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HomeMy WebLinkAboutNCG020313_COMPLETE FILE - HISTORICAL_20170118STORMWATER DIVISION CODING SHEET NCG PERMITS PERMIT NO. DOC TYPE VHISTORICAL FILE ❑ MONITORING REPORTS DOC DATE ❑ (/7, �I� V I I D YYYYMMDD 0 1 Analytical Results Hammill Construction Co., Inc. 5051 St. Stephens Church Rd Gold Hill, NC 28071 Receive Date: 05/18/2016 Reported: 05/25/2016 For: Stormwater Comments: 1�c;c-oao3�3 RECEIVED JAN 18 2017 CENTRAL FILES DWR SECTION Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 160518-26-01 Settleable Solids Kluttz#1 0.1 ml/L SM2540E-1997 05/19/2016 MD 160518-26-01 TSS Kluttz#1 22.5 mg/L SM2540D-1997 05/18/2016 CR 160518-26-01 Turbidity Kluttz#1 10 NTU EPA 180.1 05/18/2016 MD 160518-26-02 Settleable Solids Kluttz#2 0.1 ml/L SM254OF-1997 05/19/2016 MD 160518-26-02 TSS Kluttz#2 6.267 mg/L SM254OD-1997 05/18/2016 CR 160518-26-02 Turbidity Kluttz#2 5 NTU EPA 180.1 '05/18/2016 MD 160518-26-03 Settleable Solids Zion 0.1 ml/L SM2540E-1997 05/19/2016 MD 160518-26-03 TSS Zion 6.974 mg/L SM254OD-1997 05/18/2016 CR 160518-26-03 Turbidity Zion 5 NTU EPA 180.1 05/18/2016 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cent #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 2 Condition of Receipt Sample Number 160518-26-01 Temp on Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: Turbidity Received on Ice Sample Number 160518-26-02 Temp on Arrival: 3 Parameter Schedule: TSS Received on Ice Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: Turbidity Received on Ice Sample Number 160518-26-03 Temp on Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: Turbidity Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 2 Client: STATESVILLE ANALYTICAL. 122 court Strcct • P.o. Box M - Statesville, NC 28687 (704) 872-469; AdWess: " s '<— `" , { �_ 4 l : ~ i _> x�C f Contact Person: ,; i Phone # .,�""?'- a �•'s 1 FAX# Chain -of Custody Record PO # Requisitioned by: (Time Date) Customer Sample IN Lab -ID q Time Sampled (Grab Only) Date Sampled (Grab Only)) a Matrix Paiameters requested for analysis swdaa w ww t ' , 3. ^r1 �' f . ! �ls ^� �''" / u_ Relinquished by: ~ _�----- f ~. Time NO am, pm Date `� l Z1 Sampled by: , Received by: ..{ -- Time ,%lJ am, pm Date � lM Transported by: Relinquished by: Time am, pm Date Molding times met: Received by: Time -. am, pm' Date Compliance work: Composite Sampling #1: Time begin ' am, pm Date _J�1� Non-compliance work: . Time end am, pm Date �1�/_ Lab Comments: Composite Sampling #2: _ Time begin - ram, pm Date Time end am, pm Date / 1_ J Analytical Results Hammill Construction Co., Inc. 5051 St. Stephens Church Rd Gold Hill, NC 28071 Receive Date: 12/19/2016 Reported: 12/28/2016 For: Kluttz Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 161219-18-01 Settleable Solids Kluttz 1 <0.1 mill- SM254OF-1997 12/20/2016 WC 161219-18-01 TSS Kluttz 1 <3.226 mg/L sM254DD-1997 12/22/2016 CR 161219-18-01 Turbidity Kluttz 1 1.3 NTU EPA180.1 12/20/2016 MD 161219-18-02 Settleable Solids Kluttz 2 <0.1 ml/L SM254CF-1997 12/20/2016 WC 161219-18-02 TSS Kluttz 2 6.615 mg/L SM254OD-1997 12/22/2016 CR 161219-18-02 Turbidity Kluttz 2 8.4 NTU EPA180.1 12/20/2016 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Sample Number 161219-18-01 Temp on Arrival: 3 Parameter Schedule: TSS Received on Ice Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: Turbidity Received on Ice Sample Number 161219-18-02 Temp on Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: Turbidity Received on ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Client: ' °,. .% CO ^� n C- . iTATESViLLE ANALYTICAL 122 Coon Srrcct • P-O. Box 228 _ti Addross: ( �Q S� . C—� J L tC r�� Slalesvilk, NC 28687 (704) 8724647 rS,Q�I� ( Go l [� t't ._ Contact Person: aI l PhoneQY ( Chain of PO k Requisitioned by: tT+^e Dale) Custody Record Customor Sample IDM LaDID a Time sampled Grab Only) Oara Sampled (Grab On) Matrix Parameters regaesled for aneysia -K l - ' I 5-1i9 755 I J d,4 c-, J( %� Relinquished by: \ Time a pm Date 7� Sampled by: 0411 Received by: � Time 7 ] �• am pm Date 71 Transported by: 1� Relinquished by: Time am, pm Date _!—j_ holding times met: Received by: Time am, pm Date `l�I� Compliance work: Composite Sampling M. Time begin am, pm Date _I_I_ Non-compliance work: Time end am, pm Date iJ_—J____ Lab Cammenls: Composite 5ampiing # Time begin am, pm Date Time end am, pm Date h 00 to tb N u z Q 07 CIO N N X O m O a rhC9-oa 0313 2-a 1 5- Analytical Results Y Hammill Construction Co., Inc. 5051 St. Stephens Church Rd Gold Hill, NC 28071 Receive Date: 06/04/2015 Reported: 06/10/2015 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 150604-21-01 pH Kluttz #1 6.86 Std. Units SM4500HB-2000 06/04/2015 MD 150604-21-01 Settleable Solids Kluttz#1 0.1 ml/L SM2540E-1997 06/04/2015 MD 150604-21-01 TSS Kluttz #1 35.5 mg/L SM2540D-1997 06/05/2015 WL 150604-21-01 Turbidity Kluttz #1 40 NTU EPA 180.1 06/05/2015 MD 150604-21-02 pH Kluttz #2 6.62 Std. Units SM4500HB-2000 06/04/2015 MD 150604-21-02 Settleable Solids Kluttz #2 0.1 ml/L SM2540E-1997 06/04/2015 MD 150604-21-02 TSS Kluttz #2 36.5 mg/L SM2540D-1997 06/05/2015 WL 150604-21-02 Turbidity Kluttz #2 42 NTU EPA 180.1 06/05/2015 MD 150604-21-03 pH Zion 7.01 Std. Units SM4500HB-2000 06/04/2015 MD 150604-21-03 Settleable Solids Zion 0.1 mill- SM2540E-1997 06/04/2015 MD 150604-21-03 TSS Zion 35.25 mg/L SM254OD-1997 06/05/2015 WL 150604-21-03 Turbidity Zion 50 NTU EPA 180.1 06/05/2015 MD Respectfully submitted, Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Temp on Sample Number 150604-21-01 Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: pH Received on Ice Parameter Schedule: Turbidity Received on Ice Temp on Sample Number 150604-21-02 Arrival: 3 Parameter Schedule: TSS Received on Ice Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: pH Received on Ice Parameter Schedule: Turbidity Received on Ice Temp on Sample Number 150604-21-03 Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: pH Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 Parameter Schedule: Turbidity Received on Ice PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 3 of 3 Client: , r ,` 1 If C-O ti.' it 1 C-.- ; O � ` Co �-- P o. n ✓* c 1 ^ STATESVILU ANALYTICAL 122 Court Street •'1i RO. Box 228 5twesville, NG 28687 (704) 872 A697 Chain of Custody Record Address:: ____ I �-, ( f �/� - -'U C L4 1 C " v e (d � - 1 l� /x- Contact Person:. �0. V ; � � ` Phone # � 7 "� FAX# PO # Requisitioned by: (Time Date) Customer Sample IDk Lab=ID k Time Sampled (Grab Only) Date Sampled (Grab Only) a CL Matrix Parameters requested for analysis si dge w / f a Q L/ r k 10 r71- IA s Relinquished by: r % W, Received by: / Relinquished by: Received by: �" Composite Sampling #1_ . Time"begin am, pm Date=/ /_ Time end am, pm Date _I_I_ Composite Sampling #2: . Time begin am+,pm Date .r�l�l Time end- am, pm Date ___ / _/� Time 4 am,,pm Date V / -Sampled by: Time 2' ZO am, Date 11 �S Transported by: Time am, pm Date Holding times met: Time am, pm Date Complianbe work: . Non-compliance work: Lab Comments: Analytical Results Hammill Construction Co., Inc. 5051 St. Stephens Church Rd Gold Hill, NC 28071 Receive Date: 12117/2015 Reported: 12/22/2015 For: Stormwater Comments: Sample Number Parameter Sample ID Result Unit Method Analyzed Analyst 151217-19-01 pH Kluttzl 6.83 Std. Units SM4500HB-2000 12/17/2015 MD 151217-19-01 Settleable Solids Kluttzl 0.1 mI1L SM254OF-1997 12/18/2015 MD 151217-19-01 TSS Kluttzl 12.571 mglL SM254OD-1997 12/18/2015 WL 151217-19-01 Turbidity Kluttzl 9 NTU EPA 180.1 12/18/2015 MD 151217-19-02 pH Kluttzl 6.71 Std. Units SM4500HB-2000 12/17/2015 MD 151217-19-02 Settleable Solids Kluttzl 0.1 mI1L SM254OF-1997 12/18/2015 MD 151217-19-02 TSS Kluttzl 32.857 mglL SM254OD-1997 12/18/2015 WL 151217-19-02 Turbidity Kluttzl 30 NTU EPA 180.1 12/18/2015 MD 151217-19-03 pH Zion 6.75 Std. Units SM4500HB-2000 12/17/2015 MD 151217-19-03 Settleable Solids Zion 0.1 mi/L SM254OF-1997 12/18/2015 MD 151217-19-03 TSS Zion 22.25 mglL SM2540D-1997 12/18/2015 WL 151217-19-03 Turbidity Zion 20 NTU EPA 180.1 12/18/2015 MD Respectfully submitted, '0p.-WOL' J�t Dena Myers NC Cert #440, NCDW Cert #37755, EPA #NC00909 PO Box 228 • Statesville, NC 28687 • 704/872/4697 Page 1 of 3 Condition of Receipt Temp on Sample Number 151217-19-01 Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule: pH Received on Ice Parameter Schedule: Turbidity Received on Ice Temp on Sample Number 151217-19-02 Arrival: 3 Parameter Schedule: TSS Received on Ice Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: pH Received on Ice Parameter Schedule: Turbidity Received on Ice Temp on Sample Number 151217-19-03 Arrival: 3 Parameter Schedule: Settleable Solids Received on Ice Parameter Schedule: TSS Received on Ice Parameter Schedule! pH Received on Ice P4 Box 228 • Statesville, NC 28687 • 704/872/4697 Page 2 of 3 .74 Client: {•-s,; a'• °� - •...;� y j .._.�-^�^ 4� C� ,..;... •Mid t . S/x' :. �- '� a - STATFSVLLLI ANALYTICAL 122 Cour 'trot Box 228 Address: - n � i IL —^� f 1� iFf I 4 Swiesville, NC'.28687 • Y r �7D4} 872.4697 g • r �. W� *` \3 I , s r1 Contact Person: �.1 I -:� .CT: ~l ��� "" Phone #C #4yc a 0• Chain of 71�-530gFA[ Custody Record PO #t,y' '' Requisitioned by (rime + 1 Date)F Y w jT i ^s _ Customer 'Lab=iD k Time'Sar77pled Date Sampled-.,~w. _ r a ° - a E Matrix Parameters requested for analysis.: sia w ww Sample IDk :: (Grab only) (Grab Only) t ° r # :I:''!7-!q-UI' l to f.4—AX M. Relinquished by s ,' r Time,' am, pm Date` p. _ �- =:`'i �j 15 p Received by: V���t �t'"� Time am, Date�'12/ Transported;tj i Relin uished b , q y _ Time am, pm Dated Holding times s � ^ Received by: _ Time . am, pm Date —1� Camphance work: Composite Sam- plin4 #1: Time begin "am, pm Date _I_It Nan compl4ancework: Time end ' Y ` ` am pm Date Lab Comments:. Composite Sampling #2`. Time begin yam; pm Date _II_ „ Time end ' am pm Date .-. ;: ^r rYt� ra 7r -c. r 1 �. ;.:.- - � y?•'r� � i k`�r, '� ._•'s::�t3��ri=is-_ �...� .. __ - ... _ _ .xKr,� �Y�'rr;`r:..►.�.ws��.Stt�is.,,... _ .. ,....^T a_ _. o�0� w A r��,Q� G3 7 February 7, 2005 Hugh A Fisher Immanuel Lutheran Church 2070 Immanuel Church Rd Rockwell, NC 28138 Michael F. Easley. Governor William G. Ross Jr.. Secretary North Carolina Department of Environment and Natural RCSOnrces Alan W. Klimek, P.E. Director Division of Water Quality Subject: NPDES Stormwater Permit Coverage Renewal Immanuel Lutheran Church COC Number NCG020313 Cabarrus County Dear Permittee: In response to your renewal application for continued coverage under general permit NCG020000 the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. Please review the new permit to familiarize yourself with the changes in the reissued permit. The general permit authorizes discharges of stormwater and some types of wastewater. You must meet the provisions of the permit for the types of discharges present at your facility. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983. The following information is included with your permit package: • A new Certificate of Coverage • A copy of General Stormwater Permit NCG020000 • A copy of a Technical Bulletin for the general permit • Five copies of Discharge Monitoring Report (DMR) Forms - wastewater and stormwater • Five copies of Qualitative Monitoring Report Form Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law, rule, standard, ordinance, order, judgment, or decree. if you have any questions regarding this permit package please contact Bethany Georgoulias of the Central Office Stormwater Permitting Unit at (919) 733-5083, ext.529. Sincerely, I for Alan W. Klimek, P.E. 0'c D .. A cc: Central Files t V Stormwater & General Permits Unit Files Mooresville Regional Office fE8 2 ?n�5 ot` NhCarolina �`1�ntura!!y North Carolina Division of Water Quality 1617 Mail Service Center Raleigh, NC 27699-1617 Phone (919) 733-7015 Customer Scrvicc Internet h2o,enr.state.nc.us/su/stormwater.htmI 512 N. Salisbury St. Raleigh, NC 27604 FAX (919) 733-9612 1-877-623-6748 An Equal OpportunitylAffirmative Action Employer— 50% Recycled110% Post Consumer Paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020313 STORMWATER AND PROCESS WASTEWATER DISCHARGES 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, Immanuel Lutheran Church is hereby authorized to discharge stormwater and to operate treatment systems and discharges associated with mine dewatering wastewater and process wastewater from a facility located at Immanuel Lutheran Church Klutz Mine 11703 Sansbury Gold Hill Cabarrus County to receiving waters designated as Little Buffalo Creek, a class C. stream in the Yadkin -Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II, III, IV, V, and VI of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective February 7, 2005. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day February 7, 2005 for Alan W. Klimek, P.E., Director Division of Water Quality By Authority of the Environmental Management Commission State of Noah Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director December 17, 1999 HUGH A. FISHER IMMANUEL LUTHERAN CHRUCH 2070 IMMANUEL CHURCH ROAD ROCKWELL, NC 28138 rodikk • A IddAwabooddomamb mod NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Reissue - NPDES Stormwater Permit Immanuel Lutheran Chruch COC Number NCG020313 Cabarrus County Dear Permittee: In response to your renewal application for continued coverage under general permit NCG020000, the Division of Water Quality (DWQ) is forwarding herewith the reissued stormwater general permit. This permit is reissued pursuant to the requirements of North Carolina General Statute 143-215.1 and the Memorandum of Agreement between the state of North Carolina and the U.S. Environmental Protection Agency, dated December 6, 1983. The following information is included with your permit package: * A copy of general stormwater permit NCG020000 * Five copies of the Analytical Monitoring form and five copies of the Qualitative Monitoring form * A copy of a Technical Bulletin on this permit which outlines permit components and addresses frequently asked questions * A Certificate of Coverage for your facility * DWQ fee schedule Your coverage under this general permit is not transferable except after notice to DWQ. The Division may require modification or revocation and reissuance of the Certificate of Coverage. This permit does not affect the legal requirements to obtain other permits which may be required by DENR or relieve the permittee from responsibility for compliance with any other applicable federal, state, or local law rule, standard, ordinance, order, judgment, or decree. Please note that in 1998 Senate Bill 1366 established changes to the permit fee structure for DWQ permits effective January 1, 1999. This change requires that you pay an annual fee to assure continued coverage under this permit. You will be invoiced for this fee beginning next year. A copy of the current fee schedule is included with this letter. If you have any questions regarding this permit package please contact Tony Evans of the Central Office Stormwater and General Permits Unit at (919) 733-5083, ext. 584 Sincerely, for Kerr T. Stevens Director, Division of Water Quality cc_ Central Files Mooresville Regional Office 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 FAX 919-733-9919 An Equal Opportunity Affirmative Action Employer 50% recycled) 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY GENERAL PERMIT NO. NCG020000 CERTIFICATE OF COVERAGE No. NCG020313 STORMWATER AND PROCESS WASTEWATER DISCHARGES 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, IMMANUEL LUTHERAN CHRUCH is hereby authorized to discharge stormwater and to operate or continue operation of treatment systems and discharges associated with mine dewatering and process wastewater from a facility located at IMMANUEL LUTHERAN CHRUCH KLUTZ MINE/11703 SANSBURY RD. GOLD HILL CABARRUSCOUNTY to receiving waters designated as Little Buffalo Creek in the Yadkin - Pee Dee River Basin in accordance with the effluent limitations, monitoring requirements. and other conditions set forth in Parts I,1I, III, IV, V, and VI of General Permit No. NCG020000 as attached. This certificate of coverage shall become effective December 17, 1999. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Signed this day December 17, 1999. for Kerr T. Stevens, Director Division of Water Quality By Authority of the Environmental Management Commission State of North Carolina Department of Environment, Health and Natural Resources.:.:. Division of Environmental Managemer'W' � �' `�� James B. Hunt, Jr., Governor W� Jonathan B. Howes, Secretary ffW Of woo A. Preston Howard, Jr., P.E., Director §oallEs LI WWA ON Immanuel Lutheran Chruch 2070 Immanuel Chruch Rd Rockwell, INC 28138 September 22, 1995 Subject: General Permit No. NCG020000 Immanuel Lutheran Chruch COC NCG020313 Cabarrus County In accordance with your application for discharge permit received on August 9, 1995, we are 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 Statute 143-215 _1 and the Memorandum of Aareernent between North Carolina and the US Environmental Protection agency dated December 6, 1983. If any parts, measurement frequencies or sampling requirements contained in this 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, this 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 Environmental Management. The Division of Environmental Management may require modification or revocation and reissuance of the certificate of coverage. This permit does not affect the legal requirements to obtain other permits which may be required by the Division of Environmental Management 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. If you have any question concerning this permit, please contact MS. AISHA LAU at telephone number 919C733-5083. rcc�-4 oresville.R 720r-ial-Office P.O. Box 29535, Raleigh, Nor -,in Carolina 27626-0535 An Equal Opportunity Affirmative Action Employer Sincerely, Original Signed 1-1 Coleen H. Sullins A. Preston Howard, Jr. P.E. Telephone 9-,9-733 7015 FAX 919-733-2496 50% recyclad/ 10% post -consumer paper STATE OF NORTH CAROLINA DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL MANAGEMENT GENERAL PERMIT_ NO. NCGO20Q� ����� RHO Rc� ERTIFICATE F COVERAQE NQ, NCG020313 28 �5 STORMWATF_R, MINE DEWATERING, AND/OR OVERFLOW 'OMf [114'RONH[IITAI PROCESS WATER RECYCLE SYSTEMS DISCHARGES 400RESPIII[ REQUAI ANAGaf&ff, 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. Immanuel Lutheran Church is hereby authorized to dischaige stormwater from a facility located at Kluttz Mine 11703 Sansbury Rd. Gold Hill Cabarms County to receiving waters designated as Little Buffalo Creek, a class C stream in the Yadkin -Pee Dec River Basin in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, Il, III and W of General Permit No. NCGO20000 as attached. This Certificate of Coverage shall become effective September 22, 1995. This Certificate of Coverage shall remain in effect for the duration of the General Permit. Sianed this day September 22, 1995. Original Signed Sy Coleen H. Sullins A. Preston Howard, Jr., P.E., Director Division of Environmental Management By Authority of the Environmental Management Commission t. NORTH CAROLINA`� 7.5 MINUTE SERIES (TOPOGRAPHIC)' K: W/4 MOUNT PLEASANT 15' QUADR.04C, E 'S5 1 590 000 FEET 8(°2,2'3(r 35'30' r LEY mac fffff y-.�- ����f L f t - .� 1�• k \� t l+l `-J t I! _ t� �-il,� • + _J '-�� -;_-_ -\ �� / ; t ,.1'i' --�� �" —'r• t � _ "s Pus ..i�,I 1` },' c ].+ ki tbl�2rl ,r. `��\�� - ;r#� _�`--�-- � . � 1 1��i�.-� ''�,-,�\�,J_l- C� -, ����' '!� __• ice- €; -Z 1 J� rr \ — r I, , 1 '4•T .' _ 4 C� fy LA ir Q/ ch 4d$ 128 '27 k'26 630000 FEET "25 `24 27'3Cr a�k 3,P3 �J 1 �