NC0055913_Renewal (Application)_20211026

ROY COOPER
Governor �' i
ELIZABETH S.BISER 4 •
. �..,.,
Secretory,
y °""gy
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
October 26, 2021
Monroe's Mobile Home Park
Attn: Brandley Flynt, ORC
8467 Southard Road
Stokesdale, NC 27357
Subject: Permit Renewal
Application No. NC0055913
Monroe's Mobile Home Park WWTP
Guilford County
Dear Applicant:
The Water Quality Permitting Section acknowledges the October 26, 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
Wren The ford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
DE Q North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Renal Office 450 West Hanes Mill Road.Suite 300 Winston-Salem.North Carolina 27105
336.7769800

NPDES Permit Number Facility Name Modified Application Form 2A
t�CCY155-9 1 Moo roes m e Modified March2021
Form NC Department of Environmental Quality-Application for NPDES Permit to Discharge Wastewater
NPDES MINOR SEWAGE FACILITIES(Before completing this form,please read the instructions.Failure to follow
the instructions may result in denial of the application.)
SECTION 1.BASIC APPLICATION INFORMATION FOR ALL APPLICANTS(40 CFR 122.21(j)(1)and(9))
1.1 Facility name
mnnroe`5 mop L>L41.10
Mailing address(street or P.O.box)
q55- HaI3)rto(*)K Rd.
City or town State ZIP code
01-C ens 5orn NC- t7`/07
g Contact name(first and last) Title Phone number Email address
J Aorica On roe_ a- %Ner 336-5 O V)Oc N/A
w Location address(street,route number,or other specific identifier) 0'b a as mailing address
U
LL
City or town State ZIP code
I
1.2 Is this application for a facility that has yet to commence discharge?
ElYes 4 See instructions on data submission o
requirements for new dischargers.
1.3 Is applicant different from entity listed under Item 1.1 above?
Yes ig No 4 SKIP to Item 1.4.
Applicant name
16 rod I eti T\y J ti-
c Applicant address(street o P.O.bo
s 7 6o(.r 0 i d
`-(c ti
.
0
City or town State ZIP code
5---1—oVe5 CC°le 1)e__. o273 c 7
co Contact name(first and last) Title Phone number Email address
.Q I3. earn FII/n* CKC 336-4/30-6.1 o.Z 6xtdiet;gyp)' "&o'teenSbvro AC.
eL
a 1.4 Is the appli ant the facility's owner,operator,orb ?(Check only one response.)
0 Owner [a" Operator 0 Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
0 Facility "pplicant ❑ Facility and applicant
(they are one and the same)
1.6 Indicate below any existing environmental permits.(Check all that apply and print or type the corresponding permit
w number for each.)
8 Existing Environmental Permits
ru NPDES(discharges to surface ❑ RCRA(hazardous waste) ❑ UIC(underground injection
a water) control)
E
2 ❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
a
w
0)
N ❑ Ocean dumping(MPRSA) ❑ Dredge or fill(CWA Section ❑ Other(specify)
w 404)
Page 1

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number Facility Name Modified Application Form 2A
Modified March 2021
Neoo560113 Farr-P1.511,10P
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type ership Status
Served Served (indicate percentage)
[CC' %separate sanitary sewer Own 12' Maintain
%combined storm and sanitary sewer ❑ Own 0 Maintain
d ❑ Unknown ❑ Own El Maintain
co %separate sanitary sewer ❑ Own El Maintain
%combined storm and sanitary sewer ❑ Own ❑ Maintain
❑ Unknown ❑ Own ❑ Maintain
a %separate sanitary sewer ❑ Own ❑ Maintain
c %combined storm and sanitary sewer ❑ Own ❑ Maintain
'o ❑ Unknown ❑ Own ❑ Maintain
E
%separate sanitary sewer ❑ Own ❑ Maintain
> %combined storm and sanitary sewer ❑ Own El Maintain
co
_ ❑ Unknown ❑ Own El Maintain
.0 Total
°' Population
c� Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of /o %sewer line(in miles) /OC o
1.8 Is the treatment works located in Indian Country?
c -
o El Yes E' No
U
c 1.9 Does the facility discharge to a receiving water that flows through Indian Country?
co
c El Yes No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
G C, �
.)3 mgd
To
m Annual Average Flow Rates(Actual)
U w
a Two Years Ago Last Year This Year
c o © !LI mgd . .7 / 7 mgd . Q/oZ mgd
cm—
Maximum Daily Flow Rates(Actual)
o Two Years,Ago Last Year This Year
/ 03L mgd . 3.3(a mgd .. 0r7`9 mgd
co 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
Total Number of Effluent Discharge Points by Type
a n. Constructed
Combined Sewer
Treated Effluent Untreated Effluent Bypasses Emergency
03 s ver Oflows Overflows
0 -
N_
a I
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
Modified March 2021
C c0s5 13 nme3 ✓Y1 NP
Outfalls Other Than to Waters of the State of North Carolina
1.12 Does the POTW discharge wastewater to basins, ponds,or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes No 4 SKIP to Item 1.14.
1.13 Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Impoundment Location and Discharge Data
Average Daily Volume Continuous or Intermittent
Location Discharged to Surface
Impoundment (check one)
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
❑ Continuous
gpd ❑ Intermittent
s 1.14 Is wastewater applied to land?
❑ Yes EK-No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
0 Land Application Site and Discharge Data
Continuous or
Location Size Average Daily Volume Intermittent
a, Applied (check one)
Nacres d ❑ Continuous
a gp ❑ Intermittent
❑ Continuous
acres gpd ❑ Intermittent
0
acres d ❑ Continuous
gp ❑ Intermittent
1.16 Is effluent transported to another facility for treatment prl 6-discharge?
s.0
❑ Yes [ No 4 SKIP to Item 1.21.
1.17 Describe the means by which the effluent is transported(e.g.,tank truck,pipe).
1.18 Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19 Provide information on the transporter below.
Transporter Data
Entity name Mailing address(street or P.O.box)
City or town State ZIP code
Contact name(first and last) Title
Phone number Email address
Page 3

NPDES Permit Number Facility Name Modified Application Form 2A
nn11( V 1 ©559 l 3 MonroP:5 y>-,. p Modified March 2021
1.20 In the table below,indicate the name,address,contact information, NPDES number,and average daily flow rate of the
receiving facility.
Receiving Facility Data
-0 Facility name Mailing address(street or P.O.box)
a)
c City or town State ZIP code
0
w Contact name(first and last) Title
0
Phone number Email address
QNPDES number of receiving facility(if any) ❑ None Average daily flow rate mgd
to
O 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
8 not have outlets to waters of the State of North Carolina g.,underground percolation,underground injection)?
FT
ms ElYes No 3 SKIP to Item 1.23.
U
0 1.22 Provide information in the table below on these other disposal methods.
;, Information on Other Disposal Methods
5 Disposal Location of Size of Annual Average Continuous or Intermittent
c Method Disposal Site Disposal Site Daily Discharge (check one)
co Description Volume
to
— acres d ❑ Continuous
3 gp ❑ Intermittent
o 0 Continuous
acres gpd 0 Intermittent
acres d ❑ Continuous
gp ❑ Intermittent
1.23 Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)?(Check all that apply.
a) N Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
C 3 Discharges into marine waters(CWA Water quality related effluent limitation(CWA Section
as a) ❑ ction 301(h)) ❑ 302(b)(2))
1 of applicable
1.24 Are anyoperational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
P p
the r onsibility of a contractor?
Yes ❑ No+SKIP to Section 2.
1.25 Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1 Contractor 2 Contractor 3
o Contractor name
.. (company name) Brod(&( F1 yn 1
Mailing address 8'1(07
(street or P.O.box) U taT�J �'
w City,state,and ZIP 5+O�sda.(C.1 'NC
R code ,r)-73c1
Contact name(first and ;,
c) last) I�rcc (p,, ri`(n-1"
Phone number ,(0-y30 -6)(d-
Email address 1 rucijei,t f Iri-os trtt!nb65tD—PC.90V
Operational and A t( ope toa5 i
maintenance L c1(prnc,n4- ocortv aaace
responsibilities of n
contractor (Jtouv c S ►�1cCirk'flcer1C.-
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
N/ CO 9 / 3 /nioe3 111
//J' Modified March 2021
SECTION 2.ADDITIONAL INFORMATION(40 CFR 122.21(j)(1)and(2))
o Outfalls to Waters of the State of North Carolina
0,
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
❑ Yes INo 4 SKIP to Section 3.
0 2.2 Provide the treatment works'current average daily volume of inflow Average Daily Volume of Inflow and Infiltration
and infiltration. gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
N
A
0
c
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
specific r irements.)
a R
O �
0 Yes ❑ No
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
3 `� (See instructions for specific requirements.)
0 a,
LL ,R
o ❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes E No-4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
;a 1.
Rt,�“; Inc,' ,, 3 k;rl) e v"5 Oil ( .474 e r5
co
2. "
�p at. r et,P�'C'i�d I.'r��� ?n 1�n �ir, ,, 1— l3csr� Scr{f'i-1 ..
N 3.
°' IC c-t- 1.1_1 kods r v' /ear p G-i--;•ori
4.
R 2.6 Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Affected Attainment of
Scheduled Begin End Begin
2 Improvement Operational
provement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level
number) JMM/DD/YYYYL
1.
U 2.
3.
4.
2.7 Have appropriate permits/clearances concerning other federal/state requirements been obtained?Briefly explain your
response.
❑ Yes ❑ No None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
Modified March 2021
05-S- ( 3 and rr '
SECTION 3.INFORMATION ON EFFLUENT DISCHARGES(40 CFR 122.21(j)(3)to(5))
3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number I Outfall Number Outfall Number
State Nod)) Corot n cc
wCounty
"6City or town G?-eeilsbr0
c Distance from shore 3 ft. ft. ft.
Depth below surface ft. ft. ft.
Average daily flow rate -I mgd mgd mgd
Latitude 0 ' 3' ` " °
Longitude 71° 143
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
rj ❑ Yes Ly No 4 SKIP to Item 3.4.
3.3 If so,provide the following information for each applicable outfall.
Outfall Number Outfall Number Outfall Number
Number of times per year
0 discharge occurs
a Average duration of each
`o discharge(specify units)
Average flow of each
R discharge mgd mgd mgd
in Months in which discharge
occurs
3.4 Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes No 4 SKIP to Item 3.6.
3.5 Briefly describe the diffuser type at each applicable outfall.
a.
Outfall Number Outfall Number Outfall Number
cri 3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or ore discharge points?
-4
Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
N C-40 She( 1 3 iro n ro e 5 mil P Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number(:X I Outfall Number Outfall Number
Receiving water name
PcoIeca+ ereek
Name of watershed,river,
c or stream system C ape ��r
Ei U.S.Soil Conservation
co Service 14-digit watershed
o code
A Name of state
management/river basin (_ r e f-eo r
c U.S.Geological Survey
al 8-digit hydrologic 03(')3( 0,7
ce cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
Total hardness at critical mg/L of mg/L of mg/L of
low flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall NumberC .) I Outfall Number Outfall Number
Highest Level of ❑ Primary ❑ Primary 0 Primary
Treatment(check all that ❑ Equivalent to 0 Equivalent to ❑ Equivalent to
apply per outfall) secondary secondary secondary
lecondary ❑ Secondary 0 Secondary
Advanced 0 Advanced ❑ Advanced
0 Other(specify) ❑ Other(specify) 0 Other(specify)
c
0
'a Design Removal Rates by
Outfall
N
N
o BODs or CBODs �� 7 % %
' ZS
d
E
1-4
TSS 9 d °,° °%° %
l—Not applicable 0 Not applicable ❑Not applicable
Phosphorus %
❑Not applicable ❑ Not applicable ❑Not applicable
Nitrogen 9 n % % %
Other(specify) C'Not applicable ❑ Not applicable ❑Not applicable
%
Page 7
L -

NPDES Permit Number Facility Name Modified Application Form 2A
IC 5 55--cj J 7 /, Modified March 2021
3.9 Describe the type of disinfection used for the effluent from each outfall in the table below.If disinfection varies by
season,describe below.
a
o Outfall Number( (2 I Outfall Number Outfall Number
Disinfection type i4 y path IOC;to
luble.1'5
Seasons used l/ea` /o n q
Dechlorination used? ❑ Not applicable El Not applicable ❑ Not applicable
1E Yes ❑ Yes ❑ Yes
❑ No ❑ No ❑ No
3.10 Have you completed monitoring for all Table A parameters and attached the results to the application package?
❑ Yes ❑ No
3.11 Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No 4 SKIP to Item 3.13.
3.12 Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number Outfall Number Outfall Number
Acute Chronic Acute Chronic Acute Chronic
a) Number of tests of discharge
water
Number of tests of receiving
water
w
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
real le potential to discharge chlorine in its effluent?
Yes Complete Table B,including chlorine. ❑ No 4 Complete Table B,omitting chlorine.
3.15 Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes Er No
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18 attached the results to this application package?
❑ Yes No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number Facility Name Modified Application Form 2A
fie 0O 3 n1o,i me 5 1 H p Modified March 2021
3.19 Has the POTW conducted either(1)minimum of four quarterly WET tests for one year preceding this permit application
or(2)at least four annual WET tests in the past 4.5 years?
El Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20 Have you previously submitted the results of the above tests to your NPDES permitting authority?
El Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21 Indicate the dates the data were submitted to your NPDES permitting authority and provide a summary of the results.
Date(s)Submitted Summary of Results
(MM/DD/YYYY)
v
R 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
o toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
F 3.23 Describe the cause(s)of the toxicity:
c
d
w
3.24 Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25 Provide details of any toxicity reduction evaluations conducted.
3.26 Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES .ermittin. authori .
Page 9

NPDES Permit Number Number Facility Name Modified Application Form 2A
NC X 5-. l l 3 rYlortroe '5 01 ,y7" Modified March 2021
SECTION 6.CIECKLIST AND CERTIFICATION STATEMENT(40 CFR 122.22(a)and(d))
6.1 In Column 1 below,mark the sections of Form 2A that you have completed and are submitting with your application. For
each section,specify in Column 2 any attachments that you are enclosing to alert the permitting authority.Note that not
all applicants are required to provide attachments.
Column 1 Column 2
Section 1: Basic Application
Information for All Applicants ❑ w variance request(s) ❑ wl additional attachments
Section 2:Additional I/w/topographic map ❑ wl process flow diagram
Information ❑ wl additional attachments
❑ w/Table A ❑ w/Table D
Section 3:Information on ❑ w/Table B ❑ w/additional attachments
d Effluent Discharges
❑ wl Table C
co Section 4: Not Applicable
0
Section 5:Not Applicable
Section 6:Checklist and
❑ wl attachments
Certification Statement
Y 6.2 Certification Statement
U
CD
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 fine
and imprisonment for knowing violations.
Name(print or type first and last name) Official title
fCeCJIeq F fRC
Signature Date signed
atit c(12.19.44t- ietb 4/
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
Modified March 2021
AC DO SC1 i 3 f y ^y'y'r.,c''6 ill t-i? 00 1
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Methods Include units
Value Units Value Units Sam.les Methods (
)
Biostiemical oxygen demand
0 ML
OD5or❑CBOD5 � 1�1C�(L l C( >71 �L vIeeKIy �� ❑MDL
re.ortone J h� cM3'Aptl
Fecal coliform ( rn� < I wee(<l S -X mil'wee ❑ML
2 /'C2� t �� � t�mPN ID MDL
Design flow rate 030 016-I) , 0 1 3 M vb We�K t y
pH(minimum) D FinfArill .
pH(maximum) 5-/onda r
Temperature(winter) MIM1 MEM
(46,05
Temperature(summer) (�1 .' F,IC uf,5 0� c( 1 , (tf
Total suspended solids(TSS) 5 - � /11 /l_ 0MEMEME111 ❑ML
Sin,�S-10 c) ,7OI! ❑MDL
1 Sampling shall be conducted according to sufficiently sensitive test procedures(i.e., methods)approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I,subchapter N or 0.See instructions and 40 CFR 122.21(e)(3).
Page 11

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NC0055913 - Monroe's MHP WWTP Facility
Latitude: 35°58'37" Stream Class:WS-III Location
Longitude: 79°48'34"
Subbasin: 03-06-09
Hydrologic Unit: 03030003 River Basin: Cape Fear
USGS Quad: Pleasant Garden, N.C. Guilford County I
Receiving Stream: Polecat Creek
Map not to scale