NC0038300_Fact Sheet_20220513

Fact Sheet
NPDES Permit No. NC0038300
Permit Writer/Email Contact: Derek Denard / [e-mail]
Date: 13May2022
Division/Branch: NC Division of Water Resources/Water Quality Permitting Section
Compliance & Expediated Permitting Branch
Permitting Action:
Renewal
❑ Renewal with Expansion
❑ New Discharge
❑ Modification (Fact Sheet should be tailored to mod request)
See Permit Application Attachment A
Complete applicable sections below. If not applicable, enter NA.
1. Basic Facility Information
Facility Information
Applicant/Facility Name:
S.S. Construction & Rental, Inc. / S.S. Mobile Home Park
Applicant Address:
1808 Pinecrest St., Burlington, NC 27215-5639
Facility Address:
241 Graham Moore Road, Staley, NC 27355
Permitted Flow:
0.01 MGD
Facility Type/Waste:
Discharging 100% Domestic <100%
Facility Class:
Grade II Biological WPCS
Treatment Units:
See below
Pretreatment Program (Y/N)
No
County:
Chatham
Region
Raleigh
Briefly describe the proposed permitting action and facility background: S.S. Construction & Rental, Inc.
has requested renewal of their NPDES permit for S. S. Mobile Home Park in Chatham County. This
permitted facility discharges treated wastewater to the Bush Creek, a class C water in the Cape Fear River
Basin. Some parameters are water quality limited. This discharge may affect future allocations in this
segment of Bush Creek.
They will continue to operate an existing 0.01 MGD wastewater treatment facility that includes the
following components:
• manual bar screen
Page 1 of 8

• aeration basin [5341 gallons]
• clarifier [1260 gallons]
• one -pass sand filter
• tablet chlorinator
• chlorine contact chamber [718 gallons]
• post aeration in contact chamber [when needed]
• detention polishing sand filter [when needed]
• tablet dechlorination
• poly tank [1010 gallons]
• concrete tank for sludge holding [2000 gallons]
2. Receiving Waterbodv Information:
Receiving Waterbody Information
Outfalls/Receiving Stream(s):
Outfall 001 / UT to Brush Creek
Stream Segment:
17-23
Stream Classification:
C
Drainage Area (mi2):
Summer 7Q10 (cfs)
0
Winter 7Q10 (cfs):
0
30Q2 (cfs):
0
Average Flow (cfs):
0.27
IWC (% effluent):
100
303(d) listed/parameter:
No [See Attachment B NC_2020_INTEGRATED _REPORT 120]
Subject to TMDL/parameter:
No TMDLs other than Statewide Mercury TMDL
Basin/Sub-basin/HUC:
Cape Fear / 03-06-09 / 030300030206
USGS Topo Quad:
NE Durham, NC
Page 2 of 8

3. Effluent Data Summary
Effluent data for Outfall 001 is summarized below for the period of Aug2017 through Jan2022.
Table. Effluent Data Summary
Data
Limits
Parameter L,
Location L
Max
Mn
Average
Cant
MA I DM
©00010 - Temperature, Water Deg_ Centigrade
Downstream
27
0
15.0
236
Effluent
745
7.4
18.9
1176
Upstream
27
3
14.9
210
(100300 - Oxygen, Dissolved (DO)
Downstream
13
4
7A
236
Effluent
11
5.65
7.9
236
Dail' avemge>5
Upstream
13
3.9
7.2
210
© 00400 - pH
Effluent
7.6
7.3
235
> 6.0 and
s31616 - Cdiform, Fecal MF, MFC Broth, 44.5 C
Effluent
160
-1
233
200'
E50050 - Flow, it conduit or thru treatment plant
Influent
0.00576
0.001
0.00283
222
0.01
a50060 - Chlorite, Total Residual
Effluent
40
1
12.6
472
aC0310 - BOD, 5-Day (20 Deg_ C) - Concentration
Effluent
45.2
2
15.1
235
30
©C0530 - Solids, Total Suspended - Concentration
Effluent
27
2.5
4.7
235
30
E C0610 - Nitrogen, Ammonia Total (as M - Concentratior
Effluent
4.8
0.073
0.60
235
UoM
deg c
deg c
deg c
mgA
0 mgIL ringA
mgA
9.0 su
400 #/100m1
mgd
17uglI
45 mgA
45 mgA
mgA
4. Instream Data Summary
Instream monitoring may be required in certain situations, for example: 1) to verify model predictions
when model results for instream DO are within 1 mg/1 of instream standard at full permitted flow; 2) to
verify model predictions for outfall diffuser; 3) to provide data for future TMDL; 4) based on other
instream concerns. Instream monitoring may be conducted by the Permittee, and there are also
Monitoring Coalitions established in several basins that conduct instream sampling for the Permittee (in
which case instream monitoring is waived in the permit as long as coalition membership is maintained).
If applicable, summarize any instream data and what instream monitoring will be proposed for this
permit action: See data summary above. No changes are proposed.
Is this facility a member of a Monitoring Coalition with waived instream monitoring (Y/N): No.
Name of Monitoring Coalition: NA.
5. Compliance Summary
Summarize the compliance record with permit effluent limits (past 5 years): From Feb2017 to Jan2022
there were two daily maximum exceedances (1 NOD, 1 NOV) and four monthly average exceedances (1
NOD, 3 NOVs) for BOD. See Attachment C Monitoring Report Violations Feb2017_Jan2022 4p.
Summarize the compliance record with aquatic toxicity test limits and any second species test results
(past 5 years): 100% pass rate for the past 5 years or more. See Attachment D_February 2022 WET
Summary - HQ 94.
Summarize the results from the most recent compliance inspection: See Attachment
E NC0038300_Compliance Evaluation Inspection _20190325_8p
Page 3 of 8

6. Water Quality -Based Effluent Limitations (WQBELs)
Dilution and Mixing Zones
In accordance with 15A NCAC 2B.0206, the following streamflows are used for dilution considerations
for development of WQBELs: 1Q10 streamflow (acute Aquatic Life); 7Q10 streamflow (chronic Aquatic
Life; non -carcinogen HH); 30Q2 streamflow (aesthetics); annual average flow (carcinogen, HH).
If applicable, describe any other dilution factors considered (e.g., based on CORMIX model results): NA.
If applicable, describe any mixing zones established in accordance with 15A NCAC 2B. 0204(b): NA.
Oxygen -Consuming Waste Limitations
Limitations for oxygen -consuming waste (e.g., BOD) are generally based on water quality modeling to
ensure protection of the instream dissolved oxygen (DO) water quality standard. Secondary TBEL limits
(e.g., BOD= 30 mg/1 for Municipals) may be appropriate if deemed more stringent based on dilution and
model results.
If permit limits are more stringent than TBELs, describe how limits were developed: NA.
Ammonia and Total Residual Chlorine Limitations
Limitations for ammonia are based on protection of aquatic life utilizing an ammonia chronic criterion of
1.0 mg/1 (summer) and 1.8 mg/1 (winter). Acute ammonia limits are derived from chronic criteria,
utilizing a multiplication factor of 3 for Municipals and a multiplication factor of 5 for Non -Municipals.
Limitations for Total Residual Chlorine (TRC) are based on the NC water quality standard for protection
of aquatic life (17 ug/1) and capped at 28 ug/1(acute impacts). Due to analytical issues, all TRC values
reported below 50 ug/1 are considered compliant with their permit limit.
Describe any proposed changes to ammonia and/or TRC limits for this permit renewal: None.
Reasonable Potential Analysis (RPA) for Toxicants
Not applicable
Toxicity Testing Limitations
Permit limits and monitoring requirements for Whole Effluent Toxicity (WET) have been established in
accordance with Division guidance (per WET Memo, 8/2/1999). Per WET guidance, all NPDES permits
issued to Major facilities or any facility discharging "complex" wastewater (contains anything other than
domestic waste) will contain appropriate WET limits and monitoring requirements, with several
exceptions. The State has received prior EPA approval to use an Alternative WET Test Procedure in
NPDES permits, using single concentration screening tests, with multiple dilution follow-up upon a test
failure.
Describe proposed toxicity test requirement: Chronic Toxicity (Ceriodaphnia) limit, P/F at 90% with
testing in February, May, August, and November See Condition A. (3.).
Page 4 of 8

Mercury Statewide TMDL Evaluation
There is a statewide TMDL for mercury approved by EPA in 2012. The TMDL target was to comply with
EPA's mercury fish tissue criteria (0.3 mg/kg) for human health protection. The TMDL established a
wasteload allocation for point sources of 37 kg/year (81 lb/year), and is applicable to municipals and
industrial facilities with known mercury discharges. Given the small contribution of mercury from point
sources (-2% of total load), the TMDL emphasizes mercury minimization plans (MMPs) for point source
control. Municipal facilities > 2 MGD and discharging quantifiable levels of mercury (>1 ng/1) will
receive an MMP requirement. Industrials are evaluated on a case -by -case basis, depending if mercury is a
pollutant of concern. Effluent limits may also be added if annual average effluent concentrations exceed
the WQBEL value (based on the NC WQS of 12 ng/1) and/or if any individual value exceeds a TBEL
value of 47 ng/1
Describe proposed permit actions based on mercury evaluation: NA.
Other TMDL/Nutrient Management Strategy Considerations
If applicable, describe any other TMDLs/Nutrient Management Strategies and their implementation
within this permit: NA.
Other WQBEL Considerations
If applicable, describe any other parameters of concern evaluated for WQBELs: NA.
If applicable, describe any special actions (HQW or ORW) this receiving stream and classification shall
comply with in order to protect the designated waterbody: NA.
If applicable, describe any compliance schedules proposed for this permit renewal in accordance with
15A NCAC 2H.0107(c) (2) (B), 40CFR 122.47, and EPA May 2007 Memo: NA.
If applicable, describe any water quality standards variances proposed in accordance with NCGS 143-
215.3(e) and 15A NCAC 2B. 0226 for this permit renewal: NA.
7. Technology -Based Effluent Limitations (TBELs)
Are concentration limits in the permit at least as stringent as secondary treatment requirements (30 mg/l
BOD5/TSS for Monthly Average, and 45 mg/l for BOD5/TSS for Weekly Average). Yes.
8. Antidegradation Review (New/Expanding Discharge):
The objective of an antidegradation review is to ensure that a new or increased pollutant loading will not
degrade water quality. Permitting actions for new or expanding discharges require an antidegradation
review in accordance with 15A NCAC 2B.0201. Each applicant for a new/expanding NPDES permit
must document an effort to consider non -discharge alternatives per 15A NCAC 2H.0105( c)(2). In all
cases, existing instream water uses and the level of water quality necessary to protect the existing use is
maintained and protected.
Page 5 of 8

If applicable, describe the results of the antidegradation review, including the Engineering Alternatives
Analysis (EAA) and any water quality modeling results: NA.
9. Antibacksliding Review:
Sections 402(o)(2) and 303(d)(4) of the CWA and federal regulations at 40 CFR 122.44(1) prohibit
backsliding of effluent limitations in NPDES permits. These provisions require effluent limitations in a
reissued permit to be as stringent as those in the previous permit, with some exceptions where limitations
may be relaxed (e.g., based on new information, increases in production may warrant less stringent TBEL
limits, or WQBELs may be less stringent based on updated RPA or dilution).
Are any effluent limitations less stringent than previous permit (YES/NO): NO.
If YES, confirm that antibacksliding provisions are not violated: NA.
10. Monitoring Requirements
Monitoring frequencies for NPDES permitting are established in accordance with the following
regulations and guidance: 1) State Regulation for Surface Water Monitoring, 15A NCAC 2B.0500; 2)
NPDES Guidance, Monitoring Frequency for Toxic Substances (7/15/2010 Memo); 3) NPDES Guidance,
Reduced Monitoring Frequencies for Facilities with Superior Compliance (10/22/2012 Memo); 4) Best
Professional Judgement (BPJ). Per US EPA (Interim Guidance, 1996), monitoring requirements are not
considered effluent limitations under Section 402(o) of the Clean Water Act, and therefore anti -
backsliding prohibitions would not be triggered by reductions in monitoring frequencies.
For instream monitoring, refer to Section 4.
11. Electronic Reporting Requirements
The US EPA NPDES Electronic Reporting Rule was finalized on December 21, 2015. Effective
December 21, 2016, NPDES regulated facilities are required to submit Discharge Monitoring Reports
(DMRs) electronically. Effective December 21, 2020, NPDES regulated facilities will be required to
submit additional NPDES reports electronically. This permit contains the requirements for electronic
reporting, consistent with Federal requirements.
Page 6 of 8

12. Summary of Proposed Permitting Actions:
A. Table. Current Permit Conditions and Proposed Changes — Outfall 001
Parameter
Current Permit
Proposed Change
Basis for Condition/Change
Flow
0.01 MGD
No change
15A NCAC 2B .0505
BOD, 5-day
MA 30 mg/1
DM 45 mg/1
No change
TBEL. Secondary treatment standards/40
CFR 133 / 15A NCAC 2B .0406
Total Suspended
Solids (TSS)
MA 30 mg/1
DM 45 mg/1
No change
TBEL. Secondary treatment standards/40
CFR 133 / 15A NCAC 2B .0406
NH3 as N
Monitor & Report
No change
WQBEL. Based on protection of State
WQ criteria. 15A NCAC 2B.0200
Dissolved Oxygen
(DO)
Daily average >
5.0 mg/L
No change
WQBEL. State WQ standard, 15A
NCAC 2B .0200
Fecal Coliform
MA 200 /100m1
DM 400 /100m1
No change
WQBEL. State WQ standard, 15A
NCAC 2B .0200
Total Residual
Chlorine (TRC)
DM 17 µg/L
No change
WQBEL. State WQ standard, 15A
NCAC 2B .0200
Temperature
Monitor & Report
No change
WQBEL. State WQ standard, 15A
NCAC 2B .0200
pH
> 6.0 and < 9.0
standard units
No change
WQBEL. State WQ standard, 15A
NCAC 2B .0200
Chronic Toxicity
Required
Updated Permit
Condition A. (3.)
WQBEL. No toxics in toxic amounts.
15A NCAC 2B.0200 and 15A NCAC
2B.0500
Permit Reopener:
Supplementary
Nutrient
Monitoring
Required
Updated Special
Condition A. (2.)
WQBEL. Required individual TN/TP
nutrient limits per current Cape Fear
permitting strategy and to comply with
NC chl-a WQS, 15A NCAC 2B.0200.
Electronic
Reporting
Required
Updated Add Electronic
Reporting Special
Condition A. (4.)
In accordance with EPA Electronic
Reporting Rule 2015.
MGD — Million gallons per day, MA - Monthly Average, WA — Weekly Average, DM — Daily Max
The draft permit includes the following significant changes from the existing permit:
1. The facility description in supplement to permit cover sheet was updated to include a "manual bar
screen" and a "one -pass sand filter".
2. The facility classification Grade II Biological Water Pollution Control System (WPCS) was added to
the effluent page.
3. The Chronic WET test condition was updated. See Condition A. (3.).
Page 7 of 8

4. The electronic reporting permit special condition A. (4.) was updated. Footnote 1 for electronic
reporting was updated for Condition A. (1.).
13. Public Notice Schedule:
Permit to Public Notice: 03/17/2022 [See Attachment F]
Per 15A NCAC 2H .0109 & .0111, The Division will receive comments for a period of 30 days following
the publication date of the public notice. Any request for a public hearing shall be submitted to the
Director within the 30 days comment period indicating the interest of the party filing such request and the
reasons why a hearing is warranted.
14. Fact Sheet Addendum (if applicable):
Were there any changes made since the Draft Permit was public noticed (Yes/No): Yes.
If Yes, list changes and their basis below:
This final permit includes the following significant changes from the draft permit previously sent to you
on March 8, 2022:
• Special Condition A. (2.) which is a permit re -opener for supplementary nutrient monitoring/TMDL
implementation was updated to the current version.
15. Fact Sheet Attachments (list in order of reference):
A. NC0038300_Renewal (Application)_20210406_44p
B. B NC 2020 INTEGRATED REPORT 120
C. C_Monitoring Report Violations_ Feb2017_Jan2022_4p
D. DFebruary 2022 WET Summary - HQ 94
E. E_NC0038300_Compliance Evaluation Inspection _20190325_8p
F. FNC0038300Affidavit 20220321lp
G. G_Peer Review_20220309_lp
H. H1_Aquatic Tox Branch_Comments _20220314_2p
H2_Aquatic Tox Branch_Comments _20220315_4p
H3_NC00388300_S Drive Files_1996_5p
I. I_Regional Office Comments _20220315_5p
Page 8 of 8

ROY COOPER
Governor
DIONNE DELLI-GATTI
Secretary
S. DANIEL SMITH
Director
S S Construction & Rental, Inc.
Attn: James R. Edwards, President
1808 Pinecrest St
Burlington, NC 27215-5639
Subject: Permit Renewal
Application No. NC0038300
S.S. Mobile Home Park
Chatham County
NORTH CAROLINA
Environmental Quality
April 06, 2021
Dear Applicant:
The Water Quality Permitting Section acknowledges the April 6, 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
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Sincerely,
Men .T hecl f alui
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office 13B00 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200

Print All Pages
IPrint Form Only
United States
Environmental Protection Agency
Office of Water
Washington, D.C.
EPA Form 3510-1
Revised March 2019
Water Permits Division
��EPA Application Form 1
General Information
NPDES Permitting Program
Note: All applicants to the National Pollutant Discharge Elimination System (NPDES) permits
program, with the exception of publicly owned treatment works and other treatment works treating
domestic sewage, must complete Form 1. Additionally, all applicants must complete one or more of the
following forms: 2B, 2C, 2D, 2E, or 2F. To determine the specific forms you must complete, consult the
"General Instructions" for this form.

Paperwork Reduction Act Notice
The U.S. Environmental Protection Agency estimates the average burden to collect information
and complete Form 1 to be 2.9 hours for new applicants and 0.9 hours for applicants renewing
existing permits. This estimate includes time to review instructions, search existing data sources,
gather and maintain the needed data, and complete and review the collection of information.
New respondents must also prepare a topographic map. Send comments about the burden
estimate or any other aspect of this collection of information to the Chief, Information Policy
Branch (PM-223), U.S. Environmental Protection Agency, 1200 Pennsylvania Avenue, NW,
Washington, DC 20460, and to the Office of Information and Regulatory Affairs, Office of
Management and Budget, 725 17th Street, NW, Washington, DC 20503, marked "Attention:
Desk Officer for EPA."

DESCRIPTION OF NPDES PERMIT APPLICATION FORMS
CONTENTS OF FORM 1 PACKAGE
The application forms for individual National Pollutant Discharge
Elimination System (NPDES) permits include the following:
Form 1—General Information (included in this package).
Form 2—Forms Based on Facility or Activity Type (not included
in this package):
2A. New and Existing Publicly Owned Treatment Works
2B. Concentrated Animal Feeding Operations and
Concentrated Aquatic Animal Production Facilities
2C. Existing Manufacturing, Commercial, Mining, and
Silvicultural Operations
2D. New Manufacturing, Commercial, Mining, and Silvicultural
Operations That Have Not Yet Commenced Discharge of
Process Wastewater
2E. Manufacturing, Commercial, Mining, and Silvicultural
Facilities Which Discharge Only Nonprocess Wastewater
2F. Stormwater Discharges Associated with Industrial Activity
2S. New and Existing Treatment Works Treating Domestic
Sewage
Form 1—General Instructions
Form 1—Line-by-Line Instructions
Form 1—Activities That Do Not Require Permits
Form 1—Glossary
Form 1—Application
FORM 1—GENERAL INSTRUCTIONS
Who Must Apply for an NPDES Permit?
With the exceptions described in "Form 1—Activities That Do Not
Require Permits," the federal Clean Water Act (33 U.S.C. 1251 et
seq.) prohibits any person from discharging pollutants into waters
of the United States without first having been issued a permit
under the NPDES program.
Who Must Complete Form 1?
All applicants, other than publicly owned treatment works
(POTWs) and treatment works treating domestic sewage
(TWTDS), must submit Form 1. If you operate one of the
following facilities, you must submit Form 1: concentrated animal
feeding operations and aquatic animal production facilities;
manufacturing, commercial, mining, and silvicultural operations;
or other industrial facilities.
At the state level, either the U.S. Environmental Protection
Agency (EPA) or an approved state agency administers the
NPDES permit program. If you are located in a jurisdiction in
which an EPA regional office administers the NPDES permit
program, you should use Form 1 and all other applicable forms
described in these instructions. If you are located in a jurisdiction
where a state administers the NPDES permit program, contact
the state to determine the forms you should complete. States
often develop their own application forms rather than use the
federal forms. See http://www.epa.gov/npdes/npdes-state-
program-information for a list of states that have approved
NPDES permit programs and those that do not.
Exhibit 1-1 (see end of this section) provides contact information
for each of EPA's 10 regional offices. Since the exhibit's content is
subject to change, consult EPA's website for the latest information:
http://www.epa.gov/aboutepa#regional.
Upon your request, and based on information supplied by you,
EPA or the authorized NPDES state will determine whether you
are required to obtain a permit for a particular facility or activity.
Be sure to contact EPA or your state if you have a question.
Form 1 collects general information only. You must also complete
a more detailed application based on your proposed discharge
activity, as follows:
• If your facility is a concentrated animal feeding operation
or a concentrated aquatic animal production facility, you
must also complete Form 2B.
• If your facility is an existing manufacturing, commercial,
mining, or silvicultural facility that currently discharges
process wastewater, you must also complete Form 2C.
• If your facility is a new manufacturing, commercial, mining,
or silvicultural facility that has yet to commence discharge of
process wastewater, you must also complete Form 2D.
• If your facility is a new or existing facility (including
manufacturing, commercial, mining, and silvicultural
facilities) that discharges only nonprocess wastewater,
you must also complete Form 2E.
• If your facility is a new or existing facility whose discharge
is composed entirely of stormwater associated with industrial
activity —excluding discharges from construction activity
under 122.26(b)(14)(x) or (b)(15)—you must also complete
Form 2F. If the discharge is composed of stormwater and
non-stormwater, you must complete Form 2F and you must
also complete Forms 2C, 2D, and/or 2E, as appropriate. See
Form 2F's instructions for further details.
1-1

FORM 1—GENERAL INSTRUCTIONS CONTINUED
Where to File Your Completed Form
• If you are in a jurisdiction with an approved state NPDES
permit program, file according to the instructions on the state
forms.
• If you are in a jurisdiction where EPA is the NPDES
permitting authority (i.e., the state is not an NPDES-
authorized state), mail the completed application forms to the
EPA regional office that covers the state in which your facility
is located (see Exhibit 1-1).
When to File Your Completed Form
Because of statutory and regulatory requirements, the deadlines
for filing applications vary according to your facility or activity type
and the type of permit you need. The various permit application
deadlines are listed in Exhibit 1-2 at the end of this section.
Fees
EPA does not require applicants to pay a fee for applying for
NPDES permits. However, states that administer the NPDES
permit program may charge fees. Consult with state officials for
further information.
Public Availability of Submitted Information
EPA will make information from NPDES permit application forms
available to the public for inspection and copying upon request.
You may not claim any information on Form 1 (or related
attachments) as confidential.
You may make a claim of confidentiality for any information that
you submit to EPA that goes beyond the information required by
Form 1. If you do not assert a claim of confidentiality at the time
you submit your information to the NPDES permitting authority,
EPA may make the information available to the public without
further notice to you. EPA will handle claims of confidentiality in
accordance with the Agency's business confidentiality regulations
at Part 2 of Title 4 of the Code of Federal Regulations (CFR).
Completion of Forms
Print or type in the specified areas only. If you do not have enough
space on the form to answer a question, you may continue on
additional sheets, as necessary, using a format consistent with the
form.
The NPDES permitting authority could consider your application
incomplete if you do not provide an answer (or indicate "NA" for
"not applicable") for all questions on Form 1 and the applicable
Form 2.
Provide your EPA Identification Number from the Facility Registry
Service, NPDES permit number, and facility name at the top of
each page of Form 1 and any attachments. If your facility is new
(i.e., not yet constructed), write or type "New Facility" in the space
provided for the EPA Identification Number and NPDES number.
If you do not know your EPA Identification Number, contact your
NPDES permitting authority. See Exhibit 1-1 for contact
information.
Do not leave any response areas blank unless the form directs
you to skip them. If the form directs you to respond to an item that
does not apply to your facility or activity, enter "NA" for "not
applicable" to show that you considered the item and determined
a response was not necessary for your facility.
The NPDES permitting authority will consider your application
complete when it and any supplementary material are received
and completed according to the authority's satisfaction. The
NPDES permitting authority will judge the completeness of any
application independently of the status of any other permit
application or permit for the same facility or activity.
1-2

FORM 1—GENERAL INSTRUCTIONS CONTINUED
Exhibit 1-1. Addresses of EPA Regional Contacts and Covered States
REGION 1
U.S. Environmental Protection Agency, Region 1
5 Post Office Square, Suite 100, Boston, MA 02109-3912
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-1-new-england
REGION 6
U.S. Environmental Protection Agency, Region 6
1445 Ross Avenue, Suite 1200, Dallas, TX 75202-2733
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-6-south-central
Covered states: Connecticut, Maine, Massachusetts, New Hampshire, Rhode
Island, and Vermont
Covered states: Arkansas, Louisiana, New Mexico, Oklahoma, and Texas
REGION 2
U.S. Environmental Protection Agency, Region 2
290 Broadway, New York, NY 10007-1866
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.qov/aboutepa/epa-reqion-2
REGION 7
U.S. Environmental Protection Agency, Region 7
11201 Renner Boulevard, Lenexa, KS 66219
Phone: [phone]; toll free: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-7-midwest
Covered states: Iowa, Kansas, Missouri, and Nebraska
Covered states: New Jersey, New York, Virgin Islands, and Puerto Rico
REGION 3
U.S. Environmental Protection Agency, Region 3
1650 Arch Street, Philadelphia, PA 19103-2029
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-3-mid-atlantic
REGION 8
U.S. Environmental Protection Agency, Region 8
1595 Wynkoop Street, Denver, CO 80202-1129
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-8-mountains-and-plains
Covered states: Delaware, District of Columbia, Maryland, Pennsylvania, Virginia,
and West Virginia
Covered states: Colorado, Montana, North Dakota, South Dakota, Utah, and
Wyoming
REGION 4
U.S. Environmental Protection Agency, Region 4
Sam Nunn Atlanta Federal Center
61 Forsyth Street, SW, Atlanta, GA 30303-8960
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/about-epa-region-4-southeast
REGION 9
U.S. Environmental Protection Agency, Region 9
75 Hawthorne Street, San Francisco, CA 94105
Phone: [phone]; toll free: (866) EPA -WEST
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-9-pacific-southwest
Covered states: Arizona, California, Hawaii, Nevada, Guam, American Samoa,
and Trust Territories
Covered states: Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina,
South Carolina, and Tennessee
REGION 5
U.S. Environmental Protection Agency, Region 5
77 West Jackson Boulevard, Chicago, IL 60604-3507
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-5
REGION 10
U.S. Environmental Protection Agency, Region 10
1200 Sixth Avenue, Suite 900, Seattle, WA 98101
Phone: [phone]; toll free: [phone]
Fax: [phone]
Website: http://www.epa.gov/aboutepa/epa-region-10-pacific-northwest
Covered states: Illinois, Indiana, Michigan, Minnesota, Ohio, and Wisconsin
Covered states: Alaska, Idaho, Oregon, and Washington
Exhibit 1-2. Filing Dates for NPDES Permit Applications
Permit Application
When to File
2A
180 days before your present NPDES permit expires or, if you are a
new discharger, 180 days before the date on which the discharge is
to commence unless the NPDES permitting authority has granted
permission for a later date.
2B
180 days before your present NPDES permit expires or 180 days
prior to startup if you are a new facility.
2C
180 days before your present NPDES permit expires.
2D
180 days prior to startup.
2E
180 days before your present NPDES permit expires, or 180 days
prior to startup if you are a new facility.
2F
Construction: 90 days prior to date construction is to commence.
Nonconstruction: 180 days before your present NPDES permit
expires or 180 days prior to startup if you are a new facility.
2S
180 days before your present NPDES permit expires or 180 days
prior to startup if you are a new facility.
1-3

FORM 1—LINE-BY-LINE INSTRUCTIONS
Section 1. Activities Requiring an NPDES Permit
Item 1.1. Review the questions in Item 1.1 to determine if you are
required to submit Form 1. Be sure to check the Form 1—
Glossary for the legal definitions of any key terms.
If you answer "Yes" to a question in Item 1.1, then you do not
need to complete Form 1, but you must comply with the
application requirements specified.
Item 1.2. Respond to the questions in Items 1.2.1 to 1.2.5. If you
answer "Yes" to any question, you must complete Form 1 and the
Form 2 application specified. See Exhibit 1-2 for filing deadlines.
If you answer "No' to every question in Items 1.1 and 1.2, then
you do not need an NPDES permit, and you do not need to
complete and return any of the NPDES application forms.
Section 2. Name, Mailing Address, and Location
Item 2.1. Enter the facility's official or legal name. Do not use a
colloquial name.
Item 2.2. Provide your EPA Identification Number from the
Facility Registry Service if you have an existing facility. If you do
not know your EPA Identification Number, contact your NPDES
permitting authority. If your facility is new (i.e., not yet
constructed), write or type "New Facility."
Item 2.3. Give the name (first and last), title, work telephone
number, and email address of the person who is thoroughly
familiar with the operation of the facility and with the facts
reported in this application. The NPDES permitting authority will
contact the person listed if they have questions on the material
submitted.
Item 2.4. Give the complete mailing address of the office to which
the NPDES permitting authority should send correspondence.
This often is not the address used to designate the location of the
facility or activity.
Item 2.5. Give the address or location of the facility identified
under Item 2.1. If the facility lacks a street name or route number,
give the most accurate, alternative geographic information (e.g.,
section number or quarter section number from county records or
"at intersection of Routes 425 and 22"). Also provide the county
name, county code (if known), city or town, state, and zip code.
For concentrated aquatic animal production facilities, provide the
address or location of the production area (i.e., the location where
the animals are contained, grown, or held).
Section 3. SIC and NAICS Codes
Items 3.1 and 3.2. List, in descending order of significance, up to
four 4-digit standard industrial classification (SIC) codes and
North American Industrial Classification System (NAICS) codes
that best describe your facility in terms of the principal products or
services it produces or provides. If the SIC or NAICS codes do
not adequately describe your facility's products or services, you
have the option to provide additional descriptive information.
You can find SIC code numbers and descriptions in the
1987 Standard Industrial Classification Manual, prepared by the
Executive Office of the President, Office of Management and
Budget. This document is available from the Government Printing
Office, Washington, D.C. An online version of the manual is also
available courtesy of the Occupational Safety and Health
Administration at http://www.osha.gov/pls/imis/sic manuai.html.
You can find NAICS code numbers and descriptions in the North
American Industrial Classification System Manual prepared by the
Executive Office of the President, Office of Management and
Budget. This document is available from the National Technical
Information Service (NTIS) in Alexandria, Virginia. It is also
available online at http:I/www.census.gov/eos/www/naics/.
Use the latest edition of the manuals. If you have any questions
about the appropriate SIC or NAICS codes for your facility,
contact your NPDES permitting authority.
Section 4. Operator Information
Item 4.1. Give the legal name of the person, firm, public
organization, or other entity that operates the facility described in
this application. This may or may not be the same as the facility's
name. The operator of the facility is the legal entity that controls
the facility's operation rather than the plant or site manager. Do
not use a colloquial name.
Item 4.2. Indicate whether the entity listed in response to Item 4.1
also owns the facility by marking the appropriate box.
Item 4.3. Indicate the ownership status of the operator of the
facility by marking the appropriate box. If the facility is a federal
facility (i.e., owned by the U.S. government), check the box for
"Public —federal." If the facility is owned by a state government,
check the box for "Public —state." If the facility is owned by a
county government, municipal (e.g., city or town) government,
tribal government, school district, water district, or other local
government entity, check the box for "Other public" and specify
the type of government entity. If the facility is owned by a
corporation or other private entity, check the box for "Private." If
the facility has mixed ownership (e.g., public/private) or is not
owned by an entity of the types previously listed, check the box
for "Other" and specify the type of entity.
Items 4.4 to 4.6. Enter the telephone number, address, and email
address of the operator identified in Item 4.1.
Section 5. Indian Land
Item 5.1. Indicate whether the facility is located on Indian Land.
Section 6. Existing Environmental Permits
Item 6.1. Check the appropriate boxes and provide the permit
numbers for all relevant federal, state, and local environmental
permits or construction approvals received or applied for under
any of the programs listed below. If you have more than one
currently effective permit under a particular permit program for
your facility, list the additional permit numbers on the application
form or on a separate sheet of paper.
1-4

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
• Hazardous waste management program under the Resource
Conservation and Recovery Act (RCRA).
• Underground Injection Control (UIC) program under the Safe
Drinking Water Act (SDWA).
• NPDES program under the Clean Water Act (CWA).
• Prevention of Significant Deterioration (PSD) program under
the Clean Air Act (CAA).
• Nonattainment program under the CAA.
• National Emission Standards for Hazardous Pollutants
(NESHAPs) preconstruction approval under the CAA.
• Ocean dumping permits under the Marine Protection
Research and Sanctuaries Act (MPRSA).
• Dredge or fill permits under Section 404 of the CWA.
• Other federal, state, or local environmental permits.
Section 7. Map
Unless the facility is a concentrated animal feeding operation,
provide a topographic map(s) of the area extending at least one
mile beyond the property boundaries of the facility that clearly
shows the following:
• The legal boundaries of the facility.
• The location and serial number of each of your existing and
proposed intake and discharge structures.
• All hazardous waste management, storage, and disposal
facilities.
• Each well where you inject fluids underground.
• All wells, springs, surface water bodies, and drinking water
wells that are in the public record or otherwise known to you
and that are located in the map area.
If the facility has associated water intakes, discharge structures,
hazardous waste disposal sites, or injection wells and these items
are located more than one mile from the facility, include them on
the map if possible. If you cannot, attach additional sheets
describing the location of the structures, disposal site(s), or well(s)
and identify the U.S. Geological Survey (USGS) or other map
corresponding to the location(s).
On each map, include the map scale, a meridian arrow showing
north, and latitude and longitude to the nearest second. Latitude
and longitude coordinates may be obtained in a variety of ways,
including use of hand held devices (e.g., a GPS enabled
smartphone), internet mapping tools (e.g.,
https://mynasadata.iarc.nasa.gov/latitudelongitude-finder/),
geographic information systems (e.g., ArcView), or paper maps
from trusted sources (e.g., USGS).
On all maps of rivers, show the direction of the current. In tidal
waters, show the directions of ebb and flow tides.
You may develop your map by going to USGS's National Map
website at http://nationalmap.gov/. (For a map from this site, use
the traditional 7.5-minute quadrangle format. If none is available,
use a USGS 15-minute series map.) You may also use a plat or
other appropriate map. Briefly describe land uses in the map area
(e.g., residential, commercial). An example of an acceptable
location map is shown as Exhibit 1-3 at the end of these
instructions. Note: Exhibit 1-3 is provided for illustration only; it
does not show an actual facility.
If the facility is a concentrated animal feeding operation, you are
not required to provide the topographic map required by this
section of Form 1. Instead, you are required to provide a
topographic map as specified in Section 4 of Form 2B.
Item 7.1. Note that you have completed your topographic map
and attached it to the application.
Section 8. Nature of Business
Briefly describe the nature of your business (e.g., products
produced or services provided). See Examples 1 and 2.
Example 1
Facilities Subject to 40 CFR 426, Subparts F and G
Industry A is an auto tempered and auto laminated glass
manufacturing facility subject to effluent limitation guidelines
(ELGs) for the "Automotive Glass Tempering" and "Automotive
Glass Laminating" subcategories of the "Glass Manufacturing"
point source category at 40 CFR 426, subparts F and G. At the
facility, glass is cut and then passed through a series of
processes that grind and polish the edges, bend the glass, and
then temper the glass to produce side and back windows for
automobiles. Tempering involves heating the glass near the
melting point, then rapidly cooling it to increase its mechanical
and thermal endurance. The facility also produces automobile
windshields and undertakes processes that laminate a plastic
sheet between two layers of glass and that prepare the glass for
lamination (e.g., cutting, bending, and washing).
Example 2
Facility Not Subject to ELGs
Industry B undertakes batch -type resin manufacturing operations.
It has aboveground storage tanks for raw materials and finished
goods, resin loading operations, and warehouses for 55-gallon
drums of finished product. Industry B manufactures alkyd,
saturated and unsaturated polyester resins in batches using
reactor vessels and mix tanks. Most of the feedstock liquids are
pumped from storage tanks to the kettles and mixers via a closed
piping system. Additional feedstocks are added manually as
solids from bags and sacks via manways, which are located on
top of the kettles. The resin is then chemically reacted in the
kettles. After the reaction step finishes, the resin is transferred
from the kettles to the mix tanks, where solvents are added to
thin it. The primary byproduct of the reaction is water vapor
containing condensed soluble organics. The byproduct flows to
an isolation tank where the vapors are directed to an onsite
thermal oxidizer. The finished resin is then pumped through one
of three types of filtration systems into finished goods storage
tanks, 55-gallon drums, 350-gallon intermediate bulk container
totes, or directly into tanker trucks. A typical batch takes about 30
hours to complete.
1-5

FORM 1—LINE-BY-LINE INSTRUCTIONS CONTINUED
Section 9. Cooling Water Intake Structures
Item 9.1. Indicate whether the facility uses cooling water. If yes,
continue to Item 9.2. If no, skip to Item 10.1.
Item 9.2. Identify the source of the cooling water. For example,
indicate whether the cooling water is from a surface water,
groundwater well, public water system, or treated effluent that
would otherwise be discharged to a water of the U.S.
If the facility uses a cooling water intake structure as described in
40 CFR 125, Subparts I and J, the facility may have additional
application requirements under 40 CFR 122.21(r). Note that the
information required by 40 CFR 122.21(r) is not requested as part
of Form 1. Contact your NPDES permitting authority to determine
the specifics of what you should provide and when.
Section 10. Variance Requests
An applicant (other than a POTW) may request a variance from
otherwise applicable effluent limitations under certain conditions
described at 40 CFR 122.21(m).
Item 10.1. If known at the time of application, check all of the
authorized variances that you plan to request or renew. Note that
you are not being asked to submit any other information at this
time. Contact your NPDES permitting authority to determine the
specifics of what you should provide and when. The ability to
request a variance is not limited to the time of application, and an
applicant may request a variance consistent with statutory and
regulatory requirements.
Section 11. Checklist and Certification
Item 11.1. Review the checklist provided. In Column 1, mark the
sections of Form 1 that you have completed and are submitting
with your application. In Column 2, indicate for each section
whether you are submitting attachments.
Item 11.2. The Clean Water Act provides for severe penalties for
submitting false information on this application form. CWA Section
309(c)(2) provides that, "Any person who knowingly makes any
false statement, representation, or certification in any application,
...shall upon conviction, be punished by a fine of no more than
$10,000 or by imprisonment for not more than six months, or
both."
FEDERAL REGULATIONS AT 40 CFR 122.22 REQUIRE THIS
APPLICATION TO BE SIGNED AS FOLLOWS:
A. For a corporation, by a responsible corporate officer. For the
purpose of this section, a responsible corporate officer
means: (1) a president, secretary, treasurer, or vice-president
of the corporation in charge of a principal business function,
or any other person who performs similar policy- or decision -
making functions for the corporation, or (2) the manager of
one or more manufacturing, production, or operating facilities,
provided the manager is authorized to make management
decisions which govern the operation of the regulated facility
including having the explicit or implicit duty of making major
capital investment recommendations, and initiating and
directing other comprehensive measures to assure long term
environmental compliance with environmental laws and
regulations; the manager can ensure that the necessary
systems are established or actions taken to gather complete
and accurate information for permit application requirements;
and where authority to sign documents has been assigned or
delegated to the manager in accordance with corporate
procedures.
B. For a partnership or sole proprietorship, by a general partner
or the proprietor, respectively.
C. For a municipality, state, federal, or other public facility, by
either a principal executive officer or ranking elected official.
For purposes of this section, a principal executive officer of a
federal agency includes: (1) The chief executive officer of the
agency, or (2) a senior executive officer having responsibility
for the overall operations of a principal geographic unit of the
agency (e.g., Regional Administrators of EPA).
1-6

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1-7

FORM 1—ACTIVITIES THAT DO NOT REQUIRE PERMITS
You are not required to obtain an NPDES permit if your discharge
is in one of the following categories, as provided by the CWA and
NPDES regulations at 40 CFR 122 to 125. (However, under CWA
Sections 510 and 312, some discharges exempted from the
federal NPDES requirements may still be regulated by a state
permitting authority.)
• Any discharge of sewage from vessels and any effluent from
properly functioning marine engines, laundry, shower, and
galley sink wastes, or any other discharge incidental to the
normal operation of a vessel, including vessels of the Armed
Forces within the meaning of section 312 of the CWA and
recreational vessels within the meaning of section 502(25) of
the CWA. None of these exclusions apply to rubbish, trash,
garbage, or other such materials discharged overboard; nor
to other discharges when the vessel is operating in a
capacity other than as a means of transportation such as
when used as an energy or mining facility, a storage facility
or a seafood processing facility, or when secured to a
storage facility or a seafood processing facility, or when
secured to the bed of the ocean, contiguous zone or waters
of the United States for the purpose of mineral or oil
exploration or development.
• Discharges of dredged or fill material into waters of the
United States that are regulated under CWA Section 404.
• The introduction of sewage, industrial wastes, or other
pollutants into publicly owned treatment works by indirect
dischargers. Plans or agreements to switch to this method of
disposal in the future do not relieve dischargers of the
obligation to have and comply with permits until all
discharges of pollutants to waters of the United States are
eliminated. (See also 40 CFR 122.47(b).) This exclusion
does not apply to the introduction of pollutants to privately
owned treatment works or to other discharges through pipes,
sewers, or other conveyances owned by a state, municipality,
or other party not leading to treatment works.
• Any discharge in compliance with the instructions of an On -
Scene Coordinator pursuant to 40 CFR 300 (The National Oil
and Hazardous Substances Pollution Contingency Plan) or
33 CFR 153.10(e) (Pollution by Oil and Hazardous
Substances).
• Any introduction of pollutants from non point -source
agricultural and silvicultural activities, including stormwater
runoff from orchards, cultivated crops, pastures, range lands,
and forest lands, but not discharges from concentrated
animal feeding operations as defined in 40 CFR 122.23,
discharges from concentrated aquatic animal production
facilities as defined in 40 CFR 122.23, discharges from
concentrated aquatic animal production facilities as defined
in 40 CFR 122.24, discharges to aquaculture projects as
defined in 40 CFR 122.25, and discharges from silvicultural
point sources as defined in 40 CFR 122.27. Note: Per 40
CFR 122.26(b)(14)(ii), facilities classified within SIC 24,
Industry Group 241, that are rock crushing, gravel washing,
log sorting, or log storage facilities operated in connection
with silvicultural activities defined in 40 CFR 122.27(b)(2)—(3)
and Industry Groups 242 through 249; 26 (except 265 and
267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441,
and 373 (not included are all other types of silviculture
facilities) are considered stormwater discharges associated
with industrial activity, and are required to obtain an NPDES
permit.
• Return flows from irrigated agriculture.
• Discharges into a privately owned treatment works, except as
the NPDES permitting authority may otherwise require under
40 CFR 122.44(m).
• Discharges from a water transfer. "Water transfer" means an
activity that conveys or connects waters of the United States
without subjecting the transferred water to intervening
industrial, municipal, or commercial use. This exclusion does
not apply to pollutants introduced by the water transfer
activity itself to the water being transferred.
1-8

FORM 1—GLOSSARY
Note: This glossary includes terms used in the various NPDES application forms, including Form 1. The definitions are from the NPDES
regulations at 40 CFR 122.2 unless otherwise specified. If you have any questions concerning the meaning of any of these terms, contact
your NPDES permitting authority.
ANIMAL FEEDING OPERATION (defined at § 122.23) means a lot or facility (other than an aquatic animal production facility) where the
following conditions are met;
• Animals (other than aquatic animals) have been, are, or will be stabled or confined and fed or maintained for a total of 45 days or
more in any 12-month period; and
• Crops, vegetation, forage growth, or post -harvest residues are not sustained in the normal growing season over any portion of the lot
or facility.
APPLICATION means the EPA standard national forms for applying for a permit, including any additions, revisions, or modifications to the
forms; or forms approved by EPA for use in approved states, including any approved modifications or revisions.
APPROVED PROGRAM or APPROVED STATE means a State or interstate program which has been approved or authorized by EPA
under part 123.
AQUACULTURE PROJECT (defined at § 122.25) means a defined managed water area which uses discharges of pollutants into that
designated area for the maintenance or production of harvestable freshwater, estuarine, or marine plants or animals. DESIGNATED
PROJECT AREA means the portions of the waters of the United States within which the permittee or permit applicant plans to confine the
cultivated species, using a method or plan or operation (including, but not limited to, physical confinement) which, on the basis of reliable
scientific evidence, is expected to ensure that specific individual organisms comprising an aquaculture crop will enjoy increased growth
attributable to the discharge of pollutants, and be harvested within a defined geographic area.
AVERAGE MONTHLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar month,
calculated as the sum of all daily discharges measured during that month divided by the number of daily discharges measured during that
month.
AVERAGE WEEKLY DISCHARGE LIMITATION means the highest allowable average of daily discharges over a calendar week,
calculated as the sum of all daily discharges measured during a calendar week divided by the number of daily discharges measured during
that week.
BEST MANAGEMENT PRACTICES (BMPs) means schedules of activities, prohibitions of practices, maintenance procedures, and other
management practices to prevent or reduce the pollution of waters of the United States. BMPs include treatment requirements, operation
procedures, and practices to control plant site runoff, spillage or leaks, sludge or waste disposal, or drainage from raw material storage.
BIOSOLIDS (see sewage sludge).
BYPASS (defined at § 122.41(m)) means the intentional diversion of waste streams from any portion of a treatment facility.
COMBINED SEWER OVERFLOW (CSO) means a discharge from a combined sewer system (CSS) at a point prior to the Publicly Owned
Treatment Works (POTW) Treatment Plant (defined at § 403.3(r)).
COMBINED SEWER SYSTEM (CSS) means a wastewater collection system owned by a State or municipality (as defined by section
502(4) of the CWA) which conveys sanitary wastewaters (domestic, commercial and industrial wastewaters) and storm water through a
single -pipe system to a Publicly Owned Treatment Works (POTW) Treatment Plant (as defined at § 403.3(r)).
CONCENTRATED ANIMAL FEEDING OPERATION (defined at § 122.23) means an animal feeding operation that is defined as a Large
CAFO or as a Medium CAFO by the terms of (A) or (B) below, or that is designated as a CAFO in accordance with 40 CFR 122.23(c). Two
or more AFOs under common ownership are considered to be a single AFO for the purposes of determining the number of animals at an
operation, if they adjoin each other or if they use a common area or system for the disposal of wastes.
A. LARGE CONCENTRATED ANIMAL FEEDING OPERATION (LARGE CAFO) means an AFO that stables or confines as many as or
more than the numbers of animals specified in any of the following categories:
1 700 mature dairy cows, whether milked or dry;
2. 1,000 veal calves;
3. 1,000 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and cow/calf
pairs;
4. 2,500 swine each weighing 55 pounds or more;
5. 10,000 swine each weighing less than 55 pounds;
1-9

FORM 1—GLOSSARY CONTINUED
6. 500 horses;
7. 10,000 sheep or Iambs;
8. 55,000 turkeys;
9. 30,000 laying hens or broilers, if the AFO uses a liquid manure handling system;
10. 125,000 chickens (other than laying hens), if the AFO uses other than a liquid manure handling system;
11. 82,000 laying hens, if the AFO uses other than a liquid manure handling system;
12. 30,000 ducks (if the AFO uses other than a liquid manure handling system); or
13. 5,000 ducks (if the AFO uses a liquid manure handling system).
B. MEDIUM CONCENTRATED ANIMAL FEEDING OPERATION (MEDIUM CAFO) means any AFO with the type and number of
animals that fall within any of the ranges listed below and which has been defined or designated as a CAFO. An AFO is defined as a
Medium CAFO if:
1. The type and number of animals that it stables and confines falls within any of the following ranges:
a. 200 to 699 mature dairy cows, whether milked or dry;
b. 300 to 999 veal calves;
c. 300 to 999 cattle other than mature dairy cows or veal calves. Cattle includes but is not limited to heifers, steers, bulls and
cow/calf pairs;
d. 750 to 2,499 swine each weighing 55 pounds or more;
e. 3,000 to 9,999 swine each weighing less than 55 pounds;
f. 150 to 499 horses;
g. 3,000 to 9,999 sheep or Iambs;
h. 16,500 to 54,999 turkeys;
i. 9,000 to 29,999 laying hens or broilers, if the AFO uses a liquid manure handling system;
j. 37,500 to 124,999 chickens (other than laying hens), if the AFO uses other than a liquid manure handling system;
k. 25,000 to 81,999 laying hens, if the AFO uses other than a liquid manure handling system;
I. 10,000 to 29,999 ducks (if the AFO uses other than a liquid manure handling system); ore
m. 1,500 to 4,999 ducks (if the AFO uses a liquid manure handling system); and
2. Either one of the following conditions are met:
a. Pollutants are discharged into waters of the United States through a man-made ditch, flushing system, or other similar man-
made device; or
b. Pollutants are discharged directly into waters of the United States which originate outside of and pass over, across, or
through the facility or otherwise come into direct contact with animals confined in the operation.
CONCENTRATED AQUATIC ANIMAL PRODUCTION FACILITY (defined at § 122.24) means a hatchery, fish farm, or other facility which
contains, grows, or holds aquatic animals in either of the following categories, or which the Director designates as such on a case -by -case
basis:
A. Cold water fish species or other cold water aquatic animals including, but not limited to, the Salmonidae family of fish (e.g., trout and
salmon) in ponds, raceways, or other similar structures which discharge at least 30 days per year but does not include:
1. Facilities which produce less than 9,090 harvest weight kilograms (approximately 20,000 pounds) of aquatic animals per year;
and
2. Facilities which feed less than 2,272 kilograms (approximately 5,000 pounds) of food during the calendar month of maximum
feeding.
B. Warm water fish species or other warm water aquatic animals including, but not limited to, the Ameiuridae, Cetrarchiclae, and
Cyprinidae families of fish (e.g., respectively, catfish, sunfish, and minnows) in ponds, raceways, or other similar structures which
discharge at least 30 days per year, but does not include;
1. Closed ponds which discharge only during periods of excess runoff; or
2. Facilities which produce less than 45,454 harvest weight kilograms (approximately 100,000 pounds) of aquatic animals per year.
1-10

FORM 1—GLOSSARY CONTINUED
CWA means the Clean Water Act (formerly referred to as the Federal Water Pollution Control Act or Federal Water Pollution Control Act
Amendments of 1972) Public Law 92-500, as amended by Public Law 95-217, Public Law 95-576, Public Law 96-483 and Public Law
97-117, 33 U.S.C. 1251 et seq.
CWA AND REGULATIONS means the Clean Water Act (CWA) and applicable regulations promulgated thereunder. In the case of an
approved State program, it includes State program requirements.
DAILY DISCHARGE means the "discharge of a pollutant" measured during a calendar day or any 24-hour period that reasonably
represents the calendar day for purposes of sampling. For pollutants with limitations expressed in units of mass, the "daily discharge" is
calculated as the total mass of the pollutant discharged over the day. For pollutants with limitations expressed in other units of
measurement, the "daily discharge" is calculated as the average measurement of the pollutant over the day.
DIRECT DISCHARGE means the "discharge of a pollutant."
DIRECTOR means the Regional Administrator or the State Director, as the context requires, or an authorized representative. When there
is no "approved State program," and there is an EPA administered program, "Director" means the Regional Administrator. When there is
an approved State program, "Director" normally means the State Director. In some circumstances, however, EPA retains the authority to
take certain actions even when there is an approved State program. (For example, when EPA has issued an NPDES permit prior to the
approval of a State program, EPA may retain jurisdiction over that permit after program approval, see § 123.1.) In such cases, the term
"Director" means the Regional Administrator and not the State Director.
DISCHARGE (OF A POLLUTANT) means:
• Any addition of any pollutant or combination of pollutants to waters of the United States from any point source; or
• Any addition of any pollutant or combination of pollutants to the waters of the contiguous zone or the ocean from any point source
other than a vessel or other floating craft which is being used as a means of transportation.
This definition includes discharges into waters of the United States from: surface runoff which is collected or channelled by man;
discharges through pipes, sewers, or other conveyances owned by a State, municipality, or other person which do not lead to a treatment
works; and discharges through pipes, sewers, or other conveyances, leading into privately owned treatment works. This term does not
include an addition of pollutants by any "indirect discharger".
DISCHARGE MONITORING REPORT means the EPA uniform national form, including any subsequent additions, revisions, or
modifications for the reporting of self -monitoring results by permittees. DMRs must be used by "approved States" as well as by EPA. EPA
will supply DMRs to any approved State upon request. The EPA national forms may be modified to substitute the state agency name,
address, logo, and other similar information, as appropriate, in place of EPA's.
DRAFT PERMIT means a document prepared under § 124.6 indicating the Director's tentative decision to issue or deny, modify, revoke
and reissue, terminate, or reissue a "permit." A notice of intent to terminate a permit, and a notice of intent to deny a permit, as discussed
in § 124.5, are types of "draft permits." A denial of a request for modification, revocation and reissuance, or termination, as discussed in
§ 124.5, is not a "draft permit." A "proposed permit" is not a "draft permit."
EFFLUENT LIMITATION means any restriction imposed by the Director on quantities, discharge rates, and concentrations of "pollutants"
which are "discharged" from "point sources" into "waters of the United States," the waters of the "contiguous zone," or the ocean.
EFFLUENT LIMITATIONS GUIDELINES means a regulation published by the Administrator under section 304(b) of the CWA to adopt or
revise "effluent limitations."
ENVIRONMENTAL PROTECTION AGENCY (EPA) means the United States Environmental Protection Agency.
FACILITY or ACTIVITY means any NPDES "point source" or any other facility or activity (including land or appurtenances thereto) that is
subject to regulation under the NPDES program.
GENERAL PERMIT means an NPDES "permit" issued under § 122.28 authorizing a category of discharges under the CWA within a
geographical area.
HAZARDOUS SUBSTANCE means any substance designated under 40 CFR part 116 pursuant to section 311 of the CWA.
INDIAN COUNTRY (or INDAN LANDS) means:
• All land within the limits of any Indian reservation under the jurisdiction of the United States Government, notwithstanding the
issuance of any patent, and, including rights -of -way running through the reservation;
• All dependent Indian communities with the borders of the United States whether within the originally or subsequently acquired territory
thereof, and whether within or without the limits of a state; and
• All Indian allotments, the Indian titles to which have not been extinguished, including rights -of -way running through the same.
1-11

FORM 1—GLOSSARY CONTINUED
INDIAN TRIBE means any Indian Tribe, band, group, or community recognized by the Secretary of the Interior and exercising
governmental authority over a Federal Indian reservation.
INDIRECT DISCHARGE means a nondomestic discharger introducing "pollutants" to a "publicly owned treatment works."
LARGE MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(4)) means all municipal separate storm sewers that
are either:
(i) Located in an incorporated place with a population of 250,000 or more as determined by the 1990 Decennial Census by the Bureau of
the Census (Appendix F of 40 CFR 122); or
(ii) Located in the counties listed in appendix H of 40 CFR 122, except municipal separate storm sewers that are located in the
incorporated places, townships or towns within such counties; or
(iii) Owned or operated by a municipality other than those described in paragraphs (i) or (ii) and that are designated by the Director as part
of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated
storm sewer and the discharges from municipal separate storm sewers described under paragraphs (i) or (ii). In making this determination
the Director may consider the following factors:
(A) Physical interconnections between the municipal separate storm sewers;
(B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph (i);
(C) The quantity and nature of pollutants discharged to waters of the United States;
(D) The nature of the receiving waters; and
(E) Other relevant factors; or
(iv) The Director may, upon petition, designate as a large municipal separate storm sewer system, municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or
other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (iii).
LOG SORTING AND LOG STORAGE FACILITIES (defined at § 122.27) means facilities whose discharges result from the holding of
unprocessed wood, for example, logs or roundwood with bark or after removal of bark held in self-contained bodies of water (mill ponds or
log ponds) or stored on land where water is applied intentionally on the logs (wet decking). (See 40 CFR 429, subpart I, including the
effluent limitations guidelines.)
MAJOR FACILITY means any NPDES "facility or activity" classified as such by the Regional Administrator, or, in the case of "approved
State programs," the Regional Administrator in conjunction with the State Director.
MAXIMUM DAILY DISCHARGE LIMITATION means the highest allowable "daily discharge."
MEDIUM MUNICIPAL SEPARATE STORM SEWER SYSTEM (defined at § 122.26(b)(7)) means all municipal separate storm sewers that
are either:
(i) Located in an incorporated place with a population of 100,000 or more but less than 250,000, as determined by the 1990 Decennial
Census by the Bureau of the Census (appendix G of 40 CFR 122); or
(ii) Located in the counties listed in appendix I of 40 CFR 122, except municipal separate storm sewers that are located in the incorporated
places, townships or towns within such counties; or
(iii) Owned or operated by a municipality other than those described in paragraph (i) or (ii) and that are designated by the Director as part
of the large or medium municipal separate storm sewer system due to the interrelationship between the discharges of the designated
storm sewer and the discharges from municipal separate storm sewers described under paragraph (i) or (ii). In making this determination
the Director may consider the following factors:
(A) Physical interconnections between the municipal separate storm sewers;
(B) The location of discharges from the designated municipal separate storm sewer relative to discharges from municipal separate storm
sewers described in paragraph (i);
(C) The quantity and nature of pollutants discharged to waters of the United States;
(D) The nature of the receiving waters; or
(E) Other relevant factors; or
1-12

FORM 1—GLOSSARY CONTINUED
(iv) The Director may, upon petition, designate as a medium municipal separate storm sewer system, municipal separate storm sewers
located within the boundaries of a region defined by a storm water management regional authority based on a jurisdictional, watershed, or
other appropriate basis that includes one or more of the systems described in paragraphs (i), (ii), (iii) of this section.
MUNICIPALITY means a city, town, borough, county, parish, district, association, or other public body created by or under State law and
having jurisdiction over disposal of sewage, industrial wastes, or other wastes, or an Indian tribe or an authorized Indian tribal organization,
or a designated and approved management agency under section 208 of the CWA.
MUNICIPAL SEPARATE STORM SEWER (defined at § 122.26(b)(8)) means a conveyance or system of conveyances (including roads
with drainage systems, municipal streets, catch basins, curbs, gutters, ditches, man-made channels, or storm drains):
• Owned or operated by a State, city, town, borough, county, parish, district, association, or other public body (created by or pursuant to
State law) having jurisdiction over disposal of sewage, industrial wastes, stormwater, or other wastes, including special districts under
State law such as a sewer district, flood control district or drainage district, or similar entity, or an Indian tribe or an authorized Indian
tribal organization, or a designated and approved management agency under section 208 of the CWA that discharges to waters of the
United States.
• Designed or used for collecting or conveying stormwater.
• Which is not a combined sewer; and
• Which is not part of a POTW as defined at 40 CFR 122.2.
MUNICIPAL SLUDGE (see sewage sludge)
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM (NPDES) means the national program for issuing, modifying, revoking
and reissuing, terminating, monitoring and enforcing permits, and imposing and enforcing pretreatment requirements, under sections 307,
402, 318, and 405 of the CWA. The term includes an "approved program."
NEW DISCHARGER means any building, structure, facility, or installation:
• From which there is or may be a "discharge of pollutants;"
• That did not commence the "discharge of pollutants" at a particular "site" prior to August 13, 1979;
• Which is not a "new source;" and
• Which has never received a finally effective NPDES permit for discharges at that "site."
This definition includes an "indirect discharger" which commences discharging into "waters of the United States" after August 13, 1979. It
also means any existing mobile point source (other than an offshore or coastal oil and gas exploratory drilling rig or a coastal oil and gas
developmental drilling rig) such as a seafood processing rig, seafood processing vessel, or aggregate plant, that begins discharging at a
"site" for which it does not have a permit; and any offshore or coastal mobile oil and gas exploratory drilling rig or coastal mobile oil and gas
developmental drilling rig that commences the discharge of pollutants after August 13, 1979, at a "site" under EPA's permitting jurisdiction
for which it is not covered by an individual or general permit and which is located in an area determined by the Regional Administrator in
the issuance of a final permit to be an area of biological concern. In determining whether an area is an area of biological concern, the
Regional Administrator shall consider the factors specified in 40 CFR 125.122(a)(1) through (10).
An offshore or coastal mobile exploratory drilling rig or coastal mobile developmental drilling rig will be considered a "new discharger" only
for the duration of its discharge in an area of biological concern.
NEW SOURCE means any building, structure, facility, or installation from which there is or may be a "discharge of pollutants," the
construction of which commenced:
• After promulgation of standards of performance under section 306 of the CWA which are applicable to such source, or
• After proposal of standards of performance in accordance with section 306 of the CWA which are applicable to such source, but only
if the standards are promulgated in accordance with section 306 within 120 days of their proposal.
OWNER OR OPERATOR means the owner or operator of any "facility or activity" subject to regulation under the NPDES program.
PERMIT means an authorization, license, or equivalent control document issued by EPA or an "approved State" to implement the
requirements of this part and parts 123 and 124. "Permit" includes an NPDES "general permit" (§ 122.28). Permit does not include any
permit which has not yet been the subject of final agency action, such as a "draft permit" or a "proposed permit."
PESTICIDE DISCHARGES TO WATERS OF THE UNITED STATES FROM PESTICIDE APPLICATION means the application of
biological pesticides, and the application of chemical pesticides that leave a residue, from point sources to waters of the United States. In
the context of this definition of pesticide discharges to waters of the United States from pesticide application, this does not include
1-13

FORM 1—GLOSSARY CONTINUED
agricultural storm water discharges and return flows from irrigated agriculture, which are excluded by law (33 U.S.C. 1342(1); 33 U.S.C.
1362(14)).
PESTICIDE RESIDUE for the purpose of determining whether a NPDES permit is needed for discharges to waters of the United States
from pesticide application, means that portion of a pesticide application that is discharged from a point source to waters of the United
States and no longer provides pesticidal benefits. It also includes any degradates of the pesticide.
POINT SOURCE means any discernible, confined, and discrete conveyance, including but not limited to, any pipe, ditch, channel, tunnel,
conduit, well, discrete fissure, container, rolling stock, concentrated animal feeding operation, landfill leachate collection system, vessel or
other floating craft from which pollutants are or may be discharged. This term does not include return flows from irrigated agriculture or
agricultural stormwater runoff. (See § 122.3).
POLLUTANT means dredged spoil, solid waste, incinerator residue, filter backwash, sewage, garbage, sewage sludge, munitions,
chemical wastes, biological materials, radioactive materials (except those regulated under the Atomic Energy Act of 1954, as amended (42
U.S.C. 2011 et seq.)), heat, wrecked or discarded equipment, rock, sand, cellar dirt and industrial, municipal, and agricultural waste
discharged into water. It does not mean:
• Sewage from vessels; or
• Water, gas, or other material which is injected into a well to facilitate production of oil or gas, or water derived in association with oil
and gas production and disposed of in a well, if the well used either to facilitate production or for disposal purposes is approved by
authority of the State in which the well is located, and if the State determines that the injection or disposal will not result in the
degradation of ground or surface water resources. Note: Radioactive materials covered by the Atomic Energy Act are those
encompassed in its definition of source, byproduct, or special nuclear materials. Examples of materials not covered include radium
and accelerator -produced isotopes. See Train v. Colorado Public Interest Research Group, Inc., 426 U.S. 1 (1976).
PRIMARY INDUSTRY CATEGORY means any industry category listed in the NRDC settlement agreement (Natural Resources Defense
Council et al. v. Train, 8 E.R.C. 2120 (D.D.C. 1976), modified 12 E.R.C. 1833 (D.D.C. 1979)); also listed in appendix A of part 122.
PRIVATELY OWNED TREATMENT WORKS means any device or system which is (1) used to treat wastes from any facility whose
operator is not the operator of the treatment works and (2) not a "POTW."
PROCESS WASTEWATER means any water which, during manufacturing or processing, comes into direct contact with or results from the
production or use of any raw material, intermediate product, finished product, byproduct, or waste product.
PROPOSED PERMIT means a state NPDES "permit" prepared after the close of the public comment period (and, when applicable, any
public hearing and administrative appeals) which is sent to EPA for review before final issuance by the State. A "proposed permit" is not a
"draft permit."
PUBLICLY OWNED TREATMENT WORKS or POTW (defined at § 403.3) means a treatment works as defined by CWA Section 212,
which is owned by a state or municipality (as defined by CWA Section 502(4)). This definition includes any devices or systems used in the
storage, treatment, recycling, and reclamation) of municipal sewage or industrial wastes of a liquid nature. This definition also includes
sewers, pipes, and other conveyances only if they convey wastewater to a POTW. The term also means the municipality as defined in
CWA Section 502(4), which has jurisdiction over the indirect discharges to and the discharges from such a treatment works.
REGIONAL ADMINISTRATOR means the Regional Administrator of the appropriate Regional Office of the Environmental Protection
Agency or the authorized representative of the Regional Administrator.
ROCK CRUSHING AND GRAVEL WASHING FACILITIES (defined at § 122.27) means facilities which process crushed and broken
stone, gravel, and riprap (See 40 CFR 436, subpart B, including the effluent limitations guidelines).
SCHEDULE OF COMPLIANCE means a schedule of remedial measures included in a "permit", including an enforceable sequence of
interim requirements (for example, actions, operations, or milestone events) leading to compliance with the CWA and regulations.
SECONDARY INDUSTRY CATEGORY means any industry category which is not a primary industry category.
SEWAGE FROM VESSELS means human body wastes and the wastes from toilets and other receptacles intended to receive or retain
body wastes that are discharged from vessels and regulated under section 312 of the CWA, except that with respect to commercial
vessels on the Great Lakes this term includes graywater. For the purposes of this definition, "graywater" means galley, bath, and shower
water.
SEWAGE SLUDGE means any solid, semi -solid, or liquid residue removed during the treatment of municipal waste water or domestic
sewage. Sewage sludge includes, but is not limited to, solids removed during primary, secondary, or advanced waste water treatment,
scum, septage, portable toilet pumpings, type III marine sanitation device pumpings (33 CFR 159), and sewage sludge products. Sewage
sludge does not include grit or screenings, or ash generated during the incineration of sewage sludge.
1-14

FORM 1—GLOSSARY CONTINUED
SILVICULTURAL POINT SOURCE (defined at § 122.27) means any discernible, confined, and discrete conveyance related to rock
crushing, gravel washing, log sorting, or log storage facilities which are operated in connection with silvicultural activities and from which
pollutants are discharged into waters of the United States. This term does not include non -point source silvicultural activities such as
nursery operations, site preparation, reforestation and subsequent cultural treatment, thinning, prescribed burning, pest and fire control,
harvesting operations, surface drainage, or road construction and maintenance from which there is natural runoff. However, some of these
activities (such as stream crossing for roads) may involve point source discharges of dredged or fill material which may require a CWA
Section 404 permit (see 33 CFR 209.120 and part 233).
SITE means the land or water area where any "facility or activity" is physically located or conducted, including adjacent land used in
connection with the facility or activity.
SLUDGE -ONLY FACILITY means any "treatment works treating domestic sewage" whose methods of sewage sludge use or disposal are
subject to regulations promulgated pursuant to section 405(d) of the CWA and is required to obtain a permit under § 122.1(b)(2).
STANDARDS FOR SEWAGE SLUDGE USE OR DISPOSAL means the regulations promulgated pursuant to section 405(d) of the CWA
which govern minimum requirements for sludge quality, management practices, and monitoring and reporting applicable to sewage sludge
or the use or disposal of sewage sludge by any person.
STATE means any of the 50 States, the District of Columbia, Guam, the Commonwealth of Puerto Rico, the Virgin Islands, American
Samoa, the Commonwealth of the Northern Mariana Islands, the Trust Territory of the Pacific Islands, or an Indian Tribe as defined in
these regulations which meets the requirements of § 123.31 of this chapter.
STATE DIRECTOR means the chief administrative officer of any State or interstate agency operating an "approved program," or the
delegated representative of the State Director. If responsibility is divided among two or more State or interstate agencies, "State Director"
means the chief administrative officer of the State or interstate agency authorized to perform the particular procedure or function to which
reference is made.
STORMWATER (or STORM WATER) (defined at § 122.26(b)(13)) means stormwater runoff, snow melt runoff, and surface runoff and
drainage.
STORMWATER DISCHARGE ASSOCIATED WITH INDUSTRIAL ACTIVITY (defined at § 122.26(b)(14)) means the discharge from any
conveyance that is used for collecting and conveying stormwater and that is directly related to manufacturing, processing or raw materials
storage areas at an industrial plant. The term does not include discharges from facilities or activities excluded from the NPDES program
under this part 122. For the categories of industries identified in this section, the term includes, but is not limited to, stormwater discharges
from industrial plant yards; immediate access roads and rail lines used or traveled by carriers of raw materials, manufactured products,
waste material, or by-products used or created by the facility; material handling sites; refuse sites; sites used for the application or disposal
of process waste waters (as defined at 40 CFR 401); sites used for the storage and maintenance of material handling equipment; sites
used for residual treatment, storage, or disposal; shipping and receiving areas; manufacturing buildings; storage areas (including tank
farms) for raw materials, and intermediate and final products; and areas where industrial activity has taken place in the past and significant
materials remain and are exposed to stormwater. For the purposes of this paragraph, material handling activities include storage, loading
and unloading, transportation, or conveyance of any raw material, intermediate product, final product, by-product or waste product. The
term excludes areas located on plant lands separate from the plants industrial activities, such as office buildings and accompanying
parking lots as long as the drainage from the excluded areas is not mixed with stormwater drained from the above described areas.
Industrial facilities (including industrial facilities that are federally, State, or municipally owned or operated that meet the description of the
facilities listed in paragraphs 1 through 14 below) include those facilities designated under the provisions of 40 CFR 122.26(a)(1)(v). The
following categories of facilities are considered to be engaging in "industrial activity" for purposes of 40 CFR 122.26(b)(14):
1. Facilities subject to stormwater effluent limitations guidelines, new source performance standards, or toxic pollutant effluent standards
under 40 CFR Subchapter N (except facilities with toxic pollutant effluent standards which are exempted under paragraph 11 below);
2. Facilities classified as Standard Industrial Classification 24, Industry Group 241 that are rock crushing, gravel washing, log sorting, or
log storage facilities operated in connection with silvicultural activities defined in 40 CFR 122.27(b)(2)—(3) and Industry Groups 242
through 249; 26 (except 265 and 267), 28 (except 283), 29, 311, 32 (except 323), 33, 3441, 373; (not included are all other types of
silvicultural facilities);
3. Facilities classified as Standard Industrial Classifications 10 through 14 (mineral industry) including active or inactive mining
operations (except for areas of coal mining operations no longer meeting the definition of a reclamation area under 40 CFR 434.11(1)
because the performance bond issued to the facility by the appropriate SMCRA authority has been released, or except for areas of
non —coal mining operations which have been released from applicable State or Federal reclamation requirements after
December 17, 1990) and oil and gas exploration, production, processing, or treatment operations, or transmission facilities that
discharge stormwater contaminated by contact with or that has come into contact with, any overburden, raw material, intermediate
products, finished products, byproducts or waste products located on the site of such operations; (inactive mining operations are
mining sites that are not being actively mined, but which have an identifiable owner/operator; inactive mining sites do not include sites
1-15

FORM 1-GLOSSARY CONTINUED
where mining claims are being maintained prior to disturbances associated with the extraction, beneficiation, or processing of mined
materials, nor sites where minimal activities are undertaken for the sole purpose of maintaining a mining claim);
4. Hazardous waste treatment, storage, or disposal facilities, including those that are operating under interim status or a permit under
subtitle C of RCRA;
5. Landfills, land application sites, and open dumps that receive or have received any industrial wastes (waste that is received from any
of the facilities described under this subsection) including those that are subject to regulation under subtitle D of RCRA;
6. Facilities involved in the recycling of materials, including metal scrapyards, battery reclaimers, salvage yards, and automobile
junkyards, including but limited to those classified as Standard Industrial Classification 5015 and 5093;
7. Steam electric power generating facilities, including coal handling sites;
8. Transportation facilities classified as Standard Industrial Classifications 40, 41, 42 (except 4221-25), 43, 44, 45, and 5171 which have
vehicle maintenance shops, equipment cleaning operations, or airport deicing operations. Only those portions of the facility that are
either involved in vehicle maintenance (including vehicle rehabilitation, mechanical repairs, painting, fueling, and lubrication),
equipment cleaning operations, airport deicing operations, or which are otherwise identified under paragraphs 1-7 or 9-11 are
associated with industrial activity;
9. Treatment works treating domestic sewage or any other sewage sludge or wastewater treatment device or system, used in the
storage treatment, recycling, and reclamation of municipal or domestic sewage, including land dedicated to the disposal of sewage
sludge that are located within the confines of the facility, with a design flow of 1.0 mgd or more, or required to have an approved
pretreatment program under 40 CFR 403. Not included are farm lands, domestic gardens or lands used for sludge management
where sludge is beneficially reused and which are not physically located in the confines of the facility, or areas that are in compliance
with section 405 of the CWA;
10. Construction activity including clearing, grading and excavation, except operations that result in the disturbance of less than five acres
of total land area. Construction activity also includes the disturbance of less than five acres of total land area that is a part of a larger
common plan of development or sale if the larger common plan will ultimately disturb five acres or more;
11. Facilities under Standard Industrial Classifications 20, 21, 22, 23, 2434, 25, 265, 267, 27, 283, 285, 30, 31 (except 311), 323, 34
(except 3441), 35, 36, 37 (except 373), 38, 39, and 4221-25.
TOXIC POLLUTANT means any pollutant listed as toxic under section 307(a)(1) or, in the case of "sludge use or disposal practices," any
pollutant identified in regulations implementing section 405(d) of the CWA.
TREATMENT WORKS TREATING DOMESTIC SEWAGE (TWTDS) means a POTW or any other sewage sludge or waste water
treatment devices or systems, regardless of ownership (including federal facilities), used in the storage, treatment, recycling, and
reclamation of municipal or domestic sewage, including land dedicated for the disposal of sewage sludge. This definition does not include
septic tanks or similar devices. For purposes of this definition, "domestic sewage" includes waste and waste water from humans or
household operations that are discharged to or otherwise enter a treatment works. In States where there is no approved State sludge
management program under section 405(f) of the CWA, the Regional Administrator may designate any person subject to the standards for
sewage sludge use and disposal in 40 CFR 503 as a "treatment works treating domestic sewage," where he or she finds that there is a
potential for adverse effects on public health and the environment from poor sludge quality or poor sludge handling, use or disposal
practices, or where he or she finds that such designation is necessary to ensure that such person is in compliance with 40 CFR 503.
UPSET (defined at § 122.41(n)) means an exceptional incident in which there is unintentional and temporary noncompliance with
technology based permit effluent limitations because of factors beyond the reasonable control of the permittee. An upset does not include
noncompliance to the extent caused by operational error, improperly designed treatment facilities, inadequate treatment facilities, lack of
preventive maintenance, or careless or improper operation.
VARIANCE means any mechanism or provision under section 301 or 316 of the CWA or under 40 CFR 125, or in the applicable "effluent
limitations guidelines" which allows modification to or waiver of the generally applicable effluent limitation requirements or time deadlines of
the CWA. This includes provisions which allow the establishment of alternative limitations based on fundamentally different factors or on
sections 301(c), 301(g), 301(h), 301(i), or 316(a) of the CWA.
WATERS OF THE UNITED STATES as defined at § 122.2.
WHOLE EFFLUENT TOXICITY (WET) means the aggregate toxic effect of an effluent measured directly by a toxicity test.
1-16

EPA Identification Number
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Form Approved 03/05/19
OMB No. 2040-0004
Form
1
NPDES
SECTION
\A. .EPA
U.S. Environmental Protection Agency
Application for NPDES Permit to Discharge Wastewater
GENERAL INFORMATION
1. ACTIVITIES REQUIRING AN NPDES PERMIT (40 CFR 122.211(f) and (f)(1))
N
Name, Mailing Address, and Location c) Activities Requiring an NPDES Permit
0
1.1
Applicants Not Required to Submit Form 1
1.1.1
Is the facility a new or existing publicly owned
treatment works?
If yes, STOP. Do NOT complete No
Form 1. Complete Form 2A.
_
1.1.2
Is the facility a new or existing treatment works
treating domestic sewage?
If yes, STOP. Do NOT No
complete Form 1. Complete
Form 2S.
1.2
Applicants Required to Submit Form 1
1.2.1
Is the facility a concentrated animal feeding
operation or a concentrated aquatic animal
production facility?
Yes Complete Form 1stNo
and Form 2B.
1.2.2
Is the facility an existing manufacturing,
commercial, mining, or silvicultural
currently discharging process wastewater?
Yes Complete Form
1 and Form 2C.
facility
,i
that is
No
1.2.3
Is the facility a new manufacturing, commercial,
mining, or silvicultural facility that has
commenced to discharge?
Yes Complete Form 1stNo
and Form 2D.
not
yet
1.2.4
Is the facility a new or existing manufacturing,
commercial, mining, or silvicultural
discharges only nonprocess wastewater?
Yes Complete Form
1 and Form 2E.
facility
i
that
No
1.2.5
N 2. NAME,
2.1
Is the facility a new or existing facility
discharge is composed entirely of stormwater
associated with industrial activity or
discharge is composed of both stormwater
non-stormwater?
Yes Complete Form 1
and Form 2F
unless exempted by
40 CFR
122.26(b)(14)(x) or
b 15.
MAILING ADDRESS,, AND LOCATION
Facility Name
whose
whose
,,'
and
No
(40 CFR 122.211f)(2))
SS Mobile Home Park
2.2
EPA Identification Number
2.3
Facility Contact
Name (first and last)
James R. Edwards
Title
Owner
Phone number
3362603396
Email address
[e-mail]
2.4
Facility Mailing Address
Street or P.O. box
1808 PINECREST ST
City or town l
Burlington
State
NC
ZIP code
27215-5639
EPA Form 3510-1 (revised 3-19)
Page 1

EPA Identification Number
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Form Approved 03/05/19
OMB No. 2040-0004
m m Name, Mailing Address,
SIC and NAICS Codes -i and Location Continued
0 0
2.5
Facility Location
Street, route number, or other specific identifier
241 Graham Moore Rd
County name
Chatham
County code (if known)
City or town
Staley
State
NC
ZIP code
27355
N 3. SIC
AND NAICS CODES (40 CFR 122.21(f)(3))
3.1
SIC Code(s)
Description (optional)
3.2
NAICS Code(s)
Description (optional)
N 4. OPERATOR
INFORMATION (40' CFR
122.21(f)(4))
Operator Information
4.1
Name of Operator
James R. Edwards
4.2
Is the
'
name you listed in Item 4.1 also the owner?
Yes ❑ No
4.3
Operator Status
❑ Public —federal ❑ Public —state ❑ Other public (specify)
'
Private ❑ Other (specify)
Phone Number of Operator
4.4
3362603396
Indian m Operator Information
Land -I Continued
a
4.5
Operator Address
Street or P.O. Box
1808 PINECREST ST
City or town
Burlington
State
NC
ZIP code
27215-5639
Email address of operator
[e-mail]
N 5. IND
AN LAND (4b CFR 122:21(f)(5))
5.1
Is the facility
❑ Yes
located on Indian Land?
' No
EPA Form 3510-1 (revised 3-19)
Page 2

EPA
SECTION
To
Identification
6. EXISTING
6.1
Number
ENVIRONMENTAL
Existing Environmental
NPDES Permit Number
NC0038300
PERMITS
Permits (check
Facility Name
SS Mobile Home Park
(40 CFR 122.21i(f)(6))
all that apply and print or type the corresponding
Form Approved 03/05/19
OMB No. 2040-0004
permit number for each)
ENPDES
c
2 ._
(discharges to surface
water)
NC0038300
❑ RCRA (hazardous wastes)
❑ UIC (underground injection of
fluids)
w a
0
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
Y
x
w
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section 404)
❑ Other (specify)
SECTION
7. MAP
(40 CFR 122.21(f)(7))
0
a
SECTION
7.1
8, NATURE
Have
specific
you attached a topographic map containing all required information to this application? (See instructions for
requirements.)
Yes ❑ No ❑ CAFO—Not Applicable (See requirements in Form 2B.)
OF BUSINESS (40 CFR 122.210)(8))
Nature of Business
8.1
Describe the nature of your business.
Mobile Home Park serving 32 mh spaces
Cooling Water
Intake Structures
n
N 9. COOLING
9.1
WATER
Does your facility
❑ Yes
INTAKE STRUCTURES (40 CFR 122.21(f)(9))
use cooling water?
I No 4 SKIP to Item 10.1.
9.2
N 10. VARIANCE
Identify the source of cooling water. (Note that facilities that use a cooling water intake structure as described at
40 CFR 125, Subparts I and J may have additional application requirements at 40 CFR 122.21(r). Consult with your
NPDES permitting authority to determine what specific information needs to be submitted and when.)
REQUESTS (40 CFR 122.21(f)(10))
Variance Requests
10.1
Do
apply.
when.)
❑
❑
i
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(m)? (Check all that
Consult with your NPDES permitting authority to determine what information needs to be submitted and
Fundamentally different factors (CWA ❑ Water quality related effluent limitations (CWA Section
Section 301(n)) 302(b)(2))
Non -conventional pollutants (CWA ❑ Thermal discharges (CWA Section 316(a))
Section 301(c) and (g))
Not applicable
EPA Form 3510-1 (revised 3-19)
Page 3

EPA Identification Number
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Form Approved 03/05/19
OMB No. 2040-0004
Checklist and Certification Statement c
—1
11. CHECKLIST
11.1
AND
In Column 1 below,
For each section,
that not all applicants
CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
mark the sections of Form 1 that you have completed and are submitting with your application.
specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note
are required to provide attachments.
Column 1
Column 2
1: Activities Requiring an NPDES Permit
❑ w/ attachments
Section
2: Name, Mailing Address, and Location
❑ w/ attachments
Section
❑ Section 3: SIC Codes
❑ w/ attachments
4: Operator Information
❑ w/ attachments
Section
❑ Section 5: Indian Land
❑ w/ attachments
6: Existing Environmental Permits
❑ w/ attachments
Section
7: Map
❑ w/ additional attachments
Section
t matpopographic
8: Nature of Business
❑ w/ attachments
Section
❑ Section 9: Cooling Water Intake Structures
❑ w/ attachments
❑ Section 10: Variance Requests
❑ w/ attachments
11: Checklist and Certification Statement
❑ w/ attachments
Section
11.2
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)
James R. Edwards
Official title
Owner
Signature
Date signed
4/3/21
Click to go back to the beginning of Form
EPA Form 3510-1 (revised 3-19)
Page 4

EP
A Identification Number
NPDES Permit Number
Facility Name
SS Mobile Home Park
Form Approved 03/05/19
OMB No. 2040-0004
NC0038300
SECTION 11. CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
Checklist and Certification Statement
11.1 In Column 1 below, mark the sections of Form 1 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
11
Section 1: Activities Requiring an NPDES Permit
11
Section 2: Name, Mailing Address, and Location
❑ Section 3: SIC Codes
0
Section 4: Operator Information
El
Section 5: Indian Land
11
Section 6: Existing Environmental Permits
❑ w/ attachments
❑ w/ attachments
❑ wi attachments
❑ w/ attachments
❑ w/ attachments
❑ w/ attachments
11
Section 7: Map
Section 8: Nature of Business
0
wl topographic
map
wl attachments
❑ wl additional attachments
❑ Section 9: Cooling Water Intake Structures
❑ Section 10: Variance Requests
0
Section 11: Checklist and Certification Statement
El
El
El
wl attachments
wl attachments
wl attachments
11.2
Certification Statement
l 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. l 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)
James R. Edwards
Official title
Owner
Date signed
4/3/21
i
EPA Form 3510-1 (revised 3-19) Page 4

IPrint All Pages
Print Form Only
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
NC0038300
Facility Name
55 Mobile Home Park
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))
Facility Information
1.1
Facility name
55 Mobile Home Park
Mailing address (street or P.O. box)
1808 Pinecrest St
City or town
Burlington
State
NC
ZIP code
27215-5639
Contact name (first and last)
James R. Edwards
Title
Phone number
3362603396
Email address
[e-mail]
Location address (street, route number, or other specific identifier)
241 Graham Moore Road
❑ Same as mailing
address
City or town
Staley
State
NC
ZIP code
27355
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission
requirements for new dischargers.
i
No
Applicant Information
1.3
Is applicant
1
different from entity listed under Item 1.1 above?
Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
55 Construction & Rental Inc.
Applicant address (street or P.O. box)
1808 Pinecrest St
City or town
Burlington
State
NC
ZIP code
27215
Contact name (first and last)
James R. Edwards
Title
Manager
Phone number
3362603396
Email address
[e-mail]
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑ Operator
I
Both
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
i
NPDES (discharges to surface
water)
NC0038300
❑ 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

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
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)
Ownership Status
% separate sanitary sewer
0 Own ❑ Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
❑ Unknown
0 Own 0 Maintain
% separate sanitary sewer
0 Own 0 Maintain
% combined storm and sanitary sewer
0 Own 0 Maintain
Total
Population
Served
❑ Unknown
0 Own 0 Maintain
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line (in miles)
o/°
/° 0
Indian Country
1.8
Is the treatment works located in Indian
❑ Yes
Country?
i
No
1.9
Does the facility discharge to a receiving
❑ Yes
water that flows through
i
Indian Country?
No
Design and Actual
Flow Rates
1.10
Provide design and actual flow rates
in the designated spaces.
Design Flow Rate
.01 mgd
Annual Average Flow Rates (Actual)
Two Years Ago
Last Year
This Year
.002832 mgd
.00276 mgd
.00576 mgd
Maximum Daily Flow Rates (Actual)
Two Years Ago
Last Year
This Year
.004 mgd
.00576 mgd
.00576 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
1
Page 2

N/A
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Modified Application Form 2A
Modified 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,
for discharge to waters of the State of North Carolina?
❑ Yes
or other
surface impoundments that do not have outlets
4 SKIP to Item 1.14.
✓ No
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
0 Intermittent
1.14
Is wastewater applied to land?
❑ Yes
4 SKIP to Item 1.16.
✓ No
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
gr3 d
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for
❑ Yes
treatment prior to
discharge?
4 SKIP to Item 1.21.
✓ No
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Transporter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

N/A
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
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) 0 None
Average daily flow rate mgd
1.21
Is the wastewater disposed of in a manner other than
not have outlets to waters of the State of North Carolina
❑ Yes
t
those a ready mentioned in Items 1.14 through 1.21 that do
(e.g., underground percolation, underground injection)?
No 4 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
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
Variance
Requests
1.23
Do
Consult
❑
you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
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))
Not applicable
Contractor Information
1.24
Are any operational or maintenance aspects (related to
the responsibility of a contractor?
❑ Yes I
wastewater treatment and effluent quality) of the treatment works
No 4SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractors operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
Contractor name
(company name)
Mailing address
(street or P.O. box)
City, state, and ZIP
code
Contact name (first and
last)
Phone number
Email address
Operational and
maintenance
responsibilities of
contractor
Page 4

SECTION
2. ADDITIONAL INFORMATION
NPDES Permit Number
NC0038300
(40 CFR 122.21(j)(1) and
Facility Name
SS Mobile Home Park
(2))
Modified Application Form 2A
Modified March 2021
c
`L.
c
rn
c
Outfalls to Waters of the State of North Carolina
2.1
Does the treatment works have a design
❑ Yes
flow greater
than or equal to 0.1 mgd?
No 4 SKIP to Section 3.
l
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.
Topographic
Map
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
specific requirements.)
❑ Yes ❑ No
Flow
Diagram
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
(See instructions for specific requirements.)
❑ Yes ❑ No
Scheduled Improvements and Schedules of Implementation
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
1.
2.
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 outtall
number)
Begin
Construction
(MM/DD/YYYY)
End
Construction
(MM/DD/YYYY)
Begin
Discharge
(MM/DD/YYYY)
Attainment of
Operational
Level
(MM/DD/YYYY)
1.
12684 0 R
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
NC0038300
Facility Name
SS Mobile Home park
Modified Application Form 2A
Modified March 2021
Description of Outfalls
ORMATION ON EFFLUENT DISCHARGES (40 CFR 122.210(3) to (5))
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number
Outfall Number
Outfall Number
State
001
County
Chatham
City or town
Staley
Distance from shore
o ft.
ft.
ft.
Depth below surface
o ft.
ft.
ft.
Average daily flow rate
.00352 mgd
mgd
mgd
Latitude
35° 44' 18" N
° "
° '
Longitude
79° 32' 08"
° "
° "
Seasonal or Periodic Discharge Data
3.2
Do any of the outfalls described
❑ Yes
under Item 3.1 have seasonal or
periodic
t
discharges?
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
I
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
one
the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
or more discharge points?
Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
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
Outfall Number
Outfall Number
Receiving water name
Unnamed tributary
Name of watershed, river,
or stream system
UT Brush Creek
U.S. Soil Conservation
Service 14-digit watershed
code
N/A
Name of state
management/river basin
Cape Fear
U.S. Geological Survey
8-digit hydrologic
cataloging unit code
N/A
Critical low flow (acute)
N/A cfs
cfs
cfs
Critical low flow (chronic)
N/A cfs
cfs
cfs
Total hardness at critical
low flow
mg/L of
N/A 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 Number
Outfall Number
Outfall Number
Highest Level of
Treatment (check all that
apply per outfall)
0 Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
❑ Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
❑ Primary
0 Equivalent to
secondary
0 Secondary
0 Advanced
0 Other (specify)
Design Removal Rates by
Outfall
BOD5 or CBOD5
N/A %
%
%
TSS
N/A %
%
%
Phosphorus
0 Not applicable
%
0 Not applicable
%
0 Not applicable
%
Nitrogen
0 Not applicable
%
0 Not applicable
0 Not applicable
Other (specify)
0 Not applicable
%
0 Not applicable
%
0 Not applicable
%
Page 7

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Modified Application Form 2A
Modified March 2021
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
ooiN,
Outfall Number
Outfall Number
Disinfection type
Chlorine
Seasons used
All
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Yes
❑ No
❑ Not applicable
❑ Yes
❑ No
Yes
❑ No
Effluent Testing Data
3.10
Have you completed
monitoring for all Table A parameters and attached the results to the application package?
❑ No
1 Yes
3.11
Have you conducted
discharges or
any WET tests during the 4.5 years prior to the date of the application on any of the facility's
on any receiving water near the discharge points?
❑ No 4 SKIP to Item 3.13.
Yes
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 ool
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
water
17
Number of tests of receiving
water
3.14
Does the POTW
reasonable potential
use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
to discharge chlorine in its effluent?
Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
Yes 4
3.15
Have you completed
package?
monitoring for all applicable Table B pollutants and attached the results to this application
❑ No
1 Yes
3.18
Have you completed monitoring for all applicable Table D pollutants
attached the results to this application package?
❑ Yes
required by
No
your NPDES permitting authority and
sampling required by NPDES
authority.
additional
permitting
Page 8

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Modified Application Form 2A
Modified March 2021
Effluent Testing Data Continued
3.19
Has the POTW
or (2) at least
conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
four annual WET tests in the past 4.5 years?
❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
Yes
3.20
Have you previously
submitted the results of the above tests to your NPDES permitting authority?
❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
Yes
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/DD/YYYY)
Summary of Results
3/31/2021
Pass
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.
I No 4 SKIP to
3.23
Describe the cause(s) of the toxicity:
3.24
Has the treatment works conducted a toxicity reduction
❑ Yes
evaluation?
Item 3.26.
I No 4 SKIP to
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. authorit
applicable
information to the
Page 9

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Modified Application Form 2A
Modified March 2021
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
Checklist and Certification Stateme
6.1
6.2
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.
11
Column 1
Section 1: Basic Application
Information for All Applicants
� Section 2: Additional
Information
Lei
0
Section 3: Information on
Effluent Discharges
Section 4: Not Applicable
Section 5: Not Applicable
Section 6: Checklist and
Certification Statement
Certification Statement
� w/ variance request(s)
El
wl topographic map
❑ w/ additional attachments
wl Table A
w/ Table B
❑ w/ Table C
0 0
❑ w/ attachments
Column 2
❑ w/ additional attachments
❑ w/ process flow diagram
❑ w/ Table D
111 w/ additional attachments
/ 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)
James R Edwards
Official title
Owner
Signature
Date signed
4/3/21
Page 10

NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Modified Application Form 2A
Modified March 2021
SECTION 6. CHECKLIST AND CERTIFICATION STATEMENT (40 CFR 122.22(a) and (d))
Checklist and Certification Statement
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
Information
✓ w/ topographic
map ❑ w/ process flow diagram
attachments
❑ w/ additional
Section 3: Information
✓ w/ Table
A ❑ w/ Table D
B ❑ w/ additional attachments
C
✓ w/ Table
✓ on
❑ w/ Table
Effluent Discharges
Section 4: Not Applicable
Section 5: Not Applicable
Section 6: Checklist
❑ w/ attachments
✓ and
Certification Statement
6.2
Certification Statement
1 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. 1 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)
James R Edwards
Official title
Owner
Signature
Date signed
4/3/21
Page 10

NPDES Permit Number
Facility Name
Ouffall Number
SS Mobile Home Park
NC0038300
001
Modified Application Form 2A
Modified March 2021
. TABLE A. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS
Maximum Daily Discharge
Average Daily Discharge
Analytical
Methods
Methods(
ML or MDL
Include units
include
Value
Units
Value
Units
Number of
Samples
Biochemical oxygen demand
0 BOD5 or ❑ CBOD5
(report one)
45.2
mg/I
19.46
mg/I
52
SM5210B-2011
2.5 o ML
❑MDL
Fecal coliform
160
mg/I
1.21
mg/I
52
Colilert-18
o ML
1.0 ❑ MDL
Design flow rate
0.00576
mgd
0.0028
mgd
52
pH (minimum)
7.3
su
pH (maximum)
7.5
su
Temperature (winter)
0.00408
Celsius
0.00214
Celsius
52
Temperature (summer)
0.0024
Celsius
0.0037
Celsius
52
Total suspended solids (TSS)
10.3
mg/I
5.05
mg/I
52
SM 2540D-2011
E ML
2.5 ❑ 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

EPA Identification Number
NPDES Permit Number
NC0038300
Facility Name
SS Mobile Home Park
Outfall Number
001
Modified Application Form 2A
Modified March 2021
TABLE B. EFFLUENT PARAMETERS
Pollutant
FOR ALL POTWS WITH A FLOW EQUAL TO OR GREATER THAN 0.1 MGD
Maximum Daily Discharge
Average Daily Discharge
Analytical
Methods
Methods(
ML or MDL
Include units )
Value
Units
Value
Units
Number of
Samples
Ammonia (as N)
2.7
mg/I
0.499
mg/I
52
EPA 350. Rev 2.0 199:
0 ML
0.10 0 MDL
Chlorine
(total residual, TRC)2
40
ug/I
12
ug/I
104
vt 4500-CI G-2011 201
❑ ML
17 p MDL
Dissolved oxygen
10
mg/I
7.4
mg/I
52
SM 4500-OG-2011
0 ML
>5 p MDL
Nitrate/nitrite
0 ML
❑ MDL
Kjeldahl nitrogen
❑ ML
❑ MDL
0il and grease
❑ ML
❑ MDL
Phosphorus
❑ ML
❑ MDL
Total dissolved solids
❑ ML
o 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).
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
TABLE C. EFFLUENT PARAMETERS
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Pollutant
Value
Units
Value
Units
Number of
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ ML
❑ MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
❑ ML
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
❑ ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
❑ ML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
❑ ML
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
❑ MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 13

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
Pollutant
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
Carbon tetrachloride
❑ ML
❑ MDL
Chlorobenzene
❑ ML
❑ MDL
Chlorodibromomethane
❑ ML
❑ MDL
Chloroethane
❑ ML
❑ MDL
2-chloroethylvinyl ether
❑ ML
❑ MDL
Chloroform
❑ ML
❑ MDL
Dichlorobromomethane
❑ ML
❑ MDL
1,1-dichloroethane
❑ ML
❑ MDL
1,2-dichloroethane
❑ ML
❑ MDL
trans-1,2-dichloroethylene
❑ ML
❑ MDL
1,1-dichloroethylene
❑ ML
❑ MDL
1,2-dichloropropane
❑ ML
❑ MDL
1,3-dichloropropylene
❑ ML
❑ MDL
Ethylbenzene
❑ ML
❑ MDL
Methyl bromide
❑ ML
❑ MDL
Methyl chloride
0 ML
❑ MDL
Methylene chloride
❑ ML
❑ MDL
1,1,2,2-tetrachloroethane
❑ ML
❑ MDL
Tetrachloroethylene
❑ ML
❑ MDL
Toluene
❑ ML
❑ MDL
1,1,1-trichloroethane
❑ ML
❑ MDL
1,1,2-trichloroethane
0 ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 14

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Pollutant
Value
Units
Value
Units
Number of
Samples
Trichloroethylene
❑ ML
❑ MDL
Vinyl chloride
❑ ML
❑ MDL
Acid -Extractable Compounds
p-chloro-m-cresol
❑ ML
❑ MDL
2-chlorophenol
❑ ML
❑ MDL
2,4-dichlorophenol
❑ ML
❑ MDL
2,4-dimethylphenol
❑ ML
❑ MDL
4,6-dinitro-o-cresol
❑ ML
❑ MDL
2,4-dinitrophenol
❑ ML
❑ MDL
2-nitrophenol
❑ ML
❑ MDL
4-nitrophenol
❑ ML
❑ MDL
Pentachlorophenol
❑ ML
❑ MDL
Phenol
❑ ML
❑ MDL
2,4,6-trichlorophenol
❑ ML
❑ MDL
Base -Neutral Compounds
Acenaphthene
❑ ML
❑ MDL
Acenaphthylene
❑ ML
❑ MDL
Anthracene
❑ ML
❑ MDL
Benzidine
❑ ML
❑ MDL
Benzo(a)anthracene
❑ ML
❑ MDL
Benzo(a)pyrene
❑ ML
❑ MDL
3,4-benzofluoranthene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 15

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
Pollutant
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
Benzo(ghi)perylene
❑ ML
❑ MDL
Benzo(k)fluoranthene
❑ ML
❑ MDL
Bis (2-chloroethoxy) methane
❑ ML
❑ MDL
Bis (2-chloroethyl) ether
❑ ML
❑ MDL
Bis (2-chloroisopropyl) ether
❑ ML
❑ MDL
Bis (2-ethylhexyl) phthalate
❑ ML
❑ MDL
4-bromophenyl phenyl ether
❑ ML
❑ MDL
Butyl benzyl phthalate
❑ ML
❑ MDL
2-chloronaphthalene
❑ ML
❑ MDL
4-chlorophenyl phenyl ether
❑ ML
❑ MDL
Chrysene
❑ ML
❑ MDL
di-n-butyl phthalate
❑ ML
❑ MDL
di-n-octyl phthalate
❑ ML
❑ MDL
Dibenzo(a,h)anthracene
❑ ML
❑ MDL
1,2-dichlorobenzene
❑ ML
❑ MDL
1,3-dichlorobenzene
❑ ML
❑ MDL
1,4-dichlorobenzene
❑ ML
❑ MDL
3,3-dichlorobenzidine
❑ ML
❑ MDL
Diethyl phthalate
❑ ML
❑ MDL
Dimethyl phthalate
❑ ML
❑ MDL
2,4-dinitrotoluene
❑ ML
❑ MDL
2,6-dinitrotoluene
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19)
Page 16

EPA Identification Number
TABLE C. EFFLUENT PARAMETERS
Pollutant
NPDES Permit Number
FOR SELECTED POTWS
Facility Name
Outfall Number
Modified
Application Form 2A
Modified March 2021
Maximum Daily Discharge
Average Daily Discharge
Analytical
Method1
ML or MDL
(include units)
Value
Units
Value
Units
Number of
Samples
1,2-diphenylhydrazine
❑ ML
❑ MDL
Fluoranthene
❑ ML
o MDL
Fluorene
❑ ML
❑ MDL
Hexachlorobenzene
❑ ML
❑ MDL
Hexachlorobutadiene
❑ ML
❑ MDL
Hexachlorocyclo-pentadiene
❑ ML
❑ MDL
Hexachloroethane
❑ ML
❑ MDL
Indeno(1,2,3-cd)pyrene
❑ ML
❑ MDL
Isophorone
❑ ML
❑ MDL
Naphthalene
❑ ML
❑ MDL
Nitrobenzene
❑ ML
❑ MDL
N-nitrosodi-n-propylamine
❑ ML
❑ MDL
N-nitrosodimethylamine
❑ ML
❑ MDL
N-nitrosodiphenylamine
❑ ML
❑ MDL
Phenanthrene
❑ ML
❑ MDL
Pyrene
0 ML
❑ MDL
1,2,4-trichlorobenzene
❑ 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).
EPA Form 3510-2A (Revised 3-19)
Page 17

TABLE D. ADDITIONAL POLLUTANTS
NPDES Permit Number Facility Name
AS REQUIRED BY NPDES PERMITTING AUTHORITY
Outfall Number
Modified Application Form 2A
Modified March 2021
Maximum Daily Discharge Average Daily Dischar
e
Pollutant
(list)
1
Value Units Value
Units
Number of
Samples
Analytical
Methods
ML or MDL
(include units)
•
No additional sampling is required by NPDES permitting authority.
o ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
❑ MDL
❑ ML
0 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 18

Deep
AU Name
AU ID
Description
NORTH CAROLINA 2020 INTEGRATED REPORT
Cape Fear River Basin
AU Number Classification AU LengthArea AU Units
Brush Creek
4196
From source to Little Brush Creek
17-23a C
19.0
FW Miles
2020 Draft Water Quality Assessments
PARAMETER IR CATEGORY CRITERIA STATUS REASON FOR RATING
Fish Community (Nar, AL, FW)
Fish Community (Nar, AL, FW)
'1
'1
1
Meeting Criteria
1
Meeting Criteria
Excellent, Good, Natural, Good -Fair,
Excellent, Good, Natural, Good -Fair,
Brush Creek
4195
From Little Brush Creek to Deep River
17-23b
5.0
FW Miles
2020 Draft Water Quality Assessments
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING
Benthos (Nar, AL, FW)
5
Exceeding Criteria
Fair, Poor or Severe Bioclassificatior
Fork Creek
4213
17-25
15.1
FW Miles
From source to Deep River
2020 Draft Water Quality Assessments
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING
Fish Community (Nar, AL, FW)
Fish Community (Nar, AL, FW)
1
1
Meeting Criteria Excellent, Good, Natural, Good -Fair,
Meeting Criteria
Excellent, Good, Natural, Good -Fair,
Bear Creek
4221
17-26-(1)
WS-III
From a source to a point 0.5 mile upstream of Cabin Creek
14.9
FW Miles
2020 Draft Water Quality Assessments
PARAMETER
IR CATEGORY CRITERIA STATUS REASON FOR RATING
Fish Community (Nar, AL, FW)
Fish Community (Nar, AL, FW)
1
1
Meeting Criteria
Meeting Criteria
Excellent, Good, Natural, Good -Fair,
Excellent, Good, Natural, Good -Fair,
7/21/2021 NC 2020 INTEGRATED REPORT Category 5 assessments approved by EPA June 23,2021
Page 120 of 1334

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/13/22 Page 1 of 4
Permit: NC0038300 MRs Betweel 2 - 2017 and 1 - 2022 Region: % Violation Category:% Program Category:
Facility Name: % Param Name% County: % Subbasin:% Violation Action: %
Major Minor: %
PERMIT: NC0038300
FACILITY: S S Construction & Rental Inc - S.S. Mobile Home Park
COUNTY: Chatham REGION: Raleigh
Limit Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
11-2020 001
12-2020 001
12-2020 001
06-2021 001
09-2021 001
10-2021 001
02-2017 001
03-2017 001
04-2017 001
04-2017 001
05-2017 001
05-2017 001
06-2017 001
06-2017 001
06-2017 001
07-2017 001
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
Effluent
BOD, 5-Day (20 Deg. C) - 11/05/20 Weekly
Concentration
BOD, 5-Day (20 Deg. C) - 12/17/20 Weekly
Concentration
BOD, 5-Day (20 Deg. C) - 12/31/20 Weekly
Concentration
BOD, 5-Day (20 Deg. C) - 06/30/21 Weekly
Concentration
BOD, 5-Day (20 Deg. C) - 09/30/21 Weekly
Concentration
BOD, 5-Day (20 Deg. C) - 10/31/21 Weekly
Concentration
Chlorine, Total Residual 02/15/17 2 X week
Chlorine, Total Residual 03/13/17 2 X week
Chlorine, Total Residual 04/11/17 2 X week
Chlorine, Total Residual 04/18/17 2 X week
Chlorine, Total Residual 05/02/17 2 X week
Chlorine, Total Residual 05/10/17 2 X week
Chlorine, Total Residual 06/07/17 2 X week
Chlorine, Total Residual 06/13/17 2 X week
Chlorine, Total Residual 06/22/17 2 X week
Chlorine, Total Residual 07/05/17 2 X week
mg/I
mg/I
mg/I
mg/I
mg/I
mg/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
ug/I
45 45.1 0.2 Daily Maximum Proceed to NOD
Exceeded
45 45.2 0.4 Daily Maximum Proceed to NOV
Exceeded
30 34.36 14.5 Monthly Average Proceed to NOV
Exceeded
30 30.92 3.1 Monthly Average Proceed to NOD
Exceeded
30 35.72 19.1 Monthly Average Proceed to NOV
Exceeded
30 33.02 10.1 Monthly Average Proceed to NOV
Exceeded
17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
17 24 41.2 Daily Maximum No Action, BPJ
Exceeded
17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
17 18 5.9 Daily Maximum No Action, BPJ
Exceeded
17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
17 20 17.6 Daily Maximum No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/13/22 Page 2 of 4
Permit: NC0038300 MRs Betweel 2 - 2017 and 1 - 2022
Facility Name: % Param Name%
Major Minor: %
Region: % Violation Category:% Program Category:
County: % Subbasin:% Violation Action: %
PERMIT: NC0038300
FACILITY: S S Construction & Rental Inc - S.S. Mobile Home Park
COUNTY: Chatham REGION: Raleigh
Limit Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
07-2017 001 Effluent Chlorine, Total Residual 07/11/17 2 X week ug/I 17 24 41.2 Daily Maximum No Action, BPJ
Exceeded
07-2017 001 Effluent Chlorine, Total Residual 07/17/17 2 X week ug/I 17 40 135.3 Daily Maximum No Action, BPJ
Exceeded
08-2017 001 Effluent Chlorine, Total Residual 08/01/17 2 X week ug/I 17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
08-2017 001 Effluent Chlorine, Total Residual 08/07/17 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
09-2017 001 Effluent Chlorine, Total Residual 09/11/17 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
09-2017 001 Effluent Chlorine, Total Residual 09/22/17 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
09-2017 001 Effluent Chlorine, Total Residual 09/28/17 2 X week ug/I 17 28 64.7 Daily Maximum No Action, BPJ
Exceeded
10-2017 001 Effluent Chlorine, Total Residual 10/03/17 2 X week ug/I 17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
01 -2018 001 Effluent Chlorine, Total Residual 01/31/18 2 X week ug/I 17 28 64.7 Daily Maximum No Action, BPJ
Exceeded
11 -2018 001 Effluent Chlorine, Total Residual 11/13/18 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
08-2019 001 Effluent Chlorine, Total Residual 08/04/19 2 X week ug/I 17 22 29.4 Daily Maximum No Action, BPJ
Exceeded
08-2019 001 Effluent Chlorine, Total Residual 08/28/19 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
09-2019 001 Effluent Chlorine, Total Residual 09/01/19 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
09-2019 001 Effluent Chlorine, Total Residual 09/19/19 2 X week ug/I 17 28 64.7 Daily Maximum No Action, BPJ
Exceeded
09-2019 001 Effluent Chlorine, Total Residual 09/25/19 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
10-2019 001 Effluent Chlorine, Total Residual 10/16/19 2 X week ug/I 17 24 41.2 Daily Maximum No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/13/22 Page 3 of 4
Permit: NC0038300 MRs Betweel 2 - 2017 and 1 - 2022
Facility Name: % Param Name%
Major Minor: %
Region: % Violation Category:% Program Category:
County: % Subbasin:% Violation Action: %
PERMIT: NC0038300
FACILITY: S S Construction & Rental Inc - S.S. Mobile Home Park
COUNTY: Chatham REGION: Raleigh
Limit Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
12-2019 001 Effluent Chlorine, Total Residual 12/01/19 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
01 -2020 001 Effluent Chlorine, Total Residual 01/12/20 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
01 -2020 001 Effluent Chlorine, Total Residual 01/23/20 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
02-2020 001 Effluent Chlorine, Total Residual 02/02/20 2 X week ug/I 17 30 76.5 Daily Maximum No Action, BPJ
Exceeded
04-2020 001 Effluent Chlorine, Total Residual 04/19/20 2 X week ug/I 17 21 23.5 Daily Maximum No Action, BPJ
Exceeded
05-2020 001 Effluent Chlorine, Total Residual 05/21/20 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
06-2020 001 Effluent Chlorine, Total Residual 06/04/20 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
11 -2020 001 Effluent Chlorine, Total Residual 11/16/20 2 X week ug/I 17 19 11.8 Daily Maximum No Action, BPJ
Exceeded
12-2020 001 Effluent Chlorine, Total Residual 12/02/20 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded
01 -2021 001 Effluent Chlorine, Total Residual 01/11/21 2 X week ug/I 17 26 52.9 Daily Maximum No Action, BPJ
Exceeded
01 -2021 001 Effluent Chlorine, Total Residual 01/21/21 2 X week ug/I 17 18 5.9 Daily Maximum No Action, BPJ
Exceeded
01 -2021 001 Effluent Chlorine, Total Residual 01/24/21 2 X week ug/I 17 40 135.3 Daily Maximum No Action, BPJ
Exceeded
04-2021 001 Effluent Chlorine, Total Residual 04/01/21 2 X week ug/I 17 18 5.9 Daily Maximum No Action, BPJ
Exceeded
04-2021 001 Effluent Chlorine, Total Residual 04/25/21 2 X week ug/I 17 21 23.5 Daily Maximum No Action, BPJ
Exceeded
08-2021 001 Effluent Chlorine, Total Residual 08/30/21 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
09-2021 001 Effluent Chlorine, Total Residual 09/02/21 2 X week ug/I 17 25 47.1 Daily Maximum No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date: 05/13/22 Page 4 of 4
Permit: NC0038300 MRs Betweel 2 - 2017 and 1 - 2022
Facility Name: % Param Name%
Major Minor: %
Region: % Violation Category:% Program Category:
County: % Subbasin:% Violation Action: %
PERMIT: NC0038300
FACILITY: S S Construction & Rental Inc - S.S. Mobile Home Park
COUNTY: Chatham REGION: Raleigh
Limit Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
12-2021 001 Effluent Chlorine, Total Residual 12/12/21 2 X week ug/I 17 20 17.6 Daily Maximum No Action, BPJ
Exceeded
Monitoring Violation
MONITORING VIOLATION UNIT OF CALCULATED ok
REPORT OUTFALL LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
01-2019 001 Effluent Coliform, Fecal MF, MFC 01/12/19 Weekly #/100m1 Frequency Violation No Action, BPJ
Broth, 44.5 C
01-2019 001 Effluent Coliform, Fecal MF, MFC 01/19/19 Weekly #/100m1 Frequency Violation No Action, BPJ
Broth, 44.5 C
Reporting Violation
MONITORING UNIT OF
OUTFALL LOCATION PARAMETER VIOLATION FREQUENCY
REPORT DATE MEASURE
LIMIT
CALCULATED
VALUE Over
VIOLATION TYPE VIOLATION ACTION
03-2019 05/01/19 Late/Missing DMR Proceed to NOV

Whole Effluent Toxicity Testing and Self Monitoring Summary
S.S. Mobile Home Park NC0038300/001
Ceri7dPF Begin: 12/1/2006 chr lim: 90%
County: Chatham
NonComp: Single
Region: RRO
7Q10: 0.0
Basin: CPF09 Feb May Aug Nov
PF: 0.01 IWC: 100 Freq: Q
SOC_JOC:
l F M A M
2018 - Pass - - Pass
2019 - Pass - - Pass
2020 - Pass - - Pass
2021 - Pass - - Pass
2022 - Pass - -
l l
A
Pass
Pass
Pass
Pass
5 O
N
Pass
Pass
Pass
Pass
• , . , , • , , • , , • ,
, ,
•
• P ! il 'I L % q il f II.
• , , • , , • , , • , , •
• , , • , , • , , • , , •
• , , . , , . , , . , ,
• , , . , , , , , , , , ,
•
• 1 t 9 % f i L f i L f 1,
• • , 0 • 0 , • , 0 • , ,
• • , 0 • 0 , • , 0 • , ,
• • , 0 • 0 0 • , 0 • , ,
• • 0 0 0 0 0 0 0 0 0 , ,
•
• P 9 s q II i li i s 11 11 II.
• , , , , • , , • , , •
• , , , , • , , • , ,
• , , • , , • , , , , •
• , , • , , , , , , , , ,
Legend: P= Fathead minnow (Pimphales promelas), H=No Flow (facility is active), s = Split test between Certified Labs
Page 94 of 117

ROY COOPER
Governer
MICHAELS. REGAN
Secretary
LINDA CULPEPPER
Darn )
ivIr. James Edwards
S. S. Construction & Rental Inc.
1808 Pinecrest Street
Burlington, NC 27215
N:_:•-: rH CAROL N:`•.
Environmental Quality
March 25, 2019
Subject: Compliance Evaluation Inspection
S. S, Mobile Home Park
NPDES Permit No. NC0038300
Chatham County
Dear Mr. Edwards:
On February 26, 2019, Cheng Zhang of the Raleigh Regional Office (RRO) conducted a
compliance evaluation inspection of the subject facility. Your assistance during the inspection
was greatly appreciated as it facilitated the inspection process. The inspection report is attached.
The following observations were made:
S. S. Mobile Home Park is permitted to discharge at a rate of 0.01 MGD and consists of: aeration
basin, clarifier, tablet chlorinator, chlorine contact chamber. post aeration, detention polishing sand
filter, dechlorination, poly tank, and concrete sludge holding tank, The facility discharges into an
unnamed tributary to Brush Creek, a class C Water in the Cape Fear Ris er Basin.
• Wastewater is treated through the following treatment units: manual bar screen, aeration
basins, secondary clarifiers, one -pass sand filter, tablet chlorine disinfection, tablet
dechlorination, and post aeration. All treatment unit,, We ere in operable conditions at the
time of inspection.
• Wasted activated sludge is stored in the 2000-gallon concrete holding tank and 1100-gallon
poly tank, «hick can be aerated if needed. At the time of inspection, the poly tank was
about half full, the concrete tank 15, as about' .>. full.
/rQE
VOfurteyM of ln.Yo.nf.Onty lull,
Nertl Cdlullrld Department of Environmental Quality Div1•i on of Water Re uurccs
Raleigh Rtyiond Of.re 1 3800 Bdrrot f)r.tic Role yh worth Carolina 27609
919 /91.4100

• The ORC maintains a daily logbook. Lab results, chain -of -custody forms, and DMIRs were
complete and current, kept in good order and ready for review. October 2018 DMIR data
were compared to lab bench sheets; no data transcription errors were noted.
• Larry Goldston was listed as the backup ORC. BIMS shows his status as "invalid"
due to overdue certification fees. You noted that another operator would be
designated as backup ORC to replace Mr. Goldston. Please complete and submit the
ORC Designation Form to the Division as soon as possible.
• The right of way to the outfall was «ell maintained. No r isible impacts were noted
immediately downstream the effluent pipe.
• Field lab parameter (Certificate No. 1757) calibration and analysis records were reviewed
during the inspection.
If you have any questions regarding the attached reports or any of the findings, please contact
Cheng Zhang at: [phone] (or email: cheng,rhang cincdenr.gor).
Sincerely,
cl(Rolich, L.G.
Assistant Supervisor
Division of Water Resources
Raleigh Regional Office
ATTACHMENTS
Compliance Inspection Reports
Cc: Central Files wi attachment
Raleigh Regional Office w attachment

EPA
United States Environmental Protection Agency
Washington 0 C 20460
Water Compliance Inspection Report
Section A. National Data System Coding (Le., PCS)
Form Approved,
OMB Nc. 2040-0057
Approval expires 8-31-98
Transaction Code NPDES yr'mglday Inspection Type Inspectr Fat Type
1 U 2 LI 3 I NC0038300 111 12 1 19i02126 117 18) c 1 19 12 201 I
21I11I11111III1II1I'IIIIIII11,1111 'milli' I I r6
Inspection Work Days Facility Self-Monitonng Evaluation Rating 81 OA Reserved—.-
67 70 J 71 I , 72 rl 7311174
3 1 I74 751 1 1 1 1 1 1 180
Section B Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW also include
POTW name and NPDES permit Number)
S.S. Mobile Home Park
241 Graham Moore Rd
Staley NC 27355
Name(s) of Onsite Representative(s)frittes(s)1Phone and Fax Number(s)
1l!
James Reginald EdwardsIORCl336-260-33961
Name Address of Responsible Official/Title/Phone and Fax Number
James Reginald Edwards,1808 Prnecrest St Burlington NC
27215563911336-260-339613362271202
Contacted
No
Entry Time. Cate
10 00AM 19, 02:26
Permit Effective Date
1710 1101
Exit Time/Date
11 00AM 19 02 26
Other Facility Data
Section C Areas Evaluated Curing Inspection (Check only those areas evaluated)
Permit Expiration Dale
211 : 9130
111 Permit in Operations & Maintenancr Records.Reports 11 Self -Monitoring Program
Facility Site Review Effluent/Receiving Waters 11 Laboratory
Section D Summar/ of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s)
Agencj.'Offce:Phene and Fax N.-rbers Date
Cheng Zhang RRO WO 919.791-4200
4,-1111.. c_ it Si
Signature of Management . A Reviewer Agen:y Off e Phcne and r ax Number.
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete
P93e# 1
5

NPDES yrimalday I. specs n Typ••
j3I NGaosa3aa 111 121 19/02/26 17 18 E _
1
Sectim D Summary of Finding/Comments (Attach addit.onal sheen cd narrative and che.,kI:sts as necessary.
One plastic tote and one concrete container hold wasted sludge.
The listed backup ORC Larry Goldston's certification is invalid for overdue certification fees

Permit NC0038300 Owner • Facility: S 5 klcbde Home Park
Inspection Date: 0212612019 Inspection Type: Compliance Evaluation
Operations & Maintenance
Is the plant generally clean with acceptable housekeeping?
Does the facility analyze process control parameters for ex MLSS MCRT Settleable
Solids pH. DO, Sludge Judge and other that are applicable?
Comment Settleable solids
Permit
(If the present permit expires in 6 months or less:. Has the permittee submitted a new
application?
Is the facility as described in the permit?
# Are there any special cond tions for the permit?
Is access to the plant site restricted to the general public?
Is the Inspect:r granted access to all areas for inspection?
Comment.
Bar Screens
Type of bar screen
a Manual
b.Mechamcal
Are the bars adequately screening debris?
Is the screen free of excessive debrs?
Is disposal of screen ng in compliance?
Is the unit in good condition?
Comment:
Aeration Basins
Mode of operation
Type of aeration system
Is the basin free of dead spots?
Are surface aerators and mixers operational?
Are the diffusers operational?
Is the foam the proper color for the treatment process?
Does the foam cover less than 25',•c of the basin s surface?
Is the D0 level acceptable?
Is the DO level acceptable?i.1 0 to 3 0 mgfl)
Yes No NA NE
• 000
• ❑ ❑ ❑
Yes No NA NE
❑ ❑ ■ ❑
• 000
O 0110
• 000
• 000
Yes No NA NE
•
• 000
• 000
▪ ❑ ❑ ❑
• 000
Yes No NA NE
Ext. Air
Surface
• ❑ DO
• 000
11000
• 000
•❑ ❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
Page# 3

Permit: NC0030300 Owner - Facility: 5 S h1`b le Home Park
Inspection Date: 02 26/2019 Inspection Type: Compliance Evaluation
Aeration Basins
Comment:
Secondary Clarifier
Is the clarifier free of black and odorous wastewater?
Is the s to free of excessive buildup of solids in center well :1 circular clarifier?
Are weirs level?
Is the site free of weir blockage?
Is the site free of evidence of short-circuiting?
Is scum removal adequate?
Is the site free of excessive floating sludge?
is the drive unit operational?
Is the return rate acceptable (low turbulence)?
Is the overflow clear of excessive solids/pin flcc'
Is the sludge blanket level acceptable? (Apprax mately ':; of the s dewall depth
Comment
Disinfection -Tablet
Are tablet chlorinators operational?
Are the tablets the proper size and type?
Number of tubes in use?
Is the level of chlorine residual acceptable?
Is the contact chamber free of growth, or sludge buildup?
Is there chlorine residual prior to de -chlorination?
Comment.
Sand Filters (Low rate)
(If pumps are used) Is an audible and visible alarm Present and operational?
Is the distribution box level and watertight?
Is sand filter free of pondsng?
Is the sand flter effluent re -circulated at a valid ratio?
# Is the sand filter surface free of algae or excessive vegetation?
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
Comment:
Yes No NA NE
Yes No NA NE
▪ ❑ ❑ ❑
. ❑ ❑ ❑
▪ ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
MODO
• ❑ ❑ ❑
e ❑❑❑
■ ❑ ❑ ❑
• ❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
• ❑ ❑ ❑
• ❑ ❑ ❑
▪ ❑ ❑ ❑
▪ ❑ ❑ ❑
▪ ❑ ❑ ❑
Yes No NA NE
❑ ❑ ■ ❑
❑ ❑ ■ D
• ❑ ❑ ❑
•❑ ❑ ❑
•❑ ❑ ❑
• ❑ ❑ ❑
Page# 4

Permit NC0036300 Owner - Facility; S S Mobile Home Park
Inspection Date: 02/2612019 Inspection Type: Compliance Evaluation
Sand Filters (Low rate) Yes No NA NE
De -chlorination
Type of system 7
Is the feed ratio proportional to chlorine amount (1 to 1)?
Is storage appropriate for cylinders?
# Is de -chlorination substance stored away from chlorine containers?
Comment:
Are the tablets the proper size and type?
Are tablet de-chlonnators operational?
Number of tubes in use?
Comment:
Effluent Pipe
Is right of way to the outfall properly mainta;ned?
Are the receiving water free of foam other than trace amounts and other debrs?
If effluent (diffuser pipes are required) are they operating properly?
Comment:
Laboratory
Are Feld parameters performed by cert'Eed personnel or laboratory?
Are all other parameters,excluding Feld parameters) performed by a cert.fed lab?
# Is the facility using a contract lab?
# Is proper temperature set for sample storage :kept at less than or equal to 6 0 degrees
Celsius}?
Incubator (Fecal Coliform set to 44.5 degrees Celsius+/- 0.2 degrees?
Incubator (BOD) set to 20 0 degrees Celsius +I- 1.0 degrees?
Comment:
Upstream ! Downstream Sampling
Is the facility sampling performed as required by the permit (frequency sampling type and
sampling location)?
Comment:
Yes No NA NE
Tablet
• ❑ ❑ ❑
❑ ❑ • ❑
10000
III❑ ❑ ❑
• ❑ ❑ ❑
Yes No NA NE
El ❑ ❑ ❑
IE10 ❑ ❑
❑ ❑ El ❑
Yes No NA NE
▪ ❑ ❑ ❑
• ❑ ❑ ❑
II ❑ ❑ ❑
❑ ❑ • ❑
❑ ❑ MI ❑
❑ ❑
Yes No NA NE
• ❑ ❑ ❑

Chatham News Record
NORTH CAROLINA
CHATHAM COUNTY
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of said County and State,
duly commissioned, qualified and authorized by law to administer
oaths, personally appeared Florence Turner
, who
being first duly sworn, deposes and says: that he (she) is
Accounts Receivable Clerk
(Owner, partner, publisher, or other officer or employee authorized to make this affidavit)
of the Chatham Media Group, LLC., engaged in the publication of
a newspaper known as, Chatham News+Record, published, issued,
and entered as second class mail in the Town of Siler City, in said
County and State; that he (she) is authorized to make this affidavit
and sworn statement; that the notice or legal advertisement,
a true copy of which is attached hereto, was published in the
Chatham News+Record on the following dates:
\171l\PA�eJ---
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 of the requirements and qualifications of Sectio d%-lP1',of the
General Statues of North Carolina and was a q4Yiertiper
within the meaning of Section 1-597 of the G,@?yartal Statues o'er
North Carolina. - N O T A R y
This
day of ems' P
(Signature of person making affidavit)
Sworn to and subscribed before me, this
day of
Ct ,
.� Ltd
wiz ITP/ .
My Commission expires:
CLIPPING OF LEGAL
ADVERTISEMENT
ATTACHED HERETO
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
NC0038300 S.S. Mobile Home
Park
The North Carolina Environ-
mental Management Com-
mission 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 significant degree of
public interest. Please mail
comments and/or information
requests to DWR at the above
address. lnterested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC
27604 to review information on
file. Additional information on
NPDES permits and this notice
may be found on our website:
http://deq.nc.gov/about/
divisions/water-resources/
water -resources -permits/
wastewater -bran ch/n p-
des-wastewater/public-notic-
es,or by calling [phone].
S.S. Construction & Rental, Inc.
[1808 Pinecrest St., Burlington,
NC 27215-5639] has requested
renewal of permit NC0038300
for its S.S. Mobile Home Park
in Chatham County. This
permitted facility discharges
treated stormwater to the
Bush Creek, a class C water
in the Cape Fear River Basin.
Some parameters are water
quality limited. This discharge
may affect future allocations
in this segment of Bush Creek.
M17,1tc

3/9/22, 2:14 PM Mail - Denard, Derek - Outlook
RE: Peer Review NC0038300 S S Construction_Rental Inc - S S MHP
Phillips, Emily <[e-mail]>
Wed 3/9/2022 1:32 PM
To: Denard, Derek <[e-mail]>
I didn't see anything from my end... I'll be sending you two simple drafts (probably) early next week.
From: Denard, Derek <[e-mail]>
Sent: Wednesday, March 9, 2022 12:50 AM
To: Phillips, Emily <[e-mail]>
Subject: Peer Review NC0038300 S S Construction_Rental Inc - S S MHP
Emily,
Please find the attached draft NPDES permit for peer review. This one is a simple renewal. I still need to
work up a factsheet, but the cover letter outlines any major changes. Let me know if you need any other
information.
Thanks,
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
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.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTESZDctNGI5MC04ZjliLWU4MjVhZTBhMmJkMgAQAOYH%2FXiLq%2FIKtApuTJk... 1/1

3/16/22, 10:21 PM Mail - Denard, Derek - Outlook
RE: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile
Home Park
Thomas, Zachary T <[e-mail]>
To: Denard, Derek <[e-mail]>
Cc: Moore, Cindy <[e-mail]>
Hi Derek,
The tox aspects of the permit look good.
Just as FYI, they are eligible to request the removal of the tox testing, per the attached 1999 guidance. We spoke
with the RRO and they may reach out to the facility to discuss certain aspects and they could potentially request
removal of the tox testing during this draft period.
Please let us know if you have any questions.
Thank you,
Zach Thomas
Environmental Specialist II
Aquatic Toxicology Branch, Compliance and Enforcement Officer
NCDEQ— Division of Water Resources — Water Sciences Section
Based on the current guidance to minimize the spread of COVID-19, the Department of Environmental Quality has
adjusted operations to protect the health and safety of the staff and public. Many employees are working
remotely or are on staggered shifts. To accommodate these staffing changes, all DEQ office locations are limiting
public access to appointments only. Please check with the appropriate staff before visiting our offices, as we may
be able to handle your requests by phone or email. We appreciate your patience as we continue to serve the
public during this challenging time.
919.743.8439 Office
919.743.8517 Fax
[e-mail]
1621 Mail Service Center
Raleigh, NC 27699-1621
Submit ATForms electronically to: [e-mail]
yrti
INI•Y1wT1
Email correspondence to and from this address is subject to the North Carolina Public Records Law
and may be disclosed to third parties.
From: Denard, Derek
Sent: Wednesday, March 9, 2022 12:19 AM
To: [e-mail]
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <[e-mail]>; Thomas, Zachary
T <[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
https://outlook.office365.com/mail/id/AAQkADdhYTVmZDBILTESZDctNG15MC04Zj1iLWU4MjVhZTBhMmJkMgAQAG5yhHXY7x2Jn%2BTMADk9TOA... 1/2

3/16/22, 10:21 PM Mail - Denard, Derek - Outlook
<[e-mail]>
Subject: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Dear Mr. Edwards:
Please find the attached draft for the renewal of NPDES Permit NC0038300 for the S. S. Mobile Home
Park.
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.
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.
If you have any questions, please feel free to contact me.
Sincerely
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
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.
https://outlook.office365.com/mail/id/AAQkADdhYTVmZDBI LTE5ZDctN GI5MC04Zjli LWU4MjVhZTBhMmJkMgAQAG5yh HXY7xZJn%2BTMADk9TOA... 2/2

3/16/22, 9:25 PM Mail - Denard, Derek - Outlook
Re: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile
Home Park
Moore, Cindy <[e-mail]>
To: Denard, Derek <[e-mail]>; Zhang, Cheng <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>; Thomas, Zachary T <[e-mail]>
i believe this should be a choice for the SS MHP to make. They need to be made aware of their choices.
It would be up to the owner to make the decision and submit the change.
From: Denard, Derek <[e-mail]>
Sent: Tuesday, March 15, 2022 4:38 PM
To: Zhang, Cheng <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>; Moore, Cindy <[e-mail]>; Thomas,
Zachary T <[e-mail]>
Subject: Re: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Cheng,
This permit has toxicity monitoring and limits instead of Ammonia limits as a result of an settlement in
1996. See attached file.
In accordance with NCAC 02B .0206, the standard for zero flow conditions would be 2 mg/L for summer
and 4 mg/L for winter. However, these are for a positive 30Q2. This stream has a zero 30Q2. I think this
falls under the "case by case" rules. Anyway, the permit limits would be MA = 2.0 mg/L, DM = 6.0 mg/L
for summer; and MA =4.0 mg/L, DM = 12 mg/L.
Looking at the data they had an average of 0.073 mg/I for the last 4 and a half years. The maximum
value is 4.8 mg/L. They might be ok with Ammonia limits instead of a toxicity limit.
Unless they are jumping at the opportunity of getting Ammonia limits, I wouldn't remove the Toxicity
limit. For such a change I would have to re -submit the draft for public notice. It would be better if the
permittee requests such a change upfront as permit modification request.
Regarding your comment: In the components, "one -pass filter" and "detention polishing sand filter
[when needed]" are the same unit, recommend to keep just one in the list. This was carried over from
the last permit. Which one should we keep?
If you want to discuss having an ammonia limit instead of TOX limit in more detail with everyone, I can
set up a Teams meeting.
Thanks,
Derek
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 1/4

3/16/22, 9:25 PM Mail - Denard, Derek - Outlook
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
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: Zhang, Cheng <[e-mail]>
Sent: Monday, March 14, 2022 12:43 PM
To: Denard, Derek <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Derek,
In the components, "one -pass filter" and "detention polishing sand filter [when needed]" are the same unit,
recommend to keep just one in the list.
Cindy Moore of Aquatic Toxicity Branch told me that the facility may be eligible to have their toxicity tests
requirement removed from the permit, because it receives 100% domestic wastewater (see attached Memo). I
want to know your thoughts about removing toxicity test requirement. We have a similar facility in Chatham
County Nature Trails MHP NC0043257, their permit has ammonia limits and does not require toxicity tests. How
will you respond if the permittee requests to have the toxicity test requirement removed from their permit?
Decline? Or grant that and add ammonia limit to the permit?
Thanks,
Cheng Zhang
Environmental Specialist II
Raleigh Regional Operations Section
Division of Water Resources
919 791 4259 office
919 817 3856 cell
919 788 7159 fax
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 2/4

3/16/22, 9:25 PM Mail - Denard, Derek - Outlook
*[�n yyCL+I
bEQ4
OYibiRl iwi EIMAN iYt�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Manuel, Vanessa
Sent: Thursday, March 10, 2022 8:51 AM
To: Zhang, Cheng <[e-mail]>
Cc: Denard, Derek <[e-mail]>
Subject: FW: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Cheng,
Please review the attached draft permit and provide comments to the permit writer as needed.
Thanks,
Vanessa E. Manuel
Assistant Regional Supervisor
Division of Water Resources — Raleigh Regional Office
Department of Environmental Quality
919 791-4232 Office; 919 817-1256 Mobile
[e-mail]
Physical: 3800 Barrett Drive, Raleigh, NC 27609
Mailing: 1628 Mail Service Center, Raleigh, NC 27699-1628
thing Compares.
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Denard, Derek
Sent: Wednesday, March 9, 2022 12:19 AM
To: [e-mail]
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <[e-mail]>; Thomas, Zachary
T <[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
Subject: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 3/4

3/16/22, 9:25 PM
Dear Mr. Edwards:
Mail - Denard, Derek - Outlook
Please find the attached draft for the renewal of NPDES Permit NC0038300 for the S. S. Mobile Home
Park.
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.
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.
If you have any questions, please feel free to contact me.
Sincerely
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
[e-mail]
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.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 4/4

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
August 16, 1996
MEMORANDUM
To: Jill Hickey
Through: David Goodrich
From: Susan Robson
Subject: Petition for Contested Case of NPDES Permit number NC0038300
SS Construction and Rental, Chatham County
96 EHR 0887
• The issue that Mr. James Edwards (SS Construction) is contesting is the fact that we (DWQ) are
requiring him to either find an alternative to a direct discharge, move the present outfall line to a
positive 7Q10 stream, or upgrade the current system to meet the limits set forth in the NPDES permit.
This requirement is in accordance with the DWQ's policy on facilities discharging into "zero flow
streams" and also in accordance with 15A NCAC 2B.0206(d). The previous permit contained this
requirement for the permittee to explore alternatives. Mr. Edwards did not comply with the
alternatives analysis in the previous permit. When he received a draft copy of the permit, he called and
asked for some leeway and for technical assistance in assessing alternatives. The Division decided to
allow Mr. Edwards 6 months to evaluate alternatives, and DWQ referred him to Mr. Ron Ferrell for
technical assistance.
• The Division's "zero flow policy" allows the permittee to choose between the stricter ammonia limits,
or a quarterly chronic toxicity test that must pass at 90%. Mr. Edwards has indicated in his case that he
would be willing to accept a toxicity test. Attached are the proposed modifications to the permit,
incorporating the toxicity test in lieu of ammonia limits. A letter will be sent to Mr. Edwards within
the next week proposing to modify the permit. If Mr. Edwards concurs with the modification, we will
finalize the permit.
• A list of proposed witnesses include but are not limited to:
1. Ms. Judy Garrett, Supervisor -Water Quality Section, Raleigh Regional Office,
2. Mr. David Goodrich, Supervisor-NPDES Group, Technical Support Branch,
3. Ms. Susan Robson, Environmental Technician-NPDES Group, Technical Support Branch.
• Attached also please find a copy of the permit.
If you have any further questions, please contact me at 733-5083, ext. 551.
cc: Permit File
Judy Garrett, Raleigh Regional Office

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. James R. Edwards
S. S. Construction and Rental, Inc.
P. O. Box 810
Siler City, North Carolina 27344
Dear Mr. Edwards:
November 19, 1996
Subject: Final Settlement - Petition Withdrawal
NPDES Permit # NC0038300
S. S. Mobile Home Park
Chatham County
In accordance with your Petition for a Contested Case Hearing filed on July 12, 1996 and
comment letter dated November 4, 1996 from the law offices of Poyner and Spruill, L.L.P., the
Division is forwarding herewith modifications to the subject permit. Modifications and
resolutions to the contested items and issues raised in your latest letter are summarized below:
• The NH3-N limits have been replaced with a Chronic Toxicity test at 90% Pass/Fail rate.
All other terms and conditions contained in the original permit remain unchanged and in full
effect. This modification is issued pursuant to the requirements of North Carolina General
Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U. S.
Environmental Protection Agency dated December 6, 1983.
It is the Division's understanding that this permit modification will resolve all items contained
in the Petition for a Contested Case Hearing. Please complete the attached Notice of Withdrawal
of Petition form as soon as possible and submit one copy to Jill Hickey of the Attorney General's
Office as specified on the withdrawal form, and one copy to this Division.
If you have any questions concerning this permit, please contact Susan Robson at telephone
number 919/733-5083, extension 551.
Sincerely,
A. Preston Howard, Jr., P.E.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer
50% recycled/ 10% post -consumer paper

Permit No. NC0038300
S.S. Construction and Rental, Inc.
November 19, 1996
Page 2
cc: Central Files
Mr. Roosevelt Childress, EPA Region IV
Raleigh Regional Office, Water Quality Section
Aquatic Survey and Toxicology Unit
Facility Assessment Unit
Permits and Engineering Unit
Office of the Attorney General, Jill Hickey

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. James R. Edwards
S. S. Construction and Rental, Inc.
P. O. Box 810
Siler City, North Carolina 27344
Dear Mr. Edwards:
December 17, 1996
Subject: Final Settlement - Petition Withdrawal
NPDES Permit # NC0038300
S. S. Mobile Home Park
Chatham County
In accordance with your Petition for a Contested Case Hearing filed on July 12, 1996 and comment
letter dated December 11, 1996 from the law offices of Poyner and Spruill, L.L.P., the Division is
forwarding herewith modifications to the subject permit. Modifications and resolutions to the contested
items and issues raised in your latest letter are summarized below:
• The NH3-N limits have been replaced with a Chronic Toxicity test at 90% Pass/Fail rate.
• The instream monitoring requirements for Fecal Coliform and Conductivity have been eliminated.
All other terms and conditions contained in the original permit remain unchanged and in full effect.
This modification is issued pursuant to the requirements of North Carolina General Statute 143-215.1
and the Memorandum of Agreement between North Carolina and the U. S. Environmental Protection
Agency dated December 6, 1983.
It is the Division's understanding that this permit modification will resolve all items contained in the
Petition for a Contested Case Hearing. The Notice of Withdrawl has been faxed to the Chief Hearings
Clerk and Jill Hickey on December 12, 1996. The Division accepts this withdrawl with the conditions
listed above.
If you have any questions concerning this permit, please contact Susan Robson at telephone number
919/733-5083, extension 551.
cc: Central Files
Mr. Roosevelt Childress, EPA Region IV
P.O. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Sincerely,
A. Preston Howard, Jr., P.E.
Telephone [phone] FAX [phone]
50% recycled/ 10% post -consumer paper

Permit No. NC0038300
S.S. Construction and Rental, Inc.
November 19, 1996
Page 2
Raleigh Regional Office, Water Quality Section
Aquatic Survey and Toxicology Unit
Facility Assessment Unit
Permits and Engineering Unit
Office of the Attorney General, Jill Hickey

3/16/22, 9:16 PM Mail - Denard, Derek - Outlook
RE: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile
Home Park
Zhang, Cheng <[e-mail]>
.46 PM
To: Denard, Derek <[e-mail]>
Derek,
Thanks for the information, I will pass it on to Cindy. About the filter, I think it would be better to keep the original
one "detention polishing sand filter [when needed]".
Thanks,
Cheng Zhang
Environmental Specialist II
Raleigh Regional Operations Section
Division of Water Resources
919 791 4259 office
919 817 3856 cell
919 788 7159 fax
[e-mail]
1628 Mail Service Center
Raleigh, NC 27699-1628
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Denard, Derek
Sent: Tuesday, March 15, 2022 4:38 PM
To: Zhang, Cheng <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>; Moore, Cindy <[e-mail]>; Thomas,
Zachary T <[e-mail]>
Subject: Re: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Cheng,
This permit has toxicity monitoring and limits instead of Ammonia limits as a result of an settlement in
1996. See attached file.
In accordance with NCAC 02B .0206, the standard for zero flow conditions would be 2 mg/L for summer
and 4 mg/L for winter. However, these are for a positive 30Q2. This stream has a zero 30Q2. I think this
falls under the "case by case" rules. Anyway, the permit limits would be MA = 2.0 mg/L, DM = 6.0 mg/L
for summer; and MA =4.0 mg/L, DM = 12 mg/L.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBILTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 1/5

3/16/22, 9:16 PM Mail - Denard, Derek - Outlook
Looking at the data they had an average of 0.073 mg/I for the last 4 and a half years. The maximum
value is 4.8 mg/L. They might be ok with Ammonia limits instead of a toxicity limit.
Unless they are jumping at the opportunity of getting Ammonia limits, I wouldn't remove the Toxicity
limit. For such a change I would have to re -submit the draft for public notice. It would be better if the
permittee requests such a change upfront as permit modification request.
Regarding your comment: In the components, "one -pass filter" and "detention polishing sand filter
[when needed]" are the same unit, recommend to keep just one in the list. This was carried over from
the last permit. Which one should we keep?
If you want to discuss having an ammonia limit instead of TOX limit in more detail with everyone, I can
set up a Teams meeting.
Thanks,
Derek
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
919 707 3618 office
919 707 9000 main DWR
derek.denard©ncdenr.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: Zhang, Cheng <[e-mail]>
Sent: Monday, March 14, 2022 12:43 PM
To: Denard, Derek <[e-mail]>
Cc: Manuel, Vanessa <[e-mail]>
Subject: RE: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Derek,
In the components, "one -pass filter" and "detention polishing sand filter [when needed]" are the same unit,
recommend to keep just one in the list.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 2/5

3/16/22, 9:16 PM Mail - Denard, Derek - Outlook
Cindy Moore of Aquatic Toxicity Branch told me that the facility may be eligible to have their toxicity tests
requirement removed from the permit, because it receives 100% domestic wastewater (see attached Memo). I
want to know your thoughts about removing toxicity test requirement. We have a similar facility in Chatham
County Nature Trails MHP NC0043257, their permit has ammonia limits and does not require toxicity tests. How
will you respond if the permittee requests to have the toxicity test requirement removed from their permit?
Decline? Or grant that and add ammonia limit to the permit?
Thanks,
Cheng Zhang
Environmental Specialist II
Raleigh Regional Operations Section
Division of Water Resources
919 791 4259 office
919 817 3856 cell
919 788 7159 fax
cheng.zhang©ncdenr.gov
1628 Mail Service Center
Raleigh, NC 27699-1628
ti[�n yyCL+I
bEQ4
OYibiRl iwi EIMAN iYt�
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Manuel, Vanessa
Sent: Thursday, March 10, 2022 8:51 AM
To: Zhang, Cheng <[e-mail]>
Cc: Denard, Derek <[e-mail]>
Subject: FW: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Cheng,
Please review the attached draft permit and provide comments to the permit writer as needed.
Thanks,
Vanessa E. Manuel
Assistant Regional Supervisor
Division of Water Resources — Raleigh Regional Office
Department of Environmental Quality
919 791-4232 Office; 919 817-1256 Mobile
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 3/5

3/16/22, 9:16 PM Mail - Denard, Derek - Outlook
vanessa.manuel©ncdenr.gov
Physical: 3800 Barrett Drive, Raleigh, NC 27609
Mailing: 1628 Mail Service Center, Raleigh, NC 27699-1628
itc
---:":""Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
From: Denard, Derek
Sent: Wednesday, March 9, 2022 12:19 AM
To: [e-mail]
Cc: Vinson, Scott <[e-mail]>; Manuel, Vanessa <[e-mail]>; Thomas, Zachary
T <[e-mail]>; Moore, Cindy <[e-mail]>; Kinney, Maureen
<[e-mail]>
Subject: Draft NPDES Permit NC0038300 - S.S. Construction & Rental, Inc. - S. S. Mobile Home Park
Dear Mr. Edwards:
Please find the attached draft for the renewal of NPDES Permit NC0038300 for the S. S. Mobile Home
Park.
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.
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.
If you have any questions, please feel free to contact me.
Sincerely
Derek Denard
Environmental Specialist
N.C. Division of Water Resources
N.C. Department of Environmental Quality
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 4/5

3/16/22, 9:16 PM
919 707 3618 office
919 707 9000 main DWR
[e-mail]
1617 Mail Service Center
Raleigh, NC 27699-1617
Mail - Denard, Derek - Outlook
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
https://outlook.office365.com/mail/inbox/id/AAQkADdhYTVmZDBI LTE5ZDctNG15MCO4Zjh LWU4MjVhZTBhMmJkMgAQAG5yhHXY7xZJn%2BTMADk9... 5/5