NC0037311_Draft Permit_20220125

ROY COOPER i kj
Governor - °•
s ,,
ELIZABETH S.BISER ';
Secretary
S.DANIEL SMITH NORTH CAROLINA
Director Environmental Quality
January 25,2022
William Hammonds
Hammonds Property
P.O. Box 1487
Kernersville,NC 27285
Subject: Draft NPDES Permit NC0037311
Creekside Manor Rest Home WWTP
Grade II Biological WPCS
Forsyth County
Dear Permittee:
The Division has reviewed your request to renew the subject permit. Enclosed with this letter is a copy of the draft
permit for your facility. Please review this draft carefully to ensure your thorough understanding of the
information,conditions,and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
1. Language has been updated in Section A.(1)and Section A. (2)to require electronic submission of
effluent data.Federal regulations require electronic submittal of all discharge monitoring reports(DMRs).
2. The facility grade has been added in Section A. (1).
The NPDES standard conditions(Parts II, III,and IV)that are a part of the permit are not included in this draft
document(cover,map,and Part I). The conditions are the same as in your current permit except that agency and
division names have been updated. The latest version is available at https://bit.ly/2BZ4xxx and can be viewed
online or downloaded as a PDF file.
With this notification,the Division will solicit public comment on this draft permit by publishing a notice in
newspapers having circulation in the general Forsyth County area,per EPA requirements. Please provide your
comments,if any,to me at the address below no later than 30 days after receiving this draft permit.
Following the 30-day public comment period,the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have questions concerning the draft,please contact me at
919-707-3619,or via e-mail at siving.chen(a,ncdenr.gov.
Sincerely,
cati
l
Siying Chen
Environmental Specialist I
NPDES Compliance and Expedited Permitting Unit
cc: NPDES File[Laserfiche]
Winston-Salem Regional Office[email]
Operator Certification Program[email]
D E Q 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
wC+21C.69M•001 SAN /'... 919.707.9000

Permit NC003731 I
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,
Hammond Properties
is hereby authorized to discharge wastewater from a facility located at the
Creekside Manor Rest Home
6206 Reidsville Road
Kernersville
Forsyth County
to receiving waters designated as an unnamed tributary to Belews Creek in subbasin 03-02-01 of the
Roanoke 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
This permit and authorization to discharge shall expire at midnight on February 28,2027.
If the permittee intends to continue to discharge at the facility beyond the term of this permit, a renewal
application must be submitted no later than September 1, 2026 (180 days before the expiration of this
permit).
Signed this day
S.Daniel Smith
Director,Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

Permit NC0037311
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.
Hammond Properties
is hereby authorized to:
1. Continue to operate an existing 0.01 MGD wastewater treatment system that includes the following
components:
• Bar screen
• Aeration basin with diffused air
• Secondary clarifier
• Tablet chlorination
• Chlorine contact basin
• Tablet dechlorination
• Sludge holding tank
This facility is located in Kernersville at Creekside Manor Rest Home off Reidsville Road in Forsyth
County.
Vittitt
2. Discharge from said treatment works via Outfall 001, at the location specified on the attached map
into an unnamed tributary to Belews Creek [stream index 22-27-(2)],currently classified C waters in
subbasin 03-02-01 [HUC: 03010103] of the Roanoke River Basin.
Page 2 of 6

Permit NC0037311
Part I
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade WW-2 Water Pollution Control System [15A NCAC 08G.0302]
Beginning with the effective date of this permit and lasting until expiration,the Permittee is authorized to discharge
treated wastewater from Outfall 001. Such discharges shall be limited and monitored' by the Permittee as specified
below:
EFFLUENT LIMITATIONS MONITORING REQUIREMENTS
PARAMETER
Parameter Code Monthly Daily Measurement Sample Sample
Average Maximum Frequency Type Location
Flow 50050 0.010 MGD Weekly Instantaneous Influent or
Effluent
BOD,5-day,(20°C) C0310 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
Total Suspended Solids C0530 30.0 mg/L 45.0 mg/L Weekly Grab Effluent
NH3 as N—Summer* C0610 2.0 mg/L 10.0 mg/L Weekly Grab Effluent
NH3 as N—Winter* C0610 4.0 mg/L 20.0 mg/L Weekly Grab Effluent
Dissolved Oxygen 00300 Daily average>5.0 mg/L Weekly Grab Effluent
Dissolved Oxygen 00300 Weekly Grab U&D 2
Fecal Coliform
(geometric mean) 31616 200/100 ml 400/100 ml Weekly Grab Effluent
Total Residual Chlorine 50060 17 pg/L 2/Week Grab Effluent
Temperature(°C) 00010 Daily Grab Effluent
Temperature(°C) 00010 Weekly Grab U&D 2
pH 00400 >6.0 and<9.0 standard units Weekly Grab Effluent
*Summer: April 1 —October 31
*Winter: November 1 —March 3 I
Footnotes:
1. The Permittee shall submit discharge Monitoring Reports electronically using the Division's eDMR submittal
system[See Section A. (2)].
2. U: approximately 100 feet upstream from the outfall. D: approximately 300 feet downstream from outfall.
THERE SHALL BE NO DISCHARGE OF FLOATING SOLIDS OR VISIBLE FOAM IN OTHER
THAN TRACE AMOUNTS.
Page 3 of 6

Permit NC0037311
A. (2) 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)l
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. The eDMR system may be
accessed at: https://deq.nc.gov/about/divisions/water-resources/edmr.
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 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 following address:
NC DEQ/Division of Water Resources/Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
See"How to Request a Waiver from Electronic Reporting"section below.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
reported via the eDMR system no later than the last calendar day of the month following the completed
reporting period. 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, 2025, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
Page 4 of 6

Permit NC0037311
• 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: https://www.federalregister.gov/documents/2015/10/22/2015-24954/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 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)l
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.
Page 5 of 6

Permit NC0037311
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].
Page 6 of 6

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NC0037311 — Creekside Manor Rest Home Facility
Latitude: 36°12'49" Sub-Basin: 03-02-01 Location
Longitude: 80°03'49" Hydrologic Unit: 03010103
USGS Quad: Belews Creek
Stream Class: C
Forsyth County
Receiving Stream: UT to Belews Creek Arww itl�aa [map not to scale]