NCG550064_Permit (Issuance)_20181029

ROY COOPER
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MICHAEL S. REGAN
1 Recreram
_J-07 .' LINDA CULPEPPER
7�sX+�" . ' Interim Dmecam-
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NORTH CAROLINA
Environmental Quality
• October'29, 2bT.8
Harold Bagwell •
4653 Dick Wilson Rd
Denver, NC 28037-8174
Subyedt: General Permit NCG'550000
Certificate of Coverage (CoC) NCG550.064
6622 Denver Heights Circle
Lincoln(;ounty
Dear Permittee:
The'DiVisiori has renewed General Permit NCC-560000. The Division hereby issues yo`u'a revised
version of NCG550064, along with a copy of the renewed General Permit. Discard any earlier versions of the
permit and use this version until further notice. 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 a iy pants, hie'dsiltadeht frequencies'or"-s'arnpliiig req ireYiients- ontained hi 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 ri'tiie that this Certificate-of Coverage'is not transferable-ekcept after notice to the'
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
1i,egionat'Offiice staff will assist you in documenting the transfer of this`COG.
This permit does not affect the legal requirements to obtain any other State, Federal, or Local
•goVernrelits]-perrhit that May be required. If you have any-que'stiolis concerning the requirements of the'
General`Permit,please contact Derek D•enard:of the NPDES staff[919.707-361'8•or via email at
[e-mail]].
Sincer ly,
wh e /it ll'
for Linda Culpepper
Interim Director,Division of Water Resources
cc: 013.ESIlell
D Q •
North Carolina Department of Environmental Quality I Division of Water Resources
1617 Mail Service Center I Raleigh,North Carolina 27699-1617
919-707-3616

STATi OF NORTH CAROLINA •
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG550000
CERTIFICATE OF COVERAGE NCG550064
DISCHARGE OF DOMESTIC WASTEWATER FROM SINGLE FAMILY RESIDENCES AND
OTHER 100% DOMESTIC DISCHARGES WITH SIMILAR CHARACTERISTICS UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
I'"couiplianeb witls:the prov tior of North Carolina General Statute 143-215.1,'other lawful'staiidards arid
regulations promulgated and adopted by the North Carolina Environmental Management Commission, and
the Federal Water Pollution Control Act, as amended, -
Harold Bagwell
is hereby authorized to discharge <1000 gallons per day of domestic wastewater from a
facility located at
6622 Denver Heights Circle
Denver
Lincoln County
to receiving waters designated as Snyder Creek, a class-C stream in subbasin 03-08-33 of the .1
Catawba River Basin iri aceorrdatice with the effluent limitations, monitoring requirements, and
other conditions set forth in Parts I, II, and III hereof.
This certificate of coverage takes effect October 29, 2018.
This Certificate of Coverage shall remain valid for the duration of the General Permit.'
Signed this day October 29, 2018
for Linda Culpepper
Interim Director, Division of Water Resources
By Authority of the Environmental Management Commission

ROY COOPER
Governor
417.
MICHAEL S. REGAN
Secretary
Environmental S. JAY ZIMMERMAN
Quality Director
September 1,2017 REeEID
•
SEP 0 5 2017
Mr. Harold Bagwell CENTRAL FILES
DWR SECTION
4653 Dick Wilson Road
Denver,NC 28037
Subject: Compliance Evaluation Inspection
6622 Denver Heights Circle
Certificate of Coverage No.{ Ta.�G5 C E4O
Lincoln County
Dear.Mr. Bagwell:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on August 31,2017,by Ori Tuvia.
Since the last inspection,the house has been burned by fire and treatment system has not
been in use. Please notify the Morrisville Regional Office staff prior to restarting the system.
If you have any questions,please contact Ori Tuvia at(704) 235-2190, or via email at
[e-mail].
Sincerely,
Ori Tuvia,Environmental Engineer
Mooresville Regional Office
Division of Water Resources,DEQ
•
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

•
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 L i I 2 Li I 3 I NCG550064 111 12 I 17/08/31 117 18 I c I 19 Ls]I 20 LI
211 LI I I I I I I I II I II I I I I I I I I I I I I I I I I I I I II I I I I I r6
Inspection Work Days Facility Self-Monitoring Evaluation Rating B1 QA Reserved
67 Ito I 70 I I 71 IN
I 72 I N I 731 I I74 75I I I I I I I I80
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) 08:45AM 17/08/31 13/08/01
6622 Denver Heights Circle
6622 Denver Hts Cir Exit Time/Date Permit Expiration Date
Denver NC 28037 09:OOAM 17/08/31 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
Harold Wayne Bagwell,4653 Dick Wilson Rd Denver NC 280378174/New Owner//
No
Section C:Areas Evaluated During Inspection(Check only those areas evaluated)
III Permit _
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
Ori A Tuvia MRO WQ//704-663-1699/
9 / /
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
W.Corey Basinger MRO WQ//704-235-2194/
EPA Form 3560-3(Rev 9-94)Previous editions are obsolete.
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Page# 1

NPDES yr/mo/day Inspection Type 1
31 NCG550064 III 1 21 17/08/31 I 17 18
Section D:Summary of Finding/Comments(Attach additional sheets of narrative and checklists as necessary)
Page# 2

• Permit: NCG550064 Owner-Facility: 6622 Denver Heights Circle
Inspection Date: 08/31/2017 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 0 0 • 0
application?
Is the facility as described in the permit? 0 0 • 0
#Are there any special conditions for the permit? 0 0 • 0
Is access to the plant site restricted to the general public? 0 0 • ❑
Is the inspector granted access to all areas for inspection? 0 0 • 0
Comment: Since the last inspection the house has been burned by fire,treatment system as not been
in use.
•
Page# 3