NCG550079_Permit (Issuance)_20090325

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
March 25, 2009
Mr. Richard Townsend
1239 Pine Knolls Rd.
Kernersville, NC 27284
Subject: General Permit No. NCG550000
Authorization to Construct NCG550079
Richard Townsend
Forsyth County
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Dear Mr. Richard Townsend:
General Permit Coverage. A modified Certificate of Coverage is being issued to coincide with your
authorization to construct design flow of 360 gallons per day. Please consider the previous COC for 450 gpd
voided and maintain the modified COC on file. The Division is forwarding herewith the subject Certificate of
Coverage to discharge under the subject state-NPDES general permit. This permit 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 May 9, 1994 (or as subsequently amended).
The following information is included with your permit package:
• A copy of the Certificate of Coverage for your treatment facility
■ A copy of General Wastewater Discharge Permit NCG550000
• A copy of a Technical Bulletin for General Wastewater Discharge Permit NCG550000
• Engineer's Certification to be completed and returned.
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 of
Water Quality. The Division of Water Quality may require modification or revocation and reissuance of the
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 NorthCarolina
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org Naturally
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certificate of coverage. 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.
Authorization to Construct Permit. In accordance with your application for discharge, the Division is also
authorizing the construction of a 360 GPD wastewater treatment system consisting of one 1000 gallon septic
tank with effluent filter, primary and secondary filters, a tablet chlorinator, and a 330 gallon chlorine contact
tank followed by tablet dechlorination. The treated wastewaters are to be discharged onto a 2 ft. x 6 ft. aeration
pad to receiving waters designated as an unnamed tributary to Belews Creek, a class C water, in the Roanoke
River Basin. All elbow piping must be of the long sweeping type. All cleanouts are to be housed in meter boxes
below the surface. This system must be at least 10 feet from the dwelling and property lines and at least 100
feet from water supply wells on and off the site. The dechlorinator unit shall be labeled "dechlorination only".
All samples should be taken at the point of discharge and prior to its mixing with any other wastestream, body
of water, or substance.
This Authorization to Construct permit is issued in accordance with Part III, Paragraph 2 of NPDES Permit No.
NCG550000, and shall be subject to revocation unless the wastewater treatment facilities are constructed in
accordance with the conditions and limitations specified in Permit No. NCG550000. 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. .Failure to abide by the requirements
contained in this Authorization to Construct may subject the Permittee to an enforcement action by the Division
of Water Quality in accordance with North Carolina General Statute 143-215.6A to 143-215.6C.
The Winston Salem Regional Office, telephone number 336-771-5000, shall be notified at least forty-eight
(48) hours in advance of operation of the installed facilities so that an in-place inspection can be made.
Such notification to the Surface Water Protection regional supervisor shall be made during the normal
office hours from 8:00 a.m. until 5:00 p.m. on Monday through Friday, excluding State Holidays.
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Upon completion of construction and prior to operation of this permitted facility, an Engineer's Certification
must be received certifying that the permitted facility has been installed in accordance with the NPDES Permit,
the Certificate of Coverage, this Authorization to Construct and the approved plans and specifications. A
leakage test shall be performed on the septic tank and dosing tank to insure that any exfiltration occurs at a rate
which does not exceed twenty (20) gallons per twenty-four (24) hour per 1,000 gallons of tank capacity. The
Engineer's Certification will serve as proof of compliance with this condition. Mail the completed Engineer's
Certification to the NPDES Unit, 1617 Mail Service Center, Raleigh,NC 27699-1617.
A copy of the approved plans and specifications shall be maintained on file by the Permittee for the life of the
facility. By July 1, 2009, sample the treated effluent for all parameters of your NCG550000 General Permit and
1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One Location:512 N.Salisbury St.Raleigh,North Carolina 27604 NorthCaro11na
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748 Naturally
Internet:ww ('Vw.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer

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send the analysis to Rose Pruitt,NCDENR, Winston Salem Regional Office, Surface Water Protection, 585
Waughtown Street, Winston-Salem, NC 27107.
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NPDES Permit Contact. If you have any questions concerning the requirements of this permit, please contact
Julie Grzyb at telephone number 919/807-6389.
Sincerely,
4141 6444
for Coleen H. Sullins
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cc: Central Files
'1113Ermi.t,F117eg
Winston-Salem Regional Office, Surface•Water Protection (plans and COC)
Forsyth County Health Department(COC)
Stephen Auffinger, P.E., ASG Engineering (plans and COC)
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1617 Mail Service Center,Raleigh,North Carolina 27699-1617 One
Location:512 N.Salisbury St.Raleigh,North Carolina 27604 NorthCarolina
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748
Internet:www.ncwaterquality.org Naturally
An Equal Opportunity\Affirmative Action Employer

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STATE OF NORTH CAROLINA
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DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
CERTIFICATE OF COVERAGE NCG550079
GENERAL PERMIT NO. NCG550000
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TO DISCHARGE DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES 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,
Richard D. Townsend
is hereby authorized to discharge treated domestic wastewater [360 GPD] from a facility located at
1239 Pine Knolls Road
Kernersville
Forsyth County
to receiving waters designated as an unnamed tributary to Belews Creek in subbasin 03-02-01 of the Roanoke River Basin
in accordance with the effluent limitations,monitoring requirements, and other conditions set forth in Parts I, II,III and IV
of General Permit NCG550000 as attached.
This certificate of coverage shall become effective April 1,2009
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day March 25,2009
een H. Sullins,Director
' Division of Water Quality
By Authority of the Environmental Management Commission
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1617 Mail Service Center,Raleigh,North Carolina 27699-1617
Location:512 N.Salisbury St Raleigh,North Carolina 27604 NorthCarolina
Phone:[phone]\FAX:[phone]\Customer Service:1-877-623-6748 ��tu�����
Internet:www.ncwaterquality.org
An Equal Opportunity\Affirmative Action Employer