NC0061204_Permit (Issuance)_20040713

NPDES DOCYNENT SCANNING COVER SNEET
NPDES Permit: NC0061204
Scarlett Acres MHP WWTP
Document Z`ype: Permit Issuance
Wasteload Allocation
Authorization to Construct (AtC)
Permit Modification
Staff Report
201 Facilities Plan
Instream Assessment (67B)
Environmental Assessment (EA)
Permit
History
Document Date: July 13, 2004
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WAIF,t� Michael F. Easley, Governor
0�0 t^ State of North Carolina
G
w William G. Ross,Jr., Secretary
CO - ry-- Department of Environment and Natural Resources
O Alan W.Klimek,P.E.,Director
Division of Water Quality
July 13, 2004
Mr. "Thomas Alphin
P.O. Box 354812
Palm Coast, Florida 32135-4812
Subject: NPDES Permit Issuance
Permit Number NCO061204
Scarlet Acres Mobile Home Subdivision
Forsyth County
Dear Mr. Alphin:
Division personnel have reviewed and approved your application for renewal of the subject
permit. Accordingly, we are forwarding the attached final NPDES discharge permit. This permit is
issued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum
of Agreement between North Carolina and the U.S. Environmental Protection Agency dated May 9,
1994 (or as subsequently amended).
If any parts, measurement frequencies or sampling requirements contained in this permit are
unacceptable to you, you have the right to an adjudicatory hearing upon written request within thirty
(30) days following receipt of this letter. This request must be in the form of a written petition,
conforming to Chapter 150B of the North Carolina General Statutes, and filed with the Office of
Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina 27699-6714). Unless such
demand is made, this permit shall be final and binding.
Please take notice that this permit is not transferable- This permit does not affect the legal
requirements to obtain other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, Coastal Area Management Act, or any other Federal or
Local governmental permits which may be required.
If you have any questions or need additional information, please do not hesitate to contact Dave
Goodrich of my staff at [phone],extension 517.
Sincerely,
ORIGINAL SIGNED BY'
Mark McIntire
Alan W. Klimek, P.E.
CC: Central Files
NPDES_Unrt Files_-i
Winston-Salem Regional Office
1617 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1617-TELEPHONE [phone]/FAX [phone]
VISIT US ON THE wEe AT hltp://h2o.enr.state.nc.us/NPDES

Permit NCO061204
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,
Thomas Alphin
is hereby authorized to discharge wastewater from a facility located at
Scarlet Acres Mobile Home Subdivision
5528 Sherene Lane
Walkertown
Forsyth County
to receiving waters designated as an unnamed tributary to Mill Creek in the Yadkin-Pee Dee River Basin in
accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts 1, 11, 11I,
and IV hereof.
The permit shall become effective August 1, 2004.
� 112)011
This permit and the authorization to discharge shall expire at midnight on Ma
Signed this day July 13, 2004.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek. P.E.. Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO061204
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby revoked,
and as of this 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.
Thomas Alphin
is hereby authorized to:
1. Continue to operate an existing 0.02 MGD wastewater treatment facility, consisting of:
• a bar screen
• flow equalization with influent pumps
• two package plants with aeration, clarifier disinfection units and post aeration
located at Scarlett Mobile Home Subdivision, 5528 Sherene Lane, Walkertown. Forsyth County, and:
2. Discharge treated wastewater (via Outfall 001) from said facility into an unnamed tributary to Mill
Creek, a Class C water in the Yadkin-Pee Dee River Basin, at the location specified on the attached
map.

.��U�g1���✓2 �-
9 Jrp� , -� l��l �� Y • �,
1 •I ` ' v r 03•• �- `JJ�� '
charge point
r MA z-
�(f —� Li
i ra J 1 !fir: - • I., 1 \pp
�� ^WEST c�'1 •( `\\� `�//� V f r''1 � � �s �zA 1 `��)• mil' l
t .-�.q���.l.r "/)j1Ir�/�1��11� � I�� f�C(�-• I� �J•/'\�j
�t.V I�1•�� III(�lS./ �I�t1��.. `' ' ly fa�. r , �G1) J9)6 ` - I
1 L � �` ^l�\.I 11 /���`Y/r •� "� `-1 ' J, /' `^\1` Nyl�..,` O�O�1.1
\ �AO�' /� �-j4L " � �l• �'_ � � CC r -1���uI� I1://11''� Jn \
OW
Latitude: 360 10'03" Thomas Al hin
Longitude: 800 11.06" 13
USGS Quad k: CISNW Scarlett.Acres MET
River Basin#: 03-07-04 NC0061204
Receiving Stream: UT Mill Creek
stream Class: C Forsyth County

Permit NCO061204
Part I. Section A
1. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
Beginning on the effective date of this permit and lasting until permit expiration, the Permittee is authorized to
discharge from Outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT LIMITATIONS MONITORING REQUIREMENTS
PARAMETER
Monthly Weekly Daily fFrjeuency
ment Sample Sample
Averse Average Maximum- Tye Location'
Flow (MGD) 0.02 ontinuous Recording I or E
BODS16.0 mg/L 24.0 mg/LWeekly Grab E
(April 1 -October 31)
BODS
30.0 mg/1. 45.0 mg/L Weekly Grab E
(November 1-March 31)
Total Suspended Solids 30.0 mg/L 45.0 mg/L Weekly Grab E
--- -- - -.. -- ----- ._..------ - -
NH3-N
12.0 mg/I. 35.0 mg/L Weekly Grab E
(April 1 -October )1)
NH3-N
Monitor& Report Weekly Grab E
(November I -March 31)
Dissolved Oxygen See Footnote 2 Weekly Grab E,U, D
Fecal Cohform
200/100 nil 400/100 nil Weekly Grab E
(Geometric Mean)
---------------. ---------------------- - - ----- .
Total Residual Chlorine 17 ug/L 2/Week Grab E
--------- ---..-_...- ___--_ -- -- - -- -- - ----
Temperature Monitor& Report Daily Grab E
--—- _ ----
Temperature Monitor & Report Weekly Grab U, D
Chronic Toxicity See Footnote 4 Quarterly Grab E
Total Nitrogen
Monitor&Report Quarterly Grab E
(TKN +NO, + NO3)
Total Phosphorus Monitor& Report Quarterly Grab E
pH Between 6-0 and 9.0 Standard Units Weekly Grab E
Notes:
1 E - Effluent, I - Influent, U- Upstream approximately 100 feet above the discharge point, D - Downstream
from the discharge point at NCSR 2219.
2 The daily average dissolved oxygen concentration shall not be less than 6.0 mg/L.
3 The limit for total residual chlorine will take effect IS months after the effective date of the final permit.
4 Chronic Toxicity (Ceriodaphnia P/F at 90%, February, May, August, and November). See Special Condition
A(2) on the Supplement to Effluent Limitations and Monitoring Requirements page.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER THAN TRACE AMOUNTS.

Permit No. NCO061204
SUPPLEMENT TO EFFLUENT LIMITATIONS
AND MONITORING REQUIREMENTS
SPECIAL CONDITIONS
A (2). CHRONIC TOXICITY PASS/FAIL PERMIT LIMIT(QRTRLY)
The effluent discharge shall at no time exhibit chronic toxicity using test procedures outlined in the"North Carolina
Ceriodaphnia Chronic Effluent Bioassay Procedure," Revised November 1995,or subsequent versions.
The effluent concentration at which there may be no observable inhibition of reproduction or significant mortality is
90.0% (defined as treatment two in the procedure document). The permit holder shall perform nuarterly monitoring
using this procedure to establish compliance with the permit condition. The tests will be performed during the
monde of February,May,August,and November. Effluent sampling for this testing shall be performed at the
NPDES permitted final effluent discharge below all treatment processes.
All toxicity testing results required as part of this permit condition will be entered on the Effluent Discharge
Monitoring Form (MR-1) for the month in which it was performed, using the parameter code TGP3B. Additionally,
DWQ Form AT-1 (original) is to be sent to the following address:
Attention: Environmental Sciences Branch
North Carolina Division of Water Quality
4401 Reedy Creek Road
Raleigh, North Carolina 27607
Test data shall be complete and accurate and include all supporting chemical/physical measurements performed in
association with the toxicity tests, as well as all dose/response data. Total residual chlorine of the effluent toxicity
sample must be measured and reported if chlorine is employed for disinfection of the waste stream.
Should there be no discharge of flow from the facility during a month in which toxicity monitoring is required,the
permittee will complete the information located at the top of the aquatic toxicity(AT) test form indicating the facility
name,permit number,pipe number, county, and the month/year of the report with the notation of"No Flow" in the
comment area of the form. The report shall be submitted to the Environmental Sciences Branch at the address cited
above.
Should any single quarterly monitoring indicate a failure to meet specified limits, then monthly monitoring will begin
immediately until such time that a single test is passed. Upon passing,this monthly test requirement will revert to
quarterly in the months specified above.
Should the permittee fail to monitor during a month in which toxicity monitoring is required,then monthly
monitoring will begin immediately until such time that a single test is passed. Upon passing, this monthly test
requirement will revert to quarterly in the months specified above.
Should any test data from this monitoring requirement or tests performed by the North Carolina Division of Water
Quality indicate potential impacts to the receiving stream,this permit may be re-opened and modified to include
alternate monitoring requirements or limits.
NOTE: Failure to achieve test conditions as specified in the cited document, such as minimum control organism
survival, minimum control organism reproduction, and appropriate environmental controls,shall constitute an invalid
test and will require immediate follow-up testing to be completed no later than the last day of the month following
the month of the initial monitoring.

MEMO
Division of Water Quality
Winston-Salem Regional Office
May 24, 2004
Memorandum to:.-David-Good rich,-NPDES-Unit
Through: Steve W. Tedder
WSRO Water Quality Supervisor
From: Rose Pruitt
Environmental Tech IV
Subject: High Point Care Center NPDES Permit,
NCO046035 request for comments, Forsyth County
I M AY 2 5 2004
Scarlett Acres MHP NPDES Permit —
4 NCO061204 request for comments, Forsyth,County-. ; r
Head MHP NPDES Permit
NC0057223 request for comments, Forsyth County
I have no comments on the draft permit at this time.
Rose Pruitt
NC DENR Winston-Salem Regional Office
Division of Water Quality, Water Quality Section
585 Waughtown Street
Winston-Salem, NC 27107
Voice: (336) 771-4608 ext 275
FAX: (336) 771-4630

NORTH CAROLINA
FORSYTH COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State, duly
commissioned, qualified, and authorized by law to administer oaths, personally
appeared D.H. Stanfield, who being duly sworn, deposes and says: that he is
Controller of the Winston-Salem Journal, engaged in the publishing of a newspaper
known as Winston-Salem Journal, published, issued and entered as second class mail
in the City of Winston-Salem, in said County and State: that he is authorized to
make this affidavit and sworn statement: that the notice or other legal advertisement,
a true copy of which is attached hereto, was published in Winston-Salem Journal on
the following dates:
April 17, 2004
and that the said newspaper in which such notice, paper document, or legal
advertisement was published was, at the time of each and every such publication, a
newspaper meeting all the requirements and qualifications of Section 1-597 of the
General Statues of North Carolina and was a qualified newspaper within the meaning
of Section 1-597 of the general statues of North Carolina. 4 i - "iPUBUL NOTICE»
a STATE OF NORM CAROUNA
/t ENNRONMENTAL 17 MAIL S MANAGEMENT LOMMISBIONINPDE6 UNIT.'
CENTER
This 19th day of April, 2004 G, IMP�I 161T SIGH,NCVC 95.107'
+ e ,"NOTIFICATION T WATER,PE MIT . ,,,` i
_ ^ ANPD6 WASTEWATER ER PERMIT Lr••^ '
(signature of perso eking affidavit) o bassm,t�duD dean ewp amaappPG am=Gmarai Ste
uw 14321,Puhie law.92500 and othw:iavlyl standards aid regula-._
tars,the North Carolina Erwiamieaa Management Commadon pro-
poses-to.haI NaeaoaF PdlWnt:Dsrthmge Efmnatgn'System.
Sworn to and subscribed before me, this 19th dayof A 2004 (NPDES)wagovermrtl P�to0.pemnnis)ristedbl.
P facme 45 days bun the dmealha ihotce x�?- -.
Wyman o fter"p khsh core
vie pprrooppoassed APermit omml be accepted hoer!
30 days aftermeptbish lazeddots all An comments relined pher
to that date armmrwdered-in the fiml determinations regarding the pm-°,
posed ppaarr��mm..The Dkeair,athe NC Diaslon of Water 00uaty may.d.
cidato)dtlaphblicmeewhgfa dhepoposed perms shohdd the Diyham'I
Note iic ' recaW a sgnimra degree of Public intereSL
Copes of the draft Permit and other sWponirig i.dormaaon mole marl
Cpa%r`"*7LTrw�Yavg-`4� 'to determine conditions Present in the�Aaft Pemt are available uponra
L • heaed Perk laa'ap Ted for renweno aids NPoES permR 1 climax and Payment of the costs Of repmtlhxlien Madmmmms andfur,
NCIX5IPsmoted faWM dviwggeess treaed wastoWder to an requests fat tNrnmamn to vie NO Dmv^n of water Wa6y attire abm'al
8 a unamed in to Llde Gnu m the YaldnPee Dee Finer Basin. atldress or cmtl Ms:V ,Swphers d{91 158-5053 tMersnn s2a.3
1.The YOW lnc(P.O:Bmn"14 WAife Plain;NC2V03fitm e�iadbrra 9�
nwva IdNPD paintN Iwo Its than Neghbors F ConM i12 r Cw"BDOS - ona as NArogen Total Pesidtgl Cltlmme.Total %ease cchMatha Permntmmber(eda�ed)inarry mmmuncaJ
m sveryyCwaay::This.Permuei)facdrty geatn�etl wastewatcstd FantailSrea and Fed Cdibmharewaee Imiec, dhdI Ifort Inerestmd Persons may aiso vsll the Division a Water Ouawyd�
tho LM1tle Fi"fivambeYadM»Pea Oce KNa Baui' -800; ��n ��naaadaatiats ntln pa c`csu4Geek 512 N.Salisbury Streak RaI NC 2161WI 148 between the bursa
total suspendix!solids,not nd-grease,and tow residual dibn ma The mter.Upimea,Nc(P.O:Drawer 4BB0•Coy:NC 2T519 800 e.rn.are 500 P m'to raaew vdomratmi an via .-1_F•
.waW quafy ImiiRd.TM discharge hnaq aged 4tie lbunorrcn tits Pfeil for reFawaf a NP0E5 ^�NCIX.g49091oFme Walkgley PbCe X,a Davidson Count'?3'�,t /a ... 1'3�n
portionaOe YailkinPu Dee Raw Basin' u�'4;. �' - WrVTP bh Cotady':.•'"'pe^nmed Loccor disd'ugaa'trmffieC Davidson County Stlmr9e,P0 Box¢OST,tmngmn.NC,ha uppFed�.
NC Dgmmma of Trmaponaeon(155/l1ai [Cerhwr, w,SOD,tyro IAd Croati1 Yadl»Pe,Doe RI Barn GmeA= for refiewd aNPOES perms NC0042145,tor to Mdway Eemenleryl
NC V699)ha noticed fa a a NPoES cannot NC0fM918D N SOD itaat shaperdetl Softls;'artmwns rmmgen and total reehehha School WNTP ir Daodem exama Ttg permhlwd facility dsd�aroes.
the Strry Coady;Rest Area.}The pennro¢tl faaity dww3dwwp�Is'a c P�� q�IWBated.TAstlsdwoemaya4ed U;.weepca. treatod wastewatertoanumamed folemard CreekinNe Cade
I MGD a trained wastewater Po Naked Run In thin YadkhoPeebee Neer, aors m Pomon of ifia:YedknPm bee Rba Bas4e 9 yw., knPea Dee Rrva+Basn.�Ganartdyaremona nimgen aotl steal,
Bass CarerHj 80Dandidaf residwldtlpnre arewatetgtmfy ' SCNM Acres Motile Horne StANNaoq hm6app fob ai5 rradtal dtlorrw arewata 9dM 6nrtad.Tbls dacha may anted(u;=
tee ay pormnadq Yatlbir I NPDES Permit N0006t204.'Tbe permded faaby dschagoa treated has aloczwrhsal ohs a thaychosethatl(y' I,,-
Pan IIIDee m" h9c iIDaea tlhs wascence"Poonaaeht�wbu pas t
Pm Dee Rwa Bess'9b L W' y V} n' AL SI 1aryPo b9AGeakln tM YadlorhFee Ooe' { eilfe Truck SbP Itas`?FPimd for renew%t'v�'6 NPPES-pmftrt.
The Surry Cocati d uf,� lP O.Bmc 364;'DOMm NC Raer Bass Currently H005 Ammorn as NOegen,Total Readtel NCODWOt.5.The Permded facility dscrargu treated was;e,sata to
Vill fit, appfad for re- of NROE$pmM'NW0a19aT Ur,tIe,NOfl CNaxre•7ota Suslherhded Sohds and Fed DoMenin erewffiee9 Seth Potty Cmacmths YadW.Poe D6e.Rrver Basin Car Boos,
North Santry hSUna KWTP�Ths Oaat� F FO Imrted Thus datlterge may aEedfuMeaOor®aninths au hyl Total Res"Ctbme'Total a y
{{��,, pawn Mi SusPadar SoOtlsand Feld Coitorm ore
permtl¢e} gvtl wPsy 0F1 HGnhP IHeahh'CelsWL -"'41 F 4xR* y4 ,"sa; s water u fuMetl.11ss d' m efiea Mae aaacanohhs in dxsi
eC tlarlulcwa#twffifto$ rat Geekmvie Yadhnrss Oea Hver q Asa �n:Yi
B35n Garaply(eEa mkwmheM Wet hesiGdtlNxnearewataquaF' pvmn N(lmtftti.S.The Cantor;has applied for ienet'alaits NPOF,R PaLana Potts Leek Ls.i� NO,
IIt'y ihhderd Thad- after tmae e0ocamrts if a pmMwtl taeTiydarhazges neared waatewater Davltlson County Schools,'PO Boa 404V, _ ngloo epos
Slewans Geek6 tY�' ;wan,o f,;•v :t oq lmR¢h Forkfn Me Yttl kin.Pis Oee RnarBasn Curtails B005,AmmP' Wrmnars daNPD6pemrt NCODi1@S for is Ede III ea✓Schmml
cY v zi nta as Ntaogan anti teal huduel ahbnhpue wSei tinted Ttds, WWII in Davidson LLamumt�y:Tiro isaerpas healed
YVpWa pOT(f /-Faq�oetl Wc94M for
VA;IDt flee anti, ds'dharoe anted finite sbcroora mdrs a Fodc ai` waslewaterfoane^mfnadm Geekmttte kin-0ea,
pied W r¢ a NPOFS mM NCON8421 tar Ma'4T/Rut Area T shay Po19or1 Rkh bite? g'
WMP m FomAfh Caat1'lix�pernetted faa (sdu�50020 MGD WCOnj edtnoto9les f3a/0laslnRMh Rd„Wlns0m.6elem NC 91D>I� Dee Rr+et Bam�.Cteterlt�:SOD ammorve nVogert aM tilt resNtrA.j
al treat¢0 wasewater to Naked Rtnrothe YatlkmPee Coe Ma Badri.. �apPW'far relind 0 NPDE6 paints NC0090853Wihm Salem' CNI arawAer gt�lylcnlad TfrsdSamrgemay afled funtealoca'
C1rteW 80D:ammona rmogen and case restlual doori^e arewAa, m� Parkgtaadg.O.eme0 ODorimin Farsylh Coumy.Tfis Per- ants ein poNo^of tfwwatarstred.Y'F�rffa *s, S1a- �I
groBy led Tl.adrecargem akd fix slocanasintivspa5on d 9rsD.30TMGD atraaled wastewater to Salem Ormll Run Mob9e Noma PMc,has applied t¢_rdroYdlarts NPDES pa.
of than YadldnPee Dee liner Bun'n:; W '�.7e',"�3r t, 7 g', Geek in the adkin-Pee Dee RII Basin.Currerdy no pa amaets are mft N(LWom The oar sdfac34y dscherges treated waskwafs ro
The SwryfCountj':Samd 61Er 0.48m 366;`OnbmR NC water quaity,listed.This discharge may aH''ed�Ma alocawns in the Miller Creek mihe Yadbn-Pool Rrva Barn GLrredy BODE,Ammo=.
2701]lfhu appledbrenavalaNPDES perrtat NCDINtB0a W9he Flat gagkm a the YidkhnFee Des River Bavn.47Y a"CN1J: na u Ninga^,-Tota)Residua Cldarshe del Suspended Sdtw aha;
Rock EMnWderySdwd WATP:Ttia Panattad moat-, 1Te Wbmu)- olem/FomythtCwntyemrdd Education[4wua. Feral Colgan arewater gi�ftyhMafy'O jot"achm90 Q�aY aflea Mae
fa3�ry Avi do Orh4)WmffiooSelemsNC 2VIGed for ranevaa allocations In of M6ler Cteek 't>t: j7.)3
i ad dormant wastewaterto an uhwmei lnbufe�to Chterttp Geek inthe te n -TJ
YwkutPtt O%RFer Bash Ctrredy"/ed coldarntawAa gteMy6n' NPoS Pmnt NCW3462T far ry,a Old Elementary School. Davison Comill,Satods P.O Bo 1D6/.Le><fgion. Chas appfietl
god Ttisdsrhergemey a6ecfhbamaMmharhsmU+aponfonaChan6Y° This permitted facih%oachasges mescal dornesic wastewater to an ut Iarene"o4NPOESpemulNCWs2129Tor rtS Pact Elementary Sctpd
Greek �/• a -{',,;,-.:�tx a '-{dew z .p R nernw oiWtary to Fnes Creek'm Ve YxllonPee Dee Rho Bass Ca WNRP.in Davidson Courifr Thine permdled faaleytdsaargas treated
N91kes Lilies Yi' ^."'T"" •' —in nbogen antlfecffi wldam amwata gtminylmPad Ths uastewzter to,femnys Ciiwlc m theYadlatPee Dee River Bart'Ca-
TheRoarinpGapCNglne1PO.Box129 Rommp Gap,NCZBB68)has d may kgwealocat rsbdis Poruonoi Frres Creek } raMr ammonatatrogmantl taal resdual chlorine arewder quality Grti
The Robrrenasvagb Inc
Feiner NCW95BeT 1a Ve RoaMg Dap 1 E1 oDAvb Cpmry tied TM1s discharge may affect Lmre aOo®Umirs in this nathaxa-
Cab mKflkes Cpssy T1ee Parrriipetl lac/ treaed waste.. The Dealer County Board of Eduardo.p20 Cherry Sisal,Mocisvifie' teraned.-'r{'4.,. e:, rd,
water to the wrarned toWtary to Ina MadeG R snort YadbnPeei NCTlp281 has for renewal a NPoES Permit NCO033162for.Cher CapWa Swan.SHloo�f mM,haS.appied for ren[wel'a is
Dec Rker Bashi.Cmety B00.idea simperded sods.acidtotal mad-'- W'16ar^R Owe Elemanay,Sava T1¢s Pedrfied facilty dsahorges NPoES Penns NCO059218:The permitted wWity doegra, sveaad
uach1onr@.water uaYryw 1d Tth,adI pm me aflaotIII aft, "&ad domestic wastewaerk)ammmmedtribhtatyto Greasy Creek. was wmer to an vuhaned tdnnnrvm Creekmthw YadkinPee
kxamrs in Vas poroa h al tlha YadlartPm Dec River.Byazir 4t ffe YadlanPee Dee Rna Bash.Ct y ROD ammona Mrogen and Dce Rircr Sasei'Curtails B00.5:,TowlRRadual CNome,TOW ss-:
feesdard ar are was quaky hinted This deadharge may affect Mre pandee Sods and Fecal COHomh are water ghelgy ImM1ed;this its
abrawn^.m tiles por0on of 0reasy Creek, Ma :x ' charge m affect Mae docawris m arts portion of Reedy Geek""
WSJ:April iT 2fd4 U Carder.t apy�y W renews a rs N ES'Perms
NAM, Npermtted,tar2ty dsahzryyes treated wastewnter.to an
merged thbulary ro Yadkin River in f'.YadidnPee Dee Raei.SashhSl
Gyrateerys BODS Arrmmia'as Nttogmn,Tow Resdua Cligarm.tow
'
StapehdedSolids TOWPhosplions and Foot Catorm arewater dI
ty Iwd TAs dscharga mnyakd M`arallocation In fhs poitrma
YadU RNer �""-

*„ PUBLIC NOTICE -
+.z STATE OF NORTH CAROLINA
'- ENVIRONMENTALMANAGEMENT�
,a
COMMISSION/IVPDES.UN[T
i; i617 MAIL SERVICE CENTER
RALEIGH,NC 27699-1617
NOTIFICATION OF INTENT TO ISSUE'A
NPDES;,WASTE4VATER PERMIT.
F ;."•,' On the basis of thorough staff review and appli-
cation of NC General :Statutes 143 2l Public `
fe Law 92-500 and othernlawful standards%nd reg- It Head Mobile°Home.Park,' has applied,for
ulanons.' the North%Carolina_Environmental ' �'.� renewal of its NPDES permit NC0057223.The
t t:Management Commission proposes to issue's `. permdted',facihty discharges.treated waste'-
\ Z National`'Pollutant Discharge,'Elimina ton?' ._- *water to an:unnamed•'tributary"to Little Creek
= , System (NPDES)wastewater discharge permd o.; in the Yadkin Pee-Dee River Basin:,Currently
-¢ ffective 45+days •t' *• BODS Ammonia-as Nitrogen Tmal,Residual'
is from the publish date of thistnotice. - ' Chlorine-;Total) Suspended Solids and Fecal
to the persons(s)fisted below e
- P#" Cohform,`are water quality 'limited. This
dicharge�may affect future allocations in'this
.Wntted comments.regarding the•proposed per; 'F'
;. .,.
e _. porton of Little Creek:'
<r.mit will be accepted"until 30;days after the pub; . . +
lish date of this notice.All comments received • -
- i Scarlet Acres Mobile.Flome Subdivisiovl has
prior to that date.are considered-m the final ; - .t. appbed-fort renewal' of its NPDES permit
.T.:determination regarding tiie prupoxd permit.. NCO0612(kl.The permitted facility discharges
= The Director of. the NC Division of Waterrw" ��.r�^? treated wasiewateyto'an unnamed tributary'to
Quality may decide to hold a'public meeting for . i•t-' ,} Mdl Creek in.Yadkin—Pee Dee River.Basin.
`%- Iheproposed permit should the Division receive : Currently GODS,Ammonia as Nitrogen,Total
asignificant degree of public interest. -�' Residual,Chlorine.>Total Suspended Solids.
fpr,and Fecal.Cohform'are.water quality limited.
Co ies of the draft permit and other supporting r': rThisdischarge may affect future allocations in
information on file used to determine conditionsthis portion of Mill Creek. '
present in the=draft permit are available upon -
The Heater Utilities,Inc.(P.O. Drawer 4889,-
request sand pay
riient.of the costs of reproduc- Cary, NC 275195 has applied for renewal of
twn'Mtil comments and/or requests for infoo- NPDES permit NCO084409 for the Wellesley
mauonlo the I�C Division of Water Quality at '• is Place W WTP in Forsyth County.This permit-
;: the above addiess'or call Ms.Valery Stephens at <G.;. ted facility,discharges treated:wastewater to
[phone] extension 520. Please include' �+// : the Mill'Creek in tYadkin-Pee Dee River
a . t., ,-
he`
the-NPDES permit number`(attached) in any �?t. Bann:Cur-ently BOI);-total suspended solids; '
communication. Interested`persons-may also , ammona_nitr1.ogen and; 'residual chlorine -
visit iheDivisron of Wafer Qualityrat 512•N ' ,`� are watertjuahry limited This:discharge may
,.. affedfutu're allocations m [his portion of.the
0 r Salisbury Street,Raleigh, rNG 27604-1148 6 Yadkin-Pee Dee RiverBa'm.'
between the hours•of 8 00 a-m.and 5 00 pm,to
�'- eview in on file y <= Lucent,Technologies (3370 Lexington Rd.,
-�''� r,, (. r, + •}- Winston-Salem;,NC27107)'has applied for
- A- The Winston•Salem/Forsyth County Board ; renewa]'of NPDES permit NC008o853 for the
.S,j. - = Salem Business Park roundwaier remediation
} ,of Eda"cation 14897 Lansing Drive;Wmsion- „, : S„
TM Salem; NC 271051has applied for renewal;of site in.Forsyth County:This permitted facility,
-• "e• . 7 discharges, 301 MGD.of treated wastewater
K 'NPDES permit NCO034821 for-the, //' -
- `_ to Salem'Creek in the Yadkin-Pee Dee River.
Richnio'd•Elementary School. This permitted i
'facility discharges t eated domestic.wastewater . ; Basin.Cuirently,no parameters.are water qua1=
" to am unnaed tributary to Fries Creek in the r = 'y
r- hmited.This dicharge may affect future
Yadkin m
dkin Pee Dee River Basin. Currently .. allocations in this,portion of the Yadkin-Pee
14 ammonia nitrogemand fecal coliform are'water. Dee RiveeBasm >*+ r' t-'
: quality limited:;.This discharge may,�affect, ram'--:
:r -,future allocations in this portion of Fries. s "
' The Chronicle:April 22, 2004
- ' " Creek.
6v9 :High Point Health Care Center,has applied
for.renewal of-its NPDES permit,NC0046035.
NF�% .
TIhe,,.permitted•,facility .discharges treated
4 .wastewater to Rich Fork in the Yadkin-Pee
Dee.River Basin..Cunently BODS,Ammonia
.'t .as Nitrogen'and,total residual ;chlorine are
water,,qua lity. limited. This.discharge, may. -
xi affect future allocations in this portion of Rich - -

FACT SHEET FOR EXPEDITED RENEWAL
Permit Number C
Facility Name
Reviewer
Basin/Sub-basin
Receiving Stream U dF (
Is the stream impaired (listed on 303(d))?
Is stream monitoring required? �S
Do they need NH3 limit(s)? F�
Do they need TRC limit(s)?
Do they have whole-effluent toxicity testing? F—S
Are there special conditions?
Any obvious compliance concerns? —rL
Existing Expiration Date Q
Proposed Expiration Date }N
Miscellaneous Comments:
Circle one: PEDITE DO NOT EXPEDITE
If expedited, is this simpler permit a more difficult one?

Thomas M. Alphin
DBA/ Scarlet Acres Mobile Home Subdivision
PO Box354812 E E a D
Palm Coast, FL 32135-4812 D
386-445-8768
336-749-1551 (cell) - 3
August 28, 2003
DENR-`p)ATER OUAL-ITY
RE: NPDES PERMIT #NCO061204 RENEWAL POINT SOURCE BRANCH
Mr. Charles H. Weaver,JR_
NCDENR/DWQ/NPDES UNIT
1617 Mail Service Center
Raleigh,NC 27 62 6-0 53 5
Dear Mr. Weaver,
This letter is requesting the renewal of NPDES Permit# NC0061204, which expires on
May 31, 2004.
As of this date, August 28,2003,there has been one change at the facility,known as
Scarlet Acres Mobile Home Subdivison. Located at State RD 2223, 5528 Sherene Lane
Walkertown,NC 27051. Fixed Media has been added to the aeration tanks for a better
bacteria production at the facility.
Should you have any questions concerning this matter feel free to contact me, Thomas
Alphin at 336-749-1551 or at PO Box 354812 Palm Coast, FL 32135-4812.
Thanking you in advance for you assistance in this matter.
Respectfulurs
Thomas M. Alphin

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
http://h2o.enr.state.nc.us/NPDES/
North Carolina NPDES Permit Number I NC00 ( 12 0
Please print or type
1. Contact Information: ((��Facility Name JI�O0.YYh 1Ar3 11I.C r7 +l oII l E 1
1
01h 2 SudIU on r_
Owner Name O n
Street Address 0, p S Z
City 0. VIA C O as
State / Zip Code i o e a 3 213 J
Telephone Number ( (p) t{ J - (o
Fax Number ( g ) b p (o
e-mail Address 14142 kth + k�s 0 nP
Operator Name e�
Street Address (o - &54 e C
City O _
State / Zip Code L . 21103
County Fo f.S y 'f'
Telephone Number (33(6 ) 7(0 _ 9 62
2. Location of facility producing discharge:
Check here if same as above
Facility Name (If different from above) �"�" A C 1rCS (1"1 O
Street Address or State Road "MR s herene (one n,C J.R, 2223
City � � 6CGt-�-bwy\
State / Zip Code C- 2 105-1
County t" O es 4
3. Reason for application:
Expansion/Modification * Existing Unpermitted Discharge
Renewal ✓ New Facility
* Provide a description of the expansion/modification: ��
I i 1 re (. r? n nn r� '+
IID1r-- U 6I �
SEP - 3 2003
Page 1 of 3 Version 12102

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
4. Description of the existing treatment facilities (list all installed components with
capacities):
Y"4 a:.c at+; va -ed c Itkag-e park e P( a )+ 6 . 019 Moe
cr e l=�ow
o
�- F� ��
5. Description of wastewater (check all that apply):
Type of Facility Generating Wastewater
Industrial Number of Employees
Commercial Number of Employees
Residential '_J'P0 4� V/ Number of Homes
School Number of Students/Staff
Other
Describe the source(s) of wastewater (example: subdivision, mobile home park, etc.):
(0'� o 6 Z I e N o rh,e PC( r K
6. List all permits, construction approvals and/or applications (check all that apply):
Type Permit Number Type Permit Number
RCRA Non-Attainment
UIC Ocean Dumping
NPDES r� C pp 2 o Dredge/Fill Permits
PSD Other
NESHAPS
7. Number of separate wastewater discharge pipes (wastewater outfalls):
pne
8. If the facility has multiple discharge outfalls, record the source(s) of wastewater for each
outfall:
Page 2 of 3 Version 12102

NPDES APPLICATION FOR PERMIT RENEWAL- SHORT FORM D
To be filed only by privately-owned dischargers of 100% domestic wastewater (<1 MGD flow)
9. Name of receiving stream(s) (Prouide a rnap showing the exact location of eacli ootfall):
llnameA tr% 6L..+D ry +o M' �� Creek � CK P-5 I ha +CA (S S
sk�603f% n 3000 i n + ke yao\k-\ r _ PPe Dee R,\vei QGsl n
10. Is this facility located on Native American lands? (cliecic one)
YES ❑ NO
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.
-F� omaus M _ 6
Printed Name of Person Signing
owner
Title /
Sign ure of Applicant V ffate Signed
North Carolina General Statute 143-215.6(1b)(2)provides that:Any person who knowingly makes any false statement representation,or
certification in any application,recordjeporl,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$10,000,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$10,000 or
imprisonment not more than 5 years,or both for a similar offense.)
Page 3 of 3 Version 12102

Thomas M. Alphin
DBA/ Scarlet Acres Mobile Home Subdivision
PO Box 354812
Palm Coast, FL 32135-4812
386-445-8768
336-749-1551 (cell)
August 28, 2003
RE: Sludge Management Plan
Mr. Charles H. Weaver, JR.
NCDENRIDWQINPDES UNIT
1617 Mail Service Center
Raleigh, NC 27626-0535
Dear Mr. Weaver,
Concerning the sludge management plan for the facility known as Scarlet Acres Mobile
Home Subdivision Waste Water Treatment Plant. This facility produces sludge, which
is stored in a digester on site. The sludge is then hauled from Scarlet Acres Waste Water
Treatment Nam in Walkertown,NC, and is then disposed at the Archie Elledge Sewer
Treatment Plant in Winston-Salem, NC, by Carolina Septic Inc., located at 5709 Old
Valley School Kemersville, NC 27284. telephone number(336-595-3470).
Should you have any questions concerning this matter feel free to contact me, Thomas
Alphin at 336-749-1551 or at PO Box 354812 Palm Coast, FL 32135-4812.
Thanking you in advance for you assistance in this matter.
Respectful Yo
Thomas . Alphin