NC0055212_Renewal (Application)_20231129

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
Nicholas Hakim, Chief Executive Officer
Auman's Mobile Home Park LLC
310 Arlington Ave
Ste 304
Subject: Permit Renewal
Application No. NCO055212
Auman's Mobile Home Park WWTP
Forsyth County
Dear Applicant:
NORTH CAROLINA
Environmental Quality
November 29, 2023
The Water Quality Permitting Section acknowledges the November 29, 2023 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 the permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deg.nc ciov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Siince--rrIely,
0,
4.4
Cynthia Demery
Administrative Assistant
Water Quality Permitting Section
DEQ"W
V
North Carolina Department of Ewironmental Quality I Division of Water Resources
Winston-Salem Regional Office 1 450 West Hanes Mill Road Suite 300 1 Winston-Salem North Carolina 27105
336.776.91500

7 L � f •r I' � 1 _• i'"t
RECEIVED
* l - N01M, 2 9."2023
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D /DWR/NPDE
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Auman's Mobile Home Park - NCO055212 Facility
USGS Quad Name: Kernersvitie Lat.: 36001'05x,
Location
Receiving Stream: Rich Fork Greek Long.: 80°03'00"
Stream Class: C No t to SCALD;
Subbasin: Yadkin -Pee Dee - 030707%�

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

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
Modified March 2021
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 a lication. il-- €1 a . _ "
SECTION•N
INFORMATION FOR
Facility name
1.1
Auman Land LLC tip'
Mailing address (street or P.O. box)
3910-2 N Main st.
City or town
State
code
o
High Point
NC
27265
€
Contact name (first and last)
Title
Phone number
Email address
Nick Hakim
Owner
[phone]
[e-mail]
Location address (street, route number, or other specific identifier) ❑ Same as mailing address
U-
PO box 11647
City or town
State
ZIP code
Charlotte
NC
28220
1.2
Is this application for a facility that has yet to commence discharge?
❑ Yes 4 See instructions on data submission ❑✓ No
requirements for new dischargers.
1.3
Is applicant different from entity listed under Item 1.1 above?
0 Yes ❑ No 4 SKIP to Item 1.4.
Applicant name
Carl Cheek
Applicant address (street or P.O. box)
2462 Moran St.
State
ZIP code
City or town
Burlington
NC
27215
Contact name (first and last)
Title
Phone number
Email address
4
Carl Cheek
ORC
[phone]
[e-mail]
`[
1.4
Is the applicant the facility's owner, operator, or both? (Check only one response.)
❑ Owner ❑✓ 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
number for each.
€
Existing Environmental Permits
NPDES (discharges to surface
❑ RCRA (hazardous waste)
❑ UIC (underground injection
water)
control)
E
o
❑ PSD (air emissions)
❑ Nonattainment program (CAA)
❑ NESHAPs (CAA)
C
c
W
m
H
❑ Ocean dumping (MPRSA)
❑ Dredge or fill (CWA Section
❑ Other (specify)
404)
Page 1

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
Modified March 2021
1.7
Provide the collections stem information requested below for the treatment works.
Municipality
Population
Collection System Type
Served
Served
indicatepercentage)Ownership
Status
90 residents
100 % separate sanitary sewer
0 Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ElMaintain
rn
c
% separate sanitary sewer
❑ Own ElMaintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
n
❑ Unknown
❑ Own ElMaintain
a
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
❑ Unknown
❑ Own ❑ Maintain
w
% separate sanitary sewer
❑ Own ❑ Maintain
% combined storm and sanitary sewer
❑ Own ❑ Maintain
r_
❑ Unknown
❑ Own ❑ Maintain
Total
Q1
Population
0
Served
Separate Sanitary Sewer System
Combined Storm and
Sanitary Sewer
Total percentage of each type of
sewer line in miles
100 %
%
2'
1.8
Is the treatment works located in Indian Country?
c
'
0
v
ElYes ❑ No
R
1.9
Does the facility discharge to a receiving water that flows through Indian Country?
❑ Yes El No
1.10
Provide design and actual flow rates in the designated spaces.
Design Flow Rate
.016 mgd
H
Annual Average Flow Rates Actual
Two Years Ago
Last Year
This Year
W
mgd
mgd
0.043 mgd
_o
Maximum Daily Flow Rates Actual
Two Years Ago
Last Year
This Year
mgd
mgd
.0045 mgd
H
1.11
Provide the total number of effluent discharge points to waters of the State of North Carolina by type.
w
c
Total Number of Effluent Discharge Points by Type
c
o, P
Combined Sewer
Constructed
Treated Effluent
Untreated Effluent
Overflows
Bypasses
Emergency
s
v
Overflows
1
Page 2

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
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 ❑✓ No + 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
gpd
ElContinuous
❑ Intermittent
1.14
Is wastewater applied to land?
g
❑ Yes 0 No 4 SKIP to Item 1.16.
0
1.15
Provide the land application site and discharge data requested below.
a,
Land Application Site and Discharge Data
Average Daily Volume
Continuous or
`o
0
Location
Size
A lied
Pp
Intermittent
L
check one
acres
9p d
❑ Continuous
a
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
v
acres
gpd
❑ Continuous
❑ Intermittent
1.16
Is effluent transported to another facility for treatment prior to discharge?
❑ Yes ❑✓ No 4 SKIP to Item 1.21.
0
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 otter 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
NCO055212
Auman Land LLC
Modified March 2021
1.20
In the table below, indicate the name, address, contact information, NPDES number, and average daily flow rate of the
receiving facility.
Receiving IF cility Data
-o
Facility name
Mailing address (street or P.O. box)
m
City or town
State
ZIP code
0
t�
,a
Contact name (first and last)
Title
0
s
m
Phone number
Email address
cNPDES
number of receiving facility (if any) ❑ None
Average daily flow rate mgd
a
i5
1.21
Is the wastewater disposed of in a manner other than those already mentioned in Items 1.14 through 1.21 that do
16.
not have outlets to waters of the State of North Carolina (e.g., underground percolation, underground injection)?
a,
❑ Yes © No 4 SKIP to Item 1.23.
a
1.22
Provide information in the table below on these other disposal methods.
m
Information on Other
Disposal Methods
Disposal
Location of
Size of
Annual Average
Continuous or Intermittent
Method
Disposal Site
Disposal Site
Daily Discharge
(check one)
Description
Volume
acres
gpd
❑ Continuous
❑ Intermittent
acres
gpd
❑ Continuous
❑ Intermittent
acres
gp d
❑ Continuous
❑ 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.)
Js
❑ Discharges into marine waters (CWA El quality related effluent limitation (CWA Section
Cr
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
Contractor name
�
(company name
Waste Managment sevices
Mailing address
10
street or P.O. box
2462 Moran St.
0
City, state, and ZIP
code
Burlington NC 27215
Contact name (first and
last)
Carl CHeek
Phone number
[phone]
Email address
[e-mail]
Operational and
Over see the operation of the
maintenance
treatment system at the park
responsibilities of
in accordance to the NPDES
contractor
_;+ 1;—;+,
Page 4

NPDES Permit Number Facility Name Modified Application Form 2A
NCO055212 Auman Land LLC Modified March 2021
SECTION•1 • •' • 1
0 Outfalls to Waters of the State of North Carolina
=
2.1
Does the treatment works have a design flow greater than or equal to 0.1 mgd?
o
❑ Yes No 4 SKIP to Section 3.
c
2.2
Provide the treatment works' current average daily volume of inflow
Average Daily Volume of Inflow and Infiltration
and infiltration.
gpd
r�
5
Indicate the steps the facility is taking to minimize inflow and infiltration.
c
R
0
0
c
2.3
Have you attached a topographic map to this application that contains all the required information? (See instructions for
M C
specific requirements.)
rng
0
CL
❑✓ Yes ❑ No
E
2.4
Have you attached a process flow diagram or schematic to this application that contains all the required information?
i°
(See instructions for specific requirements.)
o
. R
a
❑ 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
R
«
1.
c
a�
E
m
a
2.
E
0
y
d
3.
3
d
4.
•a
a
2.6
Provide scheduled or actual dates of completion for improvements.
Scheduled or Actual Dates of Completion for Improvements
E
d
>
Scheduled
Affected
Outfalls
Begin
End
Begin
Attainment of
Operational
o
Improvement
(list o
Construction
Construction
Discharge
Level
(from above)
number)
(MM/DD/YYYY)
(MM/DD/YYYY)
(MM/DD/YYYY)
MMlDD
v
d
0
>3
1.
d
s
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
NCO055212
Auman Land LLC Modified March 2021
SECTION•-
• ON • 1
Provide the following information for each outfall. (Attach additional sheets if you have more than three outfalls.)
3.1
Outfall Number 1
Outfall Number
Outfall Number
State
North Carolina
d'
County
Forsyth
�
City or town
High Point
0
c
a.
Distance from shore
ft.
ft.
ft.
a
m
Depth below surface
c
Average daily flow rate
.0043 mgd
mgd
mgd
Latitude
°
Longitude
o"
3.2
Do any of the outfalls described under Item 3.1 have seasonal or periodic discharges?
0 Yes ❑ No 4 SKIP to Item 3.4.
m
3.3
If so, provide the following information for each applicable outfall.
a
Outfall Number 1
Outfall Number
Outfall Number
0
Number of times per year
o
4
discharge occurs
365
a
Average duration of each
o
discharge (specify units
25 30 min
c0
Average flow of each
oola mgd
mgd
mgd
discharge
Months in which discharge
occurs
12
3.4
Are any of the outfalls listed under Item 3.1 equipped with a diffuser?
❑ Yes 0 No 4 SKIP to Item 3.6.
3.5
Briefly describe the diffuser t. fpe at each applicable outfall.
Wall Number
Outfall Number
Outfall Number
d
0
c
3.6
Does the treatment works discharge or plan to discharge wastewater to waters of the State of North Carolina from
12 =
one or more discharge points?
m
0 Yes ❑ No +SKIP to Section 6.
Page 6

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
Modified March 2021
3.7
Provide the receiving water and related information if known for each outfall.
Outfall Number 1
Outfall Number
Outfall Number
Receiving water name
Rich Fork Creek
Name of watershed, river,
0
or stream system
•c
U.S. Soil Conservation
Service 14-digit watershed
code
A
3
Name of state
management/river basin
CD
U.S. Geological Survey
'Z
8-digit hydrologic
cataloging unit code
Critical low flow (acute)
cfs
cfs
cfs
Critical low flow (chronic)
cfs
cfs
cfs
Total hardness at critical
mg/L of
mg/L of
mg/L of
low flow
CaCO3
CaCO3
CaCO3
3.8
Provide the following information
describing the treatment pr vided for discharges from each outfall.
Outfall Number
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
❑ Secondary
❑ Secondary
❑ Secondary
❑ Advanced
❑ Advanced
❑ Advanced
❑ Other (specify)
❑ Other (specify)
❑ Other (specify)
c
0
Design Removal Rates by
Outfall
a
BOD5 or CBOD5
%
%
%
c
m
m
TSS
%
%
%
❑ Not applicable
❑ Not applicable
❑ Not applicable
Phosphorus
%
%
°
❑ Not applicable
❑ Not applicable
❑ Not applicable
Nitrogen
%
%
%
Other (specify)
❑ Not applicable
❑ Not applicable
❑ Not applicable
Page 7

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
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.
d
c
w
c
0
c.�
Outfall Number 1
Outfall Number
Outfall Number
o
Q
Disinfection type
uv light
U
d+
Secondary is Chorine if needed
Seasons used
ALL
m
E
Dechlorination used?
❑ Not applicable
❑ Not applicable
❑ Not applicable
El 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?
❑ Yes 0 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
�o
Number of tests of discharge
a'
c
w
water
Number of tests of receiving
water
d
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?
❑ Yes -* 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?
❑ Yes ❑ No
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 ❑ No additional sampling required by NPDES
permitting authority.
Page 8

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
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 0 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 + 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
MM/DD
m
c
c
0
3.22
Regardless of how you provided your WET testing data to the NPDES permitting authority, did any of the tests result in
toxicity?
C
❑ Yes ❑ No 4 SKIP to Item 3.26.
3.23
Describe the cause(s) of the toxicity:
c
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 0 Not applicable because previously submitted
information to the NPDES permitting authority,
Page 9

NPDES Permit Number
Facility Name
Modified Application Form 2A
NCO055212
Auman Land LLC
Modified March 2021
SECTION 6. CHECKLIST
1 I
In Column 1 below, mark the sections of Form 2A that you have completed and are submitting with your application. For
6.1
each section, specify in Column 2 any attachments that you are enclosing to alert the permitting authority. Note that not
all applicants are required to provide attachments.
Column 1
Column 2
Section 1: Basic Application ❑
El wl variance request(s) El w/ additional attachments
Information for All Applicants
❑ Section 2: Additional
❑ w/ topographic map ❑ w/ process flow diagram
Information
❑ w/ additional attachments
❑ w/ Table A ❑ w/ Table D
❑ Section 3: Information on
❑ w/ Table B ❑ w/ additional attachments
m
Effluent Discharges
E
❑ w/ Table C
m
R
Section 4: Not Applicable
0
!�
Section 5: Not Applicable
m
c.�
=
Section 6: Checklist and
❑
❑ wl attachments
w
Certification Statement
6.2
Certification Statement
1 certify under penalty of law that this document and all attachments were prepared under my direction or supervision in
accordance with a system designed to assure that qualified personnel properly gather and evaluate the information
submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible
for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and
complete. 1 am aware that there are significant penalties for submitting false information, including the possibility of fine
and imprisonment for knowing violations.
Name (print or type first and last name)
Official title
Carl Cheek
ORC
Sign ure
Date signed
11/20/2023
RECEIVED
NOV 2 9 2023
NCDEQ/DWR/NPDES
Page 10

NPDES Permit Number
Facility Name
Outfall Number
NCO055212
uman Land LLC
=
Modified Application Form 2A
Modified March 2021
•• ••
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical
ML or MDL
Number of
Value Units
Value
Units
Method'
(include units)
Samples
Biochemical oxygen demand
❑ BOD5 or ❑ CBOD5
❑ ML
(report one
❑ MDL
Fecal coliform
❑ ML
❑ MDL
Design flow rate
s ... .. ....:...�
❑ ML
pH (minimum)
pH (maximum)
Temperature (winter)
Temperature (summer)
Total suspended solids (TSS)
❑ MDL
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
Page 11

EPA Identification Number NPDES Permit Number Facility Name Outfall Number Modified Application Form 2A
NC0055212 Auman Land LLC Modified March 2021
•- • • • • •
i
Maximum Daily Discharge
Average Daily Discharge
Pollutant
Analytical
ML or MDL
Number of
Value
Units
Value
Units
Methods
(include units)
Samples
Ammonia (as N)
❑ ML
❑ MDL
Chlorine
❑ ML
total residual, TRC 2
❑ MDL
Dissolved oxygen
❑ ML
❑ MDL
Nitrate/nitrite
❑ ML
❑ MDL
Kjeldahl nitrogen
❑ ML
❑ MDL
Oil and grease
❑ ML
❑ MDL
Phosphorus
❑ ML
❑ MDL
Total dissolved solids
❑ ML
❑ MDL
Sampling shall be conducted according to sufficiently sensitive test procedures (i.e., methods) approved under 40 CFR 136 for the analysis of pollutants or pollutant parameters or
required under 40 CFR chapter I, subchapter N or 0. See instructions and 40 CFR 122.21(e)(3).
2 Facilities that do not use chlorine for disinfection, do not use chlorine elsewhere in the treatment process, and have no reasonable potential to discharge chlorine in their effluent are not
required to report data for chlorine.
EPA Form 3510-2A (Revised 3-19) Page 12

EPA Identification Number NPDES Permit Number Facility Name Outfall Number
Modified Application Form 2A
NCO055212 Auman Land LLC
Modified March 2021
•- •
Maximum Daily Discharge Average Daily Discharge
Pollutant
Analytical ML or MDL
Value Units Value Units Number of
Method' (include units)
Samples
Metals, Cyanide, and Total Phenols
Hardness (as CaCO3)
❑ ML
❑ MDL
Antimony, total recoverable
❑ MIL
❑ MDL
Arsenic, total recoverable
❑ ML
❑ MDL
Beryllium, total recoverable
❑ ML
❑ MDL
Cadmium, total recoverable
❑ ML
❑ MDL
Chromium, total recoverable
❑ ML
❑ MDL
Copper, total recoverable
❑ ML
❑ MDL
Lead, total recoverable
❑ ML
❑ MDL
Mercury, total recoverable
❑ ML
❑ MDL
Nickel, total recoverable
❑ ML
❑ MDL
Selenium, total recoverable
❑ ML
❑ MDL
Silver, total recoverable
❑ ML
❑ MDL
Thallium, total recoverable
❑ ML
❑ MDL
Zinc, total recoverable
❑ ML
❑ MDL
Cyanide
❑ ML
❑ MDL
Total phenolic compounds
❑ ML
❑ MDL
Volatile Organic Compounds
Acrolein
❑ ML
❑ MDL
Acrylonitrile
❑ ML
❑ MDL
Benzene
❑ ML
❑ MDL
Bromoform
❑ ML
❑ MDL
EPA Form 3510-2A (Revised 3-19) Page 13

ROY COOPER NORTH CAROLINA
Goswnor Environmental Quality
WCHAEL S_ REGAN
Secretm-�%'
LIlVDA CULPEPPER
Interim Director
November 05, 2018
Gerald B. Eining
Auman's Mobile Home Park LLC
3910-2 N Main St
High Point, NC 27265-1217
Subject: Permit Renewal
Application No. NCOOSS212
Auman's Mobile Home Park WWTP
Forsyth County
Dear Applicant:
The Water Quality Permitting Section acknowledges the November 2, 2018 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 15OB-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit. The
permit writer will contact you if additional information is required to complete your permit renewal. Please respond in a
timely manner to requests for additional information necessary to allow a complete review of the application and renewal
of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https: //deg. nc.ciov/perm its-regulations/perm it-g uida nce/envi ronmenta I -application -tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
ec: WQPS Laserfiche File w/application
Sincerely,
'Acxw,'�
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
�[mT.u..emy wati�
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mad Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

AUMAN MOBILE HOME PARK
3910-2 N. Main Street
High Point, NC 27265
336-883-3910
[e-mail]
October 23, 2018
Gerard B. Einig & Kathi Auman-Einig
Auman Mobile Home Park LLC
3910-2 North Main Street
High Point, NC 27265
Wren Thedford
NC DENR / DWR / NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1677
Subject: Renewal Permit Request
Auman Mobile home Park LLC WWTP
NPDES Permit NCO055212
Forsyth County
Dear Mr. Wren Thedford,
REC;E1WED1DENRJD\NR
Nov 0 2 20%
Water Resources
Permitting Section
This is a cover letter requesting renewal of the permit #0055212 for Auman Mobile Home Park LLC,
WWTP, Forsyth County. The current permit expires April 30, 2019.
Our sludge management plan is contracted by a licensed septic tank service company, to pump and
dispose of our sludge from our septic tanks. This is done on a regular basis, once a year or more often
when needed. Thank you for your consideration in the permit renewal.
Sincerel
1
Gerard B. Einig ORC
Kathi Auman-Einig
Auman Mobile Home Park LLC

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
NC DEQ / DWR / NPDES
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit NC00
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 � , �� fir, (; e r_�. 141)imA-IJ E: ► (!G
Facility Name A V rn A til mD Si L,LL-C
Mailing Address SDI 1 O _ n? A A1 s�
City
State / Zip Code N D -)4 PAY?D Q-7 P1 L.
Telephone Number (33(e) $g _ Z G'I c D Of?
Fax Number ( ) Ail) At �0_
e-mail Address
2. Location of facility producing disch ge:
Check here if same address as above
Street Address or State Road 3 9) b Ay_ i11I'}� iv ST
City -A. S-1(
State / Zip Code N DZT
County 3 ofZs �rl�
3. 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 — &I gg��-
Mailing Address
City
State / Zip Code
Telephone Number ( )
Fax Number ( )
e-mail Address
1 of 3 Form-D 6/2017

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 71 5 ,rd-r5
School ❑ Number of Students/Staff
Other ❑ Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants,
etc.):
Number of persons served: '-)00
5. Separate
f collection system
(sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
6. Outfall information:
Number of separate discharge points
Outfall Identification number(s) OD l
Is the outfall equipped with a diffuser? ❑ Yes 21ho
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each outfall):
K, -�-N /=alz l� Cze-�/-,
8. Frequency of Discharge: ❑ Continuous intermittent
If intermittent:
Days per week discharge occurs: Duration: a5 4-0 3 0 mj n( C—D Esc i EA2 CAE
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.0� L 3 _ 3 aDp LLo �v
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2 of 3 I t ► L 4 FD R f , - Form-D 6/2017

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow . 0 MGD
Annual Average daily flow , 0055' MGD (for the previous 3 years)
Maximum daily flow , 000 S MGD (for the previous 3 years)
11. Is this facility located on Ind"" country?
El Yes l_"1 No
12. Effluent Data
NEW APPLICANTS: 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.
RENEWAL APPLICANTS: Provide the highest single reading (Daily Maximum) and Monthly Average over the
nast 36 months for Parameters currently in your Permit. Mark other parameters "N/A".
SCC 7k)D Para eteMDJdJT4)Z1
1-C)CS
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BOD6)
Fecal Coliform
Total Suspended Solids
Temperature (Summer)
Temperature (Winter)
pH
13. List all permits, construction approvals and/or applications:
Type H//4 Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NESHAPS (CAA)
Ocean Dumping (MPRSA)
/,l l✓ Vo55 alb 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.
OIR D �1N c kt}�ii /9eJN1 riN - �/ iy (rj LJ A[CP.S
Printed name of Person Signing Title
b ! 2.3 /
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 knowingly 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.)
3 of 3 Form-D 612017

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11
Auman's Mobile Home Park N 055212 Facility
USGS Quad Name: Kernersv lle .at: 36001't? " Location
Receiving Stream; Rich Fork Greek Lang.: W1)TW
Stream Class: + Not to SCALE # s
Subbasin: Yadkin -Pee Dee - 030707