NC0071862_Fact Sheet_20210601

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. However, these
permits can have more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Expedited Permit Renewals
Permit Writer / Date
Sydney Carpenter 5/19/2021
Permit Number
NC0071862
Facility Name / Facility Class
Magnolia Place Mobile Home Park WWTP /
WW-1
Basin Name / Sub -basin number
French Broad / 04-03-02
Receiving Stream / HUC
Clear Creek / 0601010503
Stream Classification in Permit
C / Index: 6-55-11-(5)
Does permit need Daily Max NH3 limits?
No
Does permit need TRC limits/language?
No — already present
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
No
Is the stream impaired (on 303(d) list)?
No — Sections 6-55-11-(1)c and 6-55-11-(5)a
of Clear Creek, upstream of discharge, are
impaired for Benthos and Fish Community.
The section of Clear Creek that the discharge
is located at is not on the 2018 impaired
303(d) list.
Any obvious compliance concerns?
Only one enforcement case on record for TSS
and BOD limit violations in 2013. Two NOVs
during previous permit cycle; one for a Fecal
limit violation in 2016 and the other for a
TRC monitoring violation in 2017.
Any permit modifications since last permit?
None.
New expiration date
11/30/2025
Comments on Draft Permit
➢ Updated eDMR footnote and Section
A. (2)
Changes to Final Permit
➢ No changes

May 19, 2020
Dear Ms. Thedford,
Thank you for your attention to this permit #NC0071862.
Enclosed you will find the necessary paperwork for the request of renewal of our permit.
There have been no changes to the facility from the date of the last permit.
If you have any questions regarding the permit renewal please contact us at [phone] or email us
at [e-mail].
Again, thank you for handling the renewal request.
Sincerely,
Henry K. Odom
Magnolia Place MHP
1 Ariel Loop
Hendersonville, NC 28792
[phone]

Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit
'NC0071862
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Henry Keith Odom
Magnolia Place Mobile Home Park
1 Ariel Loop
Hendersonville
NC 28792
828-685-9520
828-685-9520
MAGNOLIAPLACERETIREMENTPARK@GMAIL. COM
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 1 Ariel Loop
City
State / Zip Code
County
Hendersonville
NC/28792
Henderson
3. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name Henry Keith Odom
Mailing Address 1 Ariel Loop
City Hendersonville
State / Zip Code NC/28792
Telephone Number [phone]
Fax Number [phone]
e-mail Address [e-mail]
1 of 4 Form-D 11/12

4. Description of wastewater:
Facility Generating Wastewater(check all that apply
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential X Number of Homes
School ❑ Number of Students/Staff
Other ❑ Explain:
91
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Number of persons served: 140
5. Type of collection system
X Separate (sanitary sewer only)
❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes X No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Clear Creek
8. Frequency of Discharge: X Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Dual 0.015 extended aeration plants, each consisting of the following components:
-Bar screens
-Aeration basin
-Clarifier
-Sludge holding tank
-Tablet chlorination and tablet de -chlorination
-Chlorine contact chamber
-Effluent pump station
Form-1111 /12

10. Flow Information:
Treatment Plant Design flow 0.030 MGD
Annual Average daily flow 0.0037 MGD (for the previous 3 years)
Maximum daily flow 0.0039 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes
X
No
12. Effluent Data
NEW APPLICANTS: Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab
samples, for all other parameters 24-hour composite sampling shall be used. If more than one analysis is reported,
report daily maximum and monthly average. If only one analysis is reported, report as daily maximum.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over
the nast 36 months for parameters currently in your permit. Mark other parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
200
10
MG/L
Fecal Coliform
650
28.9
CFU/ 100ML
Total Suspended Solids
120
8
MG/L
Temperature (Summer)
24.1
20.0
C
Temperature (Winter)
20.0
12.5
C
pH
7.5
6.9
Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) N/A NESHAPS (CAA)
UIC (SDWA) 01-45-172 Ocean Dumping (MPRSA)
Permit Number
N/A
N/A
NPDES NC0071862 Dredge or fill (Section 404 or CWA) N/A
PSD (CAA) N/A Other N/A
Non -attainment program (CAA) N/A
3 of 4
Form-D 11/12

14. APPLICANT CERTIFICATION
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Henry Keith Odom Owner
Printed na of Person Signing Title
�ignature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, 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 $25,000, 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 $25,000 or imprisonment not more than 5 years, or both, for a similar offense.)
A ..! A Fnrm_rl 11 /1')

May 19, 2020
Sludge Management Plan
Magnolia Place MHP
Permit #NC0071862
When sludge accumulates at the wastewater plant, a septic pumping
company is called and they remove sludge with the proper equipment
and truck.
The current company I am using is "Mike's Septic". Once sludge is
removed it is transported to Brevard City Facility and properly treated
there.
Sincerely,
l
Henry K. Odom

sekprkeley
Ball Park
Facility Information
Latitude:
Longitude:
Quad Name:
Stream Class:
Receiving Stream:
35°22'06"
82°25'15"
Hendersonville
C
Clear Creek
Sub -Basin:
04-03-02
Henry Keith Odom - Magnolia Place Mobile Home Park
NC0071862

STATE OF NORTH CAROLINA
HENDERSON COUNTY Times -News
CERTIFICATION OF PUBLICATION
I Kim Hand, affirming the following under the penalties of perjury state:
I am employed by Times -News, an affiliate of Gatehouse Media. The
Times -News is a daily newspaper of general circulation published in the
city of Hendersonville, county of Henderson, and state of North
Carolina. I hereby certify that the advertisement annexed hereto was
published in the editions of The Times -News on the following date or
dates:
12/29/2020
And that the said newspaper in which such notice, paper, document, or
legal advertisement was published was, at the time of each and every
publication, a newspaper meeting all of the requirements and
qualifications of Section 1-597 of the General Statutes of North Carolina
and was a qualified newspaper within the meaning of Section 1-597 of
the General Statutes of North Carolina.
(Signed)
Kim,Hand
Sworn to and subscribed before me,
this 19th , day of May, 2021.
3
Nancy Hogs
Notary Public for South Carolina
My commission expires on: September 9th, 2025
This document was notarized in South Carolina
Public Notice'
North Carolina Envtmn-
mental Management
CommissionfNPDES Unit
1617 Mall Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
NCe071862 Magnolia Place
Mobile Home Park WWTP
The North Carolina Environ-
mental Management Com=
mission proposes to Issue a
NPDES wastewater dis-
charge permit to the per-
son(s) listed below. Written
commerils regarding the pro-
P�.._p. ed ac-
cent it dayss aftill er the
publish date of this notice.
The Director of the NC Divi-
sion of Water Resources
(DWR) may hold a public
hearing should there be a
significant degree of public
Interest. Please mall com-
ments and/or information re-
quests fo PWR at the above
address. Interested persons
may visit the DWR at S12 N.
Salisbury Street, Raleigh, NC
27604 to review Information
on file. Additional Infomma-
tion an NPDES permits and
this notice may be found on
our website:
http://deq.nc.gov/about/divisi
onsAvoter-resaurces/water-
resources-
ddemiits/wastewater-
bronch/npdes-
wastewater/public-notices,or
by calling [phone].
Henry K. Odom has applied
for renewal of NPDES permit
NC00711362 for the Magnolia
Place Mobile Home Park
This permiIn teedefacilittyy County.
charges . treated domestic
wastewater to'Clear Creek in
the French Broad River Bo -
sin. Currently, total residual
chlorine and fecal cal form
are water quality limited.
This discharge may affect fu-
ture allocations in this portion
ofthe French Broad River
si
12/29 2020
106 Henderson Crossing Plaza • Hendersonville, NC 28792
P. O. Box 490 • Hendersonville, NC 28793
828/692-0505 • FAX [phone] • 828/693-5581
www.blueridt_encm .com
671614 -

From:
To:
Subject:
Date:
H& C Odom
Carpenter, Sydney
[External] Re: Final Permit for Magnolia Place Mobile Home Park (NC0071862)
Monday, June 7, 2021 8:20:44 AM
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
We have received the permit and have printed it out to keep hard copy in office and at
wastewater treatment plant. Thank you for your help. Sincerely, Henry K. Odom
On Thu, Jun 3, 2021 at 10:49 AM Carpenter, Sydney <[e-mail]> wrote:
Hello Mr. Odom,
The final permit for Magnolia Place Mobile Home Park (NC0071862) has been issued.
Please respond to this email confirming that you received the attached document(s), were
able to open and view the document(s) and have saved/printed a copy for your records.
Thanks,
Sydney Carpenter
Environmental Specialist I
Compliance and Expedited Permitting Unit
Division of Water Resources
N.C. Department of Environmental Quality
Office: 919-707-3712
sydney.carpenterPncdenr.gov
1617 Mail Service Center
Raleigh, NC 27699-1617

, Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: H& C Odom<[e-mail]>
Sent: Friday, May 21, 2021 8:43 AM
To: Carpenter, Sydney <[e-mail]>
Subject: [External] Re: Request for Electronic Transmission of Permitting Documents
(NC0071862)
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email
as an attachment to Report Spam.
Electric format is acceptable for us. Thank you
Henry K. Odom
Magnolia Place
On Wed, May 19, 2021 at 4:02 PM Carpenter, Sydney < d ney.carpenter a ncdenr.gov>
wrote:
Hello Mr. Odom,
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.
Thanks,
Sydney Carpenter
Environmental Specialist I
Compliance and Expedited Permitting Unit
Division of Water Resources
N.C. Department of Environmental Quality
Office: 919-707-3712
sydney.carpenterPncdenr.gov
1617 Mail Service Center
Raleigh, NC 27699-1617
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.