NC0056201_Draft Permit_20180815

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NORTH CAROLINA
ROY COOPER Environmental Quality
Governor
MICHAEL S.REGAN
Secretary /
LINDA CULPEPPER
interim Director
August 15,2018
Mr.James W. Radford
NC Land Lease LLC
PO Box 2533
Christiansburg,Virginia 27068
Subject: Draft Permit NC0056201
Countryside Mobile Home Park WWTP
Randolph County
Grade II Biological WPCS
SIC Code 4952
Dear Mr. Radford:
The Division has reviewed your request to renew the subject permit.Please review this draft carefully to
ensure your thorough understanding of the information, conditions, and requirements it contains.
The draft permit includes the following significant changes from the existing permit:
➢ Language has been added to Footnote 3 in Section A. (1.) for Total Residual Chlorine which
states the TRC limit and monitoring requirements only apply if the facility adds chlorine or
chlorine derivatives to water that is eventually discharged.
> Technical Corrections from July 26, 2018,have been added to this permit renewal. This includes
the addition of the future outfall to the map and to Footnote 2 in Section A. (1.) adding the
upstream and downstream locations to the future outfall.
> Regulatory citations have been added to the permit.
D Facility Grade Classification has been added to the parameter table.
We have noted your request in our records for reduction of monitoring frequencies for temperature,
BOD5,TSS,NH3, and Fecal Coliform. However,we must respectfully deny your request due to
regulatory requirements. Monitoring requirements for a Grade II facility that is water quality limited are
outlined in 15A NCAC 02B .0508 (d),under SIC Code 4952. The table can be found online on the Office
of Administrative Hearings website here. The current permit's parameter table reflects these monitoring
requirements and must remain at the current levels.
With this notification,the Division will solicit public comment on this draft permit by publishing a notice
in newspapers having circulation in the general Randolph County area,per EPA requirements.Please
provide your comments,if any,to me no later than 30 days after receiving this draft permit.
£
DEQ/)
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DIvartmed a
North Carolina Department of Environmental Quality l Division of Water Resources
512 North Salisbury Street 11617 Mail Service Center I Raleigh,North Carolina 27699-1617
919.707.9000

Following the 30-day public comment period,the Division will review all pertinent comments and take
appropriate action prior to issuing a final permit. If you have any questions concerning this permit,please
contact Anjali B. Orlando at telephone number(919) 807-6393 or [e-mail].
Sincerely,
4-4exieetneiew
Anjali Orlando
Environmental Specialist/NPDES Unit
ec: Winston-Salem Regional Office
cc: NPDES Unit

Permit NCO056201
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
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,
NC Land Lease LLC
is hereby authorized to discharge wastewater from a facility located at
Countryside Mobile Home Park
3571 Roy Farlow Road
South of Glenola
Randolph County
to receiving waters designated as an unnamed tributary to Caraway Creek 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 February 1, 2019.
This permit and authorization to discharge shall expire at midnight on January 31, 2024.
Signed this day October 9, 2018.
inda Culpepper, Interim
Division of Water Reso es
By Authority of the Environmental Management Commission
Page 1 of 8

Permit NC0056201
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.
NC Land Lease LLC
is hereby authorized to:
1. Continue operation of an existing 0.015 MGD wastewater treatment system, consisting of the
following components:
➢
Influent pump station
➢
Equalization basin
➢
High water alarm
➢
Standby power
➢
Bar screen
➢
Extended aeration basin
➢ Clarifier
➢ Chlorine contact tank with liquid sodium hypochlorite
➢ Post aeration
➢ Flow meter
➢ Dual tertiary sand filters
➢ Dechlorination with sodium metabisulfite
The facility is located at the Countryside Mobile Home Park WWTP, at 3571 Roy Farlow Road
(S. R. 1534), south of Glenola, in Randolph County.
2. Discharge wastewater from said treatment works at the location specified on the attached map
through outfall 001 (existing outfall) into an unnamed tributary to Caraway Creek, which is
classified C waters in the Yadkin -Pee Dee River Basin.
3. Upon receiving Authorization to Construct(s), construct and after submittal of the Engineer's
Certification, discharge treated wastewater from said treatment works at the location specified on
the attached map through outfall 001 (future outfall) into an unnamed tributary to Caraway Creek,
which is classified C waters in the Yadkin -Pee Dee River Basin.
Page 2 of 8

Permit NCO056201
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL
[15A NCAC 02B.0400 et seq.,15A NCAC 02B.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G .0302]
During the period beginning on the effective date of the permit and lasting until expiration, the
Permittee is authorized to discharge treated wastewater from outfall 001. Such discharges shall be
limited and monitored) b\ the Permittee ass ?ecified below:
EFFLUENT CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Daily
Measurement
Sample
Sample
Parameter Code
Avera a
Maximum
Frequency
Type
Location
Flow 50050
0.015 MGD
5.0 mg/I
7.5 mg/I
Continuous
Weekly
Recording
Grab
I or E
E
BOD, 5-day, 20°C C0310
(April 1-October 31
BOD, 5-day, 20°C C0310
November 1- March 31
10.0 mg/l
15.0 mg/I
Weekly
Grab
E
Total Suspended Solids C0530
30.0 mg/l
45.0 mg/I
Weekly
Grab
E
NH3-N C0610
(April 1-October 31
2.0 mg/l
10.0 mg/L
Weekly
Grab
E
_
NH3-N C0610
(November 1- March 31
4.0 mg/I
20.0 mg/L
Weekly
Grab
E
Total Residual Chlorine3 50060
17 ug/l
2/Week
Grab
E
Fecal Coliform (Geometric mean) 31616
200/100 ml
400/100 ml
Weekly
Grab
E
Temperature °C 00010
Monitor & Report
......
Daily
Grab
E
pH 00400
>_ 6.0 and <_ 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, D
Temperature °C 00010
Monitor & Report
Weekly
Grab U, D
i
Footnotes:
1. The permittee shall submit discharge monitoring reports electronically using NC DWR's
eDMR application system. See Condition A. (2.).
2. Sample Location: I — Influent; E — Effluent
Existing Outfall: U — Upstream at least 100 feet from outfall 001; D — Downstream at least 300
feet from outfall 001
Future Outfall: U — Upstream approximately 75 feet from outfall 001; D — Downstream
approximately 100 feet from outfall 001.
3. TRC: Limit and monitoring requirements only apply if the facility adds chlorine or chlorine
derivatives to water that is eventually discharged. The Division shall consider all effluent TRC
values reported below 50 µg/1 to be in compliance with the permit. However, the Permittee shall
continue to record and submit all values reported by a North Carolina certified laboratory
(including field certified), even if these values fall below 50 µg/1.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 8

Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that,if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency(EPA). The Division anticipates
that these regulations will be adopted andi is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit(Standard Conditions for NPDES Permits):
• Section B. (11.) Signatory Requirements
• Section D. (2.) Reporting
• Section D. (6.) Records Retention
• Section E. (5.) Monitoring Reports '
I
1. Reporting [Supersedes Section D. (2.)'and Section E. (5.)(a)1
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin
reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report(eDMR)internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross-Media Electronic Reporting Regulation
(CROMERR),permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR/DWR/Information Processing Unit
ATTENTION: Central Files/eDMR
1617 Mail Service Center
Raleigh,North Carolina, 27699-1617,
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
, may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1,
2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to
the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty(60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be
valid for twelve(12)months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re-applies for and is granted a new temporary
waiver by the Division.
Page 4 of 5

Permit NCO056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS
[NCGS 143-215.1 (b)]
Federal regulations require electronic submittal of all discharge monitoring reports (DMRs) and
program reports. The final NPDES Electronic Reporting Rule was adopted and became effective on
December 21, 2015.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
■ Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
1. Reportine Requirements (Supersedes Section D. (2.) and Section E. (5.) (a)i
The permittee shall report discharge monitoring data electronically using the NC DWR's Electronic
Discharge Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the following
address:
NC DEQ / Division of Water Resources / Water Quality Permitting Section
ATTENTION: Central Files
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the facility
being physically located in an area where less than 10 percent of the households have broadband
access, then a temporary waiver from the NPDES electronic reporting requirements may be granted
and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1. 1, 2, 3) or alternative
forms approved by the Director. Duplicate signed copies shall be submitted to the mailing address
above. See "How to Request a Waiver from Electronic Reporting" section below.
Regardless of the submission method, the first DMR is due on the last day of the month following the
issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
Page 4 of 8

Permit NC0056201
Starting on December 21, 2020, the permittee must electronically report the following compliance
monitoring data and reports, when applicable:
• Sewer Overflow/Bypass Event Reports;
■ Pretreatment Program Annual Reports; and
• Clean Water Act (CWA) Section 316(b) Annual Reports.
The permittee may seek an electronic reporting waiver from the Division (see "How to Request a
Waiver from Electronic Reporting" section below).
2. Electronic Submissions
In accordance with 40 CFR 122.41(1)(9), the permittee must identify the initial recipient at the time of
each electronic submission. The permittee should use the EPA's website resources to identify the
initial recipient for the electronic submission.
Initial recipient of electronic NPDES information from NPDES-regulated facilities means the entity
(EPA or the state authorized by EPA to implement the NPDES program) that is the designated entity
for receiving electronic NPDES data [see 40 CFR 127.2(b)].
EPA plans to establish a website that will also link to the appropriate electronic reporting tool for each
type of electronic submission and for each state. Instructions on how to access and use the appropriate
electronic reporting tool will be available as well. Information on EPA's NPDES Electronic Reporting
Rule is found at: htt://www2.e a. ,ov/com _ liance/final-national- ollutant-dischar e-elimination-
sy stem-npdes-electronic-rep orting-rule.
Electronic submissions must start by the dates listed in the "Reporting Requirements" section above.
3. How to Reguest a Waiver from Electronic Reporting
The permittee may seek a temporary electronic reporting waiver from the Division. To obtain an
electronic reporting waiver, a permittee must first submit an electronic reporting waiver request to the
Division. Requests for temporary electronic reporting waivers must be submitted in writing to the
Division for written approval at least sixty (60) days prior to the date the facility would be required
under this permit to begin submitting monitoring data and reports. The duration of a temporary waiver
shall not exceed 5 years and shall thereupon expire. At such time, monitoring data and reports shall be
submitted electronically to the Division unless the permittee re -applies for and is granted a new
temporary electronic reporting waiver by the Division. Approved electronic reporting waivers are not
transferrable. Only permittees with an approved reporting waiver request may submit monitoring data
and reports on paper to the Division for the period that the approved reporting waiver request is
effective.
Information on eDMR and the application for a temporary electronic reporting waiver are found on the
following web page:
http://d!pq.nc.gov/about/divisions/Water-resources/edmr
4. Sin atory Rea uirements l Supplements Section B. (11.) (b) and Supersedes Section B. (11.)
Page 5 of 8

Permit NC0056201
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part II,
Section B. (11.) (a) or by a duly authorized representative of that person as described in Part II, Section
B. (I 1.)(b). A person, and not a position, must be delegated signatory authority for eDMR reporting
purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North Carolina's
eDMR system, registering for eDMR and obtaining an eDMR user account, please visit the following
web page:
htt://d .nc. ov/about/divisions/water-resources/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall make
the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF CERTIFICATION
WILL BE ACCEPTED:
"I 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. I am
aware that there are significant penalties for submitting false information, including the possibility of
fines and imprisonment for knowing violations. "
5. Records Retention [Supplements Section D. (6.)l
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions.
These records or copies shall be maintained for a period of at least 3 years from the date of the report.
This period may be extended by request of the Director at any time [40 CFR 122.41 J.
Proposed federal regulations require electronic submittal of all discharge monitoring reports (DMRs)
and specify that, if a state does not establish a system to receive such submittals, then permittees must
submit DMRs electronically to the Environmental Protection Agency (EPA). The Division anticipates
that these regulations will be adopted and is beginning implementation in late 2013.
NOTE: This special condition supplements or supersedes the following sections within Part II of this
permit (Standard Conditions for NPDES Permits):
• Section B. (11.)
• Section D. (2.)
• Section D. (6.)
• Section E. (5.)
Signatory Requirements
Reporting
Records Retention
Monitoring Reports
6. Reporting ISupersedes Section D. (.) and Section E. (5.) (A
Page 6 of 8

Permit NC0056201
Beginning no later than 270 days from the effective date of this permit, the permittee shall begin
reporting discharge monitoring data electronically using the NC DWR's Electronic Discharge
Monitoring Report (eDMR) internet application.
Monitoring results obtained during the previous month(s) shall be summarized for each month and
submitted electronically using eDMR. The eDMR system allows permitted facilities to enter
monitoring data and submit DMRs electronically using the internet. Until such time that the state's
eDMR application is compliant with EPA's Cross -Media Electronic Reporting Regulation
(CROMERR), permittees will be required to submit all discharge monitoring data to the state
electronically using eDMR and will be required to complete the eDMR submission by printing,
signing, and submitting one signed original and a copy of the computer printed eDMR to the
following address:
NC DENR / DWR / Information Processing Unit
ATTENTION: Central Files / eDMR
1617 Mail Service Center
Raleigh, North Carolina, 27699-1617
If a permittee is unable to use the eDMR system due to a demonstrated hardship or due to the
facility being physically located in an area where less than 10 percent of the households have
broadband access, then a temporary waiver from the NPDES electronic reporting requirements
may be granted and discharge monitoring data may be submitted on paper DMR forms (MR 1, 1.1,
2, 3) or alternative forms approved by the Director. Duplicate signed copies shall be submitted to
the mailing address above.
Requests for temporary waivers from the NPDES electronic reporting requirements must be
submitted in writing to the Division for written approval at least sixty (60) days prior to the date the
facility would be required under this permit to begin using eDMR. Temporary waivers shall be
valid for twelve (12) months and shall thereupon expire. At such time, DMRs shall be submitted
electronically to the Division unless the permittee re -applies for and is granted a new temporary
waiver by the Division.
Page 7 of 8

Permit NCO056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
Information on eDMR and application for a temporary waiver from the NPDES electronic
reporting requirements is found on the following web page:
hitp://t)ortal.nedenr.ort�,web/w(i/adminibog ipu/edmr
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
7. Si;;natory Requirements I Sul) plements Section B. (11.) (b) and supersedes Section B. (11.) (d)l
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (I 1.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (I 1.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions, the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account, please visit
the following web page:
htt /1-)ortal.ncdenr.or 'web/wq/admin/bo,�,/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I 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. I am aware that there are significant penalties for submitting false information,
including the possibility offines and imprisonmentfor knowing violations."
8. Records Retention ISupplements Section D. (601
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR
submissions. These records or copies shall be maintained for a period of at least 3 years from the
date of the report. This period may be extended by request of the Director at any time [40 CFR
122.41].
Page 8 of 8

Permit NC0056201
Part I.
A. (1.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS -FINAL
[15A NCAC 02B.0400 et seq., 15A NCAC 02B.0500 et seq.]
Grade II Biological Water Pollution Control System [15A NCAC 08G.0302]
During the period beginning on the effective date of the 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:
EFFLUENT CHARACTERISTICS LIMITS MONITORING REQUIREMENTS
Monthly Daily Measurement Sample Sample
Parameter Code Average Maximum Frequency Type Location2
Flow 50050 0.015 MGD Continuous Recording I or E
BOD,5-day,20°C C0310 5.0 mg/I 7.5 mg/I Weekly Grab E
(April 1-October 31)
BOD,5-day,20°C C0310 10.0 mg/I 15.0 mg/I Weekly Grab E
(November 1-March 31)
Total Suspended Solids C0530 30.0 mg/I 45.0 mg/I Weekly Grab E
NH3-N C0610 2.0 mg/I 10.0 mg/L Weekly Grab E
(April 1-October 31)
NH3-N C0610 4.0 mg/I 20.0 mg/L Weekly Grab E
(November 1-March 31)
Total Residual Chlorine3 50060 17 ug/I 2/Week Grab E
Fecal Coliform(Geometric mean) 31616 200/100 ml 400/100 ml Weekly Grab E
Temperature°C 00010 Monitor&Report Daily Grab E
pH 00400 >_6.0 and<_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,D
Temperature°C 00010 Monitor&Report Weekly Grab U,D
Footnotes:
1. No later than 270 days from the effective date of this permit, begin submitting discharge
monitoring reports electronically using NC DWR's eDMR application system. See Condition
A. (2.).
2. Sample Location: I—Influent; E—Effluent
Existing Outfall: U—Upstream at least 100 feet from outfall 001; D—Downstream at least 300
feet from outfall 001
Future Outfall: U—Upstream approximately 75 feet from outfall 001; D—Downstream
approximately 100 feet from outfall 001.
3. TRC: Limit and monitoring requirements only apply if the facility adds chlorine or chlorine
derivatives to water that is eventually discharged. The Division shall consider all effluent TRC
values reported below 50 µg/1 to be in compliance with the permit. However,the Permittee shall
continue to record'and submit all values reported by a North Carolina certified laboratory
(including field certified), even if these values fall below 50 µg/l.
There shall be no discharge of floating solids or foam visible in other than trace amounts.
Page 3 of 5

• a
Permit NC0056201
A. (2.) ELECTRONIC REPORTING OF DISCHARGE MONITORING REPORTS, continued
Information on eDMR and application for a temporary waiver from the NPDES electronic
reporting requirements is found on the following web page:
http://portal.ncdenr.org/web/wq/adminThog/ipuiedmr
Regardless of the submission method, the first DMR is due on the last day of the month following
the issuance of the permit or in the case of a new facility, on the last day of the month following the
commencement of discharge.
2. Signatory Requirements [Supplements Section B. (11.) (b) and supersedes Section B. (11.) (d)[
All eDMRs submitted to the permit issuing authority shall be signed by a person described in Part
II, Section B. (11.)(a) or by a duly authorized representative of that person as described in Part II,
Section B. (11.)(b). A person, and not a position, must be delegated signatory authority for eDMR
reporting purposes.
For eDMR submissions,the person signing and submitting the DMR must obtain an eDMR user
account and login credentials to access the eDMR system. For more information on North
Carolina's eDMR system, registering for eDMR and obtaining an eDMR user account,please visit
the following web page:
http://portal.ncdenr.org/web/wq/admin/bog/ipu/edmr
Certification. Any person submitting an electronic DMR using the state's eDMR system shall
make the following certification [40 CFR 122.22]. NO OTHER STATEMENTS OF
CERTIFICATION WILL BE ACCEPTED:
"I 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. I am aware that there are significant penalties for submitting false information,
including the possibility of fines and imprisonment for knowing violations."
3. Records Retention [Supplements Section D. (6.)1
The permittee shall retain records of all Discharge Monitoring Reports, including eDMR submissions.
These records or copies shall be maintained for a period of at least 3 years from the date of the report. This
period may be extended by request of the Director at any time [40 CFR 122.41].
Page 5 of 5

Permit NC0056201
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AGC Greensboro,LLC NPDES Permit
Countryside MHP NC0056201 Facility
Location
USGS Quad Name:Glenola Lat.:35°50'34.5"
Receiving Stream:UT to Caraway Creek Long.:79°54'51"
Stream Class:C North Randolph County
Subbasin:Yadkin-Pee Dee -030709
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