NC0063762_owner name change_20121128

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ee
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Chuck Wakild Dee Freeman
Governor Director Secretary
November 28, 2012
RYAN B HOTCHKISS
MANAGING MEMBER
CAROLINA VILLAGE MHC LLC
2131 ESPEY COURT, SUITE 3
CROFTON MD 21114
Subject: NPDES Permit Modification- Name and/or
Ownership Change
Permit Number NCO063762
Carolina Village Mobile Home Park
Cabarrus County
Dear Mr. Hotchkiss:
Division personnel have reviewed and approved your request to transfer ownership of the subject permit, received
on February 20, 2012. This permit modification documents the change of ownership.
Please find enclosed the revised permit. All other terms and conditions contained in the original permit remain
unchanged and in full effect. This permit modification is issued under the requirements of North Carolina General
Statutes 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S. Environmental Protection
Agency.
If you have any questions concerning this permit modification, please contact the Point Source Branch at (919)
807-6304.
Since ly_V-5z�1--
Chuck Wakild
cc: Central Files
Mooresville Regional Office, Surface Water Protection
NPDES Unit File NCO063762
1617 Mail Service Center, Ralegh, North Carolina 27n99-1617
Location 512 Pl. Salisbury St Raleigh, North Carolina 27604
Phone: [phone] FAX g1q 807-6021 Crtorne, S--n�ne. 1-6'7-62,1 a748
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Permit NCO063762
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
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,
Carolina Village MHC, LLC
is hereby authorized to discharge wastewater from a facility located at the
Carolina Village Mobile Home Park
Concord
Cabarrus County
to receiving waters designated as the Rocky River in the Yadkin -Pee Dee River Basin,
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective December 1, 2012.
This permit and authorization to discharge shall expire at midnight on
November 30, 2013.
Signed this day Novem er 30, 2012.
0
Chy6jvWakild, Director
sion of Water Quality
By Authority of the Environmental Management Commission

Permit NCO063762
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.
Carolina Village MHC, LLC is hereby authorized to:
1. Continue to operate the existing 0.09 MGD wastewater treatment facility
that includes the following components:
➢ Influent lift station
➢ Bar screen
➢ Aerated EQ (Contact)
➢ Re -aeration basin
➢ Clarifier
➢ Aerobic digester
➢ Tablet chlorination
➢ Contact basin
➢ Tablet dechlorination
➢ Effluent flow measurement
2. This facility is located at the Carolina Village Mobile Home Park WWTP in
Cabarrus County.
3. Discharge from said treatment works at the location specified on the
attached map into the Rocky River, currently classified C waters in the
Yadkin -Pee Dee River Basin.

Permit NCO063762
A. (1) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until expiration, the
Permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall
be limited and monitored by the Permittee as specified below:
ARAMETER -
LIMITS
MONIT G REQUIREMEN
Flow
Monthly
Average
Daily
um
Measurement
Frequency
Sample
Type
RecordingI
Sample
Locations
or L
0.09 MGD
Continuous
BOD, 5-da , 20°C
30.0 m L
45.0 m L
Weeks
Composite
E
Total Sus ended Solids
30.0 m L
45.0 m L
Weeks
Composite
E
NH3 as N
(April 1 - Oct 31
20.0 mg/L
35.0 mg/L
Weekly
Composite
E
NH3 as N
Nov 1 - March 31
Weekly
Composite
E
pH2
Weekly
Grab
E
Total Residual Chlorine3
28.0 µg/L
2/Week
Grab
E
Total Nitrogen
N021 NO3 + TKN
Quarterly
Composite
E
Total Phosphor -us
Quarterly
Composite
E
Dissolved Oxygen
Weeks
Grab
E, U & D
Fecal Coliform
(geometric mean
200/ 100 ml
400/ 100 ml
Weekly
Grab
E, U & D
Temperature, °C
Dail
Grab
E, U & D
Footnotes:
1. I = Influent. E= Effluent. U: upstream at least 100 feet from the outfall. D: downstream
at US Highway 29.
2. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
3. TRC - Because low-level TRC is currently difficult to quantify in a wastewater
matrix, the Division shall consider all effluent TRC values reported below 50 pg/L
to be "in compliance" with the permit. However, the Permittee shall continue to
record and submit all values reported by North Carolina -certified field and lab test
methods, even if these values fall below 50 pg/L.
All samples collected should be from a representative discharge event.
There shall be no discharge of floating solids or visible foam in other than
trace amounts.

Permit NCO063762
A. (2) FLOOD PLAIN ANALYSIS
The facility shall conduct a flood plain analysis evaluating the 100-year flood
plain. At a minimum this report shall include an analysis of whether the
treatment plant is within the 100-year flood plain and plans (with a time
schedule) to address the problem. This report is due 45 days after the effective
date of the permit and should be submitted in triplicate.
A. (3) ENGINEERING ALTERNATIVE ANALYSIS (EAA)
No later than 90 days following the effective date of this permit, the permittee
shall submit a detailed analysis of all available means to dispose of this
facility's wastewater, including connection to any existing or future Wastewater
Interceptor lines. This EAA shall be prepared in compliance with the Divisions
guidance document for EAA's.
If no EAA is submitted, the Division may reopen and modify this permit to
increase monitoring frequencies or change effluent limits as necessary to
protect the receiving stream.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Beverly Eaves Perdue, Governor
Dee Freeman, Secretary
Charles Wakild, P.E., Director
• •
NC ENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
PERMIT NAME/OWNERSHIP CHANGE FORM
CURRENT PERMIT INFORMATION:
Permit Number: NC00A/ 3 /_9 / (.Q / Z.
1. Permit holder's name: Qankm(a
2. Permit's signing official's name and title: ��1r�� C NO-1 ILL
(Person legally responsible for permit)
L.1_ CAW`.
3. Mailing address: 2-ItFS k ity: Q
State: Zip Code: ?�J111-�- Phone: yQ2_'A
E-mail address: (-hCTC NIyQ%S hbCl lC'�yY��.C�y�
NEW OWNERMAME INFORMATION:
1. lis request for a name change is a result of:
a. Change in ownership of property/company
b. Name change only
P. Other (please explain):
2. New owner's name (name to be put on permit):
3. New owner's or signing official's name and title: OK
(Person legally responsible for permit)
4. Mailing address: ZG\ City:
State:_ Zip Code: ! 1
E-mail add
Phone: (36\ ) 3g2 iiQ7 S
FEB 2 0 2012
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX �19 ' ` § '
An Equal Opportunity Affirmative Action Employer 50% recycled / 10% post -consumer

PERMIT NAME / OWNERSHIP CHANGE FORM
THIS APPLICATION PACKAGE WILL NOT BE ACCEPTED BY THE DIVISION OF WATER QUALITY 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 contract, deed, articles of
incorporation)
For changes of ownership, this form must be completed and signed by both the current permit
holder and the new owner of the facility.
For name change only, the current permit holder must complete and sign the Applicant's
Certification.
Current Permittee's Certification:
I, , attest that this application for
name/ow ership 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.
1111*1
Signature: Date: 1
Applicant's ertification:
I, N11 , attest that this application for a
name/ wnership 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.
Signature: Date: I L012
THE CO LETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION & MATERIALS, SHOULD BE SENT TO THE FOLLOWING ADDDRESS:
NC DENR / DWQ 1 Point Source Branch
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Version 2112

NORTH CAROLINA
Department of the Secretary of State
To all whom these presents shall come, Greetings:
I, Elaine F. Marshall, Secretary of State of the State of North Carolina, do hereby certify
the following and hereto attached to be a true copy of
ARTICLES OF ORGANIZATION
OF
CAROLINA VILLAGE MHC, LLC
the original of which was filed in this office on the 10th day of February, 2012.
IN WITNESS WHEREOF, I have hereunto set my
�` 0•t _ ._0 hand and affixed my official seal at the City of
ram` Raleigh, this loth day of February, 2012.
Scan to verify online.
Certification# C201204000476-1 Reference# C201204000476-1 Page: 1 of a Secretary of State
Verify this certificate online at www.secretary.state.nc.uslverification

SOSID:4243217
Date Filed: 2/10/2012 8:09:00 AM
Elaine F. Marshall
North Carolina Secretary of State
C201204000476
State of North Carolina
Department of the Secretary of State
Limited Liability Company
ARTICLES OF ORGANIZATION
Pursuant to §57C-2-20 of the General Statutes of North Carolina, the undersigned does hereby submit
these Articles of Organization for the purpose of forming a limited liability company.
l . The name of the limited liability company is: Carolina Village MHC,1-LC
2. If the limited liability company is to dissolve by a specific date, the latest date on which the
limited liability company is to dissolve: (If no date for dissoMon is specified, there shall be no
limit on the duration of the limited liability company.)
3. The name and address of each person executing these articles of organization is as follows:
(State whether each person is executing these articles of organization in the capacity of a
member, organizer or both Note: This document must be signed by all persons listed here).
John R. Orrick, Jr., 7200 Wisconsin Ave., Ste. 800, Bethesda, Maryland 20814 - Organizer
I
4. The street address and county of the initial registered office of the limited liability company is:
Number and Street 327 HUsborough Street
City, State, Zip Cade Raleigh, NC 27603 County Wake
�s
5. The mailing address, if different, from the street address, of the initial registered office is:
6. The name of the initial registered agent is: CorporaVon Service Company
7. Principal office information: (Select either a or b.)
a. 2 The limited liability company has a principal office. '
The street address and county of the principal office of the limited liability company is:
Number and Street do Federal Capital Partners, 5425 Wisconsin Ave., Ste. 202
City, State, Zip Code Chevy Chase, Maryland 20815 County Mo[Ltgornery
The mailing address, ijdifferent from the street address, of the principal office of the corporation is:
b. ❑ The limited liability company does not have a principal office.
i
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81 Check one of the following:
{i} Member -managed LLC: all members by virtue of their status as members shall be
managers of this limited liability company.
(ii) Manager -managed LLC: except as provided by N.C.G.S. Section 57C-3-20(a), the
members of this limited liability company shall not be managers by virtue of their status as
members.
9. Any other provisions which the limited liability company elects to include are attached.
10. These articles will be effective upon filing, unless a date and/or time is specified:
This is the day of , 20�.�•
Signature
John R. Orrlck, Jr., Organizer
?ape or Print Name and Title
NOTES:
I • Filiiag fee is $125. This document must be tiled with the Secretary of State.
CORPORATIONS DIVISION P.O. Box 29622 RALEIGH, NC 27626-0622 ,
(RevisedJanuary 2002) (Far»i >r01)
Instructions for Filing
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