NCG550243_Regional Office Historical File Pre 2018

WaterResources
ENVIRONMENTAL QUALITY
December 29, 2017
Mr. George W. Gazeley
4800 Grand Canyon Road
Concord, North Carolina 28027
RO ,C-0OPER
��rope'mor -�
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Interim Director
SUBJECT: Compliance Evaluation Inspection
4800 Grand Canyon Road
NPDES Permit NCG550243
Cabarrus County, NC
Dear Mr. Gazeley:
On December 28, 2017, Mr. Roberto Scheller of this Office conducted an inspection at the
subject facility. This inspection was conducted as a Compliance Evaluation Inspection (CEI) to
insure compliance with permit requirements and conditions. We wish to thank you for your
assistance regarding this inspection.
The enclosed report and memo should be self-explanatory; however, should you have any
questions,- please do not hesitate to contact myself of Roberto Scheller at [phone] or
[e-mail].
Sincerely,
(7
W. Corey Basinger, Regional Supervisor
Water Quality Regional Operations Section
Division of Water Resources, NCDEQ
Enclosure: Inspection Report
cc: MSC-1617- Central Basement
Cabarrus County Health Alliance
File
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office) 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C.20460
OMB No. 2040-0057
Water Compliance Inspection Report
Apexpires6-31-99
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector FacType
1 IN I 2 15 I 3 I NCG550243 I11- 12 17/12/28 17 18 I C I 19 I G I 20I I
211
I I 1 I I I I_ I I I I I I I I I I I I I I I I I I .I I I I I I I I I I I I I I I I �6
Inspection Work Days Facility Self -Monitoring Evaluation Rating 61 QA Reserved
67 70 71 itI il72 i N � 73 11 174 751
LJ I I I I I I I I I80
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit. Effective Date
POTW name and NPDES permit Number)
09:54AM 17/12/28
13/08/01
4800 Grand Canyon Road
4800 Grand Canyon Rd
Exit Time/Date
Permit Expiration Date
Concord NC 28027
10:40AM 17/12/28
18/07/31
Name(s) of Onsite Representative(s)/Tities(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
George W Gazeley,4800 Grand Canyon Rd Concord NC 28027//704-788-2679/
Yes
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance Records/Reports Facility Site Review
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
oberto Scheller MRO WQ//252-946-6481/
d
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W. Corey Basinger MRO WQ//704-235-21.94/
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type 1
31 NCG550243 I11 12 17/12/2a 17 181 I
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

Permit: NCG550243 Owner -Facility: 4800 Grand Canyon Road
Inspection Date: 12/28/2017 Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? 0 ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ 0 ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: Wastewater treatment unit consist of septic tank, sand filter and chlorination for disinfection.
Permit
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
M
❑
❑
❑
# Are there any special conditions for the permit?
M
❑
❑
❑
Is access to the plant site restricted to the general public?
❑
M
❑
❑
Is the inspector granted access to all areas for inspection?
0
❑
❑
❑
Comment: Sand filter located at back of home in back yard.
Septic Tank
Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational?
❑
❑
0
❑
Is septic tank pumped on a schedule?
0
❑
❑
❑
Are pumps or syphons operating properly?
❑
❑
0
❑
Are high and low water alarms operating properly?
❑
❑
M
❑
Comment: Septic tank last pumped in 2015.
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
0
❑
Is the distribution box level and watertight?
M
❑
❑
❑
Is sand filter free of ponding?
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
0
❑
# Is the sand filter surface free of algae or excessive vegetation?
❑
❑
0
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
0
❑
Comment: Sand filter is a single pass filter with no liner. Influent into sandfilter can infiltrate into soil
beneath sand filter and not produce discharge to surface waters.
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? 0 ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ 0 ❑
Page# 3

Permit: NCG550243
Inspection Date: 12/28/2017
Owner - Facility: 4800 Grand Canyon Road
Inspection Type: Compliance Evaluation
Disinfection -Tablet
Yes No NA NE
Number of tubes in use?
2
Is the level of chlorine residual acceptable?
❑
❑
M
❑
Is the contact chamber free of growth, or sludge buildup?
0
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
0
❑
Comment: There has been no flow through tablet chlorinator. Chlorinator dry with no indication of flow.
No analytical samples have been pulled due to no discharge from treatment unit.
0
Page# 4

December 12, 2017
George W. Gazeley
4800 Grand Canyon Road
Concord, NC 28027
SUBJECT: Schedule of Compliance Inspection
Permit No. NCG550243
4800 Grand Canyon Road, Concord
Cabarrus County
Dear Mr. Gazeley:
A record review indicates that it is time for a Compliance Inspection of your septic tank sand filter system. The
inspector for the Cabarrus County area is myself, Mr. Roberto Scheller, of the Division of Water Resources, located
in the Mooresville Regional Office. I may be contacted by phone at 704-235-2204 or by email at:
[e-mail] to schedule a time to conduct the subject inspection.
Inspection time should take between 15 to 20 minutes. If .you should have any further questions please contact
me at the above number.
Sincerely,
Roberto L. Scheller, Senior Environmental Specialist
Water Quality Regional Operations Section
Mooresville Regional Office
Division of Water Resources, NCDEQ
Cc: WQS Mooresville Regional Office File
State of North Carolina I Environmental Quality I Water Resources
610 East Center Avenue, Suite 301, Mooresville, NC 28115
704-663-1699

F
North Carolina Department of Environmental Quality E
r-dL U1 y
Govemor
October 20, 2015
Mr. George W. Gazeley, Jr.
4800 Grand Canyon Road
Concord, NC 28027
Subject: Compliance Evaluation
NPDES Permit No. NCG550243
Cabarrus County
Dear Mr. Gazeley:
Donald van der Vaart
Secretary
Enclosed is a copy of the Compliance Evaluation Inspection (CEI) for the inspection conducted at the
subject facility on September 30, 2015, by Ms. Barbara Sifford with this Office. Thank you for your assistance
and cooperation. The system appeared to be operational and maintained although no discharge was occurring or
had occurred according to the property owner at the time of this inspection and since the last inspection.
Analytical data for compliance monitoring for the treatment system has not been evaluated since there is
no discharge from the system. Massey Septic Service pumped the tank in May 2015.
The chlorine tablet dispenser did not have any tablets in the tubes and the chlorinator box was dry.
Chlorine tablets can be purchased from USA Blue Book on line or McCall Brothers plumbing supply in
Charlotte. A sample port needs to be made to collect a sample after contact time with the chlorine prior to the
discharge if the system ever discharges.
You can download a copy of the NCG550000 permit from our web site http://portal.ncdenr.org/web/wq.
The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to contact me at
[phone].
Sincerely,
Barbara Sifford
Technical Consultant
Water Quality Regional Operations
Mooresville Regional Office -NCDEQ
Enclosure —Inspection report
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115 �nC
Phone: [phone] \ Fax: [phone] \ Customer Service:1-877-623-6748 NOrthCarOlina
ww Internet: w.ncwaterquality.orghra�`
An Equal Opportunity \ Affirmative Action Employer— 50% Recycled110% Post Consumer paper

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 IN 2 15 I 3 I NCG550243 I11 121 15/09/30 I17 18 I C I 19 I! j 201
21IIIIII IIIIII1I111IIIIIII1IIIIII IIIIIIIIIII f6
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA--------- -- Reserved-------------
67 70 71 J
I I 72 L N G 73I I 174 75I III I I I I80
LJ LJ I I I
Section B: FacilityData
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
12:30PM 15/09/30
13/08/01
4800 Grand Canyon Road
4800 Grand Canyon Rd
Exit Time/Date
Permit Expiration Date
Concord NC 28027
01:OOPM 15/09/30
18/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
George W Gazeley,4800 Grand Canyon Rd Concord NC 28027//704-788-2679/
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Operations & Maintenance 0 Self -Monitoring Program E Facility Site Review
Effluent/Receiving Waters
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford Division of Water Quality//704-663-1699
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page#

NPDES yr/mo/day Inspection Type
31 NCG550243 I� 121 15/09/30 117 18
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page#

Permit: NCG550243
ion Date: 09/30/2015
Owner - Facility: 4800 Grand Canyon Road
Inspection Type: Compliance Evaluation
Operations & Maintenance Yes No NA NE
Is the plant generally clean with acceptable housekeeping? M ❑ ❑ ❑
Does the facility analyze process control parameters, for ex: MLSS, MCRT, Settleable ❑ ❑ M ❑
Solids, pH, DO, Sludge Judge, and other that are applicable?
Comment: septic tank and sand filter system chlorine tablet for disinfection.
Permit -
Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new
❑
❑
0
❑
application?
Is the facility as described in the permit?
0
❑
❑
❑
# Are there any special conditions for the permit?
M
❑
❑
❑
Is access to the plant site restricted to the general public?
❑
M
❑
❑
Is the inspector granted access to all areas for inspection?
M
❑
❑
❑
Comment: in side yard and behind garage
Septic Tank
Yes No NA NE
(If pumps are used) Is an audible and visual alarm operational?
❑
❑
M
❑
Is septic tank pumped on a schedule?
0
❑
❑
❑
Are pumps or syphons operating properly?
❑
❑
M
❑
Are high and low water alarms operating properly?
❑
❑
M
❑
Comment: septic tank pumped in 2015.
Sand Filters (Low rate)
Yes No NA NE
(If pumps are used) Is an audible and visible alarm Present and operational?
❑
❑
M
❑
Is the distribution box level and watertight?
M
❑
❑
❑
Is sand filter free of ponding?
0
❑
❑
❑
Is the sand filter effluent re -circulated at a valid ratio?
❑
❑
M
❑
# Is the sand filter surface free of algae or excessive vegetation?
0
❑
❑
❑
# Is the sand filter effluent re -circulated at a valid ratio? (Approximately 3 to 1)
❑
❑
M
❑
Comment: Single pass filter no liner in sand bed so water infiltrates the soil beneath the sand bed.
Disinfection -Tablet Yes No NA NE
Are tablet chlorinators operational? ❑ ❑ ❑
Are the tablets the proper size and type? ❑ ❑ M ❑
Number of tubes in use? 2
Page# 3

Permit: NCG550243
Inspection Date: 09/30/2015
Owner - Facility: 4800 Grand Canyon Road
Inspection Type: Compliance Evaluation
Disinfection -Tablet Yes No NA NE
Is the level of chlorine residual acceptable?
.❑
❑
❑
Is the contact chamber free of growth, or sludge buildup?
❑
❑
❑
Is there chlorine residual prior to de -chlorination?
❑
❑
❑
M
Comment: no flow in contact chamber it was dry after heavy rains previous week.
Effluent Sampling
Yes No NA NE
Is composite sampling flow proportional?
❑
❑
N
❑
Is sample collected below all treatment units?
❑
❑
M❑
Is proper volume collected?
❑
❑
0
❑
Is the tubing clean?
❑
❑
0
❑
# Is proper temperature set for sample storage (kept at less than or equal to 6.0 degrees
❑
❑
M
❑
Celsius)?
Is the facility sampling performed as required by the permit (frequency, sampling type
❑
❑
0
❑
representative)?
Comment: no analytical since no discharge has occurred
Page# 4

VT
94
9'
NCDEHR
North Carolina Department of Environment and Natural
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
January 20, 2010
Mr. George W. Gazeley, Jr
4800 Grand Canyon Road
Concord, NC 28027
Subject: Single Family Residence
NPDES General Wastewater Permit
Certificate of Coverage NCG550243
Compliance Evaluation Inspection
Dear Mr. Gazeley:
Resources
Dee Freeman
Secretary
The Division of Water Quality (DWQ) data base records show that you currently own/operate a single family
residence (SFR) wastewater treatment and disposal system. DWQ personnel from the Mooresville Regional Office (MRO)
need to conduct a compliance evaluation of your system in order to verify that your system is operating properly. This review
should take approximately one hour.
Due to the difficulties of contacting you by phone during the workday we are requesting that you contact this office
to pre -schedule this visit. Please contact me at 704-663-1699, during the weekday to schedule this inspection. Please leave
your name and a day time phone number and I will return your call as soon as possible.
Below is a listing of the items that are required by the permit and will be reviewed during the inspection:
Certificate of Coverage: Letter issued by DWQ upon renewal of the permit.
Schematic of the Treatment System Units
Analytical Monitoring: Required annually, listed in permit.
Septic Tank Inspections/Pumping: septic tank pumping and cleaning
Chlorination Tablets: Type of tablets
Please contact this office as soon as possible to set up a schedule that is convenient to you.
Sincerely,
j r
Barbara Sifford
Technical Consultant
Mooresville Regional Office
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: wNw.nmaterquality.org
An Equal Opportunity t Affirmative Action Employer— 50% Recycled!10% Post Consumer paper
One
NorthCarohna
N.atui-ally'.

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Govemor
Mr. George W. Gazeley, Jr.
4800 Grand Canyon Road
Concord, NC 28027
Dear Mr. Gazeley:
Division of Water Quality
Coleen H. Sullins
Director
February 24, 2010
Subject: Compliance Evaluation
NPDES Permit No. NCG550243
Cabarrus County
i ix—'
Dee Freeman
Secretary
Enclosed is.a copy of the Compliance Evaluation Inspection (CEI) for the inspection conducted at the
subject facility on January 28, 2010, by Ms. Barbara Sifford with this Office. Thank you for your assistance
and cooperation during the inspection. The system appeared to be operational and maintained although no
discharge was occurring or had occurred according to the property owner at the time of the inspection.
Analytical data for compliance monitoring for the treatment system has not been evaluated since there is
no discharge from the system. The tank has not been pumped at the frequency required by the permit. A
verbal description of the system is included in the file in DWQ, the homeowner does not have a set of plans.
The septic tank should be pumped at least every 5 years to keep from overloading the sand filter bed.
The chlorine tablet dispenser did not have any tablets in the tubes and the chlorinator box was dry.
Chlorine tablets can be purchased from USA Blue Book on line or McCall Brothers plumbing supply in
Charlotte. A sample port needs to be made to collect a sample after contact time with the chlorine prior to the
discharge.
You can download a copy of the NCG550000 permit from our web site http://portal.ncdenr.org/web/wq.
Please submit documentation that the septic tank has been pumped to this office within 90 days to
complete your inspection files. Should the system discharge collect a sample for analyses at that time.
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
One
NorthCarolina
An Equal Opportunity 1 Affirmative Action Employer— 50% Recycledf10% Post Consumer paper

The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to contact me at
[phone],ext 2196.
Sincerely,
Aat�wllt
Barbara Sifford
Technical Consultant
Enclosure —Inspection report
Lab lists
Chlorine tablet information

United States Environmental Protection Agency
Forth Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 I SI 31 NCG550243 Ill 121 10/01/29 117 18I CI 19I SI 201 I
Remarks
211111111111111111111111IIIIIIIIIIIIIIIIIIIIII11Ill
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ---- — — —Reserved---------------
671 169 701 31 711 I 721 NJ 73 I I 174 751 I I I I I I 180
w
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include .
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
02:00 PM 10/01/29
07/08/01
4800 Grand Canyon Road
Exit Time/Date
Permit Expiration Date
4800 Grand Canyon Rd
Concord NC 28027
03:30 PM 10/01/29
12/07/31
Name(s) of Onsite Rep resentative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
George W Gazeley,4800 Grand Canyon Rd Concord NC 28027//704-788-2679/No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit 0 Records/Reports E Self -Monitoring Program 0 Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford MRO WQ//704-663-1699 Ext.2196/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3I NCG550243 I11 12I 10/01/29 I17 181CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCG550243 Owner - Facility: 4800 Grand Canyon Road
Inspection Date: 01/29/2010 Inspection Type: Compliance Evaluation
Permit Yes No NA NE
(If the present permit expires in 6 months or less). Has the permittee submitted a new application? ❑ ❑ ■
Is the facility as described in the permit? ■
# Are there any special conditions for the permit? ❑ ■ ❑ ❑
Is access to the plant site restricted to the general public? ■ n rl ❑
Is the inspector granted access to all areas for inspection? ■ ❑ n
Comment: No discharge has occurred from the system, the sand filter bed is unlined.
No samples for compliance have been taken, the tank has not been pumped.
Page # 3

06-14-'10 05:49 FROM-smi properties
7044559554
T-116 P0003/0003 F-290
DR 9w
4531 North Hwy 16, Denver, NC 28037 _
800-948.1666/704-483,2868
Fax 704,483-2363
CUSTOMER
pate Invoice #
6111l2010 28144
'Ship To
Bill To
4800 GRAND CANYON RD NE
CONCORD, NC 28027
704-699-6518
ON JOB 9AM
L AURA GA2t R Y
F RI AY
Branch #
Contractor Info
P.O. Number
Perms
Rep
Ship
Via
Ordered By
Job Name
COD
AH
6/11/2010
LAURA
PUMP OUT
Quantity
Item Code
Description
Price Each
Amount
I
Pump Out Tank--10.,.
Pump Out Tank— 1000 Gallon--Uncavcrcd
Sales Tax
180,00
7.75%
180.00
0.00
TOTAL THIS INVOICE $180.00

06-14-'10 05:49 FROM-smi properties 7044559554
T-116 P0002/0003 F-290
ALI
RUM
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
February 24, 2010
Mr. George W. Gazeley, Jr.
4800 Grand Canyon Road
Concord, NC 28027
Subject: Compliance Evaluation
NPDES Permit No. NCOSS0243
Cabarrus County
Dear Mr. Gazeley:
Dee Freeman
Secretary
Enclosed is. a copy of the Compliance Evaluation Inspection (CEI) for the inspection conducted at the
subject facility on January 28, 2010, by Ms. Barbara Sifford with this•Office. Thank- you for your assistance
and cooperation during the inspection. The system appeared to be operational and maintained although no
discharge was occurring or had occurred according to the property owner at the time of the inspection.
Analytical data for compliance monitoring for the treatment system has not been evaluated since there is
no discharge from the system. The tank has not been pumped at the frequency required by the pertnit. A
verbal description of the system is included in the file in DWQ, the homeowner does not have a set of plans.
The septic tank should be pumped at least every S years to keep from overloading the sand filter bed.
The chlorine tablet dispenser did not have any tablets in the tubes and the chlorinator box was d>y.
Chlorine tablets can be purchased from USA Blue Book oar line or McCall Brothers plumbing supply in
Charlotte. A sample port needs to be made to collect a sample, after contact tilne with the chlorine prior to the
discharge.
You can download a copy of the NCG550000 permit from our web site http://portal.ncdenr.org/web/wq.
Please submit documentation that the septic tank has been pumped to this office within 90 days to
complete your inspection files. Should the system discharge collect a sample for analyses at that time.
Mooresville Regional Office
Location, 610 East Center Ave., Suite 301 Mooresville, NO 28115 OnO
Phone: [phone] Fax: [phone] Customer Service:1-871-623-0748 North of o itia
Internet; www.ncwaterquaGry.org ��j/
An Equal opportunity l Affirmative Action Employer — 50% Recycled110% Post Consumer paper

06-14-'10 05:49 FROM-smi properties 7044559554
T-116 P0001/0003
F-290
The enclosed reports should be self-explanatory. If you have any questions, coniments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to contact me at
[phone],ext 2196.
Enclosure —Inspection report
Lab lists
Chlotine tablet information,
Sincerely,
d6u&al
Barbara Sifford
Technical Consultant
�Oq—ws-601'1

c4i®
NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
Mr. George W. Gazeley, Jr.
4800 Grand Canyon Road
Concord, NC 28027
Dear Mr. Gazeley:
Division of Water Quality
Coleen H. Sullins
Director
February 24, 2010
Subject: Compliance Evaluation
NPDES Permit No. NCG550243
Cabarrus County
0
Dee Freeman
Secretary
Enclosed is. a copy of the Compliance Evaluation Inspection (CEI) for the inspection conducted at the
subject facility on January 28, 2010, by Ms. Barbara Sifford with this Office. Thank you for your assistance
and cooperation during the inspection. The system appeared to be operational and maintained although no
discharge was occurring or had occurred according to the property owner at the time of the inspection.
Analytical data for compliance monitoring for the treatment system has not been evaluated since there is
no discharge from the system. The tank has not been pumped at the frequency required by the permit. A
verbal description of the system is included in the file in DWQ, the homeowner does not have a set of plans.
The septic tank should be pumped at least every 5 years to keep from overloading the sand filter bed.
The chlorine tablet dispenser did not have any tablets in the tubes and the chlorinator box was dry.
Chlorine tablets can be purchased from USA Blue Book on line or McCall Brothers plumbing supply in
Charlotte. A sample port needs to be made to collect a sample after contact time with the chlorine prior to the
discharge.
You can download a copy of the NCG550000 permit from our web site http://portal.nedenr.org/web/wq.
Please submit documentation that the septic tank has been pumped to this office within 90 days to
complete your inspection files. Should the system discharge collect a sample for analyses at that time.
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service: 1-877-623-6748
Internet: wvN.ncwaterquality.org
One :
NorthCarolina
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The enclosed reports should be self-explanatory. If you have any questions, comments, or need
assistance with understanding any aspect of your permit or this report, please do not hesitate to contact me at
[phone],ext 2196.
Sincerely,
14
Barbara Sifford
Technical Consultant
Enclosure —Inspection report
Lab lists
Chlorine tablet information

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 I NI 2 I SI 31 NCG550243 Ill 121 10/01/29 117 181 CI 191 SI 20III
Remarks
211111111111111111111111IIIIIIIIIIIIIIIIIIIIII1116
Inspection Work Days Facility Self -Monitoring Evaluation Rating 31 QA ------ ---------Reserved-------
67 I 169 70131 711 I 72I N I 73 I I 174 751 I I I I I I 180
I�
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
02:00 PM 10/01/29
07/08/01
4800 Grand Canyon Road
Exit Time/Date
Permit Expiration Date
4800 Grand Canyon Rd
Concord NC 28027
03:30 PM 10/01/29
12/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
George W Gazeley,4800 Grand Canyon Rd Concord NC 28027//704-788-2679/No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Records/Reports Self -Monitoring Program E Laboratory
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Barbara Sifford MRO WQ//704-663-1699 Ext.2196/
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3i NCG550243 I11 12I 10/01/29 1
17 18ICI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # 2

Permit: NCG550243
Inspection Date: 01/29/2010
Owner - Facility: 4800 Grand Canyon Road
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: No discharge has occurred from the system, the sand filter bed is unlined.
No samples for compliance have been taken, the tank has not been pumped.
Page # 3

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Govemor
George W. Gazeley, Jr.
4800 Grand Canyon Road
Concord, NC 28027
Dear Mr. Gazeley <or> Current Occupant:
January 9, 2006
William G. Ross, Jr., Secretary
Alan W. Klimek, P.E., Director
Subject: NPDES Permit NCG550243
Cabarrus County
Our files indicate that a domestic wastewater discharge permit was issued to George W.
Gazeley, Jr. for a domestic wastewater discharge from the subject single family residence. The
Surface Water Protection Section requests that you contact our staff if you do not have a copy of
the current permit, if a change in property ownership has occurred, or should you have any
questions regarding system operations and monitoring requirements.
Pursuant to the conditions of North Carolina General Permit NCG550000, the following
documentation is required to be maintained, and readily available for inspection for a period of at
least three (3) years:
• All operation and maintenance activities relating to the wastewater treatment system
0 Analytical. monitoring results for the parameters listed in Part I, Section A — "Effluent
Limitations and Monitoring Requirements — Final" to be performed annually by a North
Carolina Certified Laboratory
@ Inspections of septic tank and disinfection/dechlorination apparatus (if applicable)
Thank you in advance for your cooperation. Should you have any questions concerning
this matter, please contact me at [phone].
'Sincerely,
ames B. Bealle III
Environmental Technician
enclosures
cc: Cabarrus County Environmental Health Section
Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone: [phone] / Fax: [phone] / Internet: h2o.enr.state. nc.us
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Nne
orthCarolina
Naturally

kG ,

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Gregory J. Thorpe, Ph.D., Acting
GEORGE W GAZELEY JR
GEORGE GAZELEY JR RESIDENCE
4800 GRAND CANYON RD
CONCORD, NC 28027
Dear Permittee:
Director
11 /26/01
1••
00%%
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: NPDES Wastewater Permit Coverage Renewal
George Gazeley Jr Residence
COC Number NCG550243
Cabarrus County
Your residence or facility is currently covered for wastewater discharge under General Permit NCG550000. This
permit expires on July 31, 2002. Division of Water Quality (DWQ) staff is in the process of rewriting this permit
with a scheduled reissue in the summer of 2002. Once the permit is reissued, your residence or facility would be
eligible for continued coverage under the reissued permit.
In order to assure your continued coverage under the general permit, you must apply to the DWQ for renewal of
your permit coverage. To make this renewal process easier, we are informing you in advance that your permit will
be expiring. Enclosed you will find a general permit coverage renewal application form. This will serve as
your application for renewal of your permit coverage. The application must be completed and returned with the
required information by February 01, 2002 in order to assure continued coverage under the general permit. There is
no renewal fee associated with this process.
Failure to request renewal within this time period may result in a civil assessment of at least $250.00. Larger
penalties may be assessed depending on the delinquency of the request. Discharge of wastewater from your
residence or facility without coverage under a valid wastewater NPDES permit would constitute a violation of
NCGS 143-215.1 and could result in assessments of civil penalties of up to $10,000 per day.
If the subject wastewater discharge to waters of the state has been terminated, please complete the enclosed
rescission request form. Mailing instructions are listed on the bottom of the form. You will be notified when the
rescission process has been completed.
If you have any questions regarding the permit coverage renewal procedures please contact the Mooresville
Regional Office at 704-663-1699 or Mack Wiggins of the Central Office Stormwater Unit at [phone], ext.
542
Sincerely,
Bradley Bennett, Supervisor
Stormwater and General Permits Unit
cc: Central Files
Stormwater and General Permits Unit Files
Mooresville Regional Office
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
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JAMES B.-HUNTJF
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
June 3,1999
:George W. Gazeley
4800 Grand Canyon Road
Concord, North Carolina 28027
Subject: Wastewater Discharge Permit
George W. Gazeley Residence
NPDES Permit No. NCG550000
Cert. of Coverage No. NCG550243
Cabarrus County, NC
ear Mr. Gazeley:
Our files indicate that the subject wastewater discharge permit was issued to
George W. Gazeley for a wastewater discharge from the subject residence. The
Mooresville Regional Office requests that you contact this Office if you do not have a
copy of the subject permit, if a change in property ownership has occurred, or if you have
any questions regarding this matter.
Pursuant to conditions of North Carolina General Permit Number NCG550000,
the following documentation must be kept and readily available for inspection for a period
of at least three years:
I.
required maintenance activities relating to the wastewater treatment system
yearly sample analyses results for the parameters listed on the effluent
limitation/monitoring page of the permit
required inspections of disinfection apparatus and septic tanks
Please do not hesitate to contact Linda Love at [phone] if you have any
questions.
Sincerely,
1
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
cc: Cabarrus County Health Department
LL 919 NORTH MAIN STREET, MOOR ESVI LLE, NORTH CARO L I NA 26115
PHONE [phone] FAX [phone]
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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
George W. Gazeley
4800 Grand Canyon Road
Concord, NC 28027
Dear Permittee:
'&'ffl:.K;VA
46
-C0,1-r _ETC DENR
June 11, 1998
JUN 12 1996
Subject: Certificate of Coverage No. NCG550243
Renewal of General Permit
Gazeley, George W. - Residence
Cabarrus County
In accordance with your application for renewal of the subject Certificate of Coverage, the Division is forwarding
the enclosed General Permit. This renewal is valid from the effective date on the permit until July 31, 2002. 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 December 6,1983. If any
parts, measurement frequencies or sampling requirements contained in this permit are unacceptable to you, you have
the right to request an individual permit by submitting an individual permit application. Unless such demand is
made, this Certificate of Coverage shall be final and binding.
The Certificate of Coverage for your facility is not transferable except after notice to the Division. Use the enclosed
Permit Name/Ownership Change form to notify the Division if you sell or otherwise transfer ownership of the
subject facility. The Division may require modification or revocation and reissuance of the Certificate of Coverage.
If your facility ceases discharge of wastewater before the expiration date of this permit, contact the Regional
Office listed below at [phone]. Once discharge from your facility has ceased, this permit may be rescinded.
This permit does not affect the legal requirements to obtain other permits which may be required by the Division of
Water Quality, the Division of Land Resources, 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 the NPDES Unit at the address below.
Sincerely,
A. Preston Howard, Jr., P.E.
cc: Central Files
oresvilk_ Regional Office
NPDES Unit
Compliance Enforcement Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 [phone] FAX [phone] p&[e-mail]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE NO. NCG550243
TO DISCHARGE DOMESTIC WASTEWATERFROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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,
George W. Gazeley
is hereby authorized to operate a wastewater treatment facility which includes a septic tank, sand filter
and associated appurtenances with the discharge of treated wastewater from a facility
located at
Gazeley, George W. - Residence
4800 Grand Canyon Road
Concord
Cabarrus County
to receiving waters designated as subbasin 30712 in the Yadkin River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth
in Parts I, II, III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective June 11, 1998.
This certificate of coverage shall remain in effect for the duration of the General Permit.
Signed this day June 11, 1998.
q/�A. Preston Howard(/Jr., P.E., Director
Division of Water Quality
By Authority of the Environmental Management Commission

State of North Carolina
Department of Environment,
Health and Natural Resources
Mooresville Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Vivian Burke, Regional Manager
Mr. George Gazeley
4800 Grand Canyon Rd.
Concord, NC 28025
Dear Mr. Gazeley:
A T4j
DEHNF1
DIVISION OF ENVIRONMENTAL MANAGEMENT
July 29, 1993
Subject: Compliance Evaluation
Inspection
Gazeley Residence WWTP
NPDES Permit No. NCO057312
Cabarrus County, NC
Enclosed is a copy of the Compliance Evaluation Inspection
Report for the inspection conducted at the subject facility on July
21, 1993, by Mr. Art Dutton of this Office.
The report should be self-explanatory; however, should you
have any questions concerning this report, please do not hesitate
to contact Mr. Dutton or me at [phone].
Sincerely,
D. Rex Gleason; P.E.
Water Quality Regional Supervisor
Enclosure
cc: Cabarrus County Health Department
I'1�71'
919 North Main Street, Mooresville, North Carolina 28115 Telephone [phone] FAX [phone]
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United States Environmental Protection Agency
Washington, D.C. 20460
N P D E S COMPLIANCE EVALUATION REPORT
Section A: National Data System Coding
Transaction IColde NPDES r/mo/da Inspection Type Insplecltor
l 9 3 0 7 2 1
�
1I17 18 19 u
u 2 u 3INICI0101517131112111 12
'Face Type Remarks I I I I I I I I I I I I I I I I 11 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
20 21 66
Facility
Reserved Eval. Rating BI QA ------- Reserved---,-----
67 LU 69 70 L___I 71 I__I 72 u 73 LJJ 74 75 1 1 1 1 1 80
Section B: Facility Data
Name and Location of Facility Inspected
Entry Time Ll AM X PM Permit
Effective Date
George Gazeley Residence
12:00 June
1, 1992
4800 Grand Canyon Road
Cabarrus County
Exit-Time/Date Permit
Expiration Date
12:15 p.m. 7/21/93 October
31, 1994
Name(s) of On -Site Representative(s)
Title(s):
None Present
Phone No.(s)
Name, Address of Responsible Official
Title
Phone No.(s)
Mr. Geroge Gazeley
Owner
[phone]
4800 Grand Canyon Road
Concord, NC 28025
Contacted
Yes No X
Section C: Areas Evaluated During Inspection
(S=Satisfactory, M=Marginal, U=Unsatisfactory, N=Not Evaluated)
S Permit N Flow Measurement NA Pretreatment S Operations &
Maintenance
N Records/Reports N Laboratory NA Compliance Schedules N Sludge Disposal
S Facility Site Review S- Eff/Rec. Waters NA Self -Monitoring Other
Program
Section D: Summary of Findings/Comments
See Attached Page(s)
Name(s) and Signature(B) of Inspectors)
Agency/Office/Telephone
Date
Art Dutton kL1
DEM/MRO [phone]
July 26, 1993
Signature of Reviewer
Agency/Office
Date
MRO/DEM/[phone]'
Regulatory Office Use Only
Action Taken
Date
Compliance Status
Noncompliance
Compliance

GAZELEY RESIDENCE NPDES PERMIT NO. NCO057312
The facility was last inspected by G.T. Chen on March 23,
1990.
PERMIT:
The facility consists of a 1000-gallon septic tank, subsurface
sand filter, tablet chlorinator and a concrete post aeration
cascade.
The facility's discharge consists of domestic wastewater from
a single family residence.
FACILITY SITE REVIEW:
The area of the sand filter was mowed and no deep rooting
vegetation was growing in the area. The chlorination contact tank
was accessable and well maintained.
Access was maintained to the outfall pipe.
FLOW MEASUREMENT:
Flow measurements are not required at this facility.
EFFLUENT/RECEIVING WATERS:
There was no effluent flowing from the facility. It appeared
that there had been no flow from the system for a significant
period of time.
The receiving waters did not appear to be impacted by the
facility.
SLUDGE DISPOSAL:
Sludge should be removed from the septic tank as often as
necessary and disposed of in an approved manner. Records such as
waste haulers name, amount pumped, and location of the approved
disposal site should be maintained.

GAZELEY RESIDENCE NPDES PERMIT NO. NC0057312
SELF -MONITORING PROGRAM:
Self -monitoring reporting and effluent sample collection is
not required at this facility.
RECOMMENDATIONS:
The septic tank should be checked annually to determine if
solids need to be removed or other maintenance performed.
The vegetation (grass) around the subsurface sand filter
should be mowed on a regular basis.
The NPDES Permit requires the chlorinator to be inspected
weekly to ensure there is an ample supply of chlorine tablets for
continuous disinfection of the effluent.

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
Mr. George Gazeley, Jr.
4800 Grand Canyon Road
Concord, North Carolina 28027
Dear Permittee:
May 22, 1998 MAY pno 1998
MT
,tE fe�"��T'1 G,�FlCC
Subject: NPDES Permit Renewal
Certificate of Coverage NCG550243
Gazeley residence
Cabarrus County
The subject permit expired on July 31, 1997. To date, the Division has not received notice that you wish to renew
(or rescind) the subject permit. A renewal notice was mailed to 160 Arizona Place, Concord, NC 28025 on July
30, 1996. This U.S. Post Office returned the notice with the notation "No Such Address". If continuation of the
permit is desired, please submit the following information by June 5, 1998:
1. A letter requesting the renewal.
2. Current address information for the facility (give the specific site address, including zip code)
3. A description of the main use of the facility (primary residence, vacation/second home or business)
4. A fee of $240.00, payable by check to NC DENR.
Failure to request renewal or rescission by June 5, 1998 may result in a civil assessment of at least $250.00.
Larger penalties may be assessed depending upon the delinquency of the request. Continuation of wastewater
discharge at the subject facility is a violation of NCGS 143-215.1 and could result in assessment of civil penalties
of up to $10,000 per day if the subject permit is not renewed.
If you wish to rescind this permit, contact Mr. Robert Farmer of the Division's Compliance Group at (919) 733-
5083, extension 531. If there are questions regarding the permit renewal procedure, please contact G.T. Chen of
the Mooresville Regional Office at telephone number [phone].
Sincerely,
VV,
Charles H. Weaver, Jr.
NPDES Unit
cc: Central Files
;Mooresville Regional Office, Water Quality Section_'`
NPDES Unit
Point Source Compliance Enforcement Unit
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
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STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO. NCG550000
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES
AND OTHER DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provision 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, this permit is hereby issued to all owners or operators,
hereafter permittees, which are covered by this permit as evidenced by receipt of a Certificate of Coverage by
the Environmental Management Commission to allow the discharge of treated wastewater in accordance with
the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective August 1, 1997.
This permit shall expire at midnight on July 31, 2002.
11
se - sy
A. Preston Howard, Jr., P.E., Dire'
Division of Water Quality
By Authority of the Environmental Management Commission

A. EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS - FINAL Permit No. NCG550000
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge domestic wastewaters
from outfall 001. Such discharges shall be limited and monitored by the Permittee as specified below:
EFFLUENT CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Average
Weekly
Average
Daily
Maximum
Measurement
Frequency
Sample
Type
Sample
Location
Flow'
Annually
Estimate
Effluent
BOD, 5-Day, 20°C
30.0 m /I
45.0 m /I
Annually
Grab
Effluent
Total Suspended Residue
30.0 m /I
45.0 m /I
Annually
Grab
Effluent
Fecal Coliform(geometric mean
200 / 100 ml
400 / 100 ml
Annually
Grab
Effluent
Total Residual Chlorine
Annually
Grab
Effluent
1: The permitted flow of this facility may not in any case exceed 1000 gallons per day.
2: Facilities discharging into surface waters with the Trout Stream supplemental classification shall provide a demonstrated alternate method of
disinfection other than chlorination, or provide dechlorination if chlorine disinfection must be used.
Treatment system requirements for existing (previously constructed) systems: a septic tank, sand filter and disinfection
apparatus.
Treatment system requirements for new (not yet constructed) systems: a septic tank, primary & secondary (or recirculating)
sand filters, disinfection and post -aeration apparatus.
The tablet chlorinator and dechlorinator, if applicable, shall be inspected weekly to ensure there is an adequate supply of tablets
for continuous & proper operation.
The permittee must conduct and document the following maintenance activities:
• Septic tanks shall be maintained at all times to prevent seepage of sewage to the surface of the ground.
• Septic tanks will be checked at least yearly to determine if solids must be removed or if other maintenance is necessary.
• Septic tanks shall be pumped out within five years of the issuance date on the Certificate of Coverage.
• Contents removedfrom septic hanks shall be disposed at a location and in a manner compliant with all local and state
regulations.
• Surface sand filters, disinfection apparatus and (if applicable) dechlorination apparatus shall be inspected weekly to confirm
proper operation.
There shall be no discharge offloating solids or visible foam in other than trace amounts.
The Permittee shall properly connect to an operational regional wastewater collection system within 180 days of its availability
to the site.
Single Family Residences and similar discharges

PART
SECTION B. SCHEDULE OF COMPLIANCE
General Permit NCG550000
1. The permittee shall comply with Final Effluent Limitations by the effective date of the Certificate of
Coverage.
2. Permittee shall at all times provide the operation and maintenance necessary to operate the existing
facilities in accordance with section II.C.2 of this permit.
PART II
STANDARD CONDITIONS FOR NPDES PERMITS
SECTION A. DEFINITIONS
1. Permit Issuing Authority: The Director of the Division of Water Quality.
2. DWO or Division: Division of Water Quality, Department of Environment, Health and Natural
Resources.
3. EMC: North Carolina Environmental Management Commission.
4. Permittee: The entity who obtains coverage under this general permit by subsequent issuance of a
"Certificate of Coverage" by the Division of Water Quality.
5. Act or "the Act": The Federal Water Pollution Control Act, also known as the Clean Water Act, as
amended, 33 USC 1251, et. seq.
6. Concentration Measurements
a. Average Monthly Concentration: The sum of the concentrations of all daily discharges sampled and/or
measured during a calendar month on which daily discharges are sampled and measured, divided by
the number of daily discharges sampled and/or measured during such month (arithmetic mean of the
daily concentration values). The daily concentration value in the case. of grab samples is the
arithmetic mean (weighted by flow value) of all the samples collected during that calendar day.
b. Average Monthly Concentration for Fecal Coliform: The geometric mean of the counts for samples
collected during a calendar month. This limitation is identified as "Monthly Average" in Part I of the
permit.
b. Maximum Daily Concentration: The concentration of a pollutant discharge during a calendar day. If
only one sample is taken during any calendar day the concentration of pollutant calculated from it is
the "Maximum Daily Concentration". It is identified as "Daily Maximum" in Part I of the permit.
7. Other Measurements
a. Flow (MGD): The 24 hours average flow, averaged monthly. It is determined as the arithmetic mean
of the total daily flows recorded during the calendar month.
8. Grab Samples: Individual samples of at least 100 ml collected over a period of time not exceeding 15
minutes. Grab samples can be collected manually.
Page 1 of 10

General Permit NCG550000
9. Calculation of Means
a Arithmetic Mean: The summation of the individual values divided by the number of individual
values.
b. Geometric Mean: The Nth root of the product of the individual values where N is equal to the number
of individual values. The geometric mean is equivalent to the antilog of the arithmetic mean of the
logarithms of the individual values. For purposes of calculating the geometric mean, values of zero (0)
shall be considered to be one (1).
c. Weighted by Flow Value: The summation of each concentration times its respective flow divided by
the summation of the respective flows.
10. Calendar Dav: The period from midnight of one day until midnight of the next day. However, for
purposes of this permit, any consecutive 24-hour period that reasonably represents the calendar day may be
used for sampling.
11. Hazardous Substance: Any substance designated under 40 CFR Part 116 pursuant to Section 311 of the Clean
Water Act.
12. Toxic Pollutant: Any pollutant listed as toxic under Section 307(a)(1) of the Clean Water Act.
13. Bvpass: The known diversion of waste streams from any portion of a treatment facility (including the
collection system), which is not a designed or established or operating mode for the facility.
14. Severe property damage: Substantial physical damage to property, damage to the treatment facilities
which causes them to become inoperable, or substantial and permanent loss of natural resources which can
reasonably be expected to occur in the absence of a bypass. Severe property damage does not mean economic
loss caused by delays in production.
15. Upset: An exceptional incident in which there is unintentional and temporary noncompliance with
technology -based permit effluent limitations because of factors beyond the reasonable control of the
permittee. An upset does not include noncompliance to the extent caused by operational error, improperly
designed treatment facilities, inadequate treatment facilities, lack of preventive maintenance, or careless
or improper operation.
SECTION B. GENERAL CONDITIONS
Duty to Cooly
The permittee must comply with all conditions of this permit. Any permit noncompliance constitutes a
violation of the Clean Water Act and is grounds for enforcement action; for permit termination, revocation
and reissuance, or modification; or denial of a permit renewal application.
a . The permittee shall comply with effluent standards or prohibitions established under section 307(a) of
the Clean Water Act for toxic pollutants and with. standards for sewage sludge use or disposal
established under section 405(d) of the Clean Water Act within the time provided in the regulations
that establish these standards or prohibitions, even if the permit has not yet been modified to
incorporate the requirement.
b. The Clean Water Act provides that any person who violates a permit condition is subject to a civil
penalty not to exceed $25,000 per day for each violation. Any person who negligently violates any
permit condition is subject to criminal penalties of $2,500 to $25,000 per day of violation, or
imprisonment for not more than 1 year, or both. Any person who knowingly violates permit conditions is
subject to criminal penalties of $5,000 to $50,000 per day of violation, or imprisonment for not more than
3 years, or both. Also, any person who violates a permit condition may be assessed an administrative
Page 2 of 10

General Permit NCG550000
penalty not to exceed $10,000 per violation with the maximum amount not to exceed $125,000. [Ref:
Section 309 of the Federal Act 33 U.S.C. 1319 and 40 CFR 122.41 (a)].
c. Under state law, a daily civil penalty of not more than ten thousand dollars ($10,000) per violation
may be assessed against any person who violates or fails to act in accordance with the terms, conditions,
or requirements of a permit. [Ref: North Carolina General Statutes § 143-215.6 (A)].
2. Duty to Mitigate
The permittee shall take all reasonable steps to minimize or prevent any discharge in violation of this
permit.
3. Civil and Criminal Liability
Except as provided in permit conditions on 'Bypassing" (Part H, CA.) and 'Power Failures" (Part II, C.7.),
nothing in this permit shall be construed to relieve the permittee from any responsibilities, liabilities, or
penalties for noncompliance pursuant to NCGS 143-215.3,143-215.6 or Section 309 of the Federal Act, 33 USC
1319. Furthermore, the permittee is responsible for consequential damages, such as fish kills, even though
the responsibility for effective compliance may be temporarily suspended.
4. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution of any legal action or relieve the
permittee from any responsibilities, liabilities, or penalties to which the permittee is or may be subject to
under NCGS 143-215.75 et seq. or Section 311 of the Federal Act, 33 USG 1321. Furthermore, the permittee is
responsible for consequential damages, such as fish kills, even- though the responsibility for effective
compliance may be temporarily suspended.
5. Property Rights
The issuance of this permit does not convey any property rights in either real or personal property, or any
exclusive privileges, nor does it authorize any injury to private property or any invasion of personal rights,
nor any infringement of Federal, State or local laws or regulations.
6. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore or offshore physical structures or
facilities or the undertaking of any work in any navigable waters.
7. Severability
The provisions of this permit are severable, and if any provision of this permit, or the application of any
provision of this permit to any circumstances, is held invalid, the application of such provision to other
circumstances, and the remainder of this permit, shall not be affected thereby.
8. Duty to Provide Information
The permittee shall furnish to the Permit Issuing Authority, within a reasonable time, any in
which the Permit Issuing Authority may request to determine whether cause exists for modifying, revoking
and reissuing, or terminating this permit or to determine compliance with this permit. The permittee shall
also furnish to the Permit Issuing Authority upon request, copies of records required to be kept by this
permit.
9. Duty to Reapply
If the permittee wishes to continue an activity regulated by this permit after the expiration date of this
permit, the permittee must apply for and obtain a new permit.
10. Permit Termination
After public notice and opportunity for a hearing, the general permit and Certificates of Coverage issued
under this general permit may be terminated for cause.
Page 3 of 10

General Permit NCG550000
11. When an Individual Permit may be Required
The Division may require any owner authorized to discharge under this permit to apply for and obtain an
individual permit. Cases where an individual permit may be required include, but are not limited to, the
following:
a. The discharger is a significant contributor of pollution.
b. Conditions at -the operating facility change altering the constituents and/or characteristics of the
discharge such that the discharge no longer qualifies for a General Permit.
c. The discharge violates the terms or conditions of this permit.
d. A change has occurred in the availability of demonstrated technology or practices for the control or
abatement of pollutants applicable to the point source.
e. Effluent limitation guidelines are promulgated for the point sources covered by this permit.
f. A water quality management plan containing requirements applicable to such point sources is approved
after the issuance of this permit.
This permit may be terminated as to an individual owner for any of the reasons set forth above after
appropriate notice in accordance with N.C.G.S. 143-215.1.
12. When an Individual Permit may be Requested
Any permittee operating under this permit may request to be excluded from coverage by applying for an
individual permit. When an individual permit is issued, the applicability of this general permit is
automatically terminated on the effective date of the individual permit.
13. Signatory Requirements
All applications, reports, or information submitted to the Permit Issuing Authority shall be signed and
certified.
a. All permit applications shall be signed as follows:
(1) For a corporation: by a responsible corporate officer. For the purpose of this Section, a responsible
corporate officer means: (a) a president, secretary, treasurer or vice president of the corporation in
charge of a principal business function, or any other person who performs similar policy or decision
making functions for the corporation, or (b) the manager of one or more manufacturing production or
operating facilities employing more than 250 persons or having gross annual sales or expenditures
exceeding 25 million (in second quarter 1980 dollars), if authority to sign documents has been
assigned or delegated to the manager in accordance with corporate procedures.
(2) For a partnership or sole proprietorship: by a general partner or the proprietor, respectively; or
(3) For a municipality, State, Federal, or other public agency: by either a principal executive officer or
ranking elected official.
b. All reports required by the permit and other information requested by the Permit issuing Authority
shall be signed by a person described above or by a duly authorized representative of that person. A
person is a duly authorized representative only if:
(1) The authorization is made in writing by a person described above;
(2) The authorization specified either an individual or a position having responsibility for the
overall operation of the regulated facility or activity, such as the position of plant manager,
operator of a well or well field, superintendent, a position of equivalent responsibility, or an
individual or position having overall responsibility for environmental matters for the company.
(A duly authorized representative may thus be either a named individual or any individual
occupying a named position.); and
(3) The written authorization is submitted to the Permit Issuing Authority.
Page 4 of 10

General Permit NCG550000
Certification: Any person signing a document under paragraphs a. or b. of this section shall make the
following certification:
"I certify, under penalty of law, that this document and all attachments were prepared under my
direction or supervision in accordance with a system designed to assure that qualified personnel
properly gather and evaluate the information submitted. Based an my inquiry of the person or
persons who manage the system, or those persons directly responsible for gathering the information,
the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I
am aware that there are significant penalties for submitting false information, including the
possibility of fines and imprisonment for knowing violations."
14. Permit Actions
This permit may be modified, revoked and reissued, or terminated for cause. The filing of a request by the
permittee for a permit modification, revocation and reissuance, or termination, or a notification of planned
changes or anticipated noncompliance does not stay any permit condition.
15. Permit Modification Revocation and Reissuance, or Termination
The issuance of this permit does not prohibit the permit issuing authority from reopening and modifying
the permit, revoking and reissuing the permit, or terminating the permit as allowed by the laws, rules, and
regulations contained in Title 40, Code of Federal Regulations, Parts 122 and 123; Title 15A of the North
Carolina Administrative Code, Subchapter 2H .0100; and North Carolina General Statute 143-215.1 et. al.
SECTION C. OPERATION AND MAINTENANCE OF POLLUTION CONTROLS
Certified Operator
Pursuant to Chapter 90A-44 of North Carolina General Statutes, the permittee shall employ a certified
wastewater treatment plant operator in responsible charge (ORC) of the wastewater treatment facilities.
Such operator must hold a certification of the grade equivalent to or greater than the classification
assigned to the wastewater treatment facilities. The permittee shall notify .the Division's Operator
Training and Certification Unit within thirty days of any change in the ORC status.
2. Proper Operation and Maintenance
The permittee shall at all times properly operate and maintain all facilities and systems of treatment and
control (and related appurtenances) which are installed or used by the permittee to achieve compliance
with the conditions of this permit. Proper operation and maintenance also includes adequate laboratory
controls and appropriate quality assurance procedures. This provision requires the operation of back-up or
auxiliary facilities or similar systems which are installed by a permittee only when the operation is
necessary to achieve compliance with the conditions of the permit.
3. Need to Halt or Reduce not a Defense
It shall not be a defense for a permittee in an enforcement action that it would have been -necessary to halt
or reduce the permitted activity in order to maintain compliance with the condition of this permit.
4. Bypassing of Treatment Facilities
a. Bypass not exceeding limitations.
The permittee may allow any bypass to occur which does not cause effluent limitations to be exceeded,
but only if it also is for essential maintenance to assure efficient operation. These bypasses are not
subject to the provisions of Paragraphs b. and c. of this section.
b. Notice
(1) Anticipated bypass. If the permittee knows in advance of the need for a bypass, it shall submit
prior notice, if possible at least ten days before the date of the bypass; including an evaluation of
the anticipated quality and affect of the bypass.
Page 5 of 10

General Permit NCG550000
(2) Unanticipated bypass. The permittee shall submit notice of an unanticipated bypass as required in
Part II, E. 5. of this permit. (24-hour notice).
c. Prohibition of Bypass
(1) Bypass is prohibited and the Permit Issuing Authority may take enforcement action against a
permittee for bypass, unless:
(a) Bypass was unavoidable to prevent loss of life, personal injury or severe property damage;
(b) There were no feasible alternatives to the bypass, such as the use of auxiliary treatment
facilities, retention of untreated wastes or maintenance during normal periods of equipment
downtime. This condition is not satisfied if adequate backup equipment should have been
installed in the exercise of reasonable engineering judgment to prevent a bypass which
occurred during normal periods of equipment downtime or preventive maintenance; and
(c) The permittee submitted notices as required under Paragraph b. of this section.
(2) The Permit Issuing Authority may approve an anticipated bypass, after considering its adverse
affects, if the Permit Issuing Authority determines that it will meet the three conditions listed
above in Paragraph c. (1) of this section.
5. Upsets
a. Effect of an upset.
An upset constitutes an affirmative defense to an action brought for noncompliance with such technology
based permit effluent limitations if the requirements of paragraph b. of this condition are met. No
determination made during administrative review of claims that noncompliance was caused.by upset,
and before an action for noncompliance, is final administrative action subject to judicial review.
b. Conditions necessary for a demonstration of upset.
A permittee who wishes to establish the affirmative defense of upset shall demonstrate, through
properly signed, contemporaneous operating logs, or other relevant evidence that:
(1) An upset occurred and that the permittee can identify the cause(s) of the upset;
(2) The permitted facility was at the time being properly operated; and
(3) The permittee submitted notice of the upset as required in Part II, E. 5. (b) (2) of this permit.
(4) The permittee complied with any remedial measures required under Part H, B. 2. of this permit.
c. Burden of proof._
In any enforcement proceeding the permittee seeking to establish the occurrence of an upset has the
burden of proof.
Removed Substances '
Solids, sludges, filter backwash, or other pollutants removed in the course of treatment or control of
wastewaters shall be disposed of in accordance with NCGS 143-215.1 and in a manner such as to prevent any
pollutant from such materials from entering waters of the State or navigable waters of the United States.
The permittee shall comply with all existing federal regulations governing the disposal of sewage sludge.
Upon promulgation of 40 CFR Part 503, any permit issued by the Permit Issuing Authority for the disposal
of sludge may be reopened and modified, or revoked and reissued, to incorporate applicable requirements at
40 CFR Part 503. The permittee shall comply with applicable 40 CFR Part 503 Standards for the Use and
Disposal of Sewage Sludge (when promulgated) within the time provided in the regulation, even if the
permit is not modified to incorporate the requirement. The permittee shall notify the Permit Issuing
Authority of any significant change in its sludge use or disposal practices.
Page 6 of 10

General Permit NCG550000
7. Power Failures
The permittee is responsible for maintaining adequate safeguards as required by DWQ Regulation, Title
15A, North Carolina Administrative Code, Subchapter 2H, .0124 Reliability, to prevent the discharge of
untreated or inadequately treated wastes during electrical power failures either by means of alternate
power sources, standby generators or retention of inadequately treated effluent.
SECTION D. MONITORING AND RECORDS
1. Representative Sampling
Samples collected and measurements taken, as required herein, shall be characteristic of the volume and
nature of the permitted discharge. Samples collected at a frequency less than daily shall be taken on a day
and time that is characteristic of the discharge over the entire period which the sample represents. All
samples shall be taken at the monitoring points specified in this permit and, unless otherwise specified,
before the effluent joins or is diluted by any other wastestream, body of water, or substance. Monitoring
points shall not be changed without notification to and the approval of the Permit Issuing Authority..
Flow Measurements
Appropriate flow measurement devices and methods consistent with accepted scientific practices shall be
selected and used to ensure the accuracy and reliability of measurements of the volume of monitored
discharges. The devices shall be installed, calibrated and maintained to ensure that the accuracy of the
measurements are consistent with the accepted capability of that type of device. Devices selected shall be
capable of measuring flows with a maximum deviation of less than 10% from the true discharge rates
throughout the range of expected discharge volumes.
3. Test Procedures
Test procedures for the .analysis of pollutants shall conform to the EMC regulations published pursuant to
NCGS 143-215.63 et. seq., the Water and Air Quality Reporting Acts, and to regulations published pursuant
to Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act, as Amended, and Regulation 40
CFR 136. To meet the intent of the monitoring required by this permit, all test procedures must produce
-minimum detection and reporting levels that are below the permit discharge requirements and all data
generated must be reported down to the minimum detection or lower reporting level of the procedure. If no
approved methods are determined capable of achieving minimum detection and reporting levels below
permit discharge requirements, then the most sensitive (method with the lowest possible detection and
reporting level) approved method must be used.
4. Penalties for Tamperin-
The Clean Water Act provides that any person who falsifies, tampers with, or knowingly renders
inaccurate, any monitoring device or method required to.be maintained under this. permit shall, upon
conviction, be punished by a fine of not more than $10,000 per violation, or by imprisonment for not more
than two years per violation, or by both.
5. Records Retention
The permittee shall retain records of all monitoring information, including all calibration and maintenance
records and all original strip chart recordings for continuous monitoring instrumentation, copies of a 11
reports required by this permit, for a period of at least 3 years from the date of the sample, measurement,
report or application. This period may be extended by request of the Director at any time.
6. Recording_ Results
For each measurement or sample taken pursuant to the requirements of this permit, the permittee shall
record the following information:
a. The date, exact place, and time of sampling or measurements;
Page 7 of 10

General Permit NCG550000
b. The individual(s) who performed the sampling or measurements;
c. The date(s) analyses were performed;
d. The individual(s) who performed the analyses;
e. The analytical techniques or methods used; and
f. The results of such analyses.
7. Inspection and Entry
The permittee shall allow the Director, or an authorized representative, upon the presentation of
credentials and other documents as may be required by law, to;
a . Enter upon the permittee's premises where a regulated facility or activity is located or conducted, or
where records must be kept under the conditions of this permit;
b. Have access to and copy any records that must be kept under the conditions of this permit;
c. Inspect any facilities, equipment (including monitoring and control equipment), practices, or operations
regulated or required under this permit; and
d. Sample or monitor, for the purposes of assuring permit compliance or as otherwise authorized by the
Clean Water Act, any substances or parameters at any location.
SECTION E. REPORTING REQUIREMENTS
Change in Discharge
All discharges authorized herein shall be consistent with the terms and conditions of this permit. The
discharge of any pollutant identified in this permit more frequently than or at a level in excess of that
authorized shall constitute a violation of the permit.
2. Planned Changes
The permittee shall give notice to the Director as soon as possible of any planned physical alterations or
additions to the permitted facility. Notice is required only when:
a. The alteration or addition to a permitted facility may meet one of the criteria for determining whether
a facility is a new source in 40 CFR Part 122.29 (b); or
b. The alteration or addition could significantly change the nature or increase the quantity of pollutants
discharged. This notification applies to pollutants which are subject neither to effluent limitations in
the permit, nor to notification requirements under 40 CFR Part 122.42 (a) (1).
3. Anticipated Noncompliance
The permittee shall give advance notice to the Director of any planned changes in the permitted facility or
activity which may result in noncompliance with permit requirements.
4. Transfers
This permit is not transferable to any person except after notice to and approval by the Director. The
Director may require modification or revocation and reissuance of the permit and incorporating such other
requirements as may be necessary under the Clean Water Act.
Duty to Report Noncompliance
a. The permittee shall report to the central office or the appropriate regional office any noncompliance
which may endanger health or the environment. Any information shall be provided orally within 24
hours from the time the permittee became aware of the circumstances. A written submission shall also
be provided within 5 days of the time the permittee becomes aware of the circumstances.
(1) The written submission shall contain a description of the noncompliance, and its cause; the period of
noncompliance, including exact dates and times, and if the noncompliance has not been corrected,
the anticipated time it is expected to continue; and steps taken or planned to reduce, eliminate, and
prevent reoccurrence of the noncompliance.
Page 8 of 10

General Permit NCG550000
b. The following shall be included as information which must be reported within 24 hours under this
paragraph.
(1) Any unanticipated bypass which exceeds any effluent limitation in the permit.
(2) Any upset which exceeds any effluent limitation in the permit.
(3) Violation of a maximum daily discharge limitation for any of the pollutants listed by the Director
in the permit to be reported within 24 hours.
c. The Director may waive the written report on a case -by -case basis for reports under paragraph b. above
of this condition if the oral report has been received within 24 hours.
Other Information
Where the permittee becomes aware that it failed to submit any relevant facts in a permit application, or
submitted incorrect information in a permit application or in any report to the Director, it shall promptly
submit the correct facts or information.
Noncompliance Notification Procedure
The permittee shall report by telephone to either the central office or the appropriate regional office of
the Division as soon as possible, but in no case more than 24 hours or on the next working day following the
occurrence or first knowledge of the occurrence of any of the following:
a. Any occurrence at the water pollution control facility which results in the discharge of significant
amounts of wastes which are abnormal in quantity or characteristic, such as the dumping of the contents
of a sludge digester; the known passage of a slug of hazardous substance through the facility; or any
other unusual circumstances.
b. Any process unit failure, due to known or unknown reasons, that render the facility incapable of
adequate wastewater treatment such as mechanical or electrical failures of pumps, aerators,
compressors, etc.
c. Any failure of a pumping station, sewer line, or treatment facility resulting in a by-pass directly to
receiving waters without treatment of all or any portion of the influent to such station or facility.
Persons reporting such occurrences by telephone shall also file a written report in letter form within 5 days
following first knowledge of the occurrence.
Availability of Reports
Except for data determined to be confidential under NCGS 143-215.3(a)(2) or Section 308 of the Federal Act,
33 USC 1318, all reports prepared in accordance with the terms shall be made available for public
inspection at the offices of DWQ or at the site of the discharge within a reasonable time period, not to
exceed five (5) days. As required by the Act, effluent data shall not be considered confidential. Knowingly
making any false statement on any such report may result in the imposition of criminal penalties as
provided for in NCGS 143-215.1(b)(2) or in Section 309 of the Federal Act.
J
Penalties for Falsification of Reports
The Clean Water Act provides that any person who knowingly makes any false statement, representation,
or certification in any record or other document submitted or required to be maintained under this permit,
including monitoring reports or reports of compliance or noncompliance shall, upon conviction, be punished
by a fine of not more than $10,000 per violation, or by imprisonment for not more than two years per
violation, or by both.
PART III
OTHER REQUIREMENTS
1. Previous Permits
All previous State water quality permits issued to this facility for this particular discharge, whether for
construction or operation or discharge, are hereby revoked by issuance of this permit and subsequent issuance
of a Certificate of Coverage. The conditions, requirements, terms, and provisions of this permit authorizing
Page 9 of 10

General Permit NCG550000
discharge under the National Pollutant Discharge Elimination System govern discharges from this
facility.
2. Construction
No construction of wastewater treatment facilities or additions thereto shall be begun until Final Plans and
Specifications have been submitted to DWQ and approval has been granted by the Division. Design and
operation of facilities and/or treatment works shall be in accordance with the application and supporting
information. If facility deficiencies, design and/or operational, are identified in the future which could
affect the facility performance or reliability, it is the responsibility of the permittee to correct such
deficiencies.
3. Limitations Reopener
This permit shall be modified or alternatively, revoked and reissued, to comply with any applicable
effluent guideline or water quality standard issued or approved under Sections 302(b) (2) (c), and (d), 304(b)
(2), and 307(a) (2) of the Clean Water Act, if the effluent guideline or water quality standard so issued or
approved:
a. contains different conditions or is otherwise more stringent than any effluent limitation in the permit;
or
b. controls any pollutant not limited in the permit.
The permit as modified or reissued under this paragraph shall also contain any other requirements in the
Act then applicable.
PART IV
ANNUAL ADMINISTERING & COMPLIANCE MONITORING FEE
The permittee must pay the annual administering and compliance monitoring fee (if any such fee is
assessed) within 30 days after being billed by the Division. Failure to pay such fees in a timely manner in
accordance with 15 NCAC 2H.0105(b)(4) may cause the Division to initiate action to revoke the Certificate
of Coverage.
Page 10 of 10

k8tatteof North Carolina
Department of Environment,
Health and Natural Resources
Division of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
GEORGE W. GAZELEY
GAZELEY RESIDENCE (GEORGE W)
160 ARIZONA PLACE
CONCORD NC 28025
Dear Permittee:
September 30,1993
Ni. C. n2pr. op 1VA'ZUR4Z
`ors AND
i iLglo_"IJTt'r g Sf DEVELOPMENT
Sip 2 8 1993
tTfiS'OPI OF IRIEiO BIEitiAL hinAGEE9Egi
200RESR ULc RaJOPIAL arficl
Subject: GAZELEY RESIDENCE (GEORGE W)
Certificate of Coverage NCG550243
General Permit NCG550000
Formerly NPDES Permit NCO057312
Caban- s County
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0057312. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts,. measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part II, E.4. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
In the event that the facilities fail to perform satisfactorily, including the creation of nuisance conditions, the
Permittee shall take immediate corrective action, including those as may be required by this Division, such as the
construction of additional or replacement wastewater treatment or disposal facilities. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested, however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled -10% post -consumer paper

�r
Page
GEORGE. W. GAZELEY
GAZELEY RESIDENCE (GEORGE W)
Certificate of Coverage No. NCG550243
The: issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore, no fees are due at this time. In accordance with current rules, there
are no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31,1997.
This coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time, you will be notified of the procedures to .
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage, you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Mooresville Regional Office, Water Quality Section at telephone number 704/ 663-1699, or a review engineer
in the NPDES Group in the Central Office at telephone number 919/733-5083.
cc: Mooresville Regional Office
Central Files
S' erely,
Preston Howar , P.E.
V

M
OF NORTH CAROLIN NATURAL RESOURCES. n
STATE
RONMENT, HEALTH, AND AGEMENT r F,n, - sr-�
OF ENS EN I AL MANS
DEPARTMEDIISION OF EIRONM ���rara
RAL PERMIT NO. NCG550000 ,
GENE COVERA GE No. NCG550243 = ,�,v;,. r E'UI�DN�?ErlT L MANAGEME11p
ATE OF ;I,.; .G
CERTIFIC do ; d, ? !aPWa PEEIPE
SINGLE FANRLY RESIDENCES AND
pI�ESTIC WASTEWATERS FROMUR'THE
TO DISCHARGE TREATED D SIMILIAR WASTEWATERS
DISCHARGE ELIMINATION SYSTEM d
TIONAL POLU-1111 NI standards an
other lawful star ion, and the
NA
Carolina General Statute etal Management Comte
Nance with the provision of North North Carolina Environm ended,
In comp d ado ted by
regulatiO promulgated an 'Federal Water Pollution Control Act, as
GAZELFY RESIDENCE (GEORGE W)
located at
is hereby authorized to discharge
Bated domestic wastewater from a facility
treated
GAZELEY RESIDENCE (GEORGE W)
Cabarrus County
PEE DEE RVR BASN Parts I, II,
TON RUN/YADKIN- set forth in
waters designated as the UT and other conditions
to receiving itations, monitoring requirements,
e effluent limit
it of General Permit No. NCG550000 as attached
in accordance with III an 1993.
This certifi
cate of coverage shall become effective November 1' General Permit
This Certificate of Coverage shall remain in effect for the duration of the
s da ,September 30,1993.
Signed thi y
r P E•,Director
A. Preston Howar' ' 1 ental Management sion
Division of Environm ental Management Comm
By Authority of the Environm

2L C. DEPT. of NATUPAL 0fswt�
RESO13T;CES AND
-WM,%1UN'1 Y DEVELOPMENT
JUN 2 3 1992 U0.)
VIvIs101,1 OF MAMA, a of North Carolina
MAN 1 onment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
George T. Everett, Ph.D
Director
April 24, 1992
George W. Gazeley
160 Arizona Place
Concord, NC 28025
Subject: NPDES Permit No. NCO057312
George W. Gazeley Residence
Dear Mr. Gazeley: Cabarrus County
In accordance with your application for discharge permit received on March 12, 1990, we are
forwarding herewith the subject state - NPDES 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 US Environmental Protection agency dated December 6, 1983.
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, Post Office Drawer 27447, Raleigh, North Carolina 27611
-7447. Unless such demand is made, this decision shall be final and binding.
Please take notice this permit is not transferable. Part II, 13.2, addresses the requirements to
be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Environmental Management or permits required by the Division of
Land Resources, 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 Mr. Mack Wiggins at
telephone number 919/ 733-5083.
Sincerely,
Original Signed By
Rosanne Barona
Gee T. Everett R E C E 1 V FE-D
cc: Mr. Jim Patrick, EPA Water Quality Section
Mooresville Regional Office
Pollation Prevention Pays J U N 18 1992
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer Asheville Regional
4shaville, North Carona

Permit No. NCO057312
/I
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
In compliance with the provision 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,
Mr. George W. Gazeley
is hereby authorized to discharge wastewater from a facility located at
George W. Gazeley Residence
160 Arizona Place
west of Concord
Cabarrus County
to receiving waters designated as an unnamed tributary to Afton Run in the Yadkin -Pee Dee River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective June 1, 1992
This permit and the authorization to discharge shall expire at midnight on October 31, 1994
Signed this day April 24, 1992
Original Signed By
Rosanne Barona
George T. Everett, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No: NCO057312
SUPPLEMENT TO PERMIT COVER SHEET
Mr. George W. Gazeley
is hereby authorized to:
11
1. Continue to operate an existing wastewater treatment system consisting of 1000 gallon septic
tank, subsurface sand filters, and tablet chlorinator located at George W. Gazeley Residence,
160 Arizona Place, west of Concord, Cabarrus County (See Part III of this Permit), and
2.. Discharge from said treatment works at the location specified on the attached map into an
unnamed.ributary to Afton Run which is classified Class WS-III waters in the Yadkin -Pee Dee
River Basin.

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A. (). EFFLUENT LMTATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NO
During the period beginning on the effective date of the permit and lasting until expiration, the Perm ittee is authorized to discharl
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Dissolved Oxygen (minimum)
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Units (specifyi
Monthly Ava, WeeklT- Avg.,
300 CPD
18.0 mg/I 27.0 mg/I
30.0 mg/I 45.0 mg/I
8.0 mg/I 12.0 mg/l
6.0 mg/I 6.0 mg/I
200.0 /100 ml 400.0 /100 ml
Monitorin Re uirements
Measurement Sample 'Sample
Frequency Type Location
0
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less that 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

PART I
0-+
erein means the Federal Water Pollution Control Act, As
erein means the Division of Environmental Management of
ant of Natural Resources and Community Development.
erein means the North Carolina Environmental Management
:hly average, other than for fecal coliform bacteria, is
:hmetic mean of all the composite samples collected in a
uLic-mune period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly.. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

PART ] 1
A. MANAGEMENT V.EQUIREMENTS
I. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at'all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve com-
pliance with the. terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i), where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
S. Removed Substances
Solids, sludges, filter backwash, or ther pollutants removed in the
course of treatment or control of was ewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
r+
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
I. Right of Entry
�. The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215.1
(b)(2) and NCGS 143-215.1(e) respectively, this permit may be modi-
fied, suspended, or revoked in whole or in part during its term for
cause including, but not limited to, the following:

PART II
a. Viol.atlpn of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to
disclose fully all relevant facts; or
C. A change in any condition that requires either a temporary
or permanent reduction or elimination of the authorized
discharge.
4. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II.
A-4) and "Power Failures (Part II, A-6)., nothing in this permit
shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance pursuant to NCGS 143-215.6 or Section
309 of the Federal Act, 33 OSC 1319.
5. Property Rights
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor
does it authorize any
j
injury to
personal rights, nor any infringement tofpFederal, oState, r any �oralocal
sion of
laws or regulations.
6. Severability
The provisions of this permit are severable, and if any provision of
this permit, or the application of any provision of this permit to
any circumstance, is held invalid, the application of such provision
to other circumstances, and the remainder of.this permit shall not
,be affected thereby.
7. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees
as are required by the agency authorized to issue permits no later
than 180 days prior to the expiration date. Any discharge without
a permit after the expiration will subject the permittee to enforce-
ment,procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq..

A. PREVIOUS PERKS'
B.
C.
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under the
National Pollutant Discharge Elimination System govern discharges
from this facility.
CONSTRUCTION
No construction of wastewater treatment facilities or additions theretl
shall be begun until Final Plans and Specifications have been submitted
to the Division of. Environmental Management and written approval and
Authorization to. Construct have been issued. If no objections to Final
Plans and Specifications have been made by; the DEM after 30 days follo,
ing receipt of the plans or issuance of-- this permit; whichever is latt,
the plans may be.considered approved and -construction authorized.
SPECIAL CONDITIONS
1. The Permittee'shall be responsible for`ihe following items regard-
ing the maintenance of the treatment system;:
a. Septic tank"s shall -be maintained at all times' ,to' prevent "
seepage of sewage or effluents..to'the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly -to determine if solids need,�to'be.iemoved
or other maintenance performed.
c. Contents removed from septic tanks shall be: discharged .,.into
an approved sewer system, buried or plowed under. at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly -
owned wastewater collection system within 180 days of its availability
to the site.

OF NATuRA,
2X90"CES A,.
DF. VEI.f)p,�EXr /1
APR p 3 199,0
YOORES6'ItiE AECIC1Ul 4"GEH Nr
OFFICEState of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street - Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
George W. Gazeley
160 Arizona Place
Concord, NC 28025
Dear Mr. Gazeley:
George T. Everett, Ph.D
Director
April 24, 1992
Subject: NPDES Permit No. NCO057312
George W. Gazeley Residence
Cabarrus County
In accordance with your application for discharge permit received on March 12, 1990, we are
forwarding herewith the subject state - NPDES 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 US Environmental Protection agency dated December 6, 1983.
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, Post Office Drawer 27447, Raleigh, North. Carolina 27611
-7447. Unless such demand is made, this decision shall be final and binding.
Please take notice this permit is not transferable. Part II, B.2. addresses the requirements to
be followed in case of change in ownership or control of this discharge.
This permit does not affect the legal requirements to obtain other permits which may be
required by the Division of Environmental Management or permits required by the Division of
Land Resources, 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 Mr. Mack Wiggins at
telephone number 9191733-5083.
cc: Mr. Jim Patrick, EPA
OFFesl. �!__e�R gion Office
Orin of W194 By
Rosanne Baron
George T. Everett
Pollution Prevention Pays
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Permit No. NCO057312
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
In compliance with the provision 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,
Mr. George W. Gazeley
is hereby authorized to discharge wastewater from a facility located at
George W. Gazeley Residence
160 Arizona Place
west of Concord
Cabarrus County
to receiving waters designated as an unnamed tributary to Afton Run in the Yadkin -Pee Dee River
Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, H, and III hereof.
This permit shall become effective June 1, 1992
This permit and the authorization to discharge shall expire at midnight on October 31, 1994
Signed this day April 24, 1992
Original Signed By
Rosanne Barona
For
George T. Everett, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0057312
SUPPLEMENT TO PERMIT COVER SHEET
Mr. George W. Gazeley
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of 1000 gallon septic
tank, subsurface sand filters, and tablet chlorinator located at George W. Gazeley Residence,
160 Arizona Place, west of Concord, Cabarrus County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Afton Run which is classified Class WS-III waters in the Yadkin -Pee Dee
River Basin.
I

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A. ( ). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO057312
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Dissolved Oxygen (minimum)
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Units (specify)
Monthly AM Weekly Avg.
300 CFD
18.0 mg/I 27.0 mg/l
30.0 mg/1 45.0 mg/1
8.0 mg/1 12.0 mg/1
6.0 mg/l 6.0 mg/1
200.0 /100 ml 400.0 /100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequency Type Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less that 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
r

PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one -month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, Md/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly.. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

PART 71
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will -not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve con-
pliance with the.terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing pursuant to NCGS 143-215.1
(b)(2) and NCGS 143-215.1(e) respectively, this permit may be modi-
fied, suspended, or revoked in whole or in part during its -term for
cause including, but not limited to, the following:

PART II
a. Violation of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to
disclose fully all relevant facts; or
c. A change in any condition that requires either a temporary
or permanent reduction or elimination of the authorized
discharge.
4. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II.
A-4) and "Power Failures (Part II, A-6), nothing in this permit
shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance pursuant to NCGS 143-215.6 or Section
309 of the Federal Act, 33 USC 1319.
5. Property Rights
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor
does it authorize any injury to private property or any invasion of
personal rights, nor any infringement of Federal, State, or local
laws or regulations.
6. Severability
The provisions of this permit are severable, and if any provision of
this permit, or the application of any provision of this permit to
any circumstance, is held invalid, the application of such provision
to other circumstances, and the remainder of this permit shall not
be affected thereby.
7. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees
as are required by the agency authorized to issue permits no later
than 180 days prior to the expiration date. Any discharge without
a permit after the expiration will subject the permittee to enforce-
ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq..

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this: permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under the
National Pollutant Discharge Elimination System govern discharges
from this facility.
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1. The Permittee shall be responsible for the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly -
owned wastewater collection system within 180 days of its availability
to the site.

State of North Carolina
Department of Environment, Health, and Natural Resources
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
William W. Cobey, Jr., Secretary DIVISION OF ENVIRONMENTAL MANAGEMENT
October 17, 1990
Mr. George W. Gazeley
160 Arizona Place
Concord, North Carolina 28025
Subject: Reissuance of NPDES Permit No. NC 0057312
George W. Gazeley Residence
Cabarrus County, North Carolina
Dear Mr. Gazeley:
Your request dated March 12, 1990 for renewal of the subject
Permit has not been given a favorable review by the Division of
Environmental Health (DEH), Department of Environment, Health,
and Natural Resources as the facility at your residence is not
properly operated and maintained.
Inspectors of the Division of Environment Healthhave
recently conducted an on -site investigation in connection with
your request for permit renewal. They found no chlorine tablets
in the chlorinator nor evidence suggesting that chlorine tablets
had been used. In addition, they also found that red soil was in
the chlorinator, and the chlorine contact chamber was partly
filled with dirt. The receiving stream, Afton Run, is classified
as WS-III waters (a source of water supply) into which no
effluent is permitted to discharge without disinfection.
Therefore, DEH recommends the reissuance of the subject Permit be
held until the cited problems are corrected.
We tried to contact you by telephone regarding the subject
matter, unfortunately, we were unable to reach you. This letter
is to advise that this Office cannot recommend reissuance of the
Permit unless these problems are addressed and resolved promptly.
919 North Main Street, Mooresville, N.C. 28115 • Telephone [phone] • FAX [phone]
An Equal Opportunity Affirmative Action Employer

PpP.MrPFGeorge W. Gazeley
Page Two
October 17, 1990
It is requested that all problems cited above regarding your
facility be corrected within 14 calendar days from receipt of
this letter. A follow-up inspection on the facility will be
conducted immediately after this Office is notified by you of the
completion of the facility corrections.
If you have any questions regarding this matter, please
contact Mr. G. T. Chen or me at [phone].
Sincerely,
D- /«
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
cc: Cabarrus County Health Department
Division of Environmental Health
Permits and Engineering Unit
GTC:se
�G

t
N.`- DEFT. OF NATURAL
Rr.St3ETi=r S AND
COM UNIT _
oc
o.
OIVISIOti OF Ei;`ii';t8lltiE;iiAf. E""AGEMEftT n
M1ZQ"ESV(liE RESIDIAL OFFICE j �State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Health
P.O. Box 27687 ® Raleigh, North Carolina 27611-7687
James G. Martin, Governor Richard K Rowe
William W. Cobey, Jr., Secretary Director
September 12, 1990
M ?MnRAT,TnTTM
TO: Mr. M. Dale Overcash, P.E.
NPDES Permit Group Leader
Discharge Permit Unit
Division of Environmental Management i
FROM: Richard K. Rowe g6L"'s R E. 4'y U�J
SUBJECT: Draft National Pollutant Discharge
OC 1990
Elimination System Permit
Mr. George W. Gazeley ?FRitil�c F'�f�t1iFF�c Sir
George W. Gazeley Residence
160 Arizona Place
west of Concord
Cabarrus County
Permit No. NCO057312
PWSS No. 555
Reference is made to the above mentioned Draft National Pollutant Discharge
Elimination System Permit which we have reviewed.
At the time of our on site investigation no chlorine tablets were in the
chlorinator and no evidence was present to suggest that chlorine tablets had been
used for a very long time. There was red soil in the chlorinator and an undetermined
portion of the contact chamber was filled with dirt thereby making it minimally
effective. Therefore, we cannot concur with the issuance of this permit until the
above mentioned problems have been corrected.
If we can be of further assistance, please contact us.
RKR/BDB/mh
cc: E. P. Cain
An Equal Opportunity Affirmative Action Employer

Permit No. NCO057312
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
IMA
In compliance with the provision 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,
Mr. George W. Gazeley
is hereby authorized to discharge wastewater from a facility located at
George W. Gazeley Residence
160 Arizona Place
west of Concord
Cabarrus County
to receiving waters designated as an unnamed tributary to Afton Run in the Yadkin -Pee Dee River
B asin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, H, and III hereof.
This pen -nit shall become effective
This permit and the authorization to discharge shall expire at midnight on October 31, 1994
Signed this day
©N 4F ENVIRONMENTAL �' F
990��a1APR �®a �
BRD°RESVILLE George T. Everett, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0057312
SUPPLEMENT TO PERMIT COVER SHEET
Mr. George W. Gazeley
is hereby authorized to:
1. Continue to operate an existing wastewater treatment system consisting of 1000 gallon septic
tank, subsurface sand filters, and tablet chlorinator located at George W. Gazeley Residence,
160 Arizona Place, west of Concord, Cabarrus County (See Part III of this Permit), and
2. Discharge from said treatment works at the location specified on the attached map into an
unnamed tributary to Afton Run which is classified Class WS-III waters in the Yadkin -Pee Dee
River Basin.

co
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X
A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO057312
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 asN
Dissolved Oxygen (minimum)
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Units (specifv)
Monthly Avg.
Weekly Avg,,
300 CPD
18.0 mg/1
27.0 mg/I
30.0 mg/1
45.0 mg/1
8.0 mg/I
12.0 mg/I
6.0 mg/1
6.0 mg/1
200.0 /100 ml 400.0 /100 ml
Monitoring Requirements
Measurement sample `Sample
Frequency Type Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less that 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.
i

Dater March 26, 1990
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cabarrus
NPDES Permit No.: NC 0057312
PART I - GENERAL INFORMATION
1. -Facility and Address: George W. Gazeley Residence
SOD C7rlrr�� C'� �2 1-64-Ar-rzeaa—Pla-ee
Concord, North Carolina 28025
2. Date of Investigation: March 23, 1990
3. Report Prepared By: G. T. Chen
4. Person Contacted and Telephone Number: Mrs. George W.-
Gazeley; 704/788-2679 vy 04) 7,6- f7; ,5` JOVr'4`0_01�,n
5. Directions to Site: From the junction of Highway 73 and S.
R. 1430 (Crisco Road) in West Cabarrus County, travel south
on S. R. 1430 approximately 1.70 miles, -to the junction with
S. R. 1555 (Grand Canyon Road). Turn left at the junction
and proceed on S. R. 1555 approximately 250 feet to the
-
junction with S. R. 1590 (Arizona Place). Turn left
(northwest) and proceed on S. R. 1590 approximately 0.15
mile; the Gazeley residence is on the right (north) side of
the road.
6. Discharge Point - Latitude: 350 25' 05"
Longitude: 800 40' 07"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No.: F 16 NW
7. Size (land available for expansion and upgrading): Limited
land area available for any expansion/upgrading
8. Topography (relationship to flood plain included): Hilly,
3-12o slopes. The facilities are subsurface and are not
likely to be affected by flooding.
9. Location of Nearest Dwelling: A number of dwellings within
300 feet of the subsurface facility.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to Afton Run
a. Classification: WS-III
.b. River Basin and Subbasin No.: Yadkin, 03-07-12

Page Two
C. Describe receiving stream features and pertinent
downstream uses: The receiving water, an unnamed
tributary to Afton Run, is a narrow creek with a small
but incessant flow. Because Afton Run is classified as
WS-III waters, the effluent should be disinfected
before discharge. There are no known downstream users
within a reasonable distance from the subject
discharge.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of Wastewater: 100% Domestic
0 o Industrial
a. Volume of Wastewater: 0.0003 MGD
b. Types and quantities of industrial wastewater: N/A
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
2. Production Rates (industrial discharges only) in Pounds:
N/A
3. Description of Industrial Process (for industries only) and
Applicable CFR Part and Subpart: N/A
4. Type of Treatment (specify whether proposed or existing):
.The Gazeley residence is being served by an existing
facility consisting"of a 1,000 gpd septic tank, subsurface -
sand filters and tablet chlorination.
5. Sludge Handling -and Disposal Scheme: Sludge is removed and
disposed of by certified septic tank services as often as
necessary.
6. Treatment Plant Classification: N/A
7. SIC Code(s): 9999
Wastewater Code(s): 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Additional effluent limits requests: N/A
4. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
The facility is properly maintained and operated. No
discharge was observed'on the day of the inspection. The effluent

Page Three
generated from this facility, according to the Permittee, is
approximately twenty gallons per day.
It is recommended that the NPDES Discharge Permit be
renewed. It is also recommended that the discharge be connected
to an area -wide system as soon as one becomes available in that
area.
Signature a Report Preparer
Water Quality leegional Supervisor

Ir-'7 � - '\I �i o `\�l �.) '( ,/�sq�- �/(\ �J.�.`• 1. '• v/o � \\ II•, l 1i __ .:,1\\� �Po I�.,1� �`i I,,�'/� ��!\
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ALISBURY 24 MI.• 0.9 M1. TO U.S. 29
. �
to e Gl : Qzeley WL
NC 00,5-7,31Z

� &e, W 3 �_� =�D,
S
CF
ION OF ENVIitONMEWAL yyAplA5E>I►� C
OR 14
jwtamWate of North Carolina
Department of Environment?, Health, and Natural Resources
;_.:. -Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
Mr. George W._Gazeley
>ll� Arizona Place
Concord, —NC 2802`5
Dear Mr. Gazeley :
3/13/90 George T. Everett, Ph.D.
Director
Subject: NPDES Permit Application
NPDES Permit No.NC0057312
George W. Gazeley Residence
Cabarrus County
This is to acknowledge receipt of the following documents on March 13, 1990:
Application Form
Engineering Proposal (for proposed control facilities),
Request for permit renewal,
Application Processing Fee of $6,0.00,
Other ,
The items checked below are needed before review can begin:
Application Form ,
Engineering proposal (see attachment),
Application Processing Fee of ,
Delegation of Authority (see attached)
Biocide Sheet (see attached)
Other
If the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
This application has been assigned to Mack Wiggins
(919/733-5083) of our Permits Unit for review. You wiii be advised ot any
comments recommendations, questions or other information necessary for the
review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this applications,
please contact the review person listed above.
Sincerely,
Ml Dale Overcame ; P.E.
CC: Mooresville Regional Office,
lo
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COWMITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT COMMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D A FOR
%' AGENCY
To be filed otily by services, wholesale and retail trade, USE
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
B. Street address XL'i
C. City /- ,r
E. County r.jh'q-i %-(l0am
G. Telephone No. 90611 ?
Area
Code
2. SIC
(Leave blank)
3. Number of.employees
4.• re of business
APPLiC.AT ION 1AWWR
N1
Cl-6
D
DATE RECEIYLD
01
03 1
=
TLAK rip. DAY
/n d- 19/Fl/3YS
�yi a
�� la-'�o
0. State
F. ZIP_
5 P -k -
0;/ J
5. (a) Check here if discharge occurs 81•1 year ov/or 4
(b) Check the month(s) discharge occurs: )
r
1.0January 2.0February 3.aPArch 4.aApri1 S.0may
6,o June 7.0July B.0August 9.0 September 10.oOctober
11, O No v embe r 12. 0 De Canbe r
�r� > 1990
(c) How many days per week,
1 . 0 1 2.0 2-3 3.0 4-5 4.b�7 P 1i:''?
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Volume treated before
dittekarging (aperient)
Discharge per
operating day
0.1-999
10DO-4999
5000-S'949
10,00D-
50.000
None
0.1-
90-
65-
95.
49."9
or more
29.9
64.9
94.9
lOc
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(B)
(9)
(10)
A. Sanitary, daily
average
B. Cooling water, etc.,
daily average
C. Other discharge(s),
daily average-,
Specify
D. Maximum per operat-
ing day for comtined
discharge (all types)

� Po
7. if any of the types of caste identified in item 6, either trtatad or w*_
treated, are discharged to places other UW surface waters, check below
as applicable.
Waste water is discharged to:
0.1-999
1000-d149
ww-""
10.00D49.109
141
$0.000 or more
M
A. Anil. i}a1 S^wr %yste-_
II, IIIIIiI.1il'IMlllfi w+•11
•
f. • ;ept i c tank
U. Evaporation lagoon or pond
E. Other, specify:
B. Munber 7farate discharge points:
A.B. 02-3 C.t3 4-5 D.o 6 or more
9. NAPA of receiving water or waters
10. Does your discharge contain or is it possible for your discharge to contain
.one or more of the following substanaas jg§Cd as a result of your operations,
activities, or processes: eswonia, cyapi7t aluminum, beryllium. cObaium.
chromium. copper, Itad, Mrcu� , nickel. selenium, lint, ttAenolf. Oil and
grease, and chlorine ( residual).
A,Oyes 6,O'ro
i certify that i in familiar with the information contained in the application and
that to the best of my knowlebge and belief such information is tM, comolate, a*d
accurate.
Pri ted Now of Person Signing
��'_IAJ k/ li
Title
f
Date Application Signed
of A�1 hint
'north Carolina General Statute 143-215.6(b) (2) provides that: Any parson who kaviringly max-,
any false statement representation, or certitication in s pplfcatton.•record, report, p:'
or other document files or required to be maintained tinder Article 21 or regulations of t::e
Environmental Management Comnissi,on implemanI;tng that Article, or who falsifies, tampers `'_t
ur knovly renders inaccurata any recording or monitorivj 4pviea or wathod required to be
r-rerated or maintained under-Artials 22:-oc• regulations -of the Eavironmental Managema$t Cow
e'•'guUty-of a �isde>aeanor puaish$ble by a fine not to r'xcE
implementing that Article, wh'alitb
510,nnn, or by imprisonz4mt not to excaed six months, or by both. (18 L.S.C. Section 1051 Fr
a punisll=ent by a fine of"not more than $10,000 or ia:priammrt not rwre than 5 years, or bc.
�"r a similar offense.)

1:ZECEIVED
10131011 4F ENVIRD14MEN7AL MANASE►:E� y�
TEO
vaaR SVILL@ State of North Carolina
Departm*'r6TTnvironrnent, Health,. and Natural Resources
Division of, Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
February 1.6, 1990
Certified Mail
Return Receipt R�quested
GEORGE GAZELEY
GAZELEY RESIDENCE (GEORGE)
160 ARIZONA PLACE
CONCORD, NC 28025
SUBJECT: NOTICE OF VIOLATION
NPDES PERMIT NO. NCO057312
CABARRUS COUNTY
Dear Permittee:
R. Paul Wilms
Director
The Division of Environmental Management issued the subject- permit on 3/08/84
and according to our records, the. permit expired on 2/28/89.
North Carolina General Statute 143-21.5.1(a.)(2) r.equi.r_^s that a permit be. obtained
for the construction ot- opern.tion of any sewer system, treatment: works, or disposal
system within the State. The, Division will. -inspect this facility in the near future
to determine its compliance status with regard to this .regulatory requirement. If a
discharge is occurring or is subject to occur from this facility, the Division will
prepare an enforcement. acti.o.n for violations of North Carolina General Statute
143-215.1 et. seq. North Carolina. General Statute 143-215.6(a)(1) states that a
civil penalty of up to ten thousand dollars ($1.0,000) may be assessed by the
Environmental Management: Commission against any person wb.o violates Gener.a.l. Statute
143.215.1.
If. you are ope.rat:h-ig th t s facility or plan to operate at some future date, you
should submit a .r.eissuance r(-quest within f:i fteen (1.5) days of receipt of this
letter. The letter requesting rei_ssuance, a.:long with a completed NPDES Permit
application and appropriate- standard fee, should be sent: to:
Permits and Engineering Unit
D:i.vi.sion of Environmental Management
P. 0. Box 27687
Ra 1 eigh, North Cn r.ol:i.nn 2.7611 -7687
The check should be made payable to the North Cal.-ol.:ina Department of Envirorimen.t.,
Health, and Natural Resources, (DEHNR).
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

z
If you have any questions or need any additional information regarding this
matter, please contact Mr. Rex Gleason, Water Quality Regional Supervisor, of
the Mooresville Regional Office at (704)663-1.699, or Mr. Donald Safrit,
Supervisor of the Permits and Engineering Unit at [phone].
cc: Mooresville Regional Office
Permits and Engineering Unit
Sinc ely,
T
George . Everett, Ph.D,
Director.

T o
State of North Carolina
Department of Natural Resources and Community Development
Mooresville Regional Office
James G. Martin, Governor Albert F. Hilton, Regional Manager
S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
September 9, 1988
Mr. George Gazeley
Gazeley Residence
160 Arizona Place
Concord, North Carolina 28025
Subject: NPDES Permit No. NC 0057312
Cabarrus County, NC
Dear Mr. Gazeley:
Our files indicate that the subject.permit for a wastewater
discharge to the surface water expired on January 31, 1989.
General Statute 143-215.1(c) requires that an application for
renewal must be filed 180 days prior to the expiration date. We
have not received an application for renewal from you as of this
date.
A renewal application shall consist of a letter requesting
renewal along with the appropriate completed and signed
application form referenced in Title 15 of the North Carolina
Administrative Code, Subchapter 2H, .0105. Primary industries
listed in Appendix A of.Title 40 of the Code of Federal
Regulations, Part 122 (40 CFR Part 122), shall submit a priority
pollutant analysis that is performed in accordance with 40 CFR
Part 122.21. A processing fee of $60.00 must accompany the
application.
This matter should be given prompt attention in that
continued discharge after the permit's expiration, without the
filing of a complete and timely application for renewal,
constitutes discharge without a permit and is a violation of
General Statute 143-215.1(a) and the Federal Clean Water Act of
1977. Application for renewal should be submitted to:
919 North Main Street, P.O. Box 950, Mooresville, N.C. 28115-0950 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Mr. George Gazeley
Page Two
September 9, 1988
Permits and Engineering Unit
N. C. Division of Environmental Management
Post office Box 27687
Raleigh, North Carolina 27611-7687
For further information, please contact me at 704/663-1699.
Sincerely,
D. Rex Gleason, P. E.
Acting Regional Supervisor
cc: /Prmits and Engineering
esville Regional Office
MLP:se

e�
� nI�
+• � r
State of North Carolina
Department of Natural Resources and Community Development
Mooresville Regional Office
James G. Martin, Governor
Mr. George Gazely
160 Arizona Place
Concord, North Carolina 28025
Dear Mr. Gazely:
S. Thomas Rhodes, Secretary
DIVISION OF ENVIRONMENTAL MANAGEMENT
July 11, 1985
Subject: Wastewater Treatment Plant
Construction
NPDES Permit No. NC 0057312
Cabarrus County, North Carolina
This letter is to inform you that Mr. Michael L. Parker with this
Office, performed an as -built inspection on July 10, 1985 of the facilities
constructed under the subject Permit.
The facilities appeared to have been properly constructed in conformity
with the approved plans and specifications. Therefore, use of these facilities
can begin in accordance with the terms and conditions of the subject Permit.
If you have any questions, please contact Mr. Michael L. Parker or me
at 704/663-1699 in Mooresville.
cc: Cabarrus County Health Department
Mr. Gil Vinzani
MLP:se
/19-F
Sincerely,
D. Rex Gleason, P. E.
Water Quality Regional Engineer
919 North Main Street, P.O. Box 950, Mooresville, N.C. 28115-0950 • Telephone [phone]
An Equal Opportunity Affirmative Action Employer

DIVISION OF
ENVIRONMENTAL
North Carolina Department of Natural MANAGEMENT
Resources & community Development Robert F. Helms
Director
James B. Hunt, Jr., Governor I' James A. Summers, Secretary Telephone [phone]
iJID
April 5, 1984
Mr. George W. Gazeley,Owner 's�`,^4
Gazeley Residence
160 Arizona Place
Concord, North Carolina 28025
SUBJECT: Permit No. NCO057312
Authorization to Construct
G. W.Gazeley Residence
Single"Family"Residence'Wastdwater
Treatment Facility
Cabarrus County
Dear Mr. Gazeley:
A letter of request for Authorization to Construct was received March 21,
1984, by the Division and final plans and specifications for the subject project
have been reviewed and found to be satisfactory. Authorization is hereby granted
for the construction of a 0.0003 MGD wastewater treatment facility consisting of
a 1,000 gallon capacity, baffled septic tank, a baffled (3 port) distribution
box, a 264 square feet subsurface sand filter, a 132 square feet subsurface
polishing sand filter, a chlorine contact tank with tablet type chlorinator, a
cascade -type post aerator, and associated piping, valving and appurtenances to
serve the G. W. Gazeley Residence in Cabarrus County.
This Authorization to Construct is issued in accordance with Part III para-
graph C of NPDES Permit No. NCO057312 issued March 8, 1984, and shall be subject
to revocation unless the wastewater treatment facilities are constructed in
accordance with the conditions and limitations specified in Permit No. NCO057312.
The sludge generated from these treatment facilities must be disposed of in
accordance with General Statute 143-215.1 and in a manner approvable by the North
Carolina Division of Environmental Management.
The Mooresville Regional Office,'telephone number 704/663-1699 shall be
notified at least twenty-four (24) hours in advance of backfilling of the installed
subsurface filter system so that an in -place inspection can be made of said system
prior to backfilling. Such notification to the Regional Supervisor shall be made
during the normal office hours from 8:00 A.M. until 5:00 P.M. on Monday through
Friday, excluding State Holidays.
Contd.
P. 0. Box 27687 Raleigh, N. C. 27611-7687
An Equal Opportunity Affirmative Action Employer

ize ley
Aprii 5, 1984
In event the facilities fail to perform satisfactorily in meeting 't°s NPDES
permit effluent limits, George Gazeley shall take such immediate corrects e action
as may be required by this Division, including the construction of additional waste-
water treatment and disposal facilities.
The sand media of the subsurface filter must comply with the Division's sand
specifications and must be analyzed and approved by this Division either by direct
sampling or by acquisition of filter sand from a dealer who is currently certified
by the Division as an acceptable source.
One (1) set of approved plans and specifications is being forwarded to you.
If you have any questions or need additional information, please contact Mr. H.
Dale Crisp, telephone number 919/733-5083, ext. 108.
Sincerely yours,
Original Signed By
FORREST R. WESTALL
FOR
Robert F. Helms
cc: Cabarrus County Health. Department
, KOMre4 v S,
Mr. Forrest R. Westall
HDC/cgc

�Ato North Carolina Department of Natural
-; Resources &CommunityRDe�velopment
James B. Hunt, Jr., Governor L.. T?:° =-` James A. Summers, Secretary
(f`�1✓T; iJl^ 1 L'1�',1r _L='L:=ENT
Pair. George Gazeley
160 Arizona Place
Concord, North Carolina
Dear Mr. Gazeley:
March 8, 1984
7) -
;u !, _`5C
PUNION OF
28025'y a ,•.
DIVISION OF
ENVIRONMENTAL
MANAGEMENT
Robert F. Helms
- Director
Telephone [phone]
Subject: Permit No. NC0057312
Gazeley Residence (George)
Cabarrus County
In accordance with your application for discharge permit received
September 6, 1983, we are forwarding herewith the subject State - NPDES
permit. This permit is issued pursuant to the requirements of North
Carolina General Statutes 143-215.1 and the Memorandum of Agreement
between -North Carolina and the U. S. Environmental Protection Agency
dated December 6, 1983.
If any parts, requirements, or limitations contained in this permit
are unacceptable to you, you have the right to an adjudicatory hearing
before a hearing officer upon written demand to the Director within 30
days following receipt of this permit,.identifying the specific issues.
to be contended. Unless.such demand is made, this permit shall be final
and binding.
Please take notice that this permit is not transferable. Part II,-B.2.
addresses the requirements to be followed in case of change in ownership or
control of this discharge.
This permit does not affect the legal requirement to obtain other
Permits which may be required by the Division of Environmental Management.
If you have any questions concerning this permit, please contact Ms. Helen
S. Fowler, at telephone number 919/733-5083.
Sincerely yours,
Robert F.. Helms
cc: Mr. Jim Par -rick, EPA
oariglII�e icy-na 3 I rStu� 5-�kr
P. 0. Box 27687 Raleigh. N. C. 27611-7687
An Equal OpportunIty Affirmative Action Employer

Permit No.•N00057312
STATE OF NORTH CAROLINA 0�
DEPARTMENT OF NATURAL RESOURCES & COMMUNITY DEVELOPMENT /
DIVISION OF ENVIRONMENTAL MANAGEMENT (� i
P E R M I T
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,
Mr. George Gazeley
is hereby authorized to discharge wastewater from a facility located at
Gazeley Residence
160 Arizona Place
Cabarrus County
to receiving waters designated an unnamed tributary to Afton Run Creek in the Yadkin
River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, and III hereof.
This permit shall become effective March 8, 1984
This permit and the authorization to discharge shall expire at midnight
on February 28, 1989
Signed this day of March 8, 1984
0ri,,,;jja.i C,;Fnc;:J 8y
W. LEE i-LEi ING, JR., fora
Robert F. Helms, Director
Division of Environmental Management
By Authority of the Environmental
Management Commission
M1 & I1

' Permit No. NC0057312
SUPPLEMENT TO PERMIT COVER SHEET
Mr. George Gazeley
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment
facility, and
2. Make an outlet into an unnamed tributary to Afton Run Creek, and
3. After receiving an Authorization to Construct from the Division
of Environmental Management, construct and operate a wastewater
treatment facility for the proposed Gazeley Residence to be
located at 160 Arizona Place in Cabarrus County (See Part III
Condition -No. C. of this Permit), and
4. Discharge from said treatment works into an unnamed tributary
to Afton Run Creek which is classified Class "A -II" waters.

3 ..
w
A.. (i). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
During the period beginning on the effective date of the Permit and lasting until expiration,
the permittee is authorized to discharge from outfall(s) serial number(s) 001.
Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics Discharge
Limitations
Kq/day (lb!/day)
Other -Units (Specify)
Monthly Avg. Weekly Avg.
y .
Mont vg
v
ee y g.
Flow
300 GPD
BOD, 5Day,
200C
18 mg/1
27 mg/l
NH3 as N
8 mg/l
12 mg/l
TSS
30 mg/l
45 mg/l
_ Fecal Coliform
(geometric mean)
1000/100 ml
2000/100 ml
Dissolved
Oxygen (minimum)
6.0 mg/l
6.0 mg/l
Monitoring Requirements
Measurement Sample Sam le
requency Type Location
The pH shall not be less than 6.0 standard units nor greater than 8.5 standara units ana
shall be monitored n/a.
` There shall be no discharge of floating solids or visible foam in other than trace amounts.

Part I
Permit No. NC
B. SCHEDULE OF COMPLIANCE
1. The permittee shall achieve compliance with the.effluent limitations
specified for discharges in accordance with the following schedule:
2. No later than 14 calendar days following a date identified in the above
schedule of compliance, the permittee shall submit either.a report of
progress or, in the case of specific actions being required by identified
dates, a written notice of compliance or noncompliance. In the latter -
case, the notice shall include the cause of noncompliance, any remedial
actions taken, and the probability of meeting the next scheduled requirement.-.
M 8 R T a

Part I
Permit No. NC
"Act" used herein means the Federal Water Pollution Control Act, As Amended.
"DEW used herein means the Division of Environmental Management of the
Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management Commission.
C. MONITORING AND REPORTING
1. Representative Sampling
Samples and measurements taken as required herein .shall be representative
of the volume and nature of the monitored discharge.
2. Reporting
Monitoring results obtained during the previous month(s) shall be
summarized for each month and reported on a Monthly Monitoring Report
Form (DEM No. MR 1.0, 1.1, and 1.4) ., postmarked no later than the
45th day following the completed reporting period.
The first report is due on . Duplicate signed copies of
these, and all other reports required herein, shall be submitted to
the following address:
Division of Environmental Management
Water Quality Section
Post Office Box 27687
Raleigh, North Carolina 27611
3. Definitions
a. The monthly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected in a one -
month period. The monthly average for fecal coliform bacteria is
the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, M3/day (MGD): The flow limit expressed in this permit is the
24 hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of individual
values.
P

Part I
Permit No. NC
e. Geometric Mean: The geometric mean of any set of values is the
Nth root of the product of the individual values where N is equal .
to the number of individual values. The geometric mean is equiva-
lent to the antilog of the arithmetic mean of the logarithms of
the individual values. For purposes of calculating the geometric
mean, values of zero (0) shall be considered to be one (1).
f. Composite Sample: A "composite sample" is any of the following:
(1) Not less than four influent or effluent portions collected
at regular intervals over a period of 24 hours and composited
in proportion to flow.
(2) Not less than four equal volume influent or effluent portions
collected over a period of 24 hours at intervals proportional
to the flow.
(3) An influent or effluent portion collected continuously over
a period of 24 hours at a rate proportional to the flow.
g. Grab Sample: A "grab sample" is a single influent or effluent
portion which is not a composite sample. The sample(s) shall be
collected at the period(s) most representative of the total discharge.
4. Test Procedures
Test procedures for the analysis of pollutants shall conform to the EMC
regulations published pursuant to N. C. G. S. 143-215.63 et seq, The
Water and Air Quality Reporting Act, and to regulations published pursuant
to Section 304(g), 33 USC 1314, of the Federal Water Pollution Control Act,
As Amended, and Regulation 40 CFR 136.
5. Recording Results
For each measurement or sample taken pursuant to the requirements of
this permit, the permittee shall record the following information:
a. The exact place, date, and time of sampling;
b. The dates the analyses were performed; and
c. The person(s) who performed the analyses.
M

PART I
Permit No. NC
6. Additional Monitoring by Permittee
If the permittee monitors any pollutant at the location(s) designated
herein more frequently than required by this permit, using approved
analytical methods as specified above, the results of such monitoring
shall be included in the calculation and reporting of the values required
in the ,Monthly Monitoring Report Form (DEM No.. MR 1.0, 1.1, and 1.4)
Such increased frequency shall also be indicated. The DEM may require
more frequent monitoring or the monitoring of other pollutants not.
required in this permit by written notification.
7. Records Retention
All records and information resulting from the monitoring activities
required by this Permit including all records of analyses performed and
calibration and maintenance of instrumentation and recordings from
continuous monitoring instrumentation shall be retained for a minimum of
three (3) years, or longer if requested by the Division of Environmental
Management or the Regional Administrator of the Environmental Protection
Agency.

PART II
Permit No. NC
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms and
conditions of this permit. The discharge of any pollutant identified
in this permit more frequently than or at a level in excess of.that
authorized shall constitute a violation of the permit. Any anticipated
facility expansions, production increases, or process modifications which
will result in new, different, or increased discharges of pollutants must
be reported by submission of a new NPDES application or, if such changes
will not violate the effluent limitations specified in this permit, by
notice to the DEM of such changes. Following such notice, the permit
may be.modified to specify and limit any pollutants not previously limited.
2. Non compliance Notification
If, for any reason, the-permittee does not comply with or will be unable
to comply with any effluent limitation specified in this permit, the per-
mittee shall provide the Division of Environmental Management with the
following information, in writing, within five (5) days of becoming aware
of such condition:
a. A description of the discharge and cause of noncompliance; and
b. The period of noncompliance, including exact dates and times; or,
if not corrected; the anticipated time the noncompliance is expected
to continue, and steps being taken to reduce, eliminate and prevent
recurrence of the noncomplying discharge.
3. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facilities
or systems installed or used by the permittee to achieve compliance with
the terms and conditions of this permit.
4. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any effluent
limitations specified in this permit, including such accelerated or
additional monitoring as necessary to determine the nature and impact of
the noncomplying discharge.
5. Bypassing
Any diversion from or bypass of facilities necessary to maintain compliance
with the terms and conditions of this permit is prohibited, except (i) where
M 8 & I 7

PART II
Permit No. NC
unavoidable to prevent loss of life or severe property damage, or
00 where excessive storm drainage or runoff would damage any
facilities necessary for compliance with the effluent limitations
and prohibitions of this permit. The permittee shall promptly
notify the Water Quality Section of DEM in writing of each such
diversion or bypass.
6. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such materials from .
entering waters of the State or navigable waters of the United States.
7. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. In accordance with the Schedule of Compliance contained in Part I,
provide an alternative power source sufficient to operate the waste-
water control facilities;
or, if such alternative power source is not in existence, and no date for
its implementation appears in Part I,
b. Halt, reduce or otherwise control production and/or all discharges
from wastewater control facilities upon the reduction, loss, or
failure of the primary source of power to said wastewater control
facilities.
8. Onshore or Offshore Construction
This permit does not authorize or approve the construction of any onshore
or offshore physical structures or facilities or the undertaking of any
work-in any navigable waters.
M

PART II
Permit No. NC
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall allow the Director of the Division of Environmental
Management, the Regional Administrator, and/or their authorized represen-
tatives, upon the presentations of credentials:
a. The enter upon the permittee's premises where an effluent source is
located or in which any records are required to be kept under the
terms and conditions of this permit; and .
b. At reasonable times to have access to and copy any records required
to be kept under the -terms and conditions of this permit; to inspect
any monitoring equipment or monitoring method required in this permit;
and to sample any discharge of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any change in control
or ownership of °Eaiilities from which the authorized discharge emanates
or is contempl-eted, the permittee shall notify the prospective owner or
controller by letter of the existence of this permit and of the need to
obtain a permit f`rwaherdedmtoothehDivisioncofvEnvironmentaloMaanagement.
y of the
letter shall be,
3. Availability o` Reports
Except for data determined to be confidential under N. C.
G S. 143-215.
3(a)(2) or Section 308 of the Federal Act, 33 USC 1318, all reports prepared
in accordance with the terms shall be available for public inspection at the
offices of the Division of�Environmental Management. As required by the Act,
effluent data shall not be considered confidential. Knowingly making any
false statement can any such report may result in the im osition of criminal
penalties as provided for in N. C. G. S. 143-215.6(b3(2� or in Section
309 of the Federal Act.
4. Permit Modification
After notice and opportunity for a hearing pursuant to N. C. G. S. 143-
215.1(b)(2) and n. S. 143-215.1(e) respectively, this permit may be
modified, suspendpd, or revoked
in limited whole or in part during its term for
cause including, hut not
a. Violation of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to disclose
fully 'i Yolev�nt facts; or
c. A change in any condition that requires either a temporary or
permanent reduction or elimination of the authorized discharge.
M.10&I9

PART II
Permit No. NC
5. Toxic Pollutants
Notwithstanding Part II, B-4 above, if a toxic effluent standard or
prohibition (including any schedule of compliance specified in such
effluent standard or prohibition) is established under Section 307(a)
of the Act for a toxic pollutant which is present in the discharge and
such standard or prohibition is more stringent than any limitation for
such pollutant in this permit, this permit shall be revised or modified
in accordance with the toxic effluent standard or prohibition and the
permittee so notified.
6. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II, A-5)
and "Power Failures" (Part II, A-7), nothing in this permit shall be
construed to relieve the permittee from civil or criminal penalties for
noncompliance pursuant to N. C. G. S. 143-215..6 or Section 309 of the
Federal Act, 33 USC 1319.
7. Oil and Hazardous Substance Liability
Nothing in this permit shall be construed to preclude the institution
of any legal action or relieve the permittee from any responsibilities,
liabilities, or penalties to which the permittee is or may be subject
under N. C. G. S. 143-215.75 et seq. or Section 311 of the Federal Act,
33 USC 1321.
8. Property Rights
The issuance of this permit does not convey any property rights in either
real or personal property, or any exclusive privileges, nor does it
authorize any injury to private property or any invasion of personal
rights, nor any infringement of Federal,State or local laws or regulations.
9. Severability
The provisions of this permit are severable, and if any provision of this
Permit, or the application of any provision of this permit to any circum-
stance, is held invalid, tht application of such provision to other cir-
cumstances, and the reml-index of this permit shall not,be affected thereby.
M11 &I10

PART II
Permit No NC
10. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees as
are required by the agency authorized to issue permits no later than 180
days prior to the expiration date. Any discharge without a permit after
the expiration will subject the permittee to enforcement procedures as
provided in N. C. G. S. 143-215.6 and 33 USC 1251'et seq..
I 11

PART -III
Permit No. NC
B: Previous Permits
All previous State water quality permits issued to this facility,
whether for construction or operation or discharge,.are hereby revoked
by issuance of this permit. The conditions, requirements, terms, and
provisions of this permit authorizing discharge under the National
Pollutant Discharge Elimination System governs discharges from this
facility.
C. Construction
No construction of wastewater treatment facilities or additionsuthereto.
shall be begun until Final Plans and Specifications
have beented
to the Division of Environmental Management and written approval and
Authorization to Construct has been issued. If no objections to Final
Plans and Specifications has been made by the DEM after 30 days following
receipt of the plans or issuance of construction whichever is
latter, the
plans may be considered approved and
D. Certified Operator
Pursuant to Chapter 90A of North Carolina General Statutes,
the pertni ttee
shall empioy a certified wastewater treatment
plant operator
operatoin responsible
charge of the wastewater treatment facilities.
certification of the grade equivalent to the classification assigned to
the wastewater treatment facilities.
M15&112

STAFF REPORT AND RECOMMENDATIONS
Part I - INSPECTION OF PROPOSED WASTEWATER TREATMENT PLANT SITE
1. a. Place visited: George Gazeley Residence
b. Mailing Address: 160 Arizona Place
Concord, North Carolina 28025
2. Date of Investigation: September 29, 1983 Date of Report: Octobeh 6, 1983
3. By: Michael L. Parker, Environmental Engineering Tech. III p
4. a. Person contacted: None /�c b. Phone No.: [phone]
5. Directions to site: Travel east towards Concord on Highway 73
and turn right onto S. R. 1429 just after passing the junction of
Highway 73 and I-85. Travel 1.07 mile on S. R. 1429 and turn right
on S. R. 1394. Travel 0.4 mile and turn right onto S. R. 1544.
Travel 0.1 mile and turn left on S. R. 1555. Travel 0.2 mile and
turn right onto Arizona Place (no S. R. number). The George Gazeley
residence is located at 160 Arizona Place.
6. a. The coordinates to the proposed point of effluent discharge are:
Latitude: 35025'03"
Longitude: 80039145"
b. USGS Quad No.: F 16 NW (see attached map)
7. Size (land available for expansion and upgrading): Limited area is
available for the construction of any proposed treatment facilities.
8. Topography: Hilly, 3-12% slopes.
9. Location of nearest dwelling: Several within 500-800 feet of the
proposed treatment plant location.
10. Receiving Stream: Unnamed tributary to Afton Run Creek
a. Classification: A -II
b. Minimum 7-Day, 10-Year discharge at site: 0.0 cfs
C. River Basin and Sub -Basin No.: Yadkin, 03-07-12
Part II - DESCRIPTION OF PROPOSED TREATMENT FACILITIES
1. Proposed Facilities: The applicant, at this writing, has not
submitted plans and specifications for the proposed facilities.
Preliminary hand drawings submitted by the applicant indicates that a
septic tank -subsurface sand filter may be proposed. However, the Waste
Load Allocation, which is currently being promulgated by Technical
Services, may indicate more stringent limits than a septic tank -sand
filter can meet. Chlorination and post aeration may also have to be
included.

Page Two
Part III - EVALUATION AND RECOMMENDATIONS
1. Recommendations and/or Special Conditions: Part of the applicant's
property is in a flood plain or high water area along the creek. The
proposed wastewater treatment facilities should not be located in this
area.
It is recommended that an NPDES Permit be issued for this facility.

DIVISION OF
North Carolina Department of Natural ENVIRONMENTAL
MANAGEMENT
Resources &Community Development Robert F.p Helms
James B. Hunt, Jr., Governor Joseph W. Grimsley, Secretary Telephone [phone]
September 14, 1983 ,gT� C. DEPT. ©1, 10tiJRA
Mr. George W Gazeley
160 Arizona Place - -
Concord NC 28025
EN181011 OF EUMI UNIMENTP.L
oo1�E�����P:1 NIB
Subject: Application or N -Permit No.
NC0057h2
a arrus County
Dear Mr. Gazeley
Receipt of the following documents is hereby acknowledged:
X Application Form
Engineering Proposal (for proposed control facilities)
Request for permit renewal
Other
If any of the items listed below are checked, the application received is
incomplete and the indicated item(s) must be received before review can begin:
Application Form (copies
--T--Engineering Proposal (See
Other
enclosed)
(b) 1-5 on attached)
If the application is not made complete within thirty (30) days, it will be
returned to you and may be resubmitted when complete.
A
This application has been assigned to HP1P1LI;Fntglpr
(919/733-5083) of our Permits Unit for review and preparation of a draft permit.
Once the permit is drafted, public notice must be issued for forty-five (45) days
prior to final action on the issuance or denial of the permit. You will be advised
of any comments, recommendations, questions or other information necessary for th.e
review of the application.
I am, by copy of this letter, requesting that our Regional Office Supervisor
.prepare a staff report and recommendations regarding this discharge. If you have
any questions regarding this application, please contact the review person listed
above.
Sincerely,
')n9inal Signed By
IArLEN S. FOIAILEFt �
William c. Mills', supervisor
Permits and Engineering Unit
GCi : gQ,
Helen S. Fowler
POLL UTION PREVENTION PAYS
P. 0. Box 27687 Raleigh, N. C. 27611-7687
An Equal Opportunity Affirmative Action Employer

PPP
NORTH•CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
'DIVISION OF ENVIRONMENTAL MANAGEMENT
P.O. BOX 27687, RALEIGH, NC 27611
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM G FOR
AGENCY
USE
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producing discharge
A. Name eof'' • r �✓'JZ 7e,
B. Street address
C . City(j J/J ri O rL
E. County
G. Telephone No.
Area
Code
2. SIC
(Leave blank)
3. Number of employees
APPLICATION NUMBER
e©a
DATE RECEIVED
J
%
1 D
YEAR M0. DAY
D. State )V, �.
F. ZIP 92'01
4. Nature of business
5. (a) Check here if discharge occurs all year 0-, or a Sl rpf
(b) Check the month(s) discharge occurs:AIR_
1. ❑ January 2. ❑ February 3. ❑ March 4. ❑ April 5. ❑ May_-�'' "`
6. ❑ June 7. ❑ July 8. ❑ Auqust 9. ❑ September 10. ❑ OC o er
�{ �o k,, I E. ^., Y•�•'
11. ❑ November 12. ❑ December
(c) How mane days per week: p q
1.01 2.02-3 3.04-5 4.01%6-7 SEr 9, IQ �
.
" 't►0 ,l t iY ;
6. Types of waste water discharged to surface waters only (check as applicable) WNTE � ;;taAN OFf
.
" 't►0 ,l t iY ;
6. Types of waste water discharged to surface waters only (check as applicable) WNTE � ;;taAN OFf
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per -
operating day
0„1-999
1006-4999
5000-9999
10,000-
50,000
None
0.1-
30-
65-
95-
49,999
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary, daily
average
-3 06
B. Cooling water, etc.,
daily average
'n ,
C. Other discharge(s),
daily average;
Specify
P/A
D. Maximum per operat-
ing day for combined
discharge (all types)
PREVIOUS EDITION MAY OE USED

i., If any of the types of waste Identified in item 6, either treated or un-
Lreated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to:
AVERAGE FLOW, GALLONS PER OPERATING DAY
0.1-999
(1)
1000-4999
(2)
5000-9999
(3)
10,000-49,999
(4)
50,000 or more.
(5)
A. Municipal sewer system
B. Underground well
C. Septic tank
I.I. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A. V/1 B. ❑ 2-3 C. ❑ 4-5 D. v 6 or more
9. Name of receiving water or waters
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercur , nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residua 1.
A. ❑ yes B.'O/no
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. 5
Printed Name of - Person Signing
_��_�
Title
Application Signed �I ,1
�C>>��ti i.7 " 7v
Signature ot,4Wplicant
v .
North Carolina General Statute 143-215.6(b)(2) provides that: 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 knowly 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
$10,000, 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 $10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

i
ORTH•CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
L P.O. BOX 27687, RALEIGH, NC 27611
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM APPLICATION NUMBER
i A PLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FOR
AGENCY
� USE DATE RECEIVED
To be filed only by services, wholesale and retail trade,
and other commercial establishments including vessels
YEAR M0. DAY
Do not attempt to complete this form without reading the accompanying instructions
Please print or type
1. Name, address, and telephone number of facility producingdisc/harg
60. e/
A. Name �� L7%'� 1�.�%G C'��1/B. Street address f /_% L 1 Za 11-11
C. City e�0/-cwcVA, ��- G� �S'��ti D. State
E. County /I. F. ZIP-
G. Telephone No. 7�%y .7�'(LZZ241
Area
i
Code
2. SIC
(Leave blank)
3. Number of employees
V / 7i
4. Nature of business
5. (a) Check here if discharge occurs all year p; or
(b) Check the month(s) discharge occurs:
1. ❑ January 2. ❑ February 3. ❑ March 4. ❑ April 5. ❑ May
6. ❑ June 7. ❑ July 8. ❑ Auqust 9. ❑ September 10. ❑ October
11. ❑ November 12. ❑ December
(c) How map,, days per week: /
1.01 2. ❑ 2-3 3. ❑ 4-5 4.. W6-7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Volume treated before
discharging (percent)
Discharge per
operating day
0..1-999
1006-4999
5000-9999
10,000-
50,000
None
0.1-
30-
65-
95-
49,999
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
A. Sanitary, daily
average
B. Cooling water, etc.,
daily average
7� lit
Other discharge(s),
daily average;
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)
PREVIOUS EDITION MAY DE USED

If any of the types of waste identified in item 6, either treated or un-
treated, are discharged to places other than surface waters, check below
as applicable.
Waste water is discharged to:
AVERAGE FLOW, GALLONS PER OPERATING DAY
0.1-999
(1)
1000-4999
(2)
5000-9999
(3)
10,000-49,999
(4)
50,000 or more.
(5)
A. Municipal sewer system
B. Underground well
C. Septic tank
U. Evaporation lagoon or pond
E. Other, specify:
8. Number of separate discharge points:
A. V/B. 02-3 C.O 4-5 D,Ll 6 or more
9. Name of receiving water or waters
10. Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances added as a result of your operations,
activities, or processes: ammonia, cyanide, aluminum, beryllium, cadmium,
chromium, copper, lead, mercury, nickel, selenium, zinc, phenols, oil and
grease, and chlorine (residual).
A. ❑ ,yes B. ID/no
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.
�j Z
Printed Name ofPerson Signing
('o
Title
l ^ ,
Date Application Signed
� a
Sig ture or AW icant
North Carolina General Statute 143-215.6(b)(2) provides that: 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 knowly 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
$10,000, 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 $10,000 or imprisonment not more than 5 years, or both,
for a similar offense.)

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R E,C EI a°E—D
SE P 9 1983
WATER QUALITY SECTION (1
OPERATIONS BRANCH I

i
July 20, 1983
19R3
�•tif\
StC I'OR
George Gazel ey
160 .-,r i zona r I .
Concord, N.C. 28025
To Whom It May Concern:
Here is a copy of my soil evaluation sheet for lot 23, Country
Acres. Mr. Joel Cawthorne, North Carolina Soil Scientist for the
Department of Human Resources, was out on your property on 7-18-83,
at this time lie confirmed our decision that the lot does not meet
the criteria for a ground absorption -sewage treatment system. When
we receive a copy of his report, I will be glad to forward a copy
to you.
Sincerely
�
David Troutman
Cabarrus County Health Dept.
Enclosure
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G-77
RECEI VE
SE P 9 1983
WATER QUALITY SECTION
OPERATIONS BRANCH
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WORK SHEET
JOB N0._
W. 0. NO.
C. M. ALLEN & CO... Inc.
CITY
DATE
TEM NO. DESIGNATION I QUANTITY DESCRIPTION OF WORK UNITE TOTALS

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