NCG550487_Regional Office Historical File Pre 2018 (2)

•
United States Environmental Protection Agency• Form Approved.
• Washington,D.C.20480
EPA 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 1 1 2 � J 31 NCG550487 111 121 06/04/20 117 181 rl 191 GI 201 I
1__! u 1 Remarks u U IJ
21111111I1 1111 II 111111 1111 I III 1111111 11111 I I I I 11166
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA ----- Reserved---
67I 1.0 169 70 U 71111 72111 731 I 174 761 I I I I I I 180
l--1 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)
01:00 PM 06/04/20 93/11/01
Wilson Roger- Residence
3017 Wagonwheel Ct Exit Time/Date Permit Expiration Date
Belmont NC 28012 02:00 PM 06/04/20 97/07/31
Name(s)of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s) Other Facility Data
///
Name,Address of Responsible OfficialTitle/Phone and Fax Number
Contacted
Roger Wilson,3017 Wagonwheel Ct Belmont NC 28012//704-864-0094/
No
Section C: Areas Evaluated During Inspection(Check only those areas evaluated)
Permit Facility Site Review
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
James Bealle MRO WQ//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# 1

GASTON COUNTY HEALTH DEPARTMENT
ENVIRONMENTAL HEALTH DIVISION
991 W. Hudson Blvd.- Gastonia, NC 28052
[phone]
[phone] (FAX)
FACSIMILE TRANSMISSION COVER SHEET
DATE SENT: IJ1)j* TIME: / ;49 #Pages: c
(Including Cover Sheet)
To: J 4,M�s cam) Q
FAX #: - 604140
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CONFIDENTIALITY STATEMENT:
The documents accompanying this transmission contain confidential health information that is
privileged. This information is intended only for the use of the individual or entity named above.
The authorized recipient of this information is prohibited from disclosing this information to any
other party unless required to do so by law or regulation. The recipient accepts responsibility for
properly safeguarding the confidentiality of this information in compliance with all applicable State
and Federal Regulations.
If you are not the intended recipient,you are hereby notified that any disclosure,copying
distribution,or action taken in reliance on the contents of these documents is strictly prohibited. If
you have received this information in error,please notify the sender immediately and arrange for the
return or destruction of these documents.
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` SEPTIC TANK INSPECTION RECORD
Rnvurommental Health.Division ' • /f P C ' ' -
Code Date ,
Gaston Covnty Health Department 0 +,
Owner Permit By
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DESIGNED FOR! .rs: Bedrooms,Washing Machine,Garbage Disposal; not more than'' ,C. . persons.'
SEPTIC TANK: capacity /De'i/ gallons; Block, Precast.' ��.trn,. ' _ Mfg.
N'T6tIFI.C4TION FIELD: 913T sq. feet of trench: _.�. ' lines in ,ST enc ) bed(s)
• d.. 1 feet long , _ feet wide, fr inch cotserete irgiR terra Gotta drain tile: /z
• inches of crushed stone,with • inches under tile. '
Seepage pit (s) - 9O _. feet long. W feet wide. - a . feet stone. 1 No. linos
SAND FILTER: feet long • feet wide with lines on top and lines on
bottom. inch tile. • •
WATER SUPPLY: Municipal '�immun Non Community Private
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor January 24, 2006 William G. Ross,Jr., Secretary
Alan W. Klimek, P.E., Director
Roger Wilson
3017 Wagonwheel Court
Belmont,NC 28012
Subject: NPDES Permit NCG550487
Gaston County
Dear Mr. Wilson<or> Current Occupant:
Our files indicate that the domestic wastewater discharge permit that was issued to Roger
Wilson for a domestic wastewater discharge from the subject single family residence has
expired. The Surface Water Protection Section requests that you contact our staff to work
toward acquiring the necessary permitting, or if a change in property ownership has occurred.
Initially, all active sites must be properly permitted, and then adhere to the appropriate General
Permit conditions which became effective on August 1, 2002 and will expire on July 31, 2007.
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:
O All operation and maintenance activities relating to the wastewater treatment system
• 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
O 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,
11101.
411)
"1i S►A•
es B. Bealle III
Environmental Technician
enclosures
cc: Gaston County Environmental Health Department
Mooresville Regional Office One
610 East Center Avenue,Suite 301,Mooresville,North Carolina 28115 NorthCaTolina
Phone: [phone]/Fax:[phone]/Internet:h2o.enr.state.nc.us
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NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
Argire
__ DIVISION OF WATER QUALITY
NCDENR
June 16, 1999
.LAMES B.HUNTJR Roger Wilson or Current Occupant
GOVERNOR 3017 Wagonwheel Court
Belmont,North Carolina 28012
Subject: Wastewater Discharge Permit
V1AYNEMCDEVITT'' _
Roger Wilson Residence
SECRETARY ,.". :� NPDES Permit No. NCG550000
f� > Cert. of Coverage No.NCG550487
Gaston County,NC
t,• y; Dear Mr. Wilson or Current Occupant:
Our files indicate that the subject wastewater discharge permit was issued to Roger
`=▪° < Wilson for a wastewater discharge form the subject residence. Division records indicate
, that the permit has not been renewed as required. Please contact the Mooresville
Regional Office immediately to clarify if the permit is still required for the residence.
-, 4 According to North Carolina General Statute 143-215.1 (a), no person shall operate any
' sewer system, treatment works, or disposal system within the State without a permit.
f
} :! -,
'- Pursuant to NCGS 143-215.6A, a civil penalty of not more than ten thousand
dollars ($10,000.00), or ten thousand dollars ($10,000.00) per day if the violation is of a
J. ° `` continuing nature, may be assessed against any person who is required but fails to apply
j 1
for or secure a permit required by NCGS 143-215.1, or who violates or fails to act in
`l ; accordance with the terms, conditions, or requirements of any permit required by NCGS
E'I 143-215.1.
Please contact Wes Bell at [phone] to resolve this matter.
� � "`- •
Sincerely,
— — -.......- ------ aivi.J2i3- gill
,� " s-. — = D. Rex Gleason, P.E.
= =''°�' Water Quality Regional Supervisor
.. cc: Gaston County Health Department
WB
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,YwrQ
919 NORTH MAIN STREET,MOORESVILLE, NORTH CAROLINA 281 15
PHONE [phone] FAX [phone]
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f Environment,
Natural Resources
Environmental ManagementAtitW.
nt, Jr., Governor
0///rarolina
than B. Howes, Secretary H N
reston Howard, Jr., P.E., Director
c DEMT. OF NATURAL
RESOURCES AND
September 30, 1993 uN'TY DEVELOPMENT
SEP 2 8 1993
ROGER WILSON
yooeEsnuE IR Int ftf
WILSON RESIDENCE (ROGER)
3017 WAGONWHEEL COURT
BELMONT NC 28012 Subject: WILSON RESIDENCE (ROGER)
Certificate of Coverage NCG550487
General Permit NCG550000
Formerly NPDES Permit NC0074896
Gaston County
Dear Permittee:
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
NC0074896. 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]
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LLSON
RESIDENCE (ROGER)
icate of Coverage No. NCG550487
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.
S' erely,
ef.A. Preston Howar .,P.E.
cc: Mooresville Regional Office
Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURALli
Fy§F NATURAL
DIVISION OF ENVIRONMENTAL MANAGEMENT REsOVRC ES :lr;n
,iUNITY DE%E LOP MF.NT
SEP281993
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG550487
clYlS1314 OF EKVIRORKki&l `.t!+".;ktFNi
MOORESVILLE RELIOM.I.I CFftCE
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT 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,
WILSON RESIDENCE (ROGER)
is hereby authorized to discharge treated domestic wastewater from a facility located at
WILSON RESIDENCE (ROGER)
Gaston County
to receiving waters designated as the UT S.FORK CATAWBA RVR/CATAWBA RVR BS
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 November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30, 1993.
s6s1.°C--- r' i
ef A.Prestonof Howarr.Environmental,Jr.,P.E.,Directeo
Management
By Authority of the Environmental Management Commission

( J
State of North Carolina _ t
Department of Environment,
Health and Natural ResourcesAT:7A
Mooresville Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary p E H Fa
Vivian Burke, Regional Manager i�
DIVISION OF ENVIRONMENTAL MANAGEMENT
August 2 , 1993
Mr. Roger Wilson
3017 Wagonwheel Court
Belmont, North Carolina 28012
Subject: Permit Renewal
Wilson Residence
NPDES Permit No. NC0074896
Gaston County
Dear Mr. Wilson:
Our records indicate that the subject Permit will expire
December 31, 1993 . The Permit requires that a renewal request must
be filed at least 180 days prior to the expiration date of the
Permit. As of the date of this letter, the Division has not
received your application for renewal . Under the authority of the
North Carolina General Statutes , a civil penalty of up to $10, 000
per violation per day may be assessed for violations of Permit
conditions and/or General Statutes of North Carolina.
This letter shall serve as a final reminder that your Permit
renewal request should be submitted to the Division as soon as
possible . If you have already submitted your renewal request,
please disregard this letter. Your prompt attention to this matter
is appreciated.
If you have any questions regarding this matter, please
contact Mr. Michael L. Parker or me.
Sincerely,
D. Rex Gleason, P . E .
Water Quality Regional Supervisor
cc : Robert Farmer
MLP
919 North Main Street, Mooresville,North Carolina 28115 Telephone [phone] FAX [phone]
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