NC0036242_Fact Sheet_20230208

FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require full Fact
Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile home parks, etc)
that can be administratively renewed with minor changes, but can include facilities with more complex
issues (Special Conditions, 303(d) listed water, toxicity testing, instream monitoring, compliance
concerns).
Basic Information for Expedited Permit Renewals
Permit Writer / Date
Siying Chen 10/3/2022
Permit Number
NCO036242
Facility Name / Facility Class
Woodland Hills Apartments WWTP / WW-1
Count / Regional Office
Watauga / WSRO
Basin Name / Sub -basin number
Watauga / 04-02-01
Receiving Stream / HUC
Brushy Fork Creek / 060101030302
Stream Classification / Stream Segment
C / 8-15-10
Does permit need Daily Maximum NH3 limits?
Already resent
Does permit need TRC limits/language?
Already resent
Does permit have toxicity testing? IWC (%) if so
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes — DO and temperature
Is the stream impaired on 303(d) list)?
No
Any obvious compliance concerns?
No
Changes in draft permit?
Updated ownership
Added WWTP classification
Updated eDMR requirements
Updated PCS codes
Updated outfall ma
New expiration date
9/30/2027
Comments on Draft Permit?
No comment received
Most Commonly Used Expedited Language:
• 303(d) language for Draft/Final Cover Letters: "Please note that the receiving stream is listed
as an impaired waterbody on the North Carolina 303(d) Impaired Waters List. Addressing
impaired waters is a high priority with the Division, and instream data will continue to be
evaluated. If there is noncompliance with permitted effluent limits and stream impairment can
be attributed to your facility, then mitigative measures may be required".
• TRC language for Combliance Level for Cover Letters/Effluent Sheet Footnote: "The
facility shall report all effluent TRC values reported by a NC certified laboratory including field
certified. However, effluent values below 50 µg/l will be treated as zero for compliance
purposes."
Fact Sheet for Permit Renewal
October 2022 -- NPDES Permit NCO036242 - Page 1

Section 1. Facility Overview:
This facility is a minor facility (flow < 1 MGD) discharging 100% domestic wastewater with a design
capacity of 0.0067 MGD. This WWTP utilizes the following treatment components:
• Aeration basin
• Clarifier with sludge return
• Effluent disinfection
Section 2. Compliance History (December 2017 — October 2022):
No violation during the permit cycle. Had some TRC exceedances but they were all under 50
µg/L and therefore no action taken for compliance purposes.
Section 3. Changes from previous permit to draft:
• Updated ownership information on permit cover sheet and supplement to permit cover sheet.
• Added facility grade in A. (1). Facility has also been reclassed during peer review.
• Updated eDMR footnote in A. (1) and language in A. (2).
• Updated PCS codes for BOD5, TSS, and ammonia nitrogen in A. (1).
• Updated monitoring frequency for ammonia nitrogen in A. (1) based on the updated facility
grade.
• Updated outfall map.
Section 4. Comments received on draft permit:
• No comment received on draft permit.
Section 5. Changes from draft to final:
• No change to final permit.
Fact Sheet for Permit Renewal
October 2022 -- NPDES Permit NCO036242 - Page 2

STATE OF NORTH CAROLINA
WATAUGA COUNTY
DEQ - DIVISION OF WATER
RESOURCES
1617 Mail Service Ctr
Raleigh, NC 276991617
AFFIDAVIT OF PUBLICATION
Before t ndersigned, a Notary Public of said County and State, duly commissioned,
qualifie , a authorize y la to administer oaths, personally appeared
who being first duly sworn, deposes and says: that
he (she) is an employee ofADAMS PUBLISHING GROUP, LLC, engaged in the publication
of a newspaper known as Watauga Democrat, published in the city of BOONE in said
County and State, that he (she) is authorized to make this affidavit and sworn statement; that the
notice or other legal advertisement, a true copy of which is attached hereto, was published in
Watauga Democrat, a newspaper meeting all of the requirements and qualifications of Section
1-597 of the General Statues of North Carolina on the following dates:
NCO038041, NCO036242
10/26/22
P.O. BOX 1815, BOONE, NC 28607
828-264-6397
This 27th day of October, 2022
Signature of person making affidavit
to and subscribed before me on this 27th day of October, 2022
Pk &P"4 Notary Public
�� U
My Commission expires: il— � �7
Public Notice
North Carolina Environmen-
tal Management Commis-
slon/NPDES Unit 1617 Mail
Service Center Raleigh, NC
27699-1617
Notice of Intent to Issue a
NPDES Wastewater Permit
NCO038041 Laurel Seasons
WWTP, AND NCO036242
Woodland Hills Apartments
WWTP The North Carolina En-
vironmental Management Com-
mission proposes to issue a
NPDES wastewater discharge
permit to the person(s) listed
below. Written comments re-
garding 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 com-
ments and/or information re-
quests to DWR at the above
address. Interested persons
may visit the DWR at 512 N.
Salisbury Street, Raleigh, NC
27604 to review the information
on file. Additional information on
NPDES permits and this notice
may be found on our website:
http://deq.nc.gov/about/divi-
sions/wafer-resources/water-
resources-perm its/wastewate
r- b r a n c h/ n p d e s-
wastewater/public-notices, or
by calling [phone]. PSI
Properties, Inc. [P.O. Box 3664,
Boone, NC 28607) requested
renewal of permit N00038041
for the Laurel Seasons WWTP
in Watauga County. This per-
mitted facility discharges treated
domestic wastewater to Laurel
Fork in the Watauga River
Basin. Currently ammonia nitro-
gen, fecal coliform, and total
residual chlorine are water qual-
ity limited. This discharge may
affect future allocations in this
portion of the River basin. MGS
Properties, LLC [103 Hwy 321,
Sugar Grove, NC 286791 has
requested renewal of NPDES
permit N00036242 for the
Woodland Hills Apartments
WWTP in Watauga County.
This permitted facility dis-
charges treated wastewater to
Brushy Fork Creek in the
Watauga River Basin. Cur-
rently, ammonia nitrogen, dis-
solved oxygen, fecal coliform
and total residual chlorine are
water quality limited. This dis-
charge may affect future alloca-
tions in this portion of Brushy
Fork Creek.

NH3/TRC WLA Calculations
Facility: Woodland Hills Apartments WWTP
PermitNo. NC0036242
Prepared By: Siying Chen
Enter Design Flow (MGD): 0.0067
Enter s7Q10 (cfs): 0
Enter w7Q10 cfs : 0
Total Residual Chlorine (TRC)
Daily Maximum Limit (ug/1)
Ammonia (Summer)
Monthly Average Limit (mg NH3-N/1)
s7Q10 (CFS)
0
s7Q10 (CFS)
0
DESIGN FLOW (MGD)
0.0067
DESIGN FLOW (MGD)
0.0067
DESIGN FLOW (CFS)
0.010385
DESIGN FLOW (CFS)
0.01039
STREAM STD (UG/L)
17.0
STREAM STD (MG/L)
1.0
Upstream Bkgd (ug/1)
0
Upstream Bkgd (mg/1)
0.22
IWC (%)
100.00
IWC (%)
100.00
Allowable Conc. (ug/1)
17
Allowable Conc. (mg/1)
1.0
Ammonia (Winter)
Monthly Average Limit (mg NH3-N/1)
Fecal Coliform
w7Q10 (CFS)
0
Monthly Average Limit:
200/100ml DESIGN FLOW (MGD)
0.0067
(If DF >331; Monitor)
DESIGN FLOW (CFS)
0.01039
(If DF<331; Limit)
STREAM STD (MG/L)
1.8
Dilution Factor (DF)
1.00 Upstream Bkgd (mg/1)
0.22
IWC (%)
100.00
Allowable Conc. (mg/1)
1.8
Total Residual Chlorine
1. Cap Daily Max limit at 28 ug/I to protect for acute toxicity
Ammonia (as NH3-N)
1. If Allowable Conc > 35 mg/l, Monitor Only
2. Monthly Avg limit x 3 = Weekly Avg limit (Municipals)
3. Monthly Avg limit x 5 = Daily Max limit (Non-Munis)
If the allowable ammonia concentration is > 35 mg/L, no limit shall be imposed
Fecal Coliform
1. Monthly Avg limit x 2 = 400/100 ml = Weekly Avg limit (Municipals) = Daily Max limit (Non -Muni)

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:
10/03/22 Page
1 of 5
Permit:
NCO036242
MRS Betweel 2
- 2017 and10 - 2022
Region:
%
Violation Category:%
Program Category:
Facility Name: %
Param Nam(%
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERMIT: NCO036242
FACILITY: Mgs Properties LLC - Woodland Hills Apartments
COUNTY: Watauga
REGION: Winston-Salem
WWTP
Limit Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
09-2021
001
Effluent
Chlorine, Total Residual
09/10/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
09-2021
001
Effluent
Chlorine, Total Residual
09/13/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
09-2021
001
Effluent
Chlorine, Total Residual
09/16/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
09-2021
001
Effluent
Chlorine, Total Residual
09/20/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
09-2021
001
Effluent
Chlorine, Total Residual
09/24/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/07/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/08/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/11/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/12/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/20/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/22/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/25/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
10-2021
001
Effluent
Chlorine, Total Residual
10/26/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/02/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/05/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:
10/03/22 Page
2 of 5
Permit:
NCO036242
MRS Betweel 2
- 2017 ancI10 - 2022
Region:
%
Violation Category:%
Program Category: %
Facility Name: %
Param Nam(%
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERMIT: NCO036242
FACILITY: Mgs Properties LLC -Woodland Hills Apartments
COUNTY: Watauga
REGION: Winston-Salem
WWTP
Limit Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
11 -2021
001
Effluent
Chlorine, Total Residual
11/08/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/09/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/15/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/16/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/22/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/23/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
11 -2021
001
Effluent
Chlorine, Total Residual
11/29/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/01/21
2 Xweek
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/06/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/08/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/13/21
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/16/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/21/21
2 Xweek
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/28/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
12-2021
001
Effluent
Chlorine, Total Residual
12/29/21
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
01 -2022
001
Effluent
Chlorine, Total Residual
01/04/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:
10/03/22 Page
3 of 5
Permit:
NCO036242
MRS Betweel 2
- 2017 ancI10 - 2022
Region:
%
Violation Category:%
Program Category: %
Facility Name: %
Param Nam(%
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERMIT: NCO036242
FACILITY: Mgs Properties LLC -Woodland Hills Apartments
COUNTY: Watauga
REGION: Winston-Salem
WWTP
Limit Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
01 -2022
001
Effluent
Chlorine, Total Residual
01/06/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
01 -2022
001
Effluent
Chlorine, Total Residual
01/08/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
01 -2022
001
Effluent
Chlorine, Total Residual
01/10/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
01 -2022
001
Effluent
Chlorine, Total Residual
01/11/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
02-2022
001
Effluent
Chlorine, Total Residual
02/07/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
02-2022
001
Effluent
Chlorine, Total Residual
02/17/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
02-2022
001
Effluent
Chlorine, Total Residual
02/23/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
03-2022
001
Effluent
Chlorine, Total Residual
03/04/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
03-2022
001
Effluent
Chlorine, Total Residual
03/18/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
03-2022
001
Effluent
Chlorine, Total Residual
03/21/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
03-2022
001
Effluent
Chlorine, Total Residual
03/24/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
03-2022
001
Effluent
Chlorine, Total Residual
03/31/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/04/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/05/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/08/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/14/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:
10/03/22 Page
4 of 5
Permit:
NCO036242
MRS Betweel 2
- 2017 ancI10 - 2022
Region:
%
Violation Category:%
Program Category: %
Facility Name: %
Param Nam(%
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERMIT: NCO036242
FACILITY: Mgs Properties LLC -Woodland Hills Apartments
COUNTY: Watauga
REGION: Winston-Salem
WWTP
Limit Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
04-2022
001
Effluent
Chlorine, Total Residual
04/18/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/20/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/25/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
04-2022
001
Effluent
Chlorine, Total Residual
04/29/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/02/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/06/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/09/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/11/22
2 Xweek
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/16/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/23/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/26/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
05-2022
001
Effluent
Chlorine, Total Residual
05/31/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/01/22
2 Xweek
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/03/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/06/22
2 X week
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/08/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded

MONITORING REPORT(MR) VIOLATIONS for:
Report Date:
10/03/22 Page
5 of 5
Permit:
NCO036242
MRS Betweel 2
- 2017 ancI10 - 2022
Region:
%
Violation Category:%
Program Category: %
Facility Name: %
Param Nam(%
County:
%
Subbasin: %
Violation Action: %
Major Minor:
%
PERMIT: NCO036242
FACILITY: Mgs Properties LLC -Woodland Hills Apartments
COUNTY: Watauga
REGION: Winston-Salem
WWTP
Limit Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
06-2022
001
Effluent
Chlorine, Total Residual
06/13/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/16/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/23/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/27/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
06-2022
001
Effluent
Chlorine, Total Residual
06/28/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
07-2022
001
Effluent
Chlorine, Total Residual
07/07/22
2 X week
ug/I
17
30
76.5
Daily Maximum
No Action, BPJ
Exceeded
07-2022
001
Effluent
Chlorine, Total Residual
07/11/22
2 Xweek
ug/I
17
40
135.3
Daily Maximum
No Action, BPJ
Exceeded
08-2022
001
Effluent
Chlorine, Total Residual
08/08/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
08-2022
001
Effluent
Chlorine, Total Residual
08/24/22
2 X week
ug/I
17
20
17.6
Daily Maximum
No Action, BPJ
Exceeded
Monitoring Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
05-2018
001
Effluent
Chlorine, Total Residual
05/05/18
2 X week
ug/I
Frequency Violation
No Action, BPJ
06 - 2018
001
Effluent
Chlorine, Total Residual
06/02/18
2 X week
ug/I
Frequency Violation
No Action, BPJ
09-2021
001
Effluent
pH
09/04/21
Weekly
su
Frequency Violation
No Action, BIMS
Calculation Error

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NC DEPARTMENT OF ENVIRONMENTAL QUALITY
J DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
IVPDES PERMITTING
F n.tr vn m.•r.rn: Uo"L ri
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: N000_aj_�_/_�9—j_��J -2, or NCG5_j_/_/—J_
1. Facility Name: 4 J0 0W A ,­ ter' !7' � � � 7Z/Y-;' P/) 11-17
NEW OWNER/NAME INFORMATION: RECEIVED
1. This request for a name change is a result of: 6�
JUL. 12 2022
tea. Change in ownership of property/company
b. Name change only
c. Other (please explain):
2. %�w owner's name (name to be put on permit):
NCDEQ/DWR/NPDES
3. ' New owner's or signing official's name and title: lQ /r19 e1
(Person legally responsible for permit)
C9w��r'
(Title)
4. Mailing address: 10 3 �W y -� City:
State: Me Zip Code: cT p% 7 9 Phone: (Pa S ) 7 / q - 7L.? 3,P
E-mail address: S T 6- J7u C'
III. FACILITY AND DISCHARGE INFORMATION
1. Will the waste stream for the facility remain the same as under the previous owner? Yes M�No 0
2. Will the treatment system and discharge location remain the same? Yes VNo ❑
"No Responses"
If either or both of these questions are answered "No" then more information will be needed to review the
request. Please attach documentation to describe and explain the changes to the facility activities, waste
stream, treatment process or outfoll location. The Division may not be able to process the Permit
Name/Ownership Change request and may require that the new owner file a new permit application.
��� North Carolina Department of Environmental Quality I Division of Water Quality
D_ E�/'j� 512 North Salisbury Street 1 1617 Mall Service Center I Raleigh, North Carolina 27699-1617
_ =1111 ="-' "�� 919.707.9000
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NPDES Name and Ownership Change
Page 2 of 2
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION UNLESS ALL OF THE
APPLICABLE ITEMS LISTED BELOW ARE INCLUDED WITH THE SUBMITTAL.
REQUIRED ITEMS:
1. This completed application form
2. Legal documentation of the transfer of ownership (such as a property deed, articles of
incorporation, or sales agreement)
3. Information to document facility, waste stream, treatment system or outfall changes as noted in
item III above (if appropriate)
Applicant's Certification:
16e.&J, f attest that this application for a
name/ownership change has been reviewed and is accurate and complete to the best of my knowledge.
I understand that if all required parts of this application are not completed and that if all required
supporting information and attachments are not included, this application package will be returned as
incomplete. I understand that Permit Name/Ownership Change can only take place through action
taken by the Division of Water Resources and that no actions on my part or the part of my company
result in the automatic transfer of permit coverage.
Date: 7
Signature:
-2 0
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION & MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
INC DEQ / DWR / NPDES
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 07/2021
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6k 2217 Pg 888
Doc No: 710815 Kind,. DEED Exhibit "All
BEGINNING on an iron set at a 2-inch poplar corner to Joe Greer and Clyde Townsend and runs thence
with a barbed wire fence North 89' 57' East 124.03 feet to an iron in said fence, thence North 89' 25' East
81.85 feet to an iron set at a power pole and axle found; thence North 89' 25' East 8.12 feet to a calculated
point corner to Greer; thence leaving Greer line and said barbed wire fence South 050 42' East 93.5 feet to a
calculated point corner to Clyde Townsend; thence with the Townsend line South 72' 18' West 106.36 feet
to a calculated point in the northern margin of a private drive; thence with said Townsend line and said
private drive North 89' 5 F west 148.60 feet to an iron set; thence with said Townsend line North 120 8'
-East 126.78 feet to the point of BEGINNING, and containing 0.629 acre, more or less, all according to plat
and survey dated February 3, 1977, prepared by David K. Stern, RLS No. L-1301.
THERE IS ALSO CONVEYED herewith, road right of way in common with the Grantors and Grantees
herein, their heirs and assigns as the same is now located leading from N.C. Highway 4105 to the above
described premises. Said road right of way is to remain open and unobstructed.at all times.
NC Bnr Association Form No. 3 © 1976, Re%ised © I/1/2010
Printed by Agreement with the NC Bar Association
3 of 4 7/11/2022, 4:03 PM

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RETURNED TO LESLEY MARSH
AT THE TIME OF RECORDING
FILED Amy J. Shook
Register of Deeds, Watauga Co, NC
Fee Amt• $26.00
NC Excise Tax: $1,080.00
Bk 2217 Pg 886 (3)
Recorded: 09/02/2021 at 09:25:64 AM
Doc No: 710815 Kind: DEED
III I�IIIIIIIIIIIIIIIII�IIIIIIIIIII
710815
NORTH CAROLINA GENERAL WARRANTY DEED
Excise Tax: S 060'. 00
Parcel identifier No. (.qS- p,Verified by County on the _ day of 2p
By:
NO TITLE EXAMINATION REQUESTED OR PERFORMED
Mail/Box to: Bruce L. Kaplan, P. O. Box 435, Boone, NC 28607
This instrument was prepared by Bruce L. Kaplan, Attorney at law as a document preparer only from information furnished by the
Grantor without the benefit of a title examination or reference to title insurance and not as a Settlement Agent or person
responsible for closing as that phrase is used ill the regulations relating to reporting of real estate transactions.
Brief description for the Index: 0.629 acres. Brushy Fork Township, Watauga County. NC
THiS DEED made this Ist day of September, 2021, by and between
GRANTOR
SPG PROPERTY, L.L.C.,
a North Carolina Limited Liability Company
Mailing address: 355 Industrial Park Drive
Boone, NC 286.07
GRANTEE
/` ft rtype ' s L a
l A t ca ,rti, >yillague
31i19 C�*i L� erm , l y
g1s_1's�ltali
Enter in -appropriate block for each Grantor and Grantee: name, mailing address, and_, if appropriate, character of entity, e.g.
corporation or partnership.
The designation Grantor and Grantee as used herein shall include said parties, their heirs, successors, and assigns, and shall include
singular, plural, masculine, feminine or neuter as required by context.
WITNESSETH, that the Grantor, for valuable consideration, the receipt of which is hereby acknowledged, has and by these presents
does grant, bargain, sell and convey unto the Grantee in fee simple, all that certain lot or parcel of land situated in Brushy Fork
Township, County of Watauga, State of North Carolina and more particularly described as follows:
See Exhibit A, attached hereto and incorporated herein by reference.
Said property having been previously conveyed to Grantor by instrument recorded at Deed Book 1785, Page 533, in the Watauga
County Register of Deeds.
All or a portion of the property herein conveyed _ includes or X does not include the primary residence of a Grantor.
NC liar Association Form No. 3 O 1976, Revised © 1/1/2010
Printed by Agreement with the NC rat Association
1 of 4 7/11/2022, 4:03 PM

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TO HAVE AND TO HOLD the aforesaid lot or parcel of land and all privileges and appurtenances thereto belonging to the Grantee in
fee simple.
And the Grantor covenants with the Grantee, that Grantor is seized of the premises in fee simple, has the right to convey the same in fee
simple, that title is marketable and free and clear of all encumbrances, and that Grantor will warrant and defend the title against the
lawful claims of all persons whomsoever, other than the following exceptions:
All casements, rights of way, encumbrances and restrictions of record.
IN WITNESS WHEREOF, Grantor has duly executed this North Carolina General Warranty Deed, if an entity by its duly
authorized representative, as of the day and year first above written.
Bk 2217 Pg 887
Doc No: 716815 Kind: DEED
SPG PROPERTY, L.L.C.
a North Carolina Limited Liability Company
By: SO�LD�DINGS MA EMENT, IN .
By: V \ '" 4
R. Thomas•Sofeld Jr., P ENT
State of North Carolina
County of W Pk"�A%k-6- t
I. C. L 41 -r2-t LA a Notary Public of the County of W A'�ey��rtik , North Carolina, do hereby certify that
R. Thomas 'Sofield, Jr., personally came before me this day and acicnowledeed that lie is President of SOFIELD HOLDINGS
MANAGEMENT, INC., and acknowledged on behalf of SOFIELD HOLDINGS MANAGEMENT, INC. the due execution of the
foregoing instrument.
Date: St_ t M21
t
My Commission Expires: l 2- 21221 2 t
I jAffix Seal)
C. LESLEY MARSH
NOTARY PUBLIC
WATAUGA COUNTY
'E OF NORTH CARO
NC Bar Association Form No- 3 © 1976, Reviscd © 111/2010
Piinled by Agreement wilh the NC B:u Associalion
• S Notary ublic
Notary's Pri led or Typed Name
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North Carolina Department of Environmental Quality
Water Pollution Control Systems Operator Certification Commission
Roy Cooper W. Corey Basinger Elizabeth Biser
Governor Chairman Secretary
February 3, 2023
SENT VIA CERTIFIED MAIL: 7008-1300-0000-1124-5662
RETURN RECEIPT REQUESTED
Ms. Pamela Lewis
Mr. Michael Smith
MGS Properties LLC
103 Hwy 321
Sugar Grove, North Carolina 28679
Subject: Re -Classification of Biological Water Pollution Control System: WW-II
Woodland Hills Apartments WWTP
Permit Number: NCO036242
Watauga County
Dear Permitee(s):
In accordance with North Carolina General Statute § 90A-37, the Water Pollution Control System Operators
Certification Commission is required to classify all water pollution control systems.
The Water Pollution Control System Operators Certification Commission has determined that the subject
facility requires a Grade II Biological Water Pollution Control System, effective February 1, 2023.
[15A NCAC 08G .0302(b)]
No action is needed at this time but please review your current designations and submit the appropriate
designation form, as required (if appropriate).
(15A NCAC 08G .0201(3)(b)]
Thank you for your attention to this. If you have any questions, please contact me at 919-707-9038, or via
email at [e-mail].
Sincerely,
) av,
NC Operators Certification Program
ec: Heather Sofield
Joshua Cagle, ORC
Siying Chen, DEQ, DWR NPDES Permitting
Jenny Graznak, Assistant Regional Director, DEQ, DWR Winston-Salem Regional Operations
1618 Mail Service Center I Raleigh, North Carolina 27699-1618
919 807 6353 1 Fax [phone] http://deq.nc.gov/about/divisions/water-resources/operator-certification

From: Water ouality Labs
To: Chen, Sivina
Cc: Dam mgsproperties(ayahoo.com; Graznak, Jennv; Snider, Lon; Weaver. Charles
Subject: [External] Re: NPDES Permit Issuance - Woodland Hills Apartments WWTP NCO036242
Date: Wednesday, February 8, 2023 11:08:08 AM
Attachments: imaae001.Dna
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Ms. Chen,
Thank you for your assistance with Woodland Hills permit renewal. I have received
the new permit and was able to save a copy of the attachment for my records.
Paul Isenhour
Water Quality Lab & Operations, Inc.
Phone-[phone]
Fax- [phone]
On Tuesday, February 7, 2023 at 02:58:15 PM EST, Chen, Siying <[e-mail]> wrote:
Hi Mr. Isenhour,
Attached is the final NPDES permit renewal for Woodland Hills Apartments WWTP (NC0036242). The
permit will be effective on April 1, 2023.
Please respond to this email confirming that you received the attached document, were able to
open and view the document and have saved/printed a copy for your records.
Thank you!
Siying (Sylvia) Chen (She/Her/Hers)
Environmental Specialist, Division of Water Resources
North Carolina Department of Environmental Quality
Office: [phone]
s�ing.chen(@ncdenr.gov
Q:>
NORTH CAROLINA
Department of Environmental Quality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.

NPDES Permit NCO036242
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,
Sofield Properties
is hereby authorized to discharge wastewater from a facility located at the
Woodland Hills Apartments WWTP
NCSR 1107, west of Oak Grove
Boone
Watauga County
to receiving waters designated as Brushy Fork Creek in the Watauga River Basin in accordance with
effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, and IV
hereof.
The permit shall become effective December 1, 2017.
This permit and the authorization to discharge shall expire at midnight on September 30, 2022.
Signed this day November 6, 2017.
S. Jay Zimmerman, P.G.
Director, Division of Water Resources
By Authority of the Environmental Management Commission
Page 1 of 6

NPDES Permit NCO036242
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.
Sofield PropertieS is hereby authorized to:
1. Continue to operate a 0.0067 MGD extended aeration wastewater treatment facility that
includes the following components:
♦ Aeration basin
♦ Clarifier with sludge return
♦ Effluent disinfection
This facility is located at Woodland Hills Apartments off NCSR 1107 west of Oak Grove in
Watauga County.
2. Discharge from said treatment works at the location specified on the attached map into
Brushy Fork Creek, a waterbody located within Subbasin 04-02-01, [Stream Index 8-15-10],
(HUC 060101030302), a waterbody currently classified C waters, in the Watauga River
Basin.
Page 2 of 6

NPDES Permit NCO036242
A. (L) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
[15 NCAC 02B .0400 et seq., 02B .0500 et seq.]
During the period beginning on the effective date of this permit and lasting until expiration, the Permittee is authorized to
discharge from outfall 001. Such discharges shall be limited, monitored, and reported' by the Permittee as specified below:
PARAMETER
LIMITS
MONITORING REQUIREMENTS1
[PCS Code]
Monthly Average
Daily Maximum
Measurement
Frequency
Sample Type
Sample
Location2
Flow
0.0067 MGD
Weekly
Instantaneous
Influent or
[50050]
Effluent
BOD, 5 day, 20oC3
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
[00310]
Total Suspended Solids
30.0 mg/L
45.0 mg/L
Weekly
Grab
Effluent
00530
NH3 as N (April 1 — October 31)
2.0 mg/L
10.0 mg/L
2/Month
Grab
Effluent
00610
NH3 as N (November 1 — March 31)
4.0 mg/L
20.0 mg/L
2/Month
Grab
Effluent
00610
Dissolved Oxygen
Daily average > 5.0 mg/L
Weekly
Grab
Effluent
00300
Dissolved Oxygen
Weekly
Grab
U & D
[00300]
pH
[00400]
> 6.0 and < 9.0 standard units
— —
Weekly
Grab
Effluent
Temperature
Weekly
Grab
Effluent,
00010
U & D
Fecal Coliform (geometric mean)
200 / 100 ml
400 / 100 ml
Weekly
Grab
Effluent
31616
Total Residual Chlorine4
17 µg/L
2/Week
Grab
Effluent
[50060]
Footnotes:
The permittee shall submit discharge monitoring reports electronically using the Division's eDMR system [see
A. (2.)].
U: at least 50 feet upstream from the outfall. D: at least 100 feet downstream from the outfall.
The monthly average effluent BOD5 and total suspended residue concentrations shall not exceed 15% of their
respective influent values (85% removal).
The Permittee shall report all effluent TRC values reported by a NC -certified laboratory [including field -
certified]. Effluent values < 50 µg/L will be treated as zero for compliance purposes.
Conditions:
• All samples must be collected from a typical discharge event.
• There shall be no discharge of floating solids or visible foam in other than trace amounts.
Page 3 of 6

NPDES Permit NCO036242
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.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
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 DENR / 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.
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.
Page 4 of 6

NPDES Permit NC0036242
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 appropriate electronic reporting tool for each type of
electronic submission and for each state. Instructions on how to access 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-npde s-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 temporary electronic reporting waivers 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
submitting monitoring data and reports. The duration of 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.) (d)1
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II, Section
B. (I 1.)(a) or by a duly authorized representative of that person as described in Part II, Section B. (I 1)(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:
Page 5 of 6

NPDES Permit NC0036242
htlp:Hdeq.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:
"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. "
5. Records Retention [Supplements Section D. (6.)]
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 6 of 6

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
March 23, 2022
Sofield's Children LTD Partnership DBA Sofield Properties
Attn: Michael Smith
103 Hwy 321
Sugar Grove, NC 28679
Subject: Permit Renewal
Application No. NCO036242
Woodland Hills Apartment WWTP
Watauga County
Dear Applicant:
The Water Quality Permitting Section acknowledges the March 22, 2022 receipt of your permit renewal application and
supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW permitting
branch. Per G.S. 150E-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
htt s: de9.nc.goy/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.
cc: Paul Isenhour-WQ Lab & Operations, Inc.
ec: WQPS Laserfiche File w/application
Sincerely,
j�Qo
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
North Carolina Department of Environmental Quality Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road. Suite 300 1 Winston-Salem North Carolina 27105
336.776.9800

North Carolina
Department of Environmental Quality Modified Application Form 2A
Division of Water Resources Revised March 2021
yAmX,k pt 1 CLS
Modified Application
Form 2A
Minor Sewage Facilities < 0.1 MGD
and No Pretreatment Program
NPDES Permitting Program
RECEIVED
MAR 2 2 2022
WDENWRINDES
Note: Complete this form if your facility is a MINOR new or existing publicly owned treatment works.

NPDES Permit Number
cility Name
Modified Application Form 2A
NCO036242
Hills Apartments
4;%
Modified March 2021AAA/TD
Form
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
NPDES
the instructions may result in denial of the application.
SECTION•N
INFORMATION FOR i
Facility name
1.1
Woodland Hills Apartments WWTP
Mailing address (street or P.O. box)
103 Hwy 321
City or town
State
ZIP code
o
Sugar Grove
NC
28679
EContact
name (first and last)
Title
Phone number
Email address
0
Michael Smith
Owner
[phone]
pam_msgproperties@yahoo
c
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
R
w
NCSR 1107
City or town
State
ZIP code
Boone
North Carolina
28607
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission r❑ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
❑ Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Water Quality Lab and Operations, Inc.
Applicant address (street or P.O. box)
P.o. Box 1167
E
City or town
State
ZIP code
0
Banner Elk
NC
28604
Contact name (first and last)
Title
Phone number
Email address
a
Paul Isenhour
President
[phone]
[e-mail]
c
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner [jr Operator ❑ Both
1.5
To which entity should the NPDES permitting authority send correspondence? (Check only one response.)
❑ Facility Applicant ❑ Facility and applicant
(they are one and the same)
1.6
Indicate below any existing environmental permits. (Check all that apply and print or type the corresponding permit
Y
number for each.)
E
Existing Environmental Permits
a❑
NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
w
water)
control)
E
NCO036242
c
o
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
w
rn
y
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
w
404)
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036242
Woodland Hills Apartments
%A1%AMD
Modified March 2021
1.7
Provide the collections stem information
requested below for the treatment works.
Municipality
Population
Collection System Type
Status
Served
Served
indicatepercentage)Ownership
Residential
25
100 % separate sanitary sewer
❑ Own 0 Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
d
❑ Unknown
❑ Own ❑ Maintain
co
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
n
a
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
4)
% separate sanitary sewer
❑ Own ❑ Maintain
y%
combined storm and sanitary sewer
❑ Own ElMaintain
c
❑ Unknown
❑ Own ❑ Maintain
dTotal
25
Population
0
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line in miles
100 %
%
1.8
Is the treatment works located in Indian Country?
c
0
U
❑ Yes 0 No
r-
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
0.0067 mgd
y
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
0
0.0008 mgd
0.0009 mgd
0.0007 mgd
`-Maximum
Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
0.002 mgd
0.003 mgd
0.0011 mgd
y
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
w
Total Number of Effluent Discharge Points b T e
a c-
a'
Combined Sewer
Constructed
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
s
Overflows
N_
G
1
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
NC0036242
Woodland Hills Apartments
�enniTn
Modified March 2021
Outfalls Other Than to Waters of the State of North Carolina
1.12
Does the POTW discharge wastewater to basins, ponds, or other surface impoundments that do not have outlets
for discharge to waters of the State of North Carolina?
❑ Yes 0 No 4 SKIP to Item 1.14.
1.13
Provide the location of each surface impoundment and associated discharge information in the table below.
Surface Im oundment Location and Dischar a Data
Average Daily Volume
Continuous or Intermittent
Location
Discharged to Surface
(check one)
Impoundment
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
❑ Continuous
gpd
❑ Intermittent
�°
1.14
Is wastewater applied to land?
❑ Yes 0 No 4 SKIP to Item 1.16.
c
1.15
Provide the land application site and discharge data requested below.
y
Land Application Site and Discharge Data
o
0
Average Daily Volume
Continuous or
Location
Size
Applied
Intermittent
check one
d
gpd
❑ Continuous
oacres
❑ Intermittent
❑ Continuous
o
acres
d
gpd
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
R
1.16
Is effluent transported to another facility for treatment prior to discharge?
o
ElYes ❑✓ No 4 SKIP to Item 1.21.
1.17
Describe the means by which the effluent is transported (e.g., tank truck, pipe).
1.18
Is the effluent transported by a party other than the applicant?
❑ Yes ❑ No 4 SKIP to Item 1.20.
1.19
Provide information on the transporter below.
Trans orter Data
Entity name
Mailing address (street or P.O. box)
City or town
State
ZIP code
Contact name (first and last)
Title
Phone number
Email address
Page 3

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036242
Woodland Hills Apartments
%AAAITn
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
facility.
-receiving
Receiving IF cility Data
Facility name
Mailing address (street or P.O. box)
d
City or town
State
ZIP code
0
v
Contact name (first and last)
Title
0
t
d
Phone number
Email address
o0
NPDES number of receiving facility (if any) ❑ None
Average daily flow rate mgd
N
0
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
0
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
CD
21
❑ Yes ❑ No 4 SKIP to Item 1.23.
0
1.22
Provide information in the table below on these other disposal methods.
d)
Information on Other Disposal Methods
o
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
3
acres
gpd
❑ Continuous
❑ Intermittent
ElContinuous
acres
gpd
❑ Intermittent
acres
gpd
ElContinuous
❑ Intermittent
1.23
Do you intend to request or renew one or more of the variances authorized at 40 CFR 122.21(n)? (Check all that apply.
Consult 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
1.24
Are any operational or maintenance aspects (related to wastewater treatment and effluent quality) of the treatment works
the responsibility of a contractor?
❑✓ Yes ❑ No *SKIP to Section 2.
1.25
Provide location and contact information for each contractor in addition to a description of the contractor's operational
and maintenance responsibilities.
Contractor Information
Contractor 1
Contractor 2
Contractor 3
c
Contractor name
Water Quality Labs
18
compan name
E
Mailing address
street or P.O. box
P.O. Box 1167
`0
City, state, and ZIP
Banner Elk, NC 28604
R
code
L
name (first and
_
cos
last)tact
Paul Isenhour
Phone number
[phone]
Email address
[e-mail]
Operational and
Operations & Maintenance
maintenance
responsibilities of
contractor
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO036242 Woodland Hills Apartments Modified March 2021
%AI%AMn
SECTION 2. ADDITIONAL INFORMATION (40 CIFIR 122.21(j)(1) and (2))
o Outfalls to Waters of the State of North Carolina
a
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
rn
o
❑ Yes ❑ No 4 SKIP to Section 3.
a
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
R
and infiltration.
gpd
Indicate the steps the facility is taking to minimize inflow and infiltration.
0
0
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
R =
specific requirements.)
Cn
0
o
❑ Yes ❑ No
1--
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
o R
(See instructions for specific requirements.)
— cn
LL R
o
❑ Yes ❑ No
2.5
Are improvements to the facility scheduled?
❑ Yes ❑ No 4 SKIP to Section 3.
Briefly list and describe the scheduled improvements.
=
0
d
E
Q
2.
E
0 0
y
d
3.
d
4.
rn
R
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Im rovements
d
Scheduled
Affected
Begin
End
Begin
Attainment of
>
o
Improvement
Outfalls
Construction
Construction
Discharge
Operational
E
(from above)
(list o number)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
Level
MM/DD/YYYY
a
1.
m
2.
3.
4.
2.7
Have appropriate permits/clearances concerning other federal/state requirements been obtained? Briefly explain your
response.
❑ Yes ❑ No ❑ None required or applicable
Explanation:
Page 5

NPDES Permit Number Facility Name Modified Application Form 2A
NCO036242 Woodland Hills Apartments Modified March 2021
nnniro
SECTION 3. INFORMATION ON I I
3.1 Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
Outfall Number 001
Outfall Number
Outfall Number
State
North Carolina
R
County
Watauga
0
City or town
Boone
O
--
.Q
Distance from shore
ft.
ft.
ft.
Depth below surface
ft.
ft.
ft.
d
0
Average daily flow rate
0.0008 mgd
mgd
mgd
Latitude
Longitude
°
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
o
❑ Yes ❑ No 4 SKIP to Item 3.4.
d
3.3
If so, provide the following information for each applicable outfall.
y
Outfall Number
Outfall Number
Outfall Number
0
Number of times per year
occurs
_
a
-discharge
Average duration of each
`o
(specify units
o
-discharge
Average flow of each
mgd
mgd
mgd
discharge
R
coMonths
in which discharge
[occurs
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes ❑ No 4 SKIP to Item 3.6.
d
3.5
describe the diffuser type at each applicable outfall. _
-Briefly
Outfall Number
Outfall Number
Outfall Number
N
7
0 v;
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
�
one or more discharge points?
w
0 Yes ❑ No 4SKIP to Section 6.
Page 6

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036242
Woodland Hills Apartments
%AAA/TD
Modified March 2021
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number 00,
Outfall Number
Outfall Number
Receiving water name
Brushy Fork Creek
Name of watershed, river,
c
or stream system
Watauga River
Q
U.S. Soil Conservation
y
Service 14-digit watershed
c
code
rn
Name of state
management/river basin
Watauga River Basin
U.S. Geological Survey
4)
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
FTotalohardness at critical
mg/L of
mg/L of
mg/L of
w
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number 001
Outfall Number
Outfall Number
Highest Level of
❑ Primary
❑ Primary
❑ Primary
Treatment (check all that
❑ Equivalent to
❑ Equivalent to
❑ Equivalent to
apply per outfall)
secondary
secondary
secondary
El Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
_
0
S
Design Removal Rates by
Outfall
f/l
d
BODs or CBOD5
85 %
%
%
d
E
m
TSS
85 %
%
%
0 Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
%
® Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
0 Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036242
Woodland Hills Apartments
AI%A ro
Modified March 2021
3.9
Describe the type of disinfection used for the effluent from each outfall in the table below. If disinfection varies by
season, describe below.
Chlorine and Dechlorination prior to discharge
0
m
c
0
rz
Outfall Number
Outfall Number
Outfall Number
0
Q-
Disinfection type
d
0
Seasons used
d
E
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
3.10
Have you completed monitoring for all Table A parameters and attached the results to the application package?
El Yes ❑ No
3.11
Have you conducted any WET tests during the 4.5 years prior to the date of the application on any of the facility's
discharges or on any receiving water near the discharge points?
❑ Yes ❑ No 4 SKIP to Item 3.13.
3.12
Indicate the number of acute and chronic WET tests conducted since the last permit reissuance of the facility's
discharges by outfall number or of the receiving water near the discharge points.
Outfall Number
Outfall Number
Outfall Number
Acute
Chronic
Acute
Chronic
Acute
Chronic
Number of tests of discharge
=
water
Number of tests of receiving
water
w
3.14
Does the POTW use chlorine for disinfection, use chlorine elsewhere in the treatment process, or otherwise have
reasonable potential to discharge chlorine in its effluent? N 14Occurs iprlOt fo 61S(V)txi( 2C
✓❑ Yes 4 Complete Table B, including chlorine. ❑ No 4 Complete Table B, omitting chlorine.
3.15
Have you completed monitoring for all applicable Table B pollutants and attached the results to this application
package? > J (A a6e- k6
❑ Yes 0 No U
Have you completed monitoring for all applicable Table D pollutants required by your NPDES permitting authority and
3.18
attached the results to this application package?
❑ Yes 0 No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO036242
Woodland Hills Apartments
%AAAfrn
Modified March 2021
3.19
Has the POTW conducted either (1) minimum of four quarterly WET tests for one year preceding this permit application
or (2) at least four annual WET tests in the past 4.5 years?
❑ Yes ❑ No 4 Complete tests and Table E and SKIP to
Item 3.26.
3.20
Have you previously submitted the results of the above tests to your NPDES permitting authority?
❑ Yes ❑ No 4 Provide results in Table E and SKIP to
Item 3.26.
3.21
Indicate the dates the data were submitted to our NPDES permitting authority and provide a summary of the results.
Date(s) Submitted
Summary of Results
MMIDDNYYY
a>
0
R
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
o
toxicity?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
d
w
3.24
Has the treatment works conducted a toxicity reduction evaluation?
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.25
Provide details of any toxicity reduction evaluations conducted.
3.26
Have you completed Table E for all applicable outfalls and attached the results to the application package?
❑ Yes ❑ Not applicable because previously submitted
information to the NPDES permitting authority.
Page 9

• NPDES Permit Number Facility Name Modified Application Form 2A
NCO036242 Woodland Hills Apartments Modified March 2021
�eneiTn
6. CHECKLIST
AND 1
CERTIFICATIONSECTION
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
21 Section 1: Basic Application
El w/ variance request(s) ❑ w/ additional attachments
Information for All A licants
❑ Section 2: Additional
❑ w/ topographic map ❑ w/ process flow diagram
Information
❑ w/ additional attachments
F w/ Table A ❑ w/ Table D
0 Section 3: Information on
❑ w/ Table B ❑ w/ additional attachments
Effluent Discharges
E
❑ w/ Table C
d
Section 4: Not Applicable
0
w
Section 5: Not Applicable
d
U
a
Section 6: Checklist and
❑
❑ w/ attachments
Certification Statement
Y
6,2
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. / am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Paul Isenhour
President
Signature
Date signed
� -/J -2-
LAM
Page 10

NPDES Permit Number
Facility Name
Outfall Number
NCO036242
Woodland Hills Apartments
%e n e iro
001
Modified Application Form 2A
Modified March 2021
�W2
241• •0
Maximum Daily Discharge
Average Daily Discharge
Analytical
ML or MDL
Value
Units
Value
Units
Number of
Pollutant
Methods
include units
( )
Samples
Biochemical oxygen demand
OML
2.0
o BOD5 or ❑ CBOD5
39.3
mg/L
4.5
mg/L
156 SM-5210B
10 MDL
(report one
Fecal coliform
86
cfu/100mL
2.4
cfu/100mL
156 SM-9222D
1.0 0 MIL
MDL
Design flow rate
0.003
MGD
0.0008
MGD
156
pH (minimum)
7.9
s/u
pH (maximum)
6.1
s/u
Temperature (winter)
18.1
Degrees Celsius
12.12
Degrees Celsius
60
Temperature (summer)
25
Degrees Celsius
17.86
Degrees Celsius
84
Total suspended solids (TSS)
35
mg/L
4.6
mg/L
156 SM
2540D
2.5 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).
Page 11