NC0056201_Permit Issuance_20081208

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
December 8, 2008
Mr. Eric Fairman, Project Manager
Countryside Communities, LLC
301 West Fourth Street; Suite 440
Royal Oak, MI 48067
Subject: Issuance of NPDES Permit NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Dear Mr. Fairman:
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 May 9, 1994 (or as
subsequently amended).
This final permit includes no changes from the draft permit sent to you on September 24, 2008.
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 other permits which may be required by the Division of Water Quality or permits
required by the Division of Land Resources, the Coastal Area Management Act or any other Federal or
Local governmental permit that may be required.
If you have any questions concerning this permit, please contact Bob Sledge at telephone number (919)
807-6398.
Coleen H. Sullins
cc: Central Files
Winston-Salem Regional Office/Surface Water Protection Section
NPDES Unit
NorthCarolina
Naturally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone]
Internet: www.ncwaterquality.org Location: 512 N. Salisbury St. Raleigh, NC 27604 Fax [phone]
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Permit NC0056201
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYS'1EM
In compliance with the provision of North Carolina General Statute 143-215.1, other lawful standards
and regulations promulgated and adopted by the North Carolina Environmental Management
Commission, and the Federal Water Pollution Control Act, as amended,
Countryside Communities 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 1V hereof.
This permit shall become effective February 1, 2009.
This permit and authorization to discharge shall expire at midnight on January 31, 2014.
Signed this day December 8, 2008.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management' Commission

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.
Countryside Communities 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
➢ Dechlorination 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 into an unnamed tributary to Caraway Creek, which is classified C waters in the
Yadkin -Pee Dee River Basin.

Countryside 1VMHP- NC0056201
USES Quad Name: Glenola
Receiving; Stream: UT to Caraway Cree
Stream Class: C "A
Subbasin: Yadkin- Pee Dee - 030709
Lat.: 35°50'32"
tong.: 79°54'48"
North

Permit NC0056201
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
During the period beginning on the effective 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:
EFFLUENTF Y
xi "�
CHARACTERISTICS ���
=
x.:..
6
LIMITS
e X ro 4
: � �� ��� ����ar� ��
MONITORING REQUIREMENTS ,
r i5 Y s r r 3 k ?I ! ; ¢
� �. y,=�� � � r � � � �,
Monthly
verage
Daily
Maximum
Measurement
Fre ueric
.s i Y .
Sample Type*
,
ample
Location1 ,
Flow
0.015 MGD
Continuous
Recording
I or E
BOD, 5-day, 20°C
(April 1-October 31)
5.0 mg/I
7.5 mg/I
Weekly
Grab
E
BOD, 5-day, 20°C (November
1- March 31)
10.0 mg/I
15.0 mg/I
Weekly
Grab
E
Total Suspended Residue
30.0 mg/I
45.0 mg/I
Weekly
Grab
E
NH3-N
(April 1-October 31)
2.0 mg/I
10.0 mg/L
Weekly
Grab
E
NH3-N
(November 1- March 31)
4.0 mg/I
20.0 mg/L
Weekly
Grab
E
Total Residual Chlorine2
17 ug/I
2/Week
Grab
E
Temperature
Daily
Grab
E
pH
Between 6.0 and 9.0 s.u.
Weekly
Grab
E
Dissolved 0xygen3
Weekly
Grab
E, U, D
Fecal Coliform
(Geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
E
Temperature
Weekly
Grab
U, D
Footnotes:
1. Sample Location: I — Influent; E — Effluent; U — Upstream at least 100 feet from outfall 001; D —
Downstream at least 300 feet from outfall 001.
2. 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.
3. The daily average dissolved oxygen effluent concentration shall not be less than 6.0 mg/1.
There shall be no discharge of floating solids or foam visible in other than trace amounts.

>elxi
'LDE11 DAILY NEWS:
The Messenger:
Advertising Affidavit
NCDENR/DWQ/POINT SOURCE BRANCH
1617 MAIL SERVICE CENTER
RALEIGHT, NC 27699-1617
P.O. Box 2157
Reidsville, NC 27323-2157
[phone]
Account Number
3390343
Date
October 04, 2008
Date Category
Description
Ad Size Total Cost
10/03/2008
Legal Notices
PUBLIC NOTICE STATE OF NORTH CAROLINA EN
2 x 79 L
130.08
PUBLIC:NOTICE`P
STATE OF NORTH CAROLINA,.
ENVIRONMENTAL MANAGEMENT/
COMMISSION/NPDESUNR
1617'MAIL SERVICE CENTER
-RALEIGH, NC 27699-1617-
NOTIFICATION. OF INTENT TO ISSUE A NPDES `
• WASTEWATER PERMIT,
On the basis bfthorough staffrevieW and a pir,
.cation,of.NC:.General_Statute 143.215 1 and,-15A:
NCAC' o2H.o109 and, other lawfuh'standards
;:and regulations the North=Carolina Environ
mental Management Commission proposes to.
issue a:National'Pollutant' .Discharge ;Elimina
tion System,. (NPDES) wastewater, discharge,
permit to -the persons) listed'below effe�ve:
45 days from the publish date of.this notice .
Written comments regarding thepproposed per-:•-
mit will be;acce ted: until 30 days after the
publish date:of this, notice x All>comments-re"
cetved' prior to that date. are considered in the
final' determinations regarding the: proposed,.
permit The.Director of the -NC Division of_Wa;[
ter Quality..may decide to,hold a.public meet-
• ing .for the: proposed permit, should the Divi
sion receive a slgnificant degree of public in=
teresC• ),.fit , ft• r4 , i -./
- :-�
Copies,of the draft permit and other supporting:.
Information' on file. -used to determine condi
tions"present in ,the draft-permit?are available
upon rePuett and -payment of the costs -of re
roductign.:;Mail;: comments.,and/or; requests-
' for information 10 the'NC`Division`of-Water,
Quality at the above address or call Dina Sprin-
hie [phone];at;the poInt'Source Branch:
Please include the,NPDFS permit number (be
low) m anyY.. communication. "Interested' per
sons may also visit the Division ° of Water. Quail-.
sty at-1512; N: SalisburyStreet,' Raleigh,: NC:
ei•27604-1148°betWeen the hours,of a 00 a.m and;.
5:00 p m to review informatton';on files
• The City.of Eden 308 E:,Stadium Drive Eden: NC
-27288,;Mebane Bridge,WWTP located in Rock -
;'Ingham County.has appluedfor renewal of its•
NPDeS permit NC0025151 discharging treated'
domestic:wastewater."to the Dan River in they
Roanake.River•Basin TRCand Color are water-'
OARS( limited Thisidischatge.mayy effect fti
tureallocations In this portion of.theRoanoke,
RiverBasm ; ' '
gountryside,Commumties LLC has applied'for':
renewal of; NPDES permit NC0056201 foI the
*'CountrysideMobiie Home Park.WWTP m Rock
Ingham County This:. permitted, facility._dis
qchargea6 treated wastewater toan unnamed
tributarytto'Carawaycereek in the Yadkin;Peer
Dee RwerBasin Currently BODD. ammonia mi=
trogen and' total residual chlorine A are Water;
'quality limited This;dischargelma affectLu
,tureallocations In this portion of the Yadlon4.
Pee Dee River Basin z� r ( I?^
The City'of Eden; 308 E Stad16m •Drive Eden NC,-
:27288;'Mebane Bridge'WWTRlocated m;Rock .
irigham?County'has applied for•reneWal of
NP.DES,permit NC0025071 to discharge treated'
combined -domestic Waste toAlie Dan Riye in,
the Roanoke River .,Basin r TRC mercury
phenoliccompound5, ammonie:nitrogen;':;and
..
..,$o616-6;areomater quality limited: -This discharge N
,-may:effect future allocations in this portion of,.;
..':the Roanoke Rlve� Basin � : , a z�-r;-
Media General Operations, Inc.
Publisher of the
RCK Reidsville Rev
This is to certify that the attached PUBLIC NOTICE STATE OF NO
was published by the RCK Reidsville Rev in the State of North
Carolina, on the following dates:
10/03/2008
The First insertion being given ... 10/03/2008
Newspaper reference: 0001082536
Sworn to and subscribed before me this
lq`al Orhber, ,A0D?
Notary Publi
Supervist000r
`3,01.- S, j<`bm'6F
Gj + s
N®T <mo
State of North Carolina _ ,�
County of Rockingham (s Z
My Commission expires f � t 33')0I �® G, 49(1 C�
,„9?; �oUNN�o ;•°°°
T A BILL. PLEASE PAY FROM INVOICE. THANK YOU

COUNTRYSIDE COMMUNITIES, L.L.C.
301 West Fourth Street, Suite 440
Royal Oak, MI 48067
Phone: [phone] ext 21 • Fax: [phone]
E-Mail: [e-mail]
July 28, 2008
Mrs. Dina Sprinkle
North Carolina Department of Environment
And Natural Resources
Division of Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Renewal Application
NPDES Permit NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Sludge Management
The sludge management plan and policy for this plant is as follows: All sludge is
hauled by Carolina Septic, Inc. (a licensed contract hauler; phone [phone]) and
is disposed of properly according to NPDES regulations.
Very truly yours,
k: 7—_
Eric Fairman
Project Manager
/lsw
SAAAPARKS\ACTIVE\North Carolina\CS - Countryside\Permanent\Sewer\Permit\I.31-09 to\Sludge Mgt Plan included in application for renewal.doc

COUNTRYSIDE COMMUNITIES, L.L.C.
301 West Fourth Street, Suite 440
Royal Oak, MI 48067
Phone: [phone] ext 21 • Fax: [phone]
E-Mail: [e-mail]
July 28, 2008
Mrs. Dina Sprinkle
North Carolina Department of Environment
And Natural Resources
Division of Water Quality
Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
RE: Renewal Application
NPDES Permit NC0056201
Owner: Countryside Communities, L.L.C.
Facility Name: Countryside Mobile Home Park WWTP
Randolph County
Dear Mrs. Sprinkle:
Please consider this letter our request to renew NPDES Permit NC0056201 for
Countryside Mobile Home Park. Enclosed you will find all the necessary completed
forms and copies per your instructions.
Please note that no changes have been made to this facility since the issuance of the
last permit.
Very truly yours,
Eric Fairman
Project Manager
/lsw
Enclosures: Cover letter (original and 2 copies)
Completed application and Map (original and 2 copies)
Sludge Narrative (original and 2 copies)
S:\AAPARKS\ACTIVE\North Carolina\CS - Countryside\Permanent\Sewer\Permit\I-31-09 to\Cover letter for renewal. doe

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
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
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
Countryside Communities, L.L.C.
Countryside Mobile Home Park WWTP
301 W. Fourth Street, Suite 440
Royal Oak
Michigan 48067
[phone]
[phone]
[e-mail]
13. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 3571 Roy Farlow Road
City Sophia
State / Zip Code North Carolina 27350
County Randolph County
14. Operator Information:
Name of the firm, public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
Paul Smith
235 Richardson Road
Reidsville
North Carolina 27320
[phone]
[phone]
1 of 4
Form-D 4/05

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that apply):
Industrial ❑ Number of Employees
Commercial ❑ Number of Employees
Residential ® Number of Homes
School ❑ Number of Students/ Staff
Other ❑ Explain:
65
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Population served: 130
5. Type of collection system
® Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall Information:
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes
® No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfall):
Caraway Creek
8. Frequency of Discharge: ❑ Continuous ® Intermittent
If intermittent:
Days per week discharge occurs: Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper.
Bar screen, aeration basin, clarifier, sand filters, digester, table & chlorine feeder,
chlorine contact basin, liquid dechlor
2 of 4
Form-D 4/05

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.015 MGD
Annual Average daily flow 0.007 MGD (for the previous 3 years)
Maximum daily flow 0.0146 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD5)
20
5
mg/L
Fecal Coliform
50
5
cfu/ 100m1
Total Suspended Solids
21.0
5
mg/L
Temperature (Summer)
28 C
24 C
C
Temperature (Winter)
4
12
C
pH
7.7
7.4
SU
Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
13. List all permits, construction approvals and/or applications:
Permit Number Type
NESHAPS (CAA)
Ocean Dumping (MPRSA)
NC0056201 Dredge or fill (Section 404 or CWA)
Other
14. APPLICANT CERTIFICATION
Permit Number
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.
Eric Fairman
Project Manager
Printed name of Person Signing Title
3 of 4
Form-D 4/05

NPDES APPLICATION - FORM D
For prtel ed treatment systems treating 100% domestic wastewaters <1.0 MGD
"7/2-V (Oj
Signature of Applicant Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be
maintained under Article 21 or regulations of the Environmental Management Commission implementing that
Article, or who falsifies, tampers with, or knowly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, shall be guilty of a misdemeanor punishable by a fine not to exceed
$25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C. Section 1001 provides a
punishment by a fine of not more than $25,000 or imprisonment not more than 5 years, or both, for a similar
offense.)
4 of 4
Form-D 4/05

FACT SHEET FOR EXPEDITED PERMIT'
RENEWALS
asic Information to determine potential for expedited permit renewal
Reviewer/Date
' , . Z'B
Permit Number
0 o 5 6 201i
Facility Name
CA) .,-.A..7LbivA4 r' Wit" PI H' tat,1
Basin Name/Sub-basin number
VV 6\_�. VA ,r / OS —0 —09
Receiving Stream
dfi r i'"') ( w eAte
Stream Classification in Permit
Does permit need NH3 limits?
A,,A)
Does permit need TRC limits?
,3
Does permit have toxicity testing?
JV3
Does permit have Special Conditions?
.
Does permit have instream monitoring?
LI.��
Is the stream impaired (on 303(d) list)?
N`
Any obvious compliance concerns?
0
Any permit mods since last permit?
Existing expiration date
l) `I ! 4. 0 9
New expiration date
0'1— 1 Si LI
New permit effective date
Miscellaneous Comments
YES_ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES ' This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
YES_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS,
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)