NC0077968_Renewal (Application)_20210210

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ROY COOPER ig - ., '?-i- -)
Governor \ 4
MICHAEL S.REGAN _* .
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Secretory tcc �
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
February 10, 2021
Tim Horner, Owner
Tim Horner
3073 Beaver Hill Dr
Burlington, NC 27215
Subject: Permit Renewal
Application No. NC0077968
Reedy Fork Mobile Home Park
Alamance County
Dear Applicant:
The Water Quality Permitting Section acknowledges the February 10, 2021 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150B-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
16/11Thed(C4A
Administrative Assistant
Water Quality Permitting Section
cc: Anthony Montero
ec: WQPS Laserfiche File w/application
, North Caro;�na Department ofErvronmerta Qua!ty I Division ofW'ate.rFesooroes
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Reg ors Off ae 14501V M ;e e t Hares al Road,Suite 3D0 I WinstonSsm,North Caroine 27105
e.:.k, ...W..:•c. . .ie..\ r 336-776-9800

NPDES APPLICATION - FORM D
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 INC0077968
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 TIM HORNER
Facility Name REEDY FORK MOBILE HOME PARK
Mailing Address 502 STILL RUN LANE
City GRAHAM
State / Zip Code NC/27253
Telephone Number 336-260-6138
Fax Number ( )
e-mail Address TIMHORNER1974a,,GMAIL.COM
2. Location of facility producing discharge:
Check here if same address as above 0
Street Address or State Road 3437 SHEPARD ROAD
City OSSIPEE
State / Zip Code NC/27244
County ALAMANCE
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 ANTHONY O. MONTERO
Mailing Address 700 ALAMANCE STREET
City GIBSONVILLE
State / Zip Code NC/27249
Telephone Number [phone]
Fax Number ( )
e-mail Address [e-mail]
1 of 3 Form-D 11/12

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 78
School ❑ Number of Students/Staff
Other El Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Number of persons served: 300
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? El Yes ® No
7. Name of receiving stream(s) (NEW applicants:Provide a map showing the exact location of each
outfall):
REEDY FORK CREEK
8. Frequency of Discharge: ® Continuous El Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities,provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
0.040 MGD PACKAGE PLANT- WASTE WATER TREATMENT SYSTEM
BAR SCREEN CLARIFIER
AERATED EQUALIZASTION BASIN SLUDGE DIGESTION
AERATION BASIN FLOW MANAGEMENT
UV DISINFECTION SYSTEM
2 of 3 Form-D 11/12

NPDES APPLICATION - FORM D
For privately-owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.040 MGD
Annual Average daily flow 0.0053 MGD (for the previous 3 years)
Maximum daily flow 0.0160 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
NEW APPLICANTS:Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples,for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading(Daily Maximum)and Monthly Average over
the past 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter Daily Monthly Units of
Maximum Average Measurement
Biochemical Oxygen Demand (BOD5) 44 14 MG/L
Fecal Coliform >600 64
Total Suspended Solids 38 24.5 MG/L
Temperature (Summer) 26 25 CELSIUS
Temperature (Winter) 20 19 CELSIUS
pH 7.4 N/A
13. List all permits, construction approvals and/or applications:
Type Permit Number Type Permit Number
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping(MPRSA)
NPDES NC0077968 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non-attainment program (CAA)
14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
ANTHONY MONTERO ORC
Prmted name of Person Signing Title
•F/9/2021
Signature of Applicant Date
Nort Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
ap►rication, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Conmission implementing that Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method
regt fired 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
pro ides 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 11/12

Anthony Montero
700 Alamance St
Gibsonville NC
27249
[phone]
[e-mail]
January 8, 2021
NC DENR/ DWR/ NPDES UNIT
1617 Mail service Center
Raleigh, NC 27699-1617
Dear To whom it may concern
I am writing requesting renewal of NPDES permit NC0077968 located at Reedy Fork Mobile Home Park
3437 Shepard Road Ossipee NC in Alamance county. The last permit was issued May 15th 2016 and will
expire on May 31, 2021.
There are no Changes from the NPDES Permit from May 15th, 2016 permit
I would welcome the opportunity to further discuss this position with you. If you have questions or
would like to schedule an interview, please contact me by phone at [phone] or by email at
[e-mail]. I have enclosed a completed application form , and a description of
sludge handling and removal plan for reedy fork with double copies, for your review, and I look forward
to hearing from you.
Sincerely,
Anthony Montero
Enclosure