NCG520110_Regional Office Historical File Pre 2018

Ori Tuvia, Environmental Engineer
North Carolina Water Resources
Division of Water Resources
610 East Center Avenue, Suite 301
Mooresville, NC 28115
Dear Mr. Tuvia:
THE CITE' OF KINGS MOUNTAIN
P.O. BOX 429 • KINGS MOUNTAIN, NORTH CAROLINA 28086 • 704-734-0333
RECEIVED/NCDENR/DVVR
JAN - J 2017
V�t;R✓s
WOORECVILL E ?Er I!11•,iAL OFFICE
The following information is provided in response to the Compliance Evaluation Inspection at
Moss Lake in Kings Mountain.
Per your request, the semi-annual effluent flow estimates are detailed below.
For the reporting period beginning September 1, 2016 and ending December 31, 2016 the
greatest amount estimated effluent flow was 20 cubic yards.
This was arrived at by calculating the following:
The great amount removed during one day during the reporting period occurred on
September 29, 2016. This information was reported to the City by Clark Ledbetter, who holds
the dredging contract. The totals for that measured 100 cubic yards (8 loads). The formula you
provided is applied below.
100 cubic yards * 0.20 = 20 cubic yards
If you have questions, or need additional information, please do not hesitate to contact the
Planning office.
Sincerely,
Yessica Trotman
Director of Planning & Economic Development
City of Kings Mountain
The Historical City

IV. CERTIFICATIONS:
Existing Permittee's Certification/per 15A NCAC 02T .0106(b): /
I, � a 1 � �' i G- ft%rB't /C jittest that this application
(Signature Authority's name & title from Applicati n Aem I.2 & 3)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that prior to reissuance of the permit
into the Applicant's name, I will continue to be responsible for compliance with the current permit and any discharge of wastewater
from this system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will also make no claim against the Division of Water Resources should a condition of the existing permit
be violated. I also understand that if all required parts of this application are note completed and that if all required supporting
information and attachments are not included, this application will be returned to me as incomplete.
NOTE - In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as vxll as civil penalties up to 000 per violation. J J
Signature: Date:
Applicant's Certification per 15A NCAC 02T .0106(b):
4.
I, e S S I CA � �LVIm" attest that this application
(Signature Authority's name & title from Application Item II.2&3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that after issuance of the permit into
the Applicant's name, I will be responsible for compliance with the issued permit and any discharge of wastewater from this non -
discharge system to surface waters or the land may result in an enforcement action that may include civil penalties, injunctive relief,
and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition of this permit be violated.
I also understand that if all required parts of this application package are not completed and that if all required supporting information
and attachments are not included, this application package will be returned to me as incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement,
representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine not to
exceed $10,000 as well as civil penalties up to $25,000 per violation.
Signature :ti Date: `2'�3° 11�
FORM: PNOCF 01-16 Page 2 of 2

WaterResources-
ENVIRONMENTAL QUALITY
0
PAT MCCRORY
Governor
DDIN Ip V N DER VAART
U L S Secretary
S. JAY ZIMMERMAN
Director
December 14, 2016
Mr. Steve Killian, Planning Director
City of Kings Mountain
P.O. Box 429
Kings Mountain, NC 28086
Subject: Compliance Evaluation Inspection
Moss Lake Dredging Operations
NPDES Permit No. NCG520110
Cleveland County
Dear Mr. Killian:
Enclosed is a copy of the Compliance Evaluation Inspection for the inspection conducted
at the subject facility on December 13, 2016, by Qri Tuvia. Your cooperation during the site visit
was much appreciated. Please advise the staff involved with this NPDES Permit by forwarding a
copy of the enclosed repot.
As discussed on site, semiannual effluent flow estimates are needed. Additionally, when
you retire, please complete and mail (as instructed on the form), the change of permitee form
(see attached).
The report should be self-explanatory; however, should you have any questions
concerning this report, please do not hesitate to contact Ori Tuvia at [phone], or at
[e-mail].
Sincerely,
Ori Tuvia, Environmental Engineer
Mooresville Regional Office
Division of Water Resources, DEQ
Cc: MRO Files
NPDES (Unit)

i
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Compliance Inspection Report
Approval expires 8-31-98
Section A; National Data System Coding (i.6., PCS)
Transaction Code NPDES yr/mo/day Inspection Type -Inspector Fac Type
1 IN 2 16 I 3 I NCG520110' 111 12 16/12/13 17
18 ICI 19 I j a- 20I
211III I I I I I III I l l l l l l l l l I I I I I I I
I I I I I III l l l 1 1 I66
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA
Reserved
67
70 iL71 72 NJ
7375
I Li
80
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
09:35AM 16/12/13
16/07/20
Moss Lake Dredging Operations
Airport Rd Sr 1926
Exit Time/DatIa -
Permit Expiration Date
Shelby NC 28150
10:15AM 16/12/13
20/07/31
Name(s) of Onsite Representative(s)rritles(s)%Phone and Fax Number(s)
Other Facility Data
Steve Killian/Development Director Economic and of planning/704-734-4596 /7047344480
Name; Address of Responsible OfficialrTitle/Phone and Fax Number
Contacted
Steve Killian,PO Box 429 Kings Mtn NC 28owao4-734-4596/7047344480
No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Records/Reports Facility Site Review
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and. checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers
Date
Ori A Tuvia MRO WQ//704-663-1699/
12/%LI /%c
(
Signature of ManagWnlReviewer Agency/Office/Phone and Fax Numbers
Date
Andrew PitnerMRO WQ//704-663-1699 Ext.21
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.

I
NPDES yr/mo/day Inspection Type 1
31 NCG520110 I11' 12I 16/12M3 I17 18l,,l
Section D: Summary of Finding/Comments (Attach additional sIheets of narrative and checklists as necessary)

Permit: NCG520110 Owner - Facility: Moss Lake Dredging Operations
Inspection Date: 12113/2016 Inspection Type: Compliance Evaluation .
Permit
Yes No NA NE
(If the present permit expires.in 6 months or less). Has the permittee submitted a new
❑ ❑
0
❑
application? . .
Is the facility as described in the permit?
N ❑
❑
❑
# Are there any special conditions for the permit?
❑ N
❑
❑
Is access to the plant site restricted to the general public?
N ❑
❑
❑
Is the inspector granted access to all areas for inspection?
N ❑
❑
❑
Comment: The subject permit expires on 7/31/2020. The site has been inactive for the
year of 2015.
1250 cubic yards have been dredged in 2016. No estimated flow has been recorded the
permitee was instructed to start recording flow estimates semiannually.

Joy Fox
From: Gary Stewart
Sent: Monday, December 12, 2016 10:35 AM
To: Steve Killian
Cc: Jessica Trotman
Subject: Pictures from this morning
Attachments: IMG_1031.JPG; IMG_1032.JPG; IMG_1033.JPG; IMG_1034.JPG; IMG_1035.JPG; IMG_
1036.JPG; IMG_1037.JPG
Pictures attached from the mining site today. I am attached a few close ups of the area in question from last week.
Thanks,
Dee

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PAT MCCRORY
(;nR mom
K-z9W1-A10WW- I
DONALD R. VAN DER VAART
Se' 1
Water Resotrr ces S. JAY ZIMMERMAN
ENVIRONMENTAL QUALITY ,
Pin', r. n'
RECEiVEDINCDENRIDWR
June 22, 2016 I LIN 9 0 2016
Mr. Steve Killian VdG1R0"c'
City of Kings Mountain MOORESVILLE- hEGSOP.AL O"F!CE
P.O. Box 429
Kings Mountain, NC 28086-0429
Subject: Renewal of coverage / General Permit NCG520000
Moss Lake Dredging Operation
Certificate of Coverage NCG520110
Cleveland County
Dear Permittee:
The Division hereby renews Certificate of Coverage (CoC) NCG520110 to discharge under General
Permit NCG520000. This CoC is issued pursuant to the requirements of North Carolina General Statue
143-215.1 and the Memorandum of Agreement between North Carolina and the US Environmental
Protection agency dated October 15, 2007 [or 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 request an individual permit by submitting an individual
permit application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please take notice that this Certificate of Coverage is not transferable except after notice to the
Division. The Division may require modification or revocation and reissuance of the certificate of coverage.
Contact the Mooresville Regional Office prior to any sale or transfer of the permitted facility.
Regional Office staff will assist you in documenting the transfer of this CoC.
This permit does not affect the legal requirements to obtain any other Federal, State, or Local
governmental permit that may be required.
If you have any questions concerning the requirements of the General Permit, please contact John
Hennessy [919 807-6307 or john.hennessy@ncdenr.g6v].
cc: Moores'v�11e.-RegaonalOfiice
NPDES file
Si ely,
for S. Jay Zimmerman, P.
Director, Division of Water Resources
State of North Carolina I Environmental Quality I Water Resources
1617 Mail Service Center I Raleigh, NC 27699-1617
919 807 6300 919-807-6389 FAX
https://deq.ne. govlaboutldivisions/water-resources/water-resources-permits/wastewater-branchlnpdes-wastewater-permits

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF WATER RESOURCES
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520110
DISCHARGE OF IN -STREAM SAND MINING WASTEWATER, ASSOCIATED STORMWATER
AND SIMILAR DISCHARGES 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,
City of Dings Mountain
is hereby authorized to discharge instream mining wastewater from the following facility:
Moss Lake Dredging Operation
Airport Rd
Shelby
Cleveland County
to receiving waters designated as.Buffalo Creek, a class WS-III stream in subbasin 03-08-05 of the
Broad River Basin. All discharges shall be in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This certificate of coverage shall become effective June 22, 2016.
This Certificate of Coverage shall remain in effect for the duration of the General Permit.
Signed this day June 22, 2016
I
for S. Zimmerman, P.G.
Director, Division of Water R ources
By Authority of the Environmental Management Commission

=4&
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
September 8, 2015
City of Kings Mountain
Attn: Mr. Dennis Wells
Post Office Box 429
Kings Mountain, North Carolina 28086
RE: Approval to Install Instrumentation
Moss Lake Dam
Cleveland County
State ID: CLEVE-018
Dear Mr. Wells:
Donald van der Vaart
Secretary
This is in response to your submission dated August 28, 2015, and received on September 1,
2015, of plans and specifications for installation of instrumentation within the subject dam in
compliance with the Dam Safety Law of 1967. The plans and specifications submitted were
prepared under the supervision of Mr. Christopher E. Wood, PE.
This letter constitutes approval of the proposal to install instrumentation within the subject dam
according to the plans and specifications received by this Division on August 28, 2015, with the
following stipulations:
1. Project construction shall be supervised by Mr. Christopher E. Wood, PE, Mr. Christopher
E. Wood, PE, shall be responsible for field observation of construction as necessary to
ensure compliance with approved plans [GS 143-215.29].
2. During installation, the Division of Energy, Mineral, and Land Resources may require such
progress reports as are deemed necessary.
3. In accordance with GS 143-215.29 and NCAC 15A-2K .0203, .0212, .0215, and .0216,
within 30 days of completion of the project, Mr. Christopher E. Wood, PE shall inspect the
completed work and upon finding that the work has been done as specified and the dam is
safe, shall file with the Division of Energy, Mineral, and Land Resources two sets of record
drawings and a certificate stating that the work has been completed in accordance with
approved plans, specifications and other requirements.
Division of Energy, Mineral, and Land Resources
Energy Section - Geological Survey Section - Land Quality Section
1612 Mail Service Center, Raleigh, North Carolina 27699-1612.919-707-9200 / FAX: [phone]
512 North Salisbury Street, Raleigh, North Carolina 27604 • Internet: http://portal.ncdenr,or. Iq web/Ir/
An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110%o Post Consumer Paper

Mr. Dennis Wells
Approval to Install Instrumentation
September 8, 2015
Page 2 of 2
Moss Lake Dam
CLEVE-018
4. A procedure and schedule for reading the monitoring wells, recording the data, and storing
the data shall be provided with the record drawings. Until the ongoing investigation and
repair work is complete, monitoring of the piezometers shall be performed on at least a
daily basis while the low level conduit remains unpressurized and hourly monitoring shall
be performed at times when the low level conduit is pressurized. Piezometer readings shall
be recorded and made immediately available upon request of this Division. A summary of
piezometer readings shall be made in the weekly status reports required by Stipulation 5 of
our letter to you dated July 20, 2015.
5. This approval does not convey the right to access the private property of others. Any
required access to perform the approved work must be secured prior to initiation of
construction activities.
6. You must notify Mr. Zahid Khan, Regional Supervisor, Land Quality Section, 610 East
Center Avenue, Suite 301, Mooresville, North Carolina 28115, telephone number (704)
663-1699 prior to the start of construction.
The Army Corps of Engineers and the Division of Water Resources of this Department should be
contacted to determine if additional permits are required. Also, the erosion and sediment control
program having jurisdiction should be contacted to determine permit requirements. In any case,
sediment must be prevented from entering the waters of the state or flowing onto neighboring
property.
Installation of instrumentation must begin within one year of the date of this letter or this
approval is void. For assistance you may contact the Mooresville Regional Office at (704) 663-
1699 or a staff member of the Dam Safety Program in the Raleigh Central Office at telephone
number [phone].
Director
TED/whd
cc: Mr. Christopher E. Wood, PE, Joel E. Wood & Associates
Mr. Zahid Khan, CPESC, Regional Supervisor
S.ur acc er xoter ion R-eglYonal ,Sup isor
Filename: CLEVE-0I8 20150908 COAII Moss Lake Dam - Piezometers

r- -
FILE
NC®ENR
North Carolina Department of Environment and Natural Resources
f Division of Water Quality
Pat McCrory Charles Wakild, P. E John E. Skvarla, III
Governor Director Secretary
DIVISION OF WATER QUALITY
February 15, 2013
City of King Mountain
Attn: Mr. Steve Killian, Planning Director
P.O: Box 429
Kings Mountain, NC 28086-0429
Subject: Moss Lake Dredging Operations
Stormwater Permit# NCG5201104
Clevaland County, NC
Dear Mr. Killian:
Attached is a copy of the subject stormwater permit inspection conducted on February 14, 2013
by Mr.Samar Bou-Ghazale of this Office.
The report should be self-explanatory; however, should you have any questions concerning the
report, please do not hesitate to contact Mr. Bou-Ghazale at [phone].
Sincerely,
Michael L. Parker
Surface Water Protection Regional Supervisor
Attachment
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] \ Customer Service: 1-877-623-6748
Internet: www.ncwaterguality.org
An Equal Opportunity \ Affirmative Action Employer - 50% Recycled/10% Post Consumer paper
NorthCarolina
Naturally

V�L
United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 2 15 I 31 NCG520110 111 121 13/02/14 117 181 C I 19I S I 20I
Remarks
21111111111111Jill 11111IIIIIIIIII11111111111111116
Inspection Work Days Facility Self -Monitoring Evaluation Rating B1 QA ----------------Reserved ---------- ----
67I 169 70131 711 I 721 N I 73I I 174 751 I I I I I I 180
w
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
11:05 AM 13/02/14
12/08/08
Moss Lake Dredging Operations
Exit Time/Date
Permit Expiration Date
Airport Rd Sr 1926
Shelby NC 28150
11:25 AM 13/02/14
15/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Steve Killian,PO Box 429 Kings Mtn NC 28086//704-734-4596/7047344480 No .
Section C: Areas Evaluated During Inspection (Check only those areas. evaluated)
Permit Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Samar E Bou Ghazale MRO WQ//704-663-1699 Ext.2199/
Signature_ of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type
3 NCG520110 I11 12I 13/02/14 117 18I CI
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Site is inactive at this time. The inspection was conducted since the City of Kings Mountain submitted an
application for activating dredging at the facility
Page # 2

Permit: NCG520110
Inspection Date: 02/14/2013
Owner - Facility: Moss Lake Dredging Operations
Inspection Type: Compliance Evaluation
Permit
(If the present permit expires in 6 months or less). Has the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment: Site is inactive at this time.
Yes No NA NE
nn■n
■ n n n
n■nn
■ n n n
■ n n n
Page # 3

-FILE
4a
^.....�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor . Director Secretary
September 28, 2012
Steve Killian, Planning Director
City of Kings Mountain
P.O. Box 429
Kings Mountain, North Carolina 28086
Subject: Compliance Evaluation Inspection
Moss Lake Dredging Operations
NPDES Permit No. NCG520110
Cleveland County
Dear Mr. Killian:
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted at the
subject facility on September 26, 2012 by Mr. Lon Snider of this Office. The report should be self-
explanatory; however, should you have any questions concerning this report, please do not hesitate to contact
me at [phone].
Sincerely, ,
Lon Snider
Environmental Specialist
Enclosures
Mooresville Regional Office
Location: 610 East Center Ave., Suite 301 Mooresville, NC 28115
Phone: [phone] Fax: [phone] Customer Service:1-877-623-6748
Internet: http://portal.ncdenr.orgiweb/Wq
Nne
orthCarolina
Naftft'al`i
An Equal Opportunity ,Affirmative Action Employer— 30% Recycledl10% Post Consumer paper

United States Environmental Protection Agency
Form Approved.
EPA Washington, D.C. 20460
OMB No. 2040-0057
Water Cnmplianrp. Inspprtnnn Report
Approval expires 8-31-98
Section A: National Data System Coding (i.e., PCS)
Transaction Code NPDES yr/mo/day Inspection Type Inspector Fac Type
1 INI 21 5 I 31 NCG520110 111 121 12/09/2Q 117 181 C I 19I S I 20I II
Remarks
21111111111111111111111111111111111111111111111116
Inspection Work Days ' Facility Self -Monitoring Evaluation Rating B1 QA --------- ------------Reserved------------
67I 169 701 I 71 I I 721 N I 73I I W 174 75I I I I I( I 180
Section B: Facility Data
Name and Location of Facility Inspected (For Industrial Users discharging to POTW, also include
Entry Time/Date
Permit Effective Date
POTW name and NPDES permit Number)
0.1:20 PM 12/09/20
12/08/08
Moss Lake Dredging Operations
Exit Time/Date
Permit Expiration Date
Airport Rd Sr 1926
Shelby NC 28150
01:35 PM 12/09/20
15/07/31
Name(s) of Onsite Representative(s)/Titles(s)/Phone and Fax Number(s)
Other Facility Data
Name, Address of Responsible Official/Title/Phone and Fax Number
Contacted
Steve Killian,PO Box 429 Kings Mtn NC 28086//704-734-4596/7047344480 No
Section C: Areas Evaluated During Inspection (Check only those areas evaluated)
Permit Records/Reports Facility Site Review
Section D: Summary of Finding/Comments Attach additional sheets of narrative and checklists as necessary)
(See attachment summary)
Name(s) and Signature(s) of Inspector(s) Agency/Office/Phone and Fax Numbers Date
Lon Snider MRO WQ!1704-663-1699/
r
Signature of Management Q A Reviewer Agency/Office/Phone and Fax Numbers Date
EPA Form 3560-3 (Rev 9-94) Previous editions are obsolete.
Page # 1

NPDES yr/mo/day Inspection Type 1
3I NCG520110 I11 12, 12/09/20 1,17 18Id
Section D: Summary of Finding/Comments (Attach additional sheets of narrative and checklists as necessary)
Page # ' 2

Permit: NCG520110
Inspection Date: 09/20/2012
Owner - Facility: Moss Lake Dredging Operations
Inspection Type: Compliance Evaluation
(If the present permit expires in 6 months or less). Has'the permittee submitted a new application?
Is the facility as described in the permit?
# Are there any special conditions for the permit?
Is access to the plant site restricted to the general public?
Is the inspector granted access to all areas for inspection?
Comment:
Record Keeping
Are records kept and maintained as required by the permit?
Is all required information readily available, complete and current?
Are all records maintained for 3 years (lab. reg. required 5 years)?
Are analytical results consistent with data reported on DMRs?
Is the chain -of -custody complete?
Dates, times and location of sampling
Name of individual performing the sampling
Results of analysis and calibration
Dates of analysis
Name of person performing analyses
Transported COCs
Are DMRs complete: do they include all permit parameters?
Has the facility submitted its annual compliance report to users and DWQ?
(If the facility is = or > 5 MGD permitted flow) Do they operate 24/7 with a certified operator on each shift?
Is the ORC visitation log available and current?
Is the ORC certified at grade equal to or higher than the facility classification?
Is the backup operator certified at one grade less or greater than the facility classification?
Is a copy of the current NPDES permit available on site?
Facility has copy of previous year's Annual Report on file for review?
Comment: Site is inactive.
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HCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue _ Coleen H. Sullins . Dee Freeman
Governor Director Secretary
- - ----------- - - - RECEIVED
Jul 21, 2011 DIVISION -OF WATER -QUALITY
AUG 22 20111
City of Kings Mountain
Steve Killian, Planning Director SWil' 'EC.TiON
PO Box 429 MOORESVILLE REGIONAL OFFICE
Kings Mountain, North Carolina 28086
Subject: General Permit No. NCG520000
Certificate of Coverage NCG520110
Moss Lake Dredging Operations
West SR 1926
Kings Mountain, NC 28086
Cleveland County
Dear Mr.Killian
In accordance with your application for discharge received on February 16, 2011 and revision
received on April 27, 2011, the Division of Water Quality (DWQ) hereby forwards this Certificate of
Coverage to discharge under the subject general permit. We issue this permit pursuant to the
requirements of North Carolina's General Statue 143-215.1 and the Memorandum of Agreement
between North Carolina and the US Environmental Protection agency dated May 9, 1994 (or as
subsequently amended).
The following information is included with your permit:
• A copy of the Certificate of Coverage for your treatment facility
• A copy of General Permit NCG520000 for sand -dredging discharge
• A copy of a Technical Bulletin for General Permit NCG520000
The DWQ approves this permit provided:
1. You implement and maintain industry -accepted Best Management Practices
(BMPs) and operate ponds and treatment system to meet all water -quality
standards considering a discharge to a waterbody classified public water supply
(WS-V);
2. Operations do not encroach on the required 50-foot buffers protecting the receiving
stream;
3. The facility is operated and maintained to ensure that all effluent complies
with designated water -quality standards.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone] Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
NorthCarolina
Naturally
An Equal Opportunity', Affirmative Action Employer

If any parts, measurement frequencies or sampling requirements contained in this general permit are
unacceptable, you have the right to request an individual permit by submitting an individual permit
application. Unless such demand is made, the certificate of coverage shall be final and binding.
Please note that this Certificate of Coverage is not transferable except after notice to the Division of
Water Quality_. The Division may modify or revoke and reissue this Certificate of Coverage. This
issuance does not affect your legal obligations to obtain other permits that may be required by the
Division of Water Quality, the Division of Land Resources, the Coastal Area Management Act, or any
other Federal or Local government.
If you have any questions concerning this permit, please contact Bob Guerra at telephone number
[phone] or email ([e-mail]).
�erety,
een H. Sullins, Director
cc: 'WMooresvill;e. Regional2Tm Surface Water Protection Section, attn Michael Parker
Central Files
NPDES General Permit Files
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 One
Phone: [phone] \ FAX: [phone] Customer Service: 1-877-623-6748 NorthCarohna
Internet: www.ncwaterquality.org ���J, ,
An Equal Opportunity Affirmative Action Employer l t J✓/

STATE OF NORTH CAROLINA
—DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
GENERAL PERMIT NCG520000
CERTIFICATE OF COVERAGE NCG520110
TO DISCHARGE SAND DREDGING WASTEWATER AND SIMILAR WASTEWATERS
UNDER THE
NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM
(NPDES)
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,
City of Kings Mountain
is hereby authorized to operate a treatment system consisting of a sediment basin for the
discharge of treated wastewater from sand dredging operations at facilities located at
Moss Lake Dredging Operations
SR 1926 (0.2 miles west of Intersection of Hwy 150)
Cleveland County
to receiving waters designated as Buffalo Creek, a waterbody classified WS III, within Subbasin
[03-08-05] of the Broad River Basin, in accordance with the effluent limitations, monitoring
requirements, and other conditions set forth in Parts I, II, III and IV hereof.
This Certificate of Coverage shall become effective July, 21 2011.
This Certificate of Coverage shall expire on July 31, 2012.
Signed this day July 21, 2011.
Coleen H. Sullins, Director
Division of Water Quality
By Authority of the Environmental Management Commission

City of Kings Mountain
Moss Lake Dredging Operations
Latitude: 351 19' 36" N Permitted Flow: N/A
Longitude: 81' 28' 26" W State Grid: Waco
Drainage Basin: Broad River Sub -Basin: 03-08-05
Receivinq Stream: Buffalo Creek Stream Class: WS-III
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North
NPDES Permit No. NCG520110
Clevland County

NCG520000 Application Additional Information
Site Usage
This project involves the removal of accumulated. sand and sediment from the upper reaches of
Moss Lake, which is the City's water supply reservoir. Moss Lake has seen heavy concentration
of sands being deposited into upper end of the reservoir. This intent of this operation is to limit
the amount of material that will be added to the current sediment deposits. The material will be
removed on an as needed basis, based on the level of sands that are accumulated in front of the
access area.
The material will be removed from the reservoir using a trackhoe. The material will be allowed
to dewater and drain into a skimmer basin to treat the ancillary water associated with the sand
dredging operations and the stormwater from the stockpile areas. Once the material is dry, it will
be removed from the site. The material is mostly a sandy material with some silt and trash. All
material will be removed from the site.
Alternate Analysis
There are not any structures that have process water on site. The skimmer basin collects the
stormwater and ancillary water on the site. The location, size, and terrain of the site do not
allow any alternate forms of treatment available for the stormwater and ancillary water on the
site. The configuration of the tract and the site's proximity to the stream prevent the use of
subsurface and spray irrigation systems. There is not a public sewer system in the area, but since
the skimmer collects stormwater, most Municipal or Regional Sewer Collection System would
not permit the flows from the skimmer basin to be added to their system.
1�,

�� Division of Water Quality / Water Quality Section
.A.
�r �
NCE...)ENR National Pollutant Discharge Elimination System
V ;YtiH wayLII11 C�EAKiMEVI OF
FN VTY `IMFYT P11f1 NAT1.1vV . RF$Or7 IFS
NCG520000
FOR AGENCY USE ONLY
Date Received
Year
I Month
Da
Certificate ofCovera e
NC D ,(
Check # I Amount
r90. a
- PP�mit Assigned to
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG520000: Sand Dredging operations and similar point source discharges
(Please print or type)
1) Mailing address of owner/operator:
Company Name . City of Kings Mountain
Owner Name
Street Address
City
Telephone No.
101 W. Gold Street
Kings Mountain State NC ZIP Code 28086
[phone] Fax: [phone]
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Moss Lake Dredging Operations
Facility Contact Steve Killian, Planning Director
Street Address PO Box 429
City
County
Telephone No.
Kings Mountain State NC ZIP Code 28086
Cleveland
[phone] Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road
numbers, and distance and direction from a roadway intersection). From the intersection of Hwy 150
and Airport Road (SR 1926), travel west on SR 1926 0.2 miles and turn left onto a paved drive.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following :
t�^
■
0
New or Proposed
Modification
Please describe the modification:
Renewal
Please specify existing permit number and original issue date:
5) Does this facility have any other NPDES permits?
IN No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) Description of Discharge:
a) Is the discharge directly to the receiving water? 91 Yes ❑ No
Page 1 of 4
11107
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I ,LN 1 3a 1z !i

V,
NCG520000 N.®.I.
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the
only viable means of discharge.
b) Number of discharge points (ditches, pipes,.. channels, etc. that convey wastewater from the
property): 1
c) Volume of discharge per each discharge point (in GPD):
#1: 7140 #2: #3: #4
d) Please describe the type of process the sand dredging wastewater is being discharged from, be
specific. Water draining from the sand piles and stormwater runoff is collected in the sediment basin.
Any fines in the water are settled out in the storage basin and then discharged from the basin using a
Faircloth Skimmer.
e) Is there any treatment being applied to the wastewater before discharge (check the type of
treatment in use).
® Settling pond
❑ Lagoon
❑None
❑ Other:
f) How much of the volume discharged is treated (state in percent)? 100%
g) If any box in item (e) above, other than none, was checked, please include design specifics (i.e.,
design volume, retention time, surface area, etc.) with submittal package. Existing treatment
facilities should be described in detail. Design criteria and/ operational data (including
calculations) should be provided to ensure that the facility can comply with the requirements of the
General Permit. - - -
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping
efficiency should be greater than 75%. The surface area should be as large as possible to insure
sedimentation occurs. To secure optimum efficiency the flow -length of the basin to the basin
width should have a ratio of 2:1
Note: Construction. of any wastewater treatment facilities requires submission of three (3) sets
of plans and specifications along with the application. Design of treatment facilities must
comply with requirements of 15A NCAC 2H .0138. If construction applies to this
discharge, include the three sets of plans and specifications with this application.
7) Discharge Frequency:
a) The discharge is: ❑ Continuous ® Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: The basin will only
discharge during the the periodic dredging operations and after a rainfall event.
ii) If seasonal check the month(s) the -discharge occurs: ❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr. ❑ May
❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec.
b) How many days per week is there a discharge? Potentially 7 days during active dredging operations.
c) Please check the days discharge occurs:
IM Sat. ® Sun. X Mon..0 Tue. ® Wed. fly Thu. X Fri.
Page 2.of 4
11/07

V,
NCG520000 N.O.I.
8) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). Buffalo Creek/Moss Lake Reservoir
b) Stream Classification: WS III
9) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating
that a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is noian option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives':
10) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a). 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.-
b) Site map, if the discharge is not directly to a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped "Final Design -Not released for
construction".
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Edgar • hrey, Jr.
Title: Mayor n
of Applicant) (Date Signed)
Page 3 of 4
11/07

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SOC PRIORITY PROTECT: No
To: NPDES Unit
Surface Water Protection Section
Attention: Bob Guerra
Date: June 30, 2011
NPDES STAFF REPORT AND RECOMMENDATIONS
County: Cleveland
NPDES Permit No.: NCG520110
PART I - GENERAL INFORMATION
1. Facility and address: Moss Lake Dredging Operations
City of Kings Mountain
Post Office Box 429
Kings Mountain, NC 28086
2. Date of investigation: June 28, 2011
3. Report prepared by: Michael L. Parker, Environmental Engineer II
4. Person contacted and telephone number: Steve Killian, Planning Director, (704) 734-
4596.
5. Directions to site: From the jct. of Hwy. 150 and Airport Road just north of the Moss
Lake Reservoir, travel northwest on Airport Road � 0.2 mile. The proposed dredging
operation will be located on the left (south) side of Airport Road. The site is accessed via
a paved access road.
6. Discharge point(s): Latitude: 350 19' 36"
Longitude: 810 28' 26"
USGS Quad No.: F13SW
7. Receiving stream or affected surface waters: Buffalo Creek/Moss Lake Reservoir
a. Classification: WS-III
b. River Basin and Subbasin No.: Broad 030805
C. Describe receiving stream features and pertinent downstream uses: The point of
discharge will occur z 0.5 mile above where Buffalo Creek enters Moss Lake.
The discharge point is immediately below a rock spillway that was once used as a
water supply source for a nearby mill. The receiving stream at this point is z 20
feet wide and 6 - 12 inches deep. Stream dimensions are likely to change once the
dredging operation begins.

PART II - DESCRIPTION OF DISCHARGE AND TREATMENT WORDS
a. Actual treatment capacity: 0.007140 MGD (Design Capacity)
b. Current permitted capacity: N/A (new penlit)
C. Description of existing or substantially constructed WWT facilities: There are no
existing WWT facilities.
d. Description of proposed WWT facilities: The applicant proposes to construct an
earthen settling basin with skimmer to treat the water prior to discharge.
e. Possible toxic impacts to surface waters: There are no toxic impacts expected.
2. Compliance Background: N/A (new facility).
PART III - OTHER PERTINENT INFORMATION
Special monitoring or limitations (including toxicity) requests: N/A (General Permit)
PART IV - EVALUATION AND RECOMMENDATIONS
The applicant, City of Kings Mountain (the City), requests approval to construction a
settling basin and associated discharge from a sand dredging operation proposed near the
headwaters of Moss Lake. The City owns the lake and for years has dealt with accumulations of
sand and silt that continues to be deposited in the upper reaches of the lake. Past attempts to
remove sand deposition in the main body of the lake have met with varying degrees of success,
so the City is looking at trying to capture as much of the sand and silt as possible before it enters
the lake.
The City plans to use along -reach trackhoe to gain access to the material as it is carried
down the creek. The material will be pulled from the creek and allowed to drain into the settling
basin where the ancillary water will be treated and discharged. Once the material has dried,.it
will be removed from the site.
The proposed site was once used as a sand dredging operation in the past; however, the
previous operation did not have a point source discharge and no discharge permit was required.
The current site has limited area, which may become problematic for the City should the amount
of deposition recovered exceed the amount of storage area available. It will also be important to
maintain the existing basin from accumulating excess material which would reduce settling
efficiency, especially since it is not baffled and is limited to a single basin. This Office
recommends issuance gtthe pen -nit as requested.
Signature of Report Preparer Date'
Water Quality Regional Supervisor Date
h:\dsr\dsr10\ki gsmtndredge.doc

RECEIVED
E3M alrr�,' 0' ^6,riWER QUALITY
JUN dMCDENR
� fill
C"" .�" CE
North -Carolina Department of Environ'r!!e ;t �:nd Natural Res k9s91e v� 4_E�.�GIO AL OFFICE
Beverly Eaves Perdue
Governor
STEVE KILLIAN
PLANNING DIRECTOR
CITY OF KINGS MOUNTAIN
PO BOX 429
KINGS MOUNTAIN NC 28086
Dear Mr. Killian:
Division of Water Quality
Coleen H. Sullins
Director
June 16, 2011
Dee Freeman
Secretary
Subject: Acknowledgement of New Permit Application
Permit #: NCG520110
Facility: Moss Lake Dredging Operations
Cleveland County
The Division of Water Quality NPDES acknowledges receipt of your permit application, with payment and supporting
materials on June 13, 2011. This application package has been assigned the number listed above and will be reviewed by Bob
Guerra. By copy of this letter, we are also requesting a Staff Report from the Mooresville Regional Office.
The reviewer will perform a detailed review and contact you with a request for additional information if necessary. To ensure
the maximum efficiency in processing permit applications, the Division requests your assistance in providing a timely and -
complete response to any additional information requests.
Please note at this time, processing permit applications can take as long as 60 - 90 days after receipt of a complete application.
To check on the status of an application, please visit http:/lh2o.enr.state.nc.us/binis/Reports/reportsPermits.html.
If you have any questions, please contact Bob Guerra at 919-807-6387, or via e-mail at [e-mail]. If the
reviewer is unavailable, you may leave a message, and they will respond promptly.
PLEASE REFER TO THE ABOVE APPLICATION NUMBER WHEN MAKING INQUIRIES ON THIS PROJECT.
Sincerely,
11
st�� 40a""Z_
Dina Sprinkle
Point Source Branch
cc: LVLo9resvillel�egion(ffi: Surface Water Protection Section
Permit Application File NCG520110
16171Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St, Raleigh, North Carolina 27604 One
Phone: [phone] t FAX: [phone] Customer Service: 1-877-623-6748 Noft lCarolina
Internet: www.ncsvaterquality.arg
An Equal Opportunity t Affirmative Acton Employer

NCG520000 Application Additional Information
Site Usage
This project involves the removal of accumulated sand and sediment from the upper reaches of
Moss Lake, which is the City's water supply reservoir. Moss Lake has seen heavy concentration
of sands being deposited into upper end of the reservoir. This intent of this operation is to limit
the amount of material that will be added to the current sediment deposits. The material will be
removed on an as needed basis, based on the level of sands that are accumulated in front of the
access area.
The material will be removed from the reservoir using a trackhoe. The material will be allowed
to dewater and drain into a skimmer basin to treat the ancillary water associated with the sand
dredging operations and the stormwater from the stockpile areas. Once the material is dry, it will
be removed from the site. The material is mostly a sandy material with some silt and trash. All
material will be removed from the site.
Alternate Analysis
There are not any structures that have process water on site. The skimmer basin collects the
stonmwater and ancillary water on the site. The location, size, and terrain of the site do not
allow any alternate forms of treatment available for the stormwater and ancillary water on the
site. The configuration of the tract and the site's proximity to the stream prevent the use of
subsurface and spray irrigation systems. There is not a public sewer system in the area, but since
the skimmer collects stormwater, most Municipal or Regional Sewer Collection System would
not permit the flows from the skimmer basin to be added to their system.

A
4�
1
THE CITY OF ]KINGS MOUNTAIN
P.O. BOX 429 , KINGS MOUNTAIN, NORTH CAROLINA 28086 • 704-734-0333
NPDES Permits Unit
Division of Water Quality
.1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Re: Moss Lake Dredging Operations
Notice Of Intent
National Pollutant Discharge Elimination System application for coverage under
General Permit NCG520000: Sand Dredging operations and similar point source
discharges
Gentlemen;
Please find enclosed an application for coverage of the project listed above under General
Permit NCG52000. This site will be used to remove sand deposits from the upper end of
Moss Lake, which is our water supply reservoir. Moss Lake has seen heavy
concentration of sand and sediment being deposited into upper end of the reservoir. This
intent of this operation is to limit the amount of material that will be added to the current
sediment deposits. The material will be removed on an as needed basis, based on the
level of sand and sediments that are accumulated in front of the access area.
The skimmer basin design is under reviewed by NCDENR- Land Quality
The following items are enclosed for your review and approval.
• Copy of the check for $100 made payable to NCDENR
• 3 copies of county map with location of facility clearly marked on map
• 3 copies of a portion of the Waco 7.5 minute series USGS topographic
map showing the discharge location.
• 3 copies of the completed application
• 3 sets of mine map and specifications prepared for the mining permit.
• A statement concerning an Alternatives analysis for the ro'ect. _
The Historical City
�111r

e
If you have any questions or need additional information, please do not hesitate to contact
me at 704-734-4596.
Sincerely,
Steve Killian
Director of Planning and Economic Development
City of Kings Mountain
NPDESmemo622011

MCDENR
V.:iitX CYKSLtr4 CJEFYJ+rMEYi OF
FNvaoWnFYr am Nm6wv. RFso,tar�Fs
Division of Water Quality / Water Quality Section
National Pollutant Discharge Elimination System
NCG520000
FOR AGENCY USE ONLY
Date Received
Year
IMonth Da
OCertificate
of Covers e
WIGIR9, 1111/2
Check-4 IAmount
D
PemiitAsgignedto
u c
NOTICE OF INTENT
National Pollutant Discharge Elimination System application for coverage under General Permit
NCG520000: Sand Dredging operations and similar point source discharges
(Please print or type)
1) Mailing address of owner/operator:
Com an Name . City of Kings Mountain
p y
Owner Name
Street Address 101 W. Gold Street
City Kings Mountain State NC ZIP Code 28086
Telephone No. [phone] Fax: [phone]
* Address to which all permit correspondence will be mailed
2) Location of facility producing discharge:
Facility Name Moss Lake Dredging Operations
Facility Contact Steve Killian, Planning Director
Street Address PO Box 429
City
County.. .
Telephone No.
Kings Mountain State NC ZIP Code 28086
Cleveland
[phone] Fax: [phone]
3) Physical location information:
Please provide a narrative description of how to get to the facility (use street names, state road
numbers, and distance and direction from a roadway intersection). From the intersection of Hwy 150
and Airport Road (SR 1926), travel west on SR 1926 0.2 miles and turn left onto a paved drive.
(A copy of a county map or USGS quad sheet with facility clearly located on the map is required to be submitted with this application)
4) This NPDES permit application applies to which of the following:
® New or Proposed
❑ Modification
Please describe the modification:
❑ Renewal
Please specify existing permit number and original issue date:
5) Does this facility have any other NPDES permits?
® No
❑ Yes
If yes, list the permit numbers for all current NPDES permits for this facility:
6) Description of Discharge:
a) Is the discharge directly to the receiving water? ® Yes ❑ No
11/07
__ _. — _._ Pag6-1 of4
t
i i5 i� V 7 F
iE5�tt�
JUN 1 3 2011

1
NCG520000 N.O.I.
7)
If no, submit a site map with the pathway to the potential receiving waters clearly marked. This
includes tracing the pathway of the storm sewer to the discharge point, if the storm sewer is the
only viable means of discharge.
b) Number of discharge points (ditches, pipes, channels, etc. that convey wastewater from the
property): 1
c) Volume of discharge per each discharge point (in GPD):
#1: 7140 #2: #3: #4
d) Please describe the type of process the sand dredging wastewater is being discharged from, be
specific. Water draining from the sand piles and stormwater runoff is collected in the sediment basin.
Any fines in the water are settled out in the storage basin and then discharged from the basin using a
Faircloth Skimmer.
e) Is there any treatment being applied to the wastewater before discharge (check the type of
treatment in use).
® Settling pond
❑ Lagoon
❑None
❑Other:
f) How much of the volume discharged is treated (state in percent)? 100%
g) If any box in item (e) above, other than none, was checked, please include design specifics (i.e.,
design volume, retention time, surface area, etc.) with submittal package. Existing treatment
facilities should be described in detail. Design criteria and/ operational data (including
calculations) should be provided to ensure that the facility can comply with the requirements of the
General Permit:
The treatment shall be sufficient to meet with the limits set by the general permits. The trapping
efficiency should be greater than 75%. The surface area should be as large as possible to insure
sedimentation occurs. To secure optimum efficiency the flow length of the basin to the basin
width should have a ratio of 2:1
Note: - Construction of any wastewater treatment facilities requires submission of three (3) sets
of plans and specifications along with the application. Design of treatment facilities must
comply with requirements of 15A NCAC 2H .0138. If construction applies to this
discharge, include the three sets of plans and specifications with this application.
Discharge Frequency:
a) The discharge is: ❑ Continuous ® Intermittent ❑ Seasonal
i) If the discharge is intermittent, describe when the discharge will occur: The basin will only
discharge during the the periodic dredging operations and after a rainfall event.
ii) If seasonal check the month(s) the discharge occurs: ❑ Jan. ❑ Feb. ❑ Mar. ❑ Apr. ❑ May
❑ Jun. ❑ Jul. ❑ Aug. ❑ Sept. ❑ Oct. ❑ Nov. ❑ Dec. -
b) How many days per week is there a discharge? Potentially 7 days during active dredging operations.
c) Please check the days discharge occurs:
® Sat. ® Sun. ® Mon. ® Tue. K Wed. ® Thu. ® Fri.
-Page 2 of 4
11/07

NCG520000 N.Q.I.
8) Receiving waters:
a) What is the name of the body or bodies of water (creek, stream, river, lake, etc.) that the facility
wastewater discharges end up in? If the site wastewater discharges to a separate storm sewer
system (4S), name the operator of the 4S (e.g. City of Raleigh). Buffalo Creek/Moss Lake Reservoir
b) Stream Classification: WS III
9) Alternatives to Direct Discharge:
Address the feasibility of implementing each of the following non -discharge alternatives
a) Connection to a Municipal or Regional Sewer Collection System
b) Subsurface disposal (including nitrification field, infiltration gallery, injection wells, etc.)
c) Spray irrigation
The alternatives to discharge analysis should include boring logs and/or other information indicating
that a subsurface system is neither feasible nor practical as well as written confirmation indicating that
connection to a POTW is not an option. It should also include a present value of costs analysis as
outlined in the Division's "Guidance For the Evaluation of Wastewater Disposal Alternatives".
10) Additional Application Requirements:
For new or proposed discharges, the following information must be included in triplicate with this
application or it will be returned as incomplete.
a) 7.5 minute series USGS topographic map (or a photocopied portion thereof) with discharge
location clearly indicated.
b)-.-Site-map; if the discharge is not directly to, a stream, the pathway to the receiving stream must be
clearly indicated. This includes tracing the pathway of a storm sewer to its discharge point.
c) If this application is being submitted by a consulting engineer (or engineering firm), include
documentation from the applicant showing that the engineer (Or firm) submitting the application
has been designated an authorized Representative of the applicant.
d) Final plans for the treatment system (if applicable). The plans must be signed and sealed by a
North Carolina registered Professional Engineer and stamped -"Final Design -Not released for
construction".
e) Final specifications for all major treatment components (if applicable). The specifications must be
signed and sealed by a North Carolina registered Professional Engineer and shall include a
narrative description of the treatment system to be constructed.
I certify that I am familiar with the information contained in this application and that to the best of my
knowledge and belief such information is true, complete, and accurate.
Printed Name of Person Signing: Edgar prey, Jr.
Title: Mayor n n
of Applicant)
- - _- Page 3 of 4-
11/07
(Date Signed)

NCG520000 N.O.I.
North Carolina General Statute 143-215.6 b (i) provides that:
Any person who knowingly makes any false statement, representation, or certification in any
application, record, report, plan or other document filed or required to be maintained under Article 21
or regulations of the Environmental Management Commission implementing that Article, or who
falsifies, tampers with or knowingly renders inaccurate any recording or monitoring device or method
required to be operated or maintained under Article 21 or regulations of the Environmental
Management Commission implementing that Article, shall be guilty of a misdemeanor punishable by a
fine not to exceed $25,000, or by imprisonment not to exceed six months, or by both. (18 U.S.C.
Section 1001 provides a punishment by a fine of not more than $25,000 or imprisonment not more
than 5 years, or both, for a similar offense.)
Notice of Intent must be accompanied by a check or money order for $100.00 made payable to:
NCDENR
Mail three (3) copies of the entire package to:
NPDES Permits Unit
Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Final Checklist
This application will be returned as incomplete unless all of the following items have been
included:
M Check for $100 made payable to NCDENR
® 3 copies of county map or USGS quad sheet with location of facility clearly marked on map
Cliil 3 copies of this completed application and all supporting documents
® 3 sets of plans and specifications signed and sealed by a North Carolina P.E.
® Thorough responses to items 1-10 on this application
M Alternatives analysis including present value of costs for all alternatives
Note
The submission of this document does not guarantee the issuance of an NPDES permit
—_ Page 4 of 4
11107

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North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
City of Kings Mountain
Mr. Steve Killian, Director of Planning
101 W. Gold St.
Kings Mountain, NC 28086
Dear Mr. Killian:
Division of Water Quality
Coleen H, Sullins
Director
March 8, 2011
Subject: Moss Lake Dredging Operations
NPDES Permit No.NCG520000
Cleveland County, N.C.
Dee Freeman
Secretary
A review of your mining permit application submitted to the Land.Quality Section on February
9, 2011, revealed that a Wastewater General permit NCG520000 is required for this operation by
the Division of Water Quality. Mr. Samar Bou-Ghazale with the Division of Water Quality met with
you on site on March 2, 2011. ,
In order to comply with NCGS 143-215.1, it is'necessary that you fill out the enclosed
Certificate of Coverage and return same to the address shown on the application.
If you have any questions regarding this matter, please contact Mr. Samar Bou-Ghazale of this
Office at [phone].
Sincerely,
Robert B. Krebs
Regional Supervisor
Surface Water Protection
Cc: Wesley Webb -Alley, Williams, Carmen & Kings, Inc.
Enclosure
SBG
Mooresville Regional Office One
Location: 610 East Center Avenue, Suite 301, Mooresville, NC 28115 NorthCarolina
Phone: [phone]\Fax: [phone]\ Customer Service: 1-877-623-6748 N%tuL!/y
Internet: http://portal.ncdenr.org/web/wq/home/ro �/ Y yraC!
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