NCG550708_permit issuance_19940923

State of 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
Ms. Faye Bowes Jacobs
Route 1, Box 191C
Rougemont, NC 27572
Dear Ms. Jacobs:
September 23, 1994
Subject: General Permit No. NCG550000
Cert. of Coverage NCG550708
Faye Bowes Jacobs
Person County
In accordance with your application for discharge permit received on June 27, 1994, we are forwarding
herewith the subject certificate of coverage to discharge under the subject state - NPDES general 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 request an individual permit by submitting an individual permit
application. Unless such demand is made, this certificate of coverage shall be final and binding.
Please take notice that this certificate of coverage is not transferable except after notice to the Division
of Environmental Management. The Divsion of Environmental Management may require modification or
revocation and reissuance of the certificate of coverage.
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 Susan Robson at telephone number 919/733-
5083.
Singer 1
Origtna� , gi ned BY
David A. Goodrich
A. Preston Howard, Jr., P. E.
cc: Fran McPherson
Raleigh Regional Office
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES
DIVISION OF ENVIRONMENTAL MANAGEMENT
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND OTHER
DISCHARGES WITH SIMILIAR CHARACTERISTICS 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,
Claborne and Faye Jacobs
is hereby authorized to continue operation of a 360 GPD wastewater treatment facility consisting of a septic tank,
sand filter, chlorinator and associated appurtenances with the discharge of treated wastewater from a facility located at
the
Jacobs Residence
NCSR 1754
Person County W� r � �111 ,%
to receiving waters designated as an unnamed tributary to Rock pork Branch in the Neuse River Basin
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III
and IV hereof.
This certificate of coverage shall become effective September 23,1994
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day September 23, 1994
Original Signed By
David A. Goodrich
A. Preston Howard, Jr., P.E., Director
Division of Environmental Management
By Authority of the Environmental Management Commission

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