NC0055913_Fact Sheet_20211228

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
Siying Chen 10/29/2021
Permit Number
NC0055913
Facility Name / Facility Class
Monroe's Mobile Home Park WWTP / WW-2
County / Regional Office
Guilford / WSRO
Basin Name / Sub -basin number
Cape Fear / 03-06-09
Receiving Stream / HUC
Polecat Creek / 030300030107
Stream Classification / Stream Segment
WS-III / 17-11-(1)
Does permit need Daily Maximum NH3 limits?
No - Already present
Does permit need TRC limits/language?
No - Already present
Does permit have toxicity testing? IWC (%) if so
No
Does permit have Special Conditions?
Nutrient reopener
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
Eight violation and enforcement cases (including
three NOVs and five NODs) during past permit
cycle.
Any permit mods since last permit?
Added WWTP classification
Updated eDMR requirements
Updated nutrient reopener condition
New expiration date
8/31/2026
Comments on Draft Permit?
No
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream 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 permitted effluent limits and stream impairment can
be attributed to your facility, then mitigative measures may be required".
Fact Sheet for Permit Renewal
December 2021 -- NPDES Permit NC0055913 - Page 1

Facility Overview:
This facility is a minor facility (flow
capacity of 0.03 MGD. This WWTP
• Flow Splitter
• Two 15,000-gallon activated
• Two clarifiers
• Two sludge holding units
• Two tablet chlorinators
• Two chlorine contact tanks
• 5000-gallon backwash tank
• 3000-gallon mud well
• Single tablet dechlorinator
• Post aeration
• Ultrasonic flow meter
< 1 MGD) discharging 100% domestic wastewater with a design
utilizes the following treatment components:
sludge tanks
Compliance History (February 2017 — October 2021):
• Compliance inspection in April 2017 resulted in one NOV for permit condition violation.
• One NOV for permit condition violation in June 2017.
• One NOV for fecal coliform limit violation in August 2017.
• One NOD for fecal coliform limit violation in February 2017.
• One NOD for late/missing DMR in April 2017
• One NOD for TRC monitoring frequency violation in March 2019.
• One NOD for flow limit violation in May 2020 and October 2020.
Recent inspection in August 2020 shows the facility was in compliance.
Changes from previous permit to draft:
• Added facility grade in A. (1)
• Updated eDMR footnote in A. (1) and language in A. (3)
• Updated nutrient reopener condition in A. (2)
Comments received on draft permit:
• No comment received on draft permit.
Changes from draft to final:
• No change to final permit.
Fact Sheet for Permit Renewal
December 2021 -- NPDES Permit NC0055913 - Page 2

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
S. DANIEL SMITH
Director
MEMORANDUM
To:
From:
Subject:
NORTH CAROLINA
Environmental Quality
November 1, 2021
Eric Hudson
NC DEQ / DWR / Public Water Supply
Winston-Salem Regional Office
Siying Chen
NPDES Compliance and Expedited Permitting
Review of Draft NPDES Permit NC0055913
Monroe's Mobile Home Park WWTP
Guilford County
Please indicate below your agency's position or viewpoint on the draft permit and return this form by
December 1, 2021. If you have any questions on the draft permit, please contact me at 919-707-3619 or
via e-mail [siying.chenncdenr.gov].
§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§§
RESPON E: (Check one)
Concur with the issuance of this permit provided the facility is operated and maintained properly, the stated
effluent limits are met prior to discharge, and the discharge does not contravene the designated water quality
standards.
Concurs with issuance of the above permit, provided the following conditions are met:
Opposes the issuance of the above permit, based on reasons stated below, or attached:
Signed
Date: /
NORTH CAROLINA
Department of Environmental Quality
North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh, North Carolina 27699-1617
919.707.9000

Greensboro News Record
Advertising Affidavit
200 E. Market St
Greensboro, NC. 27401
[phone]
NCDEQ-DIVISION OF WATER RESOURCES
1617 MAIL SERVICE CENTER
RALEIGH, NC 27699-1617
Account Number
4019534
Date
November 10, 2021
PO Number Order Category Description
0000752521 Legal Notices
Public Notice North Carolina Environmental Management Commission/ NPDES Unit 1617 Ma
Publisher of the
Greensboro News Record
Before the undersigned, a Notary Public duly commissioned, qualified, and authorized by
law to administer oaths, personally appeared the Publisher's Representative who by being
duly sworn deposes and says: that he/she is authorized to make this affidavit and sworn
statement; that the notice or other legal advertisement, a copy of which is attached hereto,
was published in the Greensboro News Record on the following dates:
11 /10/2021
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 Statutes of North
Carolina.
Billing Representative
Sworn to and subscribed before me the 10th day of Novembe 20 1.
/l/4 11
(Notary Public)
State of Virginia
County of Hanover
My commission expires:
Richard A. Hundley
Notary Public
Commonwealth of Virginia
Notary Registration No. 7904041
Commission Exp. Jan 31, 2024
THIS IS NOT A BILL. PLEASE PAY FROM INVOICE. THANK YOU

Public Notice
North Carolina Environmental
Management Commission/
NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699.1617
Notice of Intent to Issue a NPDES
Wastewater Permit NC0022098
Cranbrook Village WWTP and
NC0055913 Monroe's Mobile Home
Park WWTP The North Carolina En-
vironmental Management Commis-
sion proposes to issue a NPDES
wastewater discharge permit to the
person(s) listed below. Written
comments regarding the proposed
permit will be accepted until 30 days
after the publish date of this notice.
The Director of the NC Division of
Water Resources (DWR) may hold a
public hearing should there be a sig-
nificant degree of public interest.
Please mail comments and/or infor-
mation requests to DWR at the
above address. Interested persons
may visit the DWR at 512 N. Salis-
bury Street, Raleigh, NC 27604 to re-
view information on file. Additional
information on NPDES permits and
this notice may be found on our
website: http://deq.nc.gov/about/di
visions/water-resources/water-
resources-permits/wastewater-
branch/npdes-wastewater/public-
notices,or by calling [phone].
NC Land Lease, LLC [P.O. Box 2533,
Christiansburg, VA 24068] request-
ed renewal of NPDES permit
NC0022098 for the Cranbrook Village
WWTP in Guilford County. This per-
mitted facility discharges treated
domestic wastewater to Little Ala-
mance Creek in the Cape Fear River
Basin. Currently, ammonia nitrogen,
fecal coliform, and total residual
chlorine are water quality limited.
This discharge may affect future al-
locations in this portion of the Cape
Fear River Basin. Bradley Flynt
(8467 Southard Rd., Stokesdale, NC
27357) has requested renewal of
NPDES permit NC0055913 for Mon-
roe's Mobile Home Park WWTP in
Guilford County. This permitted fa-
cility discharges treated domestic
wastewater to Polecat Creek in the
Cape Fear River Basin. Currently
BOD, ammonia nitrogen, dissolved
oxygen, fecal coliform, and total re-
sidual chlorine are water quality lim-
ited, which may affect future alloca-
tions in this portion of the Cape Fear
River Basin.

NH3/TRC WLA Calculations
Facility: Monroe's Mobile Home Park WWTP
PermitNo. NC0055913
Prepared By: Siying Chen
Enter Design Flow (MGD):
Enter s7Q10 (cfs):
Enter w7Q10 (cfs):
0.03
0
0.075
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (UG/L)
Upstream Bkgd (ug/I)
IWC (%)
Allowable Conc. (ug/I)
Fecal Coliform
Monthly Average Limit:
(If DF >331; Monitor)
(If DF<331; Limit)
Dilution Factor (DF)
0
0.03
0.0465
17.0
0
100.00
17
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/I)
s7Q10 (CFS)
DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/I)
w7Q10 (CFS)
200/100m1 DESIGN FLOW (MGD)
DESIGN FLOW (CFS)
STREAM STD (MG/L)
1.00 Upstream Bkgd (mg/I)
IWC (%)
Allowable Conc. (mg/I)
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N1
1. If Allowable Conc > 35 mg/I, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
0
0.03
0.0465
1.0
0.22
100.00
1.0
0.075
0.03
0.0465
1.8
0.22
38.27
4.3
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/29/21 Page 1 01 3
Permit: nc0055913 MRs Betweei 2 - 2017 and10 - 2021
Facility Name: % Param Nam( %
Major Minor: %
Region: %
County: %
Violation Category:%
Subbasin:%
Program Category:
Violation Action: %
PERMIT: NC0055913
FACILITY: Monroe's Mobile Home Park - Monroe's Mobile Home
Park WWTP
COUNTY: Guilford
REGION: Winston-Salem
Limit Violation
MONITORING OUTFALL
REPORT
LOCATION
PARAMETER
VIOLATION
UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE
%
Over
VIOLATION TYPE VIOLATION ACTION
02-2017 001
03-2017 001
05-2017 001
05-2017 001
06-2017 001
07-2017 001
07-2017 001
10-2017 001
02-2017 001
08-2017 001
05-2020 001
10-2020 001
08-2017 001
08-2018 001
Monitoring Violation
MONITORING OUTFALL
REPORT
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
LOCATION
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Chlorine, Total Residual
Coliform, Fecal MF, MFC
Broth, 44.5 C
Coliform, Fecal MF, MFC
Broth, 44.5 C
Flow, in conduit or thru
treatment plant
Flow, in conduit or thru
treatment plant
pH
pH
PARAMETER
02/24/17 2 X week
03/10/17 2 X week
05/05/17 2 X week
05/19/17 2 X week
06/16/17 2 X week
07/21/17 2 X week
07/28/17 2 X week
10/27/17 2 X week
02/02/17 Weekly
08/17/17 Weekly
05/31/20 Weekly
10/31/20 Weekly
08/04/17 Weekly
08/17/18 Weekly
VIOLATION
DATE FREQUENCY MEASURE
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
#/100m1
#/100m1
mgd
mgd
su
su
UNIT OF
17 22 29.4 Daily Maximum
Exceeded
17 26 52.9 Daily Maximum
Exceeded
17 24 41.2 Daily Maximum
Exceeded
17 28 64.7 Daily Maximum
Exceeded
17 18 5.9 Daily Maximum
Exceeded
17 33 94.1 Daily Maximum
Exceeded
17 36 111.8 Daily Maximum
Exceeded
17 19 11.8 Daily Maximum
Exceeded
400 510 27.5 Daily Maximum
Exceeded
400 548 37 Daily Maximum
Exceeded
0.03 17,800 9,333,233. Monthly Average
Exceeded
0.03 0.033 11 Monthly Average
Exceeded
6 0.22 96.3 Daily Minimum Not
Reached
6 0.28 95.3 Daily Minimum Not
Reached
LIMIT
CALCULATED
VALUE
%
Over
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BPJ
Proceed to NOD
Proceed to NOV
Proceed to NOD
Proceed to NOD
No Action, BPJ
No Action, Facility
Reporting Error
VIOLATION TYPE VIOLATION ACTION

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/29/21
Page 2 of 3
Permit: nc0055913 MRs Betweei 2 - 2017 and10 - 2021
Facility Name: % Param Nam( %
Major Minor: %
Region:
County: %
Violation Category:%
Subbasin:%
Program Category: %
Violation Action: %
PERMIT: NC0055913
FACILITY: Monroe's Mobile Home Park - Monroe's Mobile Home
Park WWTP
COUNTY: Guilford
REGION: Winston-Salem
Monitoring Violation
MONITORING
REPORT OUTFALL
LOCATION
PARAMETER
VIOLATION UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
09-2017 001
12-2020 001
09-2017 001
03-2019 001
09-2017 001
12-2020 001
09-2017 001
12-2020 001
09-2017 001
09-2017 001
09-2017 001
12-2020 001
03-2017 001
09-2017 001
Reporting Violation
MONITORING
REPORT OUTFALL
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
LOCATION
BOD, 5-Day (20 Deg. C) -
Concentration
BOD, 5-Day (20 Deg. C) -
Concentration
Chlorine, Total Residual 09/02/17 2 X week
09/02/17 Weekly
12/05/20 Weekly
Chlorine, Total Residual 03/02/19 2 X week
Coliform, Fecal MF, MFC
Broth, 44.5 C
Coliform, Fecal MF, MFC
Broth, 44.5 C
Nitrogen, Ammonia Total (as
N) - Concentration
Nitrogen, Ammonia Total (as
N) - Concentration
Oxygen, Dissolved (DO)
pH
Solids, Total Suspended -
Concentration
Solids, Total Suspended -
Concentration
Temperature, Water Deg.
Centigrade
Temperature, Water Deg.
Centigrade
PARAMETER
09/02/17
12/05/20
09/02/17
12/05/20
09/02/17
Weekly
Weekly
Weekly
Weekly
Weekly
09/02/17 Weekly
09/02/17
12/05/20
03/04/17
09/02/17
Weekly
Weekly
5 X week
5 X week
mg/I
mg/I
ug/I
ug/I
#/100m1
#/100m1
mg/I
mg/I
mg/I
su
mg/I
mg/I
deg c
deg c
VIOLATION UNIT OF
DATE FREQUENCY MEASURE
LIMIT
CALCULATED
VALUE
Over
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
Frequency Violation
No Action, BPJ
No Action, BIMS
Calculation Error
No Action, BPJ
Proceed to NOD
No Action, BPJ
No Action, BIMS
Calculation Error
No Action, BPJ
No Action, BIMS
Calculation Error
No Action, BPJ
No Action, BPJ
No Action, BPJ
No Action, BIMS
Calculation Error
No Action, BPJ
No Action, BPJ
VIOLATION TYPE VIOLATION ACTION
04-2017 05/31/17 Late/Missing DMR Proceed to NOD

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 10/29/21 Page 3 of 3
Permit: nc005591 MRs Betweei 2 - 2017 and10 - 2021
Facility Name: % Param Nam( %
Major Minor: %
Region: %
County: %
Violation Category:%
Subbasin:%
111 Program Category: %
Violation Action:
PERMIT: NC0055913
FACILITY: Monroe's Mobile Home Park - Monroe's Mobile Home
Park WWTP
COUNTY: Guilford
REGION: Winston-Salem
Reporting Violation
MONITORING OUTFACE
REPORT
LOCATION
PARAMETER
VIOLATION UNIT OF
FREQUENCY
DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
08-2017
10/01/17
09-2021 001 Upstream Temperature, Water Deg. 09/30/21 Weekly deg c
Centigrade
Late/Missing DMR No Action, BPJ
Sampling Location
Missing
None

From:
To:
Subject:
Date:
Flynt, Bradley
Chen, Sivinq
[External] RE: NPDES Permit Renewal - NC0055913
Monday, November 1, 2021 11:40:33 AM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Yes sir, you have my approval.
Bradley Flynt
Water Reclamation
Treatment Plant Superintendent
Office - 336-433-7262
Cell - 336-430-6262
[e-mail]
From: Chen, Siying <[e-mail]>
Sent: Monday, November 1, 2021 11:03 AM
To: Flynt, Bradley <[e-mail]>
Subject: NPDES Permit Renewal - NC0055913
Good morning Mr. Flynt,
My name is Siying and I'm the assigned permit writer for your NPDES permit renewal Monroe' s
Mobile Home Park WWTP (NC0055913). I've been reviewing the application you submitted and
working on draft permit for public notice. I would like to touch base with you about transmission of
permit documents electronically.
In order to provide more convenience, control, and security to our permittees and assist them in
processing their transactions, The Division of Water Resources is currently transitioning towards
electronic correspondence. This will hopefully provide more efficient service to our permittees and
other partners and will allow us to more effectively process and track documents. We are writing to
ask you for your approval of the transmittal of documents related to your permitting and related
activities with the Division in an electronic format. Documents will be emailed to the appropriate
contact person(s) in your organization in a PDF format.
Please respond to me through email with verification that transmittal of your documents in an
electronic manner is acceptable to you. If you have any questions, please feel free to contact me.
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist I

Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: siying.chenPncdenr.gov
Phone: [phone] (Office)
r,' oir u�,sury
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

From:
To:
Cc:
Subject:
Date:
Flynt, Bradley
Chen, Siyinq
Graznak, Jenny; Snider Lon; Weaver, Charles
[External] RE: NPDES Permit Issuance - NC0055913
Tuesday, December 28, 2021 11:00:30 AM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Thank you. I got it.
Bradley Flynt
Water Reclamation
Treatment Plant Superintendent
Office - 336-433-7262
Cell - 336-430-6262
[e-mail]
From: Chen, Siying <[e-mail]>
Sent: Tuesday, December 28, 2021 10:41 AM
To: Flynt, Bradley <[e-mail]>
Cc: Graznak, Jenny <[e-mail]>; Snider, Lon <[e-mail]>; Weaver,
Charles <[e-mail]>
Subject: NPDES Permit Issuance - NC0055913
Good morning Mr. Flynt,
Attached is the final NPDES permit renewal for Monroe's Mobile Home Park WWTP
(NC0055913). The permit will be effective on February 1, 2022.
Please respond to this email confirming that you received the attached document, were
able to open and view the document and have saved/printed a copy for your records.
Thank you and happy holidays!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist
Compliance and Expedited Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
Email: [e-mail]
Phone: [phone] (Office)

i'ffE
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary ° ""
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.
ec: WQPS Laserfiche File w/application
DEQ?„;
Sincerely
Wren The 9ford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality i Division of Water Resources
Winston-Salem Regional Office 1450 West Hanes Mill Road. Suite 300 I Winston-Salem. North Carolina 27105
335.776.9800

NPDES Permit Number
t\-1 55-9 1..;
Facility Name
in 0 roe 5 m H
Modified Application Form 2A
Modified March 2021
Form
NPDES
NC Department of Environmental Quality - Application for NPDES Permit to Discharge Wastewater
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))
Np Li k j._..,P
Facility Information
1.1
Facility name
mOnroe"S ✓r)
Mailing address (street or P.O. box)
q-55 HaI3)r�)©K RC/.
City or town
Cl-ee r15 5o ro
State
NC
ZIP code
a riLio�
Contact name (first and last)
trict5 Mn roe_
Title
Cco N e r
Phone number
336- D -V)a,)
Email address
N/ A
Location address (street, route number, or other specific identifier) O'Same as mailing address
City or town
1
State
ZIP code
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes -4 See instructions on data submission No
requirements for new dischargers.
Applicant Information
1.3
Is applicant different from entity listed under Item 1.1 above?
IIK Yes ig No 4 SKIP to Item 1.4.
Applicant name
T3rod(t i fviif
Applicant address (street o P.O. bo
shflp 7 60ci Ofi d .
City or town
5e)r-e5C'° le
State
11e_
ZIP code
0735-7
Contact name (first and last)
)3edd le.4 EN ), f
Title
G FCC
Phone number Email address
33k,•4/30-04.16..aelt6tilyn f-e§teef:
only one response.)
❑ Both
1.4
Is the appli
ant the facility's owner, operator, orb ? (Check
Operator
■ Owner
1.5
To which entity should the NPDES permitting authority send correspondence? (Check
❑ Facility Applicant
only
one response.)
Facility and applicant
(they are one and the same)
Existing Environmental Permits
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
number for each.)
Existing Environmental Permits
Etv-IP—DES (discharges to surface
water)
•
RCRA (hazardous waste)
❑ UIC (underground injection
control)
❑ PSD (air emissions)
•
Nonattainment program (CAA)
❑ NESHAPs (CAA)
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
404)
❑ Other (specify)
Page 1

North Carolina
Department of Environmental Quality
Division of Water Resources
Modified Application Form 2A
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
NCO° 569 13
Facility Name
P'lop r-op'.5 niirtP
Modified Application Form 2A
Modified March 2021
Collection System and Population Served
1.7
Provide the collection system information requested below for the treatment works.
Municipality
Served
Population
Served
Collection System Type
(indicate percentage)
nership Status
fLr O % separate sanitary sewer
Own 121' Maintain
_ % combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own El Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
0 Unknown
❑ Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own ❑ Maintain
❑ Unknown
0 Own ❑ Maintain
Total
Population
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
/ 00
Indian Country
1.8
Is the treatment works located in Indian
❑ Yes
Country?
Er No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through Indian Country?
❑ No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
c L> > mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
© ILI mgd
( l '( mgd
, (( / r1 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
03L1 mgdi
33% mgd
. tidy mgd
Discharge Points
by Type
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
Treated Effluent
Untreated Effluent
Combined Sewer
Overflows
Bypasses
Constructed
Emergency
Overflows
Page2

NPDES Permit Number
NIModified
C cos-5 13
Facility Name
inon2oe'S m NP
Modified Application Form 2A
March 2021
Outfalls and Other Discharge or Disposal Methods
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 UNo 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
Location
Average Daily Volume
Discharged to Surface
Impoundment
Continuous or Intermittent
(check one)
gpd
❑ Continuous
❑ Intermittent
gpd
❑ Continuous
❑ Intermittent
gpd
0 Continuous
❑ Intermittent
1.14
Is wastewater applied to land?
❑ Yes 12"----No 4 SKIP to Item 1.16.
1.15
Provide the land application site and discharge data requested below.
Land Application Site and Discharge Data
Location
Size
Average Daily Volume
Applied
Continuous or
Intermittent
(check one)
acres
gic d
❑ Continuous
❑ Intermittent
acres
gp d
0 Continuous
0 Intermittent
acres
gpd
0 Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment pn 6-discharge?
❑ Yes L,d' 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?
4 SKIP to Item 1.20.
• Yes
•
No
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

NCOO
NPDES Permit Number
659 13
Facility Name
/lion meS MI -Id
Modified Application Form 2A
Modified March 2021
Outfalls and Other Discharge or Disposal Methods Continued
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
Facility name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than those a
not have outlets to waters of the State of North Carolina g.,
❑ Yes No
ready mentioned in Items 1.14 through 1.21 that do
underground percolation, underground injection)?
-, SKIP to Item 1.23.
1.22
Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
Disposal
Method
Description
Location of
Disposal Site
Size of
Disposal Site
Annual Average
Daily Discharge
Volume
Continuous or Intermittent
(check one)
acres
,4
gp❑
❑ Continuous
Intermittent
acresgpd
0 Continuous
❑ Intermittent
acresgpd
❑ Continuous
❑ Intermittent
Variance
Requests
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.
Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
❑ Discharges into marine waters (CWA ❑ Water quality related effluent limitation (CWA Section
,Section 301(h)) 302(b)(2))
12/Not applicable
Contractor Information
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
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
Contractor name
(company name)
Brad I&( Flynt -
Mailing address
(streett or P.O. box)
8'1 (o7 u hard JO•
City, state, and ZIP
code
5+o <esdac(C. t \G
,13c1
Contact name (first and
last)
;; ,� �--•
I,5rad(P.�,� t' �`(n+
Phone number
(0-930 -6)(
Email address
Operational and
maintenance
responsibilities of
contractor
A t ( ope toa5 i
Ebdt pot; ;n n4- rvanaace
Cnou,ck >71a, rk'netrlCC-
Page 4

SECTION
2. ADDITIONAL INFORMATION
Outfalls to Waters of
NPDES Permit Number
NIL 00 55 / 3
(40 CFR 122.21(j)(1) and
the State of North Carolina
Facility Name Modified
,n roe5 hJ Ht)
(2))
Application Form 2A
Modified March 2021
o
cnin
ca
2.1
Does the treatment
works have a design flow greater than or equal to 0.1 mgd?
V No 4 SKIP to Section 3.
• Yes
Inflow and Infiltration
2.2
Provide the treatment works' current average daily volume of inflow
and infiltration.
Average Daily Volume of Inflow and Infiltration
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
i\I A
Topographic
Map
2.3
Have you attached a topographic map to
specific r irements.)
Yes
this application
that contains all the required information? (See instructions for
No
•
Row
Diagram
2.4
Have you attached
(See instructions
a process flow diagram or schematic to this application that contains all the required information?
for specific requirements.)
❑ No
• Yes
1
IScheduled Improvements and Schedules of Implementation
2.5
Are improvements
to the facility scheduled?
Er---; o -9 SKIP to Section 3.
■ Yes
Briefly list and describe the scheduled improvements.
1.
r\c)“,10.'119_ 5 ;r1n111er5 On (_0t-, er5-
2. I'Ne.Plat. Flo Pi-e-a 9- 1.`,1e5 n i'n rlr, elf l- 3c<r 5c, e ,
3.
4.
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
Scheduled
Improvement
(from above)
Affected
Outfalls
(list outfall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
iMM/DD/YYYYL
1.
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
0 SS' 13
Facility Name
mo go ' 77 I
Modified Application Form 2A
Modified March 2021
SECTION 3. INFORMATION
ON EFFLUENT DISCHARGES (40 CFR 122.21(j)(3) to (5))
Description of Outfalls
3.1
Provide the fo lowing information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 1
Outfall Number
Outfall Number
State
Nod)) &rot, n 4
County;
/turd
City or town
Gitettskvo
Distance from shore
3 ft.
ft.
ft.
Depth below surface
0 ft.
ft.
ft.
Average daily flow rate
mgd
mgd
mgd
Latitude
3c 513 ' 3' ` "
„
Longitude
79 ° 14? '3'-{ "
'"
"'
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasona
or periodic discharges?
II/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
discharge occurs
Average duration of each
discharge (specify units)
Average flow of each
discharge
mgd
mgd
mgd
Months in which discharge
occurs
Diffuser Type
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.
Outfall Number
Outfall Number
Outfall Number
Waters of
the U.S.
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?
Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
N . 40 SCE 13
Facility Name
ino n ro e 5 rn H P
Modified Application Form 2A
Modified March 2021
Receiving Water Description
3.7
Provide the receiving water and related information (if known) for each outfall.
Outfall Number Or I
Outfall Number
Outfall Number
Receiving water name
Pole cal' reek
Name of watershed, river,
or stream system
C ape -fi"ea r
U.S. Soil Conservation
Service 14-digit watershed
code
Name of state
management/river basin
CCcr� e f -ea r
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
0303000 3
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
CaCO3
mg/L of
CaCO3
mg/L of
CaCO3
Treatment Description
3.8
Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Nurnberg) ( Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
❑ Primary
0 Equivalent to
secondary
Vecondary
vanced
0 Other (specify)
❑ Primary
0 Equivalent to
secondary
❑ Secondary
0 Advanced
0 Other (specify)
0 Primary
0 Equivalent to
secondary
❑ Secondary
❑ Advanced
0 Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
CI b %
%
%
TSS
9 0 %
%
%
Phosphorus
t -Not applicable
o
❑ Not applicable
0
0 Not applicable
0
Nitrogen
0 Not applicable
G n ova
0 Not applicable
oh,
❑ Not applicable
%
Other (specify)
C-Not applicable
%
0 Not applicable
%
0 Not applicable
%
Page 7

NPDES Permit Number
NCOO 55-cj 13
Facility Name
I Ton rp e 3 ')) JId
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Treatment Description Continued
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.
Outfall Number
Outfall Number
Outfall Number
Disinfection type
I4 ypoclt IOC; tE
�uble/5
Seasons used
l/ea ` /o on,
Dechlorination used?
•
Not applicablee
❑ Not applicable
❑ Not applicable
IE Yes
■ Yes
• Yes
❑ No
•
No
• No
3.10
Have you completed monitoring for all Table A parameters and
❑ Yes
attached the results
to the app
ication package?
• No
3.11
Have you conducted any WET tests during the 4.5 years prior to
discharges or on any receiving water near the discharge points?
❑ Yes
the date of the
application on any of the facility's
SKIP to Item 3.13.
■ No 4
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
Number of tests of discharge
water
Number of tests of receiving
water
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reas le potential to discharge chlorine in its effluent?
Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed
package?
monitoring for all applicable Table B pollutants and attached the results to this application
Er No
• Yes
3.18
Have you completed
attached the results
monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
to this application package?
No additional sampling required by NPDES
permitting authority.
• Yes
Page 8

NPDES Permit Number
fie 00 5-5 q 13
Facility Name
Monroe s m HP
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
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?
❑ 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
4 Provide
authority?
results in Table E and SKIP to
■ Yes
IINo
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
(MM/DDNYYY)
Summary of Results
3.22
Regardless of how you provided your WET testing
toxicity?
❑ Yes
data to the NPDES permitting authority,
did any of the tests result in
Item 3.26.
• No 4 SKIP to
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment
works conducted a toxicity reduction evaluation?
❑ No 4 SKIP to Item 3.26.
■ Yes
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls
❑ Yes
and attached the results to the application
Not
package?
because previously submitted
NPDES .ermittin. authori .
• applicable
information to the
Page 9

,NPDES Permit Number Number
N c cn5-5' I / 3
Facility Name y
Move U�° '5 al Hp
Modified Application Form 2A
Modified March 2021
SECTION 6. CI
ECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
submitting with your application. For
permitting authority. Note that not
Checklist and Certification Statement
6.1
In Column 1 below, mark the sections of Form 2A that you have completed and are
each section, specify in Column 2 any attachments that you are enclosing to alert the
all applicants are required to provide attachments.
Column 1
-Section
Column 2
1: Basic Application
II Information for All Applicants
request(s) ❑ w/ additional attachments
•�w.variance
Section 2: Additional
w/ topographic map
❑ w/ additional attachments
• w/ process flow diagram
II
Information
L� ' Section 3: Information on
Effluent Discharges
• w/ Table
A
B
C
• w/ Table D
❑ w/ Table
• w/ additional attachments
• w/ Table
Section 4: Not Applicable
Section 5: Not Applicable
❑/Section 6: Checklist and
Certification Statement
❑ w/ attachments
6.2
Certification Statement
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)
B ra di let? rc,(1)-1-
Official title
° RC
Signature
8iCit CU21,41-6ft
Date signed
gib 4/
Page 10

NPDES Permit Number
Facility Name
Outfall Number
t'1C n0559/ 3
Plr,tine, f , 1f-HP
00 l
Modified Application Form 2A
Modified March 2021
TABLE A. EFFLUENT PARAMETERS FOR ALL POTWS
Discharge
Average Daily Discharge
Analytical
Methods(
Methods
ML or MDL
Include units )
Pollutant
Maximum Daily
Value
Units
Value
Units
Number of
Samples
Bio emical oxygen demand
ODs or ❑ CBODs
(report one)
�.1
rVV (L
(. ( cj
m /�
ee K lY
601saUol3'sbtl
❑ ML
❑MDL
Fecal coliform
C�j Q�
rn L
.G I
Int
Wee l< 1 ,/
1 05,6111XCc JI eera-
P iv
❑ ML
0 MDL
Design flow rate
(9 o30
MN')
, 013
Mob
'Meek( y
pH (minimum)
69 • 0
5+e4c lvlSotr-
pH (maximum)
9 0
S nIQ
Temperature (winter)
Cre ir✓ i u S
Temperature (summer)
d i -I
C e. (G u. 5
a�
c
C
j ) 1 t i
Total suspended solids (TSS)
3 i..�ll
1
091/—
, 3O
r1l
! h
�� e- K I 1 ( j
S,n,� 5'-) i21� 'DUI I
❑ ML
❑ 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

NC0055913 - Monroe's MHP WWTP
Latitude: 35°58'37"
Longitude: 79°48'34"
Hydrologic Unit: 03030003
USGS Quad: Pleasant Garden, N.C.
Receiving Stream: Polecat Creek
Stream Class: WS-III
Subbasin: 03-06-09
River Basin: Cape Fear

Permit NC0055913
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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 L. Monroe
is hereby authorized to discharge wastewater from a facility located at
Monroe's Mobile Home Park WWTP
955 Coquina Lane
Greensboro
Guilford County
to receiving waters designated as Polecat Creek in the Cape Fear River basin in
accordance with effluent limitations, monitoring requirements, and other conditions set
forth in Parts I, II, III and IV hereof.
This permit shall become effective February 1, 2017.
This permit and authorization to discharge shall expire at midnight on September 30, 2021.
Signed this day January 12, 2017
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0055913
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.
Thomas L. Monroe is hereby authorized to:
1. Continue to operate an existing 0.03 MGD wastewater treatment facility with the
following components:
♦ Flow Splitter
♦ Two 15,000-gallon activated sludge tanks
♦ Two clarifiers
♦ Two sludge holding units
♦ Two tablet chlorinators
♦ Two chlorine contact tanks
♦ 5000-gallon backwash tank
♦ 3000-gallon mud well
♦ Single tablet dechlorinator
♦ Post aeration
♦ Ultrasonic flow meter
The facility is located at Monroe's Mobile Home Park, off Coquina Lane south of
Greensboro in Guilford County.
2. Discharge from said treatment works at the location specified on the attached map
into the Polecat Creek, currently classified WS-III waters in hydrologic unit
03030003 of the Cape Fear River basin.
Page 2 of 6

Permit NC0055913
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
During the period beginning on the effective date of the permit and lasting until expiration, the
Permittee is authorized to discharge from outfall 001. Such discharges shall be limited and
monitored' by the Permittee as specified below:
PARAMETER
[PCS Code]
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Daily
Maximum
Measurement
Frequency
Sample Type
Sample
Location2
Flow
[50050]
0.030 MGD
Weekly
Instantaneous
Influent or
Effluent
BOD, 5 day (20°C) (April 1 — October 31)
[C0310]
12.0 mg/L
18.0 mg/L
Weekly
Grab
Effluent
BOD, 5 day (20°C) (November 1 — March 31)
[C0310]
18.0 mg/L
27.0 mg/L
Weekly
Grab
Effluent
Total Suspended Solids
[C0530]
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
NH3 as N (April 1 —October 31)
[C0610]
2.0 mg/L
10.0 mg/L
Weekly
Grab
Effluent
NH3 as N (November 1 — March 31)
[C0610]
4.0 mg/L
20.0 mg/L
Weekly
Grab
Effluent
Dissolved Oxygen
[00300]
Daily Average > 6.0 mg/L
Weekly
Grab
Effluent
Dissolved Oxygen
[00300]
Weekly
Grab
U & D
Fecal Coliform (geometric mean)
[31616]
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorine3
[50060]
17 µg/L
2/Week
Grab
Effluent
Temperature (°C)
[00010]
Daily
Grab
Effluent
Temperature (°C)
[00010]
Weekly
Grab
U & D
pH
[00400]
> 6.0 and <9.0 standard units
— —
Weekly
Grab
Effluent
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using the Division's
eDMR system [see A. (3)].
2. U: upstream approximately 25 feet from the outfall. D; downstream approximately 100 feet
from the outfall.
3. 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.
Page 3 of 6

Permit NC0055913
A. (2) PERMIT RE -OPENER: NUTRIENT MONITORING
[NCGS 143-215.1]
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.
A. (3) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and program reports. The final NPDES Electronic Reporting Rule was adopted and became
effective on December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II
of this permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)1
The permittee shall report discharge monitoring data electronically using the NC DWR's
Electronic Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each
month and submitted electronically using eDMR. The eDMR system allows permitted
facilities to enter monitoring data and submit DMRs electronically using the internet.
Until such time that the state's eDMR application is compliant with EPA's Cross -Media
Electronic Reporting Regulation (CROMERR), permittees will be required to submit all
discharge monitoring data to the state electronically using eDMR and will be required to
complete the eDMR submission by printing, signing, and submitting one signed original
and a copy of the computer printed eDMR to the following address:
NC DENR / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due
to the facility being physically located in an area where less than 10 percent of the
Page 4 of 6

Permit NC0055913
households have broadband access, then a temporary waiver from the NPDES electronic
reporting requirements may be granted and discharge monitoring data may be submitted
on paper DMR forms (MR 1, 1.1, 2, 3) or alternative forms approved by the Director.
Duplicate signed copies shall be submitted to the mailing address above. See "How to
Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month
following the issuance of the permit or in the case of a new facility, on the last day of the
month following the commencement of discharge.
Starting on December 21, 2020, the permittee must electronically report the following
compliance monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to
Request a Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at
the time of each electronic submission. The permittee should use the EPA's website
resources to identify the initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means
the entity (EPA or the state authorized by EPA to implement the NPDES program) that is
the designated entity for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting
tool for each type of electronic submission and for each state. Instructions on how to
access and use the appropriate electronic reporting tool will be available as well.
Information on EPA's NPDES Electronic Reporting Rule is found at:
http: / /www2.epa.gov/ compliance/ final-national-pollutant-discharge-elimination-system-
npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements"
section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To
obtain an electronic reporting waiver, a permittee must first submit an electronic
reporting waiver request to the Division. Requests for temporary electronic reporting
waivers must be submitted in writing to the Division for written approval at least sixty
(60) days prior to the date the facility would be required under this permit to begin
submitting monitoring data and reports. The duration of a temporary waiver shall not
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Permit NC0055913
exceed 5 years and shall thereupon expire. At such time, monitoring data and reports
shall be submitted electronically to the Division unless the permittee re -applies for and is
granted a new temporary electronic reporting waiver by the Division. Approved electronic
reporting waivers are not transferrable. Only permittees with an approved reporting
waiver request may submit monitoring data and reports on paper to the Division for the
period that the approved reporting waiver request is effective.
Information on eDMR and the application for a temporary electronic reporting waiver are
found on the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B.
(11.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person
described in Part II, Section B. (11.)(a) or by a duly authorized representative of that
person as described in Part II, Section B. (11.)(b). A person, and not a position, must be
delegated signatory authority for eDMR reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an
eDMR user account and login credentials to access the eDMR system. For more
information on North Carolina's eDMR system, registering for eDMR and obtaining an
eDMR user account, please visit the following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system
shall make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"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."
5. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years
from the date of the report. This period may be extended by request of the Director at any
time [40 CFR 122.41].
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