NC0056201_Permit Issuance_20181009

Water. Resources
ENVIRONMENTAL QUALITY
October 9, 2018
Mr. James W. Radford
NC Land Lease LLC
PO Box 2533
Christiansburg, Virginia 27068
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LIN_DA CULPEPPER
Internn Director
Subject: Issuance of NPDES Permit NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Grade II Biological WPCS
SIC Code 4952
Dear Mr. Radford:
Division personnel have reviewed and approved your application for renewal of the subject permit.
Accordingly, we are forwarding the attached NPDES discharge permit. This permit 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 October 15, 2007 (or as subsequently amended).
The final permit includes the following significant changes from the existing permit:
> Language has been added to Footnote 3 in Section A. (1.) for Total Residual Chlorine which states the
TRC. limit andmonitoring requirements only apply if the facility adds chlorine or chlorine derivatives to
water that is eventually discharged.
> Technical Corrections from July 26, 2018, have been added to this permit renewal. This includes the
addition of the future outfall to the map and to Footnote 2 in Section A. (1.) adding the upstream and
downstream locations to the future outfall.
> Regulatory citations have been added to the permit.
> Facility Grade Classification has been added to the parameter table.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable
to you, you have the right to an adjudicatory hearing upon written request within thirty (30) days following
receipt of this letter. This request must be in the form of a written petition, conforming to Chapter 150B of the
North Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center,
Raleigh, North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit. This permit does not affect the legal
requirements to obtain any other Federal, State, or Local governmental permit that may be required. If you have
any questions concerning this permit, please contact Anjali B. Orlando at telephone number [phone] or
[e-mail].
Linda Culpepper
Interim Director, Division of Water Resources
State'of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
hops://deq.nc.gov/about/divisions/water-resources/water-resources-permits/wastewater-branch/npdes-wastewater-permits

Permit NC0056201
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
ACG Greensboro, LLC
is hereby authorized to discharge wastewater from a facility located at
Countryside Mobile Home Park
3571 Roy Farlow Road
South of Glenola
Randolph County
to receiving waters designated as an unnamed tributary to Caraway Creek in the Yadkin Pee -Dee River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in Parts
I, II, III and IV hereof.
This permit shall become effective February 1, 2019.
This permit and authorization to discharge shall expire at midnight on January 31, 2024.
Signed this day October 1, 2018.
a Culpepper, Interim Direc
Division of Water Resources.
By Authority of the Environmental Management Commission
Page 1 of 8

Permit NC0056201
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or discharge are hereby
revoked. As of this permit issuance, any previously issued permit bearing this number is no longer
effective. Therefore, 'the exclusive authority to operate and discharge from this. facility arises under the
permit conditions, requirements, terms, and provisions included herein.
ACG Greensboro, LLC
is hereby authorized to:
1. Continue operation of an existing 0.015 MGD wastewater treatment system, consisting of the
following components:
> Influent pump station
> Equalization basin
• High water alarm
> Standby power
> Bar screen
> Extended aeration basin
> Clarifier
> Chlorine contact tank with liquid sodium hypochlorite
> Post aeration
> Flow meter
> Dual tertiary sand filters
> Dechlorinatiori with sodium metabisulfite
The facility is located at the Countryside Mobile Home Park WWTP, at 3571 Roy Farlow Road
(S. R. 1534), south of Glenola, in Randolph County.
2. Discharge wastewater from said treatment works at the location specified on the attached map
through outfall 001 (existing outfall) into an unnamed tributary to Caraway Creek, which is
classified C waters in the Yadkin -Pee Dee River Basin.
3. Upon receiving Authorization to Construct(s), construct and after submittal of the Engineer's
Certification, discharge treated wastewater from said treatment works at the location specified on
the attached map through outfall 001 (future outfall) into an unnamed tributary to Caraway Creek,
which is classified C waters in the Yadkin -Pee Dee River Basin.
Page 2 of 8

Permit NC0056201
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G .0302]
During the period beginning ontheeffective date of the permit and lasting until expiration, the
Permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be
limited and monitored) by the Permittee as specified below:
'r EFFLUENT CHARACTERISTICS',,,
F s �,
� E f i t ' � �
„4r , FarameterC,otle
f t'" y + t LIM TSB 4 r {+
4 MONITORING REQUIREMENTS
Monthly
� � , �r
_'r ,Ave,,rage ,
�° "Daily
p k ti r ,� ✓
k ,,Maximum„ L�
Measurement'
a' rat' � � s �
, ,Frequency,,r
r Sample
r � r t , �,
.,Type _5
Sample
s
Location?
Flow 50050
0.015 MGD
Continuous
Recording
I or E
BOD, 5-day, 20°C C0310
(April 1-October 31)
5.0 mg/I
7.5 mg/I
Weekly
Grab
E
BOD, 5-day, 20°C C0310
(November 1- March 31).
10.0 mg/I
15.0 mg/
Weekly
Grab
E
Total Suspended Solids C0530
30.0 mg/I
45.0 mg/I
Weekly
Grab
E
NH3-N C0610
(April 1-October 31)
2.0 mg/I
10.0 mg/L
Weekly
Grab
E
NH3-N C0610
(November 1- March 31)
4.0 mg/I
20.0 mg/L
Weekly
Grab
E
Total Residual Chlorine3 50060
17 ug/I
2/Week
Grab
E
Fecal Coliform (Geometric mean) 31616
200/100 ml
400/100 ml
Weekly
Grab
E
Temperature °C 00010
Monitor & Report
Daily
Grab
E
pH 00400
>_ 6.0 and <_ 9.0 standard units
Weekly
Grab
E
Dissolved. Oxygen 00300
Daily Average >_ 6.0 mg/L
Weekly
Grab
E
Dissolved Oxygen 00300
Monitor & Report
Weekly
Grab
U, D
Temperature °C 00010
Monitor & Report
Weekly
Grab
U, D
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using NC DWR's
eDMR application system. See Condition A. (2.).
2. Sample Location: I — Influent; E — Effluent
Existing Outfall: U — Upstream at least 100 feet from outfall 001; D — Downstream at least 300
feet from outfall 001
Future Outfall: U — Upstream approximately 75 feet from outfall 001; D — Downstream
approximately 100 feet from outfall 001.
3. TRC: Limit and monitoring requirements only apply if the facility adds chlorine or chlorine
derivatives to water that is eventually discharged. The Division shall consider all, effluent TRC
values reported below 50 µg/1 to be in compliance with the permit. However, the Permittee shall
continue .to record and submit _all -.values - reported .by.a_North Carolina certified laboratory_
(including field certified), even if these values fall below 50 µg/1.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of.8

Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS -143-215.1(b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
program reports. The final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports
1. Reporting Requirements [Supersedes Section D. (2.) and Section E. (5.) (a)1
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic
Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the following
address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility
being physically located in an area where less than 10 percent of the households have broadband
access, then a temporary waiver from the NPDES electronic reporting requirements may be granted
and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1, 2, 3) or alternative
forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address
above. See "How to Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the_
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Page 4 of 8

Permit NC0056201
Starting on December 21; 2020, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
• Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a
Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the time of
each electronic submission. The permittee should use the EPA's website resources to identify the
initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity
(EPA or the state authorized by EPA to implement the NPDES program) that is the designated entity
,for receiving electronic NPDES data [see 40 CFR.127.2(b)].
EPA plans to establish a website that will also link to the appropriateelectronic reporting tool for each
type of electronic submission and for each state. Instructions on how toaccess and use the appropriate
electronic reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting
Rule is found at: http://www2.epa.gov/compliance/final-national-pollutant-discharge-elimination-
system-npdes-electronic-reporting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
3. How to Request a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to the
Division. Requests for temporaryelectronic reporting waivers must be submitted in writing to the
Division for writtenapproval_ at least sixty (60) days prior to the date the facility would be required
under this permit to begin submitting monitoring data and reports. The durationof a temporary waiver
shall not exceed 5 years and shall thereupon expire. At such time, monitoring data and reports shall be
submitted electronically to the Division unless the permittee re -applies for and is granted a new
temporary electronic reporting waiver by the Division. Approved: electronic reporting waivers are not
transferrable. Only permittees with an approved reporting waiver request may submit monitoring data
and reports on paper to the Division. for the period that the approved reporting waiver request is
effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the
following web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
4. Signatory Requirements [Supplements Section B. (11.) (b) and Supersedes Section B. (11.)
flit 1
Page 5 of 8

Permit NC0056201
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (11.) (a) or by a duly authorized representative of that person as described in Part II, Section
B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting
purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North Carolina's
eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following
web page:
http://deq.nc.gov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make
the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION
WILL BE ACCEPTED:
"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
e
information submitted is, to the best of my knowledge and belief true, accurate, and complete. I am
aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations."
5. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including'eDMR submissions.
These records or copies shall be maintained for a period of at least 3 years from the date of the report.
This period may be extended by request of the Director at any time [40 CFR 122.41].
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
6. Reporting [Supersedes Section D. (2.) and Section E. (5.) (a)1
Page 6 of 8

Permit NC0056201
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin
reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media. Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina, 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1,
2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to
the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re -applies for and is granted a new temporary
waiver by the Division.
Page 7 of 8

Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
Information on eDMR and application for a temporary waiver from the NPDES electronic
reporting requirements is found on the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipuledmr
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
7. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section. B. (1.1.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (11)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based on my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the
information, the information submitted is, to the best of my knowledge and belief true, accurate,
and complete. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
8. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from the
date of the report. This period may be extended by request of the Director at any time [40 CFR
122.41].
Page 8 of 8

Permit NC0056201
USES Quad Name `Glenola
Receiving Stream Lit to Caraway Creek
Stream Class C
Siibbasin: Yadkii -Pee Dee 030709
ExistingOatfall do
L'at : 35°50'37'Long 79°54'48'
:FutureOutfall
I.at;:35'50'345'Long 79°54,51:',

�-�THE °. ►.'�
COURIER -TRIBUNE
mBur,
Affidavit of Publication
State of North Carolina,
Randolph County
To Whom It May Concern:
This is to certify the
advertisement attached
hereto has been published in
The Courier Tribune
on the following dates:
nn
Swo + to on this Ol� day
of j� /�. , 2018.
Courier -Tribune Representative
Sworn to and Subsc abed
Befo e me this J day
of,,(�, 2018.
otary Public
JOSEPHINE VIERA COOPER
Notary Public, North Carolina
Randolph County
My Co Sion Expires
North Carolina
Environmental Management
Commission/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
The North Carolina Environmental Management Commission 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. Interested persons may visit the DWR at 512 N. Salisbury
Street, Raleigh, NC 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-branch/npdes-wastewater/public-
notices,or by calling [phone]. NC Land Lease LLC requested
renewal of permit NC0056201 for the Countryside Mobile Home Park
WWTP in Randolph County; this permitted discharge is treated
domestic wastewater to an unnamed tributary to Caraway Creek in the
Yadkin -Pee Dee River Basin.
It - 8/17/2018

DEQ/DWQ
FACT SHEET FOR NPDES PERMIT DEVELOPMENT
NPDES No. NC0056201
Facility Information
Applicant/Facility Name:
NC Land Lease LLC/ Countryside Mobile Home Park WWTP
Applicant Address:
P.O. Box 2533, Christiansburg, Virginia, 27068
Facility Address:
3571 Roy Farlow Road, Sophia, NC, 27350
Permitted Flow
0.015 MGD
Type of Waste:
Domestic
Facility/Permit Status:
Renewal
County:
Randolph
Miscellaneous
Receiving Stream:
UT to Caraway
Creek
Regional Office:
Winston-Salem
Stream Classification:
C
USGS Topo Quad:
D19SW
303(d) Listed?
No
Permit Writer:
Anjali Orlando
Subbasin:
03-07-09
Date:
August 14, 2018
Drainage Area (mi2):
0.02 mi2
Summer 7Q10 (cfs)
0
Winter 7Q10 (cfs):
0
Average Flow (cfs):
0
IWC (%):
100%
Primary SIC Code:
4952
SUMMARY
The Countryside Mobile Home Park WWTP facility referenced above serves a mobile home park in
Randolph County. This facility is located in the Yadkin -Pee Dee River Basin and maintains one outfall
001. The plants influent is comprised of 100% domestic wastewater. The facility discharges into a zero -
flow stream. The outfall is located in an unnamed tributary to Caraway Creek, which is classified as a C
stream. The facility is a Grade II.
TOXICITY TESTING:
Current Requirement: The facility has an ammonia limit therefore the chronic toxicity requirement is
waived.
Recommended Requirement: No changes.
COMPLIANCE SUMMARY:
No major concerns. No Enforcements since 2008. 3 NODs in 2017 but reason not noted in BIMS. 1 NOV
in 2015 monitoring violation weekly pH.
INSTREAM MONITORING:
The facility is currently required to monitor upstream at least 100 feet from the outfall and downstream 300
feet from the outfall 001. The future outfall will be upstream 75 feet from the outfall and downstream 100
feet from outfall 100. Instream monitoring is required for
Dissolved oxygen
Temperature
CURRENT CHANGES:
➢ Language has been added to Footnote 3 in Section A. (1.) for Total Residual Chlorine which
states the TRC limit and monitoring requirements only apply if the facility adds chlorine or
chlorine derivatives to water that is eventually discharged.
Fact Sheet
NPDES Renewal
Page 1

> Technical Corrections from July 26, 2018, have been added to this permit renewal. This includes
the addition of the future outfall to the map and to Footnote 2 in Section A. (1.) adding the
upstream and downstream locations to the future outfall.
➢ Regulatory citations have been added to the permit.
> Facility Grade Classification has been added to the parameter table.
RECENT TECHNICAL CHANGES:
• Technical correction was issued on July 26, 2018. Stated: A future outfall [Lat: 35°50'34.5",
Long: 79°54'51.1"] has been added to the map. Permittee shall continue discharging through the
existing Outfall. Upon receiving Authorization to Construct(s), construct and after submittal of the
Engineer's Certification, the Permittee is allowed to eliminate the existing outfall and discharge
through the new outfall.
• Footnote 2 in Section A. (1.) has been revised to add upstream and downstream sampling
locations for the future outfall.
• Revised Section A. (1.) page 3 of 6.
• Attach the map identifying the proposed future outfall.
COMMENTS RECEIVED
Received on August 3, 2018, a letter from NC Land Lease LLC, requesting several changes to the
permit. They note the Outfall 001 location to be adjusted, which was done in the technical
correction issued on July 26, 2018. UV disinfection is planned, so asking for TRC to be removed from
the monitoring system following completion of the new system. Ask to add a new weekly
monitoring condition requiring a verification of the UV lamp indicator port (indicating operation).
Asked Daily monitoring be changed to weekly. Asking for BOD5, TSS, NH3-N, and Fecal Coliform
to be reduced to Monthly. Permittee states they are willing to add weekly Turbidity monitoring.
The reason for request as stated is to reduce financial burden on the system operation.
DWR Response to Permittees' requests: Stated in Draft Cover Letter dated August 15, 2018.
TRC: Added to the TRC footnote, "TRC: Limit and monitoring requirements only apply if the facility
adds chlorine or chlorine derivatives to water that is eventually discharged."
According to 15A NCAC 02B .0508, Tests and Measurements Applicable to SICS, SIC Code 4952, in
the category "wastewater and all facilities discharging primarily domestic wastewater", certain
monitoring frequencies are required for a Grade II facility that is Water Quality Limited. The current
permit parameters reflect these requirements, and cannot be changed. The following table shows the
required monitoring frequencies:
From Ronald C. Boone, Env. Program Consultant,on Monday, August 20, 2018: He said he
had no comments on the draft permit.
No comments...
Ronald C. Boone, Environmental Program Consultant
Fact Sheet
NPDES Renewal
Page 2

NC Department of Environmental Quality, Division of Water Resources, Water Quality
Regional Operations Section, Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Main: 336-776-9800
Direct: 336-776-9690
Mobile 1: 336-341-3568
Mobile 2: 336-686-4921
Fax [phone]
[e-mail]
http://deq.nc.gov/about/divisions/water-resources
WATER QUALITY LIMITED
1. Dissolved Oxygen E Weekly Weekly 3iweek Daily
2. Dissolved Oxygen U,D Weekly Weekly 3iweek+ 3week+
3. pH E 2/month Weekly 3:'week Daily
4. Temperature, °C E Daily Daily Daily Daily
5. Temperature, °5 U,D Weekly Weekly 3/week+ 3iweek+
6. BOD, 5-day, 20°C E,I 2%month Weekly 3/week Daily
7. TSS E,I 2'month Weekly 3 week Daily
8. Anunonia Nitrogen E 2:month Weekly 3'week Daily
9. Residual Chlorine E 2'week 2iweek 3'week Daily
10. Fecal Coliform E 2'month Weekly 3/week Daily
11. Fecal Coliform U,D 2 month Weekly 3/week+ 3 week+
12. Conductivity E Weekly Weekly 3/'week Daily
13. Conductivity U,D Weekly Weekly 3iweek+ 3/week+
14. Total Nitrogen E * * * *
15. Total Phosphorus E * * * *
16. Toxics and Toxicity ** ** ** **
PROPOSED SCHEDULE FOR PERMIT ISSUANCE:
Draft Permit to Public Notice: August 15, 2018
Permit Scheduled to Issue:
STATE CONTACT:
If you have any questions on any of the above information or on the attached permit, please contact Anjali
Orlando at [phone].
Fact Sheet
NPDLS RcncvFal
Page 3

Orlando, Anjali
From: Boone, Ron
Sent: Monday, August 20, 2018 2:58 PM
To: Knight, Sherri; Orlando, Anjali
Subject: RE: NC0056201
No comments...
Ronald C. Boone, Environmental Program Consultant
NC Department of Environmental Quality, Division of Water Resources, Water Quality Regional Operations Section,
Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Main: 336-776-9800
Direct: 336-776-9690
Mobile 1: 336-341-3568
Mobile 2: 336-686-4921
Fax [phone]
[e-mail]
http://deq.nc.gov/about/divisions/water-resources
From: Knight, Sherri
Sent: Wednesday, August 15, 2018 8:30 AM
To: Boone, Ron <[e-mail]>
Subject: FW: NC0056201
Sherri V. Knight, PE
Regional Supervisor
Division of Water Resources
Department of Environmental Quality
Winston-Salem Regional Office
450 W. Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
336-776-9696 office
336 776-9797 fax
sherri.knight(a.ncdenr.gov
--"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.
1

From: Orlando, Anjali
Sent: Tuesday, August 14, 2018 4:19 PM
To: Knight, Sherri <[e-mail]>
Cc: Bai, Bing<[e-mail]>
Subject: NC0056201
HI, Please see the attached draft of NC0056201 for regional review. It will go for Public Notice on 08/15/2018.
Thanks
Anjali Orlando
Environmental Specialist I
Compliance and Expedited Permitting Unit
Division of Water Resources
N.C. Department of Environmental Quality
Office: 919-807-6393
[e-mail]
Mailing address:
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.
2

Ms. Julie Grzyb
Supervisor
NPDES Complex Permitting Unit
Division of Water Resources
North Carolina Department of Environmental Quality
512 North Salisbury Street
Raleigh, NC 27604
Subject: NC Land Lease, LLC
Countryside Mobile Home Park WWTP
Randolph County
NC0056201
Renewal Application
July 27, 2018
RECEIVED/DENR/DWR
AUG 032.018
Water Resources
Permitting Section
Dear Ms. Grzyb;
Please consider this information as support for the renewal of the Individual NPDES Discharge
Permit for the Countryside Mobile Home Park WWTP (NC0056201). Enclosed with this letter is
the appropriate renewal application (NC Form D).
As part of the renewal, we would like to request several modifications to the existing permit. Some
of the modifications are consistent with plans to replace the existing wastewater treatment plant
with a new wastewater treatment system utilizing UV disinfection. This work is covered under a
recently issued Authorization to Construct (A to C. No. 56201A02).
In addition, as part of the planned project, the outfall point and associated monitoring locations
will be moved. The outfall location will be adjusted to be located on the subject property (current
discharge point is off the property). The upstream and downstream monitoring locations will also
be moved to also be on the facility property. The outfall locations and future monitoring locations
were addressed under a recent "Technical Correction Letter" issued July 26, 2018.
The Effluent Limitations and Monitoring Requirements from Part I of the existing NPDES Permit
(NC0056201) is shown below. There is no requested change to the permitted flow or to the effluent
limitations.

MONITORING REQUIREPAE
EFFLUENT.CHARACTERIST(CS
'
Parameter'Code
' LIMITS
I S
•M6ntldy
Average
' Daily
Maximum
Measurement
Frequency
Sample•
Type
Samiple
Location
Flow 50050
0.015 MOD
Continuous
Recording
1 or E
BOD, 5-day, 20"C C0310
(APn71-October 31)
5..0 mgR
7.5 mg
Weekly
Grab
E
BOD, 6-day, 20'C C0310
(November 1-March 31)
10.0 mg/
15.0 mg/
Weekly
Grab
E
Total Suspended Solids C0530
30.0 mgf
45.0 mgll
Weekly
Grab
E
NH3-Nl CO610
(April 1-October 31)
2.0 mg/
10.0 mgf
Weekly
Grab
E
NH3-N C0610
(November 1-March 31)
4.0 mgll
20.0 mg&L
Weekly
Grab
E
Total Residual Chlorine3 - 50060
17 ugi
21Week
Grab
E
Fecal cokform (Geometric mean) 31616
200/100 ml
400l100 mI
Weekty
Grab
E
Temperature "C 00010
Monitor & Report
Daily
Grab
E
pH 00400
2 6.0 and S 9.0 standard units
Weekly
Grab
E
Dissolved Oxygen 00300
Daily Average Z 6.0 mglL
Weekly
Grab
E
Dissolved Oxygen 00300
Monitor & Report
Weekly
Grab
U, D
Temperature 'C 00010
Monitor & Report
Weekly
Grab
U, D
As UV disinfection is being proposed with the planned system, we ask that Total Residual Chlorine
be removed from the monitoring requirements following the completion of the new system. A
new weekly monitoring condition requiring a verification of the UV lamp indicator port (indicating
operation) should be added to the monitoring requirements.
We ask that the daily monitoring of effluent temperature be revised to reflect a weekly basis. If
the effluent temperature monitoring frequency remains as a daily requirement, our intention would
be to utilize a temperature probe that is monitored and recorded by the system control panel to
fulfill this requirement (not read by the Operator in Responsible Charge (ORC)).
We would like to request modification to the frequency of sample collection for effluent
parameters that require testing at an outside laboratory. Specifically, we ask that the sample
frequency for BODs, TSS, NH3-N and Fecal Coliform be reduced to a Monthly frequency. We
believe the parameters that are tested on a weekly basis by the ORC are adequate indicators of the
overall operation of the treatment system and whether the effluent limits are being maintained.
We would also be willing to add a weekly effluent monitoring condition for Turbidity (10 NTU).
Reducing the testing frequency of the parameters listed above will reduce the financial burden on
the system operation.

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Mail the complete application to:
N. C. Department of Environment and Natural Resources
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit Number
NC0056201
If you are completing this form in computer use the TAB key or the up — down arrows to move from
one field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or
type.
1. Contact Information:
Owner Name
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
NC Land Lease, LLC
Countryside MHP
PO BOX 5529
Cary
NC / 27512
[phone]
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same as above ❑
Street Address or State Road 3571 Roy Farlow Road RECEIVED/DENRIDWR
City Sophia JUL 16 2018
State / Zip Code NC / 27350
County Randolph County
Water Resources
Permitting Sean),
3. Operator Information:
Name of the firm, consultant or other entity that operates the facility. (Note that this is not referring to
the Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
4. Ownership Status:
Federal ❑
Paul Smith
PO BOX 269
Reidsville
NC / 27323
[phone]
( )
State ❑
Private X Public ❑
Page 1 of 3 Version 5/2012

ROY COOPER
Ga►vrnar
MICHAEL S. REGAN
Secretly
Water Resources LINDA CULPEPPER.
ENVIRONMENTAL QUALITY Interbn Director
July 16, 2018
James Radford
NC Land Lease LLC
PO Box 2533
Christiansburg, VA 24068
Subject: Permit Renewal
Application No. NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Dear Applicant:
The Water Quality Permitting Section acknowledges the July 16, 2018 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:
httos://dea.nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
ec: WQPS Laserfiche File w/application(WSRO)
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

I1
NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
5. Type of treatment plant:
X Conventional (Includes coagulation, flocculation, and sedimentation, usually followed by
filtration and disinfection)
❑ Ion Exchange (Sodium Cycle Cationic ion exchange)
❑ Green Sand Filter (No sodium recharge)
❑ Membrane Technology (RO, nanofiltration)
Check here if the treatment process also uses a water softener
6. Description of source water(s) (i.e. groundwater, surface water)
County water system (Davidson Water Company)
7. Describe the treatment process(es) for the raw water:
8. Describe the wastewater and the treatment process(es) for wastewater generated by the facility:
The raw sewage dumps into a pump station, it is then lifted into the treatment plant and is
treated by an aeration basin. The wastewater then goes through a clarifier and then through
the sand filter and then through the chlorination tank and then goes through a dichlorination
process. It is metered and then discharged.
9. Number of separate discharge points: I
Outfall Identification number(s) 001
10. Frequency of discharge:
Continuous X Intermittent ❑
If intermittent:
Days per week discharge occurs: Duration:
11. Plant design potable flowrate .015 MGD
Backwash or reject flow 0 MGD
12. Name of receiving stream(s) (Provide a map showing the exact location of each outfall, including
latitude and longitude):
Unnamed tributary to Caraway Creek
13. Please list all water treatment additives, including cleaning chemicals or disinfection
treatments, that have the potential to be discharged.
Alum / aluminum sulfate
Iron sulfate / ferrous sulfate
Yes No X
Yes No X
Page 2 of 3 Version 5/2012

NPDES PERMIT APPLICATION - SHORT FORM C - WTP
For discharges associated with water treatment plants
Fluoride Yes No X
Ammonia nitrogen / Chloramines Yes X No
Zinc -orthophosphate or sweetwater CP1236 Yes No X
List any other additives below:
Sodium Thiosulfate
14. Is this facility located on Indian country? (check one)
Yes ❑ No X
15. Additional Information:
D Provide a schematic of flow through the facility, include flow volumes at all points in the
water treatment process. The plan should show the point's] of addition for chemicals and
all discharges routed to an outfall [including stormwater].
D Solids Handling Plan — We have Carolina Septic pump and haul the solids away as
needed.
16. NEW Applicants
Information needed in addition to items 1-15:
Y New applicants are highly encouraged to contact a permit coordinator with the NCDENR
Customer Service Center.
Was the Customer Service Center contacted? ❑ Yes ❑ No
D Analyses of source water collected
v Engineering Alternative Analysis
Discharges from Ion Exchange and Reverse Osmosis plants shall be evaluated using a
water quality model.
17. Applicant Certification
I certify that I am familiar with the information contained in the application and that to the best of
my knowledge and belief such information is true, complete, and accurate.
James Radford Owner
Printed name of Person Si ing Title
ature ofpplicant Date
North Carolina General Statute 143-215.6 (b)(2) provides that. Any person who knowingly makes any false statement representation, or certification m any application,
record, report, plan, or other document files or required to be maintained under Arhde 21 or regulations of the Environmental Management Commission hnplementing that
Article, or who falsifies, tampers with, or knowingly renders inaccurate any recording or mondormg device or method required to be operated or maintained under Article 21
or regulations of the Environmental Management Commission Implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed $25,000, or by
rmprsonment not to exceed six months, or by both. (18 U S.0 Section 1001 provides a puntshment by a fine of not more than 525,000 or imprisonment not more than 5
years, or both, for a similar offense )
Page 3 of 3 Version 5/2012

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