NC0022462_Renewal (Application)_20161213

December 8, 2016.
Wren Thedford
NC DENR/DWR/NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
RE: NPDES Permit Renewal Application NCO022462
Dear Mr. Thedford:
DEC 13 2016
Water Quality
Permitting Section
Enclosed for your review and renewal is the permit application for Sherwood Mobile
Home Park Waste Treatment Facility.
There have been no changes or modifications to the system since the last permit issuance.
If you have any questions, please do not hesitate to contact me directly.
Sincerely,
Teresa I Schenk
GP, Sherwood Mobile Home Park
Enclosures
Cc: Mikel Seely, Operator
Sherwood Office
Sherwood Manufactured Home Community
753 Tallman Circle • Midway Park, NC 28544
Phone: �910.353.1929 • Fax: [phone] . [e-mail]

t
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Mail the complete application to:
N. C. DENR / Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit INCO022462
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
Sherwood Mobile Home Park LP
Facility Name
Sherwood Mobile Home Park
Mailing Address
8255 Cascade St., Suite 120
City
Commerce Twp
State / Zip Code
MI, 48382
Telephone Number
248-363-6111
Fax Number
248-360-4073
e-mail Address
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 753 Tallman Circle
City
Midway Park
State / Zip Code
NC, 28544
County
Onslow
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
Sherwood Mobile Home Park
Mailing Address
8255 Cascade St., Suite 120
City
Commerce Twp
State / Zip Code
MI, 48382
Telephone Number
248.363.6111
Fax Number
248.360.4073
e-mail Address
[e-mail]
1 of 3 Form -D 11/12

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
X
Number of Homes 207/180
School
❑
Number of Students/ Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
Mobile Home Park
Number of persons served: 540
5. Type of collection system .
® Separate (sanitary sewer only)
6. Outfall Information:
❑ Combined (storm sewer and sanitary sewer)
Number of separate discharge points 1
Outfall Identification number(s) 001
Is the outfall equipped with a diffuser? ❑ Yes ❑ No
7. Name of receiving stream(s) (NEW applicants: Provide a map showing the exact location of each
outfall):
Unnamed Tributary to Mott Creek in the White Oak River Basin
S. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: 7 Duration: 24hrs
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.
See Attached
2 of 3 Form -D 11112

NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow 0.06 MGD
Annual Average daily flow 0.047 MGD (for the previous 3 years)
Maximum daily flow 0.070 MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes ® 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 past 36 months for parameters currently in your permit. Mark other arameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
12.2
5.6
mg/L
Fecal Coliform
900
64
ml
Total Suspended Solids
11.4
3.6
Mg/L
Temperature (Summer)
28
27
Celsius
Temperature (Winter)
20
16
Celcius
pH
8.1
N/A
Standard Units
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA)
UIC (SDWA)
NPDES
PSD (CAA)
Non -attainment program (CAA)
NCO022462
14. APPLICANT CERTIFICATION
NESHAPS (CAA)
Ocean Dumping (MPRSA)
Dredge or fill (Section 404 or CWA)
Other
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.
Teresa I Schenk General Partner,
Printed name of Person Signing Title
ture of Applicant
Date
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement representation, or certification in any
application, record, report, plan, or other document files or required to be maintained under Article 21 or regulations of the Environmental Management
Commission implementing that Article, or who falsifies, tampers with, or 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 11/12