NCG550469_Renewal (Application)_20180112

Water Resources
ENWROHMENTAL QUALITY
January 12, 2018
Timothy Robbins
Timothy Lee Robbins
2043 Piney Mountain Rd
Walnut Cove, NC 27052
Subject: Permit Renewal
Application No. NCGSS0469
2043 Piney Mountain Road
Stokes County
Dear Applicant:
ROY COOPER
Gmymar
11ICHAEL S- BEGAN
swretwy
LINDA CULPEPPER
lnterhn D&ea r
RECEIVED
FEB 01 2018
rE NTRAL FILES
DW% SECTION
The Water Quality Permitting Section acknowledges the December 18, 2017 receipt of your permit renewal application
and supporting documentation. Your application will be assigned to a permit writer within the Section's NPDES WW
permitting branch. Per G.S. 1506-3 your current permit does not expire until permit decision on the application is made.
Continuation of the current permit is contingent on timely and sufficient application for renewal of the current permit.
The permit writer will contact you if additional information is required to complete your permit renewal. Please respond
in a timely manner to requests for additional information necessary to allow a complete review of the application and
renewal of the permit.
Information regarding the status of your renewal application can be found online using the Department of Environmental
Quality's Environmental Application Tracker at:
https://deq. nc.gov/permits-regulations/permit-guidance/environmental-application-tracker
If you have any additional questions about the permit, please contact the primary reviewer of the application using the
links available within the Application Tracker.
Sincerely,
Rewo
Wren TheOord
Administrative Assistant
Water Quality Permitting Section
cc: Central Files w/application
ec: WQPS Laserfiche File w/application
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, North Carolina 27699-1617
919-807-6300

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e is tttaa X tsing tanr
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llmnary sand filter Second"Y sand filter 1:e€�rcttlattq- sand filter(s)
U1'Chformattort Other form of disanfectnz;:
o,at Aeration ospec,Ax e,'
For neiv or 1woposed systems only - Please address the Feasibility: of alterratives to discharging for the
lollowing options W rhe gayer tetter for this applicatiom
JF,valuafto a iequrted by lw i �* ? I' t ' 1 and Ii�-_ X3211 _QlQi L ?�
a) Comie Lion to a Regionalor Marmotpal e,verCe llecttutt y tear.
1-,0 Drier from local or err niv health department describing the suitability or non sa to slaty of the saw for all V/pe" of
N�asAvwarer ground adsorption and innovatwe s}stem%. Document the repair potentuil of the failed
s;t sait'a-z
cl Land Application trach rs spray ir;ig ,tion ordrip arrlgatmn
e€civirag waste a agtaaretl t � 1 _ ft 6 u ft i £5 ?
,I) 'What js the name of the body or bead€c� cif ,�,�afer (czeek, ssreatn, river, flake, eta:_) haat the facilln, wistevititer
in, I'lse uppiitatjon must hielu& the following or it wilt be tanned, as a ccr ed by .! � �,.� f, �k�hl_.� �£ x
a} F0 f eett'f)CV, gjrC.`k lace.
J M ort alal letter and nvo (i) copy rcquest€r, coves age uz,&x NCC5==00M
't% sfgr d and copiipleted original and one copy of this otxe of Intent Application.
l 1 chtcf< or r nney ord c for the r anis Tee cif 60 00 ; mrs � � � i�� •m 3 L1�1 rade paya b lc ro NCD E N It
Inyv;re sh ittg that site septic wqk hie bezn latuq r d and ser-Niced wathm the s`ist 12 moutfis torlly pla t
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existnig 4ernco iank will be :*epi).
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WC55000ONew Application
3 or proposed,facifffie� must also include
lk�tter from til c l health department »valuathag the proposed site fer all typ's Of , rc�� ad a%:.c�rptio�s andw. h`a uvaIuv;` non -discharge sy5;.cvns. Documen, tht repair potential of ,hc failed sYsteres.
'C] ofc€allnecticsn to a rc tb ztal savvier sycLeau (apprMir)zaM dlit-,Irct & e0st to ConlleCtl
[:3 j-c,�ide a 7QIo flow estinige a: ih,� propowd vaVewatcl 41"wharge pornt from the US Csn01091ca' surer t91')-
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"l lar sets of phin�, and °spec if"�-lur-T6 is ��{as�rc cl h> 1 � � �.t� A� t� 97 is a 3 t) Of pr�rjc,-cd tre€�t er�i
I'ernait Apphc;at)�)ta (-hec U; -f Ind DzS,27r C'racria for Single 'anal .; isehW a)
t;��:t9aoc shovatar? that the s ptic tarsi. lamb � pzraapecf and seactced witl1h, tits last £ raandis WuiY a:ca
,,js!Tjaazseptic wxik will be u ---d)
Additional ApPEL,,t;W- ` 4kgtasrLnneratia
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j if dais applica ion is lie ina�;submitted b3 a consaltM," w ay=i cmr fc r eta an rirt firm), tappli
s?c�cuaaa ratatz+ as frnsrc (he applicant sho�xriit tliat f110 ongine r (or firm) Sabrnitting time application has
bero dnss nat d eat authorized Rept oratati�` cad the appla�taaatz p, , , QLj i)21lI .�? �:> (b)L �
b9 If dais tapp6ioatiotr is fs ir� sza r itfod i °; a �3artst€8tssr t. itak o, {c.,r e.agl erns Finn), firattl plans Liar ih�
treatment system must be signed and Sealedaled b5 a North Carolina registered
tatraped "Final l )cSiTl - Not released for cc�sastr>aciis�a�.'` per
} if tkai. aypfsticati , a is ixa -iubmitted by a c o asultin cngineol (car eragtr Qeriaa etam0, fin:ai pccafic ac}aa
for alk ma)or Ueavinelli 00111f;onel t must be sagsard and Sealed by a North Carolina rogister'cd
E iitrt ( s )sae eL and shall include a uarrats� c description rtpfis�r) on t o treatment sy��a�a l»
construcreda p"r j?, N;; t)a rl a9,
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NCG550000 ger ApplicatiOn
CERTIFICATION
I i,C afv that atm'Ian that with t mfomiatwo �,ontx i in ttsf5 aPPli "nu anti teat to tha e t f lY
�x1owledge aind belief;,ueh it; bnix ttoii i,,; true, complete, and accuxale
'trinkted haunt of Person igpni ;
Title. m 9 . �~y
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'Date si ;nedr
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docu#nert fief �d reaulred to 1,e ii agritavle i .3,a"m Tl z;apt==`7 ..n x °'�'°' ` iR°�,� �:�8^ r�ith`"`�� oraStht'x '�IELd4fP#b �g' i'$'tra s �aisO
st a 'tnettt rs` a t;iatenat 'SECt in a rui`'I at�mtr r`�rrc� mac, s ., �� c „'�=a2*:� -u.r ur`war 0 S ftr`rae, �: V4hc #alsjfres, iar'rrpwf3 h �r
knownrilly rAand l roam irate any tf"w0jIg n'ia f Cry sar<,+ a ka r4r; :a`i�', 9'9 to tM nnar1l,�,d Cf3 t#I ta(t£ iiit titin Ji EiC3'
or Eu'e3 at th,- C: mrnssion irrplerneriliY y t° s A ,, "o of cl 2 anisdarnate- which may mctude a `rte rice, tD
Pxcaed ten ttrougaa,� dal€ars (SI 0,003j �,-4 U e1 " A;. _: q- A of its,irnent %y a tine or u`r*prr onmeet nt more than 5
}aarb orbulh, for a Sar Iar afterise
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N aii t1jis application and one _copy of the mtire package ( tt a izec ) tu-
.NC DENR !()WR 'W,11ut ��us�kttN� Pet -milting Section
16-1-1 I4riati '$er ice C', tnl r
Ralci&h, Ni-,)tths Cai°ofina 27699-1617
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ULO-'P 'Fite, Rul:' i,��qiv oaf this dux U lent duos not gigramm the issuance of on -NF4 Permit
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'July 10, 2017
Lee Robbins -
2043 Piney Mountain Rd
Walnut Cove, NC 27052
Sub,wct,_ Cornplianca Evaluation Inspection
Perniftlee: Timothy Lee Robbins', Owner
`Faciliti, 2043 Piney Mountain Rd. Walnut Cove, NC 27052
Permit., NCG550000 General Wastewater Permit
Certificate of Coverage: NGG550469
Stokes County
Dem Mt. Robbins:'
I Justin Henderson, of the Winsion Salem Ofliii�4e (VVSR0) of the NC Division of -Water Resources
(DWR or the Division), conducted a compl,; nc, �,va'uation inspection of the single -farcy wastewater
systern at your residence on July 101 A)i 7, Ilh,- State sequins the Dimion to inspiect these types of
systems every five years,,An inspedflon repofl � attache f' for your records and the inspection findings
aro summarized below,
Z The system consists of a septic tank, filtravon unit, chlorination unit, and the discharge pipe, The entire
system appears to be in good operating order, There was no discharge at the time of the inspection and
you have not been taking samples of the effluent as required in the permit
3, The septic tank was last pumped approximately 5 years ago, however there were no receipts available
for review, per you during this inspection. Peanit Condition Part I (Operations and Vainteriande)
staf�s that s6ptic tank shall be pumped out every five years or when the solids level is found to'be moP4
than 1/3 -of the liquid depth in any compartment, whichever is greater
You have been adding chlorine tablets as needed to the chlorinator unit. The unitappears to be in -good
condition. howe"r, you are not using the correct type of chlorine, The chlorine your usin wnded
for use in swimming pools, not for Wastewater treatment, You should acquire wastewater grade chtorin;e,
ou oi. ,
Aabfets. Please refer to chlorine technical information, provided -to ydudrigtheirispration
The permit fees of $60 per year have been paid annually as required and your permit is active and Up lo`'
date,7 Nease'U advised that the dUrnfrit permit will ekpire on July 31, 20%,please-s
ubmit, a real,
application priorAo t"ire subject %piration date. A renew; n h9`!,7,,r!*I4ded,wltfi s,
U

Failure, to pmpenyoperoe arid maintain'Piut wastewater system can result in expensive ropazrtosts is
well as failure of Ue, Systen to propedy trevt the wast"awater, it asp ars t, Qt your systearn !S we'I
if oIll letter or the NCG550000 general pernift, pleese don't hesitate
yu ha:ve any questions reagarding ;hip I
to contact us af 33V36 -98M
Sincerely,
-,,,�Sherri V,,Kqtgnt, P.E.
Regional Supervisor
Water Ouality Regional Operafla ris
Division of Water Resources
inspection Reoort
3C A.5 General Permit Renewal Applicaffan
ISRO roes
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bnidEwA Core NC 27052£Y
`2QARt r7 3r 1 Ikyt t
Nnnriats) of Omits arae! Fax Numtrar(s)
Omer Fac.btj oaw
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Meme AddMSS OlPew f?MC WrOWPhOne and parr Nl,Mber
t:t?t't�G'a�tS
3imorny Lee Robbns,1043 iiney Mounts' in Rd Walnut Coe NO 270521
No
,SesdQn 0. AreetS Evaraalted muting 3sss;a€coc<; ,,',�,�°rf: oriry those areas evatuated)
other
Section £), Surnrilanj of FindinglCcrrtrtrments (Atlaoh add,bosta3 shoat at narrative and checktaaia as necersary)
( e aLahm'ei t sailrnP arm)
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matt S Rur (a) of tttspwrw(sa) R c ylOffiWf lh me and Fax NUm
Date
JU40 $_ nondo'F. i j . C7 i%3 -€?Ci -£17 {11
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$A° ie r# i °' ,f i'*.+. Yl .;S#` T` 6 &W;M)Cft jpn:n ,%w Fa `f*# mbM
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EPA Form Pica- ; 014V q -9d) P eqmn3 Obsoot <

impwWn Tire
17'
S*whon D "Sornmary pf JAIWO adMtmO shagS Of P-IrIVIVe end d*L4U$,trI a$
3cyst em appewed to be operating property
Por,
rdlee tablets (Ord' Sinfection. Chlorine informationke&iracal MfOrrtl3t=
me during ins ori
gv,,de pcovtdeud to Perm,!
Pe, rwtfev repatted thatrrionitordad never been done. Copy of corrent general permit provided to
Permitte-a during this inspection, expfajnng %rhat parameters are re ;erred to ,
frequenp-i required be testeo s awell as
here "Nero no records avallobe of septic tank PUmping dvrtng this jnspec�jori Permittee reportad
saztsc tank had been pomped,.vithin last 5 years Please retain all septic tank pumping reorifds (0, a
perk, -.4 of 5 years and Nrie avaifable for re'WeW Upon request by the Division
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NORTH CAROLINADEPARTMENT OF
ENVIRONMENTAL QU"
INVOICE
Annual Permit Fee
FNS aW)LIal fee :s r,? ulred by € a, North Carolina Adinl ntstr lube Cade It covers V,,e z.3t7r-nl str mi e costs assor"'aced with
your permit It is required of any person holding a Permit fogy any tirne ouring the annuai fee pencio, re ar less sof the faciir y s
or,,eratrr,g statu,, Fssiure t:� t,ay the tee by the Clue date #,,v�fl subject the perrnit to revoc itiorr Ciperstsng vsthout a vai'u
err -nit is a z,iclafion and is subiecr� to e 10 000 per day flr~e tithe Permit is revoked ar,d YOU later decide 3 pemmt °,S
,-seeded, you must reapply, with the undeistandsng the perms-, request may be demea due to charges m envi onment t
regJa'or°y ,.,f modelwg con ,tions
1€Y"'cisco Number 2013 7z'R007t)d8
aa7 P'SrrrlazrFee ra^cr
2012-E.a01! to 2lrt3-ile_�r-;
Permit Number, rvcr;
irivoice Date
C,8X t 017
3 201'- Pine,j�t'Yi.tr t[si3{i 'L�t�aC
"VO -3 t ,
7,t o ,ty ?ee F—i, i -s
Annual Fee
S60
;0,63 Flfney Mnu, ta-, Rd
,Jalnot Cove, NIC 1,152
d J ��
1 7
P
R U1
0
0
8 7�
FNS aW)LIal fee :s r,? ulred by € a, North Carolina Adinl ntstr lube Cade It covers V,,e z.3t7r-nl str mi e costs assor"'aced with
your permit It is required of any person holding a Permit fogy any tirne ouring the annuai fee pencio, re ar less sof the faciir y s
or,,eratrr,g statu,, Fssiure t:� t,ay the tee by the Clue date #,,v�fl subject the perrnit to revoc itiorr Ciperstsng vsthout a vai'u
err -nit is a z,iclafion and is subiecr� to e 10 000 per day flr~e tithe Permit is revoked ar,d YOU later decide 3 pemmt °,S
,-seeded, you must reapply, with the undeistandsng the perms-, request may be demea due to charges m envi onment t
regJa'or°y ,.,f modelwg con ,tions
1€Y"'cisco Number 2013 7z'R007t)d8
aa7 P'SrrrlazrFee ra^cr
2012-E.a01! to 2lrt3-ile_�r-;
Permit Number, rvcr;
irivoice Date
C,8X t 017
3 201'- Pine,j�t'Yi.tr t[si3{i 'L�t�aC
"VO -3 t ,
7,t o ,ty ?ee F—i, i -s
Annual Fee
S60
;0,63 Flfney Mnu, ta-, Rd
,Jalnot Cove, NIC 1,152
d J ��
You may my ae,ther by rna ;I mO gcher s moriey order OR by elprtronic Saar ,Trlent feChe&
or Credit C-�4rcfl
rri p.; vmr:f r 1"
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