NCG550074_Owner (Name Change)_20000811

`State of North Carolina
Department of Environment �
and Natural Resources �r
Division of Water Quality
James B. Hunt, Jr., Governor NCDENR
Bill Holman, Secretary
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
August 11,2000
Mr.Elvin T. Kinslow
2765 Hope Church Road
Winston-Salem,North Carolina 27127
Subject: NPDES Permit Modification—Name/Ownership Change
Permit NCG550074
Elvin T.Kinslow
(Formerly Arvil S,Crater-Residence)
Forsyth County
Dear Mr.Kinslow:
In accordance with your request received July 28,2000,the Division is forwarding the subject permit modification.
This modification documents the change in name/ownership at the subject facility. All other terms and conditions in the
original permit remain unchanged and in full effect. This permit modification is issued under 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 modification 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 a written petition conforming to Chapter 150B of the North Carolina General
Statutes,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.
This permit does not affect the legal requirement 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 government
permit that may be required. If you have any questions concerning this permit,please contact Valery Stephens at the
telephone number or address listed below.
Sincerely,
err T. Stevens
cc: Central Files
Winston-Salem Regional Office,Water Quality Section
CEStrgrfillif
Point Source Compliance Enforcement Unit
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 919 733-5083,extension 520 (fax)919 733-0719
VISIT US ON THE INTERNET @ http://h2o.enr.state.nc.us/ [e-mail]

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NO.NCG550000
CERTIFICATE OF COVERAGE No. NCG550074
TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCE 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,
ELVIN KINSLOW
is hereby authorized to discharge wastewater from a facility located at
2765 Hope Church Road
Winston-Salem,North Carolina
Forsyth County
to receiving waters designated as subbasin 30704,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 hereof.
This certificate of coverage shall become effective August 18,2000.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day August 18,2000.
err T.Stevens,Director
Division of Water Quality
By Authority of the Environmental Management Commission

NPDES FACILITY AND PERMIT DATA 08/11/00 13 :33:29
UPDATE OPTION TRXID 5NU KEY NCG550074
PERSONAL DATA FACILITY APPLYING FOR PERMIT REGION
FACILITY NAME> CRATER, ARVIL S. - RESIDENCE COUNTY> FORSYTH 04
ADDRESS: MAILING (REQUIRED) LOCATION (REQUIRED)
STREET: 2765 HOPE CHURCH ROAD STREET: 2765 HOPE CHURCH ROAD
CITY: WINSTON-SALEM ST NC ZIP 27127 CITY: WINSTON SALEM ST NC ZIP 27127
TELEPHONE 910 765 9713 DATE FEE PAID: 02/27/97 AMOUNT: 120.00
STATE CONTACT> WIGGINS PERSON IN CHARGE ARVIL STANLEY CRATER
1=PROPOSED,2=EXIST,3=CLOSED 2 1=MAJOR,2=MINOR 2 1=MUN,2=NON-MUN 2
LAT: 3601500 LONG: 08020050 N=NEW,M=MODIFICATION,R=REISSUE> R
DATE APP RCVD 02/27/97 WASTELOAD REQS 08/28/91
DATE STAFF REP REQS 08/28/91 WASTELOAD RCVD 08/28/91
DATE STAFF REP RCVD 09/27/91 SCH TO ISSUE 12/02/91
DATE TO P NOTICE 10/18/91 DATE DRAFT PREPARED 10/03/91
DATE OT AG COM REQS / / DATE DENIED / /
DATE OT AG COM RCVD / / DATE RETURNED / /
DATE TO EPA / / DATE ISSUED 07/21/97 ASSIGN/CHANGE PERMIT
DATE FROM EPA / / EXPIRATION DATE 07/31/02
FEE CODE ( 5 ) 1=(>10MGD) ,2=(>1MGD) ,3=(>0.1MGD) ,4= (<0.1MGD) , 5=SF, 6=(GP25, 64,79) ,
7=(GP49,73) 8= (GP76)9=(GP13,34,30, 52) 0=(NOFEE) DIS/C 04 CONBILL ( )
COMMENTS: FORMERLY NC0038873
MESSAGE: *** ENTER DATA FOR UPDATE ***