NC0089052_Fact Sheet_20190927

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
This form must be completed by Permit Writers for all expedited permits which do not require
full Fact Sheets. Expedited permits are generally simple 100% domestics (e.g., schools, mobile
home parks, etc) that can be administratively renewed with minor changes, but can include
facilities with more complex issues (Special Conditions, 303(d) listed water, toxicity testing,
instream monitoring, compliance concerns).
Basic Information for Exbedited Permit Renewals
Permit Writer/Date
Emily DelDuco 5/15/2019
Permit Number
NCO089052
Facility Name
Zooland Family Campground WWTP
Basin Name/Sub-basin number
Yadkin — 03-07-15
Receiving Stream
Little River
Stream Classification in Permit
C
Does permit need Daily Max NH3 limits?
No, already included
Does permit need TRC limits/language?
Uses UV
Does permit have toxicity testing?
No
Does permit have Special Conditions?
No
Does permit have instream monitoring?
Yes — DO, Temp, pH
Is the stream impaired (on 303(d) list)?
No
Any obvious compliance concerns?
Facility has experienced difficulty in meeting
existing BOD and Ammonia limits
New expiration date
6/30/2024
Comments received on Draft Permit?
Changes to permit:
- regulatory citations added
- HUC added to site description on supplement to permit cover sheet
- System components updated in description 1 on supplement to permit cover sheet. ATC
Was issued in 10/2011 and engineers certification was signed 3/2012.
- eDMR language updated (A.(3.))
Compliance:
3 enforcement cases this permit cycle for limit violations
eDMR Summary (effluent):
Analysis Variable: Value
Parameter
IMeanj
Mini
Maxj
N
00010 - Temperature, Water Deg. Centigrade
19.35
9.00
28.00
880
00300 - Oxygen, Dissolved (DO)
8.68
6.03
13.02
880
00400 - pH
6.63
8.63
880
31616 - Coliform, Fecal MF, MFC Broth, 44.5 C
1.00
2420.00
178
50050 - Flow, in conduit or thru treatment plant
0.00
0.00
0.02
1232
C0310 - BOD, 5-Day (20 Deg. C) - Concentration
3.18
2.00
116.00
177
C0530 - Solids, Total Suspended - Concentration
5.38
5.00
30.30
177
C0610 - Nitrogen, Ammonia Total (as N) - Concentration
1.47
0.10
54.80
177

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
The
Courier -Tribune Public Notice
North Carolina Environmental Management Commission/
Affidavit of Publication NPDES Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
State of North Carolina,
Randolph County Notice of Intent to Issue a
NPDES Wastewater Permit
To Whom It May Concern: The North Carolina Environmental Management Commission proposes to
issue a NPDES wastewater discharge permit to the person(s) listed below.
Written comments regarding the proposed permit will be accepted until 30
This is to certify the days after the publish date of this notice. The Director of the NC Division of
Water Resources (DWR) may hold a public hearing should there be a
advertisement attached significant degree of public interest. Please mail comments and/or
hereto has been published in information requests to DWR at the above address. Interested persons may
visit the DWR at 512 N. Salisbury Street, Raleigh, NC to review information
The Courier Tribune on file. Additional information on NPDES permits and this notice may be
found on our website: http:// deq.nc.gov/aboLit/divisions/watei--
on the following dates: resources/water-resources-permits/wastewater-branch/rtpdes-
wastewater/public-notices, or by calling [phone]. NC0089052:
d� _l Zooland Family Campground, LLC requested renewal of permit for Zooland
Family Campground WWTP/Randolph County; this permitted discharge is
treated domestic wastewater to the Little River/Yadkin-Pee Dee River Basin.
Currently, BQD and arnmonia are water quality limited.
t: 5/29/2019
>21rCEK D/ NCt)E6l / t)VUR
Sworn to on this dday JUN 1 1 '2019
of �, 2019.
n^ } Water quality
permitting Section
Courier -Tribune Representative
Sworn to and Subscribed
Before me this day
of2019.
otary Public
JOSEPHINE VIERA COOPER
Notary Public, North Carolina
Randolph County
My Co_rr2mtjq;q; Expires

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
From:
DelDuco, Emilv
To:
Boone.Ron
Subject:
RE: NCO089052 system components
Date:
Monday, May 13, 2019 10:23:00 AM
Attachments:
imaae001.pna
Thanks Ron. I do have the staff assignments, but may have an older version. In mine, your name is
listed under Randolph County.
From: Boone, Ron
Sent: Monday, May 13, 2019 10:21 AM
To: Graznak, Jenny <[e-mail]>; DelDuco, Emily <Emily.Del [e-mail]>
Subject: FW: NC0089052 system components
Hi Emily,
I'm forwarding your email to Jenny Graznak, who covers Randolph Cty. She was at the plant recently.
Did I give you a copy of our office's county assignments?
Jenny, let me know if I can help at all...
Thanks!
Best Regards,
Ronald C. Boone, Environmental Program Consultant
NC Department of Environmental Quality, Division of Water Resources, Water Quality Regional
Operations Section, Winston-Salem Regional Office
450 West Hanes Mill Road, Suite 300
Winston-Salem, NC 27105
Main: 336-776-9800
Direct: 336-776-9690
Mobile 1: 336-341-3568
Mobile 2: 336-686-4921
Fax [phone]
ron.boone(@ncdenr.gov
http://deq.nc.gov/about/divisions/water-resources
From: DelDuco, Emily
Sent: Wednesday, May 8, 2019 2:56 PM
To: Boone, Ron <ron.boone(@ncdenr.gov>
Subject: NC0089052 system components
Hi Ron,

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
I am beginning the renewal for NCO089052 / Zooland Family Campground in Randolph County.
Please let me know if you know of any issues with this permit.
Also I'm hoping to get some clarification on what equipment is currently in place. In the application,
the permittee states that the wrong equipment is listed in current version of the permit, and says
"[enclosed description] is correct, and reflects the system that was approved under the
Authorization to Construct." The inspection report from February says that no construction had yet
taken place, and we have not received any updates from them.
Can you advise on what needs to be done to the current system description? I will attach the permit
and application to this email.
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
[e-mail]
-''Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
From:
DelDuco, Emily
To:
Graznak, Jenny
Subject:
NC0089052/ Zooland family Campground
Date:
Wednesday, May 15, 2019 3:13:00 PM
Attachments:
imaoe001.Dno
Hi Jenny,
To follow up on our phone conversation — I found the ATC and engineer's certification (from Aug
2011) which lists the changes to the facility described in the permit renewal application. They are
still operating at .006 MGD and have not yet upgraded to 0.017 MGD, but made changes to the
system components. For some reason, the permit was never modified and the last renewal didn't
catch the changes. Let me know if you have any other concerns about this permit. I'll send you the
draft when it is finished.
Thanks,
Emily DelDuco
Division of Water Resources
Department of Environmental Quality
919-707-9125
[e-mail]
-'Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
Permit: NC0089052 Facility:
Region: Winston-Salem County:
Penalty
Assessment Penalty Enforcement
Case Approved Amount Costs
Permit Enforcement History by Permit
Zooland Family Campground
Randolph
Remission Enforcement EMC
Request Conference Hearing
Damages Received Held Held
Owner:
Collection
Memo Sent
To AGO
Zooland Family Campground LLC
Total Paid Balance Due
Has
Payment
Plan
Case
Closed
LV-2012-0187
10/30/12
$350.00
$141.92
$491.92
$0.00
No
12/11/12
LV-2013-0022
04/12/13
$500.00
$141.92
$641.92
$0.00
No
05/30/13
LV-2013-0101
05/21/13
$125.00
$141.92
$266.92
No
LV-2013-0114
06/06/13
$312.50
$141.92
$454.42
$0.00
No
07/24/13
LV-2013-0128
07/03/13
$750.00
$141.92
$891.92
No
LV-2013-0141
08/06/13
$1,375.00
$141.92
$1,516.92
No
LV-2013-0165
09/16/13
$525.00
$141.92
$666.92
No
LV-2013-0207
11/20/13
$675.00
$141.92
07/10/14
$816.92
$0.00
No
08/11/14
LV-2014-0008
01/17/14
$525.00
$143.11
07/10/14
$668.11
$0.00
No
08/11/14
LV-2014-0022
03/06/14
$675.00
$143.11
08/01/14
$818.11
$0.00
No
08/18/14
LV-2014-0108
08/06/14
$562.50
$143.11
$705.61
$0.00
No
08/08/16
LM-2015-0014
07/29/15
$600.00
$146.30
$746.30
$0.00
No
09/03/15
LV-2018-0030
02/08/18
$800.00
$227.68
$1,027.68
$0.00
No
03/16/18
LV-2018-0274
11/14/18
$800.00
$130.72
$930.72
$0.00
No
01/07/19
Total Cases:
Total Penalties:
14
$8,575.00
$2,069.39
$10,644.39
Total Penalties after
$7,301.71
$3,342.68
$10,644.39

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
MONITORING REPORT(MR) VIOLATIONS for: Report Date: 09/03/19 Page: 1 of 2
Permit: NCO089052 MRs Between 6 - 2014 and 9 - 2019 Region: % Violation Category% Program Category:
Facility Name: % Param Name % County: % Subbasin:% Violation Action: %
Major Minor:
PERMIT: NCO089052 FACILITY: Zooland Family Campground LLC - Zooland Family COUNTY: Randolph REGION: Winston-Salem
Campground
Limit Violation
MONITORING VIOLATION UNIT OF CALCULATED %
REPORT OUTFALL LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
03 -2015 001 Effluent BOD, 5-Day (20 Deg. C) - 03/26/15 Weekly mg/I 15 15.7 4.7 Daily Maximum No Action, BPJ
Concentration Exceeded
04 -2015 001 Effluent BOD, 5-Day (20 Deg. C) - 04/10/15 Weekly mg/I 7.5 25.1 234.7 Daily Maximum Proceed to
Concentration Exceeded Enforcement Case
04 - 2015 001 Effluent BOD, 5-Day (20 Deg. C) - 04/16/15 Weekly mg/I 7.5 22.4 198.7 Daily Maximum Proceed to
Concentration Exceeded Enforcement Case
04 - 2015 001 Effluent BOD, 5-Day (20 Deg. C) - 04/30/15 Weekly mg/I 5 11.05 121.1 Monthly Average Proceed to
Concentration Exceeded Enforcement Case
04 - 2017 001 Effluent BOD, 5-Day (20 Deg. C) - 04/20/17 Weekly mg/I 7.5 11 46.7 Daily Maximum Proceed to NOV
Concentration Exceeded
06 - 2017 001 Effluent BOD, 5-Day (20 Deg. C) - 06/01/17 Weekly mg/I 7.5 8.74 16.5 Daily Maximum Proceed to NOV
Concentration Exceeded
10 - 2017 001 Effluent BOD, 5-Day (20 Deg. C) - 10/12/17 Weekly mg/I 7.5 27.7 269.3 Daily Maximum Proceed to
Concentration Exceeded Enforcement Case
10 - 2017 001 Effluent BOD, 5-Day (20 Deg. C) - 10/31/17 Weekly mg/I 5 6.92 38.5 Monthly Average Proceed to
Concentration Exceeded Enforcement Case
04 - 2018 001 Effluent BOD, 5-Day (20 Deg. C) - 04/06/18 Weekly mg/I 7.5 116 1,446.7 Daily Maximum Proceed to
Concentration Exceeded Enforcement Case
04 - 2018 001 Effluent BOD, 5-Day (20 Deg. C) - 04/30/18 Weekly mg/I 5 31.8 536.1 Monthly Average Proceed to
Concentration Exceeded Enforcement Case
07 - 2017 001 Effluent Coliform, Fecal MF, MFC 07/27/17 Weekly #/100ml 400 1,300 225 Daily Maximum Proceed to NOV
Broth, 44.5 C Exceeded
04 - 2018 001 Effluent Coliform, Fecal MF, MFC 04/06/18 Weekly #/100ml 400 2,420 505 Daily Maximum Proceed to
Broth, 44.5 C Exceeded Enforcement Case
07 - 2014 001 Effluent Nitrogen, Ammonia Total (as 07/31/14 2 X month mg/I 0.5 0.79 58.4 Monthly Average Proceed to NOV
N) - Concentration Exceeded
10 -2017 001 Effluent Nitrogen, Ammonia Total (as 10/12/17 2 X month mg/I 17.5 54.8 213.1 Daily Maximum Proceed to
N) - Concentration Exceeded Enforcement Case
10 -2017 001 Effluent Nitrogen, Ammonia Total (as 10/26/17 2 X month mg/I 17.5 30.2 72.6 Daily Maximum Proceed to
N) - Concentration Exceeded Enforcement Case

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
MONITORING REPORT(MR) VIOLATIONS for:
Permit: NCO089052 MRs Between 6 - 2014 and 9 - 2019 Region: %
Facility Name: % Param Name % County: %
Major Minor: %
Report Date: 09/03/19 Page: 2 of 2
V7MWiolation Category:% IVProgram Category: %
Subbasin:% Violation Action: %
PERMIT: NCO089052 FACILITY: Zooland Family Campground LLC - Zooland Family COUNTY: Randolph REGION: Winston-Salem
Campground
Limit Violation
MONITORING VIOLATION UNIT OF CALCULATED %
REPORT OUTFALL LOCATION PARAMETER DATE FREQUENCY MEASURE LIMIT VALUE Over VIOLATION TYPE VIOLATION ACTION
10 -2017
001
Effluent
Nitrogen, Ammonia Total (as
10/31/17
2 X month
mg/I
3.5
21.41
511.6
Monthly Average
Proceed to
N) - Concentration
Exceeded
Enforcement Case
04 -2018
001
Effluent
Nitrogen, Ammonia Total (as
04/06/18
2 X month
mg/I
17.5
38.8
121.7
Daily Maximum
Proceed to
N) - Concentration
Exceeded
Enforcement Case
04 - 2018
001
Effluent
Nitrogen, Ammonia Total (as
04/30/18
2 X month
mg/I
3.5
11.12
217.8
Monthly Average
Proceed to
N) - Concentration
Exceeded
Enforcement Case
07 - 2014
001
Effluent
Oxygen, Dissolved (DO)
07/30/14
Weekly
mg/I
6
5.94
1.0
Daily Minimum Not
Proceed to NOV
Reached
07 - 2014
001
Effluent
Oxygen, Dissolved (DO)
07/31/14
Weekly
mg/I
6
5.86
2.3
Daily Minimum Not
Proceed to NOV
Reached
04 -2015
001
Effluent
Solids, Total Suspended -
04/16/15
Weekly
mg/I
45
65
44.4
Daily Maximum
Proceed to
Concentration
Exceeded
Enforcement Case
Monitoring Violation
MONITORING
VIOLATION
UNIT OF
CALCULATED
%
REPORT
OUTFALL
LOCATION
PARAMETER
DATE
FREQUENCY
MEASURE
LIMIT
VALUE
Over
VIOLATION TYPE
VIOLATION ACTION
08 -2014 001 Effluent Flow, in conduit or thru 08/31/14 Continuous mgd Frequency Violation No Action, BPJ
treatment plant
04 -2015 001 Effluent Flow, in conduit or thru 04/21/15 Continuous mgd Frequency Violation Proceed to
treatment plant Enforcement Case

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
ROY COOPER NORTH CAROLINA
GD anar Environmental Quollry
N11CHAEL S_ REGAN
Secre=.v
LINDA CULPEPPER
Interim Director
January 08, 2019
Alec Chaplin, Jr
Zooland Family Campground LLC
PO Box 12187
Columbia, SC 29211
Subject: Permit Renewal
Application No. NCO089052
Zooland Family Campground
Randolph County
Dear Applicant:
The Water Quality Permitting Section acknowledges the December 31, 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•//deq nc gov/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
Sincerely,
��"IA
Wren Thedford
Administrative Assistant
Water Quality Permitting Section
p,D_EQ��
��
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mad Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
DIEHL & PHILLIPS, P.A.
CONSULTING ENGINEERS
1500 Piney Plains Road, Suite 200
Cary, North Carolina 27518
Telephone [phone] —Fax [phone]
WILLIAM C. DIEHL, P.E.
JOHN F. PHILLIPS, P.E.
ALAN R. KEITH, P.E.
RECEIVEDIDENR/DW6R
TRANSMITTAL JAN 0 3 2gig
December 31, 2018
Water resources
TO: NC DEQ / DWR / NPDES Permitting Section
FROM: John F. Phillips, P.E.,Aohbehalf of permittee Alec H. Chaplin, Jr.
RE: Renewal Application for NPDES Permit NCO089052
Zooland Family Campground
No. Of
Copies
Description
Remarks
Please note the description of the existing
wastewater treatment system in the
current issue of this permit is incorrect. The
2
Form D 6/2017
description provided in item 9 of the
enclosed application is correct, and reflects
the system that was approved under the
Authorization to Construct.
Please contact me if you have any questions regarding the enclosed application.
Cc: Mr. Alec H. Chaplin, Jr.
Mr. Alan Gaddis, ORC

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
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 NCO089052
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
Facility Name
Mailing Address
City
State / Zip Code
Telephone Number
Fax Number
e-mail Address
Alec H. Chaplin, Jr.
Zooland Family Campground
P.O. Box 12187
Columbia
S.C. 29211
[phone]
[e-mail]
2. Location of facility producing discharge:
Check here if same address as above ❑
Street Address or State Road 3671 Pisgah Covered Bridge Road
City Asheboro
State / Zip Code N.C. 27205
County Randolph
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 AG Environmental Management, LLC
Mailing Address 6119 Asheton Drive
City Trinity
State / Zip Code N.C. 27370
Telephone Number (336)5619178
Fax Number ( )
e-mail Address ArQ619.cr northstate.net
1 of 3 Form-D 612017

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
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
School
❑
Number of Students/Staff
Other
®
Explain: See below
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers, restaurants,
etc.):
Source of wastewater is an RV park/campground. Design flow of the constructed treatment plant is 6,000 gpd,
based on 68 gpd per campsite and a maximum of 88 campsites (design flows were based on water records).
Number of persons served: NA — see flow explanation above
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):
Little River
8. Frequency of Discharge: ® Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs: Duration:
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.
One 8,000 gallon septic tank, one 2,000 gallon flow equalization tank with duplex submersible pumps,
one 9,600 gallon Moving Bed Biofilm Reactor with duplex blowers and diffused aeration system, one
3,500 gallon clarifier, one 1,500 gallon filter feed tank with duplex submersible filter feed pumps, one 24-
inch diameter pressure sand filter, two ultra -violet disinfection systems, one 1,500 gallon clearwell with
duplex submersible filter backwash pumps and diffused post -aeration, alkalinity feed system with duplex
feed pumps, and one 36 KW standby power generator and automatic transfer switch.
Design removals for BOD5 — 99% removal; TSS — 97% removal; Ammonia-N — 98%;,TP reduction not
required by NPDES permit
10. Flow Information:
Treatment Plant Design flow 0.006 MGD
2 of 3 Form-D 612017

DocuSign Envelope ID: E9D6FC59-875F-4668-B32C-299A282EE8CC
NPDES APPLICATION - FORM D
For privately -owned treatment systems treating 100% domestic wastewaters <1.0 MGD
Annual Average daily flow 0.002698 MGD (for the previous 3 years)
Maximum daily flow 0.0153 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 parameters "N/A".
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODS)
116
6.17
Mg/L
Fecal Coliform
2420
108
#/100ml
Total Suspended Solids
30.30
2.77
Mg/L
Temperature (Summer)
28.0
24.95
degC
Temperature (Winter)
22
17.13
degC
pH
8.63
8.28
Su
13. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAR)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES 0089052 Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
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.
Alec H. Chaplin, Jr. Owner
Printed name of Person Signing Title
►r2
Date r
North Carolina General Statute 143-215.6 K))(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