NC0056201_Renewal (Application)_20180727

July 27, 2018
Ms. Julie Grzyb RECEIVED/DENRIDWR
Supervisor
NPDES Complex Permitting Unit AUG O-3 2D18
Division of Water Resources
North Carolina Department of Environmental Quality Water Resources
512 North Salisbury Street Permitting Section
Raleigh,NC 27604
Subject: NC Land Lease, LLC
Countryside Mobile Home Park WWTP
Randolph County
NC0056201
Renewal Application
Dear Ms. Grzyb;
Please consider this information as support for the renewal of the Individual NPDES Discharge
Permit for the Countryside Mobile Home Park WWTP (NC0056201). Enclosed with this letter is
the appropriate renewal application(NC Form D).
As part of the renewal,we would like to request several modifications to the existing permit. Some
of the modifications are consistent with plans to replace the existing wastewater treatment plant
with a new wastewater treatment system utilizing UV disinfection. This work is covered under a
recently issued Authorization to Construct(A to C.No. 56201A02).
In addition, as part of the planned project, the outfall point and associated monitoring locations
will be moved. The outfall location will be adjusted to be located on the subject property (current
discharge point is off the property). The upstream and downstream monitoring locations will also
be moved to also be on the facility property. The outfall locations and future monitoring locations
were addressed under a recent"Technical Correction Letter"issued July 26, 2018.
The Effluent Limitations and Monitoring Requirements from Part I of the existing NPDES Permit
(NC0056201)is shown below. There is no requested change to the permitted flow or to the effluent
limitations.

IEFFLUENTCHARACTERISTICS , LIMITS MONITORING REQUIREMENTS
-Monthly " Daily Measurement Sample° Sample
Parameter`Code Average Maximum Frequency Type Location2
Flow 50050 0.015 MGI) Continuous Recording 1 or E
BOD,5-day,20'0
C0310 5.0 mgfl 7.5 mgal Weekly Grab E
(April 1-October 31) _
SOI),5-day,20'0
C0310 10.0 mg/ 15.0 mg!' Weekly Grab E
(November 1-March 31)
Total Suspended Solids C0530 30.0 mgh 45.0 mg/1 Weekly Grab E
NH3-N 00610 2.0 mg/1 10.0 mg/- Weekly Grab E
(Apr11-O tober31)
NH3-ld C0610 4.0 mg/1 20.0 rng1L Weekly Grab E
(November 1-March 31)
Total Residual Chlorine3 - 50060 17 ugh 2RVeek Grab E
Fecal Califon(Geometric mean) 31616 2001100 ml 400/100 ml Weekly Grab E
Temperature"C 00010 Monitor&Report Darcy Grab E
pH 00400 6.0 and S 9.0 standard units Weekly Grab E
Dissolved Oxygen 00300 Daily Average 6.0 mg/L Weekly Grab E
Dissolved Oxygen 00300 Monitor&Report Weekly Grab U,I)
Temperature'C 00010 Monitor&Report Weekly Grab U,I)
As UV disinfection is being proposed with the planned system,we ask that Total Residual Chlorine
be removed from the monitoring requirements following the completion of the new system. A
new weekly monitoring condition requiring a verification of the UV lamp indicator port(indicating
operation) should be added to the monitoring requirements.
We ask that the daily monitoring of effluent temperature be revised to reflect a weekly basis. If
the effluent temperature monitoring frequency remains as a daily requirement,our intention would
be to utilize a temperature probe that is monitored and recorded by the system control panel to
fulfill this requirement (not read by the Operator in Responsible Charge (ORC)).
We would like to request modification to the frequency of sample collection for effluent
parameters that require testing at an outside laboratory. Specifically, we ask that the sample
frequency for BOD5, TSS, NH3-N and Fecal Coliform be reduced to a Monthly frequency. We
believe the parameters that are tested on a weekly basis by the ORC are adequate indicators of the
overall operation of the treatment system and whether the effluent limits are being maintained.
We would also be willing to add a weekly effluent monitoring condition for Turbidity (10 NTU).
Reducing the testing frequency of the parameters listed above will reduce the financial burden on
the system operation.

Thank you for your review of this information. If you have any questions or comments on this
information,please feel free to contact me at jaradford3@,yahoo.com or via telephone at 540-357-
4676.
Regards,
James W. Radford
Managing Partner

x.
'7/31/20'18 Gmail-Fwd:NPDES Permits NC0065412 and NC0060259 Ownership Change Forms
Grnal Derek Hinds<[e-mail]>
Fwd: NPDES Permits NC0065412 and NC0060259 Ownership Change Forms
Busam,Jennifer d<Jennifer.Busam@ncdenr gov> Wed,Mar 30,2016 at 10 14 AM
To Derek Hinds<[e-mail]>
Mr Hinds, ,
I have delivered the updated name/ownership application to our administrator.The attachments will suffice to continue with the name/ownership change and permit renewal
process
Sincerely,
From:Derek Hinds[mailto derekhinds@gmail corn]
Sent:Wednesday,March 30,2016 10:04 AM
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North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory Donald R.van der Wart
Governor WATER QUALITY PERMITTING SECTION Secretory
This form is for ownership changes or name changes of NPDES wastewater permits.
a -Permittee"references the existing permit holder
9 ":Applicant"references the ertit. applying for the ownership;nunte change.
L NPDES Permit No.(for which the change is requested): N C 0 0 56 g o(
or
Certnieate of Coverage#: N C G 5
IL Existing Permittee Information:
a. Permit issued to(company name): A c.G. S aaFO :
b. Parson legally responsible for permit:
First MI Mist
Title
*J t)4 g,rF
Permit Holder Mailing Address
Carry' 7
City State Zip
(4k61),4&/— E77 ( )
Pin Fax
c. Facility name: l"
d. Fact ity's physical address:
3S7 Rd.
Address
City ' State Zip
e. Facility contact person: ( )
First / MI / Last Phone
131. Applicant Information:
a. Request for change is a result of: Change in ownership of the facility
Q Name change of the facility or owner
If other please explain:
b. Permit issued to(company name): N, L J Lers.s
e. Person legally responsible for permit: � ' o
ski
First MI Last
,l"lcyta T r. ,es-
I
tre
Po fox ".511g`� .
Permit Holder Address_
Co.c-4 ,N6 g75 tet
City `•J State Zip.
S , 3 - 6 -
Phone ' mail Address
Page 1 of2 Revised 7101/2014

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d. Facility name: t'y 4e Cam fru., 4
e. Facility's physical address: 0 f
AddTesS
Cit State '+Zip
f. Ne-
Facilitycontactperson: DerekL Psn S
First MILast
Y f t'S'Ls 7 O n S 1 Jf ta114�e�pSs
Title tJ
MO)57-,q74_, der ds Al t:rern
Phone E-mail Address
IV. Will the permitted facility continue to conduct the same commercial/industrial activities conducted prior to
this ownership or name change?
fgf Yes
0 :No(please explain)
If applicable,the applicant shall submit a major permit modification request to DWR.A.in modification shall be
defined as one that ureases the volume,increases the pollutant load,results in a significant relocation of the
discharge point,or results in a change in the characteristics of the waste generated.
V. Required Items: THIS APPLICATION WILL BE RETURNED UNPROCESSED IF ITEMS ARE
INCOMPLETE OR MISSING:
I. !This completed application is required for both name change and/or ownership change requests.
2. Legal documentation of the transfer of ownership(such as relevant pages of a conaact deed,or a bll of sale)is
reamed for an ownership change request. Articles of incorporation are not sufficient for an ownership change.
Ayplicable regulations:40 CFR 122.41,40 CFR 122.61 and 15A NCAC 0211.0114
The certifications below must be completed and signed by bath the permit holder prior to the change(Permittee),and the
new applicant in the case of an ownership change request. For a name change request,the signed Applicant's Certification
is sufficient.:
PERNGTTEE CERTIFICATION(Permit holder prior to ownership change):
geavy
1, attest tbat this application for a name/ownership change has been reviewed and is accurate and complete to the best
of my knowledge. I understand that Wall required parts ofthis application are not completed and that if all regctieed
supporting information is not included,this application package will be returned as incomplete.
o20/6—
gnat= Date
APPLICANT CE TI CATION
Tc.,., , la. o oCd 3zt-
I,_ .attest that this application for a name%ownership change has been reviewed and is accurate and complete to the best
ofmy knowledge. I understand that if all required parts ofthis application are not completed and that if all required
supportin- y,• 'on is not included,this application package will be returned as incomplete.
11
Signature Date
•
PLEASE SEND THE COMPLETE APPLICATION PACKAGE TO:
Division of Water Resources
Water Quality Permitting Section
1617 Mail Service Center
Raleigh,North Carolina 27699-1617
NPDES PERMIT`NAME/OWNERSHIP CHANGE REQUEST
Pogo Z oft Revised 7/01/2014