NCG550201_Regional Office Historical File Pre 2018 (16)

13
To: Permits and Engineering Unit
Water Quality Section
Date: August 31, 1992
NPDES STAFF REPORT AND RECOMMENDATIONS -
County: Alexander
NPDES Permit No.: NCO052167
MRO No.: 92 - 150
PART I - GENERAL INFORMATION
1. Facility and Address: J. Wilbur Armstrong (Sr.) Residence
Post Office Box 1328
Hickory, North Carolina 28601
2. Date of Investigation: August 31, 1992
3. Report Prepared By: G. T. Chen
4. Person Contacted and Telephone Number: Mr. J. Wilbur
Armstrong,..Jr.; [phone]
5. Directions to Site: From the junction of SRs 1143/1141
(Hubbard/Wildlife Acc. Roads). and SR 1142 (Cemetery Loop
Road) in the southwestern corner of Alexander County, travel
southwest on SR 1142 approximately 0.4 mile and turn right
onto a paved access road,.(Hughes Boulevard). Travel about
0.2 mile on Hughes Boulevard and bear right.onto a graveled
road at the fork in road.. Travel about 0.2 mile on the
graveled road and bear right at the fork.in' road. The
Armstrong residence is the first house (gray color);on the
right of the road.
6. Discharge Point(s), List for all discharge Points:.
Latitude: 350 48' 49"
Longitude: 810,19' 52"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No.: D 13 SE USGS Quad Name: Bethlehem, NC
7. Size (land available for expansion and upgrading): Limited
land area.available for expansion/upgrading.'
8. - Topography (relationship to flood plain included):.Hilly,.
2-20% slopes. The site does not appear to be below the high
water elevation of Lake Hickory.

10.
Location of Nearest Dwelling: Two dwellings within 500 feet
of the facility.
Receiving Stream or Affected Surface Waters: Isaac Creek
Cove (Lake Hickory)
a. Classification: WS-III and B
b- River Basin and Subbasin No.: Catawba and 03-08-32
c. Describe re.ceiving stream features and pertinent
downstream uses: The receiving waters downstream of
this of facility have frequent human contact. The
Moretz Residence (NC0050962), approximately 500 feet
downstream, also discharges into the same cove.
PART II.- DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of Wastewater: 100% Domestic
0% Industrial
a. Volume of Wastewater: 0.00045 MGD (Design Capacity)
b. Types and quantities of industrial
wastewater: N/A..
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
in development approved
should be required not needed
2.. Production Rates (industrial discharges only) in pounds per
day: N/A
a. Highest month in past 12 months: lbs/day
.b. Highest year in the past 5 years: lbs/day
3. Description of Industrial Process..(for industries only) and
Applicable CFR Part and Subpart: N%A
4. Type of Treatment (specify whether proposed or existing):
The existing facility consists of a 1,000 gallon capacity
septic tank, a subsurface sand filter and tablet
disinfection.
5. Sludge Handling and Disposal Scheme: Sludge is removed as
often as needed by a septage.hauler.
6. Treatment Plant Classification (attach completed rating
sheet): Residential Discharge, no rating.-
7. SIC-Code(s): 9999
Wastewater Code(s):
Primary: 04
Secondary:
Main Treatment Unit Code: 44007

M
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only)? N/A
2. Special monitoring requests: N/A
3. Additional effluent limits requests: N/A
4. Air Quality and/or Groundwater concerns or hazardous
materials utilized at this facility that may impact water
quality, air quality or groundwater? The existing wasteflow
is entirely domestic. The facility seldom discharges
because the property owner spends only two to three weeks a
year during summer time at this facility. No hazardous
materials are used at this facility. No adverse impact on -
water quality is expected. The discharge would not
adversely affect air quality or groundwater.
r
5. Other: N/A
PART IV - EVALUATION AND RECOMMENDATIONS
On -site inspection indicated that the subject facility has
been properly maintained. No discharge was observed from this
facility on the day of the inspection.
It is recommended that the subject permit be renewed as
requested by the applicant.
is C' L
Signatur of Report Preparer Date.
y/ 2
Water Qu lity R onal Supervisor Dat

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7-C
PER: Y T APPLICATION STATUS
I
Project
MRO NO
Date Applicati::- Recei�Jed: r % 9�
I Yes— No
Completeness o= Application Package: —
Date of Invest_vation: 8—/;�� Q�2
Date SR Submitted for Review: OVf 31 /
Information Requested
Date
Person Telephone T
Person
Rcrst
Date
Re_
Rqst•
Contacted
Other:

IRORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT C"ISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM AMLIrAll0M NteiblA
APPLICATION FOR PERMIT TO DISCHARGE - SHORT FORM D FoRA edm a
151,3
' rnti\ AGENCYUSE DATE I�[cclv�n
to be filed only by services. wholesale and retail trade, vl
and other cawercial establishments including vessels Z a1 x 1 2
VEAA.19- 99ey
0o not attempt to cMlete this fore without reading the acceeoanyinj instructions
Tease print or type I;/ f D s 14PM 1117_1 �4
1. Name. address, and telephone number of facility producing discharge
A. Name J, W11 h ilAA/Y 7,6 p/y(r
/. Street "
C. City
E . county
G. Telephone No. >/
Area
Code
2. SIC
(leave blank)
S
ix, //-
:�/ry�il 0. $tau ­17' L -1
d�]� X- C. RESOURCES AND
DEPT. OF NATURAL (".�5 UU COMMUNITY DEVELOPMENT
3. Number of employees
DIVISION OF IN9iRONMIENT9l MIA11,1GEMEiaT
4. Nature of business gonnrper6rr nn,9nraR aerr,nr
1!tl!.!!�^��C
5. (a) Check here If discharge occurs all year 0 , or
(b) Check the month(j) dlscharge occurs:
1. 0 January 2. 0 February 3. a larch 4.0 Apri 1 S.0 May
6.0 June 7. 0 Juiy 8. a August 0.0 September 10. a October
11.0 November 12.0 December
(c) Mow many days per week:
1.O 1 2.0 2-3 3.0 4-S 4.0 6-7
6. Types of waste water discharVd to surface waters only (check as applicable)
Flow, gallons per operating day
Volume treated befoit
discharging (percent)
Discharge per
operating day
0.1-999
10DO-4999
5000-9999
10.000-
50.000
None
0.1•
30-
65-
9S-'
49.099
or more
29.9
64.9
94.9
100
(1)
(2)
(3)
(4)
(6)
A. Sanitary, daily
average
1. Cooling water, etc.,
daily average
C. Other discharge(s),
•' .
daily average;
Specify-
D. Maximum per operat-
ing day for combined
discharge (all types)

t If any or the types of weste identified in Item t. either treated or aw-
treated .are discharged to places other than surface waters, chack %Give
as apPlleable.
baste Water It* discharged to:
0.1-999
(1)
1000.4m
tt)
100 .""
43)
10.OW49,999
Nl
S0,000 or am
(S)
A; Nrn 1 L i W l _punw�r tys tar
N;' Ikih+r•grti�uwl wr.I 1
.'
.
r.. Sap t i r tank
D. Evaporation lagoon or pond
�. Other, specify:
e. Number of -separate discharge points:
A.01 0. 02-7 C.0 t-i 0.0 6, or are
g. Ran -of receiving water or waters
10. Does your discharge contain or is it possible for your discharge to Contain
one or are of the following substances 144tQ es a result of your operations,
activities., or processes: &=mia, cyanide, aluminum, beryllium. Cadmium.
chromium, copper, lead, msrcury , Nickel, selenium, tint. piwrols, oil SOW .
grease, and chlorine (residual).
A. 0 yes S. a no
i certify that 1 a■ familiar with the ,information contained iN the application and
that to the ,best of my knowledge and belief such Information 16 Ova, complete, end
accurate.
J', W, 41��
Printed Name of Person Signing
Title
Date Application Signed ,
lgnaturr of Awl ic4a
h
11:orch Carolina General Statute 143-215.6 (b) (2) provides that: Any person who knowingly makes
any false statement representation, or certification In any applicatton,'secord, report, plat,
or other document files or required to be maintained'undar Article 21 or regulations of the
Environmental Management Commisst,on iiaplemsairtng that Article, or who falsifies4 taaspars L±th.
or knwly renders inaccurate any: >recordia= or monitorigs #pvice or method 'required to be
operated or maintained under Ar�ie1e 2.2:-ot regulations -of the Environmental Management Co mis.%i
implementing that Article, sha1-Vbe'.'%ul.�ty Of i misdemeanor punishable by a tine not to exceed
S1Q,nt)n, or by imprisonmint•not to exceed six months, or by both. (18 U.S.C. Section 1001 proti:
a punishment by a fine of'Aot more than $10,000 or imprisr, t not Wore than 5 years, or both,
&ur a similar offense.)