HomeMy WebLinkAboutNCG550005_Permit (Issuance)_20080609 ABM
ATM
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross,Jr., Secretary
Coleen H. Sullins, Director
June 9, 2008
Nancy L. Clark
712 Jonquil Street
Durham,NC 27712
Subject: Renewal of coverage/General Permit NCG550000
712 Jonquil Street
Certificate of Coverage NCG550005
Durham County
Dear Permittee:
In accordance with your renewal application [received on June 6,2008],the Division is renewing
Certificate of Coverage(CoC)NCG550005 to discharge under NCG550000. This CoC is issued pursuant to
the requirements of North Carolina General Statue 143-215.1 and the Memorandum of Agreement between
North Carolina and the US Environmental Protection agency dated October 15, 2007 [or 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 request an individual permit by submitting an individual
permit application. Unless such demand is made,the 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. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Raleigh Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain other permits which may be required by
the Division of Water Quality or permits required by the Division of Land Resources, Coastal Area
Management Act or any other Federal or Local governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit,please contact Toya
Fields [919 733-5083,extension 551 or toya.fields@ncmail.net] or Susan Wilson [919 733-5083, extension 510
or susan.a.wilson@ncmail.netl.
Sincerely,
for Coleen H. Sullins
cc: Central Files
Raleigh Regional Office/Surface Water Protection
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: 919 733-5083/FAX 919 733-0719/Internet:www.ncwaterquality.org Naturally
An Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper
•
m
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550005
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC 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,
Nancy L. Clark
is hereby authorized to discharge domestic wastewater [360 GPD] from a facility located at
712 Jonquil Street
Durham
Durham County
to receiving waters designated as an unnamed tributary to Crooked Creek, a class WS-IV NSW
stream in subbasin 03-04-01 of 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 June 9, 2008.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day June 9, 2008.
1
for Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission
a
r FOR AGENCY USE ONLY
Date Received
Year Month Day
ATA Division of Water Quality/Water Quality Section
Certificate of Coverage
1vICIGl
-
NCDENRNational Pollutant Discharge Elimination System Check# Amount
ENVIRONMENT hNfJ NATURRL rZE50URCE`_
NCG550000 Permit Assigned to
1 RENEWAL FORM FOR EXISTING PERMITTED FACILITIES
NPDES renewal application for continued coverage under General Permit NCG550000:
Certificate of Coverage NCG556 Dn'S
(Please verify the information in items 1 &2 as correct, or note any corrections that should be made.)
(Please print or type)
1 Mailing address* of property owner: / ' 1
Owner Name a n alit��-
Street Address 7/c2 p >I i'lL t ( 5 L
City b bvY jl La 1'Y`l if C c17 71).
Telephone (Home( 9 A/A — 51 q 7 (Mobile)9/i 6.--7 -57q 7
(e-mail address)
*Address to which all permit correspondence will be mailed
2) Location of facility producing discharge*:
Street Address 7 id, JCo n. 1 (A, t ( S •
[,-eciA,.__
City:b ' /�/C. ).7 7 1 2_,,
County tylknr'ke�Y✓�
Telephone (Home) q l 0' 7 d -57 l 1 (Mobile) cm 6 7 a�5-7 el 7
* If the facility is not yet constructed,give the street address or lot number where the structure will be
''-4► built. .
3) Description of Discharge:
a) Type of facility producing waste(please check one):
X Primary residence
❑ Vacation/second home
❑ Undeveloped property •
❑ Other [describe]:
Page 1 of 2
NCG550000 renewal form
4) Please check the components that comprise the wastewater treatment system:
Septic tank ❑ Dosing tank Primary sand filterjSecondary sand filter
0 Recirculating sand filter(s) / Chlorination ❑ Dechlorination
0 Other form of disinfection: ❑ Post Aeration(describe)
r
5) Other Information:
a) When was the septic tank last pumped out? p700
S a? o co
NOTE: the septic tank must be pumped out at least once every 3-5 years
b) Is the facility [home; occupied year-round,or only seasonally? elle rc5-1"`C
c) Approximately how many people use the facility when it is occupied? I
d) When was the wastewater system installed?Rg4I v (,t)Cd 1J//l-e- b1kt- o
a.4
6) Certification:
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true,complete, and accurate.
Printed Name of Person Signing: a r; (-A �iGt;Y k
(Signature ofApplicanl) (/ (Da e Signe )
North Carolina General Statute 143-215.6 b (i)provides that:
Any person who knowingly makes any false statement, representation, or certification in any
annileotion roenr'c report. nlan or other dncurr-tent,filed nr required to he maintained under Article
21 or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or
method required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable
by a fine not to exceed$25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both,for a similar offense.)
Mail this completed form and a copy of the receipt for your last septic service to:
Mr. Charles H. Weaver, Jr.
NC DENR/DWQ/NPDES
1617 Mail Service Center
Raleigh, NC 27699-1617
Page 2 of 2
McFarland Septic Invoice
6900 Mt. Herman Church Rd. DATE INVOICE NO.
Durham, NC 27705
919-383-1015 919-732-5007 5/27/2008
Fax 919-383-2035 NM
BILL TO
Nancy Clark
712 Jonquil St.
Durham,N.C.27712
DUE DATE
P.O.NO. NM
11111111
Due on receipt
5/27/2008
AMOUNT
DESCRIPTION 200.00
SERVICED
5/27/2008 Pumped septic tank
$1
\0/ \(1)
(.1.10.\,\C)
Accounts past 30 days are subject to a service charge of 1.5%per month.
Total $200.00
Arrin
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
CERTIFIED MAIL ITEM 7002 3150 0003 7052 6621
RETURN RECEIPT REQUESTED
January 24, 2008
Ms. Nancy Clark
712 Jonquil Street
Durham, NC 27712
Subject: Wastewater disposal at 712 Jonquil Street
Durham County
Dear Ms. Clark:
Durham County tax records list you as the owner of the subject property. We are contacting you to
determine the status of a wastewater disposal system at the site. That system was originally covered under a
state NPDES discharge permit, one of over 430 such systems in Durham County.
An audit of expired/unresolved files noted that coverage for your system expired in July 2007. The
Division needs information from you to determine if coverage under NCG550000 [the General Permit for
domestic wastewater] is still necessary.
➢ If your property still has a wastewater system like the ones described in the enclosed Technical
Bulletin, you must renew the subject CoC. Complete the enclosed form and submit it to me at the
address on the form.
➢ If you are not sure what type of system your property has, contact Mack Wiggins in the NC DENR
Raleigh Regional Office at 919 791-4200. He [or other staff members] can help you determine if
you should renew your CoC.
➢ If you know that your property no longer discharges wastewater, contact me at the address or
phone number listed below to request rescission of the CoC.
I have enclosed the pages from our files that describe the system. The last Certificate of Coverage was
issued to Colleen McKenzie in August 2005. If you have any questions concerning this matter, please contact
me at the telephone number or e-mail address listed below. Thanks for your attention to this matter.
Sincerely,
Charles H.Weaver, Jr.
NPDES Unit
cc: Central Files
Raleigh Regional Office/Mack Wiggins
NPDES file
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
512 North Salisbury Street,Raleigh,North Carolina 27604 NorthCarolina
Phone: 919 733-5083,extension 511 /FAX 919 733-0719/charles.weaver@ncmail.net A2atura/IjiAn Equal Opportunity/Affirmative Action Employer—50%Recycled/10%Post Consumer Paper
Parcel Report:
8r
Jam$ I t . « ' �, I
1 l� J
tI
.
1
Iwo
4`A'
• r T, .5 `
I, 1
t - a't0. A. et,
Quick Information with 2005 Orthophoto
PIN Number: 0826-03-22-9876 Parcel ID: 187518
Acreage: 0.67400000 Land Use: RES/ 1-FAMILY
Deed Book: 005196 Deed Page: 000340
Plat Book: 000058 Plat Page: 000065
Subdivision: NORTH PRK DEV Site Address: 712 JONQUIL ST
Owner Name: CLARK NANCY Owner Address: 712 JONQUIL ST
DURHAM, NC, 27712
City of Durham, NC
Tax Parcel Report
l J
� ff
0o18f
Quick Information
PIN Number: 0826-03-22-9876 Parcel ID: 187518
Acreage: 0.67400000 Land Use: RES/ 1-FAMILY
Deed Book: 005196 Deed Page: 000340
Plat Book: 000058 Plat Page: 000065
Subdivision: NORTH PRK DEV Site Address: 712 JONQUIL ST
Owner Name: CLARK NANCY Owner Address: 712 JONQUIL ST
DURHAM, NC, 27712