>f.'{s'('ur,'�.yi
l
10
VA6
12
ba
rpi7:
i:It
:!"t6
L1Y Y -
••
•o:,;l+
-
•i1•,
C''r;co-^? s
;IiC•£2J:�:"..
rr.'
- �. .:iv
�.i-- ..�.
.'N�::i {t':r
>bi..
�ti:iii#:=ii
�iy;p♦� il�i":;r�,`
�_
;ci..>f,:at•2
��
.i.
-iiii
::,;•e,
r,;fi^i::•;.a
,.f;,t,
RrG
:itl —
-oil.:
�::�
.'t .' •:x,.
I.
;:f' :iri;'!'iry
5''
;' i.iaa 'iL
LFi. ::I:r -
:t. r•
.:off-:�
�i,: #
p •;dr:
i5 '.I'
v 4i:.
.:J t:;g..
ti'v
:1AMi�:
ii�;
:Cs`i;
si',i ;�: :
^ °:F:'
.,L, ,r#^:c"<;.
A.arh "I:�
:.1'
�
>.. .6>!v
: r .
,7:i3't::In!'kt:.
•.tr:,gl+y
� "ii• .k ;i
16
9rd
I t
q
00t
�'- 1"
:,.. '�dr.
;I
•,:.
•'i,•°t1.
S.
-- -
:i ki
51_I
.. mu:.
!!
-'ate ::92::i;:•'�
:1,
t.a ,'I"
1' ',•.
1;
-
:.;�•.
S:ei _
;.ic:. =ii,',
.L.•
:rl :�
i;,
`"P,`': ��•'";i
'I'i>.. n.,.,,
.i;<,rc.i: c
: :,�•i• ;;��
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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.

NCO055255
Monitorinq Violation
Crown Mobile Home Park
I
iz
•Parameter
D 4sc..
I
!Frequency
`
'Micrograms
!Violation 2015
_._._..........--
3 ! 001
Chlorine, Total Residual 03-07-2015
j2 X week
(per Liter
--
- ----- -.._,._-..........
_..-�
- - - - --
- -
Frequency
(Micrograms
:Violation 2015
3 001
Chlorine, Total Residual 03-14-2015
12 X week
f per Liter
(Frequency
Micrograms
i
Violation
2015
3
001
Chlorine, Total Residual
03-21-2015
2 X week
per Liter
!Frequency
I
Micrograms
I
!
Violation
2015
3
001
Chlorine, Total Residual
03-28-2015
12 X week
I per Liter
Frequency
;Violation
2015
3
001
Temperature, Water
Deg. Centigrade
03-09-2015
Daily --week;
Degrees
Centigrade
!

NCO055255
Monitoring Violation
Crown Mobile Home Park
•Parameter
Dose
Million
Frequency
Volation
-- ----
2015
- _ ....
2
..._._...-._y ..�__-----
001
Flow, in conduit or thru
tt plant
treatment
02-01-2015
Continuous
on
_._... --
Gallons per
Day
-
Million
Frequency
Volation
2015
!
2i
1001
Flow, in conduit or thru
treatment plant �02-07-2015
Continuous
Gallons per
Day
j
"
-
-u---
Million
I
Frequency
Flow, in conduit or thru
Gallons per
I
Violation
---
Frequency
Violation
2015I
_
2015
2? -�lant
-�.---•-•_-----
2
001
001
treatment p_ i
Flow, in conduit or thru
treatment plant
-
02-08-2015
.�
02-11-201-
5
Continuous
_
Continuous
-
Day
Day
Million
Gallons per
Day
Million
_
-
Frequency
Violation
—
Frequency
Violation
_.._ -
2015
2015
-----
I
21
2_i - ----�-_
001
001
Flow, in conduit or thru
treatment plant
Flow, in conduit or thru
treatment plant
- --
102-15-2015
02-21-2015
-_
Continuous
Continuous
_
Gallons per
Day
Million-1
Gallons per
Day
Million
1
�.—
I
I
__
Frequency
Volation
2015
21
j
001
Flow, in conduit or thru
treatment
02-22-2015
Continuous
Gallons per
Day
Frequency
Volation
2015,
I
2!
001
plant
Flow, in conduit or thru
treatment plant
!
,02-28-2015
Continuous
Million
Gallons per
Day
I
f
Frequency
Temperature, Water
jDaily
Degrees
Violation v
�2015�
? _....._._.._----
001 - _..__._._Deg.
Centigrade _...__.__
02-11-2015 -
-- wee
Centigrade1T-----_
—

I,
a '
Permit: NCO055255 Owner - Facility: Crown Mobile Home Park
Inspection Dat .. k1'4FI}1720a' Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
Dates of analysis
Name of person performing analyses 19
Transported COCs
Are DMRs complete: do they include all permit parameters? IM ❑ ❑ ❑
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 ❑ ❑ ❑
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?
in
❑
❑
❑
Is a copy of the current NPDES permit available on site?
❑
❑
❑
Facility has. copy of previous year's Annual Report on file for review?
❑
❑
09
❑
Comment: Matt Nance took over as ORC February 2015. The following reporting
issues with the
February 2015 DMR have already been addressed:
3) Up & downstream data was listed on the effluent page. Use a separate U&D form.
4) Report dissolved oxygen values to the nearest tenth.
5) The permittee signature page was omitted from the DMR submittal.
A comparison of the February 2015 DMR with the corresponding certified lab results and the
operators records showed that all data was transcribed correctly on the monitoring form.
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
W
❑
❑
❑
Is the wet well free of excessive grease?
11
❑
❑
❑
Are all pumps present?
®
❑
❑
❑
Are all pumps operable?
91
❑
❑
❑
Are float controls operable?
W
❑
❑
❑
Is SCADA telemetry available and operational?
11
❑
❑
❑
Is audible and visual alarm available and operational?
N
❑
❑
❑
Comment: The main influent pump station (old EQ basin at the previous WWTP site) has grinder
pumps to convey all influent wastewater to the new package plant. A new telemetry system
has been installed. The wet well is areated with a single blower. Grease is removed with a
pool net.
Egualization Basins Yes No NA NE
Page# 4

Mickey, Mike
From: Swanson, Beth
Sent: Wednesday, May 20, 2015 2:35 PM
To: Robert Hahn
Cc: Mickey, Mike; Francies, Gary
Subject: Lab #5666 RE: Field Certification for Crown MHP NPDES#NC0055255
Mr. Hahn,
Thank you for submitting your application. I think you may have tried to call me earlier and I still had my message up
that said I am on vacation. Sorry about that!
At this point, the only other thing we need before I can send you an invoice ($100) is for your lab to submit an
acceptable proficiency testing (PT) sample for pH (there is no PT sample for temperature and DO). This is an unknown
sample that you buy and have "graded".
You can contact any vendors listed in the following links to order one:
http://www.a2la.org/dirsearchnew/nelacptproviders.cfm or
http://search.anab.org/search-accredited-companies.aspx (you get the list on this page by selecting "PT provider TNI
vol3" in the "Accreditation Standard" box.)
You will be ordering a "water pollution" sample. Most vendors will have options to take place in a study or to order
quick turnaround/quick response samples. You will need to order a quick turnaround because the results for a study will
probably not reach our office for quite a while and that will delay your certification. Your best bet is to call the vendor
and let them know what you need and they'll get you set up. As a word of caution, many vendors will try to sell you a
"matched set" or an accompanying QC sample with a known value. This is not necessary and our policy actually states
that a known sample of this type is not to be analyzed alongside a PT. If it would make the analyst feel more comfortable
to analyze a known PT as a check, we just ask that it be analyzed a few days before analyzing the unknown PT sample.
A few tips on filling out the paper work for the PT- you do not have an EPA lab code and your state lab ID is going to be
5666. For reporting, use method code SM 4500 H+13-2000 and have the results sent directly to us: NC DENR WW/GW
Lab Certification. If you have any other questions, don't hesitate to ask.
Lastly I would like to confirm how your facility is labeled in our database for contact purposes. Would you like to be
referred to as KAB Construction (Crown MHP) as on the application or Crown MHP as the NPDES permit refers to?
Sincerely,
Beth Swanson
Auditor- Chenust H
NC WW/GW Laboratory Certification
0: [phone] ext. 272
F: [phone]
Certification Website: hft://Rortal.ncdenr.org/web/wq/lab/cert
From: Robert Hahn [mailto:[e-mail]
Sent: Wednesday, May 20, 2015 11:55 AM
To: Swanson, Beth
Cc: Mickey, Mike
Subject: Field Certification for Crown MHP NPDES#NC0055255

Hi Beth
I have attached the form with word document and the adobe file which has my signature. Please let me know what we
need to do to complete this certification.
Thanks
Hope you have a great holiday
Bob Hahn
919-862-3200
PS Mike
Sorry for the delay

Mickey, Mike
From: Robert Hahn <[e-mail]>
Sent: Wednesday, May 13, 2015 1:57 PM
To: Mickey, Mike
Subject: Re: follow-up on Crown MHP NPDES#NC0055255
Hi Mike
Somehow I totally missed your first e-mail. Thanks for following up and I will get the app in to Raleigh in the next day or
so.
I- 0
From: "Mickey, Mike" <mike.mickey(d_)ncdenr.gov>
To: "rp.hahnCcD-vahoo.com" <rp.hahnflyahoo.com>
Sent: Monday, May 11, 2015 9:31 AM
Subject: FW: follow-up on Crown MHP NPDES#NC0055255
Hi Bob — Just checking on the status of the field certification application. Has it been submitted to
Raleigh yet? Thanks, Mike.
From: Mickey, Mike
Sent: Friday, April 10, 2015 3:27 PM
To: rp.hahn ar7yahoo.com
Subject: FW: follow-up on Crown MHP NPDES#NC0055255
Bob — I contacted our Laboratory Certification Section and was told that Crown MHP must obtain
Field Certification to perform on -site measurements for dissolved oxygen, pH and
temperature. Below is an email from Beth Swanson explaining the process. She would be the
contact if -you have any questions. Can you get the application submitted in the next 30
days? Thanks, Mike.
Field Certification link: http://portal.ncdenr.org/web/wg/lab/cert/field
Mike. Mickey(QNCDENR.gov
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Swanson, Beth
Sent: Friday, April 10, 2015 2:52 PM
To: Mickey, Mike
Cc: Francies, Gary
Subject: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,

I thought it might be easiest to email so everything is laid out and I don't forget anything. Attached is
the application so it's easy to send on.
The facility would need to be certified and they are considered municipal- so it -would eventually be a
fee of $100. (They won't need to submit payment until an invoice is sent).
Let the owner know that he would fill out the application and he can be the contact ( which just means
that he is who would receive mail and other communication) and then Matt Nance would be listed as
the supervisor. Since you said that Mr. Nance is a grade II operator, they won't need to fill out section
B 1 &2- just provide the class and license number.
Once you forward the application to Mr., Hahn, just let him know that I am available to help him
through the process, from filling out the application, to ordering and analyzing PTs, providing him with
example benchsheets and procedures he will need to follow, or whatever else they have questions
about.
Beth Swanson
Auditor- Chemist II
NC WW/GW Laboratory Certification
0: [phone] ext. 272
F: [phone]
NC DENR/Division of Water Resources
Water Sciences Section
1623 Mail Service Center
Raleigh, NC 27699-1623
hftp://Portal.nedenr.org/web/Wq/lab/ce
Have you signed up to receive automatic email notices of changes to policies, regulations and
resources pertaining to the NC Wastewater/Groundwater Laboratory Certification program that could
have an impact on your day-to-day operations? If not, send a blank email to the following address:
DENR.DWQ.Lab Cert-ioin(a-Jists.ncmail.net

Mickey, Mike
From: Mickey, Mike
Sent: Monday, May 11, 2015 9:32 AM
To: '[e-mail]'
Subject: FW: follow-up on Crown MHP NPDES#NC0055255
Attachments: FieldApplication - July2014.doc
Hi Bob —Just checking on the status of the field certification application. Has it been submitted to Raleigh yet? Thanks,
Mike.
From: Mickey, Mike
Sent: Friday, April 10, 2015 3:27 PM
To: rp.hahn yahoo.com
Subject: FW: follow-up on Crown MHP NPDES#NC0055255
Bob — I contacted our Laboratory Certification Section and was told that Crown MHP must obtain Field Certification to
perform on -site measurements for dissolved oxygen, pH and temperature. Below is an email from Beth Swanson
explaining the process. She would be the contact if you have any questions. Can you get the application submitted in
the next 30 days? Thanks, Mike.
Field Certification link: http://portal.ncdenr.org/web/wq/lab/cert/field
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Swanson, Beth
Sent: Friday, April 10, 2015 2:52 PM
To: Mickey, Mike
Cc: Francies, Gary
Subject: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,
I thought it might be easiest to email so everything is laid out and I don't forget anything. Attached is the application so
it's easy to send on.
The facility would need to be certified and they are considered municipal- so it would eventually be a fee of $100. (They
won't need to submit payment until an invoice is sent).
Let the owner know that he would fill out the application and he can be the contact ( which just means that he is who
would receive mail and other communication) and then Matt Nance would be listed as the supervisor. Since you said
that Mr. Nance is a grade II operator, they won't need to fill out section B 1 &2-just provide the class and license
number.
Once you forward the application to Mr. Hahn, just let him know that I am available to help him through the process,
from filling out the application, to ordering and analyzing PTs, providing him with example benchsheets and procedures
he will need to follow, or whatever else they have questions about.

Beth Swanson
Auditor- Chemist 11
NC WW/GW Laboratory Certification
0: [phone] ext. 272
F: [phone]
NC DENR/ Division of Water Resources
Water Sciences Section
1623 Mail Service Center
Raleigh, NC 27699-1623
http://portal.ncdenr.org/web/wq/lab/cert
Have you signed up to receive automatic email notices of changes to policies, regulations and resources pertaining to the
NC Wastewater/Groundwater Laboratory Certification program that could have an impact on your day-to-day operations?
If not, send a blank email to the following address:
DENR.DWQ.Lab=Cert join a,lists.nctnail.net

North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 13, 2015
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
SUBJECT: Compliance Evaluation Inspection
Crown Mobile Home Park WWTP
NPDES Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Donald van der Vaart
Secretary
On April 9, 2015, Mike Mickey of this office met with you and Matt Jones, ORC, to
perform a Compliance Evaluation Inspection on the wastewater treatment system serving Crown
MHP. The inspection findings are detailed below and an inspection checklist is attached.
I. Permit
A single UV unit was installed in January 2015 per the Authorization to Construct document dated
November 11, 2014. The existing tablet chlorinator/dechlor system will remain in place to meet the
duality requirement.
The NPDES permit expires next on August 31, 2016. At renewal, the permit will require that the
monthly Discharge Monitoring Reports (DMRs) for Crown MHP be submitted electronically per
new EPA rules.
II. Self -Monitoring Program
The DMRs were reviewed for the period May 2014 through February 2015. The facility was found
to be .compliant with the NPDES effluent limits, except for a single daily maximum BOD violation
that occurred on January 28, 2015 (see data summary attached). This violation was previously
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 NPDES permit requires continuous flow recording. The flow values reported on the DMRs are
obtained using an ultrasonic flow meter prior to the 22.5° v-notch weir. The meter was last
calibrated in July 2014. An annual calibration will need to be performed and documented in 2015.
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncwaterguality.ors
An Equal Opportunity\Affirmative Action Employer— Made in part by recycled paper

Mr. Robert Hahn
Page 2
April 13, 2015
IV. Sludge Handling and Disposal
Wasted solids are removed routinely from the two aerobic digesters by Jenkins Waste Management.
Prior to removal, solids are concentrated by turning off the air and pumping the supernatant back to
the system.
V. Operations and Maintenance
Matt Nance took over as ORC of the system in February 2015. The facility was found to be
competently operated and maintained. No problems or concerns were noted.
VI. Facility Site Review
The existing 0.042 MGD dual train above ground package plant consists of the following: influent
pump station, equalization basins, aeration basins, secondary clarifiers, digesters, tertiary filters, a
single UV unit with back-up tablet chlorinator/dechlor unit, contact tank with re -aeration and
ultrasonic flow meter.
VIL Records/Reports
A review of the facility files indicates that all records are being maintained according to the permit.
A comparison of the February 2015 self -monitoring report with the corresponding laboratory data
sheets from R&A Labs and the operator's records showed that all values were transcribed onto the
DMR correctly.
VIII. Effluent/Receiving Waters
The system discharges into a tributary of Hickory Creek, class "WS-IV*" waters in the Cape Fear
River Basin.
Our office appreciates your efforts to maintain compliance with the NPDES permit. Should
you have any questions concerning this report, please contact Mike Mickey or me at (336) 776-
9800.
Sincerely,
Sherri V. Knight, PE
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: Central Files

4
Permit: NCO055255 Owner - Facility: Crown Mobile Home Park
Inspection Date: 04109/2015 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
❑
❑
E
❑
application?
Is the facility as described in the permit?
E
❑
❑
❑
# Are there any special conditions for the permit?
❑
❑
❑
Is access to the plant site restricted to the general public?
N
❑
❑
❑
Is the inspector granted access to all areas for inspection?
E
❑
❑
❑
Comment: The monthly Discharge Monitoring Reports (DMRs) were reviewed for the
period May 2014
through February 2015 Crown MHP was found to be compliant with the effluent limits
except for a single daily maximum BOD violation that occurred on January
28 2015.
It was noted that the single UV unit was installed in January 2015 per the AtC issued
November 17, 2014.
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ■ ❑ ❑ ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The dual train above ground package plant consists of the following:
*influent pump station with dual 117 gpm pumps
*equalization basins w/bar screen
*aeration basins
*secondary clarifiers
*tertiary filters
*digesters
*single UV unit (tablet chlorinator/dechlorinator kept for duality)
*ultrasonic flow meter
(Note: the second side of the dual train system was placed into operation at the beginning of
April 20151.
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)?
❑
❑
❑
Are analytical results consistent with data reported on DMRs?
■
❑
❑
❑
Is the chain -of -custody complete?.
0
❑
❑
❑
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Page# 3

Permit: NCO055255 Owner - Facility: Crown Mobile Home Park
Inspection Date:. 04/09/2015 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
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? ❑ ❑ ® ❑
(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?
❑
❑
❑
Is a copy of the current NPDES permit available on site?
❑
❑
❑
Facility has copy of previous year's Annual Report on file for review?
❑
❑
0
❑
Comment: Matt Nance took over as ORC February 2015. The following reporting
issues with the
February 2015 DMR have already been addressed:
1) Omitted temperature value on 2/11 (permit requires weekdav temperature monitorin
2) Missing flow values on 1, 7, 8, 11, 15, 21, 22, 28 (permit says continuous flow recording).
3) Up & downstream data was listed on the effluent page. Use a separate U&D form.
4)Report dissolved oxygen values to the nearest tenth.
5) The permittee signature page was omitted from the DMR submittal.
A comparison of the February 2015 DMR with the corresponding certified lab results and the
operators records showed that all data was transcribed correctly on the monitoring form.
Pump Station - Influent
Yes No NA NE
Is the pump wet well free of bypass lines or structures?
N
❑
❑
❑
Is the wet well free of excessive grease?
0
❑
❑
❑
Are all pumps present?
0
❑
❑
❑
Are all pumps operable?
E
❑
❑
❑
Are float controls operable?
0
❑
❑
❑
Is SCADA telemetry available and operational?
0
❑
❑
❑
Is audible and visual alarm available and operational?
0
❑
❑
❑
Comment: The main influent pump station (old EQ basin at the
previous WWTP site) has grinder
pumps to convey all influent wastewater to the new package
plant. A new telemetry system
has been installed. The wet well is areated with a single blower. Grease is removed with a
pool net.
Equalization Basins Yes No NA NE
Page# 4

r
Permit: NCO055255 Owner - Facility:
Crown Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type:
Compliance Evaluation
Equalization Basins
Yes No NA NE
Is the basin aerated?
E
❑
❑
❑
Is the basin free of bypass lines or structures to the natural environment?
■
❑
❑
❑
Is the basin free of excessive grease?
0
❑
.❑
❑
Are all pumps present?
®
❑
❑
❑
Are all pumps operable?
❑ .
❑
❑
Are float controls operable?
O
❑
❑
❑
Are audible and visual alarms operable?
■
❑
❑
❑
# Is basin size/volume adequate?
E
❑
❑
❑
Comment: There are two 10,000 gallon EQ basins Air to the unit is supplied
by the aeration basin
blower. One EQ pump is variable speed [Note: the three blowers on the lower/back side of
- the WWTP are currently not neededl.
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational? -
Are the diffusers operational?
Is the foam the proper color for the treatment process?
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)
Yes No NA NE
Ext. Air
Diffused
■ ❑ ❑ ❑
❑ ❑ E ❑
E ❑ ❑ ❑
❑ ❑ ❑
® ❑ ❑ ❑
❑ ❑ ❑ ■
❑ ❑ ❑ E
Comment: There are two 25,000 gallon aeration basins. There is a bar screen between EQ and
aeration [Note: the three blowers on the upper/road side of the WWTP are ones currently in
operationl.
Aerobic Digester
Is the capacity adequate?
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
# Is tankage available for properly waste sludge?
Comment: There are two 8,000 gallon aerated digesters.
Secondary Clarifier
Yes No NA NE
■ ❑ ❑ ❑
■ ❑ ❑ ❑
• ❑ ❑ ❑
® ❑ ❑ ❑
❑ ❑ ❑
Yes No NA NE
Page# 5

Permit: NCO055255 Owner - Facility:
Inspection Date: 04/09/2015 Inspection Type:
Crown Mobile Home Park
Compliance Evaluation
Secondary Clarifier
Yes No NA NE
Is the clarifier free of black and odorous wastewater?
N
❑
❑
❑
Is the site free of excessive buildup of solids in center well of circular clarifier?
❑
❑
S
❑
Are weirs level?
■
❑
❑
❑
Is the site free of weir blockage?
❑
❑
❑
Is the site free of evidence of short-circuiting?
E
❑
❑
❑
Is scum removal adequate?
N
❑
❑
❑
Is the site free of excessive floating sludge?
S
❑
❑
❑
Is the drive unit operational?
0
❑
❑
❑
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: There are two circular clarifiers with bottom scrapers.
Filtration (High Rate Tertiary)
Yes No NA NE
Type of operation:
Down flow
Is the filter media present?
❑
❑
❑
Is the filter surface free of clogging?
■ ❑
❑
❑
Is the filter free of growth?
❑ ❑
❑
■
Is the air scour operational?
N ❑
❑
❑
Is the scouring acceptable?
❑ ❑
❑
Is the clear well free of excessive solids and filter media?
❑ ❑
❑
■
Comment: There are two downflow tertiary filters with sand and gravel media. They scour initially with
air and then backflush using the adiacent wet well.
Disinfection - UV
Yes No NA NE
Are extra UV bulbs available on site?
❑
0
❑
❑
Are UV bulbs clean?
❑
❑
❑
Is UV intensity adequate?
N
❑
❑
❑
Is transmittance at or above designed level?
❑
❑
❑
E
Is there a backup system on site?
❑
0
❑
❑
Is effluent clear and free of solids?
S
❑
❑
❑
Comment: The single UV unit was installed in January 2015. Currently there are no spare bulbs on site
The in -ground tablet chlorinator/dechlorinator unit will be maintained for back-up disinfection
should the UV unit have an issue. R&A Labs has agreed to monitor total residual chlorine if
needed.
Page# 6

Permit: NCO055255 Owner - Facility: Crown Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type: Compliance Evaluation
Disinfection - UV Yes No NA NE
Flow Measurement - Effluent Yes No NA NE
# Is flow meter used for reporting? 0 ❑ ❑ ❑
Is flow meter calibrated annually? N ❑. ❑ ❑
Is the flow meter operational? ■ ❑ ❑ ❑
(If units are separated) Does the chart recorder match the flow meter? ❑ ❑ ■ ❑
Comment: An ISCO flow meter with ultrasonic sensor is used to measure effluent flow. The unit was
last calibrated in July 2014 The average flow through the treatment system for March 2014
through February 2015 was approximately 0.015 MGD.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
®
❑
.❑
Is sample collected below all treatment units?
0
❑
❑
❑
Is proper volume collected?
❑
❑
❑
Is the tubing clean?
❑
❑
❑
0
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
❑
M
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
S
❑
❑
❑
representative)?
Comment: The refrigeration unit on the ISCO sampler went out last week. Ice is being
used in the
interim during sample collection Flow proportioned samples are currently
not collected.
The sampler hose is underground It was noted that effluent temperature values were being
obtained from the clarifier. The temperature readings reported on the DMR should be
obtained from the effluent after final treatment.
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? ❑ ❑ 0 ❑
Comment: The effluent is, discharged into a tribuary of Hickory Creek class "WS-IV" waters in the Cape
Fear River Basin A slight discharge was observed during the inspection.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and 0 ❑ ❑ ❑
sampling location)?
Page# 7

Permit: NCO055255
Owner -Facility: Crown Mobile Home Park
Inspection Date: 04/09/2015 Inspection Type: Compliance Evaluation
Upstream / Downstream Sampling
Yes No NA NE
Comment: The upstream sample site is near the upper pump station. The downstream sample site is
approximately 100 yard below the discharge pipe Although the permit specifies that
downstream sampling occur at Wall Road (SR1132) that location is backwater of
Randleman Lake. The permittee was advised that sampling 100 yards below the outfall was
acceptable until further notice.
Page#

Data Summary
Crown Mobile Home Park WWTP
NPDES Permit No. NCO055255
Self -Monitoring Data Summary
May 2014 — February 2015
Parameters
Monthly Avg.
Permit Limits
Monthly Avg. Limit
Violations per DMR
Daily Maximum
Permit Limits
Daily Max. Limit
Violations per DMR
Flow (MGD)
0.042
None
-
NA
BOD (mg/1)
16.0
None
24.0
1/28/15 (26.8 mg/L)
TSS (mg/1)
30.0
None
45.0
None
NH3-N (mg/1)
(2.0 / 4.0)*
None
(10.0 / 20.0)*
None
Fecal (#/100 ml)
200
None
400
None
T. Chlorine (ug/1)
-
NA
17.0**
UV now used
D. Oxygen (mg/L)
-
NA
> 6.0
None
pH (S.U.)
-
None
1 (6.0 — 9.0) range
None
* (Summer / Winter limits)
**TRC values reported below 50 ug/L are considered compliant.

Mickey, Mike
From: Mickey, Mike
Sent: Friday, April 10, 2015 3:27 PM
To: '[e-mail]'
Subject: FW: follow-up on Crown MHP NPDES#NC0055255
Attachments: FieldApplication - July2014.doc
Bob — I contacted our Laboratory Certification Section and was told that Crown MHP must obtain Field Certification to
perform on -site measurements for dissolved oxygen, pH and temperature. Below is an email from Beth Swanson
explaining the process. She would be the contact if you have any questions. Can you get the application submitted in
the next 30 days? Thanks, Mike.
Field Certification link: http://portal.ncdenr.org/web/wq/lab/cert/field
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources —Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
From: Swanson, Beth
Sent: Friday, April 10, 2015 2:52 PM
To: Mickey, Mike
Cc: Francies, Gary
Subject: follow-up on Crown MHP NPDES#NC0055255
Hi Mike,
I thought it might be easiest to email so everything is laid out and I don't forget anything. Attached is the application so
it's easy to send on.
The facility would need to be certified and they are considered municipal- so it would eventually be a fee of $100. (They
won't need to submit payment until an invoice is sent).
Let the owner know that he would fill out the application and he can be the contact ( which just means that he is who
would receive mail and other communication) and then Matt Nance would be listed as the supervisor. Since you said
that Mr. Nance is a grade II operator, they won't need to fill out section B 1 &2-just provide the class and license
number.
Once you forward the application to Mr. Hahn, just let him know that I am available to help him through the process,
from filling out the application, to ordering and analyzing PTs, providing him with example benchsheets and procedures
he will need to follow, or whatever else they have questions about.
Beth Swanson
Auditor- Chemist IT
NC WIN/GW Laboratoryr Certification
0: [phone] ext. 272
F: [phone]
NC DENR/Division of Water Resources
Water Sciences Section
1623 Mail Service Center

SecondaryRoads Database Lookup .............................................................................................................................................................................
Division Number PTV-1
County IGUILFORD os
Road Number 11132
Road Name I
Submit
Total Records: I (View All Records in an Excel spreadsheet)
Division 'dumber Coun Road Number ei
7 GUILFORD 1132 Wall Rd

<t
Water Pollution Control System Operator Designation Form
WPCSOCC
NCAC 15A 8G .0201
Permittee Owner/Officer Name: &ilk I o 5 t" L- rz
Mailing Address: c $off ! a r o -
City: { v r0 State: 1, t; dip: `�+ �) ? _Phone #: (� ) `�
Email address: L fj�-• GCS o ."` r
Signature • Date:!
................................................................................................ ...................,.. ....
Facility Name: [. 4 ermit #:
SUBWr A S"A1iATE FORM FOR EACH TYPE S �T� 1�1
Facility T_vue/Grade: '
Biological WWTP � Surface Irrigation
Physical/Chemical Land Application
Collection System
.........d......w..d.......��...................................... Vr.............................................. 1....... I...............
Operator in Responsible Charge (ORC)
Print Pull Name*OaA ' ,V P._
Certificate Type / Grade / Number: 0076 Work Phone #:
Signature;
"I certify that I agree to my designation as the Operator in Responsible Charge for the facility noted_ I understand and will abide by the rules
and regulations pertaining to the responsibilities of the ORC as set forth in 15.A NCAC O$Gr .0204 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission"
......................... ....0................................... y.............................................. .............................
Back -Up Operator in Responsible Charge (BUORC)
Print Pull Name: a-ey Ac" L ,
Certificate Type / Grade / Number: %,.1 ") °R n 0 Work Phone #: ($1q ) gC-13zoo
al
Signature:
Date: 401
"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 ofthe B[Y ORC as set forth in 15A NCA.0 08(3 _0205 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
.................. dy............................. d... ..,................................... %.................................... I....... I •.....
Mail, fax or email the WPCSOCC 1619 Mail Service Center, Phdeigh, NC 27699-1618 Fax: [phone]
o
original to:
Mail or fax a cony to ilia Asheville
appropriate Regional Offiee: 2090 US Hwy 70
Swannanos 28779
Fax- 828.299.7043
Phone: [phone]
Washington
943 Washington Sq Mall
Washington 27889
Fax: [phone]
Phone: [phone]
Fayetteville
225 Green St
Suite 714
Fayetteville 28301-5043
Fax: 910A86.0707
Phone: [phone]
Wilmington
127 Cardinal Dr
Wilmington 28405-2845
Fax: [phone]H
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: 336.V1.5000
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax: [phone]
Phone:919.791A200
Revised 03-2014

f-
Ll

f
a
Mickey, Mike
From: Robert Hahn <[e-mail]>
Sent: Tuesday, April 07, 2015 1:55 PM
To: Mickey, Mike
Subject: Re: ORC Change Form Submitted?
Actually I faxed to your office and Raleigh in Feb. I have just faxed a copy to you at 336-776-9797.
From: "Mickey, Mike" <mike.mickeyCaD-ncdenr.gov>
To: "rp.hahn cDyahoo.com" <rp.hahn(@,yahoo.com>
Sent: Tuesday, April 7, 2015 11:22 AM
Subject: ORC Change Form Submitted?
Bob — One last question. Have you submitted an ORC Designation Form for Matt yet? Our database
still shows Marc as the ORC. If not, can you execute the attached form and send it to Raleigh and
forward me a copy. Thanks, Mike..
1�esignafect�Clpefatei�
If
."*Location
Glass.
Cerator Cert
Name -
Status
*Role
*Effective Dt
Expiration Dt
Notification
IJ4VJ-2
Mike. Mickey(a)-NCDENR.gov
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, April 07, 2015 11:22 AM
To: '[e-mail]'
Subject: ORC Change Form Submitted?
Attachments: ORC Designation Form.pdf
Bob — One last question. Have you submitted an ORC Designation Form for Matt yet? Our database still shows Marc as
the ORC. If not, can you execute the attached form and send it to Raleigh and forward me a copy. Thanks, Mike..
rar m_
j
"`Lacii�las� '°>iperatcrGe�=", 1��tarn� _ 3t��;Ef�C`�(veDt
_
;��If�i3�it�.D�
���3�1CfltCot
%IVW-2
6 rF-219656
Nault 1vla-rcW_
JActive
ORC
�0512912014
06109127014
V%rl.'V-2
IN -2 P 10569
rvterriitL David R.
JAcffve
Backup
05,12912014
0610912014
;fir-2
'Vkffl-2111 a94
lvierritt, Patrick k
JActive
Backup
0-52912014
0616912014
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, April 07, 2015 10:35 AM
To: '[e-mail]'
Subject: Crown MHP - Feb DMR
Attachments: DMR-UD-20140805-DWR-SWP-NPDES.doc
Bob — Couple more comments on the February DMR form. We can discuss on Thurs. Thanks, Mike.
• The up/downstream data was listed on the effluent page. The attached U&D form needs to be used.
• Please report the dissolved oxygen values to one decimal or nearest tenth (11.9 not 11.88)
• The permittee signature page was not attached to my Feb DMR. That needs to be included next time.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [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

Mickey, Mike
From: Mickey, Mike
Sent: Tuesday, March 31, 2015 9:28 AM
To: '[e-mail]'; '[e-mail]'
Subject: Crown MHP
Attachments: Crown - NC0055255.pdf
Bob —Three things:
1) It is inspection time again. I see that Matt is now the ORC. Would next Wed or Thurs (4/8 or 4/9) work to
meet? If so, pick a time.
2) Attached is a NOV letter that is being mailed today for the January 2015 fecal violation.
3) See screen shot below showing flow and temperature monitoring violations that occurred"in February
2015. Please note that continuous flow reporting means weekends and holidays too.
[e-mail]
NC DENR Winston-Salem Regional Office
Division of Water Resources — Water Quality Programs
450 W. Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone]
E-mail correspondence to and from this address maybe subject to the North
Carolina Public Records Law and may be disclosed to third parties.
1

Ji
l'1 [[I, NZ
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
March 31, 2015
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (#N®V-2015-LV-0218)
Permit No. N00055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
Donald van der Vaart
Secretary
A review of the Crown Mobile Home Park monitoring report for January 2015 showed the following
violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD
1/28/2015
24.0 mg/l
26.8 mg/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 Resources for this and any additional violations of State law.
If you have any questions or require any additional information, please contact Mike Mickey at (336)
776-9697.
cc: DWQ Central Files
Ow
Sincerely,
OP
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
450 West Hanes Mill Road, Suite 300, Winston-Salem, NC 27105
Phone: [phone] \ Internet: www.ncwaterguality.org
An Equal Opportunity \ Affirmative Action Employer— Made in part by recycled paper

R Review Record.
"a acility: W Permit No.: u2 �j�j'�,�j j Pipe No,: D c) MonthNear: 7�0 -b\,�n
C. _ Monthly Average Violations
Parameter Permit Umi DMR Value % Over Limit Action
1 ail Violations
Date Parameter Permit Limit Limit Type DMR Value % Over Limit Action
Monitoring Frequency Violations
Date Parameter
Other Violations/Staff Remarks:
supervisor Remarks:
KOV
Values Reported # of Violations Action
Completed by:
_ I
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign .
Off:
Date: 14 © —`,s
Date:
Date: I

si r * €�OCEI`JED
EFFLUENT T6� S �- �.C. Dept of ENR
100 A ZMI—
v4dR, 2 3 2 IS
NPDES PERMIT N0. DISCHARGE NO. ( I MONTH
Y FF OE 's
FACILITY NAME_ G as S g P CLASS COUNTY C%3M.7t-0Ci
CERTIFIED LABORATORY (1)_ _ aM 1 I ' CERTIFICATION NO.—[
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) MFIRC, k0, OAOa GRADE CERTIFICATION NO. qG
PERSON(S) COLLECTING SAMPLES Y' ne& Wo pJfti tr ORC PHONE 33(o - ;q 1- "A I
CHECK BOX IF ORC HAS CHANGED 1 /g10 FLAW / DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
131
BY THIS SILNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
a
��•.�� ����
��I K1101ullII i
®
m���
_
•� :�
■
EAND
��y1
rg
�9
t6��
�;7E�e=
'j
Elm
I
EmEmImmommmim
K:lmmwn
NO
mm
JF
!rm ► �sl!��C�I�������5�
IBMM, am.mo
DWQ Form MR=1 (11/04)

Guilford
MC0041483
Limit Violation
NCO055255
Sunrise Park
wgcow—nmmolvile'�}'Iisis7e F'ar`E
ax mum
739& 40,1 ixc�eded Re Ute

W 5le- C Jj Cv S 5-2 5—
N.C.Dept, o ENR
Parkins, LLC JAB 2 8 2015
RECENEDtDENRIDtN�
Crown Mobile Home Park WWI? Winston-salem JAN 201
Authorization to Construct No- 055255A03 ResioRal Ofte
Issued November 17, 2014 water Quality
Permitting Section,
Engineer's Certification
I, as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Crown Mobile Home Park
Wastewater Treatment Plant, Iocated in Guilford County, hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the following construction_
Installation of one (1) new UV disinfection unit capable of treating 70 GPM
tertiary filter effluent and meeting at a minimum 30,000 µWsec/cm2 after 10,006
hours of operation, manufacturer recommended spare parts, piping, and controls;
installation of an autodialer alarm system to alert operator/otivuer of imminent UV
failures so the necessary actions are conducted to place the backup tablet
chlorination/dechlor-ination systems in service; in conformity with the project
plans, specifications, and other supporting data subsequently filed and approved
by the Department of Environment and Natural Resources
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permitplicfon package.
Si
Date
Registration No.
Mail this Certification to. Attn: Ron Beny
Complex Permitting Unit
DENR/DWR/Water Quality Progran
1617 Mail Service Center
Raleigh,, NC 27699-11617

NCDENR
North Carolina Department of Environment and Natural -Resources
Pat McCrory
Governor
Robert P. Hahn
Owner Parkins, LLC
P. O. Box 1000
Pittsboro, North Carolina 27312
Dear Mr. Hahn:
November 17, 2014
John E. Skvaria, III
N. C D 1, !CE� Of Secretary
2M
O/Inston-salem
Regional C)
6rce
SUBJECT: Authorization to Construct
A to C No. 055255A03
Parkins, LLC .
Crown Mobile Home Park WWTP
A letter of request for an Authorization to Construct was received October 10, 2014, by the
Division of Water. Resources (Division), and final plans and specifications for the subject project have
been reviewed and found to be satisfactory. Authorization is hereby granted for the construction of
modifications to the existing 0.042 MGD Crown Mobile Home Park WWTP , with discharge of treated
wastewater into the unnamed tributary to Hickory Creek in the Cape Fear River Basin.
This authorization results in no increase in design or permitted capacity and is awarded for the
construction of the following specific modifications:
Installation of one (1) new UV disinfection unit capable --of treating 70 GPM tertiary
filter effluent and meeting at a minimum 30,000 µWsec/cm? after 10,000 hours of
operation, manufacturer recommended spare parts, piping, and controls; installation of an
autodialer alarm system to alert operator/owner of imminent UV failures so the necessary
actions are conducted to place the backup tablet chlorination/dechlorination systems in
service; in conformity with the project plans, specifications, and other supporting data
subsequently filed and approved by the Department of Environment and Natural
Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of NPDES
Permit No. NCO055255 issued effective October 1, 2011, and shall be subject to revocation unless the
wastewater treatment facilities are constructed in accordance with the conditions and limitations
specified in Permit No. NC0055255.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phone: 9IM07-63001 Internet: www.nGwaterquality.org
An Equal OpportunitytAffirmative Action Employer

Robert P. Hahn, Owner Parkins, LLC
November 17, 2014
Page 2 of 3
The sludge generated from these treatment facilities must be disposed of in accordance with
G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance
conditions, the Permittee shall take immediate corrective action, including those as may be required by
the Division, such as the construction of additional or replacement wastewater treatment or disposal
facilities.
The Winston-Salem Regional Office, telephone number (336) 775 - 9800, shall be notified at
least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the normal
office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
Upon completion of construction and prior to operation of this permitted facility, a certification
must be received from a professional engineer certifying that the permitted facility has been installed
in accordance with the NPDES Permit, this Authorization to Construct and the approved plans and
specifications. Mail the Certification to: NPDES Unit, DWR/DENR, 1617 Mail Service Center,
Raleigh, NC 27699-1617.
Upon classification of the facility by the Certification Commission, the Permittee shall employ
a certified wastewater treatment plant operator to be in responsible charge (ORC) of the wastewater
treatment facilities. The operator must hold a certificate of the type and grade at least equivalent to or
greater than the classification assigned to the wastewater treatment facilities by the Certification
Commission. ,
The Permittee must also employ a certified back-up operator of the appropriate type and grade
to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each Class I
facility at least weekly and each Class II, III and IV facility at least daily, excluding weekends and
holidays, must properly manage the facility, must document daily operation and maintenance of the
facility, and -must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for
the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall continue to
properly maintain and operate the existing wastewater treatment facilities at all times, and in such a
manner, as necessary to comply with the effluent limits specified in the NPDES Permit.
You are reminded that it is mandatory for the project to be constructed in accordance with the
North Carolina Sedimentation Pollution Control Act, and when applicable, the North Carolina Dam
Safety Act. In addition, the specifications must clearly state what the contractor's responsibilities shall
be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.

n
Robert P. Hahn, Owner Parkins, LLC
November 17, 2014
Page 3 of 3
Failure to abide by the requirements contained in this Authorization to Construct may subject
the Permittee to an enforcement action by the Division in accordance with North Carolina General
Statute 143-215.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by other
government agencies (local, state, and federal) which have jurisdiction.
If you have any questions or need additional information, please contact Ron Berry at
telephone number [phone].
Sincerely,
Thom s er, Director eed
Division of Water Resources/NCDENR
cc: Gary S. MacConnell, P.E.
MacConnell & Associates, P.C.
P. O. Box 129
Morrisville, NC 27560
�➢ ' ' `dinsto S lern Region l�O fic_e n�ter�Qua�ity P- o' gamy.
Central Files
NPDES File
Without Engineer's Certificate attached:
Guilford County Health Department

41
Parkins, LLC
Crown Mobile Home Park WWTP
Authorization to Construct No. 055255A03
Issued November 17, 2014
Engineer's Certification
I, , as a duly registered Professional Engineer in
the State of North Carolina, having been authorized to observe (periodically/weekly/full time)
the construction of the modifications and improvements to the Crown Mobile Home Park
Wastewater Treatment Plant, located in Guilford County, hereby state that, to the best of my
abilities, due care and diligence was used in the observation of the following construction:
Installation of one (1) new UV disinfection unit capable of treating 70 GPM
tertiary filter effluent and meeting at a minimum 30,000 µWsec/cm2 after 10,000
hours of operation, manufacturer recommended spare parts, piping, and controls;
installation of an autodialer alarm system to alert operator/owner of imminent UV
failures so the necessary actions are conducted to place the backup tablet
chlorination/dechlorination systems in service; in conformity with the project
plans, specifications, and other supporting data subsequently filed and approved
by the Department of Environment and Natural Resources
I certify that the construction of the above referenced project was observed to be built within
substantial compliance, intent and in conformity with all applicable regulations and statutes and
the project plans, specifications, and other supporting documentation comprising the
Authorization to Construct Permit Application package.
Signature
Date
Registration No.
Mail this Certification to: Attn: Ron Berry
Complex Permitting Unit
DENR/DWR/Water Quality Programs
1617 Mail Service Center
Raleigh, NC 27699-1617

t LAJ v
C
tiG
P.O. Box 129
Morrisville, NC 27560
919-467-1239 ] -
October 16, 2014
Mr. Ron Berry
NCDENR - Division of Water Resources
Water Quality Permitting Section
Wastewater Branch
NPDES Wastewater.
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RECEIVED
N.C.Dept. of,ENR
OCT..,2-',7 2014
Winston Sal��3 NorHarrison Avenue
Regloaal office Suite 102
Cary, NC 27513
MAcC®NNELL
& Assocum, P.c.
RE0EN DIDFN?JDVVR
RE: Parkins, LLC
Crown Mobile Home Park - UV Disinfection
MacConnell & Associates Project Number: A40902.00
Dear Mr. Berry:
17 'LO14
V� tee Quali
Vosng Se
Fax [phone]
Please find enclosed one original and one electronic copy (CD) of the Application for
Authorization to Construct Permit for the above referenced project, which includes the
following:
• Cover Letter (This letter),
o Application for Authorization to Construct Permit (FORM ATC-12-13),
• Existing NPDES permit,
• Engineering Plans,
• Engineering Specifications,
• Construction Sequence Plan (Plan Sheet C-101), and
• Engineering Calculations.
With this application, we are requesting an Authorization to Construct for the addition of an
ultraviolet disinfection unit and associated pumps, valves, and appurtenances at the Crown
Mobile Home Park Wastewater Treatment Plant. The unit will be installed adj acent to the
chlorine contact chamber and send disinfected effluent into the gravity discharge. The chlorine
disinfection system will remain in place to meet duality requirements.

If you have any questions or require additional information, please contact me or Zachary L.
Fuller, PE at (919).467-1239.
Sincerely,
GaryS. MacConnell, PE
President
enclosures
cc: Bob Hahn, Parkins, LLC

�:xt,`Gr�carw Division o. Water Resources
State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-1243)
SECTION 1: INSTRUCTIONS AND INFORMATION.
A. The Division. of Water Resources will accept this application package for review only if. all of the items are provided and the
application is complete. Failure to submit all of the required items will result in the application package. being returned as
incomplete per 15A NCAC 02T .0105(b).
B. Plans and specifications must'be prepared in accordance with 15"NCAC 02H. 0100, 15A NCAC 02T, North Carolina General
Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES
Wastewater Treatment Facilities:
C. The plans, and specifications submitted must represent a completed final design that Is ready to advertise forbid..
D. Any content changes made to this Form ATC-12-13 shall result in the application package. being returned.
E: The, Applicant shall submit ONE ORIGINAL and ONE DIGITAL COPY (CD) of the application, all supporting documentation and
attachments. All information must be submitted bound or in a 3-ring binder, with -a Section tab for each Section, except the
Engineering Plans.
F. Check the boxes below to indicatethat.the information is provided and the requirements are met:
G. If attachments are necessary for clarity or due to, space limitations, such. attachments are considered part of the application
package and must be numbered to correspond to the item referenced.
H. For any project that requires review under the State Environmental Policy Act (SEPA), an Authorization to Construct cannot be
issued prior to the completion of a State Clearinghouse advertisement period for a FONSI, EIS, etc. unless the project qualifies
fora Determination of.Minor Construction Activity.
I. For more information, visit the Division of Water Resources web site at: http://porta l.ncdenr.org/web/wq/Swp/ps/nt)des.
J. In addition to this -Authorization to Construct,. the Applicant should be :aware that other permits may be required from other
Sections of the Division of Water Resources (for example: reclaimed. water facilities permits; Class A or B biosolids residuals
permit).
SECTION 2: APPLICANT INFORMATION AND.PRCi1ECT DESCRIPTION
A: APPLICANT
Applicant's name
Parkins, LLC
Signature authority's name per 15A NCAC 02T .0106(b)
Robert P. Hahn
Signature authority's.title
Owner
Complete malting address
P.O. Box 1000, Pittsboro, North Carolina 27312
Telephone number
919-862-3200
Email address
[e-mail]
B. PROFESSIONAL ENGINEER
Professional Engineer's -name
Gary S..MacConnell, PE
Professional Engineer's title
President
North Carolina Professional Engineer's License No.
17069
Firm name
MacConnell'& Associates, P.C.
Firm License number
Complete mailing address
C-1039
P.O. Box 129, Morrisville; North Carolina 27560
Telephone_ number
919-467-1239
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 1

Water Resources State of North Carolina
Division o
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION. TO CONSTRUCT PERMIT (FORM ATC-12-13)
Email address [e-mail]
C. NPDES PERMIT
NPDES Permit number
NCOOSS255
Current Permitted flow (MGD) — include permit
flow phases if applicable
o.04a
D. PROJECT DESCRIPTION
Provide a brief description of the project: Project includes the addition of an Atlantic Ultraviolet Megatron M50 disinfection
unit, two self -priming centrifugal pumps, weatherproof enclosure, and all the necessary piping, valves, and appurtenances.
SECTION 3: APPLICATION ITEMS REQUIRED FOR SUBMITTAL FOR ALL PROJECTS
A. Coder Letter
® The letter must include a request.for the Authorization to Construct; the facility NPDES Number; 'a brief project description
that indicates whether the project is a new facility, facility modification, treatment process modification, or facility
expansion; the construction timeline; and a list of all items and attachments included in the application package.
❑ If any of the requirements of 15 NCAC 02H. 0100. 15A NCAC 02T, North Carolina General Statute 133-3. North Carolina
General Statute 143-215.1, and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities are not met by the proposed design, the letter must include an itemized list of the requirements that are not met.
R. NPDES Permit
® Submit Part I ,of the Final NPDE5 permit for this facility that includes Part A (Effluent Limitations and Monitoring
Requirements) for the monthly average flow limit that corresponds to the work that is requested for this project.
C. Special Order by Consent
❑ If the facility is subject to any Special Orders by Consent (SOC), submit the applicable SOC.
® Not Applicable.
D. Finding of No Significant Impact or Record of Decision
❑ Submit a copy of the Finding of No Significant Impactor Record of Decision for this project.
❑ Provide a brief description of any of the mitigating factors or activities included in the approved Environmental Document
that impact any aspect of design of this project, if not specified in the Finding of No Significant Impact or Record of Decision.
® Not Applicable.,
E. Engineering Plans
® Per 15A NCAC 02T .0504(c)(1), submit two sets of detailed plans that have been signed, sealed and dated -by a North
Carolina Licensed Professional Engineer.
® Per 21 NCAC 56.1103(a)(6), the name, address and License number of the Licensee's firm shall be included on each sheet of
the engineering drawings,
❑ Plans must be labeled as follows: FINAL DRAWING— FOR REVIEW PURPOSES ONLY— NOT RELEASED FOR' CONSTRUCTION.
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 2

State of -North Carolina
Division o Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
❑ 15A NCAC 02H .0124 requires multiple (dual at a minimum) components such as pumps, chemical feed systems, aeration
equipment and. disinfection equipment. is this requirement met by the design? ® Yes or ❑ No. If no, provide- an
explanation: Only ,one ultraviolet disinfection unit is proposed by design. Facility currently chlorinates/dechlorinates
treated effluent and will retain this capability.
Plans shall Include:
® Plans for all applicable disciplines needed forbidding and construction of the proposed project (check as, appropriate):
® Civil ❑ Not Applicable
® Process Mechanical ❑ Not Applicable
❑
Structural
® Not Applicable
®
Electrical -
p Not Applicable
❑
Instrumentation/Controls
® Not Applicable
❑
Architectural
® Not Applicable
❑
Building Mechanical
®.Not Applicable
❑
'Building Plumbing
® Not Applicable
® ,Plan and profile views and associated details of -all modified treatment units including piping, valves, and equipment
(pumps, blowers, mixers, Aiffusers, etc.)
❑ Are any modifications proposed that impact the hydraulic profile of the treatment facility? ❑ Yes or ® No.. If yes, provide
a hydraulic profile drawing',on one sheet that includes all impacted upstream and downstream units, The profile shall
include the top of wall elevations of each.impacted treatment unit.and the water surface elevations within each impacted
treatment unit for two flow conditions: (1) the NPDES. permitted flow with all trains in service and (2) the peak hourly flow
with one treatment train removed from service. 51=_ f3 PA/4,P. V i'=
® Are any modifications proposed that impact the process flow diagram or process flow schematic of the treatment facility?
® Yes or 0 No. If yes, provide the process flow diagram or process flow schematic showing all modified flow paths
including aeration, recycle/return, wasting, and chemical feed, with the location of all monitoring and control instruments
noted.
F. ® Engineering Specif)cations
❑ Per 15A NCAC 02T .0504(c)(2), submit two sets of specifications that have been signed, sealed and dated by a North
Carolina -Licensed Professional Engineer.
❑ Specifications must be labeled as -follows: FINAL SPECIFICATIONS - FOR REVIEW PURPOSES ONLY - NOT RELEASED FOR
CONSTRUCTION.
Specifications shall include:
❑ Specifications for all applicable disciplines needed for bidding and construction of the proposed project (check as.
appropriate):
® Civil ❑ Not Applicable
® Process Mechanical ❑ Not Applicable
❑ Structural Not Applicable
❑ Electrical ® Not Applicable
❑ Instrumentation/Controls ® Not -Applicable
❑ Architectural ® Not Applicable
❑ Building Mechanical ® Not Applicable
Application for Authorization'to Construct Permit (FORM ATCG1243) Page 3

State of North Carolina
' c4 h C.a z;.rta Divi ian of %Wate r Re rces
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
❑ Building Plumbing ® Not Applicable
® Detailed- specifications for all treatment units and processes including piping, valves, equipment (pumps, blowers, mixers,
diffusers, etc.), and instrumentation.
® Means of ensuring quality and integrity of the finished product including leakage testing requirements for structures and
pipelines, and performance testing requirements for equipment.
❑ Bid Form for publically bid projects.
G. Construction Sequence Plan
® Construction Sequence Plan such that construction activities will not result in overflows or bypasses to waters of the State.
The Plan must not imply that the Contractor is responsible for operation of treatment facilities. List the location of the
Construction Sequence Plan as in the Engineering Plans or in the Engineering Specifications or in both: See Sheet C-101 for
construction sequen e.
H. Engineering Calculations
® Per 15A NCAC 02T .0504(c)(3). submit two sets of engineering calculations that have been signed, sealed and dated by a
North Carolina Licensed Professional Engineer; the seal, signature and date shall be placed on the cover sheet of the
calculations.
For new or expanding facilities and for treatment process modifications that are included in Section 4.C, the calculations shall
include at a minimum:
❑ Demonstration of how peak hour design flow was determined with a justification of the selected peaking factor.
❑ influent pollutant loading demonstrating how the design influent characteristics in Section 4.B.2 of this form were
determined.
❑ Pollutant loading for each treatment unit demonstrating how the design effluent concentrations in Section 4.B.2 of this
form were determined.
❑ Hydraulic loading for each treatment unit.
❑ Sizing criteria for each treatment unit and associated equipment (blowers, mixers, pumps, etc.)
® Total dynamic head (TDH) calculations and system curve analysis for each pump specified that is included in Section 4.C.6.
❑ Buoyancy calculations for all below grade structures.
❑ .Supporting documentation that the specified auxiliary power source is capable of powering all essential treatment units.
1. Permits
® Provide the following information for each permit and/or certification required for this project:
Permit/Certification
Not
Applicable
Date
. Submitted
Date
Approved
Permit/
Certification
Number
If Not Issued Provide
Status and Expected
Issuance Date
Dam Safety
X
Soil Erosion and Sediment Control
X
USCOE / Section 404 Permit
X
Water Quality Certification (401)
X
USCOE / Section 10
X
Stormwater Management Plan
X
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 4

State of North -Carolina
c�fvision 0"" Water ResourcesDepartment of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
CAMA
X
NCDOT Encroachment Agreement
X
Railroad Encroachment Agreement
X
Cithet:
J. Residuals Management Plan
❑ For all new facilities, expanding facilities, or modifications that result in a change to sludge production and/or sludge.
-processes, provide a Residuals Management Plan meeting the requirements of 15A NCAC 02T .0504(i) and .0508; the Plan
must include:
❑. A detailed explanation as to how the generated.residuals (including trash, sediment and grit), will be collected, handled,
processed, stored, treated, and:disposed.
❑ An`evaluation of the treatment -facility's residuals storage requirements based upon the maximum anticipated residuals
production rate and ability to remove residuals.
❑ A permit for residuals utilization or a written commitment to the Applicant from a Permittee of a Department approved
residuals disposal/utilization program that has adequate permitted capacity to accept the residuals or has submitted a
residuals%utilization program application.
❑ If oil, grease, grit or screenings removal and collection is a designated unit process, a detailed explanation as to how
the oil/grease will be collected, handled, processed, stored and disposed.
® Not Applicable.
SECTION 4: PROJECT INFORMATION
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 5

A.
1.
M
State of North Carolina
Division o: Water Resources
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
TER TREATMENT PLANT FLOW INFORMATION —
following flow information:
Plant Flows
Existing Plant Design
MGD
Current NPDES Permit Limit
M
Current Annual Average
(past 12 months)
MGD
For Pas Months:
t
S S lyr
t ate: month/yr
mol I/
e: mont End Date: h/yr
For Past 24 Months:
Start Date: month/yr
End Date: month/yr
Maximum Month
MGD
MGD
Maximum Da><
z,
MGD
M�
Pe our
MGD
MGD
Application for Authorization to Construct Permit (FORM ATCr12-13) Page 6
N/A

Division o4 Water Resources
State of Borth Carolina
Department of Environment and Natural Resources
Division of Dater Resources
APPLICATION FOR AUTHORIZATION! TO CONSTRUCT PERMIT (FORM ATC-12-13)
B. WASTEWATER TREATMENT FACILITY DESIGN INFORMATION —COMPLETE FOR NEW OR EXPANDING FACILITIES AND
FOR TREATMENT PROCESS MODIFICATIONS
1. Have all ofthe requirements of 15 NCAC 02H. 0100, 15A NCAC 02T. North Carolina General Statute 133-3, North Carolina
General Statute 143-215.1. and Division of Water Resources Minimum Design Criteria for NPDES Wastewater Treatment
Facilities been met by the proposed design and specifications? ® Yes or ❑ No. If no, provide justification as to why the
requirements are not met, consistent with 15A NCAC 02T .0105(n): Adding ultraviolet disinfection will not alterthe design
influent or effluent parameters.
2. Provide the design influent and effluent characteristics that are used as the basis for the p roject design, and the NPDES
permit limits for the following parameters: UNC_ J+AN j-r-_6
Project Basis of Design
Design Influent
Design Influent
Influent
Concentration
Load
Concentration -
(Must be
(Must be
Current Annual
supported by
supported by
erage (past
Engineering
Engineering
Design Effluent
12 nths) if
Calculatilons
Calculations
Concentration and/
NPDES Permit Limits
Parameter
Availa a
[Section 3.H])
[Section 3.H])
Load
{monthly average)
Ammonia Nitrogen
LSummer
mg/LSummer
(NH3-N)
mg/L
mg/L
lb/day
mg/L Winter
mg/L Winter
Biochemical
mg/L Summer
mg/L Summer
Oxygen Demand
rag/L
mg
I ay
(BODs)
mg/L Winter
mg/L Winter
Fecal Coliform
per 100 mL
per 100 mil.
.*
Nitrate + Nitrite
Nitrogen(NO3-N
'
mg/L
g/
mg/L
/
NOz-N)
Total Kjeldahl�
mg/L:
A'
Nitrogen
�
I
mg/L
Total Nitrogen
lb/year
lb/year
mg/L
mg/L
Total Phosphor
mg/L.
mg/L
lb/day
lb/year
lb/year
Tot uspended _
mg/L
mg/L
lb/day
mg/L
mg/L
ids (TSS)
Based on the "Project Basis of Design";parameters listed above, will the proposed design allow the treatment facility to
meet the NPDES Permit Limits listed above? ® Yes or ❑ No. If no, describe how and why the Permit Limits will not be
met:
4. Per 15A NCAC 02T .0505(i), by-pass and overflow lines are prohibited. Is this condition met by the`design? ® Yes or ❑ No
If no, describe the treatment units bypassed, why this is necessary, and where the bypass discharges:
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 7

State of North Carolina
4�; �r, c.,"cr,.,a Division of j)%+`�.ei Resources „
Department of Environment and Natural Resources
Division of Water Resources
APPLICATION. FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
S. Per 15A NCAC 02T .0505N); multiple pumps shall be provided wherever pumps are used. Is this condition met by the
design? ® Yes or ❑ No. If no, provide an explanation:
6. Per 15A NCAC 02T .0505d1), power reliability shall be provided consisting of automatically activated standby power supply
onsite capable of powering all essential treatment units under design conditions, or dual power supply shall be provided
per 15A NCAC 02H. 0124(2)(a). Is this condition met by the design? ❑ Yes or ® No. If no, provide (as an attachment
to this Application) written approval from the'Director that the facility:
9 Hasa private water supply that automatically shuts off during power failures and does not contain elevated water
storage tanks, and
Has sufficient storage capacity that no potential for overflow exists, and
Can tolerate septic wastewater due to prolonged detention.
Per 15A NCAC 02T .0505(o). a minimum of 30 days of residual storage shall be provided. Is this condition met by the
design? ® Yes or ❑ No. If no, explain the alternative design criteria proposed for this project in accordance 15A NCAC
8. Per 15A NCAC 02T .0505(a). the public shall be prohibited from access to the wastewater treatment facilities. Explain how
the design complies with this requirement: Existing Fence
9. Is the treatment facility, located within the 100-year flood plain? ❑ Yes or ®No. If yes, describe how the facility is
protected from the 100-year flood: N/A
C. WASTEWATER TREATMENT UNIT AND MECHANICAL EQUIPMENT INFORMATION —COMPLETE FOR NEW OR
EXPANDING FACILITIES AND FOR MODIFIED TREATMENT UNITS
1.
PRELIMINARY AND PRIMARY
TREATMENT (i.e.,
physical removal operations and flow equalization): UNC14AN - ti
No. of
Plan Sheet
Specification
Calcul ns
Treatrn Unit
Units
Type
Size per Unit
Reference
Refers
rovided?
(Yes or No)
Manual Bar Screen
MGD at peak hourly flow
Mechanical Bar
MGD at peak hour ow
Screen
Grit Removal
peak hourly 'flow
Flow Equalization
-'
gal
Primary Clarifier
cular
ft diameter; ft si
water depth
Primary Clarifi
Rectangular
square feet; ft side
water depth
Other
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 8

State of North Carolina
Divisiono'" u�3'a'(e3' Resources Department of. Environment and Natural Resources
DiVision of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM.ATC-a2-23)
2. SECONDARY TREATMENT (BIOLOGICAL REACTORS AND:CLARIFIERS) (i.e., biological and chemical processes to remove
organics and nutrients) UAIC14AnA.
No. of
Plan Sheet
Specification
Calculatio
xTatm ent Unit
Units
Type
Size per Unit
Reference
Reference
Provi d?
(Y or. No)
Aerobic nes/
gallons
Tanks
Anoxic Zones/
gallons
Tanks
Anaerobic
gallons
Zones/Tanks
Sequencing Batch
--
gallons
Reactor(SBR)
Membrane
gallons
Bioreactor (IbIBR)
-...._......... _
Circular
........ - ..._ -- -- - ----- -
ft diameter; side
--
Secondary Clarifier
-- -
water depth
Secondary Clarifier.
Rectangular
squarefeet- fttide
wate epth
Other
3. TERTIARY TREATMENT
No_ of
Plan Sheet
Specification
Calculations.
Treatment Unit
Units
Type
Size per Unit
Reference
Reference
Provided?
(Yes or No)
Tertiary.Clarifier
Xrlr
It diameter; ft side
water depth
Tertiary Clarifier
Rectangular
square feet; ft side'
water depth
Tertiary Filter
square feet
Tertiary Membrane
square feet
Filtration
Post -Treat nt
-
gallons
Flow Eq ization
P -Aeration
gallons
other
T_
4. DISINFECTION
Treatment Unit.
No. of
Type
Size per Unit
Plan Sheet
Specification
Calculations
Provided?
units
Reference
Reference
(Yes or No
N/A (Parallel;
100,800 gal/day per bank at
No
Ultraviolet Light
1
in series)
peak hourly flow;1 number of
D-101
Page 3
-banks; 4 number of lamps/bank
Chlorination
(Gas;
gallons of contact
tablet; liquid)
tank/unit
Dechlolation
(Gas;
gallons of contact
tablet; liquid)
tank/unit
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 9

6,ih Ca'd5ra Division oo` Water Resources
State of North Carolina
Department of Environment and Natural Resources
S. RESIDUALS TREATMENT
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
[Treat�tUnlitUnits
No. of
Type
Size per Unit
Flan Sheet
Specification
Calc-u s
4�1,—bvided?
Reference
Referen
(Yes or No)
Gravity Thickening
square feet; ft side
Tank
water depth
Mechanical
Thickening/
dry lb
Dewatering
Aerobic Digestion
ns
Anaerobic
gallons
Digestion
Composting
dry lb/hour
Dryin
dry lb/hour
Other
6. PUMP SYSTEMS (include influent, intermediate, effluent, major recycles, waste sludge, thickened waste sludge and plant
drain pumps)
Location
No. of
Pumps
purpose
Type
Capacity of
each pump
Flan Sheet
Reference
Specification
Reference
GPM
TDN
UV Disinfection
2
Dose UV Unit
Centrifugal
80
32
D-101
Page 2
MIXERS
L®catio
No. of
fitters
Purpose
Type
Power of
each Mixer
(HP)
Plan Sheet
a nce
i cation
Reference
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 10

X
State of North Carolina
Division o" Water Resources Department of Environment and natural Resources
Division of Waiter Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
BLOWERS
Location
No. of
Blowers
Purpose
Type
Ca pacity of
each Blower
(UM)
Plan Sheet
Reference
ion
Specifrence
Ref
-71
9. ODOR CONTROL
Location
No. of
Units
purpose
Type
Plan Sheet
Reference
Specification
I Reference
D. SETBACKS— COMPLETE FOR NEW WASTEWATER THE M T STRUCTURES,
1. The minimum distance for each setback paramete o the was ater treatment/storage units per 15A NCAC 02T .0506(b)
are as follows:
Mini um Distance
Is Minimum Distance
Required om Nearest
Requirement met by the
Setback Parameter
Treatmen torage
Design? If "No'.', identify
Unit
Setback Waivers in Item D.2
Below
Any habitable residence or ace of assembly under separate
100 ft
El Yes
❑ No
ownership or not to be intained as art of the roject site
Any private or publi ater supply source
100 ft
❑ Yes
❑ No
Surface waters( ears —intermittent and perennial, perennial
50 ft
es
❑ No
waterbodies, d wetlands)
Any well h exception of monitoring wells
100 ft
❑ Yes
❑ No
Any p perty line
50 ft
❑ Yes
❑ No
/no,
ny setback waivers been obtained per 15A NCAC 02T .0506(d)? ❑ Yes or ❑ No. If yes, have these w 'vers been
, notarized and signed by all parties involved and recorded with the County Register of Deeds? ❑Yes or No. If
vide an explanatlion:
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 11

of Division State of North Carolina
�Au,c�.•c'tr.� DivisionWater Resources
Department of Environment and natural Resources
Division of Water Resources
APPLICATION FOR AUTHORIZATION TO CONSTRUCT PERMIT (FORM ATC-12-13)
SECTION 5: APPLICATION CERTIFICATION BY PROFESSIONAL ENGINEER
Professional Engineer's Certification per 15A NCAC 02T .0105:
I, Gary S. MacConnell. PE, attest that this application package for an Authorization to Construct
(Typed Name of Professional Engineer)
for the Parkins. LLC - Crown Mobile Home Park - UV Disinfection
(Facility and Project Name)
was prepared under my direct supervisory control and to the best of my knowledge is accurate, complete and consistent
with the information supplied in the engineering plans, specifications, calculations, and all other supporting
documentation for this project. I further attest that to the best of my knowledge the proposed design has been
prepared in accordance with all applicable regulations and statutes, 15 NCAC 02H. 0100, 15A NCAC 02T. North Carolina
General Statute 133-3, North Carolina General Statute 143-215.1, and Division of Water Resources Minimum Design
Criteria for NPDES Wastewater Treatment Facilities, and this Authorization to Construct Permit Application, except as
provided for and explained in Section 4.B.1 of this Application. I understand that the Division of Water Resources'
issuance of the Authorization to Construct Permit may be based solely upon this Certification and that the Division may
waive the technical review of the plans, specifications, calculations and other supporting documentation provided in this
application package. I further understand that the application package may be subject to a future audit by the Division.
Although certain portions of this submittal package may have been prepared, signed and sealed by other professionals
licensed in North Carolina, inclusion of these materials under my signature and seal signifies that I have reviewed the
materials and have determined that the materials are consistent with the project design.
I understand that in accordance with General Statutes 143-215.6A and 143-215.66any person who knowingly makes
any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor,
which may include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal with written signature placed over or adjacent to the seal and dated:
mw%=
2
17069 '
eoteotea�oNt°
Application for Authorization to Construct Permit (FORM ATC-12-13) Page 12

SUPPLEMENT TO PEST COVER SHEET
All previous NPDES permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under
the permit conditions, requirements, terms, and provisions included herein.
Parlins, LLC is hereby authorized to:
1, Continue to operate an existing 0.042 •MGD wastewater treatment facility with
the following components:
♦ Bar screen
♦ Aerated equal' 'on basin
♦ Aeratiarx sin series'
♦ Clarifiers parallcl .,`
♦ Tablet orination with chlorine contact hanker r
♦ Tab dechlorination r�r
♦ R oration tank with diffused air '
♦ erated sludge digester
Flow recording device
�FThis facility is located south of Groometown at the Crown Mobile Home Park
•WVUTP off Jonquil Drive in Guilford County.
2. Discharge from said treatment works at. the location specified on the attached
map into an unnamed tributary to Hickory Creek, classified VETS -IV* waters in
hydrologic unit 03030003 of the Cape Fear River Basin.

-Stag of North Carolina.
" :° 4 -yam :t,- liliSit�t1ofWater R?St3LiCCf'S Department of�Environment and Natural "Resources:
13ivis'ron Hof Water'Resources
APPLICATION FOR AUTHORiZATION TO CONSTRUCT -PERMIT (FO.RM RTC-12-13)
SECTION-6 APPLICATION CERTiFICAXION BY, APPLICANT
4pplicant'sCertification rpeirISA:NCACO2T.0106 bs
1,"n_bert-P. r-tahn;'attest.that thisapolicati6n'package-for an Atithorintian to Cti»struct:
'(Typed Name of Signature Authority acid Title)
for the Parkins. LLt • Crown -Mobile Horne Parkes UV7Disirifection
(Facility.and~Project Name):
has been reviewed,by Me'an,clJs accurate and complete, mihe best of my knowledge. i also understand_that if all
required parts, of thisapplicat'ion package are..not;comf ieted-and Ahat if ail-requiired supporting information and
attachments are not included, this.application package- will be returned to me'as.incomplete. =i further-certify:that in,
accordancewith11A NCAC Q2T A120 a , the Applicant or arty affiliate has. not been -convicted of environmerital crimes,
h'a's :not abandoned,'a wastewater:fa°cility witli..put proper closure, does not have;an outstanding civil penalty Where all
appeals have bef ii-abandrancd or exhausted; are compliant with any active ,compliance schedule; and,does not Kaye ariy'
overdueannuai fees:.
I under"stariflhat:the Division of Water -Resources` issuance of the Autharization to Construct,Permit may be based solely
upon acceptance ofthie Licensed ProfessionM Engineer's Ce'rtificetion contained in Section 5„ancf-that°the Division n ay"
uralve the technical review of the_ plans,.specifications, calculations mrrd other supporting..documen&ation provided in this,
tpplicatiart package.:l further understand that -the application.parkage may b,e.subjeet to ,a future audit:
I understand that in accordance with GeneraP.Statutes 143-215.6A and,f43-215-:68i any person Who knowingly makes.any
false staternent,Irepresentat'lon, or certification,in any application.package.shall be guilty of a Class 2 misdcrneanor,
which may include a fine not to -exceed $10,000,;as well 2s.civil penalties utr"tci$25,000 per violation.
Sipoture.:.� _ w. - _._........ Date:
THE £O MPLETED-APPLtiCAi°l,ON.AND SUPPORTING INFORMATION_ SHALL BE SUBMITTED TO:
NORTH-:CAROLINA DEPARTMEINT`OVENViRONitr'fENT AND:NAfURAL RESOURCES
,DIVISiON OF WATER.RESOURCES/NPDES.-
_.__.-._..w.._,........,........_,_.,...........,....-._...........
gy•U.S- Postal Service Ay courier/_Special Deliver-y:. !
1617-MAILS.ERVICE:CENTER 512-N. SALIS13URY STREET,9TH Fi:AQR '
1 _I3A SIGH, NORT,,fl:GAROIINA Z7699-1.617 RALEIGH :NORTH.CAROLINA.27604
TELEPHONE NUMBER- 919) 807-6396
Application for Authorizatiooi fo Construct Permit (FORM &C-12=13) Pace_13.

ATC SUMMARY
Date ATC received: 10/17/14
Name of facility: Crown Mobil Home Park WWTP NPDES#:NCOONC0055255
*Permittee: Robert P. Hahn Phone: (919) 862 - 3200
(Signature on ATC) *Email: [e-mail]
Consultant: MacConnelll & Associates, P.C.
*Consultant contact: Gary S. MacConnell, P.E. Phone: [phone]
. *Email: [e-mail]
*Date acknowledgement email sent: 10/17/14
Date ATC# obtained from BIMS: 10/21/14 ATC#: 055255A03
Notes:
From: Berry, Ron
Sent: Friday, October 17, 2014 4:17 PM
To: 'Robert Hahn'
Cc: 'Gary MacConnell, P. E.'
Subject: Acknowledgement Receipt of Authorization to Construct Application for Crown Mobile Home Park WWTP
Mr. Hahn:
The Division has received your Authorization to Construct application for Crown Mobile Home Park WWTP. You will
receive an email once the initial review is completed to update you as to your application status. If you have any
questions contact Ron Berry at (9190 807-6396 or email [e-mail].
Ron Berry, Engineer
Division of Water Resources/NCDENR
Phone: (919) 807 - 6396
Email: [e-mail]
Location Address - Archdale Building, Office 925Y
512 N. Salibury St.
Raleigh, NC 27699
Mailing Address -Archdale Building, NCDENR/DWR
1617 Mail Service Center
Raleigh, NC 27669-1617
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.
Cc: original to owner,Fh`1

Mickey, Mike
From: Robert Hahn <[e-mail]>
Sent: Monday, October 06, 2014 8:49 AM
To: Mickey, Mike
Subject: Crown MHP
Hi Mike
Just wanted to let you know that we have purchased the UV system and have instructed the engineers to proceed with
the permitting process.
Thanks for your help.
Bob

Mickey, Mike
From: Robert Hahn <[e-mail]>
Sent: Monday, September 22, 2014 2:21 PM
To: Mickey, Mike
Subject: Crown MHP
Hi Mike
I currently have plans for my employee Matt Nance to become the operator and myself to be the backup for
Crown MHP. I plan on giving Meritech 30 days notice at the end of Sept. and for us to start the beginning of
Nov. We plan on using Research and Analytic Labs as our laboratory as well as a technical resource. I will
make certain all of the appropriate paperwork is done before we make this switch.
There are several reasons for the switch. Not only is Matt on site and can spend as much time as necessary, I
believe with the assistance of RAL we will have a better operating plant. They have committed to be a resource
not only for lab work but to also be available to help with the transition in the field.
I would hope that if you have any questions or concerns that you would let me know. Frankly I am nervous
about this but really feel that the plant will operate better in the long run.
Bob Hahn
919-862-3200

Mickey, Mike
From: Satterwhite, Dana
Sent: Friday, September 26, 2014 10:00 AM
To: Mickey, Mike
Cc: Francies, Gary; Smith, Jason M.; Springer, Tonja
Subject: RE: Meritech #165
Attachments: JS_#165_05_2014_FinalREVISED.pdf, #165_NOFIR.PDF; #165_NOFIR_Final_Response.pdf,
165 OK.PDF
Hi Mike,
We actually submitted a Notice of Finding for Immediate Response for using a TRC meter that did not meet the
Division's policy. I have attached that with their response and a copy of the inspection report. We are in the process of
reviewing their corrective actions response to the report and have not yet closed those items out.
Don't hesitate to give me a call if you have any questions. You can also contact Gary Francies, our Technical Assistance
and Compliance Specialist at [phone] or Jason Smith, the lead auditor on this inspection at [phone].
Have a good weekend,
Dana
Dana Satterwhite
Environmental Program Supervisor III
NC WW/GW Laboratory Certification Branch
O: [phone] ext. 202 (new)
F: [phone]
NC DENR/Division of Water Resources
Water Sciences Section
1623 Mail Service Center
Raleigh, NC 27699-1623
http://Portal.ncdenr.org/web/wq/lab/cert
Have you signed up to receive automatic email notices of changes to policies, regulations and resources pertaining to the NC
Wastewater/Groundwater Laboratory Certification program that could have an impact on your day-to-day operations? if not,
send a blank email to the following address:
DENR.DWQ.Lab [e-mail]
Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third
parties unless the content is exempt by statute or other regulation.
From: Mickey, Mike
Sent: Friday, September 26, 2014 9:53 AM
To: Satterwhite, Dana
Subject: Meritech
Hi Dana — I believe Meritech was inspected awhile back. Did their letter comment on compliance with TRC field
sampling? If so, could I get a copy? Thanks, Mike.
[e-mail]
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27012

Notice of Finding for Immediate Response
The following finding(s) is/are found to be of such a nature that immediate
resolution is required. A corrective action response is to be forwarded to:
DWR Laboratory Certification Branch
1623 Mail Service Center
Raleigh, N.C. 27699 -1623
Parameter and Finding
Total Residual Chlorine — SM 4500 Cl G-2000
FA ding Thy Iqb rataryf.is-notrusrrsgthe pr per quipmdn ,&56to'I l esidual_Chlonrf&(TRC) analyses.
Requirement: Facilities and equipment. Each laboratory requesting certification must contain or be equipped
with the following: Glassware, chemicals, supplies, and equipment required to perform all analytical
procedures included in their certification. Ref: 15A NCAC 02H .0805 (a) (6) (H).
Requirement: See attached letters dated August 14, 2001 and May 1, 2008 regarding Division equipment
requirements for the analysis of TRC.
Comment: All data reviewed were for facilities that had TRC permit limits. However, a Hach Pocket
Colorimeter II is being used which the attached letters state is only allowed for facilities without a permit limit.
The laboratory indicated that they have a spectrophotometer that meets the requirements that is mainly used
for TRC analyses for toxicity. This meter is capable of being used with a battery in a field setting.
1. Please sign and return this form by Monday June 2, 2014.
2. Please submit a list of facilities (including NPDES permit numbers) that are affected as well as the
approximate time frame of the use of an unapproved meter. This information is due by June 13, 2014.
3. Please submit a current curve verification (using the battery as a power source) of an approved meter
and confirm that it is being used for all facilities. This information is due by June 13, 2014.
Auditor:
Lab Name: /Meritech, Inc.
Date:
Cert #:
By signature I verify that I have read and understand the Finding described above.
Signature of responsible party:
Name of responsible party:
(please print)
First
Date:
MI Last
165
The corrective action response must. be received no later than: Date: Specified Above
A copy of this document must be submitted with the corrective action response letter.
Rev 05/30/2014

June 6,. 20-14
Mr. Jason Smith.,, Chemist II
NC WW/GW Laboratbry Certificati,on
NC DENR/Division of Wat6t Resources
Sciences Section
As',heville Regional office
2,0190 U.S. Highway 70
Swannanoa, NC 28778
- Wtpr Quality Programs water
RE: Response to Notice of 'Finding for Immediate Response, May 30,2014.
Dear Mr. Smith:
In response to your request we have -implemented the following- steps -
I . Requested form was completed, signed; ,and- sent to. you via email on June 2,
2014.
2. The f011owinc, is -a list of affected facilities: $-r h. t ffl&�e7en
/Tietex (NC0001348), Cornerstone Conference Ctr. (NC0046809), Stone
Highway (NC00.60623 ))4 Quail Acre& (NC005925 1), Countryside Manor
(NC0073571), and HawRiver Park- (INC0046019). Non -approved chlorine meters
were used in these facilities approximately since 2009.
3. Please see attached current chlorine curve informationfroin'the approved motor..
'This meter was calibrated in the field operation mode, using a 12V car power
battery supply. This meter will be used in all,the facilities listed above beginning
June 9, 2014.
If you have, any questions concerning this matter, please givenie, a call.
zt,
Sincerely,
Kris PawlA
Laboratory Manager-
Meritech, Inc.
Ph: 33 6 342 4748
642 Tamco Road - P.O. Box 27 - Reidsville, NC 27320
[phone] - [phone] Fax

Page 22
#165 Meritech, Inc.
highly contaminated (free product) non-soil/sediments (debris). Any other use of ultrasonic extraction is
considered a "significant modification" of the EPH Method. Ref: MADEP, May 2004, Rev. 1.1, Table 4.
Comment: The laboratory uses a modified version of the soil/sediment extraction process from the MADEP
VPH method, substituting acetone for methanol.
Comment: The complete list of approved EPH extraction procedures for water and soil/sediment samples is
presented in Table 4. Alternative extraction procedures other than those listed are acceptable, provided that
the laboratory can document acceptable matrix- and petroleum product -specific performance. However, use
of an alternative extraction procedure is considered a "significant modification" of the EPH method pursuant
to Section 11.3.1.1 and as such would preclude obtaining "presumptive certainty' status for any analytical
data produced using an alternative EPH extraction procedure. Ref: MADEP, May2004, Rev. 1.1, Section 9.1.
Comment: Any method modification approval must come from the data receiving agency (i.e., the Division of
Waste Management, UST Section).
cccc. Finding: Units of measure were not documented on the EPH extraction log in the column for fractionation.
Requirement: All laboratories must use printed laboratory bench worksheets that include a space to enter
the signature or initials of the analyst, date of analyses, sample identification, volume of sample analyzed,
value from the measurement system, factor and final value to be reported and each item must be recorded
each time samples are analyzed. Ref: 15A NCAC 2H .0805 (a) (7) (H).
Field Parameters
Comment: The laboratory performs two types of field parameter analyses. They have one certified WWTP operator
that operates Crown MHP (NPDES permit #NC0055255), Burlington Mfg. Services (NPDES permit #NC0001384),
Cornerstone Conference Center (NPDES permit #NC0046809), Stone Highway (NPDES permit #NC0060623), Quail
Acres (NPDES permit #NC0059251), Countryside Manor (NPDES permit #NC0073571), and Haw River Park
(NPDES permit #NC0046019). Other laboratory employees collect river basin samples for the North Carolina
Monitoring Coalition Program. The WWTP operator and Monitoring Coalition samplers use different benchsheets.
The Findings for Field Parameters will individually indicate to which category they apply (i.e., NPDES or Monitoring
Coalition).
Comment: he�latiorao "wasn'ot'usint`f'ero ei a uime'nt Z.ofa1:':Resicual,Chlorin nae apses The North
rY 9 p p 4 p y
Carolina Administrative Code, 15A NCAC 2H .0805 (a) (6) (H) states: Facilities and equipment. Each laboratory
requesting certification must contain or be equipped with the following: Glassware, chemicals, supplies, and
equipment required to perform all analytical procedures included in their certification. A Division letter dated August
14, 2001 states: "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 Oust a monitoring requirement), then use of a hand-held
meter, sometimes described as a pocket colorimeter, and the reporting of <100 pg/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." The laboratory was using a pocket colorimeter at all of the
NPDES permit facilities listed in the above comment and they all have low level TRC limits. It was determined that the
laboratory initially purchased a meter capable of low level TRC analysis, but returned to using the pocket colorimeter
when the meter did not work well. The laboratory has been using the pocket colorimeter since approximately 2009. A
Notice of Finding for Immediate Response (NOFIR) was issued to the laboratory regarding this issue and a copy was
provided to the Winston-Salem Regional Office staff. The laboratory replied to the NOFIR with an acceptable curve
verification on an approved meter and indicated that the approved meter would be put into use beginning June 9,
2014. No further response is necessary for this finding.
Recommendation: The inconsistencies between the benchsheets used by the two field units are the cause of
several of the Field Parameters Findings. Merging the existing benchsheets into one or creating a new benchsheet
(to be used by both units) that will encompass all of the needs for both units is recommended.

LABORATORY NAME:
ADDRESS:
On -Site Inspection Report
0Me 7 nc.
P.O. Box 27
Reidsville, NC 27320
CERTIFICATE #: 165
BIA,TE-IGF--TNSPECTI`O N iViaji'217�&=28 2(i14
TYPE OF INSPECTION: Commercial Maintenance
AUDITOR(S): Jason Smith, Jeff Adams, Todd Crawford, Gary Francies, Nick Jones,
Dana Satterwhite, and Tonja Springer
LOCAL PERSON(S) CONTACTED: Kris Pawlak, David Merritt, and Ian Bailey
INTRODUCTION:
This laboratory was inspected by representatives of the North Carolina Wastewater/Groundwater Laboratory
Certification (NC WW/GW LC) program to verify its compliance with the requirements of 15A NCAC 2H .0800 for the
analysis of environmental samples.
II. GENERAL COMMENTS:
The laboratory was clean and well organized. The facility has all the equipment necessary to perform the analyses.
Analytical data pertinent to each certified analysis was filed in an orderly manner and was readily available for
inspection upon request. Laboratory personnel were accessible to answer questions that arose during the inspection.
Some laboratory documentation was incomplete, inaccurate and additional quality control procedures need to be
implemented. The laboratory must take steps to bring operations into compliance with changes in federal
regulations, particularly 40 CFR Part 136 Methods Update Rules; the most recent was published on May 18, 2012.
Many Standard Operating Procedures (SOPs) were in direct conflict with method and/or regulatory requirements,
did not describe in detail how procedures are performed and personnel were not always following the procedures
as described in the SOPs.
The laboratory is reminded that any time changes are made to laboratory operations; the laboratory must update
the Quality Assurance (QA)/Standard Operating Procedures (SOP) document(s). Any changes made in response
to the Findings, Recommendations or Comments listed in this report must be incorporated to insure the method is
being performed as stated, references to methods are accurate, and the QA and/or SOP document(s) is in
agreement with approved practice and regulatory requirements. In some instances, the laboratory may need to
create a SOP to document how new functions or policy will be implemented. The laboratory must also take steps
to insure that all personnel are aware of the changes made; that they have fully implemented those changes and
steps have been taken (e.g., detailed SOPs and guidance documents, documented training and demonstration of
proficiency with new procedures, etc.) to prevent recurrence of findings.
The requirements associated with Findings A, N, O, P, Q, T, HH, KK, YY, ZZ, LLL, MMM, and HHHH have been
implemented by our program since the last inspection.
III. FINDINGS, REQUIREMENTS, COMMENTS AND RECOMMENDATIONS:
Documentation
Recommendation: The laboratory currently maintains only the most recent SOP revision date. It is recommended
that SOP review dates, in addition to revision dates, be maintained. It is recommended that SOPs include a revision
and review history with relevant dates (e.g., effective, review and revision dates) and a brief description of the
change(s) made.
Recommendation: Copies of each reference method are included in each SOP. However, the introduction section,
which lists the approval year for Standard Methods methods, is not included to verify that the document is actually the
most recently approved version. This means that further research (comparing page numbers and text to the approved

_ - Michael F. Easley
*� Governor
�? William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
August 14, 2001
Dear NPDES Permittee:
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, permittees 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 (9,19) 733-5083,
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
NC FNR
N. C. Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 [phone] Customer Service
1 800 623-7748

& WA%t�
Michael F. Easley, Governor
Carolina
I Q
G
State of North
(/)
6i�v
William G. Ross, Jr., Secretary
Department of Environment and Natural Resources
i
y
Coleen H. Sullins, Director
�C
Division of Water Quality
May 1, 2008
To: NPDES Permittees
Subject: Total Residual Chlorine 50 ug/l Compliance Level
In a previous letter dated August 14, 2001, the Division of Water Quality (DWQ) notified
NPDES permittees that water/wastewater treatment facilities with Total Residual Chlorine
(TRC) effluent limits would be required to use analytical methods that produce detection levels
below their permit limit by July 1, 2002. [Note: TRC permit limits are typically set between 17
to 28 ug/1 for discharge to freshwater systems, and 13 ug/1 for discharge to saltwater systems].
This requirement was based on an Environmental Protection Agency (EPA) audit of the NC
enforcement program. It was also necessary to ensure water quality protection and compliance
with state monitoring regulations [15A NCAC 213.0505(e)(4)].
Since that time, DWQ has received several inquiries regarding difficulties with the new
analytical methods, primarily focused on 1) lack of precision with field instrumentation at low
TRC levels for both water and wastewater treatment plants; and 2) manganese interference with
TRC measurement at several water treatment plants. Some facilities have overcome these
problems through various changes, such as: 1) switching dechlorination chemicals; 2) adding a
second dechlorination feed; 3) changing analytical methods; 4) incorporating manganese
correction; 5) switching to LTV disinfection; 6) removing sludge from water treatment plant
settling basins. Also, the DWQ Laboratory Certification staff have provided extensive field.
assistance for the new lab methods. Still, some analytical issues remain. In response to the
permittee's concerns, the Division is providing the following changes to its TRC requirements:
❑ TRC Compliance Level Changed to 50 ug/l. DWQ continued discussions with EPA
regarding analytical difficulties with TRC measurements, and in March 2008 received
EPA approval to allow .a 50 ug/l TRC compliance level. This will not change the
analysis, annual verification of meter performance, or data reporting, but simply how the
reported values will be evaluated by DWQ from a compliance standpoint.- .Facilities will
still be required to report actual results on their monthly DMR submittals, but for
compliance purposes all TRC values below 50 ug/l will be treated as zero. For example,
if the facility has a TRC limit of 17 ug/1 and reports a TRC value of 40,ug/1 on the DMR,
this value will be considered compliant under this new policy. This new compliance
level is effective March 1, 2008 (beginning with March 2008 DMR submittals).
DWQ will continue to incorporate TRC effluent limitations into NPDES permits for all
water/wastewater treatment facilities that discharge chlorine -bearing wastestreams to surface
waters. While this new TRC compliance level of 50 ug/l is effective beginning March 1, 2008, it
will be incorporated into existing NPDES permits with TRC effluent limits upon permit renewal.
At that time, the following TRC footnote language will added to the Effluent Limitations Sheet:
"The facility shall report all effluent TRC values reported by a NC certified laboratory including
field certified. However, effluent values below 50 ug/l will be treated as zero for compliance
purposes."
Division of Water Quality, Point Source Branch Telephone [phone] rionc Caro r a
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 FAX [phone] ��ura}�
512 N. Salisbury Street, Raleigh, North Carolina 27604 On the Internet at h //h7o.ennstate nWus/ . ✓ vu �J
An Equal OpportunlWAffirmallve Action Employer

Page 2 of 2
May 1, 2008 '
TRC 50 ug/1 Compliance Memo
DWQ reserves the right to modify this policy in the future as analytical methods evolve. If you
have questions about the content of this letter, please contact Tom Belnick at [phone],
extension 543. If you need assistance with your TRC analytical methodology, please contact
Gary Francies with the DWQ Water Quality Lab at [phone]
Sincerely,
att
Matt Matthews, Supervisor
Point Source Branch
2

Mickey, Mike
From:
Mickey, Mike
Sent:
Friday, September 26, 2014 9:26 AM
To:
'Robert Hahn'
Subject:
RE: Crown MHP
Attachments:
Total Residual Chlorine.pdf
Bob —See comments in red below. Holler back for any clarification. Mike.
Mike.Mickev(@NCDENR.eov
Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27012
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: Robert Hahn [mailto:[e-mail]]
Sent: Thursday, September 25, 2014 12:14 PM
To: Mickey, Mike
Subject: Crown MHP
Hi Mike
I have a couple of questions related to us running the Crown system.
The first question I probably do not need to ask- but will anyway.
1. The permit says we need to test for total residual Chlorine 2/week and the limit is 17 micrograms /liter. In the notes it
says that anything below 50 micrograms/liter will be treated as zero [See Use of "Less Than" values guidance below] (not
sure I understand how anything below 50 is zero and we have a limit of 17) and that this must be reported by a certified
lab which includes field certification. Our potential new lab wants an outrageous amount of money to do this test. The
cost is enough that we would have to stay with our current operator if we cannot solve this. They say that the cost reflects
new instrumentation required to measure micrograms/liter but really think they mean they would have to come and do the
test in the field because of the time limits to do the testing. The current lab has also stated that they just had to purchase
$31K worth of equipment to meet this requirement but have not passed on any price increase -yet. Apparently this has been
in the permits for some time but not enforced?? [This should be enforced thru the laboratory field certification program].
Here is the question I probably do not need to ask. Is there any way we could do this test with a pocket colorimeter which
is not capable of measuring in micrograms/liter? [No.] From my research we would need to purchase a portable
spectrophotometer for about $3k and be field certified, if that is possible. In addition it sounds like this can be a
complicated test maybe one we would not want to attempt. Can you enlighten me. [You are correct that a portable
spectrophotometer is required. See attached Total Residual Chlorine testing requirement info].
2. 1 have a line on a lightly used UV system (no pun intended). I have spoken to Ron Berry in Raleigh about the
requirements for a UV system. As you know there is a requirement for 100% redundancy which we could meet by leaving
the existing chlorine system as a backup. The problem is we have the testing requirement for testing residual chlorine in
the permit. Ron was uncertain how we would handle this since we still have the chlorine system in place as backup. He
suggested this would be an issue for your department. Could there be some amendment to our permit that says we only
have to do this testing if we are using the backup system? [Yes. Your permit would be amended at when the

Authorization to Construct was issued for the UV unit to include a footnote as shown in the screen shots below]. The used
UV system would definitely be more expensive than the testing equipment but may be a better solution in the long run.
Lastly for some reason I can only find a draft copy of our permit so the final permit may reflect something different than
what I have. I will contact Raleigh and get the final copy. [If you haven't requested a copy from Raleigh yet I can email it
to you. Just let me know].
I may have jumped the gun in stating we are changing operators - at least in Nov. -since we have this and several other
issues to resolve.
Thanks for your help.
Bob
Use of "Less Than" Values
Complications may arise in calculations when dealing with testing results showing values of less than a
minimum detection level for the testing method. Current Division policy gives permittees the benefit of doubt
all the way to the lowest levels when performing calculations using such "less than" values. s X IM 1 : I
+Xj'._'��: For the calculation of a geometric
mean, a "less than" value may be considered to be equal to one. Remember, this procedure pertains only to the
calculation of an average. You must report individual data values on the DMR exactly as reported to you by
your laboratory. If you are doing calculations with "less than" (<) values, here is how they should be handled:
a) Calculating an arithmetic mean
In calculating the arithmetic mean, "less than" values may be considered to equal zero (0). If all
results for a particular parameter during the month are "less than," the average for the month
would be zero. The maximum and minimum, however, should be recorded as the "less than"
values.
Example: (using 10, 15, 20 and <5 as data values)
10
15
20
+ 0 (<5)
45
45 / 4 = 11.25 (round off to 11)
If you install UV the following footnote would be added to your permit.

J 10 la .... .,. �V
Total Residual Chtorine (TRC)l
50060 17 �1L 2�41I k drab irffl
-
Temperature (°C) We-ekly Grab EM
000101
PH > 6.0 a'nd <9.0 standard uriits 2MIMoni% Grab Effl rd)AAPlr14
I. Limit and monitoring requirements apply pniy if chlorine is usW for disinfection, The Pe
shall report an effluent TRC valves reported by a NC—cer-difled laboratory [including #ielclat
Ulluent values below 50 µg/L will be treated as zero for compliance purposes. -
Once using UV, you would check the UV box on the DMR form.
"AF,m, UENT f
SEA
NODES PBRltr T NO. a `, DISCHARGE NO. 001 MONTH
FACILITY NAt COUNTY
CERTIFIED Ot'i DI iF (I MUM- CA.'IION NO._I
(list additional laboratories on the backside/page2 of this form) -
OP'ERATOR rK RESPONSIBLE CHARGE (ORC} t tj�, ' OA-0 CiEUDE `�-` CERTIFICATION
PE ON(S) COLLECTING SAMPLES11'&_ _Wi � OPIC PHME 3
CUECK BOX W ORC HAS CMWG D � FL4WIDISCRARGEI
i'.vdall ORIC1NA L and ONI E COPY to;
A'Q T . CENTRAL DES
DA78ION OF 'e'E''ATZR QUALITY
1617 MtL SERVICE CF3N=1 t I.
By THU SIGNATtIRt, I ClrXfY THAT TWS MORTIS ' . _
ACCMTE AND CaNI PLEMI 0 THE BEST F}F my KNOWd.,nM

Tiny I /zol`i
Mr. Charles Weaver
NPDES Compliance Unit
Divis}on:Af Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
NPDES No. NCOb 5'S 15 J�
Dear 1V�VIr. Weaver:
N.C.Dept. of ENR
JUL 112014
Winston-Salem
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 0Q va X A l+12t- as required by all applicable federal, state, and local environmental
agencies specifically with the requirements for signatory authority as specified in 15A NCAC
2B.0506.
Name Title
M
If you have any questions regarding this letter, please feel free to contact me at
Sincerely,
I
PA'Cr'l-0s Lr_t' o 6e, ceo'-) O mfo P
cc: Winston-Salem Regional Office (Amn k'e_Micicey,=NCDENR, 585 Waughtown St, Winston-Salem, NC 27107)

F"
NCD NR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
June 16, 2014
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
SUBJECT: Compliance Evaluation Inspection
Crown Mobile Home Park VMTP
NPDES Permit No. NC0055255,
Guilford County
Dear Mr. Hahn:
John E. Skvarla, III
Secretary
On June 11, 2014, Mike Mickey of this office met with you and Mark Nault, ORC, to perform
a Compliance Evaluation Inspection on the new wastewater treatment system serving the Crown
Mobile Home Park. The treatment facility was found to be in compliance with the effluent limits of
the NPDES permit, except for one monthly average and one daily maximum limit violation. The
inspection findings are detailed below and an inspection checklist is attached for your records.
1. Permit
Installation of the new VVVVTP at Crown MHP was completed in July 2013. Crownwas previously
operating under a Settlement Agreement while undergoing construction. The agreement ended on
September 30, 2013.
The current .NPDES permit expires on August 31, 2016. Please note that upon renewal, it is
expected that the permit will require Crown to begin submitting monthly self -monitoring reports
(DMRs) electronically per the new EPA rule which mandates NPDES permittees to electronically
submit- DMRs.
II. Self -Monitoring Program
The monthly self -monitoring reports (DMRs) were reviewed for the period September 2013 through
March 2014. The facility was found to be compliant with all NPDES effluent limits,.except for one
daily maximum BOD violation that occurred on January 22, 2014 and one monthly average NH3-N
violation that occurred in April 2010(see data summary attached). In regards to the permit
monitoring requirements, it was noted that all sampling was performed per the frequencies
specified in the permit. o-+-"\
One paperwork issue noted involves the permittee signature on the back of the DMR. Currently,
Marc Nault is signing the back of the DMR forms. The permit [Part II, Section B(11)] requires that
the permit holder sign all reports unless a duly authorized representative has been designated. If
you wish for someone to continue to sign for you, please submit a Delegation of Signature
Authority letter for our files (see example letter attached).
N.C, Division of Water Resources
585 Waughtown Street, Winstion-Salem, NC 27107
Phone: [phone] Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer- Made in part by recycled paper

Mr. Robert Hahn
Page 2
June 16, 2014
III. Flow Measurement
The NPDES permit requires continuous flow recording. The flow values reported on the DMR's are
obtained using an ultrasonic ISCO flow meter prior to the v-notch weir. The meter was last
calibrated by Delta Systems in July 2013. An annual calibration needs to be performed and
documented in 2014.
IV. Sludge Handling and Disposal
Solids are removed routinely from the digester by Jenkins Waste Management. The last pumping
event occurred on March 13, 2014.
V. Operations and Maintenance
The facility appeared to be. competently operated and maintained. No problems or concerns were
noted.
VI. Facility Site Review
The existing 0.042 MGD dual train above ground package plant consists of the following: influent
pump station, bar screen, equalization basin, aeration basin, secondary clarifier, digester, tablet
chlorinator, contact tank with re -aeration, tablet dechlorinator, ultrasonic flow meter, ISCO sampler
and effluent discharge pipe.
l
VII. Records/Reports
A review of the facility files indicates -that all records are being maintained according to the permit.
A comparison of the April 2014 self -monitoring report with the corresponding laboratory data
sheets from Meritech and the operator's records showed that all values were transcribed onto the
DMR correctly.
VIII. Effluent/Receiving Waters
The system discharges into a tributary of Hickory Creek, class VS -IV` waters in the Cape Fear
River Basin. The effluent'was clear, on the day of the inspection.
Should you have any questions concerning this report, please contact Mike Mickey or me at
[phone].
Sincerely,
Sherri V. Knight, PE
Assistant Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources
cc: David Merritt (via email: [e-mail])
Marc Nault (via email: [e-mail])
Central Files
- S`RU7P

Data Summary
Crown Mobile Home Park WWTP
NPDES Permit No., NC0065255
Self -Monitoring Paktal . Summary
September 2013 March-,2014
Parameters
Monthly.Avg.
Perm it, Limits
Monthly Avg. Limit
Violations per DMR
Daily Maximum
Permit Limits
Daily Max. Limit
Violations per DMIR
Flow (MGD)
0.042
None
NA
BOD (mg/1)
16.0
None
"24.0
1/22/14 (61.2. mg/L)
TSS (mg/1)
30.0
None
45.0
None
NH3-N (mg/1)
(2.6 4.0)*
April 2014 (2.2 mg/L)
(10.0 - 20.0)'
None
Fecal, (*/100 ml)
200
None
400
None
T. Chlorine (ug/1)
NA
ITT**
None
D. Oxygen (mg/L),
NA
> 6.0
None
pH (S.U.)
None
(6.0 - 9.0) range
None
* (Summer /Winter limits)
**TRC values reported below 50 ug/L are considered compliant.

Permit: NCO055255
Inspection Date: 06/11/2014
Permit
Owner - F®ciHty: crown Mobile Home Park
Inspection Type: compliance Evaluation
(If the present permit expires in 6 months or less). Has the permittee_submitted anew
application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
is access to the plant site restricted to the general public?
Is the inspector granted'access to all areas for inspection?
Comment: Installation of the new:WWTP for Crown MHP was completed in July 2013.
Crown was previously operating under a settlement agreement that expired on 9/30/13. The
compliance review period for: this inspection coincides with the start-up of the new WWTP
and expiration of the settlement agreement.
A review of the monthly self monitoring reports (DMRs) for the period September 2013
through April 2014 found the. Crown MHP to be compliant with effluent limits, except for one
daily maximum SOD violation that occured 1122/14 and one monthly average. NH3-N
violation that occurred in April 2014. In regards to monitoring, it was noted that all samples
were collected per the permit frequencies specified in the permit'.
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: The 0.042 above ground dual package plant system consists of the following:
*Influent pump station with dual 117 gpm pumps (old EQ basin)
*EQ tanks
*Aeration basins
*Clarifiers
*Tertiary filters
*Digesters
*Chlorinator
*Dechlorinator
*Flow meter
(Note: only one side of the dual train system Is used due to low influent flows)
Record Keeoin
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
Yes No Na Me
.1111911
®❑❑❑
❑ ® ❑ ❑
®❑ ❑ ❑
® ❑ ❑ ❑
Yes No Na No
❑ ❑ ❑
Yes No Na Me
Page# 3

Permit NC0055255 Owner - Facility:
Crown Mobile Home Park
inspection Date: 06/1112014 Inspection Type:
Compliance Evaluation
Record Keeping
Yes
. No Ida Me
®.
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? .
❑
❑
®
❑
Has the facility submitted its annual compliance report to users and DWQ?
❑
❑rl
(If the facility is = or > 5 MGD permitted flow) Do they operate 24, t with a certified operator
on each shift?
❑
El
11
Is the ORC visitation log available and current?
®
❑
❑
❑
Is the ORC certified of grade equal to or higher than the facility classification?
❑
❑
❑
Is the backup operator certified at one grade less or greater than the facility classification?
®,
❑
11
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: A comparison of the April 2014 DMR with the certified laboratory sheets and
operators records showed that all parameters were accurately transcribed onto the DMR.
Pump Station - Influent
Yes
No Na Re
Is the pump wet well free of bypass lines or structures?
®
❑
ri
Is the wet well free of excessive grease?
®
❑
❑
Are all pumps present?
®
❑
❑
❑
Are all pumps operable?
®
❑
❑
Are float controls operable?
Is SCADA telemetry available and operational?
®
❑
❑
Is audible and visual alarm available and operational?
Comment: The Influent pump station (old EQ basin at the previous treatment plant site)
conveys all influent wastewater to the new package plant. The visual and audible alarms
were tested and found to be operable.
Egualization Basins
Yes
No Na Me
®
❑
❑
Is the basin aerated?El
®
❑ ❑
Is the basin free of bypass lines or structures to the natural environment?
In
❑ ❑
❑
Is the basin free of excessive grease?
Page# 4

Permit: NCO055255 Owner -Facility: Croton Mobile Home Park
Inspection Date: 061.11/2014 Inspection Type: Compliance Evaluation
Baualization Basins
Yes
No. Na No
Are all pumps present?
®
0
❑
❑
Are all pumps operable?
. ❑
❑
❑
Are float controls operable?
®
❑
❑
❑
Are audible and visual alarms operable?
❑
❑
.� .
# Is basin size/volume adequate?
®
❑
❑
❑
Comment:' There are two 10,000 gallons EQ basins with air supplied by three blowers (one
blower is currently out of service)
Aeration Basins
Yes
No Na Me
Mode of operation
Ext. Air
Type of aeration system
Diffused
Is the basin free of dead spots?
®
❑
❑
❑
Are surface aerators and mixers operational?
❑
❑
all
Are the diffusers operational?
®
❑
❑
Is the foam the proper color for the treatment process?
❑
❑
❑
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 There are two 25,000 gallon aeration basins with air supplied by three blowers
(one of the blowers is currently out of service).. These are different blowers than the ones
used for the EQ basin.
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?
❑
❑
❑
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?
❑
❑
0
Is the return rate acceptable (low turbulence)?
®
❑
Is the overflow clear of excessive solids/pin floc?
®
❑
El
Page# 5

Permit: NCO055255 Owner - Faculty:
Crovin Mobile Home Park
Inspection Date: 0611112014 Inspection Type:
Compliance Evaluation
Secondary Clarifier
Yes
No Na Me
Is the sludge blanket level acceptable? (Approximately % of the sidewall depth)
Comment: There are two circular clarifiers.
Adroble Digester
Yes
No Na Me
Is the capacity adequate?
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
# Is tankage avallable.for properly waste sludge?
Comment: There are two 8,000 gallon aerated digesters.
Disinfection -Tablet
Yes
No Na Me
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
3
Is the level of chlorine residual acceptable?
D.
El
2
Is the contact chamberfree of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment: There Is a single in -ground tablet chlorinator with contact tank after the tertiary
filters. The contact tank Is aerated.
De -chlorination
Yes
No Na No
Type of system ?
Tablet
rl
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?
Comment:
ig
El
El
0
Are the tablets the proper size and type?
Are tablet de -chlorinators operational?
Number of tubes in use?
3
Comment Single in -ground dechlorinator unit.
Flow Measurement - Effluent Yes No Na 'Ne
# is now meter used for reporting?
Page# 6

Permit: NCO055255 Owner - Facility:
Crown Mobile Home Park
Inspection. Date: 06/11/2014 inspection Type:
Compliance Evaluation
Plow Measurement - Effluent
Yes
No Na Ne
®
❑
❑
❑
Is flow meter calibrated annually?
,
®
❑
❑
Is the flow meter operational?
❑
❑
®
❑
(If units are separated) Does the chart recorder match the flow meter?
Comment: An ISCO flow meter with ultrasonic sensor is used to measure the effluent flow.
The meter was calibrated by Delta systems in July 2013.- An annual calibration needs to
be performed and documented in 2014.
Effluent Samplina
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)?
Is the facility sampling performed as required by the permit (frequency, sampling type
representative)?
Comment: A refrigerated ISCO sampler is used. The refrigerator temp was 5.5 degrees
centigrade. Flow proportioned samples are currently not collected, The sampler hose is
underground and could not be evaluated.
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 effluent Is discharged into a tributary of Hickory Creek, class' WS-IV*"
waters in the Cape Fear River Basin.
Yes No Na No
❑ai❑❑
® ❑ ❑ ❑
❑❑❑2
❑ ❑ ❑
® ❑ ❑ ❑
0 ❑ ❑ ❑
Yes No No No
❑ ❑ ■ ❑
Page# 7

<Date>
Mr. Charles Weaver
NPDES Compliance Unit
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
Subject: Delegation of Signature Authority
<Facility Name>
NPDES No. NC_
Dear Mr. Weaver:
By notice of this letter, I hereby delegate signatory authorityto each of the following individuals for
all permit applications, discharge monitoring reports, and other information relating to the
operations at <Facility Name> as required by all applicable federal, state, and local environmental
agencies specifically with the requirements for signatory authority as specified in 15A NCAC
213.0506.
Name Title
If you have any questions regarding this letter, please feel free to contact me at <Phone Number>.
Sincerely,
<Facility Officers Name>
<Facility Officers Title>
cc: Winston-Salem Regional Office (Attn: Mike Mickey, NCDENR, 585 Waughtown St, Winston-Salem, NC 27107)

Mickey, Mike
From: Mickey, Mike
Sent: Wednesday, May 28, 2014 4:02 PM
To: [e-mail]
Subject: Crown MHP - NCO055255
Attachments: ORC Designation Form - Revised 03-2014.pdf
David — Notice that we still have Patrick is listed as the ORC for Crown. Can you submit the attached form with the
correct ORC/back-up information? Thanks, Mike.
Designated Operators. - - -
*Location Class.
Operator Cert
NameStatus
-
I. -
- - - -- .- .
*Rafe
; ...-- - - —
*Effective Dt,
Jr- - - _.. . -
Expiration Dt
I Notifcatu
IAU-2
WVV-2111794
r�territt, Patri&A.
JAdive
JORC
0710912007
1
1071111200;
WN-2
IMJV-2110569
hterritt, David R.
JAUVve
lBackup
107113912007
1
1071112W.
Mike Mickey
[e-mail]
NC Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
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.
1

,&4*
NC*DENR
Forth Carolina Department of Environment and Natural Resources
Pat McCrory John E. Skvarla, III
Governor Secretary
April 17, 2014.
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (# NOV-2014-LV-0185)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
.Dear Mr. Hahn:
A review of the Crown Mobile Home Park monitoring report for January 2014 showed the
following effluent violation:
Parameter
Date
Limit Value
Reported Value
Limit Type
BOD
1/22/14
24 mg/1
61.2 mg/1
Daily Maximum Exceeded
Additionally, the monthly reports for November 2013, December 2013, January 2014 and February
2014 were submitted late. Please note that Part II, Section A(2) of the NPDES permit states that
DMRs shall be postmarked no later than the last calendar day of the month following the completed
reporting period (i.e., the February 2014 DMR should be postmarked on or before March 31, 2014).
Month
Date DMR Due
Date Received.
Days Late
November 2013
12/31/13
01/21/14
21
December 2013
01/31/14
02/24/14
24
January 2014
02/28/14
03/24/14
24
February 2014
03/31/14
Not received yet.
17 +
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 action
by the Division of Water Resources for this and any additional violations of State law.
N.C. Division of Water Resources
585 Waughtown Street, Winstion-Salem, NC 27107
Phone: [phone] Internet: www.ncwaterquality.org
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 Mike Mickey at [phone].
Sincerely,
` 4 l�C
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: David Merritt (via email: [e-mail])
Central Files - SWP
,W

Facility:
i
Parameter
DMR Review Record
Permit No.: � tad• Pipe No.:
Monthly Average Violations
Permit Limit DMR Value
Month/Year:��
% Over Limit Action
O
l Dail
iolations
Date
Parameter
Permit Limit Limit Type
DMR Value %Over Limit Action
Monitoring Frequency Violations
Date
Parameter
Permit Fre u
# of Violations Action
4
=ValuesReported
Other Violations/Staff Remarks:
� � m
Supervisor Remarks: /v�
Completed by:
Assistant Regional
Supervisor Sign Off:
Regional Supervisor Sign
Off:
Date:
Date:
Date:�--

�.,
O�`�
•` ra\���
�iv� `�
��� ��
�-a�-��{
```` \�\1

IV
OA
Eii FFLUENT
4
6v�"AR 2 8 2014
NPDES PERMIT
r
DISCHARGE NO. MONTH 11 - ----- r
FACILITY NAME- _Z.)%_Z,-0"
CLASS _:�L_ COUNTY
CERTIFIED LABORATORY(l) h;�?-17Z�AA J�Y, CERTIFICATION NO.
OC_
(list additional laboratories on the backside/page 2 of this
form)
OPERATOR IN RESPONSIBLE CHARGE (OR MR,
80a
GRADE `--- CERTIFICATION NO: q . je
PERSON(S) COLLECTING SAMPLES MBP& W)o PAJ
ORC PHONE­�;336_ _;14 i - IM15
CHECK BOX IF ORC HAS CHANGED
,--;-70 FIjOW / DISCHARGE, FROM SITE,,
Mail ORIGINAL and ONE COPY to:
ATTN, CENTRAL FILES
Z�L 4/7
`?E IRE
x
N.C.Dei
DIVISION OF WATER QUALITY
(61(jNATURP OF OPERATOR
- PONSIBWCRAIRGE) ATE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPO 4 6 '
RT'S1 APR 14 201
ACCURATE
AND COMPLETE TO THE BEST OF MY KNOWLEDP&—__._
50050
0050
00010
00010
00400
50060
1 00310
1 00610
JoO530
1 31616
1 00300
11 00600
0665
"P
-FLOW
-let z
E NTER DEJABOVE
NAME AND
EFF
U
Cl)
z
0
5. w
0
UNITS BELOW
INF
r4
u
g4
Q
014 V)
w t:
40
0
Oa
0 W
o
0
u
-4
Qz
0 0
i. 0
liv
0 C
UNTTq
�disinfection
Tl('fr.
MEW mmmmmmom
MO.
VA"J"N I EWA
US]
AVERAGE
MINIMUM , mc)
lonthlyLimit
Baum=
FAMM
DWQ Form MR-1 (11/04)

doo
IL CDENR
North Carolina Department or Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Pat I/AcCrory Thomas A. Reeder
Governor Director
January 17, 2014
CERTIFIED MAIL. # 7012 2920 0000 36561905
RETURN RECEIPT REQUESTED
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
John E. Skvarla, III
Secretary
Subject: Notice of Violation and Recommendation for Enforcement (# NOV-2014-MV-0007)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
A review of the Crown MHP monitoring report for October 2013 showed the following monitoring violations:
Parameter
Dates
Permit Frequency
Values Reported
# of Violations
BOD
9/30 —10/4
Weekly
0
1
TSS
9/30 —10/4
Weekly
0
1
NH3-N
9/30 -10/4
Weekly
0
1
Fecal Coliform
9/30 —10/4
Weekly
0
1
A Notice of Violation/Notice of Recommendation for Enforcement (NOV/NRE) is being issued for the noted
violation ofNorth Carolina General Statute (G.S.)143-215.1 andNPDES Permit No. NC0055255. Pursuantto G.S.
143-215.6A, a civil penalty of not more than twenty-five thousand dollars ($25,000.00) maybe 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 October 2013
Discharge Monitoring Report. You will then be notified of any civil penalties that may be assessed regarding the
violations. of no response is received in this Office within the 10 day period, a civil penalty assessment may be
prepared.
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
NatmInaliff
Nora iCarolina
An Equal Opportunity 1 Affirmative Action Employer

Mr. Robert Hahn
January 17, 2014
Page 2 of 2
Additionally, if this violation 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 two
copies of the amended report to:
Attn: Central Files
Division of Water Resources
1617 Mail Service Center
Raleigh, NC 27699-1617
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 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 Mike Mickey or me at (336) 771-
5000.
Sincerely,
by- W. Corey Basinger
Surface Water Regional Supervisor
Winston-Salem Regional Office
Division of Water Resources
cc: -David Merritt (via email: [e-mail])
Point Source Branch
SWP — Central Files
W MN _e

Facility.: ��`��� V\*
Parameter
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Permit/Pipe No.:\����J��-S� Month/Year
1Vl nthly Average Violations
Permit Limit DMR Value % Over Limit
/Daily Violation
Date Parameter
s
DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Valu
3��10 .Lk V�
Other Violations \-�-q-w-\\M
es Reported # of Violations
b
O 1
C,
ilk
Completed by: �V _ Date: 00
Regional Water Quality
Supervisor Signoff: Date: 1 ��
C�

44
x EFFLUENT
1tJ4J�,l�( JL ,j�yYe'a�cwi Q ��'��
NPDES PERMITN0.1 ' 9-
DISCHARGE NO. l�3 MONTH * 4� :q:-,�k=:=-.
FACILITY NAME &LeSilt "^
CLASS COUNTY (rOlde�-o
CERTIFIED LABORATORY (1)_ OY -17Z J �X, CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) i a@Ce
ti3, O�oa GRADE r-�- CERTIFICATION No.
PERSON(S) COLLECTING SAMPLES Y"1 9C, W9 MAO
L `ORC PHONE �3� 1— " q,5
CHECK BOX M ORC HAS CHANGED =
NO FLOW /DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
yy ��=L'� �' -• ��Eiti
ATTN: CENTRAL FILES
X y
DIVISION OF WATER QUALITY
(SIGN TUFiE OF OPERATOR IN RESPONSIBLE CHARGE) TE . p'
a
1617 MAIL SERVICE CENTER
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS J� .� U 'J
RALEIGH, NC 27699-1617
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
111 1
11 11 11,1
11 I 11, 1
11 1
11 11
I1,11
•
-
�•AND UNITS LOW
Of6:lYD�l.JIIQJfCi■
mmmmu
mmommmm
9
mmimmmom
mm
Immm
Emsilmw
• m®o�����������e��
ffarm
mmmm
.•�� �_
�©® •m
____�
DWQ Form MR-11 (11/04)

EFFLUENT
W(9V /, 10 -2In
NPDES PERMIT NO._ 0--A-0 sbr-r .5j DISCHARGE NO.DOI_ MONTH S YEAR
FACILITY NAME_ C ?-QV9 { CLASS COUNTYy(d_o'�-obi
CERTIFIED LAB ORATORY (1) tK 1K 1 1 ti B f CERTIFICATION NO. t
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC)_ MARC-, ko 1 080a GRADE-4- CERTIFICATION N0. q 6 5G
PERSON(S) COLLECTING SAMPLES Y' ftlRb (15a PAO L`C ORC PHONE_33f, - ?LG 1- s4,!5 r
CHECK BOX IF ORC HAS CHANGED NO FLOW / DISCHARGE. FROM SITE
Mail ORIGINAL and ONE COPYxo
ATTN: CENTRAL FILES !
DIVISION OF WATER QUALITY \'' l (SIGNA E OF OPERATD PO MLE CHARGE) DATE.-
1617 MAIL SERVICE CENTER IV �,/ " �� i � BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGFI, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
n-V I IN.N1
III I
- 11.11 - II�1
II 1
Ili I 11 I
® 11 11
I1�11 I1�1
�-__
I 1
!��'�j���jTTT..��J�pp11�1�,.�W!V���p._y�l-I����i(Y�J��
Et
,MR
eLMLG.O
!` '11
mmmmmm
m
f'
---�_Emm_________
Jp
m,
e7M
�(-Imry_
.
j�
m
i
..
- mL\•
1..
Mum
i 1.l
Immmom
p�Q!ti�.Jl
_
mmc�r•��w��������a���
DWQ Form MR=1 (11/04)

Guilford
NCO065255
Monitoring Violation
FL
r'o' bra■Mobilg➢H�-o , 'ark

Mickey, Mike
From:
David Merritt <[e-mail]>
Sent:
Monday, March 10, 2014 10:52 AM
To:
Mickey, Mike
Subject:
Re: NPDES issues from ice storm?
Mike. See the text I received from Marc below:
"Yes Crown Mhp has been without power since ice storm on Friday. I went there Saturday again and sent a picture of
downed power pole to Bob Hahn in New York city. Bob will be back tomorrow. Plant is dead. No potable water though
till power is up again maybe on Wednesday. Plant will have to be reseeded when back up and running. Gonna be stinky.
I'll get with Kris"
Sent from my iPhone- David Merritt
On Mar 10, 2014, at 6:59 AM, "Mickey, Mike" <[e-mail]> wrote:
David —Just checking to see if you had any major issues at Countryside/Cornerstone/Crown WWTP's
due to the Friday ice attack? I know Guilford County took a beating. Thanks, Mike.
Mike Mickey
[e-mail]
NC Division of Water Resources
585 Waughtown Street
Winston-Salem, NC 27107
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.
_�A . \3�_ �_4 iotl) I
Uk \V�A-PA— V
1

-Jln, 23. 2014 3; 08PM
No.0076 P. 1
�. . 'ME TTEC INC:
r ^r ENVIRONMENTAL LABORATORIES.
A DIVISION OF WATER TEcRNOLOGYAN[D CON!'IZOLS, INC.
X;ACSIMILE TRANSMITTAL SKEET
TO: flzam:
COMPANY:
FAX NVn.4BETL
77 F-1
P14014E NVMBF-lb
RE:
DATE:
TOTAL NO, of PAGES 1NCLVDING GOVVU
SENDER-S REFEIZE-wa NvmlDER:
YOVR RfFERfNcE. NVMDFR:
❑ URGENT ❑ FOR REVIEW ❑ PLEASE COMMENT El PLEASE, RErLY ❑ PLEASE RECYCLE
NOTES/Cc7U[�fI:NTS: ' .
642 TAMCO ROAD, .tZEXDSVILLE NORTH CAROLT,NA 27320
PHONE [phone] - PAX 336-342-1522
E-MAIL.- WTCLAB r+BELLSOUTH.NET

An. 23, 2014 3; 08PM �r„�1No• 0076—, �j •` 2
EFFLUENT
NI'DES PEPMIT NO. l� �C�[� a `�-5� MEC, •' j: HARGE'N0._W I MONTH a YEAR
FACILITY NAME �j�?p,? 4�'1 _ CLASS, COUNTY.-UIE<"i=o�i
CERTIFIED L.AB ORATORY (1) t`�'11 %LC t t r _ _ CERTIFICATION NO.��
(list additional laboratories on the backside/page 2 of this fo=)
OP$RATOR TN RESPONSIMLE CHARGE (ORC)_MARC,, cO r QAOa GRADE `�- CERTIFICATION NO.'?(--E�G
PFRSON(S) COLLECTING SANTLF-S'P15�l - IJ_A Lr R_ ORC PHO73a - 1- • R5
CHECK BOX rF ORC EAS CEARGED NO FLOW / l2TSCHARGE FROM Sr F,
Mail ORIGINAL and ONE COPY to: `
AYTN: CENTUL FLUS z �„fr p f of , � - t
Z)MSIONOFWATER QTJ'kLjTY (S A EOFOPERATOR• fiARUB) / DATE,
1617 MAIL SERVICE CENTER V TMS SIGNATURE, [ CERTaY THAT TEM REPORT IS
RAT.VGS, NC 27699-1617 ACCURATF,,kND COMPLEM TO TIig' EM OF MY XNOWLED GE,
DWO Form MR=1 (11/04)

Pat McCrory
Governor
c, V1 A4
AA,Q�\) MR
NEDEN R
Forth Carolina Department of Environment and Natural Resources
Division of Water Resources
Water Quality Regional Operations Section
Thomas A. Reeder John E. Skvarla, III
. Director Secretary
November 6, 2013
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (# NOV-2013-LV-0680)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Hahn:
A review of the Crown Mobile Home Park monitoring report for August 2013 showed the following
violation:
Parameter
gate
Limit Value
Reported Value
Limit Type
Fecal Coliform
08/26/13
400 #/100ml
>600 #/100m1
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].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
cc: Central Files - SWP
W
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
Nora Carolina.
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DAIR Review Record
Facility.: PermitlPipe No.:�Month/Year
nthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
aiIy Violations
Date Parameter Permit LimitrNpe DMR Value % Over Limit
Monito ' ? Frequency Violations
Date Parameter Permit re uencv Values Reported # of Violations
Other Violations
n A _ 9 ,o
aW.
Completed by: V'1"
Regional Water Quality � A
Supervisor SiQnoff:
Date:
Date: ./�

r
0
EFFLUENT
i-A >> f; ,ij
.j
iE
OPT I el
ma
NPDES PERMIT NO.!@9 OCT DISCHARGE NO._ MONTH �` LJ' 1 YEAR " -1-
FACILITY NAME GKc�- wo-7M� CLASS�L COUNTY:= 6• it t=-off_
CERTIFIED LABORATORY (1)_ k4)i1 . 1 i. r I LY-1 CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form) -
OPERATOR IN RESPONSIBLE CHARGE (ORC) I'1'IA6 u3, 080a GRADE '3- CERTIFICATION NO. Q6
PERSON(S) COLLECTING JPLES 1�'1 _ + ORC PHONE 33f� - . I - g qsCHECK BOX IF ORC HAS CHb N.C. - - ENR _ oy NO®FLOW /DISCHARGE. FROM SITE
Mail ORIGINAL and ONE COR-Yto,
���
ATTN:CENTRAL FILES
DIVISION OF WATER QUALITY
€
WINSTON
ALEM
1617 MAIL SERVICE CENTER
REGIONAL
DFFICE
RALEIGH, NC 27699-1617
X:
SIGNATURE, I CERTIFY THAT THIS REPORT IS
TE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
-3
50050
00010
00400 50060r003
00610
00530 31616
00300
00600
00665FLOW
EFF
w
Q z
y
ENTER PARAMETER CODE ABOVE
¢e
vINF ❑
Fy
q
yOa2
U
WW
¢AA°•.
Z
>�E0G
NAME AND UNITS BELOW
>,`"00
zQ.' C7
O?"
[r0o
O Ga
aw
U.
Uai
O�
W "a E
y '�
Op�'+
F
pa.
E• p
-
O
ai
E
❑ UV
z
LY" � u lj
0
q
Er
Z
x
.
0 A
disinreetioo
°`
MIS, HRS
Y/B/N MGD
° C
UNITS UrG/L
MG/L MG/L MG/L OOOML MG/L
MG/L I
MG/L
21M
€3
a.'
4
,®, 1
�D
C
G
i➢ . o •�
O;A I
y -oC!
g
.ti•
[I 0 -
� a
:
iz
�r
.i. •
:,
.evAr �i v.
14
I
t5w.
16
DWQ Form MM (11/04)

14C® N
Forth Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Division of Water Resources
Water Quality Regional Operations Section
Thomas A. Reeder
Director
October 16, 2013
Subject: NOTICE OF VIOLATION (# NOV-2013-LV-0638)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
John E. Skvarla, III
Secretary
A review of Crown Mobile Home Park's monitoring report for July 2013 showed the following violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
7/01/13
400 #/100ml
600 #/100m1
Daily Maximum Exceeded
Fecal Coliform
7/19/13
400 #/100ml
640 #/100ml
Daily Maximum Exceeded
Fecal Coliform '
July 2013
200 #/100ml
239.79 #/100m1
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 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].
cc: Central Files - SWP
4=
Sincerely,
v
W. Corey Basinger
Regional Supervisor
Water Quality Regional Operations
Division of Water Resources
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
NorthCarohna
An Equal Opportunity 1 Affirmative Action Employer

��' • �1o�1�ao\3r �v - be3�
Cover Sheet ,from
Staff Member to
Regional Supervisor
DMR Review Record
Facility.: C \SOW o- Permit/Pipe No.: p 5a5 Month/Year
Parameter
ypl',LoP , - G 8
Monthly Average Violations
Pen -nit Limit DMR Value
aiIy iolations
Da e Parameter Permit Lin it/Tvne DMR Value
Over Limit
% Over Limit
e
a
M toring Frequency Violations
Date Parameter Pe t Fre uencv Values Reported ## of Violations
Other Viblati ns
Y
Completed by: ��2 �, Date:
Regional Water Quality �
Supervisor Signoff: �`�Date:

EFFLUENT
NPDES PERMIT DISCHARGE NO. W I MONTH
FACILITY NAME Cj.ts 1,4=71 CLASS COUNTY Cr�ld-t�-o�i
CERTIFIED LABORATORY (1)_ a`t'll b i CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form) -
OPERATOR IN RESPONSIBLE CHARGE (ORC) MA GRADE `:)- CERTIFICATION N0.
PERSON(S) COLLECTING SAMPLES 1MtP& Ws tJA t:: ; ORC PHONE 33(6 -_ICI - S3,51
CHECK BOX IF ORC HAS CHANGED ® , NO FLOW / DISCHARGE. FROM SITE*
Mail ORIGINAL and ONE COPY to: �T
ATTN:CENTRAL FILES 7U
X ''/�,��
DIVISION OF WATER QUALITY (SIGNA E OF OPERATOR IN RESPONSIBLE CHARGE). DATE.
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
I11 I
11•II 11.1
11 I 11. I
11 I
® fill
®
•
mu—mm
eI
MIEVIN
OEM
o 1
m
s
As
IME
ms�������s����®
®�
Diu"
= a7� • - ©��.�����Qp�©�
rME
a -• rf�'�IL� p
®ram
mmm
mmummmimm
0301—
MOM
�M
V:P�idG6O �.:
d
FREMMI OREE
AVERAGE
- MINIMUM .........................
I I 1
El;�y-•'tsp' ' -
(CI. .
f'
Monthl' imi vL t . �r Q
DWQ Form-MC_R�-.,ILR.1/.04)
apt. Of ENR, ;
4 Mt.
In -Salem
i' 1A n it 1`

C
Borth Carolina Department of Environment and natural Resources
Division of Water Quality
Water Quality Programs
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Director . Secretary
September 20, 2013
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (# NOV-2013-LV-0543)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
A review of the Crown Mobile Home Park monitoring report for June 2013 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
NH3-N
6/11/13
10 mg/1
15 mg/l
Daily Maximum Exceeded
NH3-N
June 2013
2 mg/l
4.2 mg/1
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 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].
Sincerely,
W. Corey Basinger
Regional Supervisor
Water Quality Section
Division of Water Resources
cc: David Merritt (via email: [e-mail])
Central Files - SWP
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.ncwaterouality.org
An Equal Opportunity 1 Affirmative Action Employer
One
N®rthCroll a
Natwally

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility.: utu, , _ � Permit/Pipe No.: .'�S�MonthlYcar _mot—
Monthly Average Violations
Parameter Permit Limit DM�R} Value % Over Limit
W aily Violations
Date Parameter Permit Limitfl'vpe DMR Value % Over Limit
Monit ng Frequency Violations
Date Parameter Permit re uencv Values Reported # of Violations
Other Violations
v zl�-) -- A 7-,
\\�gw V\�
y p
Completed by:
Regional Water Quality
Supervisor Signoff: Date:
a

EFFLUENT"'
NPDES PERMIT NO._0I�C)t05S� DISCHARGE NO, 60I
FACILITY NAME_ C@--rDW, 05M, CLASS �� COUNTY ��51�p'r-obi
CERTIFIED LABORATORY (1) bn 1 ti JCX, CERTIFICATION NO. I&�;
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) MAAofT
PERSON(S) COLLECTING SAMPLES ORR& W 1 N L.
CHECK BOX IF ORC HAS CHANG
Mail ORIGINAL and ONE CO Yt
ATTN: CENTRAL FILES
DIVISION
VISION OF WATERQUALITY A U G 0 a 1 (SIGNATURE O OPERATOF
1617 MAIL SERVICE CENTER ' BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 CENTRAL ILES ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
r) EdV *,-%
GRADE 2- CERTIFICATION NO. Ct 6 9(,
ORC PHONE 33(2 - -Aq I e �S I
Ng FLO3,,V / DISCHARGE. FROM SITE
III I It�.11
11,1
11 I 11� 1 11 1
�SaS:a 11 II
11, 11 Il,i
-
®
NAME AND UNITS BELOW
•
-
=
off IN rerim
11MMEFE9=0310
0
RUM WHEN
, " IL N
.. m. W(1
!fill
R7L=.S1f.
f�.B�F
_
®.�
181MINIVA������s��������
m mmmmWA�o���®�o������

v
e
N
HCDEN
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Thomas A. Reeder John E. Skvarla, III
Governor Acting Director Secretary
July 23, 2013
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (# NOV-2013-LV-0422)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
A review of the Crown Mobile Home Park monitoring report for April 2013 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
NH3-N
04/30/13
10 mg/1
17.2 mg/l
Daily Maximum Exceeded
NH3-N
April 2013
2 mg/l
6.64 mg/l
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 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].
Sincerely,
W. Corey Basinger
Regional Water Quality Supervisor
Winston-Salem Region
Surface Water Protection Section
cc: Central Files - SWP
Of Kaur
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
One
NorthCa o ina
An Equal Opportunity 1 Affirmative Action Employer

r
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility.: Permit/Pipe No.: �UMonth/Year
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
a s° b
kl /Daily iolations
Date Parameter Permit Limit/Tvne DMR Value % Over Limit
Monito 'ng Frequency Violations
Date Parameter Pe Fre uencv Values Reported # of Violations
Completed by:
Regional Water Quality
Supervisor Signoff:
Date:
Date: �� (�
VN"

� A
Q A
EFFLUENT
I
j {
20113'
a---^— e
NPDES PERMIT N0._ DISCHARGE -NO. &J[_ MONTI
FACILITY NAME_dJ;�;,t CLASS_ c
CERTIFIED LABORATORY(1) tr`�11 b� �{, CERTIFICATION
(list additional laboratories on the backside/page 2 of this form) -
OPERATOR IN RESPONSIBLE CHARGE (ORC) MARC, LO, € OLC GRADE `J— CERTIFICATION NO. q6 6(,
PERSON(S) COLLECTING SAMPLES IMtfz—✓ W9 FJAJ L'C ORC PHONE
CHECK BOX IF ORC HAS CHANGED _ .. N FLOW /DISCHARGE FROM SITE
Mail ORIGINAL and ONE COPY to:
ATTN: CENTRAL FILES 7 x/ICi 53`
DIVISION OF WATER QUALITY J U N, c 61 Z C I J (SIGNATURE F OPERATOR PONSIB E CHARGE) DATE
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
DWQ Form MR=1 (11104)

A 74pll
MCDERR
North Carolina Department of Environment and natural Resources
Pat McCrory
Governor
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Division of Water Quality
Thomas A Reeder
Acting Director
July 22, 2013
SUBJECT: Settlement Agreement
Crown Mobile Home Park WWTP
NPDES Permit No. NCO056256
Guilford County "
Dear Mr. Hahn:
John E. Skvarla, III
Secretary
On July 10, 2013, our office received the Engineer's Certification signed by Gary MacConnell
signifying completion of the new wastewater treatment plant at Crown MHP. This submittal, along with
our site visit on July 2, 2013, satisfied Item 2(a) of the Settlement Agreement which required installation
of the new WWTP to be completed by June 30, 2013.
The final date in the Agreement contained in Item 2(b) requires that the facility return to
consistent compliance with effluent limits by September 30, 2013. Additionally, prior to this date, Crown
MHP is required to submit a check of $281.27 for payment of the outstanding balance of civil penalties
per Item 5 of the agreement.
Should you have any questions concerning this letter, please contact Mike Mickey or me at (336)
771-5000.
cc: Central Files
W5R0—
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.newaterquality.org
An Equal Opportunity \ Affirmative Action Employer
Sincerely,
a
W. Corey Basinger
Regional Water Quality Supervisor
Surface Water Protection Section
One
NofthCarolina
Nat= 119

RECEIVED �
-�
ED
Parkins, LLC
N.C.Dept. of ENR
lj
A To C No. ©552.55 A 0 2- JUL 2 3 20a3 2013'
Issued August 11, 2009 Winston-Salem haqwure Finance Sec�on,
Regional Office
Engineer's Certification
I, Gary S. MacConnell, PE, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the modifications to
the Crown Mobile Home Park WWTP, located at Jonquil Drive in Guilford County for Parkins,
LLC, hereby state that, to the best of my abilities, due care and diligence was used in the
observation of the following construction:
Conversion of an existing EQ basin to an influent pump station with dual 117 gpm
pumps; installation of approximately 885 feet of 4-inch sewer force main; a dual train
package plant consisting of two (2) 10,000 gallon EQ tanks with dual 20 gpm pumps
in each tank; three (3) 1.5 Hp blowers; two (2) 25,000 gallon aeration basins with
coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon digesters; two
(2) 12.6 ft2 tertiary filters; a 2,005 gallon chlorination disinfection system and
dechlorination system; and approximately 890 feet of 6-inch gravity effluent
discharge line, in conformity with the project plans, specifications, and other
supporting data subsequently filed and. approved by the Department of Environment
and natural. resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature i`tration No. 17069
Date July 9, 2013 SEAL
17069'
Send to: Infrastructure FinanceCC
ti .•'
DENR/DWQ °° �' •c�lN� 3
1633 Mail Service Center
Raleigh, NC .27699-1633
There were insignificant changes to the location of some items and in some cases the models
specified which did notchange the intent nor functionality of the approved design.

Mickey, Mike
From:
Mickey, Mike
Sent:
Friday, July 12, 2013 8:27 AM
To:
'Robert Hahn'
Cc:
Basinger, Corey
Subject:
RE: Crown
Bob —We did receive a copy of the engineer's certification from Gary MacConnell. Based on that, you have our approval
to begin pumping sewage up to the new plant. Please advise me once the sand filters are fully automatic. Thanks, Mike.
Mike Mickey
Mike. MickevONCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
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: Robert Hahn [mailto:[e-mail]]
Sent: Thursday, July 11, 2013 9:09 AM
To: Mickey, Mike; Basinger, Corey
Subject: Crown
Good morning
At Crown we have the flow meter installed and calibrated. We have also fixed the issue we saw last week of the
overflow from the aeration chambers back into the digester and the eq tanks. We did have what appeared to be a
birds nest clogging one side but the primary issue was that the wiers on both clarifiers were set at the top of their
adjustment range causing about 6" of extra water in they system. By adjusting the clarifiers we were able to lower
the water throughout the system and eliminate any backflow.
We still have some issues we are working on with the sand filters. It will possible take another week or so to work
those out so that the sand filter is fully automatic.
I believe that you have received a copy of the engineers certification letter so the real question is what is the next
step? From a technical standpoint we could begin pumping sewage up to the new plant immediately and bypass the
sand filter for a week or so. Do we need to wait for some official notification or how do we proceed?
Thanks
Bob

"s
Parkins, LLC
A To C No.
Issued August 11, 2009
Engineer's Certification
I, Gary S. MacConnell, PE, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe periodically the construction of the modifications to
the Crown Mobile Home Park WWTP, located at Jonquil Drive in Guilford County for Parkins,
LLC, hereby state that,_ to the best of my abilities, due care and diligence was used in the
observation of the following construction:
Conversion of an existing EQ basin to an influent pump station with dual 117 gpm
pumps; installation of approximately 885 feet of 4-inch sewer force main; a dual train
package plant consisting of two (2) 10,000 gallon EQ tanks with dual 20 gpm. pumps
in each tank; three (3) 1.5 Hp blowers; two (2) 25,000 gallon aeration basins with
coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon digesters; two
(2) 12.6 112 tertiary filters; a 2,005 gallon chlorination disinfection system and
dechlorination system; and approximately 890 feet of 6-inch gravity effluent
discharge line, in conformity with the project plans, specifications, and other
supporting data subsequently filed and approved by the Department of Environment
and natural resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Signature - •° ••.stration No_ 17069
;7.
Date July 9, 2013 SEAL
a i 17o6g =
Send to: Infrastructure Finance • v
DENR/DWQ �? • ........ ��, �.o
#UbrO .•`. ] I
1633 Mail Service Center
��
Raleigh, NC 27699-1633
There were insignificant changes to the location of some items andin some cases the models
specified which did not change the intent nor functionality of the approved design.

•
Mickey, Mike
From: Basinger, Corey
Sent: Wednesday, July 10, 2013 9:11 AM
To: Mickey, Mike
Subject: FW: Crown Mobile Home Park Certification Letter
Attachments: PARKINS CERTIFICATION LETTER.pdf
Excellent news.
Crown is complete and certified.
We can schedule a TA visit with Gary in the coming weeks for final sign off of the Settlement Agreement.
CB
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 Low and may be disclosed to
third parties.
From: Gary MacConnell[mailto:gsmmacassocCa)bellsouth.net]
Sent: Wednesday, July 10, 2013 9:04 AM
To: rp.hahn(d ahoo.com; Basinger, Corey
Subject: Crown Mobile Home Park Certification Letter.
Gentlemen,
Please find attached a copy of the certification to the Crown Mobile Home Park. The original was mailed to the central
office. It has been a pleasure working with both of you. Have a great day. Call if you have any questions.
Gary S. MacConnell, PE, President
MacConnell & Associates, PC
1903 North Harrison Ave., Suite 102
Cary, NC 27513
PO Box 129
Morrisville, NC 27560
Phone: [phone]
Cell: 919523-2248
Fax: [phone]
1

Mickey, Mike
From:
Robert Hahn [[e-mail]]
Sent:
Friday, May 31, 2013 11:18 PM
To:
Mickey, Mike
Subject:
Crown
Attachments:
Final Construction extension .docx
Hi Mike
I spoke to Corey about covering all the bases with one last extension request. I can't imagine we could need an
extension but wanted to have the request in just in case.
Thanks
Bob Hahn

Crown MHP
PO Box 1000
Pittsboro, NC
27312
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
Attn: Mike Mickey
May 31, 2013
RE: Extension NPDES PERMIT NCO055255
Mike
Crown MHP is formally requesting one additional month extension of the settlement agreement on the
above permit.
Most of the construction is currently complete and many of the systems have been run including the
blowers and the pumps. We do still have a few items to be completed, some of which might fall under
the heading of construction. For this reason I am asking for one additional month to do the last
remaining construction portion of the project.
Sincerely
Bob Hahn
Crown MHP

r
ER
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Slcvarla, III
Governor Director Secretary
May 8, 2013
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27313-1000
Subject: NOTICE OF DEFICIENCY (# NOD-2013-LV-0067)
Crown Mobile Home Park
Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
A review of the February 2013 Discharge Monitoring Report (DMR) revealed a violation of the following
parameters:
Parameter
Date
Reported Value
Permit Limit
Limit Type
NH3-N (m )
February
4.1
4.0
Monthly Average
BOD (mg/L)
2/21
24.2
24.0
Daily Maximum
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. 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 Mike Mickey at [phone].
cc: DWQ Central Files
w
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.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
Sincerely, Z'
W. Corey Basinger
Winston Salem Regional Supervisor
Surface Water Protection Section
One
NofthCarollna
Xatwoliff

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility.: Ci%WPermit/Pipe No.WM5M — SS MonthlYear
Parameter
�
Monthly Average Violations
Permit Limit DMR Value % Over Limit
W* "alViolations
Date Parameter Permit Limiff vpe DMR Value % Over Limit
Mo •toring Frequency Violations
Date Parameter Pe 't Fre uencv Values Reported # of Violations
Other Violations l`
Completed by: Date:
Regional Water Quality
Supervisor Sianoff: V � Date: ,' d
1

EFFLUENT
RECEIVED
N.C. GCp4, of ENR
NPDES PERMIT NO. ,tJsGsT19-GG 5j. DISCHARGE NO. �_ MONTH
FACILITY NAME Q' 9—t CLASS COUNTY_ C,0((_7% Oltt�
CERTIFIED LABORATORY (1) CERTIFICATION NO.
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC)_MAAofT GRADE ':).- CERTIFICATION NO. R6 6(,
PERSON(S) COLLECTING SAMPLES -V" ER& (Oo FJAJ L—T- ORC PHONE 33G
CHECK BOX IF ORC HAS CHANGED-,, ::, L NO FL11W / DISCHARGE. FROM SITE*
Mail ORIGINAL and ONE COPY'to:
ATTN: CENTRAL FILES ry T a
DIVISION OF WATER QUALITY A P R ' 3 (SIGNATURE F OPERATOR iN RES lONSIBL CHARGE) � ~ �G DATE
1617 MAIL SERVICE CENTER _ BY THIS SIGNATURE, I CERTIFY TiiAT THIS REPORT IS' j b
RALEiGH, NC 27699-1617 r .; s "' <i' , ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. 4� i
III I 11•II
11,1
11 1 II. I
II 1
® 11 II
II,11
II „
��__
®
®®
NINE
Mm
®ft1dlB#)iai
�,
ME" -me w-Rammom
mmmmmmmmmm
mm
IRWIN
Morino, Mum Oft=
MEMRSN"m
gum
DWQ Form MR=I (11/04)

A��
MCDENR
Forth Carolina Department of Environment and natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P.E. John E. Skvarla, III
Governor Director Secretary
March 28, 2013
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (# NOV-2013-LV-0193)
NPDES Permit No. N00055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
A review of the. Crown Mobile Home Park monitoring report for December 2012 showed the following
violation:
Parameter
Date
Limit Value
Deported Value
Limit Type
NH3-N
December-2012
4 mg/1
5.4 mg/1
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 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].
Sincerely,
W. Corey Basinger
Regional Water Quality Supervisor
Winston-Salem Region
Surface Water Protection Section
cc: David Merritt (via email: [e-mail])
Central Files - SWP
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] l FAX: [phone] Customer Service:1-877-623-6748
Internet: www.ncwaterquality.org
One
NorthCaroHna
An Equal Opportunity 1 Affirmative Action Employer

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility.: ..©�J� �� Permit/Pipe No.:
cJ�aS Month[Year � 1
Parameter
. Monthly Average Violations
Permit
7Limit DMR Value
L V C .
Violations
0
Date Parameter
Iv
Date Parameter
Other Violations
Over Limit
o
rrvpe DMR Value % Over Limit
ency Violations
ncv Values Reported # of Violations
Completed by: Date: " , Q)
Regional Water Quality
Supervisor Signoff: Date:
�oJ

q- • -� v � yr yr s�.�
s
• EFFLUENT s
NPDES PERMIT N0._ � j DISCHARGE NO. [
�_ MONTH ,
FACILITY NAME dC+i. t ?17,9M Z— CLASS COUNTY_ O OiLi tr--oct,
CERTIFIED LABORATORY (1) 141;wl1 ti ILy-, CERTIFICATION NO. je-,!5
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHARGE (ORC) (V)ARC, ko, 080a GRADE `J- CERTIFICATION N0. Q�a 5�>
PERSON(S) COLLECTING SAv1�P+'t►� l`C ORC PHONE 33(2
CHECK BOX IF ORC HAS CHRG� e � O FLOW / DISCHARGE FROM SITE
Mail. ORIGINAL and ONE COPY toy �� j�
ATTN: CENTRAL FILES '� x/ N4-
DIVISION OF WATER QUALITY (SIGNATURE 9F OPERATOR IN SPON IB E CHARGE) DATE,
1617 MAIL SERVICE CENTER CENTRAL ILLS • BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RECEIVED
RALEIGH, NC 27699-1617 g O1 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. N.C. Dept. Of ENR
III I 11.11 11�1 11 I 11, I II I � 11 II
II.11
II,I
�Ill�
®
©®IIILSC.7{lr'�®®®®®®
� 11 ®®®I111111111111111I1111---
660:
CIL•..71�6ry�
m��
®[MjW;
Emmum
mom
Mmmilm
ripyina1��.!raw
DWQ Form MR-1 (11/04)
>r
Y

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
if
(including weekly averages, applicable)
Complia
s�
!'
-g� A
All monitoring data and sampling frequencies do NOT meef permit requirements
Noncompliant
2
ry
The permittee shall report to the Director or the appropriate Regional Office any noncompliance that potentially I.,— - - C 11)
threatens public health or the environment. Any information shall be provided orally within 24 houri'from'the time the 12
permittee became aware of the circumstances. A written submission shall also be provided;wrhin 5;• daystof the time the
pemiittee becomes aware of the circumstances..
If the facility is noncompliant, please attach a Iist of corrective actions being taken and a tin64ible for �112
improvements to be made as required by Part II.E.6 of the NPDES permit. rn
"I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision M
in accordance with a system designed to assure that qualified personnel properly gather and evaluate the information �+ 1
J\�
submitted. Based on my inquiry of the person or persons who managed the system, or those persons directly responsible ( I I.J
-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
rb
fines and imprisonment for knowing violations." V�
Permittee (Please print or type) J
Signatute ofPermittee*** Date
flVC
(Required unless submitted electronically) tj.
Permittee Address Phone Number e-mail address Permit Expiration Date 1� ro Q
ADDITIONAL CERTIFIED LABORATORIES
A_e,{''
Certified Laboratory (2) Certification No. �®
Certified Laboratory (3) Certification No. �
Certified Laboratory (4) Certification No.
Certified Laboratory (5) Certification No. "✓
PARAMETER CODES 2
Parameter Code assistance may be'obtained by calling the NPDES Unit 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. (Yi.
1� P
Use only units of measurement designated in the reporting facility's NPDES pemut 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 1
entered for all of the parameters on'the DMR for the entire monitoring period. 3
** 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 the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2� O;

a00
MCDENR
Borth Carolina Department of Environment and natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, RE:
Governor Director
February 11, 2013
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION (NOV# 2013-LM-0012)
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Hahn:
Dee Freeman
Secretary
A review of the Crown Mobile Home Park monitoring report for November 2012 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
11/30/12
400 #/100ml
505 #/100ml
Daily Maximum Exceeded
Parameter
Date Omitted
Measuring Frequency
Violations
pH
10/29 —11/2
Weekly
1
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].
Sincerely,
W. Corey Basinger
Regional Water. Quality Supervisor
Winston-Salem Region
Surface Water Protection Section
cc: Central Files - SWP
.' � W
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtown St. Winston-Salem, North Carolina 27107
Phone: [phone] FAX: 336-77IA6301 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
One
No thCar®fina.
An Equal Opportunity 1 Affirmative Action Employer

Np� — wWy oo\4.-
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: CA U 0 VA Permit/PipeNo.: WL6050za55Month/Year
onthly Average Violations
Parameter Permit Li DMR Value % Over Limit
W1 /Daily iolations
Date Parameter Permit Limit/Tvpe DMR Value % Over Limit
0
Monitoring Frequency Violations
Date Parameter Permit Frequency_ Values Reported # of Violations
Other Violations
_30,
Completed by: " Date: Vi
Regional Water Quality
SupervisorSignoff: Date:
V _
Li

7
4 `'+ EFFLUENT
QW.ip
NPDES PERMIT NO. �i _'%C).�j DISCHARGE NO. 1�O MONTH ��
FACILITY NAME XW%' CLASS ��COUNTY AIL-ro�i
CERTIFIED LABORATORY (1) CERTIFICATION NO. �-
(list additional laboratories on the backside/page 2 of this form)
OPERATOR IN RESPONSIBLE CHAGg �, t�A�>✓C
PERSON(S) COLLECTING S IG
CHECK BOX IF ORC HAS CH[A1�GE
Mail ORIGINAL and ONE COPY to:1 A�A
ATTN: CENTRAL FILES FOES.
DIVISION OF WATER QUALITY ��(SIGNAT E OF OPERATOR
1617 MAIL SERVICE CENTER ® BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
GRADE 'a- CERTIFICATION NO. Q G 5Ij
ORC PHONE 3�4t 1- A%S I
NO, FLOW / DISCHARGE FROM SITE*
r
NFITT11 11,1
11 1 I1� I II I Fll'L� II 11
11,11 II„ �___
E AND UNITS BELOW
mb Ley)
IBM
—Immmmm
mm
®MIT
EmMK+.:F i
m m kmIr,,.
r: ,
01m
v
RMISAPEo .p
���r��������
aOEM wMR "I lr.mmmmmmmmmm

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
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 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 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."
Permittee (Please print or type)
Si tare of Permittee'** Date
(Required unless submitted electronically)
Permittee Address Phone Number e-mail address Permit Expiration Date
ADDITIONAL CERTIFIED LABORATORIES
Certified Laboratory (2) Certification No.
Certified Laboratory (3)
Certified Laboratory (4)
Certified Laboratory (5)
PARAMETER CODES
Certification No.
Certification No.
Certification No.
Parameter Code assistance may be'obtained by calling the NPDES Unit 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 occurs 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 15A NCAC 8G .0204.
*** Signature of Permittee: If signed by other than the permittee, then the delegation of the signatory authority must be on
file with the state per 15A NCAC 2B .0506(b)(2)(D).
Page 2

Mickey, Mike
From: Robert Hahn [[e-mail]]
Sent: Monday, February 11, 2013 9:12 AM
To: Mickey, Mike
Subject: Crown Update
Hi Mike
Let me bring you up to date both good and bad.
The good
We have our fence up, the main electrical service is installed and we are waiting for the electrician to make the final
inspection and the county to inspect before we can actually get power. I hope that happens this week. The air lines both
inside the tanks and outside the tanks are almost complete and should be complete this week.
The pumps which we were having rebuilt have finally been determined to be for the most part un-repairable. ( The repair
shop has strung me along saying they were working on them for close to a year). New pumps have been located and will
be ordered this week. All pumps should be onsite in the next few weeks.
The bad
I had a home accident last week and have broken my foot. The surgeon is still debating on operating or not, but either
way I will be on crutches for at least 6-8 weeks. While I can still direct from the sidelines I really cannot be onsite in any
meaningful way. Prior to this accident I have been onsite.and directed everything which has happened.
My goal is to still meet the agreement to get the construction done by the end of March. To me this would mean finishing
all the items above and getting all the pumps installed and the wiring done. We do have all of the conduits in the ground.
Other items which are not complete like insulating pipes are not required to actually start the plant and could be classified
as startup.
This is both an update and a heads up, I may wish to ask for another extension based on by injury. My plan is to see how
far we can get in Feb. and see how you think we should proceed.
Regards
Bob

Mickey, Mike
From: Mickey, Mike
Sent: Monday, October 15, 2012 10:26 AM
To: 'Robert Hahn'
Subject: RE: Crown Update
Sounds great. Thanks for the update. Mike.
Mike Mickey
[e-mail]
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
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: Robert Hahn [mailto:[e-mail]]
Sent: Monday, October 15, 2012 8:50 AM
To: Mickey, Mike
Subject: Crown Update
Hi Mike
Just wanted to give you an update on Crown. We are actively working on the new treatment plant installation and I
believe we are on schedule to have the construction completed by the end of the year per our agreement. Hope all
is well.
Bob Hahn

e
0
CDENR
Borth Carolina Department of Environment and natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
August 22, 2012
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF VIOLATION
NPDES Permit No. NCO055255
Crown Mobile Home Park
Guilford County
Dear Mr. Hahn:
Dee Freeman
Secretary
A review of the Crown Mobile Home Park monitoring report for May 2012 showed the following
violations:
Parameter
Date
Limit Value
Reported Value
Limit Type
Fecal Coliform
5/22/12
400 #/100m1
490 #/100ml
Daily Maximum Exceeded
Parameter
Date Omitted
Measuring Frequency
Violations)
T. Residual Chlorine
5/21 - 25
2 X week
1
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].
Sincerely,
JI&&"Llyue'a
W. Corey Basinger
Regional Water Quality Supervisor
Surface Water Protection Section
cc: Patrick Merrit (Meritech, Inc., P.O. Box 27, Reidsville, NC 27320)
Central Files - SWP
RQ
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
An Equal Opportunity 1 Affirmative Action Employer
One
No thCar®1ina
MA1771119

VA _ �ZCL�C�)
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: ���� ��� �, Perniit/Pipe No.: �cUW iS�5 Month/Year
Monthly Average Violations
Parameter Pernut &mit DMR Value % Over Limit
+tE'Y)Violations
Date Parameter Permit Limit/Type DMR Value % Over Limit
C10j, a-�,,5
Monitoring Frequency Violations
Date Parameter
�'` 1 Permit.Frenuencv Values Reported # of Violations
Other Violations ll
cwcz
�1 v
Completed by: T13�Date:
Regional Water Quality ���
Supervisor Signoff: Date:
Aj6V

AUG13 2012
EFFLUENT
c
I Winston-Salem
NPDES DISCHARGE NO. DO MONTH
FACILITY NAME_ �+ s?WWI'MVCP CLASg 4- A1�
�� COUNTY C"0l a-0C1
CERTIFIED LABORATORY (1) �`I'1�, 1 6 t4.i�� CERTIFICATION NO. �r!5
(list additional laboratories on the backside/page 2 of this form) -
OPERATOR IN RESPONSIBLE CHARGE (ORC) MARC,,,O, PAOCC GRADE a- CERTIFICATION NO. Q6
PERSON(S) COLLECTING SAMPLES_Oft9C✓ W+ IJAJ CIT, ORC PHONE 33G - 3�0
CHECK BOX IF ORC HXS' NO YLOW /DISCHARGE. FROM SITE
<. !
Mail ORIGINAL and ONE 90PY to:
AM: CENTRAL FILES t L S 2012 L �✓ - i
DIVISIONWATER QUALITY u (SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE.
- 7'�
1617 MAIL SERVICE CENTER:;:; �'_U 4 " ; -• BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALETGFI. NC 27699-1617 s_1; n t Ja ; n rL� ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
WITT��
�-_-
NAME AND UNITS BELOW
w0mmmmm-m
©f�mo
l
mmum
7
E1ff-
9
Emmmommmissm
M
U =01M
00190
&F
IM
su
DWQ Form MR-4 (11/04)

A * °p r
MCDER
Borth Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
Subject: NOTICE OF DEFICIENCY
Crown Mobile Home Park
Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Charles Wakild, P.E. Dee Freeman
Director Secretary
March 16, 2012
A review of the November 2011 Discharge Monitoring Report (DMR) revealed a violation of the following
parameter:
Parameter
I Date
Re orted Value
Permit Limit
LimitType
Fecal Coliform (4/100 ml)
1 11/21
430
400
Daily Maximum
Remedial actions should be taken to correct any problems. The violation described above should be abated
immediately and properly resolved. Any efforts undertaken to bring the facility back into compliance are not an
admission of guilt. However, it is a necessary action that you should take to prevent any future environmental
damage.
Unresolved violations 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
response to this correspondence, the degree and extent of harm to the environment, and the duration and gravity
of the violation(s) will be considered in any future actions undertaken.
If you have any questions or require any additional information, please contact Mike Mickey at [phone].
Sincerely,
Regional Supervisor
Surface Water Protection Section
cc: DWQ Central Files
&W&R_,G_)jW
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.ncwaterquality.org .,
An Equal Opportunity 1 Affirmative Action Employer
One
Nor°thCarohrla
)VdIdrally

Cover Sheet from
Staff Member to
Regional Supervisor
DAIR Review Record
Facility: ` �� `�_ �e �c�t, Permit/Pipe No.: \\30005:)�,SS Month/Year
Monthly verage Violations
Parameter Permit Limit DMR Value % Over Limit
Date Parameter
M
Date Parameter
*klyoViolations
Permit Limit/fvne DMR Value % Over Limit
zitori Q Frequency Violations
Permit e uencv Values Reported # of Violations
q��
Completed by: kas k,
Regional Water Quality
Supervisor Signoff:
Date: , - i r-1 lam
Date: l 6 A *_,. "' 7-ba--
op

EFFLUENT
NPDES PERMIT N0. DISCHARGE NO. MONTF
FACILITY NAME CLASS (
CERTIFIED LABORATORY (1) r' Z 1 t - JLX, CERTIFICATION
(list additional laboratories on the backside/page 2 of this form)
RECEIVED
N.C. Npt. of EMIR
JAN 2 3. 200
Winston-Salem
OPERATOR IN RESPONSIBLE CHARGE (ORC) , tJA0Q GRADE.)— CERTIFICATION NO.
PERSON(S) COLLECTING SAMPLES Y`'1 Cr IJ C. ORC PHONE3L
CHECK BOX IF ORC HAS CHANGED NO FLOW /DISCHARGE F S +E +
Mail ORIGINAL and ONE COPY to:ff
,
ATTN: CENTRAL FILES x
DIVISION OF WATER QUALITY (SIGNATURE OF OPERATOR IN PONSIBLE CHARGE) a DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE AND COMPLETE TO THE BEST OF MY KNOWLEDGE.
111 I 11•II
11,1
II 1
11, I
II I
®
11 11
I1�11 II „
�_�_
0•
MMTRIMMIMM:�
NAME AND UNITS BELOW
Im
OEM
BH9mm°r1
min,
1��®1Iv�.
m0.��!��
�1�
� x . � N&M'b
�43
Ing
H
fflUm
EFkIr?ACp
mum
mi�m
u • -�
a�'1•LZM-S20
Ref6:�i:`8,'g
1�- aA M,�'�'
®-m_-________®�
Mmmommmumm
mm
Immimmuromm
�.6811
1.,il m-mmmommmommmom
E
DWQ Form MR-1 (11/04)

Mickey, Mike
From:
Mickey, Mike
Sent:
Thursday, June 28, 2012 8:45 AM
To:
'Robert Hahn'
Cc:
Mauney, Steve; Basinger, Corey
Subject:
RE: Crown Lift Station
Bob —Thanks for the written notification of completion of Item 2(d) in the Settlement Agreement. The next milestone in
the agreement is to complete installation of the new WWTP by December 31, 2012. With painting already started, it
appears that you are well underway to meeting that date. Thanks again for the timely email. Your efforts are
appreciated. Mike.
Mike Mickey
Mike.MickevPNCDENR.eov
NC Division of Water Quality
585 Waughtown Street
Winston-Salem, NC 27107
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: Robert Hahn [mailto:[e-mail]]
Sent: Thursday, June 28, 2012 8:35 AM
To: Basinger, Corey; Mickey, Mike
Subject: Crown Lift Station
We have finished sleeving the lift station outlet pipe with steel pipe. It can be inspected whenever you wish.
The painting of the new plant is also nearing completion if you would like to take a look while you are there.

Mickey, Mike
From: Robert Hahn [[e-mail]]
Sent: Monday, May 07, 2012 10:01 AM
To: Mickey, Mike; Basinger, Corey
Subject: Crown Update
Just wanted to let you know that we have hired a company to do the coating/painting of the treatment plant.
They have blasted and coated the inside of the two large tanks to date. I expect them to finish the job this month
depending on the weather. The blowers, pumps and motors are all off being rebuilt. There is still a fair amount
of work to do but at least we are addressing what was my biggest concern.
Based on where we are I would expect us to finish well ahead of schedule. We are also going to sleeve the
critical lift station pipe this month. The steel pipe is on site and we are working on it this week. I will let you
know when we finish so you can come and inspect that and also look at the plant if you would like.

Mickey, Mike
From:
Basinger, Corey
Sent:
Wednesday, March 28, 2012 2:46 PM
To:
Poupart, Jeff
Cc:
Mickey, Mike
Subject:
Crown MHP Settlement Agreement
Jeff,
I am sending (via courier) the Crown MHP Settlement Agreement to you for signature.
Mr. Hahn signed and returned his portion and all that's left is for you to complete the document with your signature.
Please advise with questions/concerns.
Thanks.
Corey
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.

Mickey, Mike
From:
Basinger, Corey
Sent:
Thursday, March 15, 2012 9:20 AM
To:
[e-mail]
Cc:
Mickey, Mike
Subject:
Settlement Agreement
Bob,
I have placed the revised Settlement Agreement document in the US mail to you today.
Sorry for the delay. I thought I had already mailed it, but discovered that was not the case.
Please review, and if you are comfortable with the changes that you suggested in our last meeting, please sign and
return to me so that we can send to our Central Office for final signature. The original signed copy will be returned to
you at that point.
If you are not comfortable with the document, please contact me ASAP so that we can discuss.
Many thanks for all your input in this matter.
Corey
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.

;V
N.C. Dept. of ENR
ARCADIS
ta
Winston-Salem
infrastructure• Water• Environment• Buildings Regional office
Transmitted Via Facsimile r'
August 25, 2014
North Carolina Department of Environment and Natural Resources
Winston-Salem Regional Office
585 Waughtown Street
Winston-Salem, l,?C 27107
Fax: [phone]
Re: Freedoms of Information Act Request
KernersvilIe. Chrysler Dodge, LLC
1125 Hwy 66 South
Kernersville, NC 27284
Dear Representative:
The purpose of this letter is to request copies of records (all available dates) for current or former
underground storage tanks, aboveground storage tanks, inspections and violations of hazardous waste
storage and use, ' ter we ils and s p tc tan stezn spills or releases, air permits, storm water discharge
permits, and any environmental non-compliance for the Site. This letter requests that copies of all
available information regarding these matters be sent to our office regarding the above -referenced site.
Please contact me at [phone] with any questions. Please send information via email to the below
listed address, via mail to the address below, or fax it to [phone] to my attention. Please contact
me if charges exceed $25.
Sincerely,
ARCADIS
Renee Pionk
10559 Citation Drive, Suite 100
Brighton, MI 48116
810.225.1914
[e-mail]
10559 Citation Drive a Suite 100 a Brighton, MI 48116
Tel [phone] • Fax [phone] a Offices Nationwide

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, PE
Governor Director
February 17, 2012
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
SUBJECT: Compliance Evaluation Inspection
Crown Mobile Home Park WWTP
NPDES Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Dee Freeman
Secretary
On February 15, 2012, Mike Mickey of this office met with Mark Nault, ORC, to perform a
Compliance Evaluation Inspection on the wastewater treatment system serving Crown Mobile Home
Park. This type of inspection consists of two basic parts: an in office file review and an on -site
inspection of the treatment facility. The inspection noted that the wastewater treatment system is in the
process of being upgraded per the Authorization to Construct (AtC) issued August 11, 2009. 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 recently reissued with an effective date of October 1, 2011.
II. Self -Monitoring Program
The monthly self -monitoring reports (DMR's) were reviewed for the period January 2011 through
December 2011. It was noted that the facility was in noncompliance with the final NPDES effluent limits
in June and July. 2011 (see data summary attached). These violations were previously addressed by
civil penalty assessments from the Division. As part of the penalty remission process, the Division and
Crown MHP are currently negotiating a Settlement Agreement containing a schedule of actions
necessary to complete the WWTP upgrade per the AtC. 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 NPDES permit requires continuous flow recording. The flow values reported on the DMR's are
obtained using the ultrasonic meter prior to the v-notch weir. The meter was last calibrated -by, Delta
Systems on 3/23/11.
IV. Sludge Handling and Disposal
Solids are removed from the digester by Jenkins Waste Management as necessary.
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
Nne
orthCarohna
An Equal Opportunity 1 Affirmative Action Employer

Mr. Robert Hahn
Page 2
February 17, 2012
V. Operations and Maintenance
The antiquated facility appeared to be competently operated and maintained. No problems or concerns
were noted at the moment.
VI. Facility Site Review
The existing 0.042 MGD treatment system consists of the following: influent pump stations, bar screen,
aerated equalization basin with constant feed pump, six in -ground -aeration tanks in series, two circular
clarifiers in parallel, a single aerated sludge holding tank, tablet chlorinator, contact tank with re -aeration,
tablet dechlorinator, ultrasonic flow meter and effluent discharge pipe.
VII. Records/Reports
A review of the facility files indicates that all records -are being maintained according to the permit. A
comparison of the December 2011 self -monitoring report with the corresponding laboratory data sheets
showed that all values were transcribed onto the DMR correctly.
Vlll. Effluent/Receiving Waters
The system discharges into Hickory Creek, class "WS-IV*" waters in the Cape Fear River Basin. The
effluent was clear on the day of the inspection.
Should you have any questions concerning this report, please contact Mike Mickey or me at (336)
771-5000.
Sincerely,
W. Corey Basinger
Regional Water Quality Supervisor
Surface Water Protection Section
cc: Patrick Merrit (Meritech, Inc., 642 Tamco Road, P.O. Box 27, Reidsville, NC 27320)
Central Files

Crown Mobile Home Park Vl WTP
NPDES Permit No. NCO055255
Self -Monitoring Data Summary
January 2011 — December 2011
Parameters
Monthly Avg.
Permit Limits
Monthly Avg. Limit
Violations per DMR
Daily Maximum
Permit Limits
Daily Max. Limit
Violations per DMR
Fl.-.w'MGD)
0.042
None
-
NA,
BOD (mg/1)
16.0
None
24.0
None
TSS (mg/1)
30.0
None
45.0
None
NH3-N (mg/1)
(2.0 / 4.0)*
June & July
(10.0 — 20.0)*
6/2, 6/28, 7/7, 7/12, 7/20
Fecal (#/100 ml)
200
None
400
6/2
T. Chlorine (ug/1)
-
NA
17.0**
None
D. Oxygen (mg/L)
-
NA
> 6.0
None
pH (S.U.)
-
None
(6.0 — 9.0) range
None
* (Summer / Winter limits)
**TRC values reported below 50 ug/L are considered compliant.
Daily Maximum Violations:
The 490/100 ml fecal coliform value on June 2 violated the 400/100 ml daily maximum fecal coliform limit.
The 11.0 mg/L NH3-N value on June 2 violated the 10 mg/L daily maximum NH3-N limit.
The 16.6 mg/L NH3-N value on June 28 violated the 10 mg/L daily maximum NH3-N limit.
The 29.1 mg/L NH3-N value on July 7 violated the 10 mg/L daily maximum NH3-N limit.
The 25.6 mg/L NH3-N value on July 12 violated the 10 mg/L daily maximum NH3-N limit.
The 21.9 mg/L NH3-N value on July 20 violated the 10 mg/L daily maximum NH3-N limit.
Monthly Average Violations:
The 10.1 mg/L NH3-N average for June violated the 2 mg/L monthly average NH3-N limit.
The 19.35 mg/L NH3-N average for July violated the 2 mg/L monthly average NH3-N limit.

United States Environmental Protection Agency
Form Approved.
EP ^ Washington, D.C. 20460
H
OMB No. 2040-0057
Waitpr Complignce 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 I S I 31 NCO055255 111 121 12/02/15 117 18I C I 19I S I 20I
Remarks
211 I I I 1 l l l l l l l l l l l l l l l l. I I I I I I I I I I I I I I I I I I I I I I I I 116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 CA ---------------------Reserved---------- —
67I 169 70131 711 I 721 NJ 73I I 174 711 I I I I I I 180
u�
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)
Crown Mobile Home Park
10:25 AM 12/02/15
11/10/01
Exit Time/Date
Permit Expiration Date
Jonquil Dr
Greensboro NC 27407
11:10 AM 12/02/15
16/08/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Marc W Nault/ORC/336-341-8971/
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Robert P Hahn,PO Box 1000 Pittsboro NC 273121000//919-545-0635/8885245011 Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit ■ Flow Measurement a Operations & Maintenance ® Records/Reports
Self -Monitoring Program 0 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/
'}
\1�Z�
Signatur of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
�t j
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

Permit: NCO055255 Owner -Facility: Crown Mobile Home Park
Inspection Date: 02/15/2012 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? 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: The NPDES permit was reissued effective October 1, 2011. An
Authorization to Construct was issued 8/11/09 for replacement of the existing antiquated
treatment system. At present, DWQ and Crown MHP are negotiating a Settlement
Agreement that contains a schedule of actions necessary to complete the WWTP
upgrade.
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 n ■ n n
Judge, and other that are applicable?
Comment: The existing 0.042 MGD treatment plant consists of the following: influent
pump station, bar screen, aerated equalization basin, six aeration tanks in series, two
clarifiers in parallel, tablet chlorinator, contact chamber, tablet dechlorinator, reaeration
tank, aerobic digestor, flow meter and effluent outfall pipe.
Record Keeping
Yes no NA rvt
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 ❑
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?
n
❑ ■ n
Page # 3

Permit: NCO055255 Owner - Facility: Crown Mobile Home Park
Inspection Date: 02/15/2012 Inspection Type: Compliance Evaluation
Record Keeping Yes No NA NE
(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? ■ n n n
Is the ORC certified at grade equal to or higher than the facility classification? ■ In n n
Is the backup operator certified at one grade less or greater than the facility classification? ■ n n Cl
Is a copy of the current NPDES permit available on site? ■ n n n
Facility has copy of previous year's Annual Report on file for review? In n ■ n
Comment: A comparison of the December 2011 DMR with the certified laboratory
sheets from Meritech showed that all results were properly transcribed onto the
self -monitoring report.
A review of the DMR's for the period January 2011 through December 2011 revealed
effluent limit violations in June (fecal coliform and ammonia) and July (ammonia).
These violations were previously addressed in correspondence from this office.
Equalization Basins
Yes
No NA NE
Is the basin aerated?
■
n n n
Is the basin free of bypass lines or structures to the natural environment?
®
n n n
Is the basin free of excessive grease?
n
■ Cl*Cl
Are all pumps present?
■
n n n
Are all pumps operable?
■
n n n
Are float controls operable?
■
n n n
Are audible and visual alarms operable?
■
n n n
# Is basin size/volume adequate?
■
n 110
Comment: The EQ basin is equiped with a small constant feed pump to dampen
hydraulic overloads to the treatment system.
Bar Screens
Yes
No NA NE
Type of bar screen
a.Manual ■
b.Mechanical n
Are the bars adequately screening debris? ■ n ■ n
Is the screen free of excessive debris? ■ ❑ n
Is disposal of screening in compliance? ■ n ❑ n
Page # 4

Permit: NCO055255 Owner -Facility: Crown Mobile Home Park
Inspection Date: 02/15/2012 Inspection Type: Compliance Evaluation
Bar Screens
Yes
No NA NE
Is the unit in good condition?
■
n n
Comment: Screenings are placed in the trash can adjacent to the EQ basin.
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?
■
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)
n
n n ■
Comment: There are six below ground circular aeration tanks in series.
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 ■
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?
■
n n n
Is the site free of excessive floating sludge?
■
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 ❑ ■
Comment: There are two circular clarifiers.
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
Page # 5

Permit: NCO055255
Inspection Date: 02/15/2012
Owner -Facility: Crown Mobile Home Park
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes
No
NA NE
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
n n
Comment: Solids that accumulate in the contact tank are pumped out when necessary.
De -chlorination
Yes
No
NA NE
Type' of system ?
Tablet
Is the feed ratio proportional to chlorine amount (1 to 1)?
n
n
■ n
Is storage -appropriate for cylinders?
n
n
■ n
# Is de -chlorination substance stored away from chlorine containers?
p
n
■ n
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?
2
Comment:
Flow Measurement - Effluent
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: An ultrasonic flow meter with v-notch weir is used for flow reporting. The
meter was calibrated last by Delta Systems on March 23, 2011.
Effluent Sampling
Yes No
NA NE
Is composite sampling flow proportional?
n e
n 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 n
n ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)?
■ n
n n
Comment: The composite sampler is kept in the out building.
Effluent Pipe
Yes No
NA NE
Page # 6

14
Permit: NC0055255
Inspection Date: 02/15/2012
Owner -Facility: Crown Mobile Home Park
Inspection Type: Compliance Evaluation
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 effluent was observed to be clear on the day of the inspection.
Aerobic Digester
Is the capacity adequate?
Is the mixing adequate?
Is the site free of excessive foaming in the tank?
# Is the odor acceptable?
# Is tankage available for properly waste sludge?
Comment: There is a single digester tank.
Yes No NA NE
■ ❑ n n
■nnn
nn■n
■nnn
■ n n n
■ n n n
■nnn
n n n ■
Page # 7

Mickey, Mike
From: Basinger, Corey
Sent: Monday, January 30, 2012 3:33 PM
To: [e-mail]
Cc: Mickey, Mike
Subject: Crown MHP Settlement Agreement
Attachments: Crown MHP Settlement Agreement draft.doc
Bob,
Attached is the Settlement Agreement that was drafted subsequent to our meeting in December regarding Crown MHP.
Our Management has given me the OK to send this to you for review and signature.
if you have any questions or concerns, please contact me so that we can resolve those prior to signing the document.
Thanks.
Corey

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
COUNTY OF GUILFORD
IN THE MATTER OF
NORTH CAROLINA ) SETTLEMENT AGREEMENT
NPDES PERMIT NCO055255 )
CROWN MOBILE HOME PARK )
Pursuant to provisions of North Carolina General Statute § 143-215.3(a)(6), this Settlement
Agreement is entered into by the Crown Mobile Home Park, herein referred to as Crown MHP,
and the North Carolina Environmental Management Commission, an agency of the State of
North Carolina created by N.C. General Statute § 143B-282, and hereinafter referred to as the
Commission:
1. Crown MHP and the Commission hereby agree to the following findings:
(a.) Crown MHP holds North Carolina NPDES permit NCO055255 for operation of the Crown
MHP wastewater treatment plant (WWTP) and for making an outlet therefrom for the
discharge of treated wastewater to an unnamed tributary to Hickory Creek, Class C waters of
this State in the Cape Fear River Basin.
(b.) Effluent limits included as terms of NPDES permitNC0055255 have been established as
those concentrations of pollutants that may be discharged into the receiving stream without
causing applicable water quality standards to be contravened.
(c.) Crown MHP WWTP has been noncompliant with the effluent limits contained in NPDES
permit NCO055255 in the manner and to the extent described in Attachment A to this Order.
(d.) Crown MHP has been assessed penalties totaling $1,281.27 in the matters of two (2) separate
civil assessment cases, as noted in Attachment C, for violations of effluent limits contained in
NPDES permit NC0055255.
(e.) On December 21, 2011, Crown MHP submitted a corrective action plan for returning the
facility to consistent compliance with the terms of the NPDES permit
2. Based upon the above findings, Crown MHP and the Commission agree to the implementation of
the following schedule (based upon the plan of action described in 1(e.) above):
(a.) Complete the installation of the new WWTP as per the approved Authorization to Construct
(ATC) (issued August 11, 2009) by NIX 1, 2012. The approved ATC is found in Attachment B
of this Order. bvu
(b.) Request a Technical Assistance visit from the staff of the Winston-Salem Regional Office to
observe the completed WWTP installation by u�4l2.
(c.) Return to consistent compliance with NPDES Permit NCO055255 or enter into a Special
Order by Consent no later than OetelZer 1, 2012. "Consistent compliance" as stated here is
defined as being compliant with all terms and conditions of NPDES Permit NC0055255, as
primarily evidenced by data submitted on Discharge Monitoring Reports (DMRs).

Crown Mobile Home Park Settlement Agreement 11
NC0055255 tt 1n52c�� �erVtA � �1
p. 2 a-
(d.) Complete the repair of the exposed PVC sewer line noted in the October 31, 2011 Notice of
Violation letter (Attachment D) by March 1, 2012. Sa\\\ \.a�A
(e.) Crown Mobile Home Park must provide written notification to the Winston-Salem Regional
Office, Surface Water Protection Section, of compliance with activities listed in paragraph 2,
within seven calendar days of completion of the tasks listed in 2.(a-d).
3. Nothing in this Agreement relieves Crown MHP of its duty to abide by the terms of NPDES permits
NC0055255. Noncompliance with the terms of the NPDES permits may subject Crown MHP to the
assessment of additional civil penalties during the time this Agreement is in effect. However, the
Division will use discretion in its consideration of civil penalty assessments for violations of permit
limits that occur during the life of the Agreement
4. Failure to comply with the terms of this Agreement may subject Crown MHP to the assessment of
additional civil penalties pursuant to Part II, Section B (2.) (the "Duty to Mitigate" condition) of
NPDES permitNC0055255.
5. Upon Crown MHP's complete satisfaction of the terms of this Agreement, the outstanding balance of
civil penalties noted in paragraph 1.(d.) shall be reduced to the total amount of $ 281.27.
Requests, actions and or reports required by the terms of paragraph 2 above shall be deemed overdue
if they are not made, completed or submitted by the dates specified. The burden for providing
sufficient documentation of the satisfaction of the terms of this Agreement is held entirely by Crown
MHP.
7. Because this is an Agreement between the Commission and Crown MHP, neither party will file a
petition for a contested case or for judicial review concerning its terms.
Crown MHP may request an extension/modification to this Agreement. Such request must be made
no later than S�� 1, 2012, and in writing to the Division of Water Quality's Winston-Salem
Regional Office. The request must include reasons for the extension/modification and state when
compliance with the NPDES permits will be achieved. Any extension/modification must be
approved in writing by the Director of the Division of Water Quality or her designee in order to be
effective.
t2\4\�� V, 3
9. This Agreement shall expire Getebef-1, 2012.
For Crown Mobile Home Park
Date
Robert Hahn
Owner
For the North Carolina Environmental Management Commission
Date
Jeffrey O. Poupart
Point Source Branch Supervisor
Surface Water Protection Section
North Carolina Division of Water Quality

Crown Mobile Home Park Settlement Agreement
NCO055255
p. 3
for the Chair of the Commission

Crown Mobile Home Park Settlement Agreement
NC0055255
p. 4
ATTACHMENT A
For the month of June 2011, Crown MHP reported the following effluent limit violations:
One (1) monthly average effluent limit violation for Ammonia -Nitrogen (10.2 mg/1 vs. limit of 2.0 mg/1)
One (1) daily maximum effluent limit violation for Fecal Coliform (490 vs. limit of 400)
Two (2) daily maximum effluent limit violations for Ammonia -Nitrogen
(a) 1 lmg/l vs. limit of 10.0 mg/l
(b) 16.6 mg/l vs. limit of 10.0 mg/l
For the month of July 2011, Crown MHP reported the following effluent limit violations:
One (1) monthly average effluent limit violation for Ammonia -Nitrogen (19.4 mg/1 vs. limit of 2.0 mg/1)
Three (3) daily maximum effluent limit violations for Ammonia -Nitrogen
(a) 29.1 mg/1 vs. limit of 10.0 mg/1
(b) 25.6 mg/l vs. limit of 10.0 mg/1
(c) 21.9 mg/1 vs. limit of 10.0 mg/1

Crown Mobile Home Park Settlement Agreement
NCO055255
P. 5

r,.�. Uom. or!sNr:
r
is
•ilin5!gn•"3I e r n
North Carolina Department of Environment and Natural Resources--
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
August 11, 2009
Mr. Bob Hahn
Parkins,. LLC
P.O. Box 1000
Pittsboro, North Carolina 27312
SUBJECT: Authorization to Construct
A to C No. 055255A02
Parkins, LLLC
Crown Mobile Home Park WWTP
Guilford County
Dear Mr. Hahn:
A letter of request for an Authorization to Construct was.received December 15, 2008, by
the Division of Water Quality (Division), and final plans and specifications for the subject
project have been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of modifications to the existing 0.042 MGD Wastewater Treatment Plant, with
discharge of treated wastewater into Hickory Creek in the Cape Fear River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Conversion of an existing EQ basin to an influent pump station with dual 117 gpm
pumps; installation, of approximately 885 feet of 4-inch sewer force main; a dual,
train package plant consisting o£ two (2) 10,000 gallon EQ tanks with dual 20 gpm
pumps in each tank; three (3) 1.5 Hp blowers; two (2) 25,000 gallon aeration basins
with coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon
digesters; two (2) 12.6 ft2 tertiary filters; a 2,005 gallon chlorination disinfection
system and dechlorination system; and approximately 890 feet of 6-inch gravity
effluent discharge line, in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
- This Authorization to Construct is issued in accordance with PartIII,_ Paragraph A of
NPDES Permit No. NCO055255 issued November 13, 2007, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0055255.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 i��One L, Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 1�10rthCar011na
Phone: 919.80 ewate gFAX: org 807-64921 Customer Service: 1-877-623-6748 ���/,���a�
Intemetwww.ncwaterquality.org K `
An Equal Opportunity 1 Affirmative Action Employer

Mr. Bob Hahn
August 1:1, 2009
Page 2
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston-Salem Regional Office, telephone number [phone], shallbe notified
at least forty=eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a - .
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. 'Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, 'Raleigh, NC 27699-1633..
Upon classification of the'facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment' facilities. The operator must hold.a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator. of the appropriate type and
grade to comply with -the conditions of T15A:8G.0202.� :The ORC-of the facility must visit each.
Class I facility at,least weekly and each Class II; III and IV facility at least daily, excluding
{ weekends and holidays, must properly manage the.facility, must document daily operation.and
maintenance of the facility, and must comply with,all'other conditions of T15A:8G.0202.
A copy of.the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment -facilities at all times,
and in such a manner, as necessary to comply with the effluent -limits, specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and.when applicable, the North

Mr. Bob Hahn
August 11, 2009
Page 3
Carolina Dam'Safety Act. In addition, the specif cations must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contracts) for construction;, the recipienVmust have obtained all
applicable permits from -the State..
Failure to abide by the requirements containedlin this Authorization to Construct may
subject the. Pernnittee to an enforcement action by the Division in,aceordAnce with North
Carolina, General Statute 1431-215.6A'to 143--215.6C.
The issuance of this AuthorizationJo. Construct does. not -preclude ,the Permitted from
complying with any and all statutes, rules, regulations, or ordinaiices.which maybe imposed_by
other government agencies (local; state., and federal) which.have jurisdiction.;
One (1) set ofapproved'plans and specifications is being forwarded to you. If you -have
any questions or need.additional information, please contact Seth Robertson; P.E. at telephone
number (9,19.) 715-62.06.
Sincerely,
Coleen' H. Sullins,
MM:sr
cc: Gary, `S. MacConnell; P:E. — MacConnell! & Associates, P.A., 90.9 Aviation:Pkwy, -
Suite 1400; Morrisville,- NC-27560
Guilford County Health Department
DWO Winston-Salem Regional Office, Surface 'Water Protection
Technical Assistance And Certification Unit
Point Source Branch, NPDES Program
Michelle McKay,E.I.
ATC File.

Parkins,1LC
A To C No.
Issued August 11, 2009
Engineer's Certification
as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the modifications and improvements to the Crown Mobile Home Park W WTP,
located on Jonquil Drive in Guilford County for Parkins, LLC, hereby state that, to the best of
my abilities, -due care and diligence was used in the observation of the following construction:
Conversion of an existing EQ .basin to an influent pump station with dual 117 gpm
pumps; installation of approximately 885 feet of 4-inch sewer force. main; a dual
train package plant consisting :of. two (2) 16,000 gallon EQ tanks �with dual 20 gpm
pumps in each tank; three (3) 1.5 Hp blowers; two (2) 25,000 gallon aeration.basins
with coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon
digesters; two. (2)12:6 ft2 tertiary filters; a 2,005 gallon chlorination disinfection
system and dechlorination system; and approximately 890 feet of 6=inch gravity
effluent discharge line, in conformity with the project plans, specifications, -and
other supporting datasubsequently filed and approved by the Department of
Environment and Natural Resources.
I certify that the construction of the above referenced project was. observed to be built within .
substantial compliance and intent of the approved plans and specifications.
Signature
Date
Registration N
Send to: Construction Grants & Loans
DENR/DWQ .
1633 Mail Service Center
Raleigh, NC 27699-1633
;I.
f

- - --CASE NUMBER .LV-2011-0246 —
PERMIT: NCOD55255 - FACILITY: Crown Mobile Home Park -
COUNTY Guilford _ REGION: Winston-Salem
Limit Violations _
VIOLATION__ UNIT OF CALCULATED •%OVER
MONITORING OUTFALL!" DAB FREOUEtdCY MEASURE LIMIT VALUE . LIMIT VIOLATION TYPE
\ PENALTY REPORT PPI LOCATION PARAMETER — -
$100.00 7-2011 001 Effluent NH3-N-Conc
07107/11 Weekly mgfl 10 29.1 191.00 Daily Maximum Exceeded
8100.00 7-2011 001 Effluent NH3-N-Coot
07/12111 Weekly mgll 10 25.6 156.00 Daly Maximum Exceeded
$100.00 7-2011 001 Effluent NH3-N-Coot
0720111 Weekly mgll 10 21.9 119.00 Daily Maximum Exceeded
5250.00 7-2011 001 Effluent NH3-N - Conc.
07/31/11 Weekly mgli 2 19.35 867.50 Monthly Average Exceeded

ATTACHMENT A
1
Parkins LLC
CASE NUMBER: LV-2011-0232
PERMIT: NC0055255
FACILITY: Crown Mobile Home Park
COUNTY: Guilford
REGION: Winston-Salem
Limit Violations
-
MONITORING OUTFALIJ
VIOLATION
UNIT OF
CALCULATED
% OVER
PENALTY REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
LIMIT -
VIOLATION TYPE
$100.00 6-2011
001
Effluent
FEC COLT
06102/11
Weekly
4/100m1
400
490
22.50
Daily Maximum Exceeded
$.00 6-2011
001
Effluent
NH3-N - Conc
06102/11
Weekly
mgA
10
11
10.00
Daily Maximum Exceeded
$100.00 6-2011
001
Effluent
NH3-N-Conc
06/28/11
Weekly
mgA
10
16.6
66.00
Daily Maximum Exceeded
$250.00 6-2011
001
Effluent
NH3-N-Conc
06/30/11
Weekly
mgA
2
10.1
405.00
Monthly Average Exceeded

H ENT D1
North %io,vRIIQ L.jupOILIIIGIIL VI _1IVIIVIIIIICIIt QIIU IVQLUICII I\CJVL.irces
Division of Water Quality
Beverly Eaves Perdue Coleen H, Sullins Dee Freeman
Governor Director Secretary
October 31, 2011
Mr. Robert P. Hahn
Parkins, LLC
PO Box 1060
Pittsboro, North Carolina 2.7312
Subject: Notice of Violation &,Compliance Evaluation Inspection
Facility: Crown MHP
Permit #: WQCSD0211
Guilford County
Dear Mr. Hahn:
Steve Mauney 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 Crown
MHP wastewater collection system (WWCS) on October 18, 2011. The assistance and
cooperation of Matt Nance, Park Maintenance was greatly appreciated. An inspection
checklist'is attached for your records and inspection findings are summarized below.
Site/System Review
2. The following system components,were inspected:
a. Pump station #1 was inspected and found to be operating. properly with a locked wet -
well: It also had operable audible and visual alarms. A layer of debris and grease had
collected on the pump station surface which should be removed. It is recommended that
a notification sign be posted at this site.
b. Pump station #2 was inspected and it also appeared to be properly secured with a chain
and locks. This station also had a layer of debris and grease in the wetwell which
could affect the operation of the floats. There was a single pump in operation just as
existed in 2009. In accordance with North Carolina General Statute 143-215-1 (a) (3)
apermit is required- to, "Alter, extend, or change the construction or method of
operation of any sewer system, treatment works or disposal system within the State."
It appears that operation of a duplex pump station with a pump missing would be a
change in the method of operation. A second pump is available and should be
installed in the near future. A notification sign should also be posted at this site.
3. As you are .aware, owners of deemed permitted collection systems must comply with all
rules listed under NC Administrative Code 15A NCAC 02T .0400, et seq. Your compliance
status with each of these rules is summarized below:
North Carolina Division of Water Quality, Winston-Salem Regional Office
Location: 585 Waughtovin St, Winston-Salem, North Carolina 27107
Phone: [phone] FAX 336-771A6301 Customer Service:1-877-623-6748
Internet- www.ncwaterqualitj.org
An Equal Opportunity\ Affirmative Action Employer
one N"Carolina

Mr. Rdbert.P: Hahn
Crown MHP
Page:2 df 4,
a. 1'5A NCAC."MT .0403(a)(1): Requires that the system be effectively maintained and
operated' at :all; .times to, 'prevent discharge to land or surface waters and any
'contravention of_groundl-or.. surface water standards.
Ob-sorvations�:.No.-reportable"Overflows from the collection system have been noted
since,.the-new-ownerhas faker. over. Replacement of the second pump at pump
station,#2,.must::be.considered a priority to improve its reliability.—Non-Compliani
b: 1'5'A 'NCAC 02T ,0403(a)(2): Requires that a map of the wastewater collection
system b_e>,d'eveloped,and:actively maintained.
O'bservationst Mr Hahn had laminated copies of the site plan for.the system. The
next,tirne,that';the site -plan is updated the directions of sewer flow, the pump station
capacities', -and the designation of the forcemains should be added. --Compliant
C. 15A,'NCAC.IO2T- .0403(a)(3): Requires that an operation and maintenance (0&M)
;plan: 'be, (developed and implemented, which includes pump station inspection
'frequency, preventative maintenance schedule, spare parts inventory and. overflow
respon_se.:
.Observations: Mr. Hahn had a written plan that covered the specified
,requirements. --Compliant•
1&, , 'NCAC 02T .0403(a)(4): Requires that the permittee or its representative
;irispecf,purnp stations. ,that are not connected to a telemetry system (i.e., remote
:alarm;, system)' every day (i.e., 365 days per year) and pump stations that are
connected to a telemetry'system at least once per week.
'Observations: Mr, Hahn provided the log of inspections of the two pump stations in.
the park by Mr. Nance on a daily frequency. --Compliant
e. 15A NCAC 02T .0403(a)(5): Requires that the permittee or ,its representative
inspect high -priority sewers (HPS. - as defined in 15A NCAC 02T .0402(2)) at least
once every six months and document the inspections.
Observations: it appears that there are at least two (2) sections of high priority
sewers (gravity aerial line and force main) in this system that can be observed at
Pump Station #2. While it was noted that .a general inspection . of the collection
system is conducted . ,about every two (2) months,- documentation of specific
inspections of the high priority lines was not ava i lab le.—MarginaltvCompliant
f. 15A NCAC 02T .0403(a)(6): Requires that the permittee or its representative
conduct a general observation of the entire. wastewater collection system at least
once per year.

Mr. Robert P. Hahn
Crown MHP
Page 3 of 4
Observations:, It was noted that the system is walked about every 2 months. Proper
documentation should be maintained to include the remote parts of the system near
the WWTP and. any other Isolated areas. —Compliant
9. 15A NCAC 02T .0403(a)(7): Requires that overflows and bypasses from the system
be reported to the Division's Winston-Salem Regional office in accordance with 15A
NCAC 028 .0506(a), and that 'public. notice must be provided as required by G.S.
143-215.1 C.
Observations: According to Mr. Hahn, the wastewater collection system has not
experienced any sanitary sewer. overflows (SSO) to surface waters in recent years or
any that exceeded 'the 9000 gallon reporting threshold for spills that are only on the
ground. --Compliant
h. 15A NCAC 02T .0403(a)(8): Requires that a grease control program be developed
and implemented as follows:
1. For privately owned collection systems the grease control program shall
include at least bi-annual distribution of grease education materials to users
of the collection system by the permittee or its representative.
2. Grease education materials shall be distributed more often than required
above if necessary to prevent grease -related sanitary sewer overflows.
Observations: Mr. Hahn indicated that grease education materials had been
provided to residents on a sernl-annual basis. --Compliant
15A NCAC 02T .0403(a)(9): -Requires that right-of-ways (ROW) and easements, be
maintained in the full easement width for personnel and equipment accessibility.
Observations: Most right-of-ways were accessible and a record of the maintenance
(annual or other appropriate frequency) must be maintained. Some attention to the
sewer ROW at the aerial 'line is warranted. --.Generally Compliant
j. 15A NCAC. 02T .0403(a)(10): Requires that documentation be kept for all activities
you undertake to comply with the requirements of 15A NCAC 02T .0403,
subparagraphs (a)(1) through (a)(9), for a minimum of three years, with the
exception of the map, which shall be maintained for the life of the system.
Observations: It is recommended that documentation be maintained of the right-of-
way maintenance, documentation of all sections of high priority line inspections and
documentation of the inspection of the remote areas. —Marginally Compliant.
4. Please reply in writing to this letter within 20 days of receiving it. Your reply should address
the following issue:
-- Provide. a schedule to replace ,the second pump in pump station #2.

Mr. Robert A Hahn
Crown M-tP
I Page 4 of 4
i
5. In accordance with North Carolina General Statute 143-215.6A, violation of 143-215.1. (a), (3) is
subject to .civil penalty assessments not to exceed $25,000.00 per day, per violation. Your written
response and the actions that you take to address this violation will be considered in deciding
whether or not such penalties are necessary to compel compliance.
! If you have any questions regarding the inspection please give Steve Mauney or me a call.
at (336)-771-5000. Thank you for your cooperation in this matter.
Sincerely,
t
1 W. Corey Basinger, Regional Supervisor
Surface -Water Protection Section -
Division of Water Quality'.
i
CC: SWP-Central Files& WSRO
PERCS Unit

r
E '
Compliance Inspection Report
Permit: WQCSD0211 Effective: 03/01/00 Expiration: Owner: Robert P Hahn
SOC: Effective: Expiration:' Facility: Crown MHP Collection. System
County: Guilford
Region: Winston-Salem
Contact Person: Robert P Hahn Title: Phone:
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
24 hour contact name Robert P Hahn Phone: [phone]
Related Permits:
Inspection Date: 10/1812011 Entry Time: 11:00 AM Exit Time: 12:10 PM
Primary Inspector: Max S Mauney 'Phone: [phone]
Secondary inspector(s):
Reason for Inspection: Routine Inspection Type: Collection System Inspect Non Sampling
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: (3, Compliant 9 Not Compliant
Question Areas:
■ Miscellaneous Questions Operation & Maint Regmts Records Monitoring & Rpting
Reqmts
■ Inspections 0 Pump Station ■ Lines
(See attachment summary)
Page: 1

X
W
a
I Permit: WQCSD0211 Owner -Facility: Robert P Hahn
Inspection Date: 10118/2011 Inspection Type: Collection System Inspect Non Sampling Reason, for Visit: Routine
Inspection Summary:
I
I
I
Page: 2
i
f '
6

Permit: WQCS00211 Owner - Facility: Robert P Hahn
Inspection Date: 10118/2011 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Inspections Yes No NA NE
Are maintenance records for sewer lines available? ■ ❑ Cl ❑
Are records available that document pump station inspections?
■ ❑ ❑ ❑
Are SCADA or telemetry equipped pump stations inspected at least once a week?
❑ ❑ ■ ❑
Are non-SCADA/telemetry equipped pump stations inspected every day?
■ ❑ ❑ n
Are records available that document citizen complaints?
■ Cl ❑ ❑
# Do you have,a system to conduct an annual observation of entire system?
■ ❑ ❑ ❑
# Has there been an observation of remote areas in the last year?
■ ❑ Q ❑
Are records available that document inspections of high -priority lines?
❑ ■ ❑ ❑
Has there been visual inspections of -high -priority lines in last six months?
❑ ❑ ❑ ■
Comment: Each, year there are about 6 sewer backups on the customers service
lines. Records of these service calls are maintained as the complaint records. There are
reported to be 2 High Priority lines in this system but no log of any inspections. The PVC
force main from PS #2 that connects 'to the existing WWTP is also a high priority line.
The gravity aerial line near PS#2 should have some clearing around each end so it can
be inspected more closely.,
Operation & Maintenance Requirements Yes No NA NE
Are all log books available? ■ ❑ ❑ O.
Does supervisor review all log books on a regular basis? ■ ❑ ❑ ❑
Does the supervisor have plans to address documented short-term problem areas? ■ ❑ ❑ ❑
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Are maintenance records for equipment available?
❑ ❑ ❑ ■
Is a schedule maintained for testing emergency/standby equipment?
❑ ❑ ■ ❑
What is the schedule for testing emergency/standby equipment?
NA
Do pump station logs include:
Inside and outside cleaning and debris removal?
❑ ■ ❑ ❑
Inspecting and exercising all valves?
❑ ❑ ❑ ■
Inspecting and lubricating pumps and other equipment?
11 ❑ ■ ❑
Inspecting alarms, telemetry and auxiliary equipment?
■ ❑ ❑ ❑
Is there at,least one spare pump for each pump station w/o pump reliability?
■ ❑ ❑ ❑
Are maintenance records for right-of-ways available?
❑ ■ ❑ ❑
Page: 3

I
i
i
i' Permit: WQCSDO211 Owner - Facility: Robert P Hahn
Inspection Date: 10/1812011 Inspection Type: Collection' System Inspect Non Sampling Reason for Visit: Routine
1,
Are right-of-ways currently accessible in the "event of an emergency?
El Cl C1
" Are system cleaning records available?
1
IN n ❑ El
Has at least 10%.of system been, cleaned annually?
Q ❑ ■
What areas are scheduled, for cleaning in the next 12 months?
It was estimated that 1000 feet was cleaned in May 2011 and records indicate that 390 feet was cleaned in
August 2011. The total length -of this collection system is unknown, but could be easily estimated from the
scaled drawings.
■ ❑ ❑ ❑
Is a Spill Response Action Plan available?
Does the plan include:
■ ❑ ❑ ❑
24-h6ur contact numbers
■ ❑ ❑ ❑
Response time
❑ ❑ ❑ ■ ,
Equipment list and spare parts inventory
❑ ❑ ❑
Access tb cleaning equipment
Access to construction crews, contractors, and/or engineers
ICY❑
Cl ❑ ■ ❑
Source of emergency funds
-
■ ❑ ❑ ❑
Site sanitation and cleanup materials:
❑ ■ ❑ IT
Post--overflow/spill assessment
Is a Spill Response Action Plan available for all personnel?
■ ❑ ❑ ❑
Is the spare parts inventory adequate?
0 ❑ ■
Comment: Site sanitation and cleanup mate-rials are supplied by a contractor, Jenkins
Waste ManagementInc.
Records
Yes No NA HE
Are adequate records of all SSOs, spills and complaints available?
■ 0 ❑ ❑
Are records of SSOs that are under the reportable threshold available?
IN ❑ ❑ ❑
Do spiltr records indicate repeated overflows (2 or more in 12 months) at same location?
■ ❑ ❑
If yes, is there a -corrective action plan?
❑ ❑ is ❑
■ ❑ ❑ ❑
Is a map of the system available?
Does the map include:
■ ❑ ❑ ❑
Pipe sizes
Cl ❑ ❑
'Pipe materials
pipe location
'Flow direction
Page: 4

Permit: WQCS00211 Owner - Facility: Robert P Hahn
Inspection Date: 10118/2011 Inspection Type: Collection System Inspect Nonsampling Reason for Visit: Routine .
Approximate,pipe age
Q
Number of service taps.
Cl 0 Q
Pump stations and capacity
h ❑ Q
If no, what percent is complete?
90%
List any modifications and extensions that need to be added to the map
The pump station sites are identified but their capacity and flow directions for all lines, should be added to
the map. The park has 142 spaces with 102 now occupied. The sewer map indicates that the.park was built in
1984.
# Does the permittee have a copy of their permit?
0 Cl a
Comment: The map Will need to be modified when the new WWTP is placed into
service with -the -new force main from the flow equalization tank.
Monitoring and -Reporting Requirements Yes No NA NE
Are copies of required press releases and distribution lists available?
13 ❑ 0 Q
Are public notices and proof of publication available?
0 ❑ N.
# Is an annual report being prepared in accordance with G.S. 143-215.1 C?
Q
# Is.permittee compliant with all compliance schedules in the permits?
0 Cl a Cl
If no, which one(s)?
Comment: There have riot been any reportable spills from the collection system since
Mr. Hahn bought the system in October 2007. Spills earlier in 2007 from the WWTP and
Pump Station 92 went to the stream and were reported to this office. The only recent
spills have been just onto the ground and much less than 1000•gallons.
AERIAL GRAVITY @ PS2 - Aerial line across
small creek at PS 2 -
Lines/Right-of-Ways/Aeriel Lines
Yes No NA NE
Is right-of-way accessible for emergency?
0 Q ❑ ❑
Is right-of-way free of sinkholes or depressions?
m ❑ ❑ Q
;Is line/right-of-way free of evidence of leakage? '
Q (3 0
# Are there areas of exposed line?
El 0 ❑.
# Is any exposed line constructed of ductile.iron or other approved material?
Q ❑ •Q E
,Are water crossing and supports.ln good condition?
N C1 0 ❑
# Is right-of-way free of non -utility motorized traffic?
® 0 Q Q
Is line -free of visible damage?
■ 0
# Are there siphons in this system?
❑ N 00
Page: 5

i
Permit: 'WQCSD0211 Owner -Facility: RobertP Hahn
Inspection Date: 1011612011 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
If yes, are they maintained and documented?
Comment: This aerial line is protected by a corrugated metal pipe. However it is
important to note'that2 or more tree trunks have collected in the:creek channel above
the aerial line. A flooding, event could float these tree trunks against.the aerial pipe and
damage it. This location should be monitored for damage after any heavy storm events.
It is likely that the internal pipe at this crossing is PVC but records from the original
owner were not complete.
PUMP STATION #1 -.West Side of Jonquil
Drive us above pond.
Pump.Station
Pump station type
Are pump station logs available?
Is it accessible in all weather conditions?
# Is general housekeeping acceptable?
Are all pumps present?
Are all pumps operable?_
Are wet wells free of excessive debris?
Are upstream manholes free of excessive debris/signs of overflow?
Are floats/"controls for pumpslalarms operable?
Is "auto polling".feature/SCADA present?
Is "auto polling"feature/SCADA operational?
Is simple telemetry present?
Is simple telemetry operational?
Are audio and visual alarms present?
Are audio and visual alarms operable?
'Is the Pump station inspected as required?
Are backflow devices in place?
Are backflow devices operable?
Are air relief valves in place?
Are air relief valves operable?
# Is an emergency generator available?
Page: 6

Permit: WQCS00211 Owner - Facility: Robert P Hahn
Inspection Date: 10/18/2011 Inspection Type: Collection System Inspect Non Sampling Reason for Visit: Routine
Can the emergency generator run the pumps? (3 ❑ M Q
Is the pump station equipped for quick hook-up? ❑ N Cl
Is the generator operable? ❑ ❑ 0 N
# Is fuel in tank and sufficient? Cl ❑ ❑ ■
Is the generator inspected according to their schedule? ❑ Q ❑ N
Is a 24-hour notification sign posted? Q N Cl Q
Does it include:
Instructions for notification?
0 11 Cl
Pump station identifier?
Q 0 Cl Q
Emergency phone number
0 11 Q
Is public access limited?
❑ 11 11
Is pump station free of overflow piping?
Q El 0
Is the pump station free of signs of overflow?
Are run times comparable for multiple pumps?
Not evaluated
Comment: A portable generator is available at the site but it was not evaluated. A
notification sign needs to be added at this pump station site with one or two contact
numbers: It appeared that a grease/debris layer had collected on the wetwell surface.
PUMP STATION #2 - near current WWTP
-s�ite--easts—id-e-o-f-,Fo--nquiI Drive
Pump Station
Yes No NA NE
Pump station type
Duplex
Are pump station logs available?
00010
Is it accessible in all weather conditions?
0 ❑ Q Q
# Is general housekeeping acceptable?
0 ❑ - ❑
Are all pumps present?
O E 0
Are all pumps operable?
N ❑
Are wet wells free of excessive debris?
N 0 Q
Are upstream manholes free of excessive debris/signs of overflow?
0 0 Q N
Are floats/controls for pumps/alarms operable?
0 0 ❑ 0
Is "auto polling" feature/SCADA present?
❑ N 0 0
Is "auto polling" feature/SCADA operational?
0 N
Page: 7

i
Permit: WQCSD0211 Owner - Facility: Robert P Hahn
Inspection Date: 10/18/2011 Inspection Type: Collection System Inspect Non Sampling
Reason for Visit: Routine
❑ ■ ❑ ❑
Is simple telemetry present?
❑ 0, ■ ❑
Is simple telemetry operational?
■ ❑ ❑ ❑
Are audio and visual alarms present?
■ '❑ ❑ ❑
Are audio and visual alarms operable?
■ Cl ❑ ❑
Is the Pump station, inspected as required?
®'❑ ❑ ❑
Are backflow devices in place?'
Are backflow devices operable?
❑.■ ❑ ❑
Are air relief valves in place?
❑'❑■❑
Are air relief valves operable?
❑ ■ 0 t_l
# Is an emergency generator available?
Can the emergency generator run the pumps?
❑ ❑ ■ ❑
❑ ❑ ❑. ■
.Is the pump station equipped for quick hook-up?
Cl ❑ ❑ ■
Is the generator operable?
❑ ❑ ❑ ■
# Is fuel in tank and sufficient?.
Is the generator inspected according to their schedule?
❑ El
Is a 24-hour notification sign posted?
Does it include:
Instructions'for notification? ❑ ■ ❑
Pump station, identifier? ❑ ■ ❑ ❑
Emergency phone number
■U013
Is public access limited?
1•s pump station free, of overflow piping? ■ ❑ ❑ ❑
Is the pump station free of signs of overflow? ■ ❑' ❑ ,I]
NA
Are run times comparable for multiple pumps?
Comment: This station was missing a pump.in July'2009 and it has not been replaced..
The current goal'is to finish the VWlTP installation by the end of 2011 and then to
upgrade this pump station. A sign should be added at this site. A portable generator is
available for this facility.
Page: 8

MONITORING REPORT(MR) VIOLATIONS for: Report Date: 12/21/11 Page: 1 of 1
Permit: nc0055255 MRs Between: 10 2010 and 9-2011 Region: % Violation Category: Limit Violation Program Category: %
Facility Name: % Param Name: % County: % Subbasin: % Violation Action: %
j Major Minor: %
PERMIT: NCO055255 FACILITY: Parkins LLC - Crown Mobile Home Park
Limit Violation
COUNTY: Guilford REGION: Winston-Salem
MONITORING
OUTFALL/
VIOLATION
UNIT OF
CALCULATED
REPORT
PPI
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
% OVER LIMIT
11 -2010
001
Effluent
Coliform, Fecal MF, M-FC
11/30/10
Weekly
#/100ml
400
600
50
Broth,44.5C
06 -2011
001
Effluent
Coliform, Fecal MF, M-FC
06/02/11
Weekly
#1100ml
400
490
22.5
Broth,44.5C
06 -2011
001
Effluent
Nitrogen, Ammonia Total (as
06/02/11
Weekly
mg/I
10
11
10
N) - Concentration
06 -2011
001
Effluent
Nitrogen, Ammonia Total (as
N) - Concentration
06/28/11
Weekly
mg/I
10
16.6
66
�J
06 -2011
001
Effluent
Nitrogen, Ammonia Total (as
06/30/11
Weekly
mg/I
2
10.1
405
N) - Concentration
07 -2011
001
Effluent
Nitrogen, Ammonia Total (as
07/07/11
Weekly
mg/I
10
29.1
191
N) - Concentration
07 -2011
001
Effluent
Nitrogen, Ammonia Total (as
07/12/11
Weekly
mg/I
10
25.6
156
N) -Concentration
07 -2011
001
Effluent
Nitrogen, Ammonia Total (as
07/20/11
Weekly
mg/I
10
21.9
119
N) - Concentration
0 -2011
001
Effluent
Nitrogen, Ammonia Total (as
07/31/11
Weekly
mg/I
2
19.35
867.5
N) - Concentration
VIOLATION TYPE
VIOLATION ACTION
Daily Maximum Exceeded
Proceed to NOV
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Monthly Average Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Daily Maximum Exceeded
Proceed to
Enforcement Case
Monthly Average Exceeded
Proceed to
Enforcement Case

Requestfor remission of penalty Crown MHP 11/16/2011
I am asking for remission of this penalty for several reasons. I believe the violation occurred because of a
combination of extreme heat and a new operator who was in the process of becoming familiar with the
existing system, as well as a system which was unequipped to provide sufficient dissolved oxygen.
When we discovered the problem we installed a new pump and variable frequency drive on the
equalization tank to provide a more constant flow to the system. We increased the air to the system by
running an additional blower. This additional blower was beyond the capacity of the existing piping so
all air pipes and diffusers in the tanks were changed. The pvc pipes were replaced with galvanized pipes
and additional diffusers were added. This work including materials cost between $3,500 and $4,000 and
took several weeks to sort out. We were finally able to get the system under control. This money was
spent even though the system Is in the process of being replaced and none of the equipment or piping
can be used on the new system. I believe the system is now running to the best of its' ability and we are
no longer violating the limits in the permit.
While I believe the above shows we took actions to correct the problem to the best of our abilities the
main reason I am asking for remission is we are making progress on installing the new system and
require all funds available to complete this project asap. We have cleared and graded the site and have
most of concrete pads for the tanks poured. The main tanks are set with only the sand filter pad to be
poured and tank set. This work will begin this week. The concrete chlorine contact chamber has been
installed and the dechlorinator has been installed. The chlorinator has been purchased and is on site to
be installed when the sand filter is Installed.
The in ground piping has been installed and has passed the required pressure testing. In the last several
months we have spent between $35,000- $40,000 on this project.
We have gone back to the state to request alternative pump approval for the lower Eq tank to the new
plant because the pumps approved were not satisfactory. We are waiting for state approval for this
change although this is not holding up the project.
Now that we have the tanks set in place we have a better understanding of the scope of the project and
see that tFe woTr olie' done will be more extensive and expensive than at first anticipated. All tanks
must be sandblasted to bare metal and recoated. The exterior piping has to be Installed and much
interior piping needs replacing. The handrails and stairs must be installed. All blowers will have to be
rebuilt or replaced, as will the motors. It appears that all pumps must be replaced and the sand filter
has a number of pumps. The electric service need to be brought to the site and all wiring needs to be
done. All existing control panels will need to be checked out and possibly be rebuilt.
We are continuing to work on this will all speed but will clearly not be able to get this running by the end
of the year. Much of the work can continue over the winter but the recoating of the tanks will probably
need to wait for several weeks of warm weather and the availability of an experienced c D . OUR
D
I NOV 17 2011

JUSTIFICATION FOR REIUSSION REQUEST
DWQ Case Number: Lv 2011-0246 County: Guilford
Assessed Panty: Parkins LLC, Crown Mobile Home Park
Permit No.: NCO055255 Amount Assessed: $697.14
Please use this form when requesting remission of this civil penalty. You must also complete the "Rest For
Remission Waiver of Right to anAdministrative Hearft and Stipulation ofFacts " form to request remission of
this civil penalty. You should attach any documents that you believe support your request and are necessary for the
Director to consider in evaluating your request for remission. Please be aware that a request for remission is
limited to consideration of the five factors listed below as they may relate to the reasonableness of the amount of
the civil penalty assessed. Requesting remission is not the proper procedure fOr c9ntesting.whether the violations)
occurred or the accuracy of -any -of``Ella••fa'"cEEil statements contained in the civil penalty assessment document.
Pursuant to N.C.G.S. '§ 143B-282.1(c), remission of a civil penalty may be granted only when one or more of the
following five factors applies. Please check each factor that you believe applies to your case and provide a detailed
explanation., including copies of supporting documents, as to why the factor applies (attach, additional pages as
needed).
(a) one or more of the civil penalty assessment factors jQ N C G S. 143B-282.l(b) were
wron&11y applied to the detriment of the petitioner (the assessment factors are lasted
in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damaN resulting from the
violation (Le., explain the steps that you took to correct the violation and prevent future
occurrences);
(c) the vio atjgg was inadvertent or a result of an accident (i.e., explain why the violation
was unavoidable or something you could not prevent or prepare. for);
d) the violator had not been assessed civil penalties for auv previous violations;
__ .. (e) payment of the civil po&y will prevent payment for the remaining necessary remedial
actions Cz. e., explain how payment of the civil penalty will prevent you from performing
the actfviiies necessary to achieve compliance).
EXPLANATION:
s'� 40�L' X
R_@[99 W 11
D
NOV 17 2011
OENOW EF: QUALITY
POINT SOURCE BRANCH

3
a
C\vik-� o� ��A,
N'�Vk %RA
� k\�a �-Js �6— c(wk45 �sEDc�- �A� - l4wk\4, �

Jle — f
11I0EIVED (/f!/)
N.e, Ceet of ENR /
__ AUG . t 7 2009
NCDENR Winston-Salem
North Carolina Department of Environment and Natural Re Regional Office
Division of Water Quality
Beverly Eaves Perdue Colleen H. Sullins Dee Freeman
Governor Director Secretary
August I I , 2009
Mr. Bob Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, North Carolina 27312
SUBJECT: Authorization to Construct
A to C No. 055255A02
Parkins, LLC
Crown Mobile Home Park WWTP
Guilford County
Dear Mr. Hahn:
A letter of request for an Authorization to Construct was received December 15, 2008, by
the Division of Water.Quality (Division), and final plans and specifications for the subject
project have been reviewed and found to be satisfactory. Authorization is hereby granted for the
construction of modifications to the existing 0.042 MGD Wastewater Treatment Plant, with
discharge of treated wastewater into Hickory Creek in the Cape Fear River Basin.
This authorization results in no increase in design or permitted capacity and is awarded
for the construction of the following specific modifications:
Conversion of an existing EQ basin to an influent pump station with dual 117 gpm
pumps; installation of approximately.885 feet of 4-inch sewer force main; a dual
train package plant consisting of. two (2) 10,000 gallon EQ tanks with dual 20 gpm
pumps in each tank; three (3) 1.5 Hp blowers; two (2) 25,000 gallon aeration basins
with coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon
digesters; two (2) 12.6 f12 tertiary filters; a 2,005 gallon chlorination disinfection
system and dechlorination system; and approximately 890 feet of 6-inch gravity
effluent discharge line, in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
This Authorization to Construct is issued in accordance with Part III, Paragraph A of
NPDES Permit No. NCO055255 issued November 13, 2007, and shall be subject to revocation
unless the wastewater treatment facilities are constructed in accordance with the conditions and
limitations specified in Permit No. NC0055255.
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.ncwaterquality.org
An Equal Opportunity t Affirmative Action Employer
NorthCarolina
Aaturallrf

Pt
Mr. Bob Hahn
August 11, 2009
Page 2
The sludge generated from these treatment facilities must be disposed of in accordance
with G.S. 143-215.1 and in a manner approved by the Division.
In the event that the facilities fail to perform satisfactorily, including the creation of
nuisance conditions, the Permittee shall take immediate corrective action, including those as may
be required by the Division, such as the construction of additional or replacement wastewater
treatment or disposal facilities.
The Winston-Salem Regional Office, telephone number [phone], shall be notified
at least forty-eight (48) hours in advance of operation of the installed facilities so that an on site
inspection can be made. Such notification to the regional supervisor shall be made during the
normal office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State
Holidays.
Upon completion of construction and prior to operation of this permitted facility, a
certification must be received from a professional engineer certifying that the permitted facility
has been installed in accordance with the NPDES Permit, this Authorization to Construct and the
approved plans and specifications. Mail the Certification to: Construction Grants & Loans,
DWQ/DENR, 1633 Mail Service Center, Raleigh, NC 27699-1633.
Upon classification of the facility by the Certification Commission, the Permittee shall
employ a certified wastewater treatment plant operator to be in responsible charge (ORC) of the
wastewater treatment facilities. The operator must hold a certificate of the type and grade at
least equivalent to or greater than the classification assigned to the wastewater treatment
facilities by the Certification Commission.
The Permittee must also employ a certified back-up operator of the appropriate type and
grade to comply with the conditions of T15A:8G.0202. The ORC of the facility must visit each
Class I facility at least weekly and each Class II, III and IV facility at least daily, excluding
weekends and holidays, must properly_ manage the facility, must document daily operation and
maintenance of the facility, and must comply with all other conditions of T15A:8G.0202.
A copy of the approved plans and specifications shall be maintained on file by the
Permittee for the life of the facility.
During the construction of the proposed additions/modifications, the permittee shall
continue to properly maintain and operate the existing wastewater treatment facilities at all times,
and in such a manner, as necessary to comply with the effluent limits specified in the NPDES
Permit.
You are reminded that it is mandatory for the project to be constructed in accordance
with the North Carolina Sedimentation Pollution Control Act, and when applicable, the North

.-c
Mr. Bob Hahn
August 11, 2009
Page 3
Carolina Dam Safety Act. In addition, the specifications must clearly state what the contractor's
responsibilities shall be in complying with these Acts.
Prior to entering into any contract(s) for construction, the recipient must have obtained all
applicable permits from the State.
Failure to abide by the requirements contained in this Authorization to Construct may
subject the Permittee to an enforcement action by the Division in accordance with North
Carolina General Statute 143-2-15.6A to 143-215.6C.
The issuance of this Authorization to Construct does not preclude the Permittee from
complying with any and all statutes, rules, regulations, or ordinances which may be imposed by
other government agencies (local, state, and federal) which have jurisdiction.
One (1) set of approved plans and specifications is being forwarded to you. If you have
any questions or need additional information, please contact Seth Robertson, P.E. at telephone
number [phone].
Sincerely,
fit. ,13
Coleen H. Sullins
MM: sr
cc: Gary S. MacConnell, P.E. — MacConnell & Associates, P.A., 909 Aviation Pkwy,
Suite 1400, Morrisville, NC 27560
Guilford County Health Department
Technical Assistance and ertification Unit
Point Source Branch, NPDES Program
Michelle McKay,E.I.
ATC File

V.
Parkins, LLC
A To C No.
Issued August 11, 2009
Engineer's Certification
I, , as a duly registered Professional Engineer in the
State of North Carolina, having been authorized to observe (periodically/weekly/full time) the
construction of the modifications and improvements to the Crown Mobile Home Park WWTP,
located on Jonquil Drive in Guilford County for Parkins, LLC, hereby state that, to the best of
my abilities, due care and diligence was used in the observation of the following construction:
Conversion of an existing EQ basin to an influent pump station with dual 117 gpm
pumps; installation of approximately 885 feet of 4-inch sewer force main; a dual
train package plant consisting of. two (2) 10,000 gallon EQ tanks with dual 20 gpm
pumps in each tank; three (3) L5 Hp blowers; two (2) 25,000 gallon aeration basins
with coarse bubble diffusers; three (3) 7.5 Hp blowers; two (2) 8,000 gallon
digesters; two (2) 12.6 ftz tertiary filters; a 2,005 gallon chlorination disinfection
system and dechlorination system; and approximately 890 feet of 6-inch gravity
effluent discharge line, in conformity with the project plans, specifications, and
other supporting data subsequently filed and approved by the Department of
Environment and Natural Resources.
I certify that the construction of the above referenced project was observed to be built within
substantial compliance and intent of the approved plans and specifications. • .
Signature
Date
Registration No.
Send to: Construction Grants & Loans
DENR/DWQ
1633 Mail Service Center
Raleigh, NC 27699-1633

Robert P Hahn
Parkins LLC
PO Box 1000
Pittsboro,NC 27312
November 16, 2011
W. Corey Basinger
Regional Supervisor
Division of Water Quality
585 Waughtown St.
Winston Salem, NC 27107
Dear Mr Bassinger:
This letter is in reply to the notice of violation dated October 31, 2011.
bl.C.DePt. of Q:Np
Noy
Per our discussion pump station 92 was pumped and cleaned by an outside service in
October after the most recent inspection.
The pump station upgrade for #2 including a new duplex system is high on our priority
list and will be completed no later than the end of March 2012. Our real goal is to
complete this much earlier but I have allowed time for contingencies. It would be good as
we discussed to set down in the next few weeks and discuss the schedule for both this
project and the new waste water treatment plant. I will e-mail you some dates to
consider.
Sincerely,
Robert Hahn
Member Manager

Mickey, Mike
From: Weaver, Charles
Sent: Tuesday, November 22, 2011 10:02 AM
To: Mickey, Mike
Cc: Basinger, Corey
Subject: LV-2011-0246 / NCO055255 remission request
Attachments: 55255 Factor Sheet.doc
Mr. Hahn has requested remission of his civil penalty.
Mike — please send me a copy of the factor sheet signed by Corey.
Corey — attached is the sheet for your comments / response.
I'm faxing the request after I send this message.
CHW
Messages to and from this address are subject to the NC Public Records Law and may be released to third parties.

North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Mr. Robert Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, N.C. 27312-1000
Dear Mr. Hahn:
Coleen H. Sullins
Director
July 6, 2011
Subject: Draft NPDES Permit NC0055255
Crown Mobile Home Park WWTP
Class WW-2
Guilford County
Dee Freeman
Secretary
The Division has reviewed your request to renew the subject permit. Please review this draft carefully to
ensure your thorough understanding of the information, conditions, and requirements it contains.
The draft permit includes the following changes from the existing permit:
➢ The revised TRC compliance level has been added to section A. (1).
➢ Parameter codes have been added to section A. (1) to simplify DMR data entry.
➢ The nutrient reopener condition (A. (2)) has been added.
With this notification, the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Guilford County area, per EPA requirements. Please provide
your comments, if any, to me no later than 30 days after receiving this draft permit.
Following the 30-day public comment period, the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft, please contact
me at the telephone number or e-mail address listed at the bottom of this page.
Sincerely,
Charles H. Weaver, Jr.
NPDES Unit
cc: NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
512 North Salisbury Street, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: www,ncwaterquality.org
[e-mail]
Noi thCarohna
;Vataally
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Permit NCO055255
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful
standards and regulations promulgated and adopted by the North Carolina Environmental
Management Commission, and the Federal Water Pollution Control Act, as amended,
Parkins, LLC
is hereby authorized to discharge wastewater from a facility located at the
Crown Mobile Home Park WWTP
Jonquil Road
Greensboro
Guilford County
to receiving waters designated as an unnamed tributary to Hickory Creek in
subbasin 03-06-08 of the Cape Fear River Basin in accordance with effluent limits,
monitoring requirements, and other conditions set forth in Parts I, II, III and IV
hereof.
This permit shall become effective
This permit and authorization to discharge shall expire at midnight on August 31, 2016.
Signed this day
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NC0055255
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, the exclusive authority to operate and discharge from this facility arises under
the permit conditions, requirements, terms, and provisions included herein.
Parkins, LLC is hereby authorized to:
1. Continue to operate an existing 0.042 MGD wastewater treatment facility with
the following components:
♦ Bar screen
♦ Aerated equalization basin
♦ Aeration tanks in series
♦ Clarifiers in parallel
♦ Tablet chlorination with chlorine contact tank
♦ Tablet dechlorination
♦ Reaeration tank with diffused air
♦ Aerated sludge digester
♦ Flow recording device
This facility is located south of Groometown at the Crown Mobile Home Park
WWTP off Jonquil Drive in Guilford County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to Hickory Creek, classified WS-IV* waters in
hydrologic unit 03030003 of the Cape Fear River Basin.

Permit NC0055255
A. (1) EFFLUENT LIMITS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this 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:
PARAMETER
EFFLUENT LIMITS
MONITORING REQUIREMENTS
Monthly
Daily
Unit of
Measurement
Sample
Sample
PCS Code
Average
Maximum
Measure
Frequency
Type
Locations
Flow
0.042
MGD
Continuous
Recorder
Influent or
50050
Effluent
BOD, 5-Day (20 Deg. C)
16.0
24.0
mg/L
Weekly
Composite
Effluent
C0310
Total Suspended Solids
30.0
45.0
mg/L
Weekly
Composite
Effluent
C0530
Ammonia Nitrogen (as N) (April 1 - October 31)
2.0
10.0
mg/L
Weekly
Composite
Effluent
C0610
Ammonia Nitrogen (as N) (November 1- March 31)
4.0
20.0
mg/L
Weekly
Composite
Effluent
C0610
Fecal Coliform (geometric mean)
200
400
#/100ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine 2
17
Ng/L
2 / week
Grab
Effluent
50060
Temperature, Deg. Centigrade
deg. C
Daily --
Grab
Effluent
00010
weekdays
Dissolved Oxygen
Daily average > 6.0 mg/L
Weekly
Grab
Effluent
00300
—
pH
> 6.0 and < 9.0 standard units.
Weekly
Grab
Effluent
00400
— —
Temperature, Deg. Centigrade
deg. C
Weekly
Grab
Upstream &
00010
Downstream
Dissolved Oxygen3
mg/L
Weekly
Grab
Upstream &
00300
Downstream
Footnotes:
1. Upstream: at least 100 feet upstream from the outfall; Downstream: at NCSR 1132.
2. The Permittee shall report all effluent TRC values reported by a NC -certified laboratory [including field -
certified]. Effluent values below 50 µg/L will be treated as zero for compliance purposes.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
A. (2) PERMIT RE -OPENER: SUPPLEMENTARY MONITORING
Pursuant to N.C. General Statutes Section 143-215.1 and the implementing rules found in the North
Carolina Administrative Code at 15A NCAC 2H.0112 (b) (1) and 2H.0114 (a) and Part II sections B-12
and B-13 of this permit, the Director may reopen this permit to require supplemental nutrient
monitoring of the discharge. The purpose of the additional monitoring will be to support water
quality modeling efforts within the Cape Fear River Basin and shall be consistent with a monitoring
plan developed jointly by the Division and affected stakeholders. In addition, the results of water
quality modeling may require that limits for Total Nitrogen and Total Phosphorus be imposed in this
permit upon renewal.

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer/Date
Charles H. Weaver — 7/1/2011
Permit Number
NC0055255
Facility Name
Crown Mobile Home Park WWTP
Basin Name/Sub-basin number
Cape Fear / 03-06-08
Receiving Stream
Unnamed tributary to Hickory Creek
Stream Classification in Permit
WS-IV*
Does permit need Daily Maximum NH3 limits?
No — already resent
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No. This renewal adds the Cape Fear nutrient
reo ever condition.
Does permit have instream monitoring?
Yes
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
No
Any permit mods since lastpermit?
Name and ownership change
New expiration date
8/31/2016
Comments received on Draft Permit?
Most Commonly Used Expedited Language:
O 303(d) language for Draft/Final Cover Letters: "Please note that Cane Creek is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List.
Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated. If there is noncompliance with this permit's effluent limits and
stream impairment can be attributed to your facility, then mitigative measures may be
required".

i t`— 5, J ' L •ti ,�—.. I As —' +c '� 1 _�".�'� _.$)�-
,,• `fI JAI � r` jai 1 •+`✓r�''r=7 '!r y'� ri'r� t� fix',,,_ f.�.- �"t�==�•�,�-"r�_"
' ,I, I
��'a � �\� ~� •I 1�'''�'.I . I �••.l4•Zip' , `1 4 _ ��.= - I ^_�-'ice I � `' _ , � I ? � _ rc^L�i�'. i--.�!- - -• . _ `�'_
r_r, ,
' ,,.��� .:: � �_ ��"• • ryr�5 ' Irlt 'ti��, ',, ' , `%-Q,•�, fir �1 r J r f r."r�-� _ I �'_-.. J � 5 -�:
~" '•a r•� '-�`,•Y`�' ' :J2i%4%'��-�-�.� .'SS '1}�5't! A�'�':'�1A� _. ]'1� .%� ��� la,,y �- I -��c •i. {Ir�•Ir',
` -�Jfi,.J xlr:.;;i_ _1�5 •`��fi} �•y!r�I�f. ._�,.%! rL-•r,�r -•__�, 1J1 L. �����JI ,•
���\ �'- - ��'_'�� 'nv, t•. w.i' �•rlff t ��^'�S {: 'r "S-' ,�j'L'r''_-�--', 5�^ � l'„ -C� :_ i ,:�' l4 f S:' ` 5�` �_ .''
-1--•.,� "�•��`� _ � ��,_f''.i� t � ��`��.�:` f�--�� � li .� �r ���,_1,�4�•.�J ` r...� - J'�. f' ' .i��lr � ` -� �-. I
r- :� \'�:� _7 .-r: -P .{I� ; II'�h-�'4 Iti���', � .r ,.r.%!•` a'-� �I'ti1(" ��-.� f ,• _-�_- �` I y��g1.•:;:
/'�ir,�+.� ,
1 t '• ' I r .�?Ii `� I ti r ,i - :.� `' r}l, T 4� `_ Y � , r� .i: r 8 `�a� "``�j� /'We
6.,� '?�_ � `j'��_ _:r•�.`�Z:ti%�._, �I'�j-� �:r.r J{r f.f_ ;,� N,•�- _f.•' ��� .' �` -+ '`���--� ?�- �/� �'�
� I�r�',._. i ,'ii�. % � ��r`115 '�;•k a' - t; I'•�r��.��"a�+ •+� V 1 `�:'K' �4b i' t, ?" -S, - f" � !-.fir• ,f�- ��l•� ��
•� f..��_P� }�'�99L .' � 5�- I 1}-S� '�+'•' �,� �{ �.�/r'f:� %r• ' f - 11 • I �-� �r •� , I i
,J I1 =,�? [ •_. " �Yref1,_ 0 r-SY I'
x3 } �Y--i'?'F `O +� �_ J.
ti ',�Vc��'C=r' I rjr ��ib •` i ?L �� l
L�9 I {:�_ r-r I re-rI'.41•_ -'l, t f f {-v i \ } tia ;A�_
_ ^'J ..yE.• �. r �lr.... +s.. � � 1 r�:- - ` 5 �'�5� "•:__ ��/r - -� •• * L•;''jjj J I I • �:J ?f~ y'•\ i; ;1
51�..��'�t-,Y� �{. Y.4 �� 1�•'- � '•� 4. �Y'—'-"-fi• J r�51JF• r-�'�,'S : k�R •\,. i"' f:�1�. f .•' ■ 7 �Ir i • •-.� ( 5 r `1•��i'
r }`� __ f r1t'. �n� f•. I, i _ ti__•4':J�b r i
E tr ��ff 7t�,` .A-,,1 'L r' �� J r~ I '1 L' I�-, �T:.. 4 '6 ; w<I !r r `r}4`l �, 1-
J - M1 �����`.a::. n,;: ,� 1 ' �1 II' ! /frlr . ' 'T� 4/ r+ , "` p �, ik _lam !•5
f g- rt •' ,II ye.J�I I fit ,7f"1'•1iA-ri� _ p Jj� lr r�
_-�'r}� -ti '�[7y'•f��ti r 1-,j'� ';�`4�' 'IFI4 �T-:"•,i 'I �'L!' S ~ _ _`' `.� I Il•�•.�O r
�Y� . �.}-I; I ; •_ •A;� �'r.r t\ - • • ��'Y _ ~: •' .' �I ,_yam Y 'I- ... !
1� r 7..'.r� .�`� f}�- �'� : �r. � ,+ _~` - r�-` ,'"�,• � kJ+t}U�I�• •ti��'•'?;,�`:,fi{"`+e-,- •,� � !t.' �c� •'~-..
rf - .:'�`� t-ti � I I ++� . _'"� L'L .4 .� J•,ti �'•14 � •'ram"." Y_. SII::. I •-�`�_~�••� �- �� • ' !h` k
-_•��?ti-
�� 7� -•ti .`. �•-�c^r � 1 ;'r-7'ty+ `� I,' � f �rf J �`'�• �J r ' ��i.�"5�'i'^,'� ' -� .�� fr'-• 5, J %•' •may, �� � �}� ~ �
k.l � � _ S I� ,.ram •--� �,.-__=':T�-;� .n •\ a
f• II � +_i'3:. Wit. -.i i'•.- ���.4, II`. 3Y �/-S r,�•11 =::J �.�! 'ti r• Y�. j �� r.,-,
• r � _ - r,. _ I.? jj -.�`• t •. I �``ti`' ' •I r ' ,� ^ ;zr" (r •� .v c„i5 •' ( � ..,
�!�•- r•-sY _7_-r L s :t . Iti `I 4•' ``•, F✓-, y'••+•�•-
\� [Isl �� I I:.~�•� �s•. 4'-l_.- 1 .t .i I � �;� , L ,3,�Y,'' • °ti, i- f j� � '• c,:15 �I 'ice.- �'� Y �?_ ' �" � t ,��"...
•I J r I •�� ICI1•J,J% €L�Z„�:�,.'"�_ - - I +r/ t\\ •' i �', • :•'y -I'J +• -1 y S} ��C �I `Il f1 r } I I,
1,��- ��, - { — _,•� -ti'�4% I �' ;tiq
_ V ,'.��—, 144� �, 1� �•-' ._ -:,r L 1' T_ _-\ � II ti i- �\;'r^�. •} � `'M•. •••ttt��� 'ti 7 ••Y ,
�' � _ti :..�5} ��-;:';.ri..., [l,,} \rl .3=� ram�.w, . �.;�;il� '�S��5 I __I ! TI-- ii'�•1 '�:;rI�pi�,{.l'i;I fly„��rV7V•.y,I-ti'l,'ti�'i��.'�:5� -��.f''!: -�1`l'r''-'' I tIII I� 1 A5
Discharge rYI .
�
� _ 4'' .4-; : '. � 4•, , r
�_ = Outfa11001.•� �, • • I,tx ,� r y',� r �� i I ,I;.
l`�
t I ti �. - n Imo' _ •• . 1 - ``�• I'�,!
�.� i�.i �I1; +'� ' •i �` .1f`I, '.-f _J_1}•l F+��-•Y �I �. `-_`. ,r'; �. i,� r ,5,I�4y I-/ f 1. .-
✓• ,•.ti, 4 j'f It,._?f:'J,?.r r11\- ill" I_4ti_..''R Yti. I`' y �,';r'•�I` .. `;' f
7 r :•r f1�1 r�_ �' _? v� +Ij '4 t '`✓set �5 1 �.•,
�• n [�f
r,�`��„••Jr"-_-1,rr •� r-, r- �•R, w-f. �-• _
`\ k f"- i l � 1: -45, f ' i' - - -_� �f ��- )f7'�••y ��� t I :�
t� ti... I-"� r�r,•,_� I �v_� y�{�-c�y •-
' i •-,�i`.� . ,:_ - ?�l y-� �.-`�I`" i{ I�.�.-4�I-.•'� �_ � ~''J-}'ti'' ' t�\�'�. �`� _ ('lti.�''1:C.+� �ti �r r �C I'•, _�_c�c.'•
Y'r'3.., [..�"' I ', i -� 7.1 ^k'• - '�' t• ' i �I r 5-r
�55 � � r• �?� L Y o �l�i �� -'� 'r , �-�._�--ss •, 1 .' ,jJ' . '�::�f�� Ij .-iif L-� r
eL"
II I I •^r' 'fi'i I{ _-.,r:.- t:'r( I-
r-S - -•.1Vr�-� J ti ', �. ;•i L.,r ��• 3 ; �. }I�y] 'RC7C! • , ✓^"
ti� !• i, i '. a =c;T'� . L °3� L} �'� rr:li a } -
•, .; ; � �_•-----� r -�'�\ _ ,' I I `�•r �� I-•�'r�Rr _'S 1J S•
j I ' l �tf�}% r. + . �ti �: r.v� yf ' erar�`1r__:
� �' � r,' ffrt L • - ' J?:.�.; _ _ �; f"- ` t'.. = r i i , I 1 �'I ' � r• � •, �Jr % �.
C ',•r J !, I rr ! � � .,.i' t. x". _ ]� f _� ,F 4 I !-r 4r. f 1 rtr—.
�1S � 1 ' ``�- I ' ___y ''rr'r�~'` ~ �`.-�'t "� � �L __ � � JI i f� _-�t�•-_.,,'�. I +r: •I � Ir �'� -
`, •, _- ?r. 'Y t- --_:5 �r-�.-� �� r�_ti ��-%'� ,.s., _ r :ice - } -�-
\_ � �, : yr�'r-y' /� 1. I ,Nr"-: ti� :.-••a .+`j, �I �c�+r r l I C t �';Y ] . - I.`.. � �' � {-'_'1�•1
�• _�'-� �� t-.-_- i 1 r r��: �`!' r'r' �.r ^ 5 �r z�..., ti i�J
I � ��-�-c'r�rl r, ,-r}!'S� __ `• f `i i ti-••'. f,r /• .��; r'fC y: I''r. I '•7 rti.•� 'Tf!
1.-ti f rl. . r. `-�.. - �~_.,.J• 1 ;r• r 1' r? .�.'� f SI _.7' � � r I � I, • ��J I r I
_ w.'• C"7 •- -- --=. �.#X-� }'�rrr .��' 9'�..1r! .',��r � . Fr � I i fr .�%ilrr-'!+-�
r I ,, ayg1 '4•`, �` f�_. -_ �L,b �� G.•• 7."•ti.. r rr''f. �i f �,f-�• . 5. ti, : r
f y _ -.1'/� �� - �'i{j f { i',{1: ;r• :i{+.?. `'- r`- ��� Y re '' --=� `�r%' ti
• � ,���� •If }4-.._4't , .• �::'.,I rf�,:{�_._!'{,f;- , rr-� �r �f:-;�_ -_- ,� � ,I `'�-�_'�,'',�:�;,'�. ��`.I� f�. �rl+�'� _ ~/"��
� f • ..`� �� � �_-!J "�.',.�, 1 �-`'rl.` r • Ij•'I �{ 1- i -`,iy�4 l S` ^ems � i? Ir, ': r —� `.{I I.y77 rCS rr_-r N. ``�� •' /� rryr~ f'
�_ `s'j` 1 � :',f ! �`• -�� _ �. .fir � •ter' �.. � ' L _=��r 7 I ��._ -• ,••-. /r' r • - -�
l,itip , i'r! ti -'fr ,r r 1 J•�•_`1 .r- �-f 1{"` ��� �__r�'.. �`•• � � , � I I � 1.1 Lf �,yf r' f
I "S
rr �fi�' If, •Il l' - \__'� �°• -• •��,r"}s :� r 1. �. ..\� 1_�t=-- �:' r -i l' I. .,I.. '. � k l .I-=rt,'�_-� �:,;
}'•--`.-..ir.l 1- r55 1 -��• I r' �J•.•`• t '1• `I � rJ F• -
r �! �\ �r ✓� -!%``fir :- 1 i I 1\�C 'i,:: )'' i �!F�
( .i { ���1•�I i. I f.-`': V_.I �r� �^�. I. L}r.•. �4ti r�
i .rl ± �. ry� ti•:. 4ti 5 ri5'. i',,� � y `T � - r � f.-11 Y4. � • ti � � ti 11 I � � �` ` .Y .f,•- r� ' J ` -�- � ,
r ' I, � � ,�\- till k�Tr�'7 '�.�Ir� `�:��•�_-L `\'''--'� I I��-,.�" 1 � .� ..�i!;r�' �r�.; � I '
` r�� ,, ,;'ITT`-� -� rii.r �„I !' r ItJ,•r•l\`�`-�'- ,�, w ,,_ },,,,;'�.� f (__--- .+ r •.
USGS Quad: Pleasant Garden, N.C.
Latitude: 35°57'18" NCO0 5 5 2 5 5 Facility
Longitude: 79152'24" Location
Stream Class: WS-IV:* Crown Mobile Home Park WWTP
Receiving Stream: UT Hickory Creek
Subbasin: 03-06-08 Ar Guilford County
River Basin: Cape Fear Hydrologic Unit: 03030003 ✓ v� Map not to scale

NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director RECEIVED
N.C, Cout. of F'4�
June 17, 2011 Winvve- .;...
ROBERT P HAHN
MEMBER MANAGER
CROWN MOBILE HOME PARK
PO BOX 1000
PITTSBORO NC 27312
Dear Mr. Hahn:
Dee Freeman
Secretary
Subject: Receipt of permit renewal application
NPDES Permit NCO055255
Crown Mobile Home Park
Guilford County
The NPDES Unit received your permit renewal application on June 6, 2011. 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 Charles
Weaver at [phone].
Sincerely,
Dina Sprinkle
Point Source Branch
cc: CENTRAL FILES
W. nstonL-&5k1_, em-R-egional�ffice/Surface Water Protection
NPDES Unit
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] FAX: [phone] Customer Service:1-877-623-6748 NorthCarolina
Internet: www.ncwaterquality.org ���fe�� //I ,
An Equal Opportunity 1 Affirmative Action Employer K "if/�

CROWN MHP
PO Box 1000
Pittsboro, NC 27312
336-855-5809
June 2, 2011
PARKINS LLC dba Crown MHP is requesting the renewal of the permit
NC0055255. There have been no changes in the existing system.
Respectfully submitted,
Robert P. Hahn
RECEIVEp
N.C. Doot. of E14R
JUN 2 1 2011
Winston-Sale-
Regiona' � ' ca
��e pia
E JUN 6 2011

fy
NPDES APPLICATION - FORM D
,mod For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit C00
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 _� SlSY — S-
"
e-mail Address
�
2. Location of facility producing discharge:
scharge•
Check here if same address as above ❑
Street Address or State RoadVNR ,p ,, av '�
City �� �� "_a-n
State / Zip Code a ::7 3 k -DL
County T V~ C r CA -
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 P \ 1--S L.,.
Mailing Address E) zO X, Q (7
City F -
State / Zip Code \,-) c �-+—
Telephone Number
Fax Number ( ) O a !W �C;)-'k �� . -em110
RECEIVED ,I
j N.C. Deot. of ENRgq 1 JUN f� 2011
JUN 2 1 2011 lA
Winston -Safer-
Y
Regional 011 o_'3t ":: H
1 of 3 Form-D 05/08

IN
NPDES APPLICATION FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
O \D \\Iz'
Population served:
5. Type of collection system
9 Separate (sanitary sewer only)
❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points
Outfall Identification number(s) Q
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):
(J„ no� �.�..� ter• , a-�.�r,.,4 A A % crH C cee,\Z
8. Frequency of Discharge: [� Continuous ElIntermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
ILA
�Ao. h� cr•po,r, a�
►n
VA
c�•�es�-
2 of 3 Form-D 05/08

rti I
NPDES APPLICATION - FORM D
a: For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD.
10. Flow Information: �f
Treatment Plant Design flow ' 10-)" MGD
Annual Average daily flow O, �0 MGD (for the previous 3 years)
Maximum daily flow C7 . d 5 b MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes 9 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 (BOD5)
C) .�--
Fecal Coliform
0
ao
Total Suspended Solids
L
Temperature (Summer)
a (o
C
Temperature (Winter)
771
e-
pH
-7. a
sv
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES o _ O O_�� Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
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.
Printed name of Person Signing Title
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management Commission implementing that Article, shall be
guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001
provides a punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
3 of 3 Form-D 05/08

M 'L ITECH, iNL-.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
Crown MHP Sludge Management Plan
Crown MHP wastes sludge into an aerated digester for storage. Solids are allowed to
settle out of the sludge and the clear liquid is decanted off of the top of the tank. When
the digester becomes full Jenkins Waste Management in Brown Summit NC is called to
dispose of the wasted sludge.
Patrick Merritt
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

` I
1101� _'I TECH iNL.
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
06/2/2011
As Operator In Responsible Charge of Crown MHP WWTP I am authorized to provide
some of the data used in preparing this permit renewal package.
Patrick Merritt
642 Tamco Road • P.O. Box 27 • Reidsville, NC 27320
[phone] • [phone] Fax

NCDENR
North Carolina Department of Environment and
Division of Water Quality
RECEIVED
N.C. DBDt. of ENR
MAY 0 9 2011
-Salerr
Natural Resources WinstonReg iona.$)I
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
April 21, 2011
CERTIFIED MAIL ITEM 7009 1680 0002 2464 8580 - RETURN RECEIPT REQUESTED
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 10244
Blacksburg, VA
Dear Permittee:
24062-0244
Subject: Notice of Violation
Failure to Submit Renewal Application
NPDES Permit NCO055255
Crown Mobile Home Park WWTP
Guilford County
The subject permit's expiration date is August 31, 2011. Federal [40 CFR 122] and state (15A NCAC
2H.0105 (e)) regulations require that an application for permit renewal be filed at least 180 days prior to
expiration of the current permit. To satisfy this requirement, your renewal package should have been sent
to the Division postmarked no later than March 4, 2011.
As of this -date, the Division has not received your renewal application. This is a violation of Part II.
B. 10. of your permit, which states "Any permittee that has not requested renewal at least 180 days prior to
expiration... will subject the permittee to enforcement procedures as provided in NCGS 143-215.6 and 33
USC 1251 et. seq.". To prevent an assessment of civil penalties you must submit a completed
permit application (see enclosed forms) no later than May 5, 2011.
Use the enclosed checklist to complete your renewal package. The checklist identifies the items you
must submit with the permit renewal application. If all wastewater discharge from your facility has ceased
and you wish to rescind this permit [or if you have any questions] please contact Charles H. Weaver of my
staff. His telephone number, fax number and e-mail address are listed at the bottom of this page.
Siricer�y,
�oleen H. Sullins
cc: Central Files
Winston-Sale.m�;R,e`giorial`�Offce;' S_urface`4Vater�Protect_on`�
NPDES File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NOrthCarOhna
Phone: [phone] / FAX [phone] / [e-mail] %tferall
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: Permit/Pipe No.: I-�'zSS Month/Year
Monthly Average Violations
Parameter Permit Limit
Date Parameter
DMR Value % Over Limit
Weekly/Daily Violations
DMR Value % Over Limit
Monitoring, Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
ZV-d_(IAl- 0G t) W ��
Other Violations
Completed by: Date:
Regional Water Quality Date: GL �� -Zoo
Supervisor Signoff:
Permit Limit/Type

Beverly Eaves Perdue, Governor
Mr, Robert Hahn
Crown Mobile Home Park
PO Box 10244
Blacksburg, VA 24062
SUBJECT: Notice of Violation - Effluent Limitations
NOV-2011-LV-0060
Crown Mobile Home Parlc
NPDES Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
qo
:.-
VA'1
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Dee Freeman., Secretary
14 February 20�Tleen H. Sullins, Director
A'review of the self -monitoring data for the month ofNoveniber 2010 revealed the following daily maximum
effluent limitation violation for Crown Mobile Home Park:
Date
Parameter
Permit Limit
Reported Value
Units
11130
Fecal Coliform
400.0
>600
#/100m1
Remedial actions, if not already implemented, should be taken to correct the above non-compliance problems.
Please be awarethat violationsofyourNPDES permitcould subject you to enforcementaction bythis Division, with
the possible assessment of civil penalties of up to $25,000 per day, per violation. Should you have any questions,
please contact this Office at [phone].
Sincerely,
W. Corey Basinger
Interim Regional Supervisor
Surface Water Protection Section
cc: Guilford County Health Department
Central Files
WSRO
Winston-Salem Regional Office
585 Waughtown Street, Winston-Salem, North Carolina 27107
Phone: [phone] Fax: [phone] / Internet: www.ncwaterquality.org
NorthCarolina
Naturally
An Equal OpportunitylAffirmative Action Employer — 50% Recycled/10% Post Consumer Paper

Cover Sheet from
Staff Member to
Regional Supervisor
MIR Review Record
Facility:
Permit[Pi e No.: W—'05EZS� Month/Year "d Zd k t
� � P
Parameter
Date
Date
Monthly Average Violations
Permit Limit DMR Value % Over Limit
Weekly40violations
Parameter Permit Limit/1'voe DMR Value % Over Limit
Parameter
Other Violations
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
Completed by: ' Date:
Regional Water Quality Date: fa
Super,,.-isor Signoff:
�VV 01D6b

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. Robert Hahn
Crown Mobile Home Park
PO Box 10244
Blacksburg, VA 24062
Division of Water Quality
Coleen H. Sullins
Director
SUBJECT: Notice of Violation - Effluent Limitations
NOV-2010-LV-0392 - -
C+ r.own*AIo`:bile�oa�a_i 4 rk
FINIDDE,S=Permn:it:No-. COQ55255
Guilford County
Dear Mr. Hahn:
5 November 2010
Dee Freeman
Secretary
A review of the selfmonitoring data for the month of Jdy.2010 revealed the following monthly average
effluent limitation violation for Crown Mobile Home Park:
Parameter Permit Limit
Ammonia -Nitrogen 2.0
Reported Value Units
2.6 mg/L
Remedial actions, if not already implemented, should be taken to correct the above nomompliance
problems. Please be aware that violations of your NPDES permit could>sbject you to enforcement action by this
Division, with the possible assessment of civil penalties of up to $25,000 per day, per violation. Should you have
any questions, please contact this Office at (336) 7715000.
Sine rely,
Steve W. Tedder
Water Quality Supervisor
cc: Guilford County Health Department
Central Files
WSRO
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.n,-waterquality.org
One
NorthCarolina
,,Yat rallLf
An Equal Opportunity \ Af;irinative Action Employer

4 .,Li�rc a/41z - /-t>v 'SS�� J3-/ c-0-
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: �� `L'� Permit/Pipe No.: Month/Year �� v
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
Weekly/Daily Violations
Date Parameter Permit Lunitrrvne DMR Value % Over Limit
Date Parameter
Monitoring Frequency Violations
Permit Frequency Values Reported # of Violations
Other Violations
eJU.vim N aV - Aj4 : At,0Q vie
-JI4 uV -2o ©`I - ^rV-✓ N't+ o A ✓ ct -
Completed by:
Regional Water Quality
Supervisor Signoff:
Date: Z/ A -2�
Date:
,4,v - Zo la o /- V - a 3 �Iz-

_ I'���cl✓€b
N,C. DS n;
FUEL, ENT '�1®CT 2 5 2010
-'PDES PER-1 NO. _� 0�
FACILITY NAME CLASS 81, COUNTY I ` R
OPERATOR IN RESPONSIBLE CHARGE (ORC) artit e1r 1-'1- GRADE,?,- PHONE
CERTIFIED LABORATORIES (1) (Yl2„ }e t �g L .. (2)
CHECK I30X IF ORC HAS CHANGED ® PERSON(S) T G SAMPLES a ' I Or
Mail ORIGINAL and ONE COPY to: QCT S e�a�l t
ATTN: CENTRAL FILES x
DIVISION OF WATER QUALITY (SIGNATURE OF 0 ERAT RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 ACCURATE ANTI) COMPLETE TO THE BEST OF MY KNOWLEDGE.
U
50050
00010
00400
50060
00310
00610
00530
31616
00300
00600
00665
. F,
a
°.
FLOW
o
,o
ENTEREABOVE
ENTERPAES
EFF
z
A
A
z
U
ELOW
c
gp„
O
�.�
Idca
OO
a
r0e
INF❑
O
�O
C9 4
nDs.
E-
"'5�U
0
ri
FLn
C�i
❑ MG/L
HRS
HRS
Y/B/N
MGD
O C
UNITS
UG/L
MG/L
I MG/L
I NIG/L
. #/100ML
MG/L
I MG/L
I MG/L
° •
r
p a.
• ' � "
__
__________
Vim�.��r,y-_
low!
a
�
w
EMEMMMEMEMEEMEMEM
m--_
f s
_____m__mm
a . .
ml1aY®mIMIMMMEM
�_____�__S___�
SEIM=
f 8
i
w
®_____
4
Es
d
u
A
��-M®®m��
nowde '
DWQ Form MR-1 (01100)

Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements F71
Noncompliant
if the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 manage the system, or those persons directly responsible for gathering the information, the informati on
subntted is, to the best of my lmowledge and belief, true, accurate, and complete. I ant aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
0 _
Permittee (Pleas print or type)
Signature o Per_-mi tee" Date
(Required)
Permittee Address Phone Number Permit Exp. Data
00010
Temuerature
00076
Turbidity
00080
Color (Pt -Co)
00082
Color (ADMI)
00095
Conductivity
00300
Dissolved Oxygen
00310
BOD5
00340
COD
00400
pH
00530
Total Suspended
Residue
00545
Settleable Matter
PARAPv' ETER CODES
00556
Oil & Grease
00951
Total Fluoride
00600
Total Nitrogen
01002
Total Arsenic
00610
Ammonia Nitrogen
00625
Total Kjeldhal
01027
Cadmium
Nitrogen
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
00665 Total Phosphorous
00720
Cyanide
01037
Total Cobalt
00745
Total Sulfide
01042
Copper
00927
Total Magnesium
01045
Iron
00929
Total Sodium
01051
Lead
00940
Total Chloride
.01062
Molybdenum
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
50060 Total
Residual
Chlorine
01147
Total Selenium
71980 Formaldehyde
31616
Fecal Coliform
71900 Mercury
32730
Total Phenolics
81551 Xylene
34235
Benzene
34481
Toluene
38260
MBAS
39516
PCBs
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/was and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
ORC must visit facility and document visitation of facility as requiredGgr 1 W7 �-C 8G .0204.
If signed by other than the permittee, delegation of signatory autbQrity,must be on file with the state per 15A NCAC 2B .0506 (b)

NPDESNO. C. 05 ISCURG*E ND3i y&�a &�Pb0
DHI.- �R
FACILITY!"Al/lE, CCCIL--�fl M"P co Tj N. T
U T-
STRE,kll STREAdd—
LOCATION jol'-)TA- e-s-�Ccvvl LOCATION_
I
Upstream
Downstream
DE -Ts! Fon--n MR-3 (12193)

SEEP20 10

Kj'�A
®
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
September 23, 2010
RECEi 'E.
CERTIFIED MAIL RETURN 7009-1680-0002-2464-7798 N,C. De
RECEIPT REQUESTED SEP 2 7
Win—"
Mr. Robert P. Hahn Reg'm
Crown Mobile Home Park
P.O. Box 10244
Blacksburg, Virginia 24062-0244
Subject: NOTICE OF VIOLATION
Crown Mobile Home Park
NPDES Permit NCO055255
Guilford County
NOV-2010-LR-0061
Dear Mr. Hahn:
Dee Freeman
Secretary
This is to inform you that the Division of Water Quality did not received your monthly monitoring report
for June 2010 until August 24. Also, the July 2010 report was not received until September 20, 2010.
This is in violation of Part II, condition D(2) of the NPDES permit, as well. as 15A NCAC 2B .506(a),
which requires the submittal of Discharge Monitoring Reports no later than the last calendar day
followingthe he reporting_ period. Failure to submit reports as required will subject the violator to the
assessment of a civil penalty of up to $25,000 per violation.
Additionally, this letter provides notice that this office will recommend the assessment of civil penalties if
future reports are not received within the required time frame during the next twelve (12) reporting
months. The Division must take these steps because timely submittal of discharge monitoring reports is
essential to the efficient operation of our water quality programs. We appreciate your assistance in this
matter. If you have any questions about this letter or discharge monitoring reports, please contact me at
919-807-6388.
Sincerely,
Maureen Scardina
cc: Maureen Scardina, NPDES Unit
i/bWQ Winston-Salem Regional Office Supervisor, Surface Water Protection
Central Files
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: http:llportal.ncdenr.org/web/wq/home
An Equal opportunity %Affirmative Action Employer
Nne
orthCarolina
Nahm l`ff

!C&D E H_R
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
14 September 2010
Mr. Robert Hahn
Crown Mobile Home Park
PO Box 10244
Blacksburg, VA 24062
SUBJECT: Notice of Violation - Effluent Limitations
NOV-2010-LV-0327-
CrownrTl!1'o:bil�sHoarce>Pa�lc�
tP➢1E'%P,er��r 11 N_: C00—.-0552557
Guilford County
Dear Mr. Hahn:
Dee Freeman
Secretary
A review of the selmonitoring data for the month of June 2010 revealed the following monthly average
effluent limitation violation for Crown Mobile Home Park:
Parameter
Permit Limit
Reported Value
Units
Ammonia Nitrogen
2.0
2.5
mg/L
Remedial actions, if not already implemented, should be taken to correct the above noicompliance
problems. Please be aware that violations of your NPDES permit could isbject you to enforcement action by this .
Division, with the possible assessment of civil penalties of up to $25,000 per day, per violation. Should you have .
any questions, please contact this Office at (336) 7715000.
Sincerely,
Steve W. Tedder
Water Quality Supervisor
cc: Guilford County Health Department
Central Files
WSR
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.n,-waterquality.org
One
NorthCarolina
,A urally
An Equal Opportunity %Affirmative Action Employer

A
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility:(?E6vJAj Permit/Pipe No.:
006�;-265S Month/Year JO��
Monthly Average Violations
Parameter Permit Limit
A— 1.0
Date
Date
Parameter
DMR Value % Over Limit
Z. c- 2501�
Weekly/Daily Violations
Permit Limit/Type DMR Value % Over Limit
Monitoring, Frequency Violations
Parameter Permit Frequency Values Reported # of Violations
Other Violations
rlo(/s' (41Aw'09) -F,- AJ43
Completed by: ✓� o
Regional Water Quality
Supervisor Signoff:
Date:
Date: ql -,- / 3 —1D
/�6V p�d�LV�
03�

08/23/2010
SE QS/17
RECEIVED
N.C. Deot. of ENR
SEP 0 R gnin
UMATNT
W Salem
"�'7 I' Crfflce
Ni?DRS PIE �'J& D-I.SCI i h-RCiP-N-0. )vjC:X1-TH.
i I L
FACILTTl NAME CLAS-� �k COUNT
vt- r,,i� Ar)p. mow3- =173,11") '4-241�
OPERAT'CIR )N.P.IFqPC)N.SI3LJ--'. CHARGE (URCL�-Ikl--k'�-
CERTIFILO LABORAmr�[ES 1) V1eyAc4.k -.-- 7F"T
- T t1N G S A T. -),,
CITECK BOX IF ORC HAS CHANGED EA PERSON(S) C J,),.F -E—s
Mail ORTG�INAJ- and ONE COPY TO:
AT'fN: CBIn*L FILES
DIVISION OVA'ATER QUALITY (.SIGNATURE —0P-wAR AT IN RRISPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER BY THIS SIGNATURE. I CgRTOTTHAT THIS RUPORT IS
RALEIGH, r C 27699-161,7 AC:(.'IJRA'I'E AND C.01.II'l-ME T0'r1(r BERT Or MY KNOWLUG9
50050 00010 00400 50060 A0310 00610 00530 1 3163.6 00300 00600 006(i5
FLOW - ENTER PARAMETER CODE ABOVF
A Epp 'r -9 Z NAME AND UNITS F- w-Z
7- 0 u
INF 0 aO -9 , C) g 0 0
E3 U 0
.4 5
b
P"
P, cc
t 0 u
P.
HRS TIRS YIBIN MCD 0 C UNITS tr= NICIL MC/L WGIL MG/L MG(L
..........
Vow L I
41-3D k
7777
0 -aLD
"so
,777-.77
P
Ll
............
.... ....... ...
7 .7
.. ..... ......
16 V060 - q
118 fA0 - 0-1-? 1 :3-
1201
X. ...... ..... ..... ..... . . . . . . . . . . . .
-Y J
D
16-01-7 �k
,76
V:
1281000 --1 ---101 -d\ LA -T
'd
0
'7�
L> La. —7777 7
FLOW
F
N
,I SOO
S :.�. O', -,^_)
�c) juml);
010
LMonthly Lim1p,
DWQ Forii N"p-1 (01/00)
16:22 3362861225
FEDEX OFFICE , E- LCU
AN 2 6 2910

00/23/2010 16:22 3362861225 FEDEX OFFICE PAGE 07117
NPb)F,w �c,ai h) L C e5 5 S S Y_'oIST HA.>`N11r,
1j•1 µ i*--I
�o� cerlr� ,Jc� "�r.1 R 11,3a
� �" t11�— --
Upstream
TO0
00400
003IU
00900
31616
00095
Enter Pnnlnoter
Codc
L'
Abode
Name
and
A
r
(1nic!:
BcloW
O.
_- ..
�I •�
_ _
O per—
p_ _�W
_
ram.
•gy
¢[r+!._
o
9
F
U
urMhod
`m
y'x $
°^IL
UniLa
MgA
MF/1
4/100nx!
Aia1+a
16[+ 1
Aii'
17i"V, il�'�'I"I'r>+:
D171'1'-lol'I
�'' �,
',cl I,�G•
l.x;l Ii
,i�il.•
,. ��. a�.,
"Ij
ii7dl:igliid'""p,i•
Iryl .''np'V''�I
r1..1.
.:i,.I:pfn:,I'Fi
{
�Ip.1:1 .t��,.
ll'lhgi°,•'T. �I
�Ilralli�'yk`•71r��•i'�
'-
ty'`1i�%',rYu
::,1',�'�:p" ,,
.
•11YNIIIZ"t,
OW
ulr.4'i
z
.;I. •I::)'r'r�:.
{.;i1�•�..,,�rH:
..
1 :
1'i:G ;�IIIIfpL.
%:,.,,,1:
{Y'l. i:`.n .'u
1.9 <.!''i
,r .r
� Vy JM�r14�I1V.
S•;
I troy h•'1�n
"' 1�':' A.��.'
+,�I,,.IPI.
� '+•1',ti''°.'ii�;Y�'•
�I�iy,.lAl1 y••j.y �l �
'N
,I,Illlli,l h�l{
'I'M1IIJ :'7 !�
� wIr14'�.{6.,�
r.l '.
�'IIV:"�'llj'^'yfn�I:I}:"n�.
'� r�dt'r i'
+1'
4
-Ty s
:�5:
�1 'iyr.'.,I�?
-
-t �r :�..��
,jllii'9':VC
ii { *
'�` } .,
Y%•• .nG411
4 ..
777
u�l•'^ -��
In.,¢
L'
:..:.:...
...:,� ti
o-..._..
dl.l:pslplr`I .'I:::,,nr:
:j:er;.�,.,,:n',,1�"
J�a •
Y., •.•.,:
I'•44'
r.11 IV.4
.5
,4.. ,., ...
`I
,l7' i
41i A'lill4r�'�4
fi'e,@:'"; 'r
.�44{{,, li Pp1J tlylV'
ix;
I �i'l,ltli.l
Il
� ;•
+I'1i'4Ql•n'�
q'� J� 'My"i�A^fl.,dd'1',
1i,1'r�11•.YI14f1'
ry�lll+lx''j; ••: Vl.11it
L.1.; �::b,'piNf:lpp•;ne
i,l„5i {
i!'1,`
IV•+A I'll•
I .i
..lr •I'Y'
It11::�LI..I
u'm �,
nF,axi•:lii
.
�y, 1
I,I•I,I,l,l,
'k; •. i�:..I, p.I
'; it lill4.�i li:i
�: f
:x .I.1. .;I
;wi; col%�•.!"'l7'1:�...
yyy
'i ',L.•.ny,.^
�il r.
II f1:.. :
rl
'n:. .:1
,It, ,4rw
IMy°Vmr':�:i�!$'.P
A 1,,,'Ai
4 Y
:IR . I�
jl;..i.;V:73;1i:!,JI•:1'�''.
.S ,M.y
I� �dI 4 �•••
.lVii 119' ✓}'i ..
�1 J•H'•'.�i'r.
�Ih•.Qi�i•1N'r JI
yn"'�"1'',.
:dV.11V r.1,.1;
•
u�i. 4�A''I .�'
41 .IR 1' '1
u.itltl'j
:{t:a:n(!yl^
Si"
.1
i,:,;n
J•
r1.Zy',j !"';.�.
.x",•
i.�vaiW14
1�1
0
,�1tl�1�'
e11 "t':!'M
u '��
:;IIIIMi�,'
'�l.•-a,a
J{'V'1i'
N IA
,il'n.l•JI
r ^ 1 ,
.r! ,�..i
, ,'4+^, V.�,.= . Ih:
f41w+ii
iJ�i..ril
di.gitN�"$P!
•1 ''
.,: p.. •,�•�l
r.�l�'i ' �r
U}1li�
12
Y Pf mV
I'Il:ff41;r:4'.�L'1yy
1
��
�f�w..I.(�e.r,i„�1,:E
. II �AII'I
ter•
14
f
s
1 „�..
,Itl pn{' •
dr a�r':�,
:,.tl Tl..i.'4,{
i4 mrt Ills
�� ro. ILII 1^I,
t w ..
'1 �;•
,I}.ytryx','
hhir>. r
F
J1t to
1•
�i 111;,a,,.,ly
r::{p
�y
�"t;
{.u,.. .:
`" ,hj�'1"
h
�z: i• ,!b�.
l
!�,;5�'
..r,lp;fp•
^I
; :.4«I,.,,4,
y<..._
..:..,�.
16
.
•,',]11I
71YI+41i;. Aiui' '
�^I'I:�4.i:r."
YI�
l�°I��,
r:vm;i: Y �
•V V'+•
1e'Vlw
I.�;t.::.
'I•,ryrynF',1: 1'R}JI'!I!i'iI
H11NA,.
r I.r:. ; I !V r!1
.I y'V i}V+.:
i'r�l.��l..: �
.N�iir%��9
{• •.ul, IN4i'4
}''I� � NIIV
(l �. ;I,�gl.q
h':LdVjV:,•
.,',.I._Cr4l�
.'L5Y•'
[.. :�:'.. �'41::j
::�1
.d;•l.1l]l4.lIL
,
u11 f"IJII':'0'I..i:r�4x.,:
�.I.
..Ir�l
{J
18
oil
�il;ll?'�;:'c';'+:i�"/',
i�.,*Rd'U17�;y'�'1:!,,'lll•I
Ih..4a'1141r R.,
' 1 IV4 1,
� ....11�lrli
V MII :'eV.. it
rl
.,.yA+i .
Ilr•1 �u.
,:�IH
20
:, .,,'
:y,l,
i:'Ii,jCI4Ml
6, �
�• 1,.
�i:.
7 try
,a, In,r•ro•+tl BSI"J
d• •t9ro+.'6
;•n.
,;y7i;.
+, h :
'r y� ,7�7•l14,�'ia
• aali'j4i i4i4�V4�'J,I
•rrxl
Ix ul+• ;•0,4;0
yJ 11'K2J
NCI••,; MGo✓
I,•jyy���'i,14
n e',6rTQ;
�'I"ti �a h
�
J,
I
I?�•
. IhiA' •
..
:n '
'� � ��4
OI
,I.1.N��ih6J r
,ml!i5 :�:+!1
l��"l � 1'�'1'
� . I J
4 ���Y.j, i14.. �
t1fV •I� d'
,1:� k
* �1 {Y�41,
•' U
i$' �'
u„ lyl�l:�ry4•,,I'
9/ I
�r1
. ux:
II:I
�FiL
.�dy,17•:Ij:,lil*
aA�•d'4''r�!..n
.P .
I:I .Lw l
{'
24
a
•r,�
'A
Y: I.:Iiy
`
IhA'i
'�:
4i
II,!%�tl,
11i:1'
{{(( 1
.l•..Syl
1'•J�',I 1
� 1T� 4 t
:+14 ro+Zl+in
C' .r,.
, 11 '
:JJI+ (a,lhll"
<
.IIT
yli,r �I.q. yilygy' 1'
l i, ''ill
+,II 16'd'Ipw.dR',.lW'7
yl li
,�,�Vr� Il
°:F. •I
�I��1
ll•
Y
I'rjr',r li! M;
Q9 I !�}
.17F YN
aV",III n,Y,:.N.!
I y
�Ir. li�f'15:I
�26
y{�,,yy
Atli 9rn,1
I �tjr
fu.at:
r 'Ally
h';f' ul�ihA;liQAh6yIT..h4.v;,1nf1,r.
R
'Wi ?I'I.m *: tl
AI'.i
itiP:K .,
:
!rV°Y'w,'
nn11 vi J
'V ��
•1�311118
1' ' �' 4
,.i,:,:
}N•r 11'
+I �17':• � ^'yl,
� . I�
Y'.11141 '{Il;
pin�luY,.:
,api e,r[
r.:ly'y a3w
44V�
;'V. �wtiJ��
I�•,4yl.l,
28
�If]
•I: ;n1�,+l+
r•;
R1•!"";Y.
...'I:;...,�CJIpI+fT�6„lyrll`'Ar6dF<rr1.'.,Li
LidFtL�
hll,l
�:a`;�;?Lr
•L,.,
'i a,p.:f,1,
'
,.
"'nam'74
S.�,••
U9•!
�, 4f
1 I:r: �h
,.�1 .?.
�
4i
Y1 f,I,,
�`,
i30..,
''a•
.
;{� :�•'��:r{",!,.
'•..r",I a+.
�,r,.,i:h@+.
.. :.u�,..,:al
''.; :.' :
� •i:;::r•.:.e'
. ��
"I�n'-..; •,I+.
J
+la:n:.:
' � ,,,.p
�,:�'�' .1
,:g�,'i,,..,:r
•:,k'.
1�7 �I f'o�,.
i A,'erage
catb
% 79
...1 .. iY4^.
.41e�7U1YrwA,�L YW_4P!
'��(,J, .i1�uL yr'
+. :. , .
':SW�i t4K,yn
1.,�:.l.hr.-•::
,�L�y1 {.
Y,m:
c>. i'
;�•',,,;'y{•'
rimy'
""JuaTY 'v
I.�Ft,`::
rr•p��1;7i pr7:yit'i
lq.l'i,o- -4
IL;:;4:: vF y4tr
�41r•,UI'J,1w:i,;
„�>r
y' .. �„ , , ,�� ;..
�,+r ..�kl.il
1p! ��y[r;1�•1
,.:.nrr�.l
,- ln,:t"''
Minim,
L{'li :Cld"
<<�
5 10
DFM Fnrhn MR-3 (12/93)

RECEIVED
AUG 2 4 2010
information Processing Unit
D'A/Q/SQ(;

i
C® R
I � N
North Carolina Department of Environment and
Beverly vest erdue
Governo
Mr. Robert Hahn
Crown Mobile Home Park
PO Box 10244
Blacksburg, VA 24062
Division of Water Quality
Coleen H. Sullins
Director
SUBJECT: Notice of Violation - Effluent Limitations
NOV-2009-LV-0411- -
Crown Mobile Home Park
NPDES Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Natural Resources
Dee Freeman
Secretary
7 October 2009
A review of the self monitoring data for the month of Jlly 2009 revealed the following monthly average
effluent limitation violation for Crown Mobile Home Park:
Parameter
Permit Limit
Reported Value
Units
Ammonia -Nitrogen
2.0
2.8
mg/L
Remedial actions, if not already implemented, should be taken to correct the above nmompliance
problems. Please be aware that violations of your NPDES permit could suNct you to enforcement action by this
Division, with the possible assessment of civil penalties of up to $25,000 per day, per violation. Should you have
any questions, please contact this Office at [phone].
Sine ely,
Steve W. Tedder
Water Quality Supervisor
cc: Guilford County Health Department
Central Files
WSRO
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.ncwaterqualiV.org
Olic
Noi-thCarolina
An Equal Oppoiiunity 1 ANinnalive Action Employer

0
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: 0-4ZoU)oJ OW) Permit/Pipe No.: K1666 SSZss' Month/Year JI G y 2Bd
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
e�i�� Z• o Z . 8 44 6!a
Weekly/Daily Violations
Date Parameter Permit Limitgype DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter Permit Frequency Values Reported # of Violations
Other Violations
P10 �L�1Al�-lids✓ d� i$'� ar
Completed by: �=� r Date: L Ocs— ZGrO ,J
Regional Water Quality
Supervisor SiQnoff: 9VI Date:
UV
S�,J—
�e v'/7 a9,

b
EFL -ENT
NPDES PERMIT NO. DISCHARGE NO. 00 l MONTH JJ YEAR j c
FACILITY NAME C_Ca w:1 do r'k P l CLASS COUNTY �_
OPERATOR IN RESPONSIBLE CHARGE (ORC) a�rtiL of r,k-i- GRADE � PHONE ;33tio 34'a ul49
CERTIFIED LABORATORIES (1) l%^Aefl 'zLV) �:gc , (2)
CHECK BOX IF ORC HAS CHA 8—---PERSBN(S) OLLCTING SAMPLES Rf"��k Mery
IVED
N.C. apt of ENR ^' l
Mail ORIGINAL and ONE COPY to: j Q� ab I©Cj
ATTN: CENTRAL FILES SEP 2 8 ,� V
DIVISION OF WATER QUALITY SIGNATURE OF OPERATOR IN RESPONSIBLE CHARGE) DATE
1617 MAIL SERVICE CENTER Win tonSalenBy THIS S GNATURE, I CERTIFY THAT THIS REPORT IS
RALEIGH, NC 27699-1617 Reg onal OfficeACCURAT AND COMPLETE TO THE BEST OF MY KNOWLEDGE_
50050
00010
1 00400
50060
00310
00610
00530
1 31616
00300
00600
00665
—�'
FLOW
r
PARAMETER CODE ABOVE'
[� i
w
r�
j
C Gza
U I a
_
Az
coENTER
p
NAME AND UNITS BELOW
EFF [�]''
INF El
4<
°
E.
Sin
•7 x
aO
Q p
Q
C z A
@ O u
a 0
U
C O
O
a.a
Oo
W'"U��.p
;.A
Ox
o�
A
1~NO
>"�l
oU,v
�N�
��a.a
c
ADC
o
O
CC
c�a
�U
Cz
m�
u
�O
z
o
A "~"
O MG/L
HRS
HRS
Y/B/N
MGD
1 ° C
UNITS
UG/L
MG/L
MG/L
MG/L .
4/100ML
MG/L
MG/L
MG/L
.
MOMa:
2>,ao
1.6
Nt
+..olb
I A 4
b .7
1 4.10
Lf,_6
Ia.'D
17
b °io
Lam
Emlffffzm�
EMMMM
mom
m
!®©d
MM
MM
El
msffmm=M
m��r
�■�o�mm
M
mmmo�
MM
m
sl
®M�Mmmmm������
MORI=a
s
mmmm
° =
aM�M==
�������■
a
ME
DWQ Form ADZ-1 (01/00)

Facility Status: (Please check one of the following) n�
All monitoring data and sampling frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements [7]
Noncompliant
if the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 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."
�A- .
Permitte (P * se print or type)
Signature o Permittee** Date
(Required)
Permittee Address
00010
00076
00080
00082
00095
00300
00310
a0340
00400
00530
00545
Temperature 00556 Oil & Grease
Turbidity
00600
Total Nitrogen
Color (Pt -Co)
00610
Ammonia Nitrogen
Color (ADMI)
00625
Total Kjeldhal
Nitrogen
Conductivity
00630
Nitrates/Nitrites
Dissolved Oxygen
BODS
00665
Total Phosphorous
Phone Number
PARAMETER CORES
00951 Total Fluoride
01002 Total Arsenic
01027 Cadmium
01067
Nickel
01077
Silver
01092
Zinc
01105
Aluminum
Permit Exp. Date
50060 Total
Residual
Chlorine
01032 Hexavalent Chromium 01147 Total Selenium 71880 Formaldehyde
01034 Chromium 31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
COD
00720
Cyanide
01037
Total Cobalt
34235
Benzene
pH
00745
Total Sulfide
01042
Copper
34481
Toluene
Total Suspended
00927
Total Magnesium
01045
Iron
38260
MBAS
Residue
00929
Total Sodium
01051
Lead
39516
PCBs
Settleable Matter
00940
Total Chloride .
.01062
Molybdenum
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/wos.and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
* ORC must visit facility and document visitation of facility as required per 15A NCAC 8G .0204.
*'If signed by other than the permittee, delegation of signatory authority must be on file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

NPDES NO.
)J L©o5 5 -.5 S R DRSCHAGE NO a0 t -MONTH �u ly YEAR aooq
FACILITY NANiE
Ct`own M1kP C0UNTY Gutl'�orl
STREAM-U.-C. r11�K cK _ STREAM
OCaTgONIgo t�S e�M LOCATION. �.lL5(Z 1I3a
Upstream
DEM Form MR-3 (12193)
Downstream

N®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director 18 September 2009
Mr. Robert Hahn
Crown Mobile Home Park
PO Box 10244
Blacksburg, VA 24062
SUBJECT: Notice of Violation - Effluent Limitations
NOV-2009-LV-0411
Crown Mobile Home Park
NPDES Permit No. NCO055255
Guilford County
Dear Mr. Hahn:
Dee Freeman
Secretary
A review of the sel€monitoring data for the month of June 2009 revealed the following monthly average
effluent limitation violation for Crown Mobile Home Park:
Parameter Permit Limit
Ammonia -Nitrogen 2.0
Reported Value Units
2.6 mg/L
Remedial actions, if not already implemented, should be taken to correct the above no compliance
problems. Please be aware that violations of your NPDES permit could abject you to enforcement action by this
Division, with the possible assessment of civil penalties of up to $25,000 per day, per violation. Should you have
any questions, please contact this Office at (336) 77 15 000.
Sincer y,
d�
Steve W. Tedder
Water Quality Supervisor
cc: Guilford County Health Department
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
Intemet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
NorthCarolina
�d�t�ll'a`ll�

Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Facility: fhAlAl 1411P Pernut/Pipe No.: AICQ' Z Month/Year
Monthly Average Violations
Parameter
Permit Limit DMR Value % Over /Limit
2.4
Weekly/Daily Violations
Date Parameter
Permit Limi1gype DMR Value % Over Limit
Monitoring Frequency Violations
Date Parameter
Permit Frequency Values Reported # of Violations
Other Violations
Completed by:
Date:
Regional Water Quality
Supervisor Signoff:
Date:
�'�✓�� V(7 �� LV v V r 1
to

EC UNT
NPDES PERMIT NO. ©OS �a SS DISCHARGE NO. 00 I MONTH `'^ YEAR EGG'
FACILITY NAME GCS n Cn VA O CLASS a' COUNTY
OPERATOR IN RESPONSIBLE CHARGE (ORC) GRADE PHONEMG R d- Q) `I
CERTIFIED LAB ORATORIES (1) M of %+e ck �S& L .
CHECK BOX IF ORC HAS CHANGED ® PERSON(S) COLL T1Ii&SAMPLES a «k t-
RECEIVED
Mail ORIGINAL and ONE COPY to: ®��o� N.C. Deot of ENR
ATTN: CENTRAL FILES
DIVISION OF WATER QUALITY ATURE 0 OPERATOR IN RESPONSIBLE CHARGE AUG
1617 MAIL SERVICE CENTER AUG � NATURE, I CERTIFY THAT THIS REPORT IS WinstonSalem
RALEIGH, NC 7699-1617 U U ND COMPLETE TO THE BEST OF MY KNO�i LEDG Regional OfTice
50050
00010
00400
50060
00310
00610
1 00530
31616
00300
00600
00665
F,
FLOW
,-.
_
ENTER PARAMETER CODE ABOVE
EFF
LAa
aj Z
O
NAME AND UNITS BELOW
INF❑
N]
..
Ox
Ao
p
ON
CZACO
>C�7
CO
c,O
CO
AE.
oe
�0
a
a
a
.A,O
Oo
4
�"G4 -L)
O LO
O�
pCZ
rn
UO
A
z
a
❑ MG/L
FIRS
HRS
YB/N
MGD
0 C
UNITS
UG/L
MG/L
MG/L
MG/L .
4/100ML
MG/L
MG/L
MG/L
21p�JJ
4
�%
o-ot$
i
q aS
Ir7
7J
Kn
6
i
:::::.:.:::::"::::::•::::::.::::::..:...
.........................
.......
.......
.......
.......
10
00,�}
�.��a
-A
126O
,
O.41�
3.�
b
4Le0T.
d,1©
:.:.::.:.:.:..:.:.:.:..:.:.:.:.:
141
16
(PO
•°a
-,11g
a
ct�
is
-1
.5'
20
22
11 OLD
:::.::.:.:...:.............:.:.:.
.
24
' W..S
Yt7
Oda
a
.
266�P
-7
i
o:�18
as
b•
oc'
co
........:.:.:.:.:.:.:..:.:...:.:.:.:.................:...:...:.:.:................
........:...:.:.:.:......
2s
30
�bc0
,
V(6
C t o
3.......................•.•
...........................,.
..........................
AVERAGE
�i+"%���
-
(�
�.�
�� b
Io
'•.
-70
:;:.:::::1#A3,I3IU�'1::::::::::CJ.:.;.:�.�::�:•.•.•..:�:.......c.�..,.....L�,.,.....�.�..a....:::.'J.,.:..:�::�:::t:�i�:�
::::::::::::::::..............
.......
......,..............
,:•� ::: �•:
:•:•.�.::�:
MINIMUM
CJCGJ4 1
b.l,
Ll0
•tpo
C�iiir�;:.(�j:fi?r1:Yj:f�1:::.
=� ::::.G`
:•:.;..:::�:.:.:..:.:.L`Y'.E:�✓
:..............:...:�.:.:.::.:.:.�'::�.....:�''..�......................�............................�...�........................
.
Monthly Limit
Mla
3v
o"?Q0
d,0
DWQ Form INIR-1 (01/00)

Facility Status: (Please check one of the following)
All monitoring data and sampling 'frequencies meet permit requirements
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements 0
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 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."
Permitte (Plea print or type)
) 2(v1 J C)
Signature of Permittee" Date
(Required)
Permittee Address IPhone Number rermrt rxp. lime
00010 Temperature 00556
00076
Turbidity
00600
0,0080
Color (Pt -Co)
00610
00082
Color (ADMI)
00625
00095
Conductivity
00630
00300
Dissolved Oxygen
00310
BODS .00665
00340 COD
00720
00400 pH
00745
00530 Total Suspended
00927
Residue
00929
00545 Settleable Matter
00940
PARR IETER CODES
Oil & Grease
00951
Total Fluoride
Total Nitrogen
01002
Total Arsenic
Ammonia Nitrogen
Total Kjeldhal
01027
Cadmium
Nitrogen
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
Total Phosphorous
Cyanide
01037
Total Cobalt
Total Sulfide
01042
Copper
Total.Magnesium
01045,
Iron
Total Sodium .
01051
Lead
Total Chloride
.01062
Molybdenum
01067
Nickel
50060
Total
01077
Silver
Residual
01092
Zinc
Chlorine
01105
Aluminum
01147
Total Selenium
71880
Formaldehyde
31616
Fecal Coliform
71900
Mercury
32730
Total Phenolics
81551
Xylene
34235
Benzene
34481
Toluene
38260
MBAS
39516
PCBs
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.nc.us/wos.and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
" ORC must visit facility and document visitation of facility as required per J@S Na_�&u .0204.
**If signed by other than the permittee, delegation of signatory authority. must be,on, rile with the.: state per 15A NCAC 2B .0506 (b)
(2) (D)•

r`
PdPg NO. p Lo©S 5 a5 S �I�C��I�s E �I�. C>o i T����T� 6vnf— YEAR aooq
FACILITY NAME ( 0 W'1 M 1� Q COUNTY
Y
STREAM U `l"• 1-1��../ CK
r
LOCATION I L� � (�(� S'� +_ LOCATION �1C.siz 13a
Upstream
Downstream
DEM Form MR-? (12/93)

RUG 10. 00,

Permit Enforcement History by Owner
09/15/09
1
Owner: Robert P Hahn
Facility: Crown Mobile Home Park
Permit: NCO055255
Region: Winston-Salem
Penalty
Assessment penalty
Case Number MR Approved Amount
County: Guilford
Enforcement
Costs Damages
Remission
Request Enf Conf
Received Held
Enf EMC EMC OAH Collection
Remission Hearing Remission Remission. Memo Sent
Amount Held Amount Amount to AGO Total Paid
Balance Due
Has
Pmt
Plan
Case
Closed
LR-1990-0163 03/21/90
$150
$.00
$.00
$150.00
$.00
No
06/11/90
RV-1993-0039 03/29/93
$250
$.00
$.00
04/12/93 06/02/93
$250.00 $.00
$.00
No
06/03/93
LV-1994-0014 05/25/94
$5,500
$263.00
$.00
06/22/94 08/03/94
$.00 03/09/95 $.00 $5,730.00
$33.00
No
01/26/96
LV-1999-0450 7-1999 10125/99
$1,000
$48.00
$.00
$1,048.00
$.00
No
06/15/04
LV-2002-0114 11-2001 04/26/02
$2,250
$50.50
$.00
$810.69
$.00
No
06/15/04
LM-2002-0035 8-2002 01/06/03
$1,050
$67.32
$316.96
$.00
No
06/15/04
LM-2002-0036 1-2002 02/10/03
$1,975
$75.64
$545.21
$.00
No
06/15/04
LV-2003-0023 12-2001 02/10/03
$2,000
$75.64
$551.15
$.00
No
06/15/04
LV-2003-0096 3-2002 02/10/03
$500
$67.32
$186.20
$.00
No
06/15/04
LV-2003-0097 4-2002 02/11/03
$3,437.5
$67.32
$884.60
$.00
No
06/15/04
LV-2003-0098 5-2002 02/11/03
$1,562.5
$67.32
$438.81
$.00
No
06/15/04
LV-2003-0099 6-2002 02/11/03
$1,250
$67.32
$364.51
$.00
No
06/15/04
LV-2003-0100 7-2002 02/11/03
$1,562.5
$67.32
$438.81
$.00
No
06/15/04
LV-2003-0101 9-2002 02/11%03
$1,350
$67.32
$388.29
$.00
No
06/15/04
LV-2003-0148 10-2002 03/05/03
$1,450
$76.00
$420.76
$.00
No
06/15/04
LM-2004-0008 2-2004 05/12/04
$150
$101.00
$251.00
$.00
Yes
12/21/05
LM-2004-0021 3-2004 06/29/04
$300
$101.00
$401.00
$.00
Yes
12/21/05

09/15/09
2
Owner: Robert P Hahn
LV-2004-0503 7-2004 10/08/04 $250 $102.00 $352.00 $.00 Yes 12/21/05
LV-2005-0261
5-2005
08/02/05
$250
$102.00
$352.00 $.00
No 02/24/06
LV-2007-0205
3-2007
06/04/07
$250
$111.00
08/21/07 $361.00
No
LV-2007-0290
5-2007
07/24/07
$250
$111.00
10110/07 $361.00
No
LV-2007-0488
9-2007
12/17/07
$350
$117.72
$467.72 $.00
No 03/07/08
LV-2009-0285 5-2009 08/10/09 $250 $117.67
Total Cases: 23 $1,923.41
$367.67 No
$14,097.71 $1,122.67
Total Penalties: $29,260.91 Total Penalties after remission(s): $15,220.38

NGOOf52S ,.� p
EINC
e�
MERIT
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
RECEIVED
N.C. Dea of ENR
MAY 2 120
Winston-Salem
Regional office
May 7, 2009
Dear System Owner,
Enclosed you will find a copy of the annual performance report for 2008 required each year by
DENR. Please have the responsible parry sign & date the last page of the report, then make you a
copy and mail original to the following address:
System Performance Annual Report
North Carolina. Division of Water Quality
1617 Mail Service Center
Raleigh, N.C. 27699-1617
If you have any questions or need additional information please do not hesitate to call.
Sincerely
T_Vleritech Inc.
David Merritt
Mice President
RECEIVED
MAY 19 2009
DENR - WATER QUALITY
POINT SOURCE BRANCH

r
MINCERITECH..
' ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
Annual Performance Report
Crown Mobile Home Park WWTP
January 1, — December 31, 2008
I. General Information
Facility/System Name: Crown Mobile Home Park WWTP
Responsible Entity: Robert Hahn PO Box 1000,
Pittsboro, NC 27312
Person in Charge/Contact: Robert Hahn
Applicable Permit(s): WWTP NCO055255
Description of Collection System or Treatment Process:
A Grade II Wastewater treatment plant consisting of bar screen, equalization basin, 6
activated sludge basins in series and dual clarifiers and tablet chlorination system treats
waste that is collected throughout by a collection system with two lift stations.
II. Performance
Text Summary of System Performance for Year 2008
The system operated with no bypasses or system overflows during this period.
There were no violations for this period:
Office: 106-A South Walnut Circle P.O. Box 8808 Greensboro, NC 27419 [phone]
. Laboratory: 642 Tamco Road Reidsville, NC 27320 [phone]

III. Notification
A copy.of this report will be made available to all system users.
IV. Certification
I certify under penalty of law that this report is complete and accurate to the
best of my knowledge. I further certify that this report has been made
available to the users or customers of the named system and that those users
have been notified of its availability.
Date:
Title:
Office: 106-A South Walnut Circle P.O. Box 8808 Greensboro, NC 27419 [phone]
Laboratory: 642 Tamco Road Reidsville, NC 27320 [phone] -

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, PE. Director
Division of Water Quality
To: �AT2-�UL �E�¢ �T From: Co2�[ gAsat�.E�
Fax: �S3`) .�,, - �522 Pages: tk
Phone: Date:
Re: CC:
❑ Urgent ;For Review ❑ Please Comment ❑ Please Reply ❑ Please Recycle
• Comments:
T7r�-y scuff x, L4wb t A-S P(c[ -Tt ao S Al.St, A TV— c*&Gd1b. ►. S
Ar 14 PW-M a Al 1=0 2++f . ��. -rri� c-�.EL-ro o til I!l STB'?"s s
P,r + Yr v r 'l ik� Pfi�a traTL-S. T=;�" oW N �x 6GsC1i�� ✓ A
A- l.�"'[►�� ¢.�'z�Tu'1. 4-13a �iT "i�hht.S r.Sr�,J c.�-�.8"r-Tt o wl S� �. T87-7
North Carolina Division of Water Quality 585 Waughtown Street; Winston-Salem, NC 27107 Phone [phone] Noi` Carolina
Customer Service: 1-877.623-6748 Internet: www.ncwatGrquality.org Fax [phone] atitrall f
An Equal Opportunity/Affumative Action Employer - 50% Recycled/10% Post Consumer Paper

Faxed To: P4-rrz►u4- i" tamp—&-m—
Fax #: 6L8 1342 - lr 2Z
11
WWTP Inspection Checklist
QQ C-m-a wo.l M O-P
Facility(D Ccu&rm4sicw_ r-tp►aorz
�'swJTEc.7ST.nV C.a�.
Permit Effective Dates:
Inspection.Date:
Phone #: (.33�) G01-. 2l80
CD r4Co055zs5
NPDES: W mco 0-73571
d nc.00'ias�d9
to
Time:
am / pm
Please have the following records available for review on the above inspection date:
1) DMRs (dates Jai 1ADU to bU*4gfVw U,06
2) Lab data (per DMR dates)
3) Laboratories used for analysis & certification #'s
4) Chain -of -Custody Forms
5) Daily Operator's Log / ORC visitation log
6) Maintenance Log
7) Complete copy of current NPDES Permit
8) Flow Meter Calibration records (if applicable)
9) Flow Charts (if applicable)
10) Process Control Data (which includes field parameters tested and equipment
calibrations),
11) Field Parameter Certification (if applicable)
12) Current Sludge / Residuals permit (if applicable)
13) Sludge / Residuals Hauling Records (if applicable)
14) Sludge / Residuals Annual Report (if applicable)
15) Current Permittee / ORC / Back-up ORC information
16) Generator inspection/ under load check records
17) Spill Response Plan (current emergency contacts / phone numbers)
18) Status of SOC or Moratorium issuance (if applicable)
19) Wastewater Annual Report (fiscal or calendar year -if applicable)
20) Copy of last WWTP inspection by DWQ
21) Plant visual inspection of treatment units (including composite samplers and
stream monitoring locations)
22). Stream accessible for inspection (at effluent discharge pipe)
Note: WWTP NPDES records are to be kept for 3 years
Lab and Sludge records are. to be kept for 5 years
Questions call:
Water Quality Inspector: Corey Basin-ger
DWQ / Surface Water Protection
Winston-Salem Regional Office
Phone: [phone]
Fax: [phone]

Sanitary Sewer Overflows SSOs
How many SSOs were reported to DWQ in the past 12 months?
(Required to report to DWQ all s ills that reach surface water or greater than 1, 000gallons)
Were all SSOs over 15,000 gallons reported by public notice? .Y❑ NO
If yes, ask for copies of notices
Were all SSOs that reached surface water & greater than 1,000 gallons reported with a .
press release? Y❑ N❑ If es, ask for copies of releases
Comments:
Is the Collection System Map current? Y❑ No Does it include the following?
Approximate age of sewer lines? Y❑ No Line size? Y❑ N❑ Pipe material? Y❑- N❑.
Flow Direction? Y❑ NOPump stations? Y❑ N❑ Major tap locations of satellite
systems? Y❑� N❑ Annual updates? Y❑ N❑ Construction drawings? Y❑ N❑
Miles/feet of collections stem -
Comments:
Does the system have a Grease Control Program? Y❑ No
Has the owner/operator distributed, educational material once every 2 years.? Y❑ N❑
More frequently, if SSO's are caused by grease? Y❑ ND
Comments:
High Priority Sewer Lines i.e. suspended, in channel, or under body of water
Has the operator inspected high -priority sewer lines at least every 6 months? Y❑ N❑
Has the operator maintained an inspection log? Y❑ No
Does it include the following: Dates of.inspections? Y❑ N❑ Inspection methods such as
visual observation or cleaning lines and/or right-of-way? Y❑ N❑
Corrective actions taken orplanned? Y❑ N❑
Comments: . .

Does the Operation & Maintenance Plan include the following?
Pump station inspection frequency? Y❑ N❑ Spare Parts inventory? Y❑ N❑ :
Preventative maintenance schedule? Y❑ N❑ Overflow response plan? Y❑ N❑
Schedule to test emergency equipment? Y❑ N❑
Comments:
Self -Monitoring, Inspections, & Maintenance
Does the operator perform Pump Station Inspections on a weekly basis if functioning
telemetry exists? Y❑ No Or every day if no functional telemetry? Y❑ NO
Do Pump Station Inspections include the following maintenance tasks? Remove any.
exterior debris as needed? Y❑ N❑ Remove interior debris as needed? Y❑ N❑
Exercise all valves? Y❑ N❑ Lubricate pumps? Y❑ N❑ Lubricate any mechanical
equipment? Y❑ N❑ Check operation of alarms? Y❑ No Check operation of
telemetry? Y❑ No Check operation of generator? Y❑ N❑ Is pump failure contingency
Ian posted at purnp station? Y❑ No
Total # Pump Stations: # Pump Stations with telemetry:
# Pump Stations Wout telemetry:
# Pump Stations without emergency contact informationposted:
Comments:
Does the operator adequately maintain Right -of -Ways and Easements? Y❑ N❑
Does the operator keep a maintenance log or map to show progress? Y❑ NO
Comments:
Does operator perform Sewer Line Cleaning at rate of 10% of lines per year? Y❑ N❑
Does the operator keep a maintenance log or map to show progress? Y❑ NO
Comments:
Is a general observation of the entire system performed on annual basis? Y❑ NO
Comments:
Are all records maintained for 3 ears? Y❑ N❑
Comments:

Does the Operation & Maintenance Plan include the following?
Pump station inspection frequency? Y❑ NO Spare Parts inventory? Y❑ NO :
Preventative maintenance schedule? Y❑ N❑ Overflow response plan? Y❑ N❑
Schedule to test emergency equipment? Y❑ N❑
Comments:
Self -Monitoring, Inspections, & Maintenance
Does the operator perform Pump Station Inspections on a weekly basis if functioning
telemet exists? Y❑ NO Or every day if no functional telemetry? Y❑ NO
Do Pump Station Inspections include the following maintenance tasks? Remove any.
exterior debris as needed? Y❑ N❑ Remove interior debris as needed? Y❑ NO
Exercise all valves? Y❑ NO. Lubricate pumps? Y❑ NO Lubricate any mechanical
equipment? Y❑ NO Check operation of alarms? Y❑ N❑ Check operation of
telemetry? Y❑ No Check operation of generator? Y❑ N❑ Is pump failure contingency
Ian posted at puhip station? Y❑ N❑
Total # Pump Stations: #Pump Stations with telemetry:
# Pump Stations Wout telemetry:
# Pump Stations without emer enc . contact informationposted:
Comments:
Does the operator adequately maintain Right -of -Ways and Easements.? Y❑ NO
Does the operator keep a maintenance log or map to show` ro ress? Y❑ NO
Comments:
Does operator perform Sewer Line Cleaning at rate of 10% of.lines per year? Y❑ NO
Does the operator keep a maintenance log or map to show progress? Y❑ N❑
Comments:
Is a general observation of the entire system performed on annual basis? Y❑ NO
Comments:
Are all records maintained for 3 ears? Y❑ N❑
Comments:

Facility: � +� � , T
Parameter
ate,
Weekly/Daily Violations
Parameter Permit Limit/Tvpe DMR Value % Over Limit
Monitoring Frequency Violations
Parameter Permit Frequency Values Reported # of Violations
Cover Sheet from
Staff Member to
Regional Supervisor
DMR Review Record
Permit/Pipe No.: 9C&66Z55
MondvYear d8
Date
Date
Other Violations
Monthly Average Violations
Permit Limit DMR Value
2.0 2.o4
Completed by: �
Regional Water Quality
Supervisor SiQnoff:46
r
% Over Limit
2 '/
0
Date: - 3 l fiCF 40,9
Date: /d3! — oY

L
/ ' ::Z,/ -
444P- 'DO 4f-x- V jY4___
blockade-runner
beach resort
wrightsville beach, nc E 800.541.1161 0 blockade-runner.com

Y FIFAA
/
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
October 3, 2007
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
Mr. Lee Simaan
Quail Acres Mobile Home Park
6205 Wescott Drive
Summerfield, NC 27358
Dear Mr. Simaan:
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
F
Rv
SUBJECT: Final Notice - Delinquent Annual Fees
NPDES Permits NCO055255 & NCO059251
All NPDES permittees must pay an Annual Compliance Monitoring Fee. This requirement is documented in
your current permit at Part II. B. 14. The 2006 annual fee for Quail Acres MHP (NC0059251) and the 2007
annual fee for Crown MHP (NC0055255) have not been paid. The total amount owed is $1,430.00; copies of
the invoices previously sent to your facility are attached.
Failure to pay the annual fee is grounds for revocation of your permit, as documented in part II.
B. 13 and II. B. 14. This letter serves as final notice that the Division will refer the fees noted
above to the North Carolina Attorney General's Office for collection through the courts unless
payment in the amount of $1,430.00 is received by November 2, 2007.
Make checks payable to NC DENR; include the permit numbers and invoice numbers on the check. Send the
fee payment to:
Fran McPherson
Annual Administering and Compliance Fee Coordinator
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have evidence that the fee has already been paid, please contact Mrs. McPherson at 919 733-5083,
extension 210.
Sincerely,
Charles-H. Weaver, Jr.
NPDES Unit
cc: Central Files
ins .on=Salem egionalj.Office./ Coxes Basinger
inston-SN m Regional Office / David Russell
NPDES file
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NorthCarohna
Phone: [phone] / FAX [phone] / Internet: www.ncwaterquality.org ����N� //llI '
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper `

Cover Sheet from
Staff Member to
Regional Supervisor
DNIR Review Record
Facility: r Pem-LfPiP e No.: I/C49D SS7S Month/Year 02.
Monthly Average Violations
Parameter Permit Limit DMR Value % Over Limit
WeeklyQ Violations
Date Parameter Permit Lirnitgvpe L, u
�'°`` �v ®--
-- G ,
4v I
Monitoring Frequency Violations,_V
��s... e-
Date Parameter Permit Frequency Value
�CA
at�ts—
Other Violations �+
YJ
svtd etj�-c
e
Completed by:
Regional Water Quality
Supervisor Signoff:
Date:
Date:

V.
WOO
NPDES PERMIT NO. W- OFS 5a 5 S
FACILITY NAME t n "
OPERATOR IN RESPONSIBLE CHARGI
CERTIFIED LABORATORIES (1, --
CHECK BOX IF ORC HAS CHANGED
Mail ORIGINAL and ONE COPY to: SE
ATTN: CENTRAL FILES V
DIVISION OF WATER QUALITY R
1617 MAIL SERVICE CENTER
EFFLUENT-0P 1 12007 •.
DISCHARGE NO. t22 1 MONTH y' YE
CLASS COUN �.xU
l--y- GRADES =E3�
L (2)
�G-iV' eeaa�CiC'�^IQ`
"Deot. �ERSON(S' C L CTING SAMPLES
2 6 2007 SEP 14 2007
nstonSaIL.5,�GNA
glonal ofBgpTHIS
7RE, I CERTIFY THAT THIS REPORT IS
COMPLETE TO THE BEST OF MY KNOWLEDGE,.
DATE
DWQ Form NIP-1 (01/00)

Y
Facility Status: (Please check one of the following)
All monitoring data and sampling frequencies meet permit requirements F-1
Compliant
All monitoring data and sampling frequencies do NOT meet permit requirements
Noncompliant
If the facility is noncompliant, please comment on corrective actions being taken in respect to equipment, operation, maintenance, etc.,
and a time -table for improvements to be made.
"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 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."
Permi.ttee Address
00010
Temperature
00076
Turbidity
00080
Color (Pt -Co)
00082
Color (ADMI)
00095
Conductivity
00300
Dissolved Oxygen
00310
BODS
00340
COD
00400
pH
00530
Total Suspended
Residue
00545
Settleable Matter
Permit e (Pfe�e print or type)
0-7
Signature of Per e** Date
(Required)
Phone Number
PARAMETER CODES
00556
Oil & Grease
00951
Total Fluoride
00600
Total Nitrogen
01002
Total Arsenic
00610
Ammonia Nitrogen
00625
Total Kjeldhal
01027
Cadmium
Nitrogen
00630
Nitrates/Nitrites
01032
Hexavalent Chromium
01034
Chromium
00665 Total Phosphorous
01067 Nickel
01077 Silver
01092 Zinc
01105 Aluminum
Permit Exp. Date
50060 Total
Residual
Chlorine
01147 Total Selenium 71880 Formaldehyde
31616 Fecal Coliform 71900 Mercury
32730 Total Phenolics 81551 Xylene
00720
Cyanide
01037
Total Cobalt
34235
Benzene
00745
Total Sulfide
01042.
Copper
34481
Toluene
00927
Total Magnesium
01045
Iron
38260
INIBAS
00929
Total Sodium
01051
Lead
39516
PCBs
00940
Total Chloride
01062
Molybdenum
50050
Flow
Parameter Code assistance may obtained by calling the Point Source Compliance/Enforcement Unit at [phone] or by visiting
the Water Quality Section's web site at h2o.enr.state.ne.us/was.and linking to the Unit's information pages.
Use only units designated in the reporting facility's permit for reporting data.
0(1 c,—gJ
* ORC must visit facility and document visitation of facility as regifireli_per r5A NCAC 8G .0204.
**'If signed by other than the permittee, delegation of signato?y� tli'ority must be oii=file with the state per 15A NCAC 2B .0506 (b)
(2) (D)•

0
NPDES NO. -PC-co65aSG DISCHARGE NO. 00t —MONTH--�v YEAS -�Oul
COUNTY Gul � �Or -k
FACILITY NAVfE--a-0—W--'\ —M \A �P
STREAM —u.-r- ct/- STREA
LOCATION
Upstream Downstream
00010 00400 00310 00300 31616 7595
Enter Parameter Code
Above Name and
o Units Below
CL(
0 0
urnhos/
HRS c WIMMI cm
imami --- _UMMMEEffiff"
2
RMIMM
4
6
as
8.
101
. . . . . . . . . . . .
12
14,
16
Emffiffimmm
18
mom"px# is
20
Hmmm -7
22
24 1
EMEMM=
26
MOM
28
30,
ME
Average Q)
Pinimum,
00310 7300 31616 00095
Enter Parameter Code
Above Name and
g ��4 > Units Below
u 0 z -
uu
Wnhos/
FIRSIRS *C Units mg/1 mg/1 #1100riii cm
. . . . . . . . . . . . . . . . . . . . . .
qqg
•
),0-
MEE
DENI Form MR-3 (12193)

SE P -J 07

�pF W ATF9Q Michael F. Easley, Governor
�0 G William G. Ross Jr., Secretary
rNorth Carolina Department of Environment and Natural Resources
>
.Alan W. Klimek, P.E. Director
Division of Water Quality
July 9, 2007
Mr. Lee Simaan
Crown Mobile Home Park
6205 Westcott Drive
Summerfield,- North Carolina 27358
SUBJECT: WQCSD0211
Collection System Inspection
Crown Mobile Home Park
Guilford County
Dear Mr. Simaan:
An inspection of your collection system was conducted on May 9, 2007 by Corey Basinger of this office. An
earlier informational letcer was sent to your address that detailed the requirements for collection systems
that are deemed to be permitted. I would like to remind you that these requirements for sewer collection
systems were first established in 15 NCAC .02H .0200 in March 2000 and are now found in 15 NCAC 2T
.0403.
1. Pump Station Inspections- The 2 pump stations in this system do not have telemetry and
therefore they must be inspected every day (365/year). A log must be maintained to document
these inspections.
2. O &z M Plan- The operation and maintenance plan should list the preventative maintenance
schedule, pump station inspection frequency, spare parts inventory, and include an overflow
response plan. Testing frequency for any emergency equipment should also be included in this
plan. Please confirm that a complete plan is available within 30 days. (Example attached)
3. Collection System flap -A map of the collection system must be available and maintained
with any additions to the system. The map should indicate the line size, pipe material, flow
direction, approximate age of the sewer, pump station capacities, any high priority lines and
number of active service taps. The map appeared to be generally complete at this time.
4. High Priority Lines- These sections of sewer include aerial lines, lines contacting surface waters,
sub -waterway crossings, siphons, and sections of sewer parallel to stream banks which are subject
to erosion and the potential for failure of the sewer line. High priority lines must be inspected every
six (6) months and a log maintained with dates, inspection methods, and corrective actions taken
or planned. These should be identified on the Collection System Map as noted above. (Seeex.)
5. Right -of Way- The sewer line right-of-ways should be maintained to allow access to the sewer
lines for inspection and repair. The dates of the work performed can be noted on the map or a log
could be used for documentation. (See example form)
6. Observation- A general observation of the entire system must be conducted every year and a log
(or map) should be maintained to document these observations. Where there are areas that are
visible to the general public, right of way maintenance has been conducted or where sewer
cleaning has occurred, the "observation" requirement has essentially been met for that section of
line. The lines that are not normally seen bythe public or maintenance crews are of main concern
for this "observation " requirement. (See example form)
7. Grease education- Privately owned collection systems must distribute grease education materials
to the users of the system every two years. (Attached is an example of the type bilingual
document that has been used by others). If sewer overflows are caused by grease, these
documents shall be distributed more often.
No�rthCarolina
Natmrailb(
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Internet: www.newaterquality.org Winston Salem, NC 27107 Fax [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

8. Overflows- Any sewer overflows or bypasses that reach surface waters or exceed 1000 gallons
(on the ground) must be reported within 24 hours to the Division. (Reporting after hours or on
weekends and holidays should be to the Division of Emergency Management at 1-800-858-0368 or
1-919-733-3300). A follow-up 5-day report (blank form attached) is also required which verifies the
cause of the spill and any actions taken to diminish the impacts and to prevent a recurrence. A
press release to all electronic and print news media outlets that provide general coverage in the
countywhere the discharge occurred is required within 48-hours of first knowledge of the spill for all
discharges of at least 1000 gallons to surface waters. If there is a spill of at least 15,000 gallons to
surfacewaters a public notice must also be issued in a newspaper having general circulation in the
County where the spill occurred and in the County immediately downstream. Contact this office if
you need any forms or further information on this topic. Records of the spills that are less than
1000 gallons and do not reach surface waters should also be maintained as this information can be
utilized to identify obstructions to the lines or excessive infiltration / inflow (1/1). Comply with this
immediately for any overflows or bypasses
9. Documentation- Maintain all documentation for at least 3 years.
10. Prevent Discharges- Maintain and operate the system, "at all times to prevent discharge to land
or surface waters, and to prevent any contravention of groundwater standards or surface water
standards".
It is recommended that older sewer systems and systems that have experienced repeated overflows have
at least 10% of the system cleaned each year. Smaller systems not experiencing overflows, should clean
half of the system every five years or 1/3 every three years and a record of this information should be
maintained for review.
You may wish to check the website on collection systems at:
<http://h2o.enr.state.nc.us/peres/Collection%20Systems/CollectionSystemsHome.html>
Please respond to this office within 30 days to confirm that the O & M Plan is complete, the pump stations
are being inspected daily and give the schedule to distribute grease education materials. Should you have
any other questions concerning this correspondence or the requirements relating to collection systems,
please contact Steve Mauney at 336.771-4969.
Sincerely,
Steve W. Tedder
Water Quality Supervisor
Attachments
cc: p r � aai g
S P-Central Files & WSRO
PERCS

1
Compliance I.nspection Report
Permit: WQCSD0211 Effective: 03/01/00 Expiration: Owner: Lee Simaan
SOC: Effective: Expiration: Facility: Crown MHP-Collection System
County: Guilford
Region: Winston-Salem
Contact Person: Lee Simaan Title: Phone: [phone]
Directions to Facility:
System Classifications:
Primary ORC: Certification: Phone:
Secondary ORC(s):
On -Site Representative(s):
Related Permits:
Inspection Date: 05/09/2007 Entry Time: 10:15 AM Exit Time: 11:30 AM
Primary Inspector: William C Basinger Phone: [phone]
Secondary Inspectors):
Reason for Inspection: Routine ` Inspection Type: Compliance Evaluation
Permit Inspection Type: Deemed permitted collection system management and
operation
Facility Status: ❑ Compliant ❑ Not Compliant
Question Areas:
Miscellaneous Questions Performance Standards Operation & Maint Reqmts ® Records
Monitoring & Rpting ■ Inspections ® Pump Station Lines
Reqmts
(See attachment summary)
Page: 1

Permit: WQCSD0211 Owner - Facility: Lee Simaan
Inspection Date: 05/09/2007 Inspection Type: Compliance Evaluation
Reason for Visit: Routine
Performance Standards
Yes
No
NA
NE
Is Public Education Program for grease established and documented?
n
®
n
n
What educational tools are used?
A bilingual form that can be used for grease education will be attached to this report.
Is Sewer Use Ordinance/Legal Authority available?
n
n
11
Does it appear that the Sewer Use Ordinance is enforced?
❑
n
®
n
Is Grease Trap Ordinance available?
n
n
®
n
Is Septic Tank Ordinance available (as applicable, i.e. annexation)
❑
n
®•n
List enforcement actions by permittee, if any, in the last 12 months
Has an acceptable Capital Improvement Plan (CIP) been implemented?
n
n
®
n
Does CIP address short term needs and long term \"master plant/ concepts?
❑
n
IM
n
Does CIP cover three to five year period?
n
n
n
Does CIP include Goal Statement?
❑
n
®
n
Does CIP include description of project area?
Does CIP include description of existing facilities?
❑
❑
Does CIP include known deficiencies?
❑
n
®
❑
Does CIP include forecasted future needs?
n
n
n
Is CIP designated only for wastewater collection and treatment?
n
❑
®
n
Approximate capital improvement budget for collection system?
Total annual revenue for wastewater collection and treatment?
CIP Comments
CIP not required.
Is system free of known points of bypass? ❑
If no, describe type of bypass and location
Is a 24-hour notification sign posted at ALL pump stations? ® ❑ n n
# Does the sign include:
Instructions for notification?
®n
n n
Pump station identifier?
®
n
n n
24-hour contact numbers
®
n
n n
If no, list deficient pump stations
Page: 3

Permit: WQCSD0211 Owner -Facility: Lee Simaan
Inspection Date: 05/09/2007 Inspection Type: compliance Evaluation Reason for Visit: Routine
# Do ALL pump stations have an "auto polling" feature/SCADA? fl 0 0
Number of pump stations 2
Number of pump stations that have SCADA 0
Number of pump stations that have simple telemetry 0
Number of pump stations that have only audible and visual alarms 2
Number of pump stations that do not meet permit requirements
# Does the permittee have a root control program? ❑
# If yes, date implemented?
Describe
Comment: The pump stations may be adequate but as they do not have telemetry,
they should be inspected daily. The audible and visual alarms must be maintained to
provide warning of a pump station failure.
Inspections
Yes No NA NE
Are maintenance records for sewer lines available?
n 0 n n
Are records available that document pump station inspections?
n ® n n
Are SCADA or telemetry equipped pump stations inspected at least once a week?
Are non-SCADA/telemetry equipped pump stations inspected every day?
n n n
Are records available that document citizen complaints?
# Do you have a system to conduct an annual observation of entire system?
IM n n
# Has there been an observation of remote areas in the last year?
® n n n
Are records available that document inspections of high -priority lines?
❑ ® ❑
Has there been visual inspections of high -priority lines in last six months?
® n n n
Comment: The collection system has been inspected in the last year but records are
not available to document it.
Operation & Maintenance Requirements
Yes No NA NE
Are all log books available?
n ® 011
Does supervisor review all log books on a regular basis?
❑ ® 0
Does the supervisor have plans to address documented short-term problem areas?
®n n n
What is the schedule for reviewing inspection, maintenance, & operations logs and problem areas?
Are maintenance records for equipment available? 1=l ®, ❑ rl
Is a schedule maintained for testing emergency/standby equipment? ❑ ❑ ❑ f�l
Page: 4

Permit: WQCSD0211 Owner - Facility: Lee Simaan
Inspection Date: 05/09/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
What is the schedule for testing emergency/standby equipment?
Do pump station logs include:
Inside and outside cleaning and debris removal? ® ❑ ❑ I]
Inspecting and exercising all valves?
Inspecting and lubricating pumps and other equipment?
R
n
n
n
Inspecting alarms, telemetry and auxiliary equipment?
®n
n
n
Is there at least one spare pump for each pump station w/o pump reliability?
n
n
n
12
Are maintenance records for right-of-ways available?
❑
®
(l
❑
Are right-of-ways currently accessible in the event of an emergency?
n
n
n
Are system cleaning records available?
n
®n
n
Has at least 10% of system been cleaned annually?
❑
rl
What areas are scheduled for cleaning in the next 12 months?
Is a Spill Response Action Plan available?
Does the plan include:
24-hour contact numbers
n
®n
n
Response time
n
n n
Equipment list and spare parts inventory
n
®n
n
Access to cleaning equipment
n
®n
n
Access to construction crews, contractors, and/or engineers
n
®n
n
Source of emergency funds
n
®
n n
Site sanitation and cleanup materials
n
®n
n
Post-overflow/spill as
n
n n
Is a Spill Response Action Plan available for all personnel?
n
®n
n
Is the spare parts inventory adequate?
n
n
n
Comment: A spill response plan was not available and it was reported that an overflow
from a pump station was discovered 5-7-07 that was less than 1000 gallons to the
stream. It has also been reported that sludge at the WWTP spilled to the stream on
4-9-07 which did not exceed 8000 gallons.
Records Yes No NA NE
Are adequate records of all SSOs, spills and complaints available? ❑ ® ❑ rl
Are records of SSOs that are under the reportable threshold available? 1=l rl ❑
Page: 5

Permit: WQCSD0211 Owner - Facility: Lee Simaan
Inspection Date: 05/09/2007 Inspection Type: Compliance Evaluation Reason for Visit: Routine
Do spill records indicate repeated overflows (2 or more in 12 months) at same location? nnn
If yes, is there a corrective action plan? ❑ ❑ ❑
Is a map of the system available? ® n n rl
Does the map include:
Pipe sizes
Pipe materials
Pipe location
Flow direction
Approximate pipe age
Number of service taps
Pump stations and capacity
If no, what percent is complete?
List any modifications and extensions that need to be added to the map
®nnn
®nnn
®nnn
®nnn
®nnn
nnn®
®nnn
# Does the permittee have a copy of their permit? n n
EM
Comment: Any sewer spills that reach surface waters must be reported to DWQ ASAP
but always within 24 hours. A press release must be issued within 48 hours for any
sewer spills that reach surface waters and exceed 1000 gallons and if the spill exceeds
15,000 gallons then a public notice must also be issued within 10 days.
Monitoring and Reporting Requirements
Are copies of required press releases and distribution lists available?
Are public notices and proof of publication available?
# Is an annual report being prepared in accordance with G.S. 143-215.1 C?
# Is permittee compliant with all compliance schedules in the permits?
If no, which one(s)?
Comment: A sample press release will be attached to this report.
Page: 6

COLLECTION SYSTEM INSPECTION FORM
Vy,DLc111 Xl;ffkf
NPDES # IVC_06S67_55
Inspecto.7-
Date_' Time /o iS - eJ3®
Sanita Sewer Overflows SSOs
How many-SSOs were reported to DWQ in the past 12 months? -
(Required to report to DWQ all spills that reach surface- water orgreater than 1, 000gallons)
Were all SSOs over 15,000 gallons reported by public notice? Y❑ N❑ "/A -
If yes, ask for copies of notices
Were all SSOs that reached surface water & greater than 1,000 gallons reported with a
press release? Y❑ N® If yes, ask for copies of releases n1eg�PS 6vi$>ANC-C
Comments: a s �io �l�s�vere-,d
Is the Collection -System Map current? �°N❑ Does it include the following?.
Approximate age of sewer lines? Y& N❑ Line size? YN N❑ Pipe material?.Y.�'N❑
Flow Direction? Y r.N❑ Pump stations? :YO'N❑ Major tap locations of satellite...
s stems? YZN❑ Annual u dates? Y❑ N® Construction drawings? Y�'N❑
Comments:
Does the.s stem have a Grease Control Program? Y❑ N2r
Has the operator distributed educational material once every 2 years? Y❑ NY
More fre iuentl if SSO's are caused by grease? Y❑ ND
Comments:
Hi 4h Priority Sewer Lines i.e. sus ended, in channel, or under body of water
Has the operator inspected high -priority sewer lines at least eve 6 months? Y N❑
Has the o erator maintained an inspection log? Y❑ N
Does it include the following: Dates of.inspections? Y❑ N❑+Inspection methods such as,
visual observation or cleaning lines and/or right-of-way? Y❑ N❑ Corrective
actions taken orplanned? Y❑ N❑
Comments:

Does the Operation & Maintenance Plan include the following? NO PL, A /.Ii
Pump station inspection frequency? Y❑ N❑ Spare Parts inventory? YD NO
Preventative maintenance schedule? Y❑ N❑ Overflow response plan? YO NO
Schedule to test emergency equipment? Y❑ NO
Comments: /U,�,rt,5 &W16A 11CC- vn�. ,a-r.�.r�- Arl PL-Ar"
Self -Monitoring, Inspections, & Maintenance.
Does the operator perform Pump Station Inspections on a weekly basis if functioning
telemetry exists? Y❑ N❑ Or every day if no functional telemetry? Y❑ NXf . W LL
Do Pump Station. Inspections include the following maintenance tasks? Remove any
exterior debris as needed? YKN❑ Remove interior debris as -needed? YKN❑
Exercise all valves? �NO Lubricate pumps? Y❑ N*ubricate any mechanical
equipment? YS'NO,Check operation of alarms?.YgN❑ Check operation -of
telemetry? YO 1-Check operation of generator? YO N s pump failure contingency
Ian posted at pump station? YO NW
Total # Pump Stations: Z # Pump Stations with telemetry: o
# Pump Stations w/out telemetry-.2
# Pump Stations without emergency contact informationposted:..
Comments:
Does the operator adequately maintain Right -of -Ways an.d Easements?' Y`5NO . .
inr man fn ¢hr) nrorlrASS7 YF N1K
IJVGJ II IG
Comments:
Does operator perform Sewer Line Cleaning at rate of 10% of lines per year? Y❑ t K _
Does the operator keep a maintenance log or map to show ro ress? Y❑ NF
Comments:.
Is a general observation of the entire system'performed on annual basis? YEN❑
Comments:
Are all records maintained for 3 ears? NO
Comments:

O�O� W AT �9QG
r
CERTIFIED MAIL NO. 7006-3450-0002-6470-0819
RETURN RECEIPT REQUESTED
Mr. Lee Simaan
Crown Mobile Home Park
6205 Westcott Drive
Summerfield, NC 27358
SUBJECT: NOTICE OF VIOLATION
Compliance Evaluation Inspection
Crown Mobile Home Park WWTP
NPDES Permit No. NC0055255
Guilford County
Dear Mr. Simaan:
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality
10 May 2007
A Compliance Evaluation Inspection (CEI) was performed on the Crown Mobile Home Park wastewater treatment plant on
Wednesday, May 9, 2007 by Corey Basinger of the Winston-Salem Regional Office. In addition to you, Patrick Merritt,
ORC and Rose Pruitt (Environmental Specialist) were present for the inspection. The inspection consisted of two parts: an
on -site inspection of the treatment facility and a file review. The following are the findings from the subject inspection.
I. Permit
The NPDES permit for the Crown Mobile Home Park WWTP became effective September 1, 2006 and expires on August
31, 2011. The permitted components of the 0.042 MGD wastewater ,treatment plant include: two (2) influent pump
stations, a manual bar screen, grit and grease tank, five (5) aeration tanks in series, two (2) final clarifiers in parallel,
aerated digester, tablet chlorination with chlorine contact tank, reaeration tank, and flow measurement.
II. Records/Reports
A review of the laboratory reports and Discharge Monitoring Reports (DMRs) for the Crown Mobile Home Park WWTP
for the period January 2006 through December 2006 revealed that the facility had one (1) effluent limitation violation. This
was a monthly average violation of ammonia -nitrogen in June 2006. The Division issued a Notice of Violation for this
violation. Operations records include all sample analyses and process control tests that are performed daily. The Annual
Performance Report was due by April 1, 2007. It has not yet been received. Please submit this report by June 15, 2007.
III. Facility Site Review
The facility site review indicated that the 0.042 MGD treatment works is consistent with the permitted components. The
actual treatment system consists of two (2) influent pump stations, a manual bar screen, grit and grease tank, five (5)
aeration tanks in series, two (2) final clarifiers in parallel, aerated digester, tablet chlorination with chlorine contact tank,
reaeration tank, and flow measurement. The facility has a dechlorination unit but it is not being used at this time. The
following deficiencies were noted:
a) An audible alarm at Pump Station #1 (at the pond) has not been installed as requested in the
previous two (2) annual inspection reports. The audible alarm must be installed by June 15, 2007
in order to prevent an enforcement action by the Division. The alarm must operate by float
control and a test switch.
b) A Sanitary Sewer Overflow (SSO) was discovered at Pump Station #2 on Monday, May 7, 2007. It
was estimated that less than 1,000 gallons of sewage entered the stream adjacent to the pump NoPne
i Carolina
NtATally
North Carolina Division of Water Quality 585 Waughtown Street Phone [phone] Customer Service
Winston-Salem Regional Office Winston-Salem, NC 27107 Fax [phone]
Internet: www.ncwaterquality.org
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

Mr. Lee Simaan
May 10, 2007
Page 2 of 3
station. A licensed septic hauler was contracted to clean the creek and remove the sewage. This
was completed by the date of this inspection. A five day report (blank form attached) must be
completed and returned to this Office.
c) The Annual Performance Report was due April 1, 2007. It has not yet been received. Please
submit this report by June 15, 2007 to this Office.
IV. Effluent / Receiving Stream
The WWTP discharges to an unnamed tributary to Hickory Creek (WS-IV waters in the Cape Fear River Basin). The
effluent was clear on the date of inspection. The receiving stream had a minor amount of solids, most likely due to the SSO
from the pump station. The stream was free of foam and debris.
V. Flow Measurement
Effluent flow is measured with a 45' v-notch weir in conjunction with an ISCO 3010 ultrasonic flow meter and totalizer.
The meter was calibrated on March 7, 2007. The calibration documentation should be forwarded to this Office.
VI. Self-MonitoringProgram
A review of the discharge monitoring reports (DMRs) for the time period of January 2006 through December 2006
demonstrated that the Crown Mobile Home Park WWTP had one (1) effluent violation. This was a monthly average
violation of ammonia -nitrogen in June 2006. The Division issued a Notice of Violation for this violation.
VII. Compliance Schedules
An audible alarm for Pump Station #1 (pond pump station) has not been installed. This was requested .in the
previous two (2) annual compliance inspections.
VIII. Laboratory
All of the sample analyses are conducted by Meritech, Inc. The laboratory was not reviewed at the time of the subject
inspection.
IX. Operation and Maintenance
On the date of inspection, the facility was much improved. The diffusers appeared to be functioning properly, both blower
motors were functional, both clarifiers were clear with very little floating solids, the sludge blankets were in the appropriate
range, there was a minimal accumulation of solids in the contact tanks and the effluent was clear. The new Total Residual
Chlorine limit of 28 ug/l will take affect on February 1, 2008. Prior to that date, an adjustment will be required to the
sampling location. When this adjustment is made, the sampler tubing must be entirely replaced.
X. Sludge Utilization/Disposal
Solids are removed from the WWTP as necessary by a licensed contract hauler and disposed of properly.
XI Pretreatment Stormwater and Pollution Prevention
Not evaluated during this inspection.
XII. Sewer Overflow
An overflow at Pump Station #2 was discovered on May 7, 2007. It was estimated that less than 1000 gallons of sewage
entered the creek adjacent to the pump station. A licensed septage hauler was contracted to clean the area and pump the
solids from the creek. This was completed prior to the inspection. A five-day report is required for this SSO. A blank
form is attached. A brief collection system inspection was also conducted. The results of this inspection will be sent to
you in a separate correspondence.

Mr. Lee Simaan
May 10, 2007
Page 3 of 3
XIII. Other
The previous inspection was conducted by Corey Basinger on March 2, 2006. If you have any questions or concerns
regarding this report; please contact Corey Basinger at 336-771-5000.
Sincerely,
r,PA
Steve W. Tedder
Water Quality Supervisor
Cc: Patrick Merritt, ORC (Meritech, Inc., 642 Tamco Rd, PO Box 27, Reidsville, NC 27320)
Guilfor G unty Health Department
SRO
Central Files

Form Approved
OMB 0057
.E
Fa
cd
p0
Approval ires
8-31-98
United States Environmental Protection Agencv. Washington. D.C.. 20460
Section A: National Data System Coding
Transaction Code NPDES No. Yr/Mo/Day Inspection Type Inspector FacilityType
N 5 NC0055255 07-05-09 C S 2
Facility Evaluation Rating BI QA ..........Reserved...........
3 N N
Section B: Facility Data,
Name and Location of Facility Inspected:
Entry Time:
Permit Effective
1015 hrs.
Date: Sept 1, 2006
CROWN MOBILE HOME PARK
Exit Time:
Permit Expiration
GUILFORD COUNTY
1130 hrs. I
Date: Aug 31, 2011
Name(s) of On -Site Representative(s): Title(s): Phone No(s):
Mr. Patrick Merritt ORC 336-317-5938 or 336-601-2180
Mr. Lee Simaan Owner 336-382-6783
Name, Address of Responsible Official:
Title: Owner
Phone No. 336.382-6783
Contacted? Yes
Mr. Lee Simaan
Crown Mobile Home Park
6205 Westcott Drive
Cell 336-274.2208 work
Summerfield, NC 27358
Section C: Areas Evaluated During Inspection
X Permit X Flow Measurement X Operations/Maintenance NA Sewer Overflow
X Records/Reports X Self -Monitoring Program X Sludge Handling/Disposal NA Pollution Prevention
X Facility Site Review X Compliance Schedules NA Pretreatment NA Multimedia
X Effluent/Receiving Waters NA Laboratory NA Stormwater NA Other:
Section D: Summary of Findings/Comments
See attached report for further details.
REVIEW PERIOD January 2006 - December 2006)
Name(s) and Signature(s) of Inspectors:
Agency/Office/Telephone:
Date:
DWQ / WSRO / [phone]
ld
Signature of iewer:
Agency/Office:
DWQ / WSRO / [phone]
Date:
S
t ��

r
Permit: NCO055255
Inspection Date: 05/09/2006
Owner- Facility: Crown Mobile Home Park WWTP
Inspection Type: Compliance Evaluation
Operations & Maintenance
Yes
No
NA
NE
Is the plant generally clean with acceptable housekeeping?
■
❑
rl
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable Solids, pH, DO, Sludge
■
n
n
n
Judge, and other that are applicable?
Comment:
Permit
Yes
No
NA
NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
fl
■
❑
Is the facility as described in the permit?
■
❑
n
n
# Are there any special conditions for the permit?
n
Cl
■
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:
Record Keeping
Yes
No
NA
NE
Are records kept and maintained as required by the permit?
■
n
n
❑
Is all required information readily available, complete and current?
■
❑
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?
■
fl
❑
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?
■
Has the facility submitted its annual compliance report to users and DWQ?
n
■
n
n
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
El
11
■
11
Is the ORC visitation log available and current?
■
❑
❑
❑
Is the ORC certified at grade equal to or higher than the facility classification?
■
❑
O
Is the backup operator certified at one grade less or greater than the facility classification?
■
n
Cl
n
Is a copy of the current NPDES permit available on site?
■
❑
Page # 3

Permit: NC0055255 Owner - Facility: Crown Mobile Home Park wwTP
Inspection Date: 05/09/2006 Inspection Type: Compliance Evaluation
Record Keeping
Yes
No
NA
NE
Facility has copy of previous years Annual Report on file for review?
■
n
n
n
Comment: Annual Report due.
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
El
0
If effluent (diffuser pipes are required) are they operating properly?
n
n
■
n
Comment:
Flow Measurement - Effluent
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
❑
(If units are separated) Does the chart recorder match the flow meter?
n
n
■
n
Comment: Facility needs to submit a copy of the flow meter calibration
documentation.
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?
■
❑
❑
❑
# Is the odor acceptable?
■
n
n
❑
# Is tankage available for properly waste sludge?
■
n
❑
Comment:
Pump Station - Influent
Yes
No
NA
NE
Is the pump wet well free of bypass lines or structures?
■
n
n
n
Is the wet well free of excessive grease?
■
❑
❑
❑
Are all pumps present?
■
❑
❑
❑
Are all pumps operable?
■
n
n
n
Are float controls operable?
■
❑
n
❑
Is SCADA telemetry available and operational?
n
n
■
n
Is audible and visual alarm available and operational?
n
■
n
n
Page # 4

b
Permit: NC0055255 Owner.- Facility: Crown Mobile Home Park WWTP
Inspection Date: 05/09/2006 Inspection Type: Compliance Evaluation
Pump Station - Influent Yes No NA NE
Comment: The pond pump station still does not have and audible alarm. This was
requested in the previous 2 annual inspections. Permittee will be given until June 15 to
install an audible alarm or face potential enforcement action.
Bar Screens
Type of bar screen
a.Manual
b.Mechanical
Are the bars adequately screening debris?
Is the screen free of excessive debris?
Is disposal of screening in compliance?
Is the unit in good condition?
Comment:
Equalization Basins
Is the basin aerated?
Is the basin free of bypass lines or structures to the natural environment?
Is the basin free of excessive grease?
Are all pumps present?
Are all pumps operable?
Are float controls operable?
Are audible and visual alarms operable?
# Is basin size/volume adequate?
Comment:
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?
■ n n n
■nnn
■nnn
■nnn
■nnn
■nnn
■ ❑ ❑ ❑
Page # 5

Permit: NCO055255 Owner- Facility: Crown Mobile Home Park WWTP
Inspection Date: 05/09/2006 Inspection Type: Compliance Evaluation
Secondary Clarifier
Yes
No
NA
NE
Is the drive unit operational?
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: Clarifiers much improved since last inspection. One skimmer slightly low
and may need adjustment.
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
13
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
■
Is the DO level acceptabl0(1.0 to 3.0 mg/1)
n
■
Comment:
Disinfection -Tablet
Yes
No
NA'
NE .
Are tablet chlorinators operational?
■
n
00
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
Is the contact chamber free of growth, or sludge buildup?
■
Is there chlorine residual prior to de -chlorination?
■
n
n
n
Comment:
Effluent Sampling
Yes
No
NA
NE
Is composite sampling flow proportional?
■
❑
n.
n
Is sample collected below all treatment units?
■
n
n
n
Is proper volume collected?
■
❑
❑
n
Is the tubing clean?
n
■
❑
11
Page # 6

Permit: NC0055255
Inspection Date: 05/09/2006
Owner - Facility: Crown Mobile Home Park WWTP
Inspection Type: Compliance Evaluation
Effluent Sampling Yes No NA NE
Is proper temperature set for sample storage (kept at 1.0 to 4.4 degrees Celsius)? ■
Is the facility sampling performed as required by the permit (frequency, sampling type representative)? ■
Comment: When sampling location is moved to accomodate the de-chlor unit, the
tubing will have to be replaced.
Upstream / Downstream Sampling Yes No NA NE
Is the facility sampling performed as required by the permit (frequency, sampling type, and sampling location)? ■ n ❑ 0—
Comment:
Page # 7

1P14 rx. %
R' Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
Y rY p 9
PART I
This form shall be submitted to the appropriate DWQ Regional Office within five days of the first knowledge of
the sanitary sewer overflow (SSO).
Permit Number: (WQCS# if active, otherwise use treatment plant NC/WQ#)
Facility: Incident #
Owner: Region:
City: County. -
Source of SSO (check applicable) : ❑ Sanitary Sewer ❑ Pump Station
SPECIFIC location of the SSO (be consistent in description from past reports or documentation - i.e. Pump Station 6,
Manhole at Westall & Bragg Street, etc.) :
Latitude (degrees/minute/second): Longitude(degrees/minute/second)
Incident Started Dt: Time' Incident End Dt- Time:
(mm-dd-yyyy) hh:mm AM/PM (mm-dd-yyyy) hh:mm AM/PM
Estimated volume of the SSO: gallons Estimated Duration (Round to nearest hour):
Describe how the volume was determined:
Weather conditions during SSO event:
Did SSO reach surface waters? ❑ Yes ❑ No ❑ Unknown Volume reaching surface waters (gallons):
Surface water name:
Did the.SSO result in a fish kill? ❑ Yes ❑ No ❑ Unknown If Yes, what is the estimated number of fish killed
SPECIFIC cause(s) of the SSO
❑ Severe Natural Condition
❑
Grease
❑ Roots
❑ Inflow and Infiltration
❑
Pump Station Equipment Failure
❑ Power outage
❑ Vandalism
®
Debris in line
❑ Other (Please explain in Part II)
Immediate 24-hour verbal notification reported to:
❑ DWQ ❑ Emergency Mgmt.
Date (mm-dd-yyyy):
Time (hh:mm AM/PM):
If an SSO is ongoing, please notify Regional Office on a daily basis until SSO can be stopped.
Per G.S. 143-215.1C(b), the responsible party of a discharge of 1,000 gallons or more of untreated wastewater to surface
waters shall issue a press release within 48-hours of first knowledge to all print and electronic news media providing general
coverage in the county where the discharge occurred. When 15,000 gallons or more of untreated wastewater enters surface
waters, a public notice shall be published within 10 days and proof of publication shall be provided to the Division within 30 days.
Refer to the referenced statute for further detail.
The Director, Division of Water Quality, may take enforcement action for SSOs that are required to be reported to Division unless it
is demonstrated that:
1) the discharge was caused by severe natural conditions and there were no feasible alternatives to the discharge; or
2) the discharge was exceptional, unintentional, temporary and caused by factors beyond the reasonable control of the Permittee
and/or owner, and the discharge could not have been prevented by the exercise of reasonable control.
Part II must be completed to provide a justification claim for either of the above situations. This information will be the basis
for the determination of any enforcement action. Therefore, it is important to be as complete as possible.
WHETHER OR NOT PART II IS COMPLETED, A SIGNATURE IS REQUIRED AT THE END OF THIS FORM.
CS-SSO Form October 9, 2003 Page 1

Form CS-SSO
Collection System Sanitary Sewer Overflow Reporting Form
PART I I
ANSWER THE FOLLOWING QUESTIONS FOR EACH RELATED CAUSE CHECKED IN PART I OF THIS FORM
AND INCLUDE THE APPROPRIATE DOCUMENTATION AS REQUIRED OR DESIRED
COMPLETE ONLY THOSE SECTIONS PERTAINING TO THE CAUSE OF THE SSO AS CHECKED IN PART I
In the check boxes below, NA = Not Applicable and NE = Not Evaluated
A HARDCOPY OF THIS FORM SHOULD BE SUBMITTED TO THE APPROPRIATE DWQ REGIONAL OFFICE
UNLESS IT HAS BEEN SUBMITTED ELECTRONICALLY THROUGH THE ONLINE REPORTING SYSTEM
Severe Natural Condition (hurricane, tornado, etc.)
Describe the "severe natural condition" in detail.
How much advance warning did you have and what actions were taken in preparation for the event?
Comments:
Grease (Documentation such as cleaning, inspections, enforcement
actions, past overflow reports, educational material and distribution date,
etc. should be available upon request.)
When was the last time this specific line (or wet well) was cleaned?
Do you have an enforceable grease ordinance that requires new or retrofit of grease traps/interceptors? 11Yes❑ No ❑ NA ❑NE
Have there been recent inspections and/or enforcement actions taken on nearby restaurants or other ❑Yes❑ No ❑NA ❑NE
nonresidential grease contributors?
Explain
Have there been other SSOs or blockages in this area that were also caused by grease? ❑Yes❑ No ❑ NA ❑NE
When?
If yes, describe them:
Have cleaning and inspections ever been increased at this location?
Explain
11Ye,0 No❑NA❑NE
CS-SSO Form October 9, 2003 Page 2

Have educational materials about grease been distributed in the past?
V
❑Yes[--] No❑NA❑NE
When?
and to whom?
Explain?
If the SSO occurred at a pump station, when was the wet well and pumps last checked for grease
accumulation?
Were the floats clean?
Comments:
Roots
Do you have an active root control program?
Describe
❑Yes❑ No❑NA❑NE
❑Ye50 No❑NA❑NE
Have cleaning and inspections ever been increased at this location because of roots? 1:1Yell No ❑NA I❑NE
Explain
What corrective actions have been accomplished at the SSO location (and surrounding system if
associated with the SSO)?
What corrective actions are planned at the SSO location to reduce root intrusion?
Has the line been smoke tested or videoed within the past year? ❑Yes❑ No ❑ NA ❑ NE
If Yes, when?
Comments:
Inflow and Infiltration
Are you under an SOC (Special Order by Consent) or do you have a schedule in any permit that ❑Yes❑ No ❑NA ENE
addresses 1/1?
CS-SSO Form October 9, 2003 Page 3

Explain if Yes:
What corrective actions have been taken to reduce or eliminate I & I related overflows at this spill location
within the last year? yy��
Has there been any flow studies to detees rmine III problems in the collection system at the SSO location? ❑YNo EINA ❑NE
If Yes, when was the study completed and what actions did it recommend?
Has the line been smoke tested or videoed within the past year? ❑Yes❑ No DNA ❑NE
If Yes, when and indicate what actions are necessary and the status of such actions:
Are there 1/1 related projects in your Capital Improvement Plan? ❑Yes❑ No ❑ NA ❑ NE
If Yes, explain:
Have there been any grant or loan applications for 1/1 reduction projects? ❑Yes❑ No ❑NA ❑NE
If Yes, explain:
Do you suspect any major sources of inflow or cross connections with storm sewers? ❑Yes❑ No E]NA El NE
If Yes, explain:
Have all lines contacting surface waters in the SSO location and upstream been inspected recently? ❑Yes❑ No [JNA ONE
If Yes, explain:
What other corrective actions are planned to prevent future 1/1 related SSOs at this location?
Comments:
Pump Station Equipment Failure (Documentation of testing, records etc.,
shoul be provided upon request.)
What kind of notification/alarm systems are present?
Auto-dialer/telemetry (one-way communication)
❑Yes
CS-SSO Form October 9, 2003 Page 4

4
Audible []Yes
Visual ❑Yes
SCADA (two-way communication) ❑Yes
Emergency Contact Signage ❑Yes
Other []Yes
Describe the equipment that failed?
What kind of situations trigger an alarm condition at this station (i.e. pump failure, power failure, high
water, etc.)? pp��II
Were notification/alarm systems operable? ❑Yes❑ No ❑NAIUNE
If no, explain:
If a pump failed, when was the last maintenance and/or inspection performed?
What specifically was checked/maintained?
If a valve failed, when was it last exercised?
Were all pumps set to alternate? ❑Yes❑ No q__INA ❑NE
Did any pump show above normal run times prior to and during the SSO event? ❑Yes❑ No ❑NA ❑NE
Were adequate spare parts on hand to fix the equipment (switch, fuse, valve, seal, etc.)? [I Yes[] No ❑ NA ❑ NE
Was a spare or portable pump immediately available? ❑Yes❑ No ❑ NA ❑ NE
If a float problem, when were the floats last tested? How?
If an auto -dialer or SCADA, when was the system last tested? How?
Comments:
CS-SSO Form October 9, 2003 Page 5

Power outage (Documentation of testing, records, etc., should be
provided of alternative power source upon request.)
What is your alternate power or pumping source?
•w/ATS
Did it function properly? ❑Yes❑ No ❑NA ❑NE
Describe?
When was the alternate power or pumping source last tested under load?
If caused by a weather event, how much advance warning did you have and what actions were taken to
prepare for the event?
Comments:
Vandalism
Provide police report number. -
Was the site secured?
❑Yes❑ No❑NA❑NE
If Vac hnei7
Padlocked Control Panel
Have there been previous problems with vandalism at the SSO location? ❑Yes❑ No ❑NA ❑NE
If Yes, explain:
What security measures have been put in place to prevent similar occurrences in the future? ❑Yes❑ No ❑ NA ❑ NE
Comments:
Debris in line (Rocks, sticks, rags and other items not allowed in the
collection system, etc.)
What type of debris has been found in the line?
How could it have gotten there?
Are manholes in the area secure and intact? Ye No NU A SINE
CS-SSO Form October 9, 2003 Page 6

C
When was the area last checked/cleaned?
Have cleaning and inspections ever been increased at this location due to previous problems with debris? ❑Yes❑ No ❑NA ❑NE
Explain. -
Are appropriate educational materials being developed and distributed to prevent future similar ❑Yes❑ No ❑NA 11NE
occurrences?
Comments:
Other (Pictures and a police report should be available upon request.)
Describe:
Were adequate equipment and resources available to fix the problem? ❑ Yes[] No ❑ NA ❑ NE
If Yes, explain:
If the problem could not be immediately repaired, what actions were taken to lessen the impact of the
SSO?
Comments:
For DWQ Use On
DWQ Requested an Additional Written Report:
If Yes, What Additional Information is Needed:
Comments:
0YesL No ❑NALJNE
CS-SSO Form October 9, 2003 Page 7

As a representative for the responsible party, I certify that the information contained in this report is true and accurate
to the best of my knowledge.
Person submitting claim:
Signature: Title:
Telephone Number:
Date:
Any additional information desired to be submitted should be sent to the appropriate Division Regional Office within five days of first
knowledge of the SSO with reference to the incident number (the incident number is only generated when electronic entry of this form
is completed, if used).
CS-SSO Form October 9, 2003 Page 8

MERITECH, NC
ENVIRONMENTAL LABORATORIES
A Division of Water Technology and Controls, Inc.
April 11, 2007
Mr. Steve Tedder/ Corey Basinger
Div.Water Quality
Dept of Water quality
585 Waughtown St.
Winston Salem, N.C. 27107
Subject: Response to sludge spill
Crown Mobile Home Park
NPDES NC55255 Guilford County
Meritech Inc. on behalf of Mr. Lee Simaan
Mr. Tedder / Basinger,
On April 91" 2007 a PVC sludge line broke at Crown Mobile Home Park WWTP
discharging an estimated 8000 gal. of return sludge toward the chlorine contact chamber.
A good amount of this reached the receiving stream and sludge was found a good
distance downstream. The damage found by Mr. Simaan (owner of the park) and the
incident was reported by phone around 10:30. Mr Simaan and his associate promptly
repaired the broken line and began the cleanup of the grounds and the contact chamber.
Jenkins septic service was called in to begin cleanup on the creek. The site was inspected
again by Mr. Basinger on the morning of the 121". If any questions or additional
information is needed, please do not hesitate to call.
Regards,
Meritech Inc.,
David Merritt
Vice President
iA

IN111,5W
d-Z)a 7
a
Ak
mono,,,
e
14
14

t'
AL
Ap-
4f

w
• SOO#.
. . . . . . . ......
7OW1
71 1,

law
.� -•r < "` - "*_ a •fir
11 *� * 04.
Y�'a�.
�. YQ � .J .� VDT ` �'.'- f• ,�"'�'r +4'7 � i� .r i9 �y
.. r

4 `§
z
shyy,

IfYr
+R�K
r,-
:,ram a� vim, Fsyr��

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Mr. Robert P. Hahn
Parizins, LLC
PO Box 1000
Pittsboro, NC 27312
A. Signatur/�
X El Agent
❑ Addressee
B. Received by (Printed Name) C. Date of Deliver
{J
D. Is delivery addreA different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. SSeice Type
O'Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
- M , . j y L li14. Restricted Delivery? (Extra Fee) ❑ Yes. f y L 1i14. Restricted Delivery? (Extra Fee) ❑ Yes
9 Artida Nnmh-
7012 2920 0000 3656 1905 11-1 Noy

UNITED STATES POSTAL SERVICE First -Class Mail
Postage & Fees Paid
LISPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
NCDENR - Division of Water Resources
585 Waughtown reet
o o
z
N
,
o m
Winston-Salem, NC 27107
° N
O
0

■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Mr. Robert P. Hahn
Parkins, LLC
P.O. Box 1000
Pittsboro, NC 27312-1000
A. S' lailture _
X
Li
Addressee
B. Meiv@d by (Pri ted 5 `
of Delivery
D. Is delivery addreA different from item 1?
o
If YES, enter d livery
ads below: ❑
-
((JJ
T 1 y
� N
?0
1f
3. Se a Type
-_Mail
hd Certified Mail
Express
/ehandise
❑ Regis
❑ Insured Mail
❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2 7010 2780 0001 4236 4823 N6\1-3015-1y1V-61C-
3S Form 3811, February 2004 Domestic Return Receipt 0 —1(0 - 16 .5AA_ 102595-02-M-154

UNITED STATE#1EKV`t`t First -Class Mail
NC: j,?74 Postage & Fees Paid
r st; USPS
Permit No. G-10
• Sender: Please print your name, address, and ZIP+4 in this box •
DIVISION OF'sJATER RESOURCES
Water Quality Regional Operations
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
RECEIVED
N.C. Dept. of ENR
OCT 16 2015
piitil�IFt tilrlttil'I�t lilitlt�iiliiilli�iltllft Ij O NA L OFFICE