Little River Vineyards_PumpandHaul

Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
June 27, 2008
Mr. John R. Georgius, Owner
Little River Vineyards
•1907 Highway 73 West
Mount Gilead, North Carolina 28207
SUBJECT: Little River Vineyards at Summer Duck Farm
Process Wastewater
Richmond County
Dear Mr. Georgius:
The application dated 25 June 2608 concerning the pumping and hauling of wastewater
generated from Little River Vineyards was received on 26 June 2008 and reviewed by
staff in the Division of Water Quality — Aquifer Protection Section' of Fayetteville
Regional Office.
As explained in the pump and haul application, Little River Vineyards plans to pump and
haul approximately 2000 gallons per event (based upon the contract haulers truck
capacity of 2300 gallons) of wastewater generated by the facility to the Town of Troy
wastewater treatment. plant located in Troy, North Carolina. The Town of Troy has
indicated its willingness to accept and treat the wastewater in accordance with their letter
of intent signed by Mr. Grey Walls as part of the permit application package received on
26 June 2008 (copy included with this letter).
Based upon the information provided, the requested Pump and Haul' activity at. Little
River Vineyards is hereby approved.
Once the infrastructure and equipment associated with this pump and haul activity is
constructed and before it is put into operation, the following information shall be
presented to the Division:
1. Notification to the Fayetteville Regional Office that the infrastructure and
equipment has been installed in accordance with the application submitted;
2. Provide the anticipated start date for the pump and haul activities;
3. If not provided in the initial application; a contact name or names of individuals
that will be on -site during the operation of the winery that will oversee the
operations of the facility, especially the transfer of wastewater from the on -site
holding tank to pump truck, with a telephone number;
No�itliCarolina
,Vatumllb,
North Carolina DWQ/Aquifer Protection Section 225 Green St./ Suite 714 Fayetteville, NC 28301 Phone [phone]
FAX [phone] Internet: h2o.enr,state.nc.us Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

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4. A spill prevention plan and clean up plan shall be on -site and made available upon
request, if and when inspection of Little River Vineyards is made by the Division
of Water Quality.
Please be aware that wastewater generated by Little River Vineyards is ultimately Little
River Vineyards responsibility for the proper management of the e wastewater to the
designated receiving sites. Upon completion of these pump and haul activities, Little
River Vineyards shall provide notification to this office that these activities have ceased.
Any environmental impact that can be attributed to this activity may be used as
justification for the Division to request termination of the subject pump and haul
activities.
If you have any -questions concerning this approval, please contact Jim Barber at 910z
433-3340 or myself at 910-433-3336.
0
en . . Barnhardt, Regional Supervisor
Divisl'&pjf Water Quality
Aquifer Protection Section
cc: FRO Files
Raleigh Central Files: Richmond County

Pump & Haul: Richmond County
Approval Letter dated 27 June 2008
CERTIFICATION
Partial
Final
as the representative for the
owner and hereby state that, to the best of my abilities, due care and diligence was used
in the installation of the two concrete holding tanks, such that the installation was
observed to be consistent with and intent of this approval, the approved plans and
specifications, and other supporting materials.
Signature:
Date

State of North Carolina
Department_ of Environment and Natural Resources
FE
Division of Water Quality
JUN 2 6 2006 and Haul Apphcation Form
Min _Fil r ► ALLE REUIOP4AL OF19GE
INSTRUCTIONS FOR FORM: P&H 7/05
The Division of Water Quality will not accept this"application unless all tructions are followed:
Plans and specifications must be prepared -in accordance with 15A NCA .0200, all applicable
general statutes, and good engineering practices. Failure to submit all of the required items will lead to
additional processing time for the permit application or in the application being returned as incomplete.
A. Application Form:
✓Submit one original and one copy ofthe completed and appropriately executed application form. The Division of
Water Quality (Division) will only accept complete application packages.
✓The project name should be consistent with the project name on any plans, letter of flow acceptance, operational
agreements, etc.
B. Application Fee (New and Renewal Packages):
,/The appropriate application fee is far flows <10,000 GPD and _�foi flows >10,000 GPD.
✓Submit the check payable to: No lira. Department of Environment and Natural Resources (NCDENR).
C. Cover Letter.
✓.Submit a cover letter explaining the circumstances associated with this pump and haul'request as required by 15A
09r— T NCAC . Please note that pump and haul permits are not acceptable as a long-term domestic
wastewater treatment alternative.
D. Receiving. Facility:
✓ Submit a letter from the owner/authority of the receiving wastewater treatment facility stating that the pumped and
hauled. wastewater will be accepted and specifying the volume of wastewater that will be accepted.
E. Contract Hauler: 4
✓ Submita letter or contract from the hauler s�ting-his capability and willingness to perform thepumping andhauling.
Detailed Plans and Specifications:
✓Submit two sets of detailed plans and.specifications that have been signed,.sealed, and dated by a Licensed NC
Professional Engineer.
✓Plans must include the following minimum items: a general location map and a diagram of the components
associated with the pump and haul activity (drains, Piping, tanks, pumps).
✓The tank detail should indicate the high water alarm (both audible and visual or an auto dialer).
- THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE -SENT TO THE FOLLOWING ADDRESS:
R 'onal Su rvisor
Protection Section
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 29301
Telephone (91As
Fax [phone]
y33- 3334 -
Form: P&H 7/05 Page 1 of4

NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENT AND
NATURAL RESOURCES
ALW.
"�"A
4*
ENR
Division of Water Quality
Fayetteville Regional Office
Non -Discharge Pump and Haul Permit Application
Application Number: N
Pp 1A_ (to be completed byDWQ)
1. GENERAL INFORMATION:
1. Applicant (corporation, individual, other): L Y le V a Ae QCti - J 5
2. Print owners or signing officials name and title (person legally responsible for the facility and its compliance):
H.
3. Mailing address of applicant: ��� e-,i
City: 41,1kc /A 47Ile State: Zip: Z F�2 0 7.
Telephone number: d U q 51 73 Facsimile number: (1 Q 93 1 ('.7 K 3
Email Address: - I 6 1` a 55t; 8 k m c,,' L e- otv%
4. Project name (facility or
5. County where project is located:
6. Fee submitted: $ c) Ir (See instruction B.) r
7. Name and complete address of :®_ Si l YV\ "e-
City: r , Ile <Statezip •: 2 7 MQ
Telephone number: ./D Iff C Facsimile number: /®
8. Name and as filiation of contact person who can answer questions about project: /,L.J, �},�� f
PZ ) 0 p p � Email Address: &o y /� ,^ t4 5 Se I .4� 4 r Qo ��,,
1p V .tfAo •r Vd•—p
PERMIT INFORMATION:
1. If this application is being submitted as a result of a modification to or renewal -of an existing permit, please provide
the existing permit number 17 0/// d and the issuance d9te //
2. Specify whether the applicant is: public or private v<z T�
Form: P&H 7J05 Page 2 of 4

7
M. INFORMATION ON WASTEWATER:
1. Nature of wastewater: %Domestic %Commercial /00 %Industrial
%Other waste (specify):
2. Please provide a one or two -word description specifying(( the origin of the wastewater (school, restaurant, apartments,
commercial): I,J to G (`
3. Volume of wastewater generated by this project: 2000 &A LLOAJ S I ey C NJ�gallons per day.
4.' Explanation of how wastewater flow was determined (15A CAACC 2H .00211990)): `'
1jVr�S��d/ 0-0 'L ,`d'O//i /�/Cie��t '/���/�/�e /rrd.rrl/L'/.NteJr : Q60CAdl>A9
5. Description of any pretreatment of wastewater prior to pumping and hauling: 17olz e
IV.
TREATMENT FACILITY INFORMATION:
1111)6
1.
Name of treatment facility receiving wastewater:
!�o
�� 5 �1
� �' 2," a,
2.
NPDES permit number of treatment facility:
Affimiew/ J C O D /
3.
Treatment facility contact person and telephone no:
R l� b-N
A L L
-7
10 5 %2 "-7h
4.
County where treatment facility is located:
[/
aJ?lei `
V.
CONTRACT HAULER INFORMATION:
1.
Name of owner/company of transporting (hauler) vehicle: ?
J�da
e C-
2.
Mailing address of hauler: _51 i
� O C�
TR 0
7 7/
3.
Telephone number of hauler: /{/v
S 0 6
4.
Provide the typical hauling volume of the vehicle:
�2 3 n
/% /5-7
VI.
GENERAL PROJECT INFORMATION
r
1.
Brief project descri tion:
14' S / C J_>,_ le-
2. Explanat(Lign of -why pump and haul is being requested: c ej' o T d R v
3. Specify how long the pump and haul permit will be needed (maximum of six months): [o om
4. Whatt will be the permanent me hod of wastewater disposal once the pump and haul activities have ceased?:
5. Date that permanent disposal method will be available:
6. Have permits/approvals for the permanent disposal method been obtained?
Yes; Permit No. Permitting agency
No; Pending permit No. Permitting agency G
Form: P&H 7/05
Page 3 of 4

7. What type of tank or container will the wastewater be pumped from and what is the volume of this container?
� I II1 (
8. Is the tank or container already in place or will it be installed for these activities4 nA.t led jk �eju Ix 2 OCT
9. What type of high water alarm does the container have? Audible and visual Auto dialer
VII. OWNER'S SIGNATURE:
Applicant's Signature and Certification:
h �y\ • � �G: < t �, attest that this application for
. fE GtlOc7C 0 �� has been reviewed by me and is
accurate and complete to the be 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 to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.613, any
person who knowingly makes any false statement, representation, or certification in any application shall be guilty ofa
Class 2 misdemeanor, which may ingade a firms not to exceed $10,000 as well as civil penalties up to $25,000 per
violation. � A / - if �1 ��
Signature: r Date: � — � -
ENGINEER'S CERTIFICATION:
.Professional Eng-iWeec!,S Certification:
attest that this aDvl cation for
has been reviewed by me and is
accurate, complete and consistent with the info n supp ' the engineering plans, calculations, and all other
supporting documentation to the best ofm wledge. I further atte t to the best ofmy knowledge the proposed
design has been prepared in accord with the applicable regulations. ugh. other professionals may have
developed certain portions oft 'submittal package, inclusion ofthese materials un signature and seal signifies
that I have reviewed thi aterial and have judged it to be consistent with the proposed desi te: In accordance
with NC Gener totes 143-215.6A and 143-215.6B, any person who knowingly makes any ffisestatement,
represents ' , or certification in any application shall be guilty of a Class 2 misdemeanor, which may inclu fine
not ceed $10,000 as well as civil penalties up to $25,000 per violation.
Carolina Professional Engineer's seal, signature, and date:
Form: P&H 7/05 Page 4 of 4

KEARNS PUMPING SERVICE
370, Shiloh Road
Troy, NC 27371
M,
910-576-0681
910-571-1855
Pump and Haul Contract
Will Russell — Candor
Little River Winery
The Town of Troy has. permitted -(through the State) Kearns Pumping Service,. Inc. as an
approved Pump & Hauler to discharge wastewater into the Town of Troy's waste water
treatment plant.
_ State Permit 400627
Waste generated by Little River Winery has been approved by the Town of Troy as an
acceptable waste for discharge into the Town's waste water treatment plan.
1, Cray. Walls, Town of Troy Engineer, agrees that the above is correct.
Grey W, Engineer
Town of Troy
Todd Kearns, President
Kearns Pumping Service, Inc.
**Verified that Grey Walls approved of Kearns Pumping Service to discharge
wastewater from Little River Vineyards at the Town of Troy wastewater treatment plant
on 27 June 2008 at 9:56am, based upon the letter signed by Grey Walls (by Will Russell)
and Todd Kearns**
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466 FENTON PLACE
CHARLOTTE, NC 28207
DEED: 933 127 11141996
(PROPERTY DESCRIPTION ITAX SUBDIVISIONS IMAP NUMBER CARD NO
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SUMMER DUCK FAX
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RICI [MOND COUNTY
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North Carolina Department of Environmentand Natural Resources
Division of Water Quality
Michael F. Easley, Governor
February 29, 2008'
Greg Zephir
Town of Troy .
315 N Main Street'
Troy, NC 27371
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
SUBJECT: Advance Notice of Renewal Application Requirements
Permit NC0028916
Troy WWTP
Dear Permittee:
Your NPDES permit for a municipally owned/operated WWTP expires on June 30, 2009. This notice is
being sent to explain the requirements for your permit renewal application.
You are receiving this advance notice because your facility has a permitted flow at or above 1
MGD, or the facility receives industrial [pretreatment] wastewater. If either of these criteria no
longer applies, contact the NPDES Unit before submitting a renewal application.
Federal (40 CFR 122) and state (15A NCAC 2H.0105(e)) regulations require that permit renewal
applications be filed at least 180 days prior to expiration of the current permit. Your renewal application is
due to the Division postmarked no later than January 1, 2009..Failure to apply for renewal by the
appropriate deadline may result in a civil.penalty assessment or other enforcement activity at the discretion
of the Director.
The U.S. EPA- revised and expanded the application requirements for municipal permits, effective August 1,
2001. EPA form 2A is attached to this Notice, and must be used for your permit renewal application. The
new application requirements mandate additional effluent testing:
1. Conduct three Priority Pollutant Analyses (PPAs) and submit results with your renewal
application. Collect samples for the PPAs in conjunction with sampling for your current
quarterly toxicity test. The new PPA requirements differ from previous versions. Each PPA
must include:
➢ Analyses for all total recoverable metals listed in Part D of form 2A. This includes metals
that are not normally monitored through your NPDES permit.
➢ Analyses for total phenolic compounds and hardness.
➢ Analyses for all of the volatile organic compounds listed in Part D.
➢ Analyses for all of the acid -extractable compounds listed in Part D.
➢ Analyses for all base -neutral compounds listed in Part D.
➢ Analyses for Total Mercury must be performed using EPA Method 1631.
2. Conduct four toxicity tests for an organism other than Ceriodaphnia and submit results with
your renewal application. The tests should be conducted quarterly, with samples collected on the
same day as your current toxicity test. Call the Aquatic Toxicology Unit at [phone] for
guidance in conducting the additional tests.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One
512 North Salisbury Street, Raleigh, North Carolina 27604 NofthCarohna
Phone: [phone], extension 511 / FAX [phone] / charles.weaver@ncmail:net Nah(rally
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

O� W H iF
Michael F. Easley
G Governor
r William G. Ross, Jr., Secretary
> y North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
July 12, 2004
Mr. Gray. Wallst i-`'' L
Town of Troy
444 North Main Street
Troy, North Carolina 27371
Subject: Issuance of NPDES Permit NCO028916
Troy WWTP
Montgomery County
Dear Mr. Walls:
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we
are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes the following changes' from the draft permit sent to you on April 14, 2004.
➢ All conditions and requirements concerning a flow of 0.84 have been deleted as the Division received your
Engineer's Certification for the recent upgrade to allow for a permitted.flow of 1.2 MGD.
This permit includes a TRC limit that will take effect on January 1, 2006.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you
have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of this letter.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina
27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of Water Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that maybe
required. If you have any questions concerning this permit, please contact Dawn Jeffries at telephone number (919)
733-5083, extension 595.
Sincerely,
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E.
cc: Central Files
Fayetteville Regional Office/Water,Quality Section
NPDES Unit
Aquatic Toxicology Unit
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NC 27699-1617 tax: [phone]
Internet: h2o.enr.state. nc.us DENR Customer Service Center: 1 800 623-7748

Permit NCO028916
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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,
Town of Troy
is hereby authorized to discharge wastewater from a facility located at the
Troy Wastewater Treatment Plant
Off NCSR 1324
Troy
Montgomery County
to receiving waters designated as Denson's 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 August 1, 2004.
This permit and authorization to discharge shall expire at midnight on June 30, 2009.
Signed this day July 12, 2004.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. HIimek P.E., Director
Division of Water Quality
By,Authority of the Environmental Management Commission

Permit NC0028916
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.
Town of Troy is hereby authorized to:
1. Continue to operate an existing 1.2 MGD wastewater treatment plant consisting
of the following:
♦ Flow equalization
♦ Mechanically cleaned bar screen and grit chamber
♦ Dual oxidation ditches
♦ Dual secondary clarifiers
♦ Sludge digestion and holding
♦ Chlorination/dechlorination (back-up)
♦ UV disinfection
This facility is located at the Troy Wastewater Treatment Plant, 650 Glen Road,
Troy, Montgomery County.
2. Discharge from said treatment works at the location specified on the attached
map into Denson's Creek, classified C waters in the Yadkin -Pee Dee River Basin.

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CC A) M I �
ern
NCDENR
n:.Acinn n; TAT ''__.
-'y'4re Today For A GieuY-
2008
Permit, and Registration -
Kearns Pumping Service
is here by issued a Septage Management Firm Permit,
Permit Number NCS-00637
And by virtue of completing the annual training
requirements is here by registered as a
Septage Management Firm
in the State of North Carolina.
This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable to any other person, business or
entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291.3, Title 15A of the N.C. Administrative Code 13B .0800
et.req., conditions of the permit, and representations made in the application and accompanying documents for a permit.
The permit holder is authorized to discharge septage only at the locations(s) listed below:
1. Town of Troy WWII'
This perinit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management
facility not specified herein.
Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative
penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina, General Statutes. This permit and registration expires on
December.31, 2008.
Date /a 0 7 D %
Signed i'rh

AUTHORIZATION'TO DISCHARGE SEPTAGE TO A WASTEWATER
TREATMENT FACILITY �2 .
North Carolina Department of Environment and Natural Resources
Division of Waste Management - Solid Waste Section
401 Obedin Rd.', Ste.150, Raleigh, N.C. 27.605 '
Fee assessments and waste determinations will be required at the discretion of the wastewater treatment
facility. The facility has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
of
(Plant Operator and Name of Plant)
ate,_ 22 -�
(Address)
do hereby authorize _ I o(AA �Ie a r,- os
(Phone Number) (Owner/Operator of Septage Management Firm)
Management Firm Name and NCS number)
to dispose of: domestic septage f ; portable toilet waste
grease septagd (grease trap pumpings) commercial industriai septage ..from
�"'I-, m �c� -i-
' (County or other Geographic Area)
at the above -named wastewater treatment facility. Septage shall be discharged at:
(Location)
between the hours -of ­7 �, 01
Reintroducing partially treated liquid into a grease trap is acceptable , Yes No
This autho ' n shall be valid until i r.:.. n lE,z.,-, 1 f� 00
C
:.Stgned
(Fmlity operator)
(Usually December.31, Year)
Date
Swornto and subscribed before me this / ` day ofL''I ��i"� : 20
My Commission expires: /5 —'ar,,
(Notary Public)
(OFFICIAL. -SEAL)
Note: Falsification of this document by the septage management firm shall lead to permit revocation.
h'CWSeptage/forms/aaihorWat{-04\wwtp auth,20M

----- - --- --
APPLICATIONFOR-PERMIT TO -OPERATE'A.SEPTA-6
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION.- 401 OBERLIN RD., STE. 150,
(1.) Firm name: (The `Firm name" must be'exac' as it is shown on your vehicle(s).
Street address of -office: 3-21.'
�Ej,NT FIRM
LEJGH, NC 27605
C,
Mailing address (if different):
Phwe: G /0 - �76-(DGil
County: Septage Management Firm permit number: 'NGS # 0('j
(2.) Firm owner's name:— I OAA I (,a f\
Mailing address!
1A.C_, QL-TV) I Phone C! I D 5-7 1'-
(3.), Firm operator's name: I\e_acAS Firm operators title:
Mailing. address: .270 sk-.�o\N ' RA
-73
Phone: CA /0 5 7 &P--:0G S-- 1 Z,7 1 D­ ­7
(4,1 Type(s) of septage pumped: Write in the number of elation pumped in 2007 (E x. Domestic 50,000 Gals.).
Domestic: - 47YioSo Portable Toilet Waste' Grease (restaurant): qq, A00
Treatment Plant: Industrial/Commercial:
_J1J(5,) NC Counties of Operation:
(Lilt each county you do business in)
(6.) Total Number of Pumper Vehicles Operated:
Number used for Domestic Septage: ✓ Grease (restaurant):.
'Other: Portable Toilet Waste:
Vehicle Information: (use.additional paper if needed)
-License-Tag -#: ' '-I -' 6 q G - 7 Q '�
Vehicle Identification i r- U R s, ), a 3 ', K
'tank Capacity: 01,13co
(7..) Septage Disposal Method: (check one)
a) App . roved wastewater treatment. plant:(' vlfyes )no. If yes, -submit Wastewater Treatment Authorization.
for each plant, as indicated in Subparagraph..0817(d)(I 1) of the Septagd:Management Rules.
Septage Land Application Site (SLAS) Permit Numbers:. (use -additional sheets. -if needed)
SLAS#: .Expiration Date: SLAS#: • Expiration Date:
c) Septage Detbntion.or Treatment Facility (5DTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiration Date: SDf F#: Expiration Date:
TURN *PAGE OVER TO COMPLETE THE -APPLICATION

V
s (8.) Septage Management. firrn Operator Training Completed: (4- hours needed)-
Date. J'I- `7- 01 - Location:
Training Sponsored or Provided by:.
Hours for Septage Management: _ H u for Portable Sanitation:
Septage Land Application Site Operator Training Completed:
Date: Location;
Training Sponsored or Provided by:
(3 hours needed)
Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm:
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
I certify that the information and representations in this application for a permit are true, complete, and accurate to the best
of my.knowledge and belief.. 1 am aware that a permit'may be suspended or revoked upon a finding that its issuance was .
based upon incorrect or inadequate information that materially affected the decision'to issue the permit and that there. *are..
criminal penalties for knowingly making a false statement, representation, or certification.
' Sign ure*
Odd . A e,C-4 i-r\
;Print -Name
*Signature of company official required.
h;cialseptagelforms/applicatlall-04VFimrapp•2007
Other Comments:
Date
Title

DRAFT
2-bedrooms/4 people
240
>4 people/60
al/ erson/da
3 bedrooms/6 people
360
>6'people/60
gal/person/day
4 bedrooms/8 people
=
480
>8 people/60 ,
al/ erson/da
5 bedrooms/10 people
600
>10 people/60 g_al/person/
da
6 bedrooms/12 people
=
720
>12 people/60ga1/person/
da
> 6 bedrooms
# bedrooms x 120
>12 people/602al/person
al/da
with a maximum occupancy of 2 people per 1,000 fe. When the owner(s) resides in a eeeHpaaesy of a
dwelling unit for less than 95 days per year and rents the unit for the remainder of the year, or for full
time rental units the design daily flow shall
be determined by the maximum occupancy at a rate of 60 gallons per person per day.
(b);Table,No. IX=B, shall be used to determine the minimum design daily flow of wastewater sewage
required in* calculating the design volume of wastewater systems to serve selected
types of facilities The minimum design daily flow e of wastewater sewage
:4$ m any -non residential facility establishme shall be 100 gallons per day. Desiga of sewage
tr-eatmetit ai�d disposal systems fer- establislunents net identified in tMs Peale shall be deteffilined
> >
TABLE NO. 13.1
and other- measwe
41

. �� 4A
IDUFAMN
Day Cater GanV) 3 .,vim zt
42

DRAFT
--Business -
Airport, railroad stations, bus
5 gal/person
Food preparation not included
terminals: etc
Barber sho s
50gal/chair
No shammoing of hair
Bars, cocktail lounges"
-
20 gal/seat and 20 gal/employee
Food preparation not included
add 15 gal/pool table or video
machine
BegiLty shops/slyle shops
125 al/chair and 20 gal/employee
Bed and breakfast
130 gal/room
BowIjh lanes*
50 gal/lane
food preparation not included
Coffee shops
_-
200 gal/1000 Ff of floor space and
Minimum flow 200gaUday, food
20 aUem to ee/shift
preparation not included
Dop, Kennels(Grooming)
20 al/ to ee/shift
Animal waste is IPWW
F>ea markets
15 gal/non-food service vendor
Less than 4 days/week,
food preparation not included
Laundromats
500 al/machine
Marinas
30 gal/boatslip
10 gal/boat slip
5 al/boat slip
With bathhouse
Wet slips
D stora e
Motels/hotels
120 gal/room, add
55 al/room with cooking facilities
Offices &factories
_
20 alg /employee /8 hr. shift,
10 gal/employee for < 4 hrs/day,
add 10 gal/employee for showers
Industrial Process Wastewater not
included
Stores, shopping centers, and
120 gal/1000 of retail sales area,
Food preparation not included
malls*
and 20 gal/employee/shift .
Veterinian
300 gal/1000 sq. ft of clinic or 25
gal/employee
No medical waste, no waste from
x-ray equipment, animal waste is
Winery*
200 al/1000 Ff of floors ace an
Minimum flow 200 ag l/day. food
20 gal/employee
preparation not included 10
Cam s/Caen rounds
Summer cams
60 al/ erson
--_--_--
15 g"erson/food preparation,
If facilities are on separate
systems, or camp does not have
20 gaUperson/toilet facilities,
10 ga gerson/bathing facilities,
all components
15 al/person/laundry facilities
DU camps
8 al/camper and 20 ag Uempllo ee,
5 gal/camper for cafeteria with
add 2 gal/camper for showers,
add for cafeteria
multi use service, or
3 al/camper for cafeteria with
single use service
Construction or work camp
60 gal/person
40 gal/person with chemical
toilets
Travel trailer/recreation
vehicle park
120 gal/space
Bathhouse
100 ag Ucampsite
Toilet and shower facilities, no
water and sewer hooks ups
Park model RV
175 al/g space
In a recreational vehicle park, no
laundH in RV
43

Pump & Haul approval letter
Subject: Pump & Haul approval letter
From: Jim Barber <[e-mail]>
Date: Fri, 27 Jun 2008 17:28:48 -0400
To: will russell <[e-mail]>
Will;
Attached is'the signed Pump & Haul approval letter. I forgot that I had a meeting
this morning at 9:30 in Sampson County, therefore I didn't have the time to get the
letter to you before now. The complete letter with attachments will be in the mail
on Monday,. so hopefully you should have the document by Weds or Thursday of next .
week. Once you receive the document inthe mail, give me a call so we can discuss.
Jim Barber
Content -Type: application/pdf
LittleRiverV.ineyardltr.pdf(Content-Encoding: base64
1 of 1 6/27/2008 5:29 PM

Re: FW: 1500-gallon tank
Subject: Re: FW: 1500-gallon tank
From: Jim Barber <[e-mail]>
Date: Wed, 25 Jun 2008 16:49:16 -0400 .
To: will russell <[e-mail]>
Will;
Got the tank drawing. Is this a approved septic tank design thru the local health department or the
Division of Environmental Health? Also, is there a water tightness certification for the approved
tank??
Attached with this email is the form with the necessary corrections. Give me a call once you receive
this email so we can set a time and place to meet tomorrow, if you can get all the information together.
I will be in the Fayetteville office until 5:30 this afternoon. I have the site maps and locations maps
that will suffice for this application.
Jim Barber
will russell wrote:
From: lanelowder(a-,vnet.net
To: willrussell(a,hotmail.com
CC: cmlowder o,excite.com
Subject: 1500-gallon tank
Date: Wed, 25 Jun 2008 15:42:56 -0400
1500-gallon septic tank diagram
Christy M. Lowder
A.L.Lowder, Inc.
435 Willow Street
Albemarle, NC 28001
704-982-4456 phone
704-983-1314 fax
The other season of giving begins 6/24/08. Check out the I'm Talkathon. Check it out!
1 of 3 7/9/2008 9:03 AM

FW: 1500-•gallon tank
Subject: FW: 1500-gallon tank
From: will russell <[e-mail]>
Date: Wed, 25 Jun 2008 20:33:30 +0000
To: Jim Barber <[e-mail]>
From: [e-mail]
To: [e-mail]
CC: [e-mail]
Subject: 1500-gallon tank
Date: Wed, 25 Jun 2008 15:42:56 -0400
1500-gallon septic tank diagram
Christy M. Lowder
A.L.Lowder, Inc.
435 Willow Street
Albemarle, NC 28001
704-982-4456 phone
704-983-1314 fax
The other season of giving begins 6/24/08. Check out the I'm Talkathon. Check it out!
1 of 3 7/9/2008 9:03 AM

Winery -Pump and Haul forms
Subject: Winery -Pump and Haul forms
From: Jim Barber <[e-mail]>
Date: Wed, 25 Jun 2008 10:33:47 -0400
To: will russell <[e-mail]>, Art Barnhardt <[e-mail]>
Will;
Here is the Pump and Haul application forms to be utilized for
submitting a application.
When submitting the completed pump & haul application, please provide the following
documents: letter(s) from Town of Troy and/or"other wastewater treatment plant that
will accept your wastewater, site schematic of building and tank location, detail of
tank (i.e. traffic rated tank or not, capacity, baffles, access points. The
manufacturers diagrams will suffice) with alarm as addressed by .0204(c)].
Also provide the name or names of pumpers that you will contract with or may
contract with for the pumping and hauling of the wastewater from your winery.
Provide a brief narrative on spill prevention and response (this can be provided by
your pumper if he has a spill prevention plan for managing septage). If a specific
area is designated for the pump truck to park when emptying the tank; include this
location on the site drawing.
If you wish to FedEx, if we can't work out a meeting day and time, mail the package
to the following location:
NCDENR - Division of Water Quality
225 Green Street
Suite 714
Fayetteville, NC 28301-5043
Attn: Art Barnhardt
As discussed on the phone this morning, the fee listed on the cover page of the pump
& haul application is not required. The Division of Water Quality will issue a Pump
& Haul approval/authorization letter and not a permit. Richmond County may require
you to submit a copy of the DWQ Pump & Haul letter for their files, prior to issuing
a occupancy certification (this has happened in Moore County, not sure about
Richmond)
If you have any questions, please give me a call at 910-433-3340.
Jim Barber
D00052108.pdf11 Content -Type: application/pdf
Content -Encoding: base64
I Content -Type: application/pdf
D00052108-OOI.pdf 1
Content -Encoding: base64
1 of 1 7/9/2008 9:04 AM

Re: Div. of Water Quality website
Subject: Re: Div. of Water Quality website
From: Jim Barber <[e-mail]>
Date: Fri, 11 Apr 2008 11:16:53 -0400
To: will russell <[e-mail]>
Will;
Grey Walls most likely is referring to Ms. Belinda Henson, regional supervisor for the Surface Water
Protection Section that inspects and oversees the operations of wastewater treatment plants that
discharge to surface waters in the Fayetteville region. I'm not aware of any specific information that
the Surface Water Section will have on wastewater from wineries, although they may have contacts in
other regional offices that deal with wineries. I believe the Winston-Salem office has a large number
of wineries located in the "Yadkin Valley area" and therefore some wastewater treatment plants may
have information similar to what Grey Walls is looking for. If you speak with Grey, you can ask if he
has any contacts with treatment plant operators in some of the following counties they may provided
some information:
Davidson, Yadkin, Surry, Alleghany, Wilkes, Stanley and Cabarus. I got these counties from
reviewing the NC Wineries list and map of wineries located in NC at this website,
http://www.ncwine.org.
Hopefully one of the counties listed will have some experience in dealing with wastewater from
wineries.
Jim Barber
will russell wrote:
i spoke with grey walls of the troy waste water. he, wanted a sample of the water which we dont
have . he then said he would do some research and talk to a lady named melinda in the fayteville
agency
am i on the right track
Date: Mon, 7 Apr 2008 08:32:56 -0400
From: [e-mail]
To: willrussell(a),hotmail.com; michael.scott(a ncmail.net
Subject: Re: Div. of Water Quality website
Will;
I spoke with Mike Scott (Div. of Waste Management) last Thursday concerning the
issue of land applying the grape skins/hulls, leaves, stem pieces and the sediment that
collects in the vats. According to Mike, composting of the material is the
management technique to be utilized. Concerns arise with respect to the introduction
of spore and other crop diseases from land applying raw materials, especially if those
feed stocks didn't originate from the land on which the,land application activity take
places. Please contact Mike at 919-508-8508 or michael.scott(o-),ncmail.net for
composting options. Another source of information and/or technical assistance with
1 of 4 7/9/2008 9:04 AM

Re: Div. of Water Quality website
this issue is N.C. State ( http://www.soil.nesu.edu/ ).
You or your pump & haul contractor need to make contact with local wastewater
treatment plants to determine their interest in accepting the wash water. The facility
chosen may have specific'requirements concerning date, time and location (either at
the plant or at a pump station) of receiving the wastewater.
Jim Barber
will russell wrote:
so where are we now
i ve had a busy week and dont remeber if you were checking with local
waste water facilities or i needed to check with the locals
just didnt want to be the hold up
thanks for everything
Date: Tue, 1 Apr 2008 10:30:47 -0400
From: Ji m.Barber(a-),ncmail. net
To: willrussell a,hotmail.com; Art.Barnhardt(a),ncmail.net
Subject: Re: Div. of Water Quality website
Will;
Attached with this email is the guidance document that is
used for industrial. wastewater pump & haul activities. After
you have had the opportunity to review; if you have any
questions, please give me a call at 910-433-3340.
I have not been able to speak with Mike Scott, Solid Waste
Composting and Land Application Branch Supervisor,
concerning the management (land application on vineyard)
of grape hulls/skin/seeds, stems/leaves, along with sediment
and other solids from the holding vats. Please contact Mike
at the following number, 919-508-8505, or email Mike at
michael. scottna,ncmail.net.
Jim Barber
will russell wrote:
i will be reviewing this today
thanks for everything
28 Mar 2008 17:37:29 -0400
> From: Jim.Barber ancmail.net
> To: willrussell(a-hotmail.com
2 of 4 7/9/2008 9:04 AM

Re: Div. of Water Quality website
> Subject: Div. of Water Quality website
> Will;
> Here is the DWQ website that has the permit
applications that would be
> applicable to you for your proposed facility:
> http://h2b.enr.state.ne.us/lau/applications.html
> Look over the wastewater spray irrigation
application and the high rate
> infiltration application. Most likely these two
permits will be the most
> pertinent to your process. The one you
ultimately use will be dependent
> on wastewater characteristics (wastewater
sample data) and any
> pretreatment technology, if any, that is
needed.
> Once you have had the opportunity to review
the DWQ website, give me a
> call to discuss further. Hopefully on Monday
31 March I will get some
> calls back to the messages that I left today
inquiring about wineries in
> North Carolina and to see how many of them
are on sewer collection
> systems verses on -site management of
wastewater.
>
> I have not been able to put my hands on info
concerning "pump & haul"
> permitting requirements ( I haven't worked on
or- with pump and haul
> applications in the two years I've been with
DWQ). Hopefully on Monday
> the 31 st I will be able to forward info to you
or give you a call and
> fax any documents needed for addressing a
pump & haul activity.
> The second web page to review is the "Fee"
page located at
> http://h2o.enr.state.ne.us/lau/fees.html to see
the corresponding permit
> fee and annual permit administration fee that
will accompany the permit.
3 of 4 7/9/2008 9:04 AM

Re: Div. of Water Quality website
> If you have any questions, don't hesitate to
call me at 910-433-3340 or
> send a email.
> Jim Barber
In a rush? Get real-time answers with Windows
Live Messenger.
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Messenger. Get started!
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4 of 4 7/9/2008 9:04 AM

RE: Div. of Water Quality website
Subject: RE: Div. of Water Quality website
From: will russell <[e-mail]>
Date: Fri, 11 Apr 2008.12:48:42 +0000
To: Jim Barber <[e-mail]>
i spoke with grey walls of the troy waste water . he wanted a sample of the water which.we dont have . he
then said he would do some research and talk to a lady named melinda in the fayteville agency
am i on the right track
Date: Mon, 7 Apr 2008 08:32:56 -0400
From: [e-mail]
To: [e-mail]; [e-mail]
Subject: Re: Div. of Water Quality website
Will;
I spoke with Mike Scott (Div. of Waste Management) last Thursday concerning the issue of land
applying the grape skins/hulls, leaves, stem pieces and the sediment that collects in the vats.
According to Mike, composting of the material is the management technique to be utilized.
Concerns arise with respect to the introduction of spore and other crop diseases from land
applying raw materials, especially if those feed stocks didn't originate from the land on, which the
land application activity take places. Please contact Mike at 919-508-8508 or
[e-mail] for composting options. Another source of information and/or technical
assistance with this issue is N.C. State ( http://Www.soil.ncsu.edu/ ).
You or your pump & haul contractor need to make contact with local wastewater treatment plants
to determine their interest in accepting the wash water. The facility chosen may have specific
requirements concerning date, time and location (either at the plant or at a pump station) of
receiving the wastewater.
Jim Barber
will russell wrote:
so where are we now
i ve had a busy week and dont remeber if you were checking with local waste water
facilities or i needed to check with the locals
just didnt want to be the hold up
thanks for everything
Date: Tue, 1 Apr 2008 10:30:47 -0400
From: [e-mail]
To: will [e-mail]; [e-mail]
Subject: Re: Div. of Water Quality website
Will;
Attached with this email is the guidance document that is used for
industrial wastewater pump & haul activities. After you have had the
opportunity to review; if you have any questions, please give me a call
at 910-433-3340.
I have not been able to speak with Mike Scott, Solid Waste
1 of 3 7/9/2008 9:05 AM

RE: Diy. o-f Water Quality website
Composting and Land Application Branch Supervisor, concerning the
management (land application on vineyard) of grape hulls/skin/seeds,
stems/leaves, along with sediment and other solids from the holding
vats. Please contact Mike at the following number, 919-508-8505, or
email Mike at [e-mail]. ,
Jim Barber
will russell wrote:
i will be reviewing this today
thanks for everything
28 Mar 2008 17:37:29 -0400
> From: [e-mail]
> To: [e-mail]
> Subject: Div. of Water Quality website
> Will;
> Here is the DWQ website that has the permit
.applications that would be
> applicable to you for your proposed facility:
> http://h2o.enr.state.nc.us/lau/applications.html
> Look over the wastewater spray irrigation application
and the high rate
> infiltration application. Most likely these two permits
will be the most
> pertinent to your process. The one you ultimately use
will be dependent
> on wastewater characteristics (wastewater sample
data) and any
> pretreatment technology, if any, that is needed.
> Once you have had the opportunity to review the DWQ
website, give me a -
> call to discuss further. Hopefully on Monday 31 March_ I
will get some
> calls back tothe messages that I left today inquiring
about wineries in
> North Carolina and to see how many of them are on
sewer collection
> systems verses on -site management of wastewater.
> I have not been able to put my hands on info
concerning "pump & haul"
> permitting requirements ( I haven't worked on or with
pump and haul
> applications in the two years I've been with DWQ).
Hopefully on Monday
> the 31st I will be able to forward info to you or give
you a call and
> fax any documents needed for addressing a pump &
haul activity.
> The second web page to review is the "Fee" page
located at
2 of 3 7/9/2008 9:05 AM

RE: Div. of Water Quality website
>.http://h2o.enr.state.nc.us/lau/fees.html to see the
corresponding permit
> fee and annual permit administration fee that will
accompany the permit.
> If you have any questions, don't hesitate to call me at
910-433-3340 or
> send a email.
> Jim Barber
In a rush? Get real-time answers with Windows Live
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sta rted !
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3 of 3 7/9/2008 9:05 AM

. O�O� W A T�9QG
o rr
Michael R Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen Sullins, Director
Division of Water Quality
June 27, 2008
Mr. John R. Georgius, Owner
Little River Vineyards
1907 Highway 73 West
Mount Gilead, North Carolina 28207
SUBJECT: Little River Vineyards at Summer Duck Farm
Process Wastewater
Richmond County
Dear Mr. Georgius:
The application dated 25 June 2008 concerning the pumping and hauling of wastewater
generated from Little River Vineyards was received on 26 June 2008 and reviewed by
staff in the Division of Water Quality — Aquifer Protection Section of Fayetteville.
Regional Office.
As explained in the pump and haul application, Little River Vineyards plans to pump and
haul approximately 2000 gallons per event (based upon the contract haulers truck
capacity of 2300 gallons) of wastewater generated by the facility to the Town of Troy
wastewater treatment plant located in Troy, North Carolina. The Town `of Troy has
indicated its willingness to accept and treat the wastewater in accordance with their letter
of intent signed by Mr.. Grey Walls as part of the permit application package received on
26 June 2008 (copy included with this letter).
Based upon the information provided, the requested Pump and Haul activity at Little
River Vineyards is hereby approved.
Once the infrastructure and equipment associated with this pump and haul activity is
constructed and before it is put into operation, the following information shall .be
presented to the Division:
-1. Notification to the Fayetteville Regional Office that the infrastructure and
equipment has been installed in accordance with the, application submitted;
2. Provide the anticipated start date for the pump and haul activities;
3. If not provided in the initial application; a contact name or names of individuals
that will be on -site during the operation of the winery that will oversee the
operations of the facility, especially the transfer of wastewater from the on -site
holding tank to.pump truck, with a telephone number;
ne
NorthCarolina
Natuml�l, J
North Carolina DWQ/Aquifer Protection Section 225 Green St./ Suite 714 Fayetteville, NC 28301 Phone [phone]
FAX [phone] Intern6t: h2o.enr.state.nc.us Customer Service 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

y 11
4.. , A spill prevention plan and clean up plan shall be on -site and made available upon
request, if and when inspection of Little River Vineyards is made by the Division
of Water Quality.
Please be aware that wastewater generated by Little River Vineyards is ultimately Little
River Vineyards responsibility for the proper management of the wastewater .to the
designated receiving sites. Upon completion of these pump and haul activities, Little
River Vineyards shall provide notification to this office that these activities have ceased.
Any environmental impact that can be attributed to this activity may be used as
justification for the Division to request termination of the subject pump and haul
activities.
If you have any questions concerning this approval, please contact Jim Barber at 910-
433-3340 or myself at 910-433-3336.
Sincerely,
en . Barnhardt, Regional Supervisor
Divisi'oof Water Quality
Aquifer Protection Section
cc: FRO Files
Raleigh Central Files: Richmond County
I

Pump & Haul: Richmond County
Approval Letter dated 27 June 2008
}
CERTIFICATION
Partial
Final
as the representative for the
owner and hereby state that, to the best of my abilities, due care and diligence was used
in the installation of the two concrete holding tanks, such that the installation was
observed to be consistent with and intent of this approval, the approved plans and
specifications, and other supporting materials.
Signature:
Date

.,I - :..
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Pump and Haul Application Form
INSTRUCTIONS FOR FORM: P&H 7/05
The Division of Water Quality will not accept this application unless all tractions are followed:
Plans and specifications must be prepared in accordance with 15A NCA .0200, all applicable
general statutes, and good engineering practices. Failure to submit all of the required items will lead to
additional processing time for the permit application or in the application being returned as incomplete.
A Application Form:
✓Submit one original and one copy of the completed and appropriately executed application form. The Division of
Water Quality (Division) will only accept complete application packages.
,/The project name should be consistent with the project name on any plans, letter of flow acceptance, operational
agreements, etc.
B. Application Fee (New and Renewal Packages):
✓The appropriate application fee is for flows <10,000 GPD and for flows >10,000 GPD.
✓Submit the check. payable to: No Carolina Department of Environment and Natural. Resources (NCDENR).
C. Cover Letter. . 0 $�o
✓Submit a cover letter explaining the circumstances associated with this pump and haul request as required by 15A
02TNCAC . Please note that pump and haul permits are not acceptable as a long-term domestic
wastewater treatment alternative.
D. Receiving Facility.
✓Submit a letter from the owner/authority of the receiving wastewater treatment facility stating that the pumped and
hauled wastewater will be accepted and specifying the volume of wastewater that will be accepted. -
E. Contract Hauler.
✓ Submit aletter or contract from the hauler al LWhis capability and willingness to perform thepumping andhailing.
F. Detailed Plans and Specifications:
-'Submit two sets of.detailed plans and -specifications that have been signed, sealed, and dated by a Licensed NC
Professional Engineer.
✓Plans must include the following minimum items: a general location map and a diagram of the components
associated with the pump and haul activity (drains, piping, tanks, pumps).
-'The tank detail should indicate the high water alarm (both audible and visual or an auto dialer).
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING
INFORMATION AND MATERIALS, SHOULD BE.SENT TO THE FOLLOWING ADDRESS:
Apt
J
aw
or
otection Section
Fayetteville Regional Office
225 Green Street, Suite 714
Fayetteville, NC 28301
Telephone (91AM
Faz(910) 486-0707
SI33- 333ti,
Form: P&H 7/05 Pagel of 4

L
II.
NORTH CAROLINA
DEPARTMENT OF
ENVIRONMENT AND
NATURAL RESOURCES
Division of Water Quality
Fayetteville Regional Office
Non -Discharge Pump and Haul Permit Application
Application Number: NIA (io be completed byDWQ)
GENERAL INFORMATION:
(�o � I
1. Applicant (corporation, individual, other): LJ - o, I 1 it I� l ��� U 1� Ac VC, C
2. Print owners or signing official's name and title (person legally responsible for the facility and its compliance):
t✓ D f, i ff
3. Mailing address of applicannt/ �� � con '�`" , m p1 XC
< � r7e City: (�Gi G r State: . Zip: iZ p 2 0 7
Telephone number. dL0 q3.9 Co 7 '6 3 Facsimile number: %1 D , U 9 Co % 9'3
Email Address: GJ i 11 f Lt S 5a f 1 e64 m o-. 1. C taw►
4. Project name (facility or establishment): L J f IL' II ; o e- c, 0. ne U e_i, As
5. County where project is located: _ i C. � IVt O K d
6. Fee submitted: $ 0 (See Instruction B.)
7. Name and complete address of i�-ice:®_ .�w vv\ tv\ e f k Lam. r Iva
TAA)K$ FOR Po r A AAI-.s 4aU (_ o ) qi D7 14 7 3 GJ C S I
City: e 4 State: C Zip: 27 306
Telephone number: &0 �3l` 4-7S3 Facsimile number: f/D)
8. Nam and aaffiliation of contact person who can answer questions about project: /�J. V1 &L S.Se
r91y 1 q CI 5 - S 7S 2 Email Address: w � �� � u S Se �� . l� � o � wt� � I • C � �
PERMIT INFORMATION:
1. If this application is being submitted as a result of a modification to or renewal of an existing permit, please provide
the existing permit number /% df% & and the issuance date /%f%f%C�
2. Specify whether the applicant is: public or private
Form: P&H 7/05 Page 2 of 4

III.
1.
2.
3.
4.
5.
IV. 1.
2.
3.
4.
V.
I.
2.
3.
4.
CAA
INFORMATION ON WASTEWATER:
Nature of wastewater: %Domestic %Commercial %Industrial
%Other waste (specify):
Please provide a one or two -word description specifying
11 the
(origin of the wastewater (school, restaurant, apartments,
connnercial): fy iyt C: P y. (,y c" I h Cr o to 1�
Volume of wastewater generated by this project: 2000 &ALL0AJ 5 I EV E N T, gallons per day.
Explanation of how wastewater flow was determined (15A CAC 211 .02190)): Z�_%j%/P
�,,'r,ow o C .�--17v,%A4 le X�/ yet/// V /, ( e?.s : aoo CAi./Day
Description of any pretreatment of wastewater prior to pumping and hauling: /%O/1 e
TREATMENT FACILITY INFORMATION: /,z Name of treatment facility receiving wastewater OPD �C �Cr S/�G�i�r >�/' it
NPDES permit number of treatment facility: /V C O D 2 /
Treatment facility contact person and telephone no: R li 40 L l 0
County where treatment facility is located: ,Adl TS ome,-4
CONTRACT HAULER INFORMATION:
o f
Name of owner/company of transporting (hauler) vehiclen e:
Mailing address of hauler: , 0 5 i 10 N K D4 T Ic niD y r 1
q _ 73 7/
Telephone number of hauler. 76 06 ZZ
Provide the typical hauling volume of the vehicle: �2 s g
GENERAL PROJECT,' INFORMATION
1. Briefproject delion: "t u n !� scri7 ����
2. Explan' ' no fwhy pump and haul is being requested: �+e,c eX e3 /c a
,Stc/ k�/' i✓t LrJ� S/ dvw�
3. Specify how long the pump and haul permit will be needed (maximum of six months):
4. 'What will be the permanent method of wastewater disposal once the pump and haul activities have ceased?:
xl�o i % �/_= i�.� � rRolo coin
5. Date that permanent disposal method will be available:
6. Have permits/approvals for the permanent disposal method been obtained?
Yes; Permit No. Permitting agency
No; Pending permit No. Al Permitting agency /�
Form: P&H 7/05
Page 3 of 4

VII.
7. 'What type of tank or container will the wastewater be pumped from and what is the volume of this container?
k) C7 IS D O e-,UO Vl G c7 �1 C_ ��`t (T�IIc K_ lC S
8. Is the tank or container already in place or will it be installed for these activities -� Ind .e JJy 2Oa5
9. What type of high water alarm does the container have? Audible and visual Auto dialer
OWNER'S SIGNATURE:
Applicant's Signature and Certification:
I, EOM og 5, attest that this application for 0
I l
MA It, W(4 1 G O VA G has been reviewed by me and is
accurate and complete to the be 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 to me as incomplete. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any
person who knowingly makes any false statement, representation, or certification in any application shall be guilty ofa
Class 2 misdemeanor, which may in de a fi� not to exceed $10,000 as well as civil penalties up to $25,000 per
violation. Al - / n //
Signature: Date: 4!� ——��
ENGINEER'S CERTIFICATION:
Professional Enzinbeirls Certification:
1,
attest that this ape —cation for
has been reviewed by me and is
accurate, complete and consistent with the info . n supp the engineering plans, calculations, and all other
supporting documentation to the best ofm wledge. I further atte t to the best of myknowledge the proposed
design has been prepared in accord with the applicable regulations. ugh. other professionals may have
developed certain portions oft 'submittal package, inclusion ofthese materials un signature and seal signifies
that I have reviewed thi aterial and have judged it to be consistent with the proposed desi , te: In accordance
with NC Gene r totes 143-215.6A and 143-215.6B, any person who knowingly makes any b
represent • , or certification in any application shall be guilty of a Class 2 misdemeanor, which may
not ceed $10,000 as well as civil penalties up to $25,000 per violation.
Carolina Professional Engineer's seal, signature, and date:
Form: P&H 7/05 Page 4 of 4

KEARNS PUYNING SERVICE
370 Shiloh Road
Troy, NC 27371
910-576-0681
910-571-1855
Pump and haul Contract
Will Russell — Candor
Little River Winery
The Town of Troy haspermitted-(through the State) Kearns Pumping Service, Inc. as an
approved Pump & Hauler to discharge waste water into the Town of Troy's waste water
treatment plant.
State Permit #00627
Waste generated by Little River Winery has been approved by the Town of Troy as an
acceptable waste for discharge ito the ToW s, waste water treatment plan.
I, Gray Walls, Town of Troy Engineer, agrees that the above is correct.
Grey WqX, Engineer
Town of Troy
Todd Kearns, President
Kearns Pumping Service, Inc.
**Verified that Grey Walls approved of Kearns Pumping Service to discharge
wastewater from Little River Vineyards at the Town of Troy wastewater treatment plant
on 27 June 2008 at 9.:56am, based upon the letter signed by Grey Walls (by Will Russell)
and Todd Kearns*

0 r- � �\R
ALL. S5 i b6AL) 1500
��15 IANI<

14" �14
-73 �--'
)A
�i
SUMMER DUCK FARM WINERY , .
1907 NC 73 WEST; MT. GILEAD, NC. 273 06
TWNMOWT�('C)TTMtV XTO
5ko
le- 141-NP

OWNERSHIP 06052008 73045 301
SUMMER DUCK FARM INC
C/O JOHN R GEORGIUS
466 FENTON PLACE
CHARLOTTE, NC 28207
DEED: 933 127 11141996
(PROPERTY DESCRIPTION
ITAX SUBDIVISIONS
IMAP NUMBER CARD NO
1753000353472 2
(ACRES AND DWELLING
ISTEELS
I
I
IRECORD NUMBER:. 40760
IROUTE 7530 00 010 2
I
I
ILISTER:N A
I
IREVIEW:8 10 96AH -
ITOPO ISTREET
(UTILITY IZONING
I I
I
I I
I I NOTES:OUTBLDGS ONLY
I#(LAND CLASS I
I
SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS=LND-VALUE
I
I
I
I
ILAND VALUE:
-
0
I#(OTHER FEAT I
SIZE IBASERATE*COND
=ADJRATE*UNITS=OFB-VALUE
I1I-8 SHELTER I
OI I
I I I 1500
I2-27 DWL SV I
I
01 I
I I I 500
(OTHER VALUE: 2000
IFNDATION I XTRFNISftlROOFTYPEIROOFMTRLISIZE/QTYI
I I I I I I
I I I I I1.00STHTI
I I I I I I
IWALLFNSHIFLOORS IHEAT&AIRIHEATFUELI I
I I I I I I
I I I I I I
I I I I I1.00LFUFI
r I -
OTHER 0 I
#ISTRUCTUREISKTCH-SF*STHT= AREA RATE*GRDF+HEAT+EXWL*WLHT=ADJRAT* AREA= RPCN* DEPF*CNDF=STR-VALUE

STRUCTURE VALUE: 0
I I I I 1 I CARD 2 VALUE 2000
OWNERSHIP b6052008 73045 301 IPROPERTY DESCRIPTION ITAX SUBDIVISIONS IMAP NUMBER CARD NO
SUMMER DUCK FARM INC (ACRES AND DWELLING ISTEELS 1753000353472 1
C/O JOHN R GEORGIUS IMCAULEY & POWELL PROPERTY I IRECORD NUMBER:. 446
466 FENTON PLACE I I I IROUTE 7530 00 010 1
CHARLOTTE, NC 28207 1 I ILISTER:8/2/95CE
DEED: 933 127 11141996 IE01 64 I IREVIEW:MT 2003
........... ..... 64............... ITOPO ISTREET (UTILITY IZONING 333.05 ACRES
(ROLLING IPAVED IPUBWATERI
1 I ISEPTIC I NOTES;POOL ENCLOSED IN BATHHOUSE
F- 4 I I I I
2 OPNPORCH8 E 1#1LAND CLASS I SIZE IBASERATE*FRNT*DPTH*ADJ=ADJRATE*UNITS=LND-VALUE
2 :.... 21...... :.10.28.14..: Ill 1HBLD SITEI 1.50ACI 65001 I 1 1 65001 1.501 9750
12121HCLEAR 1102.55ACI 32501 0.28ACFI 1910.00102.551 93321
9 C- 8 D- 1 13121HCLEAR I 50.00ACI 32501 0.28ACFI 1910.00150.001 45500
ENCPORCH: OPNPORCH2 14131HWOODS 1179.00ACI 16251 0.28ACFI 1455.00179.001 81445
:..12.:....... 58..:.... 22.....
l
1
0
:ILAND VALUE:
230016
61#10THER FEAT I SIZE 1BASERATE*COND
=ADJRATE*UNITS=OFB-VALUE
2 :...
16... :11131DBARN 1 40* 301 9.2410.50
1 4.621
12001
5544
2
:12131DBARN . 1 60* 361 8.6210.50
1 4.311
21601
9310
113112CPOOL 1 50* 251 17.8010.50
1 8.901
12501
11125
A-
214113DBATH HSEI 80* 411 9.3510.95
1 8.881
32801
29126
SNG FAML
:151 7CSHED 1 40* 181 7.9510.55
1 4.371
7201
3146
... 16... ....
16... :16-11 UTILBLDGI Ol I
I I
1
100
1 1
17-11 UTILBLDGI 01 1
1 1
1
2000
0 0
181 1DUNFFRGARI 12* 201 17.3410.70
1 12.141
2401
2914
(OTHER VALUE:
63265
Q......... 42......... :
IFNDATIONIXTRFNISHIROOFTYPEIROOFMTRLISIZE/QTYI
OPNPORCH
IBRICK IASB/SDG IGABLE 1ASPHSHNGI 1
8 B- 8
1 1 1 1 11.00STHTI
......... 42......... :
I I I I I I
IWALLFNSHIFLOORS (HEAT&AIRIHEATFUELI 1'
IPANEL ISOFTWOODICENTRHTGIOIL I I
.
IDRY WALLICARPET IPCKAGEACI 1 8 ROOMI
I 1 1 1 11.00LFUFI
I
- I
DWELLING C+05 B1960E1965 GOOD CONDITION
DIMENSIONS:A-CUlOL16U22R58D1OR16D12L16D1OL42 B-CD8R42U8L42 C-UlOL16U22R12CU9R3D1R21D8L24 D-UlOL16U22R36CU8R28
D12R10DGL16U1OL22 E-UlOL16U22R36U8R4CU8R10D8L10 F-UlOL16U22CR12U9R3D1R21R4UBR10D8R14U14L64D22H
#ISTRUCTUREISKTCH-SF*STHT= AREA RATE*GRDF+HEAT+EXWL*WLHT=ADJRAT* AREA= RPCN* DEPF*CNDF=STR-VALUE
Al 1CSNG FAMLI 188811.001 18881 47.7911.0512.50-0.501 1 52.181 18881 9851GI 0.611 1 60095

1.00 BATH
1
HALFBATHS
2
FIREPLACES
1 2
CHIMNEYS
150oFINATTICI
I 1.
9441
14.3411.0510.75,
B185
OPNPORCHI
33S
1.001
3361
18.3911.051
C186
ENCPORCHI
19511.001
1951
26.8411.051
D185
OPNPORCHI
34411.001
3441
18.3511.051
E185
OPNPORCHI
8011.001
801
23.0611.051
F185
OPNPORCHJ
90911.001
9091
18.1711.051
2832HSF,
4696TSF
STRUCTURE VALUE:
VALUATIONITHIS CARD+CARD 2-NN= VALUEIPREV-VAL.IP-N%l
LAND 1 2300161
01
230016I
1543761148e1
OTHERFEATI 632651
20001
652651
59014111001
STRUCTURE '97379I
OI
973791
G9391I140o1
TOTAL I 3906601
20001
3926601
2827811138e1
1 2000.001
1
20001
0.611 1
1220
1 1300.001
1
13001
0.611 1
793
1 1625.001
1
32501
0.611 1
1983
1 1875.001
1
17501
0.611 1
1068
1 1 15.811
9441
149251
0.611 1
9104
1 1 19.311
3361
64881
0.611 1
3958
1 28.181
1951
54951
0.611 1
3352
1 1 19.271
3441
66291
0.611 1
4044
1 24.211
801
19371
0.611 1
1182
1 19.081
9091
173441
0.611 1
10580
RPCN- 56.37/HSF
159634
VALU- 34.39/HSF
97379
97379
CARD NO. 1 390660
690LV/AC CARD NO. 2 2000
TOTAL VALUE 392660
137TV/HSF
137TV/HSF
APPRAISED -VALUE: 392660
I

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CO A) N ! e
e�a L
NCDENR
cti:.AAh" on; TXT
-'"ire Today For R URe '-
2008
Permit and Registration
Kearns Pumping Service
is here by issued a Septage Management Firm Permit,
Permit Number NCS-00637
And by virtue of completing the annual graining
requirements is here by registered as a
Septage Management Firm
iri the State of North Carolina.
This permit to operate a Septage Management Firm is issued to the above named person, business or entity alone and is not transferable .to any other person, business or
entity. Firm operation shall be in accordance with the provisions of N.C. General Statute 130A-291.1 - 130A-291'3, Title 15A of the N.C. Administrative Code 13B .0800
et.seq., conditions of the permit, and representations made in the application and accompanying documents for a permit.
The permit holder is authorized to discharge septage only at the locations(s) listed below:
1. Town of Troy WWTP
This permit does not entitle the permit holder to operate a Septage Land Application Site, a Septage Detention or Treatment Facility, or any other solid waste management
facility not specified herein.
Failure to operate as permitted may result in the Department suspending or revoking this permit, initiating action to enjoin the unpermitted operation, imposing administrative
penalties, or invoking any other remedy as provided in Chapter 130A, Article 1, part 2 of the North Carolina General Statutes. This permit and registration expires on -
December 31, 2008.
Date i /;/07/0-7 Signed i It I-

AUTHORIZATION TO., DISCHARGE SEPTAGE TO A WASTEW TER
.TREATMENT FACILITY
North Carolina Department of Environment. and Natural Resources E
Division of Waste Management --Solid Waste Section
401 Oberlin Rd. Ste.150, Raleigh; N.C-'27605
Fee assessments and waste determinations will be.'required at the discretion of the wastewater treatment
facility. The facility.has the ultimate prerogative to deny discharges of any wastes to the incoming
wastewater stream.
(Plant Operator and Name of Plant)
(Address)
-rj °72. 17' I ao hereby authorize ) t�CA c4 _n
(Phone Number) r' (owner/Operator of Septage Management Firm)
of NCS #
( tags Management Frm Name and NCS number)
to dispose of: domestic septage f . portable toilet waste
grease septage (grease trap pumpings) :/ . commerciaUndustrial septage , from
(County or other Geograp cArea)
at the above named wastewater treatment facility'. Septage shall be discharged at:
_(Location)'
between the'hours'of �5 Y t) pC1'1
Reintroducing parfiallytreated liquid into agrease�trap is acceptable Yes o
This autho on shall be valid uriti l 's a, ri t t,,, V
(Usually December-31, Year)
.Signed �- Z ' & Date
/ (Facility Operator)
Swornto and subscribed before me this 7� 1 day of I'/3'l �a��i� 2007
My Commission•expires:4'%5
(Notary Public)
(OFFICIAL. SEAL) -
Mote: Falsification of this document by the septage management firm shall lead to permit revocation.
h-cWseptagetfomnslauthorWaii-(KWmtp with-2006

A• ..
.a
APPLICATION FORPERMIT T.0 OPERATE A.SEPTAG
DIVISION OF WASTE MANAGEMENT - SOLID WASTE SECTION.- 401,OBERLIN RD.', STE.150,
(1.) Firm name: (The "Firm name" must be exactf as itis shown on yourvehicie(s).
Street address of office:
ENI NT'FIRM
LEIGH, NC 27605
k3-73 )
Mailing address (if different):
Phone: G /0 r J 76' _CDF,1s'I
County: fllcr4r, c�mQ c-� Septage Management Firm permit number: ' NCS # QC) 3 i
(2.) Firm owner's name: '-1 �,ma M 5
-Mailing address' '?,")r7 Skaot\
­T�Dvi -t ,2-13-1 L Phone 'Cl d D 5 11
(3.). Firm operator's name: V\ea s Firm operator's title:'0' i.-3vxct-
Mailing address: 70 6 h k_4
Phone: C) 10 5 -7 6P -� 01G el ) Q 6'7 l ( ��
J.(4, Type(s) of Septage pumped: Write in the numberof -gallons pumped in 2007 (E x: Domestic 50,000 Gals.).
Domestic: 47Y o5Q Portable Toilet Waste:Grease (restaurant): y �,Treatment Plant: Industrial/Commercial.' NC Counties of Operation: n1 ran hoc 1 c,z :.+ �" ;, �i-
(la eachcounty you do business in)�
(6.) Total Number of Pumper Vehicles Operated: I
Number used for. Domestic Septage: Grease (restaurant):.
.Other:. Portable Toilet Waste:
Vehicle Information: (use.additional paper if needed)
-License.Tag • 1. YA 4 G 7 cl '�
Vehicle Identification #: t r- U 0 JN A 3 i SA C
Tank Capacity: a3w
(7,) Septage Disposal Method: (check one)
a) Approved wastewater treatment. plant: (' vj'yes ( ) no. If yes,:submit Wastewater Treatment Authorization
for each plant, as indicated in Subparagraph..0817(d)(11) of the Septage:Management Rules.
b) Septage Land Application Site (SLAS) Perinit Numbers:. (use additional sheets.if needed)
SLAS#`. Expiration Date: SLAS#: Expiration Date:
c) Septage Detention or Treatment Facility (SDTF) Permit Numbers: (use additional sheets if needed)
SDTF#: Expiation Date: SDTF#: Expiration Date:
TU-R.N PAGE OVER TO COMPLETE THE .APPLICATION

, (8.) Septage Management. Firm Operator Training Completed: (4- hours needed)
Date:
Training Sponsored or Provided by:.. ,C.
Hours for Septage Management:— H u s for Portable Sanitation:
(9.) Septage Land Application Site Operator Training Completed: (3 hours needed)
Date: Location:
Training Sponsored or Provided by:
(10.) Registration type requested: CHECK ONE
Registered Portable Sanitation Firm:
Registered Septage Management Firm: _4z*-
Registered Portable Sanitation and Septage Management Firm:
Certification Statement
Hours:
1 certify that the information and representations in this application for a permit are true, complete, and accurate to the best
of my -knowledge and belief.. I am aware that a permit may be suspended or revoked upon a finding that its issuance was .
based upon incorrect or inadequate information that materiallyaffected the decision'to issue the permit and that there -are
criminal penalties for knowingly making a false statement, representation, or certification.
'Signifture* Date
Print -Name Title
*Signature of company official required._
h,clalseptage/forms/applicatlall-04VFimn app-2007
Other Comments:

- 2=bedroom§/4 t eople .
240'
>4`people/60
al/erson/da
3 bedrooms/6 people
360
>6 people/60
gal/person/day
4 bedrooms/8 people-
480 .
>8 people/60
14al/ erson/da ,
5 bedrooms/16 people
600, ' -
>10 people/60 gal/person/
6 bedr6oms/12 people
720
>12 people/60ga1/person/
da .
6,15edrooms- ._.#
_
bedrooms. .z 120
>12people/60gal/person
al/da . -
�or dwefii-ng units with a heated floor space of 4,000 square feet or more the design daily flow shall'
be determined -by square -footage of heated floor space. Each 1000 ftZ-shall equal 150 gallons p'er day
with amaximum -occupancy of 2 people per 1.,000 fe. When the 'owner(s) resides h' a eseM3ea�
dwelling unit for less than 95 days per year and rents the'unit for the remainder of the year, or for full
time rental units the design daily. shall
-be determined by the maximum occupancy at a rate of 60 gallons per person per day. .
(b)•�Tab1e.,No. IX shall be used fo determine the minimum design daily. flow of wastewater sewage
required .in, calculating the design volume of wastewater systems- to serve selected .
typ f facilities ees. Theminimum design" daily .flow of wastewater sewage
_, es o
from any -non residential -facili- shall be 100 gallons :per day. �es�g�re€�ewage .
T r g V, OF- :PUiART 2ST=A=Nq. FQ )EKGN.
�kpegs 5 gattpasseege
Barber S�eps 58•ga sk
€eed sex= }eei 20 ga}/seat .
ea4, Sheps (Style- beps` 1-25-gallehaa .
elsewhAr-e 4; this *010)-5-gablei4ipoyee
Ea�pgret�ads
-'—�W1t}�et�t F`ater and se�ver'heelutps` - . ... , .1A(�geb�sampaite..
(��Vit1� was aed serve ,}�e.sl�t�ps� =2 gg Wp¢ee.
41

"
J
DRAFT
-Business-..
Airport, ,railroad stations; bus
5 galfperson
Food preparation not included
terminals; etc
Barber shops
50gal/chair
No sham ooin` of hair..
Bars, cocktail lounges* .
20 gal/seat ,and 20 gal/employee
Food preparation not included
add 15 gal/pool table onvideo
machine
Beau _ . sho s/s le sho s
'125- al/chair and 20 , al/em 10 ee .
Bed and breakfast
130 al/room
Bowlin`'janes*
50 al/lane.
foodpreparationnot.included
Coffee shops
- J
200 .sal/1000 Ftz'of floor space and
Minimum flow 200 ag Uday, food
20 aUem to ee/shift
preparation not included
D.o Kennels Grooinin
.20 al/ to ee/shift
Animal.waste is IPWW
Flea markets
15 gal/non-food service vendor
Less than 4 days/week;
food re aration not included '
Laundromats
- 500 'al/machine'
Marinas
30 gal/boatslip ".
10 gal/boat slip..
5 al/boat slip
With bathhouse .
Wet slips
. Dry stora e .
Motets/liotets
120 sal/room, add
55ga1/room with cookina-facilities
Offices &. factories
'._
20 alg /employee /8 hi.. shift, -
10. alg /employee for < 4 hrs/days .
Industrial'Process Wastewater not
included.
add,10 al/em to ee.for showers . .
Stores, shopping centers, and
120 kaU1000 of retail sales area;
Food preparation not included
malls*
_
and 20 al/em loyee/shift
Veterihian
300 gaU1000.sq. :ft of clinic or 25 . `.
No medical waste,no waste from.
' alg /employee
x-ray equipment, animal waste is
Winery*
J
200 al/1000 Ft2 of floors ace an
Minimum flow 200 alg_/dajL food
20 al/em 10 ee "
preparation not included
Camns/Campgrounds
Summer cams
60 gaUp6rson
_
'.�
15 gal/person/food preparation;
If facilities are on separate
systems, or camp does not have
all'components
20 ga1/person/toil'et facilities,
10-gal/person/bathing facilities;
15 al/ person/laund :.. facilities
Day; camps
8 alg /camper and 20gal/employee,
5 gal/camper for cafeteria with
add 2 alg /camper for showers, _
multi use service, or
3_gal/camper for cafeteria,with .
sinale.use service
add for cafeteria
Construction or work camp
60 gal/person
40 gal/person with chemical
toilets
Travel trailer/recreation
vehicle ark
120 gal/space
Bathhouse
100 ag U�psite
Toilet.and shower facilities, no
Water- and sewer hooks ups
Park model RV
175 gal/space
In a recreational vehicle park, no
laundry- in RV. .
43

AT*--
FqCDENR.
North Carolina Department of Environment'and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
February 29, 2008
Greg Zephir
Town of Troy
315 N Main Street
Troy, NC 27371
William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
SUBJECT: Advance Notice of Renewal Application Requirements
Permit NCO028916
Troy WWTP
Dear Permittee:
Your NPDES permit for a municipally owned/operated WWTP expires on June 36, 2009. This notice is
being sent to explain the requirements for your permit renewal application.
You are receiving this advance notice because your facility has .a permitted flow at or above 1
MGD, or the facility receives industrial [pretreatment] wastewater. If either of these criteria no
longer applies, contact the NPDES Unit before submitting a renewal application.
Federal (40 CFR 122) and state (15A NCAC 2H.0105(e)) regulations require that permit renewal
applications be filed at least,180 days prior to expiration of the current permit. Your renewal application is
due to the Division postmarked no later than January 1, 2009. Failure to apply for renewal by the
appropriate deadline may result in a civil penalty assessment or other enforcement activity at the discretion
of the Director.
The U.S. EPA revised and expanded the application requirements for municipal permits, effective August 1,
2001. EPA form 2A is attached to this Notice, and must be used for your permit renewal application. The
new application requirements mandate additional effluent testing:
1. Conduct three Priority Pollutant Analyses (PPAs) and submit results with your renewal
application. Collect samples for the PPAs in conjunction with sampling for your current
quarterly toxicity test. The new PPA requirements differ from previous versions. Each PPA
must include:
➢ Analyses for all total recoverable metals listed in Part D of form 2A. This includes metals
that are not normally monitored through your NPDES permit.
➢ Analyses for total phenolic compounds and hardness.
➢ Analyses for all of the volatile organic compounds listed in Part D. .
➢ Analyses for all of the acid -extractable compounds listed in Part D.
➢ Analyses for all base -neutral compounds listed in Part D.
➢ ' Analyses for Total Mercury must be performed using EPA Method 1631.
2. Conduct four toxicity tests for an organism other than Ceriodaphnia and submit results with
your renewal application. The tests should be conducted quarterly, with samples collected on the
same day as your current toxicity test. Call the Aquatic Toxicology Unit at [phone] for
guidance in conducting the additional tests.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 One 512 North Salisbury Street, Raleigh, North Carolina 27604 - NofthCarohna
Phone: [phone], extension 511 / FAX [phone] / [e-mail] Naturally
An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper

nF wATF� Michael F. Easley
PG Governor
1 r William G. Ross, Jr., Secretary
>_ North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E., Director
Division of Water Quality
July 12, 2004
Mr. Gray Walls JUL 2 0 200-
Town of Troy
444 North Main Street F' U ?
Troy, North Carolina 27371
Subject: Issuance of NPDES Permit NCO028916
Troy WWTP
Montgomery County
Dear Mr. Walls:
Division personnel have reviewed and approved your application for renewal of the subject permit. Accordingly, we
are forwarding the attached NPDES discharge permit. This permit is issued pursuant to the requirements of North
Carolina General Statute 143-215.1 and the Memorandum of Agreement between North Carolina and the U.S.
Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes the following changes from the draft permit sent to you on April 14, 2004.
➢ All conditions and requirements concerning a flow of 0.84 have been deleted as the Division received your
Engineer's Certification for the recent upgrade to allow for a permitted flow of 1.2 MGD.
This permit includes a TRC hmit that will take effect on January 1, 2006.
If any parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to.you, you
have the right to an adjudicatory hearing upon written request within thirty (30) days following receipt of. this letter.
This request must be in the form of a written petition, conforming to Chapter 150B of the North Carolina General
Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh, North Carolina
27699-6714). Unless such demand is made, this decision shall be final and binding..
Please note that this permit is not transferable except after notice to the Division. The Division may require
modification or revocation and reissuance of the permit. This permit does not affect the legal requirements to obtain
other permits which may be required by the Division of kVater Quality or permits required by the Division of Land
Resources, the Coastal Area Management Act or any other Federal or Local governmental permit that may.be
required. If you have any questions concerning this permit, please contact Dawn Jeffries at telephone number (919)
733-5083, extension 595.
Sincerely,
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek, P.E.
cc: Central Files
Fayetteville Regional Office/Water•Quality Section
NPDES Unit
Aquatic Toxicology Unit
N. C. Division of Water Quality / NPDES Unit Phone: [phone]
1617 Mail Service Center, Raleigh, NO 27699-1617 fax: [phone]
Internet: h2o.enr.state.nc.us DENR Customer Service Center: 1 800 623-7748

�Permit NCO0289 IQ
;f
STATE OF NORTH CAR I OL NA
r' DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
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,
Town of Troy
is hereby authorized to discharge wastewater from a facility located at the
Troy Wastewater Treatment Plant
Off NCSR 1324
Troy
Montgomery County
to receiving waters designated 'as Denson's 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 August 1, 2004.
This permit and authorization to discharge shall expire at midnight on June 30, 2009.
Signed this day July 12, 2004.
ORIGINAL SIGNED BY
Mark McIntire
Alan W. Klimek P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO.028916
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.
Town of Troy is hereby authorized to:
1. Continue to operate an existing 1.2 MGD, wastewater treatment plant consisting
of the following:
♦ Flow equalization
4 Mechanically cleaned bar screen and- grit chamber
♦ Dual oxidation ditches
♦ Dual secondary clarifiers
♦ Sludge � digestion and holding
♦ Chlorination/dechlorination (back-up)
♦ LTV disinfection
This facility is located at the Troy Wastewater Treatment Plant, 650 Olen Road,
Troy, Montgomery County.
2. Discharge from said treatment works :at the location specified on the attached
map into Denson's Creek, classified C waters in the Yadkin -Pee Dee River Basin.

m
IF r
V
Town of Trey 8916
1 - NCO02 .
UiSG- S Quad d Narne: Star Lat.: 35'22'25"
RddeiVing Stream: Denson's Creek Long.: 79051'33"
Stream Class: C
Subbasin: Yadkin - 030715.
0
I
w
I
41-u-",
Facility
wk.
"'M
Location
pe,
IN
o =rth
I
Not to SCALE

r,F.ind It Hsrn.. Cuiunty Government County Snrvipes Useful Links Home:
Montgomery . Directory
4 Gel Department
Adobe
Animal Control
Physical Address
102 East Spring Street (3rd Floor)
Board of Elections 108 East Main Street
County Manager 102 East Spring Street
Montgomery County_ PO Box 697
Council on Aging Troy, NC 27371
E-911 199 South Liberty Street
Finance 102 East Spring Street (3rd Floor)
Health Department 217 South Main Street
Human Resources 102 East Spring Street
Information 102 East SRELn-g Street (3rd Floor)
Technology
Inspections 219 South Main Street
Jail 108 East Main Street (3rd Floor)
Library_ 215 West Main Street
NC Cooperative
Extension- 203 West Main Street
Montgomery County_
Montgomery County
Parks and 102 East Spring Street (3rd Floor)
Recreation
Planning and Zoning 219 South Main Street
Contact Information
Phone: [phone]
Fax: [phone]
Phone: [phone]
Fax: [phone]
email: montgomeryboe(a)earthlink.net
Phone: [phone]
Fax: [phone]
910-572-3757
email: mccoaO)ac.net
Phone:[phone]
Fax: [phone]
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email: bhelmsamontgomerycountync.com
Phone: [phone]
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Email: tstewartC&montgomerycountvnc.com
Phone: [phone]
Fax: [phone]
email:tthompson montyomerycou A c.com
Register of Deeds 102 East Spring Street (2nd Floor)
Phone: [phone]
Fax: [phone]
Phone: [phone]
Sheriff's Office 111 West Main Street
Fax: [phone]
Phone:[phone]
Social Services 102 East Spring Street (1st Floor)
Fax: [phone]
CPS FAX [phone]

f
Tax 102 East Spring Street (2nd Floor) Phone: [phone]
Fax:[phone]
Phone: [phone]
Veteran Services 203 West Main Street Fax: [phone]
(Agricultural Bldg) email:
mcveterans(&montgomerycountync.com
Water 102 East Spring Street (3rd Floor) Phone: [phone]
Fax: [phone]
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