NC0071706_Permit Issuance_20070920

W A TE9
PG
Michael F. Easley, Governor
William G. Ross Jr., Secretary
rNorth
Carolina Department of Environment and Natural Resources
�
MW#*AW
Coleen H. Sullins. Director
rlA01111111�
Division of Water Quality
September 20, 2007
Mr. Donald Fose
Hinson Arms Apartments
3340 Richlands Highway
Jacksonville, NC 28540
Subject Issuance of NPDES Permit NC0071706
Hinson Arms Apartments WWTP
Onslow County
Dear Mr. Pose:
Division personnel have reviewed and approved your application for renewal of the subject permit
Accordingly, we are forwarding the attached NPDES discharge 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 U.S. Environmental Protection Agency dated May 9, 1994 (or as subsequently amended).
This final permit includes no major changes from the draft permit sent to you on April 25, 2007.
This permit includes a TRC limit that will take effect on May t 2009.
This permit already contains a monthly average ammonia (NH3-N) limit In order to comply with
federal regulations, a corresponding daily maximum ammonia limit has been added.
Please note that the receiving stream is listed as an impaired waterbody on the North Carolina 303(d)
Impaired Waters List Addressing impaired waters is a high priority with the Division, and instream data will
continue to be evaluated If there is noncompliance with permitted effluent limits and stream impairment can be
attributed to your facility, then mitigative measures may be required
If any parts, measurement frequencies or sampling requirements contained in this permit 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 in the form of a written petition, conforming to Chapter 150B of the North
Carolina General Statutes, and filed with the Office of Administrative Hearings (6714 Mail Service Center, Raleigh,
North Carolina 27699-6714). Unless such demand is made, this decision shall be final and binding.
Please note that this permit is not transferable except after notice to the Division. The Division may
require modification or revocation and reissuance of the permit 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 Iand Resources, the Coastal Area Management Act or any other Federal or Loral governmental permit
that may be required If you have any questions concerning this permit, please contact Frances Candelaria at
telephone number [phone], extension 520.
Sinc�ejrely�, //�7,�
/ `t" V /
P C: Coleen H. Sullins
cc: Central Files
Wilmington Regional Office/Surface Water Protection
NPDES Unit
N�am�`lmCarolina
✓vWmrally
North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone [phone] Customer Service
Inlamet h2o.encstate.mus 512 N. Salisbury St Raleigh, NC 27604 FAX [phone]
An Equal Opportunity/Affirmative Action Employer— 50% Recyde&10% Post Consumer Paper

Permit NCO071706
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
PERMIT
TO DISCHARGE WASTEWATER UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTE�Ii
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,
Donald Fose
is hereby authorized to discharge wastewater from a facility located at the
Hinson Arms Apartments WWTP
US Highway 24/258
West of Jacksonville
Onslow County
to receiving waters designated as an unnamed tributary to the New River in the
White Oak River Basin
in accordance with effluent limitations, monitoring requirements, and other
conditions set forth in Parts I, II, III and IV hereof.
This permit shall become effective November 1, 2007.
This permit and authorization to discharge shall expire at midnight on June 30, 2012.
Signed this day September 20, 2007.
s
.�a r •• �-
Coleen H. Sullins, Direct r
Division of Water Quality
By Authority of the Environmental Management Commission

Permit NCO071706
SUPPLEMENT TO PERMIT COVER SHEET
All previous NPDES Permits issued to this facility, whether for operation or
discharge are hereby revoked. As of this permit issuance, any previously issued
permit bearing this number is no longer effective. Therefore, the exclusive authority
to operate and discharge from this facility arises under the permit conditions,
requirements, terms, and provisions included herein.
Mr. Donald Fose is hereby authorized to:
1. 'Continue to operate an existing 0.015 MGD wastewater treatment system with
the following components:
♦ Extended aeration. basin ,Sd� -O 0 D
♦ Four Clarifiers
♦ Clean Well lift station
♦ Two sand filters
♦ Chlorine contact basin d
♦ Phosphorus removal facilities
♦ Post aeration basin I o o o 5 P,
♦ Aerated sludge holding tank
The facility is located west of Jacksonville at Hinson Arms Apartments at US
Highway 24/258 in Onslow County.
2. Discharge from said treatment works at the location specified on the attached
map into an unnamed tributary to the New River, classified C-NSW waters in the
White Oak River Basin.

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Latitude: 34°45'48" Stream Class: C-NSW
Longitude:77°2S'38" Subbasin:030502
Quad # H29SW
Receiving Stream: UT to New River

Permit NCO071706
A. (I.) EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS
During the period beginning on the effective date of this permit and lasting until
expiration, the Permittee is authorized to discharge from outfall 001. Such discharges
shall be limited and monitored by the Permittee as specified below:
EFFLUENT
CHARACTERISTICS
LIMITS
MONITORING REQUIREMENTS
Monthly
Avera a
Weekly
Avera a
Daily
Maximum
Measurement
Frequency
Sample Type
Sample Location
Flow
0.015 MGD
Weekly
Instantaneous
Influent or Effluent
BOD, 5-day (20*C)
'I 1- October 31
5.0 mg/L
7.5 mgll.
Weekly
Composite
Effluent
BOD, 5-day (20°C)
November 1- March 31
10.0 mg/L
15.0 mg/L
Weekly
Composite
• Effluent
Total Suspended Residue
30.0 mg/L
45.0 mg/L
Weekly
Composite
Effluent
NH3 as N
(April I - October 31
2.0 mg/L
10 mg/L
Weekly
Composite
Effluent
NH3 as N
November 1- March 31
4.0 mg/L
20 mg/L
Weekly
Composite
Effluent
Dissolved Oxygen
Weekly
Grab
Effluent
& Downstream
Fecal Colfform (geometric mean)
200/100 ml
400/100 ml
Weekly
Grab
Effluent
Total Residual Chlorines
17 µg/L
2/Week
Grab
Effluent
Temperature CC)
Daily
Grab
Effluent
Temperature (°C)
Weekly
Grab
Downstream
Total Nitrogen (NO2+NO3+TKN)
Quarterly
Composite
Effluent
Total Phosphorus3
2.0 mg/L
Weekly
Composite
Effluent
pH4
Weekly
Grab
Effluent
Footnotes: 50��
1. Downstream = at lea&4W feet below discharge.
2. The minimum daily dissolved oxygen effluent concentration shall not be less than 6.0 mg/L.
3. Compliance shall be based on a quarterly average of weekly samples.
4. The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units.
S. The TRC limit will become effective on May 1, 2009 (1S months after the permit effective date), while monitoring
is required beginning on the permit effective date.
There shall be no discharge of floating solids or visible foam in other than trace amounts
This permit already contains a monthly average ammonia (NH3-N) limit. In order to comply
with federal regulations, a corresponding weekly maximum ammonia limit has been added.
Please note that the receiving stream is listed as an impaired waterbody on the North Carolina 303(d)
Impaired Waters List. Addressing impaired waxers is a high priority with the Division,. and instream
data will continue to be evaluated. If there is noncompliance with permitted effluent limits and stream
impairment can be attributed to your facility, then mitigative measures may be required.

ONSLOW COUNTY
NORTH CAROLINA
AFFIDAVIT OF PUBLICATION
Before the undersigned, a Notary Public of County and State of said pub-
lisher, duly- commissioned, qualified and authorized by law to administer oaths,
personally appeared
first duly sworn, depos
says: that he (she) is _
WU t
who being
.
1—
(Owner, partner, publisher or other officer or employee
authorized to make this affidavit)
of THE CARTERET PUBLISHING CO., INC., Carteret County, N.C., engaged
in the publication of a newspaper known as Tideland News, published, issued,
and entered as second class mail in the Town of Swansboro, in said County and
State; that he (she) is authorized to make this affidavit and sworn statement; that
the notice or other legal advertisement, a truE` copy of which is attached hereto,
was published in Tideland News on the following dates:
AuG, i zoos
and that the said newspaper in which such notice, paper, document, or legal
advertisement was published was, at the, time of each and every such publication.
a newspaper meeting all of the requirements and qualifications of Section 1-597
of the General Statues of North Carolina and was a qualified newspaper within
the meaning of Section 1-597 of the General Statutes of North Carolina.
This day of Awl LLS 20 0r
(Si nature o person making affidavit)
Sm to and subscribed before me, this f -7-r ' day of
. 20 U-1
�LQJ' —YV—OA(e�q—
Notary Public
�136f
My commission expires:
MANAGEMENT COMMIS.
SIOWNPDES UNIT
1617 MA1 SERVICE
CENTER
RALEIGH, NG 27699.1617
NOTIFICATICN OF INTENT
*., TO ISSUE A NPDES
WASTEWATER PERMIT
On the ba?is of thorough
staff review and application of
NC General Statute 143.21,
Public Law 92-50J and other
lawful standards and regula-
tions, the North Carolina Envi-
ronmental Management Com-
. mission proposes to issue a
National Pollutant Discharge
Elimination System (NPDES)
wastewater discharge permit
to the person(s) listed below
effective 45 days from the
publish date of this notice.
Written comments regarding
the proposed permit will a ac-
cepted until 30 days after the
publish date of this notice. All
comments received prior to
that date are considered in the
final determinations regarding
the proposed permit. The Di-
rector of the NC Division of
Water Quality may decide to
hold a public meeting for the
proposed permit should the Di-
vision receive a significant de-
gree of public Interest.
Copies of the draft permit
and other supporting informa.
tion on file used to determine
conditions present In the draft
permit are available upon re-
quest and payment of the
costs of reproduction. Mall
comments and/or requests for
information to the NC Division
of Water Quality at the above
address or call Ms. Frances
Canoeiaria [phone],
extension 520 at the Point
Source Branch. Please Include
the NPDES permit number (at.
tached) in any communication
Interested persons may also
visit the Division of Water
Quality at 512 N. Salisbury
Street, Raleigh, NC 27604.
1148 between the hours of
8:00 a.m. and 5:00 p.m. to re-
view Information on file.
Sherwood Mobile Home Park
Association, Highway 24 East,
Midway Park, North Carolina
2SS44 has applied for renewal
for NPDES permit N00022462
for its Sherwood Mobile Home
Park WWTP in Onslow Coun.
ty. This permitted facility dis-
charges treated wastewater to
an unnamed tributary to Mott
Creek In the White Oak River
Basin. Currently, CBOD and
ammonia nitrogen are water
quality limited. This discharge
may affect future allocations in
the portion of the watershed.
Carolina Water Service Inc.,
of NC, P.O. Box 240908,
Charlotte, NC 28224 has ap.
plied for renewal for NPDES
permit NCO031577 for its
White Oak Estates WWTP in
Onslow County. This permitted
facility discharjes treated
wastewater to Northeast
Creek in the White Oak River
Basin. Currently, CBOD and
ammonia nitrogen are water
quality limited. This discharge
may effort future allocations in
the portion of.the watershed.
Carolina Water Service Inc.,
of NC, P.O. Box 240908.
Charlotte, NC 28224 has ap-
plied for renewal for NPDES
Dermit NC003223f; for its Re.

11) Northeast Creek in the
White Oak River Basin. Cur.
White Oak River Basin. Cur-
rently, CBOD and a;nmonla ni.
' wrilly, CBOD and ammonia ni-
trogen are water quality limit-
trogen are watr;r quality limit-
ed. This dischaele may affect
ed. This discharge may affect
future allocations in the portion
future allocations in the portion
of the watersheJ.
of the watershed.
Onslow County Board of Ed.
Onslow County Board of Ed-
ucation, P.O. Box 99. Jack-
ucation, P.O. Box 99, Jack-
sonville, North'Carolina 28540
sonville, North Carolina 28540
has applied fcr renewal for
has applied fcr renewal for
NPDES permit NCO043711 far
NPDES permit NCO043711 for
its Morton Elementary School
its Morton Elementary School
WWTP in Onslow County.
WWTP in Onslow County.
This permitted facility dis.
This permitted tacility dis-
charges treated wastewater to
charges treated wastewater to
Little Northeast Creek in the
Little Northeast Creek in the
White Oak River Basin. Cur.
White Oak River Basin. Cur-
rently, CBOD and ammonia ni.
rently, CBOD and ammonia ni-
trogen are water quality limit-
trogen are water quality limit-
ed. This discharge may affect
ed. This discharge may affect
future allocations In the portion
future allocations in the portion
of the watershed.
of the watershed.
Eugene A. Butts (791 Free.
Eugene A. Butts (791 Free-
dom Way, Midway Park, NC
dom Way, Midway Park, NC
28544) has applied for renew.
28544) has applied for renew-
al for NPDES permit
al for NPDES permit
NCO061471 for the Big Pines
NCO051471 for the Big Pines
Mobile Home Park WWTp in
Mobile Home Park WWTP in
Onslow County. This permitted
Onslow County. This permitted
facility discharges treated
facility discharges treated
wastewater to and UT to Wal.
wastewater to and UT to Wal-
lace Creek in the White Oak j
lace Creek in the White Oak
River Basin. Some parameters
River Basin. Some parameters
may be water quality limited,
may be water quality limited,
which may affect future alloca-
which may affect future alkoca-
lions in this portion of White
Lions in this portion of White
Oak River Basin.
Oak River Basin.
Rock Creek Environmental
Rock Creek Environmental j
Company. 199 Country Club
Company, 199 Country Club
Blvd., Jacksonville, North Car. =
Blvd., Jacksonville, North Car-
00na 28540 has applied for re-
olina 28540 has applied for re-
newal for NPDES permit
newal for NPDES. -hermit
NC0062294 for its Rock Creek
NCO062294 for its Rock Creek
Goff $ Country Club WWTP in
Golf & Country Club WWTP in
Onsiow County. This permitted
Onslow County. This permitted '
facility discharges treated
facility discharges treated
wastewater to New River in }
wastewater to New River In
the White Oak River Basin.
the White Oak River Basin. ,
Currently, CBOD and ammo- '
Currently, CBOD and ammo-
nia nitrogen are water quality
nia nitrogen are water quality
limited. This discharge may af.
limited. This discharge may af-
fact future allocations in the
fect future allocations in the
portion of the watershed.
portion of the watershed.
Hinson Arms Apartments
Hinson Arms Apartments
(3340 Richlands Hwy., Jack.
(3340 Richlands Hwy., Jack-
sonville, NC 28540) has ap.
sonville. NC 28540) has ap-
plied for renewal for NPDES
plied for renewal for'NPDES
permit N00071706 for its Hin.
permit N00071706 for its kin-
son Arms Apartment WWTP In
son Arms Apartment WWTP in
Onslow County. This permitted
Onslow County. This permitted
facility discharges treated
facility discharges treated
wastewater to an unnamed
wastewater to an unnamed
tributary in the White Oak Riv-
tributary In the White Oak Riv-
Of Basin. Currently, CBOD and
er Basin. Currently, CBOD and
ammonia nitrogen are water
ammonia nitrogen are water
quality limited. Some parame-
quality limited. Some parame-
tors may be water quality tima-
ters may be water quality limit-
ed, which may affect future al.
ad. which may affect future al-
locations In this portion of the
locations In this portion of the
White Oak River Basin.
White Oak River Basin.
Al
Al

Hinson Arms Renewal
Subject: Hinson Anus Renewal
From: Maureen Crawford <[e-mail]>
Date: Wed, 11 Apr 2007 12:51:51 -0500
To: Frances Candelaria <[e-mail]>, Paul Rawls <[e-mail]>
CC: AGO - Phillip Reynolds <[e-mail]>
I asked Phillip Reynolds about Mr. Fose and asked if there was any new information. He agreed that the
Settlement Agreement that he provided was adequate proof of ownership. Phillip said his last
conversation was regarding Mr. Fose's opinion that he was only responsible for one of the three violations
(see attached). The earliest assessment was for the October 2003 DMR, the ownership document he
provided was signed on September 10, 2003.
Phillip mentioned that he'd be following up with Mr. Fose and if he argues the point, he'll essentially say
that he could be assessed for not submitting the name/ownership change as appropriate in 2003. In a
sense he'd been operating without a permit during the time he took over and March 1, 2007 when he
finally submitted the name/ownership change. Total owed is 1,537.35.
Frances, I'd hold the draft until the next notice day. If you would please update BIMS with Mr. Fose's
information so that any future actions will be addressed to him.
If you have any questions, please let me know.
Thank you.
Maureen
Maureen Crawford
DENR - Division of Water Quality
Tel: [phone] x-538
Fax: [phone]
71706 Not Paid.xls Content -Type: application/vnd.ms-excel
Content -Encoding: base64
1 of 1 4/11/2007 12:53 PM

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SURFACE WATER PROTKTION $E M, ONLL
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PRMix'�AiEiUW1YFx25HTPC17A1GF FORM
I. Please eater the permit number for which the change Is requested.
.NPDF.S Permit (or) Certificate of Coverage
f Tc l e l/! ,/] N' ci67S1 —FT--1
EL Permit status prior to SUMS change.
a Permit issued to (corapany nanie):
b. Peson tCjrally responsibtr,ytt lr- ndt;
VU �,
=PAR1
DERg y?,`:(H; N:. 'Y
PB{�xPgzlrty'm�me
d. Faeiiiry address:
e. Facility contact Person-
— s 6p2z ds
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P�,a &older MntlGSS Address
u,• saa tiP
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Fito
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r1L Please provide t►e funewriog for the requested change (revised permit).
a. Request for change is a result of: to Cbange in ownership of the facility
t'Name chaoge of the facility or owner
if other please 4Aplaw: _ --.
b. Permit issued to (company name)
c. Pe e, legally responsible for permit:
d Facility name (discharge):
e. Facility a- ftess:
f. Facility contaotpersun;
Revised 7200:
Pe®it 3oklrr Liniti0.¢ Address
�. etas TaP
0IIe &mNl lsddrsss
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M, Sub Vp
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Fury i K
(RID
Pboue I-mA .4ddmss

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PERNIrrNAME-1OWNER,SH P CHANGE ,FORK
Pagc 2 of 2
fV. Permit coo boo inform%Mon: (if di$ercnt from the person legally. responsible for the permit)
Permit contact
Fiat 'rII ! Test
?iwo
MuTwg was:
._._ _..., City _—..._... ..._
Staft
Fumy F AWI Ac�rs3
V. Wiu the ermitted facility continue to conduct the sauce kdustrinl activities candacted prior to
t ' orship or name chRuge?
Yes
a No (please explain)
C_l.... V1. Requi reed Items: TKIS APPLICATIO KLL B� ,i;tL'Tr gWED L'21 pRO)CFS'SED IF U'EM S' ARE
.(SC[lhfP.i..ETE OR JWWING:
14'A --� Q This completed application is required for both ant changr and/or owuerslup change requests.
Legal doctmxentaticm of the transfer of ownership (such as ==warn Pages of a aontr4a deed, or a bill
of Bale) is Ma rRd for an ownership change west Articles of iuemporatioa axE not sufficient for
au ownership cb=ge.
•rrr�rrrrYrrrrwrYwrrrYtY�rrYYYrrrrrrrrrrrYYrrrrwYYrerrYrwrrwoYMrs4�YYrrr�r�rrYw�OYwYYYY�rrwrrrYYYrr•
The mrt&cabwns below must be completed and ugued by bait , the pemit bolder prwf to the change, and the new
appli0=t in the case of am ownarft chmige request. For a Dmut Ch=ge request, the sizoed Applicant's CCrWication
is sufficisux.
PER11�E CERTMUMON (J'et-►rrit holder prior 10 owners!:o chome').
_ Sorest that this application for a unwrJownexsiup
change has beenxaviexved and is acemate and Muplete t the best Of my laaoFwledge. l undat:ttxud ttcat if all recPxire
Pals of tb►is application are not completed and that if sll required Supporting Wbrxx�ion is not included, this
application package win be retumed as incom lm-
Ga►x►tro eke ire cu-'% cs us pro
-.--
.APPLICP1tiT CrjtTIpTCA,nOiv:
b � ,sues# tbxt r3us &pplicaaan f,,* e. namah6waersbip
I, ._. • ._.....�________'—" change has been reviewed and is acctua#e and complete to The best of Lacy lomowiedgee I unders�d that if ail r�uired
� is not included, then
Pam of this applicadon are not completed and tinst if all zea supporting
appl- aeltttge -% x* be tumexi M incomplete.
r����rrrr•►O�.Mlrr•
I'L' EASE Sy,,ND TH. E COMPLETE APPI.iCATION PACKAGE TO:
Division of Watez Quality
Surface Water Protection Section
1617 'bW ses'ice Colter
Raleigh, Nortb Carolina 27699.1617
ReYisre- 717 0Os

AMR kin 9rn9.A9AR T
A.
U.S. DEPARTMENT OF HOUSING & URBAN DEVELOPMENT
SETTLEMENT STATEMENT
B. TYPE OF LOAN:
1.OFHA 2.[]FmHA 3.[]X CONV. UNINS. <]VA 5.C)CONV. INS.
6. FILE NUMBER:
FOSE03TB
7. LOAN NUMBER:
8. MORTGAGE INS CASE NUMBER:
C. NOTE: This form Is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement spent are shown.
Items marked 7 Wr were paid outside the closing, they are shown here for Informational purposes and are not Included In the totals.
1.0 yes .PFW08MTan1h
D. NAME AND ADDRESS OF BORROWER:
DONALD G. FOSE. JR. and
KATHLEEN D. FOSE
3340 RICHLANDS HIGHWAY
E. NAME AND ADDRESS OF SELLER:
ROYCE D. GALYEN
F. NAME AND ADDRESS OF LENDER:
CENTRAL CAROLINA BANK
1979 EASTWOOD ROAD, STE 100
WILMINGTON. NC 25403
G. PROPERTY LOCATION:
3340 RICHLANDS HIGHWAY
ONSLOW County
H. SETTLEMENT AGENT: 26-0037248
WARLICK. MILSTEO & DOTSON
I. SETTLEMENT DATE:
September 10, 2003
PLACE OF SETTLEMENT
320 NEW BRIDGE ST.
JACKSONVILLE. NC 28540
J. SUMMARY OF BORROWER'S TRANSACTION
K. SUMMARY OF SELLER'S TRANSACTION
100. GROSS AMOUNT DUE FROM BORROWER:
400. GROSS AMOUNT DUE TO SELLER:
101. Contrad Sales Price
1,375.000.00
401. Contract Sales Price 1 375.000.00
102. Personal
402. Personal Property
103. Settlement Cha s to Borrower Line 1400
28 701.18
403.
104. PAYOFF ON REFINANCED PROPERITE to CAROLINA
212 774.41
404.
105.
405.
A ustments For Items Paid By Seller in advance
Adjustments For items Paid By Seffer in advance
106. CI own Taxes to
406. CI own Taxes to
107. Coup Taxes 09/11/03 to 01/01/04
2,803.20
407. County Taxes to 1
108. Assessments to
408. Assessments to
109.
409•
110.
410.
111.
411.
112.
412.
120. GROSS AMOUNT DUE FROM BORROWER
1,617.278.79
420. GROSS AMOUNT DUE TO SELLER I 1,375,000.00
200. AMOUNTS PAID BY OR IN BEHALF OF BORROWER:
500. REDUCTIONS IN AMOUNT DUE TO SELLER:
201. Deposit or earnest MM
25 000.00
501. Excess Deposit See Instructions
202. PdndEg Amount of New Loans
1 386 000.00
502. Settlement Charges to Seller Line 1400
85.350.00
203. Existing loans taken sublect to
503. Existing loans taken subject to
204.
504. Payoff of first Mortgage to COOPERATIVE BANK
401.471.49
205. SECOND MORTGAGE V24fA 010J,0a
132 500.00
505. Payoff of second Mortgage to MARY E. HIN ON
100,000.00
206.
506.
207.
507. (Deposit disb. asproceeds)
208.
508.
209. CREDIT FOR SECURITY DEPOSITS
10 350.00
509. CREDIT FOR SECURITY DEPOSITS
10.350.00
uatmeMs For Items Unpaid Seller
Ad ustments For Items Unpaid By Seller
210. City/Town Taxes to
510. CI !Town Taxes to
211. County Taxes to
511. County Taxes 01/01/03 to 09111/03 i 6.332.23
212. Assessments to
512. Assessments to
213. CREDIT FOR RENTS
11 719.33
513. CREDIT FOR RENTS
11 719.33
214.
514.
215.
515.
216.
516.
217.
517. REMAINING PAYOFF TO HINSON to WARLICK MILSl
132,500 00
218.
518.
219.
519.
220. TOTAL PAID BY/FOR BORROWER
1.565,669.33
520. TOTAL REDUCTION AMOUNT DUE SELLER
747.723.05
300. CASH AT SETTLEMENT FROMITO BORROWER:
800. CASH AT SETTLEMENT T01FROM SELLER:
301. Gross Amount Due From Borrower Una 120
1,617.278.79
801. Gross Amount Due To Seller Line 420 11.375.000 00
302. Leas Amount Paid ByfFor Borrower Line 220
( 1.565.569.33
602. Less Reductions Due Seller Line 520 ( 747.723.0
303, CASH( X FROM) ( TO) BORROWER
51.709.46
603. CASH ( X TO) ( FROM) SELLER 627.276.95
The undersigned hereby acknowledge moetpt of a completed copy of pages 1 &2 of this statement 3 any attachments referred to herein.
I HAVE CAREFULLAA�F
HUD-1 SETTLEMENT STATEMENT AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, IT IS A TRUE AND
ACCURATE STATC IPTS AN ISBURSEMENTS MADE ON MY ACCOUNT OR BY MEIN IS TRANSACTION. I FURTHER CERTIFY
THAT I HAVE RECE�! ETTLE ENT STATEMENT.
Qormwer Seller
, J ROYCE D. GALYISK
THLE D. FOSE
TO THE BEST OF KNOWLEDGE. THE HUD-1 SETTLEMENT STATEMENT WHICH I HAVE PREPARED IS A TRUE AND ACCURATE ACCOUNT OF THE
FUNDS WHICH WERE I MEIVEDAND H VE BEEN OR W SBURSED BY THE UNDERSIGNED AS PART OF THE SETTLEMENT OF THIS
TRANSACTION.
ettlemen Agent
WARNING: IT 13 A CRIME TO KNOWINGLY MAKE FALSE STATEMENTS TO THE UNITED STATES ON THIS OR ANY SIMILAR FORM. PENALTIES UPON
CONVICTION CAN INCLUDE A FINE AND IMPRISONMENT. FOR DETAILS SEE: TITLE 18 U.S. CODE SECTION 1001 3 SECTION 1010.

NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic waste ters';L-.p41yYD:~:
Mail the complete
N. C. Department application to: �� _
p nt of Environment and Natural Resources ! G C 1
Division of Water Quality / NPDES Unit
1617 Mail Service Center, Raleigh, NC 27699-1617
NPDES Permit: NCOO -11-7 e
If you are completing this form in computer use the TAB key or the up - down arrows to move from one
field to the next. To check the boxes, click your mouse on top of the box. Otherwise, please print or type.
1. Contact Information:
Owner Name
Facility Name Allovs-00-i
�� S
Mailing Address 33 A Cy 449i�4S
city
State / Zip Code
Telephone Number
Fax Number
e-mail Address
2. Location of facility producing disc arge:
Check here if same address as above
Street Address or State Road
City
State / Zip Code
County
3. Operator Information:
Name of the firms public organization or other entity that operates the facility. (Note that this is not
referring to the Operator in Responsible Charge or ORC)
Name k4s "* n/ o Z 2,��.�� -') •
Mailing Address - �� a
city
State / Zip Code
Telephone Number
Fax Number
1 of 2
Form-0 4/05

• • NPDES APPLICATION - FORM D
For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
4. Description of wastewater:
Facility Generating Wastewater(check all that applyft
Industrial
❑
Number of Employees
Commercial
❑
Number of Employees '
Residential
®
Number of Homes
School
❑
Number of Students/ Staff
Other
❑
Explain:
Describe the source(s) of wastewater (example: subdivision, mobile home park, shopping centers,
restaurants, etc.):
you �
Population served:
5. Type of collection system
R Separate (sanitary sewer only) ❑ Combined (storm sewer and sanitary sewer)
b. Outfall Information:
Number of separate discharge points
Outfall Identification number(s)
Is the outfall equipped with a diffuser? ❑ Yes No
7. Name of receiving stream(s) (Provide a map showing the exact location of each outfaIl}:
8. Frequency of Discharge: Continuous ❑ Intermittent
If intermittent:
Days per week discharge occurs• OA'V S Duration:
9. Describe the treatment system
List all installed components, including capacities, provide design removal for BOD, TSS, nitrogen and
phosphorus. If the space provided is not sufficient, attach the description of the treatment system in a
separate sheet of paper. / C L N Q,CA,J
p� c G. `7 Jr 7^-7 • v
r .9
'4P
Oe&A.-,
.
T
00
p � 7e,4, c. ICo� �Naws
2of2
Form-D 4105

• NPDES APPLICATION - FORM D
• For privately owned treatment systems treating 100% domestic wastewaters <1.0 MGD
10. Flow Information:
Treatment Plant Design flow .D I MGD
Annual Average daily flow - 0 / D MGD (for the previous 3 years)
Maximum daily flow Q • D / MGD (for the previous 3 years)
11. Is this facility located on Indian country?
❑ Yes [X No
12. Effluent Data
Provide data for the parameters listed. Fecal Coliform, Temperature and pH shall be grab samples, for all other
parameters 24-hour composite sampling shall be used. If more than one analysis is reported, report daily maximum
and monthly average. If only one analysis is reported, report as daily maximum.
Parameter
Daily
Maximum
Monthly
Average
Units of
Measurement
Biochemical Oxygen Demand (BODs)
Fecal Coliform
, 5 L L.
yo a 1 o 6! M L
$. D r4q1L
20n is o rn t
3D.0 I+• ti.
L
rv, L
Total Suspended Solids
y 5, p � �
Temperature (Summer)
Temperature (Winter)
a
pH
„7F
23. List all permits, construction approvals and/or applications:
Type Permit Number Type
Hazardous Waste (RCRA) NESHAPS (CAA)
UIC (SDWA) Ocean Dumping (MPRSA)
NPDES NCDD71 '7 d {� Dredge or fill (Section 404 or CWA)
PSD (CAA) Other
Non -attainment program (CAA)
14. APPLICANT CERTIFICATION
Permit Number
WnKly
weekly
WecKly
m3y
I certify that I am familiar with the information contained in the application and that to the
best of my knowledge and belief such information is true, complete, and accurate.
Ze.-oa'IA 0 L_�_n ne -y-
Printed galfifi of Person Signing
of Applicant
Title
Date
,p;--0,6
North Carolina General Statute 143-215.6 (b)(2) states: Any person who knowingly makes any false statement
representation, or certification in any application, record, report, plan, or other document files or required to be
maintained under Article 21 or regulations of the Environmental Management Commission implementing that
Article, or who falsifies, tampers with, or knowly 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.)
3 of 3 Form-D 4/05

This facility Hinson Arms Apartment is requesting renewal of our permit. There have
been one change sense the last permit was issued. Hinson Arms Apartm nts was sold by
John Molko and now is owned by Donald Fose. There hasn't been any c an ges t e
sewage treatment plant.

Sludge management plan for Hinson Arms Apartments is as follows. All the sludge
generated at Hinson Arms Apartments is handled and disposed with Scientific Water and
Sewage Company 910-346-6304 We waste about 9,000 gallonyear s dge. We lime
stabilize and have hauled off by Scientific Water and Sewage mp

". ,
FACT SHEET FOR EXPEDITED PERMIT RENEWALS
Basic Information to determine potential for expedited permit renewal
Reviewer/Date
t- v tAl2 P AJ1
Permit Number
AI C ou 7170 (,
Facility Name
ff lNsoN pR.1H
Basin Name/Sub-basin number
W 0-(-r oA- ¢C
Receiving Stream
T /Vew lit ve r
Stream Classification in Permit
_ N
Does permit need NH3 limits?
Does permit need TRC limits?
s
Does permit have toxicity testing?
iv o
Does permit have Special Conditions?
N J
Does permit have instream monitoring?
iC-S
Is the stream impaired (on 303 d list)?
Any obvious compliance concerns?
See 41e-
Any permit mods since last permit?
"d
Existing expiration date
to - 30 - v
New expiration date
6 - 3v - / 2
New permit effective date
8 -1- U 7
Miscellaneous Comments
YES_/ This is a SIMPLE EXPEDITED permit renewal (administrative
renewal with no changes, or only minor changes such as TRC, NH3,
name/ownership changes). Include conventional WTPs in this group.
YES_ This is a MORE COMPLEX EXPEDITED permit renewal (includes
Special Conditions (such as EAA, Wastewater Management Plan), 303(d)
listed, toxicity testing, instream monitoring, compliance concerns, phased
limits). Basin Coordinator to make case -by -case decision.
NO in_ This permit CANNOT BE EXPEDITED for one of the following reasons:
• Major Facility (municipal/industrial)
• Minor Municipals with pretreatment program
• Minor Industrials subject to Fed Effluent Guidelines (lb/day limits for BOD, TSS, .
etc)
• Limits based on reasonable potential analysis (metals, GW remediation organics)
• Permitted flow > 0.5 MGD (requires full Fact Sheet)
• Permits determined by Basin Coordinator to be outside expedited process
TB Version 8/18/2006 (NPDES Server/Current Versions/Expedited Fact Sheet)