NC0056201_LV20230128_20230504

DIVISION OF WATER RESOURCES - CIVIL PENALTY ASSESSMENT
Violator: Countryside NC MHP Sophia NC LLC
Facility Name: Countryside MHP
Permit Number: NCO056201
County: Randolph
Case Number: LV-2023-0128
ASSESSMENT FACTORS
1) The degree and extent of harm to the natural resources of the State, to the public health, or to private
property resulting from the violation;
The exact degree and extent of harm has not been determined with certainty. The plant discharges to an unnamed tributary to Caraway
Creek, Class C waters, which are waters protected for uses such as aquatic life propagation, survival and maintenance of biological
integrity (including fishing and fish), wildlife, secondary contact recreation, and agriculture. Secondary contact recreation means
wading, boating, other uses not involving human body contact with water, and activities involving human body contact with water
where such activities take place on an infrequent, unorganized, or incidental basis.
2) The duration and gravity of the violation;
The daily maximum limit for fecal coliform was exceeded by 505% three times during the reporting period. The daily maximum limit
for biochemical oxygen demand (BOD) was exceeded by 145% once during the reporting period. The monthly average limit for BOD
was exceeded by 11% during the reporting period. It is unknown how long the discharge with the high levels of fecal coliform and/or
BOD lasted, and therefore it is also unknown how many gallons of treated wastewater with high fecal coliform and/or BOD levels were
discharged.
3) The effect on ground or surface water quantity or quality or on air quality;
Wastewater with high levels of fecal coliform and/or BOD could impact the classified uses of surface water, as listed above.
4) The cost of rectifying the damage;
The cost of rectifying the damage is unknown. There were no documented or reported damages to the receiving stream that required
cleanup, repair, or closures.
5) The amount of money saved by noncompliance;
The amount saved by noncompliance may be equal to the amount that would have been spent to prevent the exceedances.
6) Whether the violation was committed willfully or intentionally;
DWR has no evidence that the violations were willful or intentional.
7) The prior record of the violator in complying or failing to comply with programs over which the
Environmental Management Commission has regulatory authority; and
Within the twelve months prior to the subject violation, the permittee has been issued one civil penalty assessment, five notices of
violation, and one notice of deficiency.
8) The cost to the State of the enforcement procedures.
$123.04
5/4/2023
EI D'ocu S�igTned by:
•�n. l . Jn,lAts'
945B49E225C94EA...
Date Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Certified Mail # 7019 1120 0001 5505 1770
Return Receipt Requested
Jake Krantz
Countryside NC MHP Sophia NC LLC
75 W Towne Ridge Pkwy Ste 201
Sandy, UT 84070
NORTH CAROLINA
Environmental Quality
May 04, 2023
SUBJECT: Notice of Violation and Assessment of Civil Penalty
for Violations of North Carolina General Statute (G.S.) 143-215.1(a)(6)
and NPDES WW Permit No. NCO056201
Countryside NC MHP Sophia NC LLC
Countryside MHP
Case No. LV-2023-0128
Randolph County
Dear Mr. Krantz:
This letter transmits a Notice of Violation and assessment of civil penalty in the amount of $923.04 ($800.00 civil penalty
+ $123.04 enforcement costs) against Countryside NC MHP Sophia NC LLC.
This assessment is based upon the following facts: a review has been conducted of the Discharge Monitoring Report
(DMR) submitted by Countryside NC MHP Sophia NC LLC for the month of January 2023. This review has shown the
subject facility to be in violation of the discharge limitations and/or monitoring requirements found in NPDES WW Permit
No.NCO056201. The violations, which occurred in January 2023, are summarized in Attachment A to this letter.
Based upon the above facts, I conclude as a matter of law that Countryside NC MHP Sophia NC LLC violated the
terms, conditions or requirements of NPDES WW Permit No. NCO056201 and G.S. 143-215. 1 (a)(6) in the manner and
extent shown in Attachment A. In accordance with the maximums established by G.S. 143-215.6A(a)(2), a civil penalty
may be assessed against any person who violates the terms, conditions or requirements of a permit required by G.S.
143-215.1(a).
�QP
North Carolina Department of Environmental Quality I Division of Water Resources
Winston-Salem Regionat Offtce 1 450 West Hanes Mill Road, Suite 300 1 Winston-Salem, North Carolina 27105
336,776.9800

Based upon the above findings of fact and conclusions of law, and in accordance with authority provided by the
Secretary of the Department of Environmental Quality and the Director of the Division of Water Resources, I, Lon T.
Snider, Regional Supervisor, Winston-Salem Regional Office hereby make the following civil penalty assessment against
Countryside NC MHP Sophia NC LLC:
200.00 1 of 1 violations of G.S. 143-215.l(a)(6) and Permit No. NC0056241, by discharging waste water
into the waters of the State in violation of the Permit Daily Maximum for BOD, 5-Day (20 Deg. C)
- Concentration
600.00 3 of 3 violations of G.S. 143-215.l(a)(6) and Permit No. NC0056201, by discharging waste water
into the waters of the State in violation of the Permit Daily Maximum for Coliform, Fecal MF,
MFC Broth, 44.5 C
0.00 0 of 1 violations of G.S. 143-215. 1 (a)(6) and Permit No. NC0056201, by discharging waste water
into the waters of the State in violation of the Permit Monthly Average for BOD, 5-Day (20 Deg.
C) - Concentration
800.00 TOTAL CIVIL PENALTY
123.04 Enforcement Costs
923.04 TOTAL AMOUNT DUE
Pursuant to G.S. 143-215.6A(c), in determining the amount of the penalty I have taken into account the Findings of Fact and
Conclusions of Law and the factors set forth at G.S. 143B-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public health, or to private property
resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs over which the Environmental
Management Commission has regulatory authority; and
(8) The cost to the State of the enforcement procedures.
Within thirty (30) days of receipt of this notice, you must do one of the following:
(1) Submit payment of the penalty, OR
(2) Submit a written request for remission, OR
(3) Submit a written request for an administrative hearing
Option 1: Submit payment of the penalty:
Payment should be made directly to the order of the Department of Environmental Quality (do not include waiver
form). Payment of the penalty will not foreclose further enforcement action for any continuing or new violation(s).
Please submit payment to the attention of -
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 2: Submit a written request for remission or mitigation including a detailed justification for such
request:
Please be aware that a request for remission is limited to consideration of the five factors listed below as they may
relate to the reasonableness of the amount of the civil penalty assessed. Requesting remission is not the proper
procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual statements contained in
the civil penalty assessment document. Because a remission request forecloses the option of an administrative hearing,
such a request must be accompanied by a waiver of your right to an administrative hearing and a stipulation and
agreement that no factual or legal issues are in dispute. Please prepare a detailed statement that establishes why you
believe the civil penalty should be remitted, and submit it to the Division of Water Resources at the address listed below.
In determining whether a remission request will be approved, the following factors shall be considered:
(1) whether one or more of the civil penalty assessment factors in NCGS 143B-282. 1 (b) was wrongfully
applied to the detriment of the petitioner;
(2) whether the violator promptly abated continuing environmental damage resulting from the violation;
(3) whether the violation was inadvertent or a result of an accident;
(4) whether the violator had been assessed civil penalties for any previous violations; or
(5) whether payment of the civil penalty will prevent payment for the remaining necessary remedial actions.
Please note that all evidence presented in support of your request for remission must be submitted in writing. The
Director of the Division of Water Resources will review your evidence and inform you of his decision in the matter of
your remission request. The response will provide details regarding the case status, directions for payment, and
provision for further appeal of the penalty to the Environmental Management Commission's Committee on Civil Penalty
Remissions (Committee). Please be advised that the Committee cannot consider information that was not part of the
original remission request considered by the Director. Therefore, it is very important that you prepare a complete and
thorough statement in support of your request for remission.
In order to request remission, you must complete and submit the enclosed "Request for Remission of Civil Penalties,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form within thirt(30) days of receipt of this
notice. The Division of Water Resources also requests that you complete and submit the enclosed "Justification for
Remission Request."
Both forms should be submitted to the following address:
Wastewater Branch
Division of Water Resources
1617 Mail Service Center
Raleigh, North Carolina 27699-1617

Option 3: File a petition for an administrative hearing with the Office of Administrative Hearings:
If you wish to contest any statement in the attached assessment document you must file a petition for an administrative
hearing. You may obtain the petition form from the Office of Administrative Hearings. You must file the petition with
the Office of Administrative Hearings within thirty (30) days of receipt of this notice. A petition is considered filed
when it is received in the Office of Administrative Hearings during normal office hours. The Office of Administrative
Hearings accepts filings Monday through Friday between the hours of 8:00 a.m. and 5:00 p.m., except for official state
holidays. The petition may be filed by facsimile (fax) or electronic mail by an attached file (with restrictions) - provided
the signed original, one (1) copy and a filing fee (if a filing fee is required by NCGS § 15013-23.2) is received in the
Office of Administrative Hearings within seven (7) business days following the faxed or electronic transmission. You
should contact the Office of Administrative Hearings with all questions regarding . the filing fee and/or the details of the
filing process.
The mailing address and telephone and fax numbers for the Office of Administrative Hearings are as follows:
6714 Mail Service Center
Raleigh, NC 27699 6714
Tel: [phone]
Fax: [phone]
One (1) copy of the petition must also be served on DEQ as follows:
Mr. William F. Lane, General Counsel
Department of Environmental Quality
1601 Mail Service Center
Raleigh, North Carolina 27699-1601
Please indicate the case number (as found on page one of this letter) on the petition.
Failure to exercise one of the options above within thirty (30) days of receipt of this letter, as evidenced by an internal
date/time received stamp (not a postmark), will result in this matter being referred to the Attorney General's Office for
collection of the penalty through a civil action. Please be advised that additional penalties may be assessed for violations
that occur after the review period of this assessment.
If you have any questions, please contact Jesse Barnes with the Division of Water Resources staff of the Winston-Salem
Regional Office at [phone] or via email at [e-mail].
Sincerely,
EDocu Siiggned b<y:
%w. l . ci,,l e '
145B49E225C94EA...
Lon T. Snider, Regional Supervisor
Water Quality Regional Operations Section
Winston-Salem Regional Office
Division of Water Resources, NCDEQ
ATTACHMENTS
Cc: WQS Winston-Salem Regional Office - Enforcement File
NPDES Compliance/Enforcement Unit - Enforcement File

JUSTIFICATION FOR REMISSION REQUEST
Case Number: LV-2023-0128 County: Randolph
Assessed Party: Countryside NC MHP Sophia NC LLC
Permit No.: NC0056201 Amount Assessed: $923.04
Please use this form when requesting remission of this civil penalty. You must also complete the "Request For Remission,
Waiver of Right to an Administrative Hearing, and Stipulation of Facts" form to request remission of this civil penalty.
You should attach any documents that you believe support your request and are necessary for the Director to consider in
evaluating your request for remission. Please be aware that a request for remission is limited to consideration of the five
factors listed below as they may relate to the reasonableness of the amount of the civil penalty assessed. Requesting
remission is not the proper procedure for contesting whether the violation(s) occurred or the accuracy of any of the factual
statements contained in the civil penalty assessment document. Pursuant to N.C.G.S. § 143B-282.1(c), remission of a civil
penalty may be granted only when one or more of the following five factors apply. Please check each factor that you
believe applies to your case and provide a detailed explanation, including copies of supporting documents, as to why the
factor applies (attach additional pages as needed).
(a) one or more of the civil penalty assessment factors in N.C.G.S. 143B-282. 1 (b) were wrongfully applied to the
detriment of the petitioner (the assessment factors are listed in the civil penalty assessment document);
(b) the violator promptly abated continuing environmental damage resulting from the violation (i.e., explain the
steps that you took to correct the violation and prevent future occurrences);
(c) the violation was inadvertent or a result of an accident (i.e., explain why the violation was unavoidable or
something you could not prevent or prepare for);
(d) the violator had not been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining necessary remedial actions (i.e., explain
how payment of the civil penalty will prevent you from performing the activities necessary to achieve
compliance).
EXPLANATION:

STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENTAL QUALITY
COUNTY OF RANDOLPH
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
Countryside NC MHP Sophia NC LLC )
Countryside MHP )
PERMIT NO. NCO056201 ) CASE NO. LV-2023-0128
Having been assessed civil penalties totaling $923.04 for violation(s) as set forth in the assessment document of the Division
of Water Resources dated April 28, 2023, the undersigned, desiring to seek remission of the civil penalty, does hereby waive
the right to an administrative hearing in the above -stated matter and does stipulate that the facts are as alleged in the
assessment document. The undersigned further understands that all evidence presented in support of remission of this civil
penalty must be submitted to the Director of the Division of Water Resources within thirty (30) days of receipt of the notice
of assessment. No new evidence in support of a remission request will be allowed after (30) days from the receipt of the
notice of assessment.
This the day of , 20
SIGNATURE
TELEPHONE

ATTACHMENT A
Countryside NC MHP Sophia NC LLC
CASE NUMBER: LV-2023-0128
PERMIT:
NCO056201
REGION:
Winston-Salem
FACILITY:
Countryside
MHP
COUNTY:
Randolph
LIMIT VIOLATION(S)
SAMPLE LOCATION:
Outfall 001 - Effluent
Violation
Report
Unit of
Limit
Calculated % Over
Violation
Penalty
Date
Month/Yr
Parameter
Frequency
Measure
Value
Value
Limit
Type
Amount
1/9/2023
1-2023
BOD, 5-Day (20 Deg.
Weekly
mg/I
15
36.8
145.3
Daily
$200.00
C) - Concentration
Maximum
Exceeded
1/31/2023
1-2023
BOD, 5-Day (20 Deg.
Weekly
mg/I
10
11.13
11.3
Monthly
$0.00
C) - Concentration
Average
Exceeded
1/3/2023
1-2023
Coliform, Fecal MF,
Weekly
#/100ml
400
2,420
505.0
Daily
$200.00
MFC Broth, 44.5 C
Maximum
Exceeded
1/9/2023
1-2023
Coliform, Fecal MF,
Weekly
#/100ml
400
2,420
505.0
Daily
$200.00
MFC Broth, 44.5 C
Maximum
Exceeded
1/30/2023
1-2023
Coliform, Fecal MF,
Weekly
#/100ml
400
2,420
505.0
Daily
$200.00
MFC Broth, 44.5 C
Maximum
Exceeded