NC0022462_Renewal (Application)_20220322

,„..STAT£o-
ROY COOPER
Governor
ELIZABETH S.BISER
Secretory
RICHARD E.ROGERS,JR. NORTH CAROLINA
Director Environmental Quality
March 23, 2022
Sherwood Mobile Home Park Associates LP
Attn: Teresa Schenk, Managing Member
8255 Cascade St, Ste 120
Commerce Township, MI 48382
Subject: Permit Renewal
Application No. NC0022462
Sherwood Mobile Home Park WWTP
Onslow County
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 22, 2022 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. 150E-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,
.acil.Vng,,Ltr*0
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application
—DE Q`J/ North Carolina Department of Environmental Quality Division of Water Resources
00"" Wilmington Regional Offfce 127 Cardinal Drive Extension Wilmington,North Carolina 28405
910 796 7215

rTecuote eamoccuarey
March 16, 2022 RECEIVED
NPDES —Water Quality Permitting MAR 2 2 2022
1617 Mail Service Center NCDEQIDWRINPDES
Raliegh,NC 27699-1617
Enclosed for your review is our permit renewal for Sherwood Mobile Home
Park Permit Number NC0022462.
Please contact me directly at 248.705.5453 or Mikel Seely—the operator at 910.330.8011
Or by email at teresa,@drsmhc.com.
Thank your,,...—
Teresa Schenk
l l;'
Ipp'
Y.`
Sherwood Manufactured Home Community
753 Tallman Circle . Midway Park, NC 28544
Phone: [phone] . Fax: [phone] . [e-mail]

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 PermittingProgram
RECEIVED
MAR 2 2 2022
NCDEQIDWRINPDES
Note: Complete this form ifyour facilityis a MINOR new or existingpubliclyowned treatment works.
P

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
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
Sherwood Mobile Home Park
Mailing address(street or P.O.box)
8255 Cascade St,Suite 120
City or town State ZIP code
o Commerce Twp MI 48382
Contact name(first and last) Title Phone number Email address
Teresa Schenk Owner [phone] [e-mail]
Location address(street,route number,or other specific identifier) ❑ Same as mailing address
753 Tallman Circle
L
City or town State ZIP code
Midway Park NC 28544
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.
1.3 Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑✓ No 4 SKIP to Item 1.4.
Applicant name
Applicant address(street or P.O. box)
0
City or town State ZIP code
Contact name(first and last) Title Phone number Email address
0
a.
1.4 Is the applicant the facility's owner,operator,or both?(Check only one response.)
❑ Owner ❑ Operator ✓❑ Both
1.5 To which entity should the NPDES permitting authority send correspondence?(Check only one response.)
Facility and applicant
❑ Facility ❑ 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
number for each.)
Existing Environmental Permits
a.
❑✓ NPDES(discharges to surface 0 RCRA(hazardous waste) ❑ UIC(underground injection
water) control)
❑ PSD(air emissions) ❑ Nonattainment program(CM) ❑ NESHAPs(CM)
as
N ❑ Ocean dumping(MPRSA) 0 Dredge or fill(CWA Section 0 Other(specify)
w 404)
Page 1

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
1.7 Provide the collection system information requested below for the treatment works.
Municipality Population Collection System Type Ownership Status
Served Served (indicate percentage)
Mobile Home 500 100 %separate sanitary sewer 0 Own ❑ Maintain
LPark %combined storm and sanitary sewer 0 Own ❑ Maintain
d ❑ Unknown 0 Own 0 Maintain
co %separate sanitary sewer ❑ Own ❑ Maintain
g %combined storm and sanitary sewer ❑ Own ❑ Maintain
s ❑ Unknown ❑ Own 0 Maintain
O %separate sanitary sewer ❑ Own 0 Maintain
a.
c %combined storm and sanitary sewer 0 Own ❑ Maintain
co ❑ Unknown ❑ Own
❑ Maintain
E %separate sanitary sewer ❑ Own ❑ Maintain
co
%combined storm and sanitary sewer ❑ Own 0 Maintain
1 co
❑ Unknown 0 Own El Maintain
c) Total 500
O Population
o Served
Separate Sanitary Sewer System Combined Storm and
Sanitary Sewer
Total percentage of each type of 100 % °/°
sewer line(in miles)
L' 1.8 Is the treatment works located in Indian Country?
c
o ❑ Yes ❑✓ No
c1.9 Does the facility discharge to a receiving water that flows through Indian Country?
c ❑ Yes ❑✓ No
1.10 Provide design and actual flow rates in the designated spaces. Design Flow Rate
0.060 mgd
0 Annual Average Flow Rates(Actual)
aV. Two Years Ago Last Year This Year
CO 3 0.036 mgd 0.040 mgd 0.054 mgd
r"" Maximum Daily Flow Rates(Actual)
Two Years Ago Last Year This Year
0.121 mgd 0.214 mgd 0.175 mgd
u) 1.11 Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
c Total Number of Effluent Discharge Points by Type
a a Constructed
a� Combined Sewer
E.? a Treated Effluent Untreated Effluent Overflows Bypasses Emergency
-0 Overflows
0
0 1 outfall
I
Page 2

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
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 (check one)
Impoundment
❑ Continuous
gpd ❑ Intermittent
O Continuous
gpd ❑ Intermittent
O Continuous
gpd ❑ Intermittent
2 1.14 Is wastewater applied to land?
❑ Yes ❑✓ No 4 SKIP to Item 1.16.
0 1.15 Provide the land application site and discharge data requested below.
y Land Application Site and Discharge Data
Continuous or
Location Size Average Daily Volume Intermittent
Applied (check one)
acres gpd 0 Continuous
N 0 Intermittent
acres gpd 0 Continuous
0
❑ Intermittent
0 Continuous
acres gpd ❑ Intermittent
3 1.16 Is effluent transported to another facility for treatment prior to discharge?
o 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?
0 Yes 0 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
NC0022462 Sherwood Mobile Home Park 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
Facility name Mailing address(street or P.O.box)
.42
City or town State ZIP code
0
U
a Contact name(first and last) Title
0
Phone number Email address
o NPDES number of receiving facility(if any) ❑ None Average dailyflow rate mgd
0_ 9 9
U,
0 1.21 Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
not have outlets to waters of the State of North Carolina(e.g.,underground percolation, underground injection)?
❑ Yes ❑✓ No 4 SKIP to Item 1.23.
0
0 1.22 Provide information in the table below on these other disposal methods.
Information on Other Disposal Methods
oDisposal Location of Size of Annual Average Continuous or Intermittent
Method Disposal Site Disposal Site Daily Discharge (check one)
Description Volume
acresgpd ❑ Continuous
0 Intermittent
0
acres d ❑ Continuous
gp acres ❑ Intermittent
gpd ❑ Continuous
❑ 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.
y Consult with your NPDES permitting authority to determine what information needs to be submitted and when.)
• 43) ❑ Discharges into marine waters(CWA ❑✓ Water quality related effluent limitation(CWA Section
as 0 Section 301(h)) 302(b)(2))
❑ Not applicable
1.24 Are any operational or maintenance aspects(related to wastewater treatment and effluent quality)of the treatment works
the responsibility 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) Mikel Seely
o Mailing address
(street or P.O.box) 110 glencroft rd
City, state,and ZIP Hubert NC 28539
code
o Contact name(first and Mikel Seely
c� last)
Phone number [phone]
Email address [e-mail]
Operational and
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park 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
2.1 Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o ElYes ❑✓ No 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.
c
0
0
c
2.3 Have you attached a topographic map to this application that contains all the required information?(See instructions for
C specific requirements.)
o
0
o ❑ Yes 0 No
I ~
E 2.4 Have you attached a process flow diagram or schematic to this application that contains all the required information?
oR (See instructions for specific requirements.)
rn
o ❑ Yes ❑ No
2.5 Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
0
1.
4
E
2.
E
o �I
3.
d
4.
cn
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
> Outfalls Operational
o Improvement Construction Construction Discharge
(from above) (list outfall (MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY) Level
number) (MM/DD/YYYY)
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
NC0022462 Sherwood Mobile Home Park Modified March 2021
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 1 Outfall Number Outfall Number
State NC
County Onslow
p Midway Park
City or town
Ei
g Distance from shore ft. ft. ft.
a
•
Depth below surface ft. ft. ft.
0
Average daily flow rate mgd mgd mgd
Latitude0
Longitude "
3.2 Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o ❑ Yes ✓❑ No 4 SKIP to Item 3.4.
3.3 If so,provide the following information for each applicable outfall.
y Outfall Number Outfall Number Outfall Number
Number of times per year
0 discharge occurs
a Average duration of each
discharge(specify units)
cAverage flow of each mgd mgd mgd
co discharge
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.
F- Outfall Number Outfall Number Outfall Number
0
3.6 Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
one or more discharge points?
❑ Yes ❑✓ No 4SKIP to Section 6.
Page 6

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
3.7 Provide the receiving water and related information(if known)for each outfall.
Outfall Number Outfall Number Outfall Number
Receiving water name
Name of watershed,river,
0 or stream system
U.S.Soil Conservation
Service 14-digit watershed
o code
Name of state
management/river basin
U.S.Geological Survey
8-digit hydrologic
cataloging unit code
Critical low flow(acute) cfs cfs cfs
Critical low flow(chronic) cfs cfs cfs
hardness at critical mg/L of m lL of mg/L of
Total9 9
9
IOW flow CaCO3 CaCO3 CaCO3
3.8 Provide the following information describing the treatment provided for discharges from each outfall.
Outfall Number Outfall Number Outfall Number
Highest Level of ❑ Primary ❑ Primary 0 Primary
Treatment(check all that ❑ Equivalent to ❑ Equivalent to 0 Equivalent to
apply per outfall) secondary secondary secondary
❑ Secondary ❑ Secondary ❑ Secondary
❑ Advanced ❑ Advanced ❑ Advanced
❑ Other(specify) ❑ Other(specify) ❑ Other(specify)
aDesign Removal Rates by
U)
Outfall
BOD5 or CBOD5
TSS
r-=
❑Not applicable ❑Not applicable ❑Not applicable
Phosphorus
❑Not applicable ❑ Not applicable ❑Not applicable
Nitrogen
Other(specify) ❑Not applicable 0 Not applicable ❑Not applicable
Page 7

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park 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.
0
Outfall Number Outfall Number Outfall Number
0
Disinfection type
= Seasons used
Dechlorination used? ❑ Not applicable ❑ Not applicable ❑ Not applicable
❑ 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
co
rn
Number of tests of discharge
= water
Number of tests of receiving
water
d
w
3.14 Does the POTW use chlorine for disinfection,use chlorine elsewhere in the treatment process,or otherwise have
reasonable 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 monitoring for all applicable Table B pollutants and attached the results to this application
package?
❑ Yes ❑ 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
NC0022462 Sherwood Mobile Home Park 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?
❑ 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)
R 3.22 Regardless of how you provided your WET testing data to the NPDES permitting authority,did any of the tests result in
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23 Describe the cause(s)of the toxicity:
c
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?
El Yes ❑ Not applicable because previously submitted
information to the NPDES sermittin• authorit .
Page 9

NPDES Permit Number Facility Name Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
SECTION 6.CI-ECKLIST 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 ❑ w/variance request(s) ❑ w/additional attachments
Information for All Applicants
❑ Section 2:Additional ❑ w/topographic map ❑ w/process flow diagram
Information ❑ w/additional attachments
❑ w/Table A ❑ w/Table D
❑ Section 3: Information on ❑ w/Table B ❑ w/additional attachments
Effluent Discharges
❑ w/Table C
is
u' Section 4:Not Applicable
0
C)
Section 5:Not Applicable
d
0
❑ Section 6: Checklist and ❑ w/attachments
Certification Statement
Y 6.2 Certification Statement
C)
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
Teresa Schenk Managing Member
Signature Date signed
3l)
Page 10

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE A.EFFLUENT PARAMETERS FOR ALL POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method (include
Value Units Value Units Sam I)es units)
Biochemical oxygen demand
o BODE or❑CBODs 36 mg/I 1.93 mg/I 3 per week ❑ML
❑MDL
(re,ort one
Fecal coliform 4840 #100 ml 107 #100 ml 3 per week ❑ L
❑MM Di-
Design flow rate 0.163 mgd 0.054 mgd Daily
pH(minimum) 8.6 su
pH(maximum) 6.7 su
Temperature(winter) 5 deg c 13 deg c Daily
Temperature(summer) 29 deg c 24 • deg c Daily
Total suspended solids(TSS) 4'2 mg/I 0.14 mg/I 3 per week 0 ML
❑MDL
t 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

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE B.EFFLUENT PARAMETERS FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Value Units Value Units Method (include units)
)
❑ML
Ammonia(as N) 10.9 mg/I 0.41 mg/I 3 times per week 0 MDL
Chlorine o ML
49 ug/I 18.7 ug/I 5 times a week
(total residual,TRC)2 o MDL
0 ML
Dissolved oxygen 11.9 mg/I 7.01 mg/I 3 per week 0 MDL
0 ML
Nitrate/nitrite o MDL
❑ML
Kjeldahl nitrogen ❑MDL
0 ML
Oil and grease ❑MDL
0 ML
Phosphorus ❑MDL
0 ML
Total dissolved solids o MDL
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).
2 Facilities that do not use chlorine for disinfection,do not use chlorine elsewhere in the treatment process,and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A(Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
N00022462 Sherwood Mobile Home Park Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Value Units Value Units Number of Method' (include units)
Samples
Metals,Cyanide,and Total Phenols
❑ML
Hardness(as CaCO3) ❑MDL
❑ML
Antimony,total recoverable ❑MDL
❑ML
Arsenic,total recoverable ❑MDL
❑ML
Beryllium,total recoverable ❑MDL
❑ML
Cadmium,total recoverable 0 MDL
❑ML
Chromium,total recoverable ❑MDL
❑ML
Copper,total recoverable ❑MDL
❑ML
Lead,total recoverable ❑MDL
❑ML
Mercury,total recoverable ❑MDL
❑ML
Nickel,total recoverable ❑MDL
❑ML
Selenium,total recoverable ❑MDL
❑ML
Silver,total recoverable ❑MDL
❑ML
Thallium,total recoverable ❑MDL
ML
Zinc,total recoverable ❑MDL
❑ML
Cyanide ❑MDL
❑ML
Total phenolic compounds ❑MDL
Volatile Organic Compounds
❑ML
Acr0lein ❑MDL
❑ML
Acrylonitrile ❑MDL
0 ML
Benzene ❑MDL
❑ML
Bromoform ❑MDL
EPA Form 3510-2A(Revised 3.19) Page 13

•
EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method, (include units)
Value Units Value Units Samples
❑ML
Carbon tetrachloride ❑MDL
❑ML
Chlorobenzene ❑MDL
❑ML
Chlorodibromomethane ❑MDL
❑ML
Chloroethane ❑MDL
❑ML
2-chloroethylvinyl ether ❑MDL
❑ML
Chloroform ❑MDL
0 ML
Dichlorobromomethane ❑MDL
❑ML
1,1-dichloroethane ❑MDL
❑ML
1,2-dichloroethane 0 MDL
❑ML
trans-1,2-dichloroethylene 0 MDL
0 ML
1,1-dichloroethylene ❑MDL
❑ML
1,2-dichloropropane 0 MDL
❑ML
1,3-dichloropropylene ❑MDL
❑ML
Ethylbenzene ❑MDL
❑ML
Methyl bromide ❑MDL
❑ML
Methyl chloride ❑MDL
❑ML
Methylene chloride ❑MDL
❑ML
1,1,2,2-tetrachloroethane ❑MDL
❑ML
Tetrachloroethylene ❑MDL
❑ML
Toluene 0 MDL
❑ML
1,1,1-tichloroethane ❑MDL
❑ML
1,1,2-tichloroehane ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 14

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method, (include units)
Value Units Value Units Samples
❑ML
Trichloroethylene ❑MDL
❑ML
Vinyl chloride ❑MDL
Acid-Extractable Compounds
❑ML
p-chloro-m-cresol 0 MDL
❑ML
2-chlorophenol 0 MDL
❑ML
2,4-dichlorophenol ❑MDL
0 ML
2,4-dimethylphenol ❑MDL
0 ML
4,6-dinitro-o-cresol ❑MDL
❑ML
2,4-dinitrophenol ❑MDL
❑ML
2-nitrophenol 0 MDL
❑ML
4-nitrophenol ❑MDL
❑ML
Pentachlorophenol ❑MDL
❑ML
Phenol ❑MDL
❑ML
2,4,6-trichlorophenol 0 MDL
Base-Neutral Compounds
❑ML
Acenaphthene ❑MDL
Acenaphthylene ❑ML
❑MDL
❑ML
Anthracene ❑MDL
❑ML
Benzidine ❑MDL
❑ML
Benzo(a)anthracene ❑MDL
❑ML
Benzo(a)pyrene ❑MDL
Cl ML
3,4-benzofluoranthene o MDL
EPA Form 3510-2A(Revised 3-19) Page 15

EPA Identification Number NPDES Permit Number Facility Name Outall Number Modred Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Value Units Value Units Number of Method° (include units)
Samples
❑ML
Benzo(ghi)perylene 0 MDL
0 ML
Benzo(k)fluoranthene ❑MDL
0 ML
Bis(2-chloroethoxy)methane 0 MDL
❑ML
Bis(2-chloroethyl)ether ❑MDL
❑ML
Bis(2-chloroisopropyl)ether ❑MDL
0 ML
Bis(2-ethylhexyl)phthalate ❑MDL
❑ML
4-bromophenyl phenyl ether o MDL
❑ML
Butyl benzyl phthalate ❑MDL
❑ML
2-chloronaphthalene ❑MDL
❑ML
4-chlorophenyl phenyl ether ❑MDL
0 ML
Chrysene ❑MDL
❑ML
di-n-butyl phthalate ❑MDL
❑ML
di-n-octyl phthalate ❑MDL
❑ML
Dibenzo(a,h)anthracene 0 MDL
0 ML
1,2-dichlorobenzene ❑MDL
❑ML
1,3-dichlorobenzene ❑MDL
❑ML
1,4-dichlorobenzene ❑MDL
0 ML
3,3-dichlorobenzidine ❑MDL
❑ML
Diethyl phthalate ❑MDL
❑ML
Dimethyl phthalate ❑MDL
O ML
2,4-dinitrotoluene ❑MDL
❑ML
2,6-dinitrotoluene ❑MDL
EPA Form 3510-2A(Revised 3-19) Page 16

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE C.EFFLUENT PARAMETERS FOR SELECTED POTWS
Maximum Daily Discharge Average Daily Discharge Analytical ML or MDL
Pollutant Number of Method, (include units)
Value Units Value Units Samples
1,2-diphenylhydrazine ❑ML
❑MDL
Fluoranthene ❑ML
❑MDL
Fluorene ❑ML
❑MDL
Hexachlorobenzene 0 ML
O MDL
Hexachlorobutadiene ML
❑MDL
Hexachlorocyclo-pentadiene ❑ML
❑MDL
0 ML
Hexachloroethane ❑MDL
Indeno(1,2,3-cd)pyrene ❑ML
❑MDL
Isophorone ❑M
❑MDL
Naphthalene ❑ML
❑MDL
Nitrobenzene ❑ML
❑MDL
N-nitrosodi-n-propylamine o ML
❑MDL
N-nitrosodimethylamine ❑ML
❑MDL
N-nitrosodiphenylamine ❑ML
❑MDL
Phenanthrene 0 ML
❑MDL
Pyrene ❑ML
❑MDL__
1.2,4-trichlorobenzene ❑ML
❑MDL
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).
EPA Form 3510-2A(Revised 3-19) Page 17

NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0022462 Sherwood Mobile Home Park Modified March 2021
TABLE D.ADDITIONAL POLLUTANTS AS REQUIRED BY NPDES PERMITTING AUTHORITY
Pollutant Maximum Daily Discharge Average Daily Dischar a Analytical ML or MDL
piss) Value Units Value Units Number of Method' (include units)
Samples
❑No additional sampling is required by NPDES permitting authority.
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
0 ML
0 MDL
❑ML
❑MDL
❑ML
❑MDL
❑ML
❑MDL
0 ML
❑MDL
0 ML
0 MDL
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 18