NCG550524_Regional Office Historical File Pre 2018

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor. William G. Ross, Jr., Secretary
Coleen H. Sullins, Director
CERTIFIED MAIL ITEM 7002. 0860 0006 5836 1813 - RETURN RECEIPT REQUESTED
January 6, 2009
Mr. Larry W, Hartsell
11367 Robert Bost Rd
Midland,: NC 28107
Subject: WaCstewater disposal at.10850 Bethel Church Rd
�ertifcat®AoF Coverage�rdCG550524q
�Cabarrus County
Dear Mr. Hartsell:
Cabarrus County tax records.list you among the owners of the subject property. We are contacting
you to determine the status of a wastewater disposal system at the site. That system was originally covered
under a state NPDES discharge permit.
An audit of expired / unresolved files noted that coverage for the system expired in July 1997. The
Division needs information from you to determine if.coverage under NCG550000 [the General Permit for
domestic wastewater] is still necessary.
➢ . If your property still has a wastewater system like the ones described in the enclosed Technical
Bulletin, you must renew the subject CoC. Complete the enclosed form and submit it to me at the
address on the form.
➢ If you are. not sure what type of system your property has, contact Wes Bell in the NC DENR
Mooresville Regional Office at 704 663-1699. He. [or other staff members] can help you determine
if you should renew your CoC.
➢ If you know that your property no longer dischargeswastewater, contact me at the address or
phone number listed below to request rescission of the CoC.
I have enclosed the pages from our files that describe the. system. The last Certificate of Coverage was
issued to James M: Gibson. If you have any questions, please contact me at the telephone number or e-mail
address listed below. Thanks for your attention to this matter.
Sincerely,
7 E% E V
Charles H. Weaver, Jr.. .
NPDES Unit JAI 1 2 2009
cc: Central Files
NlooresvillelRegional �^'fflce lrWe`Ibfil�e�
PD.ES file ;,
1617 Mail Service Center, Mooresville, North Carolina 27699-1617 One
512 North Salisbury Street, Mooresville, North Carolina 27604 NofthCarohna
Phone: [phone] FAX [phone] / [e-mail] i
An Equal Opportunity/Affirmative Action Employer — 50% Recycled/10% Post Consumer Paper Natzmallff

CLaRIS - Print
rage i ui I<
tpa Cameo of ON
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[ Print This Card
Cabarrus County shall not be held liable for any errors in the data represented on this map. This
includes eaors of omission, commission, concerning the content of the data, and relative
positional accuracy of the data. The data cannot be construed to be a legal document . Primary
sources from which this data was compiled must be consulted for verification of information
represented on this map document.
Date Printed 6/9/2008 12:55:19 PM
Township
Map
Submap
Parcel
Suffix
Plat Book
Plat Page
Property Description
Lot Size/Acreage
Comments
110
1008
Pin 155357597590000
Old Pin 55357587730000
City
Fire District
Real ID 10-008-0029.70
I -
10029
170
I
I/
W/S BETHEL CHURCH RD (S R 1125
r
Transaction Details
Type Current Owner % Stamps Date Book Pagc
r HARTSELL LARRY W 0.0000 86.0000 12/10/2004 05698 142
http://www.cabarruscounty.us/claris/Print.aspx 6/9/2008

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Collection Sys.
This form shall be submitted to the appropriate DWQ Regional Office within five
sewer overflow (SSO).
Permit Number: WOCS00054 (WQCS# if active, otherwise use W(
Facility: Union County Collection System
Owner: Union County PUblic Works
City: Wingate
Source of SSO (check applicable) : 0 Sanitary Sewer ❑ Puml
SPECIFIC location of the SSO (be consistent in description from past reports or
Manhole at Westall & Bragg Street, etc.) : Pump Station #2
Manhole# 2700
Latitude (degrees/minute/second): Lor
Incident Started Dt: 12/30/07 Time: 01:00 PM I
(mm-dd-yyyy) hh:mm AM/PM i
Estimated volume of the SSO: 5400 gallons
Describe how the volume was determined:
10 gpm x 600 minutes
W—fhn, H —;— ccn --+• heavy rain

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RegOnline
Page 2 of 2
the Frequent Question page of our website (www.ncsafewater.org). All refunds will be issued by check regardless of
original payment method. If your company/organization paid for your registration, that is to whom the check will be
issued.
Substitutions may be made at any point, including during registration at the conference. Please inform us as soon as
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and non-members, and generate the correct name tag.
IMPORTANT INFORMATION TO READ BEFORE CONTINUING
Credit Card payment is the only payment method accepted online. If you need to pay by check, discontinue this online registration, and fill out the
registration form in the Annual Conference brochure. Follow the instructions given in the brochure to submit your registration and payment. The
brochure can be found on our website www.ncsafewater.org
NC AWWA-WEA
3701 National Drive, Suite 205, Raleigh, NC 27612
Phone: [phone]
Fax: [phone]
Email: [e-mail]
www.ncsafewater.org
Close this window

Appraisal Card Page 1 of 1
MON, MAY 19, 2008, 2,00 AM
L S WINDSOR PROPERTIES LLC 5534 79 05280000
{ 1381 E HWY 24-27 MAP BL PIN COND CC L H
000000047517 ID NO: 10015 0048.100000
CABARRUS COUNTY 2008 APPRAISAL C CI06 CARD NO. 1 OF 1
P/O JAMES GARMON PROPERTYN/S HWY 27 1.59AC 1.590AC SRC= 4INS
AP�RALMaRSR_..B.X. 2.1,_.4�3:0_]L01129Q8-50009 HWX._29�2Z._ _ _T.W.iLC=O�EX=AT.= I S;A__T ACT.Z.4C3_2.0921_QQ8_
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iLAND -VAL- MKT 80,140
,1KT VAL - CARD 85,640
j 1 =cEGR VAL - CARD
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IAP=P V?. - CARD 5,640
�FR PARCEL, 85,64D
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47,700
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Map or L J 61 Hlgnway 24 L i h M1CL1ana, IN U oy mapyuesi
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James Gibson Property SFR
A: 1381 Highway 24 27 E, Midland, NC 28107-6436
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Directions and maps are informational only. We make no warranties on the accuracy of their content, road conditions or
route usability or expeditiousness. You assume all risk of use. MapQuest and its suppliers shall not be liable to you for
any loss or delay resulting from your use of MapQuest. Your use of MapQuest means you agree to our Terms of Use
http://www.mapquest.com/maps/1381+Highway+24+27+E+Midland+NC+28107-6436/ 6/2/2008

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RE, SoU' OF N` 7,t1n4
C01VID4LJ1VgTy DD���
MA Y 1 8 i990
DIVISION Of E"Y RO11;IENTAI la
MDDRES6'11L f REGID�I�! OffICErNT
State of North Carolina
Department of Environment, Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
Mr. Jim Gibson
1381 Hwy 24-27
Midland, NC 28107
March 13, 1990
i
George T. Everett, Ph.D.
Director
Subject: AC0077232
'in-i GibsoI1 Propciy
Single Family Wastewater Plant
Cabarrus County
Dear Mr. Gibson:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following item(s) must be addressed before we can complete our review. Please note
that these item(s) must be received by May 11, 1990, in order to prevent your project from being
returned as incomplete:
1. ` The tee in your septic tank should extend below the liquid surface. Please indicate this on
your plans. The extension of the outlet tee is to prevent scum from clogging the drain
lines. -�
2. The Mooresville Regional Office has requested revising the plans to show a surface sand
filter system with a loading rate of 3.4 GPD/ Square foot, and the use of PVC pipe in lieu
of the vitrified clay drain tile as shown. Please contact the Regional Office at telephone no.
704/663-1699 for any questions you may have on this item.
3. Please advise us of the number of bedrooms in the house. 1,12,1
If you have any questions on this matter, please contact me at 919/733-5083.
cc: Mooresville Regional Office
Since ely,
Charles A. Gordner
Environmental Technician IV
M/,q Y � 6�990
1 Air"
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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DIVISION Of Jl1 ";• Ar:
MOORES"Iddf Rfi;1,1, d OffICEf �T
State of North Carolina
Department of Environment, Health and Natural )Resources
Division of Environmental Management
512 North Salisbury Street ® Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
Mr. Jim Gibson
1381 Hwy 24-27
Midland, NC 28107
George T. Everett, Ph.D.
Director
March 13, 1990
Subject: AC0077232
J1111 GibsoI1 PropG;ty
Single Family Wastewater Plant
Cabarrus County
Dear Mr. Gibson:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following item(s) must be. addressed before we can complete our review. Please note
that these item(s) must be received by May 11, 1990, in order to prevent your project from being
returned as incomplete:
1. The tee in your septic tank should extend below the liquid surface. Please indicate this on
your plans. The extension of the outlet tee is to prevent scum from clogging the drain
lines.
2. The Mooresville Regional Office has requested revising the plans to show a surface sand
filter system with a loading rate of 3.4 GPD/ Square foot, and the use of PVC pipe in lieu
of the vitrified clay drain file as shown. Please contact the Regional Office at telephone no.
704/663-1699 for any questions you may have on this item.
3. Please advise us of the number of bedrooms in the house.
If you have any questions on this matter, please contact me at 9191733-5083.
cc: Mooresville Regional Office
Since ely,
Charles A. Gordner
Environmental Technician IV
b" l99(J
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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North Carolina Secretary of State
Page 1 of 1
North Carolina
Elaine F. marshall DEPARTMENT OF THE
Secretary SECRETARY OF STATE
PO Box 29622 Raleigh, NC 27626-0622 [phone]
CORPORATIONS
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Corporation Names
Name Name Type
NC L.S. Windsor Legal
Properties, L.L.C.
Limited Liability Company Information
SOSID:
0767668
Status:
Current -Active
Date Formed:
2/17/2005
Citizenship:
Domestic
State of Inc.:
NC
Duration:
Perpetual
Registered Agent
Agent Name:
Registered Office Address:
Registered Mailing
Address:
Principal Office Address
Principal Mailing Address:
Larson, John E., Jr.
8044 Flanders Street
Charlotte NC 28277
8044 Flanders Street
Charlotte NC 28277
8044 Flanders Street
Charlotte NC 28277
8044 Flanders Street
Charlotte NC 28277
1)0
http://www.secretary.state.nc.us/corporations/Corp.aspx?PitemId=7695000 5/22/2008

William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
May 22, 2008
LS Windsor Properties, LLC
John E. Larson Jr.
8044 Flanders Street
Charlotte, NC 28277
Subject: Single Family Residence Wastewater Treatment
System
NPDES General Wastewater Permit No./Certificate
of Coverage NCG550524
Compliance Evaluation Inspection
Dear Mr. Larson:
The Division of Water Quality (DWQ) database records indicate that Mr. James. Gibson was
issued this permit for a discharge from his single- family residence. Cabarrus County tax records indicate
that you purchased this property from Mr. Gibson. DWQ personnel from the Mooresville Regional
Office (MRO) need to conduct a comprehensive review of your system with you in order to verify that
your system is operating properly and to determine the compliance status of the system pursuant to permit
number NCG550524. We anticipate such a review would take approximately one to two hours, provided
that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with catching owners at home during the workday, we would like
to pre -schedule this site visit with you to ensure we can meet and complete the required system review as
expeditiously as possible. In order to facilitate this we ask that you contact Ms. Barbara Sifford, of our
office, at 704-663-1699, between the hours of 8AM and 4PM, Monday through Friday. Please contact
Ms. Sifford within the next 10 daysto identify the best possible time for an evaluator to visit your SFR
and conduct this review with you.
Also, in the interest of conducting the most efficient evaluation. possible, we ask that you have
certain items of documentation on hand at the time of the site visit. These items include the following:
1. Permit/Certifacate of Coverage: Issued by DWQ, you would have received this via regular U.S.
Postal Service mail.
2. A Schematic of the Treatment/Disposal System: Please have available all schematics or other
technical drawings and/or design specifications that show the complete and/or partial layout of
your treatment/disposal system.
3. Documentation of Analytical Monitoring: Required in Part I(A) of the general NCG550000
permit, please have available all official records of analytical monitoring conducted to date.
4. Documentation of Septic Tank Inspections/Pumping: Required in Part I(A) of the general
NCG550000 permit, please have available all records of annual septic tank inspections and septic
tank pumping.
S. Chlorination/Dechlorination Tablets: Please have available the original containers in which
both the chlorination and dechlorination tablets were stored when you purchased them.
North Carolina Division of Water Quality Mooresville Regional Office
Internet: h2o.enr.state.nc.us 610 East Center Avenue, Suite 301
Surface Water Protection Phone [phone]
Mooresville, NC 28115 FAX [phone]
ic NCarolina
oNaturally
Customer Service
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

We appreciate your time and understanding of our mission to preserve the natural resources of our
great state and look forward to you contacting us to schedule this site visit. If for some reason you're
unable to contact us, we will make every effort to contact you to schedule the review of your system. If
you have questions or concerns about this letter or the required review, please contact Ms. Sifford between
the hours of 8AM and 4PM, Monday through Friday at 704-663-1699. If she is not there when you call,
please leave your name and a good contact phone number and she will return your call as soon as possible.
Sincerely,
7 �
�i Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office

William G. Ross, Jr., Secretary
North Carolina Department of Environment and Natural Resources
Coleen H. Sullins, Director
Division of Water Quality
May 21, 2008
LS Windsor Properties, LLC
624 Mathews Mint Hill Road Suite 204
Mathews, NC 28105
Subject: Single Family Residence Wastewater Treatment
System
NPDES General Wastewater Permit No./Certificate
of Coverage NCG550524
Compliance Evaluation Inspection
Dear Sirs:
The Division of Water Quality (DWQ) database records indicate that Mr. James Gibson was
issued this permit for a discharge from his single- family residence. Cabarrus County tax records indicate
that you purchased this property from Mr. Gibson. DWQ personnel from the Mooresville Regional
Office (MRO) need to conduct a comprehensive review of your system with you in order to verify that
your system is operating properly and to determine the compliance status of the system pursuant to permit
number NCG550524. We anticipate such a review would take approximately one to two hours, provided
that all needed documentation and data is readily available at the time of the site visit.
Due to the difficulties involved with catching owners at home during the workday, we would like
to pre -schedule this site visit with you to ensure we can meet and complete the required system review as
expeditiously as possible. In order to facilitate this we ask that you contact Ms. Barbara Sifford, of our
office, at 704-663-1699, between the hours of 8AM and 4PM, Monday through Friday. Please contact
Ms. Sifford within the next 10 days to identify the best possible time for an evaluator to visit your SFR
and conduct this review with you.
Also, in the interest of conducting the most efficient evaluation possible, we ask that you have
certain items of documentation on hand at the time of the site visit. These items include the following:
1. Permit/Certificate of Coverage: Issued by DWQ, you would have received this via regular U.S.
Postal Service mail.
2. A Schematic of the Treatment/Disposal System: Please have available all schematics or other
technical drawings and/or design specifications that show the complete and/or partial layout of
your treatment/disposal system.
3. Documentation of Analytical Monitoring: Required in Part I(A) of the general NCG550000
permit, please have available all official records of analytical monitoring conducted to date.
4. Documentation of Septic Tank Inspections/Pumping: Required in Part I(A) of the general
NCG550000 permit, please have available all records of annual septic tank inspections and septic
tank pumping.
North Carolina Division of Water Quality Mooresville Regional Office
Internet: h2o.enr.state.nc.us 610 East Center Avenue, Suite 301
Surface Water Protection Phone [phone]
Mooresville, NC 28115 FAX [phone]
NorthCarolina
Naturally
Customer Service
1-877-623-6748
An Equal Opportunity/Affirmative Action Employer— 50% Recycled/10% Post Consumer Paper

5. Chlorination/Dechlorination Tablets: Please have available the original containers in which
both the chlorination and dechlorination tablets were stored when you purchased them.
We appreciate your time and understanding of our mission to preserve the natural resources of our
great state and look forward to you contacting us to schedule this site visit. If for some reason you're
unable to contact us, we will make every effort to contact you to schedule the review of your system. If
you have questions or concerns about this letter or the required review, please contact Ms. Sifford between
the hours of 8AM and 4PM, Monday through Friday at 704-663-1699. If she is not there when you call,
please leave your name and a good contact phone number and she will return your call as soon as possible.
Sincerely,
�Cc.C�'c1
Robert B. Krebs
Surface Water Protection Section Supervisor
Division of Water Quality
Mooresville Regional Office

L/ _..
�t RECEIVED
g[YtSION Of ENVIRONMENTAL MANAGE
\� MAR 15 1990 State of North Carolina
MOORESVIIk)epartment of Environment, Health and Natural Resources
MMONAI oFMI Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
- James G. Martin, Governor George T. Everett, Ph.D.
William W. Cobey, Jr., Secretary Director
March 13, 1990
Mr. Jim Gibson
1381 Hwy 24-27
Midland, NC 28107
Subject: AC0077232
Jim Gibson Property
Single Family Wastewater Plant
Cabarrus County
Dear Mr. Gibson:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following item(s) must be addressed before we can complete our review. Please note
that these item(s) must be received by May 11, 1990, in order to prevent your project from being
returned as incomplete:
1. The tee in your septic tank should extend below the liquid surface. Please indicate this on
your plans. The extension of the outlet tee is to prevent scum from clogging the drain
lines.
2. The Mooresville Regional Office has requested revising the plans to show a surface sand
filter system with a loading rate of 3.4 GPD/ Square foot, and the use of PVC pipe in lieu
of the vitrified clay drain file as shown. Please contact the Regional Office at telephone no.
704/663-1699 for any questions you may have on this item.
3. Please advise us of the number of bedrooms in the house.
If you have any questions on this matter, please contact me at 919/733-5083.
Since ely, '
Charles A. Gordner
Environmental Technician IV
cc: Mooresville Regional Office
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

_nEpp, Cp
a C®11rArU sQir ^ES VA7"A
MAR
0 1 1990
State of North Carolina #r
Department of Environment, Health, and Natural Reso giiiuf
Division of Environmental Management ®tflef
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor 2g, �q�21 R. Paul Wilms
William W. Cobey, Jr., Secretary Fc6�yp4
Director
1990
Mr. Jim Gibson
10850 Bethel Church Street
Midland, NC 28107
A-e" I res 5 Subject: AC0077232
4,r,� z 4_Jim Gibson Property
Single Family Wastewater Plant
Cabarrus County
Dear Mr. Gibson:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following item(s) must be addressed before we can complete our review. Please note that
these item(s) must be received by March 24, 1990, in order to prevent your project from: -being
returned as incomplete:
The tee in your septic tank should extend approximately 25% below the liquid surface. Please
indicated this on your plans. The extension of the outlet tee is to prevent scum from clogging the
drain lines. Please see the sketch below.
S�,o r1c -7Ati,e
LeJL� r uJaf,, Ce e�
`S ` v `'
If you have any questions on this matter, please call Mr. William Barlow at [phone].
Sincerely,
William Barlow
Review Engineer
cc: Mooresville Regional Office
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

!ON Of ENVIR014MEF1TpL
P10
OCi 2° ��a9 ��•�
ry100RESVILLE :
;EGIONAL ��`
State of North Carolina
Department of Natural Resources and Community Development
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor October 16, 1989 R. Paul Wilms
William W. Cobey, Jr., Secretary Director
Mr. James Michael Gibson
10850 Bethel Church Street
Midland, NC 281.07
Subject: Permit No. NCO077232
James Gibson Residence
Ca.barrus County
Dear Mr. Gibson:
In accordance with your application. for discharge permit- received on June 8,
1989, we are forwarding herewith the subj(-:ct State - NPDP:S perrri.t. This permit is
issued pursuant to the requirements of North. C'a.r.ol.ina Gen.e.ra.l Statute 143-215. "1 and
the Memorandum of Agreement between North. Ca.r.ol.-Lna. and the US lsr�v.ironmenta.l. Protection.
Agency dated December 6, 1983.
If any parts, measurement frequencies or sampling requil-eln(IntS contained in
this permit are unacceptable to you., you may request a waiver or modification pursuant
to Regulation 15 NCAC 2D .0508(b) by w.ritteri request t:o the Director identifying the
specific issues to be contended. Unless such .request is made within 30 days following
receipt of this permit, this permit shall be final and binding. Should your request
be denied, you will have the right to request in adjudicatory hear.i.n.g.
Please take notice that this permit is not transferable. Part '11, D.3.
addresses the requirements to be followed in. case of change :i-i1 ownership or control of
this discharge.
This permit does not affect the legal requirements to obtain other permits
which may be required by the Division of Env:i_ronme.nta.l. 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 questions concerning this permit., please contact: Mr. Mack
Wiggins at telephone number 919/733-5083.
cc: Mr. -Jim--Patrick, _EPA
%, Floor,esv_ille- Regi.o.nal_ _Offices
Sincerely,
Original Signed By
Dona(d Safrit for
R. Paul. Wilms
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

Permit No. NC0077232
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER 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,
Mr. James Gibson
is hereby authorized to discharge wastewater from a facility located at
James Gibson Residence
on Bethel Church Road
southeast of Flows Store
Cabarrus County
to receiving waters designated as Horton Branch in the Yadkin -Pee Dee River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, H, and III hereof.
This permit shall become effective October 16, 1989
This permit and the authorization to discharge shall expire at midnight on September 30, 1994
Signed this day October 16, 1989
Original Signed BY
Donald Safrit for
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0077232
SUPPLEMENT TO PERMIT COVER SHEET
Mr. James Gibson
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treatment facility, and
2. Make an outlet into Horton Branch and,
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 0.000240 MGD wastewater treatment facility
located at James Gibson Residence, on Bethel Church Road, southeast of Flows Store,
Cabarrus County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
Horton Branch which is classified class C waters in the Yadkin -Pee Dee River Basin.

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A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NC0077232\
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 as N
Fecal Coliform (geometric; mean)
Total Residual Chlorine
Temperature
Discharge
Limitations
Units
(specify)
Monthly Avg.
Weekly Avg,
240 CPD
30.0 mg/I
45.0 mg/I
30.0 mg/I
45.0 mg/I
200.0 /100 ml 400.0 /100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequency Type Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less that 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.

PART I
"Act" used herein means the Federal Water Pollution Control Act, As
Amended.
"DEM" used herein means the Division of Environmental Management of
the Department of Natural Resources and Community Development.
"EMC" used herein means the North Carolina Environmental Management
Commission.
Definitions
a. The monthly average, other than for fecal coliform bacteria, is
the arithmetic mean of all the composite samples collected in a
one -month period. The monthly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -month period.
b. The weekly average, other than for fecal coliform bacteria, is the.
arithmetic mean of all the composite samples collected during a
one -week period. The weekly average for fecal coliform bacteria
is the geometric mean of samples collected in a one -week period.
c. Flow, Md/day (MGD): The flow limit expressed in this permit is the
24-hour average flow, averaged monthly. It is determined as the
arithmetic mean of the total daily flows recorded during the calendar
month.
d. Arithmetic Mean: The arithmetic mean of any set of values is the
summation of the individual values divided by the number of indi-
vidual values.
e. Geometric Mean: The geometric mean of any set of values is the Nth
root of the product of the individual values where N is equal to the
number of individual values. The geometric mean is equivalent to
the antilog of the arithmetic mean of the logarithms of the indi-
vidual values. For purposes of calculating the geometric mean,
values of zero (0) shall be considered to be one (1).

PART II
A. MANAGEMENT REQUIREMENTS
1. Change in Discharge
All discharges authorized herein shall be consistent with the terms
and conditions of this permit. The discharge of any pollutant
identified in this permit more frequently than or at a level in
excess of that authorized shall constitute a violation of the
permit. Any anticipated facility expansions, production increases,
or -process modifications which will result in new, different, or
increased discharges of pollutants must be reported by submission
of a new NPDES application or, if such changes will not violate the
effluent limitations specified in this permit, by notice to the DEM
of such changes. Following such notice, the permit may be modified
to specify and limit any pollutants not previously limited.
2. Facilities Operation
The permittee shall at all times maintain in good working order and
operate as efficiently as possible all treatment or control facili-
ties or systems installed or used by the permittee to achieve com-
pliance with the terms and conditions of this permit.
3. Adverse Impact
The permittee shall take all reasonable steps to minimize any adverse
impact to navigable waters resulting from noncompliance with any
effluent limitations specified in this permit, including such accel-
erated or additional monitoring as necessary to determine the nature
and impact of the noncomplying discharge.
4. Bypassing
Any diversion from or bypass of facilities necessary to maintain com-
pliance with the terms and conditions of this permit is prohibited,
except (i) where unavoidable to prevent loss of life or severe
property damage, or (ii) where excessive storm drainage or runoff
would damage any facilities necessary for compliance with the
effluent limitations and prohibitions of this permit. The permittee
shall promptly notify the Water Quality Section of DEM in writing of
each such diversion or bypass.
5. Removed Substances
Solids, sludges, filter backwash, or other pollutants removed in the
course of treatment or control of wastewaters shall be disposed of in
a manner such as to prevent any pollutant from such material from
entering waters of the State or navigable waters of the United
States.

PART II
6. Power Failures
In order to maintain compliance with the effluent limitations and
prohibitions of this permit, the permittee shall either:
a. Provide an alternative power source sufficient to operate
the wastewater control facilities;
or, if such alternative power source is not in existence,
b. Halt, reduce, or otherwise control production and/or all dis-
charges from wastewater control facilities upon the reduction,
loss, or failure of the primary source of power to said waste-
water control facilities.
B. RESPONSIBILITIES
1. Right of Entry
The permittee shall allow the Director of the Division of Environ-
mental Management, the Regional Administrator, and/or their author-
ized representatives, upon the presentations of credentials:
a. To enter upon the permittee's premises where an effluent
source is located or in which any records are required to
be kept under the terms and conditions of this permit; and
b. At reasonable times to have access to and copy any records
required to be kept under the terms and conditions of this
permit; to inspect any monitoring equipment or monitoring
method required in this permit; and to sample any discharge
of pollutants.
2. Transfer of Ownership or Control
This permit is not transferable. In the event of any.change in con-
trol or ownership of facilities from which the authorized discharge
emanates or is contemplated, the permittee shall notify the prospec-
tive owner or controller by letter of the existence of this permit
and of the need to obtain a permit in the name of the prospective
owner. A copy of the letter shall be'forwarded to the Division of
Environmental Management.
3. Permit Modification
After notice and opportunity for a hearing,pursuant to NCGS 143-215.1
(b)(2) and NCGS 143-215.1(e).respectively, this permit may be modi-
fied, suspended, or revoked in.whole or in part during its term for
cause including, but not limited to, the following:

PART II
a. Violation of any terms or conditions of this permit;
b. Obtaining this permit by misrepresentation or failure to
disclose fully all relevant facts; or
c. A change in any condition that requires either a temporary
or permanent reduction or elimination of the authorized
discharge.
4. Civil and Criminal Liability
Except as provided in permit conditions on "Bypassing" (Part II,
A-4) and "Power Failures (Part II, A-6), nothing in this permit
shall be construed to relieve the permittee from civil or criminal
penalties for noncompliance pursuant to NCGS 143-215.6 or Section
309 of the Federal Act, 33 USC 1319.
5. Property Rights
The issuance of this permit does not convey any property rights in
either real or personal property, or any exclusive privileges, nor
does it authorize any injury to private property or any invasion of
personal rights, nor any infringement of Federal, State, or local
laws or regulations.
6. Severability
The provisions of this permit are severable, and if any provision of
this permit, or the application of any provision of this permit to
any circumstance, is held invalid, the application of such provision
to other circumstances, and the remainder of this permit shall not
be affected thereby.
7. Expiration of Permit
Permittee is not authorized to discharge after the expiration date.
In order to receive authorization to discharge beyond the expiration
date, the permittee shall submit such information, forms, and fees
as are required by the agency authorized to issue permits no later
than 180 days prior to the expiration date. Any discharge without
a permit after the expiration will subject the permittee to enforce-
ment procedures as provided in NCGS 143-215.6 and 33 USC 1251 et seq..

PART III
A. PREVIOUS PERMITS
All previous State water quality permits issued to this facility,
whether for construction or operation, or discharge, are hereby
revoked by issuance of this permit. The conditions, requirements,
terms, and provisions of this permit authorizing discharge under ttie
National Pollutant Discharge Elimination System govern discharges
from this facility.
B. CONSTRUCTION
No construction of wastewater treatment facilities or additions thereto
shall be begun until Final Plans and Specifications have been submitted
to the Division of Environmental Management and written approval and
Authorization to Construct have been issued. If no objections to Final
Plans and Specifications have been made by the DEM after 30 days follow-
ing receipt of the plans or issuance of this permit, whichever is latter,
the plans may be considered approved and construction authorized.
C. SPECIAL CONDITIONS
1. The Permittee shall be responsible for the following items regard-
ing the maintenance of the treatment system:
a. Septic tanks shall be maintained at all times to prevent
seepage of sewage or effluents to the surface of the ground.
b. Septic tanks need routine maintenance and should be checked
at least yearly to determine if solids need to be removed
or other maintenance performed.
c. Contents removed from septic tanks shall be discharged into
an approved sewer system, buried or plowed under at an
approved location within 24 hours, or otherwise disposed of
at a location and in a manner approved by the State or local
agency.
2. The permittee shall properly connect to an operational publicly -
owned wastewater collection system within 180 days of its availability
to the site.

MEMORPsNDUM
DATE : July 21, 1993
RE : NPDES NC0077232
GIBSON RESIDENCE, Flowes Store, Cabbarus Co.
This project was reviewed in the field on July 21, 1993.
There was no activity noticed. No construction going on. Project
still appears to be on hold until they resolve the requested
application information.
Art Dutton

A
C:es Py�
Te,-
:�
9
gEeatState of North Carolina
ar. ri3��► %e N ,environment, Healt and Natural
en ral Resources
gDNN °" G,9'o` °" Division of Environmen h North �rolina 27611
1
� e �G ES��I'�t G 512 North Salisbury Street • Ra etg ,
George T. Everett, Ph.D.
Director
James G. Martin, Governor 1990
William W. Cobey, Jr., Secretary August 21,
Mr. Jim Gibson
1381 Highway 24-27
Midland, North Carolina 28107 BJECT project Return (AC 0077232)
Sul
Jim Gibson property
Single Family wastewater Treatment
Facility
Cabarrus County
Dear Mr. Gibson: item must be resolved prior
' reference to the above mentioned project, the following
With e Permit application: laps
to processing your discharge p letter dated June 19, 1990 that p
Tonal Office advised you by ft were to be submitted to this
The Mooresville Reg rate of 3.4 gal/day/sq'
a surface sand filter with a loading Mooresville Regional Office stands
n plans have been received as of this date. The Division cannot
showing August 15, 1990. No
until this problem can be remedied The O°
Division by g
approve this project the subject application
ready to assist you in this matter. returning
Management is hereby
a new application may be submitted to this office after the
The Divisionn°S Howeveren�l
and supporting documents. Tonal
above mentioned problem has been resolved.
If you have any question concerning
this matter, please contact our Mooresville Reg
office at 704/663-1699 or Charles Gordner at 91 733-5083. -
Of Sinc rely,
George T. Everitt
cc. ooresville Regional Office
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Cazolina 2a6 Ve A 8i n E ploye1919-733-7015
An Equal Opportunity Affirm

R C' b�pT. pr NACOI[AkUNITI ZDE S A 1)UZZAL
MAY 1 g 1990
DIVISION OF ENVIRON.;ENi.1t rt ,
MOORESVIL(f REGIO,yA( "AN`cf-,gryr
State of North Carolina Off1Cf
Department of Environment, )Health and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W. Cobey, Jr., Secretary
Mr. Jim Gibson
1381 Hwy 24-27
Midland, NC 28107
George T. Everett, Ph.D.
Director
March 13, 1990
Subject: AC0077232
Jinn Gibson Property
Single Fan-dly Wastewater Plant
Cabarrus County
Dear Mr. Gibson:
The Permits and Engineering Unit has completed a preliminary engineering review of the
subject application.
The following item(s) must be addressed before we can complete our review. Please note
that these item(s) must be received by May 11, 1990, in order to prevent your project from being
returned as incomplete:
1. The tee in your septic tank should extend below the liquid surface. Please indicate this on
your plans. The extension of the outlet tee is to prevent scum from clogging the drain
lines.
2. The Mooresville Regional Office has requested revising the plans to show a surface sand
filter system with a loading rate of 3.4 GPD/ Square foot, and the use of PVC pipe in lieu
of the vitrified clay drain tile. as shown. Please contact the Regional Office at telephone no.
704/663-1699 for any questions you may have on this item.
3. Please advise us of the number of bedrooms in the house.
If you have any questions on this matter, please contact me at 919/733-5083.
bfl^ Since ely,
Charles A. Gordner
Environmental Technician IV
lilqJ.Fw , •���" t,f
cc: Mooresville Regional Office 1. 6 1991f
Pollution Prevention Pays
P.O. Box 27687, Ralcigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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S:ttite of North, Carolina
Department of Environment,
Health; and Natural Resources
Division. of Environmental Management
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston, Howard, Jr., P.E., Director
JAMES MCHEAL GIBSON
GIBSON JAMES (RESIDENCE)
10850'BETHEL CHURCH STEEET
MIDLAND NC 28107
Dear Permittee:
• 0. DEPT. OF WATURAL
September , 19933�� RESOURCES AND
b30
P C� M1UUr4iTy DEVE9 ePINTF.NT
� 9$ ��JiRflf��1EF�Ik1 i:.riii, I;_�:iO4T
Subject: GIBSON JAMES (RESIDENCE)
Certificate of Coverage NCG550524
General Permit NCG550000
Formerly NPDES Permit NC0077232
Cabarrus County
The Division of Environmental Management has recently evaluated all existing individual permits for potential
coverage under general permits currently issued by the Division. 15A N.C.A.C. 2H .0127 allows the Division to
evaluate groups of permits having similar discharge activities for coverage under general permits and issue
coverage where the Division finds control of the discharges more appropriate in this manner. The Division has
determined that the subject discharge qualifies for such coverage. Therefore, the Division is hereby issuing the
subject Certificate of Coverage under the state-NPDES general permit no. NCG550000 which shall void NPDES
Permit NC0077232. This Certificate of Coverage is issued pursuant to the requirements of North Carolina and the
US Environmental Protection Agency Memorandum of Agreement dated December 6,1983 and as subsequently
amended.
If any parts, measurement frequencies or sampling requirements contained in this general permit are unacceptable to
you, you have the right to submit an individual permit application, associated processing fee and letter requesting
coverage under an individual permit. Unless such demand is made, this decision shall be final and binding. Please
take notice this Certificate of Coverage is not transferable. Part 11, E.4. addresses the requirements to be followed
in case of change of ownership or control of this discharge.
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. Construction of any
wastewater treatment facilities will require issuance of an Authorization to Construct from this Division.
Failure to abide by the requirements contained in this Certificate of Coverage and respective general permit may
subject the Permittee to an enforcement action by the Division of Environmental Management in accordance with
North Carolina General Statute 143-215.6A to 143-215.6C. Please note that the general permit does require
monitoring in accordance with federal law. The monitoring data is not required to be submitted to the Division
unless specifically requested, however, the permittee is required to maintain all records for a period of at least
three (3) years.
Post Office Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 501/6 recycled -10% post -consumer paper

Page 2
JAMES: MICHEAL GIBSON
GIBSON JAMES (RESIDENCE)
Certificate of. Coverage No. NCG550524
The issuance of this Certificate of Coverage is an administrative action initiated by the Division of
Environmental Management and therefore, no fees are due at this time. In accordance with current rules, there
are -no annual administrative and compliance monitoring fees for coverage under general permits. The only fee
you will be responsible for is a renewal fee at the time of renewal. The current permit expires July 31, 1997.
This, coverage will remain valid through the duration of the attached general permit. The Division will be
responsible for the reissuance of the general permit and at such time, you will be notified of the procedures to
follow to continue coverage under the reissued permit. Unless you fail to follow the procedures for continued
coverage,you will continue to be permitted to discharge in accordance with the attached general permit.
The issuance of this Certificate of Coverage does not preclude the Permittee from complying with any and all
statutes, rules, regulations, or ordinances which may be required by the Division of Environmental Management
or permits required by the Division of Land Resources, the Coastal Area Management Act or any Federal or
Local other governmental permit that may be required.
If you have any questions or need additional information regarding this matter, please contact either the
Mooresville Regional Office, Water Quality Section at telephone number 704/ 663-1699, or a review engineer
in the NPDES Group in the Central Office at telephone number 919/733-5083.
Si erely,
�A. Preston Howar , P.E.
cc: Mooresville Regional Office
Central Files

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT, HEALTH, AND NATURAL `EO' G� � �UAX
�
DIVISION OF ENVIRONMENTAL MANAGEMEISD,2�s,firy a)EvLoPaaExr
SEP 2
GENERAL PERMIT NO. NCG550000
CERTIFICATE OF COVERAGE No. NCG55052 OF R IRR,',10TAt ::.ANC
TO DISCHARGE TREATED DOMESTIC WASTEWATERS FROM SINGLE FAMILY RESIDENCES AND
SIMILIAR WASTEWATERS UNDER THE
NATIONAL POLLUNTANT 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,
GIBSON JAMES (RESIDENCE)
is hereby authorized to discharge treated domestic wastewater from a facility located at
GIBSON JAMES (RESIDENCE)
Cabarrus County
to receiving waters designated as the HORTON BRANCH/YADKIN-PEE DEE RVR BSN
in accordance with the effluent limitations, monitoring requirements, and other conditions set forth in Parts I, II,
III and IV of General Permit No. NCG550000 as attached.
This certificate of coverage shall become effective November 1, 1993.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day, September 30, 1993.
A. Preston Howar3, Jr., P.E.,Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Date: July 19, 1989
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cabarrus
NPDES Permit No. NC 0077232
PART I - GENERAL INFORMATION
1. Facility and Address: James Gibson Residence
James Gibson
10850 Bethel Church Road
Midland, North Carolina 28107
2. Date of Investigation: July 11, 19.89
3. Report Prepared By: Allen Hardy, Environmental Engineer I
4. Person Contacted: Mrs. James Gibson; telephone number
( 7 0 4 ) 5-?3 -2r;;39
5. Directions to Site: Travel Highway_601 south from Concord
to the intersection of Highway 24-27. Turn right on
Highway 24-27 and travel to the intersection of Bethel
Church Road. Turn right on Bethel Church Road and.proceed
approximately 1.6 miles. The site will be on the left.
6. Discharge Point - Latitude: 350 16' 00"
Long T.ude: 800 32' 52"
Attach a USGS Map Extract and indicate treatment plant site
and discharge point on map.
USGS Quad No.: F 16 SE
7. Size (land available for expansion and upgrading): There
appeared to be adequate land available for expansion and
upgrading.
8. Topography (relationship to flood plain included): The
topography consists of gently rolling hills as well as some
bottomland adjacent to the receiving stream.
9. Location of Nearest Dwelling: The nearest dwelling is
approximately 500 feet from the wastewater treatment plant
site.
10. Receiving Stream or Affected Surface Waters: Unnamed
tributary to Horton Branch
a.- Classification: C
b.' River Basin and Subbasin No.: Yadkin 03-07-12

Page Two
C. Describe receiving stream features and pertinent
downstream uses: The receiving stream contained a
small amount of flow on this inspection date. Minnows
and small fish were noticed in the stream. The
proposed discharge location in the unnamed tributary
is approximately 500 feet upstream of the confluence
with Horton Branch, which contained an excellent flow.
There are no other discharges known to occur in the
unnamed tributary.
PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORKS
1. Type of wastewater: 100o Domestic
0% Industrial
a. Volume of Wastewater: .00024 MGD
b. Types and quantities of industrial wastewater: N/A
C. Prevalent toxic constituents in wastewater: N/A
d. Pretreatment Program (POTWs only): N/A
2. Production Rates (industrial discharges only) in Pounds:
N/A
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 wastewater treatment facility design will be submitted
after receiving the final limits.
5. Sludge Handling and Disposal Scheme: To be submitted by
the engineer.
6. Treatment Plant Classification: Unknown at this time.
7. SIC Code(s): 9999
Wastewater Code(s): 04
PART III - OTHER PERTINENT INFORMATION
1. Is this facility being constructed with Construction Grants
Funds (municipals only)? No
2. Special monitoring requests: No
3. Additional effluent limits requests: No
4. Other: No
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, James Gibson, proposes to discharge
wastewater generated from a two bedroom single family home into
an unnamed tributary to. Horton Branch.

.a
Page Three
At the proposed discharge location there appeared to be
very low flow; later confirmed as having 7Q10 of zero (0) after
completing the Waste Load Allocation procedures for a single
family discharge.
Approximately 500 feet downstream of the proposed discharge
location the receiving stream emptied into Horton Branch which
appeared to have a positive 7Q10 flow. If the discharge were
relocated to this stream then secondary limits would probably
apply. The applicant was explained the problems of having a
7Q10 of zero at the present discharge location and that in order
for a permit to be issued the discharge would have to enter a
positive flow stream. Therefore, a new discharge location may
be forthcoming.
This Office recommends that the permit be denied at the
present discharge location proposed in the application.
w . A
Signature of Report Preparer
Water Quality Reg' al Supervisor

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FOR SALE BY u.a.GEOLOGICAL SURVEY, wAaH/morom.o.cuoz«z
^ roLocn ocoun/e/wo ropoonap*/o mapo AND svweoLu IS AVAILABLE ON ncOocor

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State of North Carolina
e artment of Natural Resources and Communi `" �' '� ' ' °pl'G- -
P ty �eve�ciprne�nUt¢���`gv
Division: of Environmental I�1anagemen: i
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor ��e. �9
�9�9 R. Paul Wilms
William W_Cobey, Jr., S, cretary Director
l �56 PAe
7
Subject: NPDES Permit Application
NPDES Permit: No. NC00 Dear 02�6;/Z -d77�.3
/J�, ,/ c�vywl� .County
-/V
This is to acknowledge
Application
Engineering
Request for
Application
- 1___ ­ Other ...1��._'_
receipt of the following documents on�%�jy�j`.
Form,
Proposal (for proposed control facilities),
permit renewal,
Processing Fee of 81, De ov
The items checked below are nee
Application -form
Engineering Proposal
_ Application Processin
ed before' review
(Copy
See Attachment),
,Fee ,pf. $
can begin: -
enclosed)',
If - the applicat on i n Wmade complete within thirty. 30 days, it.will
be returned to you and may be 'resubmitted when.complete.
This application has been assigned to
(919/733-5083) of our Permits Unit for review. You 1 be advised of
any comments recommendations, questions or other information necessary
for,the review of the application.
I am, by copy of this letter, requesting that our Regional Office
Supervisor prepare a staff report and recommendations regarding this
discharge. If you have any questions regarding this application, please
contact the review person listed above,
S .ncerely,
(Arfthur Mouberry, P.E.
Supervisor, Permits and Engineering
cc
f'0111dion PreoeWioi Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]

V7.
If any of the types of waste identified in item 6. either treated or un-
treated. are discharged to places other than surface waters, check below
as applicable.-
9 I •
Waste water is discharged to:
0,1-999
(1)
1000-4999
(2)
S000-9999
(3)
10.00041."g
(4)
50.000 or more
(5)
A. Munir.ipal %ewarr• system
II, Ilndrrgrrnlnrl wr•II
•
f.• Septic tank
D. Evaporation lagoon or pond
E. Other, specify:
ur water
8. Number of sseparate discharge points:
A. B. a 2-3 C. a 4-5 D. o 6 or more
9• Name of receiving water or waters >-lu4o, -6raxd,
10• Does your discharge contain or is it possible for your discharge to contain
one or more of the following substances Addd as a result of your operations,
activities, or processes: ammonia, cyani , aluminum, beryllium, cadmium,'
chromium, copper, lead, mercury. nickel, selenium, zinc. phenols. oil and
grease. and chlorine (residual).
A. o yes B. ® no
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.
�a4d�'1 t� 5 '� l C' N Q � l 9••� � � � Ur��
Printed Name of Person Signing
Titles
North. Carolina General Statute 143-215.6(b)(2) provides that: Any person who knowingly makes
any false statement representat on, or certification In any applicatton,'record, report, plan,
or other document files or required to be maintained' under Article 21 or regulations of the
En,Arawental Management Commiss$on implemen>tng that Artidle,•or who falsifies, tampers u?th,
or knowly renders inaccurate any:racording or Wnito>rivj #, vice or method required to be
nperated or maintained under AT�Xaale 2:$:-os reguldtion>s -of the Environmental Management Colaiss
implementing that Article, s.ha1.3'�be',guUtY-�of A misdemeanor punishable by a •fine not to ►±xceed
$10,000, or by imprisonment -tint to exceed six months, or by both. (18 U.S.C. Section 1001 prat-_
a punishment by a fine of'Aot more than $10,000 or imprisonment not ruore than 5 years, or bath,
Lor a sinilar offense.)

NORTH CAROLINA DEPT. OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
ENVIRONMENTAL MANAGEMENT CORMISSION
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
APPLICATION FOR PERMIT TO DISCHARGE — SHORT FORM D FOR
AGENCY
USE
To be filed only by services, wholesale and retail trade.
and other commercial establishments including vessels
"IN
APPL I CAT I ON NUMIiE R
0'7
3;
DATE RECEIVED
T
0
YEAR Mo. DAY
Do not attempt to complete this form without reading the accompanying instructions J
Please print or type
1. Name, address, and telephone number of facility producing discharge �'0
A. Name _JamPS
B. Street address _102 C) het+lel- Ck�LtrCj-" R00.8
C . C 1 ty (Y 1610j'Nd D. State '
E. County Cabw(rus F. ZIP
G. Telephone No.RECEIVED
p�yv�
Area DIVISION OF ENVIRONMENTAL MANAGEMEN1 �' ` �;? � 4-..
Code 1n�
2. SIC
(Leave blank)
JUN 7 1989 q 8 1 89
MOORES.'ILLE iPERi�,; IS u EN''GIIVcE-RING
• n_ !'GONAL(fFja
3. Number of employees �(IWU �t;s CI UU[TI -i)iI ►CAIG Tu
c AI
j
4. Nature of business �1e51 denm
5. (a) Check here if discharge occurs all year4l-r-Ir
(b) Check the month(s) discharge occurs:
1.0January 2.0February 3.13March 4.oApri1 5.0MrY
6.0 June 7, o July B. o August 9.o September 10. o October
11.0 November 12.0 December
(c) How many days per week:
l . 01 2.0 2-3 3.0 4-5 4rCr6.7
6. Types of waste water discharged to surface waters only (check as applicable)
Flow, gallons per operating day
Wohme treated 6efare
discharging (percent)
Discharge per
operating day
0.1-999
1000-4999
5000-9999
10.000-
50.000
None
0.1-
30-
65-
95-
49.999
or more
29.9
64.9
94.9
100
(1)
(2)
13)
(4)
(5)
(6)
(7)
(B)
(9)
(10)
A. Sanitary, daily
average
B. Cooling water, etc.,
daily average
C. Other discharge(s).
daily average;
L
i
Specify
D. Maximum per operat-
ing day for combined
discharge (all types)

.4
Cabarrus County Health Department
715 Cabarrus Avenue W. • P.O. Box 1149 • Concord, N. C. 28026 -1149 • Area Code 704/786-8121
William F. Pilkington, Health Director
June 12, 1989
Mr. Allen Hardy
Department of Natural Resources
Environmental Management
919 North Main Street
P. 0. Box 950
Mooresville, N.C. 28115-0950
Dear Mr. Hardy:
Enclosed are the results from the soil evaluation performed
by Ken Hinson, Sanitarian Specialist for the property located on
Bethel Church Road previously owned by Anna Lee Bost. This evaluation
was requested by James Gibson after I originally determined the lot
to be unsuitable for any type of ground absorption system. If I
can be of further assistance I can be reached between 8:00 - 9:00
a.m. weekdays.
Sincerely, p
"al -- ' O OUL,C�- e lZ
Mary G. Barbee,R.S.
Cabarrus County Health Department
lw
C.
Enclosure
4 t989
Equal Opp ortuni tylAffirmative Action Employer

Address / 2-
property Location
Property Size f
Source of Wa
Participants
Person(s) Contacted
Cni� F�rtnrc
SO WSITE EVALUATION WORKSHEET
Date
Telephone �Sj��57dZ
Structure 3e/L+-p`'
A... 1 A- 7 Ares Z A- ! A- C A- f- iI
1. Slope d Topography S
S
S
S
S S %
<15% 15-30% PS
PS
PS
PS
PS I
PS
>30% or Complex* U
U
U
U
U I
U
2. Horizon I Depth
Texture
Structure
Consistence
Horizon II Depth f
/
Texture �i (
/'!� nt
-
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Structure
Consistence
Horizon III Depth
Texture
Structure
Consistence
Horizon IV Depth
Texture
Structure
Consistence
3. Restrictive (-,4811)
Horizon (36-48") (<36")
7'/i
/- y
4. Depth to (--48"X36-48")
Watertable (-3611)
1'4
I
Comments:

j. ^xtures - Structures
Drainage
Sandy Blocky (sub -angular)
Loamy Granular
Clavev Platv
J
Perched Water
Seasonally High Water
Wel 1 -Thai nari
HD-EH-0005

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SOIL/SITE EVALUATION WORKSHEET
Owner �iYVy�c� z Telephone_
Address
Date Z ��
Property Location
Property Size Structure
— 3xOr
Source of Water
Participants_11745W
Person(s) Contacted
Cni l F�nYnra A,..,., A- % AroJ,9 Aroa� _ Arna l Arnim K'
1. Slope b Topography �SY
S
St
S
S
S
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PS
PS
PS
PS I
PS
>30% or Complex U
U
U
U
U !.
U
2. Horizon I Depth
Texture
Structure
Consistence
Horizon II Depth
Texture
�� �� i
411,
��.
C
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Structure
Consistence
Horizon III Depth
Texture
Structure
Consistence
Horizon IV Depth
Texture
Structure
_
Consistence
3. Restrictive (14811) 6
Horizon (36-48") (<36")/'2`
'/
�o '�
t-��
4. Depth to (--48"X36-48")
Watertable (-36")
I
5 Available Space S PS U u. AppiicaLion AaLe O.LC %­LdZ�b a rQ, U
Comments:
11-11nGuitable S-Suitable PS -Provisionally Suit

lu Mures .. Structur,--s L ,:_.....cage
Sandy Blocky (sub -angular) Perched Water p,.
Loamy Granular Seasonally High Water
Clayey Platy Well -Drained
1:1 Massive
2:2
HD-EH-0005

Permit No. NCO077232
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
E R M I T
TO DISCHARGE WASTEWATER UNP R T14E
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
In compliance with the provisions of North Ca.r_olina. 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,
Mr. James Gibson
N. C. DrP;�. of NATL?TiAY.
AND
is hereby authorized to discharge wastewater_ from a facility located at `_-_.,
James Gibson Residence �,�I(�
on Bethel. Church Road
Southeast of Flows Store
Ca.barrus Country
�: �1� t ii.a�irl�i. Urth+t
to receiving waters designated as an unnamed tributary to Horton Branch in the
Yadi_n-Pee Dee River Basin
in accordance with effluent limitations, monitoring requirements, and other_
conditions set forth in Parts I, II, and III hereof.
This permit shall. become effective
This permit and the authorization to discharge shall expire at midnight on
Signed this day ofre
R. Pau 1 Wilms, Director
Division of Envi.ronme.nta.l. Management
By Authority of the Environmental. Management Commission

Permit No. NC0077232
SUPPLEMENT TO PERMIT COVER SUEET
Mr. James Gibson
is hereby authorized to:
1. Enter into a contract for construction of a. wastewater treatment facility,
and
2. Make an outlet into an unnamed tribtuary to Horton Rranch, and
3. After receiving an Authorization to Construct from the Division of
Environmental Management, construct and operate a 0.00024 MGD wastewater
treatment facility located on Bethel Church Road, Southeast of Flows
Store, in Caba.r_rus County (See Part ITT of this Permit), and
4. Discharge from said treatment works at the location specified on the
attached map into an unnamed tributary to Horton Branch which is
classified class "C" waters in the Yadkin -Pee Dee River Basin.

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SCALE 1:240W I MILE Primary high'
1 0
7 _ — op
hard surface
:-- a0o0 5000 6000 7000 FEE �7 rh n �,U of n�
0 1000 2000 _ 3�----1 1 1 l f� f `�
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L_:-..-----�_ __�_- -'- '.'�==-C_ 1 KILOMETER '
5 0 e �10 t` Uri • hard surface
Inter
CONTOUR INTERVAL 10 FEET Te: Pefk-0,� coo. NCco 7 �3a
NATIONAL GEODETIC VERTICAL DATUM OF 1929
QUADRANGLE LOCATION
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FOR SALE BY U. S. GEOLOGICAL SURVEY Revisiol pie and woodland compiled In cooperation with
iENVER, COLORADO 80225 OR RESTON, VIRGINIA 22092 1 hs teen 198.1
S IS AVAILABLE ON REQUEST State of North Caro
:CRIBING TOPOGRAPHIC MAPS AND SYMBOL
lina agenues from aerial phnh; < P 1 };

A. (1). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS Final
NPDES No. NCO077232
During the period beginning on the effective date of the permitand lasting until
expiration the Permittee is authorized to discharge from outfall(s) serial number(s) 001
discharges shall be limited and monitored by the Permittee as specified below:
Effluent Characteristics
Lbs da
Daily Avg. Daily Max.
Flow
BOD, 5Day, 20 Degrees C
Total Suspended Residue
NH3 as N
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge Limitations
Other Units (Specify)
Daily Avg. Daily Max.
240 GPD
30.0 mg/l 45.0 mg/1
30.0 mg/7 45.0 mg/]
200.0/100 ml 400.0/100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequencv 2e Location
Such
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous
disinfection of the effluent.
The pH shall not be less than 6.0 standard units nor greater than 9.0 standard units
There shall be no discharge of floating solids or visible foam in other than trace amounts.
M3

TO:
DA'rF:
SUBJECT:
AVMI .,()F Q°Nlvl
g.
51 ATE
Carolina Depaftment, of Enlvi ronmel
N: n
nlea:lt'h,, and Natura'! Resources

State of North Carolina
Department of Environment, Health, and Natural Resources
Division of Environmental Management
512 North Salisbury Street • Raleigh, North Carolina 27611
James G. Martin, Governor
William W" Cobey, Jr., Secretary
f
t
Dear
R. Paul Wilms
Date: J' 1 19 Director
SUBJECT: Application No. WQ
The Divisions,- Permits and Engineering Unit acknowledges receipt of your permit application and supporting
materials on 4 e - a „` , 19 .fThis application has been assigned the number shown above. Please
refer to this number when making inquiries on this project.
Your project has been assigned to �'-=1r %°i'+ ` ` -' for a detailed engineering
review. A technical acknowledgement will be forthcoming. If this acknowledgement is not received within thirty (30)
days, please contact the engineer listed above.
Be aware that the Divisions regional office, copied below, must provide recommendations from the Regional Super-
visor or a Procedure Four Evaluation for this project, prior to final action by the Division.
If you have any questions, please call the review engineer listed above at [phone].
CC:
RECEIVED
QWISION OF ENVIRONMENTAL MANAGEME10
'JAN 10 1990
MOORESVILLE
REGIONAL OEMQ
Sincerely
t
`4
Arthur Mouberry, P.E.
Supervisor, Permits and Engineering
Regional Supervisor
Pollution Prevention Pays
P.O. Box 27687, Raleigh, North Carolina 27611-7687 Telephone [phone]
An Equal Opportunity Affirmative Action Employer

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017--77
Cabarrus County Health Department
715 Cabarrus Avenue W. P.O. Box 1149 • Concord, N. C. 28025 • Area Code 7041786-8121
William F. Pilkington, Health Director
November %n, 19�)711F� ti y•�, }.�
A1111a l;cc Bost ij'
12601 Bethel. Church load ll:.y
riicllarid N� 2fi10? , � ° , •�l
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On November 211, 19 '7 Mrs ?Mary C. Barbee
a sanitarian employed by the Cabarrus County Health Department, made
an on -site inspection of your property located at
4.114 acres, Betl!el Churcli Road, across front brick house
The purpose of this inspection was to determine the suitability of
this site for septic tank sewage disposal system.
The sanitarian has determined that this site is not suitable for
Installation of a septic tank system. You may appeal this finding to
Kenneth Hinson, Sanitarian Specialist, who will make an on -site visit
at your request.
If you have any questions about this matter, please feel free to call
on us at any time.
Sincerely,
CN �• 6),
William F. Pilkington
Health Director
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An Equal Op{wrtunitY EmployOr

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Permit No.NC0077232
STATE OF NORTH CAROLINA
DEPARTMENT OF NATURAL RESOURCES AND COMMUNITY DEVELOPMENT
DIVISION OF ENVIRONMENTAL MANAGEMENT
PERMIT
TO DISCHARGE WASTEWATER 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,
Mr. James Gibson
is hereby authorized to discharge wastewater from a faciilty located at
James Gibson Residence
on Bethel Church Road
southeast of Flows Store
Cabarrus County
to receiving waters designated as Horton Branch in the Yadkin -Pee Dee River Basin
in accordance with effluent limitations, monitoring requirements, and other conditions set forth in
Parts I, II, and III hereof.
This permit shall become effective
This permit and the authorization to discharge shall expire at midnight on
Signed this day
R. Paul Wilms, Director
Division of Environmental Management
By Authority of the Environmental Management Commission

Permit No. NC0077232
SUPPLEMENT TO PERMIT COVER SHEET
Mr. James Gibson
is hereby authorized to:
1. Enter into a contract for construction of a wastewater treament facility, and
2. Make an outlet into Horton Branch and,
3. After receiving an Authorization to Construct from the Division of Environmental
Management, construct and operate a 0.000240 MGD wastewater treatment facility
located at James Gibson Residence, on Bethel Church Road, southeast of Flows Store,
Cabarrus County (See Part III of this Permit), and
4. Discharge from said treatment works at the location specified on the attached map into
Horton Branch which is classified class C waters in the Yadkin -Pee Dee River Basin.

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A. (). EFFLUENT LIMITATIONS AND MONITORING REQUIREMENTS FINAL Permit No. NCO077232
During the period beginning on the effective date of the permit and lasting until expiration, the Permittee is authorized to discharge from
outfall(s) serial number 001. Such discharges shall be limited and monitored by the permittee as specified below:
Effluent Characteristics
Flow
BOD, 5 day, 200C
Total Suspended Residue
NH3 asN
Fecal Coliform (geometric mean)
Total Residual Chlorine
Temperature
Discharge
Limitations
Units
(specify)
Monthly Ava.
Weekly Avg,
240 CPD
30.0 mg/1
45.0 mg/1
30.0 mg/I
45.0 mg/1
200.0 /100 ml 400.0 /100 ml
Monitoring Requirements
Measurement Sample *Sample
Frequency Type Location
The chlorinator shall be inspected weekly to ensure there is an ample supply of chlorine tablets for continuous disinfection of the effluent.
The pH shall not be less that 6.0 standard units nor greater than 9.0 standard units.
There shall be no discharge of floating solids or visible foam in other than trace amounts.